伦理学在法医学实践中的举隅

本文在于探讨临床法医学、尸体检验以及法医科研中的道德问题,并试图寻求解决问题的途径;通过学习伦理学基本原则、实证分析等方法说明伦理学原则在法医学实践中的具体应用。结果发现尊重原则、知情同意原则以及隐私权、遗体权保护等问题在法医学实践中较为常见,将伦理学原则应用到法医学实践中可以减少群众投诉、信访、预防群体性事件、提高群众满意度等;最后提出转变工作思维方式及科技创新是解决法医学中伦理学问题的主要方法,法医需将以法律为准绳兼顾伦理学原则的思维方式作为工作指导。     

瑶医学“心肾相交论”内涵及临床指导意义

“心肾相交论”是瑶医药理论的脏腑生命观,心主要的功能是主宰其他脏腑的生理机能,对人的心理活动也进行调节;肾是气血化生之根源.如果心功能受损,那么其调节作用减弱,瑶医的整体观内涵得不到体现,人体作为一个整体的属性就不复存在,人体就会进入病理状态,甚至危及生命.对于肾,瑶医学认为人的出生、生长、发育和成熟直至衰老死亡的过程,是肾“气化”功能由盛到衰的自然过程.“心肾相交论”强调心肾功能的正常是人保存生命最基本的前提.通过探讨“心肾相交论”的学术思想,用以指导临床医疗实践,提高对瑶医药理论的认识.     

Strange Affinities in the Search for Personalized Health: New Age Practices and Genetic Testing

A prominent focus of New Age beliefs and practices has always been health and healing—including the use of holistic healing, power crystals, homeopathy, and complementary and alternative medicine. Given its association with modern science and medicine, genetic testing would seem to run counter to New Age alternative medical practices. On the other hand, the use of at-home genetic health tests and the use of such New Age alternative medical practices could both be motivated by a desire for personalized healthcare. Using data generated from a survey fielded on a probability sample of U.S. adults, we examine associations between individuals’ use of at-home genetic health tests and their use of power crystals and acupuncture or other homeopathic medicine. Logistic regression models find that those who use power crystals or homeopathic medicine have significantly greater odds of having used an at-home genetic health test. We discuss the implications of these findings for our understanding of the direct-to-consumer genetic testing market and the relationship between science, religion, and spirituality more broadly.     

从触摸的历史反思医学中触摸的应用

从触摸的定义、起源、应用发展演变阐明了其历史,并总结触摸在医学中的应用现状及特色。但由于历史、宗教、性别文化等因素的影响,触摸在医学中的应用存在一定障碍和困境,对这些应用困境进行反思,最终提出解决策略。     

男性不育症诊疗中的伦理学思考

男性不育症是影响男性身心健康的重要疾患。生殖医学,特别是辅助生殖技术突飞猛进的发展,给男性不育症患者带来了福音,同时也给社会带来了许多伦理学问题。在工作中,医生应将伦理学原则与诊疗规范相结合,思考遇到的伦理学问题,自觉遵守医学伦理学规范。唯有这样,才能使生殖医学健康发展,才能保证患者最大程度受益。     

重症医学科医生心理健康的损害及其调控策略

重症医学科医生由于工作对象及工作环境的特殊性,心理健康容易遭受损害。从目前重症医学科医生心理健康损害的现状入手,陈述其心理健康损害的具体表现,分析产生其心理健康问题的常见原因,并从多个角度提出了解决其不良心理健康问题的调控策略。     

关于血管紧张素转换酶抑制药＋β受体阻断药组合的重新审视

采取联合用药方案治疗高血压已成为近年来临床用药的总体趋势。临床用药情况调查结果表明,血管紧张素转换酶抑制药＋β受体阻断药的联合用药组合占有一定的使用率,分析两类药的降压作用以及对高血压常见并发症和对代谢、心率等的影响,可见这个组合是合理的。     

表现性测验在能力评价中的应用

相对传统的纸笔测验形式,表现性测验的突出特点是任务的真实性水平较高。表现性测验是一种认知导向的测验。在国外教育、医学、心理咨询与治疗等领域的能力评价中,一系列表现性测验已被开发出来并用于实践,获得了较好的心理测量学指标。表现性测验可用于国内学生、教师的能力评价,辅助人才选拔以及相关职业资格认证的实践。表现性测验开发过程中若合理应用概化理论、项目反应理论等现代测量理论,对于提高测验信度和效度都有一定积极意义。     

POSSIBILITIES AND LIMITS OF MEDICAL SCIENCE: DEBATES OVER DOUBLE‐BLIND CLINICAL TRIALS OF INTERCESSORY PRAYER

Abstract. This article traces the intellectual history of scientific studies of intercessory prayer published in English between 1965 and the present by focusing on the conflict and discussion they prompted in the medical literature. I analyze these debates with attention to how researchers articulate the possibilities and limits medical science has for studying intercessory prayer over time. I delineate three groups of researchers and commentators: those who think intercessory prayer can and should be studied scientifically, those who are more skeptical and articulate the limits of science around this topic, and those who focus primarily on the pragmatic applications of this knowledge. I analyze these contests as examples of what Thomas Gieryn calls “epistemic authority” as medical researchers engage in what he describes as “boundary‐work” or “the discursive attribution of selected qualities to scientists, scientific methods, and scientific claims for the purposes of drawing a rhetorical boundary between science and some less authoritative residual non‐science.” (Gieryn 1999, 4 (Gieryn 1999, 4)).     

科学的划界与医学：—一论在医学中坚持科学精神

这里所论的科学划界标准是就自然科学而言的，区分科学与非科学最重要的标准是它的可检验性和可重复性。科学的这个划界标准今天并未过时，医学和一般自然科学相比有其特点，但其为实验科学的医学也应坚持这个标准。