Ethical issues and dentists' practices with children with intellectual disability: A qualitative inquiry into a local French health network

Camoin, Ariane; Dany, Lionel; Tardieu, C; Ruquet, Michel; Coz, Pierre Le

doi:10.1016/j.dhjo.2018.01.001

Cited by 15 publications

(11 citation statements)

References 21 publications

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“…We point out as a limitation of the work that we did not make the determination of salivary flow, due to the difficulty in collection, since patients with CM are more anxious (Camoin, Dany, Tardieu, Ruquet, & Le Coz, 2018;Davila, 1990) and we prioritize their comfort. To minimize salivary flow rate absence, all salivary parameters were expressed in protein concentration.…”

Section: Discussionmentioning

confidence: 99%

Alteration on redox status in saliva of microcephaly children

Alves

Barbieri

Gomes

et al. 2021

RSD

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Microcephaly is described as a reduction of the head circumference, due to the premature fusion of the bones of the skull, preventing the brain from growing normally and reaching its maximum development. This condition may result in neurological disorders, phonation and chewing dysfunction, dysphagia and risk of malnutrition. This alteration contributes to oral hygiene impairment, and continuous uses of the antipsychotic and anticonvulsant medication. Thus, the purpose of this study was to evaluate if microcephaly modified redox balance in saliva. Our hypothesis is that in the microcephalic patient's salivary oxidative stress is lower because of the increase in antioxidant defenses. The study included 13 patients with microcephaly (microcephalic group – MC) and 12 patients without neurological disorders (normocephalic group – NC), from zero to ten years old, no edentulous. Saliva was collected using a cotton wool swab, placing it on the child's mouth floor. After centrifugation, supernatants were fractionated and stored at -80 °C for analyses. Lipid oxidative was evaluated by TBARS methods, total antioxidant capacity by the ferric reducing ability (FRAP) assay, uric acid (UA) was quantified by modified Trinder reaction, and superoxide dismutase activity (SOD) by inhibition of the pyrogallol auto-oxidation. Total protein was measured using the method of Lowry. Compared to NC group, TBARS was significantly lower in MC group, while FRAP, UA and SOD were higher. Our hypothesis was confirmed. MC patients have lower salivary oxidative stress, due to increased oxidant defenses.

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Section: Discussionmentioning

confidence: 99%

Alteration on redox status in saliva of microcephaly children

Alves

Barbieri

Gomes

et al. 2021

RSD

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“…According to Camoin et al [15] (2018), practitioners reported sacrificing ethical values, such as patient autonomy, beneficence, and non-maleficence, when making a clinical decision. Most of the dentists adopt a “utilitarianist” viewpoint.…”

Section: Discussionmentioning

confidence: 99%

“…The current field has not been debated broadly as it has quite different concerns and priorities. [15]…”

Section: Introductionmentioning

confidence: 99%

Ethics in children’s dental treatment under general anesthesia at the Lebanese University

Nassif

2019

J Int Soc Prevent Communit Dent

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“…Lack of experience has been found by Kadivar et al (2017) to negatively affect how paediatric residents address ethical dilemmas regarding information. A majority of dentists in a study conducted by Camoin et al (2018) claimed that they sometimes sacrificed ethical values (such as patient autonomy) in order to provide beneficial care to anxious children with intellectual disabilities and to address decision-making related challenges; while Australian pharmacists (Hattingh & King, 2019) claim that they generally avoid situations they perceive as requiring complex management. Many Japanese physicians believe that few problems result when they honestly tell cancer patients about their poor prognosis (Elwyn et al, 2002).…”

Section: Strategiesmentioning

confidence: 99%

How do healthcare professionals respond to ethical challenges regarding information management? A review of empirical studies

2021

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Aim This study is a systematic review that aims to assess how healthcare professionals manage ethical challenges regarding information within the clinical context. Method and Materials We carried out searches in PubMed, Google Scholar and Embase, using two search strings; searches generated 665 hits. After screening, 47 articles relevant to the study aim were selected for review. Seven articles were identified through snowballing, and 18 others were included following a system update in PubMed, bringing the total number of articles reviewed to 72. We used a Q-sort technique for the analysis of identified articles. Findings This study reveals that healthcare professionals around the world generally employ (to varying degrees) four broad strategies to manage different types of challenges regarding information, which can be categorized as challenges related to confidentiality, communication, professional duty, and decision-making. The strategies employed for managing these challenges include resolution, consultation, stalling, and disclosure/concealment. Conclusion There are a variety of strategies which health professionals can adopt to address challenges regarding information management within the clinical context. This insight complements current efforts aimed at enhancing health professional-patient communication. Very few studies have researched the results of employing these various strategies. Future empirical studies are required to address this. Abbreviations CIOMS: Council of International Organization of Medical Sciences; WHO: World Health Organization; AMA: American Medical Association; WMA: World Medical Association; PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analysis; ISCO: International Standard Classification of Occupations; ILO: International Labour Office; SPSS: The Statistical Package for the Social Sciences

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Ethical issues and dentists' practices with children with intellectual disability: A qualitative inquiry into a local French health network

Cited by 15 publications

References 21 publications

Alteration on redox status in saliva of microcephaly children

Alteration on redox status in saliva of microcephaly children

Ethics in children’s dental treatment under general anesthesia at the Lebanese University

How do healthcare professionals respond to ethical challenges regarding information management? A review of empirical studies

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