Showing 58 results for Medicine
Alireza Monajemi , Amir Hassan Mousavi,
Volume 15, Issue 1 (3-2022)
Abstract
Medicalization, in the sense of expansion of medicine in different aspects of human life and ultimately the transformation of medicine into a tool of social control and domination, is a common interpenetration in the literature. This concept, since its inception in the mid-twentieth century, has been an exclusive critique of modern medicine, meaning that branch of medicine based on biomedical paradigm. In this article, we argue that the conceptual shortcoming of this view and the reduction of medicalization to only one medical paradigm, lead to appear medicalization in the new outfit in the name of demedicalization and with more harmful aspects. By focusing on biomedical paradigm or biomedicalization, we neglected other types of medicalization like paramedicalization or CAMization, meaning expansion of Complementary and Alternative Medicine in different aspects of human life. This negligence makes the space to misuse of medicalization for more medicalizing issues. In the following, Iranian Traditional Medicine has been examined as one of the examples of CAM. By presenting historical examples, in the contrast of common understanding of many medical sociologists, we showed that medicalization is not an exclusive concept around modern medicine and its root go back hundreds of year, not just the last hundred year and not only in the western world.
Jamal Rezaei Orimi, Shahrbanoo Asadi,
Volume 15, Issue 1 (3-2022)
Abstract
The Safavid period is considered one of the most important periods in the history of Iranian medicine. During this period, medical knowledge was developed many works in the field of medicine were written and several hospitals were established. In recent years, several studies have been conducted on the medical history of the Safavid period. The purpose of this study is to introduce and critique the paper "Medicine of the Safavid era relying on Western travelogues" by Saeed Agharezaei and Shiva Rezaei. This research is an analytical-critical study that uses library resources to review and evaluate the paper in terms of structure, content, and method. The paper has coherent writing and indicates the authors' efforts to explain the medical and health situation of the Safavid period from the perspective of Western tourists. In the structure of the paper, sometimes inappropriate references and writing errors are seen. Failure to mention the reasons for the migration of physicians to India, failure to determine the true location of hospitals, failure to mention the position of dental, veterinary and surgical knowledge, failure to mention epidemics and ambiguity of the pharmacology situation in the Safavid period can be enumerated content critiques. The results show that the paper, despite attempts to reveal various aspects of medicine in the Safavid era, has some structural, content, and method problems. Therefore, it is expected that the respected authors, by eliminating the mentioned problems, will be able to publish a more significant work on the history of medicine in future research.
Farhad Rashnopour, Mohsen Bahramnejad, Abbas Broomand Alalm, Baqer Ali Adelfar,
Volume 15, Issue 1 (3-2022)
Abstract
Jundishapur has been one of the oldest scientific and educational centers in Iran. A civil and intellectual field that emerged from the time of Sassanid Shapur (I), and gradually a scientific center emerged, especially in the medicine field. The splendor of the scientific center and the city of Jundishapur has been deeply correlated with the phenomenon of migration of Roman (Syriac-Nestorian) elites. Therefore, the causation and explanation of these migrations on the formation, life, and continuity of scientific center are significant to study. The present article attempted to investigate the dimensions of this issue from the perspective of historical sociology, relying on the theory of attraction and repulsion of Everett Lee. Thus, the present study tries to analyze three periods of elite migration from Rome to Jundishapur by using a descriptive-analytical method and relying on library resources and answer question of whether these migrations can be explained using the theory of attraction and repulsion? Findings indicate that in all three periods of the main migration of Roman elites to Jundishapur, Roman repulsions against Sassanid attractions have been very effective in the issue of residence and migration of elites. Religion has also been a crucial factor in the convergence and divergence of elites to migrate from Rome to Iran. The city of Jundishapur developed certain Syrian-Christian scientific and cultural features since its establishment. According to Everett Lee's migration theory, these characteristics had eliminated or downplayed the negative interventionist barriers and distance dilemma of elite migration from Rome to Jundishapur. Furthermore, the migration of elites from Rome to Jundishapur has been very effective in the survival of the city and the scientific center of Jundishapur
Mohammad Hossein Eftekhari, Alireza Parsapour, Ayat Ahmadi, Bagher Larijani, Neda Yavari, Ehsan Shamsi Gooshki,
Volume 16, Issue 0 (11-2023)
Abstract
Defensive medicine is performing actions that have no medical indication and benefit for the patient (positive defensive medicine) or refraining from performing risky actions that have a medical indication and benefit for the patient (negative defensive medicine). These actions are carried out by the physicians with the sole motive of protecting themselves against complaints or tensions such as the protest of the patient or colleagues and usually cause physical, psychological, or economic harm to the patient or the institution that pays the treatment fee, such as insurance organizations. It can have consequences in terms of the quality of care and the efficient use of limited health resources. Factors such as the physician’s concerns about lawsuits and proceedings may lead to defensive behaviors. This study presented suggestions for the management and prevention of such behaviors, including three main categories related to the strategies for the reformation of the patient complaint handling system, social strategies for the management and prevention of defensive medicine, and managerial-organizational strategies. These strategies are based on the findings of a mixed-methods research including an unsystematic review of resources and a qualitative study conducted using semi-structured interviews. The results have been discussed by the Medical Ethics Committee of the Academy of Medical Sciences of Iran.
Ata Pourabbasi, Zahra Hoseini Tavassol, Bagher Larijani,
Volume 16, Issue 0 (11-2023)
Abstract
The higher health education system in the Islamic Republic of Iran is an integrated system with multiple stakeholders responsible for training human resources in the health sector at different levels. The Academy of Medical Sciences of the Islamic Republic of Iran is one of the effective institutional factors in this system. This study aimed to explain the position of the Academy of Medical Sciences in the country’s medical sciences education system and outline its major directions in this field. In this study, the knowledge-to-action framework was implemented in four steps. Effective institutional factors in system development were explained, and the role of the various stakeholders of the country’s medical sciences education system was compared with them. Then, the functions of the academy as a main beneficiary based on the degree of connection with the stages of the knowledge-to-action framework were weighted, and finally, these functions were classified into different categories. According to this model, although the academy plays a role in many stages of the development of the country’s medical sciences education system, it primarily functions as a think tank and observatory and to a lesser extent as a knowledge implementation unit. The model presented in this study will help the trustees of the Academy of Medical Sciences to play the largest and most effective role in the development of the country’s medical sciences education system, with optimal resource management and principled development of human capacities, thereby laying the groundwork for the improvement of the integrated health system.
Farzaneh Zare, Mohammad Hossein Ayati, Mohammad Reza Shams-Ardekani, Mohsen Baghbani,
Volume 16, Issue 1 (3-2023)
Abstract
Drug title is one of the important tools for recognizing and evaluating a combination drug and also analyzing its content. However, sometimes due to the existence of problems that is considered a kind of pathology in this field, is tarnished. The present study tries to identify the problems of nomenclature of compounded drugs. The names of combination drugs available in this research have been collected from three books in traditional pharmacy, namely Gharabadin-e-Salehi, Gharabadin-e- Kabeer, and Gharabadin-e- Azam, related to 18th and 19th centuries. The results showed that there are 5 major problems in nomenclature of compounded drugs: (1) several names for one drug with various formulations, (2) one name for drugs with various formulations, (3) a great deal of variation in unnamed drugs, (4) some unknown pharmaceutical dosage forms, and (5) being dosage forms at one with route of administration and mechanism of action. The study exposes combination drugs in Persian medicine have named concerning various patterns. For this reason, there is non-cooperation that feels a need to special investigation
Aliyeh Jahanian, Amir Aghayali, Jamal Rezaei Orimi,
Volume 16, Issue 1 (3-2023)
Abstract
Quarantine has a long history in Iran. The spread of epidemic diseases led to the creation of quarantine establishments in Iran. During the Qajar period, quarantine was taken into consideration, and at the end of the 19th century, quarantine establishments were developed in the borders of Iran. Accordingly, in recent years, much research has been conducted on quarantine. The present study aimed to introduce and criticize the paper entitled, “Quarantines of Iran in the End of Ghajar and the Beginning of Pahlavi Era” by Kasiri and Dehghannejad. This analytical-critical study was conducted using library resources to introduce and evaluate the aforementioned paper. The text of the article is coherent and integrated and indicates the authors’ efforts to identify the problems and obstacles to implementing quarantine in Iran. Concerning the structure of the article, there are instances of inappropriate referencing, writing errors, and ambiguity in the scope and limits. Moreover, the failure to mention the effects of World War I on the severity of communicable diseases and quarantine and the vagueness of the prevalence of infectious diseases can be among the criticisms of the content and methodology. Although the abovementioned paper could present a new approach to the history of Quarantine in Iran in the Qajar and Pahlavi eras for the scholars of the history of medicine, it suffers from several structural, content, and methodological flaws. Therefore, given the importance of criticism in scientific studies and according to the analysis of this paper, the results could help enhance the quality of studies and scientific productions in this field.
Mojtaba Norouzi , Ali Akbar Haghdoost , Mina Mobasher,
Volume 16, Issue 1 (3-2023)
Abstract
Scientists now believe that precision medicine, which employs complicated technology and information derived from omics, can treat complex diseases and provide justice in health. Implementation of precision medicine will face new ethical challenges, considering the principles of medical ethics. With respect to philosophical principles, this study addressed the issue of justice and some ethical challenges of precision medicine. Because, in order to gain the benefits of precision medicine, a proper ethical framework must be developed while considering the challenges. The manner in which precision medicine information is shared and accessed can have an impact on people’s future careers, marriage choices, and type of health insurance. Furthermore, preserving people’s privacy and autonomy are important ethical concerns in precision medicine since there will be no perfect guarantee about data security and access. Although in the short and medium term, due to the design of studies and expensive and complex technologies, precision medicine will be limited to certain groups and will intensify the inequality in justice, in the long run, with the easy access and inexpensive cost of precision medicine technologies, the accumulation of medical expenses will decrease throughout life, and justice will be established between and within countries.
Rasool Esmalipour, Narges Dastmalchi , Khalil Hajiasgharzadeh,
Volume 17, Issue 0 (12-2024)
Abstract
Stem cell technology and regenerative medicine are interdisciplinary fields that integrate engineering, molecular and cellular biology, and medical science to repair tissues and treat diseases using stem cell-based methods. The primary goal of this scientific field is to enhance the quality of life by replacing damaged cells and tissues with healthy ones, thereby improving injuries and disabilities. With recent advances in biomedical science and the unique potential of stem cells in treating diseases, ethical considerations surrounding this technology have become increasingly significant. Following a brief introduction to stem cell technology, this review explores ethical challenges, including the justifications for using stem cells, informed consent from patients, preservation of human dignity, and the social and cultural impacts associated with their application. As research in this field continues to expand, yielding numerous innovative findings and attracting growing interest from researchers, there has also been an increase in unproven commercial treatments that have not undergone necessary regulatory stages. The direct marketing of products in preclinical stages to consumers further underscores the importance of ethical considerations in the use of stem cells. Additionally, the unprincipled use of stem cells may lead to adverse effects, such as cancer or vascular diseases, exacerbating patients' conditions rather than improving them. The findings of this review emphasize the need to adapt existing laws and regulations to address ethical concerns and provide recommendations for enhancing ethical standards in clinical research involving stem cells. The results can serve as a guide for researchers and policymakers in addressing ethical challenges in stem cell research, ultimately improving the quality and safety of clinical research in cell therapy and regenerative medicine.
Negin Farid, Nazanin Nazari, Narges Jafar Malek,
Volume 17, Issue 0 (12-2024)
Abstract
Narrative medicine has emerged as a transformative model in healthcare, emphasizing the role of patient stories in enhancing the quality of care. By recognizing the individuality of each patient's narrative—shaped by personal experiences and cultural contexts—this approach fosters deeper connections between caregivers and patients. Despite its growing recognition, narrative medicine remains underutilized in nursing, where the psychological and emotional dimensions of care are often overlooked. This systematic review examines clinical trials that investigate the integration of narrative practices into nursing education and care delivery, with the aim of assessing their clinical and educational impact. A comprehensive literature search was conducted across international and national databases including PubMed, Scopus, Web of Science, SID, Noor, Magiran, Irandoc, and Google Scholar, using relevant English and Persian keywords. Eligible studies were clinical trials published in English or Persian. After removing duplicates and applying inclusion criteria, eight studies were included for analysis. Selection and data extraction were conducted independently by two researchers, with discrepancies resolved by a third reviewer. The review adhered to PRISMA guidelines and ethical standards were maintained throughout. The studies, published between 2018 and 2024, involved nursing students (mean age 17.96–21.5 years), patients with lung tumors (mean age 49.31 years), and elderly patients (aged 61–89 years) with complex fractures. Findings were synthesized into three main domains. First, narrative-based education significantly enhanced empathy and academic performance among nursing students. Second, the implementation of narrative approaches led to measurable reductions in anxiety and depression among patients, particularly those with lung tumors. Third, improvements were observed in overall quality of life, pain management, and cognitive function, especially in elderly patients. These findings suggest that narrative education plays a critical role in improving both clinical and psychological outcomes. Narrative-based interventions enhance the empathetic capacity of nurses and contribute to higher standards of patient care. Incorporating narrative approaches into nursing curricula and clinical practice is recommended as a strategy to foster more holistic and human-centered care.
Fatemeh Rahimi,
Volume 17, Issue 0 (12-2024)
Abstract
Televisits offer significant potential for enhancing healthcare accessibility, reducing costs, and improving patient satisfaction. However, their effective implementation requires careful consideration of ethical principles to ensure patient safety, privacy, and quality of care. This paper examines key ethical considerations for televisit implementation across three stages: pre-visit, during-visit, and post-visit. Pre-visit considerations include careful patient selection to ensure suitability for remote care, establishing a strong physician-patient relationship based on trust and obtaining informed consent, and demonstrating cultural sensitivity and inter-professional coordination. During the televisit, optimal technical conditions are critical, including reliable internet connectivity, high-quality audio-visual equipment, and a conducive physical environment. Comprehensive and transparent documentation of the televisit encounter is essential. Post-visit considerations include evaluating patient experiences, addressing any identified issues, and ensuring timely follow-up for continuous quality improvement. Ethical considerations extend beyond the clinical encounter. Addressing technical challenges such as data security, privacy breaches, and equitable access for all populations, including those with disabilities, is crucial. Transparent reimbursement mechanisms and ongoing education for both patients and healthcare providers are essential for successful televisit integration. The successful implementation of televisits requires a multi-faceted approach that addresses ethical considerations at all stages. Developing comprehensive guidelines, adhering to international standards, and establishing robust oversight mechanisms are essential for ensuring the safe, effective, and equitable utilization of this innovative technology in healthcare delivery.
Hooman Heydary, Shakila Belkafeh, Mohammadreza Dinmohammadi,
Volume 17, Issue 0 (12-2024)
Abstract
Telehealth has emerged as a rapidly expanding method for delivering healthcare services, especially during the COVID-19 pandemic. This approach has opened new avenues for accessing medical care and contributed to reducing healthcare costs. However, the growth of telehealth has introduced significant legal and ethical challenges that warrant thorough investigation. This review study employed keywords such as "telemedicine," "telehealth," "ethical challenges," "legal challenges," and "healthcare system" to search scientific databases including PubMed, Scopus, CINAHL, and Google Scholar. Articles published in English and Persian between 2010 and 2024 were reviewed. Eligible sources included research articles, systematic reviews, and case reports focusing on legal and ethical issues related to telehealth. Following an initial screening, articles were assessed based on quality and scientific credibility, and the selected works were analyzed for the final synthesis. Telehealth presents several critical challenges that must be addressed to ensure safe and equitable care delivery. One of the foremost concerns is patient privacy and data protection; the exchange of sensitive health information necessitates robust security protocols and adherence to data protection regulations to uphold patient confidentiality and trust. Another key issue is informed consent, which must be adapted to the virtual context to ensure patients are adequately informed of both the benefits and potential risks associated with telehealth services. While telehealth enhances healthcare accessibility, it may also deepen existing health disparities due to unequal access to digital technologies. Therefore, investments in communication infrastructure and digital literacy are essential to promote inclusivity and equal access to care. Although telehealth offers substantial benefits—including improved access, convenience, and enhanced coordination of care—its legal and ethical implications must not be overlooked. To fully realize its potential, stakeholders must collaborate in developing comprehensive regulations and ethical frameworks. Addressing these challenges is imperative to advancing telehealth in a manner that ensures patient safety, protects rights, and promotes health equity.
Mahsima Abdoli, Hamidreza Namazi,
Volume 17, Issue 1 (3-2024)
Abstract
Recognizing diseases and their causes is one of the most critical issues in medicine, forming the foundation of treatment. Disease responses and complications might differ among individuals, with some exhibiting more resistance to certain illnesses due to genetic or environmental factors. Furthermore, we are currently witnessing the emergence of new diseases for which definitive treatments have yet to be developed. This evidently underscores the need to explore the fundamental causes of diseases. Evolutionary medicine has been discussed in Western medical discourse for less than half a century. Grounded in Darwinian principles, this theory examines the issues humans have faced, both naturally and as influenced by social conditions, throughout our evolutionary history. Research in evolutionary medicine indicates that human health and illness are shaped not only by immediate biological and environmental factors but also by the long history of human evolution and the transformations that have occurred over time. Accordingly, this study introduced 13 key indices of evolutionary medicine, highlighting its significance and application in medicine and healthcare. Moreover, it emphasized the necessity for greater attention to this concept from both medical science and interdisciplinary perspectives.
Ehsan Shamsi Gooshki,
Volume 17, Issue 1 (3-2024)
Abstract
Defensive medicine refers to actions taken by doctors and other medical professionals to protect themselves against potential threats and risks, particularly to prevent patient complaints or convictions in court, which is carried out in various forms including positive and negative defensive medicine. Since the primary motivation behind such actions, often viewed as morally unjustified, is to avoid legal proceedings and lawsuits, court rulings against doctors can intensify these behaviors. Reports of criminal sentences against some doctors in Iran and reactions from professional associations highlight the significance of this issue. This study examined the effects of such sentences on the healthcare system by referring to available documents and data on the widespread prevalence of defensive medicine in Iran, offering some suggestions for managing the issue. The objective of the study was to emphasize the importance of acknowledging the defensive motivations of doctors in healthcare and its influential factors, particularly the fear of criminal convictions, which can increase defensive behaviors among doctors and amplify their negative impacts on the healthcare system.
Hamidreza Namazi, Navid Ravan,
Volume 17, Issue 1 (3-2024)
Abstract
Medical considerations about aging are as old as medicine itself. However, due to the controversy about whether aging should be classified as a disease or merely a stage of life, geriatric medicine was separated from medicine with a considerable lag. The differentiation of geriatrics from other medical specialties is not rooted in subjecting a specific organ of the body or specific pathophysiological processes but based on a particular stage of life. On the other hand, different stages of life, such as old age, are also subjects for medicalization. Therefore, geriatric medicine may sometimes be threatened by geriatric medicalization and its associated harms. In addition, the relativity and ambiguity in defining the concept of aging and its dependence on social contexts can lead to confusion in understanding the subject matter of geriatric medicine. Mitigating these harms requires philosophical and ethical reflection on health and disease concepts as well as on the essence of aging. Considering that Iran is expected to face an aging crisis in the coming decades, this philosophical reflection at different levels among researchers in the philosophy of medicine and medical ethics, researchers and practitioners in geriatrics, as well as among civil society, can lead to separating geriatric medicine from geriatric medicalization, hence increasing the integrity and efficiency of geriatric medicine, and promoting the health status of the elderly.
Leila Masoudiyekta, Ehsan Hassanpour Pazevar , Alireza Parsapour, Ehsan Shamsi Gooshki, Mohammd Jalili, Amirahmad Shojaei,
Volume 18, Issue 1 (3-2025)
Abstract
Moral distress constitutes a significant challenge for healthcare professionals, arising when individuals find themselves unable to act in accordance with their personal and professional values due to both internal and external pressures. Healthcare professionals may face scenarios that prompt them to question the ethical acceptability of their decisions and treatment practices, often feeling powerless in the face of perceived unethical changes. This study sought to explore the experiences of moral distress encountered by emergency medicine physicians and nurses in the emergency department. This study was conducted using qualitative content analysis. Data were collected through semi-structured interviews with 25 healthcare providers selected via purposive sampling. Data analysis was conducted using MAXQDA 2018 software. The results indicated that the experiences of moral distress among emergency medicine physicians and nurses in the emergency department can be classified into four primary categories including those related to: 1. patient rights, 2. medical staff and colleagues, 3. management, and 4. professionals. Notably, factors such as overcrowding, inadequate staffing, discrepancies between salaries and workloads, and poor management of human and physical resources emerge as significant contributors to moral distress in the emergency department of Imam Khomeini Hospital. To improve patient care quality, it is essential to implement strategies that enhance triage processes, prioritize human resources, align resources with patient needs, monitor patient attendance, and develop a comprehensive protocol for staff.
Zahra Aghabeiglooei, Roshanak Saghebi, Jamal Rezaei Orimi, Morteza Mojahedi,
Volume 18, Issue 1 (3-2025)
Abstract
The history of medicine during the Safavid period (907-1135 AH) in Iran, as one of the important periods, has always been the focus of researchers. The main objective of this study was to conduct a quantitative evaluation of articles related to the “history of medicine in the Safavid period” in Iran. This descriptive-analytical, applied study was conducted using a quantitative approach. The statistical population of the study comprised all scientific productions on the history of medicine in the Safavid period indexed in domestic and international scientific databases over 22 years, from 2001 to March 2024. During the period under review, a total of 247 articles in the field of the history of medicine in the Safavid period were published with the participation of 542 authors. In terms of thematic orientation, 18.2% of the published works were on the biographies of physicians, while research, translation, and editing of medical manuscripts ranked next with 16.1%. Among universities and scientific centers, Tehran University of Medical Sciences and Islamic Azad University ranked first. Male participation accounted for approximately 60%, exceeding that of female authors, and about 68% of the works were the result of collaborative research. The Journal of Islamic and Iranian Traditional Medicine published the highest number of articles. The most common type of publication was original research articles. Content analysis showed that, despite significant growth in this research field, an excessive concentration on specific topics, such as physicians’ biographies, has limited scholarly attention to other dimensions of medical history in this period, highlighting the need for broader and more balanced research perspectives.
Zahra Aghabeiglooei, Jamal Rezaei Orimi, Seyed Mohammad Hashemimehr, Roshanak Saghebi, Morteza Mojahedi, Seyyed Amir Hosein Latifi, Mehdi Salehi, Seyed Abdollah Mahmood,
Volume 18, Issue 1 (3-2025)
Abstract
Evaluating and analyzing scientific productions play a crucial role in enhancing the quality of research and effectively managing research resources. This study aimed to quantitatively assess the content of theses in the field of the history of medical sciences in Iranian universities from 2013 to 2022. This applied study was conducted using the quantitative content analysis method. The findings revealed that the highest number of theses were completed in 2022 (19.2%), with topics related to traditional medicine and traditional pharmacy being the most prevalent. Descriptive and descriptive-analytical studies were the most common research methods. Moreover, the most frequent keywords included “Medical History”, “Traditional Medicine”, and “Iranian Medicine” and their Persian equivalents. Regarding historical periods, the Islamic period (from the emergence of Islam to the early Safavid era) accounted for the highest number of theses, while the contemporary period had the lowest. The results indicated a research focus on traditional medicine and the Islamic period, highlighting the need for further exploration of other historical periods and the use of qualitative methods to deepen understanding of historical complexities.
