{"title":"Anaesthesia Waste Gases and Bioethics: Balancing Patient Care, Environmental Responsibility, and Occupational Safety","authors":"Shibu Sasidharan, Harpreet Dhillon","doi":"10.1111/dewb.12489","DOIUrl":"10.1111/dewb.12489","url":null,"abstract":"<div>\u0000 \u0000 <p>Anaesthesia waste gases (AWGs) represent a significant yet often overlooked contributor to healthcare's environmental footprint, with implications extending beyond ecological concerns to encompass occupational hazards and complex ethical considerations. This article examines the intersection of AWGs and bioethics through the framework of environmental stewardship, occupational health principles, patient-centered care, and distributive justice. Contemporary volatile anaesthetics possess global warming potentials thousands of times greater than carbon dioxide, while implicated occupational exposures raise concerns about reproductive health and neurological function among healthcare workers. The bioethical paradigms of principalism—encompassing nonmaleficence, beneficence, autonomy, and justice—and environmental ethics provide structured approaches to addressing these multifaceted challenges. This review synthesizes current evidence regarding AWGs' environmental and occupational impacts, evaluates emerging mitigation strategies, and proposes an integrated ethical framework to guide clinical practice, institutional policy, and professional standards in anaesthesiology.</p>\u0000 </div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 3","pages":"138-145"},"PeriodicalIF":1.3,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zikai Zhang, Lei Huang, Yufei Huang, Zhenbo Zhang, Wei Chen
{"title":"Perceptions of Research Integrity Among Medical Researchers in Shanghai Teaching Hospitals: A Cross-Sectional Survey","authors":"Zikai Zhang, Lei Huang, Yufei Huang, Zhenbo Zhang, Wei Chen","doi":"10.1111/dewb.70022","DOIUrl":"10.1111/dewb.70022","url":null,"abstract":"<div>\u0000 \u0000 <p>Research integrity has become a pressing concern in China, which accounts for a large share of global retractions. Yet little is known about how research integrity is understood and enacted within teaching hospitals. In this cross-sectional study, we surveyed 106 medical researchers across four Shanghai hospitals to assess their awareness, attitudes, and practices regarding scientific misconduct, as well as the role of integrity education. Most respondents reported familiarity with definitions of fabrication, falsification, and plagiarism and expressed strong disapproval of these behaviors. Nonetheless, 11%–22% indicated some degree of tolerance toward selective reporting or unjustified authorship, and firsthand reports of witnessed misconduct were uncommon. Participation in formal courses or lectures on research integrity was associated with higher knowledge scores and stronger agreement with ethical principles. These findings reveal a tension between high awareness and partial tolerance, highlighting the importance of exploring how institutional cultures and incentive systems may influence ethical behavior in future research and policy efforts.</p></div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 3","pages":"194-203"},"PeriodicalIF":1.3,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethics of Futile Care: Who Decides When Enough Is Enough?—A Commentary From the Indian Context on Moral Distress in ICU Staff","authors":"Shibu Sasidharan, Harpreet Dhillon","doi":"10.1111/dewb.12492","DOIUrl":"10.1111/dewb.12492","url":null,"abstract":"<div>\u0000 \u0000 <p>This paper examines the ethical dilemmas surrounding futile care in Indian intensive care units, specifically focusing on the moral distress experienced by healthcare professionals when administering potentially non-beneficial interventions to terminally ill patients. Through analysis of recent literature, including systematic reviews and randomized controlled trials, this commentary explores the complex intersection of medical ethics, cultural values, resource allocation, and decision-making frameworks within India's unique healthcare landscape. The paper highlights the need for culturally sensitive approaches to end-of-life care, improved communication between healthcare providers and families, and institutional support systems to address moral distress among ICU staff. Additionally, it proposes policy recommendations and practical strategies to navigate these challenging ethical terrain while respecting patient dignity, family autonomy, and professional integrity in the Indian healthcare system.</p>\u0000 </div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 3","pages":"237-242"},"PeriodicalIF":1.3,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ubuntu Vis-à-Vis the Saying “We Are All in This Together” in the Context of the COVID-19 Pandemic","authors":"John Mark Ogu","doi":"10.1111/dewb.70010","DOIUrl":"10.1111/dewb.70010","url":null,"abstract":"<div>\u0000 \u0000 <p>This article analyzes the interplay between Ubuntu's philosophy: “I am, because we are; and because we are, therefore I am” with the expression “We are all in this together,” which resounded mostly in North America and Europe during the COVID-19 pandemic. This article argues that the expression “We are all in this together” directly or indirectly adopted Ubuntu's philosophy of relational solidarity in handling and navigating the COVID-19 pandemic. The expression implicitly acknowledges that pandemics can be mitigated through collaboration, shared responsibility, and relational solidarity.</p>\u0000 </div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 3","pages":"156-163"},"PeriodicalIF":1.3,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Living Unrelated Kidney Transplantation in Syria: The Elephant in the Room.","authors":"Saleh Kaysi, Mohamed Sekkarie","doi":"10.1111/dewb.70055","DOIUrl":"https://doi.org/10.1111/dewb.70055","url":null,"abstract":"","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Voice-of-Colour: Diversifying Medical Research and a Fairer Health Policy.","authors":"Luís Cordeiro-Rodrigues","doi":"10.1111/dewb.70054","DOIUrl":"https://doi.org/10.1111/dewb.70054","url":null,"abstract":"","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nor Raudhah Abdullah, Muhamad Zaid Muuti, Astrid Sinarti Hassan
{"title":"Exploring the Ethical Concerns of Diagnosis-Related Group System in Healthcare: Lessons and Recommendations for Malaysia.","authors":"Nor Raudhah Abdullah, Muhamad Zaid Muuti, Astrid Sinarti Hassan","doi":"10.1111/dewb.70051","DOIUrl":"https://doi.org/10.1111/dewb.70051","url":null,"abstract":"<p><p>The Diagnosis-Related Group (DRG) system has had a significant impact on the healthcare community, particularly in areas of financial management and care quality monitoring. It is widely implemented as a hospital reimbursement model aimed at controlling costs while improving efficiency. However, the system has given rise to several ethical concerns, including the risks of under-treatment, upcoding, inequitable access to care and moral distress and burnout among physicians. This article explores these ethical dilemmas in depth and discusses various mitigation strategies, such as DRG modifications, ethical safeguards and hybrid reimbursement models. Special attention is given to the Malaysian healthcare context, with recommendations tailored to address the ethical challenges unique to its dual healthcare system. The goal is to ensure that cost-effectiveness is achieved without compromising the quality and equity of patient care.</p>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dmytro Kovyda, Elizabeth A. Erickson, Craig Dawson
{"title":"Case and Commentary: Ethical Implications of Combat Medic Training in Wartime","authors":"Dmytro Kovyda, Elizabeth A. Erickson, Craig Dawson","doi":"10.1111/dewb.70039","DOIUrl":"10.1111/dewb.70039","url":null,"abstract":"<div>\u0000 \u0000 <p>The full-scale invasion of Ukraine in February 2022 launched years of large-scale combat operations, requiring rapid and recurrent generation of combat medical capabilities in order to maintain the fighting force. The operational requirements drove changes in the training and development of combat medics serving on the front lines. Duration of training was significantly shortened, resulting in challenging decision making on which skills to prioritize within the time available. Ethical principles of beneficence and nonmaleficence must be considered when operational requirements drive modifications of combat medic training.</p>\u0000 </div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 2","pages":"108-110"},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Should Individual Military Clinicians Navigate Fraught Pasts of Their Collective Organizations and Nations During Global Health Engagements?","authors":"Jeanne A. Krick, Melissa Myers","doi":"10.1111/dewb.70038","DOIUrl":"10.1111/dewb.70038","url":null,"abstract":"<div>\u0000 \u0000 <p>Military global health engagements (GHEs) present complex ethical questions to clinicians with dual professional roles as physicians and officers. These questions’ importance is heightened in regions with histories of colonialism and exploitation, where well-intentioned actions can still perpetuate harms. This article identifies “traditional” ethics frameworks’ limitations for addressing these harms and tension around them and proposes a context-sensitive and relationally grounded alternative to making clinical and ethical guidelines for clinicians, planners, military leaders, and policymakers engaged in military global health. This article describes the importance of an alternative ethical framework that draws on values such as humility, responsiveness, and sustained local partnership.</p>\u0000 </div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 2","pages":"92-95"},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethical Issues Conducting Research During War and Violent Conflict: A Review","authors":"Dónal O'Mathúna, Emily E. Anderson","doi":"10.1111/dewb.70046","DOIUrl":"10.1111/dewb.70046","url":null,"abstract":"<p>Global health engagement increasingly occurs in the context of war and violent conflict. Many health-related decisions are made which should be guided by evidence. Health research is needed to provide evidence, yet conducting research in conflict settings raises multiple ethical issues. However, the ethical issues involved in conducting research during war and violent conflict have received insufficient attention. The literature suggests that these ethical issues, while similar to those of research conducted in humanitarian crises, are also distinct. This article provides a review of the ethical issues faced by researchers in conflict zones with a goal to inform future research into such issues. The review was organized around an established 8-principle ethics framework for research in low-income settings. We conclude with a number of recommendations and call for additional attention by bioethicists to this important area to protect participants and support researchers in conflict settings, whether coming from military or nonmilitary organizations.</p>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 2","pages":"121-130"},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dewb.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}