array:22 [ "pii" => "S2173510719300795" "issn" => "21735107" "doi" => "10.1016/j.rxeng.2019.05.008" "estado" => "S300" "fechaPublicacion" => "2019-09-01" "aid" => "1142" "copyright" => "SERAM" "copyrightAnyo" => "2019" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Radiologia. 2019;61:435" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemAnterior" => array:19 [ "pii" => "S217351071930062X" "issn" => "21735107" "doi" => "10.1016/j.rxeng.2019.06.006" "estado" => "S300" "fechaPublicacion" => "2019-09-01" "aid" => "1131" "copyright" => "SERAM" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Radiologia. 2019;61:430-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2 "HTML" => 2 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Brief report</span>" "titulo" => "Segmental arterial mediolysis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "430" "paginaFinal" => "434" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mediolisis arterial segmentaria" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2088 "Ancho" => 2500 "Tamanyo" => 414478 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Computed tomography (CT) angiography of the aorta. (A) Coronal MIP reconstruction of the splanchnic territory arteries, showing luminal irregularity and focal stenoses of the left gastric artery (black arrow), common and proper hepatic arteries (black arrow heads) and superior mesenteric artery (black asterisk). Small saccular aneurysms can also be seen in the common hepatic artery (black dashed circle) and in the superior mesenteric artery and its right colic branch (black circles). (B) Axial image centred on the superior mesenteric artery, in which dissection of the artery with patent true lumen and false lumen (white arrow) can be identified. (C) Caudally in the superior mesenteric artery, an intramural haematoma is visible (white arrow head). (D) VR reconstruction of the aorta and its branches, showing the same findings described in section A. (E and F) Follow-up CT performed after 6 months of conservative treatment. The superior mesenteric artery (white arrow) and common hepatic artery (white arrow) are radiologically normal; the findings described earlier have resolved.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Jurado Basildo, E. Santos Armentia, N. Silva Priege, A.M. Villanueva Campos" "autores" => array:4 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Jurado Basildo" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Santos Armentia" ] 2 => array:2 [ "nombre" => "N." "apellidos" => "Silva Priege" ] 3 => array:2 [ "nombre" => "A.M." "apellidos" => "Villanueva Campos" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0033833819300608" "doi" => "10.1016/j.rx.2019.04.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0033833819300608?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217351071930062X?idApp=UINPBA00004N" "url" => "/21735107/0000006100000005/v1_201909250722/S217351071930062X/v1_201909250722/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Respecting the privacy of the patient in the scrotal ultrasound" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "435" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Ramos-Brieva" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Ramos-Brieva" "email" => array:1 [ 0 => "jesus.ramosbrieva@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Médico adjunto y Coordinador de Calidad, jubilado. Servicio de Psiquiatría, Hospital Universitario Ramón y Cajal de Madrid. Profesor Asociado de Psiquiatría, jubilado, de la Universidad de Alcalá, Madrid, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respetando la intimidad del paciente en la ecografía escrotal" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In many radiological examinations, patients are obliged to bare certain parts of their body. The deontological obligation of every radiologist, as expressed in the specialty guidelines,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> is to avoid any unnecessary nudity. For this reason, patients who have to bare certain parts of their body are usually given a radiolucent gown to protect their privacy. This, however, is not always done in the daily activity of a public radiology service (with gender bias in some services, where men are not usually given gowns for chest x-rays, although women are; and gowns are not provided for abdominal or hip radiographs, for example).</p><p id="par0010" class="elsevierStylePara elsevierViewall">This practice is not due to an ignorance of our duty to avoid unnecessary nudity, but to cultural norms that lead us to the preconceived notion that men do not feel shame, and accordingly, we act as if they have no need, or right, to protect their privacy.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">An example of this is the scrotal ultrasound, where the subject is told to strip from the waist down, after which he is asked to move his penis from the region to be explored and hold it on his belly with one hand, in a proximal or cranial direction, regardless of whether or not a towel is placed under the scrotum to maximise exposure of the testicles to the scan.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> In these situations, patients are rarely offered something to cover their bodies.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Obviously, to correctly perform an ultrasound scan of the scrotum or testicles they must be exposed, naked, to the technician. However, there is no need for the patient to also show his penis. Nevertheless, this is often what he is, albeit passively, forced to do. This is an example of a failure to comply with the deontological principle and legal obligation to avoid unnecessary exposure of the penis.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Patient privacy and the obligations of health workers in this regard is protected by numerous laws in Spain. Failure to comply with these laws is punishable under the Penal Code.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">There is no reason why patients who must strip from the waist down for a scrotal ultrasound cannot be offered a gown before the procedure, or a small cloth to protect their privacy while they are lying on their back on the ultrasound table. Offering them this option is a way of respecting their privacy, as it would allow them to expose their scrotum while covering their penis as described above.</p><p id="par0035" class="elsevierStylePara elsevierViewall">This approach is fully consistent with the changes occurring during the ongoing process of humanising medicine,<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and enables us to treat our patients while respecting their privacy, as required by current legislation.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ramos-Brieva J. Respetando la intimidad del paciente en la ecografía escrotal. Radiología. 2019. <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.rx.2019.05.008">https://doi.org/10.1016/j.rx.2019.05.008</span></p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Técnicas prácticas de radiología" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Angulo Pérez" 1 => "J. González Rico" 2 => "F. 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Rodríguez-Patrón Rodríguez" 1 => "T. Mayayo Dehesa" 2 => "A. Lennie Zuccarino" 3 => "E. Sanz Mayayo" 4 => "F. Arias Fúnez" 5 => "R. García Navas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Esp Urol" "fecha" => "2006" "volumen" => "59" "paginaInicial" => "441" "paginaFinal" => "454" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16800141" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respetar la intimidad del paciente: una estrategia de pequeños pasos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Ramos Brieva" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jhqr.2018.06.001" "Revista" => array:6 [ "tituloSerie" => "J Healthc Qual Res" "fecha" => "2018" "volumen" => "33" "paginaInicial" => "305" "paginaFinal" => "306" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30401425" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Humanizar la sanidad para mejorar la calidad de sus servicios" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.C. 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Journal Information
Vol. 61. Issue 5.
Pages 435 (September - October 2019)
Vol. 61. Issue 5.
Pages 435 (September - October 2019)
Letter to the Editor
Respecting the privacy of the patient in the scrotal ultrasound
Respetando la intimidad del paciente en la ecografía escrotal
Visits
4
J. Ramos-Brieva
Médico adjunto y Coordinador de Calidad, jubilado. Servicio de Psiquiatría, Hospital Universitario Ramón y Cajal de Madrid. Profesor Asociado de Psiquiatría, jubilado, de la Universidad de Alcalá, Madrid, Spain
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