Developing World Bioethics最新文献_第4页

Ethical Issues Conducting Research During War and Violent Conflict: A Review 在战争和暴力冲突中进行研究的伦理问题：综述。

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 Epub Date: 2026-05-25 DOI: 10.1111/dewb.70046

Dónal O'Mathúna, Emily E. Anderson

引用次数: 0

Why a Military Global Health Ethics Special Issue of the Journal? 为什么要出版《军事全球卫生伦理》专刊？

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 Epub Date: 2026-05-22 DOI: 10.1111/dewb.70045

Udo Schuklenk

{"title":"Why a Military Global Health Ethics Special Issue of the Journal?","authors":"Udo Schuklenk","doi":"10.1111/dewb.70045","DOIUrl":"10.1111/dewb.70045","url":null,"abstract":"Against the background of the current military situation in the middle east readers might wonder why we have decided to publish this special issue. The purpose of this Editorial is to shed light on our decision-making.Substantively the justification for this topic is well made in Hunter Jackson Smith's Guest Editorial [1]. Many military missions have significant global health ethics implications, affecting in particular countries of the global south. However, there is more to this. Hunter Jackson Smith had put great effort into guest editing this special issue, albeit for a different journal. The American Medical Association's ethics journal, AMA Journal of Ethics, had agreed to publish the compilation of articles you see in this issue of Developing World Bioethics.After this agreement was made the American Medical Association decided that it wasn't worth its resources to support an Open Access, free-to-publish journal in medical ethics. The association shut down the journal without advance warning and without any planned transition process.There has been some speculation among academics in the medical ethics fields that the decision to end the journal abruptly, with no consideration for already processed and accepted articles, is related to a desire by the association not to end up in the crosshairs of the current US government. I have no way of telling whether that is true. The journal certainly had no underlying business model and relied on permanent financial support from the American Medical Association.When Hunter Jackson Smith approached us as a possible venue for the articles he had commissioned for the AMA Journal of Ethics, we agreed to do so. All articles in this issue of the journal have undergone standard external peer review processes, and we are delighted to present them to you.The author declares no conflicts of interest.Data sharing not applicable to this article as no datasets were generated or analysed during the current study.","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 2","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dewb.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989946","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}

引用次数: 0

Establishing Clinical Trial Priorities for Military Global Health Research 建立军事全球健康研究的临床试验重点。

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 Epub Date: 2026-05-25 DOI: 10.1111/dewb.70037

Liza Dawson, Hunter Jackson Smith, Fredrick Sawe

{"title":"Establishing Clinical Trial Priorities for Military Global Health Research","authors":"Liza Dawson, Hunter Jackson Smith, Fredrick Sawe","doi":"10.1111/dewb.70037","DOIUrl":"10.1111/dewb.70037","url":null,"abstract":"<div>\u0000 \u0000 Military leaders must support health care and research to protect the health and readiness of their forces. Part of this effort entails conducting human subjects research to address current and emerging international health threats. The military is also attentive to the national security interests associated with global health, such as protection from widespread disruption due to disasters and epidemics. While military leaders’ global health research objectives relate to the military's strategic goals, including force health protection and national security, it is only through longstanding partnerships with partner nations in several world regions that much of the relevant research is possible. Yet military priorities may differ starkly from those of the collaborating partner nations, raising concerns about the potential for exploitation in global health partnerships. However, in spite of differences in overall strategic priorities, a convergence of stakeholder interests allows for appropriate alignment in the choice of clinical research activities at global health sites supported by the military. These complex collaborative research arrangements depend on negotiating and navigating the selection of research goals and activities to ensure fairness and balancing of priorities among partners, thereby maintaining research infrastructure and capacity. Leaders of military institutions and partner nations must attend to the need for this sustained effort to balance priorities to ensure equity and successful maintenance of these essential relationships.\u0000 </div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 2","pages":"87-91"},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018574","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}

引用次数: 0

How Should Ongoing Surgical Care Needs be Met During Global Health Engagements? 在全球卫生活动中，如何满足持续的外科护理需求？

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 Epub Date: 2026-05-22 DOI: 10.1111/dewb.70041

John S. Oh, Tamara J. Worlton, Carolyn Gosztyla

引用次数: 0

Ethics of Military Global Health Engagements 军事全球卫生活动伦理

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 DOI: 10.1111/dewb.70043

Hunter Jackson Smith

{"title":"Ethics of Military Global Health Engagements","authors":"Hunter Jackson Smith","doi":"10.1111/dewb.70043","DOIUrl":"https://doi.org/10.1111/dewb.70043","url":null,"abstract":"<div>\u0000 \u0000 Military global health engagements have grown in scope and strategic relevance, yet their ethical dimensions remain insufficiently examined. Beyond humanitarian assistance and disaster relief, militaries now engage in infectious disease surveillance, clinical and laboratory research, outbreak response, health system strengthening, and medical training partnerships. These efforts draw on distinctive military capabilities (such as rapid deployment, logistical reach, and sustained international presence) while advancing force health protection, global health security, and health diplomacy. At the same time, the alignment of humanitarian activities with national security objectives raises ethical concerns related to neutrality, power asymmetries, informed consent, local autonomy, sustainability, and the potential militarization of health. This editorial introduces this thematic issue of how militaries can engage ethically and equitably in global health, particularly amid rising geopolitical conflict and emerging infectious disease threats. It frames key normative questions for policymakers, practitioners, and scholars working at the intersection of global health and security.\u0000 </div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 2","pages":"84-86"},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274916","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}

引用次数: 0

Health Diplomacy and Ethical Considerations for Deployed Military Clinicians Managing Tensions Between Local National Groups 卫生外交和伦理考虑部署的军事临床医生管理当地民族群体之间的紧张关系。

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 Epub Date: 2026-05-21 DOI: 10.1111/dewb.70040

Janet Kelly, Tom Falconer-Hall, John Whitaker

引用次数: 0

The Roles of Military Health Diplomacy and Health Security When Conducting Global Health Engagements That Primarily Promote National Security 军事卫生外交和卫生安全在开展主要促进国家安全的全球卫生接触中的作用。

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 Epub Date: 2026-06-03 DOI: 10.1111/dewb.70044

Clinton K. Murray, Hunter Jackson Smith, Paula C. Lodi

{"title":"The Roles of Military Health Diplomacy and Health Security When Conducting Global Health Engagements That Primarily Promote National Security","authors":"Clinton K. Murray, Hunter Jackson Smith, Paula C. Lodi","doi":"10.1111/dewb.70044","DOIUrl":"10.1111/dewb.70044","url":null,"abstract":"<div>\u0000 \u0000 Global health engagement (GHE) has emerged as a central instrument of foreign and defense policy across multiple nations, reflecting the growing convergence of health and national security. This manuscript examines the ethical and strategic roles of military health diplomacy and health security in GHE activities primarily oriented toward advancing national security objectives. It argues that military GHE is ethically justified only when it promotes health security alongside, rather than subordinate to, national security interests. Drawing on contemporary examples, including U.S. military medical efforts, medical coordination in Ukraine, and Indo-Pacific health engagement activities, the paper highlights how military GHE strengthens partner capacity, enhances interoperability, and supports operational readiness. However, ethical challenges exist and must be addressed, including dual loyalty among military physicians, risks to medical neutrality, and perceptions of coercion or instrumentalization. The manuscript concludes that transparency, local partnership, and adherence to core ethical principles are essential to ensuring that military GHE remains both strategically effective and ethically legitimate.\u0000 </div>","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 2","pages":"111-116"},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151343","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}

引用次数: 0

Clinical Partnering - When Should Host Nation Patients Not be Directed to Coalition Military Hospitals? 临床合作-东道国患者何时不应被引导到联军军事医院？

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 Epub Date: 2026-05-20 DOI: 10.1111/dewb.70042

Martin Bricknell

{"title":"Clinical Partnering - When Should Host Nation Patients Not be Directed to Coalition Military Hospitals?","authors":"Martin Bricknell","doi":"10.1111/dewb.70042","DOIUrl":"10.1111/dewb.70042","url":null,"abstract":"This case commentary explores whether and when it is justifiable NOT to direct injured or ill host nation patients to international coalition military hospitals that are better equipped than host nation hospitals to meet patients' health needs in order to ensure sufficient patients for success in clinical partnering. The case discusses Medical Rules of Eligibility as a policy to determine the destination of patients who present for medical care to international military medical services. It also discusses the ethical challenges for international military healthcare workers when working as clinical partners to support capability-building in host national medical facilities. This can be particularly difficult if it involves shared care of patients rather than didactic training. Finally, the case discusses the ethical dimensions of news reporting within medical facilities, especially if this is part of the military effort to share information about the military campaign. The case highlights ethical aspects of higher-level military policy that impact clinical care and the importance of considering if external review of such policies is needed to ensure alignment with legal and professional ethical obligations.","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":"26 2","pages":"117-120"},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dewb.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976855","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}

引用次数: 0

Using an Equivalent Protections Framework to Improve Oversight of International Human Subjects Research 利用同等保护框架改进对国际人体受试者研究的监督。

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-19 Epub Date: 2026-05-25 DOI: 10.1111/dewb.70036

Liza Dawson, Hunter Jackson Smith

引用次数: 0

Frontline Healthcare Professionals' Perceptions of the Duty to Care During the COVID-19 Pandemic: A Multi-Method Study in Mozambique. 2019冠状病毒病大流行期间一线医护人员对护理责任的看法：莫桑比克的一项多方法研究

IF 1.3 3区哲学

Developing World Bioethics Pub Date : 2026-06-16 DOI: 10.1111/dewb.70048

Ângela Alface, Graça Salomé, Khátia Munguambe, Troy D Moon, Esperança Sevene, Elizabeth Heitman

{"title":"Frontline Healthcare Professionals' Perceptions of the Duty to Care During the COVID-19 Pandemic: A Multi-Method Study in Mozambique.","authors":"Ângela Alface, Graça Salomé, Khátia Munguambe, Troy D Moon, Esperança Sevene, Elizabeth Heitman","doi":"10.1111/dewb.70048","DOIUrl":"10.1111/dewb.70048","url":null,"abstract":"COVID-19 intensified ethical tensions between clinicians' duty to care and self-protection amid PPE shortages. We explored frontline healthcare professionals' perspectives in Maputo, Mozambique. Semi-structured interviews with healthcare professionals at four hospitals (April-June 2022) were recorded in Portuguese, transcribed, and thematically analyzed. Fixed-response items were captured in REDCap and summarized descriptively. Fifty-three respondents described varied perspectives on duty. Nearly half affirmed unconditional obligations grounded in professional ethics. Many framed duty as contingent on available PPE and institutional support; 8% were unsure. Themes included irregular PPE distribution, unequal training, and reliance on informal information, shaping perceived risk, preparedness, and responsibility. Quantitative summaries echoed these patterns: only 58% reported receiving training, and as PPE re-supply declined many felt exposed. Sustaining duty to care in resource-constrained settings during an outbreak requires reliable PPE provision, equitable and timely training, and trustworthy communication systems to protect workers and strengthen health-system resilience. Sustaining duty to care in resource-constrained settings during an outbreak requires reliable PPE provision, equitable and timely training, and trustworthy communication systems to protect workers and strengthen health-system resilience.","PeriodicalId":50590,"journal":{"name":"Developing World Bioethics","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260340","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}

引用次数: 0