Asadollah Lotfi,
Volume 3, Issue 2 (4-2010)
Abstract
Ahmad Mortazi,
Volume 8, Issue 5 (2-2016)
Abstract
Long-standing concerns about the feeding needs of infants and the search for a viable alternative to the formula prompted the World Health Organization to propose the concept of breast milk banks in 1909. A year later, the first donor milk bank was founded in Boston, Massachusetts to be followed by similar institutions in various countries in Europe and Asia. Multiple births and mothers’ inability to produce adequate breast milk, premature births resulting in mothers’ insufficient milk supply, babies’ reaction to the chemical composition of their mothers’ milk and several other reasons have triggered an increase in the demand for breast milk banks. An examination of the arguments related to Rada or milk-kinship in Shitte and Sunni jurisprudential and narrative sources demonstrates that there is no judiciary challenge or obstacle to establishing breast milk banks in Iran and other Muslim countries. This descriptive-analytic study uses library sources to investigate the evidence and confirming principles of milk-kinship in order to support the above-mentioned concept.
Ali Khaji, Seyed Mahmoud Tabatabaei,
Volume 9, Issue 2 (8-2016)
Abstract
Disasters and accidents usually occur unexpectedly and without warning, and frequently cause the deaths of millions of people all over the world. In addition to general and specialized medical staff, volunteers, many of whom lack the necessary training for providing care to victims, enter the scene. In recent years, there has been rising concern about prosecution of volunteers who participate in relief operations due to the possibility of harm to victims. The aim of this study was to investigate the application of the "Ihsan rule" to liabilities resulting from unintentional and uninformed actions of volunteers who operate during disaster relief.
This was a review study conducted through examination of related articles on SID, Magiran, Google Scholar and Pubmed. The results showed that the Ihsan rule cannot absolutely and ubiquitously eliminate the liability of volunteers who participate in relief operations after disasters and accidents. The reason is that although the rule recognizes benevolent motives, good intentions and non-anticipation of monetary compensation, volunteer aid should be approved by experts, and the possibility of harming the injured should not exceed the expected benefits. Consequently, volunteer acts in disasters and accidents are acceptable if:
- Basic training and education is provided to all employees of the medical profession who may volunteer for relief operations after disasters and accidents.
- Volunteer deployment is executed in the form of committees or specific scientific groups that will organize and train members so that they will perform relief operations according to the guidelines of these institutions.
Seyed Abdarahim Hosseini, Mohamad J. Sadeghpour, Naghi Aghazadeh,
Volume 9, Issue 5 (1-2017)
Abstract
Since the beginning of the Imamia school of thought, Imamia scholars paid a great attention to issue of physicians’ responsibility. With a long-lasting debate on this issue, in most cases they have confirmed physician’s responsibility in medical error. However, in terms of a skilled medical doctor who treats the patient with no medical error but harm occurs, there is no consensus. Some scholars have said that if the physician had the patient’s (or family) consent for the treatment, then the physician is not guilty. In the contrary, some scholars believe that the physician still should bear the responsibility.This paper aims to examine the Islamic Pinal Code (no. 495) by relying on changing trajectory Imamia jurisprudence in exchange for claimed physicians’ responsibility. The legislators in Article 495 of the Islamic Penal Code (Act. 92), seems to take into account both mentioned perspectives and try to choose a middle way. However, in practice, this has caused confusion.
Mahmoud Motavassel Arani, Mohammad Hassan Alamolhoda, Nikzad Easazade, Gholamreza Noormohammadi,
Volume 10, Issue 0 (3-2017)
Abstract
Modern medical ethics, in particular the principle of Non-Maleficent, advises the medical staff to avoid any harm to the patient. Islamic jurists, using religious texts and sources, have introduced rules that are applicable in many areas of life. Among these rules, is the rule Non-Harm, that in this article to review this rule and its applications in medicine. In addition to discussions of the documents, a better understanding of the words "Darar" and "Dirar" and deny or forbid the word "La" at the beginning of the base document, is one of the major issues and disputes. Organ transplants, family planning and birth control, responsibility to protect the health, need to see a doctor for treatment, civil responsibility for doctors in the treatment, responsibility for custodians of society for the control of AIDS, are the problems affecting today's health systems that the rule of No Harm is flowing in them.
Nikzad Issa Zadeh, Reza Salimi, Mohammad Mehdi Esfahani, Mahmoud Motevasel Arani,
Volume 10, Issue 0 (3-2017)
Abstract
One of the most important sources in Islamic traditional medicine is the hadiths remaining from infallible imam and the first condition for using the hadiths especially in medicine is the exact and correct understanding. The systematic and accurate understanding on fulfillment of certain conditions and applying the rules of understanding are based on the features like various aspects of semantic, generalization and encumbrance, generality and particular meaning, firm and similar ayat, abrogating and abrogated in one hand, the narrative transition from time to time and various historical vicissitudes and as a result of various damages like distort spiritual and literal, paraphrase, ambiguity, ijaz, forging and etc. in narrations of the infallible Imam. In understanding of medical traditions, the evidence attached is used more among the rules of understanding. This study analyzed the attached evidence and studied about how they are used in understanding of traditions.
Seyed Mohamad Hasan Alamolhoda, Mohamad Rasol Imani Khoshkho, Mahmood Motavasel, Mahmood Motaharynia,
Volume 10, Issue 0 (3-2017)
Abstract
In its broad sense, health encompasses a wider area than simply physical health. It includes mental, social and spiritual health as well. There is evidence that a child inherits from his parents not only genetic traits but also morality and acquirable traits epigenetically. This means that the parents, especially the mother, have a double responsibility towards their children. In the Islamic literature there are general recommendations regarding choosing a spouse, as well as norms of fertilization, and time of conception; these could be explained today as epigenetic factors in shaping a child’s personality. Some specific recommendations are as follows: Refraining from marrying an ill-humored woman; remembering god at the time of fertilization; and avoiding intercourse at special places, times, states and situations, which would have negative influences on a person’s psyche. Although these cannot be explained on the basis of experimental criteria, their effect on the health of the fetus is worth studying using appropriate methodology. Influence of maternal health on child health in terms of environment, genetics, and epigenetics are the areas that will be explored more by research in Islamic and new scientific resources.
Saeid Rahaie, Fatemeh Heidari,
Volume 10, Issue 0 (3-2017)
Abstract
Patients with advanced, progressive, non-curable, or hardly cured illnesses, found themselves in a situation where therapeutic measures have no effect in improving their condition and health status and they are gradually pushed toward death. Care provided to the patient, during this period, is known as end-of-life care which include life-sustaining treatments and palliative care. Life- sustaining treatments are such that give patient the chance for living longer but inflict lots of suffering upon the patient. While in palliative care, the patient probably survives for a shorter period, but suffers less. The question is whether the patient can choose between the two methods? Considering the Jurisprudential rule of “the necessity to safeguard human life”, most of the Muslim Jurists believe that the patient cannot rule out the first method (i.e. life- sustaining treatment). This study first examines the evidence of the rule, and explained the viewpoints of the Muslim Jurists about choosing between these caring methods, and proves that, despite accepting the rule, it is limited by the rules of “no hardship“ (la haraj) and “prohibition of detriment”(la zarar) and moreover the rule of “the domination”(saltanat). However, it can be said that, regarding the evidence of rule “the necessity to safeguard human life”, patients who are at this stage are excluded from the subject matter of this rule.
Mohaddeseh Moeinifar,
Volume 12, Issue 0 (3-2019)
Abstract
In general, there are four types of policies in the world in relation to the issue of abortion, based on five basic approaches such as social, feminist, liberal, population-based, and religious-based. Each of these approaches provides a solution to the conflict between mother's rights and the right to life of the fetus, so based on the first three perspectives, abortion is permissible and based on the fourth view, it can be permissible or not and finally according to the religious view (Islam and Christianity) the abortion is forbidden. In the present paper, we tried to answer the main question by using the descriptive-analytical method, why in some of these approaches the right of the mother is preeminent, but in others, the right to life of the fetus proceeds? It seems that the way of Islamic legal system seems to be more logical, because in Western countries the rights of parents are always prioritized in the conflict between the rights of children and their parents. However, in the legal system of Islam, in addition to the moral orders, there are some principles that are anticipated to prevent the conflict of the rights of these two groups and the unequivocal predominance of one on another.
Narjes Heshmati Far , Leila Rabie Nasab, Ahmad Mozafari Join , Mohsen Velayati ,
Volume 12, Issue 0 (3-2019)
Abstract
Infertility has been the main problem of infertile couples in history. However, infertility is solved with modern methods’ in recent decades. Embryo donation is one of the methods to infertile couples. In this method, sperm and oocyte of legal and religious couples are inoculated in the lab and the fetus is given to other legal and religious couples. However, people and doctors have doubts to agree or disagree with the views of contemporary jurisprudents. Then, the legislature passed the law of donating embryos to infertile couples in 2003. Although at the time, this law was very useful. However, there are shortcomings because of the brief writing of the law. The child's confidentiality to the fetus has not been determined. In this paper, the rights of Shia jurisprudence books and their adaptation to the opinions of the jurisprudents articles regarding the confidentiality of the embryo donation are discussed. Concluding different opinions from medical ethics and jurisprudential comments and laws, confidentiality of the mother’s womb to the child was proved. All provisions of the foster mother also runs. The confidentiality of the father will also be accepted according to several conditions.
Mohammad Ja'far Sadeqpour, Rouheddin Kordalivand , Azam Mahdavi Pour,
Volume 12, Issue 0 (3-2019)
Abstract
Imamate jurisprudents, consider Damie as a little rupture in the flesh while Motalaheme is a deep one. Hence, the place of the two injuries is the same but the depth of the rupture in Motalaheme makes the difference. This difference has been identified in Clause “b” and “p” of article 709 of the Islamic Punishment law. Furthermore, their historical understanding of the anatomy of this injury led to the concept of rapture in the flesh because they believe in order for the bleeding which is constituent of Damie, rupture in the flesh is necessary. However, contemporary anatomy explains that rupture in the flesh is not necessary for bleeding. Bleeding can occur through derma and hypoderm of the skin. This analysis adds on the hypothesis of the historicity of their definitions of the two injuries. With a descriptive-analytic approach and library study, we prove this hypothesis and make modification of their definitions on Damie and Motalaheme.
Behnam Ghanbarpour ,
Volume 14, Issue 0 (3-2021)
Abstract
Common sense, according to rules such as no harm and no harm, the obligation to repel probable harm, the denial of embarrassment, the sanctity of induction in motion, the repulsion of harm from oneself is rationally and religiously obligatory, whether harmful or rationally possible; on the other hand in the teachings Islamic ethics embodies concepts such as self-sacrifice, compassion, cooperating, patience, benevolence, and the preservation of human dignity. The question that arises is whether physicians and caregivers are allowed to leave, according to the holy verse, "I should not leave until I die." Will their mission be to manage contagious diseases such as Corona virus infection? The present study, which has been organized by analytical and descriptive methods in order to combine the ethical principles of caring for infectious patients on the one hand and the rules related to protecting one's life from stagnation and eliminating self-harm, does not reflect the patient leaving in these conditions. Considers it against human dignity; therefore, it is appropriate for physicians and nurses, apart from their job duties, while strengthening the spirit of self-sacrifice and compassion in themselves, based on the rules of the medical system and the ethical principles governing the rules of jurisprudence, with strict and complete observance of health instructions. The rule of "Al-Misr Lightrak Bal-Masour" while protecting their health to care for and treat patients with coronary heart disease.
Seyed Abdosaleh Jafari , Seyed Abolhasan Navab, Bagher Talebi Darabi, Behin Arami Nia,
Volume 15, Issue 1 (3-2022)
Abstract
“Koran” had affirmed “Human Dignity” but in other verse, it had mentioned “Caliphate/Substitution” and “Deposit” about human in comparison with other creatures that they had difficult and covered interpretations. “The choice of good and evil” as Human Dignity criterion, makes it easy and transparent.
“Deposit” verse says Human accepts Deposit and others refuse it because of 2 adjectives: “Zaloom” and “Jahool” from roots of oppression and ignorance. Interpretations are different in meaning this adjective and their relation to deposit. If deposit is choosing, it can make oppression and justice and knowledge and ignorance. Then “FAOOL” structure in Arabic can show potency of action/adjective. Thus, they mean potent for oppression and ignorance like justice and knowledge. It means choosing potency, not actual ugliness.
In “Caliphate” verse, angels say to God that Human creation tend to corruption and killing. God hadn’t refused it but had referred to an upper knowledge. If Caliphate is good choosing too along justice and knowledge, angels had seen properly contemporaneous ignorance and oppression and corruption and killing but they couldn’t recognize the difference between good free discretion and their algebraic goodness that is caliphate and moral similarity and free worship of God with Lordship essence.
Mahshad Noroozi, Ehsan Shamsi Gooshki, Saeedeh Saeedi Tehrani, Fatemeh Bahmani, Mina Forouzandeh, Saeed Biroudian, Nazila Nikravan Fard, Mahshad Goharimehr, Akram Hashemi,
Volume 16, Issue 1 (3-2023)
Abstract
The research activities of developing countries have increased over the last two decades. The expansion and decentralization of ethics committees necessitates appropriate performance evaluation. In 2023, a cross-sectional study was carried out on the Iranian research ethics Committees using the checklist called "Research Ethics Committee Self-Assessment Tool". The checklist was translated into Persian and revised based on the opinions of research ethics experts and the approved “regulation of establishment, grading, and description of duties for research ethics committees”. The electronic checklist was sent to the senior members of 269 research ethics committees. After gathering the data, it was analyzed using SPSS software. The response rate was 83%. The average overall score was 152.11 ± 25.173, or 69.14% of the maximum. The two sections (including continuing review (monitoring) and committee resources received less than 50% of the average score. The 138 research ethics committee scores were excellent and 85 committees were in the good range. The findings revealed that average scores are influenced by activity years, the number of monthly meetings, the presence of an approved annual budget, an approved quality improvement program, and having specific administrative staff. Completing the self-evaluation tool can raise the National Committee authorities' awareness about the adherence of the research ethics committees to the imperative standards. It can also lead to each committee's awareness of its strengths and challenges. Revision of national regulations governing the establishment, grading, and description of committee duties and then future self-evaluation can facilitate upgrading and improving the performance of ethics committees.
Zahra Kazempour, Hasan Ashrafi-Rizi, Mohammadreza Hashemian,
Volume 17, Issue 1 (3-2024)
Abstract
The ethics of reviewing scientific works is a crucial aspect of research ethics in the field of health, where the outcomes significantly impact prevention, diagnosis, treatment, rehabilitation, and management, highlighting the importance of the quality of research results. Accordingly, this study aimed to develop a charter for the ethical peer review of scientific works in the field of health. The significance of this commentary lies in that researchers’ and reviewers’ adherence to ethical principles can contribute to enhancing the quality of scientific works aimed at prevention, diagnosis, treatment, rehabilitation, and management in the field of health. This charter can serve as a framework for scientific work review systems, assisting research managers in identifying the ethical components essential for reviewing scientific works in the field of health to develop effective research policies and plans. Moreover, it would help reviewers and practitioners at journals, research centers, and institutes, facilitating accurate, fair, and unbiased reviews of scientific works in the field of health.
Amirhossein Mardani, Maryam Nakhoda, Ehsan Shamsi Gooshki,
Volume 17, Issue 1 (3-2024)
Abstract
Since research misconduct can be considered as an adaptive reaction against the limitations, pressures, and demands arising from inappropriate functions of the research system, to manage it, the activities of the research system should be investigated and traced during the path of transferring research policies (macro level) to research development programs in institutions (meso level) and research implementation by researchers (micro level). By introducing the macro-meso-micro analytical framework, this study clarified the tasks, strategies, and activities formed at three levels of the research system of medical sciences in Iran; from macro policies of research (macro) to operational plans for the development of research in universities and research centers (meso) and researchers as research conductors (micro). For this purpose, three analytical levels of the research system were explained and defined according to the assumptions of this framework. By performing a qualitative content analysis of the relevant texts, those activities that could be useful at different levels to support the research integrity were identified and presented as different strategies. The results showed that the research system, based on the existing analytical framework, is not seen as a mere macro-system without regard to the interaction of its parts, but rather a system in which there is cross-sectional influence and interaction among the components. This approach can improve the focus, clarity, and capability to study research misconduct, and by using micro, meso, and macro levels, it can trace challenges in the interactive path of various activities and functions of the research system and their intertwining.
Rahele Samouei, D Farzane Mohammadi-Sefiddashti, Narges Meshkineh, Mostafa Amini-Rarani ,
Volume 17, Issue 1 (3-2024)
Abstract
Compliance with ethical principles in research by researchers plays a fundamental role in providing evidence-based and practical findings, subsequently solving society's problems and advancing knowledge. Despite numerous educational workshops and awareness-raising efforts, some unethical research practices are still observed. Identifying relevant factors is essential for practical and preventive planning. In this regard, the present study aimed to identify psychosocial determinants related to the ethical performance of researchers in conducting and publishing research works. The study was conducted using a qualitative approach based on conventional content analysis. A total of 29 faculty members and researchers from the medical sciences universities in Iran in various fields and specialties were selected purposively and semi-structured interviews were conducted with the participants. Qualitative content analysis was used to categorize data and Lincoln and Guba’s criteria were employed to evaluate data. Data analysis led to the identification of 136 codes, 20 subcategories, and 4 main categories. The factors related to the ethical performance of researchers in conducting and publishing research works derived from interviews with researchers included "Laws", "Social Learning", "Knowledge and Literacy", and "Psychological Characteristics". According to the findings of this study, the ethical performance of researchers in the field of research is the result of the interaction of social, individual, personality, and legislative factors. Some factors, like personality traits, are long-lasting, resistant, and personal, while social factors are widespread, common, and more general. Research policymakers and managers can improve the ethical performance of researchers and place ethics at the center of attention in research by implementing educational methods, culture building, and behavior change
Mitra Bahrami, Mohadeseh Shaygan Jamal, Maryam Afshari, Omid Najm Roshan,
Volume 17, Issue 1 (3-2024)
Abstract
Research ethics is a branch of professional ethics that deals with the ethical principles guiding the research process from the beginning to the end. Ignoring ethical issues in research sometimes occurs unintentionally and simply due to a lack of awareness regarding professional research ethics. Therefore, this study aimed to identify facilitators and inhibitors of adherence to ethics in research conducted by postgraduate students at Hamadan University of Medical Sciences. This qualitative study was conducted using an inductive content analysis approach. The target population included postgraduate students at Hamadan University of Medical Sciences. Data were collected through semi-structured interviews with 29 students who were selected using purposive sampling. Data were analyzed using the method proposed by Diekelmann et al. For data validation, Strauss and Corbin’s method was utilized. Factors influencing adherence to research ethics included individual and personality traits (accuracy and ethical conduct of students and professors and having sufficient information about research ethics) and environmental factors (information dissemination and familiarity with research methods, the professors’ interactions with students, confidentiality of information, strictness of professors, having a clear framework from the university, respecting students’ rights, and establishing deterrent regulations). Strengthening facilitators and mitigating inhibitors of adherence to research ethics requires joint efforts from students, professors, and the university. Students need to develop accuracy and awareness, and professors should serve as ethical role models. University officials are required to create and propose clear frameworks for adhering to ethics, to be followed by all individuals involved in research.
Soudabeh Mehdizadeh, Ehsan Shamsi Gooshki,
Volume 18, Issue 1 (3-2025)
Abstract
The Declaration of Helsinki, as a fundamental document of ethics in medical research involving human participants, has been periodically revised since its adoption in accordance with theoretical and scientific advancements, emerging ethical issues in research, and the experiences gained over time. In the latest revision completed in 2024, significant changes and amendments have been made. This study examined the changes and revisions made in the latest version of the declaration in comparison to its previous version from 2013. Fundamental revisions in the recent update include a requirement for adherence to ethical principles in research not only by physicians but also by other researchers, the replacement of “subject” with “participant,” and the emphasis on the voluntary nature of informed consent. Attention to environmental sustainability, precise design to prevent research waste, and a focus on scientific integrity are among the other amendments in the new revision of this declaration. Other modifications and revisions made in the recent edition include the promotion of individual and public health as the ultimate purpose of research, the provision of sufficient resources for research ethics committees and strengthening their independence, the importance of local ethical review, consideration of the preferences and values of participants who are unable to provide voluntary and informed consent, and the necessity of adhering to the ethical principles of the declaration during public health crises and emergencies. Given the changes made, it is recommended that the national ethical guidelines for medical research involving human participants in Iran be revised based on the 2024 revisions.
Rahele Samouei, Shokoofeh Samouei, Narges Meshkineh ,
Volume 18, Issue 1 (3-2025)
Abstract
Faculty members and researchers bear the greatest responsibility for producing scientific research outputs due to the nature of their profession and mission. Given the role of ethical principles in ensuring evidence-based research, their impact on research utilization in society, and the importance of scientific evaluations, this study was conducted to design and psychometrically evaluate a questionnaire on factors related to unethical research practices among researchers. This cross-sectional study was conducted in 2024 among faculty members and researchers at medical sciences universities in Iran. Based on a preliminary qualitative study, 40 items were initially generated for the questionnaire. The validity of the questionnaire was assessed through face validity, content validity (CVR, CVI), and criterion validity (divergent and convergent). Besides, exploratory factor analysis (EFA) and reliability testing (Cronbach's alpha) were performed. Data were analyzed using descriptive statistics, Pearson correlation coefficient, and Student's t-test. During the content validity assessment, 11 researchers evaluated the items. Applying cutoff scores of 0.59 for CVR and 0.79 and above for CVI, 16 out of 40 items were removed, retaining 24 items. Exploratory factor analysis revealed five key factors, including “researchers’ irresponsible and unprofessional behaviors and beliefs”, “inefficient basis for competition and career advancement among researchers”, “lack of awareness and up-to-date knowledge among researchers”, “inefficient organizational culture and policies”, and “lack of supervision over researchers and research”. Descriptive findings indicated significant differences in the mean scores of factors associated with unethical research practices of researchers by gender (P=0.002) and organizational position (P=0.004), but not by education level. The findings from this study confirmed the strong psychometric properties of the questionnaire on factors related to unethical research practices.
