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Indian Journal of Medical Ethics

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https://www.readbyqxmd.com/read/28971830/can-the-ayush-system-be-instrumental-in-achieving-universal-health-coverage-in-india
#1
Janmejaya Samal, Ranjit Kumar Dehury
Universal health coverage (UHC) in the Indian context is understood as easily accessible and affordable health services for all citizens. The Planning Commission of India constituted a High Level Expert Group (HLEG) in October 2010 for the purpose of drafting the guidelines of UHC. While the primary focus of UHC is to provide financial protection to all citizens, its delivery requires an adequate health infrastructure, skilled health human resources, and access to affordable drugs and technologies so that all people receive the level and quality of care they are entitled to...
September 26, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28971831/selfless-giving-in-medicine-a-study-of-altruistic-attitudes-among-medical-students
#2
S Sanjai, Vijayaprasad Gopichandran
INTRODUCTION: An important virtue in the medical profession is altruism, which makes a doctor serve without an excess of expectation of return. OBJECTIVES: To assess the level of altruism and factors influencing altruism among medical students at a medical college in Chennai. METHODS: A cross-sectional study was conducted on a sample of 224 students from the first, third and fourth years. We prepared a questionnaire which contained questions from the previously validated Altruistic Personality Scale...
September 19, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28918379/infanrix-hexa-and-sudden-death-a-review-of-the-periodic-safety-update-reports-submitted-to-the-european-medicines-agency
#3
Jacob Puliyel, C Sathyamala
There have been a number of spontaneous reports of sudden unexpected death soon after the administration of Infanrix hexa (combined diphtheria, tetanus, acellular pertussis, hepatitis B, inactivated poliomyelitis and Haemophilus influenza type B vaccine). The manufacturer, GlaxoSmithKline (GSK), submits confidential periodic safety update reports (PSURs) on Infanrix hexa to the European Medicines Agency (EMA). The latest is the PSUR 19. Each PSUR contains an analysis of observed/expected sudden deaths, which shows that the number of observed deaths soon after immunisation is lower than that expected by chance...
September 5, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29125466/the-science-in-the-p-value-need-for-a-rethinking
#4
EDITORIAL
Mala Ramanathan
No abstract text is available yet for this article.
October 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28971829/tax-free-sanitary-napkins
#5
LETTER
Rupal Singh, Vijay Thawani
No abstract text is available yet for this article.
October 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28918380/it-is-not-enough-to-grieve-we-must-learn-from-gorakhpur
#6
EDITORIAL
Yogesh Jain, Keshav Desiraju
No abstract text is available yet for this article.
October 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28803224/broadening-the-argument-on-limb-lengthening
#7
Alok Sarin
No abstract text is available yet for this article.
October 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28803220/deaths-following-pentavalent-vaccine-and-the-revised-aefi-classification
#8
LETTER
Jacob Puliyel, Anant Phadke
No abstract text is available yet for this article.
October 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28889089/on-the-integration-of-ethics-into-the-physiology-curriculum
#9
D Savitha, Manjulika Vaz, Olinda Timms, G D Ravindran, Mario Vaz
A one-day state-level workshop was organised in Karnataka to share the experience of a programme implemented earlier, in 2015-16, at St John's Medical College, Bengaluru that integrated the teaching of ethics into the physiology curriculum. The aim was to develop the programme further, list the challenges likely to be faced while scaling it up, and identify other colleges which could participate in the scaling up. Twenty-eight participants, representing 13 medical colleges, and five resource persons attended the workshop...
August 23, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28889090/placing-the-radar-under-the-radar-ethics-of-public-health-surveillance
#10
Vijayaprasad Gopichandran
Public health surveillance (PHS) is an essential public health activity, which entails collecting data on diseases and disease-related states in a timely manner to aid in international health regulations and in local health planning. Opinions differ sharply on whether it is a research or non-research activity. In recent years, most low- and middle-income countries (LMICs) have been establishing their own PHS systems, with or without support from external donors, to comply with the stipulations of international health regulations...
August 16, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28918381/assessing-decisional-capacity-for-research-participation-in-psychiatric-patients-and-their-relatives
#11
Donae Elizabeth George, Saumil Dholakia, Prathap Tharyan
A cross-sectional study among adult inpatients with non-organic psychiatric disorders, and among their key relatives, assessed their comprehension and recall of key information in consent forms. It also assessed their capacity to consent to participate in two hypothetical randomised controlled trials (RCTs) with different potential risks and burdens, using structured questionnaires and recorded interviews. Of the 24 participants (12 patient-key relative dyads), seven patients (58%) and three key relatives (25%) were clinically judged to lack the capacity to consent...
August 8, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28889088/participation-in-randomised-controlled-trials-perspectives-of-psychiatric-patients-and-key-relatives
#12
Donae Elizabeth George, Saumil Dholakia, Prathap Tharyan
This study assessed the perspectives of adults who had acute nonorganic psychiatric disorders and were admitted in a private, not for- profit medical college hospital, and also of their key relatives, on randomised controlled trials (RCTs). Structured questionnaires and audio-recorded interviews were used for the purpose. We explored their willingness and motivation to participate in two hypothetical RCTs with different risks and burdens. The transcripts of the interviews were analysed using the principles of grounded theory and framework analysis...
August 1, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28803223/social-responsibilities-of-a-physician-reflections-of-major-general-s-l-bhatia-1891-1981
#13
Radhika Hegde, Mario Vaz
This paper examines various documents written by Major General SL Bhatia CIE, MC, IMS from the 1920s to the1960s on the "Social Responsibilities of a Physician". His reflections are of historical significance, since they provide us with an insight into the challenges confronting the people who attempted to rebuild a nation plagued by poverty resulting from fractured agricultural growth, a feudalistic social structure and the regional inequalities that accompany it, and prolonged imperial rule, among other things...
July 25, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28803221/reflective-student-narratives-honing-professionalism-and-empathy
#14
Upreet Dhaliwal, Satendra Singh, Navjeevan Singh
The affective domain is not explicitly targeted during medical studies and poor skills in this domain may lead to conflict when dealing with patients. Reflective narratives are said to promote humanitarianism and professional development. We aimed to examine reflective narratives written by medical students in our institution for content relating to ethical and professional Attitude and Behaviour, Communication, respect for Diversity and Disability, and Empathy (the ABCDE paradigm). We were also interested in understanding how far the students enjoyed learning through the writing of narratives and in determining their perceived learning from the exercise...
July 18, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28803222/biobanking-in-the-subcontinent-exploring-concerns
#15
Aamir M Jafarey, Sualeha Siddiq Shekhani, Bushra Shirazi
Biobanking is an important tool for biomedical research. However, it raises a variety of ethical issues, which are compounded in the developing world. This paper is based on data from three sources on the ethical issues associated with biobanking, including a mixed method pilot study conducted with students in Karachi, Pakistan, a workshop in Karachi, and another workshop held in Bengaluru, India. Findings from these sources reveal a unanimous lack of clarity about what constitutes a biobank. While informed consent was deemed necessary for storage of materials, participants were unsure of how this could be achieved for samples stored indefinitely for future research...
July 11, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28812979/truth-in-research-labelling
#16
John H Noble
This report describes the background and context of a currently circulating petition to the US Congress that seeks amendment of Section 801 of the Public Health Services Act (42 U.S.C. 282) to close a loophole in existing law which makes possible post hoc adjustment of randomised controlled trial (RCT) results reported to the Food and Drug Administration that differ from those reported to ClinicalTrials.gov and to medical journals. The report describes the petition's rationale, underlying assumptions, and support for its proposed remedy in deontological, consequentialist, and casuist philosophical ethics theories...
July 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28812978/cioms-2016
#17
EDITORIAL
Sunita Vs Bandewar
No abstract text is available yet for this article.
July 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28812977/uterus-transplants-in-india-yawning-regulatory-gaps
#18
EDITORIAL
Sandhya Srinivasan
No abstract text is available yet for this article.
July 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28661402/cioms-guidelines-remain-conservative-about-vulnerability-and-social-justice
#19
Calvin Wai-Loon Ho
This paper begins by considering how the revised CIOMS guidelines have progressed beyond a mere labelling approach in the handling of vulnerability.. However, progress is limited as the guidelines remain fixated on voluntariness and harm reduction or prevention. Although these are important considerations, vulnerability could also serve as a robust analytic for the evaluation of situational and pathogenic (or structural) contributions to susceptibilities to harm. They could also provide better guidance on how to differentiate among varying types and degrees of harm, rather than merely noting their presence...
July 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28630031/response-to-david-s-article-on-the-use-of-pellet-guns-in-kashmir
#20
LETTER
Ratna Magotra
No abstract text is available yet for this article.
July 2017: Indian Journal of Medical Ethics
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