Asian Bioethics Review最新文献_第10页

Providing a Platform for Myriad Forms of Bioethics Research 为各种形式的生物伦理研究提供平台

IF 1.3

Asian Bioethics Review Pub Date : 2023-11-15 DOI: 10.1007/s41649-023-00270-5

Graeme T. Laurie

引用次数: 0

The Limitations of Ethical Review: the Protection-Inclusion Dilemma 伦理审查的局限性：保护与包容的两难选择

IF 1.3

Asian Bioethics Review Pub Date : 2023-11-13 DOI: 10.1007/s41649-023-00265-2

Akira Akabayashi, Deborah Zion

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Unraveling Informality and Precarity: New Labor Law Strategies for the Global Reproduction Network of Cross-Border Surrogacy 揭开非正规性和不公正性的面纱：跨境代孕全球繁殖网络的新劳动法战略

IF 1.3

Asian Bioethics Review Pub Date : 2023-11-13 DOI: 10.1007/s41649-023-00262-5

Yingyi Luo

{"title":"Unraveling Informality and Precarity: New Labor Law Strategies for the Global Reproduction Network of Cross-Border Surrogacy","authors":"Yingyi Luo","doi":"10.1007/s41649-023-00262-5","DOIUrl":"10.1007/s41649-023-00262-5","url":null,"abstract":"<div><p>This paper provides an analysis of the complex global reproduction networks driving the rapidly expanding cross-border surrogacy industry in Asia’s reproductive bioeconomy. It sheds light on the unique features of informal surrogacy networks, notable for their flexible business ties and non-standardized surrogate mother recruitment. These factors contribute to heightened vulnerability for surrogate mothers operating within these networks. While previous literature has underscored the merits of labor law in regulating the surrogacy industry, its application in informal cross-border surrogacy remains under-examined. To address this gap, this research delves into innovative labor law strategies with potential to better regulate the surrogacy sector. Drawing inspiration from progressive labor regulations and supply chain strategies in Bulgaria and Australia, the proposed model aims to redefine the traditional employment relationship. This shift is aimed at bolstering protection for surrogate mothers and enforcing accountability throughout the surrogacy business network. The model further advocates for a collective framework that fosters collaboration and mandates the documentation and registration of surrogacy contracts. Moreover, it underscores the critical significance of international collaboration in bridging regulatory gaps and distributing accountability across consumer and supply states.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 2","pages":"185 - 203"},"PeriodicalIF":1.3,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136346759","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

Ethical Issues in Photovoice Studies involving Key Populations: A Scoping Review 涉及关键人群的摄影选择研究中的伦理问题：范围审查

IF 1.3

Asian Bioethics Review Pub Date : 2023-11-13 DOI: 10.1007/s41649-023-00264-3

Chong Guan Ng, Sing Qin Ting, Rumana Akhter Saifi, Adeeba Bt Kamarulzaman

{"title":"Ethical Issues in Photovoice Studies involving Key Populations: A Scoping Review","authors":"Chong Guan Ng, Sing Qin Ting, Rumana Akhter Saifi, Adeeba Bt Kamarulzaman","doi":"10.1007/s41649-023-00264-3","DOIUrl":"10.1007/s41649-023-00264-3","url":null,"abstract":"<div><p>Photovoice, a community-based participatory research method, employs images and words to convey participants' needs, concerns, and desires. It proves particularly valuable in researching marginalized communities who face elevated health risks, disease transmission, and social and health disparities. This paper seeks to investigate the ethical considerations inherent in photovoice research projects. We conducted an extensive literature review spanning four databases to identify pertinent photovoice studies. Ethical issues from the selected articles were identified, categorized, and summarized. Our analysis of twenty-five photovoice studies uncovered various ethical concerns, which had been grouped into informed consent, participant safety and disclosure, privacy and confidentiality, misrepresentation, power dynamics, and compensation. In essence, our findings underscore the importance of addressing these ethical concerns to uphold the rights and autonomy of participants, even as photovoice research strives for authenticity, inclusivity, and empowerment.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 1","pages":"109 - 129"},"PeriodicalIF":1.3,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-023-00264-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136346818","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

Characteristics of Life-Sustaining Treatment Decisions: National Data Analysis in South Korea 维持生命治疗决定的特点：韩国全国数据分析

IF 1.3

Asian Bioethics Review Pub Date : 2023-11-11 DOI: 10.1007/s41649-023-00266-1

Jiyeon Choi, Heejung Jeon, Ilhak Lee

{"title":"Characteristics of Life-Sustaining Treatment Decisions: National Data Analysis in South Korea","authors":"Jiyeon Choi, Heejung Jeon, Ilhak Lee","doi":"10.1007/s41649-023-00266-1","DOIUrl":"10.1007/s41649-023-00266-1","url":null,"abstract":"<div><p>This study analyzed the national data on life-sustaining treatment decisions from 2018 to 2020 to find out the characteristics of South Korea’s end-of-life procedure according to the decision-making approach and process. We collected the data of 84,422 patients registered with the National Agency for Management of Life-sustaining Treatment. We divided the patients into four groups (G1, G2, G3, and G4) according to the decision-making approach. A descriptive analysis of each group was conducted using indicators such as the patient’s age, status, diagnosis, and content of forgoing life-sustaining treatment. Additionally, logistic regression analysis was performed by dividing the patients into self-determining (G1, G2) and non-self-determining patients (G3, G4). Cancer was the most common diagnosis for each group. The period from life-sustaining treatment decision to implementation was 10.76, 1.01, 0.86, and 1.19 days for G1, G2, G3, and G4, respectively. In the logistic regression analysis, the self-determination ratio was higher for 40–49 years old and lower for cardiovascular disease and gastrointestinal disease. Age was has a major impact on life-sustaining treatment decisions (LSTD), and with increase in age, the family, and not the patient, made the LSTD. The LSTD method also differed depending on the disease. The self-determination rates of patients with circulatory or digestive diseases were somewhat lower than that of those with neoplastic diseases. The period from decision-making to implementation is short for end-of-life care.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 1","pages":"33 - 46"},"PeriodicalIF":1.3,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135043138","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

Shinmi (親身): a Distinctive Japanese Medical Virtue? 信美（亲身）：日本独特的医德？

IF 1.3

Asian Bioethics Review Pub Date : 2023-11-04 DOI: 10.1007/s41649-023-00261-6

Reina Ozeki-Hayashi, Dominic J. C. Wilkinson

{"title":"Shinmi (親身): a Distinctive Japanese Medical Virtue?","authors":"Reina Ozeki-Hayashi, Dominic J. C. Wilkinson","doi":"10.1007/s41649-023-00261-6","DOIUrl":"10.1007/s41649-023-00261-6","url":null,"abstract":"<div><p>In Western countries, the ideal professional and ethical attributes of healthcare providers and the ideal patient-doctor relationship have been analysed in detail. Other cultures, however, may have different norms, arising in response to diverse healthcare needs, cultural values and offering alternative perspectives. In this paper, drawing a case study, we introduce the concept of <i>Shinmi</i>, used in Japan to describe a desirable approach to medical care. <i>Shinmi</i> means kind or cordial in Japanese. In the medical context, it refers to doctors treating patients with a degree of emotional closeness as if they were the doctors’ own family. We analyse the concept of <i>Shinmi</i>, drawing on virtue ethics. We distinguish two different elements to a <i>Shinmi-na</i> attitude. As illustrated in our example, excessive <i>Shinmi</i> can be problematic for patients and doctors. Furthermore, elements of <i>Shinmi</i> may conflict with existing Western values (for example, norms that encourage emotional detachment and discourage doctors’ treatment of family members). However, if pursued appropriately, we argue that a balanced <i>Shinmi</i>-na approach can be conducive to the goals of medicine. The concept of <i>Shinmi</i> may be valuable for medical students, in Japanese and potentially other health care systems, and help them to cultivate a virtuous approach to meeting the emotional needs of patients.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 4","pages":"563 - 573"},"PeriodicalIF":1.3,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-023-00261-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135773393","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

Beyond Public Health and Private Choice: Breastfeeding, Embodiment and Public Health Ethics 超越公共卫生与私人选择：母乳喂养、体现与公共卫生伦理

IF 1.3

Asian Bioethics Review Pub Date : 2023-10-26 DOI: 10.1007/s41649-023-00259-0

Supriya Subramani

{"title":"Beyond Public Health and Private Choice: Breastfeeding, Embodiment and Public Health Ethics","authors":"Supriya Subramani","doi":"10.1007/s41649-023-00259-0","DOIUrl":"10.1007/s41649-023-00259-0","url":null,"abstract":"<div><p>The key objective of this paper is to emphasize the importance of acknowledging breastfeeding as an embodied social practice within interventions related to breastfeeding and lactation and illustrate how this recognition holds implications for public health ethics debates. Recent scholarship has shown that breastfeeding and lactation support interventions undermine women’s autonomy. However, substantial discourse is required to determine how to align with public health goals while also recognizing the embodied experiences of breastfeeding and lactating individuals. Presently, interventions in this realm predominantly revolve around health-related messaging and the promotion of individual behaviors, often neglecting the systemic and structural factors that influence choices and practices. I closely examine breastfeeding interventions in India, in particular Mothers’ Absolute Affection health promotion program, along with breastfeeding narratives. I argue that for such interventions to evolve, they must acknowledge the intrinsic embodied social nature of breastfeeding during their design and implementation. Furthermore, it is important to emphasize that achieving equity and justice objectives necessitates moving beyond the confines of both conventional public health frameworks and frameworks solely centered on private choices. Instead, a more encompassing approach that embraces the concept of embodiment should be adopted.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 2","pages":"249 - 266"},"PeriodicalIF":1.3,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-023-00259-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136381937","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

Nurturing Ethical Leadership and Equity in Malaysia: Report from the Third National Paediatric Bioethics Symposium 在马来西亚培养伦理领导力和公平：第三届全国儿科生命伦理学研讨会报告

IF 1.3

Asian Bioethics Review Pub Date : 2023-10-24 DOI: 10.1007/s41649-023-00263-4

Erwin Jiayuan Khoo

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Islamic Viewpoints on Opportunistic Sex Selection of IVF Embryos upon doing Preimplantation Genetic Testing for Preventing Genetic Diseases 伊斯兰教关于为预防遗传疾病而进行植入前基因检测时对试管婴儿胚胎进行机会性性别选择的观点

IF 1.3

Asian Bioethics Review Pub Date : 2023-10-14 DOI: 10.1007/s41649-023-00258-1

Sayyed Mohamed Muhsin, Shaima Zohair Arab, Alexis Heng Boon Chin

{"title":"Islamic Viewpoints on Opportunistic Sex Selection of IVF Embryos upon doing Preimplantation Genetic Testing for Preventing Genetic Diseases","authors":"Sayyed Mohamed Muhsin, Shaima Zohair Arab, Alexis Heng Boon Chin","doi":"10.1007/s41649-023-00258-1","DOIUrl":"10.1007/s41649-023-00258-1","url":null,"abstract":"<div><p>In recent years, preimplantation genetic testing (PGT) of IVF embryos have gained much traction in clinical assisted reproduction for preventing various genetic defects, including Down syndrome. However, such genetic tests inevitably reveal the sex of IVF embryos by identifying the sex (X and Y) chromosomes. In many countries with less stringent IVF regulations, information on the sex of embryos that are tested to be genetically normal is readily shared with patients. This would thus present Muslim patients with unintended opportunities for sex selection based on personal or social biases without any pressing need or valid medical reason. Additionally, there are other patients who claim using PGT for preventing genetic defects as a pretext or “convenient excuse,” with a secret intention to do sex selection when it is banned in their home country. Currently, non-medical sex selection is a highly-controversial and hotly debated issue in Islam, because there is generally a strong preference for having sons over daughters due to widespread cultural norms of elderly parents depending on their sons for financial support, as well as the need for male heirs to continue the family lineage within the backdrop of local patriarchal cultures. There is a risk of gender imbalance and social disequilibrium occurring in Islamic societies due to prevalent sex selection. Hence, the question is whether opportunistic sex selection with PGT would contravene Islamic ethics and principles, which will thus be discussed here.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 2","pages":"223 - 232"},"PeriodicalIF":1.3,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135804005","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

Clinical Ethics Consultation in Japan: What does it Mean to have a Functioning Ethics Consultation? 日本的临床伦理咨询：有效的伦理咨询意味着什么？

IF 1.3

Asian Bioethics Review Pub Date : 2023-09-06 DOI: 10.1007/s41649-023-00257-2

Noriko Nagao, Yoshiyuki Takimoto

{"title":"Clinical Ethics Consultation in Japan: What does it Mean to have a Functioning Ethics Consultation?","authors":"Noriko Nagao, Yoshiyuki Takimoto","doi":"10.1007/s41649-023-00257-2","DOIUrl":"10.1007/s41649-023-00257-2","url":null,"abstract":"<div><p>This research examines the current status of clinical ethics consultation (CEC) in Japan through a nationwide study conducted with chairs of ethics committees and clinical ethics committees among 1028 post-graduate clinical teaching hospitals. We also qualitatively analyzed their viewpoints of the CEC’s benefits and problems related to hospital consultation services to identify the critical points for CEC and inform the development of a correctly functioning system. The questionnaire included structured questions about hospital CEC organization and service purpose and operation and open-ended questions about the benefits and problems of initiating CEC. The questionnaire comprised the presence/absence of an ethics committee, CEC services and membership when services were implemented, users, and the number of cases handled since inception. In addition, the respondents also provided their impressions of the CEC system’s impact on their hospital by describing (a) the benefits of CEC services and (b) the ineffectual or harmful aspects of the CEC system. Qualitative data were examined using qualitative content analysis to determine the impact of establishing a CEC and the difficulties of practice. One hundred twenty-five questionnaires were returned from either the chair of the ethics committee or clinical ethics committee in teaching hospitals. Of these, 90 (72%) reported they provided CEC services. Additionally, 36 respondents (34.6%) reported that their existing research and clinical ethics committees had conducted CEC services, and 35 (33.7%) reported having a newly established clinical ethics committee conducting CEC services. Three positive effects of establishing and four challenges in managing CEC were also identified.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 1","pages":"15 - 31"},"PeriodicalIF":1.3,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10776510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80774954","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