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Ethical issues concerning the use of commercially available wearables in children 关于在儿童身上使用市售可穿戴设备的伦理问题
Q4 Medicine Pub Date : 2022-08-19 DOI: 10.21860/j.13.1.1
A. Panayiotou, Evangelos D. Protopapadakis
Wearable and mobile technology has advanced in leaps and bounds in the last decade with technological advances creating a role from enhancing healthy living to monitoring and treating disease. However, the discussion about the ethical use of such commercial technology in the community, especially in minors, is lacking behind. In this paper, we first summarize the major ethical concerns that arise from the usage of commercially available wearable technology in children, with a focus on smart watches, highlighting issues around the consent process, mitigation of risk and potential confidentiality and privacy issues, as well as the potential for therapeutic misconceptions when used without medical advice. Then through a relevant thought experiment we move on to outline some further ethical concerns that are connected to the use of wearables by minors, to wit the issue of informed consent in the case of minors, forcing them to live in the spotlight, and compromising their right to an open future. We conclude with the view that mitigating potential pitfalls and enhancing the benefits of wearable technology especially for minors requires brave and comprehensive moral debates.
可穿戴和移动技术在过去十年中突飞猛进,技术进步创造了从改善健康生活到监测和治疗疾病的作用。然而,在社区中,特别是在未成年人中,对这种商业技术的伦理使用的讨论是缺乏的。在本文中,我们首先总结了在儿童中使用市售可穿戴技术所产生的主要伦理问题,重点是智能手表,突出了有关同意过程的问题,降低风险和潜在的保密和隐私问题,以及在没有医疗建议的情况下使用时可能产生的治疗误解。然后,通过一个相关的思想实验,我们继续概述一些与未成年人使用可穿戴设备有关的进一步的道德问题,以未成年人的知情同意问题为例,强迫他们生活在聚光灯下,损害他们享有开放未来的权利。我们的结论是,减轻潜在的陷阱和增强可穿戴技术的好处,特别是对未成年人来说,需要勇敢和全面的道德辩论。
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引用次数: 0
Prisilna hospitalizacija - stara praksa i nova tumačenja
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.3
Dragan Mihailovic
U okvirima primijenjene etike rad razmatra implikacije aktualnog tumačenja Konvencije UN-a o pravima osoba s invaliditetom. Ono se temelji isključivo na nepovredivosti autonomije, zanemarujući ključan aspekt kompromitirane sposobnosti relevantnog odlučivanja o liječenju osoba s mentalnim poremećajem. Ovakva tendencija implicira da zdravlje pojedinca više nije prioritet već njegova autonomija, neovisno od faktičkog stanja pacijenta, a prepuštanje odluke o liječenju osobi s ozbiljnim mentalnim smetnjama povlači ugrožavanje onih vrijednosti koje se tiču kako samog pacijenta, tako i drugih. U radu se ispituje koncept autonomije i paternalizma u psihijatriji, njihove moralne osnove, ograničenja i okolnosti pod kojima se paternalizam u kontekstu obaveznog liječenja može opravdati i smatrati sigurnijim i učinkovitijim, kada je riječ o interesima samog pacijenta, u odnosu na predložen model. Ističe se opreznost u ovakvim pokušajima prevladavanja kontroverzi vezanih za postupak prinudne hospitalizacije. Analiziranje osnovnih moralnih načela i argumentacije različitih pristupa ovom problemu motivirano je činjenicom da ova krajnje restriktivna i kontroverzna mjera zahtijeva stalnu pažnju i razmatranje s medicinskog, etičkog i pravnog aspekta, jer bitno utječe, kako na samostigmatizaciju jedne od najvulnerabilnijih grupa pacijenata, tako i na stigmatizaciju psihijatrije kao sredstva društvene kontrole.
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引用次数: 0
Labelling the psychological impact of colour in films for deep learning processing based on the humanities approach 标记电影中色彩的心理影响,以进行基于人文学科方法的深度学习处理
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.11
Youngsue Han, Minju Kim, S. Hwang, Thomas Whelan, Hyunjung Roh
Inspired by Goethe’s theory of colour and his aversion to Newton’s scientific theories, we performed an experiment to investigate the psychological impact of colour in film. We converted 550 films into sequences of images and then processed them to extract the RGB information within. We then compared this data and matched them to classifications of colour roles in terms of their psychological influence on film viewers. For this we consulted Bellantoni, Patti (2005)’s book If It’s Purple, Someone’s Gonna Die: The Power Of Colour In Visual Storytelling, which is a guide for filmmakers to select the appropriate colours for their films and also describes the psychological and emotional effects of certain colours in film on viewers. Finally we extracted RGB information from our image sequence archives to match them to classifications of the role of colour and their psychological influences on film viewers. In spite of the fact that our results are subject to certain limitations such as the subjectivity of our researchers, we believe our findings from the experiment have made contributions to the development of AI for use in film colour classification with regard to their psychological impacts on viewers. In future endeavors, we expect to include additional information, such as shapes, tints and so on. Thus, our methodology and materials may produce even better results if supplementary resources were to be available.
受歌德的色彩理论和他对牛顿科学理论的厌恶的启发,我们进行了一个实验来研究电影中色彩对心理的影响。我们将550部电影转换成图像序列,然后对它们进行处理以提取其中的RGB信息。然后,我们比较了这些数据,并将它们与色彩角色的分类相匹配,以了解它们对电影观众的心理影响。为此,我们参考了Bellantoni, Patti(2005)的书《如果是紫色,有人会死:视觉叙事中的色彩力量》,这本书是电影人为电影选择合适颜色的指南,也描述了电影中某些颜色对观众的心理和情感影响。最后,我们从图像序列档案中提取RGB信息,将其与色彩的作用分类及其对电影观众的心理影响进行匹配。尽管我们的结果受到某些限制,例如我们的研究人员的主观性,但我们相信我们的实验结果对人工智能在电影颜色分类中对观众心理影响的发展做出了贡献。在未来的努力中,我们希望包含额外的信息,如形状、色调等。因此,如果有补充资源,我们的方法和材料可能会产生更好的结果。
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引用次数: 0
A study on the intention and experience of using the metaverse 使用虚拟世界的意图和体验研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.10
Jungmi Lee
Due to the acceleration of information and communication technology in the Fourth Industrial Revolution, artificial intelligence technology has had a large impact on politics, economy, culture, and art industries. During the COVID-19 pandemic, as face-to-face activities declined and video conferencing expanded, a new platform, called the metaverse, appeared. The metaverse is a digital communication technology, that become known to the public through games and entertainment, and it is gradually expanding. The metaverse also provides new education methods. For high value-added industries, the metaverse is used to foster skilled experts in a shortened training period. In the education field, the metaverse platform is being used in convergence with information technology (IT) companies. Examples include the entrance ceremony, graduation ceremony, job fair, museum experiential learning, and graduation work exhibition of the virtual world through the metaverse. In this paper, college students’ experience of using the metaverse was studied to determine their awareness of and experience with the metaverse. Based on the potential of the metaverse platform, the MZ (Millennials and Generation Z) generation’s intention to use the metaverse, and their experience with it, it is expected that this study will aid the development of the metaverse.
由于第四次工业革命中信息通信技术的加速发展,人工智能技术对政治、经济、文化、艺术等产业产生了巨大的影响。在2019冠状病毒病大流行期间,随着面对面活动的减少和视频会议的扩大,一个名为metaverse的新平台出现了。虚拟世界是一种通过游戏和娱乐为大众所熟知的数字通信技术,它正在逐渐扩大。虚拟世界还提供了新的教育方法。对于高附加值的行业,使用元verse可以在较短的培训时间内培养熟练的专家。在教育领域,metaverse平台正在与信息技术(IT)企业融合使用。例如通过虚拟世界进行的入学典礼、毕业典礼、招聘会、博物馆体验式学习、毕业作品展等。本文通过对大学生使用虚拟世界的体验进行研究,确定大学生对虚拟世界的认知和体验。基于虚拟世界平台的潜力、MZ(千禧一代和Z一代)使用虚拟世界的意愿以及他们使用虚拟世界的经验,预计本研究将有助于虚拟世界的发展。
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引用次数: 10
The Corona Crisis 冠状病毒危机
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.5
M. Knaup
Since spring 2020 at the latest many things are not as they used to be before – things are literally “de-ranged”. The news are mostly dominated by one topic: a virus which is officially called SARS-CoV-2.1 The here presented contribution views the Corona crisis from an ethical-philosophical perspective. At first, different challenges and dynamics of this crisis will be discussed. Insofar as political decision-making for coping with the crisis happens frequently by referring to “the” sciences, light is shed on the tasks of the sciences in our modern knowledge society. The contribution is going to argue in favour of a variety of perspectives, which we need in order to handle the crisis appropriately. In this context, light is shed on explicit and implicit basic social attitudes such as the attitude towards death as well as on the increasing medicalisation of life. Finally, the question about prospects which might be promising for the future is going to be raised.
最迟从2020年春季开始,许多事情都不像以前那样了——事情实际上是“去范围化”了。这些新闻大多被一个主题所主导:一种正式名称为SARS-CoV-2.1的病毒。本文从伦理哲学的角度来看待冠状病毒危机。首先,将讨论这场危机的不同挑战和动态。只要应对危机的政治决策经常涉及“科学”,就可以看出科学在我们现代知识社会中的任务。这篇文章将支持各种各样的观点,我们需要这些观点来恰当地应对危机。在这种情况下,阐明了明确的和隐含的基本社会态度,例如对死亡的态度以及对生命日益医学化的态度。最后,关于未来前景的问题可能会被提出。
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引用次数: 0
Pandemija – utopija – bioetika
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.8
Josip Guć
Premda na prvi pogled tako ne izgleda, pandemija COVID-19 malo je toga fundamentalno promijenila, kako po pitanju društveno-ekonomskih okvira našeg djelovanja, tako i po pitanju moralnog djelovanja. Razlog je prije svega u zanemarivanju utopijskog pristupa, a potreba za ovim ispostavlja se upravo u nezaobilaznosti razmatranja društveno-ekonomskih odnosa u sferi morala. Okvir za takvo dubinsko moralno propitivanje može pružiti bioetika. U radu polazim od prikaza odnosa prema pandemiji koji ostaje u gabaritima dogme nepromjenljivosti svijeta. Prelazim zatim na kratko razmatranje pojma utopije i koncepta ‘odrasta’, kao oglednog utopijskog pristupa čovjekovu odnosu spram okoliša. Kako je upravo razoran odnos spram prirode osnovni uzrok izbijanja pandemija, a oba problema pripadaju interesu bioetike, potonja bi u razmatranju odnosa spram pandemije trebala nastupiti utopijski, prije svega zato što čovjekovu destruktivnost spram života prvenstveno potiče trenutačni društveno ekonomski sistem. Značajka neutopijskog mišljenja je da pri razmatranju izvjesnog moralnog konflikta zanemaruje razloge njegova nastanka, pa time omogućuje da se on stalno perpetuira. Upravo pluriperspektivna metodologija integrativne bioetike, kako nastojim pokazati u zadnjem dijelu, pruža alate da se takvo što osujeti.
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引用次数: 0
Children’s “Best Interest” Locked up – On the Situation of Children’s Rights during the COVID-19 Responses 儿童的“最大利益”被锁定——关于应对COVID-19期间儿童权利状况
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.9
M. Spieker
The constitution of the WHO as well as the UN Convention on the Rights of the Child both emphasise the unique position of children, the significance of healthy development and the obligation of public and private actors to always consider the best interest of the child. There is – at least in the case of Germany – no evidence that this obligation has been fulfilled in due manner during the COVID-19 reactions. On the other hand, there is clear evidence from different parts of the world that the closure of schools and all places of social encounter has deeply harmed the social, emotional and even intellectual development of many children. The children’s rights therefore have not been safeguarded during the corona-reaction-crisis. The article argues that this disregard of the position of children has its roots in public health’s utilitarian perspective on the health of peoples instead of individuals. In order to safeguard the rights of children in public health operations, the procedures already foreseen by the UN Convention and its implementing regulations to take into account the best interest of the child must be truly implemented in the future.
《世界卫生组织组织法》和《联合国儿童权利公约》都强调儿童的独特地位、健康发展的重要性以及公共和私人行为体始终考虑儿童最大利益的义务。至少在德国的情况下,没有证据表明这一义务在COVID-19应对期间得到了适当履行。另一方面,来自世界各地的明确证据表明,学校和所有社交场所的关闭严重损害了许多儿童的社交、情感甚至智力发展。因此,在冠状病毒应对危机期间,儿童的权利没有得到保障。文章认为,这种对儿童地位的漠视,其根源在于公共卫生对人民健康而不是个人健康的功利主义观点。为了在公共卫生行动中保障儿童的权利,今后必须真正落实《联合国儿童权利公约》及其实施细则所预见的程序,考虑到儿童的最大利益。
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引用次数: 0
From moral values to public health effectiveness 从道德价值到公共卫生有效性
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.7
I. Eterović
The COVID-19 pandemic has put every contemporary society in front of various challenges. While those are often reflected and explained through economic, political or medical lenses, it seems that thorough ethical and bioethical insights are too rarely exposed and made explicit. This article tries to contribute to the neglected sphere of interconnection and interrelatedness of basic moral values and general, primarily public health, challenges. Moreover, it will be argued that by deeply disrespectful behaviour of chief institutions and inappropriate communication to the overall community (citizens) the value of elementary trust and respectfulness has been eroded, betrayed, and consequently brings to the plethora of economic, political, medical, and other challenges and troubles. The key argument is that the effectiveness of the public health measures is primarily rooted in stable and publicly communicated basic values, such as life and health, but the stability and communication of those values lays mostly in moral values such as trust, respect, fairness etc. One of the most important lessons this pandemic could give the humanity is the almost self-evident, but often forgotten insight, that moral values are the necessary glue of all values needed for functional society (and generally functional global community on Earth). The examples will be taken from the Croatian example of social, political, and institutional confrontation to the COVID-19 pandemic.
新冠肺炎疫情给当代社会带来了各种挑战。虽然这些经常通过经济、政治或医学的角度反映和解释,但似乎很少暴露和明确彻底的伦理和生物伦理见解。这篇文章试图对基本道德价值观和一般的,主要是公共卫生挑战的相互联系和相互关系这一被忽视的领域作出贡献。此外,有人认为,由于主要机构的极不尊重行为和对整个社区(公民)的不适当沟通,基本信任和尊重的价值已经被侵蚀和背叛,从而带来了大量的经济、政治、医疗和其他挑战和麻烦。关键论点是,公共卫生措施的有效性主要植根于稳定和公开传播的基本价值观,如生命和健康,但这些价值观的稳定性和传播主要在于道德价值观,如信任、尊重、公平等。这场大流行可以给人类带来的最重要的教训之一是,道德价值观是正常社会(以及地球上正常运作的全球社区)所需的所有价值观的必要粘合剂,这一点几乎是不言而喻的,但往往被遗忘。我们将以克罗地亚为例,在社会、政治和体制方面对抗2019冠状病毒病大流行。
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引用次数: 0
Kozmički odgoj u kontekstu integrativne bioetike
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.4
Ivica Kelam, Dora Grejza
Osnivačica metode i filozofije Montessori, Maria Montessori, razvila je u okviru metode Montessori takozvani kozmički odgoj koji se smatra centralnim dijelom njezinog podučavanja. Kozmički odgoj nastao je u teškim vremenima ljudske povijesti kao nada i odgovor za bolju budućnost čovječanstva. Temelji se na razumijevanju međusobne povezanosti čovječanstva s prirodom i svim živim i neživim svijetom. U centru kozmičkog odgoja, kao i u centru cijele metode Montessori, nalazi se dijete kojega je potrebno poučavati odgovornosti svojeg djelovanja prema planetu i svim živim bićima, ne bi li tako ljudsko biće ispunilo kozmički zadatak koji je dodijeljen svakomu od nas. Put prema ostvarenju kozmičkog zadatka, između ostalog, čine takozvane velike (kozmičke) priče koje se pričaju djeci mlađeg uzrasta kao temelj za razumijevanje funkcioniranja svijeta i motivacija za daljnje učenje i istraživanje. Ciljevi i zadaće kozmičkog odgoja Montessori odgovaraju ciljevima integrativne bioetike, što se očituje kroz zajedničku želju za odgovorom na ključne probleme čovječanstva i planeta, poput klimatskih promjena, ugroženosti biljnog i životinjskoga svijeta i same ugroženosti ljudskog postojanja u daljnjoj budućnosti. U radu će se ukratko prikazati osnovne ideje kozmičkog odgoja, kakav je osmislila Maria Montessori, i ukazati na dodirne točke kozmičkog odgoja i integrativne bioetike u svjetlu odgoja za bioetički senzibilitet.
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引用次数: 0
Logistički regresijski model predikcije izloženosti nasilju nad Romkinjama u romskim obiteljima u izoliranim romskim naseljima Međimurske županije
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.21860/j.13.1.2
Aleksandar Racz, Borut Rončević, M. Milošević
Na temelju provedenog terenskog istraživanja pojavnosti nasilja nad Romkinjama u romskim obiteljima, kao i njihovih uvjerenja i stavova o nasilju nad Romkinjama u romskim obiteljima koje je bilo provedeno na uzroku od 350 Romkinja koje žive na području 12 izoliranih romskih naselja na području Međimurske županije, upotrebom logističke regresijske analize izrađena su tri prediktivna modela profila Romkinje kao žrtve obiteljskog nasilja u romskoj obitelji. Aplikativni cilj istraživanja bio je usmjeren prema pomoći nadležnim zdravstvenim i socijalnim službama, kako bi na vrijeme mogle usmjeriti fokus svojeg rada prema onim Romkinjama kao korisnicama koje su pod većim rizikom od izloženosti nasilju. U prvom modelu, koji je uključivao samo sociodemografske karakteristike ispitanica, od prediktora izloženosti Romkinja obiteljskom nasilju unutar Romske obitelji prema Waldovu testu značajnosti koeficijenata kao statistički značajni izdvojeni su starija životna dob (OR 1,848, p - 0,007), veća materijalna deprivacija (OR 2,345, p - 0,021) i ranija dob rađanja prvog djeteta prije 16. godine života (OR 7,962, p - 0,004). Proširenjem modela sa stavovima i predrasudama o nasilju nad ženom uz već izdvojene značajni prediktore kao što su mlađa životna dob (OR 1,760, p - 0,015), ranija dob rađanja prvog djeteta (OR 8,210, p - 0,003) i ranija dob zasnivanja obitelji (OR 0,305, p - 0,048, kao najsnažniji prediktor izdvojena su uvjerenja i stavovi o nasilju (OR 1,957, p - 0,002), pri čemu Romkinje s većim stupnjem prihvaćanja predrasuda o nasilju imaju i veću šansu da budu žrtve nasilja. Konačno, uvođenjem kao nezavisne varijable i izloženost nasilju u djetinjstvu i to po pojedinim oblicima zlostavljanja (tjelesnom, psihičkom, seksualnom i ekonomskom), dobiven je prediktivni model koji se pokazao statistički značajnim (p < .01), a koji je od sva tri modela najbolje predviđao vrijednosti zavisne varijable, pri čemu su od prediktora bili značajni ranija dob rađanja prvog djeteta (OR 7,955, p - 0,041), ranija dob zasnivanja obitelji (OR 0,106, p - 0,017), veća brojnosti djece na skrbi (OR 3,087, p - 0,049) i izloženost tjelesnom (OR 14,560, p-0,001), ekonomskom (OR 4,728, p - 0,049) i psihičkom (OR 8,088, p - 0,000) nasilju u djetinjstvu. Izloženost nasilju u djetinjstvu toliko je snažan prediktor da njegovim uvođenjem u model stavovi o nasilju, odnosno veća sklonost prihvaćanja predrasuda o nasilju nad ženom te veća materijalna deprivacija gube prediktorsku snagu, čime je direktno potvrđena pretpostavka da su Romkinje koje su bile žrtve nasilja u djetinjstvu pod višestruko većim rizikom od bivanja žrtvom nasilja u odrasloj dobi.
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引用次数: 1
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Jahr
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