Monday, August 24, 2020

Google Drive Tutorial and Google Sheet for Monitoring

Hello Everyone,

For the last couple of days, I have received an overabundance of emails because of the submission of requirements. It is actually challenging to monitor and grade all the requirements that are sent thru my email. As such, I have devised a particular format for me and you to monitor and submit your requirements. Please download Google Drive Tutorial and check link for your respective Google sheet Link. 

Google Drive Tutorial

Philo 133A


 

 For any queries, you may still email me. 

Thanks.

Saturday, August 08, 2020

Activity No. 1

Instructions:

Read the article below. No worries, you are not required to submit anything for the moment. All that I’m asking is that you ponder on the questions given below.

1. What do you know about the story in the article? What did you feel when you’ve watched or heard of it? What was your initial reaction?
2. Was there anything right or wrong about the situation?
3. Does this situation depict an ethical situation? Why or why not? What makes it ethical or unethical in the first place?
4. What would set the situation depicted in the article apart or different from other ethical dilemmas or situation? Why?


Case: Video scandal grips Cebu hospital

Man’s surgery posted on YouTube
By Carine M. Asutilla
Cebu Daily News
First Posted 14:07:00 04/15/2008

CEBU CITY, Philippines – A Cebuano male florist in his 30s was teary-eyed when he saw the video of his surgery for the first time. The emergency operation last January was already traumatic. Having a spray can removed from his rectum after a night of sex with a stranger was something he regretted.

Danilo (not his real name) was horrified to see images of the surgery three months later circulating on the popular video-sharing website YouTube. Danilo said he felt violated and would file charges against medical personnel at the government-owned Vicente Sotto Medical Memorial Center (VSMMC).He said his rights to privacy and confidentiality were violated. He was also offended when he saw in the video how medical interns and workers jeered and laughed when the metal can of Black Suede body spray was pulled out of his rectum. The can was inserted by a man he had casual sex with last New Year's Eve. Danilo said he was asleep when it happened.

“Mao nay confidential nga nikatag na man diay (This is what they called confidentiality when they spread it around),” lamented Danilo. “Mura man sila'g di mga graduhan oi. Sakto diay na? Gioperahan na gani ka, gisakitan ka, unya igo ra ka pistahan (They act as if they are not educated. Is this right? They operated on you, you were in pain then they feasted on you).” Danilo said he had heard about the Black Suede Internet scandal but he never realized it was about him until Basak Pardo barangay (village) Captain Dave Tumulak showed him the video.

Cebu Daily News checked the video on YouTube, but the website said it had been pulled out.

Doctor Gerardo Aquino, VSMMC medical center chief, formed a committee last month to look into the violation of confidentiality after he heard about the video and without waiting for a complaint, said Dr. Emanuel Gines, the hospital's committee chairman on media.

“We believe that there was a break in the flow of procedure during the operation,” said Gines.

The investigation would determine who posted the video on the Internet and who should be held liable for the breach of operation procedure and confidentiality, said Gines. He said results would be known this week. He said the probe also aims to review hospital policy, especially since it was the first time that such an incident happened in the VSMMC.
Since there were nursing interns inside the operating room at that time, their schools had been informed about the investigation.

“I heard they were also conducting their own investigation,” said Gines. Normally, only eight medical workers are allowed inside the operating room. But based on the video, there were more than eight inside the operating room. The hospital does not take a video of all operations but only select cases for academic purposes, Gines said. He stressed that this is done only when there is consent from the patient and that the record is treated with utmost confidentiality and with respect for the rights of the patient.

According to Danilo, his trauma started on December 31 last year when he met a man in the streets who offered to have sex with him for P100. Danilo, who said he was drunk, brought the man home and had sexual intercourse with him. But he recalled bruising the man's ego by criticizing the size of his sex organ. Apparently challenged, the man told Danilo to have sex with him again, but this time using the canned body spray he found inside Danilo's room.

“Ingon ko di ko, unya nakabati na lang ko nga sakit (I said no, but later I felt something painful),” he said.

Danilo said he then fell asleep. The man was gone when he woke up. Danilo said he felt something painful inside his body. It was even more painful when he tried to urinate. He said he started to get scared when he remembered what the man last told him and when he could no longer find his body spray. Danilo, however, decided not to inform his family so as not to ruin the New Year's celebration. He only came clean on January 2. His family then brought him to the hospital for a check-up.

When doctors discovered there was a foreign object in his body, Danilo said he noticed that the doctors and nurses kept asking him how it felt and why they had done it. He was scheduled for operation the following day. Danilo complained that there were too many people inside the operating room before he dozed off due to the anesthesia.

“Gayaw-yaw ko, oi. Naingon man ni’g Carbon, kadaghan ba sa tawo (I kept on complaining. I said it looked like Carbon market in there because there were so many people),” he said.

Danilo was discharged from the hospital January 5. He thought his trauma would end there but on January 18, he went back to the hospital to get his medical records. A doctor then informed him that they had videotaped the operation and kept the body spray. “Nangutana pa man gani to siya nako kung mangayo ba kuno ko'g copy, ingon ko dili (He asked me if I would ask for a copy and I said no),” said Danilo.

He said the doctor promised him the video and other records would be treated with confidentiality. About two months later, Danilo said he was surprised that barangay captain Tumulak sought him out and showed him the video. In the video, as the canister was being pulled out of his body, people inside the operating room were heard laughing while someone shouted “baby out, baby out...” When the can was fully extracted, the same person screamed: “body spray” followed by laughter and jeers. The cap was opened, then returned. Then the can was held up like a trophy before it was wrapped in surgical gauze.

Barangay captain Tumulak said he was willing to help Danilo press charges. He said he recognized the operating room in the video because he had been in VSMMC before. That was when he started tracing the identity of the patient and was surprised to find the patient was a resident of his barangay. On Monday, Tumulak wrote to Dr. Aquino, asking to change some hospital procedures to prevent a similar incident from happening again. He said the posting of the video in the Internet violated several provisions of the Patients Bill of Rights, including the right to be free from unwarranted publicity and to good quality health care and professional standards.

While Danilo’s face was not seen on the video, Tumulak said his right to privacy was violated because many of his colleagues knew it was him. Because of the video, Danilo stopped mingling with his friends, he said.


Philo 133 Course Outline , Policies and Requirements

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Ethics of Care

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Bioethical Principles...summary

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Summary: Natural Law Ethical Theory

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Summary: On Ethical Theories

Introduction to Ethical Theories
Consider these questions:
1. Is it right for a woman to have an abortion for any reason?
2. Should children with serious birth defects be put to death?
3. Do people have a right to die?
4. Does everyone have a right to medical care?
5. Should physicians ever lie to their patients?
6. Should people suffering from a genetic disease be allowed to have children?
7. Can parents agree to allow their children to be used as experimental subjects?

· Our attitudes changes, however, when we find ourselves in a position in which we are the decision makers. It changes, too, when we are in a position in which we must advise those who make the decision. Or when we are on the receiving end of the decision.
· Are there any rules, standards, or principles that we can use as guides when we are faced with moral decisions?
· We must turn to general ethical theories and to a consideration of moral principles that have been proposed to hold in all contexts of human action.
· Ethical theories attempt to articulate and justify principles that can be employed as guides for making moral decisions and as standards for the evaluation of actions and policies.
· Ethical theories also offer a means to explain and justify actions. If our actions are guided by a particular theory, then we can explain them by demonstrating that the principles of the theory required us to act as we did.
· Their general aim is to show that the theory is one that any reasonable individual would find persuasive or would endorse as correct. Accordingly, appeals to religion, faith, or nonnatural factors are not considered to be either necessary or legitimate to justify the theory. Rational persuasion alone is regarded as the basis of justification.




PRINCIPLE OF UTILITARIANISM
· John Stuart Mill calls it the “principle of utility” and states is this way: “Actions are right in proportion as they tend to promote happiness, wrong as they tend to produce the reverse of happiness.”
· The principle focuses attention on the consequence of actions, rather than upon some feature of the actions themselves. The “utility” or “usefulness” of an action is determined by the extent to which it produces happiness. Thus, no action is in itself right or wrong. Nor is an action, right or wrong by virtue of the actor’s hopes, intentions, or past actions. Consequences alone are important.
· Using the principle, we are supposed to consider the possible results of each of the actions. Then we are to choose the one that produces the most benefit (happiness) at the least cost (unhappiness). The action we take may produce some unhappiness, but it is a balance of happiness over unhappiness that the principle tells us to seek.
· Example:
- Suppose, for example, that a woman in a large hospital is near death; she is in a coma, an EEG shows only minimal brain function, and a respirator is required to keep her breathing. Another patient has just been brought to the hospital from the scene of an automobile accident. His kidneys have been severely damaged, and he is in need of an immediate transplant. There is a good tissue match with the woman’s kidneys. Is it right to hasten her death by removing a kidney?

· The principle of utility would probably consider the removal justified. The woman is virtually dead, while the man has a good chance of surviving.
· The principle of utility is also called the “greatest happiness principle” by Bentham and Mill. Those actions are right that produce the greatest happiness for the greatest number of people. This alternative formulation makes it obvious that in deciding how to act it is not just my happiness or the happiness of a particularly person or group that must be considered.
· According to utilitarianism, every person is to count just as much as any other person. That is, when we are considering how we should act, everyone’s interest must be considered.
· In making a moral decision we must look at the situation in an objective way. We must, he says, be a “benevolent spectator” and then act in a way that will bring about the best results for all concerned.
· Utilitarianism is considered to be teleological ethical theory. (“Teleological” comes from the Greek word “telos” which means “end” or “goal.”) A teleological ethical theory judges the rightness of an action in terms of an external goal or purpose – “general happiness” or utility for utilitarianism. However, utilitarianism is also a consequentialist theory, for the outcomes or consequences of actions are the only considerations relevant to determining their moral rightness.




ACT UTILITARIANISM AND RULE UTILITARIANISM
· Act utilitarianism holds that the principle should be applied to particular acts in a particular circumstances. Rule utilitarianism maintains that the principle should be used to test rules, which can in turn be used to decide the rightness of particular acts.
· Act utilitarianism holds that an act is right if, and only if, no other act could have been performed that would produce a higher utility.
· The great strength of act utilitarianism is that it invites us to deal with each case as unique. When the circumstances of another case are different, we might, without being inconsistent, choose another of the possible actions.
· Rule utilitarianism maintains that an action is right if it conforms to a rule of conduct that has been validated by the principle of utility as one that will produce at least as much utility as any other rule applicable to the situation.
· The rule utilitarianism is not concerned with assessing the utility of individual actions, but of particular rules. All that we have to establish is that following a certain rule will, in general, result in a situation in which utility is maximized.
· The basic idea behind rule utilitarianism is that having a set of rules that are always observed produces the greatest social utility.
· Thus, for act utilitarianism it is perfectly legitimate to violate a rule if doing so will maximize utility in that instance. By contrast, the rule utilitarian holds that rules must generally be followed, even though following them may produce less net utility ( more unhappiness that happiness) in a particular case.
· Critique:
- Clearly what is missing from utilitarianism is the concept of justice. It cannot be right to increase the general happiness at the expense of one person or group. There must be some way of distributing happiness and unhappiness and avoiding exploitation.



KANT’S ETHICS
· For Kant, the consequences of an action are morally irrelevant. Rather, an action is right when it is in accordance with a rule that satisfies a principle he calls the “categorical imperative.”
· Act only on that maxim which you can will to be a universal law. Kant calls the principle “categorical” to distinguish it from “hypothetical” imperatives. These tell us what to do if we want to bring about certain consequences – such as happiness. A categorical imperative prescribes what we ought to do without reference to any consequences. The principle is an “imperative” because it is a command.
· The test imposed on maxims by the categorical imperative is one of generalization or “universalizability.” The central idea of the test is that a moral maxim is one that can be generalized to apply to all cases of the same kind. That is, you must be willing to see you rule adopted as a maxim by everyone who is in a situation similar to yours. You must be willing to see your maxim universalized, even though it may turn out on some other occasion to work to your disadvantage.
· Example:
- Suppose for example, that I am a physician and I tell a patient that he has a serious illness, although I know that he doesn’t. This may be to my immediate advantage, for the treatment and the supposed cure will increase my income and reputation. The maxim of my action might be phrased as “Whenever I have a healthy patient, I shall lie to him and say that he has an illness.”
· Another formulation of the categorical imperative, “Always act so as to treat humanity, either yourself or others, always as an end and never as only means.
· Every rational creature has a worth in itself. This worth is not conferred by being born into a society with a certain political structure , nor even by belonging to a certain biological species. The worth is inherent in the sheer possession of rationality. Rational creatures possess what Kant calls an “autonomous, self-legislating will.” Rationality confers upon everyone an intrinsic worth and dignity.
· Moral rules are not mere arbitrary conventions or subjective standards. They are objective truths that have their source in the rational nature of human beings.
· For Kant, happiness is at best a conditional or qualified good. In his view, there is only one thing that can be said to be good in itself: a good will.
· Will is what directs our actions and guides our conduct. But what makes a will a “good will”? Kant’s answer is that a will becomes good when it acts purely for the sake of duty.
· Morality for Kant, does not rest on results, such as the production of happiness- but neither does it rest on our feelings, impulses, or inclinations. An action is right, only when it is done for the sake of duty.
· Two types of duties: Perfect duty is one we must always observe. Imperfect duty is one that we must that we must observe only on some occasions. I have a perfect duty not to injure another person, but I have only an imperfect duty to show love and compassion.



An Introduction: Bioethics (Summary)

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