Common medical ethics dilemmas: Few reflections from a Saudi perspective

Medical ethics plays a crucial role in physicians’ daily practice, as it reflects on themselves, their institution, and, most importantly, the outcome of the treatment they provide to their patients. Common medical ethics dilemmas faced in Saudi Arabia include: end-of-life care, patient rights, which comprise autonomy, informed consent, and confidentiality, reproductive ethics, and equity of resources. The identification of flaws within the healthcare system and the implementation of clear guidelines are important to overcome the risk of malpractice and flawed judgment, and ensure the delivery of the best possible care to patients.     

临床教学伦理困境下的实习教学方法改革

随着病人主体意识和维权意识的增强,传统的床边教学法常因难于兼顾患者与学生双方的权益而不能充分开展。为了解决临床实习教学面临的难题,我院开展了集床边教学、模拟教学和网络教学等方法于一体的"多位一体"实习教学法的研究和实践。结果显示该模式能更好地兼顾患者与学生的权益,增加学生学习训练的机会,比单纯床边教学法效果更好。     

Comment droit et éthique s’enrichissent mutuellement dans la prise en charge médicale des personnes avec handicap

Whatever his or her disability, a person has the right to medical care of the same quality as any other patient. The law tries to meet the needs of vulnerable people, regardless of their situation. For example, a minor, disabled or not, may seek a treatment while preserving confidentiality regarding his/her parents. Privacy is a concept that does not begin at 18. In France, the law of 4 March 2002 already addressed this hypothesis; the law of 26 January 2016 modernizing our health system extended it. An adult, disabled or not, may need help not only for administrative and financial procedures, but also for medical or medicosocial matters. The law offers various support solutions with the family, guardian, support person, relatives, caregivers, attorneys involved with a mandate for future protection. In medical practice, a number of situations, simple in theory, can be very problematic. The ethical approach will be essential to help deal with all these questions.     

中央苏区时期医德医风建设思想的现实价值

在中央苏区时期,形成了强化医生生源质量,健全医学教育机制,创新思想政治工作,给予各种保障待遇等加强医德医风建设思想.它是一种无产阶级彻底的革命精神和宝贵的精神财富,对于当前深化考试招生制度改革,把好医德医风“质量入口”关;构建科学合理培养体系,把好医德医风“教学教育”关;健全绩效监督考核机制,把好医德医风“鞭笞出口”关,从而完善中国特色的医疗卫生事业,具有重要的现实价值.     

护士社会支持对道德困境的影响研究

目的探讨护士社会支持对道德困境的影响,为帮助护士应对工作中的道德困境提供理论基础。方法采用社会支持评定量表和护士道德困境量表对387名护士进行问卷调查。结果护士社会支持总分(38.62±5.81)分,客观支持(8.63±2.62)分,主观支持(21.64±4.75)分,支持利用度(8.45±2.81)分。护士道德困境量表条目频率为(1.14±0.54)分,强度为(1.03±0.32)分,总体得分为(1.15±0.42)分,表明护士道德困境发生频率和强度均较低。职称、学历、是否独生子女、社会支持是护士道德困境的影响因素。结论社会支持会负向影响护士的道德困境,提高护士社会支持水平,扩大护士社会支持的来源,是应对护士道德困境的有效途径。     

Therapeutic Dilemma of Sarcoidosis and Treatment-naïve Hepatitis C Manifesting as Tattoo Reactions

A 23-year-old man had an 8-day history of fatigue and dry cough and papulo-nodular reactions on his extensive tattoos. Chest radiography revealed several small granular shadows, and a transbronchial lung biopsy showed non-caseating epithelioid cell granuloma. A skin biopsy of the tattooed area showed histiocytic infiltrates with phagocytized tattoo pigment. Antibody tests for hepatitis C virus were positive. The patient was successfully treated with corticosteroid therapy, and after inflammation was suppressed, he received delayed anti-viral therapy. Sarcoidosis should be considered as a concurrent condition if papules are presented on the tattoos of patients with hepatitis C.     

Testosterone, facial symmetry and cooperation in the prisoners' dilemma

Recent research has analyzed how individual characteristics, like the exposure to different hormones and symmetry, affect decision-making and strategic behaviour. The present article investigates the effect of symmetry, of exposure to testosterone (T) in utero and during puberty and of current T on cooperation in a Prisoners' Dilemma Game (PDG). T is a hormone with well known effect on males' behaviour, and that promotes activities that seek to increase reproductive success. Fluctuating Asymmetry (FA) reflects the ability of the organism to maintain a stable development and it is usually employed as a variable reflecting genetic quality (low FA values are thought to signal higher genetic quality). Our results show that subjects with intermediate levels of second to fourth digit ratio (a proxy of exposure to T in utero) and with high FA cooperate more often in the PDG. We also observe that the latter effect is due to the fact that FA has an impact on subjects' expectations about the behaviour of their counterpart in the game. These results reinforce the described link between markers related to genetic quality and cooperative behaviour. This possible linkage of individual condition and pro-social behaviour in humans clearly merits further attention.