新生儿重症监护室中放弃治疗的伦理问题

对于新生儿重症监护室中的一部分危重新生儿,虽然可以借助高新尖的医疗技术挽留他们的性命,但却不能避免其出现影响远期生存质量的后遗症。因此患儿家属和医务人员陷入了是否对这些危重新生儿实施放弃治疗的两难困境。对NICU中放弃治疗的对象、伦理学依据、伦理学意义以及如何实施放弃治疗的问题加以讨论,为NICU医务人员提供有益参考。     

关于多发性骨髓瘤的诊断

多发性骨髓瘤是浆细胞克隆性增生的恶性肿瘤,起病隐匿,临床表现复杂多样,且无特异性,诊断上依赖实验室检查。临床上对该病足够的认识,正确诊断尤为重要。在诊断中,科学地应用哲学思维,有助于减少误诊和漏诊。     

应用项目反应理论对瑞文测验联合型的分析

使用BILOG-MG3.0软件,边际极大似然估计,3参数Logistic模型对354名不同能力水平的男性青年的瑞文测验联合型数据进行了分析。结果显示:大多数瑞文测验联合型的题目都适合3参数Logistic模型(有6道题不适合)。整个测验的信息函数峰值的位置在难度量表的-3到-2之间,其值为16.82。共有18道题的信息函数峰值在0.2以下。从区分度来看,72道题目的区分度均大于0.5,比较理想。难度参数显示所有题目均较低,绝大部分都在0以下,最高的只有1.01。题目的难度主要由所需的操作水平决定。伪猜测参数在0.07-0.24之间。综合分析表明瑞文测验联合型对正常青年的智力评价精度较差。     

长处和困难问卷研究

目的:建立儿童长处和困难问卷(SDQ)(教师用表)的上海地区常模,并对其进行信度和效度检验。方法:对上海市12所幼儿园和中小学校的2128名学生进行长处和困难问卷(教师用表)的评定,并对其中的47名预备班(6年级)学生间隔六周进行了再次评定。结果:对长处和困难问卷(教师用表)进行标准化,制定了上海地区常模。信度检验:问卷总分Cronbach的α系数为0.672;条目与因子分之间的相关系数在0.323-0.910(p<0.001)之间;间隔6周后问卷总分的重测信度为0.547,各因子的重测信度在0.404-0.640(p<0.01)之间,符合心理测量学的要求。结论:长处和困难问卷((教师用表)适合于上海地区儿童和青少年的行为评估。     

论《周易》的道德谱系

《周易》是一部人学著作,也是一部道德著作。《周易》构建了一种特殊的道德谱系,这种道德谱系由本能无意识、文化无意识、社会意识、自我意识道德化四个层面构成。《周易》的道德谱系把“人”与“道”联系起来,从而有了“人道”,也把“道”与“德”联系起来,从而有了“道德”。《周易》在性命之理的基础上探讨了人的形成、演化及人性的内容;又在“人”与“道”的基础上构建了“成人”与“做人”的道德谱系。《周易》的道德谱系把“人”与“道”联接起来是人学,把“道”与“德”联接起来是伦理学。天道、人道等统一于性命之理的命题之中,成为了道德谱系的奇特内容,从而人也就成为了道德谱系的本体。     

The relationship between acceptance,fatigue, and subjective cognitive impairment in hematologic cancer survivors

Background/Objective: Cancer and its treatment can have a detrimental impact on psychological well-being. Acceptance as the basis of acceptance and commitment therapy (ACT) has shown beneficial effects on depression and anxiety. However, its relationship to fatigue and cognitive impairment has not been investigated. A protective effect of acceptance may open up a new target for psychological intervention.Method: A cross-sectional postal survey was undertaken. 922 hematological cancer survivors (≥ 2.5 years post diagnosis) were recruited through two regional cancer registries in Germany. Acceptance (AAQ-II), fatigue (BFI) and subjective cognitive impairment (AFI) were assessed.Results: Higher levels of acceptance were negatively associated with fatigue and subjective cognitive impairment (R²= .34 and R²= .26, respectively). The relationship between fatigue and fatigue-related impairment of daily life was weaker for survivors with high acceptance.Conclusions: Acceptance is strongly associated with fatigue and subjective cognitive impairment. ACT may be useful to reduce symptoms of fatigue and subjective cognitive impairment in cancer survivors.     

A Daoist way of being: clarity and stillness as embodied practice*

Daoism, especially classical Daoism, is often constructed as a ‘philosophy,’ ‘set of ideas,’ or ‘system of thought.’ This is particularly the case in studies of Chinese philosophy and comparative philosophy. The present article draws attention to the central importance of clarity and stillness (qingjing 清靜) as a Daoist form of meditative practice, contemplative experience, and way of being. Examining historical precedents in classical Daoism, the article gives particular attention to the Tang dynasty (618–907) ‘Clarity-and-Stillness Literature,’ specifically the eighth-century Qingjing jing 清靜經 (Scripture on Clarity and Stillness; DZ 620). In the process, one finds that qingjing is one of the major connective strands throughout the Daoist tradition, a connective strand that reveals the central importance of embodied, experiential, and applied dimensions of human being from a Daoist perspective.     

S’engager c’est consentir CE, 7 juin 2018 : no 406207

Information obligation on medical acts during medical examination is on the whole of the examination. The idea of information on each act seems to be swept over. Despite the age of the facts, the implication of the decision can be seen in the Universal national service project.