Publication ethics, an important subtopic of science ethics, deals with determination of the misconducts of science in performing research or in the dissemination of ideas, data and products. Science, the main features of which are secure, reliable and ethically obtained data, plays a major role in shaping the society. As long as science maintains its quality by being based on reliable and ethically obtained data, it will be possible to maintain its role in shaping the society. This article is devoted (...) to the presentation of opinions of PhD candidate students in health sciences in Ankara concerning publication ethics. The data obtained from 143 PhD students from the fields of medicine, dentistry, pharmacy and veterinary reveal limited but unique experiences. It also shows that plagiarism is one of the worst issues in the publication ethics from the perspective of these young academics. (shrink)

Prof. Berna Arda, is a graduate of Ankara University Faculty of Medicine 1987, has medical specialty and PhD degrees in History of Medicine and Ethics and, teaches at the Department of Medical Ethics and History of Medicine in Ankara University Faculty of Medicine, Ankara, Turkey. Her main research and publication fields are science ethics, human rights, woman and bioethics, medical law, ethics education and disease concept in history of medicine. She was a visiting scientist at Boston Children’s Hospital (...) and Harvard Medical School, between February - July 2015 and a guest professor at the University College of London, History of Medicine Center, between January and June 2008. She is the founder chairperson of Turkish Bioethics Society, Member of High Disciplinary Committee of Turkish Medical Association. Governor, Vice President and Executive Committee member of World Association for Medical Law, one of the founders and the first president of International Association for Education in Ethics. (shrink)

Contains twenty-one of the papers presented at the 3rd Islam and Bioethics International Conference held April 14-16, 2010, in Manavgat, Antalya, Turkey.

The current debate that surrounds the issue of patient rights and the transformation of health care, social insurance, and reimbursement systems has put the topic of patient responsibility on both the public and health care sectors' agenda. This climate of debate and transition provides an ideal time to rethink patient responsibilities, together with their underlying rationale, and to determine if they are properly represented when being called `patient' responsibilities. In this article we analyze the various types of patient responsibilities, identify (...) the underlying motivations behind their creation, and conclude upon their sensibleness and merit. The range of patient responsibilities that have been proposed and implemented can be reclassified and placed into one of four groups, which are more accurate descriptors of the nature of these responsibilities. We suggest that, within the framework of a free-market system, where health care services are provided based on the ability to pay for them, none of these can properly be justified as a patient responsibility. (shrink)

Interventions in medicine require multicenter clinical trialson a large rather than limited number of subjects from various genetic and cultural backgrounds. International guidelines to protect the rights and well-being of human subjects involved in clinical trialsarecriticizedforthe priority they place on Western cultural values. These discussions become manifest especially with regard to the content and methodology of the informed consent procedure. The ethical dilemma emerges from the argument that there are fundamental differences about the concept of respect for the autonomy of (...) individuals in different cultures and religions. Some communities prioritize the consent of community leaders or the head of family –usually men – over the voluntary and free consent of the individual. The aim of this work is to discuss this ethical dilemma to determine a base for a consensus that satisfies the sensibilities of different cultures without damaging the rights and autonomy of human subjects. (shrink)

Advances in medical technology and information have facilitated clinical practices that favourably affect the success rates of treatment for diseases. Regenerative medicine has been the focus of the recent medical agenda, to the extent of fundamentally changing treatment paradigms. Stem cell practices, their efficacy, and associated ethical concerns have been debated intensively in many countries. Stem cell research is carried out along with the treatment of patients. Thus, various groups affected by the practices inevitably participate in the discussions. In addition (...) to discussions based on avoiding any harm, providing benefits and respecting personal autonomy and justice, problems arise owing to the lack of legal regulations for stem cell research and practice. The dimensions of the problems vary in the developing countries, with widespread use of advanced medical technology but with lack of sources allocated for healthcare, dominance of paternalistic physician–patient relationships and failure to achieve a sufficient level of awareness of patients’ rights. This article discusses the current situation of stem cell practices within the context of regenerative medicine in Turkey and ethical concerns about some of the legal regulations, such as the Regulation for Umblical Cord Blood Banking and Guidelines for Non-embryonic Stem Cell Study for Non-clinical Purposes directing the research on this issue. (shrink)

In recent years, decision-making processes related to medical practices have undergone a change from physician paternalism towards patient autonomy. However, it has been put forward that this situation has changed into or strengthened the parent paternalism for children. Parental paternalism might bring along decisions of refusing the child’s treatment, in such a way to occasionally violate the health right of the child. Paternalistic attitude of parents may also cause physicians to direct towards defensive medicine practices and to display a tendency (...) of avoiding legal liability rather than the benefit of the patient. Coming to the decision of the parent on refusing the child’s treatment together defensive medicine approach of the physician and an environment, where the legal protection mechanisms for the child are not efficient enough, causes serious violations of health rights. International contracts and national law require the protection of the child’s best interest in all cases. In that case, parent’s decision on refusing treatment of the child should be restricted within the scope of the child’s best interest and healthy life right. (shrink)

The aim of this study is to review the inquiry process used in scientific misconduct cases in the Ankara Chamber of Medicine between the years 1998 and 2012. The violations of the “Disciplinary Regulations of the Turkish Medical Association” have been examined by keeping the names of the people, institutions, associations and journals secret. In total, 31 files have been studied and 11 of these files have been identified as related to scientific misconduct. The methods of inquiry, the decisions about (...) the need for an investigation process, the types of scientific misconduct, and the adjudication processes have all been reported. Furthermore, the motives of researchers who made allegations, the study approaches of investigators, and the objections to the decisions about guilt and innocence have also been examined. Based on the findings obtained, the reasons for scientific misconduct and the distribution of responsibilities among the people in the inquiry process have been discussed. A major conclusion is the need to standardize the process of conducting inquiries about scientific misconduct cases for the regional chambers of medicine in Turkey. (shrink)

Artificial intelligence is among the fastest developing areas of advanced technology in medicine. The most important qualia of AI which makes it different from other advanced technology products is its ability to improve its original program and decision-making algorithms via deep learning abilities. This difference is the reason that AI technology stands out from the ethical issues of other advanced technology artifacts. The ethical issues of AI technology vary from privacy and confidentiality of personal data to ethical status and value (...) of AI entities in a wide spectrum, depending on their capability of deep learning and scope of the domains in which they operate. Developing ethical norms and guidelines for planning, development, production, and usage of AI technology has become an important issue to overcome these problems. In this respect three outstanding documents have been produced:1. The Montréal Declaration for Responsible Development of Artificial Intelligence2. Ethics Guidelines for Trustworthy AI3. Asilomar Artificial Intelligence PrinciplesIn this study, these three documents will be analyzed with respect to the ethical principles and values they involve, their perspectives for approaching ethical issues, and their prospects for ethical reasoning when one or more of these values and principles are in conflict. Then, the sufficiency of these guidelines for addressing current or prospective ethical issues emerging from the existence of AI technology in medicine will be evaluated. The discussion will be pursued in terms of the ambiguity of interlocutors and efficiency for working out ethical dilemmas occurring in practical life. (shrink)

Nanotechnology (NT)‐enabled disease‐free life is a form of reconstruction of the human body that promises a paradigm shift toward a new form of human existence in an imaginable life. However, as human reconstruction may be within the limits of the concept of “human enhancement,” it is not clear to what extent “enhanced humans” will be ethically acceptable or desired. This study discusses the ethical implications of NT‐embedded enhanced humans and this new imaginable life. First, ethical concerns arising from the existence (...) of a grey zone of certain dilemmas regarding benefits and possible/unpredicted risks are addressed in terms of the four main principles of bioethics. Then, we focus on the ethical problems in human nano‐enhancement. Finally, we study the methods of analyzing these ethical problems within the framework of principlism to conceive a comprehensive and coherent bioethical understanding. (shrink)

A half century ago electronic fetal monitoring was rushed into clinical use with the promise that the secrets of fetal heart rate decelerations had been discovered and that the newly discovered knowledge would prevent cerebral palsy with just in time cesarean sections preventing babies from experiencing asphyxia, which was thought to be the primary cause of cerebral palsy. In the years since electronic fetal monitoring’s debut, it has been discovered that asphyxia is a rare cause of cerebral palsy. At the (...) same time electronic fetal monitoring use increased to 85% of all labors, the C-section rate increased to 33% without an attributable decrease in the rate of cerebral palsy. What went wrong with electronic fetal monitoring? The answer lies in a new analysis of the physiologic theories concerning fetal heart rate decelerations, demonstrating that the earlier electronic fetal monitoring theories were wrong. This revelation is only the latest evidence that electronic fetal monitoring use today... (shrink)

The Alice Books, full of illogical thoughts, words, and contradictions, were unrivaled entertainment until the publication of the medical literature promoting electronic fetal monitoring for every pregnancy. The modern-day EFM advocates acknowledge EFM’s decades long failure but simultaneously recommend EFM use for lawsuit protection and because the profession has used EFM for every pregnancy for fifty years, therefore, it must be efficacious. These self-indulgent, illogical rationalizations ignore the half century of evidence-based scientific research proving that EFM is a complete failure (...) as well as ignoring the fact that continued EFM use violates the fundamental principles of modern bioethics. This blind advocacy perpetuates four pernicious EFM harms occurring to mothers, babies, and the medical profession itself. This article sets out these four EFM harms with the goal of abolishing the misguided, illogical, contradictory, arguments used by the twenty-first century EFM Lewis Carroll mimics. (shrink)

The particular dynamics of public health emergencies urge scientists and Ethics Committee (EC) members to change and adapt their operating procedures to function effectively. Despite having previous pandemic experiences, ethics committees were unprepared to adapt to COVID-19 pandemic challenges. This survey aims to learn and thoroughly discuss the most salient issues for ECs during the COVID-19 pandemic. The results indicate that the main problems faced by ECs were lack of/insufficient regulations, lack of data/experience/knowledge, sloppy review, poor research design, and poor (...) adaptation to quarantine measures. Coping with factors that threaten the autonomy and independence of ECs, the ethical dilemma regarding maximizing common good versus protecting the rights and well-being of study participants, comprehending the change in the context of vulnerable populations, and redefining the role of ECs to strengthen trust in science and vaccine confidence were outstanding issues. (shrink)

The particular dynamics of public health emergencies urge scientists and Ethics Committee (EC) members to change and adapt their operating procedures to function effectively. Despite having previous pandemic experiences, ethics committees were unprepared to adapt to COVID-19 pandemic challenges. This survey aims to learn and thoroughly discuss the most salient issues for ECs during the COVID-19 pandemic. The results indicate that the main problems faced by ECs were lack of/insufficient regulations, lack of data/experience/knowledge, sloppy review, poor research design, and poor (...) adaptation to quarantine measures. Coping with factors that threaten the autonomy and independence of ECs, the ethical dilemma regarding maximizing common good versus protecting the rights and well-being of study participants, comprehending the change in the context of vulnerable populations, and redefining the role of ECs to strengthen trust in science and vaccine confidence were outstanding issues. (shrink)

The particular dynamics of public health emergencies urge scientists and Ethics Committee (EC) members to change and adapt their operating procedures to function effectively. Despite having previous pandemic experiences, ethics committees were unprepared to adapt to COVID-19 pandemic challenges. This survey aims to learn and thoroughly discuss the most salient issues for ECs during the COVID-19 pandemic. The results indicate that the main problems faced by ECs were lack of/insufficient regulations, lack of data/experience/knowledge, sloppy review, poor research design, and poor (...) adaptation to quarantine measures. Coping with factors that threaten the autonomy and independence of ECs, the ethical dilemma regarding maximizing common good versus protecting the rights and well-being of study participants, comprehending the change in the context of vulnerable populations, and redefining the role of ECs to strengthen trust in science and vaccine confidence were outstanding issues. (shrink)

Professor Arda Denkel argues here that objects are nothing more than bundles of properties. From this point of view he tackles some central questions of ontology: how is an object distinct from others; how does it remain the same while it changes through time? A second contention is that properties are particular entities restricted to the objects they inhabit. The appearance that they exist generally, in a multitude of things, is due to the way we conceptualize them. Other problems (...) dealt with include how objects bear similarities by belonging to the same kinds, and how change in them is caused. Denkel defends a thoroughgoing particularism and offers purely qualitative accounts of individuation, identity, essences and matter. Throughout, the main alternative positions are surveyed, and the relevant historical background is traced. (shrink)

Almaatouq et al. claim that the integrative experiment design can help “develop a reliable, cohesive, and cumulative theoretical understanding.” I will contest this claim by challenging three underlying assumptions about the nature of scientific theories. I propose that the integrative experiment design should be viewed as an exploratory framework rather than a means to build or evaluate theories.

Bu çalışma Machiavelli’nin politik düşünceleri ile devlet aklı öğretisi arasında kurulan sürekliliği tartışmayı amaçlamaktadır. Machiavelli’nin teolojik ve aşkın meşruiyet unsurlarına gönderimde bulunmadan fiili güç ilişkilerini kavramaya yönelen politik öğretisi onu modern politikanın başlangıç figürü haline getirmektedir. Politikanın fiili gerçekliğiyle kavranarak ahlaki ve dinsel olan karşısında özerkleşmesi, insani etkinliği politik olanın merkezine taşımaktadır. Geleneksel yoruma göre Machiavelli’nin etik-politik görüşleriyle politikanın yapay ortaklığına dair bu vurgusu, devlet aklı kuramının klasik formülasyonunu oluşturmaktadır. Düşünürün vefatı sonrası öğretisinin bütünsel olarak Makyavelizm kavramına indirgenmesi bu kavrayışı (...) güçlendirmektedir. Ancak ahlaki ve dini olanın politika karşısında yadsınması anlamına gelen devlet aklının ilksel formları bu teorik zeminle örtüşmemektedir. On altıncı yüzyılda, devlet aklı kuramını kavramsal hale getiren Botero Machiavelli’nin öğretisiyle zıt perspektif ileri sürmektedir. Botero, Machiavelli’den farklı olarak politikanın, ahlak ve din karşısında özerkliğini sorunsallaştırır ve birbirleriyle uyumlu hale getirmeye çalışır. Çalışmamız bu doğrultuda ilk amaç olarak devlet aklı kuramının on altıncı yüzyıl bağlamında Machiavelli sonrası problematiklerini değerlendirmeyi amaçlamaktadır. İkinci bir amaç olarak bu çalışmada Machiavelli’nin devlet anlayışının, Makyavelizm ilkesi ve devlet aklı kuramıyla ilişkisi ele alınacaktır. Bu iki tartışma hattının serimlenmesi Machiavelli’nin politik öğretisinde ve yaşadığı dönem içerisinde devlet aklı kuramıyla ilgisinin düzeylerine işaret etmeye olanak sağlayacaktır. (shrink)

Once we assume that objects are bundles of tropes, we want to know how the latter cohere. Are they held together by a substratum, are they linked by external relations or do they cling to one another by internal relations? This paper begins by exploring the reasons for eliminating the first two suggestions. Defending that the third option can be made plausible, it advances the following thesis: Maintaining that tropes are held in a compresence by appropriately qualified internal relations avoids (...) the consequence that such properties will be essential to the object. The specific targets of the second part of the paper include, first, a more precise description of the notion of a cohesive internal relation, and second, an explanation of how alteration is possible in an object the particular properties of which hold together by qualified internal relations. (shrink)

Schizophrenia is a severe mental illness affecting sense of identity. Autobiographical memory deficits observed in schizophrenia could contribute to this altered sense of identity. The ability to give a meaning to personally significant events is also critical for identity construction and self-coherence. Twenty-four patients with schizophrenia and 24 control participants were asked to recall five self-defining memories. We assessed meaning making in participants’ narratives and afterwards asked them explicitly to give a meaning to their memories . We found that both (...) spontaneous and cued meaning making were impaired in patients with schizophrenia. This impairment was correlated with executive dysfunctions and level of negative symptoms. Our results suggest that patients’ difficulties in drawing lessons about past experiences could contribute to explain the lack of coherence observed in their life trajectories and their impaired social adjustment abilities. Implications for psychotherapy are also discussed. (shrink)

Once we assume that objects are bundles of tropes, we want to know how the latter cohere. Are they held together by a substratum, are they linked by external relations or do they cling to one another by internal relations? This paper begins by exploring the reasons for eliminating the first two suggestions. Defending that the third option can be made plausible, it advances the following thesis: Maintaining that tropes are held in a compresence by appropriately qualified internal relations avoids (...) the consequence that such properties will be essential to the object. The specific targets of the second part of the paper include, first, a more precise description of the notion of a cohesive internal relation, and second, an explanation of how alteration is possible in an object the particular properties of which hold together by qualified internal relations. (shrink)

In Turkey, there was no legal regulation of research on human beings until 1993. In that year “the amendment relating to drug researches” was issued. The main objectives of the regulation are to establish a central ethics committee and local ethics committees, and to provide administrative control.There are no compulsory clinical ethics lectures in the medical curriculum, so it is also proposed that research ethics committees play a central educational role by helping physicians to be aware of moral problems and (...) by contributing to the training of research teams. (shrink)

Se intenta mostrar como los nuevo planteamientos que se estan haciendo en las ciencias naturales y sociales, permiten hallar una fundamentación científica para la lingüística textual.

(2000). ROBERT LESLIE ELLIS AND JOHN STUART MILL ON THE ONE AND THE MANY OF FREQUENTISM. British Journal for the History of Philosophy: Vol. 8, No. 2, pp. 251-274.

PstS and DING proteins are members of a superfamily of secreted, high‐affinity phosphate‐binding proteins. Whereas microbial PstS have a well‐defined role in phosphate ABC transporters, the physiological function of DING proteins, named after their DINGGG N termini, still needs to be determined. PstS and DING proteins co‐exist in some Pseudomonas strains, to which they confer a highly adhesive and virulent phenotype. More than 30 DING proteins have now been purified, mostly from eukaryotes. They are often associated with infections or with (...) dysregulation of cell proliferation. Consequently, eukaryotic DING proteins could also be involved in cell–cell communication or adherence. The ubiquitous presence in eukaryotes of proteins structurally and functionally related to bacterial virulence factors is intriguing, as is the absence of eukaryotic genes encoding DING proteins in databases. DING proteins in eukaryotes could originate from unidentified commensal or symbiotic bacteria and could contribute to essential functions. Alternatively, DING proteins could be encoded by eukaryotic genes sharing special features that prevent their cloning. Both hypotheses are discussed. (shrink)

Since 9/11, the possibilities for pluralism and tolerance have been severely tested by a discourse of terrorism and security. The development of an intelligent and cosmopolitan understanding between religious communities in Europe and America has been compromised by a range of legal and political responses to terrorism. While the debate about the berqa has clearly indicated the problems relating to Muslim cultural differences, we argue that legal pluralism and in particular the question of Shari’a tribunals may prove to be a (...) more decisive test of Western multiculturalism. This article examines the many criticisms raised against religious arbitration in domestic affairs and considers the presence of the Shari’a at various levels of society, claiming that the evolution of Sharia-mindedness is compatible both with a faith-based life and with liberal ideals. However, the problem with religious courts lies elsewhere, namely with the fragmentation of social life and the erosion of citizenship. The article concludes by examining the prospects and problems of Turkish entry into the European Union with special reference to the domestic policies of the Justice and Development Party. (shrink)

What gives representation its democratic essence? The recent democratic theory literature, particularly spearheaded by Nadia Urbinati, defends representative mediation as a facilitator of ongoing democratic contestation and revision. While I agree with this agonistic defence, I take issue with how Urbinati construes it. For her, representative contestation works in the teleological sense of testing opinions over time and sublimating them into ideological forms as a safeguard against the threat of immediacy. This article locates the traces of such presentism within Urbinati’s (...) own teleological framework, which I see as compromising her commitment to the agonistic vein in representative politics. When our relationship to the future is imagined from such a teleological angle, I argue, the scope of our representative options becomes significantly narrowed down and the possibility of beginning anew looks quite slim. I develop this critique by tapping into Jacques Derrida’s affirmation of untimeliness. (shrink)

The randomised controlled trial (RCT) constitutes a quantitative, comparative, controlled study of a particular treatment, and provides invaluable evidence regarding its pharmacotherapeutic efficacy. These studies are generally predicated upon the ethical principle of clinical equipoise. However, this may be insufficient to justify withholding treatment from a control group while assessing drug therapy in a potentially fatal disease. Thus, the criteria for randomisation, informed consent methodology and timing, and consideration of treatment options in such a scenario remain the province of medical (...) ethics. This paper addresses the need for an RCT of ribavirin in the treatment of Crimean Congo haemorrhagic fever, and highlights underlying ethical concerns in light of the current medical, virological and ethical literature. (shrink)

In this paper I will combat the claim that concrete matter can exist independently of objecthood. This view is a denial of the Aristotelian principles that only particular objects exist apart, and that as a condition of concreteness, matter must have acquired form. For, it propounds that matter can be concrete and general.

Mellor’s theory of time includes the doctrines that (a) objectively, time does not embody tense or temporal properties other than those contained in the B-series, (b) particular objects are endurers, and (c) objectively, time does not flow. I show that these theses cannot all be true together, and that one must be rejected. Since (a) is basic to Mellor’s approach, then assuming that he would not adopt a perdurantist ontology, it follows that he should give up (c). Denying (c), however, (...) is compatible with the essentials of his position. The falsity of (c) does not imply any version of the A-theory, and the B-theory can allow for the motion of diachronically identical entities through the dates over which their careers extend. (shrink)

My goal in this paper is to see the extent to which judgment aggregation methods subsume meta-analytic ones. To this end, I derive a generalized version of the classical Condorcet Jury Theorem, the aggregative implications of which have been widely exploited in the area of rational choice theory, but not yet in philosophy of science. I contend that the generalized CJT that I prove below is useful for modelling at least some meta-analytic procedures.

In this article, we examine the shifting roles played by non-state actors in governing areas of limited statehood. In particular, we focus on the emergence of voluntary grassroots organizations in Palestine and describe how regimes of international development aid transformed these organizations into professional nongovernmental organizations (NGOs) that created new forms of colonial control. Based on in-depth interviews with 145 NGO members and key stakeholders and a historical analysis of limited statehood in Palestine, we found that social relations became disembedded (...) from the local context and re-embedded in new relations with international donor organizations resulting in a depoliticized public sphere. NGOization of the economy also resulted in new forms of exclusion and inclusion as well as contestations between a new class of urban middle-class professionals working in NGOs and the older generation of activists who were involved in grassroots organizations. Our findings have implications for business and human rights and governance in areas of limited statehood, in particular how private actors such as NGOs are able to exercise power in the economy. (shrink)

This article considers reasons for and reasons against postulating substrata in ontology, and argues that the case against amounts to a refutation.

Quelles sont les formes modernes de la croyance en l'image et de quelle manière le cinéma, la photographie, l'art-vidéo, travaillent sur les frontières de l'expérimentation et des mutations théoriques de l'image ?