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Exploring awareness, attitudes, and readiness towards euthanasia among medical students and staff in Jordan: A multicenter cross-sectional study 探索约旦医学生和医务人员对安乐死的认识、态度和准备情况:一项多中心横断面研究
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100970
B. Alazab , J. Alazab , S. Beqaeen , S. Al-Beool , T. Hajahjeh , R. Rababaa , R. Ammouri , G. Al-Hudhud , N. Alkattan , A. Aqel , L. Alsharaeh

Background

Euthanasia stands as an enduring and polarizing subject within medical ethics, the contentious nature of this topic emanates from the clash between a physician's duty to preserve life and alleviate suffering. This study provides valuable insights into the perspective of medical students and staff, examining their awareness levels, attitudes, and readiness regarding euthanasia. Notably, the research is framed within the unique context of the Middle East, challenging the predominantly Western influence on end-of-life decision studies. This study is the first of its kind to examine a Middle Eastern perspective on euthanasia, emphasizing its relevance and novelty. It highlights both the obstacles to its implementation and the rationales for endorsing it, while also pinpointing the significant factors linked to this complex subject.

Method

This multicenter cross-sectional study enrolled 646 individuals, including medical students and staff. The study encompassed all six medical facilities in the, as well as multiple hospitals across Jordan.

Results

The median age of the study participants was 21 years old (21–22). The analysis showed that 30.3% of the participants expressed support for euthanasia. Designation was significantly associated with awareness and readiness. Religious activity was associated with attitude, while religion was associated with readiness. In this current study, participants displayed a pessimistic stance regarding euthanasia. The primary reasons for opposition included concerns about its potential misuse for personal gain, as well as the impact of religious or cultural beliefs.

Conclusion

The present research significantly contributes to the global discourse on euthanasia, offering a comprehensive glimpse into how medical practitioners and students in Jordan navigate this intricate issue.

背景安乐死是医学伦理学中一个经久不衰、两极分化的话题,其争议性源于医生维护生命与减轻痛苦的职责之间的冲突。本研究从医学生和医务人员的角度出发,考察了他们对安乐死的认识水平、态度和准备程度,为我们提供了宝贵的见解。值得注意的是,这项研究是在中东地区的独特背景下进行的,挑战了临终决定研究中主要受西方影响的观点。本研究是首次从中东角度对安乐死进行研究,强调了安乐死的相关性和新颖性。研究强调了实施安乐死的障碍和赞同安乐死的理由,同时还指出了与这一复杂课题相关的重要因素。研究范围包括约旦的所有六家医疗机构以及约旦各地的多家医院。结果研究参与者的年龄中位数为 21 岁(21-22 岁)。分析表明,30.3% 的参与者表示支持安乐死。指定与认识和准备程度明显相关。宗教活动与态度有关,而宗教与准备程度有关。在本次研究中,参与者对安乐死持悲观态度。反对的主要原因包括担心安乐死可能被滥用于谋取私利,以及宗教或文化信仰的影响。
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引用次数: 0
Regulating mobile health research in Canada: Public trust and public participation 规范加拿大的移动健康研究:公众信任和公众参与
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100988
M.H. Zawati , M. Lang

Background

Smartphone applications provide unique opportunities for health research. Prospective participants may be recruited, give consent, and may share personal health information with researchers with unparalleled efficiency. Mobile health apps thus have the potential to profoundly alter the way health research is conducted, thereby contributing to more effective and more equitably distributed clinical interventions. But the regulation of this kind of research is uncertain. The absence of regulatory guidance may limit mobile health's promise.

Methodology

The mobile health research landscape in Canada is considered in the context of the existing regulatory framework, academic literature, and current applications.

Results/discussion

This paper outlines regulatory issues in the Canadian context, suggesting three key issues to which researchers and regulators ought to be attentive to ensure public trust: consent, return of results, and privacy and security.

Conclusion/perspectives

Further consideration of regulatory and ethical issues is needed if mobile health will earn the public's trust and promote public participation.

背景智能手机应用程序为健康研究提供了独特的机会。研究人员可以以无与伦比的效率招募潜在参与者,征得他们的同意,并与他们分享个人健康信息。因此,手机健康应用程序有可能深刻改变健康研究的方式,从而有助于更有效、更公平地分配临床干预措施。但对这类研究的监管还不确定。结果/讨论本文概述了加拿大的监管问题,提出了研究人员和监管人员为确保公众信任而应关注的三个关键问题:同意、结果返还以及隐私和安全。结论/展望如果移动医疗要赢得公众信任并促进公众参与,就需要进一步考虑监管和伦理问题。
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引用次数: 0
Evaluation of ethical standards in a large sample of Italian white-collar workers: A pilot study 意大利白领工人大样本道德标准评估:试点研究
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.101008
M.F. Rossi , U. Moscato , B.C. Tannorella , A. Perrotta , P.E. Santoro , M.R. Gualano , I. Borrelli

Background

In recent years many tools have been developed for the objective assessment of the impact of ethics in the occupational world; in the Italian context, many different methods have been used to assess ethical values in the occupational context, which presents difficulties for the occupational physician in the interpretation of the results. To standardize the evaluation of ethical standards in the workplace, the short version of a questionnaire based on the Corporate Ethical Virtues Model, which was recently validated in Italian, was used to evaluate ethical climate in a population of office workers.

Methodology

The questionnaire was administered to a large population of Italian office workers. Descriptive statistical analysis, as well as a logistic regression model, were performed to evaluate variables acting as predictors of ethical standards. P-values < 0.05 were considered statistically significant.

Results/discussion

In all, 3706 workers were included in the study; 1710 were males (46.14%). The total score obtained on the questionnaire by the workers participating in the study ranged from 31 to 96 points, with a mean of 72.16 (SD ± 11.01) points (higher values indicate better ethical standards). Job role and length of service were highlighted as statistically significant (P < 0.01) predictors of ethical standards.

Conclusion/perspectives

Role and length of service are predictors of ethical standards. The questionnaire may be used to evaluate ethical climate in the workplace, allowing the harmonization of the evaluation of ethical standards performed by the occupational physician. Further studies are needed to evaluate the impact of ethical climate on workers’ well-being.
背景近年来,人们开发了许多工具来客观评估职业道德的影响;在意大利,人们使用了许多不同的方法来评估职业道德价值观,这给职业医生解释评估结果带来了困难。为了对工作场所的道德标准进行标准化评估,我们使用了基于企业伦理美德模型的简短版调查问卷来评估办公室工作人员的道德氛围。采用描述性统计分析和逻辑回归模型来评估作为道德标准预测因素的变量。结果/讨论共有 3706 名员工参与了研究,其中男性 1710 人(占 46.14%)。参与研究的工人在问卷中获得的总分从 31 分到 96 分不等,平均分为 72.16 分(标准差 ± 11.01)(数值越高,表示道德标准越高)。工作角色和工龄对道德标准的预测具有显著的统计学意义(P < 0.01)。该问卷可用于评估工作场所的道德氛围,从而统一职业医师对道德标准的评估。需要开展进一步研究,以评估道德氛围对工人福祉的影响。
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引用次数: 0
Mindfulness-based stress reduction: a comprehensive approach to mitigating psychological distress and emotional eating among young adults post-Covid-19 正念减压法:减轻 19 岁后年轻人心理压力和情绪化饮食的综合方法
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.101017
S. Fau , E. Ramadhani , R. Andana Pohan , M. Oktasari , R. Saputra
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引用次数: 0
Jean Malaurie (1922–2024) 让-马拉里(1922-2024)
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100981
P. Charlier
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引用次数: 0
Policies to address the Covid-19 pandemic: Lessons learned from tribal policymakers 应对 Covid-19 大流行病的政策:部落决策者的经验教训
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100971
J.A. Pacheco, W.S. Choi, C.M. Daley

Background

The Covid-19 pandemic created many challenges for federal policymakers. However, American Indian tribal policymakers also had to rely on their treaty relationship the United States and set policies to protect their sovereign nations. The Covid-19 pandemic was devastating to tribal communities and amplified many inequalities these communities already face.

Methodology

In this study, we interviewed tribal policymakers using a phenomenological approach to examine tribal Covid-19 policies enacted and the governmental actions taken in response to the pandemic. Using a purposive sampling method, 11 interviews were included in the analysis.

Discussion

These interviews represented 10 tribes across five culture areas. Ten themes were identified, including four related to issues to be addressed at the start of the pandemic and six associated with Covid-19 policy development and implementation. The findings from this study are intended to describe the ways in which some tribes operated within their infrastructures to keep their members safe.

Conclusion

The Covid-19 virus had a devastating impact on American Indian communities. This study can aid in the generation of evidence-based information that can influence the development of policies regarding future outbreaks and pandemics.

背景科维德-19 大流行病给联邦政策制定者带来了许多挑战。然而,美国印第安部落的决策者也不得不依靠他们与美国的条约关系,制定政策来保护他们的主权国家。在本研究中,我们采用现象学方法采访了部落政策制定者,以研究部落为应对 Covid-19 大流行病而制定的政策和采取的政府行动。讨论这些访谈代表了五个文化区的 10 个部落。共确定了 10 个主题,其中 4 个与大流行开始时需要解决的问题有关,6 个与 Covid-19 政策的制定和实施有关。本研究的结果旨在描述一些部落如何在其基础设施内运作,以确保其成员的安全。本研究有助于生成以证据为基础的信息,从而影响有关未来疫情爆发和流行病的政策制定。
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引用次数: 0
Erratum regarding previously published articles 关于以前发表的文章的勘误
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100984
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引用次数: 0
Understanding the modern relevance of the Hippocratic Oath 了解希波克拉底誓言的现代意义
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.101005
L. Marcucci , D. Fourel
The Hippocratic Oath is a composite text that dates back thousands of years and has been rewritten many times. This text is still a key reference, both from a deontological point of view (because of the principles it promotes and the professional morality it defends) and from an ethical point of view (based on the precepts of the ancients, concerning the ethos of practitioners and the doctor-patient relationship). All medical doctors in France pronounce it at least once in their professional life, at the end of their PhD defense. Nevertheless, this text and this moment are sometimes judged to be outmoded or even outdated. Based on a philosophical methodology, paying attention to the contribution of human sciences, the aim of this article is to highlight how the Hippocratic Oath still enlightens us today, in the current context of paradigm shifts (the doctor-patient relationship, model of co-decision; contractualization; market logic, etc.) and multiple crises (health crises, resource constraints, wars, etc.). The result of this survey is that while medicine is both an art and a science the Oath does however, emphasize the humanist dimension of daily practice. That's why reading and pronouncing the Hippocratic Oath implies taking an interest not only in understanding its deeper meaning and spirit beyond the letter of the text, but also in what we wish to pass on to future generations in terms of key ethical references.
希波克拉底誓言》是一部综合文本,可追溯到数千年前,并经过多次改写。无论是从义务论的角度(因为它倡导的原则和捍卫的职业道德),还是从伦理的角度(基于古人的戒律,涉及从业者的职业道德和医患关系)来看,该誓言仍然是一个重要的参考。在法国,所有医生在其职业生涯中都至少要在博士答辩结束时宣读一次。然而,有时人们却认为这段文字和这一时刻已经过时,甚至是落伍了。本文以哲学方法论为基础,关注人文科学的贡献,旨在强调在当前范式转变(医患关系、共同决策模式、契约化、市场逻辑等)和多重危机(健康危机、资源限制、战争等)的背景下,希波克拉底誓言如何在今天依然启迪我们。这项调查的结果是,虽然医学既是一门艺术,也是一门科学,但誓言确实强调了日常实践中的人文主义维度。这就是为什么阅读和宣读希波克拉底誓言不仅意味着我们有兴趣了解其文字之外的深层含义和精神,而且还意味着我们希望向后代传递什么重要的道德参考。
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引用次数: 0
India seems unable to protect its doctors: A new case of rape and cover up against a woman resident doctor in Bengal 印度似乎无法保护自己的医生:孟加拉邦一名女住院医生被强奸和包庇的新案件
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.101007
S. Deo , P. Charlier
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引用次数: 0
Broadening the scope of mental health research: The importance of longitudinal studies and cultural context in eating behaviors 拓宽心理健康研究的范围:饮食行为中纵向研究和文化背景的重要性
Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.101013
D. Apriatama , Pithriani , R. Amalia , M. Heriansyah , N. Andriati
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引用次数: 0
期刊
Ethics, Medicine and Public Health
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