签署麻醉知情同意书应该注意与患者沟通的技巧

签署麻醉知情同意书是防范医疗纠纷发生的一个重要环节,麻醉医师在充分尊重患者知情同意权和如实告知麻醉风险的前提下,还须掌握与患者沟通的技巧,注意自身形象、语言表述及谈话分寸,详细解释医疗费用,力争完全取得患者的理解与支持,努力构建和谐的医患关系.     

签署知情同意书有助于改善医患关系

当前医疗活动中由于缺乏人文关怀、患者对医务人员信任度下降以及医患之间信息不对称,导致现阶段医疗投诉以及医疗纠纷逐年上升,投诉和纠纷内容多样且性质趋于严重复杂.在签署医疗知情同意书时,适时给予病人情感上的关爱,重视病人心理需求,采取医学技术与人文关怀相结合的医疗活动,有助于在现代医学模式基础上构建和谐的医患关系.     

签署知情同意书有助于改善医患关系

当前医疗活动中由于缺乏人文关怀、患者对医务人员信任度下降以及医患之间信息不对称,导致现阶段医疗投诉以及医疗纠纷逐年上升,投诉和纠纷内容多样且性质趋于严重复杂。在签署医疗知情同意书时,适时给予病人情感上的关爱,重视病人心理需求,采取医学技术与人文关怀相结合的医疗活动,有助于在现代医学模式基础上构建和谐的医患关系。     

手术同意书的相关法律问题

医患双方都非常重视手术同意书,从法理角度分析,手术同意书是患者知情同意权利和医方告知义务的体现;符合民事法律要件的合法有效的手术同意书,证明了医患之间告知与知情同意权的实现.对手术同意书的法律性质及法律效力进行探究,有助于维护医患双方的合法权利.     

当前我国医患关系的思考

手术同意书使用范围的扩大化是目前医患关系紧张的一个表现,患者医疗费用负担过重、医患间缺少沟通、医疗保障制度建设滞后是医患关系紧张的主要原因,解决上述问题是建立和谐医患关系的关键.     

履行知情同意原则的指导意见

1998年全国人大常委会颁布的《医师法》,2002年国务院颁布的《医疗事故处理条例》明确规定,在诊疗工作中要向患者履行知情同意原则,签署知情同意书,它体现了以人为本的精神和对病人权利的尊重。为了认真执行这一规定,2004年7月于大连举行的“医患关系-医疗诉讼-医患维权”学术研讨会上,     

当前我国医患关系的思考

手术同意书使用范围的扩大化是目前医患关系紧张的一个表现,患者医疗费用负担过重、医患间缺少沟通、医疗保障制度建设滞后是医患关系紧张的主要原因,解决上述问题是建立和谐医患关系的关键。     

两种行动逻辑的冲突:对医患关系紧张的一种社会学反思

医惠双方具有不同的行动逻辑.医方通过各项安排,让医方尽可能地避免各种风险的发生;患方则依自己的判断,在医疗活动中尽量避免不必要医疗费用的产生.医惠双方不同行动逻辑的冲突,必然在费用这一点导致医惠关系紧张.签署知情同意书,可起到缓解紧张医患关系的作用.     

国内外产科麻醉知情同意热点问题概述

知情同意是医患关系的基石。产科向来是医疗纠纷高发地,随着医疗模式的转变,舒适化医疗的推行,产科麻醉需求越来越多,有效保障产科麻醉患者知情同意,降低医疗纠纷发生率,具有重要的现实意义。本文首先阐述了产科麻醉知情同意的内涵,然后就产妇是否具有同意能力、医生告知义务标准和内容、产科麻醉知情同意的形式、母婴权利矛盾等国内外热点问题进行了论述,以期为国内产科麻醉知情同意研究及临床实践提供参考。     

关于制订医院诊疗知情同意文书的建议

医院在诊疗活动中与服务对象签订知情同意的相关文书即通常所说的“知情同意书”,是执行知情同意原则的必要的文字约定形式,也是患者病案资料的重要组成部分。在解决可能发生的医患冲突中,虽然知情同意书最终不能决定法律对相关责任的认定,但却是法律用以取证的重要材料,故“知情同意书”首先考虑的是满足法律需求的相关特征。现就医疗单位在诊疗活动中（包括临床研究人体试验）如何规范知情同意文书的制定提出如下建议,供参考。     

Wittgenstein and the Dualism of the Inner and the Outer

A dualism characteristic of modern philosophy is the conception of the inner and the outer as two independently intelligible domains. Wittgenstein’s attack on this dualism contains deep insights. The main insight (excavated from §304 and §293 of the Philosophical Investigations) is this: our sensory consciousness is deeply shaped by language and this shaping plays a fundamental role in the etiology of the dualism. I locate this role in the learning of a sensation-language (as described in §244), by showing that this learning is, under another aspect, the incision of language, namely the infliction of cuts upon certain natural-primitive unities between the inner and the outer. These cuts, driven by powerful forces, eventually harden into an entrenched division between the inner and the outer, thereby providing a constant soil for the dualism. That this dualism is rooted in the very learning of a language is cause for ambivalence about language.     

Peter McHugh and Analysis: The One and the Many, the Universal and the Particular, the Whole and the Part

This paper takes the passing of Peter McHugh as an occasion to examine the intellectual development of his work. The paper is mainly focused on the product of his collaboration with his colleague and friend, Alan Blum. As such, it addresses the tradition of social inquiry, Analysis, which they cofounded. It traces the influence of Harold Garfinkel’s Ethnomethodology on McHugh and on the beginning of Analysis. The collaboration with Blum is examined through a variety of coauthored works but most especially in the two books On the Beginning of Social Inquiry (1974) and Self Reflection in the Arts and Sciences (1984). It also examines the relation of his independent writing before 1974, and since 1984 to the expression of the tradition of inquiry as exemplified in those two texts. The paper builds on some interview material with Peter McHugh and reflects on the influence of Peter the teacher as well as the theorist McHugh. Most especially, through its engagement with this material, it seeks to exemplify the dialectic and living nature of the program called Analysis.     

Yin and Yang,and the Hot and the Cold

Yin and Yang are important concepts in ancient Chinese philosophy.Western scholars have become more familiar with these two concepts recently,but for a long time almost no one considered comparing them with their own tradition such as the ancient Greek philosophy,and especially with the ideas of the Hot and the Cold in Presocratic philosophy.In this paper,I make an attempt to do exactly that,and especially make a detailed comparison between the thoughts of two ancient thinkers:Laozi and Anaximander.I discuss the thought of Yin and Yang in Laozi-who was the earliest philosopher making use of the concepts Yin and Yang-to express his cosmological thought in ancient Chinese philosophy.Comparatively,I discuss the ideas of the Hot and the Cold in Anaximander,the earlier among Presocratic philosophers referring to the Hot and the Cold as fundamental concepts used to establish his cosmological system.Through this comparison,I indicate that the similarity between ancient Chinese and Western traditions is far more significant than what people are used to imagining.     

经济全球化与东西方宗教

本文认为,由于科技的高度发展,信息网络技术的普及,经济全球化已成为不可逆转的发展趋势;而经济全球化必然带来东西方宗教的种种变化。作者从传统宗教的复兴、民族宗教的冲突、宗教与政治的结缘。宗教的普世化与本色化、新兴宗教的异军突起及东西方宗教的交流与融合等６个方面分析了当前东西方宗教的这种发展趋势。     

Glossolalia and the psychology of the self and narcissism

A survey of the religious and psychological literature on glossolalia (speaking in tongues) reviews the various ways that have been used to try to understand this fascinating practice. At the present time an impasse has been reached: glossolalists can no longer be viewed as suffering from psychopathological disorders or from sociological deprivation. Insights derived from the psychology of the self and narcissism, as presented in the works of Heinz Kohut and D.W. Winnicott, are used to suggest new approaches to understand glossolalia.     

Belief and the problem of Ulysses and the sirens

While self-contained, this paper is a sequel to my Belief and the Will (1984); see theBibliographical Note at the end of this paper for a survey of the relevant literature since then and supplementary references. I have meanwhile benefitted greatly from Brad Armendt's commentary and Richard Foley's How should future opinion affect current opinion?, both presented at a symposium at the APA Central Division, April 1993.     

Spontaneity and Self-Consciousness in the Groundwork and the B-Critique

ABSTRACT

According to some influential readings of the Groundwork of the Metaphysics of Morals, the view presented there of the kind of spontaneity we are conscious of through theoretical reason and the significance of such self-consciousness is irremediably at odds with the Critical theory, and thus roundly and rightly rejected in the second edition of the Critique of Pure Reason and the Critique of Practical Reason. This paper argues, on the contrary, that the Groundwork can be read as articulating for the first time the account of self-consciousness and spontaneity that Kant goes on to develop in the B-Critique, especially the B-Transcendental Deduction.