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Il est souvent reproché à la réflexion bioéthique de s'essouffler dans cette course-poursuite qu'elle engage avec la science. Le moment est peut-être venu de s'arrêter sur le sens de ce possible affrontement. La science propose sans cesse à la connaissance de s'ancrer dans un réel immédiat porteur d'un espoir pour le présent. La réflexion bioéthique, parfois excessivement désincarnée, tente de replacer le progrès scientifique dans une vision plus large porteuse d'un sens qui échappe à l'immédiateté des enjeux. Le CCNE propose de revenir sur vingt ans d'avis pour que chacun puisse, sans complaisance ni formalisme, juger si le temps donne une légitimité à sa réflexion.

Bioethics --- Bioéthique --- #GBIB:CBMER --- Medische ethiek --- Ethique médicale --- Bioéthique

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241.63*2 --- Medicine --- Ethics. --- Theologische ethiek: medische ethiek: dokter; verpleegster; ziekenhuis

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Medicine --- Psychotherapy --- Hospital --- Pijn --- Relaties arts-patiënt --- Medische ethiek --- Psychotherapie --- Verzorgingsinrichtingen --- Douleur --- Relations médecin-patient --- Ethique médicale --- Psychothérapie --- Etablissements de soins

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The International Commission on Radiological Protection (ICRP) is recommending measures to guarantee the health of the public exposed to ionising radiation. During the last years, ICRP proposed fundamental changes in its protection approach. What is at stake in this evolution ? What is the ethical dimension of radiological protection and how can we frame the process options of ICRP within ethical theories ? The ICRP evolution is here analysed from different standpoints. The three successive approaches of radiological protection - justification, optimisation and limits - are focused on ethical aspects by physicists, biologists, engineers, medical physicians, philosophers, ethicists, psychologists and economists. These approaches also take place in the context of precaution and intergenerational responsibility. Recent tendencies in ICRP were paying less attention to justification and optimisation while decreasing the status of limits. The authors express convergences in their concern for a degradation of this unique system of protection based on the precautionary ALARA principle. The hierarchy and complementarities of the triple system of radiological protection are pointed out to be crucial both from ethical and political points of view.

Radiation --- Safety measures --- Moral and ethical aspects. --- Bestraling --- Medische ethiek --- Radiologie --- Radiation dosimetry --- Moral and ethical aspects --- Standards --- Congresses --- Ethics --- Monograph --- Physics --- Radiology --- Safety measures&delete& --- Radiation - Safety measures - Moral and ethical aspects.

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Pain --- Physician and patient --- Analgesics --- Relations médecin-patient --- Douleur --- Analgésiques --- drug therapy --- Treatment --- Pathophysiology --- Chemotherapy --- Traitement --- Physiopathologie --- Chimiothérapie --- Pijn --- Geneesmiddelen --- Medische ethiek --- Médicaments --- Ethique médicale --- Relations médecin-patient --- Analgésiques --- Chimiothérapie --- drug therapy. --- Douleur - Traitement