著者
財吉拉胡
出版者
日本医学哲学・倫理学会
雑誌
医学哲学 医学倫理 (ISSN:02896427)
巻号頁・発行日
vol.32, pp.43-52, 2014

Traditional Mongolian medicine is a system that assimilates both the theory and practice of Tibetan medicine, which entered into Mongolian society along with the spread of Tibetan Buddhism over the last several centuries. Traditional medicine in Inner Mongolia was then forcibly modernized when the Japanese colonial medical enterprise developed in Manchuria and Inner Mongolia during the first half of the 20th century. Moreover, after the establishment of People's Republic of China, western modern medicine was popularized throughout China, including Inner Mongolia. Meanwhile, traditional Chinese medicine too became widespread into the Mongolian-settled areas, as ethnic Han Chinese people settled in Inner Mongolia. Mongolian medicine was then admitted into the official professional medical sector by the government, alongside Chinese medicine. Subsequently, the government established institutions in the higher educational system for traditional Mongolian medicine and set up traditional medical hospitals. In recent decades, however, with the spread of globalization, this medicine has lost its main position in the medical order of Mongolian society and gradually been transformed into an ethnically sustainable form of alternative medicine. For traditional Mongolian medicine to sustain itself alongside other types of practice will involve continuing modernization to satisfy the needs of local consumers.
著者
工藤 せい子 五十嵐 靖彦
出版者
日本医学哲学・倫理学会
雑誌
医学哲学 医学倫理 (ISSN:02896427)
巻号頁・発行日
vol.24, pp.75-84, 2006

The purpose of this study was to attempt to determine general ideas for addressing ethical issues in nursing practice. The author interviewed nurses who had experienced cases involving care and related ethical issues. The interview data were analyzed using qualitative research methods. The subjects of analysis were the following three cases: 1. A client who was transferred to the hospital for reoperation but died shortly before operation; 2. A client who was in and out of the hospital for more than 10years because of incurable illness; and 3. A client whose last wish was fulfilled in the form of a Christmas party. Analysis showed that ideas for addressing ethical issues converged into two categories. The first included ethical issues, including "role as the client's advocate," "coordination between the client's wishes and the doctor's policy," and "paternalism and maternalism". The other category included issues related to caring, including "learning from the client," "formation of a strong bond resulting from mutual relationship," "involvement as a team," and "departure from medical rules". There were, in addition, three keys to addressing ethical issues that did not fit into either category: "hope for peaceful settlement of affairs," "hope for successful communication," and "wish to be treated indulgently". These three keys are useful both in care for patients and addressing ethical issues.
著者
福田 八寿絵
出版者
日本医学哲学・倫理学会
雑誌
医学哲学 医学倫理 (ISSN:02896427)
巻号頁・発行日
vol.27, pp.52-59, 2009

Human papillomavirus (HPV) causes cervical cancer, and efforts to develop vaccines against this virus have been proceeding. In June 2006, the U.S. FDA approved a vaccine that prevents HPV. There is now a political controversy over how to use this HPV vaccine in the clinical setting. Because of the high prevalence of cervical cancer in Japan, this vaccine has been eagerly awaited. This paper examines the experience in the U.S. and discusses how this vaccine might be used in Japan where it has not yet been approved and considers how the cost should be borne as well as the ethical problems involved in selecting individuals to receive preventive vaccination.
著者
澤田 愛子
出版者
日本医学哲学・倫理学会
雑誌
医学哲学 医学倫理 (ISSN:02896427)
巻号頁・発行日
vol.8, pp.35-51, 1990

Today's marvellous medical advances confront us with a verysevere problem, namely the criteria for establishing death, such as brain death. Technical advances in medicine now permit maintenance of cardiac and respiratory functions in human beings for a few days after massive or total destruction of the brain. This fact has presented us with delicate and difficult problems, especially in relation to organ transplantation. Namely, when a human being's brain functions are lost irreversibly and yet his cardiac and respiratory functions are maintained by an artificial life-support system, does he live or not? Up to now the signs of life have been seen as vital signs (body temperature, pulse, respiratory rate and blood pressure etc.). But if these signs are maintained by artificial methods, are they truly vital signs? Physicians say that even if a life-support system works, cardiac function will stop in a few days or a few weeks. But this short term is quite important for organ transplantation. At that time each organ except the brain is maintained through artificial circulation of blood. Therefore physicians who agree to organ transplantation stress that brain death is the true death of human beings, for the purpose of legal removal of organs. But many ordinary people have complex feelings about it. They don't easily admit a family member's brain death because of their warm pink bodies. Here we have a severe problem. In this article I have focussed on these problems and have tried to think of the redefinition of death in modern society from different perspectives, that is, philosophically, psychologically, medically, culturally and legally. And finally in conclusion my thoughts are presented.