Ethics consultation is a service provided to patients, families, and clinicians to support decisions during ethical dilemmas. This study is a secondary qualitative analysis of 48 interviews from clinicians involved in an ethics consultation at a large academic health center. An inductive secondary analysis of this data set led to the emergence of one key theme, the apparent perspective the clinicians adopted as they recalled a specific ethics case. This article presents a qualitative analysis of the propensity of clinicians involved (...) in an ethics consultation to adopt the subjective viewpoints of their team, their patient, or both simultaneously. Clinicians demonstrated an ability to take the patient perspective (42%), the clinician perspective (31%), or the clinician-patient perspective (25%). Our analysis suggests the potential for narrative medicine to build the empathy and moral imagination necessary to bridge the gap in perspectives between key stakeholders. (shrink)

This paper navigates the relationship between the growing influence of Artificial Intelligence (AI) and the foundational principles of academic integrity. It offers an in-depth analysis of how key academic stakeholders—publishers and universities—are crafting strategies and guidelines to integrate AI into the sphere of scholarly work. These efforts are not merely reactionary but are part of a broader initiative to harness AI’s potential while maintaining ethical standards. The exploration reveals a diverse array of stances, reflecting the varied applications of AI in (...) academic settings. These range from conservative approaches emphasizing the need for stringent AI regulations to more progressive strategies that seek to leverage AI’s capabilities. The paper accentuates the importance of guidelines that are adaptable, transparent, and culturally sensitive, acknowledging the global context of academic research. It also highlights the pressing need for effective implementation and enforcement of these guidelines to ensure that the integration of AI into academia does not compromise the integrity of scholarly work. The conclusion emphasizes the dynamic balance required between embracing AI’s transformative potential and upholding the timeless values of academic rigor and ethical research. This comprehensive analysis aims to provide a detailed perspective on the evolving role of AI in academia, fostering a dialog on how best to navigate this new technological frontier while preserving the sanctity of academic scholarship. (shrink)

HIV prevention is a critical health issue in Nigeria; a country that has one of the worst HIV epidemic profiles in the world. With 270,000 new infections in 2012, Nigeria is a prime site for HIV prevention research. One effect of the HIV epidemic has been to revolutionalise ethical norms for the conduct of research: it is now considered unethical to design and implement HIV related studies without community engagement. Unfortunately, there is very little commensurate effort in building the capacity (...) of local persons to engage actively with researchers, and there is no existing platform to facilitate dialogue between researchers and communities engaged in research in Nigeria. In an effort to address this gap, we undertook a series of three community dialogues and two community-researcher interface meetings in Nigeria. This paper aims to give an empirical account of the dialogue from these community engagement processes and provide a resulting critique of the implementation of research ethics practices in Nigeria. It is anticipated that the outputs will: support researchers in designing community-based research protocols; inform ethics committees of key considerations during research protocol reviews from a community perspective; and inform policy makers and research sponsors about issues of primary concern to communities with respect to HIV research. (shrink)

Publication date: 15 October 2018 Source: Author: Jude Nwafor Eze, Coleen Vogel, Philip Audu Ibrahim Flood is known to cause devastating livelihood impacts, suffering and economic damages. To reduce the impact of floods, it is very important to identify and understand the socio-economic factors that determine people’s ability to cope with stress or change. Consequently, the study assesses the social vulnerability of the households to floods in Niger State, in order to provide the empirical evidence necessary for flood adaptation (...) policies and strategies in the state. The data for the research were obtained from the household survey and Dartmouth Flood Observatory. The data obtained were analysed using descriptive and statistical analysis. The results show that flood events in the study area were caused by heavy rainfall, compounded by the opening of the Shiroro dam gate to release the excess flood in the reservoir. Moreover, results of Student “t” test and One-Way Analysis of Variance on socio-economic characteristics show that households’ major economic activities, educational status, household size, income distribution, and membership of cooperative society were significant at p 10, do not belong to cooperative society and earn less that N21000 per month have higher mean frequency, thus, the predominant households were, therefore, farmers, illiterate, have large family size, poor, and have no access to loan. Thus, the socio-economic characteristics of the households in the study area contribute to their vulnerability to floods by reducing their coping capacity. Based on the results of the assessment, it is recommended that measures are taken to mainstream flood adaptation into the development process. (shrink)