scholarly journals 支援父母捐獻遺體不孝麼?

Author(s):  
Yao FANG

LANGUAGE NOTE | Document text in Chinese; abstract also in English.在當今中國遺體捐獻中,常常會出現這樣的現象,即子女反對或反悔父母生前留下的有關遺體捐獻的遺願,其最大因素是子女擔心背上“不孝”之名。本文通過徵引《論語》和《孝經》的儒家經典文獻,對“孝”的具體意義進行梳理與論證。作者認為,子女支持並完成父母捐獻遺體的遺願符合儒家孝道的核心思想,因為孝道首先意味著子女應該順從父母的意願,即便這個意願會產生爭議。當然,當父母的意願不合於“道”時,子女有諫爭的義務,但遺體捐獻顯然是符合於道的行為。According to recent statistics, the global organ shortage is particularly serious in China. Some scholars argue that filial piety, a key principle of Confucianism, is the main deterrent to organ donation in China. The same is true of whole-body donation for medical research and education. Most hospitals and medical schools in China refuse to accept bodies even when the donors have provided written consent in their wills, due to pressure from the donors’ children.In this essay, the author uses a recent case in Zhejiang Province to illustrate the difficulties faced by children in carrying out their parents’ planned body donation, even when donation is understood as a moral act. The author shows that children are dissuaded primarily by adherence to the Confucian virtue of filial piety, as keeping the body of one’s parent intact after death is viewed as a form of filial reverence. Many Confucian scholars today argue that the opportunity to save lives by donating one’s organs or body is more valuable than preserving the integrity of the dead body. However, it is not unusual for the relatives of the willing donor, particularly their children, to refuse to carry out the donor’s wishes for fear of accusations of violating the precept of filial piety.The author shows that filial piety is widely considered to epitomize the Confucian value system. According to the Confucian text The Book of Filial Piety, for example, filial piety is “a perfect virtue and all-embracing rule of conduct.” However, the question here is whether children’s fulfillment of their parents’ desire to donate their bodies is a more filial gesture than keeping their parents’ dead bodies intact. The author argues that honoring one’s parents’ wish for body donation is consistent with the Confucian emphasis on family reverence and the provision of ancestral rites for deceased parents. Body donation is an act of ren (benevolence) and yi (rightness), as it benefits medical research and thus society at large. Fulfilling this desire to help others is an appropriate way of remembering and honoring one’s parents.DOWNLOAD HISTORY | This article has been downloaded 166 times in Digital Commons before migrating into this platform.

Author(s):  
Yanghui ZHANG

LANGUAGE NOTE | Document text in Chinese; abstract also in English.在中國文化中,保留個人軀體的完整性具有重要意義,這導致醫學教學和科研中的屍源短缺現象成為制約醫學發展的一大問題。中國傳統文化一直被各界認為是阻礙遺體捐獻的根源,但本文基於訪談和文獻分析,發現導致這一現象的原因遠較傳統文化的影響更為複雜,其核心問題在於子女與父母在看待身體、死亡和“孝”上存在的多元價值觀衝突。價值觀衝突的文化根源不僅是多數研究指認的儒家傳統文化,而是一個包含著傳統文化、現代文化、精英文化與世俗文化相互交融和衝突的複雜問題。同時,兩者雖然在觀念上存在矛盾衝突,但所追求的終極目標具有高度一致性,即實現人的“尊嚴”。In Chinese culture, the preservation of the integrity of the body is greatly significant, which has led to a shortage of corpses in medical teaching and research and become a major problem restricting the development of medical research and treatment in China. Accordingly, it is generally believed that traditional Chinese culture has been a barrier to body donation in China. However, based on interviews and literature analyses, this paper shows that the factors leading to the body donation shortage in China are much more complicated than this simple “cultural” belief. The core problem, as our investigation finds, is that children and parents are in conflict over the value of the body and death and the virtue of filial piety. The cultural root of this conflict is not merely the nature or content of the traditional Confucian culture as identified by most researchers. Rather, it is a result of the complex interplay between modern scientific, revolutionary and traditional ethical views on the role of the body, the function of the Chinese patriarchal clan system and the blending of elastic spirit and modern secular culture. Finally, the paper argues that although donators and their children may have different understandings and value conflicts, their ultimate goal is highly consistent, that is, to achieve human dignity as expressed in modern Chinese society.DOWNLOAD HISTORY | This article has been downloaded 6231 times in Digital Commons before migrating into this platform.


1970 ◽  
Vol 8 (2) ◽  
pp. 85-88 ◽  
Author(s):  
Sanjoy Kumar Chakraborty ◽  
Habib Khan ◽  
Shaikhul Islam ◽  
BM Ali Yousuf

Body donation is the bequest of whole body after death for the purpose of medical research and education. Cadaver and donated bodies remains a principal teaching tool for the Anatomists teaching gross anatomy. Anatomy learning without hands on training of dissection on human bodies is never considered perfect. The Anatomy act provides for the supply of unclaimed bodies to the hospitals and teaching institutions for the purpose of anatomical examination and dissection and other similar processes. In this article, suitability of body donation, importance of body donation, various factors such as age, culture, personality characteristics, donor's attitudes and role of mass media etc are discussed. Key words: Body donation; anatomy learning. DOI: 10.3329/bja.v8i2.7023Bangladesh Journal of Anatomy July 2010, Vol. 8 No. 2 pp. 85-88


Author(s):  
Yao FANG

LANGUAGE NOTE | Document text in Chinese; abstract also in English.通過引證《孝經》的傳統的重新注釋,本文指出中國生命倫理學界對“身體髮膚,受之父母,不敢毀傷”的理解有不足之處,既未注意到“毀傷”可作“刑傷”解,也未注意到“毀傷”即使作“損傷”解,以上說話也不排除親屬之間器官捐獻的可能性。此外,身體之完整在儒家倫理體系中並非最高道德原則,因為身與義的關係是需要考察具體的情境來做道德評判。在從新註釋儒家文本的前提下,筆者試圖證明,今天在中國大陸要推進器官捐獻事業,並不需要否定《孝經》中這一要求保持身體完整性的原則,因為儒家倫理體系與贊同器官捐獻並非不可化解的矛盾,問題的關鍵不是否定“不敢毀傷”,而是肯定器官捐獻的選擇合乎仁義,符合“立身行道”。論證捐獻器官挽救他人生命是一種值得讚美的高貴選擇可以將捐獻者及其家屬從所謂“不孝”的輿論壓力之下解脫出來。There is an organ shortage worldwide and particularly in China. Many researchers in the field of bioethics agree that Confucianism impedes the modern notion of organ donation due to its position on “filial piety” (xiao) in terms of “not damaging one’s body.” The Confucian concept of xiao demands that children obey their parents, serve them diligently, bury them respectfully and worship them afterward. It also proclaims that a person’s body, hair and skin are gifts from their parents that cannot be damaged.This essay intends to show that such an interpretation of the Confucian concept of xiao is misleading because it is based on a misreading of an important statement from the Xiaojing (Classic of Filial Piety). According to some exegeses, the idea of “damage” in the original text should be understood as “damage via criminal punishment” instead of a general kind of “damage.” The author contends that it is equally problematic for people to consider keeping one’s body intact as a supreme principle in Confucian moral teachings. Although filial piety is a key principle in Confucianism, it is not the primary factor holding back organ donation. Although traditional Confucian principles emphasize the “wholeness of the body,” they do not prevent many Confucian scholars from taking different views, as Confucius claims that “the man of humaneness (ren) is one who, desiring to sustain himself, sustains others.” This essay concludes that a new interpretation of the Confucian text and its meaning would help to encourage more people to volunteer as organ donors.DOWNLOAD HISTORY | This article has been downloaded 2088 times in Digital Commons before migrating into this platform.


Author(s):  
Shaozong CHEN

LANGUAGE NOTE | Document text in Chinese; abstract also in English.本文簡要介紹針灸學現代化研究的三個成就:交叉學科全息生物醫學、現代時間針失學和現代針灸學的產生;針刺信號的傳導通路和針刺鎮痛的生理學基礎;經終實質的重新認識。在此基礎上,本文對相關的理論探索和發展進行討論和評價。This essay introduces and assesses some major achievements that have been made in scientific research concerning modernizing acupuncture, a main discipline of traditional Chinese medicine. These achievements include the development of interdisciplinary subjects such as holographic bio-medicine, modern tempera-acupuncture, and modern acupuncture; the account of the propagating route of the signs caused by acupunctural stimulates and the physiological basis for acupunctural analgesia; and the new thought on the essence of jingluo (channel).There are some special acupunctural points in the body, such as the points in the ear, hand, and foot, which cannot be accounted for through the traditional Chinese medical theories. Unlike general acupunctural points, these special points in a particular location (like the ear) reflect the situation of the whole body. They are like miniature of the body. Only the new theory of holographic bio-medicine can appropriately account for physiological and pathological phenomena of these special points. Moreover, it has long been found that stimulating the same points at different time of the day generates different effects. This fact is also confirmed by contemporary research. The development of modern tempera-acupuncture attempts to discover rules in employing acupunctural treatment to the patient in the best time.For many years Chinese researchers have been trying to find a basic anatomical structure for acupunctural channels. They had confidence in the belief that "structure determines function." For them, this means that if there is a particular function, there must be a specific structure "behind" it to make this function possible. However, the series of efforts in disclosing a specific structure for the channel have failed one after another. The failure indicates the defect of the claim that a particular structure determines a particular function. From an epistemic perspective, it may well be the case that function suggests structure. The channel system in traditional Chinese medicine may be a supra-anatomical structure; in other words, it is not sustained directly by any particular anatomical structure, but by a network of the whole body in relation to a number of anatomical aspects.DOWNLOAD HISTORY | This article has been downloaded 31 times in Digital Commons before migrating into this platform.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e035539
Author(s):  
Jiayi Jiang ◽  
Mingyi Zhang ◽  
Haojie Meng ◽  
Xiang Cui ◽  
Yuxin Yang ◽  
...  

ObjectivesTo investigate the demographics and motivations of whole-body donors in China, and help suggest a solution to the problem of low body donation numbers.DesignA cross-sectional study on body donors in China. Demographic analysis of the donating information of deceased donors and in-depth interviews of potential body donors.SettingEleven districts in Nanjing, China.ParticipantsDeceased whole-body donors who had donated their bodies to the body donation receiving station of Nanjing Medical University between 1 July 2009 and 30 June 2019 (n=835), and living registered whole-body donors (n=68).ResultsAmong the whole-body donor population, the numbers of males, people older than 65 years and those working as teachers, government officials, medical staff and farmers were significantly higher than those of the general Nanjing population. Donors with an education level of college or above accounted for nearly half of the deceased donors, and considered donating their bodies earlier in their lives than others. Cancer and heart disease were the major causes of death among donors. Interviews of the 68 living donors revealed the following major motivations for the decision to donate: to support medical education; to reduce their children’s funeral burden; no longer holding traditional Chinese views on life and death; influence by role models and annoyance at complex funeral ceremonies.ConclusionsOlder people, people with an education level of college or above, labourers, teachers, government officials and farmers are the major groups that donate their bodies. Although people’s motivations for donation are complex, their desire to support medical education is the most prevalent motivation. By helping focus on target groups for promotional messaging and identifying their prime motivations, this study’s findings can provide a reference for promoting body donation in China.


2020 ◽  
pp. 003022282091371
Author(s):  
Hanlin Zhang ◽  
Kang Chen ◽  
Naili Wang ◽  
Di Zhang ◽  
Qing Zhang ◽  
...  

The body donation program of Peking Union Medical College was established in May 1999. From May 1999 to December 2017, a total of 5,576 registrants registered and 1,459 donors donated their bodies. Demographic and medical characteristics of the donors were analyzed. The top four causes of death were neoplasms, heart diseases, respiratory diseases, and cerebrovascular diseases. Age at death among donors who died of neoplasms were significantly lower than other causes of death (all p < .05), and the interval between registration and donation among donors who died of neoplasms was significantly shorter than that among donors with other causes (all p < .001). The age of donors when they registered ( p < .001) and donated ( p < .001) was significantly older than that of general Beijing population. This study may provide a guide for medical colleges or research institutions to establish or enhance their own body donation programs.


2019 ◽  
Author(s):  
İlke Ali Gürses ◽  
Ahmet Ertaş ◽  
Başak Gürtekin ◽  
Osman Coşkun ◽  
Mehmet Üzel ◽  
...  
Keyword(s):  

1976 ◽  
Vol 15 (05) ◽  
pp. 248-253
Author(s):  
A. K. Basu ◽  
S. K. Guha ◽  
B. N. Tandon ◽  
M. M. Gupta ◽  
M. ML. Rehani

SummaryThe conventional radioisotope scanner has been used as a whole body counter. The background index of the system is 10.9 counts per minute per ml of sodium iodide crystal. The sensitivity and derived sensitivity parameters have been evaluated and found to be suitable for clinical studies. The optimum parameters for a single detector at two positions above the lying subject have been obtained. It has been found that for the case of 131I measurement it is possible to assay a source located at any point in the body with coefficient of variation less than 5%. To add to the versatility, a fixed geometry for in-vitro counting of large samples has been obtained. The retention values obtained by the whole body counter have been found to correlate with those obtained by in-vitro assay of urine and stool after intravenous administration of 51Cr-albumin.


2008 ◽  
Vol 396-398 ◽  
pp. 569-572
Author(s):  
Fumio Watari ◽  
Shigeaki Abe ◽  
I.D. Rosca ◽  
Atsuro Yokoyama ◽  
Motohiro Uo ◽  
...  

Nanoparticles may invade directly into the internal body through the respiratory or digestive system and diffuse inside body. The behavior of nanoparticles in the internal body is also essential to comprehend for the realization of DDS. Thus it is necessary to reveal the internal dynamics for the proper treatments and biomedical applications of nanoparticles. In the present study the plural methods with different principles such as X-ray scanning analytical microscope (XSAM), MRI and Fluorescent microscopy were applied to enable the observation of the internal diffusion of micro/nanoparticles in the (1) whole body level, (2) inner organ level and (3) tissue and intracellular level. Chemical analysis was also done by ICP-AES for organs and compared with the results of XSAM mapping.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Dmitry M. Davydov ◽  
Andrey Boev ◽  
Stas Gorbunov

AbstractSituational or persistent body fluid deficit (i.e., de- or hypo-hydration) is considered a significant health risk factor. Bioimpedance analysis (BIA) has been suggested as an alternative to less reliable subjective and biochemical indicators of hydration status. The present study aimed to compare various BIA models in the prediction of direct measures of body compartments associated with hydration/osmolality. Fish (n = 20) was selected as a biological model for physicochemically measuring proximate body compartments associated with hydration such as water, dissolved proteins, and non-osseous minerals as the references or criterion points. Whole-body and segmental/local impedance measures were used to investigate a pool of BIA models, which were compared by Akaike Information Criterion in their ability to accurately predict the body components. Statistical models showed that ‘volumetric-based’ BIA measures obtained in parallel, such as distance2/Rp, could be the best approach in predicting percent of body moisture, proteins, and minerals in the whole-body schema. However, serially-obtained BIA measures, such as the ratio of the reactance to resistance and the resistance adjusted for distance between electrodes, were the best fitting in predicting the compartments in the segmental schema. Validity of these results should be confirmed on humans before implementation in practice.


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