1.Economics analysis of excessive medical treatment
Chinese Medical Ethics 1995;0(02):-
In recent years,excessive medical treatment draws common concern of medical ethics circles.Excessive medical treatment is not only an ethics problem,but also an economic phenomenton at the same time.The article thinks,economics displays of excessive medical treatment is a doctor leads the demand,the direct cause of formation is the medical demand lacking flexibility,the market environment is monopolizing competition.At last,articles proposed the ethics and economic countermeasure of checking excessive medical treatment.
2.Taking about Type,Spreading Way and Teaching Form of Medical Ethics Knowledge
Chinese Medical Ethics 1994;0(05):-
This text Proved different kinds of medical ethics knowledge should be taken different teaching form according to the type,spreading way and teaching form of medical ethics knowledge.
3.The Research Summary on Conflict between Doctor and Patient
Chinese Medical Ethics 1996;0(01):-
Research on conflict between doctor and patient on overseas involve to: Social role theory,doctor-patient exchange theory,asymmetric information theory and health care system.The domestic scholar from sociological,the medical technology,the medical information,the medical law system,the health care system and so on to research the conflict between doctor and patient.To research the multiple attribute of the relations between doctor and patient,from the interdependence system of the medicine drugs the medicine insurance the medicine treatment to study the reason of conflict between doctor and patient,is still the long-term topic which we faces.
4.Research on the Tension of Self-respect Awareness and Altruism of Living Organ Donors
Chinese Medical Ethics 2017;30(2):233-236
The donors' complete autonomy and voluntariness for donation is the core of ethical acceptability of living organ transplantation.Deep in the donors' heart,the awareness of self-respect and the altruism are two contradictory tendencies both in psychology and behavior.As the existence of the tension of self-respect awareness and altruism,it becomes particularly difficult and complex for the living organ donors to make autonomous decisions.This paper analyzed the tension of self-respect awareness and altruism,discussed the emotional and ethical contradictory,and proposed some suggestions based on this,hoping to provide a good internal environment and external support for the potential donors to make reasonable free decisions and guarantee the ethics of living organ transplantation.
5.Study on the Influence of Parenting Pattern on Medical Students′Competitive Attitude in the Perspective of Medical Ethics Education
Chinese Medical Ethics 2016;29(4):719-722
Objective:To explore the effect of family education in medical ethics education, further to study on the influence of parenting pattern on medical students′ competitive attitude. Methods: A sample of 550 college students was selected with the method of stratified random sampling. The subjects were invested using Egna Minnan Barndoms Uppfostran and Competitive Attitude Scale. Results: Good parenting pattern contributes to the form of benign com petitive attitude. Parents′denial and mother′s favor have predictive effect on benign competition atti-tude. Father′sdenial, father′s over-protection, and mother′s over-interference have predictive effecton vicious competition attitude. Conclusion:In the family education of medical students ,parents should change the education concept in order to form a good competitive attitude.
6.The Coincidence and Influence on Doctor-Patient Relationship by Teacher-Student Relationship ——discussion on the cultivation of the medical students’equality consciousness and communicating ability in doctor-patient relationship simultaneously
Chinese Medical Ethics 1995;0(03):-
Coincidence exists in the value selection,main form of human communication and imbalance between teacher-student relationship and doctor-patient relationship.Therefore,teacher-student relationship today will directhy have an impact on the future of doctor-patient relationship.Teachers should cultivate medical students'equality consciousness and communicating ability between doctors and patients by establishing equal relationship and good communication between teachers and stdents.
7.Seek the Third Party Strength for Medical Care Pricing
Chinese Medical Ethics 1994;0(06):-
Abstract: There are both market mechanism that does not work and government without working in the medical service field, so it is necessary to be supported by the third parties, such as patient's right committee, doctor's association, and so on, which contribute to forming high-efficient and rational medical care pricing system.
8.Honest-trust: from Morality-justice, Utilitarianism towards Responsibility and Right
Chinese Medical Ethics 1996;0(01):-
As the code of behavior, honest-trust has its theoretical foundation of ethics. From the point of view of morality-justice, honest-trust is the ethical code of behavior; from the point of view of utilitarianism, honest-trust is the basic demand for increasing social welfare; from the point of view of responsibility and right, honest-trust is the responsibility and right of social members. Nowadays society should construct the social environment and mechanism of honest-trust, which can not be limited in the views of morality-justice and utilitarianism, but should be constructed in term of managing society and based on the responsibility and right.
9.The Origin Analysis and Countermeasure Study on Non - profit Organizations Failures
Chinese Medical Ethics 1994;0(06):-
Just as "the market failures" in business or "the government failures" in government department, the non - profit organizations failures is displaying on kinds of forms. The reason that the non - profit organizations failed includ: seeking profit, the serious insufficiency of the organization funds, the morals out of control, the unscientific achievements evaluation system. The countermeasure settle of non - profit organizations failures include: to establish the information publishing system and the corresponding punishing system, perfecting the organization management system, forming the multiplicated financeing mechanism leading by government, perfecting the moral restraint mechanism which the autonomy and the heteronomy unifies.
10.Effect of diabetes mellitus on neuromuscular blocking effect of cisatracurium
Jinfeng LI ; Gaoqi YU ; Tongwei YANG
Chinese Journal of Anesthesiology 2011;31(6):671-673
Objective To investigate the effect of diabetes mellitus on neuromuscular blocking effect of cisatracurium in patients. Methods Forty ASA Ⅱ patients, aged 30-64 yr, weighing 44-90 kg, scheduled for neurosurgical operation under general anesthesia, were assigned into 2 groups (n = 20 each): type 2 diabetes mellitus group (group D) and non-diabetes mellitus group (group ND). General anesthesia was induced with midazolam,fentanyl and etomidate. Neuromuscular block was assessed with Epoch XP nerve electrophysiology monitor. A train-of-four stimulation of ulnar nerve was used. Cisatracurium 0.15 mg/kg was injected intravenously over 5 s after T1 was maintained at 100%. Tracheal intubation was performed after the onset of the muscle relaxant. Anesthesia was maintained with iv infusion of propofol 4-8 mg· kg - 1 · h - 1 and remifentanil 0.1-0.3μg· kg - 1 · min - 1. The effect of inmbation was evaluated and graded. The onset time, clinical duration, recovery time and recovery index were recorded. Results The onset time was significantly longer in group D than in group ND ( P < 0.05). There was no significant difference in the clinical duration, recovery time and recovery index and intubation effect grade between the two groups ( P > 0.05). Conclusion Diabetes can prolong the onset time of cisatracurium, but has no effect on the clinical duration and recovery time.