很难找到和英文mental capacity相同含义的中文词。可以按字面翻译成心智能力,也可以按相对应的physical capacity (体力)翻译成脑力。在不同的语句中还能翻译成很多别的中文词,但这里要说的是人的大脑的功能。
这两天,凤凰卫视里又重播电视剧«外科风云»,而我正好在按医院要求,重温了一下英国在2005年开始实行的mental capacity act 2005(智能法)。
中国医患矛盾原因很多,但重要的一点是法律制度的不建全,不合理。不知道中国的法律是怎么定的,但按目前国内医院的具体操作,有一条极不合理的做法,就是病人没有对自己的治疗最后的决定权,都是别人在给病人做决定。无论大小手术,都要家属签字,选择什么治疗,也是家属说了算。所以才会有孕妇因为家属不签字,做不了剖腹产,难产死亡,还有跳楼自杀的。
这看上去是因为中国的国情,毕竟万一出了事,需要打交道的是家属。但是,这种做法的出发点是基于避免病人家属闹事,而置病人自己的愿望而不顾。因此,是自己决定自己的命运,还是把自己的命运交给别人,哪怕是最亲近的人,就成为英国和中国法律法规最大的不同之处。
按英国法律,无论是什么检查,治疗的决定,只要是病人心智正常,都必须要由病人自己做决定,例外只有儿童和心智不正常的成人。即便是这两个例外,医生也有最后的决定权,而不是家属。当然,这并不排除医护人员和病人家属沟通的重要性。
如何判定病人的心智是否正常并不总是那么简单。完全正常和明显的异常不难,但似是而非的灰色阶段却需要专业人员的评估。然而除非有明显的异常,一般都预定病人为心智正常,有能力自己做决定。确定不正常需要有确切的证据。即便有一过性的异常,仍应该采纳病人在正常时所做的决定,而不是让别人做决定。
而这里说的别人做决定,也不是家属,而是指定的社区或医院里的专业人士,当然也是需要和家属沟通,了解病人以前的心愿。这么一来,既解除了家属可能会有的道德压力,也使得对病人的服务,检查,治疗更合理。
当然,所以这些的基础是人和人,医护人员和病人家属基本的互信。
Fit as expected and less expensive than buying at the mall.
- Liberia
Finally an athletic shoe that gives me the fit and comfort I wanted.
- Liberia
been wearing these for years eliminated my leg pain look good and hold up good
- Liberia
My husband loves these sneakers and allows me to buy at a good price,will buy again
- Samoa
The Nike Air Monarch IV 415445-001 Men's Performance Running Shoes feels comfortable and great for walking
- Singapore
My husband is picky when it comes to his shoes. This is his go to athletic shoe. Great quality. Will purchase again.
- Singapore
I love the Air Monarch 4, especially now that it doesn't seem to have the squeeking problem that plagued them before. Very comfortable.
- Singapore
These are exactly as described. The 4E means extra wide, but 3E was not available so I went for these.I now have a fresh bounce in my air step.Best Regards,
- Singapore
This is one of the few cross-trainer style shoes available in a wide width. These fit my feet much better than other athletic shoes. Note that the insoles do not come out.
- Switzerland
I purchased this for my son and he loves them. He wants another pair in a different color but although the price was right, I'm a disabled single mother on a limited income so these were a humongous splurge but he deserves it.
- Switzerland
2024-01-12 08:56:12--
It is small, convenient and very good. The sound quality is very good. The connection is smooth. Playing songs is very elegant. And the color matching is very good, without any delay.
2024-01-12 08:52:59--
Y’all! These ** are tooo legit! There is really no way these did not come from the ** warehouse! The setup is just like the actually ** and they are very loud and sooo cute. 10/10 recommend! The shipping took 3 weeks. I ordered this the beginning of March and just got them today. Very please and will shop with the vendor again!
2024-01-12 08:46:17--
Awesome I’m satisfied with my purchase thank you
2024-01-12 08:46:06--
Just as advertised. Quick service. Very happy.
2024-01-04 19:03:44--
These shoes are unbelievable, perfect replicas. Size tag, stitching, insole, boost, is all perfect and so is the box!! I order so many shoes of this man. He is a legend!!
2024-01-04 19:03:06--
Love them!
2024-01-04 19:01:13--
Good value for money but there is some disturbing detail, the rear label is not identical to the real, on the real ones there is not written Australia, the sole not flexible enough, but for the price c ' is not bad anyway
Good Value for money but there is some detail that bothers, the back label is not identical to the real, on the true there is no wring australia, the sole not flexible enough, but for the price it 'is not bad anyway
2024-01-04 18:59:55--
Amazing shoes amazing seller
2024-01-04 18:55:44--
Unsatisfied
2024-01-04 18:54:12--
shoes arrived quickly...my husband liked them
2024-01-04 18:48:39--
very high quality trainers, very happy
2024-01-04 18:48:28--
Was more than I expected loving the shoes
2024-01-04 18:47:19--
Great item but supreme sticker on the inside comes off
2024-01-04 18:45:58--
Awesome shoes. Awesome service. Fast fast fast postage!! Thank you, we will be back🤓
2024-01-04 18:45:56--
Happy with product but took 4 weeks to to get here but then again we have to allow for the covid
2024-01-04 18:45:52--
absolutely amazing, i love them, maybe i could take 1 size biger, but not sure
2024-01-04 18:44:58--
Exactly like the real thing. no scratches or any details that don’t look unreal, they’ve also held up for awhile and i wear them very often. 10/10
2024-01-04 18:44:15--
They look just like them and definitely can’t tell the difference. Brought for my daughter. Because we missed the original release date in store. And definitely will be ordering from the same vendor again. On this order the original got stopped at claims. And I messaged them and they responded fast and sent another order and that other made it.
2024-01-04 18:44:04--
Omg.. Amazing quality
2024-01-04 18:41:40--
stinks very bad also very chunky but good quality
2024-01-04 18:39:38--
Very nice! Thank you
2024-01-04 18:36:30--
GREAT QUALITY TOOK A WHILE TO RECEIVE BUT WORTH THE WAIT.
2024-01-04 18:34:51--
very happy with the product but it was hard to track the parcel
2024-01-04 18:34:20--
there really good item for the price, I would buy again but in a different color
2024-01-04 09:20:47--
The products worth buying, the workmanship is very fine, better than expected, recommend you to try the product quality, customer service attitude is particularly good, like it very much,
2024-01-04 09:20:42--
Absolutely brilliant ordered just a couple weeks ago received them today too quality would highly recommend I’ve ordered these as I’m going on holiday so I’ll definitely be wearing these bad boys in the sun😎
2024-01-04 09:19:02--
Great quality
2024-01-04 09:18:52--
Love it very much
2024-01-04 09:18:46--
Wow fast shipping
2024-01-04 09:18:03--
Great product. Fast shipping. Recommend !!
2024-01-04 09:15:41--
Perfect, fast delivery
2024-01-04 09:07:06--
But at your own risk. They look nice at first but it’s lot gold plated because it changes from gold to silver then rust. It doesn’t t last long at all. The clasp broke on all of the 3 bracelets I bought
2024-01-04 09:05:15--
Bracelet looks like original has all the engravings and looks really nice and I got in a week in the UK
2024-01-04 09:04:32--
Very well packed. The seller is highly professional on all levels. Will be definitely buying again.
2024-01-04 09:03:50--
I just received the goods, it's great. This is my first order to this seller.
2024-01-04 09:02:17--
Took a long time to come but it pretty good the sound quality is preety good and but you can’t change the earbuds the default ones are stuck on
2024-01-04 09:02:14--
they are nice connected to my phone with no problem. doesn't indicate left or right on the buds. sound and controls are reasonable . only complaints i have is the Samsung app will not recognize the buds are connected to use the find my earbuds option, andthe buds continue playing when in the case. only reason i give it 4 stars. shipping was about a month.
2024-01-04 09:00:54--
I like it very much, and the quality is also very good
2024-01-04 08:57:30--
I am very satisfied with the workmanship and quality of this headset, the sound quality is also very good, and it is very convenient to use.
2024-01-04 08:57:13--
The headphones are easy to use, beautiful in appearance, good in sound quality, suitable in size and comfortable to wear, and I am very satisfied with them.
2024-01-04 08:57:12--
The workmanship is very meticulous. The fit after installation is also very good, preventing my charging bin from being scratched and broken, and I feel safe.
2024-01-04 00:07:32--
Shipping took a week from New Jersey. The ** come with ** care, and work just like the real ones.
2024-01-04 00:06:50--
My girlfriend is very happy :) Good quality
2024-01-04 00:06:15--
Really well done bag, it seems original. nothing to add.
Fast shipping and perfect case.
2024-01-04 00:06:08--
I rated the purse a one because the quality absolutely horrible I was so disappointed in the quality that I just threw it in
the closet I immediately knew it was a knock off
2024-01-04 00:02:53--
Nice wallet that coordinates well with my matching handbag
2024-01-04 00:01:46--
Love it !! Thanks
2024-01-04 00:01:27--
The wallet has a smell to it but looks wonderful. However the wallet is a slightly different cokor than the purse. And the letters on the wallet are a bit larger than a real one would be but it will be inside my the purse mostly so I don't mind. Also the zipper is a bit stiff but overall I'm very satisfied.
2024-01-04 00:00:17--
Nice purse
2024-01-03 23:57:28--
She loved it so must say I’m pleased
2024-01-03 23:57:24--
These bags are great! Love them!
2024-01-03 23:56:42--
Very good seller with very good product!
2024-01-03 23:55:07--
Excellent seller! Quick delivery with DHL. Thank you seller!
2024-01-03 23:53:33--
The only issue like others said was the smell. Other than that I was very pleased.
2024-01-03 23:51:37--
OMG, just received it today and i couldn’t believe how nice it looked. I already had the original mk bag so i bought the wallet to match with it and it looks just exactly like the original wallet. Thankyou so much definitely going to do some more orders later on!!
2024-01-03 23:49:26--
Good quality, Nike symbol isn't perfect but overall very good
2024-01-03 23:49:20--
110% satisfied!
2024-01-03 23:47:28--
The quality is really good. I will recommend this seller 100%. They look exactly like the pictures
2024-01-03 23:46:36--
I ordered the large size and it took 17 days to get to the US! Very quick! I did not need to contact the seller for any reason so I cannot review their timeliness…however, the quality of the bag is outstanding for the price! I would highly recommend this bag from this seller. See my pics! Only thing I can point out is the overlap of the V stitching on the front, otherwise everything is fantastic. Soft suede interior and heavy duty chain and hardware .
2024-01-03 23:29:44--
Not worth it. Its just okay for the price.
Displaying 1 to 60 (of 812 reviews)