Medical Ethics

ISSN Print 2713-0894 ISSN Online 2713-0908

BIOMEDICAL JOURNAL OF ERMC EASTERN EUROPEAN

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Issue 3, 2025

Topic Space biology, space medicine and space psychologyin the context of "human sciences"

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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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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 2, 2025

Topic Bioethical problems of quantum computing

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New articles

Chelnokova OG, Khokholov AL, Mozzhukhina LI, Salova AL

In latent tuberculosis infection (LTBI), there are no clinical or radiographic symptoms of active tuberculosis (TB), although immunological tests are positive. Meanwhile, the risk of progression from LTBI to active TB remains high, especially in children. It is estimated that a quarter of the world’s population has LTBI. Identifying LTBI as a predictor of active TB represents a major public health achievement, as preventive activities can help stop the spread of TB in many cases. Phthisiologists specialize in the diagnosis, monitoring, and treatment of children with LTBI. Because the process is prolonged, pediatricians actively monitor and care for somatic issues in children with LTBI. During examination and treatment, both doctors and patients — together with their parents — may encounter numerous ethically challenging situations that significantly affect the quality of medical care and treatment outcomes for children with LTBI.

Received: 2025-06-10

Published online: 2025-10-08

DOI: 10.24075/medet.2025.018

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VIEWS 110

Sokolova OV, Smirnova AV, Isaeva IYu, Alekseeva KS

In this article, the issues of digital literacy that arise during communication of medical and pharmaceutical workers have been reviewed. The right for digital literacy, access to education that improves comprehension and develops digital skills while using medical information systems relates to one of the issues. The goal of the research is to assess digital literacy of healthcare professionals, which is essential for professional interaction during clinical research. Applicable laws and scientific publications regulating healthcare digitalization were used as instructional material. Circulation of medicinal preparations used in clinical research was examined through summary reports of medical companies in 2022–2024. Data from registered databases served as a basis for sociological research to determine digital literacy of professionals. According to the survey results, over 90.0% of respondents have computer-assisted workplaces, about 50.0% of them assessed their level of digital competence as average, and 67.4% need to improve their digital literacy. Optimal organizational solutions allow to improve digital literacy of all healthcare professionals producing a positive effect on ethics of professional interaction.

Received: 2025-09-09

Published online: 2025-09-29

DOI: 10.24075/medet.2025.017

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VIEWS 123

Gabidullina LF, Kotlovsky MYu

Rapid integration of large language models (LLM) into healthcare gives rise to acute ethical dilemmas and practical risks. The principal issue is associated with trust of medical professionals, patients and developers in the models, as well as with the potential violation of medical ethics. In the article, key challenges are analyzed including critical importance of trust (depending on LLM data quality), disturbance of informed consent and autonomy of a patient due to the lack of transparency and excessive trust in AI algorithms. Particular attention is given to the risks of confidential medical data protection, which is confirmed by non-authorized transfer of data while using generally accessible LLM. The need to develop transparent, safe and ethically regulated solutions for LLM is medicine is prioritized.

Received: 2025-07-23

Published online: 2025-09-22

DOI: 10.24075/medet.2025.016

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VIEWS 178

Tereshkova VV, Tereshkova EA, Firsov DE

Human spaceflight involves several risks that significantly impact the future of space programs. Space radiation, weightlessness, loss of muscle mass, hearing impairment, etc. have significant negative effects on the human body in space environment. Additional questions are associated with inevitable evolution of human-machine interaction in those areas where the presence of a researcher is hardly possible yet. Thus, advancements in biology, medicine, and psychology significantly contribute to the success of space projects by addressing the human adaptation to spaceflight both in physiological and spiritual terms. The potential of space biology, space medicine, and space psychology as “human sciences” shapes the future of scientific research and practical solutions for the exploration of near and far space based on extensive data both on physiological and psychological capabilities of humans, and their spiritual resources, which together determine the ability to adapt to a new physical and cultural reality.

Received: 2025-07-18

Published online: 2025-09-18

DOI: 10.24075/medet.2025.015

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VIEWS 146

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Popular articles

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 536

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 490