Ethics, Medicine and Public Health最新文献

Embracing entrepreneurial innovation in medicine: The case for inclusion of entrepreneurship education in medical school curriculum

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2024.101028

Ibrahim Kolawole Mogaji, Lukman Raimi

引用次数: 0

Enhancing iconodiagnosis methodology and scope

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2024.101034

I. Pranoto , H.B. Prasetya , D. Apriatama

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PEPFAR funding suspension and partial restoration: Public health implications for HIV/AIDS control in developing nations

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2025.101060

I. Ali , S.M. Mohamed Abdelbar , M.M. Ahmed

引用次数: 0

Psyche, soul and body: A scoping review on the Greek knowledge about the mental disorders in ancient imperial Rome

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2025.101082

L. Bottalico , L. Santacroce , S. Topi , I.A. Charitos

{"title":"Psyche, soul and body: A scoping review on the Greek knowledge about the mental disorders in ancient imperial Rome","authors":"L. Bottalico , L. Santacroce , S. Topi , I.A. Charitos","doi":"10.1016/j.jemep.2025.101082","DOIUrl":"10.1016/j.jemep.2025.101082","url":null,"abstract":"<div><div>The sacred paleo medicine with superstitions and religious ceremonies, applied by shamans and magicians, not only in its organization but also in its therapeutic approach and its interpretative method was the first step for the therapy of mental illnesses. It was part of a mythological system, and its representatives were doctor-priests, who, slowly at the same time, collected clinical and semantic data, paving the way before Hippocrates. To investigate the evolution of such thoughts we extracted data from electronic data banks and ancient books from both public libraries and private collections. The texts of ancient medicine cover an extended period ranging from the “Iππoκρατικό Σώμα” (Corpus Hippocraticum) of the classical period (V-IV century BC) up to the authors of the late classical ages Roman Empire such as e.g., Aretaeus, Celsus, Galen, and others. This work aims to take a journey through the legacy of ancient Greek philosophy concerning the psyche that influenced medicine in Roman Classical age in its diagnosis and therapy for the mentally ill, thus laying the scientific foundations of modern neuropsychiatry.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101082"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716123","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}

引用次数: 0

Bioethical challenges and artificial intelligence, focus Quebec/France

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2025.101058

O. Gout , M. Lacroix

{"title":"Bioethical challenges and artificial intelligence, focus Quebec/France","authors":"O. Gout , M. Lacroix","doi":"10.1016/j.jemep.2025.101058","DOIUrl":"10.1016/j.jemep.2025.101058","url":null,"abstract":"<div><div>The authors discuss the potential benefits of AI for the healthcare system. To do this, they consider the importance of ensuring the confidentiality of medical data, maintaining a patient-doctor relationship imbued with humanity, as well as liability remedies specific to stemming the potential abuses of AI.</div></div><div><h3>Context</h3><div>In the healthcare sector, both in France and in Canada, AI is expected to be a tool for transforming and democratising healthcare by improving its quality, safety and effectiveness. We therefore need to analyse the legal framework in place to ensure that these objectives are met.</div></div><div><h3>Methodology</h3><div>The question is addressed on the basis of a study of the rules through the diversity of their conception, their implementation by the courts (case law) and their analysis by the authors making up the doctrine.</div></div><div><h3>Results/discussion</h3><div>The authors discuss the potential benefits of AI for the healthcare system. To do this, they consider the importance of ensuring the confidentiality of medical data, maintaining a patient-doctor relationship imbued with humanity, as well as liability remedies specific to stemming the potential abuses of AI.</div></div><div><h3>Conclusion/outlook</h3><div>While the regulations applicable to AI are considered to be relevant and appropriate for taking account of the various issues, particularly in terms of privacy and liability, it will be necessary to remain attentive to their implementation in order to ensure that the objectives are effectively achieved.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101058"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143213226","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}

引用次数: 0

The impact of United States’ withdrawal from the WHO on global health equity and pandemic preparedness

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2025.101057

Y.B. Abdullahi , M.M. Ahmed

引用次数: 0

Short report: UNESCO's role in bioethics - From the country level to the international conversation in bioethics

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2024.101030

M. Stanton-Jean

引用次数: 0

How power relations impact pregnancy and childbirth: Knowledge, Healthcare and Work in France

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2024.101032

E. Boulet , R. Guilloux

{"title":"How power relations impact pregnancy and childbirth: Knowledge, Healthcare and Work in France","authors":"E. Boulet , R. Guilloux","doi":"10.1016/j.jemep.2024.101032","DOIUrl":"10.1016/j.jemep.2024.101032","url":null,"abstract":"<div><div>Based on a constructivist approach to human reproduction, this focus analyses the ways childbirth in mainland France is framed by natalist and health policies and by social inequalities. Beyond the tension between naturalness and technicality, birth is subject to a diversity of power relations. We focus here on power dynamics around class, sex and race, which impact the access to and the quality of perinatal care. Drawing on qualitative and quantitative studies, we show that women and couples have unequal access to information during pregnancy, for several reasons. Firstly, the standardised length of antenatal consultations. Secondly, differences in understanding of information that is implicitly adapted to the most educated and affluent social classes. Thirdly, the ambivalence of the information, which oscillates between autonomy and injunction in terms of how the baby should be delivered and fed. Fourthly, pregnant workers have little knowledge of their reproductive rights. We also show that the provision of perinatal care is unequal despite a supposedly universal health insurance system. Racially minoritized women are subject to more complex administrative procedures and to more medical interventions. In addition, health and diet recommendations, and alternative birthing methods, are better suited to the individualistic logic and material conditions of the middle classes than those of the working classes. As far as working conditions are concerned, women in arduous occupations use sick leave as a means of protection, whereas women in less arduous occupations take maternity leave later than the other women. Lastly, men's involvement in domestic tasks during women's pregnancies remains occasional and limited to the physical dimension of those tasks, even more so as the assignment of women to domestic labour is reinforced by healthcare professionals. Finally, we contend that equal care for all pregnant women can only be achieved if the social dimensions of health are fully taken into account.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101032"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143099352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emerging infectious threats: first identification of reovirus cases in Bangladesh

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2025.101050

S. Jamil , S. Biswas , N. Ali , F. Ahmed

引用次数: 0

The Impact of Patient Characteristics on Total Hospital Cost in Patients Undergoing Coronary Artery Bypass Grafting

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI: 10.1016/j.jemep.2025.101072

J. Katsiroubas , J. Wong , K. Jonnalagadda , T.S. Guy

{"title":"The Impact of Patient Characteristics on Total Hospital Cost in Patients Undergoing Coronary Artery Bypass Grafting","authors":"J. Katsiroubas , J. Wong , K. Jonnalagadda , T.S. Guy","doi":"10.1016/j.jemep.2025.101072","DOIUrl":"10.1016/j.jemep.2025.101072","url":null,"abstract":"<div><h3>Introduction</h3><div>Coronary artery bypass graft (CABG) is one of the most common surgeries in the United States, with an average cost around $40,000. However, the burden of these costs may fall unequally among patients of different demographic groups. The objective of this study is to characterize factors associated with increased total cost after coronary artery bypass graft surgery.</div></div><div><h3>Methods</h3><div>The Statewide Planning and Research Cooperative System (SPARCS) database for years 2017–2021 was queried to identify patients who had undergone CABG in New York State. Patient characteristics including gender, age, race, and All Patient Refined (APR) severity of illness (SOI), and risk of mortality (ROM) were analyzed. The Primary outcome was total cost. Data was analyzed using Student t-test and univariate analysis.</div></div><div><h3>Results</h3><div>Between 2017 and 2021, 38,344 patients, 76.6% male, underwent CABG in New York State. Race was documented identifying 67.0% White, 7.0% Black/African American, 0.7% multiracial, and 25.4% other. The mean length of stay (LOS) was 9.9 days. The average total hospital cost was $61,596.90. The average hospital cost for Black/African Americans was $71,683.12, 19.7% ($14,119.67) more than Whites, the lowest paying racial group (13.56 <em>P</em> < 0.05). Black/African Americans also had the longest average LOS of 11.7 days, compared to 9.6 days for white patients, 11.3 days for multi-racial patients and 10.3 days for those who identified as other. Univariate analysis exhibited factors associated with the top quartile of hospital cost (≥$68,608) for CABG included Black/ African American race (2.01 CI 0.61−0.78), LOS more than 6 days (9.68, CI 2.18–2.35), major APR severity of illness (5.55, CI 1.15–1.91) and extreme (28.09, CI 3.13–3.54) and major (5.28, CI 1.56–1.76) and extreme APR risk of mortality (16.9, CI 2.72–2.94).</div></div><div><h3>Conclusion</h3><div>The cost of coronary artery bypass grafting surgery is influenced by a variety of factors including race, APR severity score, mortality risk and length of stay.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"33 ","pages":"Article 101072"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577660","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}

引用次数: 0