Medicine—and specifically surgery and surgical ethics—have long been part of the history of science. Surgical ethics play a pivotal role in ensuring successful outcomes and maintaining the highest standards of patient care. It includes the ethics of surgeons, the responsibility of surgeons, surgical errors, and the competence of a surgeon. Many works have been written about surgery, including during Iran’s Safavid period (1501 to 1736)—a period in which a surgeon needed to have a set of moral principles in addition to (...) practical surgical skills. One of the most valuable is Dhakhīrıh Kāmılıh, written by military surgeon Hakim Mohammad in the sixteenth and seventeenth centuries. In this work, Ḥakim Muhāmmad dedicates a chapter specifically to the topic of surgical ethics, aiming to provide moral and legal recommendations for surgeons in addition to explaining surgical techniques and methods. Some of these recommendations include improving surgical skills through observation and practical training, paying attention to hygiene to prevent the spread of infection, and giving patients hope for recovery. Dhakhīrıh Kāmılıh is a landmark text in the history of surgical ethics. (shrink)

Kant has explained his view on modality and modal concepts in general in different sections of the Critique of Pure Reason such as the "Metaphysical Deduction", "Schematism", and the "Postulates". However, he discusses the issue of existence in particular mainly under the topic of "The Impossibility of an Ontological Proof of the Existence of God." The proof—known as the "ontological argument"—was first presented by St. Anselm and later revised by Descartes, Leibniz, and contemporary philosophers like Norman Malcolm and Alvin Plantinga. (...) Kant's view on existence, however, seems to lead to some problems. In the present essay two of these... (shrink)

The idea of “creatio ex nihilo” entered the arena of natural science with the advent of modern cosmology in the mid-twentieth century. This idea, that is, the creation of the universe out of nothing, seems to be a consequence of the widely accepted Big Bang Theory which implies the temporal finitude of the world. In order to avoid the theological and metaphysical implications of such an idea, some scenarios and scientific models have been proposed. According to one of the scenarios, (...) the creation ex nihilo of the world is a causal physical phenomenon, and, hence, can be explained scientifically by appealing to the laws of nature. In this essay, I aim to discuss and criticize this idea. To fulfill this aim, in the introduction some achievements of modern cosmology will be very briefly introduced. In the next three sections, the notions of existence and nothingness, creation,scientific explanation, and singularity will be explored. It will be shown that what philosophers mean by these notions isradically different fromthe naïve ideas of some scientists. Hence, applying these notions to physical models of the origin of the universe is completely misleading. This work concludes that no scientific explanation appealing to the laws of nature can possibly explainthe creation of the universe out of nothing. (shrink)

The ideas of creatio ex nihilo of the universe and creatio continua of new matter out of nothing entered the arena of natural science with the advent of the Big Bang and the steady-state theories in the mid-twentieth century. Adolf Grünbaum has tried to interpret the steady-state theory in such a way, to show that the continuous formation of new matter out of nothing in this theory can be explained purely physically. In this paper, however, it will be shown that (...) Grünbaum's interpretation encounters at least three problems: not distinguishing between material and efficient causes, inconsistency, and misconceiving the law of density conservation. (shrink)

BackgroundGenetic disorders due to kindred marriages are common medical conditions in Iran; however, the legal aspects of abortion remain controversial. This study was undertaken to determine physicians' opinions regarding the termination of pregnancy for three genetic diseases: thalassemia major, hemophilia, and Down's syndrome.MethodsA questionnaire was administered to selected physicians by stratified random sampling to determine the following: age, gender, knowledge about prenatal diagnosis of diseases in high risk pregnancies, agreement with abortion, recommended gestational age for abortion, and, if opposed to (...) abortion, the reason.ResultsOf 323 physicians, who participated in the study, 91.3(295), 40.6(131), and 78.6%(254) were in agreement and 8.7(28), 59.4(192), and 21.4%(69) were opposed to abortion for thalassemia major, hemophilia, and Down's syndrome, respectively. Among 289 physicians opposed to abortion in respect of each of all three conditions, the following reasons were cited: religion, 18; emotional, 10; quality of care, 23; hope to find a new treatment option in the future, 103; miscellaneous reasons, 6; and a combination of these reasons, 129. Among 680 physicians in agreement with abortion in relation to all of the diseases, 4.6%(31) were agreed with abortion in less than 12 weeks gestation, 79.2%(538) in less than 16 weeks gestation, 5.6%(38) in less than 20 weeks gestation, 2.2%(15) in less than 24 weeks gestation, and 8.4%(58) were agreed with beyond the 24 weeks of gestational age.ConclusionThe majority of physicians were in agreement with abortion for thalassemia major and Down's syndrome because of the overall prognosis, but opposed to abortion for hemophilia. (shrink)