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Category: Discussions
May 09, 2019
Ethical concerns in using a lower dose of equine rabies immune globulin (eRIG) to irrigate wounds from dog bites to prevent rabies are discussed. A lower dose of eRIG was used because of a general shortage of eRIG and the high market cost in the Himachal Pradesh state of India. The cost and ava...
May 09, 2019
Rabies is a fatal disease once contracted, and a serious public health problem. Immunisation was unaffordable and inaccessible for most affected people in India. Omesh Bharti’s operational research allows us to reduce the unit dose needed for life saving rabies immunoglobulin (RIG) for class 3 ra...
November 19, 2018
The ouster of Professor Peter Gotzsche who headed the Nordic Cochrane Centre, from Cochrane, a respected international research organisation, has provoked a crisis of confidence in the organisation's future. Disputant and bystander reactions on this issue are presented, as well as concerns reg...
October 01, 2018
We are grateful to Kattula and Jain, Patil and Phutke for their comments on our article on rural emergency medical care and our real problems in rural practice, their management and the threat to our survival. We agree with most of their points and the solutions they have advocated.
October 01, 2018
"Sustaining for-profit emergency healthcare services in low resource areas" by Jain et al is an excellent reply to the Bawaskars. Clearly, the state must prevent both patients from going bankrupt and practitioners from running into negative balances.
November 05, 2018
The mission of the Cochrane Collaboration, established in 1993, was to systematically review medical evidence with a view to producing the best quality and trustworthy evidence. Twenty-five years later, it is in a crisis that centres on the dismissal one of its founders and the question of access...
October 20, 2018
The crisis that has emerged around the expulsion of Peter Gøtzsche from the Cochrane Board seems at first sight to be the outcome of a typical power play. However, the structural issues that have led to the crisis have emerged in a more technical criticism. These include lack of transparency, lac...
August 11, 2018
The Bawaskars in their Comment "Emergency care in rural settings: Can doctors be ethical and survive?" raise a context-specific question about the sustainability of emergency care in rural, low resource areas. This could be broadened to "What efforts are needed to sustain emergency care systems r...
July 30, 2018
Bawaskar and Bawaskar in their paper titled "Emergency care in rural settings: Can doctors be ethical and survive?" in this journal have presented a very real problem faced by small private healthcare facilities in rural areas. They raise the important question of whether doctors can be true to e...
May 03, 2018
We describe below the pressures of running a small private hospital in an underserved rural area, while providing emergency healthcare for victims of poisonous stings, accidents, and other acute health conditions. Both ethics and law demand that payment is not asked for upfront in emergency cases...