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Engel JD Kane G Jones DL Lynn-McHale D Swartz M Durbin P Klingen D 《The Journal of medical humanities》1997,18(3):193-208
This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs. 相似文献
23.
Sexuality education for children and young adults is one of the most heavily debated issues facing policy-makers, national AIDS program planners, and educators, provoking arguments over how explicit education materials should be, how much of it there should be, how often it should be given, and at what age instruction should commence. In this context, the World Health Organization's Global Program on AIDS' Office of Intervention Development and Support commissioned a comprehensive literature review to assess the effects of HIV/AIDS and sexuality education upon young people's sexual behavior. 52 reports culled from a search of 12 literature databases were reviewed. The main purpose of the review is to inform policy-makers, program planners, and educators about the impact of HIV and/or sexuality education upon the sexual behavior of youth as described in the published literature. Of 47 studies which evaluated interventions, 25 reported that HIV/AIDS and sexuality education neither increased nor decreased sexual activity and attendant rates of pregnancy and sexually transmitted diseases (STDs). 17 reported that HIV and/or sexuality education delayed the onset of sexual activity, reduced the number of sex partners, or reduced unplanned pregnancy and STD rates Only 3 studies found increases in sexual behavior associated with sexuality education. Inadequacies in study design, analytic techniques, outcome indicators, and the reporting of statistics are discussed. 相似文献
24.
Weiss G 《希帕蒂亚:女权主义哲学杂志》1995,10(1):202-217
A critical application of Ruddick's model of maternal thinking is the best way to grapple with the ethical dilemmas posed by sex-selective abortion which I view as a "moral mistake." Chief among these is the need to be sensitive to local cultural practices in countries where sex-selective abortion is prevalent, while simultaneously developing consistent international standards to deal with the dangers posed by the use of sex-selective abortion to eliminate female fetuses. 相似文献
25.
2001年的科学哲学 总被引:1,自引:0,他引:1
一种民主制度的最重要也是讨论最少的任务之一就是要保护它的成员免遭这种制度中的意识形态的伤害.必须正确地看待所有的意识形态.人们必须把它们当作神话故事来看待,它们能告诉人很多有趣的事,但也包含了很多谬误和令人生厌的谎言.当人们按照某一观点行动时,他们的态度也应该像密探一样,为了在一个陌生的国家里获得成功而采纳它的信仰并在细枝末节上按照这些信仰去做,但并不全盘接受.这一点适用于所有的信仰,适用于基督教上帝的存在这一信仰,适用于所有的人生来平等的信仰,也适用于科学.那么,这是否是一种陌生和荒谬的态度呢?科学当然总是处在与权威主义和迷信战斗的前沿.相对于宗教信仰而言,我们有了越来越大的思想自由,这应当归功于科学;人类从古代的僵硬思维方式中解放出来,也应当归功于科学.今天,这些思维方式仅仅是一些糟糕的 相似文献
26.
Subjects (N = 8) performed a timed response task in which they attempted to synchronize an impulsive foot-press response with the last in a series of four regularly spaced tones. In Experiment 1, the response was countermanded on one third of the trials (stop trials) by a stop signal that appeared at a predetermined delay after the third tone. No stop signal appeared on the remaining trials (go trials). All subjects showed a systematic transition from withholding the response on stop trials in which the stop signal appeared shortly after the third tone to executing the response on trials in which a single stop signal delay had been chosen so that a response would be made on about 50% of the stop trials. We elicited Hoffmann (H) reflexes from the soleus muscle on all trials to determine whether the reflexes were augmented on occasions on which a response was prepared but withheld. Mean H-reflex amplitudes on go trials and on stop trials on which the response was executed were similar and showed a marked augmentation beginning about 250 ms before response onset; mean H-reflex amplitudes on stop trials on which the response was withheld showed less pronounced augmentation. Inspection of individual H-reflex amplitudes revealed that on stop trials on which the response was withheld the reflexes could be augmented to the same extent as on trials on which the response was executed. This dissociation of H-reflex augmentation and response execution shows that H-reflex augmentation reflects a controlled response process. Ballistic response processes therefore must be limited to a brief duration. 相似文献
27.
Burton G 《Journal of motor behavior》1994,26(2):147-161
Two experiments considered the behavior of subjects who cross gaps in a pathway without benefit of vision. The first experiment contrasted visually and nonvisually guided locomotion, finding a significantly greater number of refusals under nonvisual guidance but no loss of appropriate modulation of step components to the salient dimensions of the actor and layout. Different components of crossing were modified under guidance of different sensory systems; the lengths of the crossing and support spans were primarily altered under nonvisual guidance, and the distance of the support foot to the near edge of the gap was the component of preference under visual guidance. In the second experiment, subjects crossed nonvisually, using probes that varied in length and moment of inertia. The adaptability of the step components to actor and layout dimensions was unchanged, but there was no effect of these mechanical manipulations on the components of crossing identified in Experiment 1. 相似文献
28.
推断论伦理学家就堕胎和安乐死的问题而提出的命题,主要是澳大利亚人P.辛格的那些命题,一直引起激烈的论战。推断论将生命保护理解为一种利益保护,它使个体的生命权利依赖于成为人的那种特性。按照推断论的观点,不是所有人类的个体都是人,因而就不能赋予非—个人的人类个体以生命权利——这在实践中是有相应的结果的。不管对P.辛格的命题在感情上的反应多么可以理解,光靠这些命题是得不到什么结果的,因为重要的是研究这些命题所引用的证据,研究那些已经决定了推断论的问题表述的前概念。只要推断论的潜在的前题不受到怀疑,人们也许将无法摆脱单纯的口头侮辱。 相似文献
29.
维特根斯坦在第一次世界大战的战壕中写完他的第一本书——《逻辑哲学论》,当时他在奥地利军队中服役.一系列精雕细刻的格言由一个复杂的排列体系联结起来,并且一切都按照从形而上学到形式逻辑的方向排列.此书被罗素誉为是一部杰作.人们很快就广泛认识到这本书的重要性,特别是通过石里克、卡纳普和魏斯曼,维也纳学派认识到了它的重要性.《逻辑哲学论》立刻使维特根斯坦在哲学家的神殿中占有了一席之地.《逻辑哲学论》是维特根斯坦自己出版的唯一的一本书.有一段时间他放弃哲学去当了一名小学教师,后来又在奥地利做一名建筑师,1929年他回到剑桥,在那里断断续续地工作一直到他1951年去世.他的思想交流实际上仅局限于课堂,他在由学生和同事组成的非常亲密的 相似文献
30.