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The paper is inspired by the ‘new’ bills concerning ‘rules on informed consent and advance directives’ recently presented to the Italian Parliament. The paper aims at tracing the contours of a legislation equipped with robust legal... more
The paper is inspired by the ‘new’ bills concerning ‘rules on informed consent and advance directives’ recently presented to the Italian Parliament. The paper aims at tracing the contours of a legislation equipped with robust legal criteria useful to make decision in the most critical health care situations whenever individuals are nearing the end of life. The paper also defines the features of such a legislation with regard to the complex interrelationship between rights, duties, and responsibilities of the actors involved. The paper marks the ideal limits within which the law ought to be framed. For this purpose, references are made to the current legal and ethical framework and to ‘secularism’, which is the supreme principle of the Italian legal order, as stated by the Constitutional Court in 1989 .
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针对ＣＩＭＳ生产线的一般结构，并有工作站不可靠，有多种运行方式及有限缓冲库等特点，依据工作站的实际平均加工时间，提出了一种新的可靠性建模和分析方法，计算示例表明，这种方法较现有的方法适用面广，且计算量小。
Cendon, P; Feola, D; Ferrando, G; Fucci, S; Gaudino, L; Immacolato, M; Moretti, M; Mori, M; Nannucci, U; Panzeri, F; Santosuosso, A; Venchiarutti, A; Vezzoni, C
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1. Il tema del matrimonio omosessuale è tra quelli che, nel nostro Paese, non hanno, a tutt'oggi, cessato di apparire scomodi e, in quanto tali, continuano a essere oggetto di più o meno sdegnate prese di distanza da parte di una... more
1. Il tema del matrimonio omosessuale è tra quelli che, nel nostro Paese, non hanno, a tutt'oggi, cessato di apparire scomodi e, in quanto tali, continuano a essere oggetto di più o meno sdegnate prese di distanza da parte di una componente dell'opinione pubbli-ca, ...
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The paper is inspired by the 'new' bills concerning 'rules on informed consent and advance directives' recently presented to the Italian Parliament. The paper aims at tracing the contours of a legislation equipped with... more
The paper is inspired by the 'new' bills concerning 'rules on informed consent and advance directives' recently presented to the Italian Parliament. The paper aims at tracing the contours of a legislation equipped with robust legal criteria useful to make decision in the most critical health care situations whenever individuals are nearing the end of life. The paper also defines the features of such a legislation with regard to the complex interrelationship between rights, duties, and responsibilities of the actors involved. The paper marks the ideal limits within which the law ought to be framed. For this purpose, references are made to the current legal and ethical framework and to 'secularism', which is the supreme principle of the Italian legal order , as stated by the Constitutional Court in 1989. SOMMARIO: 1. La posta in gioco e i punti fermi da cui partire-2. Consenso informato, eccezioni e casi particolari-3. Volontà anticipate relative ai trattamenti...
Front cover: Graphic project based on "Tomba del tuffatore", Paestum, 5 th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV,... more
Front cover: Graphic project based on "Tomba del tuffatore", Paestum, 5 th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover design: Marta Tomasi
Front cover: Graphi projeet ased o Toa del tuffatore, Paestum, 5 th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover... more
Front cover: Graphi projeet ased o Toa del tuffatore, Paestum, 5 th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover design: Marta Tomasi
Front cover: Graphi projeet ased o Toa del tuffatore, Paestu, th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover... more
Front cover: Graphi projeet ased o Toa del tuffatore, Paestu, th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover design: Marta Tomasi
Front cover: Graphi projeet ased o Toa del tuffatore, Paestu, th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover... more
Front cover: Graphi projeet ased o Toa del tuffatore, Paestu, th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover design: Marta Tomasi
Front cover: Graphic project based on "Tomba del tuffatore", Paestum, 5 th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV,... more
Front cover: Graphic project based on "Tomba del tuffatore", Paestum, 5 th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover design: Marta Tomasi
Front cover: Graphic project based on "Tomba del tuffatore", Paestum, 5 th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV,... more
Front cover: Graphic project based on "Tomba del tuffatore", Paestum, 5 th century b.C., on permission nr. 15/2014 by Ministero dei Beni e delle Attività Culturali e del Turismo-Soprintendenza per i Beni Archeologici di SA, AV, BN e CE. Cover design: Marta Tomasi
Informazione, consenso e riservatezza nella relazione medico-paziente. Dalla deontologia alla l. 675/96 (di Patrizia Borsellino) - ASBTRACT: "Information", "consent" and "privacy" are three key notions in... more
Informazione, consenso e riservatezza nella relazione medico-paziente. Dalla deontologia alla l. 675/96 (di Patrizia Borsellino) - ASBTRACT: "Information", "consent" and "privacy" are three key notions in coming to grips with any analysis of the transformation that has been affecting the relationship between the doctor and his patient for several years, in Italy as elsewhere, and for evaluating the impact that can be exerted on it by the normative tools entrusted with disciplining a field that has traditionally been the preserve of medical deontology and has only recently come within the scope of legal jurisdiction. After calling attention to the liberal model of the doctor-patient relationship, which has been increasingly successful, to the detriment of the paternalistic model, the author focuses on the norms designed to guarantee the privacy of information about an individual's state of health as enumerated in Law N° 675/96 and the subsequent legi...
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The foremost legal and political theorist in Italy today, Norberto Bobbio founded in the 1940s Italian analytical legal positivism, trying to merge logical positivism and Kelsen’s legal positivism. As a political thinker, he defends a... more
The foremost legal and political theorist in Italy today, Norberto Bobbio founded in the 1940s Italian analytical legal positivism, trying to merge logical positivism and Kelsen’s legal positivism. As a political thinker, he defends a synthesis of liberalism and socialism, focusing in particular on the defence of human and civil rights in democratic societies.
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Starting from the observation that the cochlear implantation represents a “therapeutic frontier” that has radically changed the scenarios of irremediability in the most serious cases of deafness and, above all, of deep congenital deafness... more
Starting from the observation that the cochlear implantation represents a “therapeutic frontier” that has radically changed the scenarios of irremediability in the most serious cases of deafness and, above all, of deep congenital deafness that cannot be compensated with hearing devices, the article aims at clarifying the ethical and legal problems arising by the application of the method in the case of young children. With the intent to address and unravel the problematic issue of refusing intervention by some parents, proponents of the “deaf culture”, the benefit for the child is highlighted, in terms of protection of psycho-physical health, and not only of the protection of life, as a criterion intended according to the law in force in Italy to shape (and limit) the choices that the parental responsibility holders are called to make on behalf of the child. Because of this criterion, it is stressed that the parent’s conviction that their child's life is at their disposal has no...
O artigo analisa a nova Lei italiana no 219/2017, relativa as regras sobre consentimento informado e sobre disposicoes antecipadas. O trabalho destaca as razoes pelas quais essa nova Lei representa um importante marco normativo no que diz... more
O artigo analisa a nova Lei italiana no 219/2017, relativa as regras sobre consentimento informado e sobre disposicoes antecipadas. O trabalho destaca as razoes pelas quais essa nova Lei representa um importante marco normativo no que diz respeito a assistencia a saude na Italia. Essa Lei nao apenas fornece regras sobre disposicoes antecipadas, mas vai alem: marca as fronteiras da relacao medico-paciente e define o modelo de assistencia que deve inspirar a pratica clinica. O artigo sublinha a importância de algumas disposicoes como o direito de recusar tratamentos que mantem a vida e, ao mesmo tempo, isencao das responsabilidades civil e penal do medico que retirou ou reteve esses tratamentos quando o paciente expressou sua recusa. Alem disso, outras disposicoes sao analisadas, como aquelas relativas aos deveres do medico de nao administrar tratamentos futeis e de aliviar o sofrimento, sempre e em qualquer caso, mesmo quando o paciente tenha recusado tratamentos, fornecendo sedacao...
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After identification of indifference towards terminal patients as the key aspect of pre-modern as well as of modern technological medicine and clarification of the ethical-methodological reasons for this attitude, the paper focuses on... more
After identification of indifference towards terminal patients as the key aspect of pre-modern as well as of modern technological medicine and clarification of the ethical-methodological reasons for this attitude, the paper focuses on medical practice and ethics as reformulated by the introduction of palliative care in the health care system. Starting from the question whether this model exists in Italy and whether there are the cultural conditions for its implementation, the paper takes into account initiatives of private citizens in the 1980s, which forestalled institutional interventions, aiming at spreading an adequate assistance for terminal patients. In particular, the paper deals with the role played by the Committee for the End-of life. The paper describes its activities from 1991 till present. Particular attention has been payed to highlighting the constant commitment of the Committee to affirming the inseparable link between relief of suffering and respect for autonomy of terminal patients. The paper underlines the current and persistent relevance of this commitment, in particular as palliative care is being administered in increasingly early phases of illness in order to meet patients’ needs in different pathological scenarios, not exclusively oncological.
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The paper frames the issue from the philosophy of law’s viewpoint to determine the current "state of health" of informed consent starting from some critical areas (like the physician-patient relationship, illnesses with poor... more
The paper frames the issue from the philosophy of law’s viewpoint to determine the current "state of health" of informed consent starting from some critical areas (like the physician-patient relationship, illnesses with poor prognosis and the endof life medical care, genetics, clinical research and practice) and from its legal sources (like judicial decisions). The author’s claim is that informed consent does not need to be weakened in this historical period in order to strenghten solidarity and trust to achieve common goals for all human beings. Instead, she aims at proving that trust and solidarity should be placed in a participatory and cooperative scenario which should be fed by the respect, at the highest levels, of individual self-determination, and therefore of informed consent.
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The paper frames the issue from the philosophy of law’s viewpoint to determine the current “state of health” of informed consent starting from some critical areas (like the physician-patient relationship, illnesses with poor prognosis and... more
The paper frames the issue from the philosophy of law’s viewpoint to determine the current “state of health” of informed consent starting from some critical areas (like the physician-patient relationship, illnesses with poor prognosis and the endof life medical care, genetics, clinical research and practice) and from its legal sources (like judicial decisions). The author’s claim is that informed consent does not need to be weakened in this historical period in order to strenghten solidarity and trust to achieve common goals for all human beings. Instead, she aims at proving that trust and solidarity should be placed in a participatory and cooperative scenario which should be fed by the respect, at the highest levels, of individual self-determination, and therefore of informed consent.
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Withholding and withdrawing a treatment already established are two forms of limitation of the therapeutic effort (LTE). The question of undergoing or not undergoing lifesaving medical treatments is not restricted to a specific health... more
Withholding and withdrawing a treatment already established are two forms of limitation of the therapeutic effort (LTE). The question of undergoing or not undergoing lifesaving medical treatments is not restricted to a specific health care context, as it refers to a variety of treatments, and it does not concern a restricted group of diseases. LTE has become part of the options compatible with the good clinical practice, in accordance with a deep change in modern medicine's 'mission' along with the increased importance attributed to the patient's general, personal condition, and to the quality of his/her life. However, LTE remains a controversial issue, and it still has many opponents, in particular, but not exclusively, in those cases in which the question is the withdrawal of treatments, which a widespread conventional wisdom considers ethically and legally different from not initiating treatments. But is it justified to address LTE as a totally controversial issue...
Italian's abstract: Con una preliminare messa a fuoco sullo statuto della bioetica, sulla pluralità di prospettive nel panorama attuale e sull'orizzonte laico, entro il quale si inscrive il percorso d'analisi proposto, il... more
Italian's abstract: Con una preliminare messa a fuoco sullo statuto della bioetica, sulla pluralità di prospettive nel panorama attuale e sull'orizzonte laico, entro il quale si inscrive il percorso d'analisi proposto, il volume affronta le implicazioni giuridiche, oltre che morali, ...
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SIDALC - Servicio de Informacion y Documentacion Agropecuaria de las Americas.
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... anche si tratti di un trattamento salvavita già posto in essere 1 . Oppure casi, come quelli di Terri Schiavo e di Eluana Englaro 2 , nei ... E, da ultimo, il caso di Piergiorgio Welby, salito agli onori delle cronache negli ultimi... more
... anche si tratti di un trattamento salvavita già posto in essere 1 . Oppure casi, come quelli di Terri Schiavo e di Eluana Englaro 2 , nei ... E, da ultimo, il caso di Piergiorgio Welby, salito agli onori delle cronache negli ultimi mesi del 2006, grazie al quale, nel contesto italiano, come ...
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... il segreto su tutto ciò che gli è confidato o che può conoscere in ragione della sua professione", nonché di "conservare il massimo riserbo sulle prestazioni professionali effettuate o programmate", superando,... more
... il segreto su tutto ciò che gli è confidato o che può conoscere in ragione della sua professione", nonché di "conservare il massimo riserbo sulle prestazioni professionali effettuate o programmate", superando, opportunamente, la limitazione del dovere di riservatezza alle sole ...
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... anche si tratti di un trattamento salvavita già posto in essere 1 . Oppure casi, come quelli di Terri Schiavo e di Eluana Englaro 2 , nei ... E, da ultimo, il caso di Piergiorgio Welby, salito agli onori delle cronache negli ultimi... more
... anche si tratti di un trattamento salvavita già posto in essere 1 . Oppure casi, come quelli di Terri Schiavo e di Eluana Englaro 2 , nei ... E, da ultimo, il caso di Piergiorgio Welby, salito agli onori delle cronache negli ultimi mesi del 2006, grazie al quale, nel contesto italiano, come ...
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SIDALC - Servicio de Informacion y Documentacion Agropecuaria de las Americas.