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Evolution of gestational surrogacy through the years and the new challenges for its implementation 妊娠代孕多年来的演变及其实施面临的新挑战
Pub Date : 2024-07-05 DOI: 10.29057/mbr.v6i11.12044
Arianna Omaña-Covarrubias, Erick Emmanuel Reyes-Barrios, A. Nez-Castro, Edwin Alonso Chávez Mejía, Bertha Maribel Pimentel Pérez, Lydia López-Pontigo
Surrogacy is an alternative for women who want to start a family but cannot foe biological, surgical o pathological reasons. However, over time, the implementation of this procedure has presented too many obstacles, due to ethical and legal issues, since in many first world countries, uterine transplantation has come to be considered the best alternative to achieve conception. This without considering the treatment that surrogacy mothers usually receive, who in some cases are considered simple recipients. Many advances have been made as society, so it is necessary to maintain vigilance in how these types of alternatives are regulated to achieve the parenthood so desired by many couples. For this reason, the dignified and respectful treatment of women who offer their bodies to achieve the parenthood, nor to mention medical, psychological, and social support, are essential during this process.
代孕是那些希望组建家庭,但由于生理、手术或病理原因而无法组建家庭的妇女的一种选择。然而,随着时间的推移,由于伦理和法律问题,这一程序的实施遇到了太多的障碍,因为在许多第一世界国家,子宫移植已被认为是实现受孕的最佳选择。这还没有考虑到代孕母亲通常接受的治疗,在某些情况下,她们被认为是简单的受孕者。社会已经取得了许多进步,因此有必要对如何规范这些类型的替代方法保持警惕,以实现许多夫妇所渴望的父母身份。因此,在这一过程中,有尊严和尊重地对待献出自己身体以实现生育的妇女,更不用说医疗、心理和社会支持了。
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引用次数: 0
Chromosomal disorders and Bioethics 染色体疾病与生命伦理学
Pub Date : 2024-07-05 DOI: 10.29057/mbr.v6i11.12448
Arianna Omaña-Covarrubias, Edwin Alonso Chávez Mejía, A. Nez-Castro, Bertha Maribel Pimentel Pérez, Lydia López-Pontigo
The human being has approximately 30,000 genes, distributed in 23 pairs of chromosomes, giving a total of 46 chromosomes of which 23 correspond to each parent. Durin the process of cell division, both somatic and gametogenesis, spontaneous or induced accidents may occur that produce chromosomal anomalies or chromosomopathies that result from a grater or lesser amount of hereditary material and are the cause of some syndromes such as Down syndrome (trisomy twenty-one), but also of spontaneous abortions and diseases or problems in growth and development. In recent years, techniques have been developed with which chromosomal anomalies can be detected from a DNA sample that does not turn out to be non-traumatic for the mother or baby. Reason why the prevention and diagnosis of chromosomopathies has gained great relevance in maternal and child health care. However, these types of procedures have created ethical policies and legislation by virtue of the responsibility of paternal action on the fetus, in the presence of a chromosomal alteration that can culminate in disability or fetal or neonatal death. For this reason, the personal physician must seek to provide genetic counseling that guides parents in making decisions in accordance with their ideology, culture, and socioeconomic level, without leaving aside respect for the bioethical principles of the fetus, which is why that the development of international consensus that directs the implementation of genetic counseling is essential.  
人类约有 30,000 个基因,分布在 23 对染色体上,总共有 46 条染色体,其中 23 条与父母各对应。在细胞分裂(包括体细胞和配子的产生)过程中,可能会发生自发或诱发的意外事故,产生染色体异常或染色体病,这些异常或多或少是遗传物质的结果,是某些综合征(如唐氏综合征(21 三体综合征))的病因,也是自然流产、疾病或生长发育问题的病因。近年来,通过 DNA 样本检测染色体异常的技术得到了发展,这对母亲和婴儿都不会造成创伤。因此,染色体病的预防和诊断在母婴保健中具有重要意义。然而,由于染色体病变可能导致胎儿残疾、胎儿死亡或新生儿死亡,父亲的行为对胎儿负有责任,因此这些类型的程序产生了伦理政策和立法。因此,个人医生必须努力提供遗传咨询,指导父母根据自己的思想、文化和社会经济水平做出决定,同时不忘尊重胎儿的生物伦理原则。
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引用次数: 0
The Intersection of Bioethics and Disability Right 生命伦理学与残疾人权利的交叉点
Pub Date : 2024-07-05 DOI: 10.29057/mbr.v6i11.13050
Osebor Monday Ikecukwu
The intersection of bioethics and the rights of people living with disabilities is complex and multifaceted, touching on issues of autonomy, justice, dignity, and quality of life. The intersection has led to debates that focus on healthcare, informed consent, genetic screening, and end-of-life decisions, aiming to ensure that medical practices and policies respect the dignity and rights of disabled individuals while advocating for their inclusion and equitable treatment. Using the method of philosophical analysis, this study argues that integrating ethics of care in disability care would promote a framework that challenges discriminatory practices and enhances participation upholding the values of diversity and human rights in healthcare settings. This study concludes that the ethics of care ultimately seeks to foster the inclusion of people with disabilities in society and an ethical approach to healthcare for all individuals, regardless of their abilities.
生命伦理学与残疾人权利之间的交叉是复杂和多方面的,涉及自主、正义、尊严和生活质量等问题。这种交叉引发了以医疗保健、知情同意、基因筛查和临终决定为重点的辩论,旨在确保医疗实践和政策尊重残疾人的尊严和权利,同时倡导包容和公平对待残疾人。本研究采用哲学分析方法,认为将护理伦理纳入残疾人护理将促进建立一个挑战歧视性做法的框架,并加强在医疗环境中维护多样性和人权价值观的参与。本研究的结论是,护理伦理最终旨在促进社会对残疾人的包容,并为所有人(无论其能力如何)提供符合伦理的医疗保健方法。
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引用次数: 0
Local Governance and Bioethics: The Challenges of Aging in Hidalgo, 1999-2024. 地方治理与生物伦理:伊达尔戈老龄化的挑战,1999-2024 年。
Pub Date : 2024-07-05 DOI: 10.29057/mbr.v6i11.13118
Manuel Alexis Montiel Sánchez, Marco Antonio Reyes Calva, María del Refugio Acuña Gurrola, Bertha Maribel Pimentel Pérez, Lydia López-Pontigo
In a time when economic, social, health, and demographic circumstances demand renewed attention towards the most vulnerable sectors, the role of government in protecting and promoting the rights of the elderly becomes crucial. Precisely towards this guideline, the present study is directed. Through a qualitative methodology and a descriptive analysis, current federal and state laws are thoroughly reviewed, as well as the lines of action derived from state-level implemented public policies. This analysis is carried out from the gerontological perspective of public policies, which highlights the ethical and bioethical aspects involved in the changes in the country's population structure, emphasizing the vulnerability that age brings to the exercise of human rights and the economic conditions of older adults, as well as the significant barriers they face to achieve a dignified life through retirements or pensions. The research highlights the need for an ethical and bioethical stance for effective coordination among different levels of government and specialists in the well-being and care of the elderly, who are pivotal in the construction of comprehensive and effective social programs. The findings underscore the importance of these policies in promoting well being and guaranteeing the rights of older adults in our society.
当经济、社会、健康和人口环境要求我们重新关注最弱势群体时,政府在保护和促进老年人权利方面的作用就变得至关重要。本研究正是以此为指导。通过定性方法和描述性分析,对联邦和各州的现行法律以及各州实施的公共政策的行动方针进行了全面审查。本研究从老年学的角度对公共政策进行了分析,突出了国家人口结构变化所涉及的伦理和生物伦理问题,强调了年龄给老年人行使人权和经济条件带来的脆弱性,以及他们通过退休或养老金实现有尊严的生活所面临的重大障碍。研究强调,需要从伦理和生物伦理的角度出发,有效协调各级政府和专家在老年人福祉和护理方面的工作,他们在构建全面有效的社会计划方面发挥着关键作用。研究结果强调了这些政策在促进老年人福祉和保障老年人权利方面的重要性。
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引用次数: 0
Violence against women and reproductive rights 暴力侵害妇女行为与生殖权利
Pub Date : 2024-07-05 DOI: 10.29057/mbr.v6i11.13092
Imelda Menchaca Armenta, Víctor R. Miranda Lara, Jessica Zaragoza Cortés, Gilberto Luna Lugo
Violence is a social problem that affects the most vulnerable groups, such as pregnant women, affecting their reproductive rights. In Mexico, efforts have been made to regulate this type of actions and the rights they have during pregnancy and when deciding to have an abortion have been promoted, with the intention that it is safe and does not affect their physical and emotional integrity. However, there is still a lack of awareness among medical personnel and society in general to improve women's health conditions.
暴力是影响孕妇等最弱势群体的一个社会问题,影响她们的生殖权利。墨西哥一直在努力规范这类行为,并宣传她们在怀孕期间和决定堕胎时所享有的权利,目的是使堕胎安全且不会影响她们的身心健康。然而,医务人员和整个社会对改善妇女的健康状况仍然缺乏认识。
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引用次数: 0
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Mexican bioethics review ICSa
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