According to Psychological theories of motivation, sexuality is a biological need which urges to satisfy sexual desire. Though it is not essential for the survival of an individual, it plays a major role in the growth...According to Psychological theories of motivation, sexuality is a biological need which urges to satisfy sexual desire. Though it is not essential for the survival of an individual, it plays a major role in the growth, development, adjustment and well-being. Therefore, sexuality is a common aspect in the existence and it should not be neglected. However, in many religious ethical issues, sexuality had been treated negatively and identified as a barrier for an advanced spiritual life. Even in tribal societies there were some sexual taboos that controlled man＇s sexual behavior to some extent. Among religious ethical codes, one may find that it had been placed an important position for controlling or completely eliminating sexual behaviors. In modem world, what is evident is that this so called sexual need has been used for many commercial and marketing purposes. Even in advertising field, sexual desire of man is used as a mean of attracting public. Phonograph has become a very profitable illegal professional today. Sexual medicines, drugs and tools are available everywhere in the society. Though sexual education had been included into the curriculum in schools and higher education institutions, the awareness of sexuality among people seems to be in a low level. While biologically man is compelled to fulfill sexual desire internally, it is motivated externally by many social factors. So that not only misconceptions of sexuality, but also misbehaviors of sexuality can be observed in the society today. By examining these current situations of man＇s sexual behaviors, there is a big need to formulate a sexual ethical code--a code of law with the help of religious teachings. Otherwise these various sexual behaviors may create more and more social and world problems. In this paper, my aim is to examine Buddhist ethics in order to formulate a sexual ethical code.展开更多
There has been a paradigm shift in medicine away from tradition, anecdote and theoretical reasoning from the basic sciences towards evidence-based medicine(EBM). In palliative care however, statistically significant b...There has been a paradigm shift in medicine away from tradition, anecdote and theoretical reasoning from the basic sciences towards evidence-based medicine(EBM). In palliative care however, statistically significant benefits may be marginal and may not be related to clinical meaningfulness. The typical treatment vs. placebo comparison necessitated by ‘gold standard' randomised controlled trials(RCTs) is not necessarily applicable. The complex multimorbidity of end of life care involves considerations of the patient's physical, psychological, social and spiritual needs. In addition, the field of palliative care covers a heterogeneous group of chronic and incurable diseases no longer limited to cancer. Adequate sample sizes can be difficult to achieve, reducing the power of studies and high attrition rates can result in inadequate follow up periods. This review uses examples of the management of cancer-related fatigue and death rattle(noisy breathing) to demonstrate the current state of EBM in palliative care. The future of EBM in palliative care needs to be as diverse as the patients who ultimately derive benefit. Non-RCT methodologies of equivalent quality, validity and size conducted by collaborative research networks using a ‘mixed methods approach' are likely to pose the correct clinical questions and derive evidencebased yet clinically relevant outcomes.展开更多
文摘According to Psychological theories of motivation, sexuality is a biological need which urges to satisfy sexual desire. Though it is not essential for the survival of an individual, it plays a major role in the growth, development, adjustment and well-being. Therefore, sexuality is a common aspect in the existence and it should not be neglected. However, in many religious ethical issues, sexuality had been treated negatively and identified as a barrier for an advanced spiritual life. Even in tribal societies there were some sexual taboos that controlled man＇s sexual behavior to some extent. Among religious ethical codes, one may find that it had been placed an important position for controlling or completely eliminating sexual behaviors. In modem world, what is evident is that this so called sexual need has been used for many commercial and marketing purposes. Even in advertising field, sexual desire of man is used as a mean of attracting public. Phonograph has become a very profitable illegal professional today. Sexual medicines, drugs and tools are available everywhere in the society. Though sexual education had been included into the curriculum in schools and higher education institutions, the awareness of sexuality among people seems to be in a low level. While biologically man is compelled to fulfill sexual desire internally, it is motivated externally by many social factors. So that not only misconceptions of sexuality, but also misbehaviors of sexuality can be observed in the society today. By examining these current situations of man＇s sexual behaviors, there is a big need to formulate a sexual ethical code--a code of law with the help of religious teachings. Otherwise these various sexual behaviors may create more and more social and world problems. In this paper, my aim is to examine Buddhist ethics in order to formulate a sexual ethical code.
文摘There has been a paradigm shift in medicine away from tradition, anecdote and theoretical reasoning from the basic sciences towards evidence-based medicine(EBM). In palliative care however, statistically significant benefits may be marginal and may not be related to clinical meaningfulness. The typical treatment vs. placebo comparison necessitated by ‘gold standard' randomised controlled trials(RCTs) is not necessarily applicable. The complex multimorbidity of end of life care involves considerations of the patient's physical, psychological, social and spiritual needs. In addition, the field of palliative care covers a heterogeneous group of chronic and incurable diseases no longer limited to cancer. Adequate sample sizes can be difficult to achieve, reducing the power of studies and high attrition rates can result in inadequate follow up periods. This review uses examples of the management of cancer-related fatigue and death rattle(noisy breathing) to demonstrate the current state of EBM in palliative care. The future of EBM in palliative care needs to be as diverse as the patients who ultimately derive benefit. Non-RCT methodologies of equivalent quality, validity and size conducted by collaborative research networks using a ‘mixed methods approach' are likely to pose the correct clinical questions and derive evidencebased yet clinically relevant outcomes.
