Ethical decision-making frameworks assist in identifying the issues at stake in a particular setting and thinking through, in a methodical manner, the ethical issues that require consideration as well as the values that need to be considered and promoted. Decisions made about the use, sharing, and re-use of big data are complex and laden with values. This paper sets out an Ethics Framework for Big Data in Health and Research developed by a working group convened by the Science, Health and (...) Policy-relevant Ethics in Singapore Initiative. It presents the aim and rationale for this framework supported by the underlying ethical concerns that relate to all health and research contexts. It also describes a set of substantive and procedural values that can be weighed up in addressing these concerns, and a step-by-step process for identifying, considering, and resolving the ethical issues arising from big data uses in health and research. This Framework is subsequently applied in the papers published in this Special Issue. These papers each address one of six domains where big data is currently employed: openness in big data and data repositories, precision medicine and big data, real-world data to generate evidence about healthcare interventions, AI-assisted decision-making in healthcare, public-private partnerships in healthcare and research, and cross-sectoral big data. (shrink)

As opposed to a ‘one size fits all’ approach, precision medicine uses relevant biological, medical, behavioural and environmental information about a person to further personalize their healthcare. This could mean better prediction of someone’s disease risk and more effective diagnosis and treatment if they have a condition. Big data allows for far more precision and tailoring than was ever before possible by linking together diverse datasets to reveal hitherto-unknown correlations and causal pathways. But it also raises ethical issues relating to (...) the balancing of interests, viability of anonymization, familial and group implications, as well as genetic discrimination. This article analyses these issues in light of the values of public benefit, justice, harm minimization, transparency, engagement and reflexivity and applies the deliberative balancing approach found in theEthical Framework for Big Data in Health and Research to a case study on clinical genomic data sharing. Please refer to that article for an explanation of how this framework is to be used, including a full explanation of the key values involved and the balancing approach used in the case study at the end. Our discussion is meant to be of use to those involved in the practice as well as governance and oversight of precision medicine to address ethical concerns that arise in a coherent and systematic manner. (shrink)

The ethics of betel nut use in Taiwan are examined in this article. It first presents scientific facts about the betel quid, its consumption and negative health consequences and then analyses the cultural background and economic factors contributing to its popularity in Asia. Governmental and institutional attempts to curb betel nut cultivation, distribution and sales are also described. Finally, the bioethical implications of this often ignored subject are considered.

Bài viết đề xuất mô hình nghiên cứu các yếu tố ảnh hưởng tới Truyền thông mạng xã hội trong việc nâng cao nhận diện thương hiệu quốc gia, đặc biệt trong bối cảnh Cách mạng Công nghiệp 4.0. Dựa trên các lý thuyết và nghiên cứu trước đó, nhóm tác giả đề xuất mô hình gồm các yếu tố: Trí tuệ nhân tạo (AI); Dữ liệu lớn (Big Data); Nội dung do người dùng tạo (UGC); Tương tác thời gian (...) thực (Real-Time Engagement); Quản lý danh tiếng số (Digital Reputation Management). Các yếu tố này được khám phá để tìm hiểu tác động của chúng đến vai trò của truyền thông mạng xã hội trong việc định hình và thúc đẩy bản sắc thương hiệu của một quốc gia. (shrink)

This article addresses the ethics of betel nut use in Taiwan. It first presents scientific facts about the betel quid and its consumption and the generally accepted negative health consequences associated with its use: oral and esophageal cancer, coronary artery disease, metabolic diseases, and adverse effects in pregnancy. It then analyzes the cultural background and economic factors contributing to its popularity in Asia. The governmental and institutional attempts to curb betel nut cultivation, distribution, and sales are also described. Finally, the (...) article analyzes the bioethical implications of this often-ignored subject from the perspectives of human dignity, the good of health, vulnerable groups, cultural diversity, informed consent, and ethical blind spots. (shrink)

According to a familiar reading of Kant, he denies the possibility alleged by the rationalists of our having non-sensible or intellectual intuition. I argue in this article that he simply holds the possibility to be groundless. To put the contrast in terms of a distinction Kant makes in the A-Paralogisms, he raises a “dogmatic” objection to the rationalists in the former case, and a “critical” one in the latter. By analyzing the two-step argument in the B-Deduction, I defend the “critical” (...) reading, which may, I hope, shed light on how Kant can justify his claim – which may be regarded as a second-order, methodological one pivotal to his Critical project – that possible experience serves as the only guideline for proving that we can cognize objects a priori. (shrink)

Thông qua kết quả khảo sát đối với 850 khách hàng mua sắm tại 4 thương hiệu bán lẻ hàng tiêu dùng tại TP. Hồ Chí Minh là: Co.opmart, Winmart, Mega Market và Bách hóa xanh, nghiên cứu nhằm kiểm định các nhân tố ảnh hưởng đến giá trị thương hiệu của doanh nghiệp bán lẻ hàng tiêu dùng trên địa bàn TP. Hồ Chí Minh. Kết quả nghiên cứu cho thấy, có 6 nhân tố ảnh hưởng tới Giá trị (...) thương hiệu của doanh nghiệp bán lẻ hàng tiêu dùng theo thứ tự giảm dần gồm: (1) Lòng trung thành với thương hiệu, (2) Thái độ với thương hiệu, (3) Sự tin cậy thương hiệu, (4) Chất lượng cảm nhận, (5) Nhận thức thương hiệu, (6) Sự gắn bó với thương hiệu. (shrink)

Nghiên cứu nhằm xác định và đo lường các nhân tố tác động đến sự vận dụng hệ thống kế toán chi phí dựa trên cơ sở hoạt động (ABC) tại các doanh nghiệp sản xuất hoạt động trên địa bàn tỉnh Đồng Nai. Kết quả nghiên cứu cho thấy, có tổng cộng 5 nhân tố tác động tích cực đến vận dụng hệ thống kế toán chi phí tại các doanh nghiệp sản xuất trên địa bàn tỉnh Đồng Nai, (...) gồm: Sự ủng hộ của ban lãnh đạo; Tầm quan trọng về thông tin chi phí; Trình độ nhân viên kế toán; Huấn luyện và đào tạo; Quy mô doanh nghiệp. (shrink)

In a society where filial piety is regarded as a social norm, should a son consent to withdrawing treatments to his terminally ill father or should he request that his father’s life be maintained as long as possible? Leaving a father unattended is regarded as unfilial in a Confucian society, let alone untreated while being ill. Although Taoism also teaches filial piety, it asserts artificially as unnatural. In other words in Taoist view, uselessly prolonging a life through life-sustaining devices or (...) futilely treating an incurable terminal patient is against the will of Heaven. This paper is not an argument in favor of euthanasia but a discussion of what is natural and un-natural in terms of life and death phenomenon from Taoist perspective. Artificial life relying on external means is not harmonious with nature. Thus keeping a person in PVS stage alive should be ethically flaw. In this sense, don’t all attempts to cure illness un-natural? This author will say that if treatments can restore health, then it is not un-natural. But if medical procedures fail to revert the deterorating health of a terminally ill patient and treatments prove to be futile, foregoing treatments can be regarded as flowing with Heaven and thus is ethically justifiable. (shrink)