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2008 (9)

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Book
Gesundheit und Medizin im interdisziplinaren Diskurs
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ISBN: 3540771964 Year: 2008 Publisher: Berlin, Heidelberg : Springer-Verlag Berlin Heidelberg,

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Abstract

Das Buch "Gesundheit und Medizin im interdisziplinären Diskurs" eröffnet die gleichnamige Schriftenreihe und bildet deren programmatische Einleitung. In acht Beiträgen nähern sich hochrangige Wissenschaftler unterschiedlicher fachlicher Herkunft dem Thema "Gesundheit und Medizin": philosophisch, theologisch, ethisch, ökonomisch, juristisch und medizinisch. Sie loten die gesellschaftliche Bedeutung von Gesundheit und Medizin aus und beleuchten die politischen, ökonomischen und juristischen Herausforderungen. Anhand brisanter Beispiele wie der Gesundheitsreform oder der Sterbehilfe zeigen die Autoren auf, wie medizinische Herausforderungen verbunden sind mit Fragestellungen ökonomischer Effizienz, juristischer Regelbarkeit, persönlicher Lebenseinstellung und ethischer Vertretbarkeit.


Book
Rechtliche Rahmenbedingungen biomedizinischer Forschung am Menschen : Das Zusatzprotokoll zum Ubereinkommen uber Menschenrechte und Biomedizin uber biomedizinische Forschung
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ISBN: 1281397601 9786611397609 3540755160 Year: 2008 Publisher: Berlin : Springer,

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Der Autor untersucht und kommentiert die einzelnen forschungsbezogenen Regelungen des Zusatzprotokolls zum Übereinkommen des Europarats über Menschenrechte und Biomedizin über biomedizinische Forschung. Bestehende nationale und internationale Bestimmungen werden vergleichend ebenso einbezogen wie allgemeine Rechtsgrundsätze, die die biomedizinische Forschung am Menschen in Deutschland derzeit prägen. Zugleich wird die Frage beantwortet, inwieweit das Forschungsprotokoll mit verfassungsrechtlichen Vorgaben, namentlich der Menschenwürde und der Forschungsfreiheit, aber auch dem allgemeinen Selbstbestimmungsrecht des Forschungsteilnehmers vereinbar ist und eine Übernahme in nationales Recht befürwortet werden kann. Hinsichtlich aufgedeckter Konflikte und Divergenzen werden Lösungs- und gegebenenfalls Regelungsmöglichkeiten de lege ferenda aufgezeigt.

The aetiology of deep venous thrombosis : a critical, historical and epistemological survey
Authors: ---
ISBN: 1281167681 9786611167684 1402066503 9781402066498 140206649X 9781402066504 Year: 2008 Publisher: Dordrecht : Springer,

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What we now call ‘deep venous thrombosis’ (DVT) has been studied in diverse ways during the last 200–300 years. Each of these approaches contributes to a full modern understanding of aetiology. Therefore, much of this book is a historical survey of the field. However, our remit is broader than the title might suggest: the evolution of ideas about DVT is typical in many ways of medical biology as a whole. Thus, although the aetiology of DVT may seem a narrow topic for a monograph – it implicitly excludes arterial thrombosis and marginalises prophylaxis, therapy, and even such clinically significant sequelae as pulmonary embolism – we hope to engage the reader in a much more general inquiry. Our historical investigation reveals a 160-year-old schism between two contrasting philosophies of medical and biological research, a schism that is particularly – but by no means uniquely – relevant to the study of DVT. In principle, these philosophies should be complementary rather than competing. So while we wish to elucidate the aetiology of DVT per se, we are also concerned with a more abstract and wide-ranging issue: the future accommodation or rapprochement between two conceptual and methodological traditions.


Book
An Introductory Philosophy of Medicine : Humanizing Modern Medicine
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ISBN: 1281309966 9786611309961 1402067976 Year: 2008 Volume: 99 Publisher: Dordrecht : Springer Netherlands : Imprint: Springer,

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In this book the author explores the shifting philosophical boundaries of modern medical knowledge and practice occasioned by the crisis of quality-of-care, especially in terms of the various humanistic adjustments to the biomedical model. To that end he examines the metaphysical, epistemological, and ethical boundaries of these medical models. He begins with their metaphysics, analyzing the metaphysical positions and presuppositions and ontological commitments upon which medical knowledge and practice is founded. Next, he considers the epistemological issues that face these medical models, particularly those driven by methodological procedures undertaken by epistemic agents to constitute medical knowledge and practice. Finally, he examines the axiological boundaries and the ethical implications of each model, especially in terms of the physician-patient relationship. In a concluding Epilogue, he discusses how the philosophical analysis of the humanization of modern medicine helps to address the crisis-of-care, as well as the question of “What is medicine?” The book’s unique features include a comprehensive coverage of the various topics in the philosophy of medicine that have emerged over the past several decades and a philosophical context for embedding bioethical discussions. The book’s target audiences include both undergraduate and graduate students, as well as healthcare professionals and professional philosophers. “This book is the 99th issue of the Series Philosophy and Medicine…and it can be considered a crown of thirty years of intensive and dynamic discussion in the field. We are completely convinced that after its publication, it can be finally said that undoubtedly the philosophy of medicine exists as a special field of inquiry.”.

Artificial nutrition and hydration : the new Catholic debate
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ISBN: 1281138045 9786611138042 1402062079 1402062060 9048175674 Year: 2008 Volume: 93 5 Publisher: Dordrecht : Springer,

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Pope John Paul II surprised much of the medical world in 2004 with his strongly worded statement insisting that patients in a persistent vegetative state should be provided with nutrition and hydration. While many Catholic bioethicists defended the Pope’s claim that the life of all human beings, even those in a persistent vegetative state or a coma, was worth protecting, others argued that the Pope’s position marked a shift from the traditional Catholic teaching on the withdrawal of medical treatment at the end of life. The debate among Catholic bioethicists over the Pope’s statement only grew more intense during the controversy surrounding Terry Schiavo’s death in 2005, as bioethicists on both sides of the debate argued about the legitimacy of removing her feeding tubes. This collection of essays by some of the most prominent Catholic bioethicists addresses the Pope’s statements, the moral issues surrounding artificial feeding and hydration, the refusal of treatment, and the ethics of care for those at the end of life.


Book
China : bioethics, trust, and the challenge of the market
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ISBN: 1402067569 9048177146 9786611674731 1281674737 1402067577 Year: 2008 Publisher: [Dordrecht] : Springer,

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This volume provides a unique perspective on the market reforms currently taking place in Chinese health care. The authors come to grips with the changes taking place in Chinese health care and its effect on the traditional doctor-patient relationship, but also its positive effects on the availability and quality of health care particularly in urban areas. In doing so the various authors wrestle with moral, political and social issues deeply ingrained in Chinese culture as well as the perceived practical and moral difficulties associated with the change to a market oriented economy especially in area of health care. This volume should be of particular interest to bioethicists, those interested in contemporary Chinese philosophy, and of course those working in health care policy, Chinese policy, comparative health care policy, or any combination thereof.


Book
International library of ethics, law, and the new medicine : an international perspective
Authors: ---
ISBN: 1281141577 9786611141578 1402058411 1402058403 9048174538 Year: 2008 Publisher: Dordrecht : Springer,

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Autonomy and Human Rights in Healthcare: An International Perspective is a group of essays published in memory of David Thomasma, one of the leading humanists in the field of bioethics during the twentieth century. A pioneer in the field of multidisciplinary research, having integrated major theological and philosophical traditions in the west with modern science, Thomasma was a role model to the authors who have devoted essays to his major avenues of inquiry. The authors represent many different countries and disciplines throughout the globe. The volume deals with the pressing issue of how to ground a universal bioethics in the context of the conflicted world of combative cultures and perspectives.


Book
Medical decisions, estrogen and aging
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ISBN: 1281141062 9786611141066 1402066864 Year: 2008 Publisher: [Berlin] : Springer,

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The decision-making process that underlies ovarian hormone therapy (HT) is a fallible one. The question is whether or not physicians should prescribe HT to menopausal women, who are at a time in their lives when they are factoring various concerns into their decision to take (or not take) HT. Not only is it difficult to determine whether or not to prescribe HT, but what kind; should physicians recommend estrogen or progestin, or another combination of related hormones? The decision of whether or not to use HT has affected, and will continue to affect, many women in the United States and throughout the world and is an important model elucidating the forces that influence medical decision-making. Two recent large-scale studies, one conducted here in the United States (the Women’s Health Initiative) and the other in Great Britain (the Million Women Study), were highly publicized and cast a negative light on the use of HT. Since HT’s inception, views have oscillated, due in part to expectations of benefits extending over the course of long-term use beyond the peri-menopausal period, and perhaps due to the overselling of research investigating the efficacy of HT. Thus, the decision for women to go on HT remains a controversial issue, and the decision-making process is undermined further by overzealous advertising and an exaggerated understanding of the research results (both positive and negative). This book is unique in that it integrates core findings from within the Decision Sciences and Evidence Based Medicine in light of the research that has been done on HT. Medical Decisions, Estrogen and Aging integrates the various components that go into medical decision making in the context of understanding the dilemmas that surround HT. Therefore this book is intended for both specialists and generalists in the field, and it is ideally suited for use by graduate and medical students, medical health care professionals, behavioral scientists, medical ethicists, gerontologists, historians of science, and endocrinologists.


Book
The contingent nature of life : bioethics and limits of human existence
Authors: --- ---
ISBN: 128131420X 9786611314200 140206764X Year: 2008 Volume: v. 39 Publisher: [Berlin] : Springer,

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Life and nature are imperfect, uncontrollable, and largely (and perhaps permanently) unknowable, that is to say: contingent. The contingency of life is a significant challenge for medicine and technology. Life sciences seem to broaden the possibilities of control to an extent that the contingency of life and nature is no longer self-evident. This very broad statement raises a lot of serious questions. Is it a valid diagnosis? Are the life sciences really defying the contingency of our existence? Or are we simply manipulated by utopian promises? And if contingency is really being challenged, why should we worry about it? Is contingency essential for a meaningful life and way of life? This volume explores the different ways in which the contingency of life, and especially human life, is relevant for ethical discussions and the normative frameworks of bioethics. It explores the relevance of the notion of contingency, and the desire for moral argumentation within bioethics. The authors discuss these notions from a philosophical perspective, paying special attention to the impact of life sciences on people with disabilities and to intercultural perspectives on bioethical debates. The volume also contributes to a deeper reflection on the basic philosophical assumptions of bioethics.

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