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  1. Article ; Online: The Moral Bindingness of Advance Directives.

    Montanari Vergallo, Gianluca

    Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees

    2023  Volume 32, Issue 3, Page(s) 447–449

    Abstract: Professor Latham has written a thought-provoking ... ...

    Abstract Professor Latham has written a thought-provoking commentary
    MeSH term(s) Humans ; Advance Directives ; Morals
    Language English
    Publishing date 2023-01-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1146581-5
    ISSN 1469-2147 ; 0963-1801
    ISSN (online) 1469-2147
    ISSN 0963-1801
    DOI 10.1017/S0963180122000901
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  2. Article ; Online: Is whole-body gestational donation without explicit consent a valid alternative to surrogate motherhood? An ethical analysis through analogy reasoning and principlist approach.

    Montanari Vergallo, Gianluca / Gulino, Matteo

    Theoretical medicine and bioethics

    2023  Volume 44, Issue 4, Page(s) 387–391

    MeSH term(s) Humans ; Female ; Ethical Analysis ; Informed Consent ; Tissue and Organ Procurement
    Language English
    Publishing date 2023-07-20
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 1418481-3
    ISSN 1573-0980 ; 1573-1200 ; 1386-7415
    ISSN (online) 1573-0980 ; 1573-1200
    ISSN 1386-7415
    DOI 10.1007/s11017-023-09634-2
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  3. Article ; Online: Artificial Womb on Maternal Request and Without the Father's Consent: Ethical Perspectives Through a Principlist Approach.

    Gulino, Matteo / Ricci, Pasquale / Vergallo, Gianluca Montanari

    The American journal of bioethics : AJOB

    2023  Volume 23, Issue 5, Page(s) 121–123

    MeSH term(s) Female ; Humans ; Male ; Mothers ; Fathers ; Uterus ; Informed Consent
    Language English
    Publishing date 2023-05-02
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2060433-6
    ISSN 1536-0075 ; 1526-5161
    ISSN (online) 1536-0075
    ISSN 1526-5161
    DOI 10.1080/15265161.2023.2191042
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  4. Article ; Online: Freedom of Scientific Research and Embryo Protection Under Italian and European Court of Human Rights' Jurisprudence. Brief European Legislation Overview.

    Montanari Vergallo, Gianluca

    European journal of health law

    2021  Volume 28, Issue 1, Page(s) 3–25

    Abstract: The paper addresses the issues of admissibility of human embryo research and the legal protection to be recognized, in light of the growing importance that scientific research has been gaining in the clinical and biomedical fields of embryonic stem cells ...

    Abstract The paper addresses the issues of admissibility of human embryo research and the legal protection to be recognized, in light of the growing importance that scientific research has been gaining in the clinical and biomedical fields of embryonic stem cells for therapeutic purposes. As for human embryo experimentation, particularly on cryopreserved supernumerary embryos, European legislation varies, since the European Court has granted member States a wide margin of appreciation. Some countries, including Italy, have strict legislation protecting embryos from the fertilisation stage, whereas others have taken permissive approaches, allowing experimentation until 14 days after fertilisation. Science, however, has shown that the 14-day limit can be moved. The author finds it necessary to achieve broad international consensus and shared regulations. Lawmakers, however, need to balance respect for the principle of life, represented by the embryo, against scientific needs, in order to devise sound regulations safeguarding both apparently conflicting fundamental values.
    MeSH term(s) Cross-Cultural Comparison ; Embryo Research/legislation & jurisprudence ; Embryo, Mammalian ; Embryonic Stem Cells ; Europe ; Humans ; Internationality/legislation & jurisprudence ; Italy ; Jurisprudence ; Stem Cell Research/legislation & jurisprudence
    Language English
    Publishing date 2021-01-25
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1195903-4
    ISSN 1571-8093 ; 0929-0273
    ISSN (online) 1571-8093
    ISSN 0929-0273
    DOI 10.1163/15718093-BJA10036
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  5. Article ; Online: The choice of Caesarean section between clinical indication and patient autonomy: The physician between rock and hard place.

    Montanari Vergallo, Gianluca / Ricci, Pasquale / Gulino, Matteo

    Journal of evaluation in clinical practice

    2023  Volume 29, Issue 7, Page(s) 1068–1072

    Abstract: Rationale, aims and objectives: Caesarean delivery carries a higher risk of short- and long-term complications for both mother and baby than vaginal delivery. However, over the past two decades, data show a considerable increase in requests for ... ...

    Abstract Rationale, aims and objectives: Caesarean delivery carries a higher risk of short- and long-term complications for both mother and baby than vaginal delivery. However, over the past two decades, data show a considerable increase in requests for Caesarean sections. This manuscript analyses the case of Caesarean Section on maternal request without a clinical indication from a medico-legal and ethical perspective.
    Method: Medical associations and bodies databases were searched for published guidelines and recommendations on the use of caesarean sections on maternal requests. As derived from the literature, medical risks, attitudes, and reasons for this choice have also been summarized.
    Results: International guidelines and medical associations recommend strengthening the doctor-patient relationship by setting up an information process to make the pregnant woman understand the danger of Caesarean delivery without clinical indications and to make her consider whether she can survive natural childbirth.
    Conclusion: Caesarean section on maternal request and without clinical indications is an emblematic case of how the physician could be between two opposing interests. Our analysis shows that if the woman's rejection of natural birth persists and clinical indications for Caesarean delivery are lacking, the physician must respect the patient's choice.
    MeSH term(s) Humans ; Pregnancy ; Female ; Cesarean Section ; Physician-Patient Relations ; Delivery, Obstetric ; Physicians ; Mothers
    Language English
    Publishing date 2023-02-15
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1327355-3
    ISSN 1365-2753 ; 1356-1294
    ISSN (online) 1365-2753
    ISSN 1356-1294
    DOI 10.1111/jep.13820
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  6. Article ; Online: Body donation in Italy and the issue of consent: Operational suggestions.

    Montanari Vergallo, Gianluca / Masotti, Vittoria / Marinelli, Enrico

    Legal medicine (Tokyo, Japan)

    2022  Volume 60, Page(s) 102172

    Abstract: The authors aimed to analyze the Italian law of 10 February 2020, n. 10, which governs the post mortem donation of one's body and tissues for training, educational and scientific research purposes. The different models of consent set forth in this set of ...

    Abstract The authors aimed to analyze the Italian law of 10 February 2020, n. 10, which governs the post mortem donation of one's body and tissues for training, educational and scientific research purposes. The different models of consent set forth in this set of norms are discussed, reaching the conclusion that the most suitable option for balancing the interests at stake is the one that authorizes all uses of the body for the sole purposes expressly permitted by the donor. After briefly laying out the current legislation on the subject, particularly regarding the ways of expressing consent, the authors highlight how the legislation enacted by Italian lawmakers is meant to codify the absolute preeminence to the donor's right to self-determination.
    Language English
    Publishing date 2022-11-12
    Publishing country Ireland
    Document type Journal Article ; Review
    ZDB-ID 2019555-2
    ISSN 1873-4162 ; 1344-6223
    ISSN (online) 1873-4162
    ISSN 1344-6223
    DOI 10.1016/j.legalmed.2022.102172
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  7. Article ; Online: Should vaccinated people be prioritized for COVID-19 care? Reply to Ramphul.

    Montanari Vergallo, Gianluca / Varone, Maria Cristina / Del Rio, Alessandro

    Acta bio-medica : Atenei Parmensis

    2022  Volume 93, Issue 2, Page(s) e2022098

    MeSH term(s) COVID-19 ; Humans ; SARS-CoV-2 ; Vaccination
    Language English
    Publishing date 2022-05-11
    Publishing country Italy
    Document type Journal Article ; Comment
    ZDB-ID 2114240-3
    ISSN 2531-6745 ; 0392-4203
    ISSN (online) 2531-6745
    ISSN 0392-4203
    DOI 10.23750/abm.v93i2.12412
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  8. Article: In Vitro Fertilisation with Reception of Oocytes from Partner: A Transnational Case of Female Shared Biological Motherhood.

    Gulino, Matteo / Vergallo, Gianluca Montanari

    Journal of law and medicine

    2021  Volume 29, Issue 1, Page(s) 224–230

    Abstract: The social evolution of the concept of "the family" and changes in attitudes towards homosexual couples have expanded the range of people permitted to gain access to assisted reproduction technologies, encouraging the creation of blended families. " ... ...

    Abstract The social evolution of the concept of "the family" and changes in attitudes towards homosexual couples have expanded the range of people permitted to gain access to assisted reproduction technologies, encouraging the creation of blended families. "Reception of Oocytes from Partner" (ROPA) is a treatment that permits female couples to become active participants in the reproductive process and have a biological connection to their child. This article reports a case of transnational shared motherhood, in which the Italian Supreme Court (Application no 19599, Supreme Court of Cassation, First Civil Chamber, 2016), dealt for the first time with a same-sex couple's request concerning the recognition of a legal child-relationship with a child conceived through in vitro fertilisation with ROPA. Although Italian law bans assisted reproduction technologies for same-sex couples, the Court acceded to the request of the couple on the basis of its evaluation of what was in the best interests of the child.
    MeSH term(s) Female ; Fertilization in Vitro ; Humans ; Italy ; Oocytes ; Reproductive Techniques, Assisted
    Language English
    Publishing date 2021-12-16
    Publishing country Australia
    Document type Case Reports ; Journal Article
    ZDB-ID 1236328-5
    ISSN 1320-159X
    ISSN 1320-159X
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  9. Article ; Online: Advance Healthcare Directives: Binding or Informational Value?

    Montanari Vergallo, Gianluca

    Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees

    2019  Volume 29, Issue 1, Page(s) 98–109

    Abstract: Advance directives entail a refusal expressed by a still-healthy patient. Three consequences stem from that fact: (a) advance refusal is unspecific, since it is impossible to predict what the patient's conditions and the risk-benefit ratio may be in the ... ...

    Abstract Advance directives entail a refusal expressed by a still-healthy patient. Three consequences stem from that fact: (a) advance refusal is unspecific, since it is impossible to predict what the patient's conditions and the risk-benefit ratio may be in the foreseeable future; (b) those decisions cannot be as well informed as those formulated while the disease is in progress; (c) while both current consent and refusal can be revoked as the disease unfolds, until the treatment starts out, advance directives become effective when the patient becomes incapable or unconscious; such decisions can therefore not be revoked at any stage of the disease. Therefore, advance directives are binding for doctors only at the stage of advance treatment planning, i.e., only if they refer to an illness already in progress.
    MeSH term(s) Advance Care Planning/ethics ; Advance Directive Adherence/ethics ; Advance Directives/ethics ; Humans ; Living Wills/ethics ; Personal Autonomy ; Terminal Care/ethics ; Treatment Refusal
    Language English
    Publishing date 2019-12-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1146581-5
    ISSN 1469-2147 ; 0963-1801
    ISSN (online) 1469-2147
    ISSN 0963-1801
    DOI 10.1017/S0963180119000823
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  10. Article ; Online: The Marco Cappato and Fabiano Antoniani (dj Fabo) Case Paves the Way for New Assisted Suicide Legislation in Italy: An Overview of Statutes from Several European Countries.

    Montanari Vergallo, Gianluca

    European journal of health law

    2019  Volume 26, Issue 3, Page(s) 221–239

    Abstract: The article looks into the case involving Fabiano Antoniani, who, following a major road accident, was left tetraplegic. Marco Cappato drove him to a Swiss clinic where Mr. Antoniani took his own life by self-administration of lethal pentobarbital sodium. ...

    Abstract The article looks into the case involving Fabiano Antoniani, who, following a major road accident, was left tetraplegic. Marco Cappato drove him to a Swiss clinic where Mr. Antoniani took his own life by self-administration of lethal pentobarbital sodium. Cappato was put on trial, but the Italian Constitutional Court urged the Parliament to decriminalise assisted suicide in extremely serious cases. From a comparison with other European countries, approaches range from restrictive (banning both active euthanasia and assisted suicide), to entirely permissive. An intermediate approach only entails a ban on active euthanasia. It would be desirable to uniformise the diverse national statutes on a European level, which would make it possible for everyone to receive assistance towards ending their suffering, with limitations to incurable cases to be medically verified, and at the end of a path designed to ensure that patient freedom of choice is upheld at all time.
    MeSH term(s) Cross-Cultural Comparison ; Europe ; Italy ; Legislation as Topic ; Suicide, Assisted/legislation & jurisprudence
    Language English
    Publishing date 2019-06-19
    Publishing country Netherlands
    Document type Journal Article ; Legal Case
    ZDB-ID 1195903-4
    ISSN 1571-8093 ; 0929-0273
    ISSN (online) 1571-8093
    ISSN 0929-0273
    DOI 10.1163/15718093-12261428
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