BackgroundThere has been no in-depth research of public attitudes on withholding or withdrawing life-prolonging treatment, euthanasia, assisted suicide and physician assisted suicide in Croatia. The aim of this study was to examine these attitudes and their correlation with sociodemographic characteristics, religion, political orientation, tolerance of personal choice, trust in physicians, health status, experiences with death and caring for the seriously ill, and attitudes towards death and dying. MethodsA cross-sectional study was conducted on a three-stage random sample of adult citizens of (...) the Republic of Croatia, stratified by regions, counties, and locations within those counties. In addition to descriptive statistics, ANOVA and Chi-square tests were used to determine differences, and factor analysis, correlation analysis and multiple regression analysis for data analysis.Results38.1% of the respondents agree with granting the wishes of dying people experiencing extreme and unbearable suffering, and withholding life-prolonging treatment, and 37.8% agree with respecting the wishes of such people, and withdrawing life-prolonging treatment. 77% of respondents think that withholding and withdrawing procedures should be regulated by law because of the fear of abuse. Opinions about the practice and regulation of euthanasia are divided. Those who are younger and middle-aged, with higher levels of education, living in big cities, and who have a more liberal worldview are more open to euthanasia. Assisted suicide is not considered to be an acceptable practice, with only 18.6% of respondents agreeing with it. However, 40.1% think that physician assisted suicide should be legalised. 51.6% would support the dying person’s autonomous decisions regarding end-of-life procedures.ConclusionsThe study found low levels of acceptance of withholding or withdrawing life-prolonging treatment, euthanasia, assisted suicide and physician assisted suicide in Croatia. In addition, it found evidence that age, level of education, political orientation, and place of residence have an impact on people’s views on euthanasia. There is a need for further research into attitudes on different end-of-life practices in Croatia. (shrink)

Problem kojega članak obrađuje jest: zašto Petrić jedini unutar rasprave o ars historica tijekom 16. stoljeća poseže za mitom? Na taj se problem pokušava odgovoriti analizom mita o povijesti , sadržanog u dijalogu »Il Contarino, overo che, sia l’historia« iz Petrićevih della historia diece dialoghi . S formalne strane, mitsko kazivanje svrstava Petrića u tradiciju pjesničke teologije, u kojoj preko ingenija i zanosa pjesnik utemeljuje ljudsku povijest i cjelinu znanja. Sa sadržajne strane, ovaj mit predstavlja rezultat Petrićeva nadahnuća različitim antičkim (...) i renesansnim tradicijama. U maniri pjesnika teologa, Petrić nastoji različite tradicije povezati u jedinstvenu sliku kako bi od kaotičnih res gestae stvorio prvi preduvjet historije: povijest kao njezin predmet.The article aims to tackle the following problem: why was Petrić the only philosopher who, within sixteenth-century discussion on ars historica, decided to employ the myth? The answer to this problem is being sought through the analysis of the myth of history , comprised in the dialogue “Il Contarino, overo che, sia l’historia” in Petrić’s work Della historia diece dialoghi . Viewed formally, mythological account places Petrić in the tradition of poetical theology, in which, through ingenuity and inspiration, a poet lays the foundations of human history and knowledge as a whole. Given the contents, this myth owes greatly to Petrić’s leaning on diverse traditions of the antiquity and the Renaissance. In the manner of a poet theologian, Petrić endeavours to combine different traditions into a unique picture and from the chaotic res gestae to create the first prerequisite for the history: the past as its subject-matter. (shrink)

Locating the origin of psychic suffering akin to human kind requires an approach to the subject that cannot be reduced to any special method of natural sciences, psychology, history and sociology, and it oversteps particularities which are being carried by confined perspectives; cultural and historical spacing. The question of psychic suffering is a question regarding a human being in general, and thus except for insights compiled by the interdisciplinary method, we also need a philosophical investigation of the subject. It is (...) not meant in the sense of isolation, rather as coupled with that wholeness by which a human being attains its being as being one among many. In a sense given, this investigation is guided by an idea of rupturedness as a paradigm of what is considered to be psychic suffering, conditioned by the fact that suffering presupposes a sort of deficiency. The paper seeks possible solutions starting from understanding the human condition as an inherently tragic state of neediness. (shrink)

From the perspective of the political theory such is the one in Tractatus Theologico-Politicus by Benedictus Spinoza, the purpose of the state as a legal order is the establishment of the permanent condition of security and preservation of the people’s liberty. This also presumes instrumental-functional purposefulness of the state apparatus, which reflects in the combination of protection and obedience. Such a legislative establishment has its real and abstract dimension. Ideally, the latter is in service of the former. Problems that occur (...) in practice as a challenge to the legal order are states of emergency, which are directly confronting security and freedom thus making them mutually exclusive. From that angle, legal-political thought is in need of a clear and distinct understanding of the concepts of freedom and servitude in the context of submission to the autonomous legislation of mind. (shrink)

BackgroundDecisions about limitations of life sustaining treatments are made for end-of-life patients in intensive care units. The aim of this research was to explore the professional and ethical attitudes and experiences of medical professionals on treatment of end-of-life patients in ICUs in the Republic of Croatia.MethodsA cross-sectional study was conducted among physicians and nurses working in surgical, medical, neurological, and multidisciplinary ICUs in the total of 9 hospitals throughout Croatia using a questionnaire with closed and open type questions. Exploratory factor (...) analysis was conducted to reduce data to a smaller set of summary variables. Mann–Whitney U test was used to analyse the differences between two groups and Kruskal–Wallis tests were used to analyse the differences between more than two groups.ResultsLess than third of participants stated they were included in the decision-making process, and physicians are much more included than nurses. Sixty two percent of participants stated that the decision-making process took place between physicians. Eighteen percent of participants stated that ‘do-not-attempt cardiopulmonary resuscitations’ orders were frequently made in their ICUs. A decision to withdraw inotropes and antibiotics was frequently made as stated by 22.4% and 19.9% of participants, respectively. Withholding/withdrawing of LST were ethically acceptable to 64.2% of participants. Thirty seven percent of participants thought there was a significant difference between withholding and withdrawing LST from an ethical standpoint. Seventy-nine percent of participants stated that a verbal or written decision made by a capable patient should be respected. Physicians were more inclined to respect patient’s wishes then nurses with high school education. Nurses were more included in the decision-making process in neurological than in surgical, medical, or multidisciplinary ICUs. Male participants in comparison to female, and physicians in comparison to nurses with high school and college education displayed more liberal attitudes about LST limitation.ConclusionsDNACPR orders are not commonly made in Croatian ICUs, even though limitations of LST were found ethically acceptable by most of the participants. Attitudes of paternalistic and conservative nature were expected considering Croatia’s geographical location in Southern Europe. (shrink)