Ethics, Medicine and Public Health最新文献

{"title":"Responsible translation of silkworm (Bombyx mori) frass into tea and food applications: public health and ethical considerations","authors":"M. Manuel","doi":"10.1016/j.jemep.2026.101284","DOIUrl":"10.1016/j.jemep.2026.101284","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101284"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147536744","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":"Interpersonal neuroplasticity: how human brains rewire through social and emotional interactions","authors":"M. Khan, K. Chaman Lal, J. Kumar","doi":"10.1016/j.jemep.2026.101289","DOIUrl":"10.1016/j.jemep.2026.101289","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101289"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148183726","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":"Forgoing artificial nutrition in advanced dementia: Italian geriatric and palliative care physicians’ experiences in a web-based qualitative survey","authors":"A. Varalta,&nbsp;E. Cardone,&nbsp;R. Abd Alatif,&nbsp;A. Dal Col,&nbsp;V. Privitera,&nbsp;F. Negro,&nbsp;L. Ghirotto,&nbsp;G. Gianotti","doi":"10.1016/j.jemep.2026.101332","DOIUrl":"10.1016/j.jemep.2026.101332","url":null,"abstract":"<div><h3>Background</h3><div>More than 80% of patients with advanced dementia have feeding problems such as dysphagia that may culminate in severe malnutrition. These problems often lead to a dilemma among physicians and families so, despite a lack of evidence to support its use, artificial nutrition (AN) is often considered. The decision-making process around AN is under-explored in Italy.</div></div><div><h3>Aim</h3><div>To explore the views, experiences and emotions of Italy-based physicians involved in the decision making about withholding or withdrawing AN from patients with advanced dementia.</div></div><div><h3>Methods</h3><div>An online national qualitative survey was conducted among Italy-based Geriatrics and Palliative care physicians in May 2023. A 16-item mixed questionnaire was spread via S.I.G.O.T. (<em>Società italiana Geriatria Ospedale Territorio</em>) and S.I.C.P (<em>Società Italiana di Cure Palliative</em>) newsletters and social media accounts.</div></div><div><h3>Results</h3><div>64 questionnaires were completed and 4 themes were identified: considerations, barriers, emotional experience and second thoughts. The physicians’ decision to withhold/withdraw AN may be influenced by the international guidelines, the patient’s perceived clinical condition and presumed QoL, ethical considerations and multidimensional assessment. Common barriers were identified in a conflictual relationship with the family and within the team, a lack of psychological support, a propensity for invasive procedures in the hospital setting and home-based care issues.</div></div><div><h3>Conclusions</h3><div>Although decision-making regarding AN is complex and emotionally demanding, particularly because of the frequent absence of Advance Care Planning (ACP) in Italy, 90% of physicians reported no regret and did not reconsider their decision.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101332"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148994678","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":"Rasa, ruwatan and the making of resilience in East Java","authors":"M.B.T. Sampurno","doi":"10.1016/j.jemep.2026.101336","DOIUrl":"10.1016/j.jemep.2026.101336","url":null,"abstract":"<div><div>Resilience has become one of the organising words of contemporary public health, and it usually arrives carrying assumptions about individual psychological capacity that travel poorly beyond the settings in which the concept was formed. East Java offers an instructive counter-case. Across the Tengger highlands, the Osing districts of Banyuwangi, the Madurese coastal settlements and the Mataraman interior, wellbeing has long been sustained through a dense repertoire of classical and popular therapeutic forms, among them the <em>slametan</em> communal meal, the <em>ruwatan</em> purification, herbal <em>jamu</em>, gamelan and mask theatre, and the trance performances of <em>jaranan</em> and <em>seblang</em>. Such practices treat suffering as a disturbance of relationship among persons, ancestors, land and the unseen, and they restore composure through shared work on <em>rasa</em>, the cultivated inner sense that Javanese thought places at the centre of personhood. Drawing on medical anthropology, art therapy and the study of classical spiritual practice, the article reads East Javanese healing as a distributed technology of resilience and examines the ethical questions raised when biomedicine and public health engage with it. Recommendations are offered for collaboration that avoids extraction, protects vulnerable patients from foreseeable harm, and treats local healers as knowers with standing and not as folklore.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101336"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149044112","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":"Male patients appeared in Chinese papers on female diseases","authors":"H. Zhang","doi":"10.1016/j.jemep.2025.101221","DOIUrl":"10.1016/j.jemep.2025.101221","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101221"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579394","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":"Healthcare resource allocation in aging societies during Covid-19: ethical considerations complementing acute crisis frameworks","authors":"Y. Egashira,&nbsp;H. Nakada,&nbsp;R. Watanabe","doi":"10.1016/j.jemep.2026.101238","DOIUrl":"10.1016/j.jemep.2026.101238","url":null,"abstract":"<div><h3>Background</h3><div>This study examines ethical challenges in healthcare resource allocation during Covid-19, focusing on implications for aging societies in Asia. Emanuel et al. framework provided crucial pandemic guidance with multiple ethical values. As this framework was primarily developed for acute care settings, exploring what additional considerations might be relevant for aging societies—where healthcare needs extend beyond immediate life-saving to include quality of life maintenance, and dignity—represents a valuable direction for framework development.</div></div><div><h3>Methodology</h3><div>The study employed philosophical-ethical analysis based on Japan's experience as the world's most aged society. We examined four healthcare domains—elective surgery, rehabilitation, palliative care, and home healthcare—which, while not immediately life-saving, are essential for maintaining autonomy and quality of life among older adults. Analysis drew from academic literature, policy documents, and healthcare system data from Asian countries.</div></div><div><h3>Results</h3><div>Service disruptions significantly impacted dimensions of care on which aging populations depend. Notably, palliative care interruptions represented not delays but irreversible losses of opportunity for dignified end-of-life experiences. The study identified emerging challenges including cumulative surgical backlogs and increased home healthcare demand, demonstrating how demographic aging amplifies consequences of acute service restrictions.</div></div><div><h3>Conclusions</h3><div>Building on Emanuel et al. ethical framework, this study explored additional considerations for aging societies. Our analysis suggests that complementary attention to quality of life maintenance, dignity may enhance framework applicability when healthcare systems serve predominantly older populations. For rapidly aging Asian countries, exploring such framework adaptations represents both a practical need and an important area for future interdisciplinary research.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101238"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924078","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":"Solid waste dumping at Jaziira Beach and infectious disease risk in Mogadishu, Somalia","authors":"A. Mohamed ,&nbsp;A. Abukar","doi":"10.1016/j.jemep.2026.101261","DOIUrl":"10.1016/j.jemep.2026.101261","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101261"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147402347","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":"Child Malnutrition: Somalia’s Silent Emergency","authors":"I. Abdullahi Khalif,&nbsp;A. Abdullahi Mohamed,&nbsp;S.G. Bashir","doi":"10.1016/j.jemep.2026.101246","DOIUrl":"10.1016/j.jemep.2026.101246","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101246"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076858","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 post-mortem face as digital remains: ethical safeguards for AI-assisted facial recognition in forensic identification","authors":"K. Evangelou ,&nbsp;A. Fotiadou ,&nbsp;A. Polydorou ,&nbsp;T. Petropoulou","doi":"10.1016/j.jemep.2026.101298","DOIUrl":"10.1016/j.jemep.2026.101298","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101298"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148183728","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":"A case of syphilis in Gustav Klimt’s Medicine? Iconodiagnosis and historical review","authors":"O. Simonetti ,&nbsp;A. Perciaccante ,&nbsp;A. Penco ,&nbsp;E. Ghirigato ,&nbsp;S. Di Bella ,&nbsp;V. Zerbato ,&nbsp;F. Bellinato ,&nbsp;D. Orsini ,&nbsp;M. Martini","doi":"10.1016/j.jemep.2026.101290","DOIUrl":"10.1016/j.jemep.2026.101290","url":null,"abstract":"<div><div>At the beginning of the XX century, syphilis was a major cause of morbidity and mortality, earning the name \"The Great Imitator\" due to its complex manifestation. The causative agent of syphilis remained unknown until 1905, when <em>Treponema pallidum</em> was identified, followed shortly by the introduction of Salvarsan as the first effective treatment in 1910. The social stigma associated with syphilis compounded its public health challenge, especially in cities like Vienna, where urbanization, poverty, and prostitution fueled its spread. Paleopathological records indicate that congenital syphilis had been present in Vienna since the 18th century, emphasizing its historical persistence. The disease’s impact extended beyond health, permeating culture and art. Renowned painters, including Édouard Manet, Paul Gauguin, Vincent van Gogh, and Francisco Goya, are believed to have suffered from syphilis, while others, like Edvard Munch, drew inspiration from it in their work. Gustav Klimt, a pivotal figure of the Vienna Secession, created Medicine, a painting that reflects themes of life, death, and human vulnerability. Klimt’s depiction of human forms entwined in a cycle of life is characterized by the presence of death as a skeletal figure. Near death stands a woman with three pathognomonic signs of syphilis: saddle nose, Hutchinson's teeth and alopecia syphilitica. The two figures may symbolically represent the societal burden of syphilis. By capturing the fragility of human existence, Klimt’s work may suggest the pervasive influence of the syphilis epidemic on Vienna's cultural and artistic landscape. This interpretation situates Klimt within a broader narrative wherein syphilis shaped artistic expression in an era marked by both scientific discovery and public health challenges. The prevalence of syphilis in early XX-century Vienna may underscore the intersection of disease, art, and culture, making Klimt’s Medicine a testament to this complex scenario.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101290"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147703030","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}