The ‘family consent’ process has been placed at the centre of Chinese clinical practice. Although there has been critical analysis of how the process functions in relation to the autonomy and rights of patients, there has been little examination of the perceptions and attitude of patients and their families and the medical professionals, in relation to moral dilemmas that arise in real cases in the bioethical discourse. When faced with a consent form in an emergency situation, the family member's capacity (...) to act is reduced, as he/she becomes enmeshed in the hospital structure of tacit, socially-imposed rules. In a questionnaires based on a real death case in 2008, 70.9% of the surveyed medical professionals (n = 3,665) disagreed with performing surgery without the consent of the family even if the patient's life was in danger, while 36.6% of the surveyed patients (n = 1,198) hold the same position. This work demonstrates the weakness of the family consent process as a safeguard of patient's autonomy. Finally, I argue that saving the patient's life should be the overriding obligation rather than the respect for the surrogate's autonomous choice at such a decisive moment. (shrink)

In China, state investment into public hospitals has radically decreased since the early 1980s and has brought on the dismantling of the healthcare system in most parts of the country, especially in rural areas. As a result of this overhaul, the majority of public hospitals have needed to compete in the so-called socialist market economy. The market economy stimulated public hospitals to modernize, take on highly qualified medical professionals, and dispense new therapies and drugs. At same time, liberalization has clearly (...) affected the attitude and behavior of both medical professionals and the general public. The public has many concerns about the healthcare system for various reasons: there are long hospital waiting lists, patients experience difficulties in obtaining an appointment to see a qualified doctor, and, over the past decades, there has been an increase in out-of-pocket healthcare expenditure. These and other changes in post-reform China have radically reshaped the doctor–patient interaction, which is increasingly eroded by tension and violence. (shrink)

This paper is an analysis of the limits of family authority to refuse life saving treatment for a family member (in the Chinese medical context). Family consent has long been praised and practiced in many non‐Western cultural settings such as China and Japan. In contrast, the controversy of family refusal remains less examined despite its prevalence in low‐income and middle‐income countries. In this paper, we investigate family refusal in medical emergencies through a combination of legal, empirical and ethical approaches, which (...) is highly relevant to the ongoing discussion about the place of informed consent in non‐Western cultures. We first provide an overview of the Chinese legislation concerning informed consent to show the significance of family values in the context of medical decision‐making and demonstrate the lack of legal support to override family refusal. Next, we present the findings of a vignette question that investigated how 11,771 medical professionals and 2,944 patients in China responded to the family refusal of emergency treatment for an unconscious patient. In our analysis of these results, we employ ethical reasoning to question the legitimacy of family refusal of life‐sustaining emergency treatment for temporarily incompetent patients. Last, we examine some practical obstacles encountered by medical professionals wishing to override family refusal to give context to the discussion. (shrink)

Background: Sharing of tissue samples for research and disease surveillance purposes has become increasingly important. While it is clear that this is an area of intense, international controversy, there is an absence of data about what researchers themselves and those involved in the transfer of samples think about these issues, particularly in developing countries. Methods: A survey was carried out in a number of Asian countries and in Egypt to explore what researchers and others involved in research, storage and transfer (...) of human tissue samples thought about some of the issues related to sharing of such samples. Results: The results demonstrated broad agreement with the positions taken by developing countries in the current debate, favoring quite severe restrictions on the use of samples by developed countries. Conclusions: It is recommended that an international agreement is developed on what conditions should be attached to any sharing of human tissue samples across borders. (shrink)

Chinese health authorities have not set up a very clear legal framework or ethical guideline on genetic research involving a huge number of human genetic samples. A nationwide mail survey was conducted to identify whether Chinese research communities identified the fundamental ethical issues. This paper provides in-depth analysis about the attitudes of target groups towards ownership, commercial conflict of interest, international cooperation and ethical review mechanism that may be used to inform national guidelines related to genetic databases in China.

Creativity has become prevalent in the routine work of knowledge employees in contemporary enterprises. From the perspective of ambidexterity, drawing upon expectancy theory and self-determination theory, the present study highlights the driver behind proactive and responsive creativity. Using two-stage longitudinal data collected from 373 knowledge employee-supervisor dyads in information and manufacturing companies in China, the results show that: performance-contingent rewards have an inverted U-shaped influence on proactive creativity and a U-shaped influence on responsive creativity; performance-contingent rewards have an inverted U-shaped (...) influence on autonomous and controlled motivation; autonomous motivation has a positive influence on proactive creativity, but controlled motivation has a negative influence on responsive creativity; autonomous and controlled motivation play a partly mediating mechanism in the non-linear effects of performance-contingent rewards on proactive and responsive creativity, respectively. Managers should enhance the ambidextrous ability to deal with proactive and responsive creativity and establish an applied and dynamic policy of performance-contingent rewards intensity to drive ambidextrous creativity. (shrink)

A central problem for the international governance of heritable germline gene editing is that there are important differences in attitudes and values as well as ethical and health care considerations around the world. These differences are reflected in a complicated and diverse regulatory landscape. Several publications have discussed whether reproductive uses would be legally permissible in individual countries and whether clinical applications could emerge in the context of regulatory gaps and gray areas. Systematic comparative studies that explore issues related to (...) the governance of this technology from different national and international perspectives are needed to address the lack of knowledge in this area. In this research report, we contribute to filling this gap by presenting views of stakeholders in the United Kingdom on challenges to the governance of heritable genome editing. We present findings from a multistakeholder study conducted in the United Kingdom between October 2016 and January 2018 and funded by the Wellcome Trust. This research included interviews, literature analysis, and a workshop. We involved leading U.K. scientists, in vitro fertilization clinicians, and representatives from regulatory bodies, patient organizations, and other civil societal organizations, as well as fertility companies. Part one of this article explores stakeholder perceptions of possible global developments in heritable genome editing and associated risks and governance challenges. Part two presents a range of policy options that were generated during the workshop in relation to the challenges discussed in part one. (shrink)

本书收录了作者的《问题与思路——一种“注意链”的现象描述》、《语言空间》、《解释学的边界性》等12篇有关研究语言哲学的论文。.

In his 1934 book Art as Experience John Dewey explores the relationship between human experience and art. His theory builds on the conception of experience inspired by Darwinian biology as the dyna...

This article offers a solution to the numbers problem within an individualist moral framework. Its central aims are as follows: to rescue individualist moral theories, such as moral contractualism, from their long-standing problem with interpersonal aggregation; to demonstrate how, proceeding from an individualist mode of justification, we can nevertheless make the numbers count without directly counting the numbers; to provide an individualist rationale for accepting a partially aggregative criterion of adjudication for resolving interpersonal trade-offs; and finally, to develop an extensionally (...) adequate version of partial aggregation that finds application in more structurally complex cases. (shrink)

本书以东方文化为背景,从宗教理论、理想人格、人与社会、天人关系及天道本体诸方面采撷数十位古今中外文化名人精彩名句100余条进行阐释。.

Ben shu zhu yao tao lun qing dai zhong ye li xue si xiang de xing qi.

《中西美学与文化精神》从文化精神的角度研究中西美学. 作者从文化范式入手. 在把握中西美学基本精神和对中西美学作宏观整体比较的前提下, 切入到中西美学中 "和谐", "悲剧", "崇高", "荒诞与逍遥", "文与形式", "典型与意境"等基本概念, 以及"创作理论", "灵感理论", "灵感的主体构成" 和 "审美具体方式"等具体问题. 并结合了大量的中西艺术实践, 作了观念的梳理与理论的分析概括, 来寻找横跨不同范式之间的共同规律. 文化精神是一文化中一切时代, 一切思想的总和.

The Y chromosome in the XY sex-determination system is often shorter than its X counterpart, a condition attributed to degeneration after Y recombination ceases. Contrary to the traditional view of continuous, gradual degeneration, our study reveals stabilization within large mating populations. In these populations, we demonstrate that both mutant and active alleles on the Y chromosome can reach equilibrium through a mutation-selection balance. However, the emergence of a new species, particularly through the founder effect, can disrupt this equilibrium. Specifically, if (...) the male founders of a new species carry only a mutant allele for a particular Y-linked gene, this allele becomes fixed, leading to the loss of the corresponding active gene on the Y chromosome. Our findings suggest that the rate of Y-chromosome degeneration may be linked to the frequency of speciation events associated with single-male founder events. (shrink)

France's "republican assimilation" immigration policy has been widely questioned, and the contradiction and estrangement between Muslim immigrants and the mainstream society seems to be deepening. This paper focuses on the coexistence of French republican values and Muslim culture, discusses and analyzes the French immigration policy and various social problems caused by Muslim immigrants in France, and puts forward suggestions on how to solve these problems. The study found that the high unemployment rate, the backward living environment, the discrimination brought by (...) the society, and the dissatisfaction in the heart are the most important social survival pressure faced by the French Muslim immigrant groups under the background of the French republican assimilation policy and the era. From the perspective of French local people, the employment pressure, population pressure, welfare pressure and security pressure brought by Muslim immigrants have deepened their exclusion and resentment towards Muslim immigrants. In order to realize the harmonious coexistence of French republican values and Muslim culture, as the main body of French immigration issues, Muslims should not only integrate into the Republic with a positive attitude, but also overcome the inherent closeness of Islamic culture. Actively participate in the activities of French mainstream society through various channels, understand French culture in the activities, and improve the relationship with the mainstream French people. At the same time, France must build a "republic" immigration policy that keeps pace with the times. Find a migration integration model that can not only accommodate political and cultural diversity, but also solve social conflicts under the national system. (shrink)

This article adopts Husserl’s transcendental phenomenology to explore the complex relationship between patients and physicians. It delves into the coexistence of two distinct voices in the realm of medicine and health: the “voice of medicine” and the “voice of life-world.” Divided into three sections, the article emphasizes the importance of shifting from a scientific-medical attitude to a more personalistic approach in physician–patient interactions. This shift aims to prevent depersonalization and desubjectification. Additionally, it highlights the equal and irreducible nature of patients (...) while acknowledging the vital role physicians hold in the realm of illness. The article stresses the need for a balanced and equitable relationship between both parties, rooted in the shared life-world. Moreover, empathy is underscored as a crucial element in fostering meaningful dialogue, wherein understanding diverse perspectives and attitudes towards illness is paramount. The article argues that differences between patients and physicians are necessary for empathy, while shared similarities form its foundation. Ultimately, a harmonious relationship facilitates empathy and enables the constitution of a new sense of life for both patients and physicians. (shrink)

This article assumes that a profession is a number of individuals in the same occupation voluntarily organized to earn a living by openly serving a moral ideal in a morally-permissible way beyond what law, market, morality, and public opinion would otherwise require. Our question is whether the concept of profession may have a far wider range than the term, so that, for example, pointing out that a certain language lacks a word for “profession” in our sense, is not enough to (...) show that those who speak the language also lack the concept. We believe the survey of 71 Chinese reported here begins to answer that question. This article has four parts. The first describes who was interviewed, how, when, and so on. The second describes some important features of the survey’s questions, explaining how the questions track the concept of profession. The third part reports and interprets the results relevant to our question. The forth defends a tentative answer to the question with which we began—arguing the survey supports the claim that China has a profession of engineering. This article should serve as a “proof of concept”, that is, a model for similar studies around the world both of engineering and of other occupations thought to be professions. (shrink)

By critically reviewing the event of Dewey’s visit to China (1919-1921) through historical, philosophical and comparative perspectives, this book finds new value to revive the dialogue between Dewey and Eastern philosophies as a way to respond to contemporary educational challenges.

本书是关于科学的逻辑与方法论方面的著作。内容包括科学知识的结构与基础;科学发明与科学证明;确证逻辑:假说演绎法;确证逻辑:贝叶斯方法等。.

本书介绍和评述了模糊语义学的各种学派,讨论了模糊语义和适用性理论的问题,勾画了此学科发展的新动向.

Modern socialist economic reforms which center on the establishment of a commodity based economic system, demand a reconsideration of human nature. Marxism and human sociobiology give different answers to questions about human nature, but neither is complete in itself. It seems timely, therefore, to suggest that a combination of biological understanding with a Marxist-based social understanding would produce a more adequate notion of human nature, thereby helping us to resolve a number of problems posed by reforms currently taking place in (...) socialist countries. We might also hope to face new challenges posed in the future. (shrink)

Considering that the development of urbanization cannot be separated from the application of landscape pattern evolution, in order to improve the development level of ecocity, a modeling analysis of ecological urban landscape pattern evolution based on multisource remote sensing data is proposed. Taking ecotype city as the research object, the remote sensing images of ecological urban landscape pattern are screened by using multisource remote sensing data and nonremote sensing data as the basic data. CA-Markov model is constructed and the evolution (...) of ecological urban landscape pattern is analyzed. The experimental results show that, from 2005 to 2020, the development level of urbanization process is higher and higher and the area of building land patches is increasing, which reduces the fragmentation of building land patches. However, the landscape of cultivated land and green space is less and less, and the distribution of the patches also causes uneven phenomenon, which leads to the gradual decline of ecological urban landscape diversity. In the ecological urban landscape pattern, the degree of fragmentation and diversity of urban landscape is reduced due to the high connection and coverage of the construction land. (shrink)

Early and later Confucians, known in Chinese as the “ruists” school of ancient origins, perceived the idea of “harmony” as a fundamental concept that lies at the basis of self-cultivation, society and governance. In modern times this idea still plays in one or another form a dominant note in Chinese politics and social life. The article attempts to search for causes of the significance of “harmony” by focusing on analyzing two pivotal Confucian texts compiled in the Han dynasty, namely, Records (...) of Music [Yue ji 樂記] and Divination of Music [Yue wei 樂緯]. The analysis shows that ruists belonging to Zhou dynasty’s imperial class of music officials, gradually developed the aesthetics of music into a complex idea of "harmony" that contains the highest aesthetical way—“Dao”—which guides both the whole universe as well as the evolution of human society. (shrink)

As a result of simultaneous developments, including the proliferation of opportunities for online feedback, the application of discourse ethics to journalism, and a greater emphasis on journalistic accountability, the time is ripe for revisiting opportunities that online mechanisms provide for holding journalists accountable to audiences. This paper proposes recommendations to guide hosting online comments in light of the Habermasian framework of discourse ethics developed by Glasser and Ettema (2008). It also explores the limits of such approaches in nations with different (...) press models, such as the development model as practiced in China. (shrink)