<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992016000200105</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El dilema bioético ante la iatrogenia del otro - mis colegas ¿serán como hermanos?]]></article-title>
<article-title xml:lang="en"><![CDATA[The bioethical dilemma facing the iatrogenesis of others - will my colleagues be as equal to my brothers?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<volume>38</volume>
<numero>2</numero>
<fpage>105</fpage>
<lpage>110</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992016000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992016000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992016000200105&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Quien denuncia representa una amenaza para los denunciados y para él mismo, y ambas partes lo saben. El dilema consiste en saber si, por la iatrogenia misma que origina la denuncia, denunciar tiene un interés público en tanto produzca un beneficio en el sistema. Aun contemplando todas las condiciones en las que se da el hecho, y los escenarios plausibles de las consecuencias, no es posible dilucidar el efecto que la denuncia tendrá. No hay una relación entre denunciar y el resultado que se busca con esa intervención sobre una iatrogenia multifactorial. No es posible saber si una agregación de causas incidentales puede anular, mediante fenómenos emergentes, el efecto deseado. Al contrario, la denuncia, puede causar procesos autoorganizativos a partir del desorden provocado inicialmente, que produzcan efectos indeseados tanto en el denunciante como en el sistema, que aumenten la fragilidad de ambos. Es más plausible que, a la luz de consideraciones sobre las consecuencias, el agente moral, buscando anular los efectos de rebote sobre él, en lugar de resolver, disuelva el dilema y siga adelante.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The physician who blows the whistle poses a threat to the accused and to herself, and both parts know it. The dilemma consists in knowing whether, by the same iatrogenesis which originates the complaint, a report is of public interest, inasmuch as it can produce a benefice to the system. Even considering all conditions around the fact and all plausible scenarios of the consequences, it is not possible to elucidate the effect that a complaint will have. There is no relationship between reporting and the result sought with this intervention on a multifactorial iatrogenesis. It is not possible to know if an aggregation of incidental causes can override, by emerging factors, the desired effect. On the contrary, whistleblowing can cause self-organizing processes out of the disorder initially triggered which themselves can produce undesirable effects on the complainant and the system, with a final result that increases the fragility of both. It is more plausible that, in the light of considerations on the consequences, the moral agent seeking to nullify the effects on her, rather than resolve, dissolves the dilemma.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bioética]]></kwd>
<kwd lng="es"><![CDATA[delator]]></kwd>
<kwd lng="es"><![CDATA[cirugía general]]></kwd>
<kwd lng="es"><![CDATA[iatrogenia]]></kwd>
<kwd lng="es"><![CDATA[dilema]]></kwd>
<kwd lng="en"><![CDATA[Bioethics]]></kwd>
<kwd lng="en"><![CDATA[whistleblower]]></kwd>
<kwd lng="en"><![CDATA[general surgery]]></kwd>
<kwd lng="en"><![CDATA[iatrogenesis]]></kwd>
<kwd lng="en"><![CDATA[dilemma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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