Medical Ethics

ISSN Print 2713-0894 ISSN Online 2713-0908

BIOMEDICAL JOURNAL OF ERMC EASTERN EUROPEAN

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Issue 4, 2025

Topic Ethical aspects and prospects of space exploration and exploitation

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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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Issue 3, 2025

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

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New articles

Kalabekova SV, Fidarova KK, Sokolova OV, Smirnova AV

This article provides an ethical review of inclusive education based on the four pillars of bioethics such as autonomy, beneficence, non-maleficence, and justice. The authors are convinced that the inclusive educational paradigm is not just a pedagogical technology, but a moral imperative that directly results from modern bioethical approaches and a social model of understanding disability. Moral and ethical challenges at the intersection of medical diagnosis and pedagogical process are carefully analyzed. The new and collaborative role of medicine in inclusive practice is substantiated. The article considers the paradigm shift from the medical to the socio-ethical model of disability, analyzes the main ethical dilemmas of inclusion (resource dilemma, reasonable accommodation, professional boundaries) and substantiates the role of the medical community as a defender of rights and a partner in building an inclusive environment. It is concluded that principles of bioethics provide a reliable conceptual foundation for overcoming practical and ideological barriers to inclusive education for students with special educational needs (SEN).

Received: 2026-01-25

Published online: 2026-02-19

DOI: 10.24075/medet.2026.002

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VIEWS 9

Klyuyeva PA

In this paper, we present a comprehensive bioethical and regulatory analysis of the use of drug therapy in children with oncological, rheumatological, cardiological and psychiatric diseases in the Russian Federation based on official Instructions for Medical Use and the latest clinical recommendations. This paper focuses on significant contradictions between clinical recommendations and drug registration documents registered in the State Register of Medicines of Russia. Insufficient scientific data on safety and effectiveness of medicines among children deserve particular attention as it results in serious therapy restrictions worsened by regulatory and legal barriers for pediatricians. The study is focused on medications for treatment of follicular lymphoma, systemic lupus erythematosus, schizophrenia and familial hypercholesterolemia, with an emphasis on age restrictions and contraindications.

Received: 2025-12-16

Published online: 2026-02-15

DOI: 10.24075/medet.2026.001

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VIEWS 13

Demarina SM, Sirotkina AM, Usolkin AA, Dombrovskaya ED

The article reviews ethical and legal hurdles of integrating pharmacogenetic testing into personalized medicine. The aim of this publication was to systematize key ethical problems in clinical pharmacogenetics and find possible solutions in Russian legislation. It was an analytical review study that used a systematic analysis of scientific literature combined with comparative legal analysis of national/foreign regulations. The risks of confidentiality violations and unauthorized reuse of genetic data, difficulties in obtaining informed consent and interpreting incidental findings, and a threat of genetic discrimination from employers and insurance companies are reviewed. It has been shown that a high cost of genetic tests increases the inequality of access to medical technologies and highlights major social injustice issues. It is concluded that clarifying the legal status of genetic data, developing special mechanisms to protect patients from stigmatization and discrimination, and introducing educational programs on pharmacogenetics and genetic counseling for medical professionals are essential.

Received: 2025-12-11

Published online: 2025-12-27

DOI: 10.24075/medet.2025.027

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VIEWS 295

Wiegel NL, Mettini EM

The presented study delves into the concept of the digital body within the context of modern technologies and their impact on the society, culture and personality. A digital body is defined as a representation of a physical body in virtual reality, augmented reality, and on other digital platforms. The article reviews opportunities for health support, self-expression, expansion of human experience, and social connections in the digital space provided by digital bodies. The authors also explore numerous challenges faced by the society when digital bodies are introduced. These include data safety, ethical dilemmas related to identity and privacy, as well as implications for mental health and social structure. The article makes predictions about the future of digital bodies stressing that an interdisciplinary approach is required to solve the arising issues. The aim of the analysis is to attract attention to the complex dynamic relationship between technology innovation and human experience, as well as to shape awareness about how digital bodies can transform our society within the next ten years.

Received: 2025-11-17

Published online: 2025-12-15

DOI: 10.24075/medet.2025.026

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VIEWS 321

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Popular articles

Pleshchev IE, Nikolenko VN, Achkasov EE, Shkrebko AN

Human genome research in sports brings about complex ethical questions related to genetic manipulation for enhancement of performance among athletes. Genes enhancing raises concerns about fairness, equality, and respect for human dignity. This review explores the ethical aspects of human genome research in sports and its potential effect on the integrity of sports. Methodologically, this article provides a systematic analysis of scientific publications and expert insights to explore the ethical challenges of athletic genetics. This study extensively examined the current literature on genetics and sports performance, as well as ethical contradictions in modern science and sports. The literature was searched using Scopus, Google Scholar, and PubMed databases. Keywords included “genetics”, “sports performance”, “ethics”, “bioethics”, “genetic testing”, “human rights”, “sports”. The searching strategy was formulated without time constraints. Thus, both recent and fundamental works in this direction could be included. In conclusion, it is stated in this review that genetic technologies in sports should be developed and applied in accordance with ethical considerations. It is crucial because this is how fundamental principles of fairness, equality, and respect for human dignity can be supported. The review stresses the importance of an open dialogue about the potential influence of genetic advancements on athletic performance, future generations, and integrity of sports.

Received: 2025-07-16

Published online: 2025-08-29

DOI: 10.24075/medet.2025.013

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VIEWS 777

Mokhov AA

Along with well-known scientists who dealt with the issues of medical ethics, writers, some of whom were also medical doctors, made a significant contribution to the development of the field under study as well. The surviving pieces of writing are highly valuable not only for Russian culture but also for sciences, especially for biomedical, social and humanitarian sciences. The stories of Anton Chekhov, a doctor, a writer and a public figure of the second half of the 19th century, made a significant contribution to Russian and global culture. Chekhov’s correspondence with his family members and notable figures of that time is an independent layer for researchers. To date, they have been important sources for historians, cultural scientists, health care organizers, lawyers, and specialists in ethics.

Received: 2025-06-02

Published online: 2025-08-23

DOI: 10.24075/medet.2025.011

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VIEWS 707