Neuroethics and Neurolaw in Turkey

Chapter

Abstract

This section is dedicated to examining the subject “Neuroethics and Neurolaw in Turkey”. The development of medicine and related branches in Turkey generally demonstrates a parallelism with the examples from the similar countries in the world. In brief, the contemporary criterions are applicable to both education and daily practices of these fields. In this context, the headlines under the disciplines of neurology and neurosurgery shall be evaluated from the medical ethics and medical law points of view under the heading of scientific neurothics and neurolaws. Today, the worthiness problems related with the end of life constitute one of the most important subjects of discussion in medical ethics. In the neurology area, where this problem frequently arises, the commands: do not apply euthanasia and do not resuscitate are two important phenomena to be studied closely. A very crucial subject from the organ transplantation point of view is making the decision on the “brain death”. The specialists on neurosurgery and neurology in Turkey are legally tasked among the decision-making doctors in this subject. Therefore, this is one of the headings that will be discussed in the text from both ethical and deontological or medical law points of view. Thus, referring to an eternal problem of medicine “terminating a life” and also to a new concept the organ trade, belonging to the 21st century and which is the result of modern economical and political factors. The “clinical researches” shall be discussed as a rather discrete dimension of the daily doctor – patient relations under the heading of neurological sciences as a separate subsection within the text. Here, we shall discuss how the concept of informed consent may be applied to the patient and subject groups which the neurological sciences deal with in the normal daily medical applications and in research phases and the potential problems related with it. Another concept to be scrutinized here is how experimental treatments may be turned out to be a subject of hope trade in some communities. Finally, this section is a response given from a geography on the junction of Asia and Europe to the query of how different nations may develop different approaches to similar subjects from a “neuroethics and neurolaw” point of view.

References

  1. Acıduman A (2010) Al-Zahrawi and his ethical principles in his surgical practice. Turkiye Klinikleri, J Med Ethics 18(2):109–112Google Scholar
  2. Albucasis (1973) On Surgery and Instruments [A Definitive Edition the Arabic Text with English Translation and Commentary by M. S. Spink and G.L. Lewis]. London: The Wellcome Institute of the History of Medicine, pp. 734–737Google Scholar
  3. Arda B, Aciduman A (2009) An evaluation regarding the current situation of stem cell studies in Turkey. Stem Cell Rev and Rep 5:130–134Google Scholar
  4. Avrupa Antlaşmaları, Biyoloji ve Tıbbın Uygulanması Bakımından İnsan Hakları ve İnsan Haysiyetinin Korunması Sözleşmesi Tasarısı: İnsan Hakları ve Biyotıp Sözleşmesi [Oviedo - Convention for The Protection of Human Rights and Dignity of the Human Being with regard to The Application of Biology and Medicine: Convention on Human Rights and Biomedicine]. [Internet] [cited 2010 Dec 13]. Available from: http://www.avrupakonseyi.org.tr/antlasma/aas_164.htm [in Turkish]
  5. Büyükkoçak Ü, Uysal H, Ertürk Ö, Bilgin S, Ketene, A, İnan S (1998) Resüsite edilmeyecek kararının etik yönden içeriği [Nature of do not resuscitate orders from ethical point of view]. In: Şahinoğlu- Pelin S, Arda B, Özçelikay G, Özgür A, Çay Şenler F, editors. 3. Tıbbi Etik Sempozyumu Bildirileri [3 rd Medical Ethics Symposium Proceedings]. Ankara: YÖK Matbaası, pp. 59–64 [in Turkish]Google Scholar
  6. Hasta Hakları Yönetmeliği [Patient Rights Regulations]. Resmi Gazete [Official Gazette], Tarihi [Date]: 01.08.1998, Sayısı [Number]: 23420. [Internet] [cited 2009 Apr 14]. Available from: http://www.saglik.gov.tr/TR/BelgeGoster.aspx?F6E10F8892433CFFAAF6AA849816B2EF46148DEDD773827B [in Turkish].
  7. İlaç Araştırmaları Hakkında Yönetmelik [The Regulation Concerning Research On Drugs]. Resmi Gazete [Official Gazette], Tarihi [Date]: 29.01.1993, Sayısı [Number]: 21480. [Internet] [cited 2009 Mar 30]. Available from: http://www.bsm.gov.tr/mevzuat/docs/13052005_y_16.pdf [in Turkish]
  8. Iyilikçi L, Erbayraktar S, Gökmen N, Ellidokuz H, Kara HC, Günerli A (2004) Practices of anaesthesiologists with regard to withholding and withdrawal of life support from the critically ill in Turkey. Acta Anaesthesiol Scand 48:457–462CrossRefGoogle Scholar
  9. Jorjani E, Kitab-i Zakhire-i Khwarazmshahi [The Treasure of the Khwarazm Shah]. Istanbul: Suleymaniye Manuscript Library, Fatih Collection, Nr: 3551, p. 400bGoogle Scholar
  10. Katoğlu T (2005) Türk hukukunun bir parçası olarak Avrupa Konseyi İnsan Hakları ve Biyotıp Sözleşmesi [European Council Human Rights and Biomedicine Convention as a part of Turkish Legislation]. Ankara Üniversitesi Hukuk Fakültesi Dergisi 55(1):157–193 [in Turkish]Google Scholar
  11. Kızıltan G, Kızıltan M (2001) Klinik Nöroloji Uygulamaları ve Etik Sorunlar [Clinical Neurology Applications and Ethical Problems]. In: Demirhan-Erdemir A, Oğuz NY, Elçioğlu Ö, Doğan H, editors. Klinik Etik [Clinical Ethics]. İstanbul: Nobel Tıp Kitabevi, pp. 334–352 [in Turkish]Google Scholar
  12. Rugemer C (2010) Body parts. Special Report: Transplantation. Research EU, No: 62, pp. 8–9Google Scholar
  13. Serdaroğlu P, Topaloğlu H. Duchenne kas distrofisi (DMD) ve kök hücre [Duchenne Muscular Dystrophy (DMD) and stemcell]. Türk Nöroloji Derneği [Turkish Neurological Society]-Duchenne Kas Distrofisi (Dmd) Ve Kök Hücre [Duchenne Muscular Dystrophy (DMD) and stemcell]. [Internet] [cited 2010 Dec 7]. Available from: http://www.noroloji.org.tr/page.aspx?menu=522 [in Turkish]
  14. T.C. Sağlık Bakanlığı, Tedavi Hizmetleri Genel Müdürlüğü [T.R. The Ministry of Health, the General Directorate of Treatment Services]. Embriyonik Kök Hücre Araştırmaları (2005/141) [Embryonic Stem Cell Research (2005/141)], Tarihi [Date]:19.09.2005, Sayısı [Number]: 17972. [Internet] [cited 2009 Mar 31]. Available at: http://www.saglik.gov.tr/TR/BelgeGoster.aspx?F6E10F8892433CFF7A2395174CFB32E164B5516ED5B497B2. [in Turkish]
  15. T.C Sağlık Bakanlığı, Tedavi Hizmetleri Genel Müdürlüğü [T.R. The Ministry of Health, the General Directorate of Treatment Services]. Kök Hücre Çalışmaları (2006/51) [Stem Cell Studies (2006/51)], Tarihi [Date]: 01.05.2006, Sayısı [Number]: 8647. [Internet] [cited 2009 Mar 31]. Available at: http://www.saglik.gov.tr/TR/BelgeGoster.aspx?F6E10F8892433CFF7A2395174CFB32E1D0652C231336A42D. [in Turkish]
  16. Tıbbi Deontoloji Nizamnamesi [Medical Deontology Regulations]. Resmi Gazete [Official Gazette] Tarihi [Date]: 19.02.1960, Sayısı [Number]: 10436. [Internet] [cited 2009 Apr 14]. Available from: http://www.mevzuat.adalet.gov.tr/html/5044.html [in Turkish]
  17. Türkiye Cumhuriyeti Anayasası. Kanun No: 2709 [Constitution of Turkish Republic] [Internet] [cited 2010 Oct 5]. Available from: http://www.tbmm.gov.tr/anayasa.htm [in Turkish]
  18. Türk Ceza Kanunu. Kanun No: 5237 [Turkish Criminal Law]. [Internet] [cited 2010 Oct 5]. Available from: http://www.tbmm.gov.tr/kanunlar/k5237.html [in Turkish]
  19. Türk Nöroşirürji Derneği (2010a) [Turkish Neurosurgical Society]-Haberler [News]. [Internet] [cited 2010 Dec 7] Available from: http://www.turkishneurosurgicalsociety.org/detay.php?id=149 [in Turkish]
  20. Türk Nöroşirürji Derneği (2010a) [Turkish Neurosurgical Society]-Hastalar için Bilgiler [Information for the Patients]. [Internet] [cited 2010 Dec 7] Available from: http://www.turkishneurosurgicalsociety.org/bilgiler.php?content=5 [in Turkish]
  21. Uysal H, Ertürk Ö, Üçkardeşler L, İnan S, Bilgin S (1998a) Terminal dönemdeki ALS’li hastaya yaklaşım [Approach to the patient with ALS on the terminal phase]. In: Şahinoğlu-Pelin S, Arda B, Özçelikay G, Özgür A, Çay Şenler F, editors. 3. Tıbbi Etik Sempozyumu Bildirileri [3 rd Medical Ethics Symposium Proceedings]. Ankara: YÖK Matbaası, pp. 65–69Google Scholar
  22. Uysal H, Ertürk Ö, Üçkardeşler L, Evrenkaya T (1998b) Otopsi ve organ nakli; ortak etik yaklaşımlar yapılabilir mi? [Autopsy and organ transplantation; may there be common ethical approaches?] In: Şahinoğlu-Pelin S, Arda B, Özçelikay G, Özgür A, Çay Şenler F, editors. 3. Tıbbi Etik Sempozyumu Bildirileri [3 rd Medical Ethics Symposium Proceedings]. Ankara: YÖK Matbaası; pp. 145–147 [in Turkish]Google Scholar
  23. Uysal H, İnan LE, Kuli P, Yurdakul M (1995) Nörolojide etik sorunlar [Ethical problems in Neurology]. T Klin Tıbbi Etik 2–3:72–5 [in Turkish]Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Medical Ethics and History of MedicineAnkara University, Faculty of MedicineAnkaraTurkey

Personalised recommendations