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Artificial intelligence (AI) is revolutionizing nursing by enhancing decision‐making, patient monitoring, and efficiency. Machine learning, natural language processing (NLP), and predictive analytics claim to improve safety and automate tasks. However, a structured analysis of AI applications is necessary to ensure their effective implementation in nursing practice. This umbrella review aimed to synthesize existing systematic reviews on AI applications in nursing care, providing a comprehensive analysis of its benefits, challenges, and ethical implications. By consolidating findings from multiple sources, this review seeks (...) to offer evidence‐based insights to guide the effective and responsible integration of AI in nursing practice. A systematic umbrella review approach was employed following PRISMA guidelines. Multiple databases, including PubMed, CINAHL, Scopus, Web of Science, and IEEE Xplore, were searched for review articles published between 2015 and 2024. Findings were synthesized thematically to identify key trends, benefits, limitations, and research gaps. This review synthesized 13 studies, emphasizing AI's impact on clinical decision support, patient monitoring, nursing education, and workflow optimization. AI enhances early disease detection, minimizes diagnostic errors, and automates documentation, improving efficiency. However, data privacy risks, biases, ethical concerns, and limited AI literacy hinder integration. AI presents significant opportunities for improving nursing care, yet its successful implementation requires addressing ethical, legal, and practical challenges. Adequate AI training, robust data governance frameworks, and policies ensuring responsible AI use are essential for its integration into nursing practice. Future research should explore long‐term AI impact, training models for nurses, and strategies to balance AI‐driven efficiency with human‐centered care. (shrink)

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Taking the idea of waste as an in-use phenomenon, we developed amatrix to explain four categories of waste which result from users’ failure touse a resource properly. These categories were illustrated by examples built onpractical food waste measurements, surveys, theses formatting requirementsand newspaper reports. We have categorized different facets of waste from abusiness perspective; thus, contributed to have improved waste managementpractices. We also showed that parsimony was also a wasteful behaviour.Parsimony was shown to be a waste by its effects on (...) others’ need of fulfilmentand other-worldly consequences for the miser. (shrink)

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This article is a transcription of a dialogue between Mohammad Abu Sayem and John Cobb that took place on June 24, 2019. The major topic covered in the dialogue is the relationship between Cobb's environmental thought and theology.

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It is difficult to identify nature with an exact meaning. Depending on circumstances and perspectives the term “nature” has various meanings ranging from spiritual participatory to mechanistic understanding. Having these complexities and ambiguous connotations the current research tries to investigate into some conceptual understanding of nature regarding traditional ideas and modern scientific views. There will also be an endeavor to see nature from a short historical survey. The paper aims to examine these conceptions in the light of environmental sustainability: which (...) understanding of nature seems better to reform the dominating attitudes of humans toward the natural environment? Being critical of conventional and secular meanings of nature, the current paper proceeds to show how an understanding of a different kind can allow humans to behave with their surroundings. In so doing, the present study wants to shed more lights on natural environment, and to add more knowledge to the present discussions of ecological equilibrium. Philosophy and Progress, Vol#69-70; No#1-2; Jan-Dec 2021 P 173-188. (shrink)

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This paper exploits the modified simple equation and dynamical system schemes to integrate the Klein–Gordon model amid quadratic nonlinearity arising in nonlinear optics, quantum theories, and solid state physics. By implementing the modified simple equation technique, we develop some disguise adaptation of analytical solutions in terms of hyperbolic, exponential, and trigonometric functions with some special parameters. We apply the dynamical system to bifurcate the model and draw distinct phase portraits on unlike parametric constraints. Following each orbit of all phase portraits, (...) we originate bounded and unbounded solitary, periodic, and periodic rogue-type wave solutions of the KG model. These two schemes extract widespread classes of solitary, periodic, and periodic rogue-type wave solutions for the KG model jointly due to restrictions on parameters. We also analyze the effect of parameters on the obtained wave solutions and discuss why and when it changes its nature. We illustrate some dynamical features of the acquired solutions via the 3D, 2D, and contour graphics. (shrink)

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This work has aimed to investigate the consumers’ green product purchase attitudes and behavioral intention during COVID-19 pandemic. Data was collected through a survey method of 503 consumers in Malaysia. Data were analyzed using the partial least square method. The findings revealed that fear of COVID-19 pandemic has a significant impact on green product behavioral intention. Green product literacy, green product orientation, and social influence have a significant influence on green product purchase attitudes. The results also indicated that consumers’ green (...) product purchase attitudes mediate the effect of green product literacy, green product orientation, and social influence on behavioral intention. The findings of this work will provide strategically relevant references to green marketers and retail managers in the understanding of consumers’ green product purchase attitudes and green product behavioral intention during the ongoing uncertainty of the COVID-19 pandemic. (shrink)

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In lieu of an abstract, here is a brief excerpt of the content:Introduction to the Special Theme Religious Experience and PsychopathologyMohammed Abouelleil Rashed, MD, PhDIn the first verse of the seventeenth sura of the Qur’an, Al-Isra’,1 we learn about Prophet Mohammed’s night-time journey to Al-Quds (Jerusalem):Glory to Him who made His servant travel by night from the sacred place of worship [in Mecca] to the furthest place of worship [in Al-Quds], whose surroundings We have blessed, to show him some of (...) Our signs.The year was 621 AD. The Prophet was transported by a fabled creature known as Al-Buraq—a name that derives from the Arabic word for lightning—that was able to cover the distance of a month-long journey in a matter of hours. Accompanied by the Angel Jibreel, the second part of the journey, Al-Mi’raj,2 involved an ascension to the Heavens. Along the way, the Prophet met several past Messengers until, now all alone, he received communications from Allah and, according to some accounts, encountered the Divine manifestation.When he returned to Mecca the following morning and recounted his miraculous journey, he met with a familiar range of responses. Abu Bakr Al-Siddiq, who was to become the first Caliph following the Prophet’s death, immediately believed him and never doubted the veracity of his account. Members of the Quraish tribe, a polytheistic tribe then dominant in the Arabian Peninsula and hostile to the Prophet, denounced his account outright, mocking him for its apparent impossibility or accusing him of madness. Others agreed that the Prophet had undergone the experiences he described but reasoned that this was a spiritual journey and not a physical one of literal bodily transportation. Later Christian critics went further by reducing the experience to the manifestations of epilepsy and insanity, or by questioning its Divine origin and attributing it to spirits and satanic entities.It really did matter how the Prophet’s experiences were understood and received: the stakes could not be higher. Here was the Prophet in the 11th year of a mission that called for a renewal of the message of monotheism. If true, this journey to the three holy sites of Islam (Mecca, Medina, Al-Quds) and to the Heavens was further evidence of his Prophethood and one of his miracles. His [End Page 195] critics and his followers had their own answer to the question on everyone’s mind: did the Prophet really undergo these experiences, whether in a spiritual or physical sense, or was it an expression of a pathological disturbance?________The year is 1997 AD. Mike Jackson and Bill Fulford publish a paper entitled Spiritual Experience & Psychopathology. The paper engages the exact question that troubled the Prophet’s critics and allies 1,376 years earlier. The question is now framed as a distinction between spiritual and pathological varieties of psychotic phenomena. And even though the stakes do not rise to the level of Prophethood—we have banished Prophets a long time ago—they are high enough:Spiritual experiences, whether welcome or unwelcome, and whether or not they are psychotic in form, have nothing (directly) to do with medicine.... It would be quite wrong, then, to “treat” spiritual psychotic experiences with neuroleptic drugs, just as it is quite wrong to “treat” political dissidents as though they were ill.(Jackson & Fulford, 1997, p. 42)Jackson and Fulford were not the first to invoke the distinction as a problem to be examined. In modern times, this is usually traced to William James’ Varieties of Religious Experience (1902), where he drew attention to the overlap between religious experiences and psychosis. James, like Jackon and Fulford a century later, noted the phenomenological similarities among these two ‘types’ of experience: voices, visions, an ineffable sense of significance to otherwise mundane events, and the loss of agency to external forces and powers.The 1997 paper stimulated much debate, responses, and rebuttals. In the process, at least four approaches for drawing the distinction have emerged: by appealing to the outcome of the experience; by appealing to theological criteria; by examining the organization of the experience; and by paying attention to the process of meaning-making in its cultural context. On the... (shrink)

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SummaryEarly onset of menarche has been shown to be associated with breast cancer and ischaemic heart disease. Studies on age at menarche of the Malaysian population are poorly documented. This study aimed to determine the influence of anthropometric and socio-demographic factors on the age at menarche of university students in Malaysia. Data were obtained in 2010–11 from 961 students between the ages of 18 and 25 years from the University of Malaya using stratified sampling, and multiple regression analysis was applied. (...) Sixty-three per cent of students reached menarche at the age of 12 or 13 years, with the mean and median of age at menarche being 12.45±1.17 and 12.01 years, respectively. Menarcheal age was positively associated with height and negatively associated with BMI. Students from urban areas attained menarche earlier than those from rural areas. Students from small-sized families attained menarche earlier than those from larger families. First-born students experienced menarche earlier than those who were seventh-born or later. Obese and overweight students reached menarche earlier than students who were underweight or of normal weight. The variations in age at menarche among the Malaysian ethnic groups were statistically insignificant. The results suggest that heavier and first-born students from small families are more likely to attain menarche earlier than their counterparts. (shrink)

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This article examined the effect of culture and religiosity on perceptions of business ethics among students in a tertiary institution in Malaysia. A structured questionnaire was developed with scenarios on various aspects of business ethics, and self-administered to the students in the business studies program. The results from 767 respondents showed that there were significant differences among the Malays, Chinese, and Indian students on seven scenarios namely selling hazardous products, misleading instructions, selling defective products, padding expense account, taking sick to (...) take a day off, keeping quiet on defective products, and respond to supplier's take good care of clients attitude. There was also an association between culture and religiosity. The MANOVA results also showed that culture and religiosity have an effect on perceptions of business ethics. (shrink)

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The stipulation of living organ transplantation policy and practice in Bangladesh is family-oriented, with relatives being the only people legally eligible to donate organs. There have been very few transplantations of bone marrows, liver lobes, and kidneys from related-living donors in Bangladesh. The major question addressed in this study is why Bangladesh is not getting adequate organs for transplantation. In this study, I examin the stipulations of the policy and practice of living organ donation through the lens of 32 key (...) stakeholders including physicians and nurses, a health administrator, organ donors and recipients, and their family members, as they can shed light on the realities and problems of organ donation for transplantation in Bangladesh. My ethnography reveals that the family members are always encouraged to donate organs for transplantation, and saving the lives of relatives through organ donation is seen as a moral obligation. Many view saving the life of a relative by donating one’s organs as equivalent to saving one’s own life. An assessment of the dynamics of biomedicine, religion, and culture leads to the conclusion that the family-oriented organ donation policy and practice have been widely endorsed and accepted in Bangladesh, and Islamic ethical principles and collective family ethos undergird that policy and practice. However, the unavailability of medical resources, lack of post-operative coverage for organ donors, religious misconceptions and unawareness of the general public, and the absence of posthumously donated vital organs for transplantation are perceived to be the most common barriers to a successful living donor-recipient pair organ transplantation. By overcoming these obstacles, Bangladesh can develop a successful living donor-recipient pair organ transplantation program that will ensure improved healthcare outcomes, promote altruism and solidarity among Bangladeshi families, and protect the poor from having their organs sold to wealthy patients. (shrink)

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Organ transplantation from living related donors in Bangladesh first began in October 1982, and became commonplace in 1988. Cornea transplantation from posthumous donors began in 1984 and living related liver and bone marrow donor transplantation began in 2010 and 2014 respectively. The Human Organ Transplantation Act officially came into effect in Bangladesh on 13th April 1999, allowing organ donation from both brain-dead and related living donors for transplantation. Before the legislation, religious leaders issued fatwa, or religious rulings, in favor of (...) organ transplantation. The Act was amended by the Parliament on 8th January, 2018 with the changes coming into effect shortly afterwards on 28th January. However, aside from a few posthumous corneal donations, transplantation of vital organs, such as the kidney, liver, heart, pancreas, and other body parts or organs from deceased donors, has remained absent in Bangladesh. The major question addressed in this article is why the transplantation of vital organs from deceased donors is absent in Bangladesh. In addition to the collection of secondary documents, interviews were conducted with senior transplant physicians, patients and their relatives, and the public, to learn about posthumous organ donation for transplantation. Interviews were also conducted with a medical student and two grief counselors to understand the process of counseling the families and obtaining consent to obtain posthumous cornea donations from brain-dead patients. An interview was conducted with a professional anatomist to understand the processes behind body donation for the purposes of medical study and research. Their narrative reveals that transplant physicians may be reticent to declare brain death as the stipulations of the 1999 act were unclear and vague. This study finds that Bangladeshis have strong family ties and experience anxiety around permitting separating body parts of dead relatives for organ donation for transplantation, or donating the dead body for medical study and research purposes. Posthumous organ donation for transplantation is commonly viewed as a wrong deed from a religious point of view. Religious scholars who have been consulted by the government have approved posthumous organ donation for transplantation on the grounds of necessity to save lives even though violating the human body is generally forbidden in Islam. An assessment of the dynamics of biomedicine, religion and culture leads to the conclusion that barriers to posthumous organ donation for transplantation that are perceived to be religious may actually stem from cultural attitudes. The interplay of faith, belief, religion, social norms, rituals and wider cultural attitudes with biomedicine and posthumous organ donation and transplantation is very complex. Although overcoming the barriers to organ donation for transplantation is challenging, initiation of transplantation of vital organs from deceased donors is necessary within Bangladesh. This will ensure improved healthcare outcomes, prevent poor people from being coerced into selling their organs to rich recipients, and protect the solidarity and progeny of Bangladeshi families. (shrink)

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Hate speech has spread more rapidly through the daily use of technology and, most notably, by sharing your opinions or feelings on social media in a negative aspect. Although numerous works have been carried out in detecting hate speeches in English, German, and other languages, very few works have been carried out in the context of the Bengali language. In contrast, millions of people communicate on social media in Bengali. The few existing works that have been carried out need improvements (...) in both accuracy and interpretability. This article proposed encoder–decoder-based machine learning model, a popular tool in NLP, to classify user’s Bengali comments from Facebook pages. A dataset of 7,425 Bengali comments, consisting of seven distinct categories of hate speeches, was used to train and evaluate our model. For extracting and encoding local features from the comments, 1D convolutional layers were used. Finally, the attention mechanism, LSTM, and GRU-based decoders have been used for predicting hate speech categories. Among the three encoder–decoder algorithms, attention-based decoder obtained the best accuracy (77%). (shrink)

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El español se caracteriza por un sistema de acento léxico contrastivo. En esta lengua, el acento primario se puede dar en cualquiera de las últimas tres sílabas de las palabras. Las palabras de la lengua bengalí, a diferencia del español, generalmente tienen un acento fijo en la primera sílaba. Dadas las diferencias entre estos dos idiomas, el acento léxico contrastivo del español constituye una característica novedosa que los estudiantes bengalíes de español han de incorporar en su repertorio fonológico. Este estudio (...) tiene como objetivo explorar cómo los hablantes nativos de la lengua bengalí perciben el acento léxico contrastivo en español L2. Dos grupos de participantes, uno de bengalíhablantes usuarios de español L2 y otro de hispanohablantes nativos, realizaron una tarea de identificación de sílaba acentuada en palabras sonoras. Los resultados señalan que el porcentaje de identificación de sílabas acentuadas de los bengalíes superó el nivel de azar, pero no el criterio de precisión del 75% de respuestas correctas; asimismo, su rendimiento fue significativamente menor que el de los hablantes nativos de español. En conclusión, los aprendientes bengalíes tienen dificultad en percibir el acento contrastivo en español L2 y, por lo tanto, se deben tomar medidas didácticas específicas para que los futuros estudiantes bengalíes de español logren aprender mejor este elemento suprasegmental. (shrink)

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Islamic religious education; Islam; doctrines.

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Criticism; civilization, Arab; literature and society; culture; study and teaching; culture in literature.

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Vaccines are responsible for many global public health successes, such as the eradication of smallpox and significant reductions in other serious infections like diphtheria, pertussis, tetanus, polio and measles. However, mass vaccination has also been the subject of various ethical controversies for decades. Several factors need to be considered before any vaccine is deployed at national programme like the potential burden of disease in the country or region, the duration of the protection conferred, herd immunity in addition to individual protection, (...) vaccine-related risks, financing and the logistical feasibility of the large-scale vaccination. Moreover, several ethical dilemmas revolve around authority and mandates for vaccination, informed consent, benefits vs. risks, and disparities in access to vaccination. This review paper aims to elaborate the ethical issues involved in mass vaccination programme and present some additional challenges in the context of a resource-poor settings of public health in Bangladesh. (shrink)

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Bangladesh is aspiring to achieve universal health coverage by 2030. In this regard, quality and efficient healthcare delivery have been regarded as a major challenge. Proper management of employees is crucial for service organizations like healthcare because in healthcare employees provide life saving services which make them unique from other non-health professionals. They directly interface with the patients or service seekers who make evaluative judgment of the quality of service delivered by the employees. Therefore, it is important that healthcare organizations (...) (both public and private) comprehend specific organizational factors and issues that influence employee’s attitudes and behaviors, which ultimately affect their service behaviour at work. Drawing from the organizational justice principles and other management theories, this article presents a conceptual framework and a set of hypotheses regarding the relationships among distributive justice, procedural justice, interactional justice, employee’s citizenship behaviour, role prescribed behaviour and counterproductive behaviour for the healthcare organizations in Bangladesh. The purpose is to assist the policy makers and service providers in identifying desirable human resource management practices that healthcare organizations in Bangladesh should seek and engage in and at the same time, avoid undesirable practices in order to maintain optimum level of employee commitment, and citizenship behavior essential for ensuring quality and efficient service delivery to the communities. This article is ‘theoretical’ but it has practical implications for the policy makers and service providers who are directly involved with service delivery system. It is also expected that the paper enriches the health service delivery literature and also advocates focusing on justice perspectives particularly in Bangladesh. (shrink)

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The Cold War has affected the communities around the world. Malaysia was no exception in being affected by the turmoil the international world, particularly after the World War 2, due to ideological conflicts. Based on the domino theory, the ups and downs of particular country in terms of its, strong ideology, brings about network impacts to each country in the world. Thus, a freedom of Malaya and the establishment of Malaysia came from the history of Cold War which influenced the (...) international scene. The establishment of Malaysia is seen as a mechanism to stop the influence of communism. The involvement leaders from Malaya, Singapore, Sabah and Sarawak as well as Brunei Darussalam in the agenda to ‘build’ Malaysia with the approval from democratic countries showed a very strong cooperation that communism was a threat. This contributed to the creation of a new and bigger country. The wise Malaysian leaders in negotiating and being united in facing the global threats at that time, has shown that Malaysia’s ‘project’ in stopping the communist theory which is also known domino theory, was successfully carried out and maintained till today. Therefore, Malaysia as a case study, on how a country was ‘built’ on the basis of stopping the spread of communism in saving the Southeast Asia from falling into the hands of communists, is unique and its effectiveness should be studied. (shrink)

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This paper is about human rights and policing in Bangladesh, with special focus on the role of National Human Rights Commission. The protection and promotion of human rights in Bangladesh has become difficult as the law enforcement agencies, particularly the police and the Rapid Action Battalion, are involved in human rights violations. An overall culture of impunity for human rights violations exists in Bangladesh. The National Human Rights Commission appears to have failed to break the culture of impunity in Bangladeshi (...) politics. This paper explains the reasons why the National Human Rights Commission in Bangladesh largely fails to make the political system in particular law enforcement agencies accountable. (shrink)

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Assisted Reproductive Technologies (ARTs) have been practiced in Islamic societies within married couples since their introduction. However, there are divergent views over the issue of third-party donation among Sunni and Shia scholars. This paper illustrates the different perspectives of Shia Muslims surrounding, sperm, egg, and embryo donation and ethical aspects thereof. The study reveals that there are different views regarding sperm, egg, and embryo donation among the Shia religious leaders around the world. Many Shia religious scholars, including the Iranian supreme (...) religious leader Ali Hussein Khamenei allow sperm, egg, and embryo donation with certain conditions. However, the conditions stipulated by Shia religious scholars contradict the ethical and legal practices of sperm, egg, and embryo donation. Regarding sperm and egg donation, they declared that the donor child would inherit from a third-party donor and the commissioning parents would be adoptive parents. Thus, according to them, donor anonymity is impossible. Moreover, the Iranian act on embryo donation did not stipulate the right and responsibilities of the donor child and recipient couples and did not clarify the nature and number of embryos that can be donated and implanted. The paper argues that the lack of laws and guidelines on sperm, egg, and embryo donation raises many ethical problems. Based only on religious rulings, third-party donation has been practiced without foreseeing the well-being and safety of donor children, donors, and recipient couples. (shrink)

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Background Advocates for a regulated system to facilitate kidney donation between unrelated donor-recipient pairs argue that monetary compensation encourages people to donate vital organs that save the lives of patients with end-stage organ failure. Scholars support compensating donors as a form of reciprocity. This study aims to assess the compensation system for the unrelated kidney donation program in the Islamic Republic of Iran, with a particular focus on the implications of Islam on organ donation and organ sales. Methods This study (...) reviews secondary documents for philosophical argumentation and ethical analysis of human organ donation and sale for transplantation. Results and discussion According to Islamic law, organ donation is an act of _sadaqatul jariyah,_ and individuals are permitted to donate organs with the intention of saving lives. The commercialization of humans as organ sellers and buyers is contrary to the Islamic legal maxim _eethaar_, undermining donors of ‘selfless’ or ‘altruistic’ motivations. Such an act should be considered immoral, and the practice should not be introduced into other countries for the sake of protecting human dignity, integrity, solidarity, and respect. I, therefore, argue that Iran’s unrelated kidney donation program not only disregards the position of the Islamic religion with respect to the provision or receipt of monetary benefits for human kidneys for transplantation but that it also misinterprets the Islamic legal proscription of the sale of human organs. I also argue that the implementation of Iran’s unrelated kidney donor transplantation program is unethical and immoral in that potential donors and recipients engage in a bargaining process akin to that which sellers and buyers regularly face in regulated commodity exchange markets. Conversely, I suggest that a modest fixed monetary remuneration as a gift be provided to a donor as a reward for their altruistic organ donation, which is permissible by Islamic scholars. This may remove the need to bargain for increased or decreased values of payment in exchange for the organ, as well as the transactional nature of ‘buyer and seller’, ensuring the philosophy of ‘donor and recipient’ is maintained. Conclusions Offering a fixed modest monetary incentive to organ donors would serve to increase organ supply while protecting donors’ health and reducing human suffering without legalizing the human organ trade. (shrink)

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The present study aims to examine the context of academic dishonesty of research students in a public university setting in Bangladesh. In this regard, the researchers conducted interviews with the concerned authorities of the university, i.e., Chairpersons of the Departments, Deans of the Faculties, Proctor of the University, and Director of Students Guidance and Counselling Cell in order to get an impression about the current practice of academic dishonesty by the students of that university; factors influencing these activities and recommendations (...) to uphold academic integrity among the students. The results showed that though there were several instances of academic integrity violation, negligible actions were taken against them due to the absence of an established policy on academic dishonesty. At the same time, the nonexistence of a course on academic integrity and research ethics in the curriculum is also responsible for this scenario. To mitigate this issue, all the concerned authorities strongly recommended formulating a central policy on academic dishonesty for promoting academic integrity and achieving university ranking success in global competitiveness. (shrink)

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The Human Organ Transplantation Act came into officially force in Bangladesh on April 13, 1999, allowing organ donations from both living and brain-dead donors. The Act was amended by the Parliament on January 8, 2018, with the changes coming into effect shortly afterwards on January 28. The Act was revised to extend a living donor pool from close relatives to include certain other relatives such as grandparents, grandchildren, and first cousins. The Act was also revised to allow individuals to prioritize (...) family members in receiving their organs after their death. The aim of this paper is not to carry out an ethical analysis of the Act as a whole but only to focus on aspects relating to priority access for family members to organs. Despite Islam encouraging Muslims to be sympathetic, and to save the life of any member of humankind, saving the life of a relative through organ donation is even more highly valued. The collective and extended structure of the family impacts on the provisions of the Act that only allows Bangladeshis to legally donate their organs to save the lives of relatives and allows individuals to prioritize family members. Recent progress in the practice of organ transplantation raises a number of ethical dilemmas around the allocation of available organs in the context of organ scarcity. A key purpose of introducing incentive into the system of organ allocation is to increase the number of donations from living relatives and initiation of vital organ donations from brain-dead donors. However, allocation criteria based on a living organ donation incentive system would appear to be unethical because there is no provision in the Act with regard to financial compensation for a distant relative donor’s post-operative care in the absence of healthcare coverage. Receiving organs from a distant relative without giving financial compensation for post-operative care places them in a grave health condition and violates the biomedical principle of non-maleficence. An incentive system around brain-dead donors would appear to be ethical as the amended Act allows individuals to prioritize relatives in receiving their organs after death. This provision is intended to initiate the transplantation of vital organs from brain-dead donors as families might bear the cost of keeping the organs alive for transplantation. Regular reassessment of the impact of the Act is necessary to maximize the donation rate of transplantable organs using ethical means. (shrink)

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Bangladesh, a Muslim-majority country, has a national organ donation law that was passed in 1999 and revised in 2018. The law allows living-related and brain-dead donor organ transplantation. There are no legal barriers to these two types of organ donations, but there is no legislation providing necessary costs and incentive measures associated with successful organ transplants. However, many governments across the globe provide different types of incentives for motivating living donors and families of deceased donors. This study assesses the merits (...) and demerits of incentive measures already in use around the world and proposes ethical measures that can promote organ donation in Bangladesh. The primary focus of this paper is to present an ethical analysis of the comparison of incentive measures on organ donation between Bangladesh and the Islamic Republic of Iran as two Muslim countries that operate organ donation for transplantation practices according to Islamic principles. In this paper, I mainly argue that providing a fixed bare minimum financial incentive measure to distantly related living donors and families of deceased donors will encourage Bangladeshis to donate organs in a manner that is ethically justifiable, morally permissible, and socio-economically appropriate. The government of Bangladesh should revise the existing biomedical law to include a provision related to incentive measures and set a strict policy to properly regulate these measures as key stewardship that can ethically promote organ donation for transplantation. (shrink)

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The Infectious Diseases Act entered into force officially on 14 November 2018 in Bangladesh. The Act is designed to raise awareness of, prevent, control, and eradicate infectious or communicable diseases to address public health emergencies and reduce health risks. A novel coronavirus disease was first identified in Bangladesh on 8 March 2020, and the Ministry of Health and Family Welfare issued a gazette on 23 March, listing COVID-19 as an infectious disease and addressing COVID-19 as a public health emergency. The (...) gazette empowers the government to monitor the spread of infection. Despite there being an infrastructure of research ethics committees in almost all hospitals in Bangladesh, a lack of such committees in the clinical setting often forces healthcare professionals to allocate scarce healthcare resources to the task. These personnel are often either influenced by materialistic matters or guided by the emergency policies, without reaching a consensus on how to allocate scarce resources in times of need, especially in the time of the COVID-19 pandemic. Ethical dilemmas often arise when a number of patients with COVID-19, especially in poor and middle-class areas, are denied care while elites are prioritized to receive such scarce resources. Resource allocation in healthcare during the COVID-19 pandemic in Bangladesh appears to be unethical and in direct conflict with the biomedical principles of non-maleficence and procedural justice. The findings of this study suggest that the Act needs substantive changes in the stipulation of policy directing hospitals in the provision of resource allocation framework. Furthermore, parliament should produce guidance outlining how to successfully implement the law with the aim of protecting public health in times of emergency, especially the COVID-19 pandemic. (shrink)

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