Iranian Journal of Medical Ethics and History of Medicine最新文献

With or without Hijab this is not the problem. 不管有没有头巾，这都不是问题。

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-05-06 DOI: 10.18502/ijme.v15i24.12654

F. Asghari

引用次数: 0

Evaluating the Pahlavi Government's Performance against the Outbreak of Malaria in Fars Province (1347 – 1334 AH) 评估巴列维政府对法尔斯省疟疾爆发的表现(伊斯兰历1347 - 1334年)

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-05-06 DOI: 10.18502/ijme.v16i1.12655

Mahshid Sadat Eslahi, Hasan Allahyari

{"title":"Evaluating the Pahlavi Government's Performance against the Outbreak of Malaria in Fars Province (1347 – 1334 AH)","authors":"Mahshid Sadat Eslahi, Hasan Allahyari","doi":"10.18502/ijme.v16i1.12655","DOIUrl":"https://doi.org/10.18502/ijme.v16i1.12655","url":null,"abstract":"Malaria is one of the most common infectious diseases, the growth and prevalence of which depends on the environmental and climatic conditions of each region. The Pahlavi government took measures to prevent the spread of this disease in order to ensure public health in the society. In 1334 to 1347A.H, the seventh province of Fars, which included a large part of the coastal and post-coastal areas of the Persian Gulf, was considered one of the vulnerable areas to this disease due to its geographical location. Therefore, the main goal of this research is to investigate and analyze the actions of the Pahlavi government to control and prevent the spread of malaria in Fars province during the years 1334 to 1347A.H. The research method in this article is descriptive-analytical and data collection was done by referring to historical first-hand sources and unpublished local (Persian) documents. The findings of the research show that the Pahlavi government, within the framework of the second and third seven-year construction plans, has implemented solutions to treat and eradicate this disease, such as spraying operations, sending health teams, allocating special funds and implementing programs. He did training for this purpose. Statistical analysis shows that these measures were relatively successful and effective in preventing the spread and control of malaria in Fars. However, the implementation of this plan in Fars was not without challenges.","PeriodicalId":377993,"journal":{"name":"Iranian Journal of Medical Ethics and History of Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133588888","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

A Critique on Increasing the Numbers of Medical Sciences Trainees 关于增加医学见习人数的批评

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-05-06 DOI: 10.18502/ijme.v15i23.12653

Roghayeh Gandomkar

{"title":"A Critique on Increasing the Numbers of Medical Sciences Trainees","authors":"Roghayeh Gandomkar","doi":"10.18502/ijme.v15i23.12653","DOIUrl":"https://doi.org/10.18502/ijme.v15i23.12653","url":null,"abstract":"One of the duties of the government is to train and provide the expert workforce to provide quality health services to society. During the last four decades, the Ministry of Health and Medical Education has prioritized one of the policies to increase the number of medical science students or to improve the quality of education based on the needs of society. Following the approval and initiation of the policy to expand the number of medical sciences students and considering its proponents and opponents, in this article, various aspects of increasing students include the supply of workforce in response to the demands of society and the challenges of ensuring the quality of education has been discussed. Previous studies show this is a multifaceted issue that requires comprehensive mixed-method studies taking into account all the influencing factors such as the high tendency of health workers to immigrate, low retention in less privileged areas, economic problems and other factors. In addition, expanding the numbers requires infrastructure, concise planning to provide high-quality education, and monitoring of the educational system and learners in terms of achieving the desired competencies. In case of not paying attention to ensuring the quality of education in all three dimensions of input, process and output, the increase of numbers will ultimately be counterproductive and will lead to jeopardizing the safety and health of patients.","PeriodicalId":377993,"journal":{"name":"Iranian Journal of Medical Ethics and History of Medicine","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125973500","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

HIV/AIDS Diagnosis and the Importance of Counseling and Confidentiality: A Case Report 艾滋病毒/艾滋病诊断和咨询和保密的重要性:一个病例报告

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-03-04 DOI: 10.18502/ijme.v15i19.12055

N. Khademi, F. Asghari

引用次数: 0

Identification and Analysis of Organizational-Professional Factors Affecting the Trust Between the Patient and the Physician 影响医患信任的组织-专业因素识别与分析

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-03-04 DOI: 10.18502/ijme.v15i22.12059

Mahshid Safaei, M. Farasatkhah, Ehsan Shamsi Gooshki

{"title":"Identification and Analysis of Organizational-Professional Factors Affecting the Trust Between the Patient and the Physician","authors":"Mahshid Safaei, M. Farasatkhah, Ehsan Shamsi Gooshki","doi":"10.18502/ijme.v15i22.12059","DOIUrl":"https://doi.org/10.18502/ijme.v15i22.12059","url":null,"abstract":"In the health system, professional problems and organizational obstacles cause patient fatigue, physician exhaustion, and ultimately interpersonal issues between the patient and the physician, including lack of mutual understanding and erosion of trust. Therefore, trust, as the central core of social capital, plays a significant role in the quality of interpersonal and intergroup interactions. The trust between the patient and the doctor and its general expansion requires a set of organizational considerations and professional principles in the health system. The purpose of this qualitative research was to analyze organizational and professional factors affecting trust between the patient and the physician. The data were collected through semi-structured interviews in the health service centers located in Tehran. Using purposeful sampling and snowball, a total of 39 participants were interviewed until theoretical saturation was reached. Using the systematic approach of grounded theory (GT) and ATLAS.ti software, the data were categorized and analyzed in three stages of open, axial and selective coding. The findings show that the professional-organizational components effecting on trust between physicians and patients include three components of \"adaptable professional management\", \"adaptable insurance\" and \"adaptable policy\" and nine sub-components as described in the article. These components are the composing elements of the structure and infrastructure of professional development in health system, which can restore the relationship and interaction based on trust between the patient and the physician in health system. The other strategic researches are needed to develop strategies and executive policies to increase the trust between the patient and the physician.","PeriodicalId":377993,"journal":{"name":"Iranian Journal of Medical Ethics and History of Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124064974","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 effect of Depression in Medical Students and Residents on Their View Point about Euthanasia 医学生与住院医师抑郁对安乐死观点的影响

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-03-04 DOI: 10.18502/ijme.v15i21.12057

L. Jahromi, Safoura Sadeghi Mazidi, Ali Farhangdoost

{"title":"The effect of Depression in Medical Students and Residents on Their View Point about Euthanasia","authors":"L. Jahromi, Safoura Sadeghi Mazidi, Ali Farhangdoost","doi":"10.18502/ijme.v15i21.12057","DOIUrl":"https://doi.org/10.18502/ijme.v15i21.12057","url":null,"abstract":"An increase in the incidence of chronic and incurable diseases and the lack of facilities to care for patients raises the issue of prioritization in the allocation of facilities and the selection of patients to use the facilities and the choice between life and death. Discussion of termination of life and cessation of treatment is one of the challenges in the field of medicine and ethics. The demand for euthanasia has increased in recent years, and future physicians will face this issue. This cross-sectional study was performed on 200 interns and medical residents in 1400. All participants completed the Demographic Information Questionnaire, Beck Depression Questionnaire, and Attitude to Euthanasia Questionnaire. In the present study, 67.5% of participants agreed with euthanasia. The mean score of attitudes to euthanasia was higher in men than women (P = 0.023) and higher in single people (P = 0.045). As religious beliefs increased in individuals, the mean score of attitudes toward euthanasia decreased and opposition to it increased (P> 0.001). Positive attitudes toward euthanasia were associated with depression and its severity (P> 0.001). Depression and its severity are significantly associated with more physicians' desire for euthanasia. On the other hand, the stronger the religious beliefs, the greater the anti-euthanasia. Support for euthanasia in men and single people was also higher than in other groups.","PeriodicalId":377993,"journal":{"name":"Iranian Journal of Medical Ethics and History of Medicine","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132676887","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

Relationship Between Nurses’ Ethical Sensitivity and Work Environment Index 护士伦理敏感性与工作环境指数的关系

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-03-04 DOI: 10.18502/ijme.v15i20.12056

Maasoumeh Mangeli, Zahra Rezahosseini, Hossein Sabzaliani

{"title":"Relationship Between Nurses’ Ethical Sensitivity and Work Environment Index","authors":"Maasoumeh Mangeli, Zahra Rezahosseini, Hossein Sabzaliani","doi":"10.18502/ijme.v15i20.12056","DOIUrl":"https://doi.org/10.18502/ijme.v15i20.12056","url":null,"abstract":"Providing nursing care based on ethical values requires nurses to have ethical sensitivity. Determining the factors related to moral sensitivity can help to identify strategies to promote this ability. The aim of this study was to investigate the relationship between nurses' ethical sensitivity and work environment index. This descriptive-correlational study was performed in the presence of 135 nurses of Vali-e-Asr Hospital in Shahr-e-Babak (Kerman province) in 2021. Samples were selected by consensus method. Lutzen Ethical Sensitivity Questionnaire and Work Environment Index Questionnaire were used to data collection. Data analysis was performed by determining the Pearson correlation coefficient and regression test using SPSS26. T-test and ANOVA were also used to examine the difference in mean scores based on demographic and occupational variables. Findings showed that the status of ethical sensitivity and work environment index of nurses participating in this study is at a moderate level and there is a significant correlation between nurses' ethical sensitivity and work environment index (P=0/049 R=0/212). Also, the mean score of work environment index showed a significant difference based on the variables of position (P=0/008) and shift work (P = 0/012). The existence of a significant relationship between nurses' ethical sensitivity and their work environment index confirms the importance of the work environment and its related consequences. According to the results of the present study, by optimizing the working environment of nurses, we can expect their ethical sensitivity to improve.","PeriodicalId":377993,"journal":{"name":"Iranian Journal of Medical Ethics and History of Medicine","volume":"29 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125710661","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

Components of Good Governance in the Corona Era by Looking at the Approvals of the National Anti-Corona Headquarters (with Emphasis on the Legal and Managerial Dimension) 从国家抗冠状病毒总部的批准看冠状病毒时代善治的组成部分(重点是法律和管理层面)

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-02-01 DOI: 10.18502/ijme.v15i14.11843

Fezzeh Salimi, M. Parsapour, Zahra Nikkhah Farkhani

{"title":"Components of Good Governance in the Corona Era by Looking at the Approvals of the National Anti-Corona Headquarters (with Emphasis on the Legal and Managerial Dimension)","authors":"Fezzeh Salimi, M. Parsapour, Zahra Nikkhah Farkhani","doi":"10.18502/ijme.v15i14.11843","DOIUrl":"https://doi.org/10.18502/ijme.v15i14.11843","url":null,"abstract":"Corona is a global crisis that has affected government systems. The transition from crisis to crisis requires prudent measures. Governance is a continuous process through which conflicting interests are harmonized and cooperative actions are taken. The latest theory in this concept is good governance, which is doubly important in times of crisis. Good governance is the product of the favorable participation of the three institutions of government, civil society and the private sector. The components of good governance are numerous from the perspective of the World Bank, the United Nations, and thinkers in this field. The National Anti-Corona Headquarters was established by the order of the Supreme Leader and based on the approval of the Supreme National Security Council in March 2020 to take appropriate decisions regarding the treatment of Covid-19 disease, including announcing closures and other restrictive measures in case of violation of health instructions. In this research, with a descriptive-analytical method, an attempt has been made to explain the components of good governance in this period according to the unique legislative approvals in this field, while determining the competence of the mentioned headquarters in regulating. From the authors' point of view, the approvals of the Corona National Headquarters as one of the sub-councils of the Supreme National Security Council are beyond the ordinary law and among the existing components; Efficiency and effectiveness, transparency and accountability and pivotal consensus were recognized.","PeriodicalId":377993,"journal":{"name":"Iranian Journal of Medical Ethics and History of Medicine","volume":"171 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124154458","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

Investigation of Three Migration Periods of Roman Elites in the Formation and Survival of the Jundishapur Scientific Center Applying the Theory of migration by Everett S. Lee 用李的迁移理论考察罗马精英在君迪沙普尔科学中心形成和生存中的三个迁移时期

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-01-31 DOI: 10.18502/ijme.v15i11.11817

Farhad Rashnopour, Mohsen Bahramnejad, Abbas Broomand Alalm, Baqer Ali Adelfar

{"title":"Investigation of Three Migration Periods of Roman Elites in the Formation and Survival of the Jundishapur Scientific Center Applying the Theory of migration by Everett S. Lee","authors":"Farhad Rashnopour, Mohsen Bahramnejad, Abbas Broomand Alalm, Baqer Ali Adelfar","doi":"10.18502/ijme.v15i11.11817","DOIUrl":"https://doi.org/10.18502/ijme.v15i11.11817","url":null,"abstract":"Jundishapur has been one of the oldest scientific and educational centers in Iran. A civil and intellectual field that emerged from the time of Sassanid Shapur (I), and gradually a scientific center emerged, especially in the medicine field. The splendor of the scientific center and the city of Jundishapur has been deeply correlated with the phenomenon of migration of Roman (Syriac-Nestorian) elites. Therefore, the causation and explanation of these migrations on the formation, life, and continuity of scientific center are significant to study. The present article attempted to investigate the dimensions of this issue from the perspective of historical sociology, relying on the theory of attraction and repulsion of Everett Lee. Thus, the present study tries to analyze three periods of elite migration from Rome to Jundishapur by using a descriptive-analytical method and relying on library resources and answer question of whether these migrations can be explained using the theory of attraction and repulsion? Findings indicate that in all three periods of the main migration of Roman elites to Jundishapur, Roman repulsions against Sassanid attractions have been very effective in the issue of residence and migration of elites. Religion has also been a crucial factor in the convergence and divergence of elites to migrate from Rome to Iran. The city of Jundishapur developed certain Syrian-Christian scientific and cultural features since its establishment. According to Everett Lee's migration theory, these characteristics had eliminated or downplayed the negative interventionist barriers and distance dilemma of elite migration from Rome to Jundishapur. Furthermore, the migration of elites from Rome to Jundishapur has been very effective in the survival of the city and the scientific center of Jundishapur.","PeriodicalId":377993,"journal":{"name":"Iranian Journal of Medical Ethics and History of Medicine","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122393382","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

From Nature to Nurture; A Brief Study of Comparative Law of Filiation of Children Resulting from Reproductive Methods with the Intervention of a Third Party 从自然到培育;第三者干预下因生育方式导致子女失信的比较法研究

Iranian Journal of Medical Ethics and History of Medicine Pub Date : 2023-01-31 DOI: 10.18502/ijme.v15i15.11820

M. Rasekh, Faezeh Ameri

{"title":"From Nature to Nurture; A Brief Study of Comparative Law of Filiation of Children Resulting from Reproductive Methods with the Intervention of a Third Party","authors":"M. Rasekh, Faezeh Ameri","doi":"10.18502/ijme.v15i15.11820","DOIUrl":"https://doi.org/10.18502/ijme.v15i15.11820","url":null,"abstract":"Filiation is one of the important legal issues which has gone under developments during the history of legal system. Over the modern times, along with the emergence of new methods of reproduction particularly those with the help of a third party, legal regulation of filiation of children resulting from such methods has encountered with new challenges. To whom these children are to be filiated? According to one of the traditions, the mother filiation is based on gestation and the father’s one on gamete. The question, however, is that whether these two criteria can regulate the filiation of such children in a consistent and effective manner. A study of laws and regulations of various countries gives us a negative answer. Laws that merely rely on these two criteria for the determination of filiation of those children would give rise to vagueness, undecidedness and uncertainty in this regard. Therefore, the necessity of a new criterion, i.e. that of intention, has been put forth. In this paper, we intend to study efforts made by legislators and judges of different legal systems so as to reach an effective and consistent criterion in this area.","PeriodicalId":377993,"journal":{"name":"Iranian Journal of Medical Ethics and History of Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126709083","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