Resumen: Este manuscrito examina la complejidad creciente de la ciberadiccin, un fenmeno cada vez ms normalizado socialmente pero aun insuficientemente investigado y regulado.La ciberadiccin comparte rasgos con otras formas de dependencia, al surgir de experiencias de placer inmediato que pueden transformarse en necesidad.Desde una perspectiva multidisciplinaria, el texto analiza factores histricos, familiares, neurobiolgicos y sociotcnicos que contribuyen a su desarrollo, destacando el papel del placer digital y de las arquitecturas tecnolgicas diseadas para captar y retener la atencin del usuario.Asimismo, se abordan los dilemas ticos asociados a su conceptualizacin, interrogando si la ciberadiccin constituye un trastorno autnomo o una manifestacin de transformaciones ms amplias en la relacin humana con la tecnologa.El manuscrito profundiza en tensiones vinculadas a autonoma, vulnerabilidad, responsabilidad corporativa y privacidad, proponiendo un enfoque que reconoce la complejidad moral del ecosistema digital contemporneo.En conjunto, el trabajo articula aportes de la neurociencia, la psicologa, la biotica y los estudios sociotcnicos para ofrecer una comprensin integrada del fenmeno.Se plantea la necesidad de equilibrar los beneficios del uso intensivo de tecnologas con los riesgos asociados, promoviendo prcticas que favorezcan un uso saludable, crtico y ticamente responsable.En sntesis, se sita la ciberadiccin como un desafo emergente de la era digital.

Resumen: Una de las principales estrategias para la prevencin en salud mental es el acceso oportuno a ayuda profesional.No obstante, distintas barreras dificultan que los adolescentes y jvenes reciban de manera temprana esta atencin profesional.El objetivo del presente artculo es reflexionar sobre el rol de la autonoma en la bsqueda de ayuda en salud mental en poblacin adolescente.Se plantea el constructo de "autonoma" desde una perspectiva de psicologa del desarrollo y desde la tica.Luego, se presenta y describe evidencia de investigaciones que relacionan a la autonoma con temas de salud mental, con algunos constructos relacionados con el ajuste psicolgico y con la conducta de bsqueda de ayuda para problemas de salud mental.A partir de lo evidenciado, se discuten implicancias y lineamientos para la

Korea's system for end-of-life care and letting people die is quite rigid in the direction of maintaining life.The Lifesustaining Treatment Decision Act was enacted in 2016, but there was little opportunity for the breadth and depth of public discussion to develop before that.This paper aims to show the "concerns about the slippery slope" that some of the participants in the legislative debate had as one of the historical reasons for creating the conservative framework and detailed provisions of Korea's Life-sustaining Treatment Decision Act.Because of their arguments, the law was structured as a barricade to prevent slippery slopes.However, in 2022, the fifth year after the law took effect, a bill was proposed to legalize physician-assisted dying.This paper makes a worrisome prediction that this radical movement will continue unless it is possible to set treatment goals tailored to the patient's medical condition and values through the guarantee of the right to refuse treatment.

Hospice care represents the 'last mile' of a person-centred health system, mitigating physical suffering while addressing existential, psychosocial and spiritual needs at life's end.China has recently incorporated hospice services into national health strategies; yet provision remains uneven and, in many regions, embryonic.Drawing on an ethical-humanistic framework that integrates principlism with insights from Confucian care ethics, this review examines the principal barriers to a truly humanised hospice system.We synthesise policy documents and empirical literature to map four interlocking impediments: (i) the marginalization of hospice care in national health priorities; (ii) economic constraints in hospice care access; (iii) lack of scientific understanding of death and hospice care in society; and (iv) inadequate investment in hospice infrastructure and education.Ethical analysis reveals that these barriers compromise the core values of autonomy, beneficence and justice, and undermine the Confucian ideal of yang-sheng shan-zhong (caring for life and dying well).To advance a humanistic hospice model with Chinese characteristics, we propose: (1) optimizing top-level design and government-led mechanisms; (2) increasing financial input and reforming medical insurance policy; (3) optimizing hospice care through education and cultural integration; and (4) accelerating supply-side reform in hospice care.Addressing these ethical and structural deficits is essential to honouring patient dignity and realising equitable, high-quality end-of-life care across China.

Resumen: Este trabajo reflexiona acerca de la competencia comunicativa intercultural como aporte para la formacin de profesionales en ciencias de la salud.Se visualiza un modelo de salud reduccionista, tecnocrtico y descontextualizado culturalmente, y se aprecia como gran barrera el escaso desarrollo de la "competencia comunicativa intercultural" en profesionales de la salud, lo cual dificulta la comunicacin con pacientes de otras culturas.Por tanto, es de vital relevancia desarrollar esta competencia en la formacin de estos profesionales.Ello implicar, desarrollar componentes que subyacen a esta competencia, esto es, conciencia intercultural, sensibilidad intercultural y eficacia intercultural, lo que permitir la adquisicin de habilidades cognitivas, afectivas y conductuales que beneficien una comunicacin efectiva y apropiada con los pacientes de contextos culturales y sociales diversos.Asimismo, les permitirn comprender en profundidad aspectos, valores y prcticas que subyacen a un sistema de salud culturalmente distinto, y promover el avance en el conocimiento, compresin y desarrollo de prcticas innovadoras y pertinentes

Hospitals, as the main entities providing medical services, face the crucial question of how to ensure the fairness and accessibility of medical services in strengthening the construction of integrity ethics.Patient-centered care is the code of conduct for medical services, requiring hospitals to provide high-quality and efficient medical services.This study delves into patients' experiences, needs, and expectations regarding the construction of integrity ethics in hospitals, aiming to offer guidance and practical pathways for protecting patient rights, promoting reforms in the medical service system, and building trust-based doctor-patient relationships.In the context of an aging population and the goal of achieving universal health coverage, it is essential to allocate medical resources reasonably, ensuring the quality and credibility of medical services.Based on the stance of protecting patient rights, this study analyzes the current state of China's medical service system and proposes specific measures to improve the quality of medical services and patient satisfaction, striving to provide valuable references for fostering positive interaction between patients and hospitals.

This article investigates an under-discussed provision of the European Union's (EU's) General Data Protection Regulation (GDPR) regarding genetic data, i.e., the right to be forgotten.The debate on this right came from the commercerelated side of data protection instead of the medical side.Thus, this article addresses the implications of the RTBF for the lawful processing of familial genetic data.The article develops a normative, ethically focused principles argument about interpreting genetic data's right to be forgotten.It gives due consideration to autonomy, privacy, and human dignity.It argues that the individualistic approach of genetic privacy materialised through the extreme solution of data erasure is challenging to combine with familial and scientific research interests.The article suggests an interpretation of the GDPR according to bioethical principles and the inclusion of a specific exception regarding genetic data to prevent patients from claiming the right to be forgotten.