Category: Discussions
Should brain death be recognised as a clinical…
In ancient times, before the realisation of the importance of the action of the heart and circulation of blood, a person was deemed to have died when he stopped breathing. The reflecting surface of a mirror was held before the face of the sick person. Death was diagnosed when the mirror was not f...
Why our cadaver donation programme doesn’t work
Six years since the passing of the Transplantation of Human Organs Act, 1994, recognising brain death, only 28 cadaver kidneys have been transplanted in Mumbai. Why is our cadaver organ transplant programme in such a sorry state?
Addressing the organ shortage: presumed consent and xenotransplants
The transplantation of organs is a triumph of modern medicine. Kidney transplantation provides a longer life expectancy and better quality of life than maintenance with dialysis does. Successful liver and heart transplantation are life saving. However, there is a wide gap between the need for org...
Values and obligations in qualitative research
Ethics, as a code of conduct, go beyond the law. Based on values and morals, they are grounded in the culture of the land, and are open to different interpretations. In addition, ethics in research are modulated to some extent by the culture of "science." It is encouraging that ethical guidelines...
A community-based study on induced abortions
The field of medical ethics in India has until recently revolved largely around issues in medical practice or research involving clinical interventions / contraceptive trials, etc. However, as more and more of us venture into health systems research that links with other social issues and probes ...
Ethical and methodological conflicts in sexuality research
This essay is based on issues relating to a study of sexuality among low-income college students in Mumbai. Low-income students were made the focus because: existing urban studies are on English speaking students in 'elite' colleges; sex education programmes had not really started in 'non-elite' ...
Experiences in health research with women
Conventionally one conceptualises the research relationship as one between two sets of free agents — researchers and participants — who may have different levels of control over the research process. However, conducting research on women inevitably absorbs into the interaction several other playe...
Ethics in public health practice
The approach to ethical medical practice is easy to define. It rests on the premise that the doctor's primary ethical commitment is to his/her patient. The doctor is supposed to spare no effort to see that everything is done in the best interests of the patient, for his/her survival or well being...
Qualitative research in public health
here has been an explosion of qualitative research in public health over the 1980s and '90s. It has delved into a wide range of issues, from the most public to the most private, often relating to some of the most socially and culturally sensitive of subjects. It has wide and deep ramifications fo...
Informed consent in public hospitals
Informed consent is a commendable concept: it gives patients the power of participating in decisions concerning their own management, to a greater degree than ever before. The qualifying adjective is superfluous, for the word consent (cum, together; sentire, to feel, perceive) clearly implies sha...
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