{"title":"Naturwissenschaftliche und (arzt-)rechtliche Grundlagen der Präimplantationsdiagnostik","authors":"F. Nawroth, M. Ludwig, P. Mallmann, K. Diedrich","doi":"10.30965/29498570-04602002","DOIUrl":"https://doi.org/10.30965/29498570-04602002","url":null,"abstract":"\u0000 Preimplantation genetic diagnosis (PGD) has led, since its first applications, to controversial, not always objective discussions concerning a possible licensure in strongly indicative, isolated cases of serious genetically determined diseases in Germany. T he intention of this paper is to portray the scientific-medical bases and problems, and to comment on the present legal situation in Germany. lt will, amongst other things, simultaneously comment not only on possible sources of error of the PG D, but also on the potential for misuse. lt will furthermore pose the question as to whether or not couples with a high risk of inheriting the corresponding diseases in Germany should be denied prevention of repeated induced abortions, or, respectively, must bear the likely premature death of their born children as a matter of fate.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121565127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Präimplantationsdiagnostik und der Status des Embryos","authors":"G. Rager","doi":"10.30965/29498570-04602003","DOIUrl":"https://doi.org/10.30965/29498570-04602003","url":null,"abstract":"\u0000 The debate about preimplantation genetic diagnosis (PGD) has put new life into the discussion about the various preimplantation stages of the human embryo. This article explains the embryological foundations for the description of preimplantation stages, provides an interpretation for the embryological findings (the embryo as a dynamic, self-organising system – twin development and individuality – the embryo as a person in becoming), and discusses problems with respect to individuality and personality of human embryos.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124415515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Entwicklung und Aufbau Klinischer Ethikkomitees in den Krankenhäusern der Malteser Trägergesellschaft","authors":"B. Gordijn, Norbert Steinkamp","doi":"10.30965/29498570-04604006","DOIUrl":"https://doi.org/10.30965/29498570-04604006","url":null,"abstract":"\u0000 Health care ethics committees (HECs) are a fairly recent phenomenon in Germany. Until the 1990s, the only working committees were Institutional Review Boards (IRBs) at University Medical Centers and the state-based Councils of Physicians. In 1997, the Protestant and Catholic hospital foundations launched a joint initiative to develop and implement interdisciplinary HECs. Since then several public, private and church-based providers of health care services have started relevant projects, some of them aimed even at making HECs a prerequisite of hospital accreditation. This paper describes a training program for core groups of staff from all Maltese Order hospitals in Germany. These core groups are being trained to implement an HEC at their respective hospitals. The authors of the training program wrote it for practical use in health care organizations. It is based upon a two-layer model of implementing elements of clinical ethics in hospitals, in which the HEC is supplemented by interdisciplinary ethical case deliberations in the ward.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128339182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ernährung nach Dialyseabbruch?","authors":"U. Eibach, K. Schaefer","doi":"10.30965/29498570-04601004","DOIUrl":"https://doi.org/10.30965/29498570-04601004","url":null,"abstract":"\u0000 Whether after the termination of renal dialysis the supply of liquid and solid foods as well as the mechanical removal of water should be continued is a moral problem, which is discussed within the context of the question under which condition a permanent termination of renal dialysis can be morally justified. The authors assume that medicine does not have the purpose of fighting incurable, viz. deadly diseases at all cost but that it is obliged to support life and reduce suffering without taking that life. Tue supply of liquid and solid foods is seen as a fundamental need implied by life itself. Doctors are obliged to satisfy that need even after the termination of renal dialysis, at least as long as the patient has given no clear indication to the contrary. Besides, the supply of liquids to uraemic patients proves to be a measure to reduce suffering and therefore ease dying, albeit under the condition that water is mechanically removed at the same time in order to avoid hyper-hydration.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130855059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erfahrungen mit der Einrichtung eines Ethikkomitees in einem konfessionellen Krankenhaus","authors":"K. Schaefer","doi":"10.30965/29498570-04604005","DOIUrl":"https://doi.org/10.30965/29498570-04604005","url":null,"abstract":"\u0000 At the bedside and in the health care system ethical competence is becoming more and more important. Tue hospital ethics committee, which through case studies enables training in the ethical aspects of patient care, and the ethics consultation, which is used for more complicated decisions, make a limited contribution to the development of an understanding for ethical problems and morally justified decision making. Since 1995 the St. Joseph's Hospital in Berlin has also organised further education courses and other activities designed to develop the specific ethical competence and self-image of its staff.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123222604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Das entschlüsselte Genom im Verständnis der Verfassung","authors":"Josef Isensee","doi":"10.30965/29498570-04602007","DOIUrl":"https://doi.org/10.30965/29498570-04602007","url":null,"abstract":"","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"179 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121053292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zum Begriff des »Therapeutischen Klonierens«","authors":"Thomas Heinemann","doi":"10.30965/29498570-04604009","DOIUrl":"https://doi.org/10.30965/29498570-04604009","url":null,"abstract":"","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129673439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dorothy J. MacLean Memorial Conference","authors":"J. Vollmann","doi":"10.30965/29498570-04601007","DOIUrl":"https://doi.org/10.30965/29498570-04601007","url":null,"abstract":"","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122033356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"»Was wissen wir, wenn wir das menschliche Genom kennen?«","authors":"Michael Fuchs","doi":"10.30965/29498570-04602009","DOIUrl":"https://doi.org/10.30965/29498570-04602009","url":null,"abstract":"","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114513379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}