Medical Ethics

ISSN Print 2713-0894 ISSN Online 2713-0908

BIOMEDICAL JOURNAL OF ERMC EASTERN EUROPEAN

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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 424

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 436

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 697

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 637

The article provides a comparative analysis of the Orthodox ethics of the Russian religious philosopher Vladimir Solovyov and the mystical ethics of the Renaissance representative Dante Alighieri. The aim of the study is to identify points of contact between the ethical concepts of these two very different philosophers. Two works were selected for comparison: “Readings on God-Manhood” by V. S. Solovyov and “The Divine Comedy” by Dante. The ethics of man’s abstraction from natural principles and the acquisition of a metaphysical existence by the individual are explored. Three stages of human ethical development are considered in the concept of V. S. Solovyov. It is shown that in the process of ethical development, the human personality perceives the Divine principle and reunites nature with it. It is noted that for Solovyov, ethical development is a positive and objective process — a divine-human process. A significant place is devoted to the symbolic-metaphysical understanding of ethics in Dante Alighieri’s Divine Comedy. It is indicated that Dante shows an inexhaustible source of possibilities for man to overcome the burden of earthly existence and turn to the true ethics of divine revelation. It is concluded that both Dante Alighieri and V. S. Soloviev came to the realization that the religious principle in man is the only real implementation of the free ethical process.

Received: 2025-02-28

Published online: 2025-04-16

DOI: 10.24075/medet.2025.037

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VIEWS 666

The article is devoted to Kyrgyz folk medicine and its ethical heritage while revealing traditions and methods used in treatment since ancient times. Traditional Kyrgyz medicine has been closely connected with nature and cultural characteristics of the people when herbs, rituals, physical practices and manual therapy were widely used. Healers passed down their knowledge through the generations, including diagnosis of diseases, use of natural resources and spiritual practices. The influence of modern medicine on natural methods of treatment and related ethical issues have also been reviewed in the article. Examples of traditional methods and their transformation in the context of modern medical practices have been provided. The main attention is paid to synthesis of scientific and folk methods of treatment, opening up new prospects for preservation and development of cultural traditions.

Received: 2024-06-28

Published online: 2025-03-31

DOI: 10.24075/medet.2025.036

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VIEWS 695

Yunusov AS, Molodtsova EV, Maletina DV, Belavina PI

A patient-physician relationship is regulated by the principles of medical ethics and the Law on Healthcare of the Russian Federation. In pediatric practice, ethical issues are even more important. Pediatric otorhinolaryngology is one of the most popular branches of medicine that diagnoses, treats and prevents diseases of the ear, throat and nose (ENT) in children. ENT diseases are most common in childhood. Pathology of the upper respiratory tract and diseases of the ear and mastoid process account for about 20% of all cases. The prevalence of pediatric otorhinolaryngologic diseases currently accounts for 184 per 1,000 children; however, as they age, the chronic pathology of the ear, throat and nose is increasing. This field has its own unique ethical and legal aspects that require special attention of medical professionals, parents, and legislators. In Russia, ethical and legal issues of pediatric otorhinolaryngology have not been addressed for a long period of time, although it has its own peculiarities due to anatomical and physiological features of a child’s ENT organs. The article provides detailed description of ethical and legal problems in the practice of an otorhinolaryngologist and describes how to solve them. Compliance with the rules will improve quality of medical aid among children.

Received: 2025-03-02

Published online: 2025-03-30

DOI: 10.24075/medet.2025.035

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VIEWS 720

Khokholov AL, Chelnokova OG, Skrypnik NV, Dmitrieva AP

An increased number of patients who have tuberculosis (TB) comorbidity with cancer leads to a number of ethical problems. Approaches to treatment of oncological diseases in patients with TB have not been developed yet limiting provision of care to patients with comorbidities. The priority of TB treatment leads to a loss of time spent on treatment of oncological diseases and occurrence of vicious circles when progression of an oncological disease prevents from an effective treatment of TB and initiation of cancer treatment. At the same time, interaction of anti-tuberculosis and antitumor drugs has not been studied, limiting their simultaneous administration. Long-term diagnostics of TB represents an ethical problem. The set problems can be solved during scientific research on TB prevention in cancer patients, treatment of patients with comorbidities and interdisciplinary interaction in practical healthcare on an individual basis.

Received: 2024-12-06

Published online: 2025-03-27

DOI: 10.24075/medet.2025.034

Comments 0

VIEWS 644