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An Ethical View on International Trade Agreements TTIP and CETA in the Republic of Croatia 克罗地亚共和国国际贸易协定TTIP和CETA的伦理观
Q4 Medicine Pub Date : 2019-12-20 DOI: 10.21860/j.10.2.6
M. Marinčić, B. Čović
The topic of TTIP and CETA was almost completely suppressed in Croatia.1 Those are very important international agreements which could have far-reaching consequences both for the world and individual countries. Maybe Croatia, as well as the EU, is not so much involved in the whole story concerning TTIP. However, CETA is an agreement signed by Canada with the European Union. Therefore, after the approval of the European Parliament, EU provisions, such as the customs policy, can immediately start to apply, which means abolishing duty rates for 99% of the products as early as 1 January 2017. The decision on the CETA conclusion on behalf of Croatia was initiated by the technical Government of Tihomir Orešković at its last session.2 The superficial interpretation of these certainly not harmless agreements is of too little interest to both philosophers and theologians in Croatia, and except for the Centre of Excellence for Integrative Bioethics’3 reaction concerning this question, other philosophical-theological discussions seem to be lacking. The impression is that philosophers and theologians feel these issues do not concern them. In this paper we will try to make clear that the above-mentioned international agreements concern both philosophers and theologians, and that they certainly should, from their field, from the theoretical level, engage in the discussion of the said agreements.
TTIP和CETA的话题在克罗地亚几乎完全被压制。1这些都是非常重要的国际协定,可能对世界和个别国家产生深远的影响。也许克罗地亚和欧盟并没有那么多地参与到TTIP的整个故事中。然而,CETA是加拿大与欧盟签署的一项协议。因此,在欧洲议会批准后,欧盟的规定,如海关政策,可以立即开始适用,这意味着最早在2017年1月1日取消99%的产品的关税。代表克罗地亚缔结《全面经济贸易协定》的决定是由蒂霍米尔技术政府Orešković在上届会议上提出的克罗地亚的哲学家和神学家对这些当然不是无害的协议的肤浅解释都不感兴趣,除了综合生物伦理学卓越中心对这个问题的反应之外,其他的哲学-神学讨论似乎缺乏。给人的印象是,哲学家和神学家觉得这些问题与他们无关。在本文中,我们将试图阐明,上述国际协议涉及哲学家和神学家,他们当然应该从他们的领域,从理论层面,参与上述协议的讨论。
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引用次数: 0
Physical integrity and latest legislative changes in Albania 阿尔巴尼亚的物理完整性和最新的立法变化
Q4 Medicine Pub Date : 2019-07-29 DOI: 10.21860/J.10.1.2
B. Bara, Jonad Bara, Silvana Bara
In 2016 Albania went through a major justice reform which provided legislative changes to the already existing institutions, established new ones and sought to improve the procedural guarantees of the accused in criminal trials. While the Albanian Code of Criminal Procedure prior to the changes did not provide for biological evidence or a medical intervention in the course of a criminal investigation, the new legislative changes introduced the concepts of biological evidence and the compulsory physical examination as part of tools in search of the evidence. Even though the draft amendments to the previous Albanian Code of Criminal procedure recognized the problems encountered in practice during the collection of biological evidence vis à vis individual’s rights to personal integrity and dignity, the application of newly introduced and enacted provisions remains still unclear and raises concerns, not only regarding the possible arbitrary use of such tools by law enforcement authorities, but also on the possible conflicts that can arise from the application of such procedures by medical examiners and physicians and the fundamental rights of the person under examination or undergoing the medical procedure/intervention.
2016年,阿尔巴尼亚进行了一项重大司法改革,对现有机构进行了立法改革,建立了新的机构,并寻求改善刑事审判中被告的程序保障。在此之前,《阿尔巴尼亚刑事诉讼法》没有规定生物证据或在刑事调查过程中进行医疗干预,但新的立法修改引入了生物证据和强制体格检查的概念,作为寻找证据工具的一部分。尽管阿尔巴尼亚以前的《刑事诉讼法》修正案草案承认在收集生物证据的实践中遇到的问题,涉及个人的人格完整和尊严的权利,但新提出和颁布的条款的适用仍然不明确,并引起关注,不仅是执法当局可能任意使用这种工具,但也讨论了医疗检查人员和医生应用这种程序可能产生的冲突,以及接受检查或接受医疗程序/干预的人的基本权利。
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引用次数: 0
Bios and ethics in our complex adaptable systems 在我们复杂的适应性系统中的Bios和伦理
Q4 Medicine Pub Date : 2019-07-29 DOI: 10.21860/J.10.1.10
H. Sass
We, our bodies and spirits and our natural and social biotopes are complex adaptable systems [CAS’s], interdependent and vulnerable within natural, cultural and political biotopes, longing for life, health and happiness. Clinical and pediatric expertise and ethics are also integrated in many fields of competence and care for our integrated bios and for sustainable biotopes in nature and society. A Bioethical Imperative calls for protecting the complex and interdependent bios in nature and agriculture and in our human social, economic, corporate, cultural, and political bodies for the benefit of our children and ourselves, and for discussing ‘health’ and ‘improvement’ in ethical and not only in technical terms. The protection and promotion of healthy people, sustainable societies, and diverse and stable political bodies depend on basic economic accomplishments, healthy food, harmonious communities, preservation and diversity of cultures and environments, on individual dignity and social recognition, i.e. on gross happiness products [GHP’s] and not only on gross national products [GNP’s] measured in economic terms only.
我们,我们的身体和精神,我们的自然和社会生物群落是复杂的适应性系统,在自然、文化和政治生物群落中相互依存,脆弱,渴望生命、健康和幸福。临床和儿科专业知识和伦理也被整合到许多能力和护理领域,以实现我们的综合生物系统以及自然和社会中的可持续生物群落。《生物伦理的当务之急》呼吁保护自然界和农业以及人类社会、经济、企业、文化和政治团体中复杂而相互依存的生物系统,以造福我们的孩子和我们自己,并从伦理而不仅仅是技术的角度讨论“健康”和“改进”。保护和促进健康的人、可持续的社会以及多样化和稳定的政治机构取决于基本的经济成就、健康的食品、和谐的社区、文化和环境的保护和多样性、个人尊严和社会认可,即取决于幸福总值,而不仅仅取决于仅以经济方式衡量的国民生产总值。
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引用次数: 0
Children’s autonomy in medical decision-making 儿童在医疗决策中的自主权
Q4 Medicine Pub Date : 2019-07-29 DOI: 10.21860/J.10.1.9
M. C. Tai
Should children be allowed to express their opinion in regards to medical treatment or experiment? In the past, the practice seemed to assume that children are not matured enough to make decision affecting their well-being, their guardians therefore are given the power to decide for them. In this article the author will argue that this practice should be changed and children should be allowed to get involved. The author quoted findings of Grootens-Wiegers P., Hein I. M., van den Broek J. M. and de Vires M. C. in regards to children’s ability from developmental and neuroscientific aspects that children actually start knowing their like, dislike, good and bad… from a very young age. Though these processes are gradual, the finding tells us that children are not as immature as we used to think. The author thus argues that children’s autonomy must be respected in some way when medical decision is to be made. At least, they must be told what options are available and seek their opinion.
孩子们应该被允许表达他们对医疗或实验的意见吗?在过去,这种做法似乎假设儿童还不够成熟,无法做出影响他们福祉的决定,因此他们的监护人被赋予了替他们做决定的权力。在这篇文章中,作者将认为这种做法应该改变,孩子们应该被允许参与进来。作者引用了Grootens-Wiegers P.、Hein I. M.、van den Broek J. M.和de Vires M. C.的研究结果,从发育和神经科学的角度来看,儿童实际上从很小的时候就开始知道自己喜欢、不喜欢、好与坏。虽然这些过程是渐进的,但研究结果告诉我们,孩子们并不像我们过去认为的那样不成熟。因此,提交人认为,在作出医疗决定时,必须以某种方式尊重儿童的自主权。至少,必须告诉他们有哪些选择,并征求他们的意见。
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引用次数: 1
Is the privacy of information protected in a neonatal intensive care unit? 新生儿重症监护病房的信息隐私是否受到保护?
Q4 Medicine Pub Date : 2019-07-29 DOI: 10.21860/J.10.1.11
R. Porta, Vicent Molina, Mª. T. Robles Gómez, Clara González, Montserrat Roca, Cristina V. Berenguer, B. Ibáñez
Respecting patients’ intimacy and confidentiality can be a challenge in the neonatal intensive care units (NICUs) designed according to traditional standards (e.g. a single big room with a number of cots and incubators located close one to another). Concerned about this topic, two members of the team designed a study to check the quality of the confidentiality in the NICU area, and identify opportunities for improvement. This is an observational study performed for a period of one month. The observed team was not aware of being observed. During observation time, a total of 147 hours, 25 confidentiality violation situations were encountered. Twelve (48%) were comments, spoken with a loud voice, about the patients in the NICU area or in adjacent areas, 24% (6/25) were related to the privacy issues due to leaving medical documentation or computer screens available for anybody to see or informing parents in a way that could be heard by parents of other babies, 12% (3/25) were phone conversations about patients in a loud voice, 4% (1/25) were answering questions to parents or relatives about other babies. The medical and personal information of the patients in the NICU is often exposed and shared with parents of other patients and non-related professionals. The architectural design of the traditional NICUs, some socio-cultural issues in South European countries, and the difficulties in changing attitudes are the critical points to focus on to start a quality educational project to protect the right to intimacy and confidentiality of vulnerable children and parents admitted to the NICUs.
在按照传统标准设计的新生儿重症监护病房(nicu)中,尊重患者的亲密性和保密性可能是一项挑战(例如,一个大房间,许多婴儿床和恒温箱彼此靠近)。考虑到这一问题,两位团队成员设计了一项研究来检查新生儿重症监护病房的保密质量,并找出改进的机会。这是一项为期一个月的观察性研究。被观察的小组没有意识到被观察。在147小时的观察时间内,共发生了25次违反保密规定的情况。12条(48%)是对NICU区域或邻近区域的患者大声说话的评论,24%(6/25)是由于留下医疗文件或电脑屏幕供任何人查看或以其他婴儿的父母可以听到的方式通知父母而涉及隐私问题,12%(3/25)是大声谈论患者的电话交谈,4%(1/25)是回答父母或亲属关于其他婴儿的问题。新生儿重症监护室患者的医疗和个人信息经常暴露并与其他患者的父母和非相关专业人员共享。传统新生儿重症监护病房的建筑设计、南欧国家的一些社会文化问题以及转变态度的困难是开展优质教育项目以保护入住新生儿重症监护病房的弱势儿童和父母的亲密权和保密权的关键点。
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引用次数: 0
Tangente narcizma i psihoze u kontekstu aktualne ekološke krize
Q4 Medicine Pub Date : 2019-07-29 DOI: 10.21860/J.10.1.3
Luka Janeš
U radu će se problematici narcističkog ophođenja pristupiti kroz evaluaciju na društvenoj, političkoj i psihijatrijsko-psihološkoj osi razmatranja. Etiološki, simptomatološki i prevencijski dijapazon narcističkog poremećaja ličnosti, prisutnog u DSM dijagnostičkom vodiču te u okvirima aktualne epohe obilježene »narcističkom kulturom«, dovest će se u vezu s poremećajima psihotičnog spektra, usmjeravanjem argumentacije na koncept dislokacije sebstva i halucinatornog tumačenja vlastite subjektivne pozicije u odnosu na mereološku konstelaciju objektiviteta. Navedeni par pragmatički će se usmjeravati spram problematike aktualne ekološke krize, uz tezu da narcistički i psihotični poremećaji nište integrativnost i pluriperspektivnost perceptivnog zahvaćanja kozmičkog ekvilibrija, što u pragmatičnom pogledu potencira razvoj i permanenciju moralnog nihilizma spram pristupa bioetičkoj raznovrsnosti te vrijednosti života per se, a kao proizvod polučuje destrukciju okoliša na raznim razinama – mikrorazini pojedinčeve psihe, mezorazini društvenog empatičkog senzibiliteta i makrorazini narušavanja ekološke ravnoteže.Teza rada sažeta je u stavu da je načelni pristup problematici narcizma u nedovoljnoj mjeri artikuliran, definiran i sistematiziran, prije svega u odnosu na ugrožavanje života na raznim dimenzijama, a s naglaskom na psihijatrijsku, psihoanalitičku i sociofilozofsku misaonu i djelokružnu domenu te da je etiološki i dijagnostički doseg narcističkog poremećaja ličnosti, proizašao iz okvira psihijatrijskog dijagnostičkog priručnika DSM 5 u bitnoj mjeri oskudan i neprecizan, te iziskuje temeljitu metodološku reevaluciju, u svrhu čega adekvatnu orijentaciju nudi disciplina integrativna bioetika, i to prije svega u kontekstu transdisciplinarne impelmentacije bioetičkog senzibiliteta u okvire odgojno-obrazovnog sustava.
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引用次数: 2
Majčinstvo – podloga familijarizacije odgojno-obrazovnih ustanova
Q4 Medicine Pub Date : 2019-07-01 DOI: 10.21860/J.10.1.6
S. Vrcelj
Majčinstvo i njemu inherentna etika brige određeni su isključivim odnosno dominantnim identitetom žene u nekim radovima J. J. Rousseaua, F. Fröbela i J. S. Milla. Majke su u tih i drugih teoretičara, kao i u javnom diskursu, shvaćene kao najbolje učiteljice (svoje) djece, što je rezultiralo različitim organizacijskim i koncepcijskim pokušajima familijarizacije obrazovanja. Familijarizacija institucija nije postigla očekivane rezultate jer službeni kurikulum, na kojemu se temelji rad odgojno-obrazovnih institucija i koji nastaje kao rezultat (političkih) pregovora onih koji imaju moć, ne uvažava etiku brige i pedagogiju ljubavi.
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引用次数: 0
Medical language – a unique linguistic phenomenon 医学语言——一种独特的语言现象
Q4 Medicine Pub Date : 2019-07-01 DOI: 10.21860/J.10.1.7
B. Džuganová
Medical language is the language used by medical experts in their professional communication and incorporates more than 2,500 years of a development influenced mostly by Greek and Latin medical traditions. Its specific features and characteristics are studied from various aspects. It is closely connected with the immense development of technology and science that brings new concepts to the language; medical vocabulary is an open and continually changing phenomenon and its units often acquire new meanings. Learning English medical language that has become a lingua franca during the last few decades creates certain obstacles for learners in the form of collocations, irregular forms, existence of synonyms, doublets, abbreviations, false friends, etc. To manage medical language at an appropriate level requires looking for the most convenient teaching and learning strategies. Good proficiency of English medical language opens new horizons to medical professionals and offers various options of its application in practice. As an international means of communication it slowly penetrates into national medical vocabularies worldwide.
医学语言是医学专家在专业交流中使用的语言,它包含了2500多年的发展,主要受希腊和拉丁医学传统的影响。从各个方面研究其具体特点和特点。它与技术和科学的巨大发展密切相关,这些发展给语言带来了新的概念;医学词汇是一个开放和不断变化的现象,其单位经常获得新的含义。在过去的几十年里,英语医学语言已经成为一种通用语言,学习英语给学习者带来了一定的障碍,如搭配、不规则形式、同义词、双音、缩写、假友等的存在。在适当的水平上管理医学语言需要寻找最方便的教学和学习策略。良好的医学英语水平为医学专业人员打开了新的视野,并为其在实践中的应用提供了多种选择。作为一种国际交流手段,它慢慢地渗透到世界各国的医学词汇中。
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引用次数: 10
Neuroenhancement and vulnerability in adolescence 青春期的神经增强和脆弱性
Q4 Medicine Pub Date : 2019-07-01 DOI: 10.21860/J.10.1.8
J. Erhardt, I. Zagorac
The very definition, scope, and practical implications of the concept of vulnerability are among the most debated questions in the field of vulnerability research. However, a consensus seems to exist regarding children and adolescents: they are generally considered vulnerable and in need of special protection due to their physical and psychological immaturity, lack of knowledge and life experience, and overall dependency on adults. The special status of this population is safeguarded in numerous legal and ethics documents. In this paper, we discuss the commercial use of transcranial direct current stimulation (tDCS), as a method that have potential to affect functioning of the brain tissue with electrical currents, but also a variety of digital methods used to influence the brain. tDCS is openly advertised, affordable and accessible, even to minors. However, changes that tDCS and similar methods could induce in developing brain tissue and consequently their interference with the normal neurodevelopmental processes could have far-reaching health ramifications and thus represent new sources of vulnerability that slip under the radar of formalized legal and ethics documents. This article discusses changes in the adolescent brain during development and address whether adolescents who would wish to use these neuroenhancement procedures should be considered vulnerable and on what grounds.
脆弱性概念的定义、范围和实际含义是脆弱性研究领域中最具争议的问题之一。然而,关于儿童和青少年似乎存在一种共识:他们通常被认为是脆弱的,需要特别保护,因为他们的身心不成熟,缺乏知识和生活经验,而且总体上依赖成年人。这一群体的特殊地位在许多法律和道德文件中得到保障。在本文中,我们讨论了经颅直流电刺激(tDCS)的商业用途,作为一种有可能通过电流影响脑组织功能的方法,以及各种用于影响大脑的数字方法。tDCS是公开宣传的,价格合理,甚至未成年人也可以使用。然而,tDCS和类似方法在脑组织发育过程中可能引起的变化及其对正常神经发育过程的干扰可能产生深远的健康影响,因此代表了在正式法律和伦理文件的雷达之下的新的脆弱性来源。这篇文章讨论了青少年大脑在发育过程中的变化,并讨论了那些希望使用这些神经增强程序的青少年是否应该被认为是脆弱的,以及基于什么理由。
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引用次数: 5
Socijalni rad u zdravstvu
Q4 Medicine Pub Date : 2019-07-01 DOI: 10.21860/J.10.1.1
M. Babić, M. Laklija
Socijalni rad u sustavu zdravstva važan je segment formalnog sustava podrške, kako za same korisnike usluga zdravstvenog sustava tako i za članove obitelji pacijenata. Cilj ovog rada bio je istražiti doživljaj struke socijalnog rada u sustavu zdravstva iz perspektive socijalnih radnika zaposlenih u zdravstvu. Provedeno je kvalitativno istraživanje na namjernom uzorku socijalnih radnika zaposlenih u bolnicama. Podaci su prikupljeni primjenom polustrukturiranih intervjua i obrađeni metodom tematske analize te ukazuju na širok spektar uloga i poslovnih aktivnosti koje socijalni radnici obavljaju u svakodnevnom radu: informiranje, administrativni poslovi, savjetovanje, sudjelovanje u kriznim intervencijama te poduzimanje hitnih nezdravstvenih intervencija, individualni i grupni rad s pacijentima, suradnja s lokalnom zajednicom. Teškoće s kojima se socijalni radnici susreću sudionici opisu kroz: diskriminiran i hijerarhijski podređen položaj te loše uvjete rada. Zaključno socijalni radnici iznose preporuke za poboljšanje položaja socijalnog rada: unaprijediti suradnju s kolegama unutar sustava i šire, jačanje profesionalizacije socijalnog rada u sustavu zdravstva te tehnička i organizacijska unaprjeđenja.
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引用次数: 0
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Jahr
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