Indian journal of medical ethics最新文献

"Is disease a crime?": Exploring the possibilities of health humanities in Bhasi's Aswamedham. “疾病是犯罪吗？”：在Bhasi的Aswamedham中探索健康人文学科的可能性。

Indian journal of medical ethics Pub Date : 2026-07-01 Epub Date: 2026-02-13 DOI: 10.20529/IJME.2026.008

A Y Eldhose, A Y Shanty

{"title":"\"Is disease a crime?\": Exploring the possibilities of health humanities in Bhasi's Aswamedham.","authors":"A Y Eldhose, A Y Shanty","doi":"10.20529/IJME.2026.008","DOIUrl":"10.20529/IJME.2026.008","url":null,"abstract":"This commentary analyses playwright Thoppil Bhasi's efforts to challenge the social stigma surrounding leprosy, focusing on the Nooranad leprosy sanatorium in Kerala during the second half of the 20th century. Bhasi's influential play \"Aswamedham\" (1962), is recognised as a pioneering work in literature in Kerala. Its impact on the discourse surrounding health, illness, and societal attitudes towards individuals affected by leprosy is examined through the lens of health humanities. \"Aswamedham\" embodied a powerful social critique, challenging the prevailing necropolitics and reshaping the public perception of people suffering from leprosy. The transformative power of popular theatre and film in confronting social stigma, promoting inclusivity, and fostering compassion in health-related issues is highlighted here. In this era, the Covid-19 pandemic led to harsh stigmatisation at both individual and societal levels. This commentary contributes to the growing domain of health humanities studies, underscoring the significance of popular theatre and cinema in confronting social exclusion and discrimination against those afflicted by disease and transforming public perceptions regarding health conditions.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"208-213"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indian journal of medical ethics Pub Date : 2026-07-01 Epub Date: 2026-02-20 DOI: 10.20529/IJME.2026.010

Upendra Bhojani

{"title":"Tobacco-related health harms among Indigenous communities in India: Commercial determinants of health perspective.","authors":"Upendra Bhojani","doi":"10.20529/IJME.2026.010","DOIUrl":"10.20529/IJME.2026.010","url":null,"abstract":"Tobacco use has remained high among Indigenous communities in India over time, compared to other social groups. In this commentary, I use the lens of \"commercial determinants of health\" to understand commercial drivers of tobacco-related health harms among Indigenous communities, at three levels: the products, industry activities, and structural factors. At the level of products, we need to recognise diverse products and patterns of tobacco use, while differentiating the traditional use of tobacco from commercial tobacco use. Certain industry activities including \"sachetisation\" of tobacco products, occupational hazards in the bidi sector, and tobacco industry influence on public policy impacting Indigenous community health are examined. Macro-economic factors, not always specific to Indigenous groups/areas, also create the broader environment in which commercial forces operate. Tobacco control efforts need to consider the unique contexts of Indigenous communities, regulate the tobacco industry, and promote policies that provide safer livelihood alternatives alongside supply reduction measures.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"213-218"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7618926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One transplanted heart: A bridge across faiths. 移植的心脏：跨越信仰的桥梁。

Indian journal of medical ethics Pub Date : 2026-07-01 DOI: 10.20529/IJME.2026.016

Subhendu Adhikari

引用次数: 0

The WHO Guidance on Clinical Ethics: Some concerns from the Indian context. 世卫组织临床伦理学指南：来自印度背景的一些关注。

Indian journal of medical ethics Pub Date : 2026-07-01 Epub Date: 2025-12-10 DOI: 10.20529/IJME.2025.093

Vijayaprasad Gopichandran

{"title":"The WHO Guidance on Clinical Ethics: Some concerns from the Indian context.","authors":"Vijayaprasad Gopichandran","doi":"10.20529/IJME.2025.093","DOIUrl":"10.20529/IJME.2025.093","url":null,"abstract":"The World Health Organization (WHO) released a draft guidance on clinical ethics in May 2025. This document covers education and capacity building in clinical ethics, the setting up of clinical ethics services in institutions, and the development of policies to implement clinical ethics review at institutional, national and international levels. The guidance is promising, but there are important contextual issues in India, raising concerns about its adoption and effective implementation. From the experience with research ethics committees, we know that despite more than a decade of mandating ethics committee review of medical research, we still face a number of challenges. The same practical issues will likely plague the operations of clinical ethics committees. We need to learn from and adapt learnings from these experiences. Clinical ethics rounds could offer an important model to be considered in the hospital setting. However, a large part of primary healthcare is delivered in the community. Clinical ethics considerations also arise at the intersection of a pluralistic medical practice milieu in India, and in diagnostic laboratory and imaging services and allied healthcare services like physiotherapy and occupational therapy. Clinical ethics review must include all of these. Patient advocacy groups, and civil society organisations act as watchdogs against medical malpractice and are important stakeholders in the clinical ethics review process. Media reports also play a crucial role. The role of these stakeholders must be given due importance in the guidance for it to realise its full potential to initiate discourse and strengthen clinical practice regulation in India.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"203-207"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Who really owns science? The Sci-Hub ban and the battle for scientific equity. 谁真正拥有科学？科学中心的禁令和科学公平之战。

Indian journal of medical ethics Pub Date : 2026-07-01 DOI: 10.20529/IJME.2026.030

Surajit Bhattacharya, Kaushik Bhattacharya, Neeta Bhattacharya, Neela Bhattacharya, Dhananjaya Sharma

{"title":"Who really owns science? The Sci-Hub ban and the battle for scientific equity.","authors":"Surajit Bhattacharya, Kaushik Bhattacharya, Neeta Bhattacharya, Neela Bhattacharya, Dhananjaya Sharma","doi":"10.20529/IJME.2026.030","DOIUrl":"10.20529/IJME.2026.030","url":null,"abstract":"On August 19, 2025, the Delhi High Court ordered the blocking of Sci-Hub, a landmark ruling affecting access to scientific knowledge. Founded by Alexandra Elbakyan, Sci-Hub provided free access to millions of pay-walled research articles. While publishers framed this as copyright infringement, many researchers - particularly those in resource-constrained countries like India - viewed it as a democratising force. The judgment foregrounds a fundamental conflict in contemporary scientific publishing: the privileging of intellectual property enforcement over the ethical principle that publicly funded research should be freely and equitably accessible. Current publishing models often require authors to transfer copyright, pay article processing charges, and leave readers facing costly subscriptions, perpetuating inequity. Although Sci-Hub facilitated research and challenged publisher dominance, it also raised concerns about copyright violations and sustainability. In India, limited R&D funding makes subscriptions unaffordable, underscoring the need for policy solutions such as national subscriptions and mandatory open access. The debate calls for treating knowledge as a public good.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"XI 3","pages":"235-237"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing the missing stair: Conversion culture in mental health ecosystems. 解决缺失的阶梯：心理健康生态系统中的转换文化。

Indian journal of medical ethics Pub Date : 2026-07-01 Epub Date: 2026-02-05 DOI: 10.20529/IJME.2026.006

Aritra Chatterjee

引用次数: 0

Negotiating illness - anchored in solidarity and collective healing. 协商疾病——以团结和集体治疗为基础。

Indian journal of medical ethics Pub Date : 2026-07-01 Epub Date: 2026-02-10 DOI: 10.20529/IJME.2026.007

Sarojini Nadimpally

{"title":"Negotiating illness - anchored in solidarity and collective healing.","authors":"Sarojini Nadimpally","doi":"10.20529/IJME.2026.007","DOIUrl":"10.20529/IJME.2026.007","url":null,"abstract":"Background: The Bachelor of Ayurvedic Medicine and Surgery (BAMS) curriculum was revised by the National Commission for Indian System of Medicine in 2021-22. The updated syllabus now provides for extensive theoretical knowledge and skill development in forensic medicine (Agada Tantra evam Vidhi Vaidyaka), comparable with the MBBS (Bachelor of Medicine, Bachelor of Surgery) programme. This paper critically analyses these rigorous curricular reforms and argues that further steps are needed to provide practical training opportunities to Ayurveda students in line with those available to their MBBS counterparts in forensic medicine.Methods: This study employs a non-empirical methodology, analysing the existing literature, curriculum frameworks, and professional guidelines to evaluate the current state of forensic medicine education within Ayurveda.Results: The findings reveal significant gaps in the opportunities for practical training and regulatory restrictions for Ayurveda practitioners, which hinder them from effectively engaging with medico-legal issues in the clinical practice of forensic medicine.Conclusion: Comprehensive practical training and interdisciplinary collaboration are crucial for bridging the gap between practitioners of Ayurveda and those of modern medicine. This would not only enhance the professional capabilities of Ayurveda practitioners but also contribute to an integrated and equitable healthcare system.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"238-240"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increasing medical colleges without quality training: a growing concern. 缺乏高质量培训的医学院越来越多：一个日益令人担忧的问题。

Indian journal of medical ethics Pub Date : 2026-07-01 DOI: 10.20529/IJME.2026.015

Syed Sahil Aman

引用次数: 0

From solidarity to isolation: Why do doctors distance themselves from colleagues accused of an offence? 从团结到孤立：为什么医生与被指控犯罪的同事保持距离？

Indian journal of medical ethics Pub Date : 2026-07-01 DOI: 10.20529/IJME.2026.020

Sadananda Bolar Naik

{"title":"From solidarity to isolation: Why do doctors distance themselves from colleagues accused of an offence?","authors":"Sadananda Bolar Naik","doi":"10.20529/IJME.2026.020","DOIUrl":"https://doi.org/10.20529/IJME.2026.020","url":null,"abstract":"A doctor in Madhya Pradesh was arrested when several children died, after consuming a toxin-contaminated cough syrup he had prescribed. The Indian Medical Association condemned the arrest, stating that the prescribing doctor could not have known about the contamination [1]. Social media posts poured in from all quarters, including doctors, condemning the government for making the doctor a scapegoat to cover up their own inefficiency. But, when the police report filed in court, - opposing the doctor's bail application - charged him with taking a 10% commission from the manufacturer, the attitude of the doctors changed completely [2]. The medical fraternity disowned him overnight and declared him guilty before he was even tried on the charges. Imagine that he had been a politician or an individual belonging to an organisation. There would have been a plethora of statements like, \"He is a victim of political vendetta\", \"We shall fight it to the end\", and \"We have full faith in the judiciary\" … etc. This incident gives us an insight into the attitude of doctors as a group, which makes them take the moral high ground and judge their own colleague as an offender long before the person has been tried, rather than lend him support.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"XI 3","pages":"254-255"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Policies to reverse low fertility in India: Need for an ethics perspective. 扭转印度低生育率的政策：需要从伦理角度考虑。

Indian journal of medical ethics Pub Date : 2026-07-01 DOI: 10.20529/IJME.2026.045

Mala Ramanathan

引用次数: 0