Polish medical law does not explicitly regulate the possibility of off-label use of medicines. Such procedures therefore raise doubts in medical practice, where medicines are often prescribed beyond the Characteristic of Medicinal Product. This phenomenon particularly affects the treatment of children, as there is a lack of registered medicines in this age group, but they are registered for use in adults. Since such treatment goes beyond the scope of registration, a dilemma arises as to whether it is permissible and, if (...) so, under what conditions and whether sanctions are imposed on the medical professional using the off-label medicine. These issues are addressed in an article by Dr Maria Gutowska-Ibbs, entitled 'Off label - practical consequences of unclear legislation". The present study complements these considerations and is in part an ad vocem statement. The article attempts to differentiate between the use of off-label medicines and medical experiments, following the criterion of the purpose for which a given medical action is performed. The limits of admissibility of such actions under criminal law are also discussed in more detail. Off-label treatment is considered through the prism of the required precautionary rules, compliance with which is the antithesis of inadvertence. It is assumed that if the drug was administered in accordance with current medical knowledge and the treatment is adequate to the patient's condition, there is no violation of these rules, which excludes the imputation of inadvertence. An extensive section of the study is devoted to the issue of the patient's consent to treatment outside the indications. Above all, it emphasises the need to explain in detail to the patient the circumstances of prescribing such a drug and, on this basis, to obtain informed consent. It also stresses the importance of the written form of consent, which can have a significant evidentiary impact in potential litigation. (shrink)

In this study, we investigated how students manage their lack of/insufficient understanding of the content of a mathematical task with the aim of reaching shared understanding and epistemic balance in peer interaction. The data consist of recordings collected during a mathematics project in a Finnish lower secondary school. The findings, drawing on conversation analysis, showed two markedly different sequence trajectories: how interaction between a K+ and a K− student proceeded relatively smoothly when these positions were accepted by both participants, and (...) consequently the K+ led epistemic work by designing turns that resembled teachers’ practices; and how the K+/k− interaction became extended when a K− challenged the K+’s knowledge claims, and furthermore, how a K− steered the epistemic work using polar and wh-interrogatives. The findings contribute to a better understanding of the ways the management of epistemic imbalance can progress during peer group work. (shrink)

Artykuł jest próbą odpowiedzi na pytania o zakres pojęcia szkody w środowisku i zbadania granic i podstaw odpowiedzialności cywilnej za wspomnianą szkodę. Omawiana odpowiedzialność rozpatrywana jest na trzech płaszczyznach: odpowiedzialności prewencyjnej, odpowiedzialności odszkodowawczej oraz odpowiedzialności ubezpieczeniowej. W badaniach wykorzystano metodę dogmatyczno-prawną oraz analizę funkcjonalną jako podstawowe metody badawcze w badaniu prawa. Badania zostały oparte na analizie przepisów Kodeksu cywilnego, ustaw szczególnych oraz wybranych ogólnych warunków ubezpieczenia. Artykuł kończą wnioski dotyczące zakresu odpowiedzialności cywilnej, możliwych podstaw tejże odpowiedzialności oraz roli ubezpieczeń (...) jako potencjalnego, podstawowego mechanizmu służącego kompensacji szkód środowiskowych. (shrink)

In our contemporary literature and academic discourse we often see how popular the topic of corporate social responsibility is. In my opinion another problem – tightly linked to this – and strongly influencing our business life is consumer’s activity. This second part of business relations is often associated rather with legal demands and customer’s protection. The purpose of my article is to show how consumer social responsibility can help not only corporations, but all those involved in the market exchange to (...) contribute to the common good and improve quality of millions of transactions people make every day. To become real, this responsibility needs effort – courage to witness by expressing consumer’s opinion and education. The first aspect shows how important action is in revealing values and introducing ethics into everyday market activity, the second shows that emphasizing basic economical education and expecting thorough information from companies can help build and enhance consumer awareness. In my paper I am also trying to show the contribution of Catholic Social Thought to the problem of social responsibility. (shrink)

The performance and development of an organisation depends not only on the organisation itself, but – to an increasing extent – on its relationships with its surroundings. This also refers to cross-sector relationships outside the world of business. Thus, the purpose of the article is to analyse the cross-sector collaboration between public administration and non-governmental organisations (NGOs), and to highlight its fundamental terms and conditions, e.g. trust and social responsibility. The more honesty there is in such relations, the more trust (...) and willingness to co-operate there arises in both parties. The analysed model of collaboration between public administration and NGOs seems to be a helpful tool for the development of collaboration based on social responsibility. (shrink)

The rule of Continuous Improvement is one of the pillars of the concept of Total Quality Management. It states that one should continuously seek the sources of arising problems and eliminate or minimize them. The article presents a method of implementing the concept of Corporate Social Responsibility based on the above rule and afterwards it identifies the most important advantages of using the rule. The article also stresses its usefulness in the area of Small and Medium-sized Companies.

W obliczu katastrofalnych skutków antropopresji widoczna staje się konieczność współpracy pomiędzy humanistyką a przyrodoznawstwem. Te dwie sztucznie rozłączone dziedziny nauki, zdążyły w toku historii zbudować swoje metodologie i swoje języki. Obie jednak badają to samo: świat, w którym żyje człowiek. W kontekście narastającej potrzeby troskliwych działań w kierunku przyrody, potrzebne są zintegrowane podejścia. Jest to tym bardziej zasadne, że przecież człowiek jest elementem biologicznego środowiska. Koncepcje posthumanistyczne znoszą podział między kulturą a naturą, proponują zrezygnować z antropocentryzmu i lokują człowieka na (...) powrót w świecie przyrody. Tym bardziej więc powrotne połączenie humanistyki i przyrodoznawstwa jest zasadne. Co więcej, jest ono też konieczne dla efektywnej refleksji na rzecz ochrony środowiska przyrodniczego. (shrink)

Rabbinic Judaism is often described as an exclusively male-dominated and patriarchal religious system. However, the structure of the core of this patriarchal religious system is deeply feminine, with a strong relational dimension. Torah studies, which only men had access to, are secondary in character: a life lead according to the commandments is necessary but not enough. God does not force humankind to subordination, but he gives answers to voluntary gifts. Man gives voluntarily, God answers voluntarily. The right relation to God (...) is not forced, determined or manipulative, but it builds on reciprocity and response. (shrink)

The article begins from a consideration of the relationships between ethics and method, dignity and trustworthiness of the scholar in his normal activity. Then the views of Stanisław Ossowski are presented concerning the conditions of the permanence and development of the normal academic life, and his commandments for the academic professions are quoted safeguarding the normal academic life. A discussion of the question of freedom and responsibility in academic research is combined with Ossowski’s conception of philosophy of science. Ossowski had (...) a conception of the historical mission and function of science. With it was connected a notion of indispensable freedom of the scientists which they must possess to be able to perform their professional tasks normally. Ossowski also had a conception of the duties and professional responsibility of the scientists. The article ends with a review of threats to the normal functioning of science and of the countermeasures that should be used, according to Ossowski, in order to ensure growth of science and unencumbered performance of scholarly tasks. (shrink)