{"title":"Global health to one health: Between interdisciplinarity and bioethics?","authors":"H.-C. Stoeklé , C. Hervé","doi":"10.1016/j.jemep.2024.101001","DOIUrl":"10.1016/j.jemep.2024.101001","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 101001"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998118","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}
F. Ferrara , M. Capuozzo , R. Pasquinucci , A. Zovi , R. Langella , U. Trama , E. Nava , F. Primiano , G. Russo
{"title":"Analysis of consumption and expenditure of anti-VEFG drugs used in maculopathies between current events and future prospects","authors":"F. Ferrara , M. Capuozzo , R. Pasquinucci , A. Zovi , R. Langella , U. Trama , E. Nava , F. Primiano , G. Russo","doi":"10.1016/j.jemep.2024.101002","DOIUrl":"10.1016/j.jemep.2024.101002","url":null,"abstract":"<div><h3>Background</h3><p>Macular diseases are becoming more prevalent among the elderly population, with several equally effective treatment options available, including biosimilar drugs which could offer significant cost savings.</p></div><div><h3>Objective</h3><p>This study aimed to highlight the rising expenses associated with purchasing anti-VEGF drugs due to an increasing number of patients and the introduction of new medications. Additionally, it seeks to encourage healthcare professionals to consider using biosimilar drugs more frequently.</p></div><div><h3>Methodology</h3><p>Data on patient numbers categorized by gender, the quantity of drug vials used and the corresponding expenditure on anti-VEGF medications for treating macular diseases have been collected and compared for the second half of 2022 and 2023 in an Italian healthcare institution.</p></div><div><h3>Results/discussion</h3><p>The study revealed a noticeable uptick in treatments and healthcare costs, with 767 patients treated and a total expenditure of €715,630.22 during the analyzed periods. This represented an increase of 99 patients, 185 injections, and €134,465.74 compared to the preceding period.</p></div><div><h3>Conclusion/perspectives</h3><p>Given the escalating expenses associated with macular disease therapy, it is imperative for central governments and regulatory administrations to intensify efforts to monitor pharmaceutical spending and establish guidelines promoting the adoption of biosimilar drugs. These alternatives offer comparable clinical efficacy while yielding substantial healthcare cost savings.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 101002"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142041005","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":"Integrating traditional medicine requires proper risk assessment: The case of the Ivory Coast","authors":"A.C. Guita , T. Daly","doi":"10.1016/j.jemep.2024.101011","DOIUrl":"10.1016/j.jemep.2024.101011","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 101011"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416282","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":"Politics and public health: Challenges for science in democracy","authors":"C. Bommier","doi":"10.1016/j.jemep.2024.101009","DOIUrl":"10.1016/j.jemep.2024.101009","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 101009"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442447","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":"How AI can revolutionize retroperitoneal sarcoma diagnosis: Is it finally time and more ethical to shift from scepticism to support?","authors":"K. Evangelou","doi":"10.1016/j.jemep.2024.100969","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100969","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100969"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052408","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":"Ethics of surgically treating cleft lip for patients who lack legal authority to consent","authors":"S. Sharma , B. Bala , J.M. Appel","doi":"10.1016/j.jemep.2024.100978","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100978","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100978"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140346840","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":"Has Covid-19 changed our view of death? An example of medical anthropology in the Catacombs of Paris (France)","authors":"P. Charlier , S. Calle","doi":"10.1016/j.jemep.2024.100991","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100991","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100991"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141068616","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":"End of life in France: Change the law or change mentalities?","authors":"P. Charlier , C. Huriet","doi":"10.1016/j.jemep.2023.100965","DOIUrl":"https://doi.org/10.1016/j.jemep.2023.100965","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100965"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139548588","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}
B. Alazab , J. Alazab , S. Beqaeen , S. Al-Beool , T. Hajahjeh , R. Rababaa , R. Ammouri , G. Al-Hudhud , N. Alkattan , A. Aqel , L. Alsharaeh
{"title":"Exploring awareness, attitudes, and readiness towards euthanasia among medical students and staff in Jordan: A multicenter cross-sectional study","authors":"B. Alazab , J. Alazab , S. Beqaeen , S. Al-Beool , T. Hajahjeh , R. Rababaa , R. Ammouri , G. Al-Hudhud , N. Alkattan , A. Aqel , L. Alsharaeh","doi":"10.1016/j.jemep.2024.100970","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100970","url":null,"abstract":"<div><h3>Background</h3><p>Euthanasia stands as an enduring and polarizing subject within medical ethics, the contentious nature of this topic emanates from the clash between a physician's duty to preserve life and alleviate suffering. This study provides valuable insights into the perspective of medical students and staff, examining their awareness levels, attitudes, and readiness regarding euthanasia. Notably, the research is framed within the unique context of the Middle East, challenging the predominantly Western influence on end-of-life decision studies. This study is the first of its kind to examine a Middle Eastern perspective on euthanasia, emphasizing its relevance and novelty. It highlights both the obstacles to its implementation and the rationales for endorsing it, while also pinpointing the significant factors linked to this complex subject.</p></div><div><h3>Method</h3><p>This multicenter cross-sectional study enrolled 646 individuals, including medical students and staff. The study encompassed all six medical facilities in the, as well as multiple hospitals across Jordan.</p></div><div><h3>Results</h3><p>The median age of the study participants was 21 years old (21–22). The analysis showed that 30.3% of the participants expressed support for euthanasia. Designation was significantly associated with awareness and readiness. Religious activity was associated with attitude, while religion was associated with readiness. In this current study, participants displayed a pessimistic stance regarding euthanasia. The primary reasons for opposition included concerns about its potential misuse for personal gain, as well as the impact of religious or cultural beliefs.</p></div><div><h3>Conclusion</h3><p>The present research significantly contributes to the global discourse on euthanasia, offering a comprehensive glimpse into how medical practitioners and students in Jordan navigate this intricate issue.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100970"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139743821","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":"Regulating mobile health research in Canada: Public trust and public participation","authors":"M.H. Zawati , M. Lang","doi":"10.1016/j.jemep.2024.100988","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100988","url":null,"abstract":"<div><h3>Background</h3><p>Smartphone applications provide unique opportunities for health research. Prospective participants may be recruited, give consent, and may share personal health information with researchers with unparalleled efficiency. Mobile health apps thus have the potential to profoundly alter the way health research is conducted, thereby contributing to more effective and more equitably distributed clinical interventions. But the regulation of this kind of research is uncertain. The absence of regulatory guidance may limit mobile health's promise.</p></div><div><h3>Methodology</h3><p>The mobile health research landscape in Canada is considered in the context of the existing regulatory framework, academic literature, and current applications.</p></div><div><h3>Results/discussion</h3><p>This paper outlines regulatory issues in the Canadian context, suggesting three key issues to which researchers and regulators ought to be attentive to ensure public trust: consent, return of results, and privacy and security.</p></div><div><h3>Conclusion/perspectives</h3><p>Further consideration of regulatory and ethical issues is needed if mobile health will earn the public's trust and promote public participation.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100988"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352552524000239/pdfft?md5=a8ebdab94b3b99a92c8e45fb58888d85&pid=1-s2.0-S2352552524000239-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141067202","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}