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Clinical solutions performed in non-conventional settings 在非常规环境下的临床解决方案
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.21860/j.12.2.6
Tatiana Benevides Magalhães Braga, Bárbara Penteado Cabral, Alessandro de Magalhães Gemino, Marciana Gonçalves Farinha, Demétrius Alves de França
This paper presents the Brazilian specificities of the development of its public health and social assistance policies since the re-democratization process in the 1980s until today. Besides, it presents a wide range of conflicts between the economic interests and the political activism accountable for the advances of the public policies implementation. This evolution is presented as a subsidy to the reader’s understanding of the development of a clinical solution for non-conventional settings specific to the Brazilian social and economic reality. Successful clinical experiences in health and social assistance based on phenomenology are presented, not only for diagnosis purposes, namely for understanding the people, for the context in the question, as well as the successful management development. The first case describes the provision of a peripatetic group therapy service, prior as a walking clinical practice, where the notion of territoriality and the dynamics of group interaction facilitate the understanding of the patients, while the intrinsic condition of the work also facilitates the establishment of transferential relationships. The second case describes the complexity of social welfare policy challenges through the clinical intervention while presenting a family in a social and economic vulnerability context.
本文介绍了巴西自1980年代重新民主化进程以来直至今天的公共卫生和社会援助政策发展的具体情况。此外,经济利益与推动公共政策实施的政治激进主义之间存在着广泛的冲突。这种演变是作为一种补贴,以读者的理解发展的临床解决方案的非常规设置具体到巴西的社会和经济现实。本文介绍了基于现象学的健康和社会援助方面的成功临床经验,不仅是为了诊断目的,即为了了解人们,为了问题的背景,也是为了成功的管理发展。第一个案例描述了提供一种巡回团体治疗服务,在此之前作为一种步行临床实践,其中领土的概念和群体互动的动态促进了对患者的理解,而工作的内在条件也促进了转移关系的建立。第二个案例通过临床干预描述了社会福利政策挑战的复杂性,同时呈现了一个处于社会和经济脆弱性背景下的家庭。
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引用次数: 0
Bioetički aspekti utjecaja teorija zavjere na borbu protiv pandemije COVID-19 u Hrvatskoj
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.21860/j.12.2.5
Ivica Kelam, Kristina Dilica
Pojavom pandemije COVID-19 u proljeće 2020. čovječanstvo se našlo pred potpuno novim izazovom - kako reagirati i ponašati se u doba pandemije. Odmah na početku pandemije pojavile su se mnogobrojne teorije zavjere kojima je primarna svrha unijeti nemir i strah u javnost. Globalno je počela utrka za razvojem uspješnog cjepiva koje će okončati pandemiju. Zahvaljujući ogromnom trudu velikog broja znanstvenika i desecima milijardi dolara javnog novca uloženih u istraživanje i razvoj cjepiva, krajem 2020. i početkom 2021. počela je kampanja cijepljenja širom planeta. I prije početka kampanje cijepljenja počele su naveliko kolati teorije zavjere koje su dovodile u sumnju učinkovitost cjepiva. Ove teorije zavjere imale su velik učinak na spremnost na cijepljenje jednog dijela javnosti te su oblikovale njihova mišljenja i stavove. Teorije zavjere, s obzirom na njihovu štetnost za zdravlje ljudi, te činjenice da direktno produžuju trajanje pandemije i pridonose nepotrebnom umiranju od koronavirusa, predstavljaju prvorazredno i aktualno bioetičko pitanje. U radu ćemo prikazati navedene tvrdnje teoretičara zavjere, njihov utjecaj na građane Hrvatske te motive zbog kojih gotovo polovina hrvatskih građana oklijeva ili se uopće ne želi cijepiti.
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引用次数: 0
Kriza tijela
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.21860/j.12.2.7
Vanja Novaković, Tanja Todorović, Darija Rupčić Kelam, Luka Janeš
Višestruke su posljedice krize na ljudsku psihu i tijelo, a u ovom radu evaluirat ćemo na koji se način ponajprije umjetnici i filozofi nose s krizama u društvu te kolika je snaga i propulzivnost kreativnog umjetničkog izražavanja pri suočavanju s aktualnom pandemijskom krizom. Na primjerima avangardnih pokreta uočavamo da su umjetnici u doba kriza zauvijek promijenili formalne karakteristike umjetnosti, umjetničkog djela, ali također i samo razumijevanje umjetničkog procesa. Povijesnim osvrtom izvodimo hipotezu da su pojedini umjetnički pravci u doba aktualne krize uspjeli opstati na periferiji upravo zbog duha avangarde koji nose u sebi. Filozofija, pak, reflektira krizu sinkrono s novim umjetničkim pokretima, te se čini da i „postmoderna umjetnost“ i fenomenologija idu usuprot same realnosti. U diskurzivni centar rada postavljamo analizu samog tijela koje je, postavljamo hipotezu, tradicionalno bivalo zanemareno i često stavljano na najnižu poziciju ontološke ljestvice pri mnogobrojnim filozofskim pokušajima kroz povijest. Zaključno, nastojat ćemo adekvatno argumentirati temeljnu hipotezu članka da je tijelo samo ekspresija krize, a da njezinu dublju osnovu valja tražiti u ljudskoj psihi i strukturama subjektivnosti koje su je uvjetovale. Pri čemu nastojimo „rasplesati“ i „raživotiti“ digitalnu tehničku statiku aktualnog stanja socijalne distance uzrokovane pandemijskom krizom, prilazeći joj kao svojevrsnoj sublimaciji povijesnih kriza koje su joj prethodile.
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引用次数: 0
Is transhumanism the solution to euthanasia? 超人类主义是安乐死的解决方案吗?
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.21860/j.12.1.3
Anna Bugajska
The article concentrates on the question of euthanasia in relation to the emerging life-extension technologies and the immortality industry within the philosophical framework of transhumanism. I begin by sketching the picture of human enhancement and immortality research and industry and pointing to its preliminary assessment of social impact, drawn by Jacobsen (2017). I present immortalism as a specific branch of transhumanism, leading to the rise of postmortal society informed by neohedonism and negative utilitarianism: oriented towards the pursuit of pleasure and minimization of suffering. I ask the question if in the postmortal society the problem of euthanasia will exist. To answer this question, firstly, I briefly present the changes in understanding the notion of a good death; secondly, I discuss the transhumanist approach to euthanasia. And thirdly, I point to the challenges to the biopolitics of death and dying in the postmortal society. The discussion of these areas leads to the conclusion that the problem of euthanasia in the postmortal society will not disappear; rather, it will become more aggravated due to the paradoxical nature of the transhumanist approach to death, personal freedom, autonomy, and dignity.
本文在超人类主义的哲学框架下,集中讨论了与新兴的延长生命技术和不朽产业相关的安乐死问题。我首先概述了人类增强和永生研究和产业的图景,并指出了Jacobsen(2017)对其社会影响的初步评估。我认为永生主义是超人类主义的一个特定分支,它导致了以新享乐主义和消极功利主义为代表的来世社会的兴起:以追求快乐和最小化痛苦为导向。我问的问题是,在死后的社会里是否还会存在安乐死的问题。为了回答这个问题,首先,我简要介绍一下人们对善终概念理解的变化;其次,我讨论了安乐死的超人类主义方法。第三,我指出了死亡和死后社会中死亡的生命政治所面临的挑战。这些方面的讨论导致的结论是,安乐死的问题在死后社会不会消失;相反,由于对死亡、个人自由、自主和尊严的超人类主义方法的矛盾性质,它将变得更加恶化。
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引用次数: 0
On a Possibility of Artificial Reason 论人工理性的可能性
Q4 Medicine Pub Date : 2021-01-01 DOI: 10.21860/j.12.2.9
Hyeongjoo Kim, Jinkyu Jeong
The purpose of this study is to explore the possibility of reconciliation between Kant’s transcendental idealism and McCarthy’s epistemological point of view on artificial intelligence, which are at first glance likely to be considered contradictory. For this, characterizing the standpoint of J. McCarthy, who coined the word ‘artificial intelligence’ as scientific realism and that of A. Turing, who provided a crucial thought experiment that shaped the contemporary conception of artificial intelligence as behaviorism, we shall compare these two standpoints with the transcendental idealism of I. Kant, who conferred on us a monumental indicator for understanding the human reason. Through this comparison, we shall argue that scientific realism, which is currently a prominent philosophical standpoint of artificial intelligence, is not compatible with Kant’s transcendental idealism but assumes a standpoint strikingly analogous to behaviorism. Nevertheless, we shall also argue that once transcendental idealism is looked at from the viewpoint of behaviorism, scientific realism can be seen as compatible with transcendental idealism. This compatibility we name the possibility of artificial reason in this paper.
本研究的目的是探讨康德的先验唯心主义与麦卡锡的人工智能认识论观点之间调和的可能性,这两种观点乍一看可能被认为是矛盾的。为此,我们将j·麦卡锡(J. McCarthy)和a·图灵(a . Turing)的观点进行比较,前者创造了“人工智能”一词,作为科学现实主义,后者提供了一个关键的思想实验,塑造了人工智能作为行为主义的当代概念,我们将把这两种观点与康德(I. Kant)的先验唯心主义进行比较,康德为我们理解人类理性提供了一个不朽的指标。通过这种比较,我们将论证科学实在论,这是目前人工智能的一个突出的哲学立场,它与康德的先验唯心主义是不相容的,而是采取了一个与行为主义惊人相似的立场。然而,我们也将论证,一旦从行为主义的观点来看先验唯心主义,科学实在论可以被视为与先验唯心主义相容。本文将这种相容性称为人为理性的可能性。
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引用次数: 0
Bioethical topics in the works of Kvirin Vasilj (1917 – 2006) Kvirin Vasilj作品中的生物伦理主题(1917 - 2006)
Q4 Medicine Pub Date : 2020-12-22 DOI: 10.21860/j.11.2.6
Draženko Tomić
Kvirin Vasilj (1917 – 2006), an authentic thinker of the 20th century, in his philosophical deliberation, he touches on various aspects of human existence, including those that are today identified as bioethical challenges. Thus, bioethics is present in his deliberations, although the term bioethics as such is not found in any of his six hundred works, and they often relate to the meaning, quality, the beginning and the end of human life. Between these two endpoints of an individual’s existence, Vasilj places a considerable emphasis on the very practical dimensions of duration, nature protection, quality of life and more. It should also be noted that Vasilj often uses these themes as a basis on which to present or explain some anthropological, even ontological, issues.
Kvirin Vasilj(1917 - 2006), 20世纪真正的思想家,在他的哲学思考中,他触及了人类存在的各个方面,包括那些今天被认为是生物伦理挑战的方面。因此,生命伦理学出现在他的思考中,尽管在他的600部作品中没有找到这样的术语,而且它们通常与人类生命的意义、质量、开始和结束有关。在个人存在的这两个终点之间,Vasilj相当重视持续时间、自然保护、生活质量等非常实际的方面。还应该指出的是,Vasilj经常使用这些主题作为提出或解释一些人类学,甚至本体论问题的基础。
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引用次数: 0
Is the Croatian Medical law in harmony with the International comparative standards on the right to self-determination? 克罗地亚的《医疗法》是否符合关于自决权的国际比较标准?
Q4 Medicine Pub Date : 2020-06-09 DOI: 10.21860/j.11.1.4
Petr Muzny
Are Jehovah’s Witnesses (JW) outstanding patients? One might answer in the affirmative. Is not their refusal of blood transfusions, a treatment traditionally considered as a life-saving treatment, problematic both from the medical and legal viewpoint? However, traditions are not everlasting. Both modern medical science and legal standards have greatly improved during the last two decades. Over the last few years, JW medical choice has become standard treatment for many physicians specialized in bloodless surgeries. From the legal standpoint, laws and case-law worldwide have been moving in the same direction: a patient endowed with discernment has the absolute right to choose the treatment he/she deems the most appropriate according to his/her own personal values. In light of this evolution worldwide, JW patients have become ordinary patients.Since this is not the case in Croatia yet, this article seeks to put the Croatian legislation in harmony with the international standards by using the example of JW. It does so by answering five fundamental questions: 1) Should a JW patient be forced to undergo a blood transfusion against his or her will? 2) Should a JW patient be forced to undergo a blood transfusion in an emergency situation where life is at risk, and the patient is unconscious? 3) Can a doctor refuse to treat a JW patient because the patient refuses to accept a treatment deemed life-saving? 4) Can a doctor be held liable for respecting a JW patient’s wishes if the patient dies? 5) Can a doctor be held liable for overriding a JW patient’s wishes and administering a blood transfusion by force?
耶和华见证人(JW)是杰出的病人吗?有人可能会给出肯定的回答。他们拒绝输血,这种传统上被认为是挽救生命的治疗,从医学和法律的角度来看,不是都有问题吗?然而,传统不是永恒的。在过去的二十年里,现代医学和法律标准都有了很大的提高。在过去的几年里,JW医疗选择已经成为许多医生专门从事无血手术的标准治疗。从法律的角度来看,世界各地的法律和判例法都在朝着同一个方向发展:具有洞察力的患者有绝对的权利根据自己的个人价值观选择他认为最合适的治疗方法。从世界范围来看,JW患者已经变成了普通患者。由于克罗地亚的情况并非如此,因此本文试图以JW为例,使克罗地亚的立法与国际标准保持一致。它通过回答五个基本问题来做到这一点:1)是否应该强迫JW患者违背他或她的意愿接受输血?2)在生命有危险的紧急情况下,是否应该强迫JW病人接受输血,而病人是无意识的?3)医生可否因为病人拒绝接受被视为救命的治疗而拒绝治疗JW病人?4)如果病人死亡,医生是否有责任尊重病人的意愿?5)医生不顾病人的意愿强行输血,是否应负法律责任?
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引用次数: 0
Medical racism 医疗种族主义
Q4 Medicine Pub Date : 2020-01-01 DOI: 10.21860/j.11.1.1
M. Ramšak
The article analyses key examples of unethical medical experimentation on humans. The first part deals with racism, its ideology, and connectedness with concepts of medical racism. Concepts of the race that first emerged during the colonial expansion were defined by following their origins and function and not the philosophical thought. The second part builds upon the autonomy of patients. It includes the right to informed consent, protection of privacy, right of confidence, and persons with limited autonomy, all from a historical perspective on medical racism. In this section, the selected cases of medical racism show that the development of legal regulations and ethical norms importantly influenced the medical practice and the protection of subjects. The historical evidence also witnesses that even if the formal protection existed, there were deviations from it. The deviations were closely related to socio-political regulation and the rapid development of medicine that was a step before ethical norms. Additionally, war crimes against humanity were connected with personal ideological orientations of doctors whose racist, discriminatory beliefs were far beyond medical ethics and the purpose of medical practice. In the end, the article deals with the questions whether the results from unethical and unscientific experiments should be used and in what way medical racism endangers vulnerable groups today.
这篇文章分析了不道德的人体医学实验的主要例子。第一部分讨论种族主义及其意识形态,以及与医学种族主义概念的联系。在殖民扩张期间首次出现的种族概念是根据其起源和功能而不是哲学思想来定义的。第二部分建立在病人的自主权之上。它包括知情同意权、隐私权保护、保密权和有限自主权,所有这些都是从医疗种族主义的历史角度出发的。在本节中,选定的医疗种族主义案例表明,法律法规和道德规范的发展对医疗实践和对主体的保护产生了重要影响。历史证据也证明,即使存在正式的保护,也存在偏离。这些偏差与社会政治规范和医学的快速发展密切相关,医学是道德规范的一个步骤。此外,危害人类的战争罪与医生的个人意识形态取向有关,他们的种族主义和歧视性信仰远远超出了医疗道德和医疗实践的目的。最后,文章讨论了是否应该使用不道德和不科学的实验结果以及今天医学种族主义以何种方式危及弱势群体的问题。
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引用次数: 0
Samoostvarivanje živih bića i GMO-a u poljoprivredi
Q4 Medicine Pub Date : 2019-12-20 DOI: 10.21860/j.10.2.5
Josip Guć
U radu ću iznijeti prijedlog jednog etičkog okvira za promišljanje moralnog obzira spram ljudskih i ne-ljudskih živih bića koji se temelji na pojmu samoostvarivanja. Takva etička pozicija, koja za moralno ispravno djelovanje drži ono djelovanje koje stremi omogućavanju samoostvarivanja svakom živom biću, pokušava utemeljiti biocentrički obzir ne udaljavajući se suviše od klasičnih etičkih kategorija. Uz to, ona je podesna za prosudbu suvremenih konkretnih moralnih problema, u što svakako spada pitanje opravdanosti genetičke modifikacije organizama u poljoprivredi. Osim što se čovjekove intervencije u intimnu strukturu živih bića koje bespotrebno ugrožavaju njihovo samoostvarivanje pokazuju moralno sumnjivima, s aspekta ljudskog samoostvarivanja problematičnim se pokazuje i čitav znanstveni, tehnološki i ekonomski sklop kojemu takve radnje pripadaju. Upravo fokusiranjem na ovaj sklop približavamo se onome što držimo za predzadatak morala, naime, izbjegavanju sukoba razloga obvezatnosti spram samoostvarivanja različitih živih bića, čime se istovremeno razotkrivaju i potencijali za utopičnost (bio)etičkog mišljenja. Stoga se namjesto klasičnog pro et contra pristupa problematici GMO-a u poljoprivredi ovdje bavimo propitivanjem često nepropitanih uvjeta u kojima se genetičke modifikacije u tom polju odvijaju.
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引用次数: 1
Genetički modificirane biljke – bioetički pristup
Q4 Medicine Pub Date : 2019-12-20 DOI: 10.21860/j.10.2.7
Željko Kaluđerović
Biotehnologija, genetički inženjering, transgeni ili genetički modificirani organizmi (GMO) izazivaju brojne kontroverze širom zemljine kugle u posljednjih dvadesetak godina. Znanstvene studije o produkciji i upotrebi GMO-a, premda nemaju jednoznačan aksiološki predznak niti nude simplificirane odgovore na iskazane dileme, pokazuju da GM hrana donosi mogući rizik po ljudsko zdravlje, štetan utjecaj na okruženje i generalno pogoršanje kvalitete poljoprivrednih kultura. Ovome treba dodati i klasična bioetička pitanja u vezi s potencijalno nenadoknadivom štetom koju sadašnjoj, ali i budućim generacijama, može donijeti na ovakav način izmijenjeno biološko nasljeđe. Implementacija ove, kako je njeni pobornici nazivaju, najbrže usvojene biljne tehnologije u modernoj historiji čovječanstva, ugrožava, sa socijalne strane gledano, tradicionalnu poljoprivrednu proizvodnju i produbljuje i onako veliku društvenu nejednakosti između bogatih i siromašnih farmera. Evidentne su, također, intervencije velikih država i biotehnoloških kompanija prilikom donošenja ili korigiranja odgovarajućih zakona i uredbi o GMO-u, koje, iako deklarativno naglašavaju opće potrebe i zajedničku dobrobit, ustvari (ne)vješto prikrivaju vlastite partikularne interese. Analize mnogih znanstvenika i bioetičara, konačno, pokazuju da teza da će „genska revolucija” riješiti problem gladi u svijetu jednostavno nije dokazana u protekla dva desetljeća.
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引用次数: 0
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Jahr
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