Ethics, Medicine and Public Health最新文献

{"title":"Hitler's DNA? The perfect example of what not to do in molecular genetics","authors":"P. Charlier","doi":"10.1016/j.jemep.2025.101224","DOIUrl":"10.1016/j.jemep.2025.101224","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101224"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145614479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Ivermectin and Gynecologic Cancer” by Vaidehi Mujumdar, Marilyn Huang, Lindsey Chippendale Smith, Fernanda Musa","authors":"B.J.K. Damasco","doi":"10.1016/j.jemep.2026.101260","DOIUrl":"10.1016/j.jemep.2026.101260","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101260"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147402346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Bain’ and ‘Kaddua’: indigenous Ilocano values and health implications in the Philippines","authors":"D.V. Rogayan Jr","doi":"10.1016/j.jemep.2026.101271","DOIUrl":"10.1016/j.jemep.2026.101271","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101271"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When devotion causes injury: public health ethics and the practice of Penitensya in Filipino Holy Week rituals","authors":"R.P. Antonio","doi":"10.1016/j.jemep.2026.101282","DOIUrl":"10.1016/j.jemep.2026.101282","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101282"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147536726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Which illness is depicted in Caravaggio’s Sick Bacchus?","authors":"T.M. van Gulik","doi":"10.1016/j.jemep.2026.101276","DOIUrl":"10.1016/j.jemep.2026.101276","url":null,"abstract":"<div><h3>Background</h3><div>Confusion surrounds the possible illness that Caravaggio suffered from at the time he painted his self-portrait <em>Sick Bacchus</em> (<em>Bacchino Malato</em>) in 1593. Publications from 2007 and 2022 suggested that Caravaggio suffered from jaundice based on the yellow color of the artist’s depicted skin observed in a reproduction of the painting. Addison’s disease was proposed as an alternative diagnosis considering the dark tone perceived of his complexion.</div><div>The aim of this study was to unravel the information regarding Caravaggio’s illness at the time he painted his self-portrait <em>Sick Bacchus</em>.</div></div><div><h3>Methods</h3><div>The existing literature regarding Caravaggio’s alleged jaundice and illness was reviewed along with the technical and historical documentation of the painting. A literature search included the electronic databases of Pubmed, EMbase and Google Scholar.</div></div><div><h3>Results</h3><div>The search strategy revealed several publications that addressed the possible illness depicted in Caravaggio’s <em>Sick Bacchus</em> in limited detail, either directly or indirectly. The original canvas displayed in the Galleria Borghese shows the figure of Bacchus with a greyish complexion. Technical investigations demonstrated the presence of two grey ground layers beneath the paint surface. The premise that Caravaggio suffered from jaundice can be considered a misdiagnosis based on an inaccurate reproduction of the painting. The notion that hyperpigmentation secondary to Addison’s disease caused the dark shades of the skin, should be amended in the light of conducted technical analysis. Alcoholism also seems unlikely, given what can be deduced from Caravaggio's self-portrait in the <em>Sick Bacchus</em>.</div></div><div><h3>Conclusion</h3><div>Possible illnesses depicted in Caravaggio’s self-portrait were based on inaccurate reproduction of the original painting or inattention of the grey ground layers in the painting revealed by technical investigations. This case illustrates how methodological pitfalls in iconodiagnosis can lead to misinterpretations. The assumption that Caravaggio was sick when he painted <em>Sick Bacchus</em> needs to be reconsidered.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101276"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147536739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing health systems in Australia and India through the WHO Framework: a narrative review","authors":"S. Mitra ,&nbsp;S.S. Chatterjee","doi":"10.1016/j.jemep.2026.101244","DOIUrl":"10.1016/j.jemep.2026.101244","url":null,"abstract":"<div><h3>Background</h3><div>Australia and India, despite shared democratic values and commitments to health equity, operate vastly different health systems. Understanding these differences through a structured framework enables identification of opportunities for mutual learning and system improvement. This review aims at comparing and contrasting the health systems of Australia and India using the World Health Organization (WHO) Health System Framework, highlighting their respective strengths, weaknesses, and sustainability challenges.</div></div><div><h3>Methods</h3><div>This narrative-based comparative review applied the WHO Health System Framework, encompassing six building blocks: (1) health workforce, (2) service delivery, (3) health information systems, (4) access to essential medicines and technologies, (5) health financing, and (6) leadership and governance. Literature was sourced from PubMed, Scopus, Google Scholar, and official databases (WHO, AIHW, MOHFW, etc.) with publications from 2007 to 2025.</div></div><div><h3>Results and discussion</h3><div>Australia’s health system is characterized by universal coverage via Medicare, robust data infrastructure, regulated workforce planning, and strong financial risk protection. However, it faces challenges in equitable service distribution, fiscal sustainability, and funding inefficiencies. In contrast, India’s system grapples with underfunding, workforce shortages, and high out-of-pocket expenses. Yet, it exhibits innovations in low-cost care, community-based models (e.g., ASHA), frugal technologies, and expanding insurance schemes like PM-JAY. Both systems face issues of aging populations, geographic inequity, and sustainability.</div></div><div><h3>Conclusion</h3><div>Australia and India represent contrasting models -- one resource-rich and structured, the other resource-constrained but adaptive. Australia can learn from India’s cost-effective service innovations, while India may adopt Australia’s regulatory rigor and universal coverage design. Cross-learning offers potential for strengthening global health systems facing diverse challenges.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101244"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of war on the health system, mental health, maternal health, and other war-related health issues in northern Ethiopia from 2020 to 2025: A narrative review","authors":"A. Tiruneh,&nbsp;T. Yetneberk,&nbsp;D. Teshome,&nbsp;E. Fenta","doi":"10.1016/j.jemep.2025.101215","DOIUrl":"10.1016/j.jemep.2025.101215","url":null,"abstract":"<div><h3>Background</h3><div>In Ethiopia, for the last six years, there has been a war between the federal government and regional forces. The war, which began in the Tigray region, has now significantly affected the Amhara region as well. Currently, there is active warfare in different locations in the Amhara region. The damage from the war could be multi-sectoral, and our interest is to show the damage to health systems, health infrastructure, health services, and the lives of citizens in both regions (Tigray and Amhara). Internal displacement of people, interruption of immunization for the pediatric age group, cessation of chronic illness follow-up, and even limited emergency services have also occurred during the war. Gender-based violence, including rape and transmission of incurable diseases such as HIV/AIDS, has been common during the crisis. Unless peace is secured and the war stopped, the aforementioned problems will continue.</div></div><div><h3>Methods</h3><div>The study follows a narrative literature review approach to analyze the situation and incorporates twenty-five studies that report war-related damage in the two regions from 2020−2025.</div></div><div><h3>Results</h3><div>The damage to hospitals was 82.9% in Tigray and 45.5% in the Amhara region, with many fully or partially damaged during the war. Depression increased from 16% in the prewar period to 25% during the war in the Tigray region, and more than 28,560 people were affected by depression in the Amhara region. Additionally, 271 women were raped in the Amhara region, and 34.4% of them tested HIV positive. Child immunization services and chronic illness follow-up, including diabetes mellitus and tuberculosis, were interrupted or limited during the war.</div></div><div><h3>Recommendations</h3><div>This study recommends that the international community, which works in peace and security, initiate negotiations to stop the continued war and restore health services.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101215"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Art and arthritis: A visual evaluation of Renoir’s paintings","authors":"H. Elbe","doi":"10.1016/j.jemep.2026.101313","DOIUrl":"10.1016/j.jemep.2026.101313","url":null,"abstract":"<div><div>Rheumatoid arthritis (RA) is a chronic inflammatory disease that alters the body over time through pain, stiffness, and joint deformity. Before the development of effective medical treatments, the bodily consequences of such conditions were lived and observed within everyday life, and at times recorded through visual culture. In this context, artworks provide a valuable perspective on illness beyond formal clinical description. Pierre-Auguste Renoir, who later developed severe RA, represents a compelling figure at the intersection of art and chronic disease. This study examines Renoir’s painting <em>In Summer</em>, depicting his model and companion Lise Tréhot, through an iconodiagnostic and art-historical approach informed by the literature on RA-related hand involvement. The visual analysis identifies subtle, non-specific features suggestive of inflammatory joint change. However, comparison with other contemporary depictions of the same model highlights the limitations of retrospective interpretation and cautions against definitive diagnostic claims. Rather than proposing a diagnosis, this study reflects on how artworks may register bodily variation, vulnerability, and illness in ways that precede clinical classification. By integrating art history and medicine, it underscores the role of visual artworks as cultural documents within medical humanities and their potential value in medical education.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101313"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnificent humanity, terrible artificiality. A message for health practitioners, also","authors":"P. Charlier","doi":"10.1016/j.jemep.2026.101305","DOIUrl":"10.1016/j.jemep.2026.101305","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101305"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148539470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Mooi Indie: ethical appearance, institutional silence and moral visibility in healthcare","authors":"Rudi Setiawan","doi":"10.1016/j.jemep.2026.101324","DOIUrl":"10.1016/j.jemep.2026.101324","url":null,"abstract":"<div><div>A hospital may display signed consent forms, accreditation records, safety dashboards, reporting channels and values statements while patient suffering or professional dissent remains difficult to register. This article develops Medical Mooi Indie as a humanities-based concept for this configuration. Adapted from Indonesian critiques of colonial visual culture, it identifies not simple hypocrisy or a generic gap between policy and practice, but a representational process in which accurate yet partial signs of ethical compliance are composed as a sufficient picture of moral order. The concept applies only when four conditions converge: a credible ethical display; determinate moral counterevidence excluded from the authorised account; institutional arrangements that render that counterevidence less visible, credible or actionable; and a demonstrable role for the display in reducing pressure for further inquiry. Its distinctiveness from decoupling, audit ritual, moral distress, epistemic injustice and window dressing is clarified through a worked reconstruction of Mid Staffordshire NHS Foundation Trust. The case shows how performance targets, financial assurance and institutional status did not merely coexist with poor care but organised attention in ways that privileged positive information and displaced patients' experience. Medical Mooi Indie is proposed as a reflexive sensitising concept, not a compliance score. Its purpose is to reopen inquiry where official representations have become too reassuring and to ask whether excluded knowledge can revise institutional judgement and lead to fair repair.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101324"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148951201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}