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  • Commentary
  • Open Access
3 Citations
3,944 Views
9 Pages

Several authors have advanced the idea that psychedelics such as psilocybin might be effective means for achieving moral bioenhancement (MBE). Here, I discuss some reservations on this assertion from both neuropharmacological and bioethical perspecti...

  • Article
  • Open Access
2,232 Views
16 Pages

19 August 2024

Background: The rising frequency of live kidney donations is accompanied by growing ethical concerns as to donor autonomy, the comprehensiveness of disclosure, and donors’ understanding of long-term consequences. Aim: To explore donors’ s...

  • Concept Paper
  • Open Access
1,090 Views
18 Pages

22 April 2026

As modern society grows increasingly complex, access to essential services such as healthcare, legal aid, tailored education, and psychological support remains heavily gated by socio-economic, neurological, and systemic barriers. This paper explores...

  • Article
  • Open Access
2,862 Views
13 Pages

26 June 2025

This paper examines the ethical frameworks that guide Āyurvedic practices and compares them with those underlying contemporary Western medicine. At the heart of current bioethical debates is the question of whether certain principles can be univ...

  • Reply
  • Open Access
781 Views
3 Pages

Kähönen argued that the harms associated with psychedelics have been overstated, while evidence for the latter’s moral enhancing effects was disregarded, in my earlier commentary. Here, I respond to these arguments and maintain that t...

  • Review
  • Open Access
1 Citations
2,376 Views
23 Pages

Advancing Precision Medicine in PDAC: An Ethical Scoping Review and Call to Action for IHC Implementation

  • Lyanne A. Delgado-Coka,
  • Lucia Roa-Peña,
  • Andrew Flescher,
  • Luisa F. Escobar-Hoyos and
  • Kenneth R. Shroyer

6 June 2025

Pancreatic ductal adenocarcinoma (PDAC) presents significant challenges in diagnosis, prevention, and treatment. Predictive biomarkers offer the potential to revolutionize clinical management, particularly in the preoperative setting, but their imple...

(This article belongs to the Special Issue Management of Pancreatic Cancer)
  • Perspective
  • Open Access
4 Citations
6,968 Views
10 Pages

The objective of medicine is to provide humans with the best possible health outcomes from the beginning to the end of life. If the continuation of life becomes unbearable, some may evaluate procedures to end their lives prematurely. One such procedu...

(This article belongs to the Section Global Health)
  • Systematic Review
  • Open Access
9 Citations
9,625 Views
15 Pages

6 March 2023

The new COVID-19 pandemic has affected day-to-day life, creating various ethical dilemmas. COVID-19 vaccination is seen as an effective way to halt the pandemic. Ethical challenges can arise when the vaccines are mandated for all ages, but more so wh...

(This article belongs to the Section COVID-19 Vaccines and Vaccination)
  • Article
  • Open Access
1,641 Views
7 Pages

Pharmacovigilance and Principle of Nonmaleficence in Sex Reassignment

  • Kristina Zamarytė,
  • Donatas Stakišaitis,
  • Agnė Širinskienė,
  • Andrius Narbekovas and
  • Jonas Juškevičius

4 December 2012

Physicians are obliged to provide treatment that is consistent with their commitment to avoid or minimize harm (nonmaleficence) and their commitment to do good (beneficence). Therefore, if patient’s desires were contradictory to the primary aim of me...

  • Review
  • Open Access
28 Citations
26,403 Views
16 Pages

2 February 2021

Although vaccination is recognised as the top public health achievement of the twentieth century, unequivocal consensus about its beneficence does not exist among the general population. In countries with well-established immunisation programmes, vac...

(This article belongs to the Special Issue Vaccine Hesitancy and Child Immunizations: Rationales, Issues and Knowledge Gaps)
  • Article
  • Open Access
3 Citations
4,345 Views
21 Pages

New Intravenous Calcimimetic Agents: New Options, New Problems. An Example on How Clinical, Economical and Ethical Considerations Affect Choice of Treatment

  • Giorgina Barbara Piccoli,
  • Tiziana Trabace,
  • Antoine Chatrenet,
  • Carlos Alberto Carranza de La Torre,
  • Lurlinys Gendrot,
  • Louise Nielsen,
  • Antioco Fois,
  • Giulia Santagati,
  • Patrick Saulnier and
  • Nicola Panocchia

Background. Dialysis treatment is improving, but several long-term problems remain unsolved, including metabolic bone disease linked to chronic kidney disease (CKD-MBD). The availability of new, efficacious but expensive drugs (intravenous calcimimet...

(This article belongs to the Special Issue Chronic Kidney Disease)
  • Comment
  • Open Access
2 Citations
1,618 Views
4 Pages

In a recent Psychoactives article, Bor Luen Tang argues against psychedelic moral bioenhancement (PMBE)—the use of classic psychedelics such as psilocybin to foster moral growth in healthy individuals [...]

  • Article
  • Open Access
28 Citations
7,742 Views
15 Pages

Background: obstetric violence is still far too invisible; the word “violence” generates rejection and obstetric violence is complex to define and typify, as it is a subjective experience. It has been widely analyzed from legal, sociologi...

(This article belongs to the Special Issue Obstetric Violence and Women's Health)
  • Communication
  • Open Access
4 Citations
3,898 Views
6 Pages

Is It Worth Knowing That You Might Die Tomorrow? Revisiting the Ethics of Prognosis Disclosure

  • Eisuke Nakazawa,
  • Keiichiro Yamamoto,
  • Reina Ozeki-Hayashi,
  • Margie Hodges Shaw and
  • Akira Akabayashi

4 October 2022

Ethical discourse on prognosis disclosure is not yet well established. The core of the problem continues to be the dilemma between the right of self-determination and non-maleficence of patients. The prognosis disclosure policy based on Kantian auton...

  • Article
  • Open Access
17 Citations
3,779 Views
8 Pages

Ethical Dilemmas with Regard to Elderly Patients with Hip Fracture: The Problem of Nonagenarians and Centenarians

  • Mario Herrera-Pérez,
  • David González-Martín,
  • Emilio J. Sanz and
  • José L. Pais-Brito

27 March 2022

Hip fracture is the most feared complication of osteoporosis, producing up to 30% mortality at the first year. With the aging of society, it is increasingly common to deal with ethical dilemmas that involve decision making in the elderly patient with...

(This article belongs to the Special Issue Orthopedic Treatment of Diseases and Fractures in Elderly)
  • Article
  • Open Access
25 Citations
9,769 Views
25 Pages

Beyond the Metal Flesh: Understanding the Intersection between Bio- and AI Ethics for Robotics in Healthcare

  • Auxane Boch,
  • Seamus Ryan,
  • Alexander Kriebitz,
  • Lameck Mbangula Amugongo and
  • Christoph Lütge

1 August 2023

As we look towards the future of healthcare, integrating Care Robots (CRs) into health systems is a practical approach to address challenges such as an ageing population and caregiver shortages. However, ethical discussions about the impact of CRs on...

(This article belongs to the Special Issue Robots and Artificial Intelligence for a Better Future of Health Care)
  • Review
  • Open Access
4 Citations
5,067 Views
15 Pages

Ethical Issues in Living Donor Kidney Transplantation: An Update from a Psychosocial Perspective

  • Valentina Martinelli,
  • Estella L. L. Lumer,
  • Matteo Chiappedi,
  • Pierluigi Politi,
  • Marilena Gregorini,
  • Teresa Rampino,
  • Andrea Peri,
  • Andrea Pietrabissa and
  • Laura Fusar-Poli

13 September 2024

Living donor kidney transplantation (LDKT) currently represents the treatment of choice for patients with end-stage renal failure. LDKT is a serious event with profound psychological, interpersonal, familial, and social implications. Over the last fe...

  • Hypothesis
  • Open Access
19 Citations
6,174 Views
14 Pages

Wearable Technologies and Stress: Toward an Ethically Grounded Approach

  • Stefano Canali,
  • Beatrice De Marchi and
  • Andrea Aliverti

The widespread use of digital technologies that can be worn on our bodies—wearables—is presented as a turning point for various areas of biomedical research and healthcare, such as stress. The ability to constantly measure these parameter...

(This article belongs to the Special Issue 2nd Edition: Wearable Technology and Health)
  • Opinion
  • Open Access
20 Citations
5,842 Views
9 Pages

9 February 2023

Clinical applications of artificial intelligence (AI) in healthcare, including in the field of oncology, have the potential to advance diagnosis and treatment. The literature suggests that patient values should be considered in decision making when u...

(This article belongs to the Special Issue Cancer Screening, Diagnosis and Theragnosis Using Artificial Intelligence)
  • Perspective
  • Open Access
121 Views
8 Pages

The use of Do Not Resuscitate (DNR) tattoos as expressions of end-of-life directives presents medical professionals with significant ethical and interpretive uncertainty. Although DNR tattoos may appear to provide clear evidence of a person’s w...

  • Article
  • Open Access
1 Citations
5,371 Views
16 Pages

This paper aims to analyze the ethical challenges in experimental drug use during the early stage of the COVID-19 pandemic, using Germany as a case study. In Germany uniform ethical guidelines were available early on nationwide, which was considered...

(This article belongs to the Special Issue Risk Management of COVID-19 and Public Health: Medical, Economic, Finance, Business, Political and Educational Implications)
  • Article
  • Open Access
2 Citations
3,727 Views
12 Pages

Systemic inflammatory response syndrome (SIRS) is a life-threatening condition with nonspecific symptoms. Because of that, defining a targeted therapy against SIRS in children and adults remains a challenge. The identification of diagnostic patterns...

(This article belongs to the Special Issue History, Philosophy and Ethical Perspectives on Healthcare)
  • Article
  • Open Access
3 Citations
2,329 Views
17 Pages

When nurses encounter people in institutional settings who are living with dementia and self-neglecting their hygiene, they are challenged to provide care that respects autonomy while upholding the ethical principles of beneficence and non-maleficenc...

  • Article
  • Open Access
11 Citations
8,846 Views
29 Pages

25 November 2021

In the transition to a data-driven society, organizations have introduced data-driven algorithms that often apply artificial intelligence. In this research, an ethical framework was developed to ensure robustness and completeness and to avoid and mit...

(This article belongs to the Section Computing and Artificial Intelligence)
  • Commentary
  • Open Access
3 Citations
1,747 Views
4 Pages

16 December 2025

Antibiotic susceptibility testing (AST) reports classify isolates as “susceptible” despite potential undetected resistant subpopulations—a phenomenon termed susceptibility heterogeneity (SH). Found in 15–97% of clinical isolat...

  • Article
  • Open Access
39 Citations
15,570 Views
10 Pages

Influenza is a highly contagious airborne disease with a significant morbidity and mortality burden. Seasonal influenza (SI) vaccination has been recommended for healthcare workers (HCWs) for many years. Despite many efforts to encourage HCWs to be i...

(This article belongs to the Special Issue Proceedings of ICOH Occupational Health for Health Worker (OHHW2019) Conference)
  • Article
  • Open Access
48 Citations
10,969 Views
21 Pages

Older Adults’ Perspectives of Smart Technologies to Support Aging at Home: Insights from Five World Café Forums

  • Jackie Street,
  • Helen Barrie,
  • Jaklin Eliott,
  • Lucy Carolan,
  • Fidelma McCorry,
  • Andreas Cebulla,
  • Lyn Phillipson,
  • Kathleen Prokopovich,
  • Scott Hanson-Easey and
  • on behalf of the Smart Ageing Research Group
  • + 1 author

Globally, there is an urgent need for solutions that can support our aging populations to live well and reduce the associated economic, social and health burdens. Implementing smart technologies within homes and communities may assist people to live...

(This article belongs to the Special Issue Health Technologies in Health Systems)
  • Review
  • Open Access
3 Citations
5,640 Views
12 Pages

Active Visual Art Therapy in the General Hospital: Facts and Challenges from an Ethical Perspective

  • Valentina Martinelli,
  • Estella Linda Luisa Lumer,
  • Laura Fusar Poli,
  • Matteo Chiappedi and
  • Pierluigi Politi

For decades, art in its many forms has been used to improve patients’ quality of life and mental health. A growing amount of literature has shown the effectiveness of active visual art therapy (AVAT) on different patient outcomes and highlighte...

  • Brief Report
  • Open Access
15 Citations
3,183 Views
9 Pages

Background: Dentists bear the burden of responsibility for antimicrobial resistance since antibiotics are the drugs most prescribed by dentists. Often, “inappropriate” antibiotic use is considered as a “gray area” by dentists...

  • Article
  • Open Access
14 Citations
5,086 Views
18 Pages

Sustainable Societal Peace through the Integration of Bioethics Principles and Value-Based Education

  • Ravichandran Moorthy,
  • Sivapalan Selvadurai,
  • Sarjit S. Gill and
  • Angelina Gurunathan

16 March 2021

We live in a world where hatred and conflicts divide individuals, society, and countries. Although all faith systems and school curriculums emphasize some degree of peaceful co-existence, love, and compassion, the real-world situation is indeed abysm...

(This article belongs to the Section Social Ecology and Sustainability)
  • Review
  • Open Access
8 Citations
5,835 Views
37 Pages

Alpha-synuclein has been associated with neurodegeneration, especially in Parkinson’s disease (PD). This study aimed to review clinical, biochemical, and neuroimaging markers and management of prodromal synucleinopathies. The prodromal state of...

  • Article
  • Open Access
32 Citations
8,105 Views
17 Pages

Biomarker-based predictive tests for subjectively asymptomatic Alzheimer’s disease (AD) are utilized in research today. Novel applications of artificial intelligence (AI) promise to predict the onset of AD several years in advance without determining...

(This article belongs to the Special Issue Machine Learning Approaches for Neurodegenerative Diseases Diagnosis)
  • Review
  • Open Access
3 Citations
2,857 Views
22 Pages

What Are the Ethical Issues Surrounding Extended Reality in Mental Health? A Scoping Review of the Different Perspectives

  • Marie-Hélène Goulet,
  • Laura Dellazizzo,
  • Simon Goyer,
  • Stéphanie Dollé,
  • Alexandre Hudon,
  • Kingsada Phraxayavong,
  • Marie Désilets and
  • Alexandre Dumais

21 October 2025

As extended reality (XR) technologies such as virtual and augmented reality rapidly enter mental health care, ethical considerations lag behind and require urgent attention to safeguard patient safety, uphold research integrity, and guide clinical pr...

(This article belongs to the Special Issue Digital Interventions for Addiction and Mental Health)
  • Article
  • Open Access
26 Citations
6,700 Views
14 Pages

Cancer Healthcare Workers’ Perceptions toward Psychedelic-Assisted Therapy: A Preliminary Investigation

  • Lisa M. Reynolds,
  • Amelia Akroyd,
  • Frederick Sundram,
  • Aideen Stack,
  • Suresh Muthukumaraswamy and
  • William J. Evans

Recent clinical trials suggest that psychedelic-assisted therapy is a promising intervention for reducing anxiety and depression and ameliorating existential despair in advanced cancer patients. However, little is known about perceptions toward this...

  • Article
  • Open Access
703 Views
14 Pages

Physical Activity Prescription in Primary Health Care: An Ethical Analysis

  • Jesus Batuecas-Caletrio,
  • Celia Álvarez-Bueno,
  • Mar de Miguel Brox,
  • Adrián Palacios-Diaz,
  • María Frontelo-García and
  • Beatriz Rodríguez-Martín

Background/Objectives: Although prescribing physical activity (PA) is a well-established preventive strategy in primary health care (PHC), its ethical implications remain under-researched. This study examines how general practitioners (GPs) and nurse...

  • Article
  • Open Access
3 Citations
1,611 Views
15 Pages

Human Rights Protections and Ethical Governance in Global Psychiatry: A Cross-National Review of Ethical Codes from Member Societies of the World Psychiatric Association

  • Alexander J. Smith,
  • Stefanie Hachen,
  • Dinesh Bhugra,
  • Albert Persaud,
  • Julio Torales,
  • Antonio Ventriglio,
  • Ana Buadze and
  • Michael Liebrenz

Background: Psychiatrists operate at the interface of clinical care, legal frameworks, and governmental power, where external pressures and insufficient safeguards can potentially engender ethical vulnerabilities. Supranational instruments and wider...

  • Brief Report
  • Open Access
2,334 Views
10 Pages

1 September 2023

COVID-19 was initially considered a primary respiratory disorder associated with various short- and long-term complications, affecting many patients and imposing a significant burden. Patients who have dementia are especially vulnerable to the SARS-C...

(This article belongs to the Special Issue The Burden of COVID-19 Pandemic on Mental Health)
  • Systematic Review
  • Open Access
22 Citations
29,222 Views
22 Pages

Ethical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Review

  • Cláudio Domingos Laureano,
  • Carlos Laranjeira,
  • Ana Querido,
  • Maria Anjos Dixe and
  • Francisca Rego

9 February 2024

In mental health and psychiatric care, the use of involuntary psychiatric treatment for people with mental disorders is still a central and contentious issue. The main objective of this scoping review was to map and systematize the literature on ethi...

(This article belongs to the Special Issue Moving Away from Coercion in Mental Health Care)
  • Article
  • Open Access
1 Citations
2,631 Views
17 Pages

18 August 2025

Background/Objectives: The adolescent and youth phase is characterized by rapid physical, cognitive, and psychosocial development during which adolescents encounter numerous challenges. These challenges include experiences of sexual violence, sexuall...

  • Perspective
  • Open Access
12 Citations
5,807 Views
23 Pages

28 October 2025

Background: The deployment of large language models (LLMs) in mental health therapy presents a compelling yet deeply fraught opportunity to address widespread disparities in access to psychological care. Recent empirical evidence reveals that these A...

  • Review
  • Open Access
48 Citations
7,551 Views
16 Pages

Meeting Patients’ Right to the Correct Diagnosis: Ongoing International Initiatives on Undiagnosed Rare Diseases and Ethical and Social Issues

  • Sabina Gainotti,
  • Deborah Mascalzoni,
  • Virginie Bros-Facer,
  • Carlo Petrini,
  • Giovanna Floridia,
  • Marco Roos,
  • Marco Salvatore and
  • Domenica Taruscio

The time required to reach a correct diagnosis is a key concern for rare disease (RD) patients. Diagnostic delay can be intolerably long, often described as an “odyssey” and, for some, a diagnosis may remain frustratingly elusive. The Int...

(This article belongs to the Special Issue Current Situation and Distribution of Rare Diseases: Challenges, Prevention, Healthcare and Effects)
  • Perspective
  • Open Access
567 Views
7 Pages

20 August 2026

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are transforming obesity management, yet landmark trials often incompletely measure and report a central mediator of response: dietary intake. Because GLP-1RAs promote weight loss primarily by supp...

(This article belongs to the Section Nutrition Methodology & Assessment)
  • Review
  • Open Access
105 Citations
7,562 Views
12 Pages

Natural Products in Neurodegenerative Diseases: A Great Promise but an Ethical Challenge

  • Marco Di Paolo,
  • Luigi Papi,
  • Federica Gori and
  • Emanuela Turillazzi

18 October 2019

Neurodegenerative diseases (NDs) represent one of the most important public health problems and concerns, as they are a growing cause of mortality and morbidity worldwide, particularly in the elderly. Despite remarkable breakthroughs in our understan...

(This article belongs to the Special Issue Natural Products and Neuroprotection)
  • Article
  • Open Access
7 Citations
13,394 Views
26 Pages

17 November 2022

The four principles of Western medical bioethics, i.e., autonomy, nonmaleficence, beneficence and justice, published by Beauchamps and Childress in their seminal ‘Principles of Biomedical Ethics’, are understood as universal. However, Non...

  • Article
  • Open Access
5 Citations
4,754 Views
16 Pages

5 June 2020

This study aims to bridge the gap between the discrepant views of existing studies in different modalities on the cognitive effect of video game play. To this end, we conducted a set of tests with different modalities within each participant: (1) Sel...

(This article belongs to the Section Biomedical Sensors)
  • Communication
  • Open Access
6 Citations
4,725 Views
6 Pages

Pain in Pets: Beyond Physiology

  • Roberta Downing and
  • Giorgia Della Rocca

19 January 2023

Animals do not speak a language humans understand, making it easy to believe that they do not experience pain the way humans do. Despite data affirming that companion animals can and do experience pain much as do humans, there remains a gap between c...

(This article belongs to the Section Veterinary Clinical Studies)
  • Commentary
  • Open Access
7 Citations
9,667 Views
11 Pages

Ethical Tenets of PRN Medicines Management in Healthcare Settings: A Clinical Perspective

  • Mojtaba Vaismoradi,
  • Cathrine Fredriksen Moe,
  • Flores Vizcaya-Moreno and
  • Piret Paal

22 October 2021

Prescription and administration of pro re nata (PRN) medications has remained a poorly discussed area of the international literature regarding ethical tenets influencing this type of medication practice. In this commentary, ethical tenets of PRN med...

  • Feature Paper
  • Review
  • Open Access
5 Citations
4,527 Views
8 Pages

The Ethics of Translational Audiology

  • Aleksandra Bendowska,
  • Roksana Malak,
  • Agnieszka Zok and
  • Ewa Baum

Translational research moves promising primary research results from the laboratory to practical application. The transition from basic science to clinical research and from clinical research to routine healthcare applications presents many challenge...

(This article belongs to the Special Issue Translational Research in Audiology)
  • Review
  • Open Access
19 Citations
5,109 Views
11 Pages

Ethics of Bariatric Surgery in Adolescence and Its Implications for Clinical Practice

  • Valentina Martinelli,
  • Simran Singh,
  • Pierluigi Politi,
  • Riccardo Caccialanza,
  • Andrea Peri,
  • Andrea Pietrabissa and
  • Matteo Chiappedi

Obesity is increasingly prevalent among adolescents. Clinical and research data support the use of bariatric surgery (BS) as a treatment option for severely obese adolescents, with good results in terms of weight loss, improvement or resolution of co...

  • Article
  • Open Access
7 Citations
3,191 Views
8 Pages

Survival of Myocardial Infarction Patients with Diabetes Mellitus at the Invasive Era (Results from the Városmajor Myocardial Infarction Registry)

  • Réka Skoda,
  • Attila Nemes,
  • György Bárczi,
  • Hajnalka Vágó,
  • Zoltán Ruzsa,
  • István F. Édes,
  • Attila Oláh,
  • Annamária Kosztin,
  • Elek Dinya and
  • Dávid Becker
  • + 1 author

24 January 2023

Due to the lifelong nature of diabetes mellitus (DM), it has been demonstrated to have significant effects on patients’ morbidity and mortality. The present study aimed to assess the effects of DM on the clinical outcome and survival in patient...

(This article belongs to the Section Cardiology)

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