在机能实验教学中加强动物实验伦理学教育的实践与思考

动物实验是机能实验学申的主要研究手段,对帮助医学生加深课堂理论知识的理解,提高动物实验操作技能有十分重要的作用。实验动物的伦理问题已经在生物医学研究中得到广泛关注,在机能实验教学中加强动物实验伦理学教育是医学生医德培养的重要途径。     

医药院校教学中应注重培养实验动物福利观念

在生命科学、医学和药学研究中,实验动物作为直接的实验材料和人类的替难者,具有不可替代的地位和作用。实验动物福利影响着实验动物的身心健康和动物实验的质量,进而影响到科学研究的科学性、可靠性和公众认可程度。各医药院校是培养未来医务人员、科研工作者的机构,在其教学中,都涉及到利用实验动物进行实际操作的训练学习,许多学科都与实验动物学科有着密不可分的内在联系。因此,在医药院校教学中,树立和培养医学生实验动物福利观念具有重要意义。     

优化实验动物学授课内容和方法

实验动物是医学生物学研究的四大支撑条件之一。实验动物学是研究实验动物和动物实验的一门学科。学习实验动物学知识,不仅使学生能够了解国家有关实验动物的法律、法规,同时也能够使学生准确地选择和正确地使用实验动物,有助于促进实验动物学与医学生物学的融合,因而对医学生来说具有生特殊重要的意义。     

动物福利在研究生实验动物学教学中的应用初探

在医学研究中,实验动物具有不可替代的地位和作用,越来越多的人开始关心动物福利。各医学院校是培养未来科研工作者的机构,实验动物在医学院校的使用量非常大,因此,在课堂教学中,培养医学生树立保护动物福利的观念具有重要意义。本文从课堂教育、实验动物处理、3R原则的实施等方面探讨了如何在教学过程中开展动物福利教育。     

实验动物的麻醉方法简介

在动物学和动物生理学等实验中,许多项目需要动物,如蟾蜍、家兔,猫等。这些动物在急性或慢性实验中,都必须事先给予麻醉以消除实验动物的兴奋。麻醉的深浅度可以从给与的剂量来控制,也应注意动物的机能状况,否则将会由于剂量过大,麻醉过深而引起呼吸中枢的麻醉,     

冬眠哺乳动物心血管机能特点

冬眠动物心血管系统适应于冬眠和激醒过程的特殊生理条件形成了其显著的机能稳定性。我们在总结已有研究的基础提出了冬眠动物心血管系统具有耐低体温,抗主律失常,耐缺氧三大机能特点。这些特点不仅是冬眠动物五非冬眠动物的区别,也是冬眠动物在冬眠季机能强化的方面。     

小白鼠淋巴结分布的初步研究

淋巴结是淋巴系统的重要组成部分。它能产生淋巴细胞,与机体的免疫机能有着密切的关系。小白鼠是生物学和医学中常用的实验动物之一,而其淋巴系统,尤其是淋巴结更是常用的实验材料。为此,对小白鼠淋巴结的分布和大小做了初步的研究。现将结果报告如下:     

血小板与动脉粥样硬化和冠心病的关系

当前对于动脉粥样硬化的发病机理提出了一些学说。不管提什么学说,研究血小板在其中所起的作用都是重要的。宏观的动物实验证实了一定数量的、机能正常的血小板是形成粥样病变及动脉血栓的必要条件,亚细胞水平的研究揭示了血小板的奥秘行径;循环血中血小板聚集物的形成,往往扰乱微循环而引起致命的危害。这说明了血小板与动脉粥样硬化症的密切关系。值得注意的是动脉粥样硬化症患者的血小板机能,往住高于正常人。     

电刺激家兔大脑皮层的降压效应及其机制的分析

在动物实验中,电刺激大脑皮层特别是古皮层所谓边缘叶时,往往引起心血管系统及其它植物性机能的变化(Kaada,1951;Anand和Dua,1956;Kaada,1960;Hoff,1963;Delgado和Livingston,1948)。我们在兔和描的实验中,刺激和带回不同区域也看到血压的时相性变化。不少作者发现这些古皮层兴奋时,躯体活动和行为往往与植物性机能变化同时出现;同样,刺激新皮层,如皮层运动区,除了引起躯体运动外,植物性机能也有所     

抗生素对BALB/C小鼠免疫机制的影响

本文给普通BALB/C小鼠口服不同剂量的链霉素、新霉素干扰动物肠道菌群平衡状态,初步研究了肠道菌群平衡紊乱对动物迟发型超敏反应、脾脏抗体形成细胞数、外周血白细胞化功能、腹腔巨噬细胞吞噬活性的影响,以初步探讨普通动物中正常菌群与免疫机制间的微生态关系。结果表明,口服两种抗生素破坏动物正常菌群平衡均可导致机体免疫机能水平降低;免疫机能降低程度与抗生素抗菌谱、药物剂量及用药时间有密切关系。提示,口服抗生素引起机体肠道正常菌群平衡紊乱是导致机体免疫机能下降的重要原因;正常菌群与机体保持稳定的平衡状态对机体免疫机能的正常发挥是必不可少的。     

医学研究伦理学的发展现状与前景

创新技术的开展和转化医学的注重给医学的发展注入了新的活力,但同时,也带来了一系列社会伦理问题和法律问题。生命医学伦理学的兴起和发展催生了医学研究伦理学分支学科形成,目的在于推进解决涉及人体的医学研究的伦理问题。当前,面临的最突出的伦理问题在于,对医学研究合法性、先进性及伦理性的把握,对医学研究伦理审查必要性的认知,对医学研究方案设计与伦理道德的匹配,对医学研究知情同意的告知,对医学研究风险与受益的平衡。逐步与国际接轨,加强伦理委员会制度建设;提高伦理审查能力建设,形成高水平的伦理审查队伍;学术组织和团体共同努力,推进医学研究伦理学的发展,这将助推医学研究伦理学的发展。     

医德视域下医学生医学精神的建构

近些年来,我国十分重视医学生职业道德教育,然而,在医德教学实践中仍存在着观念落后、内容失衡和方法单一等多方面问题。同时,随着我国多元结构社会的形成,医学生的思想状况和价值观趋于复杂化,从业时职业道德水平出现滑坡。针对目前医学生医德教育存在的种种问题,试图从加强和改进医学生医德教育的角度,探索医学生医德教育改革,增强医学生医德教育的实效性。     

A moderate Buddhist animal research ethics

Though there is a burgeoning interest in applied Buddhist ethics, Buddhist animal research ethics remains an underdeveloped area. In this paper I will explore how some central Buddhist ethical considerations can usefully engage our use of other animals (henceforth, animals) in science. As the scientific use of animals is broad, I will narrow my focus to laboratory science. I will show that, though a Buddhist abolitionism would not be unmotivated, it is possible to reject it. While doing so, it will be important to resist emphasizing elements of Buddhist thought that merely provide reasons to adopt the dominant ethical framework governing laboratory animal research ethics, known as the 3Rs. Though I will suggest how a Buddhist animal research ethics can sometimes permit the use of animals in harmful research, it will also require ethical constraints that resonate with some of the more progressive elements in ‘Western’ bioethics.     

CONTEMPORARY MEDICAL ETHICS: AN OVERVIEW FROM IRAN

The growing potential of biomedical technologies has increasingly been associated with discussions surrounding the ethical aspects of the new technologies in different societies. Advances in genetics, stem cell research and organ transplantation are some of the medical issues that have raised important ethical and social issues. Special attention has been paid towards moral ethics in Islam and medical and religious professions in Iran have voiced the requirement for an emphasis on ethics. In the last decade, great strides have been made in biomedical ethics, especially in the field of education, research and legislation. In this article, contemporary medical ethics in Iran, and the related moral philosophy, have been reviewed in brief and we have discussed some of the activities in the field of medical ethics that have been carried out in our country within recent years. These activities have included the establishment of the National and Regional Committees for Medical Research Ethics and the production of national codes of ethics in biomedical research in the 1990s and the introduction of a comprehensive strategic plan for medical ethics at the national level in 2002. This paper will discuss these issues, along with the production, in 2005, of the Specific National Ethical Guidelines for Biomedical Research.     

Enriching the concept of vulnerability in research ethics: An integrative and functional account

The concept of vulnerability is widely used in research ethics to signal attention to participants who require special protections in research. However, this concept is vague and under‐theorized. There is also growing concern that the dominant categorical approach to vulnerability (as exemplified by research ethics regulations and guidelines delineating vulnerable groups) is ethically problematic because of its assumptions about groups of people and is, in fact, not very guiding. An agreed‐upon strategy is to move from categorical towards analytical approaches (focused on analyzing types and sources of vulnerability) to vulnerability. Beyond this agreement, however, scholars have been advancing competing accounts of vulnerability without consensus about its appropriate operationalization in research ethics. Based on previous debates, we propose that a comprehensive account of vulnerability for research ethics must include four components: definition, normative justifications, application, and implications. Concluding that no existing accounts integrate these components in a functional (i.e., practically applicable) manner, we propose an integrative and functional account of vulnerability inspired by pragmatist theory and enriched by bioethics literature. Using an example of research on deep brain stimulation for treatment‐resistant depression, we illustrate how the integrative‐functional account can guide the analysis of vulnerability in research within a pragmatist, evidence‐based approach to research ethics. While ultimately there are concerns to be addressed in existing research ethics guidelines on vulnerability, the integrative‐functional account can serve as an analytic tool to help researchers, research ethics boards, and other relevant actors fill in the gaps in the current landscape of research ethics governance.     

Great Expectations: Teaching Ethics to Medical Students in South Africa

Many academic philosophers and ethicists are appointed to teach ethics to medical students. We explore exactly what this task entails. In South Africa the Health Professions Council's curriculum for training medical practitioners requires not only that students be taught to apply ethical theory to issues and be made aware of the legal and regulatory requirements of their profession, it also expects moral formation and the inculcation of professional virtue in students. We explore whether such expectations are reasonable. We defend the claim that physicians ought to be persons of virtuous character, on the grounds of the social contract between society and the profession. We further argue that since the expectations of virtue of health care professionals are reasonable, it is also sound reasoning to expect ethics teachers to try to inculcate such virtues in their students, so far as this is possible. Furthermore, this requires of such teachers that they be suitable role models of ethical practice and virtue, themselves. We claim that this applies to ethics teachers who are themselves not members of the medical profession, too, even though they are not bound by the same social contract as doctors. We conclude that those who accept employment as teachers of ethics to medical students, where as part of their contractual obligation they are expected to inculcate moral values in their students, ought to be prepared to accept their responsibility to be professionally ethical, themselves.     

Differences in Moral Judgment on Animal and Human Ethics Issues between University Students in Animal-Related,Human Medical and Arts Programs

Moral judgment in relation to animal ethics issues has rarely been investigated. Among the research that has been conducted, studies of veterinary students have shown greater use of reasoning based on universal principles for animal than human ethics issues. This study aimed to identify if this was unique to students of veterinary and other animal-related professions. The moral reasoning of first year students of veterinary medicine, veterinary technology, and production animal science was compared with that of students in non-animal related disciplines of human medicine and arts. All students (n = 531) completed a moral reasoning test, the VetDIT, with animal and human scenarios. When compared with reasoning on human ethics issues, the combined group of students evaluating animal ethics issues showed higher levels of Universal Principles reasoning, lower levels of Personal Interest reasoning and similar levels of Maintaining Norms reasoning. Arts students showed more personal interest reasoning than students in most animal-related programs on both animal and human ethics issues, and less norms-based reasoning on animal ethics issues. Medical students showed more norms-based reasoning on animal ethics issues than all of the animal-related groups. There were no differences in principled reasoning on animal ethics issues between program groups. This has implications for animal-related professions and education programs showing that students’ preference for principled reasoning on animal ethics issues is not unique to animal-related disciplines, and highlighting the need to develop student (and professional) capacity to apply principled reasoning to address ethics issues in animal industries to reduce the risk of moral distress.     

实验动物学教学内容及方法的探索与改进

实验动物学是生命科学研究的基础和支撑条件之一。在医学院校实验动物学的教学中,应以实验动物与动物实验标准化为中心,增加和完善动物模型、分子遗传、胚胎工程及转基因动物等理论内容,紧跟生命科学的发展趋势;同时注重理论教学与实验教学的相互结合,充分利用现代先进的教育技术,以基本实验、综合实验和自主设计实验培养学生的操作能力和创新思维。这些改革措施将对改进实验动物学的教学质量,提高医学院学生的科研水平有重要意义。     

GLOBAL HEALTH ETHICS FOR STUDENTS

As a result of increased interest in global health, more and more medical students and trainees from the 'developed world' are working and studying in the 'developing world'. However, while opportunities to do this important work increase, there has been insufficient development of ethical guidelines for students. It is often assumed that ethics training in developed world situations is applicable to health experiences globally. However, fundamental differences in both clinical and research settings necessitate an alternative paradigm of analysis. This article is intended for teachers who are responsible for preparing students prior to such experiences. A review of major ethical issues is presented, how they pertain to students, and a framework is outlined to help guide students in their work.