BACKGROUND Gastrointestinal endoscopy technology has significantly improved the diagnostic accuracy and the successful treatment of gastrointestinal diseases.However,a series of ethical issues have emerged,such as exp...BACKGROUND Gastrointestinal endoscopy technology has significantly improved the diagnostic accuracy and the successful treatment of gastrointestinal diseases.However,a series of ethical issues have emerged,such as expanding treatment indications,which affect the fair distribution of medical resources.There is limited research on ethical issues in the field of digestive endoscopy.AIM To investigate the level of ethical awareness among gastrointestinal endoscopy practitioners and analyze the ethical issues involved in gastrointestinal endoscopy technology.METHODS A questionnaire survey was performed to collect relevant data(gender,age,degree of education,professional title,personnel category,the level of understanding medical ethical principles,ethics training and its learning pathways)from gastrointestinal endoscopy practitioners at the Second Hospital of Dalian Medical University and Dalian Friendship Hospital,including licensed physicians and nurses(including trainees and graduate students).RESULTS The majority of gastrointestinal endoscopy practitioners have received training on ethics,but there is still considerable room for improvement in their ethical awareness.Different learning pathways may affect the mastery of ethical principles, and understanding of ethical principles is more easily achieved through hospital ethics institutions.CONCLUSIONTo address the ethical issues in gastrointestinal endoscopy technology, it is necessary to enhance the humanisticeducation of gastrointestinal endoscopy practitioners, incorporate ethical standards into the technology assessmentprocess, and establish a patient-centered diagnostic and treatment model to improve the ethical awareness of practitionersand achieve a balance between technology and ethics.展开更多
Background:With the rapid development of modern emerging technologies,the ethical dilemmas and social controversies triggered by scientific and technological activities have become increasingly prominent.How to guide ...Background:With the rapid development of modern emerging technologies,the ethical dilemmas and social controversies triggered by scientific and technological activities have become increasingly prominent.How to guide technology for good and prevent and control technological risks has become an important issue of global concern.Research on science and technology ethics is dedicated to integrating ethical theories into governance practices and constructing ethical models that adapt to the development of the times.Methods:This article systematically reviews the six core approaches of scientific and technological ethics thought,including technological autonomy and political philosophy criticism,responsibility ethics and intergenerational obligations,technological intermediation and the integration of life and the world,ethical principles and normative frameworks,participatory governance and ethical practice innovation,as well as domain-specific ethical norms,thereby constructing an ethical analysis framework applicable to medical technology risks.And cross-analysis was conducted by taking medical events such as gene editing and xenotransplantation as examples.Results:Research shows that a single ethical approach has limitations in addressing complex medical ethical challenges,while the six approaches are complementary and synergistic.By criticizing technological autonomy,establishing a responsibility ethics orientation,setting the bottom line of ethical principles,promoting participatory governance,formulating domain norms,and continuously reflecting on the intermediary nature of technology,a multi-level and dynamically adaptive governance system for scientific and technological ethics can be constructed.Conclusion:The key to addressing contemporary medical ethics challenges lies in the comprehensive application of science and technology ethics theories and the integration of ethical considerations throughout the entire process of scientific and technological research and development.In the future,a governance framework that adapts to the development of new technologies should be established to promote cross-cultural and cross-disciplinary ethical dialogue and public participation,ensuring that scientific and technological innovation always serves the dignity of human life and overall well-being.展开更多
Tomasz Mizerkiewicz is a professor at the Faculty of Polish and Classical Philology at Adam Mickiewicz University and the editor-in-chief of Forum of Poetics.He has published extensively in the field of 20th-century a...Tomasz Mizerkiewicz is a professor at the Faculty of Polish and Classical Philology at Adam Mickiewicz University and the editor-in-chief of Forum of Poetics.He has published extensively in the field of 20th-century and 21st-century Polish literature and literary theory.This interview addresses topics including key concepts,theoretical terminologies,and interdisciplinary research in Ethical Literary Criticism,as well as its future development and practical significance.Using different texts,including Polish literary works,Mizerkiewicz illustrates the application of core terms in Ethical Literary Criticism,analyzes ethical expressions and ethical values embedded in literary works,and offers insights into the relevance of Ethical Literary Criticism in the era of artificial intelligence,as well as its connections with ESG(Environmental,Social,and Governance)and sustainability.The interview underscores his emphasis on the vibrant academic value and practical significance of Ethical Literary Criticism in exploring ethical thoughts in literature,fostering interdisciplinary dialogue,and contributing to the advancement of modern society.展开更多
The rapid progress of human organoid toolkits presents unprecedented opportunities in disease modeling,drug discovery,and personalized therapy,alongside profound bioethical challenges and concerns.On April 29th,2025,C...The rapid progress of human organoid toolkits presents unprecedented opportunities in disease modeling,drug discovery,and personalized therapy,alongside profound bioethical challenges and concerns.On April 29th,2025,China’s National Science and Technology Ethics Committee(Life Science Ethics Subcommittee)issued the Human Organoid Research Ethical Guidelines[1],establishing the world’s first comprehensive governance framework,especially focusing on brain organoids,embryo models,and chimeric research.This Guidelines represent a pioneering governance model in emerging biotechnology.This commentary offers an in-depth analysis to examine the policy’s innovative three-tiered structure,contrast it with current global regulatory standards,evaluate its domestic impacts as well as potential implications for international biotechnology governance,and provide recommendations for future directions.展开更多
Background:Medical artificial intelligence(MAI)is a synthesis of medical science and artificial intelligence development,serving as a crucial field in the current advancement and application of AI.In the process of de...Background:Medical artificial intelligence(MAI)is a synthesis of medical science and artificial intelligence development,serving as a crucial field in the current advancement and application of AI.In the process of developing medical AI,there may arise not only legal risks such as infringement of privacy rights and health rights but also ethical risks stemming from violations of the principles of beneficence and non-maleficence.Methods:To effectively address the damages caused by MAI in the future,it is necessary to establish a hierarchical governance system with MAI.This paper examines the systematic collection of local practices in China and the induction and integration of legal remedies for the damage of MAI.Results:To effectively address the ethical and legal challenges of medical artificial intelligence,a hierarchical regulatory system should be established,which based on the impact of intervention measures on natural rights and differences in intervention timing.This paper finally obtains a legal hierarchical governance system corresponding to the ethical risks and legal risks of MAI in China.Conclusion:The Chinese government has formed a multi-agent governance system based on the impact of risks on rights and the timing of legal intervention,which provides a reference for other countries to follow up on the research on MAI risk management.展开更多
This study applies the basic theories of“Ethical Literary Criticism”proposed by Nie Zhenzhao to Arthur Miller’s play All My Sons,focusing on the ethical predicament Joe Keller faces in his specific ethical identity...This study applies the basic theories of“Ethical Literary Criticism”proposed by Nie Zhenzhao to Arthur Miller’s play All My Sons,focusing on the ethical predicament Joe Keller faces in his specific ethical identity within the ethical environment of his time.It further points out the process and the consequence of his ethical choices in the conflict between family interests and social responsibilities,so as to reveal the ethical teaching function of the play.Joe’s ethical predicament arises from the contradiction between his family roles and his desire for interests as a businessman.In this conflict,the interaction of the human factor and the animal factor within the“Sphinx factor”causes Joe to make two different ethical choices.Through Joe’s tragic fate,Miller reveals the ethical enlightenment in All My Sons:Individuals,families,and society are inextricably linked,so today’s citizens need to recognize their inherent social nature and fulfill ethical duties in both personal and social aspects.Miller uses the play to criticize the ethical ethos of 20th-century American society and calls on readers to reevaluate the instrumental rationality behind the American Dream.展开更多
Background Clinical brain-computer interface(BCI)for mental disorders is an emerging interdisciplinary research field,posing new ethical concerns and challenges,yet lacking practical ethical governance guidelines for ...Background Clinical brain-computer interface(BCI)for mental disorders is an emerging interdisciplinary research field,posing new ethical concerns and challenges,yet lacking practical ethical governance guidelines for stakeholders and the entire community.Aims This study aims to establish a multidisciplinary consensus of principles for ethical governance of clinical BCI research for mental disorders and offer practical ethical guidance to stakeholders involved.Methods A systematic literature review,symposium and roundtable discussions,and a pre-Delphi(round 0)survey were conducted to form the questionnaire for the three-round modified Delphi study.Two rounds of surveys,followed by a third round of independent interviews of 25 experts from BCI-related research domains,were involved.We conducted quantitative analysis of responses and agreements among experts to reveal the consensus and differences regarding the ethical governance of mental BCI research from a multidisciplinary perspective.Results The Delphi panel emphasised important concerns of ethical review practices and ethical principles within the BCI context,identified qualified and highly influential institutions and personnel in conducting and advancing clinical BCI research,and recognised prioritised aspects in the risk-benefit evaluation.Experts expressed diverse opinions on specific ethical concerns,including concerns about invasive technology,its impact on humanity and potential social consequences.Agreement was reached that the practices of ethical governance of clinical BCI for mental disorders should focus on patient voluntariness,autonomy,long-term effects and related assessments of BCI interventions,as well as privacy protection,transparent reporting and ensuring that the research is conducted in qualified institutions with strong data security.Conclusions Ethical governance of clinical research on BCI for mental disorders should include interdisciplinary experts to balance various needs and incorporate the expertise of different stakeholders to avoid serious ethical issues.It requires scientifically grounded approaches,continuous monitoring and interdisciplinary collaboration to ensure evidence-based policies,comprehensive risk assessments and transparency,thereby promoting responsible innovations and protecting patient rights and well-being.展开更多
Objective:To study the relationship,the mediating effect of organizational commitment on nurses’ethical climate and ethical behavior.Methods:Structural Equation Modeling(SEM)was employed to perform path analysis in t...Objective:To study the relationship,the mediating effect of organizational commitment on nurses’ethical climate and ethical behavior.Methods:Structural Equation Modeling(SEM)was employed to perform path analysis in this exploratory study.The participants consisted of 280 Iranian nurses who were studied through proportional random sampling.The research tool was consisted of(1)the Ethical Climate Questionnaire by Cullen and Victor,which examines the ethical standards of selfishness,philanthropy,and ethical principles,as well as the reference sources of ethical arguments,including individual,regional,and global ones;(2)Allen and Mayer’s questionnaire,which measures organizational commitment in 3 areas:emotional commitment,continuous commitment,and normative commitment;and(3)Peterson’s Ethical Behavior Questionnaire,which combines nine items to form interconnected ethical behaviors and is based on a 5-point Likert scale.The data were analyzed using AMOS and SPSS v.23 software.Results:The correlation coefficient between the two variables,ethical climate and ethical behavior,showed a significant relationship(r=0.10,p=0.085).The organizational commitment showed a significant relationship between some dimensions and the total ethical climate.The ethical climate affects the organizational commitment(beta=3.261)and behavior(beta=0.121).Organizational commitment does not show any significant relationship with ethical behavior.The ethical climate affects the organizational commitment and the ethical behavior.Conclusions:Nursing managers and nursing staff should consider the ethical climate that affects the organizational commitment and nursing ethical behavior.展开更多
With the rapid development of artificial intelligence technology,China has entered the era of artificial intelligence.It not only promotes social development and progress but also faces a series of ethical risks.In re...With the rapid development of artificial intelligence technology,China has entered the era of artificial intelligence.It not only promotes social development and progress but also faces a series of ethical risks.In response,this article starts from ethical risks,first expounds on the ethical turn in the development of artificial intelligence technology,then clarifies the core challenges of scientific and technological ethics governance in the era of artificial intelligence,and finally,proposes a theoretical framework and practical path for scientific and technological ethics governance,hoping to provide some reference for relevant personnel to better cope with scientific and technological ethics risks in the era of artificial intelligence.展开更多
The establishment of a sound science and technology ethics governance system is an inevitable requirement for national modernization.Faced with the development of human gene technology and the chaos in research activi...The establishment of a sound science and technology ethics governance system is an inevitable requirement for national modernization.Faced with the development of human gene technology and the chaos in research activities,the ethical standards and legal positioning of human gene research activities urgently need to be clarified.The human rights ethics view has value inclusiveness and value fundamentality,and includes three levels of connotations:content dimension,relationship dimension,and obligation dimension.It should serve as the ethical standard for human gene research activities.Based on the provisions of China’s Constitution,the human rights ethics view on human gene research,as a constitutional ethics view,can elucidate different levels of rights content,such as human dignity,life and health,and research freedom.It also addresses the weighing of basic rights conflicts and the dual obligation subjects of public and private nature.Relying on the constitutional value embedding of the research ethics view to form ethical consensus,improving ethical review through framework legislation for human rights interests,and implementing ethical responsibility through the human rights-oriented interpretation of ethical legal norms are the three pathways to realizing the human rights ethics view on human gene research.展开更多
My Life as a Foreign Country is an Iraq War narrative by American veteran Brian Turner,recounting the protagonist Turner’s experiences in the Iraq War alongside the wartime experiences of his forefathers.As a descend...My Life as a Foreign Country is an Iraq War narrative by American veteran Brian Turner,recounting the protagonist Turner’s experiences in the Iraq War alongside the wartime experiences of his forefathers.As a descendant of a military family,the protagonist Turner makes ethical choices based on his ethical identity,elucidating the ethical concepts and dilemmas faced by Iraq War soldiers.This paper interprets the narrative from the perspective of literary ethics,analyzing the ethical choices made by the protagonist Turner to explain the underlying reasons and motivations,thereby revealing the ethical perplexities of American soldiers in modern warfare.展开更多
Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Method...Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Methods:A multicenter,cross-sectional study design was employed,involving a convenience sample of 273 nurses among five university hospitals from August to October 2024.Data were collected using a demographic questionnaire,Ethical Leadership Scale,Psychological Safety Scale,Positive Attitudes Toward Whistleblowing Scale,and Internal Whistleblowing Scale.Pearson correlation and structural equation model were conducted to test the hypothesized dual mediation model.Results:The average score of nurses for ethical leadership was 4.14±0.57,psychological safety was 3.80±0.64,reporting attitudes was 4.12±0.67,internal whistleblowing was 3.93±0.52.Ethical leadership had a significant effect on psychological safety(β=0.38,P<0.001),reporting attitudes(β=0.44,P<0.001),and internal whistleblowing(β=0.21,P=0.009).Furthermore,psychological safety(β=0.26,P<0.001)and reporting attitudes(β=0.27,P<0.001)significantly influenced internal whistleblowing among the nurses.The indirect effect of ethics-centered leadership on internal whistleblowing intermediated by psychological safety was significant(β=0.10,P<0.001).Similarly,reporting attitudes demonstrated a significant mediating effect(β=0.12,P=0.003).Conclusions:Ethical leadership encourages internal whistleblowing among nurses by fostering psychological safety and positive reporting attitudes.Therefore,healthcare managers should prioritize ethical leadership development,enhance psychological safety,and foster constructive reporting attitudes that enable nurses to report ethical violations confidently,without apprehension.展开更多
From the ecocritical perspective,with the reference to ecological ethics,this paper explores the ethical meanings and views of nature embodied in“werewolf”in Angela Carter’s short story“The Company of Wolves”.Thi...From the ecocritical perspective,with the reference to ecological ethics,this paper explores the ethical meanings and views of nature embodied in“werewolf”in Angela Carter’s short story“The Company of Wolves”.This paper analyzes the construction of the werewolf’s ethical identity,the reconstruction of human-animal ethics and finally the ecological integration of nature and culture.Through the analysis of the werewolf and its relationship with humans and nature,this study reveals the complex intertwining of animal and human emotions and ethical identities.This paper aims to reveal how Carter,through fairy tale rewriting and literary experimentation,rethinks the ethical positions of humans,animals,and nature,which presents an ecological ethical imagination that transcends anthropocentrism.展开更多
Reproductive medicine has been transformed by assisted reproductive technologies(ART),providing multiple options for infertile couples to conceive biological offspring.The medical and legal frameworks,governing the pr...Reproductive medicine has been transformed by assisted reproductive technologies(ART),providing multiple options for infertile couples to conceive biological offspring.The medical and legal frameworks,governing the practice of embryologists in ART,focus on the ethical and safe handling of gametes and embryos.Embryologists play a crucial role in the success of ART procedures,requiring technical expertise and a thorough understanding of legal and ethical considerations.The importance of quality control,safety protocols,and sterility in ART laboratories is essential to ensure optimal embryo development and patient well-being.The legal responsibilities of an embryologist under the Assisted Reproductive Technology(Regulation)Act,2021 in India are required.This review emphasizes the importance of record-keeping,patient confidentiality,informed consent,and adherence to legal and ethical standards to minimize the risk of malpractice claims.Overall,this narrative review provides a detailed overview of the medical,legal,and ethical frameworks governing embryologists'practice in ART,underscoring the significance of responsible and ethical conduct in this rapidly advancing field.展开更多
I argue in this paper that moral philosophers need to incorporate into their teaching and writing a number of empirical findings on ethical practices. Principal among these is clearer guidelines on speaking out agains...I argue in this paper that moral philosophers need to incorporate into their teaching and writing a number of empirical findings on ethical practices. Principal among these is clearer guidelines on speaking out against wrongdoing, as well as the development of codes of ethics that have been proven to work. The adoption of the critical thinking and the analytical methodology of other disciplines is also suggested. Several benefits will result. The most noticeable will be a strengthening of ethical practices and behavior in the institutions and organizations with which we live and work. A second benefit will be the education and employment of a body of people--graduates in moral philosophy--with the skills and knowledge to bring about, and further strengthen, this enhanced ethical environment. A third benefit will be the matching of the claims of philosophical thought with actual reality.展开更多
Purpose:To gain insights into the levels of training and support in research integrity and publishing ethics,levels of experience in publishing in scholarly journals and use of third-party manuscript preparation/editi...Purpose:To gain insights into the levels of training and support in research integrity and publishing ethics,levels of experience in publishing in scholarly journals and use of third-party manuscript preparation/editing services(which can include paper mills),and also to assess levels of awareness regarding different types of publishing ethics misconduct,we surveyed members of the Chinese Academy of Sciences(CAS)Journal Ranking WeChat channel.Design/methodology/approach:The online survey collected voluntary anonymous responses from members of the CAS Journal Ranking WeChat channel,one of largest channels of Chinese researchers at all career stages within STM and social sciences.The respondents of the survey fell into one of the following categories:Undergraduate student,Master’s student,PhD candidate,Researcher,Research manager,Researcher with research management responsibilities,and Librarian.The survey included 14 main questions on the topics of access to research integrity and publishing ethics training,experience levels in publishing in scholarly journals(including using third-party services),authorship experiences and behaviours,levels of concern about different types of research integrity issues,and perceptions on who the respondents think are primarily responsible for upholding research integrity standards and training in publishing ethics.After applying inclusion criteria,1,777 responses were included in the analysis.Findings:Amongst the 1,777 respondents included in the study results,only 55.4%had any access to training in research integrity and publishing ethics,and an even smaller proportion to formal training.Even amongst cohorts with access to training(where respondents in the Researcher cohort have the highest access),answers to the questions on authorship and third-party services reveal many areas of confusion regarding authorship criteria and responsibilities in publishing ethics.In particular,the responses also show limited knowledge in recognising unethical service offerings by third-party services(e.g.adding authors,citations and data/images).The survey responses also show that even though respondents in the undergraduate cohort are already actively publishing articles as well as using third-party manuscript preparation/editing services,they have limited access to training and have high levels of uncertainty about authorship responsibilities.Out of all key stakeholders,respondents perceive research institutions to be mainly responsible for upholding research integrity standards as well as providing access to training.Research limitations:As with all voluntary online surveys,the study design includes inherent limitations due to the self-reported nature of the responses.The respondents who participate are likely to have a particular interest and a higher level of awareness about the survey topic,and so the self-selecting nature of the participants can introduce personal biases,which can affect the overall results.This survey was sent to members of a WeChat channel focused on journal rankings,which also discusses research integrity issues,so the respondents may not provide a general representation of their career stage/subject discipline cohorts.The sample sizes were not comparable across all cohorts,so direct comparisons could not always be made.Instead,where appropriate,separate comparisons were made between Undergraduate students,Master’s students,PhD candidates and Researchers(29.26%-18.68%of respondents),or between Research managers,Researcher with research management responsibilities and Librarians(4.28%-2.53%of respondents).Practical implications:It is important to ensure that research integrity and publishing ethics training and education needs are being met for researchers at all levels,including undergraduates.Findings from the survey highlight the importance of establishing training and education programmes tailored towards addressing specific areas of common confusion or limited awareness,especially to reduce the risk of unintentional misconduct.The findings from this survey can be used to inform training and education partnerships and collaborations across key stakeholders,including research institutions and publishers,so that we can collectively improve the overall integrity of scholarly publishing.A table of recommendations and a hypothetical case have been included to illustrate how this can be achieved.Originality/value:To our knowledge,this is the first survey on this topic developed via a collaboration between the research integrity team at an international scholarly publisher and scientometrics researchers based in China.Sharing our perspectives and experience to develop the survey questions has helped to highlight the common areas of confusion regarding authorship responsibilities and ethical third-party service offerings within researchers in China,even amongst those who do have access to training.展开更多
River ethics,a significant advancement inspired by Chinese President XI Jinping's ecological civilization thought,embodies the philosophical essence of river governance and represents a legacy of innovation by gen...River ethics,a significant advancement inspired by Chinese President XI Jinping's ecological civilization thought,embodies the philosophical essence of river governance and represents a legacy of innovation by generations of water resources professionals.Rooted in river ecology,it offers a framework for advancing modern water governance systems and capabilities.This paper examines eight dimensions of river ethics to provide actionable recommendations:enhancing knowledge systems on water,rivers,and lakes;addressing critical challenges in water governance to strengthen the foundational role of water authorities in ensuring water security,resource management,ecological sustainability and environmental protection;optimizing water project planning to mitigate ecological impacts;ensuring high standards in the lifecycle management of water projects;refining water diversion strategies for precise scheduling;utilizing ecosystem complexity for river and lake restoration;implementing tiered management of water-related disasters;and driving reforms to modernize water governance systems and mechanisms.展开更多
This article explores the ethical considerations surrounding the reporting of offlabel and experimental treatments in medical case reports,with a focus on fields such as oncology,psychiatry,and pediatrics.It emphasize...This article explores the ethical considerations surrounding the reporting of offlabel and experimental treatments in medical case reports,with a focus on fields such as oncology,psychiatry,and pediatrics.It emphasizes the balance between innovation and evidence-based medicine,highlighting the critical role of case reports in disseminating clinical experiences and advancing medical knowledge.The discussion delves into the ethical framework guiding case reporting,including principles of patient autonomy,informed consent,non-maleficence,beneficence,justice,and transparency.Challenges such as negative outcome reporting,commercial interests,and the balance between innovation and caution are examined.Recommendations for ethical vigilance,the development of comprehensive guidelines,and the role of regulatory bodies are proposed to ensure patient safety and uphold scientific integrity.The article concludes by underscoring the importance of a collaborative effort among clinicians,researchers,ethicists,and regulatory bodies to foster the responsible advancement of medical science while adhering to the highest ethical standards.展开更多
Managing the university in the context of ethics is one of many elements in the management of this specific organization. The task of university is functioning based on universal values, mission, vision, ethical codes...Managing the university in the context of ethics is one of many elements in the management of this specific organization. The task of university is functioning based on universal values, mission, vision, ethical codes, and responsibility and worthy behavior towards internal and external environment. In the era of globalization and constant changes, only a modernly managed higher education institution, acting according to principles of ethics, is able to meet requirements of surroundings. Behaviors of academic community should promote ethical actions in higher education institutions. It should be noted that the reputation, prestige in higher education, should also be based on the proceedings consistent with ethics.展开更多
文摘BACKGROUND Gastrointestinal endoscopy technology has significantly improved the diagnostic accuracy and the successful treatment of gastrointestinal diseases.However,a series of ethical issues have emerged,such as expanding treatment indications,which affect the fair distribution of medical resources.There is limited research on ethical issues in the field of digestive endoscopy.AIM To investigate the level of ethical awareness among gastrointestinal endoscopy practitioners and analyze the ethical issues involved in gastrointestinal endoscopy technology.METHODS A questionnaire survey was performed to collect relevant data(gender,age,degree of education,professional title,personnel category,the level of understanding medical ethical principles,ethics training and its learning pathways)from gastrointestinal endoscopy practitioners at the Second Hospital of Dalian Medical University and Dalian Friendship Hospital,including licensed physicians and nurses(including trainees and graduate students).RESULTS The majority of gastrointestinal endoscopy practitioners have received training on ethics,but there is still considerable room for improvement in their ethical awareness.Different learning pathways may affect the mastery of ethical principles, and understanding of ethical principles is more easily achieved through hospital ethics institutions.CONCLUSIONTo address the ethical issues in gastrointestinal endoscopy technology, it is necessary to enhance the humanisticeducation of gastrointestinal endoscopy practitioners, incorporate ethical standards into the technology assessmentprocess, and establish a patient-centered diagnostic and treatment model to improve the ethical awareness of practitionersand achieve a balance between technology and ethics.
基金supported by the National Key Research and Development Program(Grant No.2024YFA0917200)the Projects of the Chinese Center for Disease Control and Prevention(Grant No.BB2110240093)World Medical History under the Education Innovation Plan of the University of Science and Technology of China(Grant No.2024YCHX07).
文摘Background:With the rapid development of modern emerging technologies,the ethical dilemmas and social controversies triggered by scientific and technological activities have become increasingly prominent.How to guide technology for good and prevent and control technological risks has become an important issue of global concern.Research on science and technology ethics is dedicated to integrating ethical theories into governance practices and constructing ethical models that adapt to the development of the times.Methods:This article systematically reviews the six core approaches of scientific and technological ethics thought,including technological autonomy and political philosophy criticism,responsibility ethics and intergenerational obligations,technological intermediation and the integration of life and the world,ethical principles and normative frameworks,participatory governance and ethical practice innovation,as well as domain-specific ethical norms,thereby constructing an ethical analysis framework applicable to medical technology risks.And cross-analysis was conducted by taking medical events such as gene editing and xenotransplantation as examples.Results:Research shows that a single ethical approach has limitations in addressing complex medical ethical challenges,while the six approaches are complementary and synergistic.By criticizing technological autonomy,establishing a responsibility ethics orientation,setting the bottom line of ethical principles,promoting participatory governance,formulating domain norms,and continuously reflecting on the intermediary nature of technology,a multi-level and dynamically adaptive governance system for scientific and technological ethics can be constructed.Conclusion:The key to addressing contemporary medical ethics challenges lies in the comprehensive application of science and technology ethics theories and the integration of ethical considerations throughout the entire process of scientific and technological research and development.In the future,a governance framework that adapts to the development of new technologies should be established to promote cross-cultural and cross-disciplinary ethical dialogue and public participation,ensuring that scientific and technological innovation always serves the dignity of human life and overall well-being.
文摘Tomasz Mizerkiewicz is a professor at the Faculty of Polish and Classical Philology at Adam Mickiewicz University and the editor-in-chief of Forum of Poetics.He has published extensively in the field of 20th-century and 21st-century Polish literature and literary theory.This interview addresses topics including key concepts,theoretical terminologies,and interdisciplinary research in Ethical Literary Criticism,as well as its future development and practical significance.Using different texts,including Polish literary works,Mizerkiewicz illustrates the application of core terms in Ethical Literary Criticism,analyzes ethical expressions and ethical values embedded in literary works,and offers insights into the relevance of Ethical Literary Criticism in the era of artificial intelligence,as well as its connections with ESG(Environmental,Social,and Governance)and sustainability.The interview underscores his emphasis on the vibrant academic value and practical significance of Ethical Literary Criticism in exploring ethical thoughts in literature,fostering interdisciplinary dialogue,and contributing to the advancement of modern society.
文摘The rapid progress of human organoid toolkits presents unprecedented opportunities in disease modeling,drug discovery,and personalized therapy,alongside profound bioethical challenges and concerns.On April 29th,2025,China’s National Science and Technology Ethics Committee(Life Science Ethics Subcommittee)issued the Human Organoid Research Ethical Guidelines[1],establishing the world’s first comprehensive governance framework,especially focusing on brain organoids,embryo models,and chimeric research.This Guidelines represent a pioneering governance model in emerging biotechnology.This commentary offers an in-depth analysis to examine the policy’s innovative three-tiered structure,contrast it with current global regulatory standards,evaluate its domestic impacts as well as potential implications for international biotechnology governance,and provide recommendations for future directions.
基金funded by China Law Society 2025 Annual Legal Research,Project grant number:CLS(2025)Y04.
文摘Background:Medical artificial intelligence(MAI)is a synthesis of medical science and artificial intelligence development,serving as a crucial field in the current advancement and application of AI.In the process of developing medical AI,there may arise not only legal risks such as infringement of privacy rights and health rights but also ethical risks stemming from violations of the principles of beneficence and non-maleficence.Methods:To effectively address the damages caused by MAI in the future,it is necessary to establish a hierarchical governance system with MAI.This paper examines the systematic collection of local practices in China and the induction and integration of legal remedies for the damage of MAI.Results:To effectively address the ethical and legal challenges of medical artificial intelligence,a hierarchical regulatory system should be established,which based on the impact of intervention measures on natural rights and differences in intervention timing.This paper finally obtains a legal hierarchical governance system corresponding to the ethical risks and legal risks of MAI in China.Conclusion:The Chinese government has formed a multi-agent governance system based on the impact of risks on rights and the timing of legal intervention,which provides a reference for other countries to follow up on the research on MAI risk management.
文摘This study applies the basic theories of“Ethical Literary Criticism”proposed by Nie Zhenzhao to Arthur Miller’s play All My Sons,focusing on the ethical predicament Joe Keller faces in his specific ethical identity within the ethical environment of his time.It further points out the process and the consequence of his ethical choices in the conflict between family interests and social responsibilities,so as to reveal the ethical teaching function of the play.Joe’s ethical predicament arises from the contradiction between his family roles and his desire for interests as a businessman.In this conflict,the interaction of the human factor and the animal factor within the“Sphinx factor”causes Joe to make two different ethical choices.Through Joe’s tragic fate,Miller reveals the ethical enlightenment in All My Sons:Individuals,families,and society are inextricably linked,so today’s citizens need to recognize their inherent social nature and fulfill ethical duties in both personal and social aspects.Miller uses the play to criticize the ethical ethos of 20th-century American society and calls on readers to reevaluate the instrumental rationality behind the American Dream.
基金funded by the Shanghai Philosophy and Social Science Planning Project (2021BZX008)the National Social Science Foundation of China (23BZX110)the National Office for Philosophy and Social Science (20&ZD045).
文摘Background Clinical brain-computer interface(BCI)for mental disorders is an emerging interdisciplinary research field,posing new ethical concerns and challenges,yet lacking practical ethical governance guidelines for stakeholders and the entire community.Aims This study aims to establish a multidisciplinary consensus of principles for ethical governance of clinical BCI research for mental disorders and offer practical ethical guidance to stakeholders involved.Methods A systematic literature review,symposium and roundtable discussions,and a pre-Delphi(round 0)survey were conducted to form the questionnaire for the three-round modified Delphi study.Two rounds of surveys,followed by a third round of independent interviews of 25 experts from BCI-related research domains,were involved.We conducted quantitative analysis of responses and agreements among experts to reveal the consensus and differences regarding the ethical governance of mental BCI research from a multidisciplinary perspective.Results The Delphi panel emphasised important concerns of ethical review practices and ethical principles within the BCI context,identified qualified and highly influential institutions and personnel in conducting and advancing clinical BCI research,and recognised prioritised aspects in the risk-benefit evaluation.Experts expressed diverse opinions on specific ethical concerns,including concerns about invasive technology,its impact on humanity and potential social consequences.Agreement was reached that the practices of ethical governance of clinical BCI for mental disorders should focus on patient voluntariness,autonomy,long-term effects and related assessments of BCI interventions,as well as privacy protection,transparent reporting and ensuring that the research is conducted in qualified institutions with strong data security.Conclusions Ethical governance of clinical research on BCI for mental disorders should include interdisciplinary experts to balance various needs and incorporate the expertise of different stakeholders to avoid serious ethical issues.It requires scientifically grounded approaches,continuous monitoring and interdisciplinary collaboration to ensure evidence-based policies,comprehensive risk assessments and transparency,thereby promoting responsible innovations and protecting patient rights and well-being.
基金supported by The Mediating Effect of Organizational Commitment on Nurses’Ethical Climate and Ethical Behavior(No.IR.UMSHA.REC.1396.601).
文摘Objective:To study the relationship,the mediating effect of organizational commitment on nurses’ethical climate and ethical behavior.Methods:Structural Equation Modeling(SEM)was employed to perform path analysis in this exploratory study.The participants consisted of 280 Iranian nurses who were studied through proportional random sampling.The research tool was consisted of(1)the Ethical Climate Questionnaire by Cullen and Victor,which examines the ethical standards of selfishness,philanthropy,and ethical principles,as well as the reference sources of ethical arguments,including individual,regional,and global ones;(2)Allen and Mayer’s questionnaire,which measures organizational commitment in 3 areas:emotional commitment,continuous commitment,and normative commitment;and(3)Peterson’s Ethical Behavior Questionnaire,which combines nine items to form interconnected ethical behaviors and is based on a 5-point Likert scale.The data were analyzed using AMOS and SPSS v.23 software.Results:The correlation coefficient between the two variables,ethical climate and ethical behavior,showed a significant relationship(r=0.10,p=0.085).The organizational commitment showed a significant relationship between some dimensions and the total ethical climate.The ethical climate affects the organizational commitment(beta=3.261)and behavior(beta=0.121).Organizational commitment does not show any significant relationship with ethical behavior.The ethical climate affects the organizational commitment and the ethical behavior.Conclusions:Nursing managers and nursing staff should consider the ethical climate that affects the organizational commitment and nursing ethical behavior.
文摘With the rapid development of artificial intelligence technology,China has entered the era of artificial intelligence.It not only promotes social development and progress but also faces a series of ethical risks.In response,this article starts from ethical risks,first expounds on the ethical turn in the development of artificial intelligence technology,then clarifies the core challenges of scientific and technological ethics governance in the era of artificial intelligence,and finally,proposes a theoretical framework and practical path for scientific and technological ethics governance,hoping to provide some reference for relevant personnel to better cope with scientific and technological ethics risks in the era of artificial intelligence.
基金This paper is an interim result of“Constitutional Boundaries of the Application of Human Gene Editing Technology,”a Youth Project of the National Social Science Fund of China(Project Approval Number 23CFX040)supported by the“National Funded Programs for Postdoctoral Researchers”(GZC20230937).
文摘The establishment of a sound science and technology ethics governance system is an inevitable requirement for national modernization.Faced with the development of human gene technology and the chaos in research activities,the ethical standards and legal positioning of human gene research activities urgently need to be clarified.The human rights ethics view has value inclusiveness and value fundamentality,and includes three levels of connotations:content dimension,relationship dimension,and obligation dimension.It should serve as the ethical standard for human gene research activities.Based on the provisions of China’s Constitution,the human rights ethics view on human gene research,as a constitutional ethics view,can elucidate different levels of rights content,such as human dignity,life and health,and research freedom.It also addresses the weighing of basic rights conflicts and the dual obligation subjects of public and private nature.Relying on the constitutional value embedding of the research ethics view to form ethical consensus,improving ethical review through framework legislation for human rights interests,and implementing ethical responsibility through the human rights-oriented interpretation of ethical legal norms are the three pathways to realizing the human rights ethics view on human gene research.
文摘My Life as a Foreign Country is an Iraq War narrative by American veteran Brian Turner,recounting the protagonist Turner’s experiences in the Iraq War alongside the wartime experiences of his forefathers.As a descendant of a military family,the protagonist Turner makes ethical choices based on his ethical identity,elucidating the ethical concepts and dilemmas faced by Iraq War soldiers.This paper interprets the narrative from the perspective of literary ethics,analyzing the ethical choices made by the protagonist Turner to explain the underlying reasons and motivations,thereby revealing the ethical perplexities of American soldiers in modern warfare.
文摘Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Methods:A multicenter,cross-sectional study design was employed,involving a convenience sample of 273 nurses among five university hospitals from August to October 2024.Data were collected using a demographic questionnaire,Ethical Leadership Scale,Psychological Safety Scale,Positive Attitudes Toward Whistleblowing Scale,and Internal Whistleblowing Scale.Pearson correlation and structural equation model were conducted to test the hypothesized dual mediation model.Results:The average score of nurses for ethical leadership was 4.14±0.57,psychological safety was 3.80±0.64,reporting attitudes was 4.12±0.67,internal whistleblowing was 3.93±0.52.Ethical leadership had a significant effect on psychological safety(β=0.38,P<0.001),reporting attitudes(β=0.44,P<0.001),and internal whistleblowing(β=0.21,P=0.009).Furthermore,psychological safety(β=0.26,P<0.001)and reporting attitudes(β=0.27,P<0.001)significantly influenced internal whistleblowing among the nurses.The indirect effect of ethics-centered leadership on internal whistleblowing intermediated by psychological safety was significant(β=0.10,P<0.001).Similarly,reporting attitudes demonstrated a significant mediating effect(β=0.12,P=0.003).Conclusions:Ethical leadership encourages internal whistleblowing among nurses by fostering psychological safety and positive reporting attitudes.Therefore,healthcare managers should prioritize ethical leadership development,enhance psychological safety,and foster constructive reporting attitudes that enable nurses to report ethical violations confidently,without apprehension.
文摘From the ecocritical perspective,with the reference to ecological ethics,this paper explores the ethical meanings and views of nature embodied in“werewolf”in Angela Carter’s short story“The Company of Wolves”.This paper analyzes the construction of the werewolf’s ethical identity,the reconstruction of human-animal ethics and finally the ecological integration of nature and culture.Through the analysis of the werewolf and its relationship with humans and nature,this study reveals the complex intertwining of animal and human emotions and ethical identities.This paper aims to reveal how Carter,through fairy tale rewriting and literary experimentation,rethinks the ethical positions of humans,animals,and nature,which presents an ecological ethical imagination that transcends anthropocentrism.
文摘Reproductive medicine has been transformed by assisted reproductive technologies(ART),providing multiple options for infertile couples to conceive biological offspring.The medical and legal frameworks,governing the practice of embryologists in ART,focus on the ethical and safe handling of gametes and embryos.Embryologists play a crucial role in the success of ART procedures,requiring technical expertise and a thorough understanding of legal and ethical considerations.The importance of quality control,safety protocols,and sterility in ART laboratories is essential to ensure optimal embryo development and patient well-being.The legal responsibilities of an embryologist under the Assisted Reproductive Technology(Regulation)Act,2021 in India are required.This review emphasizes the importance of record-keeping,patient confidentiality,informed consent,and adherence to legal and ethical standards to minimize the risk of malpractice claims.Overall,this narrative review provides a detailed overview of the medical,legal,and ethical frameworks governing embryologists'practice in ART,underscoring the significance of responsible and ethical conduct in this rapidly advancing field.
文摘I argue in this paper that moral philosophers need to incorporate into their teaching and writing a number of empirical findings on ethical practices. Principal among these is clearer guidelines on speaking out against wrongdoing, as well as the development of codes of ethics that have been proven to work. The adoption of the critical thinking and the analytical methodology of other disciplines is also suggested. Several benefits will result. The most noticeable will be a strengthening of ethical practices and behavior in the institutions and organizations with which we live and work. A second benefit will be the education and employment of a body of people--graduates in moral philosophy--with the skills and knowledge to bring about, and further strengthen, this enhanced ethical environment. A third benefit will be the matching of the claims of philosophical thought with actual reality.
基金as a part of the Joint Research Integrity Lab between Taylor and Francis and National Science Library,Chinese Academy of Sciences,a project which is funded by both parties。
文摘Purpose:To gain insights into the levels of training and support in research integrity and publishing ethics,levels of experience in publishing in scholarly journals and use of third-party manuscript preparation/editing services(which can include paper mills),and also to assess levels of awareness regarding different types of publishing ethics misconduct,we surveyed members of the Chinese Academy of Sciences(CAS)Journal Ranking WeChat channel.Design/methodology/approach:The online survey collected voluntary anonymous responses from members of the CAS Journal Ranking WeChat channel,one of largest channels of Chinese researchers at all career stages within STM and social sciences.The respondents of the survey fell into one of the following categories:Undergraduate student,Master’s student,PhD candidate,Researcher,Research manager,Researcher with research management responsibilities,and Librarian.The survey included 14 main questions on the topics of access to research integrity and publishing ethics training,experience levels in publishing in scholarly journals(including using third-party services),authorship experiences and behaviours,levels of concern about different types of research integrity issues,and perceptions on who the respondents think are primarily responsible for upholding research integrity standards and training in publishing ethics.After applying inclusion criteria,1,777 responses were included in the analysis.Findings:Amongst the 1,777 respondents included in the study results,only 55.4%had any access to training in research integrity and publishing ethics,and an even smaller proportion to formal training.Even amongst cohorts with access to training(where respondents in the Researcher cohort have the highest access),answers to the questions on authorship and third-party services reveal many areas of confusion regarding authorship criteria and responsibilities in publishing ethics.In particular,the responses also show limited knowledge in recognising unethical service offerings by third-party services(e.g.adding authors,citations and data/images).The survey responses also show that even though respondents in the undergraduate cohort are already actively publishing articles as well as using third-party manuscript preparation/editing services,they have limited access to training and have high levels of uncertainty about authorship responsibilities.Out of all key stakeholders,respondents perceive research institutions to be mainly responsible for upholding research integrity standards as well as providing access to training.Research limitations:As with all voluntary online surveys,the study design includes inherent limitations due to the self-reported nature of the responses.The respondents who participate are likely to have a particular interest and a higher level of awareness about the survey topic,and so the self-selecting nature of the participants can introduce personal biases,which can affect the overall results.This survey was sent to members of a WeChat channel focused on journal rankings,which also discusses research integrity issues,so the respondents may not provide a general representation of their career stage/subject discipline cohorts.The sample sizes were not comparable across all cohorts,so direct comparisons could not always be made.Instead,where appropriate,separate comparisons were made between Undergraduate students,Master’s students,PhD candidates and Researchers(29.26%-18.68%of respondents),or between Research managers,Researcher with research management responsibilities and Librarians(4.28%-2.53%of respondents).Practical implications:It is important to ensure that research integrity and publishing ethics training and education needs are being met for researchers at all levels,including undergraduates.Findings from the survey highlight the importance of establishing training and education programmes tailored towards addressing specific areas of common confusion or limited awareness,especially to reduce the risk of unintentional misconduct.The findings from this survey can be used to inform training and education partnerships and collaborations across key stakeholders,including research institutions and publishers,so that we can collectively improve the overall integrity of scholarly publishing.A table of recommendations and a hypothetical case have been included to illustrate how this can be achieved.Originality/value:To our knowledge,this is the first survey on this topic developed via a collaboration between the research integrity team at an international scholarly publisher and scientometrics researchers based in China.Sharing our perspectives and experience to develop the survey questions has helped to highlight the common areas of confusion regarding authorship responsibilities and ethical third-party service offerings within researchers in China,even amongst those who do have access to training.
基金Three Gorges Follow-up Work Fund,Grant/Award Number:WE0161A042024National Key Research Program of China,Grant/Award Number:2024YFC3210900。
文摘River ethics,a significant advancement inspired by Chinese President XI Jinping's ecological civilization thought,embodies the philosophical essence of river governance and represents a legacy of innovation by generations of water resources professionals.Rooted in river ecology,it offers a framework for advancing modern water governance systems and capabilities.This paper examines eight dimensions of river ethics to provide actionable recommendations:enhancing knowledge systems on water,rivers,and lakes;addressing critical challenges in water governance to strengthen the foundational role of water authorities in ensuring water security,resource management,ecological sustainability and environmental protection;optimizing water project planning to mitigate ecological impacts;ensuring high standards in the lifecycle management of water projects;refining water diversion strategies for precise scheduling;utilizing ecosystem complexity for river and lake restoration;implementing tiered management of water-related disasters;and driving reforms to modernize water governance systems and mechanisms.
文摘This article explores the ethical considerations surrounding the reporting of offlabel and experimental treatments in medical case reports,with a focus on fields such as oncology,psychiatry,and pediatrics.It emphasizes the balance between innovation and evidence-based medicine,highlighting the critical role of case reports in disseminating clinical experiences and advancing medical knowledge.The discussion delves into the ethical framework guiding case reporting,including principles of patient autonomy,informed consent,non-maleficence,beneficence,justice,and transparency.Challenges such as negative outcome reporting,commercial interests,and the balance between innovation and caution are examined.Recommendations for ethical vigilance,the development of comprehensive guidelines,and the role of regulatory bodies are proposed to ensure patient safety and uphold scientific integrity.The article concludes by underscoring the importance of a collaborative effort among clinicians,researchers,ethicists,and regulatory bodies to foster the responsible advancement of medical science while adhering to the highest ethical standards.
文摘Managing the university in the context of ethics is one of many elements in the management of this specific organization. The task of university is functioning based on universal values, mission, vision, ethical codes, and responsibility and worthy behavior towards internal and external environment. In the era of globalization and constant changes, only a modernly managed higher education institution, acting according to principles of ethics, is able to meet requirements of surroundings. Behaviors of academic community should promote ethical actions in higher education institutions. It should be noted that the reputation, prestige in higher education, should also be based on the proceedings consistent with ethics.
