Mirada de la población adolescente sobre aspectos bioéticos en el paciente crítico: un estudio en 848 jóvenes escolarizados / Look at the population teenager about aspects bioethics in the critical patient: a study in 848 young people schooled

Objetivos: Cuantificar donantes, personas que aceptan tratamientos invasivos, que firmarían órdenes de no reanimar, que avalarían transfusiones a personas contra su voluntad, que aceptan el aborto, la eutanasia y la investigación experimental, en todos los casos vinculando la respuesta con fundamentaciones. Materiales y Métodos: Diseño prospectivo, de observación, longitudinal, analítico. En 2007-2008, se estudiaron 848 adolescentes de 13 escuelas públicas de enseñanza media del área de responsabilidad de un hospital del Gobierno de la Ciudad Autónoma de Buenos Aires, en quienes se aplicó una encuesta autoadministrada abierta-cerrada. Se interrogó sobre situaciones vinculadas a aspectos bioéticos. Resultados: Los donantes representan el 75% de la muestra, el 46% desea que le implementen todo tratamiento posible, el 30% firmaría una orden de no reanimación, el 32% avala las transfusiones a Testigos de Jehová, el 57% acepta el aborto; el 81%, la eutanasia; el 62%, la investigación experimental. No hay diferencias de aceptación del aborto y la eutanasia entre católicos y no creyentes (p 0,10 y 0,30, respectivamente). En el análisis multivariado, la implementación de todo tipo de tratamiento se vinculó a no firmar una orden de no reanimar (p 0,0000) y a no respetar la voluntad de los Testigos de Jehová (p 0,0024). La aceptación de la eutanasia se vincula con la aceptación de aborto (p 0,0000) y firmar una orden de no reanimar (p 0,0266). Conclusiones: Los valores más votados fueron la veracidad y la justicia. La escuela media es un sitio de alto impacto para educar en bioética y derechos de ciudadanía(AU)

Objectives: To quantify donors, people who would accept invasive treatments, who would sign orders not to resuscitate, who would support transfusions to persons against their will, who would accept abortion, euthanasia, and experimental research, in all cases supporting their choices with foundations. Materials and Methods: Prospective, observational, longitudinal and analytical study. During 2007-2008, 848 teenagers belonging to 13 public high schools in the area of responsibility of a hospital from Gobierno de la Ciudad Autónoma de Buenos Aires were studied. They were given a self-administered opened-closed survey which included questions about situations linked to bioethical aspects. Results: Donors represent 75% of the sample, 46% wish to get any possible treatment, 30% would sign a do-not-resuscitate order, 32% support transfusions to Jehovah's Witnesses, 57% accept abortion, 81% euthanasia, 62% experimental research. There are no differences on acceptance of abortion and euthanasia between Catholics and non-believers (p 0.10 and 0.30, respectively). In the multivariate analysis, the implementation of all kinds of treatment was linked to a refusal to sign a do-not-resuscitate order (p 0.0000) and to not respecting the will of the Jehovah's Witnesses (p 0.0024). The acceptance of euthanasia links itself, in the analysis multivariate, to accepting abortion (p 0.0000) and to signing a do-not-resuscitate order (p 0.0266). Conclusions: The majority vote in favor of veracity and justice. High school is a high impact point to educate on bioethics and rights of citizenship(AU)

A negative view of menopause: does the type of symptom matter?

OBJECTIVES: To assess the association between the type of symptom and women's self-reported view of menopause. METHODS: The study was conducted at Mayo Clinic, Rochester MN, between January 2006 and October 2014. Women aged 40-64 were included. Data from 1420 women were analyzed in a cross-sectional design. The Menopause Health Questionnaire was used for symptom assessment. Odds ratios (ORs) and population attributable risk (PAR) (OR × percent frequency) were calculated for each symptom. Logistic regression analyses were performed with the view of menopause as the dependent variable. RESULTS: Anxiety (2.34), depressed mood (2.24), irritability (2.22), vaginal itching (2.27), crying spells (2.1) and breast tenderness (2.08) were associated with highest odds of having a negative view of menopause. Highest PAR (population impact) symptoms were anxiety (22.27), weight gain (20.66), fatigue (20.28) and irritability (19.41). Hot flushes and night sweats, although common, were not associated with a negative view of menopause (OR 1.3 and 1.16; PAR 3.85 and 4.42, respectively). CONCLUSION: Mood symptoms, vaginal itching, weight gain, breast tenderness and fatigue, although less common than hot flushes, were noted to have greater association with a negative view of menopause. Specifically addressing these symptoms during menopausal consultation may improve patient satisfaction and outcomes.