Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Dr Mohan Z Mani

"Thank you very much for having published my article in record time.I would like to compliment you and your entire staff for your promptness, courtesy, and willingness to be customer friendly, which is quite unusual.I was given your reference by a colleague in pathology,and was able to directly phone your editorial office for clarifications.I would particularly like to thank the publication managers and the Assistant Editor who were following up my article. I would also like to thank you for adjusting the money I paid initially into payment for my modified article,and refunding the balance.
I wish all success to your journal and look forward to sending you any suitable similar article in future"



Dr Mohan Z Mani,
Professor & Head,
Department of Dematolgy,
Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018




Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."



Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018




Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."



Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018




Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."



Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
Lucknow
On Sep 2018




Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."



Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
Muzaffarnagar.
On Aug 2018




Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".



Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".



Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011
Anuradha

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.


Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020

Important Notice

View Point
Year : 2020 | Month : November | Volume : 14 | Issue : 11 | Page : UI01 - UI02

Lessons Learnt in the Journey of Bioethics... In Verse

Manoj Goyal

1. Professor, Department of Anaesthesia Technology, College of Applied Medical Sciences in Jubail, Imam Abdul Rahman bin Faisal University, Dammam, Saudi Arabia.

Correspondence Address :
Dr. Manoj Goyal,
7311, Garden Estate Compound, Jubail, Dammam, Saudi Arabia.
E-mail: dr_manojgoyal@yahoo.co.in; mggoyal@iau.edu.sa

Abstract

Ethics is a discipline of philosophy which guides on the notions of good and bad, right and wrong. Bioethics is the application of ethics to the field of medicine and healthcare. My journey in bioethics started with a workshop in India and the journey progressed with training in a postgraduate diploma in Bioethics from PSG Institute of Medical Sciences and Research, Coimbatore, India. I was exposed to various topics/aspects of bioethics; medicine as a profession, history and evolution of bioethics, theories of moral reasoning, professionalism and ethics, law and ethics, autonomy, privacy and confidentiality, communication in health care, pharmaceutical industry and physician, research ethics, beginning of life issues, end of life issues, organ donation and transplantation.

During this journey, I have learnt tremendous lessons, which are significant not only for my professional role, but in personal life as well.

The following monograph is a reflective narrative of my journey in bioethics. Reflecting on my journey, I have attempted to capture my learning and the essence of certain topics/aspects of bioethics in the form of a rhyme.

The purpose of writing this reflective narrative and rhyme is multifold. One is to develop the deeper understanding of my learning, going by the maxim given by John Dewey that “We do not learn from experience...we learn from reflecting on experience.” Second is to invite the readers to engage with the creative expression of some aspects/lessons of bioethics. Third, the rhyme can also be used by the medical teachers to sensitise their students on bioethics and on reflective writing.

Along the journey, I internalised that medicine is a vocation, not just a profession. It can be best put in the words by Sir William Osler “The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head”. When, I learnt about the history and evolution of the codes of ethics and principles of ethics, I found that the history of mankind is quite painful with a number of instances when moral principles were violated (1). While, learning about the history, I understood the hidden warning in the words of George Santayana “those who don’t learn from the history are doomed to repeat the mistakes of it” and realised that whatever we possess today, the mankind has paid the price for it! I learnt about the theories of moral reasoning with the help of classical scenarios; Heinz dilemma (2) and Run way trolley (3). Doctrine of double effect (4) was understood with the help of another real case scenario of conjoined twin children “Mary and Jody Siamese twins,” in which one child had to be sacrificed in order to save another [4,5]. It was a tricky case where certain principles of ethics; beneficence and non-maleficence were in conflict with each other. In such situations, doctrine of double effect (4) helps in resolving such conflicts. It is fundamental to understand that the Health Care Professionals (HCP) owe fiduciary duty to their patients and their relation with them rests on loyalty and trust. A fiduciary duty is an obligation to act in the best interest of another party. The law and ethics are inseparable; the law sets minimum standards of what must be done, whereas ethics set highest standards of what ought to be done. I learnt about the first systematic use of the informed consent by Major Walter Reed for yellow fever experiments during Spanish American war (6). Respect of patient’s autonomy is of paramount importance; it is important to note that many cases of litigation are due to errors in informed consent. Therapeutic privilege is a privilege of withholding information from the patient when the physician believes that the disclosure may have an adverse effect on the patient’s condition or health. Empathetic communication and compassionate care are essential for better health outcomes. The protocols (7) for communicating the medical errors and bad news are of little value if the communication lacks empathy. It is known that the prescribing behaviour of a physician is influenced by the promotional strategies and tricks played by the pharmaceutical companies, which leads to conflict of interest situations. However, a solid foundation of ethical principles will usher the way forward for HCPs. Consequentialism and deontology (8) are theories of morality, which consider the “ends” and “means” respectively, to determine the morality of action. While, performing research studies, a researcher may find himself in dilemma as whether to put the science first or the participants, so, in these situations following the basic principles, guidelines and law will help. Further, I learnt the ethical aspects related to beginning of life, organ donation and transplantation. It was very painfully realised that in spite of the so-called technological advancements, societal progress, with the laws in place, female feticide is still prevalent in some parts of the world.

Medicine an art or science, a profession or a vocation, at the outset this was contemplated Atrocities of Nazis, deception of Tuskegee, sacrifice of mankind, Hippocratic oath…. We all were acquainted

Heinz dilemma, Run way trolley, Mary and Jody’s separation triggered a number of dilemmas with a profound effect Deontology, Principlism, Consequentialism…answered many of them and then came the rescue with the doctrine of Double Effect.

Fiduciary’s duty is resting on honesty, loyalty and trust For a doctor in relation with his patient being professional is a must

Law and ethics are integral to each other and have a natural intimacy Civil, Criminal liabilities, knowledge of law is must but it is full of intricacy

Informed consent was first attempted by Major Walter Reed Respecting patient’s autonomy is utmost hence for informed consent every HCP* should pay heed

Respecting privacy and truthful disclosure are essential but it is also of good knowledge HCP may withhold information in patient’s best interest in exceptional instance under the principle of therapeutic privilege

Breaking bad news and communicating medical errors are challenging and are my dislikes Empathy and compassion are imperative to practice the protocols of CONES and SPIKES

Gifting authorship, free lunches to foreign tours, pharma industry will play all the tricks But following the principle of ethics a fiduciary can annul all the gimmicks

I am often in doubt that in research whether its consequentialism or deontology which is right Adherence to guidelines and law will protect the participants, and hold their rights and dignity upright

I am a zygote on day first, my heart beats on thirty first and I become a soul on one forty first Natural, ART** or surrogate, I am a blessing from the heavenly abode, at times I am not of preferred gender then this blessing becomes a curse and I end up in dust

As I sense my end, I want to cry out loud ...so that you can hear me Maa*** I know you are aware, but helpless...but where else do I share my pain Maa

Life and death with dignity is a human right But euthanasia/physician assisted suicide can be a slippery slope hence its indication should be water tight

There is a special part (organ) of me that will help someone to live I will do something, by which, even after death I will find a way to live

Medicine is a life calling.... Ethics is a way of life It is a soul of science ...as it deals with humane side of medicine and human life

Let’s promise that the price paid by the mankind will not go in vain We will practice ethics and make it count time and again...!


Footnotes:

*HCP: Health care professional, **ART: Artificial reproductive technology

***Maa: means Mother in Hindi language

Disclaimer/disclosure: The author does not claim the topics and the rhyme to narrate the complete picture of bioethics. The rhyme is neither meant to be prescriptive nor an absolute interpretation of ethical principles. Some words may seem crude, since they have been used for creative expression and rhyming. In the narration the pronouns “I” and ‘We” have been used to deliver the perspective in first person, with hope that the readers would relate better and would go in self-reflection! The expression “Do you hear me Ma” is inspired from another poem (9).

Acknowledgement

I wish to thank the teachers and mentors who have shared their wisdom, and the students who accompanied me during this journey.

Keywords

Discipline of philosophy, Ethics, Healthcare, Medicine

DOI and Others

DOI: 10.7860/JCDR/2020/46081.14242

Date of Submission: Sep 03, 2020
Date of Peer Review: Sep 17, 2020
Date of Acceptance: Sep 25, 2020
Date of Publishing: Nov 01, 2020

AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? NA
• For any images presented appropriate consent has been obtained from the subjects. NA

PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Sep 16, 2020
• Manual Googling: Sep 24, 2020
• iThenticate Software: Oct 26, 2020 (7%)

ETYMOLOGY: Author Origin

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