scholarly journals Survey of Medical Ethics Research with the Science Drawing Method

Author(s):  
Mousa Yaminfirooz ◽  
Khadijeh Tahmasbei ◽  
Sara Amiri

The advancement of human knowledge in the field of medical science has brought activists to the field with new ethical issues. addressing medical ethical issues is one of the essential requirements in the health system. at present, the evaluation of science production can provide a clear picture of the growth, progress and important issues of a scientific field. in this study, we aimed to identify important areas of research in the field of medical ethics through a scientometric study. This is a scientometrics research using one of the most important techniques of this method, namely, the drawing of science. the statistical population of the study consisted of 3333 scientific papers indexed in the WOS database by the end of 2019. a researcher-made checklist was used for data collection and Ravar-matrix and ucinet6 software were used for data analysis. The results showed that the amount of scientific output in the field of medical ethics is 3333, starting with 1946 with two documents and reaching 2019 with 104 documents. the average annual growth rate is 21.03%. the world of medical ethics consists of 9 clusters worldwide and the concepts of bioethics, ethical counseling, education, medical education and autonomy have been the most commonly used keywords in medical ethics research, respectively. Iranian products in this field also consist of 6 clusters which are the key concepts in medical ethics, bioethics, ethics committee, strategic planning and medical education.

2016 ◽  
Vol 11 (3) ◽  
Author(s):  
Kaiser Mahmood

Medical ethics has a very long history and it investigates ethical issues arising in medicine and health care provision by applying the principles of moral philosophy. The ancient ethical codes were often expressed in the form of oaths. The best known medical oath in the western tradition is the Oath of Hippocrates and often regarded as the very foundation of Western medical ethics. The Hippocratic School produced a large body of writings on medicine, science and ethics. In the ensuing centuries the principles of Christian humanism dominated the practice of medicine. Towards the end of 18th century the role of physicians in dealing with disease in individuals as well as population groups led to the drafting codes of professional conduct. Changing attitudes of society and the major advances in medical science at the beginning of the 20th centuries led to recognition of the need for modification of the Hippocratic Oath. This need was met by the Declaration of Geneva, formulated by the World Medical Association in 1947, supplemented by Declaration on particular aspects of medical ethics. Now, the advanced medical technologies or revolutionary developments in the biomedical sciences as well as in clinical medicine and its communication to the public has led to a growing need for the medical professional to be fully aware of society`s views on various developments. This, no doubt, enables ethical guidelines to reflect and safeguard the interests and wellbeing of patients.


2021 ◽  
Vol 10 (1) ◽  
pp. 6-6
Author(s):  
Amir Nahavandi Takab ◽  
Eskandar Fathi Azar ◽  
Zarrin Daneshvar Heris ◽  
Hossein Baghaei

Background: The "hidden" curriculum, alongside official education, can transfer ethical and professional values and principles to medical students and show them the importance of medical ethics. Ethical issues are essential factors influenced by the hidden curriculum in the medical educational system; these issues are also instruments for medical students as they develop their professionalism and idealism. The current study aims to provide an empirical study model of this hidden curriculum and its role in transferring knowledge of medical ethics. Methods: The current research is qualitative in the phenomenological type. The statistical population consisted of professors along with students in their fourth and upper years of various medical disciplines at the Tabriz University of Medical Sciences during 2019-2020. The sample group, according to the qualitative nature of the research, was compiled to a theoretical saturation to be 36 professors and students. The data were collected through semi-structured interviews. Analysis was done using thematic coding and Smith`s method. To maintain quality and accuracy, interview content was analyzed by two authors to reconstruct the reality. The data and their interpretation were then provided to the professors to confirm their accuracy. To ensure stability of the data, the interviews were conducted in a suitable atmosphere and in compliance with the interview conditions and isolated from bias and personal opinion. Results:A total of 67 concepts were extracted that were consequently categorized into five main themes: 1. Objectives and Curriculum; 2. Physical Space; 3. Backgrounds and Perspectives; 4. Laws and regulations; and, 5. Relationships. A model for studying students’ experiences of the hidden curriculum and medical ethics was presented. Conclusion: Since medical professors and senior students are dealing with patient health, it is essential to acknowledge the concept of medical ethics as a "hidden" curriculum alongside scientific and professional issues in designing medical curriculum.


2021 ◽  
Vol 9 (8) ◽  
pp. 1789-1794
Author(s):  
Durga Lal Sharma ◽  
Shri Ram Saini

Ethics is a collection of principles that govern proper behaviour. In Ayurveda, the concept of ethics is strongly related to the concept of Dharma. Many instructions on appropriate medical practice can be found in Ayurveda textbooks. Chatushpada describes the qualities of a good patient and a good physician. The Adhyayana Vidhi clarifies the process of medical education as well as the rules for establishing future practises. Other milestones include Sadvritta and Vaidya Vrutti, which are extensive sets of standards for professional ethical conduct. Ayur- vedic Acharyas also instruct physicians on how to communicate with patients. As Ayurveda is the oldest medical science, ethical codes in medicine have existed since the beginning. In the numerous Ayurvedic Samhitas, refer- ences to medical ethics were described, including the responsibility of a physician, ideal qualities of a physician, surgeon qualities, medicinal dose (according to nature of individuals) and medicinal dosage for children, as well as specifics of post-mortem and anaesthetic. This paper enlightens the duties of a physician with Ayurvedic and modern perspectives. Keywords: Ayurveda, Duties, Physician


2020 ◽  
Vol 17 (36) ◽  
pp. 100-118
Author(s):  
Taufik SURYADI ◽  
Kulsum KULSUM

In the COVID-19 pandemic, medical handling can cause ethical problems related to the availability of doctors, limited hospital facilities, diagnostic test problems, personal protective equipment, lack of public understanding, and a lack of public awareness in preventing and reducing the risk of contracting COVID-19. Research is needed relating to these ethical issues by involving doctors as research subjects. In every study, a valid instrument is required to answer the research problem. One of the methods of instrument validity is content validity. Content validity is essential evidence to support the validity of a measuring tool such as a questionnaire for research. This research instrument aimed to determine the ability of doctors to identify four basic ethical principles and their attitudes towards handling COVID-19. In a study of medical ethics in managing the COVID-19 pandemic, a content validity test was carried out by involving 9 experts consisting of 5 bioethicists and 4 COVID-19 experts. The validity of the contents was carried out on 36 points of statements related to ethical issues that arose in handling the COVID-19 pandemic. The results of the validation of the 36 statement items obtained an initial CVI of 0.646, but 7 items were eliminated because the CVR was too far from the critical value. After elimination, there were 29 statement items used as a research instrument with a CVI of 0.738. The average value of the agreement between the raters on the statement items was 0.78. The average value of the proportion of the relevance of the statement items was 0.83 (recommendation value 0.90). In the reliability test using the Cronbach’s alpha method, the value of the reliability coefficient was 0.732 (0.70>ri>0.90), it can be stated that the content validity of the questionnaire is valid and reliable for this research instrument. Keywords: content validity, COVID-19, medical ethics, research instrument.


2019 ◽  
pp. 131-135
Author(s):  
T. Sh. Morgoshiia ◽  
N. A. Syroezhin

The article presents the main stages of life and work of the professor L.S. Rosenstrauch (1918–2016). L.S. Rosenstrauch is the author of more than 300 scientific papers including 10 monographies. The important direction of his scientific works was development of new radiological techniques such as parasternal mediastinography, and development and integration of the domestic contrast agents. L.S. Rosenstrauch intensively engaged in teaching. More than 30 doctoral and more than 60 candidate dissertations were defended under his guidance or consultation. Professor was a honorary member of domestic and foreign societies of radiology, editorial Board member of the “Journal of radiology and nuclear medicine” and the international journal “Radiology – diagnostics”, coeditor of radiological section of the BME. Under his guidance a unified program of postgraduate medical education in radiology was developed.


Author(s):  
Alan Kelly

What is scientific research? It is the process by which we learn about the world. For this research to have an impact, and positively contribute to society, it needs to be communicated to those who need to understand its outcomes and significance for them. Any piece of research is not complete until it has been recorded and passed on to those who need to know about it. So, good communication skills are a key attribute for researchers, and scientists today need to be able to communicate through a wide range of media, from formal scientific papers to presentations and social media, and to a range of audiences, from expert peers to stakeholders to the general public. In this book, the goals and nature of scientific communication are explored, from the history of scientific publication; through the stages of how papers are written, evaluated, and published; to what happens after publication, using examples from landmark historical papers. In addition, ethical issues relating to publication, and the damage caused by cases of fabrication and falsification, are explored. Other forms of scientific communication such as conference presentations are also considered, with a particular focus on presenting and writing for nonspecialist audiences, the media, and other stakeholders. Overall, this book provides a broad overview of the whole range of scientific communication and should be of interest to researchers and also those more broadly interested in the process how what scientists do every day translates into outcomes that contribute to society.


Author(s):  
M. C. den Boer ◽  
A. Zanin ◽  
J. M. Latour ◽  
J. Brierley

AbstractWith an increasingly complex healthcare environment, ethics is becoming a more critical part of medical education. We aimed to explore European paediatric trainees’ experiences of facing ethical dilemmas and their medical ethics education whilst assessing their perceptions of ethical dilemmas in current and future practice. The Young Sections of the European Academy of Paediatrics and European Society of Paediatric and Neonatal Intensive Care developed an explorative online survey covering demographics, ethical dilemmas faced and ethics training. The survey was made available in nine languages from November 2019 to January 2020 via newsletters and social media. Participants (n = 253) from 22 countries, predominantly female (82%) and residents (70%), with a median age of 29-years, completed the survey. The majority (58%) faced ethical dilemmas monthly or more frequently. Most ethics training was received by ethics lectures in medical school (81%) and on the job (60%). A disagreement between the healthcare team and patient/family was the most frequently faced moral dilemma (45%); the second was withholding/withdrawing life-prolonging measures (33%). The latter was considered the most challenging dilemma to resolve (50%). Respondents reported that ethical issues are not sufficiently addressed during their training and wished for more case-based teaching. Many have been personally affected by moral dilemmas, especially regarding withholding/withdrawing life-prolonging measures, and often felt inadequately supported.Conclusion: Paediatric trainees face many moral issues in daily practice and consider that training about managing current and future ethical dilemmas should be improved, such as by the provision of a core European paediatric ethics curriculum. What is Known:• Paediatric services are becoming more complex with an increase in ethical dilemmas asking for rigorous training in ethics.• Ethics training is often lacking or covered poorly in both pre- and postgraduate medical education curricula.• Existing ethics training for European paediatric trainees is haphazard and lacks standardisation. What is New:• The PaEdiatric Residents and Fellows Ethics (PERFEct) survey provides insight into the European paediatric trainees’ views regarding ethical dilemmas in their current and future practice.• European paediatric trainees report a lack of ethics training during paediatric residency and fellowship.• This study provides content suggestions for standardised medical ethics training for paediatric trainees in Europe.


2011 ◽  
Vol 59 (2) ◽  
pp. 160-172 ◽  
Author(s):  
Shimazono Susumu

Advances in biotechnology and medical science, especially breakthroughs in cloning and stem cell research, have raised great expectations for curing diseases, repairing damaged body tissue and organs, enabling conception at advanced age and selecting embryos based on genetic diagnosis. However, the question arises whether these advances will improve the happiness of humankind or whether human bodies are being assaulted as development resources in order to procure greater profits. This article investigates how the value of life is conceptualized by religious cultures vis-a-vis the emerging threats. With regard to the early embryonic stage of human life, the Catholic Church, for example, has raised a loud voice against the artificial termination of pregnancy. As a matter of fact, various religious cultures have showed and underpinned to a considerable extent the value of life and the direction that science and technology should take in this respect. It is argued that the globalized competition in science and technology makes it necessary to transcend the views concerning the value of life propagated by particular religious cultures.


2020 ◽  
Author(s):  
Charline Bour ◽  
Susanne Schmitz ◽  
Adrian Ahne ◽  
Camille Perchoux ◽  
Coralie Dessenne ◽  
...  

BACKGROUND As social media are increasingly used worldwide, more and more scientists are relying on them for their health-related projects. But so far, social media features, methodologies and ethical issues are unclear with no overview of this relatively young field of research. OBJECTIVE This scoping review aimed to provide an evidence map of the different uses of social media for health research purposes, their fields of applications and their analysis methods. METHODS We followed the scoping review methodologies developed by Arksey and O’Malley and the Joanna Briggs Institute. After developing search strategies based on keywords (e.g., Social media, health research), comprehensive searches were conducted in Pubmed/MEDLINE and Web of Science databases. We limited the search strategies to documents written in English and published between 2005/01/01 and 2020/04/09. After removing duplicates, articles were screened at title/abstract and at full text level by two independent reviewers. One reviewer extracted data that were descriptively analyzed to map the available evidence. RESULTS After screening 1237 titles and abstracts and 407 full-texts, 268 unique papers were included, dating from 2009 to 2020 with an average annual growth rate of 32.71% for the 2009-2019 period. Studies mainly came from America (64.55%, N=173/268, including 151 from the USA). Articles used machine learning or data mining techniques (N=60/268) to analyze the data, discussed opportunities and limitations of the use of social media for research (N=59/268), assessed the feasibility of recruitment strategies (N=45/268) or discussed ethical issues (N=16/268). Communicable (e.g., influenza, N=122/268) and then chronic (e.g., cancer, N=40/268) diseases were the two main areas of interest. CONCLUSIONS Since their early days, social media have been recognized as a resource of high potential for health research purposes but yet the field is still suffering from a strong heterogeneity in the methodologies used, which prevents the research from comparison and generalisability. For the field to be fully recognized as a valid, complementary approach to more traditional health research study designs, there is now a need for more guidance by types of applications of social media for health research, both from a methodological and an ethical perspective.


2013 ◽  
Vol 12 (4) ◽  
pp. 346-356 ◽  
Author(s):  
M Fakruddin ◽  
A Chowdhury

Introduction: Pharmacogenomics (PGx) is the study of the genetic basis of variability among individuals in response to drugs. It is the newest discipline of medicine and is becoming a very active area of research, with the pharmaceutical industry gaining experience applying it, integrating it into the drug development process, and also learning to better manage the expectations of the medical community. Methodology: A comprehensive review of the literature on the principles, applications, challenges and prospects of pharmacogenomics was performed. Results: Pharmacogenomics tailors therapies to the genetic makeup of an individual and can therefore offer treatments that are more efficacious and have fewer side effects. Despite these benefits, personalized medicine has not been embraced by large pharmaceutical companies. It is expected that the first wave of successful pharmacogenomics products will be used in acute treatments for which current therapies have and severe side effects. These products should also be good candidates for premium pricing. Personalized medicine (PM), based on the genetic makeup of a patient, may result in not only an improved therapeutic response but also a clinically important reduction in adverse drug reactions. The experience to date is mixed, with a few successes but many frustrations. Conclusion: However, for pharmacogenomics to be truly embraced, the benefits of this technology must become more widely accepted in terms of economic, public, regulatory and ethical issues. DOI: http://dx.doi.org/10.3329/bjms.v12i4.11041 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 346-356


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