Vybrané kapitoly z medicínskej etiky

E-book

Ľubov Vladyková

The present monograph titled Evolutionary Ethics: Selected Issues and Challenges discusses a range of problems, theoretical concepts, and beliefs from the perspective of evolutionary ethics. The term evolution has become one of the central terms in contemporary science and philosophy.

In social sciences in general, and in socio-biology and evolutionary psychology in particular, evolution has had great impact on our understanding of the genesis of culture. Evolutionary theories play a similar role within the theory of consciousness and of the mind (evolutionary epistemology). The interrelation between our evolutionary past and our sense of good and evil is also a subject of heightened interest in ethics; it has in fact become one of its challenges. The concept of evolution challenges the way we create thought patterns through which we understand, or hope to understand, ourselves and the world around us.

This monograph represents a general summary of selected issues in evolutionary ethics, touching upon various aspects of current research into evolutionary ethics and the related domains of evolution, science, ethics, and morals. Evolutionary ethics has become a project which presupposes that in order to understand the essence and basis of morals one must turn to the process of evolution of thought, and to the theories put forth by evolutionists, specifically evolutionary biologists.

The structure of this monograph, as well as its potential usefulness for research and education clearly show that the analysis of the problems discussed here has significant implications for domains far removed from the purely theoretical parts of moral philosophy or biology. The advantage of such discourse is that it enables the implementation of evolutionary ethics in social and ethical issues of public interest (for example Sex Literacy, Sex Education), and this should be recognised and welcome.

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E-book

Andrea Klimková

The current development of applied ethics globally suggests that applied ethics is entering a new, qualitatively distinct era of innovative application approaches, methodologies, and methods, as well as novel educational formats. The application levels in applied ethics (in bioethics, business ethics, technology ethics, professional ethics, etc.) are tied to critical reflection on previous strategies and methodologies in their teaching.

Combining ethical rationality with practical variability and implementing ethical policies and tools in concrete practice truly demands new competencies, new skills, and the ability to work in novel ways with empirical and normative frameworks. This requires working with ethical theory and moral practice inventively, heuristically, innovatively, and propedeutically.

The creation of useful and professionally constructed procedures and formats is part of the professional and academic preparation of applied ethicists at modern departments of applied ethics.

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E-book

Nikita Bobrov et al.

History of ethics represents a search for basic principle, which would enable a distinction between moral and immoral, good and bad, right and wrong. The main problem lies in motives, methods and consequences of human conduct. The integrity of medical profession puts emphasis on life-long study and practice according to the professional competence, and last but not least on ethical principles and rules of medical ethics.
Medical ethics, as a part of bioethics, is currently taking on a huge importance in everyday clinical practice and must face many serious ethical issues regarding the whole system of health care. On general level the decision-making in medical practice is quite easy, based on the requirement to always act in the patient's best interest. However, it is often difficult to know exactly what is best for the patient, in a certain situation, for this particular patient. Also with each progress in medicine and its globalization, the more aspects of human lives are being affected.

Biomedical research, and the new treatment and diagnostic methods it provides are viewed differently in each country, therefore various cultural, religious, social and legal aspects must be considered in their assessment, as well as the basic principles of medical ethics. Worldwide effort on unifying ethical regulations on certain aspects of health care led to the establishment of many legally recognized documents the doctors must be familiar with.

Teaching ethics to students of medical school aims to educate the future doctors towards ethical decision-making, behaviour and professional conduct according to the basic principles of medical ethics.
This textbook provides the basic information on medical ethics for students of medical faculties and serves as a practical introduction to the most common ethical problems of health care provision for their future professional practise.

Authors

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Iveta Cimbolákováa kol.

The premise “today’s research shapes the healthcare of tomorrow” expresses the importance of medical research and the reason for its pursuit. Scientific research and advances in biomedical sciences, as well as their application in medical practice and in the process of delivering healthcare, nevertheless bring new problems in the area of ethics.

Biomedical research itself requires the precise definition of hypotheses, which are tested both under laboratory conditions and on experimental animals. Although clinical studies on human subjects are expected to benefit individual participants and to advance fundamental biomedical knowledge, they also entail certain risks depending on the nature of the research. These risks must be minimized, and the experiment should be conducted freely while also taking place within specific measures to protect all involved-not only the test subjects, but also the researchers themselves.

The presented publication provides an overview of the general conditions and ethical principles of research involving laboratory animals and human subjects, the issue of professional and ethical assessment of projects, as well as fraud and the publication of results. At present, we are witnessing tremendous progress in molecular biological sciences, which brings ethical dilemmas also in the field of genetics. For this reason, one of the chapters is devoted to the latest findings in this area.

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E-book

Vladimír Lichner - Dušan Šlosár et al.

It is very difficult to refer to any act of extremism or action having extremist characteristics, or to exclude it unambiguously. The boundary between extremism and accepted, conformal behavior is very broad and vaguely worded. Each company tends to set certain criteria to determine what can be considered as unwanted, violent, radical or extreme, or what signs of such a manifestation do not have. Therefore, when comparing the individual countries of the European Union in this area, we come across a different definition of what is or is not considered to be radical or extremist. In essence, the level of tolerance to some of the manifestations and the setting of indicators for the evaluation of the proceedings as extremist.

The presented monograph aims to present the basic social contexts of extremism and radicalization in the form of their philosophical and theoretical backgrounds, influencing the factors, the basic directions. In the author's work, the authors focus on the target group of adolescents, which they consider to be one of the most endangered groups in society in terms of development of the radicalization process. At the conclusion of the monograph is also offered the criminal level of these phenomena, which is not unavoidable in terms of complex analysis.

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E-book

Tatiana Kimáková a kol.

Ethics, as the science of the proper realization of human potential in various areas of life, also extends into the environment. For understanding the ethical aspects in this field, a thorough knowledge of the individual components of the environment, as well as their impact not only on humans but on all living nature, is very important. Therefore, questions concerning the influence of the environment are increasingly at the forefront of interest from an ethical perspective, also in connection with existing legal norms.

The modern process of civilization is characterized by rapid development of science and technology. However, this development, while raising the standard of living on one hand, also brings negative side effects on the other. The result is the disruption of ecological, biological, and natural life conditions, especially in the areas of industrial centers. The development of individual branches of industry leads to the production of liquid, gaseous, and solid wastes, the emergence of harmful risk factors threatening various components of living nature, including humans. There may be increased bioaccumulation of hazardous chemical elements in organisms, which, through their effects, represent a potential risk also in terms of carcinogenesis and mutagenesis.

For this reason, an important role of society is to create conditions to prevent the release of emissions and to reduce their concentration to the lowest possible, socially and biologically acceptable level. The assessment of the biological effects of harmful substances is based on experimental and epidemiological studies. Knowledge of concentration and duration of exposure is crucial for applying dose-effect relationships and for determining the highest permissible concentrations of pollutants. The health of the population, as a universal value and a primary human right, represents a fundamental economic resource not only for the individual, but also for society as a whole.

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 Ľubov Vladyková 

Ekologická etika ako typ aplikovanej etiky sa orientuje: 1. problémovo – poukazuje na konkrétne problémové oblasti poškodzovania prírody, napr. toxické odpady, kyslé dažde a i., riešia sa zložité prepojenia etických, technických, ekonomických a politických otázok, otázok medzinárodného práva a bezpečnosti; alebo sa fundament ekologických problémov odhaľuje ako: 2. odcudzenie človeka od hlbokých koreňov bytia, od biotopu, od vlastnej prirodzenosti, od existenčného habitatu, resp. zodpovednosti voči svetu prírody atď. Tu vystupuje do popredia požiadavka inkrementálneho rozšírenia morálky – pozornosť sa sústreďuje na problematiku rozšírenej etizácie a hodnotovej autonómie všetkých fragmentov biosféry (diskusie o možnostiach proprírodnej axiológie). Tretí typ koncepcií odkrýva príčinu ekologickej krízy: 3. v prevládajúcich postojoch moderného Západu k prírode; ich cieľom je vybudovať od základu nové axiologické, ontologické a etické východiská reflektujúce alternatívne postoje voči prírode.

Autorka

E-book

Marián Bednár

University textbook Selected Chapters from Managerial Ethics presents selected topics from the current issue of Managerial Ethics.

The historical context of Managerial Ethics and its formation on the background of business ethics, up to the form of independent inter and trans discipline, is presented at the introduction. Being one of the subdisciplines of applied ethics, it is inherently normative and interdisciplinary. It represents an overlapping institutional aspect - management ethics and individual aspect - manager ethics. The issue of social responsibility in economics and business, or the moral profile of a manager as a key player of this applied ethics is mentioned.

Institutionalization and implementation of ethics in corporate culture and the tools that are used in this so complex and interdisciplinary process are also a necessary step. Established ethical management systems, which complement the modularity of institutionalization, are also important. The main question is, of course, ethics in decision-making and management of people, as it is where ethical dilemmas and tensions are born. Also, the issue of ethics in leadership, as another qualitative and developmental stage in Managerial Ethics, is the contribution.

The attached moral dilemmas are meant to reflect, self-test moral intelligence and to be resolved.

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Nikita Bobrova kol.

The concept of medical ethics is interpreted as both applied and professional ethics. As a bioethical discipline, it consists of three normative parts: biogenesis, biotherapy, and thanatology. From an ethical perspective, medicine is part of clinical bioethics; however, at the current stage, “evidence-based ethics” is still lacking.

In the context of standardizing health care, there is an excessive development of certain components of bioethics (such as ethical codes and the concept of patient autonomy), but also a reduction, especially of its clinical component (such as communication, thanatology, euthanasia, dysthanasia, and futile treatment). Current legislative efforts are leading to a reduction in the rights of health care workers, particularly in terms of corporate autonomy.

The fundamental task of medical ethics is the cultivation of medical professionalism, which is defined as the professional alignment of expert, ethical, and legal reasoning, and as a starting point for thinking in terms of values, with reflection on the bioethical space in clinical and professional practice.

Since society declares health as its priority, this priority should positively influence the entire health care system, and its basic idea should be a health care system based on a humanistic ethical paradigm with social and professional application.

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Ľubov Vladyková

Reflection of technics  is about as old as philosophy. In the presented monograph the author reflects technology and technology as a medium of everyday life.

Every technical change is reflected in countless levels of our lives: environmental, economic, political, cultural and personal. The moral-philosophical reflection of technics and  technology aims to understand the complex relationships and effects of technology on the environment, society, culture and our existence. Knowledge (whose scientific knowledge is a special type) is part of the social and technical domains. If we perceive social and technical domains as separate, we deny their functioning as an integral part of our existence.

Speaking of 'new ecology of technology and technology'  the term ecology symbolizes the new existing disorder and 'cross-border' in the field of technology and technology reflection as a result of their revolutionary and far-reaching changes, and social change is unpredictable - all the more because technics and technology is the medium of everyday life and determines the future of the human species.

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Ľubov Vladyková

The university textbook presents a panorama of ecological-ethical concepts - ecological ethics, as a possibility of cultural development and indicates the continuing search for relationships with the aim to recognize the importance of ethics and its influence on our understanding and our relationship with the natural world, including scenarios adequately reflecting human-nature interaction in all their complexity.

Special attention is paid to the question of internal evaluation of nature, human and non-human life, both at individual and holistic levels (biocentrism) and the value of physical elements of ecosystems (ecocentrism).

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Adriana Jesenková

The ethics of care offers inspiring ways to think about the relationships and connections we are part of. It provides a new and unconventional reading and understanding of human relationships, thereby enabling us to respond in new and appropriate ways to certain empirical challenges (Pettersen 2011, p. 51).

Just twenty-five years ago, thinking about care was associated with women’s decisions in the private sphere concerning their personal dilemmas and problems. Over the last two decades, advocates of the ethics of care have demonstrated that the ideal of care has the potential to regulate not only private behavior but also human interactions in general.

Today, ideas about care have the power to change how we evaluate personal relationships, professional conduct, public policy, international relations, and global issues. The relevance of the ethics of care in such a wide range of areas of life, many of which are characterized by mutual incompatibilities and conflicting interests, is conditioned by several factors. However, one of the most significant is the creativity and fruitfulness of the thinking of the representatives of the ethics of care, who develop ethical concepts, models, and methods capable of grasping and analyzing human relationships in all their diversity (Pettersen 2011, p. 52).

Compared to traditional ethical concepts and theories in moral philosophy, the ethics of care introduces radically different sets of models and normative concepts. Today, it is precisely feminist ethics of care that offers a critical reflection on care within the realm of moral philosophy, ethics, and social philosophy. The aim of this publication is to identify the concept, subject, approach, philosophical foundations and starting points, as well as the possibilities for applying the ethics of care as a specific moral approach and, at the same time, as a specific moral theory in the field of social science and humanities research.

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Michaela Gorná - Tatiana Rapčíková

Etika je jedním z nejfrekventovanějších pojmů v oblasti poskytování zdravotní péče. Základní učební text zdravotnické etiky je nepostradatelný pro všechny skupiny studentů a učitelů lékařských a nelékařských zdravotnických oborů a také pro všechny zdravotnické pracovníky, jejichž práce si v rámci poskytování přednemocniční a nemocniční péče žádá mnohé praktické zodpovědné úvahy při identifikaci a řešení etických konfrontačních problémů a dilemat, se kterými se v rámci své profese setkávají. V současném pluralitním společenství mohou mnohé z nich směřovat k právnímu řešení. Ve světle idey prevence proto kniha nabízí komplexní a systematický teoreticko-praktický výklad z oblasti zdravotnické etiky, včetně monitorace současných etických specifik zdravotní péče.
 
S ambicí přijetí východiska praktického řešení, o které se mohou zdravotníci v nastalých situacích etických problémů a dilemat opřít, učebnice srozumitelně předkládá přehled etických přístupů uplatňovaných ve zdravotnické praxi. V kontextu uvedené aspirace je součástí učebního textu perspektivní didaktický fenomén, kterým je metoda případovosti, která je, vedle zvyšování etické citlivosti a zručnosti při řešení morálních dilemat, významným praktickým a metodickým nástrojem implementace etiky do zdravotnické praxe.
 
V knize jsou prezentovány modelové typy případových studií z prostředí přednemocniční a nemocniční péče, které jsou vhodným tréninkovým nástrojem a didaktickým prostředkem při vzdělávání.

Magdalena Chvílová Weberová - Jaromír Matějěk -  Barbora Steinlauf a kolektív 

Publikace v kontextu evropské filozofické tradice nabízí orientaci v důležitých tématech obou souvisejících oborů. Publikace je věnována propojení filozofie (etiky), práva a vědeckého poznání s klinickou praxí pediatrie a neonatologie.

Obecné kapitoly definují základní principy bioetiky, základní pojmy a směry etiky. Vybrané praktické kapitoly řeší klinické a psychosociální otazníky pediatrie a neonatologie. Velká část praktického oddílu knihy je věnována etice paliativní péče v dětském věku a neonatologii. Zamýšlí se nad hranicí viability, intenzivní, vývojovou a následnou péčí v neonatologii, řeší problematiku bolesti, umírání, (ne)zahájení a ukončení život udržující léčby. Součástí je doprovázení rodiny dítěte s život limitující diagnózou, terminální fází onemocnění a na konci života. Zmíněny jsou i zdánlivě okrajové oblasti, jako je etika výzkumu, psychologie, genetika, výživa dětského věku, právo na kojení a výživu mlékem matky. Zmiňuje také právní a etickou problematiku babyboxů, náhradního mateřství, císařských řezů na přání, problematiku očkování. Pozornost je věnována dospívajícím.

Rozsáhlý oddíl je pak věnován eticko-právním souvislostem. Tématy jsou koncept nejlepšího zájmu dítěte, ochrana práv dítěte, zástupné rozhodování, informovaný souhlas v pediatrii a etické souvislosti péče o děti z jiného kulturního prostředí, vlivu medií na formování zdraví dítěte. Samostatná kapitola je věnovaná týmové práci.

Monografie je určena zdravotníkům (lékaři i sestry) v oboru pediatrie, neonatologie a paliativní péče. Může být přínosem studentům, kteří směřují k oboru pediatrie, pečujícím zdravotně-sociálního pomezí v pediatrii.

Ľubov Vladyková (ed.)

In the present text, opinions on environmental literacy are integrated. The most important discoveries of the 21th century exist not in the realm of science, medicine, or technology, but rather in the dawning awareness of the earth's limits and how those limits will affect human evolution. Humanity has reached a crossroad where various ecological catastrophes meet what some call sustainable development. While a great deal of attention has been given to what governments, corporations, utilities, international agencies, and private citizens can do to help in the transition to sustainability, little thought has been given to what schools, colleges, and universities can do. As the health of our planet continues to deteriorate, it is vital to educate and raise ecoliterate citizens.

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Ľubov Vladyková - Marián Bednár a kol.

The university textbook Ethics of Science and Technique (Selected Problems) is a collection of contributions by various authors who deal with selected problems and areas of science and technique. For the last hundred years, we can observe the rapid development of science and technique (technology). The transition of society in the 20th century into the information age and in the current 21st century into the digital age brings radical challenges and changes in all areas of human life, but especially in the moral field.

Ethical discussions, responding to the development of science and technique (technology), have stimulated the emergence of ethics of science and technique, which as a subdiscipline of applied ethics is a way out of the conflict between professional autonomy, social control and self-regulation of action and behaviour; not only in science and technique, but also in economy and politics. In the digital age, technique, technology and science are fundamentally changing our lives; from the way we work to the way we communicate, how we fight local and global problems, and how we try to solve societal problems.

These radical changes are not without controversy, and many provoke intense debates that are often polarized or associated with scientific ambiguities or dishonest demagoguery and ideology.

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E-book

Ľubov Vladyková

The present monograph titled Evolutionary Ethics: Selected Issues and Challenges discusses a range of problems, theoretical concepts, and beliefs from the perspective of evolutionary ethics. The term evolution has become one of the central terms in contemporary science and philosophy.

In social sciences in general, and in socio-biology and evolutionary psychology in particular, evolution has had great impact on our understanding of the genesis of culture. Evolutionary theories play a similar role within the theory of consciousness and of the mind (evolutionary epistemology). The interrelation between our evolutionary past and our sense of good and evil is also a subject of heightened interest in ethics; it has in fact become one of its challenges. The concept of evolution challenges the way we create thought patterns through which we understand, or hope to understand, ourselves and the world around us.

This monograph represents a general summary of selected issues in evolutionary ethics, touching upon various aspects of current research into evolutionary ethics and the related domains of evolution, science, ethics, and morals. Evolutionary ethics has become a project which presupposes that in order to understand the essence and basis of morals one must turn to the process of evolution of thought, and to the theories put forth by evolutionists, specifically evolutionary biologists.

The structure of this monograph, as well as its potential usefulness for research and education clearly show that the analysis of the problems discussed here has significant implications for domains far removed from the purely theoretical parts of moral philosophy or biology. The advantage of such discourse is that it enables the implementation of evolutionary ethics in social and ethical issues of public interest (for example Sex Literacy, Sex Education), and this should be recognised and welcome.

Download the e-book for free (pdf)

E-book

Andrea Klimková

The current development of applied ethics globally suggests that applied ethics is entering a new, qualitatively distinct era of innovative application approaches, methodologies, and methods, as well as novel educational formats. The application levels in applied ethics (in bioethics, business ethics, technology ethics, professional ethics, etc.) are tied to critical reflection on previous strategies and methodologies in their teaching.

Combining ethical rationality with practical variability and implementing ethical policies and tools in concrete practice truly demands new competencies, new skills, and the ability to work in novel ways with empirical and normative frameworks. This requires working with ethical theory and moral practice inventively, heuristically, innovatively, and propedeutically.

The creation of useful and professionally constructed procedures and formats is part of the professional and academic preparation of applied ethicists at modern departments of applied ethics.

Download the e-book for free (pdf)

E-book

Nikita Bobrov et al.

History of ethics represents a search for basic principle, which would enable a distinction between moral and immoral, good and bad, right and wrong. The main problem lies in motives, methods and consequences of human conduct. The integrity of medical profession puts emphasis on life-long study and practice according to the professional competence, and last but not least on ethical principles and rules of medical ethics.
Medical ethics, as a part of bioethics, is currently taking on a huge importance in everyday clinical practice and must face many serious ethical issues regarding the whole system of health care. On general level the decision-making in medical practice is quite easy, based on the requirement to always act in the patient's best interest. However, it is often difficult to know exactly what is best for the patient, in a certain situation, for this particular patient. Also with each progress in medicine and its globalization, the more aspects of human lives are being affected.

Biomedical research, and the new treatment and diagnostic methods it provides are viewed differently in each country, therefore various cultural, religious, social and legal aspects must be considered in their assessment, as well as the basic principles of medical ethics. Worldwide effort on unifying ethical regulations on certain aspects of health care led to the establishment of many legally recognized documents the doctors must be familiar with.

Teaching ethics to students of medical school aims to educate the future doctors towards ethical decision-making, behaviour and professional conduct according to the basic principles of medical ethics.
This textbook provides the basic information on medical ethics for students of medical faculties and serves as a practical introduction to the most common ethical problems of health care provision for their future professional practise.

Authors

Download the e-book for free (pdf)

E-book

Iveta Cimbolákováa kol.

The premise “today’s research shapes the healthcare of tomorrow” expresses the importance of medical research and the reason for its pursuit. Scientific research and advances in biomedical sciences, as well as their application in medical practice and in the process of delivering healthcare, nevertheless bring new problems in the area of ethics.

Biomedical research itself requires the precise definition of hypotheses, which are tested both under laboratory conditions and on experimental animals. Although clinical studies on human subjects are expected to benefit individual participants and to advance fundamental biomedical knowledge, they also entail certain risks depending on the nature of the research. These risks must be minimized, and the experiment should be conducted freely while also taking place within specific measures to protect all involved-not only the test subjects, but also the researchers themselves.

The presented publication provides an overview of the general conditions and ethical principles of research involving laboratory animals and human subjects, the issue of professional and ethical assessment of projects, as well as fraud and the publication of results. At present, we are witnessing tremendous progress in molecular biological sciences, which brings ethical dilemmas also in the field of genetics. For this reason, one of the chapters is devoted to the latest findings in this area.

Download the e-book for free (pdf)

E-book

Vladimír Lichner - Dušan Šlosár et al.

It is very difficult to refer to any act of extremism or action having extremist characteristics, or to exclude it unambiguously. The boundary between extremism and accepted, conformal behavior is very broad and vaguely worded. Each company tends to set certain criteria to determine what can be considered as unwanted, violent, radical or extreme, or what signs of such a manifestation do not have. Therefore, when comparing the individual countries of the European Union in this area, we come across a different definition of what is or is not considered to be radical or extremist. In essence, the level of tolerance to some of the manifestations and the setting of indicators for the evaluation of the proceedings as extremist.

The presented monograph aims to present the basic social contexts of extremism and radicalization in the form of their philosophical and theoretical backgrounds, influencing the factors, the basic directions. In the author's work, the authors focus on the target group of adolescents, which they consider to be one of the most endangered groups in society in terms of development of the radicalization process. At the conclusion of the monograph is also offered the criminal level of these phenomena, which is not unavoidable in terms of complex analysis.

Download the e-book for free  (pdf)