1.Analysis on Medical Ethical Implication of The Law of Armed Conflict
Chinese Medical Ethics 2017;30(7):797-801
As an important part of International Law,the fundamental aim of the Law of Armed Conflict is to solve the humanitarian problems of armed conflict and to achieve the humanity caring in the war,by limiting the combat weapons,standardizing the methods of warfare (The Law of Hague),protecting the victims of armed conflicts and improving their situation (The Law of Geneva).Therefore,taking humanity as the core,the Law of Armed Conflict implicates rich medical ethics.The legislative spirit of the Law of Armed Conflict and the medical humanitarianism are mutually compatible,which realize the maximum of the “humanitarian requirements” on the basis of ensuring the “military needs” of war;the legal principles of the Law of Armed Conflict are in conformity with the moral principles of medical ethics,namely,the principles of “military necessity,humanity,distinction,proportion and restriction” are internally matched with the principles of “no harm,respect,justice,optimization”;the specifications of the Law of Armed Conflict conform to the medical ethics norms,which demand to implement the principles of medical ethics,to adhere to independence and informed consent,to protect of patient privacy,and to respect for the remains of the deceased,and so on.
3.Ethical Analysis on Combat Stress Reaction
Chinese Medical Ethics 1996;0(01):-
In modern warfare,ethical problems correlated to combat stress reaction contain three aspects: the perplexities of reactor's role orientation,the issues of the PIE pattern treatment,and the defects of the broken-discipline reaction.In order to cope with these problems,medical officers and battle commandants should insist on the scientific principle,the permissible principle and the commonweal principle.
4.Analysis of the Causes of Moral Injury—Based on the Ethical Reflection of American War Films
Zhiyue ZHAO ; Fang YANG ; Yunli CHANG
Chinese Medical Ethics 2017;30(7):805-809
Moral injury in the war has been taken seriously since it has been gradually raised as an important military psychological problem.War is not the flavor of a quiet life,nor is it the ideal place to achieve the hero dream.Strong battlefield impact and ethical challenges likely cause moral injury to those innocent soldiers.Based on the American classic war films such as“ Closed Island”,“Born on July 4”,“Field Row” and “Snowden”,this paper mainly expounded the ethical thinking off our causes of moral injury including massacre of the prisoners of war,injustice war,betrayal of the senior officer,and hegemonic government.
5.Ethical Concerns of Psychological Service Work in the Army
Yan LI ; Yunli CHANG ; Fang YANG
Chinese Medical Ethics 2015;(3):466-468
Based on the development of our psychological service in amy , this paper pointed out that our psy-chological services that exist in the following ethical issues:some psychological services staff is competency inade-quacy and lack of professionalism;psychological services exist in the complicated ethical relationship and multiple roles;military secrecy of psychological service in consciousness does not reach the designated position The right of privacy infringement .And according to the above problem is pointed out that our army in the military psychological service work should be:stick to professional ethics , improve professionalism;clear professional role , reducing the recessive harm;improve secrecy consciousness , safeguard privacy rights .
6.Review and Outlook of the Developing Path of Bioethics
Wei YANG ; Ping DU ; Yunli CHANG ; Fang YANG
Chinese Medical Ethics 1995;0(02):-
As a young discipline imported from the West,Chinese bioethics has made tremendous achievements in the last three decades.However,at the same time,there are also certain confusions about its ideaistic origins and academic development.Observing the trends in the growth of western bioethics and the changes in the contemporary real social life,we can see that it is the time to break the current bottleneck for the contemporary development of Chinese bioethics.Specifically,Chinese bioethics should shift its attention to the quality of life,and manifests its thought depth and academic value through reflecting the reality.Advancing with the times,the bioethics is bound to have a brighter future.
7.Discussion on Moral Health in Modern Medical Mode
Chinese Medical Ethics 2017;30(10):1192-1195
Medical mode , as the concept of combination of medicine and philosophy , is an abstract summary of the nature of medicine in the process of exploring health , disease prevention and control , and is developing with the change of human conception and the deepening of cognition to health and disease .The Bio-Psycho-Social Medi-cal Mode is gradually changing people ' s cognition to the nature of medicine , and prompting people to examine the disease and health from the physiological , psychological , social and multi -angle.But this mode also needs to be further enriched and perfected , does not fully reflect the moral factors of health and the nature of medical ethics . It' s mainly manifested as that the biological basis of life science abandoned the moral health , the psychological mechanism of physical and mental trauma shielded the moral injury , and the social attributes of medicine replaced the moral essence .
8.Short-term currative effect of horizontal osteotomy across injured vertebral forⅤdegree old fracture-disloca-tions of thoracolumbar spine
Guanyu TIAN ; Leitang SONG ; Xudong CHANG ; Tao YAN ; Yan LU ; Bo DONG ; Yunli CUI
Journal of Regional Anatomy and Operative Surgery 2016;25(7):500-502,503
Objective To discuss the short-term currative effect of horizontal osteotomy across injured vertebral forⅤdegree old frac-ture-dislocations of thoracolumbar spine.Methods The data of 4 patients who received horizontal osteotomy across injured vertebral internal fixation in our hospital from April 2010 to October 2012 were retrospectively analyzed,of which 1 case with T8-9 fracture dislocation,2 cases with T10-11 fracture dislocation,1 case with T11-12 fracture dislocation.The Franke1 classification of all patients were grade A.Results All 4 cases were achieved completely fracture reduction and followed-up for 2-14 months(an average of 7.4 months),who could get sitting posi-tion with the support of brace 1 week after operation.The postoperative follow-up indicated that all 4 cases got fusion,but there was no improve-ment for Franke1 classification.Conclusion The method of horizontal osteotomy across injured vertebral forⅤdegree old fracture-dislocations of thoracolumbar spine has good short-term clinical effect,with the advantages of shorter operation time,less bleeding and good reduction effect.
9.Analysis of Occurrence Mechanism of Moral Injury
Chulan XIAO ; Fang YANG ; Yunli CHANG
Chinese Medical Ethics 2018;31(2):151-158
The occurrence of moral injury begins with combat behaviors which break the ethical rules of fair-ness and justice, good and evil, and the value of life. Those behaviors effect on the moral intuition formed by indi-vidual moral beliefs, cultural traditions, and personality traits, and acts on the moral reasoning of the soldiers, thus this traumatic event is internalized into a moral event. And then the strength of the moral events or its re-experi-ence breaks through the tenacity of moral emotion, therefore the moral subject moves towards moral injury, which is manifested as self-condemnation, withdrawal, self-injury, killing, and other cognitive or emotional symptoms. As self-condemnation intensifies, the victim will fall into an increasingly vicious circle of moral injury. Mean-while, self-forgiveness means a way of restoration and reconciliation, which asks the victim to forgive himself and to adjust moral conflicts in time.
10.Introduction and Commentary of Measurement for Moral Injury of Foreign Army
Qiang HUANG ; Kun TAN ; Yunli CHANG
Chinese Medical Ethics 2018;31(2):164-168
In recent years, foreign army researches showed that moral injury emerged in the war had gradually become a new traumatic act to the veterans. How to effectively evaluate and prevent moral injury has drawn exten-sive attention of scholars. This paper introduced and commented the measurement of the foreign army moral injury. At present, foreign measurement scales of moral injury mainly had three kinds of MIES, MIES ( improved ver-sion) , and MIQ-M. Moral injury is the new horizon of ethical research in our country, and it is of great applica-tion prospect to carry out the research on measurement of moral injury.