神经外科高新技术应用中的人文问题

本文在分析医疗高新技术给神经外科带来发展的同时,阐述了其所带来的一系列人文问题。并对神经外科医务人员如何在临床中合理应用医疗高新技术,把握好医患关系,合理利用医疗资源,表现良好的医德医风提出了要求。     

Privacy and Social Stratification

This article notes ways that power is central to questions of personal information access and use. New surveillance technologies are likely to sustain and even strengthen traditional forms of social stratification. Yet power is rarely a zero-sum game. A number of factors that limit unleashing the full potential of privacy-invading technology, even in contexts of inequality, are considered: legal and moral normative constraints on power holders; the logistical and economic limits on total monitoring; the interpretive, contextual, and indeterminate nature of many human situations; system complexity and interconnectedness; human inventiveness; and the vulnerability of those engaged in surveillance to be compromised or responded to in kind.     

Ethics and Nanotechnology: Views of Nanotechnology Researchers

A study was conducted of nanotechnology (NT) researchers’ views about ethics in relation to their work. By means of a purpose-built questionnaire, made available on the Internet, the study probed NT researchers’ general attitudes toward and beliefs about ethics in relation to NT, as well as their views about specific NT-related ethical issues. The questionnaire attracted 1,037 respondents from 13 U.S. university-based NT research facilities. Responses to key questionnaire items are summarized and noteworthy findings presented. For most respondents, the ethical responsibilities of NT researchers are not limited to those related to safety and integrity in the laboratory. Most believe that NT researchers also have specific ethical responsibilities to the society in which their research is done and likely to be applied. NT appears to be one of the first areas of contemporary technoscientific activity in which a long-standing belief is being seriously challenged: the belief that society is solely responsible for what happens when a researcher’s work, viewed as neutral and merely enabling, is applied in a particular social context. Survey data reveal that most respondents strongly disagree with that paradigmatic belief. Finally, an index gauging NT researcher sensitivity to ethics and ethical issues related to NT was constructed. A substantial majority of respondents exhibited medium or high levels of sensitivity to ethics in relation to NT. Although most respondents view themselves as not particularly well informed about ethics in relation to NT, a substantial majority are aware of and receptive to ethical issues related to their work, and believe that these issues merit consideration by society and study by current and future NT practitioners.

Cognitive Fusion Questionnaire—Body Image: Psychometric Properties and Its Incremental Power in the Prediction of Binge Eating Severity

Given the clinical usefulness of the CFQ-BI (Cognitive Fusion Questionnaire—Body Image; the only existing measure to assess the body-image-related cognitive fusion), the present study aimed to confirm its one-factor structure, to verify its measurement invariance between clinical and non-clinical samples, to analyze its internal consistency and sensitivity to detect differences between samples, as well as to explore the incremental and convergent validities of the CFQ-BI scores in Brazilian samples. This was a cross-sectional study, which was conducted in clinical (women with overweight or obesity in treatment for weight loss) and non-clinical samples (women from the general population). The one-factor structure was confirmed showing factorial measurement invariance across clinical and non-clinical samples. The CFQ-BI scores presented an excellent internal consistency, were able to discriminate clinical and non-clinical samples, and were positively associated with binge eating severity, general cognitive fusion, and psychological inflexibility. Furthermore, body-image-related cognitive fusion scores (CFQ-BI) presented incremental validity over a general measure of cognitive fusion in the prediction of binge eating symptoms. This study demonstrated that CFQ-BI is a short scale with reliable and robust scores in Brazilian samples, presenting incremental and convergent validities, measurement invariance, and sensitivity to detect differences between clinical and non-clinical groups of women, enabling comparative studies between them.     

Letter Position Coding with Fred Astaire: Inversion of Letter Position Substitution Effects in Reverse Spelled Words

The effects of letter substitutions have been linked to their position within a word (letter position effects). The current study expanded upon previous research by examining letter-position effects for letter substitutions using forward- and reverse-spelled word primes. Often substituting a letter on one side of a word will have a stronger impact on performance than substituting a letter on the other side of a word. In three experiments it was revealed that the letter-position effects of substitutions changed places when words were spelled backwards. This occurred when both the target and prime were spelled backwards. This was evidence of a congruency effect of letter-position priming. The ramifications of these results for word recognition and transfer are discussed. However, the need for future research should focus on the possibility of an inversion process/mechanism.     

Global challenges as inspiration: A classroom strategy to foster social responsibility

Social responsibility is at the heart of the Engineer’s Creed embodied in the pledge that we will “dedicate [our] professional knowledge and skill to the advancement and betterment of human welfare...[placing] public welfare above all other considerations.” However, half century after the original creed was written, we find ourselves in a world with great technological advances and great global-scale technologically-enabled peril. These issues can be naturally integrated into the engineering curriculum in a way that enhances the development of the technological skill set. We have found that these global challenges create a natural opportunity to foster social responsibility within the engineering students whom we educate. In freshman through senior-level materials engineering courses, we used five guiding principles to shape several different classroom activities and assignments. Upon testing an initial cohort of 28 students had classroom experiences based on these five principles, we saw a shift in attitude: before the experience, 18% of the cohort viewed engineers as playing an active role in solving global problems; after the experiences, 79% recognized the engineer’s role in solving global-scale problems. In this paper, we present how global issues can be used to stimulate thinking for socially-responsible engineering solutions. We set forth five guiding principles that can foster the mindset for socially responsible actions along with examples of how these principles translate into classroom activities. An earlier version of this paper was presented at the 2005 conference, Ethics and Social Responsibility in Engineering and Technology, Linking Workplace Ethics and Education, co-hosted by Gonzaga University and Loyola Marymount University, Los Angeles, CA, USA, 9–10 June 2005.     

Factors Influencing Men's Interest in Gene Testing for Prostate Cancer Susceptibility

Interest in genetic testing for inherited cancer susceptibility is high in the general population. Women at risk for BRCA1 and BRCA2 mutations represent the best-studied population undergoing genetic testing for cancer susceptibility. However, it is unclear whether factors influencing interest in genetic testing in women are directly applicable to men. We designed a study to examine factors associated with men's interest in genetic testing to identify prostate cancer susceptibility. Our sample consisted of 267 men present in waiting rooms of a urology clinic in an urban area. We examined whether the concept of monitoring could be used to predict the interest of men in a genetic test for prostate cancer susceptibility. Our results indicated that monitoring trait was positively associated with interest in genetic testing in these men, but principally for patients rather than nonpatients. Moreover we found that monitoring was associated with over estimation of risk in those men with prostate cancer. Other factors found to influence interest in genetic testing included recommendation by a doctor, family history of prostate cancer, and cost. This study indicated that interest in genetic testing and estimation of risk is influenced by a complex interaction between both psychological factors (monitoring) and nonbehavioral factors (such as patient status, cost, and doctor recommendation).