Concepts, such as death, life and spirit cannot be known in their quintessential nature, but can be defined in accordance with their effects. In fact, those who think within the mode of pragmatism and Cartesian logic have ignored the metaphysical aspects of these terms. According to Islam, the entity that moves the body is named the soul. And the aliment of the soul is air. Cessation of breathing means leaving of the soul from the body. Those who agree on the (...) diagnosis of brain death may not able to agree unanimously on the rules that lay down such diagnosis. That is to say, there are a heap of suspicions regarding the diagnosis of brain death, and these suspicions are on the increase. In fact, Islamic jurisprudence does not put provisions, decisions on suspicious grounds. By virtue of these facts, it can be asserted that brain death is not absolute death according to Islamic sources; for in the patients diagnosed with brain death the soul still has not abandoned the body. Therefore, these patients suffer in every operation performed on them. (shrink)

Background: Compassion-based practices in midwifery are the most important expression of the depth of care quality. This concept is insufficiently represented in literature, therefore, studies on this subject are of utmost importance. Objectives: This study aims to determine the levels of compassion of midwives working in the delivery room and the factors affecting these levels. The study was carried out in Kocaeli, Turkey. Methods: This descriptive study was carried out from 1 February to 15 April 2019 in delivery rooms of (...) six different hospitals located in the provincial centre of Kocaeli, Turkey, with 78 actively working midwives. Data were collected using a ‘Compassion Scale’ and analysed using the Mann–Whitney U test, the Kruskal–Wallis H test and the Spearman correlation test. Ethical considerations: This study was conducted according to ethical scientific guidelines. Results: The compassion score of the midwives were found to be 4.19 ± 0.39. The total compassion score was affected by professional factors such as number of patients, alternating shift work, number of traumatic births and work satisfaction. While the kindness subscores decreased depending on shift work and number of traumatic births, it was determined that the midwives who were satisfied with their work had higher kindness scores than those who were not. Also, as the age and professional experience of the midwives and the number of traumatic births increased, their indifference score also increased. Midwives who reported that they were not satisfied with their job had higher scores regarding separation and disengagement scores than those who were satisfied with their job. Conclusion: It was determined that the compassion levels of midwives were found to be negatively affected by factors such as age, professional experience, job satisfaction and number of monthly traumatic births in a month. They should be reminded that compassionate midwifery care for women is a basic human right. (shrink)

Chronic organ diseases and the increasing demand for organ transplantation have become an important health care problem within the last few decades. Campaigns and regulations to encourage people to donate organs after their death have not met much success. This article discusses the subject from an Islamic perspective. It begins with some basic information on how Muslims reach legal rulings on a particular issue, and goes on to debate contemporary thinking among Islamic scholars on the ethical‐legal issues of organ donation (...) and organ transplantation.It is shown that there are two groups of scholars, one allowing organ donation and organ transplantation, the other refusing it in any circumstances. Both groups agree that it is fundamentally wrong to harvest organs from cadavers without the prior permission of the deceased or the relatives. This dogma is re‐examined, and it is argued that, under the rule of necessity and the imperative to preserve life, there is enough moral and theological ground to allow the state to harvest organs from the deceased without prior permission. (shrink)

Background There have been different ethical approaches to the issues in the history of philosophy. Two American philosophers Beachump and Childress formulated some ethical principles namely 'respect to autonomy', 'justice', 'beneficence' and 'non-maleficence'. These 'Four Principles' were presented by the authors as universal and applicable to any culture and society. Mawlana, a great figure in Sufi tradition, had written many books which not only guide people how to worship God to be close to Him, but also advise people how to (...) lead a good life to enrich their personality, as well as to create a harmonious society and a peaceful world. Methods In this study we examined the major works of Mawlana to find out which of these 'Four Principles of Bioethics' exist in Mawlana's ethical understanding. Results We have found in our study that all these principles exist in Mawlana's writings and philosophy in one form or another. Conclusions We have concluded that, further to Beachump and Childress' claim that these principles are universal and applicable to any culture and society, these principles have always existed in different moral traditions in different ways, of which Mawlana's teaching might be presented as a good example. (shrink)

Stem cell research is a newly emerging technology that promises a wide variety of benefits for humanity. It has, however, also caused much ethical, legal, and theological debate. While some forms of its application were prohibited in the beginning, they have now started to be used in many countries. This fact obliges us to discuss the regulation of stem cell research at national and international level. It is obvious that in order to make regulations and to draw up legislation at (...) national or international levels it helps to know the perspectives of different cultures and faith traditions. In this article the issue is explored from an Islamic perspective. Firstly, some basic information is given about Islam to explain how laws are drawn up and regulations made in this tradition. Secondly, the principles on which the laws and regulations are based are applied to stem cell research, and finally the permitted and prohibited methods of stem cell research are described. The discussions throughout the paper demonstrate that while some ethicists argue that stem cell research is unethical in the Islamic tradition, tradition permits it as long as such research is aimed at improving human health. (shrink)

This response to “A rational cure for pre-reproductive stress syndrome” first suggests it is existence that is essential and prerequisite to everything good or bad, therefore it deserves to be protected and respected. Secondly, it argues that every life is worth living, even if it is worse than some other lives, if the only alternative is non-existence. Finally, it takes a critical view of and challenges Häyry’s suggestion that in a good clinical situation, the idea of the irrationality of having (...) children could be a legitimate part of the guidance given, since it is not the counsellor’s or doctor’s duty to advise a couple who wish to have children that it is irrational or even immoral to bring a child into life. (shrink)

Kur’ân’da ahiret hayatının başlıca kısımlarından biri cennettir. Cennet, bu dünyada Allah’a inanan ve imanlarının bir sonucu olarak salih amel işleyenlerin ahirette nimetlerle ödüllendirileceği yer olarak ifade edilir. Bu açıdan Kur’ân’ın pek çok âyetinde cennet hayatına dair çeşitli nimetlerden bahsedilir. Özellikle Mekkî sûrelerde yoğun bir şekilde somut cennet tasvirleri yapılır. Bu tasvirlerin ise genellikle muhatapların kültürel alışkanlıklarıyla iç içe olduğu görülür. Diğer yandan Medenî sûrelerde ise somut cennet tasvirlerinin belirgin olarak azaldığı daha soyut ve evrensel temaların öne çıktığı fark edilmektedir. Dolayısıyla (...) araştırmanın konusunu ve kapsamını Kur’ân’daki cennet tasvirleri oluşturmaktadır. Araştırmanın temel amacı ise vahyin nüzul süreci bağlamında Kur’ân’daki cennet tasvirlerinde yerel ve kültürel unsurların ne ölçüde ve nasıl bir etkisinin olduğunun tespit edilmesidir. Zira cennet nimetlerini tamamen tarihsel ve kültürel bir bağlama indirgemek, bu nimetlerin işarette bulunduğu nesnel gerçekliği tarihin sınırlarına hapsetmeye yol açmaktadır. Buna göre cennet tasvirlerinin nüzul dönemi muhataplarının algısına indirgenmesi ve bu tasvirlerin cennet hayatına yönelik yapıcı ve kurucu etkisinin göz ardı edilmesi araştırmanın problemini teşkil etmektedir. Bu çerçevede ilk olarak Kur’ân’ın nüzul süreci hakkında bilgi verilmiştir. Ardından Mekkî ve Medenî sûrelerdeki cennet tasvirleri tespit edilerek bu tasvirlerin cennet hayatına yönelik kurucu etkisi üzerinde durulmuştur. Bu doğrultuda araştırmada genel olarak veri tespiti, tasnifi ve analizi yöntemi kullanılmıştır. Neticede cennet tasvirlerinde somuttan soyuta doğru giden tedrici bir yolun takip edildiği görülmüştür. Cennet tasvirlerindeki yerel ve tarihsel unsurların ise salt bir araç olarak kullanılmadığı, bilakis cennet hayatının nesnel gerçekliğine dair muhatapların zihin dünyasında kurucu bir rol oynadığı anlaşılmıştır. Ayrıca cennet nimetlerindeki yerel ve tarihsel unsurlar, cennet hayatının gerçekliğine dair kurucu bir etkiye sahip olmanın yanı sıra insanın algısı, sosyolojisi ve kültürüyle kurulan güçlü ve gerçekçi diyaloğu da göstermektedir. Zira kültürü, insanın bu hayatta farklı açılardan yaşadığı ve tecrübe ettiği gerçeklik olarak gördüğümüzde, cennet nimetlerinde kültürel motiflerin zikredilmesi bu gerçekçi diyaloğa işaret etmektedir. Bu bakımdan cennet tasvirlerinde kişinin canının istediği her şeyin orada olduğunun belirtilmesi, herkese bir yönüyle kendi kültürel gerçekliğine ve tecrübesine göre cenneti inşa etme imkânı da tanınmaktadır. Dolayısıyla cennet nimetleri üzerine yapılan bu inceleme, kültürel alışkanlıkların gaybî hakikatlerin idrak edilmesindeki kurucu etkisini ortaya koymaktadır. (shrink)

In recent decades antenatal screening has become one of the most routine procedure of pregnancy-follow up and the subject of hot debate in bioethics circles. In this paper the rationale behind doing antenatal screening and the actual and potential problems that it may cause will be discussed. The paper will examine the issue from the point of wiew of parents, health care professionals and, most importantly, the child-to-be. It will show how unthoughtfully antenatal screening is performed and how pregnancy is (...) treated almost as a disease just since the emergence of antenatal screening. Genetic screening and ethical problems caused by the procedure will also be addressed and I will suggest that screening is more to do with the interests of others rather than those of the child-to be. (shrink)

Euthanasia is a popular subject that health care professionals, lawyers and theologians has dealt with for a long time. While it was an extreme and exceptional case to support and argue in favour of euthanasia among health care professionals and lay public, it becomes more and more common to see supporters of this act especially among health care professionals.In this article euthanasia is examined from different perspectives, and tried to draw a conclusion that may be helpful to clarify our thinking (...) on this issue. Throughout the article, the concept of ‘ownership’ and the popular bioethical principal ‘right to autonomy’ are also explored. It is mainly concluded that since the euthanasia is the termination of a human life, and violates the internal morality of medicine, it cannot be considered as a part of ‘good-doctoring’ before it is questioned and debated very closely by the concerned public, as well as health care professionals, lawyers, theologians and politicians. (shrink)

John Harris is one of the prominent philosophers and bioethicists of our time. He has published tens of books and hundreds of papers throughout his professional life. This paper aims to take a ‘deep-look’ at Harris' works to argue that it is possible to find some principles of Islamic ethics in Harrisian philosophy, namely in his major works, as well as in his personal life. This may be surprising, or thought of as a ‘big’ and ‘groundless’ claim, since John Harris (...) has nothing to do with any religion in his intellectual works. The major features of Harrisian philosophy could be defined as consequentialism or utilitarianism with liberal overtones. Despite some significant and fundamental differences in the application of principles (ie, abortion, euthanasia), the similarities between the major principles in Harrisian philosophy and Islamic ethics are greater at some points than the similarities between Islamic ethics and some other religious ethics (ie, Christian, Judaism). In this study I compare Harrisian teachings with major Islamic principles on ‘Responsibility’, ‘Side-effects and Double-effects’, ‘Equality’, ‘Vicious choice, guilt and innocence’, ‘Organ transplantation and property rights’ and ‘Advance directives’. (shrink)

Introduction: It is essential to detect sacroiliitis earlier to decrease morbidity and unwanted complications such as ankylosing of sacroiliac joints. In recent studies, magnetic resonance imaging (MRI) serves as a key diagnostic tool for identifying sacroiliitis and is now included in the diagnostic criteria. We aim to detect the utility of diffusion-weighted imaging on the MRI in diagnosing sacroiliitis and measure ADC values for the response to treatment in future studies. Materials -methods: There were 39 patients (16 male, 20 female). (...) A 1.5 Tesla MR device with a pelvic coil was used. The sequences were T1 (before and after intravenous contrast administration of gadolinium), T2-weighted fast field echo, short tau inversion recovery (STIR), diffusion-weighted (DW) images, and apparent diffusion coefficient (ADC) mapping. Sacroiliac joints were divided into four quadrants, and two radiologists interpreted all the sequences by giving scores from 0 to 3 depending on bone marrow edema from none to severe. The concordance of scores assigned to STIR, T1-weighted gadolinium-enhanced images, ADC mapping, and diffusion-weighted MR images was evaluated by calculating intraclass correlation coefficients. Results: A statistically significant positive correlation was observed between the activity scores derived from short tau inversion recovery (STIR) and other magnetic resonance (MR) sequences, namely T1-weighted gadolinium-enhanced images, apparent diffusion coefficient (ADC) mapping, and diffusion-weighted MR images. Conclusion: Active bone marrow abnormalities were identified with comparable efficacy using STIR imaging and other MR sequences (T1W-Gad, ADC mapping, DW-MR). In our study, we tried to emphasize the role of the diffusion-weighted images near the other sequences. Diffusion is a fast, easy-applied sequence. After increased experience in the diffusion-weighted images, routine application of this sequence will increase, and even becoming one of the diagnostic criteria will be inevitable. The difference in DWI from the other sequences is that it is measurable. The response to treatment may be followed up by ADC values. (shrink)

The most frequent reasons of the accidents seen at children at the ages of 0-5 who have a right to be cared and protected are negligence and carelessness. In this study, judicial cases compiled from children between 0-5 years of age, who had been injured due to severe family negligence and were referred to the Osmangazi University Training, Practice and Research Hospital between the dates of September 1999 and March 2001, were examined. 40 of 113 cases were due to poisoning (...) from drugs. The main reasons for this were as follows the unawareness of children about the harm of drugs, putting drugs in reach of children, and the easy access to drugs from pharmacies without prescription. The recognition of international measures by Turkish government on the approach to the problems imposed by the young age population is a guarantee for the children rights. Our study implies that, as suggested by other researchers, the investigation of measures to prevent injuries due to negligence and the application of these measures will certainly improve the welfare of the given society. (shrink)