ethical concern

  • 文章类型: Journal Article
    转基因(GM)作物是可以提高非洲小农产量的最重要的农产品。在非洲引入转基因农业的错综复杂的环境,然而,强调理解道德难题的重要性,监管环境,以及今天存在的公众情绪。这篇综述研究了非洲转基因作物使用的现状,关注道德难题,监管框架,和公众舆论。54个非洲国家中目前只有11个种植转基因作物,这是由于文化差异造成的广泛意见,社会经济,和环境因素。这项审查建议解决公众关注的问题,协调规章制度,坚持道德标准将改善非洲转基因作物的采用率。这项研究提供了提高转基因作物在全球范围内提高营养和粮食安全的可接受性的方法。
    Genetically modified (GM) crops are the most important agricultural commodities that can improve the yield of African smallholder farmers. The intricate circumstances surrounding the introduction of GM agriculture in Africa, however, underscore the importance of comprehending the moral conundrums, regulatory environments, and public sentiment that exist today. This review examines the current situation surrounding the use of GM crops in Africa, focusing on moral conundrums, regulatory frameworks, and public opinion. Only eleven of the fifty-four African countries currently cultivate GM crops due to the wide range of opinions resulting from the disparities in cultural, socioeconomic, and environmental factors. This review proposed that addressing public concerns, harmonizing regulations, and upholding ethical standards will improve the adoption of GM crops in Africa. This study offers ways to enhance the acceptability of GM crops for boosting nutrition and food security globally.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:在第一波新型冠状病毒(COVID-19)大流行期间,住院患者的突然增加使瑞士南部的医疗机构承受着巨大的压力。在此期间,护理学士学位课程,物理治疗和职业治疗中断,第二年的学生流离失所。学生经历了他们的实习的持续重组,因为医疗保健设施适应了不确定的气候。
    目的:这项研究的目的是调查道德困扰的程度和物理治疗中最常遇到的道德问题,在瑞士南部第一波COVID-19大流行期间,护理和职业治疗学生参加了实习。
    方法:样本由102名参与者组成,有效率为81.6%。
    方法:基于务实的方法,采用了收敛设计的混合方法。数据是在2020年4月30日至2020年5月14日之间通过对所有职业治疗进行的调查收集的,物理治疗和护理学生在他们的第四学期。
    方法:鉴于没有涉及弱势群体,瑞士南部伦理委员会放弃了授权。然而,采取了所有措施,通过保证参与者的匿名性和机密性来保护他们。
    结论:数据分析表明,道德困扰的主要来源是“团队合作不力”,学生经常遇到的道德问题与护理和工作条件的适当性有关,明确提及学生自身和亲人的安全;报告的其他问题包括失去学习机会以及缺乏技术知识和技能。
    结论:这项调查提供了物理治疗的忠实概述,护理和职业治疗学生在第一次大流行浪潮中的经历。这项研究还确定了一些对医疗保健专业教育的关键建议。
    BACKGROUND: During the first wave of the new coronavirus (COVID-19) pandemic, the sudden increase in hospitalised patients put medical facilities in southern Switzerland under severe pressure. During this time, bachelor\'s degree programs in nursing, physiotherapy and occupational therapy were disrupted, and students in their second year were displaced. Students experienced the continuous reorganisation of their traineeship as healthcare facilities adapted to a climate of uncertainty.
    OBJECTIVE: The aim of this study was to investigate the degree of moral distress and the ethical issues most often encountered by physiotherapy, nursing and occupational therapy students enrolled in a traineeship during the first wave of the COVID-19 pandemic in southern Switzerland.
    METHODS: The sample consisted of 102 participants, and the response rate was 81.6%.
    METHODS: Based on a pragmatic approach, a mixed-method with a convergent design was adopted. Data were collected between 30 April 2020 and 14 May 2020, via a survey administered to all occupational therapy, physiotherapy and nursing students in their fourth semester.
    METHODS: Given that no vulnerable persons were involved, the Ethics Committee of Southern Switzerland waived authorisation. However, all measures were put into place to protect participants by guaranteeing their anonymity and confidentiality.
    CONCLUSIONS: The data analysis showed that the main source for moral distress was \'poor teamwork\' and that the moral issues encountered most often by students were related to the appropriateness of care and working conditions, with a clear reference to students\' own safety and that of their loved ones; the other concerns reported included the loss of learning opportunities and the perceived lack of technical knowledge and skills.
    CONCLUSIONS: This survey offers a faithful overview of physiotherapy, nursing and occupational therapy students\' experience during the first pandemic wave. This study also identifies some key recommendations for healthcare professions\' education.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    动物模型涉及人类以外的物种,因为它可以模仿疾病的进展,它的诊断以及类似于人类的治疗。发现药物和/或成分,设备,他们的毒理学研究,剂量,考虑到它的伦理问题,对副作用进行了体内研究,以便将来在人类中使用。这是动物模型在生物医学研究中的巨大用途的重要性。动物模型具有许多方面,可以模拟人类的各种疾病状况,例如全身性自身免疫性疾病,类风湿性关节炎,癫痫,老年痴呆症,心血管疾病,动脉粥样硬化,糖尿病,等。,还有更多。此外,该模型在药物开发中具有巨大的重要性,医疗设备的发展,组织工程,伤口愈合,骨和软骨再生研究,作为血管手术的模型以及椎间盘再生手术的模型。不过,所有的模型都有一些优势和挑战,但是,本综述强调了各种小型和大型动物模型在药物开发中的重要性,转基因动物模型,医疗器械开发模型,对各种人类疾病的研究,骨和软骨再生模型,考虑到该特定动物模型的所有伦理问题,糖尿病和烧伤伤口模型以及手术模型,例如血管手术和椎间盘退变手术。尽管,使用动物模型的过程促进了研究人员进行研究,考虑到伦理禁令,这在人类中是不可能完成的。
    The animal model deals with the species other than the human, as it can imitate the disease progression, its\' diagnosis as well as a treatment similar to human. Discovery of a drug and/or component, equipment, their toxicological studies, dose, side effects are in vivo studied for future use in humans considering its\' ethical issues. Here lies the importance of the animal model for its enormous use in biomedical research. Animal models have many facets that mimic various disease conditions in humans like systemic autoimmune diseases, rheumatoid arthritis, epilepsy, Alzheimer\'s disease, cardiovascular diseases, Atherosclerosis, diabetes, etc., and many more. Besides, the model has tremendous importance in drug development, development of medical devices, tissue engineering, wound healing, and bone and cartilage regeneration studies, as a model in vascular surgeries as well as the model for vertebral disc regeneration surgery. Though, all the models have some advantages as well as challenges, but, present review has emphasized the importance of various small and large animal models in pharmaceutical drug development, transgenic animal models, models for medical device developments, studies for various human diseases, bone and cartilage regeneration model, diabetic and burn wound model as well as surgical models like vascular surgeries and surgeries for intervertebral disc degeneration considering all the ethical issues of that specific animal model. Despite, the process of using the animal model has facilitated researchers to carry out the researches that would have been impossible to accomplish in human considering the ethical prohibitions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    BACKGROUND: While non-invasive prenatal testing (NIPT) for fetal aneuploidy is commercially available in many countries, little is known about how obstetric professionals in non-Western populations perceive the clinical usefulness of NIPT in comparison with existing first-trimester combined screening (FTS) for Down syndrome (DS) or invasive prenatal diagnosis (IPD), or perceptions of their ethical concerns arising from the use of NIPT.
    METHODS: A cross-sectional survey among 327 obstetric professionals (237 midwives, 90 obstetricians) in Hong Kong.
    RESULTS: Compared to FTS, NIPT was believed to: provide more psychological benefits and enable earlier consideration of termination of pregnancy. Compared to IPD, NIPT was believed to: provide less psychological stress for high-risk women and more psychological assurance for low-risk women, and offer an advantage to detect chromosomal abnormalities earlier. Significant differences in perceived clinical usefulness were found by profession and healthcare sector: (1) obstetricians reported more certain views towards the usefulness of NIPT than midwives and (2) professionals in the public sector perceived less usefulness of NIPT than the private sector. Beliefs about earlier detection of DS using NIPT were associated with ethical concerns about increasing abortion. Participants believing that NIPT provided psychological assurance among low-risk women were less likely to be concerned about ethical issues relating to informed decision-making and pre-test consultation for NIPT.
    CONCLUSIONS: Our findings suggest the need for political debate initially on how to ensure pregnant women accessing public services are informed about commercially available more advanced technology, but also on the potential implementation of NIPT within public services to improve access and equity to DS screening services.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    Examining those risk and benefit perceptions utilised in the formation of attitudes and opinions about emerging technologies such as nanotechnology can be useful for both industry and policy makers involved in their development, implementation and regulation. A broad range of different socio-psychological and affective factors may influence consumer responses to different applications of nanotechnology, including ethical concerns. A useful approach to identifying relevant consumer concerns and innovation priorities is to develop predictive constructs which can be used to differentiate applications of nanotechnology in a way which is meaningful to consumers. This requires elicitation of attitudinal constructs from consumers, rather than measuring attitudes assumed to be important by the researcher. Psychological factors influencing societal responses to 15 applications of nanotechnology drawn from different application areas (e.g. medicine, agriculture and environment, food, military, sports, and cosmetics) were identified using repertory grid method in conjunction with generalised Procrustes analysis. The results suggested that people differentiate nanotechnology applications based on the extent to which they perceive them to be beneficial, useful, necessary and important. The benefits may be offset by perceived risks focusing on fear and ethical concerns. Compared to an earlier expert study on societal acceptance of nanotechnology, consumers emphasised ethical issues compared to experts but had less concern regarding potential physical contact with the product and time to market introduction. Consumers envisaged fewer issues with several applications compared to experts, in particular food applications.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    BACKGROUND: Healthcare professionals encounter ethical dilemmas and concerns in their practice. More research is needed to understand these ethical problems and to know how to educate professionals to respond to them.
    OBJECTIVE: To describe ethical dilemmas and concerns at work from the perspectives of Finnish and Dutch healthcare professionals studying at the master\'s level.
    METHODS: Exploratory, qualitative study that used the text of student online discussions of ethical dilemmas at work as data.
    METHODS: Participants\' online discussions were analyzed using inductive content analysis.
    METHODS: The sample consisted of 49 students at master\'s level enrolled in professional ethics courses at universities in Finland and the Netherlands.
    UNASSIGNED: Permission for conducting the study was granted from both universities of applied sciences. All students provided their informed consent for the use of their assignments as research data.
    RESULTS: Participants described 51 problematic work situations. Among these, 16 were found to be ethical dilemmas, and the remaining were work issues with an ethical concern and did not meet criteria of a dilemma. The most common problems resulted from concerns about quality care, safety of healthcare professionals, patients\' rights, and working with too few staff and inadequate resources.
    CONCLUSIONS: The results indicated that participants were concerned about providing quality of care and raised numerous questions about how to provide it in challenging situations. The results show that it was difficult for students to differentiate ethical dilemmas from other ethical work concerns.
    CONCLUSIONS: Online discussions among healthcare providers give them an opportunity to relate ethical principles to real ethical dilemmas and problems in their work as well as to critically analyze ethical issues. We found that discussions with descriptions of ethical dilemmas and concerns by health professionals provide important information and recommendations not only for education and practice but also for health policy.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    The perception of physician shortage in Canada is widespread. Absolute shortages and relative discrepancies, both specialty-wise and in urban-rural distribution, have been a daunting policy challenge. International Medical Graduates (IMGs) have been at the core of mitigating this problem, especially as long as shortage of physicians in rural areas is concerned. Considering such recruitment as historical reality is naïve annotation, but when it is recommended per se, then the indication of interest overweighs the intent of ethically justified solution. Such a recommendation has not only invited policy debate and disagreement, but has also raised serious ethical concerns. Canadian healthcare policy-makers were put into a series of twisting puzzles-recruiting IMGs in mitigating physician shortage was questioned by lack of vision for Canada\'s self-sufficiency. In-migration of IMGs was largely attributed to Canada\'s point-based physician-friendly immigration system without much emphasizing on IMGs\' home countries\' unfavorable factors and ignoring their basic human rights and choice of livelihood. While policy-makers\' excellence in integrating the already-migrated IMGs into the Canadian healthcare is cautiously appraised, its logical consequence in passively drawing more IMGs is loudly criticised. Even the passive recruitment of IMGs raised the ethical concern of source countries\' (which are often developing countries with already-compromised healthcare system) vulnerability. The current paper offers critical insights juxtaposing all these seemingly conflicting ideas and interests within the scope of national and transnational instruments.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    We consider a design problem for a clinical trial with multiple treatment arms and time-to-event primary outcomes that are modeled using the Weibull family of distributions. The D-optimal design for the most precise estimation of model parameters is derived, along with compound optimal allocation designs that provide targeted efficiencies for various estimation problems and ethical considerations. The proposed optimal allocation designs are studied theoretically and are implemented using response-adaptive randomization for a clinical trial with censored Weibull outcomes. We compare the merits of our multiple-objective response-adaptive designs with traditional randomization designs and show that our designs are more flexible, realistic, generally more ethical, and frequently provide higher efficiencies for estimating different sets of parameters.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

公众号