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Examining the criteria of human dignity. 审查人类尊严的标准。
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-12-30 eCollection Date: 2023-01-01 DOI: 10.18502/jmehm.v16i14.14613
Seyed Abdosaleh Jafari, Behin Araminia, Hanieh Tavasoli, Nafiseh Tavasoli, Soheil Abedi, Ahmad Fayaz Bakhshe

One of the critical aspects in discussing human dignity is the establishment of its criterion, a standard unique to humans. This criterion should effectively create a fundamental and structural distinction from other creatures. Initially, our focus was on the endeavors of biologists to differentiate the human species from others, emphasizing the physical aspects. However, physical and genetic differences lack the necessary characteristics to serve as a criterion for dignity. Subsequently, we explored the notion of this criterion in human behavior. Yet, given that behavior stems from human thought, it proves unsuitable as a criterion for dignity. Thus, our quest led us to explore human wisdom. However, since wisdom, like other abilities, serves as a tool for improved living and is present to some extent in other animals, it proves inadequate as a criterion. We have determined that the distinguishing characteristic lies in the power of choice or free will, setting humans apart from other living beings whose behavior is solely instinctual or driven by needs. Consequently, free choice forms the foundation of dignity, assigning value to the chooser based on the choices made.

讨论人类尊严的一个关键方面是确立其标准,即人类独有的标准。这一标准应有效地从根本上和结构上区别于其他生物。最初,我们关注的焦点是生物学家将人类与其他物种区分开来的努力,强调的是生理方面。然而,生理和基因差异缺乏作为尊严标准的必要特征。随后,我们探讨了人类行为中的这一标准概念。然而,鉴于行为源于人类的思想,它被证明不适合作为尊严的标准。于是,我们开始探索人类的智慧。然而,由于智慧和其他能力一样,都是改善生活的工具,而且在某种程度上也存在于其他动物身上,因此证明它不足以作为一种标准。我们认为,人类的显著特征在于选择或自由意志的能力,这使人类有别于其他行为完全出于本能或受需求驱使的生物。因此,自由选择构成了尊严的基础,根据所做的选择赋予选择者价值。
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引用次数: 0
Access to health care for Afghan immigrants and refugees: an ethico-legal analysis based on the Iranian health law system 阿富汗移民和难民获得医疗保健:基于伊朗卫生法体系的伦理-法律分析
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-12-08 DOI: 10.18502/jmehm.v16i12.14307
Farzad Zakian Khorramabadi, Vahid Moazzen, A. Parsapour, Amirhossein Takian, Abbas Mirshekari, Bagher Larijani, E. S. Gooshki
The right to health is an internationally recognized and established human right with a long history of appreciation, indicating that governments should guarantee the highest possible level of access to health and provide health-care serivces with no discrimination based on nationality, race, gender, language or religion. The present study explored this topic using an analytic-descriptive approach. We reviewed related laws, policies and other available documents with the aim to investigate the ethico-legal aspects of Afghan refugees' and immigrants' access to health care and the challenges in in this regard within the Iranian health law system.  According to the results of this study, the Iranian health law could be interpreted to include all Afghan immigrants in the country’s public health system as a legal commitment. In addition, while basic and primary health coverage is available for all Afghan immigrants in Iran, provision of other medical and rehabilitative health services to documented and undocumented immigrants follow different methods. In order to alleviate the current situation, we recommend strategies such as supporting policy changes intended to register undocumented immigrants, which naturally results in an increase in their access to health care.
健康权是一项国际公认和确立的人权,历史悠久,表明各国政府应保证尽可能高水平地获得保健,并提供保健服务,不受基于国籍、种族、性别、语言或宗教的歧视。本研究使用分析-描述方法探讨了这一主题。我们审查了相关法律、政策和其他现有文件,目的是调查阿富汗难民和移民获得医疗保健的伦理法律方面,以及伊朗卫生法律体系在这方面面临的挑战。根据这项研究的结果,伊朗卫生法可以被解释为将所有阿富汗移民纳入该国公共卫生系统作为一项法律承诺。此外,虽然伊朗境内所有阿富汗移民都享有基本和初级保健,但向有证件和无证件移民提供其他医疗和康复保健服务的方法不同。为了缓解目前的情况,我们建议采取一些战略,例如支持旨在登记无证移民的政策变化,这自然会增加他们获得医疗保健的机会。
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引用次数: 0
Decolonial health literature can increase our thinking about ethics dumping 非殖 民地健康文学可以增加我们对伦理倾倒的思考
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-12-08 DOI: 10.18502/jmehm.v16i10.14305
Cornelius Ewuoso
This article draws on the underexplored or novel accounts of inclusion and the moral accounts of decolonization in African health decolonial literature to increase our understanding of how ethics dumping manifests in health research partnerships, and what more ought to be done to eliminate this phenomenon. African decolonial health literature proposes “inclusion that matters” – conceptualized as substantial, respectful and deep engagement with African agency – as a solution to end domination or mitigate the “appearance” of inclusion. Based on this supposition, the harm of ethics dumping – and I demonstrate how – is that it fails to engage the agency of Africans, and listen to or echo their voices in health and health research collaborations on the continent, or research collaborations that have significant implications for them. This account of inclusion can usefully increase our thinking about ethics dumping, which is ultimately and in several ways a failure to practice responsible science. Research is required to increase our understanding of what could reasonably constitute responsible science from a variety of perspectives.
本文借鉴了非洲非殖民化卫生文献中关于包容和非殖民化道德问题的未充分探讨或新颖论述,以加深我们对伦理倾销在卫生研究合作中的表现形式以及消除这一现象应采取的更多措施的理解。非洲非殖民化卫生文献提出了 "有意义的包容"--其概念是与非洲机构进行实质性的、相互尊重的和深入的接触--作为结束统治或减轻包容 "表象 "的解决方案。基于这一假设,伦理倾弃的危害--我将展示如何危害--在于它未能让非洲人参与其中,未能在非洲大陆的卫生和健康研究合作中,或在对他们有重大影响的研究合作中倾听或呼应他们的声音。这种对包容的理解可以帮助我们更好地思考伦理倾弃问题,因为伦理倾弃归根结底在多个方面是一种未能践行负责任科学的行为。我们需要开展研究,从不同角度进一步了解什么是负责任的科学。
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引用次数: 0
The mediating role of moral reasoning in spiritual intelligence and caring behaviors in Iranian emergency nurses 道德推理在伊朗急诊护士精神智能和护理行为中的中介作用
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-12-08 DOI: 10.18502/jmehm.v16i11.14306
Raheleh Amiri, Mina Gaeeni, H. A. Tehran
Moral reasoning is necessary to the nursing profession. Therefore, this study aimed to investigate the mediating role of moral reasoning in spiritual intelligence and caring behaviors among Iranian emergency nurses. In this descriptive-analytical study structural equation modeling (SEM) is employed for the data analysis. the minimum required sample size determined by the number of parameters of the model was 18. Considering that 5 to 15 samples were required for each of the parameters; the required sample size was 272. Nurses working in the emergency department of all hospitals in Qom, Iran, were selected by convenience sampling. Demographic characteristics inventory, King’s Spiritual Intelligence Self-Report Inventory, Crisham’s Nursing Dilemma Test, and Wolf’s Caring Behaviors Inventory used for data collection. SPSS (V20) and Mplus were used to analyze the data. The results showed that a significant direct relationship was observed between moral reasoning and caring behaviors. According to SEM results, direct and indirect effects were observed of spiritual intelligence on caring behavior It is therefore recommended managers and hospital officials pay meticulous attention to spiritual intelligence and the power of decision-making in nurses to improve their caring behaviors. 
道德推理对护理职业是必要的。因此,本研究旨在探讨道德推理对伊朗急诊护士精神智力和关怀行为的中介作用。在本描述分析研究中,结构方程模型(SEM)用于数据分析。由模型参数个数决定的最小样本量为18。考虑到每个参数需要5到15个样本;所需样本量为272人。采用方便抽样的方法,选取伊朗库姆市所有医院急诊科的护士。采用人口统计学特征量表、King精神智力自我报告量表、Crisham护理困境测验和Wolf关爱行为量表进行数据收集。采用SPSS (V20)软件和Mplus软件对数据进行分析。结果表明,道德推理与关怀行为之间存在显著的直接关系。扫描电镜结果显示,精神智力对护理行为有直接和间接的影响。因此,建议管理人员和医院管理人员对护士的精神智力和决策能力进行细致的关注,以改善他们的护理行为。
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引用次数: 0
The ill-fated triad: Roosevelt, Stalin and Churchill - Post-Yalta strokes and the impact on world leaders 命运多舛的三巨头:罗斯福、斯大林和丘吉尔--雅尔塔会议后的动荡及其对世界领导人的影响
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-12-08 DOI: 10.18502/jmehm.v16i9.14304
Eti Muharremi, Gentian Vyshka
The Yalta Conference of 1945 brought together three of the most influential leaders of the 20th century: Franklin D. Roosevelt, Joseph Stalin and Winston Churchill. Surprisingly, all three leaders would go on to suffer strokes after the conference. This manuscript examines the health status of these leaders during and after the Yalta Conference, the factors that contributed to their strokes (including the role of hypertension), and other modifiable risk factors present in each one of them, and the impact of their declining health on their countries and the world. Roosevelt's demise, prior to the conclusion of the war, triggered a leadership transition during a critical moment in history, while Churchill and Stalin's passing shaped the early Cold War era. A veil of secrecy shrouded the health conditions of these pivotal leaders. “The Big Three” made considerable efforts to hide their health conditions from both the press and the public at large. Understanding the health of political leaders is crucial as it can affect their decision-making abilities and the course of history. The fates of Roosevelt, Stalin and Churchill serve as important reminders of the potential consequences of poor health in the highest echelons of political power.
1945 年雅尔塔会议汇聚了 20 世纪最具影响力的三位领导人:富兰克林-罗斯福、约瑟夫-斯大林和温斯顿-丘吉尔。令人惊讶的是,这三位领导人在会后都患上了中风。本手稿研究了这些领导人在雅尔塔会议期间和会后的健康状况、导致他们中风的因素(包括高血压的作用)、他们每个人身上存在的其他可改变的风险因素,以及他们健康状况下降对其国家和世界的影响。罗斯福在战争结束前逝世,引发了历史关键时刻的领导权交接,而丘吉尔和斯大林的逝世则塑造了早期冷战时代。这些举足轻重的领导人的健康状况被蒙上了一层神秘的面纱。"三巨头 "竭力向媒体和公众隐瞒他们的健康状况。了解政治领导人的健康状况至关重要,因为这会影响他们的决策能力和历史进程。罗斯福、斯大林和丘吉尔的命运是政治权力最高层健康状况不佳潜在后果的重要警示。
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引用次数: 0
Respecting patients’ rights in hospitals: patients’ and health-care workers’ perspectives 医院尊重患者权利:患者和医护人员的观点
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-12-08 DOI: 10.18502/jmehm.v16i13.14308
Soolmaz Moosavi, Maryam Sadaat Mousavi, Ayat Ahmadi, Amirhossein Mardani, A. Parsapoor, E. S. Gooshki
Considering the importance of respecting and observing patients’ rights, this study aimed to assess the level of observance of hospitalized patients’ rights from both patients’ and health-care workers' (HCWs) perspectives. This cross-sectional descriptive-analytic study reports the responses of 486 patients and 887 HCWs in a public referral university hospital. The study illustrates that patients and HCWs think patients’ rights are respected at a medium level; however, HCWs reported lower levels of respect for patients’ rights than patients, and senior HCWs reported even lower levels than their younger colleagues. Older patients and those hospitalized in internal medicine wards reported lower respect for autonomy and responsiveness, and patients’ companions reported lower levels of respect for patients’ rights than the patients themselves.
考虑到尊重和遵守患者权利的重要性,本研究旨在从患者和卫生保健工作者的角度评估遵守住院患者权利的程度。本横断面描述性分析研究报告了公立转诊大学医院486名患者和887名卫生保健员的反应。研究表明,患者和医护人员认为患者的权利受到了中等程度的尊重;然而,据报道,医护人员对患者权利的尊重程度低于患者,而高级医护人员的尊重程度甚至低于年轻同事。老年患者和住院内科病房的患者报告说,他们对自主权和反应性的尊重程度较低,患者的同伴报告说,他们对患者权利的尊重程度低于患者自己。
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引用次数: 0
Ethical challenges raised by osteoporosis-related clinical trials 骨质疏松症相关临床试验带来的伦理挑战
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-12-08 DOI: 10.18502/jmehm.v16i7.14302
Maryam Mirahmad, Sayed Mahmoud Sajjadi-Jazi, Fariba Asghari, Bagher Larijani
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
Ethical considerations in sarcopenia research 肌肉疏松症研究的伦理考量
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-12-08 DOI: 10.18502/jmehm.v16i8.14303
G. Shafiee, N. Z. Balajam, R. Heshmat, Bagher Larijani
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
Ethical challenges in gestational diabetes. 妊娠期糖尿病的伦理挑战。
IF 1 Q3 MEDICAL ETHICS Pub Date : 2023-08-19 eCollection Date: 2023-01-01 DOI: 10.18502/jmehm.v16i6.13470
Mojgan Asadi, Farzaneh Zahedi, Mahbube Ebrahimpur, Bagher Larijani
The Article Abstract is not available.
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引用次数: 0
The extent of government intervention in the public health system and individual freedoms during the Covid-19 pandemic: a theoretical analysis. 新冠肺炎大流行期间政府对公共卫生系统和个人自由的干预程度:理论分析。
IF 0.9 Q3 MEDICAL ETHICS Pub Date : 2023-07-18 eCollection Date: 2023-01-01 DOI: 10.18502/jmehm.v16i4.13232
Vahid Moazzen, Ehsan Shamsi Gooshki

The concept of individual freedom has complex and multifaceted dimensions that significantly affect the limits of permissible government interventions aimed at restricting such freedoms and maintaining public health. Therefore, the boundary between individual freedom and the social obligations of the government must be carefully clarified. During the Covid-19 pandemic, the need for such clarifications clearly increased. This study intended to investigate the concept of freedom according to major theories and to observe their application in analyzing the relations between individuals and the government in the health system, particularly during public health emergencies. The findings revealed that "justice-based", "development-based" and "accountability-based" conceptions of freedom provide a more appropriate rationale for implementation of public health restrictive measures by health authorities during infectious disease outbreaks including pandemics such as COVID-19. Even in minimal governments that are built upon a free-market system and unrestricted conception of individuals' freedom, such public health interventions are justifiable in the light of the 'Catastrophic Moral Horror' where there is an extreme risk to the health of citizens.

个人自由的概念具有复杂和多方面的层面,严重影响了旨在限制这种自由和维护公共健康的政府干预措施的限度。因此,必须认真厘清个人自由与政府社会义务之间的界限。在新冠肺炎大流行期间,对此类澄清的需求明显增加。本研究旨在根据主要理论研究自由的概念,并观察其在分析卫生系统中个人与政府之间的关系,特别是在突发公共卫生事件中的应用。研究结果表明,“基于司法”、“基于发展”和“基于责任”的自由概念为卫生当局在包括新冠肺炎等流行病在内的传染病爆发期间实施公共卫生限制措施提供了更适当的理由。即使在建立在自由市场体系和不受限制的个人自由概念基础上的最低限度的政府中,鉴于公民健康面临极端风险的“灾难性道德恐怖”,这种公共卫生干预也是合理的。
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引用次数: 0
期刊
Journal of Medical Ethics and History of Medicine
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