Medical Ethics

ISSN Print 2713-0894 ISSN Online 2713-0908

BIOMEDICAL JOURNAL OF ERMC EASTERN EUROPEAN

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Issue 1, 2025

Topic Amendments and additions to the Helsinki Declaration of the World Medical Association "Ethical principles for medical research involving human subjects"

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Issue 4, 2023

Topic Medical ethics as an applied theory of development

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Issue 1, 2024

Topic Development of neurotechnologies. Ethical issues and public discussions

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Issue 2, 2024

Topic Ethical aspects of creating clinical guidelines for practitioners

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Issue 3, 2024

Topic Application of artificial intelligence in healthcare: ethical conclusion

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Issue 4, 2024

Topic Implementation of neurotechnologies. Development of ethical guidelines

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New articles

Begishev IR, Shutova AA

The article reviews the concept of predictable harm as a methodological tool for a comprehensive risk assessment while developing and implementing AI-powered medical devices. The study is relevant due to exponential growth of using AI-powered technologies in healthcare and lack of unified approaches to prediction of potential negative consequences of their usage. Existing regulatory approaches to risk assessment, including Russian regulatory documents and international standards, have been analyzed. A multidimensional classification of types of predictable harm is proposed considering the entire life cycle of medical AI systems. Special attention is given to ethical aspects of using artificial intelligence in medicine, including the principles of patient autonomy, equity, non-harm and transparency of algorithms. An expanded matrix for assessing predictable harm has been developed. It integrated technological, clinical and ethical parameters for each stage of development and implementation of AI systems in medical practice. The results of the study can be used as a methodological framework for developers of medical AI systems, regulatory authorities and medical organizations in assessing safety and effectiveness of introducing intelligent technologies into clinical practice.

Received: 2025-05-03

Published online: 2025-06-15

DOI: 10.24075/medet.2025.006

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VIEWS 76

Semenova NV, Martynyuk KL

The use of artificial intelligence systems (AIS) in healthcare is one of the promising solutions for improving access of citizens to modern medical technologies to prevent mental health disorders, stress-associated and psychosomatic diseases, to ensure early diagnosis and correction of mental disorders and their risk factors. However, an urgent problem is assessment of the risks of implementing AIS in the field of mental health and possibilities of managing such risks depending on various factors affecting clinical outcomes, as well as ethical aspects related to provision of this type of AIS-based medical care. The proposed risk classification system for the use of AIS in the field of mental health will expand the possibilities of introducing medical AIS into clinical practice while maintaining a high level of control over the risks of mental health disorders.

Received: 2025-04-22

Published online: 2025-06-09

DOI: 10.24075/medet.2025.005

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VIEWS 86

Pleshchev IE, Shishkin AA, Ivashkovskaya AV

The purpose of this study is to examine the existing ethical standards and guidelines to provide a comprehensive overview of ethical issues and processes related to research and publications in domestic and international medical practice. The importance of informed consent, data integrity, plagiarism, authorship disputes, and conflicts of interest are just some of the key topics briefly covered in the article. It is obvious that ethical standards and regulations in medical (clinical) research are crucial for determining how research is conducted and how scientific articles are published.

Received: 2025-04-30

Published online: 2025-05-30

DOI: 10.24075/medet.2025.004

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VIEWS 118

The field of medicine has traditionally focused on such symptoms of a disease as pain, inflammation, and tissue deformity. However, according to the modern approach, it is necessary to identify the cause of the disease, which is often hidden deep inside the body. Examining genetic polymorphism as the basis for purulent complications after treatment of the lower limb injury was one of the method that could solve the problem. Epidemiological observations confirm that purulent complications after orthopedic surgery are associated with hereditary predisposition factors. This highlights the important role of genetic changes in development and course of this pathology. However, any medical intervention is associated with potential risks, including emotional pain of the patient, violation of personal data confidentiality and misuse of the obtained information. That is why it is important to think in advance about the possible consequences of genetic tests and to find ways how to resolve ethical issues.

Received: 2025-04-30

Published online: 2025-05-25

DOI: 10.24075/medet.2025.003

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VIEWS 113

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Popular articles

Lobanova IV, Sataev AE, Manaeva TA

This article highlights the ethical aspects that arise when the attending psychiatrist communicates with patients and their family members on the issues of planning a pregnancy. While counseling people with mental disorders about their reproductive plans, it is difficult from an ethical point of view to discuss some issues such as the risks of pathology in an unborn child and a possibility of reducing the risks, in particular the probability of genetic inheritance of a mental disorder; the expediency of discontinuing psychotropic drugs used by the expectant mother and/or father to treat or prevent a mental disorder exacerbations, given that drugs can affect the quality of reproductive biological material, whereas cancellation of therapy is associated with risks to the mental health of expectant parents; the need to inform the patient’s family members about his/her mental disorder, the treatment used and all available personal risks to offspring. Different literature sources, including domestic and foreign ones, were reviewed. The keywords used in literature were “genetics”, “psychiatry”, “ethical aspects of genetic counseling”, “psychopharmacotherapy during pregnancy”, “the effect of psychotropic drugs on spermatogenesis” with filtering by language (Russian and English) and document type. Two own clinical observations are presented. The purpose of the article is a comprehensive analysis of ethical aspects of counseling people with mental disorders on pregnancy planning by a psychiatrist.

Received: 2024-11-13

Published online: 2024-12-24

DOI: 10.24075/medet.2024.025

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VIEWS 428

Volskaya EA, Rogova IV

Medical technologies using artificial intelligence (AI) systems hold a firm place in real clinical practice as the main providers of important information for making medical decisions in diagnosis and treatment via assisting and auxiliary tools in the process of medical care provision. To obtain valid evidence of quality, effectiveness, and safety, AI software developers conduct clinical trials of these systems in accordance with current regulatory requirements [1], guided by the recommendations of recognized experts in the field of clinical research [2]. Ethical committees have a task to conduct a high-quality ethical review of the planned research, taking into account the specifics of AI technologies used in medicine and risks associated with their use.

Received: 2024-11-04

Published online: 2024-12-31

DOI: 10.24075/medet.2024.027

Comments 0

VIEWS 391