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Indian Journal of Medical Ethics

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https://www.readbyqxmd.com/read/29699955/medical-case-reports-published-in-pubmed-indexed-indian-journals-in-2015-adherence-to-2013-care-guidelines
#1
Renju Ravi, Alhad Mulkalwar, Urmila M Thatte, Nithya J Gogtay
In 2013, an independent group of researchers developed the CARE guidelines, a checklist to standardise reporting of case reports. This study assesses adherence to CARE guidelines among PubMed-indexed Indian medical journals in 2015 and the extent of endorsement of these guidelines by the journals. Case reports published in 2015 in journals indexed by PubMed, belonging to the medical stream, currently active, and that had an impact factor were included for analysis. Case series and journals that were published from India but for another country were excluded...
April 23, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29699954/the-national-medical-commission-more-of-the-same
#2
George Thomas
The Cabinet chaired by the Prime Minister has accepted six amendments to the National Medical Commission Bill suggested by the Department-related Parliamentary Standing Committee (1). These amendments are: the proposed National Licentiate Examination has been replaced by a countrywide final MBBS examination called the National Exit Test (NEXT); the bridge course to train practitioners from AYUSH (Ayurveda, Unani, Siddha and Homeopathy) in modern medicine has been removed, and it has been left to individual states to take a decision about this; the percentage of seats in private medical training institutions under fee regulation has been increased from 40% to 50%; the number of nominees from the states and Union territories who are members of the Commission has been increased from three to six; the penalties for non-compliance with educational norms for colleges has been modified; and the punishment for practising modern medicine without qualification has been made imprisonment up to one year and a fine of Rs 5 lakh...
April 16, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29650500/zika-reveals-india-s-risk-communication-challenges-and-needs
#3
Santosh Vijaykumar, Aravind Sesagiri Raamkumar
India's approach to disseminating information about the first three cases of the Zika virus was criticised nationally and internationally after the issue came to light in May 2017 through a World Health Organization news release. We analyse the incident from a risk communication perspective. This commentary recaps the events and synthesises key arguments put forth by the news media and public health stakeholders. We use Peter Sandman's risk = hazard + outrage framework - also adopted by India's risk communication planners - to analyse India's risk communication response and contextualise it against the mandate of the National Risk Communication Plan and Integrated Disease Surveillance Programme...
April 12, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29650501/social-responsibility-and-global-health-lessons-from-the-rio-olympics-zika-controversy
#4
Fernando Hellmann, Luzilena de Souza PrudĂȘncio Rohde, Marta Verdi, Volnei Garrafa, Camilo Manchola-Castillo
The outbreak of Zika virus infection in the Americas and its possible association with microcephaly raised several concerns among global health authorities regarding the organisation of the Olympic and Paralympic Games scheduled for August and September 2016, in the city of Rio de Janeiro, Brazil. It generated an international controversy over the continuation of the Games with debates on the ethical principle of social responsibility. Based on the principles of social responsibility and health in the Universal Declaration of Bioethics and Human Rights, the present comment ponders on the application of such principles in the context of mega-events and global health...
March 30, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29650498/five-years-post-nirbhaya-critical-insights-into-the-status-of-response-to-sexual-assault
#5
Sunita Vs Bandewar, Amita Pitre, Lakshmi Lingam
It is five years since the fatal gang rape of Jyothi Singh (Nirbhaya), a physiotherapy student, on December 16, 2012, in New Delhi, the capital of India. The legal and policy reforms triggered by the Nirbhaya case will remain a watershed moment in the history of efforts towards seeking justice for survivors of gender-based violence in India. The Criminal Law (Amendment) Act, 2013 and the "Guidelines and protocols: Medico-legal care for survivors/victims of sexual violence" issued by the Ministry of Health and Family Welfare in March 2014 are two landmark reforms...
March 28, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29650499/evaluation-of-research-in-india-are-we-doing-it-right
#6
Muthu Madhan, Subbiah Gunasekaran, Subbiah Arunachalam
The evaluation of performance in scientific research at any level - whether at the individual, institutional, research council or country level - is not easy. Traditionally, research evaluation at the individual and institutional levels has depended largely on peer opinion, but with the rapid growth of science over the last century and the availability of databases and scientometric techniques, quantitative indicators have gained importance. Both peer review and metrics are subject to flaws, more so in India because of the way they are used...
March 23, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29650495/a-fine-doctor
#7
Sanjay Nagral
I met Jonathan Fine for the first time in 2011. He was to travel back to Boston through Mumbai after a stint in Chattisgarh, where he had volunteered with Jan Swasthya Sahayog, the well-known rural hospital near Bilaspur. A friend suggested that since he was a doctor who had done pioneering work by setting up the renowned organisation Physicians for Human Rights, we should arrange a talk by him for medical students. A lecture was thus organised at my alma mater, the GS Medical College and KEM Hospital, where Jonathan spoke on "Why should doctors engage with human rights?" In his characteristic blunt style, rather than talk about his past, he exhorted the audience to visit Chattisgarh and see the severe inequities he had witnessed...
March 20, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29550750/combating-corruption-in-the-pharmaceutical-arena
#8
Joel Lexchin, Jillian Clare Kohler, Marc André Gagnon, James Crombie, Paul Thacker, Adrienne Shnier
Corruption in healthcare generally and specifically in the pharmaceutical arena has recently been highlighted in reports by Transparency International. This article focuses on four areas of corruption: legislative/regulatory, financial, ideological/ethical, and communications. The problems identified and the solutions considered focus on structural considerations affecting how pharmaceuticals are discovered, developed, distributed, and ultimately used in clinical settings. These include recourse to user fees in the regulatory sphere, application of intellectual property rights to medical contexts (patents and access to research data), commercial sponsorship of ghost writing and guest authors, linkage/delinkage of the funding of research and overall health objectives to/from drug pricing and sales, transparency of payments to healthcare professionals and institutions, and credible regulatory sanctions...
March 15, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29650497/quality-of-medical-education-is-our-health-in-safe-hands
#9
Tanuj Kanchan, Kewal Krishan, Neelam Dehal
The medical profession, once considered a "noble profession" has been under the scanner for deterioration in services. This decline is generally attributed to commercialisation of services, waning human values, and a lack of empathy and communication skills. At a time when discussions are focused on devising approaches to test medical students for attributes such as empathy, communication skills and concern for the less privileged, developing nations like India are suffering from the "problem of too many"...
March 12, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29550746/promote-health-not-nuclear-weapons-ethical-duty-of-medical-professionals
#10
Arun Mitra
Despite ongoing tensions in various parts of the world, the year 2017 ended on a positive note. The Treaty Prohibiting Nuclear Weapons (TPNW) was passed by the UN General Assembly on July 7, 2017, which will always be a red-letter day in history. It has raised many hopes for a future world without nuclear weapons and staved off the impending humanitarian catastrophe. Good health is a basic need of every individual. Therefore, each person yearns for a life free of violence and free of man-made catastrophes like the ones at Hiroshima and Nagasaki in 1945, which killed over two hundred thousand people and resulted in genetic mutations affecting generations thereafter...
March 7, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29550749/ending-commercial-surrogacy-in-india-significance-of-the-surrogacy-regulation-bill-2016
#11
Olinda Timms
The introduction of the Surrogacy (Regulation) Bill, 2016 into Parliament, in August 2016, was a much-awaited response to citizen voices and human rights groups calling for action in the unregulated area of commercial surrogacy arrangements. Both houses of Parliament have reviewed the Bill, and its fate was to be decided in the Winter Session of Parliament, 2017. It is still unclear whether the Bill will come up for decision in the Budget Session that will reconvene on March 5, 2018. The market for infertility treatments has attracted to India global clients seeking access to surrogates and procedures at lower costs...
March 5, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29550747/report-of-the-parliamentary-standing-committee-on-the-surrogacy-regulation-bill-2016-a-commentary
#12
Olinda Timms
Soon after the Surrogacy (Regulation) Bill, 2016 was approved by the Cabinet for introduction into Parliament in 2016, it was submitted for review to a Parliamentary Standing Committee on Health and Family Welfare. The report of this committee, The 102nd Report on the Surrogacy (Regulation) Bill, 2016 was laid on the table of the Lok Sabha and presented to the Rajya Sabha on August 10, 2017. It contains hearings with stakeholders and witnesses and a review of relevant documents and related legislation. The comments of the Parliamentary Standing Committee are wide ranging and pertinent, seeking to fill the gaps and explain and rationalise the statute and includes responses from the Department of Health Research...
February 28, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29724700/puzzling-silence-of-the-british-medical-association
#13
Sunil K Pandya
I support wholeheartedly the argument of Drs Chisholm and Sheather (1) in their essay in IJME that silence is not an option in times of conflict; but suggest that there are other situations in which this principle applies.
April 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29724699/when-fiduciary-duty-clashes-with-duty-to-the-state
#14
Rakhi Ghoshal
In their case study Cash and Castro discuss a situation where a physician's duties to the laws of her land stand in conflict with her fiduciary duties to her patient. This present commentary is a response to the situation they describe, and it engages with the issue of conscientious objection in medicine, to argue that the ethical responsibility of the physician should be tilted in favour of the patient, especially when the laws of the land are regressive and harmful.
April 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29724698/advising-a-woman-with-suspected-zika-virus-infection
#15
Richard A Cash, Marcia C Castro
The Zika virus (ZIKV) epidemic is spreading: 67 countries are now reporting transmission, and over 2,000 cases of congenital Zika syndrome (CZS) have been confirmed. The heaviest burden has been borne by those living where poverty, poor infrastructure, and lack of access to health services are common and the penetration of Aedes aegypti is high. Because most cases are asymptomatic, the most dramatic signs of the disease appear through the CZS cases. In spite of the need for disaggregated epidemiological data to understand transmission patterns and evaluate interventions in vulnerable populations, there is no reliable count of ZIKV cases by sex and ethnicity (1)...
April 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29724697/arts-and-the-problematic-conceptualisation-of-declining-reproduction
#16
Anindita Majumdar
The routinisation of assisted reproduction in India has led to its proliferation and the easy identification of infertility. However, clinical and popular discourse tends to focus primarily on age-related deficiencies in reproduction. Here, both the "dangers" of declining reproduction as well as the facilitation of delayed reproduction are areas of focus and eulogisation. Bringing together the diverse elements of the medico-social conversation, the aim of this commentary is to examine the ways in which the ARTs are used to make sense of declining reproduction...
April 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29724696/invisible-women-in-reproductive-technologies-critical-reflections
#17
Piyali Mitra
The recent spectacular progress in assisted reproductive technologies (ARTs) has resulted in new ethical dilemmas. Though women occupy a central role in the reproductive process, within the ART paradigm, the importance accorded to the embryo commonly surpasses that given to the mother. This commentary questions the increasing tendency to position the embryonic subject in an antagonistic relation with the mother. I examine how the mother's reproductive autonomy is compromised in relation to that of her embryo and argue in favour of doing away with the subject-object dyad between them, particularly in the contexts of surrogacy and abortion...
April 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29724695/assisted-reproductive-technologies-conundrums-and-challenges
#18
EDITORIAL
Rakhi Ghoshal
A few weeks ago, a leading multi-city IVF clinic published an advertisement in a leading news daily. The advertisement sounded ominous, "The longer you wait, the lower your chances" - it referred to one's chances of getting pregnant. The subtext was far too easy to decipher: the content was thoroughly gendered and directed solely at women, particularly at career-oriented women who delay their marriages and childbearing plans far too long, supposedly lowering their fertility in the process. It also sounded benevolent in its attempt to warn these "erring" women...
April 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29724694/the-supreme-court-of-india-on-euthanasia-too-little-too-late
#19
Sunita Vs Bandewar, Leni Chaudhuri, Lubna Duggal, Sanjay Nagral
On Friday, March 9, 2018 the five-judge Constitution Bench (CB) of the Supreme Court of India (SCI) chaired by Dipak Misra, the Chief Justice of India, pronounced its judgment (1) (henceforth CC judgment) granting, for the first time in India, legal recognition to "advanced medical directives" or "living wills", ie, a person's decision communicated in advance on withdrawal of life-saving treatment under certain conditions, which should be respected by the treating doctor/s and the hospital...
April 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29439940/parenthood-is-the-law-in-nigeria-fit-for-assisted-reproductive-technology
#20
Simisola O Akintola, Olohikhuae O Egbokhare
This paper examines the legal aspects of parenthood and how it is, or could be, determined in Nigeria given the wide popularity and uptake of assisted reproductive technology (ART). It aims to establish whether the existing national laws can sufficiently protect the interests of the child who is born and of the consumers, with an emphasis on the determination of the status of the parents. It also identifies problems and proposes solutions with regard to the specific issue of establishing legal parenthood following the use of ART, either with or without state regulation...
April 2018: Indian Journal of Medical Ethics
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