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<article article-type="research-article" dtd-version="1.3" 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" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ssmu</journal-id><journal-title-group><journal-title xml:lang="ru">Бюллетень сибирской медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Siberian Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-0363</issn><issn pub-type="epub">1819-3684</issn><publisher><publisher-name>Siberian State Medical University, the Ministry of Healthcare of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20538/1682-0363-2006-5-151-157</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-3183</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРИКЛАДНАЯ БИОЭТИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>APPLIED BIOETHICS</subject></subj-group></article-categories><title-group><article-title>Этика паллиативной помощи и ВИЧ/ТБ: опыт, полученный в Томске</article-title><trans-title-group xml:lang="en"><trans-title>The Ethics of Palliative Care and HIV/TB: Lessons from Tomsk, Siberia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Келли</surname><given-names>М. .</given-names></name><name name-style="western" xml:lang="en"><surname>Kelley</surname><given-names>M. .</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Миллер</surname><given-names>С. .</given-names></name><name name-style="western" xml:lang="en"><surname>Miller</surname><given-names>S. .</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соловьева</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Solovieva</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Университет штата Алабама</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-2"><institution>Медицинский колледж Бейлора</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-3"><institution>Томский областной центр по профилактике и борьбе со СПИД и инфекционными заболеваниями</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2006</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2006</year></pub-date><volume>5</volume><issue>5</issue><fpage>151</fpage><lpage>157</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Келли М..., Миллер С..., Соловьева С.А., 2006</copyright-statement><copyright-year>2006</copyright-year><copyright-holder xml:lang="ru">Келли М..., Миллер С..., Соловьева С.А.</copyright-holder><copyright-holder xml:lang="en">Kelley M..., Miller S..., Solovieva S.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://bulletin.ssmu.ru/jour/article/view/3183">https://bulletin.ssmu.ru/jour/article/view/3183</self-uri><abstract><p>В 2006 г. Томск стал местом для реализации пилотной программы по паллиативной помощи ВИЧ- и ТБ-инфициро- ванным в рамках проекта «ГЛОБУС». В статье обсуждаются этические аспекты оказания паллиативной помощи и опыт реализации программы «Паллиативная помощь и уход при ВИЧ/СПИДе» на базе Томского областного Центра по профи- лактике и борьбе со СПИД и инфекционными заболеваниями.</p></abstract><trans-abstract xml:lang="en"><p>In 2006, Tomsk become an initial pilot site for a Globus Program initiative on palliative care, HIV and MTB. The paper pre- sents a discussion on the ethical aspects of palliative care and some lessons of the program «Adjusting Teamwork in Palliative Care», utilizing Tomsk Regional Center for AIDS and other Infectious Diseases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>паллиативная помощь</kwd><kwd>хоспис</kwd><kwd>ВИЧ- и ТБ-инфицированные</kwd><kwd>нравственный смысл жизни и смерти</kwd><kwd>palliative care</kwd><kwd>hospice</kwd><kwd>HIV and MTB</kwd><kwd>moral meaning of life and death</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">http://www.eolc-observatory.net/global_analysis/russia_ current_services.htm Accessed December 19, 2006</mixed-citation><mixed-citation xml:lang="en">http://www.eolc-observatory.net/global_analysis/russia_ current_services.htm Accessed December 19, 2006</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Arras J.D. 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