知情同意原则和医务人员的素质

从知情同意的兴起、发展和现状可以看出:知情同意作为规范医患关系的一项伦理道德原则,对医务人员提出越来越高的素质要求。试图探讨医务人员应具备的基本素质,以便更好地贯彻实施知情同意,减少医患纠纷。     

癌症基因组研究信息披露的伦理探讨

癌症基因组计划是当前研究热点,存在诸多伦理、法律及社会问题,如何有效地保障基因组研究参与者的知情同意是值得关注的内容。信息披露(disclosure)作为知情同意的第一要素具备深厚的伦理基础,然而与传统医学研究相比,癌症基因组研究由于其目的与内容的特殊性,研究中信息披露的内容和标准尚存在诸多伦理问题,需要深入探讨。     

同意观念的历史谱系与当代困境

通过提出明示同意与默示同意这两个不同的同意概念并强调有别于集体同意之个体同意的重要性，特别是通过对默示同意的分析和说明，洛克使得近代意义上的同意理论逐渐浮出水面。同意理论在颠覆君权神授理论、确认人民主权思想的过程中有着无可置疑的历史价值。虽然在现当代，同意理论因遭遇到越来越多的诟病而逐渐步入困境，但同意理论并非一无是处。对于当代中国社会来说，强调政府及政府行为必须经过人民的同意这一点，对于政治体制的改革以及政治秩序的合法构建来说仍然具有极为重要且深远的意义。     

Anticipated Ethics and Regulatory Challenges in PCORnet: The National Patient-Centered Clinical Research Network

PCORnet, the National Patient-Centered Clinical Research Network, seeks to establish a robust national health data network for patient-centered comparative effectiveness research. This article reports the results of a PCORnet survey designed to identify the ethics and regulatory challenges anticipated in network implementation. A 12-item online survey was developed by leadership of the PCORnet Ethics and Regulatory Task Force; responses were collected from the 29 PCORnet networks. The most pressing ethics issues identified related to informed consent, patient engagement, privacy and confidentiality, and data sharing. High priority regulatory issues included IRB coordination, privacy and confidentiality, informed consent, and data sharing. Over 150 IRBs and five different approaches to managing multisite IRB review were identified within PCORnet. Further empirical and scholarly work, as well as practical and policy guidance, is essential if important initiatives that rely on comparative effectiveness research are to move forward.     

目前遗传资源和传统知识法律保护机制国际探索的成就与不足——评CBD事先知情同意机制和FAO农民权机制

传统知识是长期以来传统部族在长期的生产生活实践中创造出来的知识、技术、经验的总称,是一种知识形态和知识产品。CBD等国际组织对遗传资源及有关传统知识的保护进行了多年的探索,在保护机制上取得了一定的创新。CBD开创的事先知情同意机制和FAO开创的农民权机制为其代表。两种机制均在物权层面设计了遗传资源及有关传统知识的保护规则,但前者具有较强的保障力,后者基本上还是一种道义意义上的权利。但只有提供知识产权保护方能充分实现传统部族在传统知识上的利益。     

侵权责任减责免责事由的制度创新与立法完善

减责免责事由是侵权责任归结的重要依据,中国《侵权责任法》对此具有较大的制度创新,体现了公平与正义的立法理念,但是无论在制度层面还是操作层面仍然存在不足。必须立足于中国司法实践并借鉴国外先进立法经验,将减责免责事由纳入侵权责任构成中,增加原则性规定,明晰模糊规定,健全具体类型,加强制度衔接,以真正实现救济受害人权利和维护行为人自由的利益平衡。     

瑞典修改《医疗生物银行法》对我国的启示

瑞典的《医疗生物银行法》在实施过程中出现适用范围有限、伦理原则缺失、有关职责界定不清等问题,科学界和医疗界提议出台新的生物银行法以替代旧法,促进医疗领域健康发展。瑞典新的生物银行法报告在尊重个体完整和隐私的前提下,将监管所有人类组织样本的收集、存储和使用,并将完善样本捐献者的知情同意,强化样本捐献者的自决权,增加可追溯性规定和样本库个人资料处理原则,申明生物样本跨界合作的安全问题,对正在修订《涉及人的生物医学研究伦理审查办法》的我国具有借鉴意义。     

“Consent is sexy”: A poster campaign using sex-positive images and messages to increase dyadic sexual communication

Abstract

Objective: “Consent is Sexy” (CIS) is a poster campaign incorporating sex-positive messages to promote consent and increase sexual communication among college students. We assess reactions to the campaign and associations between campaign recall and communication attitudes and behaviors. Participants: Male and female undergraduates at a Midwestern university were recruited (N?=?284). Methods: A cross-sectional survey was conducted. t-Tests, logistic and multiple linear regressions were used to analyze the data. Results: Over half (56%) of participants recalled the campaign and reactions were positive. Students who recalled CIS had more positive attitudes towards sexual communication (p?=?.04) and greater perceived behavioral control (PBC; p?<?.01). Conclusions: Results show many students paid attention and reacted positively to CIS posters and results offer dissemination insights. Consent campaigns should continue to cultivate positive attitudes and PBC in regards to sexual communication.     

Ethical Issues in Coparent Counseling

Coparent counseling is a method of helping moderate- and high-conflict divorced or separated parents improve their shared caretaking of their children. Because it is a relatively new modality, its practitioners face ambiguity and uncertainty in their efforts to practice ethically. In the present article, information and recommendations are provided regarding confidentiality, separate meetings with parents, interactions with attorneys and the court, meetings with the children, insurance billing, competence, and informed consent.