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Showing 3 results for Evaluation
Moral Evaluation of Fetal Reduction
Mohammad Rasekh, Fatemeh Domanloo, Soheila Ansaripour,
Volume 11, Issue 0 (3-2018)
Abstract
Science considers using technologies for treatment of infertility as the important cause of multifetal pregnancies. Fetal reduction is a clinical procedure developed for reducing the number of fetuses in multifetal pregnancies in order to avoid their common complications. Three aims may be offered for fetal reduction: (1) pregnancy preservation, and prevention of and decreasing risks of multifetal pregnancy to the mother and the remaining fetuses (high-end multifetal reduction); (2) eliminating fetuses bearing certain kind of illnesses (selective reduction); and (3) just preventing multiple birth where no considerable risk threatens the mother or the fetuses (elective reduction). Moral evaluation on fetal reduction techniques varies depending on which of the mentioned aims is followed. However, in many cases this is “medical necessity” that morally justifies the reduction. Nevertheless, given the difficulty of reaching a decision on this issue, risks involved in fetal reduction procedure, and its psychological implications for the mother and the father, it is seriously recommended to avoid such an action by methods that prevent multifetal pregnancy.

Evaluation of Regional and Institutional Research Ethics Committees’ Effectiveness in Iran: Results from a Study Using a Self-Assessment Tool
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.

Challenges of Professional Commitment in the Digital Age
Saeedeh Saeedi Tehrani,
Volume 17, Issue 0 (12-2024)
Abstract
Professionalism in medicine refers to adhering to principles and behaviors that uphold the dignity of patients and promote public welfare. In the digital age, maintaining these principles in cyberspace has become increasingly important, necessitating attention to ethical and legal considerations. Virtual platforms can enhance communication between doctors, patients, and the broader public, increase awareness, and facilitate educational processes. Additionally, these platforms offer opportunities for networking and the exchange of information among professionals. The rise of social media has significantly influenced professional interactions. Particularly in the post-COVID-19 era, individuals are increasingly turning to these platforms for health information. Studies reveal that the global number of internet users exceeds 3.7 billion, while in Iran, the figure surpasses 78 million. Furthermore, research highlights the significant impact of information shared by doctors on social media and other public platforms, as the public places substantial trust in this group and actively seeks accurate information from them. Ethical considerations are critical in guiding the online presence of medical professionals. This article examines professionalism in cyberspace and outlines the ethical requirements for medical professionals operating in this domain. Protecting patients' interests remains the primary obligation of professionals. Consequently, any behavior that undermines professional reputation or diminishes public trust is deemed unprofessional. Key ethical requirements for professionals in virtual spaces include:
  • Respecting patient confidentiality and privacy.
  • Upholding the good reputation of oneself and the medical profession.
  • Avoiding defamatory behavior, rumors, or labeling.
  • Demonstrating honesty in providing information.
  • Acting responsibly and avoiding discriminatory attitudes.
  • Refraining from disparaging the competence of other professionals in medical advertisements.
Adhering to these ethical standards is essential to maintaining public trust in the medical profession. Therefore, training, evaluating, and monitoring the behavior of professionals in cyberspace are particularly important for upholding and promoting professional and ethical standards.

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