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Indian journal of medical ethics最新文献

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Rediscovering the simple yet profound joy of breathing without pain: My experience with childhood tuberculosis. 重新发现无痛苦呼吸的简单而深刻的快乐：我的童年结核病经历。
Indian journal of medical ethics Pub Date : 2026-04-01 Epub Date: 2025-12-19 DOI: 10.20529/IJME.2025.096
Charan Mahananda
{"title":"Rediscovering the simple yet profound joy of breathing without pain: My experience with childhood tuberculosis.","authors":"Charan Mahananda","doi":"10.20529/IJME.2025.096","DOIUrl":"10.20529/IJME.2025.096","url":null,"abstract":"<p><p>In this personal essay, I recount my lived experience of childhood tuberculosis, highlighting the physical, emotional, and psychological toll on myself and my family. I reflect on how tuberculosis care has since improved, but also how certain critical gaps persist, especially the challenges of inadequate financial support, post-recovery social reintegration, and insufficient psychological care for persons with tuberculosis. Drawing from my experience, I advocate measures to address stigma, invisible costs, and discrimination. Holistic care for tuberculosis must go beyond just medical recovery and ensure dignity and meaningful social healing for all.</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"155-157"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392202","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
Rational use and regulatory stewardship for paediatric cough syrups in India: A public health imperative. 印度小儿止咳糖浆的合理使用和管理：公共卫生的当务之急。
Indian journal of medical ethics Pub Date : 2026-04-01 DOI: 10.20529/IJME.2026.029
Prashant Chandra, M K Unnikrishnan
{"title":"Rational use and regulatory stewardship for paediatric cough syrups in India: A public health imperative.","authors":"Prashant Chandra, M K Unnikrishnan","doi":"10.20529/IJME.2026.029","DOIUrl":"10.20529/IJME.2026.029","url":null,"abstract":"<p><p>Recurrent paediatric deaths from diethylene glycol (DEG)-contaminated cough syrups in India highlight critical failures in regulatory stewardship and rational medicine use. Despite global alerts and domestic advisories, children continue to be exposed to hazardous, non-essential multiple-drug combinations. This commentary analyses the intersection of clinical irrationality and regulatory gaps, arguing that persistent reliance on over-the-counter (OTC) cough syrups for self-limiting viral illnesses in children under five is ethically indefensible. We review recent incidents (2022-2025) and policy responses, identifying persistent weaknesses in supply-chain oversight and excipient testing. We propose a four-pillar stewardship roadmap: clinical restraint to curb unnecessary prescribing; rigorous quality assurance, including universal batch testing; intensified market surveillance; and public communication to counter misconceptions. Aligning India's paediatric pharmaceutical governance with WHO rational use principles is urgently needed to prevent further avoidable mortality and restore trust in the public health system.</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"XI 2","pages":"131-136"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159971","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
Dr Google v Dr Real: Is it unethical to dismiss patients who self-diagnose? Dr b谷歌vs Dr Real：不接受自我诊断的病人是不道德的吗？
Indian journal of medical ethics Pub Date : 2026-04-01 Epub Date: 2025-10-23 DOI: 10.20529/IJME.2025.079
Vangipuram Harshil Sai, Chiramana Haritha, Vangipuram Shankar
{"title":"Dr Google v Dr Real: Is it unethical to dismiss patients who self-diagnose?","authors":"Vangipuram Harshil Sai, Chiramana Haritha, Vangipuram Shankar","doi":"10.20529/IJME.2025.079","DOIUrl":"10.20529/IJME.2025.079","url":null,"abstract":"<p><p>With online information at their fingertips, patients increasingly present with self-diagnoses - a trend that both empowers and complicates care. Many clinicians react with dismissal, seeing such behaviour as a challenge to their expertise. But is it ethical to disregard patients who Google their symptoms? Through a case vignette and analysis grounded in autonomy, epistemic justice, and beneficence, we argue that dismissal reflects a deeper failure of ethical engagement. Medical education must evolve to equip future doctors with humility and communication skills to guide, not guard, patients in an information-saturated world.</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"143-145"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392240","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
Compromised quality of medicines: a regulatory failure. 药品质量受损：监管失败。
Indian journal of medical ethics Pub Date : 2026-04-01 DOI: 10.20529/IJME.2026.027
Sandhya Srinivasan, Veena Johari
{"title":"Compromised quality of medicines: a regulatory failure.","authors":"Sandhya Srinivasan, Veena Johari","doi":"10.20529/IJME.2026.027","DOIUrl":"10.20529/IJME.2026.027","url":null,"abstract":"<p><p>January 1, 2026, was a milestone of sorts in the Indian drug industry. As of that date, all manufacturers, small and large, are required to comply with the December 2023 amendments to Schedule M of the Drugs and Cosmetics Act, 1940, and Rules, 1945, that relate to Good Manufacturing Practices (GMP) and Quality Risk Management [1]. The amendments detail the requirements of premises, plant, and equipment for pharmaceutical production. The change, if implemented, is intended to upgrade Indian pharmaceutical manufacture to the standards of the World Health Organisation's Guidelines on Production, that include GMP [2]. They would also move closer to the International Council Conference for Harmonization of Technical Requirements for Pharmaceuticals for Human Use (ICH). ICH brings together regulatory authorities and the pharmaceutical industry to discuss issues relating to registration of drugs, and has developed quality guidelines based on GMP [3].</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"XI 2","pages":"93-97"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159931","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
Discovering purpose through NIRMAN: A journey beyond medicine. 通过NIRMAN发现目标：超越医学的旅程。
Indian journal of medical ethics Pub Date : 2026-04-01 Epub Date: 2025-12-27 DOI: 10.20529/IJME.2025.097
Annirudh Annirudh, Archit Goel, Pavan Raju Kola, Arkansh Sharma
{"title":"Discovering purpose through NIRMAN: A journey beyond medicine.","authors":"Annirudh Annirudh, Archit Goel, Pavan Raju Kola, Arkansh Sharma","doi":"10.20529/IJME.2025.097","DOIUrl":"10.20529/IJME.2025.097","url":null,"abstract":"<p><p>As MBBS students, we attended the 7-day NIRMAN workshop at SEARCH, Gadchiroli, aimed at inspiring youth towards a purposeful life. Immersed in sessions on public health, ethics, finance, and community engagement, we explored the philosophy of \"Arogya Swaraj\" and witnessed rural realities during village visits and Shramdan activities. Interactions with mentors, critical readings, and collective reflection fostered introspection, camaraderie, and a renewed sense of responsibility as socially responsive doctors. The workshop transformed our outlook, highlighting that healthcare extends beyond hospitals, and should be rooted in community empowerment and the pursuit of equitable well-being.</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"152-154"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392247","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
DEG deaths: Why is India unable to stop them? 为什么印度无法阻止他们？
Indian journal of medical ethics Pub Date : 2026-04-01 Epub Date: 2025-10-31 DOI: 10.20529/IJME.2025.082
Rema Nagarajan
{"title":"DEG deaths: Why is India unable to stop them?","authors":"Rema Nagarajan","doi":"10.20529/IJME.2025.082","DOIUrl":"10.20529/IJME.2025.082","url":null,"abstract":"<p><p>The deaths of children in Chhindwara in Madhya Pradesh from cough syrup adulterated with diethylene glycol (DEG) have laid bare the gaps in drug regulation, from the manufacturing site down to the pharmacist. They have exposed, as hollow, the governments' and drug regulators' announcements of higher manufacturing standards for medicines, regular inspections of manufacturing units and stringent action against those found flouting regulations - after similar mass poisonings from DEG in cough syrup reported in 2020, 2022 and 2023. The Chhindwara tragedy has revealed a drug regulatory system that has not only failed repeatedly to make medicines safe, but also actively fights any public scrutiny of its functioning.</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"117-121"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147392164","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
Where does "integration" end and "mixopathy" begin? Ayurvedic surgery and beyond…. “融合”在哪里结束，“混合病”在哪里开始？阿育吠陀手术及其他....
Indian journal of medical ethics Pub Date : 2026-04-01 DOI: 10.20529/IJME.2026.011
Pushya A Gautama
{"title":"Where does \"integration\" end and \"mixopathy\" begin? Ayurvedic surgery and beyond….","authors":"Pushya A Gautama","doi":"10.20529/IJME.2026.011","DOIUrl":"10.20529/IJME.2026.011","url":null,"abstract":"<p><p>The Andhra Pradesh Health Minister recently announced [1] that Ayurveda postgraduates trained in surgical studies would be allowed by the state government to practise 58 surgical procedures independently. But what exactly does the term \"independently\" refer to, and why do accusations of \"mixopathy\" arise so frequently against Ayurveda practitioners?</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"XI 2","pages":"168-169"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159966","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
The ethical drift in medical education: Prioritising post graduate entrance preparation over professional competence. 医学教育的伦理漂移：重研究生入学准备轻专业能力。
Indian journal of medical ethics Pub Date : 2026-04-01 DOI: 10.20529/IJME.2026.009
Thirunavukkarasu Arun Babu, Vijayan Sharmila
{"title":"The ethical drift in medical education: Prioritising post graduate entrance preparation over professional competence.","authors":"Thirunavukkarasu Arun Babu, Vijayan Sharmila","doi":"10.20529/IJME.2026.009","DOIUrl":"10.20529/IJME.2026.009","url":null,"abstract":"<p><p>There is an emerging and deeply concerning shift in the culture of undergraduate medical education in India, with many MBBS students increasingly prioritising their preparation for postgraduate (PG) entrance examinations, such as the National Eligibility cum Entrance Test for Postgraduate (NEET-PG) and Institute of National Importance Combined Entrance Test (INI-CET), over conventional academic learning and bedside clinical exposure. This sometimes begins from the very first year of training. The rapid expansion of commercial, technology-driven coaching platforms has amplified this trend. While such platforms have facilitated access to learning resources and support exam preparation, their disproportionate influence on student priorities raises significant ethical questions regarding the purpose and integrity of undergraduate medical education.</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"XI 2","pages":"167-168"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159881","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
Unjust discipline-based wage differentials in public health in India: a call to action. 印度公共卫生领域不公正的基于学科的工资差别：行动呼吁。
Indian journal of medical ethics Pub Date : 2026-04-01 Epub Date: 2025-11-28 DOI: 10.20529/IJME.2025.089
Meena Putturaj, Vikash Ranjan Keshri, Deepika Saluja, Sabu K Ulahannan
{"title":"Unjust discipline-based wage differentials in public health in India: a call to action.","authors":"Meena Putturaj, Vikash Ranjan Keshri, Deepika Saluja, Sabu K Ulahannan","doi":"10.20529/IJME.2025.089","DOIUrl":"10.20529/IJME.2025.089","url":null,"abstract":"<p><p>Public health professionals and researchers in India with allied health and non-health backgrounds are routinely undercompensated and not treated on par with their counterparts from a medical background. In this article, we use the practice of discipline-based wage differentials in public health as an entry point to examine the underlying structures, priorities, and prevailing perception of public health norms and professional image, along with the ethical implications these issues pose for equity and justice in public health in India. The unfair remuneration practices for professionals and researchers in the public health field are symptomatic of deeply embedded structural distortions, including the persistent conflation of disciplines, a colonial and biomedical legacy, a research funding ecosystem that systematically privileges certain epistemologies over others and market-driven inequities. Ensuring pay parity for professionals and researchers in public health is a matter of social justice and a critical step towards realising diversity, equity, and inclusiveness in the field.</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"146-151"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391175","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
Ethical manoeuvring of grounded theory for public health: how grounded can we be? 公共卫生基础理论的伦理操作：我们能有多基础？
Indian journal of medical ethics Pub Date : 2026-04-01 DOI: 10.20529/IJME.2025.071
Sapna Mishra, Malu Mohan
{"title":"Ethical manoeuvring of grounded theory for public health: how grounded can we be?","authors":"Sapna Mishra, Malu Mohan","doi":"10.20529/IJME.2025.071","DOIUrl":"10.20529/IJME.2025.071","url":null,"abstract":"<p><p>The ethical imperative of public health as a discipline is being increasingly envisioned to advance the ideas of social justice, human rights, and equity. Research is a powerful tool to meet this end as it brings to the fore the socio-economic and political structures that produce and reproduce health inequity. One of the most widely used research designs to explain health inequity in public health is grounded theory. However, the prevailing understanding of this design demands that the researcher remains largely \"uninformed\" of the context to maintain its \"inductive\" nature. This persists despite an alternative approach proposed and practised by Charmaz and others. We argue that given the critical and constructivist nature of this alternative approach, which situates the phenomenon under enquiry in its socio-political context, with the researcher playing a significant part in the process, it is more aligned to the ethical orientation of public health as a discipline.</p>","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"XI 2","pages":"139-142"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159905","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
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