array:25 [
  "pii" => "S0873215912000943"
  "issn" => "08732159"
  "doi" => "10.1016/j.rppneu.2012.06.003"
  "estado" => "S300"
  "fechaPublicacion" => "2012-11-01"
  "aid" => "111"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Pneumol. 2012;18:289-93"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 5919
    "formatos" => array:3 [
      "EPUB" => 230
      "HTML" => 4487
      "PDF" => 1202
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S2173511512000668"
      "issn" => "21735115"
      "doi" => "10.1016/j.rppnen.2012.06.006"
      "estado" => "S300"
      "fechaPublicacion" => "2012-11-01"
      "aid" => "111"
      "copyright" => "Sociedade Portuguesa de Pneumologia"
      "documento" => "article"
      "crossmark" => 0
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "sco"
      "cita" => "Rev Port Pneumol. 2012;18:289-93"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 5079
        "formatos" => array:3 [
          "EPUB" => 264
          "HTML" => 3512
          "PDF" => 1303
        ]
      ]
      "en" => array:12 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Brief Communication</span>"
        "titulo" => "Reporting of ethical committee approval and patient consent in the <span class="elsevierStyleItalic">Portuguese Journal of Pulmonology</span> and in the other Portuguese medical journals with impact factor"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "pt"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "289"
            "paginaFinal" => "293"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Refer&#234;ncia a aprova&#231;&#227;o de comiss&#227;o de &#233;tica e a consentimento dos doentes na <span class="elsevierStyleItalic">Revista Portuguesa de Pneumologia</span> e noutras revistas m&#233;dicas portuguesas com fator de impacto"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "pt" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46;J&#46; Bernardes, R&#46; Nunes"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "M&#46;J&#46;"
                "apellidos" => "Bernardes"
              ]
              1 => array:2 [
                "nombre" => "R&#46;"
                "apellidos" => "Nunes"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "pt" => array:9 [
          "pii" => "S0873215912000943"
          "doi" => "10.1016/j.rppneu.2012.06.003"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "pt"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215912000943?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511512000668?idApp=UINPBA00004E"
      "url" => "/21735115/0000001800000006/v1_201305151609/S2173511512000668/v1_201305151609/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S0873215912000219"
    "issn" => "08732159"
    "doi" => "10.1016/j.rppneu.2012.02.004"
    "estado" => "S300"
    "fechaPublicacion" => "2012-11-01"
    "aid" => "81"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2012;18:294-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 9984
      "formatos" => array:3 [
        "EPUB" => 300
        "HTML" => 8266
        "PDF" => 1418
      ]
    ]
    "pt" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso cl&#237;nico</span>"
      "titulo" => "Mesotelioma decidu&#243;ide pleural &#8211; uma entidade rara numa mulher jovem"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "294"
          "paginaFinal" => "298"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Deciduoid Pleural Mesothelioma &#8211; a Rare Entity in a Young Woman"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1802
              "Ancho" => 1800
              "Tamanyo" => 220862
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">PET&#47;CT&#46; Extenso envolvimento hipermetab&#243;lico da pleura direita suspeito de envolvimento neopl&#225;sico maligno&#44; uma massa na por&#231;&#227;o postero-inferior que invadia a parede tor&#225;cica adjacente&#44; derrame pleural homolateral suspeito de derrame de origem neopl&#225;sica e envolvimento ganglionar secund&#225;rio mediast&#237;nico e bronco-hilar direito&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46; Santos, F&#46; Gamboa, F&#46; Fradinho, A&#46; P&#234;go, L&#46; Carvalho, J&#46; Bernardo"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Santos"
            ]
            1 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Gamboa"
            ]
            2 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Fradinho"
            ]
            3 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "P&#234;go"
            ]
            4 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Carvalho"
            ]
            5 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Bernardo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173511512000267"
        "doi" => "10.1016/j.rppnen.2012.03.002"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511512000267?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215912000219?idApp=UINPBA00004E"
    "url" => "/08732159/0000001800000006/v2_201509041329/S0873215912000219/v2_201509041329/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215912000955"
    "issn" => "08732159"
    "doi" => "10.1016/j.rppneu.2012.06.004"
    "estado" => "S300"
    "fechaPublicacion" => "2012-11-01"
    "aid" => "112"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "dis"
    "cita" => "Rev Port Pneumol. 2012;18:285-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 7553
      "formatos" => array:3 [
        "EPUB" => 293
        "HTML" => 5960
        "PDF" => 1300
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Comment</span>"
      "titulo" => "The smoker with interstitial lung disease and interventions for successful smoking cessation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "285"
          "paginaFinal" => "288"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "O fumador com doen&#231;a pulmonar intersticial e interven&#231;&#245;es para deixar de fumar com sucesso"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 3158
              "Ancho" => 2324
              "Tamanyo" => 706223
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A guide for assisting the smoker&#46; The first step in treating tobacco use and dependence is to identify tobacco users&#46; Asking systematically whether your patients smoke at every visit is imperative &#40;ASK&#41;&#46; All smokers should be advised to quit&#46; This advice should be clearly stated and specifically adapted in relation to the patient&#39;s problems &#40;ADVISE&#41;&#46; The willingness of smokers to make a quit attempt at this time should be assessed &#40;ASSESS&#41;&#46; If the patient is ready to quit&#44; health care providers should be prepared to offer assistance&#46; This entails working together with the patient to set a sensible plan with a commitment to a quit date and to frequent follow-up visits&#46; Alternatively&#44; referring the patient to a tobacco intervention resource &#40;eg&#44; a smoking cessation quit line or health educator&#41; that would deliver additional treatment to the patient might be contemplated &#40;ASSIST&#41;&#46; All patients who receive a tobacco dependence intervention should be regularly assessed for abstinence&#44; beginning within the first week after the quit date&#46; Abstinent patients should have their quitting success acknowledged&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P&#46; Caponnetto, C&#46; Russo, R&#46; Auditore, R&#46; Polosa"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Caponnetto"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Russo"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Auditore"
            ]
            3 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Polosa"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215912000955?idApp=UINPBA00004E"
    "url" => "/08732159/0000001800000006/v2_201509041329/S0873215912000955/v2_201509041329/en/main.assets"
  ]
  "pt" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Publica&#231;&#227;o breve</span>"
    "titulo" => "Refer&#234;ncia a aprova&#231;&#227;o de comiss&#227;o de &#233;tica e a consentimento dos doentes na Revista Portuguesa de Pneumologia e noutras revistas m&#233;dicas portuguesas com fator de impacto"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "289"
        "paginaFinal" => "293"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46;J&#46; Bernardes, R&#46; Nunes"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "M&#46;J&#46;"
            "apellidos" => "Bernardes"
            "email" => array:1 [
              0 => "mjflbernardes&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "R&#46;"
            "apellidos" => "Nunes"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servi&#231;o de Bio&#233;tica e &#201;tica M&#233;dica&#44; Faculdade de Medicina&#44; Universidade do Porto&#44; Porto&#44; Portugal"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspond&#234;ncia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Reporting of ethical committee approval and patient consent in the Portuguese Journal of Pulmonology and in the other Portuguese medical journals with impact factor"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o</span><p id="par0005" class="elsevierStylePara elsevierViewall">A maior parte das revistas m&#233;dicas mundiais mais conceituadas seguem os Uniform Requirements for Manuscripts Submitted to Biomedical Journals of the International Committee of Medical Journal Editors &#40;ICMJE&#41;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; Dessa forma&#44; requerem a refer&#234;ncia a aprova&#231;&#227;o de comiss&#227;o de &#233;tica &#40;CE&#41; e de consentimento dos doentes&#44; de acordo com a Declara&#231;&#227;o de Hels&#237;nquia&#44; antes da aceita&#231;&#227;o de publica&#231;&#227;o dos artigos que lhes s&#227;o submetidos<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a>&#46; Normalmente&#44; &#233; esta a regra&#44; embora se possam considerar algumas situa&#231;&#245;es suscet&#237;veis de isen&#231;&#227;o dos requerimentos &#233;ticos referidos&#44; tais como estudos sobre pr&#225;ticas educacionais habituais&#44; observa&#231;&#245;es de comportamentos p&#250;blicos ou casos cl&#237;nicos&#44; em que os participantes se encontrem devidamente anonimizados<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Contudo&#44; a refer&#234;ncia a aprova&#231;&#227;o por CE ou a consentimento dos doentes em estudos realizados em humanos poder&#225; ser inferior &#224; recomend&#225;vel&#44; mesmo entre as revistas m&#233;dicas mundiais de refer&#234;ncia com fator de impacto mais elevado<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Neste artigo&#44; analisou-se a refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento dos doentes na Revista Portuguesa de Pneumologia e nas outras revistas portuguesas com fator de impacto&#44; indexadas ISI Web of Knowledge &#40;ISI Wok&#41;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46; Tanto quanto sabemos&#44; esta &#233; a primeira vez que este tipo de estudo se realiza em Portugal&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="par0020" class="elsevierStylePara elsevierViewall">A refer&#234;ncia a prova&#231;&#227;o de CE e a consentimento dos doentes foi pesquisada em todos os trabalhos que envolveram humanos&#44; publicados&#44; entre 1 de julho de 2010 e 30 de junho de 2011&#44; nas 3 revistas m&#233;dicas portuguesas indexadas no ISI-Wok&#58; Acta M&#233;dica Portuguesa&#44; Acta Reumatol&#243;gica Portuguesa e Revista Portuguesa de Pneumologia<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46; A pesquisa incluiu uma avalia&#231;&#227;o do envolvimento de doentes habitualmente considerados vulner&#225;veis&#44; tais como crian&#231;as e doentes psiqui&#225;tricos&#46; Nos casos cl&#237;nicos&#44; foi ainda considerado o envolvimento de doentes potencialmente identific&#225;veis&#44; sempre que as publica&#231;&#245;es inclu&#237;ram fotografias com dados pessoais&#44; ou iniciais de nomes&#44; com indica&#231;&#227;o de grupo &#233;tnico&#44; idade&#44; g&#233;nero&#44; profiss&#227;o ou endere&#231;o pessoal ou profissional<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Os trabalhos selecionados foram categorizados como ensaios cl&#237;nicos aleatorizados&#44; estudos observacionais&#44; prospetivos ou retrospetivos&#44; ou casos cl&#237;nicos &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Resumidamente&#44; os ensaios cl&#237;nicos aleatorizados foram definidos como estudos em que os participantes foram alocados aleatoriamente em grupos de interven&#231;&#227;o ou n&#227;o interven&#231;&#227;o&#59; os estudos observacionais inclu&#237;ram estudos transversais&#44; de caso-controlo e de coorte&#44; com recrutamento retrospetivo ou prospetivo dos participantes&#59; os casos cl&#237;nicos inclu&#237;ram casos &#250;nicos ou s&#233;ries de casos cl&#237;nicos&#44; imagens m&#233;dicas ou cartas com relatos de casos&#46; Foram exclu&#237;dos da an&#225;lise os trabalhos de revis&#227;o&#44; editoriais&#44; coment&#225;rios ou outras publica&#231;&#245;es que n&#227;o inclu&#237;ram a participa&#231;&#227;o direta de participantes humanos&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">Para infer&#234;ncia estat&#237;stica calcularam-se propor&#231;&#245;es com intervalos de confian&#231;a de 95&#37;&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resultados</span><p id="par0035" class="elsevierStylePara elsevierViewall">Na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#44; podemos verificar que as 3 revistas m&#233;dicas portuguesas avaliadas registaram globalmente uma propor&#231;&#227;o elevada de publica&#231;&#227;o de casos cl&#237;nicos &#40;49&#37;&#41;&#44; em compara&#231;&#227;o com estudos observacionais &#40;51&#37;&#41; e ensaios cl&#237;nicos aleatorizados &#40;0&#37;&#41;&#46; Registou-se ainda&#44; globalmente&#44; uma consider&#225;vel participa&#231;&#227;o de doentes vulner&#225;veis&#44; em todos os estudos realizados &#40;23&#37;&#41;&#44; e de doentes potencialmente identific&#225;veis&#44; nos casos cl&#237;nicos &#40;14&#37;&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de CE entre as revistas avaliadas variou entre 0&#37; e 50&#37;&#44; nos casos cl&#237;nicos e estudos prospetivos&#44; respetivamente&#44; e&#44; globalmente&#44; entre 0&#37; e 28&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Por outro lado&#44; a refer&#234;ncia a consentimento dos doentes variou entre 0&#37; e 58&#37;&#44; nos casos cl&#237;nicos e nos estudos prospetivos&#44; respetivamente&#44; e&#44; globalmente&#44; entre 0&#37; e 26&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Globalmente&#44; a refer&#234;ncia a aprova&#231;&#227;o de CE foi significativamente superior nos estudos prospetivos &#40;28&#37;&#44; 95&#37; CI&#58; 16-38&#37;&#41; &#224; dos retrospetivos &#40;3&#37;&#44; 95&#37; CI&#58; 1-15&#37;&#41; e casos cl&#237;nicos &#40;0&#37;&#44; 95&#37; CI&#58; 0-4&#37;&#41;&#44; mas n&#227;o se registaram diferen&#231;as estatisticamente significativas entre as revistas avaliadas&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discuss&#227;o</span><p id="par0045" class="elsevierStylePara elsevierViewall">Este estudo evidencia uma publica&#231;&#227;o globalmente baixa de ensaios cl&#237;nicos aleatorizados &#40;0&#37;&#41; e de estudos observacionais &#40;51&#37;&#41;&#44; nas 3 revistas m&#233;dicas portuguesas com fator de impacto&#44; em compara&#231;&#227;o com o New England Journal of Medicine&#44; o Lancet ou o BMJ&#44; entre outras&#44; em que os estudos referidos corresponderam&#44; globalmente&#44; a 29&#37; e 56&#37; de todas as publica&#231;&#245;es&#44; respetivamente<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Em 23&#37; das publica&#231;&#245;es nas revistas portuguesas analisadas foram inclu&#237;dos doentes vulner&#225;veis&#44; em compara&#231;&#227;o com 35&#37; nas revistas m&#233;dicas internacionais de refer&#234;ncia<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46; Por outro lado&#44; 14&#37; dos casos cl&#237;nicos publicados nas revistas portuguesas inclu&#237;ram doentes potencialmente identific&#225;veis&#44; n&#227;o tendo tal sido referido nas revistas m&#233;dicas internacionais<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46; A este prop&#243;sito&#44; autores e editores dever&#227;o ter sempre em mente que fotografias de doentes ou outros pormenores que possam identificar participantes s&#227;o frequentemente irrelevantes do ponto de vista cl&#237;nico&#44; podendo&#44; por isso&#44; ser omitidos ou apresentados de outra forma &#40;por exemplo&#44; express&#245;es como &#171;M&#46;J&#46;&#44; enfermeira divorciada&#44; de 57 anos&#44; membro do quadro da faculdade&#187; dever&#225; ser substitu&#237;da por algo como &#171;Uma doente com 57 anos&#187;&#41;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46; Por outro lado&#44; se a omiss&#227;o ou modifica&#231;&#227;o de dados pessoais&#44; considerados imprescind&#237;veis&#44; n&#227;o for poss&#237;vel&#44; dever&#225; ser obtido consentimento informado escrito para a publica&#231;&#227;o desses dados<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a>&#44; uma vez que se considera inaceit&#225;vel a substitui&#231;&#227;o de dados de doentes por dados falsos<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de CE foi globalmente baixa nas revistas m&#233;dicas portuguesas&#44; com um m&#225;ximo de 28&#37;&#44; nos estudos observacionais prospetivos&#44; em compara&#231;&#227;o com as revistas m&#233;dicas internacionais de refer&#234;ncia&#44; com valores de 93&#37;&#44; nos ensaios cl&#237;nicos aleatorizados e de 60&#37; nos estudos de coorte<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46; O cen&#225;rio foi semelhante no que respeita aos valores globais de refer&#234;ncia ao consentimento dos doentes na publica&#231;&#227;o de casos cl&#237;nicos&#44; com uma refer&#234;ncia global de consentimento de 0&#37; nos casos cl&#237;nicos&#44; nas revistas m&#233;dicas portuguesas&#44; em compara&#231;&#227;o com 11&#37;&#44; nas revistas m&#233;dicas internacionais de refer&#234;ncia<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Estes baixos n&#237;veis de refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento nas revistas m&#233;dicas portuguesas poder&#227;o estar relacionados com a publica&#231;&#227;o de uma elevada propor&#231;&#227;o de estudos observacionais retrospetivos e de casos cl&#237;nicos que poder&#227;o estar isentos dos procedimentos &#233;ticos referidos&#44; nomeadamente quando os dados dos participantes se encontram devidamente anonimizados<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a>&#46; Al&#233;m disso&#44; &#233; poss&#237;vel que a medicina portuguesa esteja mais centrada num modelo de rela&#231;&#227;o m&#233;dico-doente paternalista do que num modelo de autonomia do doente&#44; relegando para segundo plano a solicita&#231;&#227;o de pedido de consentimento de participantes&#46; Esta situa&#231;&#227;o poder&#225; ser particularmente verdadeira nos casos cl&#237;nicos&#44; onde ainda se discute muito qual dever&#225; ser o justo ponto de equil&#237;brio entre o dever de publicar dados cl&#237;nicos relevantes versus o dever de respeito pela autonomia dos doentes<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Em conclus&#227;o&#44; a refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento de participantes nas 3 revistas m&#233;dicas portuguesas com fator de impacto foi inferior &#224; das suas cong&#233;neres de refer&#234;ncia internacionais&#46; Esta situa&#231;&#227;o dever&#225; ser tida em conta pelos editores e autores envolvidos e ser adicionalmente auditada em estudos futuros&#46; &#201; necess&#225;rio proteger os participantes envolvidos nos estudos de investiga&#231;&#227;o e&#44; ao mesmo tempo&#44; manter a confian&#231;a da sociedade civil no processo<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#44; apesar de um baixo n&#237;vel de refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento dos doentes n&#227;o significar necessariamente aus&#234;ncia de aprova&#231;&#227;o ou de consentimento&#44; ou m&#225; conduta &#233;tica<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a>&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Responsabilidades &#233;ticas</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Prote&#231;&#227;o de pessoas e animais</span><p id="par0070" class="elsevierStylePara elsevierViewall">Os autores declaram que para esta investiga&#231;&#227;o n&#227;o se realizaram experi&#234;ncias em seres humanos e&#47;ou animais&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidencialidade dos dados</span><p id="par0075" class="elsevierStylePara elsevierViewall">Os autores declaram ter seguido os protocolos de seu centro de trabalho acerca da publica&#231;&#227;o dos dados de pacientes e que todos os pacientes inclu&#237;dos no estudo receberam informa&#231;&#245;es suficientes e deram o seu consentimento informado por escrito para participar nesse estudo&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Direito &#224; privacidade e consentimento escrito</span><p id="par0080" class="elsevierStylePara elsevierViewall">Os autores declaram que n&#227;o aparecem dados de pacientes neste artigo&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflito de interesses</span><p id="par0085" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflito de interesses&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:12 [
        0 => array:2 [
          "identificador" => "xres547638"
          "titulo" => array:5 [
            0 => "Resumo"
            1 => "Introdu&#231;&#227;o"
            2 => "M&#233;todos"
            3 => "Resultados"
            4 => "Conclus&#245;es"
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec565519"
          "titulo" => "Palavras-chave"
        ]
        2 => array:2 [
          "identificador" => "xres547639"
          "titulo" => array:5 [
            0 => "Abstract"
            1 => "Introduction"
            2 => "Methods"
            3 => "Results"
            4 => "Conclusions"
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec565518"
          "titulo" => "Keywords"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introdu&#231;&#227;o"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "M&#233;todos"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Resultados"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Discuss&#227;o"
        ]
        8 => array:3 [
          "identificador" => "sec0025"
          "titulo" => "Responsabilidades &#233;ticas"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Prote&#231;&#227;o de pessoas e animais"
            ]
            1 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Confidencialidade dos dados"
            ]
            2 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Direito &#224; privacidade e consentimento escrito"
            ]
          ]
        ]
        9 => array:2 [
          "identificador" => "sec0045"
          "titulo" => "Conflito de interesses"
        ]
        10 => array:2 [
          "identificador" => "xack184911"
          "titulo" => "Agradecimentos"
        ]
        11 => array:1 [
          "titulo" => "Bibliografia"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-04-29"
    "fechaAceptado" => "2012-06-07"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec565519"
          "palabras" => array:5 [
            0 => "Comiss&#227;o de &#233;tica"
            1 => "Consentimento"
            2 => "Publica&#231;&#227;o"
            3 => "Fator de impacto"
            4 => "Revista m&#233;dica"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec565518"
          "palabras" => array:5 [
            0 => "Ethical committee"
            1 => "Patient consent"
            2 => "Publication"
            3 => "Impact factor"
            4 => "Medical journal"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span><span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de comiss&#227;o de &#233;tica &#40;CE&#41; e a consentimento dos doentes&#44; nas publica&#231;&#245;es que envolvem humanos&#44; poder&#225; ser inferior &#224; recomendada&#46; Neste artigo&#44; esta situa&#231;&#227;o foi analisada na Revista Portuguesa de Pneumologia e nas outras 2 revistas m&#233;dicas portuguesas com fator de impacto indexadas na ISI Web of Knowledge&#46;</p></span> <span><span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento dos doentes foi pesquisada em todas as publica&#231;&#245;es que envolveram humanos na Acta M&#233;dica Portuguesa&#44; Acta Reumatol&#243;gica Portuguesa e Revista Portuguesa de Pneumologia&#44; de 1 de julho de 2010 a 30 de junho de 2011&#46; A pesquisa incluiu a avalia&#231;&#227;o do envolvimento de doentes vulner&#225;veis e potencialmente identific&#225;veis&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A maior parte das publica&#231;&#245;es analisadas&#44; que inclu&#237;ram uma propor&#231;&#227;o consider&#225;vel de doentes vulner&#225;veis &#40;23&#37;&#41; e de casos cl&#237;nicos potencialmente identific&#225;veis &#40;14&#37;&#41;&#44; foram casos cl&#237;nicos &#40;49&#37;&#41;&#46; Globalmente&#44; a aprova&#231;&#227;o de CE variou entre 0&#37; e 28&#37;&#44; nos casos cl&#237;nicos e nos estudos prospetivos&#44; respetivamente&#44; e o consentimento dos participantes entre 0&#37; e 26&#37;&#46; N&#227;o se registaram diferen&#231;as estatisticamente significativas nos resultados entre as revistas estudadas&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Conclus&#245;es</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento dos doentes nas 3 revistas m&#233;dicas portuguesas mais cotadas foi inferior &#224; das suas cong&#233;neres mundiais&#46; Estes resultados devem ser tidos em considera&#231;&#227;o e reavaliados em futuras investiga&#231;&#245;es&#44; tendo em vista a prote&#231;&#227;o dos participantes e a confian&#231;a da sociedade nos procedimentos envolvidos&#46;</p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span><span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Reporting of ethical committee &#40;EC&#41; approval and patient consent in publications involving human subjects may be lower than recommended&#46; In this paper this ethical issue was analysed in the Portuguese Journal of Pulmonology and in the other two Portuguese medical journals with impact factor indexed in the ISI Web of Knowledge&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Reporting of EC approval and patient consent was searched in all publications involving human subjects published in the Acta M&#233;dica Portuguesa&#44; Acta Reumatol&#243;gica Portuguesa and Portuguese Journal of Pulmonology&#44; from the 1<span class="elsevierStyleSup">st</span> July 2010 until the 30<span class="elsevierStyleSup">th</span> June 2011&#46; The search also looked for the involvement of vulnerable and potentially identifiable subjects&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Most of the analysed publications&#44; which included a considerable proportion of vulnerable &#40;23&#37;&#41; and of potentially identifiable case reports &#40;14&#37;&#41;&#44; were case reports &#40;49&#37;&#41;&#46; Overall EC approval ranged from 0&#37; to 28&#37;&#44; in case reports and prospective studies&#44; respectively&#44; whereas overall patient consent ranged from 0&#37; to 26&#37;&#46; There were not statistically significant differences in results among the selected journals&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Reporting of EC approval and patient consent in the three leading Portuguese medical journals has been lower than in their leading world counterparts&#46; This should be taken into account and further audited in future&#44; not only for the protection of the research subjects but also to maintain public trust in the process&#46;</p></span>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabela 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:2 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Acta M&#233;dica Portuguesa</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Revista Portuguesa de Pneumologia</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Aprova&#231;&#227;o CE</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Consentimento</th><th class="td" title="table-head  " align="left" valign="top" scope="col">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Aprova&#231;&#227;o CE</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Consentimento</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">Ensaios cl&#237;nicos aleatorizados</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">Estudos n&#227;o aleatorizados</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;18-44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;12-52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;20-62&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Prospetivos</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1-27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;35-73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;21-79&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;30-96&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Retrospetivos</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-29&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Participantes vulner&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;19-73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-47&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-71&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">Casos cl&#237;nicos&#44; imagens ou series</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Participantes vulner&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Potencialmente identific&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-66&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">N&#250;mero total de publica&#231;&#245;es</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;9-22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;9-30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;14-37&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab884599.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Acta Reumatol&#243;gica Portuguesa</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Global</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Aprova&#231;&#227;o CE</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Consentimento</th><th class="td" title="table-head  " align="left" valign="top" scope="col">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Aprova&#231;&#227;o CE</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Consentimento</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;7-49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;21-67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;10-27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;11-27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;11-65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;27-81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;16-38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;14-38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-33&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-17&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;4-18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;8-26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">179&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;5-12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;12-22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab884600.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">N&#250;mero de publica&#231;&#245;es analisadas nas 3 revistas m&#233;dicas portuguesas com fator de impacto&#44; de 1 de julho de 2010 at&#233; 30 de junho de 2011&#44; com indica&#231;&#227;o do tipo de estudos analisados&#44; n&#250;mero de participantes vulner&#225;veis envolvidos&#44; ou potencialmente identific&#225;veis e percentagens de aprova&#231;&#227;o de comiss&#227;o de &#233;tica &#40;CE&#41; e de refer&#234;ncia ao consentimento de dentes&#44; com intervalos de confian&#231;a de 95&#37;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "International Committee of Medical Journal Editors &#40;ICMJE&#41;&#46; Uniform Requirements for Manuscripts Submitted to Biomedical Journals&#58; Ethical Considerations in the Conduct and Reporting of Research&#58; Privacy and Confidentiality &#91;consultado 1 Nov 2011&#93;&#46; Dispon&#237;vel em&#58; <a href="http://www.icmje.org/ethical_5privacy.html">http&#58;&#47;&#47;www&#46;icmje&#46;org&#47;ethical&#95;5privacy&#46;html</a>"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "World Medical Association &#40;WMA&#41; Declaration of Helsinki &#8211; Ethical Principles for Medical Research Involving Human Subjects&#46; &#91;consultado 1 Nov 2011&#93; Dispon&#237;vel em&#58; <a href="http://www.wma.net/en/30publications/10policies/b3/index.html.pdf%3Fprint-media-type%26footer-right=%5Bpage%5D/%5BtoPage">http&#58;&#47;&#47;www&#46;wma&#46;net&#47;en&#47;30publications&#47;10policies&#47;b3&#47;index&#46;html&#46;pdf&#63;print-media-type&#38;footer-right&#61;&#91;page&#93;&#47;&#91;toPage</a>"
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ethics in clinical studies&#58; a systematic review on patients&#8217; consent for publication of case reports"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;J&#46; Bernardes"
                            1 => "R&#46; Nunes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "Book of Abstracts of the 5th Meeting of Young Researchers of University of Porto - IJUP&#8217;12&#46; University of Porto"
                        "paginaInicial" => "451"
                        "serieFecha" => "2012"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Addressing ethical issues"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Bernard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Designing clinical research"
                        "paginaInicial" => "215"
                        "paginaFinal" => "230"
                        "serieFecha" => "2001"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reporting ethics committee approval and patient consent by study design in five general medical journals"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Schroter"
                            1 => "R&#46; Plowman"
                            2 => "A&#46; Hutchings"
                            3 => "A&#46; Gonzalez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/jme.2005.015115"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Med Ethics"
                        "fecha" => "2006"
                        "volumen" => "32"
                        "paginaInicial" => "718"
                        "paginaFinal" => "723"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17145913"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "ISI Web of Knowledge&#46; Jornal Citation Reports&#46; &#91;consultado 30 Mar 2012&#93; Dispon&#237;vel em&#58; <a href="http://admin-apps.webofknowledge.com/JCR/JCR%3FRQ=LIST_SUMMARY_JOURNAL">http&#58;&#47;&#47;admin-apps&#46;webofknowledge&#46;com&#47;JCR&#47;JCR&#63;RQ&#61;LIST&#95;SUMMARY&#95;JOURNAL</a>"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Respecting patients&#8217; rights in manuscripts&#58; confidentiality&#44; informed consent&#44; and IRB approval"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Ohler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Nurse Author Ed"
                        "fecha" => "2003"
                        "volumen" => "13"
                        "paginaInicial" => "7"
                        "paginaFinal" => "9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14562512"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reporting of ethical approval and informed consent in clinical research published in leading anesthesia journals"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;S&#46; Myles"
                            1 => "N&#46; Tan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesthesiology"
                        "fecha" => "2003"
                        "volumen" => "99"
                        "paginaInicial" => "1209"
                        "paginaFinal" => "1213"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14576560"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Five points and a lament about Range and Cotton&#39;s &#8220;Reports of assent and permission in research with children&#58; illustrations and suggestions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;C&#46; Roberts"
                            1 => "L&#46;M&#46; Buckloh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1207/s15327019eb0504_3"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ethics Behav"
                        "fecha" => "1995"
                        "volumen" => "5"
                        "paginaInicial" => "333"
                        "paginaFinal" => "344"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11660119"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:3 [
        "identificador" => "xack184911"
        "titulo" => "Agradecimentos"
        "texto" => "<p id="par0090" class="elsevierStylePara elsevierViewall">&#192; professora Linda Ohler pelo am&#225;vel envio de artigo solicitado&#46;</p>"
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001800000006/v2_201509041329/S0873215912000943/v2_201509041329/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9579"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Artigo especial"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001800000006/v2_201509041329/S0873215912000943/v2_201509041329/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215912000943?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Publicação breve
Referência a aprovação de comissão de ética e a consentimento dos doentes na Revista Portuguesa de Pneumologia e noutras revistas médicas portuguesas com fator de impacto
Reporting of ethical committee approval and patient consent in the Portuguese Journal of Pulmonology and in the other Portuguese medical journals with impact factor
M.J. Bernardes
Corresponding author
mjflbernardes@gmail.com

Autor para correspondência.
, R. Nunes
Serviço de Bioética e Ética Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
Read
9363
Times
was read the article
2749
Total PDF
6614
Total HTML
Share statistics
 array:25 [
  "pii" => "S0873215912000943"
  "issn" => "08732159"
  "doi" => "10.1016/j.rppneu.2012.06.003"
  "estado" => "S300"
  "fechaPublicacion" => "2012-11-01"
  "aid" => "111"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Pneumol. 2012;18:289-93"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 5919
    "formatos" => array:3 [
      "EPUB" => 230
      "HTML" => 4487
      "PDF" => 1202
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S2173511512000668"
      "issn" => "21735115"
      "doi" => "10.1016/j.rppnen.2012.06.006"
      "estado" => "S300"
      "fechaPublicacion" => "2012-11-01"
      "aid" => "111"
      "copyright" => "Sociedade Portuguesa de Pneumologia"
      "documento" => "article"
      "crossmark" => 0
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "sco"
      "cita" => "Rev Port Pneumol. 2012;18:289-93"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 5079
        "formatos" => array:3 [
          "EPUB" => 264
          "HTML" => 3512
          "PDF" => 1303
        ]
      ]
      "en" => array:12 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Brief Communication</span>"
        "titulo" => "Reporting of ethical committee approval and patient consent in the <span class="elsevierStyleItalic">Portuguese Journal of Pulmonology</span> and in the other Portuguese medical journals with impact factor"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "pt"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "289"
            "paginaFinal" => "293"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "pt" => array:1 [
            "titulo" => "Refer&#234;ncia a aprova&#231;&#227;o de comiss&#227;o de &#233;tica e a consentimento dos doentes na <span class="elsevierStyleItalic">Revista Portuguesa de Pneumologia</span> e noutras revistas m&#233;dicas portuguesas com fator de impacto"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "pt" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46;J&#46; Bernardes, R&#46; Nunes"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "M&#46;J&#46;"
                "apellidos" => "Bernardes"
              ]
              1 => array:2 [
                "nombre" => "R&#46;"
                "apellidos" => "Nunes"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "pt" => array:9 [
          "pii" => "S0873215912000943"
          "doi" => "10.1016/j.rppneu.2012.06.003"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "pt"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215912000943?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511512000668?idApp=UINPBA00004E"
      "url" => "/21735115/0000001800000006/v1_201305151609/S2173511512000668/v1_201305151609/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S0873215912000219"
    "issn" => "08732159"
    "doi" => "10.1016/j.rppneu.2012.02.004"
    "estado" => "S300"
    "fechaPublicacion" => "2012-11-01"
    "aid" => "81"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2012;18:294-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 9984
      "formatos" => array:3 [
        "EPUB" => 300
        "HTML" => 8266
        "PDF" => 1418
      ]
    ]
    "pt" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso cl&#237;nico</span>"
      "titulo" => "Mesotelioma decidu&#243;ide pleural &#8211; uma entidade rara numa mulher jovem"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "294"
          "paginaFinal" => "298"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Deciduoid Pleural Mesothelioma &#8211; a Rare Entity in a Young Woman"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1802
              "Ancho" => 1800
              "Tamanyo" => 220862
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">PET&#47;CT&#46; Extenso envolvimento hipermetab&#243;lico da pleura direita suspeito de envolvimento neopl&#225;sico maligno&#44; uma massa na por&#231;&#227;o postero-inferior que invadia a parede tor&#225;cica adjacente&#44; derrame pleural homolateral suspeito de derrame de origem neopl&#225;sica e envolvimento ganglionar secund&#225;rio mediast&#237;nico e bronco-hilar direito&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46; Santos, F&#46; Gamboa, F&#46; Fradinho, A&#46; P&#234;go, L&#46; Carvalho, J&#46; Bernardo"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Santos"
            ]
            1 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Gamboa"
            ]
            2 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Fradinho"
            ]
            3 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "P&#234;go"
            ]
            4 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Carvalho"
            ]
            5 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Bernardo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173511512000267"
        "doi" => "10.1016/j.rppnen.2012.03.002"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511512000267?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215912000219?idApp=UINPBA00004E"
    "url" => "/08732159/0000001800000006/v2_201509041329/S0873215912000219/v2_201509041329/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215912000955"
    "issn" => "08732159"
    "doi" => "10.1016/j.rppneu.2012.06.004"
    "estado" => "S300"
    "fechaPublicacion" => "2012-11-01"
    "aid" => "112"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "dis"
    "cita" => "Rev Port Pneumol. 2012;18:285-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 7553
      "formatos" => array:3 [
        "EPUB" => 293
        "HTML" => 5960
        "PDF" => 1300
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Comment</span>"
      "titulo" => "The smoker with interstitial lung disease and interventions for successful smoking cessation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "285"
          "paginaFinal" => "288"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "O fumador com doen&#231;a pulmonar intersticial e interven&#231;&#245;es para deixar de fumar com sucesso"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 3158
              "Ancho" => 2324
              "Tamanyo" => 706223
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A guide for assisting the smoker&#46; The first step in treating tobacco use and dependence is to identify tobacco users&#46; Asking systematically whether your patients smoke at every visit is imperative &#40;ASK&#41;&#46; All smokers should be advised to quit&#46; This advice should be clearly stated and specifically adapted in relation to the patient&#39;s problems &#40;ADVISE&#41;&#46; The willingness of smokers to make a quit attempt at this time should be assessed &#40;ASSESS&#41;&#46; If the patient is ready to quit&#44; health care providers should be prepared to offer assistance&#46; This entails working together with the patient to set a sensible plan with a commitment to a quit date and to frequent follow-up visits&#46; Alternatively&#44; referring the patient to a tobacco intervention resource &#40;eg&#44; a smoking cessation quit line or health educator&#41; that would deliver additional treatment to the patient might be contemplated &#40;ASSIST&#41;&#46; All patients who receive a tobacco dependence intervention should be regularly assessed for abstinence&#44; beginning within the first week after the quit date&#46; Abstinent patients should have their quitting success acknowledged&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P&#46; Caponnetto, C&#46; Russo, R&#46; Auditore, R&#46; Polosa"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Caponnetto"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Russo"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Auditore"
            ]
            3 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Polosa"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215912000955?idApp=UINPBA00004E"
    "url" => "/08732159/0000001800000006/v2_201509041329/S0873215912000955/v2_201509041329/en/main.assets"
  ]
  "pt" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Publica&#231;&#227;o breve</span>"
    "titulo" => "Refer&#234;ncia a aprova&#231;&#227;o de comiss&#227;o de &#233;tica e a consentimento dos doentes na Revista Portuguesa de Pneumologia e noutras revistas m&#233;dicas portuguesas com fator de impacto"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "289"
        "paginaFinal" => "293"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46;J&#46; Bernardes, R&#46; Nunes"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "M&#46;J&#46;"
            "apellidos" => "Bernardes"
            "email" => array:1 [
              0 => "mjflbernardes&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "R&#46;"
            "apellidos" => "Nunes"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servi&#231;o de Bio&#233;tica e &#201;tica M&#233;dica&#44; Faculdade de Medicina&#44; Universidade do Porto&#44; Porto&#44; Portugal"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspond&#234;ncia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Reporting of ethical committee approval and patient consent in the Portuguese Journal of Pulmonology and in the other Portuguese medical journals with impact factor"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o</span><p id="par0005" class="elsevierStylePara elsevierViewall">A maior parte das revistas m&#233;dicas mundiais mais conceituadas seguem os Uniform Requirements for Manuscripts Submitted to Biomedical Journals of the International Committee of Medical Journal Editors &#40;ICMJE&#41;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; Dessa forma&#44; requerem a refer&#234;ncia a aprova&#231;&#227;o de comiss&#227;o de &#233;tica &#40;CE&#41; e de consentimento dos doentes&#44; de acordo com a Declara&#231;&#227;o de Hels&#237;nquia&#44; antes da aceita&#231;&#227;o de publica&#231;&#227;o dos artigos que lhes s&#227;o submetidos<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a>&#46; Normalmente&#44; &#233; esta a regra&#44; embora se possam considerar algumas situa&#231;&#245;es suscet&#237;veis de isen&#231;&#227;o dos requerimentos &#233;ticos referidos&#44; tais como estudos sobre pr&#225;ticas educacionais habituais&#44; observa&#231;&#245;es de comportamentos p&#250;blicos ou casos cl&#237;nicos&#44; em que os participantes se encontrem devidamente anonimizados<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Contudo&#44; a refer&#234;ncia a aprova&#231;&#227;o por CE ou a consentimento dos doentes em estudos realizados em humanos poder&#225; ser inferior &#224; recomend&#225;vel&#44; mesmo entre as revistas m&#233;dicas mundiais de refer&#234;ncia com fator de impacto mais elevado<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Neste artigo&#44; analisou-se a refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento dos doentes na Revista Portuguesa de Pneumologia e nas outras revistas portuguesas com fator de impacto&#44; indexadas ISI Web of Knowledge &#40;ISI Wok&#41;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46; Tanto quanto sabemos&#44; esta &#233; a primeira vez que este tipo de estudo se realiza em Portugal&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="par0020" class="elsevierStylePara elsevierViewall">A refer&#234;ncia a prova&#231;&#227;o de CE e a consentimento dos doentes foi pesquisada em todos os trabalhos que envolveram humanos&#44; publicados&#44; entre 1 de julho de 2010 e 30 de junho de 2011&#44; nas 3 revistas m&#233;dicas portuguesas indexadas no ISI-Wok&#58; Acta M&#233;dica Portuguesa&#44; Acta Reumatol&#243;gica Portuguesa e Revista Portuguesa de Pneumologia<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46; A pesquisa incluiu uma avalia&#231;&#227;o do envolvimento de doentes habitualmente considerados vulner&#225;veis&#44; tais como crian&#231;as e doentes psiqui&#225;tricos&#46; Nos casos cl&#237;nicos&#44; foi ainda considerado o envolvimento de doentes potencialmente identific&#225;veis&#44; sempre que as publica&#231;&#245;es inclu&#237;ram fotografias com dados pessoais&#44; ou iniciais de nomes&#44; com indica&#231;&#227;o de grupo &#233;tnico&#44; idade&#44; g&#233;nero&#44; profiss&#227;o ou endere&#231;o pessoal ou profissional<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Os trabalhos selecionados foram categorizados como ensaios cl&#237;nicos aleatorizados&#44; estudos observacionais&#44; prospetivos ou retrospetivos&#44; ou casos cl&#237;nicos &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Resumidamente&#44; os ensaios cl&#237;nicos aleatorizados foram definidos como estudos em que os participantes foram alocados aleatoriamente em grupos de interven&#231;&#227;o ou n&#227;o interven&#231;&#227;o&#59; os estudos observacionais inclu&#237;ram estudos transversais&#44; de caso-controlo e de coorte&#44; com recrutamento retrospetivo ou prospetivo dos participantes&#59; os casos cl&#237;nicos inclu&#237;ram casos &#250;nicos ou s&#233;ries de casos cl&#237;nicos&#44; imagens m&#233;dicas ou cartas com relatos de casos&#46; Foram exclu&#237;dos da an&#225;lise os trabalhos de revis&#227;o&#44; editoriais&#44; coment&#225;rios ou outras publica&#231;&#245;es que n&#227;o inclu&#237;ram a participa&#231;&#227;o direta de participantes humanos&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">Para infer&#234;ncia estat&#237;stica calcularam-se propor&#231;&#245;es com intervalos de confian&#231;a de 95&#37;&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Resultados</span><p id="par0035" class="elsevierStylePara elsevierViewall">Na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#44; podemos verificar que as 3 revistas m&#233;dicas portuguesas avaliadas registaram globalmente uma propor&#231;&#227;o elevada de publica&#231;&#227;o de casos cl&#237;nicos &#40;49&#37;&#41;&#44; em compara&#231;&#227;o com estudos observacionais &#40;51&#37;&#41; e ensaios cl&#237;nicos aleatorizados &#40;0&#37;&#41;&#46; Registou-se ainda&#44; globalmente&#44; uma consider&#225;vel participa&#231;&#227;o de doentes vulner&#225;veis&#44; em todos os estudos realizados &#40;23&#37;&#41;&#44; e de doentes potencialmente identific&#225;veis&#44; nos casos cl&#237;nicos &#40;14&#37;&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de CE entre as revistas avaliadas variou entre 0&#37; e 50&#37;&#44; nos casos cl&#237;nicos e estudos prospetivos&#44; respetivamente&#44; e&#44; globalmente&#44; entre 0&#37; e 28&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Por outro lado&#44; a refer&#234;ncia a consentimento dos doentes variou entre 0&#37; e 58&#37;&#44; nos casos cl&#237;nicos e nos estudos prospetivos&#44; respetivamente&#44; e&#44; globalmente&#44; entre 0&#37; e 26&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Globalmente&#44; a refer&#234;ncia a aprova&#231;&#227;o de CE foi significativamente superior nos estudos prospetivos &#40;28&#37;&#44; 95&#37; CI&#58; 16-38&#37;&#41; &#224; dos retrospetivos &#40;3&#37;&#44; 95&#37; CI&#58; 1-15&#37;&#41; e casos cl&#237;nicos &#40;0&#37;&#44; 95&#37; CI&#58; 0-4&#37;&#41;&#44; mas n&#227;o se registaram diferen&#231;as estatisticamente significativas entre as revistas avaliadas&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discuss&#227;o</span><p id="par0045" class="elsevierStylePara elsevierViewall">Este estudo evidencia uma publica&#231;&#227;o globalmente baixa de ensaios cl&#237;nicos aleatorizados &#40;0&#37;&#41; e de estudos observacionais &#40;51&#37;&#41;&#44; nas 3 revistas m&#233;dicas portuguesas com fator de impacto&#44; em compara&#231;&#227;o com o New England Journal of Medicine&#44; o Lancet ou o BMJ&#44; entre outras&#44; em que os estudos referidos corresponderam&#44; globalmente&#44; a 29&#37; e 56&#37; de todas as publica&#231;&#245;es&#44; respetivamente<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Em 23&#37; das publica&#231;&#245;es nas revistas portuguesas analisadas foram inclu&#237;dos doentes vulner&#225;veis&#44; em compara&#231;&#227;o com 35&#37; nas revistas m&#233;dicas internacionais de refer&#234;ncia<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46; Por outro lado&#44; 14&#37; dos casos cl&#237;nicos publicados nas revistas portuguesas inclu&#237;ram doentes potencialmente identific&#225;veis&#44; n&#227;o tendo tal sido referido nas revistas m&#233;dicas internacionais<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46; A este prop&#243;sito&#44; autores e editores dever&#227;o ter sempre em mente que fotografias de doentes ou outros pormenores que possam identificar participantes s&#227;o frequentemente irrelevantes do ponto de vista cl&#237;nico&#44; podendo&#44; por isso&#44; ser omitidos ou apresentados de outra forma &#40;por exemplo&#44; express&#245;es como &#171;M&#46;J&#46;&#44; enfermeira divorciada&#44; de 57 anos&#44; membro do quadro da faculdade&#187; dever&#225; ser substitu&#237;da por algo como &#171;Uma doente com 57 anos&#187;&#41;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46; Por outro lado&#44; se a omiss&#227;o ou modifica&#231;&#227;o de dados pessoais&#44; considerados imprescind&#237;veis&#44; n&#227;o for poss&#237;vel&#44; dever&#225; ser obtido consentimento informado escrito para a publica&#231;&#227;o desses dados<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a>&#44; uma vez que se considera inaceit&#225;vel a substitui&#231;&#227;o de dados de doentes por dados falsos<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de CE foi globalmente baixa nas revistas m&#233;dicas portuguesas&#44; com um m&#225;ximo de 28&#37;&#44; nos estudos observacionais prospetivos&#44; em compara&#231;&#227;o com as revistas m&#233;dicas internacionais de refer&#234;ncia&#44; com valores de 93&#37;&#44; nos ensaios cl&#237;nicos aleatorizados e de 60&#37; nos estudos de coorte<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46; O cen&#225;rio foi semelhante no que respeita aos valores globais de refer&#234;ncia ao consentimento dos doentes na publica&#231;&#227;o de casos cl&#237;nicos&#44; com uma refer&#234;ncia global de consentimento de 0&#37; nos casos cl&#237;nicos&#44; nas revistas m&#233;dicas portuguesas&#44; em compara&#231;&#227;o com 11&#37;&#44; nas revistas m&#233;dicas internacionais de refer&#234;ncia<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Estes baixos n&#237;veis de refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento nas revistas m&#233;dicas portuguesas poder&#227;o estar relacionados com a publica&#231;&#227;o de uma elevada propor&#231;&#227;o de estudos observacionais retrospetivos e de casos cl&#237;nicos que poder&#227;o estar isentos dos procedimentos &#233;ticos referidos&#44; nomeadamente quando os dados dos participantes se encontram devidamente anonimizados<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a>&#46; Al&#233;m disso&#44; &#233; poss&#237;vel que a medicina portuguesa esteja mais centrada num modelo de rela&#231;&#227;o m&#233;dico-doente paternalista do que num modelo de autonomia do doente&#44; relegando para segundo plano a solicita&#231;&#227;o de pedido de consentimento de participantes&#46; Esta situa&#231;&#227;o poder&#225; ser particularmente verdadeira nos casos cl&#237;nicos&#44; onde ainda se discute muito qual dever&#225; ser o justo ponto de equil&#237;brio entre o dever de publicar dados cl&#237;nicos relevantes versus o dever de respeito pela autonomia dos doentes<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Em conclus&#227;o&#44; a refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento de participantes nas 3 revistas m&#233;dicas portuguesas com fator de impacto foi inferior &#224; das suas cong&#233;neres de refer&#234;ncia internacionais&#46; Esta situa&#231;&#227;o dever&#225; ser tida em conta pelos editores e autores envolvidos e ser adicionalmente auditada em estudos futuros&#46; &#201; necess&#225;rio proteger os participantes envolvidos nos estudos de investiga&#231;&#227;o e&#44; ao mesmo tempo&#44; manter a confian&#231;a da sociedade civil no processo<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#44; apesar de um baixo n&#237;vel de refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento dos doentes n&#227;o significar necessariamente aus&#234;ncia de aprova&#231;&#227;o ou de consentimento&#44; ou m&#225; conduta &#233;tica<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a>&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Responsabilidades &#233;ticas</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Prote&#231;&#227;o de pessoas e animais</span><p id="par0070" class="elsevierStylePara elsevierViewall">Os autores declaram que para esta investiga&#231;&#227;o n&#227;o se realizaram experi&#234;ncias em seres humanos e&#47;ou animais&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidencialidade dos dados</span><p id="par0075" class="elsevierStylePara elsevierViewall">Os autores declaram ter seguido os protocolos de seu centro de trabalho acerca da publica&#231;&#227;o dos dados de pacientes e que todos os pacientes inclu&#237;dos no estudo receberam informa&#231;&#245;es suficientes e deram o seu consentimento informado por escrito para participar nesse estudo&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Direito &#224; privacidade e consentimento escrito</span><p id="par0080" class="elsevierStylePara elsevierViewall">Os autores declaram que n&#227;o aparecem dados de pacientes neste artigo&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflito de interesses</span><p id="par0085" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflito de interesses&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:12 [
        0 => array:2 [
          "identificador" => "xres547638"
          "titulo" => array:5 [
            0 => "Resumo"
            1 => "Introdu&#231;&#227;o"
            2 => "M&#233;todos"
            3 => "Resultados"
            4 => "Conclus&#245;es"
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec565519"
          "titulo" => "Palavras-chave"
        ]
        2 => array:2 [
          "identificador" => "xres547639"
          "titulo" => array:5 [
            0 => "Abstract"
            1 => "Introduction"
            2 => "Methods"
            3 => "Results"
            4 => "Conclusions"
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec565518"
          "titulo" => "Keywords"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introdu&#231;&#227;o"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "M&#233;todos"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Resultados"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Discuss&#227;o"
        ]
        8 => array:3 [
          "identificador" => "sec0025"
          "titulo" => "Responsabilidades &#233;ticas"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Prote&#231;&#227;o de pessoas e animais"
            ]
            1 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Confidencialidade dos dados"
            ]
            2 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Direito &#224; privacidade e consentimento escrito"
            ]
          ]
        ]
        9 => array:2 [
          "identificador" => "sec0045"
          "titulo" => "Conflito de interesses"
        ]
        10 => array:2 [
          "identificador" => "xack184911"
          "titulo" => "Agradecimentos"
        ]
        11 => array:1 [
          "titulo" => "Bibliografia"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-04-29"
    "fechaAceptado" => "2012-06-07"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec565519"
          "palabras" => array:5 [
            0 => "Comiss&#227;o de &#233;tica"
            1 => "Consentimento"
            2 => "Publica&#231;&#227;o"
            3 => "Fator de impacto"
            4 => "Revista m&#233;dica"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec565518"
          "palabras" => array:5 [
            0 => "Ethical committee"
            1 => "Patient consent"
            2 => "Publication"
            3 => "Impact factor"
            4 => "Medical journal"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span><span class="elsevierStyleSectionTitle">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de comiss&#227;o de &#233;tica &#40;CE&#41; e a consentimento dos doentes&#44; nas publica&#231;&#245;es que envolvem humanos&#44; poder&#225; ser inferior &#224; recomendada&#46; Neste artigo&#44; esta situa&#231;&#227;o foi analisada na Revista Portuguesa de Pneumologia e nas outras 2 revistas m&#233;dicas portuguesas com fator de impacto indexadas na ISI Web of Knowledge&#46;</p></span> <span><span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento dos doentes foi pesquisada em todas as publica&#231;&#245;es que envolveram humanos na Acta M&#233;dica Portuguesa&#44; Acta Reumatol&#243;gica Portuguesa e Revista Portuguesa de Pneumologia&#44; de 1 de julho de 2010 a 30 de junho de 2011&#46; A pesquisa incluiu a avalia&#231;&#227;o do envolvimento de doentes vulner&#225;veis e potencialmente identific&#225;veis&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A maior parte das publica&#231;&#245;es analisadas&#44; que inclu&#237;ram uma propor&#231;&#227;o consider&#225;vel de doentes vulner&#225;veis &#40;23&#37;&#41; e de casos cl&#237;nicos potencialmente identific&#225;veis &#40;14&#37;&#41;&#44; foram casos cl&#237;nicos &#40;49&#37;&#41;&#46; Globalmente&#44; a aprova&#231;&#227;o de CE variou entre 0&#37; e 28&#37;&#44; nos casos cl&#237;nicos e nos estudos prospetivos&#44; respetivamente&#44; e o consentimento dos participantes entre 0&#37; e 26&#37;&#46; N&#227;o se registaram diferen&#231;as estatisticamente significativas nos resultados entre as revistas estudadas&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Conclus&#245;es</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A refer&#234;ncia a aprova&#231;&#227;o de CE e a consentimento dos doentes nas 3 revistas m&#233;dicas portuguesas mais cotadas foi inferior &#224; das suas cong&#233;neres mundiais&#46; Estes resultados devem ser tidos em considera&#231;&#227;o e reavaliados em futuras investiga&#231;&#245;es&#44; tendo em vista a prote&#231;&#227;o dos participantes e a confian&#231;a da sociedade nos procedimentos envolvidos&#46;</p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span><span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Reporting of ethical committee &#40;EC&#41; approval and patient consent in publications involving human subjects may be lower than recommended&#46; In this paper this ethical issue was analysed in the Portuguese Journal of Pulmonology and in the other two Portuguese medical journals with impact factor indexed in the ISI Web of Knowledge&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Reporting of EC approval and patient consent was searched in all publications involving human subjects published in the Acta M&#233;dica Portuguesa&#44; Acta Reumatol&#243;gica Portuguesa and Portuguese Journal of Pulmonology&#44; from the 1<span class="elsevierStyleSup">st</span> July 2010 until the 30<span class="elsevierStyleSup">th</span> June 2011&#46; The search also looked for the involvement of vulnerable and potentially identifiable subjects&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Most of the analysed publications&#44; which included a considerable proportion of vulnerable &#40;23&#37;&#41; and of potentially identifiable case reports &#40;14&#37;&#41;&#44; were case reports &#40;49&#37;&#41;&#46; Overall EC approval ranged from 0&#37; to 28&#37;&#44; in case reports and prospective studies&#44; respectively&#44; whereas overall patient consent ranged from 0&#37; to 26&#37;&#46; There were not statistically significant differences in results among the selected journals&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Reporting of EC approval and patient consent in the three leading Portuguese medical journals has been lower than in their leading world counterparts&#46; This should be taken into account and further audited in future&#44; not only for the protection of the research subjects but also to maintain public trust in the process&#46;</p></span>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabela 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:2 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Acta M&#233;dica Portuguesa</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Revista Portuguesa de Pneumologia</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Aprova&#231;&#227;o CE</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Consentimento</th><th class="td" title="table-head  " align="left" valign="top" scope="col">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Aprova&#231;&#227;o CE</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Consentimento</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">Ensaios cl&#237;nicos aleatorizados</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">Estudos n&#227;o aleatorizados</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;18-44&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;12-52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;20-62&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Prospetivos</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1-27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;35-73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;21-79&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;30-96&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Retrospetivos</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-29&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Participantes vulner&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;19-73&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-47&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-71&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">Casos cl&#237;nicos&#44; imagens ou series</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-20&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Participantes vulner&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Potencialmente identific&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-66&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleBold">N&#250;mero total de publica&#231;&#245;es</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;9-22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;9-30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;14-37&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab884599.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Acta Reumatol&#243;gica Portuguesa</th><th class="td" title="table-head  " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Global</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Aprova&#231;&#227;o CE</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Consentimento</th><th class="td" title="table-head  " align="left" valign="top" scope="col">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Aprova&#231;&#227;o CE</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Consentimento</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#40;IC 95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;7-49&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;21-67&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;10-27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;11-27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;11-65&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;27-81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;16-38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;14-38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-15&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-33&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-17&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0-23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="char" valign="top">55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;4-18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;8-26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">179&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;5-12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;12-22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab884600.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">N&#250;mero de publica&#231;&#245;es analisadas nas 3 revistas m&#233;dicas portuguesas com fator de impacto&#44; de 1 de julho de 2010 at&#233; 30 de junho de 2011&#44; com indica&#231;&#227;o do tipo de estudos analisados&#44; n&#250;mero de participantes vulner&#225;veis envolvidos&#44; ou potencialmente identific&#225;veis e percentagens de aprova&#231;&#227;o de comiss&#227;o de &#233;tica &#40;CE&#41; e de refer&#234;ncia ao consentimento de dentes&#44; com intervalos de confian&#231;a de 95&#37;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "International Committee of Medical Journal Editors &#40;ICMJE&#41;&#46; Uniform Requirements for Manuscripts Submitted to Biomedical Journals&#58; Ethical Considerations in the Conduct and Reporting of Research&#58; Privacy and Confidentiality &#91;consultado 1 Nov 2011&#93;&#46; Dispon&#237;vel em&#58; <a href="http://www.icmje.org/ethical_5privacy.html">http&#58;&#47;&#47;www&#46;icmje&#46;org&#47;ethical&#95;5privacy&#46;html</a>"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "World Medical Association &#40;WMA&#41; Declaration of Helsinki &#8211; Ethical Principles for Medical Research Involving Human Subjects&#46; &#91;consultado 1 Nov 2011&#93; Dispon&#237;vel em&#58; <a href="http://www.wma.net/en/30publications/10policies/b3/index.html.pdf%3Fprint-media-type%26footer-right=%5Bpage%5D/%5BtoPage">http&#58;&#47;&#47;www&#46;wma&#46;net&#47;en&#47;30publications&#47;10policies&#47;b3&#47;index&#46;html&#46;pdf&#63;print-media-type&#38;footer-right&#61;&#91;page&#93;&#47;&#91;toPage</a>"
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ethics in clinical studies&#58; a systematic review on patients&#8217; consent for publication of case reports"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;J&#46; Bernardes"
                            1 => "R&#46; Nunes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "Book of Abstracts of the 5th Meeting of Young Researchers of University of Porto - IJUP&#8217;12&#46; University of Porto"
                        "paginaInicial" => "451"
                        "serieFecha" => "2012"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Addressing ethical issues"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Bernard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Designing clinical research"
                        "paginaInicial" => "215"
                        "paginaFinal" => "230"
                        "serieFecha" => "2001"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reporting ethics committee approval and patient consent by study design in five general medical journals"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Schroter"
                            1 => "R&#46; Plowman"
                            2 => "A&#46; Hutchings"
                            3 => "A&#46; Gonzalez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/jme.2005.015115"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Med Ethics"
                        "fecha" => "2006"
                        "volumen" => "32"
                        "paginaInicial" => "718"
                        "paginaFinal" => "723"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17145913"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "ISI Web of Knowledge&#46; Jornal Citation Reports&#46; &#91;consultado 30 Mar 2012&#93; Dispon&#237;vel em&#58; <a href="http://admin-apps.webofknowledge.com/JCR/JCR%3FRQ=LIST_SUMMARY_JOURNAL">http&#58;&#47;&#47;admin-apps&#46;webofknowledge&#46;com&#47;JCR&#47;JCR&#63;RQ&#61;LIST&#95;SUMMARY&#95;JOURNAL</a>"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Respecting patients&#8217; rights in manuscripts&#58; confidentiality&#44; informed consent&#44; and IRB approval"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Ohler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Nurse Author Ed"
                        "fecha" => "2003"
                        "volumen" => "13"
                        "paginaInicial" => "7"
                        "paginaFinal" => "9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14562512"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reporting of ethical approval and informed consent in clinical research published in leading anesthesia journals"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;S&#46; Myles"
                            1 => "N&#46; Tan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesthesiology"
                        "fecha" => "2003"
                        "volumen" => "99"
                        "paginaInicial" => "1209"
                        "paginaFinal" => "1213"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14576560"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Five points and a lament about Range and Cotton&#39;s &#8220;Reports of assent and permission in research with children&#58; illustrations and suggestions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;C&#46; Roberts"
                            1 => "L&#46;M&#46; Buckloh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1207/s15327019eb0504_3"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ethics Behav"
                        "fecha" => "1995"
                        "volumen" => "5"
                        "paginaInicial" => "333"
                        "paginaFinal" => "344"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11660119"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:3 [
        "identificador" => "xack184911"
        "titulo" => "Agradecimentos"
        "texto" => "<p id="par0090" class="elsevierStylePara elsevierViewall">&#192; professora Linda Ohler pelo am&#225;vel envio de artigo solicitado&#46;</p>"
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001800000006/v2_201509041329/S0873215912000943/v2_201509041329/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9579"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Artigo especial"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001800000006/v2_201509041329/S0873215912000943/v2_201509041329/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215912000943?idApp=UINPBA00004E"
]
Article information
ISSN: 08732159
Original language: Portuguese
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 9 8 17
2024 October 37 38 75
2024 September 38 26 64
2024 August 49 43 92
2024 July 43 37 80
2024 June 49 27 76
2024 May 35 30 65
2024 April 35 27 62
2024 March 38 20 58
2024 February 30 24 54
2024 January 21 23 44
2023 December 22 24 46
2023 November 35 30 65
2023 October 20 35 55
2023 September 22 25 47
2023 August 28 24 52
2023 July 21 26 47
2023 June 19 16 35
2023 May 31 20 51
2023 April 28 18 46
2023 March 34 20 54
2023 February 27 17 44
2023 January 22 16 38
2022 December 35 21 56
2022 November 36 32 68
2022 October 45 23 68
2022 September 20 34 54
2022 August 26 36 62
2022 July 29 41 70
2022 June 17 32 49
2022 May 28 39 67
2022 April 35 39 74
2022 March 26 44 70
2022 February 29 29 58
2022 January 28 47 75
2021 December 16 30 46
2021 November 22 39 61
2021 October 30 45 75
2021 September 23 32 55
2021 August 23 12 35
2021 July 26 21 47
2021 June 17 12 29
2021 May 30 36 66
2021 April 42 61 103
2021 March 58 15 73
2021 February 46 19 65
2021 January 20 15 35
2020 December 21 13 34
2020 November 39 20 59
2020 October 37 17 54
2020 September 57 20 77
2020 August 80 32 112
2020 July 126 32 158
2020 June 86 20 106
2020 May 96 27 123
2020 April 87 18 105
2020 March 67 17 84
2020 February 69 17 86
2020 January 73 21 94
2019 December 72 27 99
2019 November 95 20 115
2019 October 74 23 97
2019 September 76 20 96
2019 August 100 24 124
2019 July 87 19 106
2019 June 97 11 108
2019 May 82 17 99
2019 April 83 28 111
2019 March 123 14 137
2019 February 111 15 126
2019 January 101 16 117
2018 December 62 9 71
2018 November 25 1 26
2018 October 45 13 58
2018 September 30 4 34
2018 August 52 25 77
2018 July 52 29 81
2018 June 47 9 56
2018 May 70 11 81
2018 April 77 4 81
2018 March 84 24 108
2018 February 53 5 58
2018 January 65 20 85
2017 December 69 12 81
2017 November 47 16 63
2017 October 37 21 58
2017 September 45 19 64
2017 August 55 26 81
2017 July 46 22 68
2017 June 41 18 59
2017 May 55 17 72
2017 April 21 9 30
2017 March 24 19 43
2017 February 16 11 27
2017 January 14 4 18
2016 December 21 7 28
2016 November 16 8 24
2016 October 15 7 22
2016 September 10 3 13
2016 August 15 6 21
2016 July 12 10 22
2016 May 0 18 18
2016 April 12 1 13
2016 March 26 17 43
2016 February 25 20 45
2016 January 26 19 45
2015 December 46 9 55
2015 November 29 9 38
2015 October 31 16 47
2015 September 47 10 57
2015 August 44 8 52
2015 July 44 7 51
2015 June 27 3 30
2015 May 34 9 43
2015 April 43 8 51
2015 March 37 5 42
2015 February 33 6 39
2015 January 29 10 39
2014 December 37 6 43
2014 November 39 9 48
2014 October 36 9 45
2014 September 36 9 45
2014 August 26 6 32
2014 July 36 9 45
2014 June 37 13 50
2014 May 42 8 50
2014 April 50 5 55
2014 March 78 7 85
2014 February 64 9 73
2014 January 67 7 74
2013 December 64 7 71
2013 November 54 13 67
2013 October 85 14 99
2013 September 63 11 74
2013 August 62 11 73
2013 July 77 21 98
2013 June 64 8 72
2013 May 88 16 104
2013 April 92 19 111
2013 March 64 19 83
2013 February 53 23 76
2013 January 64 42 106
2012 December 61 42 103
2012 November 82 26 108
Show all

Follow this link to access the full text of the article

Pulmonology

Are you a health professional able to prescribe or dispense drugs?