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
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
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
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
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
Addressing the existing gap in ethical research surrounding distinct technical characteristics of Robotic Process Automation enhanced with Artificial Intelligence (AI-RPA), this analysis examines the unique ethical di...Addressing the existing gap in ethical research surrounding distinct technical characteristics of Robotic Process Automation enhanced with Artificial Intelligence (AI-RPA), this analysis examines the unique ethical dimensions by positioning AI-RPA as a distinct technological subdivision. From an analytical perspective, this study highlights key characteristics such as minimal reliance on programming, rapid development cycles, and restricted algorithmic control, which differentiate AI-RPA from traditional AI systems. These characteristics underscore the need for tailored ethical considerations, to identify ethical perils within AI-RPA’s technological origins. By positioning AI-RPA as a distinct subdivision and examining its unique characteristics alongside their emerging ethical challenges, this paper enriches the evolving discourse on AI ethics, providing valuable insights for researchers, policymakers, and organizations implementing AI-RPA technologies.展开更多
This study addresses security and ethical challenges in LLM-based Multi-Agent Systems, as exemplified in a blockchain fraud detection case study. Leveraging blockchain’s secure architecture, the framework involves sp...This study addresses security and ethical challenges in LLM-based Multi-Agent Systems, as exemplified in a blockchain fraud detection case study. Leveraging blockchain’s secure architecture, the framework involves specialized LLM Agents—ContractMining, Investigative, Ethics, and PerformanceMonitor, coordinated by a ManagerAgent. Baseline LLM models achieved 30% accuracy with a threshold method and 94% accuracy with a random-forest method. The Claude 3.5-powered LLM system reached an accuracy of 92%. Ethical evaluations revealed biases, highlighting the need for fairness-focused refinements. Our approach aims to develop trustworthy and reliable networks of agents capable of functioning even in adversarial environments. To our knowledge, no existing systems employ ethical LLM agents specifically designed to detect fraud, making this a novel contribution. Future work will focus on refining ethical frameworks, scaling the system, and benchmarking it against traditional methods to establish a robust, adaptable, and ethically grounded solution for blockchain fraud detection.展开更多
Physical restraint is one of the most controversial methods in managing aggressive behaviors and maintaining patients' safety. This manuscript purposed to convince stockholders and policymakers of the negative imp...Physical restraint is one of the most controversial methods in managing aggressive behaviors and maintaining patients' safety. This manuscript purposed to convince stockholders and policymakers of the negative impact of physical restraint on patients' psychological and physical health. The current authors review the ethical and legal underpinnings of the opponents' and proponents' views. On one hand, there is a clear violation of the main principles of the code of ethics. Autonomy and justice;as the patients are tied against their will and without obtaining their consent, non-maleficent;as physical restraints are reported in many cases of physical and psychological traumas, thus many agencies prohibited the use of physical restraints as a safety method to be replaced with other deescalating techniques. On the other hand, physical restraints are a precious method in controlling aggressive behaviors and maintaining patients' safety, which is the selective beneficence in providing patient care. Also, most of the same agencies who prohibited the use of restraints, agreed the use of physical restraint as the last resor t.Summary statement What is already known about this topic?· Currently, physical restraint is used as the first accessible method to manage patients' behaviors, without considering the negative aura that surrounds the way of treatment. The usage of physical restraint has gone beyond the purpose of maintaining patient safety and managing aggressive behaviors to be a punishment method.· The Ethical and Legal context of using physical restraints is still vague and needs more clarification.What does this paper add?· This manuscript illustrates the Ethical and Legal points of view of the opponents and proponents of using physical restraints.· The current manuscript clearly justifies the authors' point of view to oppose physical restraints usage and how physical restraints violate the core principles of the code of ethics. In addition, it illustrates the legal agencies that suppor t/oppose the usage of physical restraint and the rationale beyond that position.· This manuscript provides alternatives to manage patients' aggressive behaviors and other ways to protect patients' safety as well as patient's dignity and code of ethics.The implications of this paper This argumentative essay provides an accessible, relevant exploration of public health policy, and its impact on nursing practice, mental health services, and patient health. Moreover, it provides a forum for mental health services to evaluate the current implications of physical restraints. The manuscript creates a paradigm for future studies and projects on physical restraints usage.展开更多
Background:The rapid integration of generative artificial intelligence(genAI)into medical education offers significant opportunities for personalized learning,efficiency,and access.However,its implementation also rais...Background:The rapid integration of generative artificial intelligence(genAI)into medical education offers significant opportunities for personalized learning,efficiency,and access.However,its implementation also raises complex ethical concerns that,if unaddressed,may compromise academic integrity,professional identity,and learner equity.This review aimed to identify the primary ethical risks associated with genAI use in medical education and propose solid measures to mitigate these issues.Methods:A structured narrative review was conducted in accordance with the Scale for the Assessment of Narrative Review Articles(SANRA).A focused literature search was performed across PubMed/MEDLINE and Google Scholar for peer-reviewed,English-language articles published from January 2023 to May 2025.Studies were included if they addressed ethical issues in the use of genAI in undergraduate or postgraduate medical education.Data were extracted into related themes,and findings were synthesized into risk and mitigation categories.Results:A total of 27 records were included.Eight principal categories of ethical risks associated with genAI in medical education emerged:(1)academic integrity erosion,(2)cognitive deskilling,(3)algorithmic bias and opacity,(4)privacy and surveillance concerns,(5)moral and humanistic diminishment,(6)faculty role displacement,(7)commercialization and inequity,and(8)legal-regulatory ambiguity.Each risk was matched with targeted mitigation strategies proposed in the literature,including institutional genAI governance frameworks,genAI literacy training,reinforcement of humanistic pedagogy,establishment of ethical oversight bodies,curricular integration of ethical reflexivity,equity-centered implementation policies,faculty development for genAI integration,and transparent data governance protocols.Conclusion:Generative AI presents both transformative promise and substantial ethical risks in medical education.Proactive,ethically grounded integration-guided by institutional oversight,curriculum reform,and equity safeguards-is essential to realize its benefits while protecting the integrity and humanity of medical training.展开更多
It’s a great honor for me to talk about ethics applied to artificial intelligence here.Most of the problems that we are facing today come from a strong misunderstanding of what ethics means.We tend to think ethics ar...It’s a great honor for me to talk about ethics applied to artificial intelligence here.Most of the problems that we are facing today come from a strong misunderstanding of what ethics means.We tend to think ethics are merely about establishing principles that would help us mitigate risks and secure benefits expected from AI systems.We are on the wrong path.Ethics are much more complex than that.Ethics are about philosophy,not about politics.Ethics are more about asking questions to enlighten decision-making processes,then to provide one-size-fit-all solutions.We are doing what I call cosmetics,which is a makeup using ethics-related vocabulary,notions and concepts to communicate and influence users and consumers,and to send messages to the market.展开更多
The widespread application of artificial intelligence(AI)technology in exams has significantly improved the efficiency and fairness of exams;it has also brought challenges of ethics and privacy protection.The article ...The widespread application of artificial intelligence(AI)technology in exams has significantly improved the efficiency and fairness of exams;it has also brought challenges of ethics and privacy protection.The article analyzes the fairness,transparency,and privacy protection issues caused by AI in exams and proposes strategic solutions.This article aims to provide guidance for the rational application of AI technology in exams,ensuring a balance between technological progress and ethical protection by strengthening laws and regulations,enhancing technological transparency,strengthening candidates’privacy rights,and improving the management measures of educational examination institutions.展开更多
Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by prof...Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by professional master’s students,the preparation of ethical application materials,conflicts between the timing of ethical applications and the clinical training rotation schedules,and the continuity of ethical applications among students within the same cohort and across different cohorts.展开更多
Background:Jay Haley’s contributions to bioethics introduced a systemic and interventionist perspective on clinical responsibility,autonomy,and ethical governance.His directive therapeutic methods redefined clinical ...Background:Jay Haley’s contributions to bioethics introduced a systemic and interventionist perspective on clinical responsibility,autonomy,and ethical governance.His directive therapeutic methods redefined clinical practice as a domain of ethical action,emphasizing relational accountability and structured decision-making at the core of medical and psychotherapeutic ethics.Haley challenged dominant models of patient autonomy and informed consent by highlighting the clinician’s active role in guiding ethical outcomes within complex relational systems.He positioned therapeutic influence within broader debates on medical authority and ethical boundaries.By integrating medical hypnosis and family systems therapy,Haley’s work bridges clinical practice and bioethical principles,reshaping the ethics principles of psychotherapy.Methods:This medical history study employs a historiographical approach,analyzing over one hundred primary and secondary sources including Haley’s published works,archival audiovisual materials,and contemporaneous policy documents.Systematic source classification,triangulation with independent evaluations,and explicit disclosure of author positionality ensure methodological rigor.Interpretive source analysis and intellectual history frameworks enable a thorough reconstruction of Haley’s bioethical contributions within broader historical and philosophical contexts,with particular attention to the philosophical assumptions underlying his strategic interventions.Results:New findings identifies six interrelated domains in Haley’s ethical approach that emphasize core bioethical principles:autonomy,beneficence,nonmaleficence,justice,and accountability.Haley’s methods demonstrate brief,goal-directed,and ethically accountable interventions aligned with principlism,virtue ethics,and communitarian ethics.Key findings include critiques of psychoanalytic neutrality,the use of metaphor and hypnosis to support informed client engagement without coercion,and integration of systemic factors into ethical decision-making.These insights extend knowledge by showing how Haley’s work advanced ethical standards influencing contemporary clinical governance frameworks such as the AAMFT Code of Ethics.Conclusion:By cataloguing Haley’s corpus and mapping his bioethical emphases across domains,this study extends existing knowledge,positioning Haley as a foundational bioethical theorist in systemic therapy.His work reframes therapy as a relational and ethically governed intervention,offering enduring insights for clinical governance,professional ethics,and therapeutic practice.These findings enrich the historiography of medical ethics by positioning Haley as a foundational bioethical theorist whose work continues to inform therapeutic practice and ethical deliberation.展开更多
Based on the Many Worlds Interpretation,I describe reality as a multilayer spacetime,where parallel layers play the role of alternative timelines.I link physics to ethics,arguing that one’s moral choices shape one’s...Based on the Many Worlds Interpretation,I describe reality as a multilayer spacetime,where parallel layers play the role of alternative timelines.I link physics to ethics,arguing that one’s moral choices shape one’s course in the multiverse.I consider one’s ethical decisions as decoherence events,leading to movement between alternative timelines,lighter(higher)or heavier(lower)realities.Sometimes in one’s curvilinear path in spacetime,one can even experience falling toward lower layers,slipping through wormholes.This theory supports free will and the simulation hypothesis.With this background,I explore the idea that a new theory of gravity might open new possibilities to shape matter and change our worldview through the invention of new technology,transforming information into waves and then into solid matter,paving the way for a new Multiverse Aeon for humanity.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
The objective of the study is to examine the moderating influence of gender on the relationship between cultural values and Islamic work ethics(IWE)among Palestinian Arab high school teachers in Israel who represent a...The objective of the study is to examine the moderating influence of gender on the relationship between cultural values and Islamic work ethics(IWE)among Palestinian Arab high school teachers in Israel who represent an ethnic and religious minority within a Western-oriented framework.The study sample comprised 1,245 Arab teachers(759 females and 476 males).Data analysis was conducted using structural equation modeling with AMOS,focusing on path analysis.The research findings highlight a substantial relationship between cultural values and Islamic work ethics,with gender as a moderating variable.Additionally,the results indicate a significant positive relationship between the cultural value dimension of uncertainty avoidance and both dimensions of Islamic work ethics-dedication and social responsibility in the workplace,along with independence,diligence,and achievement.In contrast,a pronounced and significant negative relationship was identified between the cultural dimension of femininity/masculinity and these two dimensions of Islamic work ethics.展开更多
This article discusses the manuscript recently published in the World Journal of Gastroenterology,which explores the application of deep learning models in decision-making processes via wireless capsule endoscopy.Inte...This article discusses the manuscript recently published in the World Journal of Gastroenterology,which explores the application of deep learning models in decision-making processes via wireless capsule endoscopy.Integrating artificial intelligence(AI)into gastrointestinal disease diagnosis represents a transformative step toward precision medicine,enhancing real-time accuracy in detecting multi-category lesions at earlier stages,including small bowel lesions and precancerous polyps,ultimately improving patient outcomes.However,the use of AI in clinical settings raises ethical considerations that extend beyond technological potential.Issues of patient privacy,data security,and potential diagnostic biases require careful attention.AI models must prioritize diverse and representative datasets to mitigate inequities and ensure diagnostic accuracy across populations.Furthermore,balancing AI with clinical expertise is crucial,positioning AI as a supportive tool rather than a replacement for physician judgment.Addressing these ethical challenges will support the responsible deployment of AI,through equitable contribution to patient-centered care.展开更多
With the rapid advancement of medical artificial intelligence(AI)technology,particularly the widespread adoption of AI diagnostic systems,ethical challenges in medical decision-making have garnered increasing attentio...With the rapid advancement of medical artificial intelligence(AI)technology,particularly the widespread adoption of AI diagnostic systems,ethical challenges in medical decision-making have garnered increasing attention.This paper analyzes the limitations of algorithmic ethics in medical decision-making and explores accountability mechanisms,aiming to provide theoretical support for ethically informed medical practices.The study highlights how the opacity of AI algorithms complicates the definition of decision-making responsibility,undermines doctor-patient trust,and affects informed consent.By thoroughly investigating issues such as the algorithmic“black box”problem and data privacy protection,we develop accountability assessment models to address ethical concerns related to medical resource allocation.Furthermore,this research examines the effective implementation of AI diagnostic systems through case studies of both successful and unsuccessful applications,extracting lessons on accountability mechanisms and response strategies.Finally,we emphasize that establishing a transparent accountability framework is crucial for enhancing the ethical standards of medical AI systems and protecting patients’rights and interests.展开更多
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.
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Addressing the existing gap in ethical research surrounding distinct technical characteristics of Robotic Process Automation enhanced with Artificial Intelligence (AI-RPA), this analysis examines the unique ethical dimensions by positioning AI-RPA as a distinct technological subdivision. From an analytical perspective, this study highlights key characteristics such as minimal reliance on programming, rapid development cycles, and restricted algorithmic control, which differentiate AI-RPA from traditional AI systems. These characteristics underscore the need for tailored ethical considerations, to identify ethical perils within AI-RPA’s technological origins. By positioning AI-RPA as a distinct subdivision and examining its unique characteristics alongside their emerging ethical challenges, this paper enriches the evolving discourse on AI ethics, providing valuable insights for researchers, policymakers, and organizations implementing AI-RPA technologies.
文摘This study addresses security and ethical challenges in LLM-based Multi-Agent Systems, as exemplified in a blockchain fraud detection case study. Leveraging blockchain’s secure architecture, the framework involves specialized LLM Agents—ContractMining, Investigative, Ethics, and PerformanceMonitor, coordinated by a ManagerAgent. Baseline LLM models achieved 30% accuracy with a threshold method and 94% accuracy with a random-forest method. The Claude 3.5-powered LLM system reached an accuracy of 92%. Ethical evaluations revealed biases, highlighting the need for fairness-focused refinements. Our approach aims to develop trustworthy and reliable networks of agents capable of functioning even in adversarial environments. To our knowledge, no existing systems employ ethical LLM agents specifically designed to detect fraud, making this a novel contribution. Future work will focus on refining ethical frameworks, scaling the system, and benchmarking it against traditional methods to establish a robust, adaptable, and ethically grounded solution for blockchain fraud detection.
文摘Physical restraint is one of the most controversial methods in managing aggressive behaviors and maintaining patients' safety. This manuscript purposed to convince stockholders and policymakers of the negative impact of physical restraint on patients' psychological and physical health. The current authors review the ethical and legal underpinnings of the opponents' and proponents' views. On one hand, there is a clear violation of the main principles of the code of ethics. Autonomy and justice;as the patients are tied against their will and without obtaining their consent, non-maleficent;as physical restraints are reported in many cases of physical and psychological traumas, thus many agencies prohibited the use of physical restraints as a safety method to be replaced with other deescalating techniques. On the other hand, physical restraints are a precious method in controlling aggressive behaviors and maintaining patients' safety, which is the selective beneficence in providing patient care. Also, most of the same agencies who prohibited the use of restraints, agreed the use of physical restraint as the last resor t.Summary statement What is already known about this topic?· Currently, physical restraint is used as the first accessible method to manage patients' behaviors, without considering the negative aura that surrounds the way of treatment. The usage of physical restraint has gone beyond the purpose of maintaining patient safety and managing aggressive behaviors to be a punishment method.· The Ethical and Legal context of using physical restraints is still vague and needs more clarification.What does this paper add?· This manuscript illustrates the Ethical and Legal points of view of the opponents and proponents of using physical restraints.· The current manuscript clearly justifies the authors' point of view to oppose physical restraints usage and how physical restraints violate the core principles of the code of ethics. In addition, it illustrates the legal agencies that suppor t/oppose the usage of physical restraint and the rationale beyond that position.· This manuscript provides alternatives to manage patients' aggressive behaviors and other ways to protect patients' safety as well as patient's dignity and code of ethics.The implications of this paper This argumentative essay provides an accessible, relevant exploration of public health policy, and its impact on nursing practice, mental health services, and patient health. Moreover, it provides a forum for mental health services to evaluate the current implications of physical restraints. The manuscript creates a paradigm for future studies and projects on physical restraints usage.
文摘Background:The rapid integration of generative artificial intelligence(genAI)into medical education offers significant opportunities for personalized learning,efficiency,and access.However,its implementation also raises complex ethical concerns that,if unaddressed,may compromise academic integrity,professional identity,and learner equity.This review aimed to identify the primary ethical risks associated with genAI use in medical education and propose solid measures to mitigate these issues.Methods:A structured narrative review was conducted in accordance with the Scale for the Assessment of Narrative Review Articles(SANRA).A focused literature search was performed across PubMed/MEDLINE and Google Scholar for peer-reviewed,English-language articles published from January 2023 to May 2025.Studies were included if they addressed ethical issues in the use of genAI in undergraduate or postgraduate medical education.Data were extracted into related themes,and findings were synthesized into risk and mitigation categories.Results:A total of 27 records were included.Eight principal categories of ethical risks associated with genAI in medical education emerged:(1)academic integrity erosion,(2)cognitive deskilling,(3)algorithmic bias and opacity,(4)privacy and surveillance concerns,(5)moral and humanistic diminishment,(6)faculty role displacement,(7)commercialization and inequity,and(8)legal-regulatory ambiguity.Each risk was matched with targeted mitigation strategies proposed in the literature,including institutional genAI governance frameworks,genAI literacy training,reinforcement of humanistic pedagogy,establishment of ethical oversight bodies,curricular integration of ethical reflexivity,equity-centered implementation policies,faculty development for genAI integration,and transparent data governance protocols.Conclusion:Generative AI presents both transformative promise and substantial ethical risks in medical education.Proactive,ethically grounded integration-guided by institutional oversight,curriculum reform,and equity safeguards-is essential to realize its benefits while protecting the integrity and humanity of medical training.
文摘It’s a great honor for me to talk about ethics applied to artificial intelligence here.Most of the problems that we are facing today come from a strong misunderstanding of what ethics means.We tend to think ethics are merely about establishing principles that would help us mitigate risks and secure benefits expected from AI systems.We are on the wrong path.Ethics are much more complex than that.Ethics are about philosophy,not about politics.Ethics are more about asking questions to enlighten decision-making processes,then to provide one-size-fit-all solutions.We are doing what I call cosmetics,which is a makeup using ethics-related vocabulary,notions and concepts to communicate and influence users and consumers,and to send messages to the market.
文摘The widespread application of artificial intelligence(AI)technology in exams has significantly improved the efficiency and fairness of exams;it has also brought challenges of ethics and privacy protection.The article analyzes the fairness,transparency,and privacy protection issues caused by AI in exams and proposes strategic solutions.This article aims to provide guidance for the rational application of AI technology in exams,ensuring a balance between technological progress and ethical protection by strengthening laws and regulations,enhancing technological transparency,strengthening candidates’privacy rights,and improving the management measures of educational examination institutions.
文摘Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by professional master’s students,the preparation of ethical application materials,conflicts between the timing of ethical applications and the clinical training rotation schedules,and the continuity of ethical applications among students within the same cohort and across different cohorts.
文摘Background:Jay Haley’s contributions to bioethics introduced a systemic and interventionist perspective on clinical responsibility,autonomy,and ethical governance.His directive therapeutic methods redefined clinical practice as a domain of ethical action,emphasizing relational accountability and structured decision-making at the core of medical and psychotherapeutic ethics.Haley challenged dominant models of patient autonomy and informed consent by highlighting the clinician’s active role in guiding ethical outcomes within complex relational systems.He positioned therapeutic influence within broader debates on medical authority and ethical boundaries.By integrating medical hypnosis and family systems therapy,Haley’s work bridges clinical practice and bioethical principles,reshaping the ethics principles of psychotherapy.Methods:This medical history study employs a historiographical approach,analyzing over one hundred primary and secondary sources including Haley’s published works,archival audiovisual materials,and contemporaneous policy documents.Systematic source classification,triangulation with independent evaluations,and explicit disclosure of author positionality ensure methodological rigor.Interpretive source analysis and intellectual history frameworks enable a thorough reconstruction of Haley’s bioethical contributions within broader historical and philosophical contexts,with particular attention to the philosophical assumptions underlying his strategic interventions.Results:New findings identifies six interrelated domains in Haley’s ethical approach that emphasize core bioethical principles:autonomy,beneficence,nonmaleficence,justice,and accountability.Haley’s methods demonstrate brief,goal-directed,and ethically accountable interventions aligned with principlism,virtue ethics,and communitarian ethics.Key findings include critiques of psychoanalytic neutrality,the use of metaphor and hypnosis to support informed client engagement without coercion,and integration of systemic factors into ethical decision-making.These insights extend knowledge by showing how Haley’s work advanced ethical standards influencing contemporary clinical governance frameworks such as the AAMFT Code of Ethics.Conclusion:By cataloguing Haley’s corpus and mapping his bioethical emphases across domains,this study extends existing knowledge,positioning Haley as a foundational bioethical theorist in systemic therapy.His work reframes therapy as a relational and ethically governed intervention,offering enduring insights for clinical governance,professional ethics,and therapeutic practice.These findings enrich the historiography of medical ethics by positioning Haley as a foundational bioethical theorist whose work continues to inform therapeutic practice and ethical deliberation.
文摘Based on the Many Worlds Interpretation,I describe reality as a multilayer spacetime,where parallel layers play the role of alternative timelines.I link physics to ethics,arguing that one’s moral choices shape one’s course in the multiverse.I consider one’s ethical decisions as decoherence events,leading to movement between alternative timelines,lighter(higher)or heavier(lower)realities.Sometimes in one’s curvilinear path in spacetime,one can even experience falling toward lower layers,slipping through wormholes.This theory supports free will and the simulation hypothesis.With this background,I explore the idea that a new theory of gravity might open new possibilities to shape matter and change our worldview through the invention of new technology,transforming information into waves and then into solid matter,paving the way for a new Multiverse Aeon for humanity.
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.
文摘The objective of the study is to examine the moderating influence of gender on the relationship between cultural values and Islamic work ethics(IWE)among Palestinian Arab high school teachers in Israel who represent an ethnic and religious minority within a Western-oriented framework.The study sample comprised 1,245 Arab teachers(759 females and 476 males).Data analysis was conducted using structural equation modeling with AMOS,focusing on path analysis.The research findings highlight a substantial relationship between cultural values and Islamic work ethics,with gender as a moderating variable.Additionally,the results indicate a significant positive relationship between the cultural value dimension of uncertainty avoidance and both dimensions of Islamic work ethics-dedication and social responsibility in the workplace,along with independence,diligence,and achievement.In contrast,a pronounced and significant negative relationship was identified between the cultural dimension of femininity/masculinity and these two dimensions of Islamic work ethics.
文摘This article discusses the manuscript recently published in the World Journal of Gastroenterology,which explores the application of deep learning models in decision-making processes via wireless capsule endoscopy.Integrating artificial intelligence(AI)into gastrointestinal disease diagnosis represents a transformative step toward precision medicine,enhancing real-time accuracy in detecting multi-category lesions at earlier stages,including small bowel lesions and precancerous polyps,ultimately improving patient outcomes.However,the use of AI in clinical settings raises ethical considerations that extend beyond technological potential.Issues of patient privacy,data security,and potential diagnostic biases require careful attention.AI models must prioritize diverse and representative datasets to mitigate inequities and ensure diagnostic accuracy across populations.Furthermore,balancing AI with clinical expertise is crucial,positioning AI as a supportive tool rather than a replacement for physician judgment.Addressing these ethical challenges will support the responsible deployment of AI,through equitable contribution to patient-centered care.
文摘With the rapid advancement of medical artificial intelligence(AI)technology,particularly the widespread adoption of AI diagnostic systems,ethical challenges in medical decision-making have garnered increasing attention.This paper analyzes the limitations of algorithmic ethics in medical decision-making and explores accountability mechanisms,aiming to provide theoretical support for ethically informed medical practices.The study highlights how the opacity of AI algorithms complicates the definition of decision-making responsibility,undermines doctor-patient trust,and affects informed consent.By thoroughly investigating issues such as the algorithmic“black box”problem and data privacy protection,we develop accountability assessment models to address ethical concerns related to medical resource allocation.Furthermore,this research examines the effective implementation of AI diagnostic systems through case studies of both successful and unsuccessful applications,extracting lessons on accountability mechanisms and response strategies.Finally,we emphasize that establishing a transparent accountability framework is crucial for enhancing the ethical standards of medical AI systems and protecting patients’rights and interests.
