{"title":"Conclusions and recommendations.","authors":"T. Rubin","doi":"10.6027/9789289335454-11-en","DOIUrl":"https://doi.org/10.6027/9789289335454-11-en","url":null,"abstract":"The current management of the Delta is unsustainable for almost all stakeholders. 2. Recent improvement in the understanding of the Delta environment allows for more sustainable and innovative management. 3. Most users of Delta services have considerable ability to adapt economically to risk and change. 4. Several promising alternatives exist to current Delta management. 5. Significant political decisions will be needed to make major changes in the Delta.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"3 4 1","pages":"289-90"},"PeriodicalIF":0.0,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41774772","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":"Chapitre 2. La transdisciplinarité : un nouveau statut du sujet en santé ? Questionnement épistémologique et éthique","authors":"Patrick Paul","doi":"10.3917/jib.263.0047","DOIUrl":"https://doi.org/10.3917/jib.263.0047","url":null,"abstract":"Les decouvertes en genetique humaine interrogent regulierement le sens et les limites de nos interventions. En effet, intervenir sur la nature physique interpelle leur cadre ethique. Mais un hiatus existe entre une medecine qui traite des desequilibres biologiques, des maladies a repercussions organiques et la realite psychologique, sociale et culturelle des personnes humaines traitees. Cet ecart espere s’attenuer grâce a la bioethique, mot qui presente, en sa vocation, l’aspiration a reunir le « bios » (les techniques et connaissances issues de la biologie) et l’ethique. L’ethique refere donc a « soi-meme », a ce qui possede une existence propre, contrairement a la quete d’universalite de la science et des technologies. La meme difference se trouve suggeree avec le genome qui comprend des elements universels essentiels a la transmission du codage et au developpement de la vie en general mais qui porte l’inscription et la manifestation de caracteres individuels. Entre universel et singulier se demasque la problematique des niveaux differents de la realite humaine. Chacun presente ses lois propres faisant que le questionnement genetique ou bioethique n’est pas seulement scientifique ou moral mais aussi phenomenologique, epistemologique et logique. La transdisciplinarite en ces domaines pourrait favoriser le debat et ouvrir des points de vue novateurs concernant la question du sujet dans, a travers et au-dela de la maladie.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"1 1","pages":"47-62"},"PeriodicalIF":0.0,"publicationDate":"2016-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83700867","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":"Chapitre 3. L’observation participante pour éviter l’inféodalisation des éthiques « autres »","authors":"Claudine Brelet","doi":"10.3917/JIB.263.0063","DOIUrl":"https://doi.org/10.3917/JIB.263.0063","url":null,"abstract":"When we want to implant efficient, lasting healthcare programmes in order to improve the health conditions of a population, we have to be able to distance ourselves from our own conceptions of what is ethical or not, good or bad, better or worse. In fact, these notions can be conceived differently according to the sociocultural context. Thus, international aid has taught us how harmful it can be to impose changes which, a priori, may go against \"other\" ethics. The imbalances and misunderstandings that result always jeopardise the success of programmes which, otherwise, might have been accepted and even taken over by the populations concerned. Therefore the theoretical and methodological approaches of anthropology can contribute significantly to having certain programmes proposed which respect both so-called 'universal' values and the values of local populations who could benefit from them. In this article, by examining the history of the theoretical and methodological developments of participant observation, we will see how it could constitute an initiatory praxis to ethics in general and culturally enrich certain principles advocated by biomedical ethics. By enabling semantic bridges from one culture to another, and vice versa, this classic approach of anthropology makes it possible to integrate into the ways of implanting healthcare projects the manner in which a population perceives its own systems of reference and values. From the scientific point of view, it is essential to develop approaches which avoid having \"other\". ethics subjugated to Western concepts. Research on ethnomedicines could therefore contribute to their being taken into account in projects aiming at the common good.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"9 1","pages":"63-83"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91208103","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":"Chapitre 7. Lois de bioéthique et réalité du terrain lors d’études épidémiologiques en Guyane et au Cameroun","authors":"P. Tortevoye, A. Gessain","doi":"10.3917/jib.263.0135","DOIUrl":"https://doi.org/10.3917/jib.263.0135","url":null,"abstract":"L’objectif de cet article est de decrire les difficultes que nous avons rencontrees, durant les vingt dernieres annees, pour respecter les lois de bioethique en vigueur au cours d’etudes epidemiologiques realisees en Guyane Francaise et au Cameroun. Ces travaux de recherches visaient a mieux comprendre les modes de transmission de deux virus : le retrovirus humain T lymphotrope de type 1 et le virus herpes humain 8. Ces etudes, effectuees dans des villages fortement endemiques pour un ou deux de ces virus, visaient aussi a rechercher les facteurs genetiques impliques dans l’infection de l’enfant. Il s’agit de recherches scientifiques menees aupres de populations a faible niveau d’education et a fortes contraintes socio-economiques. Realisees en population generale, elles necessitent un recueil des donnees familiales, pour construire des arbres genealogiques et un prelevement sanguin pour les analyses genetiques. Elles sont sans benefice direct pour les personnes qui y participent. A l’aide d’exemples concrets, recueillis au cours d’enquetes sur le terrain, nous illustrons les problemes que nous avons rencontres pour mettre en pratique les lois de bioethique francaises. Nous presenterons et discuterons ainsi le cadre legislatif en vigueur, les populations d’etudes, les notions d’information prealable et de consentement eclaire, l’adaptation necessaire pour prendre en compte l’organisation sociale locale et l’importance de la hierarchie familiale. Enfin, la question du rendu des resultats de ce type d’enquete sera discutee, ainsi que celle des mesures compensatoires eventuelles. Cet inventaire revele : 1) les limites de la reglementation actuelle, souvent peu adaptee a la recherche en epidemiologie et a ce type de population, ainsi que 2) les choix ethiques qui incombent alors a l’investigateur.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"35 1","pages":"135-162"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84630442","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":"Chapitre 5. Asymétrie de pouvoir dans la recherche en santé mondiale, quels enjeux éthiques ? Une étude pilote auprès de chercheurs au Bénin","authors":"P. Gogognon, B. Godard","doi":"10.3917/JIB.263.0103","DOIUrl":"https://doi.org/10.3917/JIB.263.0103","url":null,"abstract":"La recherche en sante mondiale constitue un puissant levier pour la realisation des valeurs morales de justice et d’equite en sante dans plusieurs pays du sud. Mais la conduite de la recherche en sante mondiale dans les pays du sud souleve aussi des defis ethiques considerables. Une etude pilote aupres de chercheurs au Benin a permis d’explorer l’experience des chercheurs sur les defis ethiques en recherche en sante mondiale, notamment en rapport avec l’asymetrie de pouvoir dans la conduite de la recherche. L’etude met en lumiere la complexite du contexte social d’ou emergent l’asymetrie de pouvoir et les processus a partir desquels ils se manifestent. En outre, elle revele la vulnerabilite des chercheurs evoluant dans un environnement ou ils restent exposes a des situations susceptibles d’alterer la conduite de la recherche ou mettre en peril les valeurs morales qu’ils portent. Enfin ces resultats suggerent l’existence d’une demarche novatrice a travers des initiatives destinees a faire face aux contraintes de terrain.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"14 1","pages":"103-118"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73236700","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":"Chapitre 7. Préservation de la fertilité et la mort à venir : une double peine ?","authors":"L. Janny, J. Pouly, A. Gremeau, F. Brugnon","doi":"10.3917/JIB.262.0111","DOIUrl":"https://doi.org/10.3917/JIB.262.0111","url":null,"abstract":"La preservation de la fertilite lorsque celle-ci est menacee est un droit inscrit dans la loi francaise relative a la bioethique.Elle est le plus souvent pratiquee avant des traitements gonadotoxiques pour des cancers ayant une longue survie.Quand le patient a une esperance de vie limitee, la preservation de sa fertilite est-elle licite ?Les auteurs exposent les arguments pour et contre la preservation de la fertilite dans cette situation particuliere et donnent la conduite qu’ils adoptent dans leur equipe.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"73 1","pages":"111-117"},"PeriodicalIF":0.0,"publicationDate":"2015-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85792682","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":"Chapitre préliminaire. Bioéthique : de la capacité de comprendre l’homme au pouvoir de normer les faits","authors":"S. Tzitzis","doi":"10.3917/jib.262.0015","DOIUrl":"https://doi.org/10.3917/jib.262.0015","url":null,"abstract":"La bioethique est a la fois theoria et praxis. Elle procede par tactiques qui accompagnent la dynamique de la science et la mobilite de l’ethique selon les valeurs propres aux lieux, aux epoques et aux cultures. Dans cette perspective, la bioethique, avec ses exigences normatives, se trouve au-dela de toute politique etatique. Des lors les normes auxquelles elle se rapporte comprennent des meta-valeurs. Or, la valeur meme qu’impose la norme juridique a un fait est une meta-valeur existentielle car il y a deja des valeurs qui enveloppent la nature de ce fait et la morale que cette nature contient.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"43 1","pages":"15-26"},"PeriodicalIF":0.0,"publicationDate":"2015-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88742323","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":"Chapitre 16. Euthanasie et suicide assisté","authors":"Caroline Lantero","doi":"10.3917/jib.262.0227","DOIUrl":"https://doi.org/10.3917/jib.262.0227","url":null,"abstract":"L’euthanasie et le suicide assiste ne relevent pas des legislations francaises sur les lois bioethiques et n’ont, pour l’heure, aucune definition ni encadrement normatif autre que leur repression penale. Pour qu’elles deviennent le cas echeant un droit, ces notions convoquent assurement un debat ethique et juridique. La presente communication tend a s’interroger sur les pistes de reflexions, les socles conceptuels et les outils normatifs susceptibles d’etre utiles au debat.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"81 1","pages":"227-243"},"PeriodicalIF":0.0,"publicationDate":"2015-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79710090","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":"Chapitre 8. La paternité post mortem","authors":"Jean-Pierre Marguénaud","doi":"10.3917/JIB.262.0119","DOIUrl":"https://doi.org/10.3917/JIB.262.0119","url":null,"abstract":"Post mortem paternity, namely the procreation after the death of the man whom is part of the couple, is one of the questions which raised the most hesitations since the first bioethics laws of 1994. The National Assembly, encouraged by several opinions of the CCNE (National advisory committee of ethics) had let itself convince that the transfer had, at least, to be authorized in utero embryos preserved at the regard of which no one could not claim to have rights equal or higher than those of the woman concerned. However, the Senate always ended up obtaining the maintenance of an absolute prohibition of posthumous procreation (starting) from the spermatozoids or frozen embryos. This indifference with the cruelty of the application of the law to the women plunged into mourning--based on a paradoxical appreciation of the interest of the child not to be born orphan, and on a not very glorious taking into account of the interest of the Body of notaries not to change its practices--is particularly debatable. One can, nevertheless, try to understand it according to the obsession of the legalization of surrogate motherhood by application of the principle of nondiscrimination which could justify the requests of the men who, thanks to a surrogate mother, would wish to become fathers starting from gametes or embryos taken or created before the death of their wife or partner.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"86 1","pages":"119-128"},"PeriodicalIF":0.0,"publicationDate":"2015-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82281009","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":"Chapitre 14. L’intérêt et la conservation des cellules souches du sang de cordon : approche comparative des droits anglais et français","authors":"Allane Madanamoothoo","doi":"10.3917/jib.262.0199","DOIUrl":"https://doi.org/10.3917/jib.262.0199","url":null,"abstract":"Devenir parents est un des plus grands souhaits de beaucoup de couples. Lorsque leurs reves se realisent, prealablement a la naissance de l’enfant, les parents doivent se pencher sur plusieurs points : le choix du prenom, le lieu de l’accouchement, l’allaitement ou le biberon, etc. Depuis quelques annees les enjeux des cellules souches du sang de cordon se posent a eux. Les chercheurs et les banques placentaires s’y interessent egalement. Dans de nombreux pays beaucoup de publicites sont faites autour des cellules souches contenues dans le sang du cordon ombilical. En France comme en Angleterre, l’utilisation et la conservation du sang de cordon sont reglementees par les legislateurs sans pour autant qu’ils aient des approches similaires.L’objectif de cet article est de presenter les approches des droits anglais et francais sur les cellules souches du sang de cordon.","PeriodicalId":81629,"journal":{"name":"Journal international de bioethique = International journal of bioethics","volume":"78 1","pages":"199-214"},"PeriodicalIF":0.0,"publicationDate":"2015-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78014789","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}