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PubMed2001

Occupational health and safety from communist to capitalist structures.

This article focuses on individual effects of the transformation from communist to capitalist structures in the system of occupational health and safety (OHS). Despite basic similarities among the communist nations the systems of OHS differed immensely. The political changes during transformation additionally contributed to varying opportunities for the development of OHS systems. Changes affecting the living and working conditions are significant and are demonstrated by the development of new work structures and work biographies. This is reflected in changed attitudes to demands and contents of work. No differences, however, were found between the employed and unemployed when asked about these issues. Conclusions for OHS in postcommunist states are drawn.

Capitalism↗
PubMed1990

Health and mortality in Eastern Europe, 1965-85.

The author explores reasons and indicators for the high morbidity and mortality rates of Eastern Europe and the USSR during the period 1965 to 1985. "Epidemiological reasoning would prompt profound questions about the impact of governance on health conditions in these areas. The populations...have different languages, cultures and histories....[and] vary in material and technical attainment. The most obvious common characteristic of these countries is that they have all been ruled by Marxist-Leninist states.... After more than two decades of health decline...it is perhaps not premature to inquire into whether the health problems evidenced in these countries might be in part systemic."

Communism↗
PubMed2003

The politics of grief and continuing bonds with the dead: the cases of Maoist China and Wahhabi Islam.

The article is a contribution to a cross-cultural theory of grief. It examines the relationship between individual/family continuing bonds with the dead and cultural narratives that legitimize political power. The dead are collective representations (Dirkheim) that mediate the larger culture to individuals and to smaller communities and that reinforce social solidarity and identity. The political question is which collective--family, community, church, party, nation--owns the dead and controls the rituals by which bonds with the dead are maintained or relinquished? The article discusses one historical condition: times of rapid change in power arrangements. Bonds with the dead have a power in individual, family, or tribal life that can threaten the narrative that legitimizes the new political power holders. Ancestor rituals that support identity as a family or tribal member are surpressed and replaced by allegiance to collective representations of the new political order. Two historical examples are given: China under Chairman Mao and the Wahhabi reform in Arabic Islam.

China↗
PubMed1995

From the profane to the sacred: why we need to retrieve Christian bioethics.

Christianity has been crucial in the conceptualization and articulation of the moral framework of the Western tradition. The social sciences, including ethics, were modeled on physical science. However, the Enlightenment project inculcated a metaphysics and an epistemology that reduced the subject to an object and thus undermined the conditions of freedom, agency and an accessible cosmic order; all of which are essential to morality. Competing value claims were shunted into a political context for resolution, but the politicalized morality itself requires a framework for evaluating resolutions. While neither the Enlightenment nor post-modernism can provide such a framework, Christian tradition can, in fact, provide just such a framework and response.

Bioethics↗
PubMed2005

Regional collaboration in public health training and research among countries of South Eastern Europe.

UNLABELLED: It is argued that each country of South Eastern Europe should have its own school of public health. However, a basic prerequisite of modern public health training is the comprehensiveness of the programme and a worldview approach. Most of the countries of South Eastern Europe face the same difficulties to adapt their inherited communist structures of public health training to Western standards. A regional collaboration would facilitate the process of establishing schools of public health in all countries of the region and support the training of public health professionals at all levels. KEY POINTS: South East Europe includes Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Greece, Macedonia, Moldavia, Romania, Serbia and Montenegro, and Slovenia. Public health institutions in South East Europe face similar difficulties to adapt their inherited teaching structures to Western standards. Public health institutions in South East Europe should make a joint effort towards establishing regional training programmes. A regional approach in public health training would enable an efficient use of resources in countries of South East Europe.

Communism↗
PubMed1983

A reconceptualization of age stratification in China.

Using the concepts of age stratification theory--age effect, cohort effect, and subcohort differences--this paper provides a new perspective on age stratification in China. Currently, the literature suggests that the status of elderly people declined after the Communist Revolution and will further decline with modernization. We discuss the problems with this perspective and argue, instead, that the status of elderly adults did not decline for the majority of the aged during the Maoist years. Rather, the most important change in the age stratification system during the Maoist years was the change in the criterion of age stratification--from age differences to cohort and subcohort differences. Furthermore, the subcohort of elderly adults who suffered the most status decline during the Maoist years--the bourgeoisie--may actually enjoy an increase in status with the recent modernization impetus. Research suggestions from this new perspective are discussed.

Adolescent↗
PubMed1996

Successful eradication of sexually transmitted diseases in the People's Republic of China: implications for the 21st century.

The global control of sexually transmitted diseases (STDs) represents a daunting task, and there have been very few examples of success. The scope of the STD problem in China before the formation of the People's Republic and the effects of a governmental STD control program were reviewed. In major cities, 10% of the population had syphilis, reaching 50% prevalence in some rural minorities. By 1964, STDs in China were virtually eliminated through a program that destigmatized STDs, provided an infrastructure for case finding and therapy, and eliminated prostitution. The People's Republic of China demonstrated the possibility of eliminating STDs, at least for some period of time. Although the Chinese approach may not be ideal for Western democracies, understanding some features of the Chinese program may help in designing a strategy for the eradication of human immunodeficiency virus when or if treatment becomes available.

China↗
PubMed1989

The ethics of science: its problems and the sphere of research.

Moral principles are indispensable for the assessment of the sciences. Medicine is one of the sciences in need of the guidance of ethics. Ethical principles are put forward and interpreted by society. Vital principles for bioethics include a high standard for professional medical workers, confidentiality between the physician and the patient, and informed consent. Marxist teaching calls for the unity of science and ethics, based on humanist ideas.

Bioethics↗
PubMed1989

Medical ethics: problems of theory and practice.

The paper analyzes the development of medical ethics in the USSR, and its socio-psychological, scientific-technological, and organizational factors. Special attention is given to the interdependence of moral-ethical problems with organizational issues.

Bioethical Issues↗