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PubMed1994

Cost containment: the Middle East. Saudi Arabia.

The 1970s and early 1980s saw the phenomenal growth and development of healthcare services in Saudi Arabia. This growth was unique in that it took place in a country that lacked basic infrastructure and trained personnel, but had recently acquired great wealth. Developments that took hundreds of years to occur in other countries took only 20 yrs to attain in Saudi Arabia. This growth posed unique challenges and required novel solutions. Recently, the country has had to cope with a drastic decrease in oil revenue, as well as cutbacks in healthcare funding. Now that the basic foundations of a national healthcare service have been constructed, it remains to be seen whether gains can be consolidated and steady progress made as more and more Saudi nationals take over and run their own public and private healthcare services.

Cost Control↗
PubMedDate not supplied

Thirty years ago.

Explore the source record for details and available documents.

Bioethics↗
PubMed2000

The wisdom of nature in integrating science, ethics and the arts.

This paper deals with an approach to the integration of science (with technology and economics), ethics (with religion and mysticism), the arts (aesthetics) and Nature, in order to establish a world-view based on holistic, evolutionary ethics that could help with problem solving. The author suggests that this integration is possible with the aid of "Nature's wisdom" which is mirrored in the macroscopic pattern of the ecosphere. The corresponding eco-principles represent the basis for unifying soft and hard sciences resulting in "deep sciences". Deduction and induction will remain the methodology for deep sciences and will include conventional experiments and aesthetic and sentient experiences. Perception becomes the decisive factor with the senses as operators for the building of consciousness through the subconscious. In this paper, an attempt at integrating the concepts of the "true", the "right" and the "beautiful" with the aid of Nature's wisdom is explained in more detail along with consequences.

Art↗
PubMed2006

Ethical considerations of neuroscience research: the perspectives on neuroethics in Japan.

Recent technologies and developments in neuroscience have contributed to remarkable scientific discoveries, and have also raised many new philosophical, ethical, legal, and social issues. Research in "neuroethics" has identified various ethical issues, which will be difficult for current biomedical ethics to resolve from both an experimental and a social perspective, such as criminal applications of brain scans, incidental findings during non-clinical brain imaging, and cognitive enhancement. Although American and European neuroscience societies have demonstrated immediate, concrete reactions to these ethical issues, including academic conferences, study programs, and publications, Japanese neuroscientists have so far produced little response. Ethics is tightly linked with one's religion, nationality, culture, and social background, whereas science is tightly linked with the demand, economics, and politics of the society to which individuals belong. Taken together, it is important and necessary for Japanese neuroscientists to consider the ethical problems in Japanese neuroscience. In this paper, we first review the history of neuroethics in the world, and then report the less-developed ethical issues in the Japanese neuroscience community, focusing on neuroimaging and manipulative neuroscience as a first step in discussing how to apply principles in neuroethics to this rapidly progressing field of research.

Bioethical Issues↗
PubMed2003

Liberalisation of abortion laws in Nigeria: the undergraduates' perspective.

Nothing in the field of health care generates more controversy than does the issue of abortion. The views of 396 undergraduates of Obafemi Awolowo University, Ile-Ife, Nigeria concerning the liberalisation of abortion laws were investigated in May 2001. Ninety respondents (22.7%) supported the liberalisation of abortion laws in Nigeria because they believed that it would lead to reduction in associated morbidity and mortality, encourage more qualified personnel to perform it, encourage women to request abortion openly and encourage accurate statistics on abortion. However, the majority of the respondents (59.6%) opposed the liberalisation of abortion laws due to the fear that it would increase promiscuity, sexually transmitted diseases and abortion rates. Religious opposition and the belief that liberalisation would not reduce the level of poverty, ignorance and poor reproductive health facilities were the common factors leading to unwanted pregnancy and unsafe abortion in Nigeria. Support for the liberalisation of abortion laws shows significant relationship with increasing age (P = 0.001), male sex (P = 0.001) and a science-orientated faculty (P<0.05), but not religion. There is every indication that the issue of abortion is one that will continue to be unresolved for the forseeable future.

Abortion, Induced↗
PubMedDate not supplied

[Qualitative and quantitative methods in biomedical research]

OBJECTIVE: To describe the main characteristics of the qualitative and quantitative research methods, to compare their differences, strengths and weaknesses, and to review complimentary assumptions. METHOD: Medline search and review of textbooks and selected articles. RESULTS: In order to understand the world where he lives, man organizes investigations along with philosophy, with religion and, in the last centuries, with science. The two principal paradigms of science adopt different research strategies. The quantitative paradigm, dominant in biomedical research, uses methods adopted from the physical sciences, epidemiology and statistics. These methods are used deductively, and aim to generate measures that are objective, reliable and generalizable. The qualitative paradigm uses methods that are common to anthropology, and are most conducted for discovery, identification, qualitative description, and explanation-generation. Each methodological approach has its own strengths and limitations, and it is the nature of the research question that will determine which approach is preferable. In many circumstances, the use of both approaches is necessary, as complimentary. CONCLUSIONS: Although qualitative methods are poorly known by many investigators, particularly by physicians, they are not new to medicine. In fact, medicine is based on qualitative methods, and both investigators and practitioners should use multiple methodologies in order to achieve better health and quality of life for their patients.

Journal Article↗
PubMed1994

The fetus as a patient.

This article highlights the concept, history and development of fetal medicine. The first attempts of fetal medicine date from the stone age and have continued throughout the medieval and modern ages. Attempts to influence fetal health and pregnancy outcome at first were purely theoretical and passive, limited by ignorance, fear, and religion. With the development of the medical sciences, the role of the obstetrician became more active. Today, not only obstetricians, but many other experts in the field of antenatal care as well, deal with the great number of medical and technological advances. The limitations arising today are mainly ethical. The main question that still has not been answered is to what extent the physician is allowed to interfere with the process of fetal development and pathology, based upon real fetal and maternal benefit. In order to answer this question and to coordinate many activities by different experts in this field, an international society antitled The Fetus as a Patient was formed in 1985. Croatian experts have played a leading role in this concept.

Ethics, Medical↗
PubMed2003

Conclusions: from self-knowledge to a science of the self.

Traditional accounts of the self represented in religion, literature, philosophy, and other branches of the humanities, are grounded in the subject's personal introspections. This source of knowledge has had a profound impact on terminology, concepts, and theories of the self. By contrast, the scientific method, which uses observational and experimental data, is aimed at objective analyses. The scientific approach to the self, by its very nature, is distinct from the approach in the humanities, and therefore reveals a different view of the self, and sparks new debate about what the self really is. Moreover, different scientific disciplines, spanning the natural and social sciences, investigate different levels of organization, leading to a multifaceted scientific picture of the self. This conference and volume explored areas where some of the different approaches to the self overlap and will, it is hoped, promote the establishment of a richer, more coherent image of what the self is.

Animals↗