The Journal of IMAPub Date : 2012-03-20Print Date: 2012-01-01DOI: 10.5915/44-1-7903
Ghiath Alahmad, Wim Dekkers
{"title":"Bodily integrity and male circumcision: an islamic perspective.","authors":"Ghiath Alahmad, Wim Dekkers","doi":"10.5915/44-1-7903","DOIUrl":"https://doi.org/10.5915/44-1-7903","url":null,"abstract":"<p><p>The notion of bodily integrity forms an important part of the value-structure of many religions and cultures. In this paper, we explore the notion of bodily integrity in Islam using male circumcision as the focus of the discussion. Our aim is to contribute to a better understanding of the Muslim perspective and of the differences and similarities between Western and Islamic ethical structures, in particular, regarding the concept of bodily integrity.</p>","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/ff/jima-44-1-7903.PMC3516177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31378495","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}
{"title":"The spectrum of neurological recovery.","authors":"Tanveer P Mir","doi":"10.5915/43-3-8735","DOIUrl":"10.5915/43-3-8735","url":null,"abstract":"<p><p>The equivalence of brain death with death is largely, although not universally accepted. Patients may have suffered insults such as cardiac arrest, vascular catastrophe, poisoning, or head trauma. Early identification of patients at greatest risk of poor neurologic outcome and management in the appropriate critical care setting is the key to maximizing neurological recovery. Recent technological advances and neuroimaging have made it possible to predict neurological reversibility with great accuracy. Significant improvements in therapy such as hypothermia, will improve outcomes in neurological catastrophies, particularly in anoxic-ischemic encephalopathy. The clinical spectrum and diagnostic criteria of minimally conscious and vegetative states is reviewed. The current understanding of the differences in prognosis and prediction of meaningful cognitive and functional recovery in each neurological state is described. Establishing an understanding of the ethical principles that guide medical decisions in clinical practice related to different neurological states is evolving into a new field called neuroethics.</p>","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"219-22"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/61/jima-43-3-8735.PMC3516123.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31378202","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}
{"title":"Principles of biomedical ethics.","authors":"Shahid Athar","doi":"10.5915/43-3-8476","DOIUrl":"https://doi.org/10.5915/43-3-8476","url":null,"abstract":"<p><p>In this presentation, I will discuss the principles of biomedical and Islamic medical ethics and an interfaith perspective on end-of-life issues. I will also discuss three cases to exemplify some of the conflicts in ethical decision-making.</p>","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"138-43"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/b4/jima-43-3-8476.PMC3516124.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379874","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}
{"title":"Discussion: Muslim Perspectives on End-of-Life Issues.","authors":"Daniel Martin Varisco, Gamal Badawi, Shahid Athar","doi":"10.5915/43-3-9298","DOIUrl":"https://doi.org/10.5915/43-3-9298","url":null,"abstract":"Dr. Varisco moderated presentations by Dr. Gamal Badawi and Dr. Shahid Athar. This is a transcript of the question and answer session which followed. http://dx.doi.org/10.5915/43-3-9298 Video","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"146-7"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/1e/jima-43-3-9298.PMC3516107.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379876","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}
Hasan Shanawani, Frederick A Smith, Tanveer Mir, Mary Lahaj
{"title":"Care of the terminally ill: religious perspectives. Discussion.","authors":"Hasan Shanawani, Frederick A Smith, Tanveer Mir, Mary Lahaj","doi":"10.5915/43-3-9462","DOIUrl":"https://doi.org/10.5915/43-3-9462","url":null,"abstract":"DOI: http://dx.doi.org/10.5915/43-3-9462 Video DOI: http://dx.doi.org/10.5915/43-3-9462V This is a transcript of the discussion which took place after Session 6 of the Islamic Medical Association of North America-Hofstra Ethics Symposium \"End-of-Life Issues: Ethical and Religious Perspectives,\" September 17-18, 2010. Session 6 contained two presentations, the first by Dr. Tanveer Mir and the second by Mary Lahaj .","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"177-81"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/46/jima-43-3-9462.PMC3516117.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31378193","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}
{"title":"Ethical aspects of prenatal diagnosis of fetal malformations.","authors":"Hossam E Fadel","doi":"10.5915/43-9560","DOIUrl":"https://doi.org/10.5915/43-9560","url":null,"abstract":"<p><p>Fetal malformations complicate approximately 3% of all pregnancies. Many of these are minor or can be corrected after birth, but there are certain malformations that are lethal and others that are severe and others, that, even if corrected lead to permanent disability. Advances in prenatal diagnosis made possible the diagnosis of many fetal malformations. This led to the concept of the fetus a patient, independent of the pregnant woman, even though the moral status of the fetus is in dispute. Many of the lethal malformations are untreatable. However, for some, innovative in utero treatments, both medical and surgical, became possible. These interventions should be evaluated for the relative benefit and risk for both the fetus and the mother, because any such treatment has to involve the integrity of her body. This raises the ethical question of beneficence (to the fetus) versus the autonomy of the pregnant woman. The process of resolving this issue will be discussed, especially how to obtain a truly informed consent. For the lethal malformations or for those severe or multiple malformations whose treatment is theoretically possible but the results of such treatment are unpredictable or may lead to life long disabilities and serious burdens for the infant or child and the family, prenatal counseling should include \"prenatal advance directive\" and a plan for palliative care, the components of which will be described.</p>","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"182-8"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5915/43-9560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31378194","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}
{"title":"Muslim Attitudes towards End-of-Life Decisions.","authors":"Gamal Badawi","doi":"10.5915/43-3-8602","DOIUrl":"https://doi.org/10.5915/43-3-8602","url":null,"abstract":"Attitudes toward end-of–life decisions is a field that is evolving. We are all interested in how to deal with specific cases relating to the theme of this conference. This morning, the panelists dealt with some of these specifics. What is more important long-term is to understand the underlying set of beliefs and orientations that affect the person’s attitude toward end-of-life decisions. The focus of this presentation is on Muslim attitudes. You may have heard different speakers, including me, talking about debates on these issues, even within the same faith, and noting what the majority of the community upholds. Therefore, I thought it would be extremely useful, long-term again, to educate ourselves on how jurists go about making interpretations in the Islamic tradition, whether pertaining to bioethics, or any other topic for that matter.","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"134-9"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5915/43-3-8602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379873","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}
{"title":"Care of the terminally ill from religious perspectives: role of palliative and hospice care.","authors":"Tanveer Mir","doi":"10.5915/43-3-8734","DOIUrl":"10.5915/43-3-8734","url":null,"abstract":"<p><p>Health care should make an attempt to understand the different religious principles that affect end-of-life decisions in patient care. With advanced illness, defining an ethical framework is essential to understanding sensitive issues. Compassionate care is crucial in all end-of-life care settings. Physician awareness is a key principle in inculcating the religious values of patients. Cultural and religious awareness on the part of the health-care team is needed to provide patients with effective end-of-life palliative and hospice care.</p>","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"168-73"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/8b/jima-43-3-8734.PMC3516118.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379879","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}
{"title":"Are physicians ethically obligated to address hospice as an alternative to \"usual\" treatment of advancing end-stage disease?","authors":"Frederick A Smith","doi":"10.5915/43-3-9209","DOIUrl":"10.5915/43-3-9209","url":null,"abstract":"<p><p>Hospice care is ideally suited to meet the psychosocial and spiritual needs of dying patients, providing the opportunity to settle financial, property, and inheritance issues; to mend lacerations in important lifetime relationships, including forgiving and asking forgiveness; and to assure a degree of autonomous control over the environment and the social and spiritual processes that attend one's death. Physicians are not only imprecise in prognosticating a patient's time to die, they tend to be over-optimistic in their predictions. A \"no\" answer to the question, \"Would I be surprised if this patient died in the next year?\" is a reasonable starting-point for discussing hospice care as a potential treatment plan, now or in the future. Physicians have a duty to present palliative care in hospice as an alternative to the recurrent hospital interventions that are typical in the last six to 12 months of life tor patients who are failing and have declining prospects for one-year survival.</p>","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"160-8"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/ad/jima-43-3-9209.PMC3516110.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379878","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}
{"title":"Ethical dilemmas in decision making at limits of neonatal viability.","authors":"Ali M Nadroo","doi":"10.5915/43-3-8972","DOIUrl":"https://doi.org/10.5915/43-3-8972","url":null,"abstract":"<p><p>The survival rate for extremely preterm infants has improved over the last two decades. Although the incidence of such births is about 2%, the impact of preterm birth on these infants, their families, health-care providers, and society is profound. The birth of an extremely low birth weight (ELBW) and early gestational age infant poses complex medical, social, and ethical challenges to the family and health-care professionals. Survivors have an increased risk of chronic medical problems and disability. It is difficult to make decisions while trying to provide optimal medical care to the infant and supporting the family when delivery occurs at the threshold of viability because outcome at that time is highly unpredictable. Such decisions may have lifelong consequences for those involved. An individualized prognostic strategy appears to be the most appropriate approach. While keeping the patient's best interest as the primary objective, the goal is to reach, through a process of effective communication between the parents and physicians, a consensual decision that respects the parents' wishes and promotes physician beneficence.</p>","PeriodicalId":89859,"journal":{"name":"The Journal of IMA","volume":"43 3","pages":"188-92"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5915/43-3-8972","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31378195","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}