Thursday November 15, 2018

The three ‘Cardinal Sins’ which have done harm to the ‘MEDICAL PROFESSION’ in India

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By Dr J.K Bhutani

A practicing doctor’s take on the sins of medical profession in India

A Constitution Bench of the Supreme Court Monday recalled its order which had held the all-India common entrance test for medical admissions as ‘illegal’ and unconstitutional’ on the ground that it interfered with the right of private, minority and linguistic institutions to admit students……!

The restoration of NEET for MBBS/BDS and MD/MDS by the honorable Supreme Court is indeed a progressive decision. The introduction of NEET in 2012 by MCI, though a step in the right direction was thwarted by the powerful lobby of politicians who own most of the private medical colleges and have a solid-illegal business of nearly 25000 crores plus every year. Unfortunately the sane VOICE of Justice Anil.K.Dave who dissented to the partisan decision (2:1) of July-2013, which was delivered on flimsy grounds and (may be) some ulterior motives of the honorable judges, has prevailed for the good of the profession, society and the nation.
A doctor needs to pass the rigor of the merit-based-entrance, intensive training and the massive load and expectations of sick patient to have a satisfying career and also to retain the PRESTIGE and GLORY of this noble profession. A capitation-fed, poorly trained and pampered-one-rich-quota- doctor is neither good for the profession nor the patient.
The seething painful scars of ‘VYAPAM scam of MP’ and many such scams of almost all the private medical colleges and the deemed universities in the minds of impressionable budding doctors and public, surely are in for some relief at last.
The repute and the prestige of medical profession is not ALL the fault of the doctors but the fallout of many unrealistic government législations and blind aping of the American healthcare-model.
The three ‘Cardinal Sins’ which have done harm to the ‘MEDICAL PROFESSION’ in India are….

  1.  Inclusion of ‘Art of Medical Practice’ in Consumer Protection Act-1986
  2. Unregulated Privatization and CAPITATION Medical Education in 1990
  3. Health as a ‘RUTHLESS target oriented business model’ by corporate India in 1990s.

The reversal of capitation is just one REVERSAL which the Honorable court has expectantly addressed. we need more reversals of the above sins too.
NO society can be a cherished place if it practices HEALTH as a PROFIT or BUSINESS
The history shall teach us one day in future that HEALTH as a service, social responsibility and charity is the ONLY way to heal the mankind…!
We need to learn from Cuba and Britain and not blindly follow America.

Dr J.K Bhutani MD is a protagonist of preventive and promotive health care based on austere biology and facilitating self healing powers of human organism. He practices in Karnal, Haryana. Twitter: @drjkbhutani

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  • Ashwati Menon

    Medicine has been a revered profession since time immemorial. privatization of medical institutes can effect the authenticity of it

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NASA to Send Organ-on-Chips To Test Human Tissue Health in Space

Called a micro-physiological system, a tissue chip needs three main properties

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NASA, tissue
NASA to send tissue chips to space to test human health, genetic changes. Flcikr

NASA is planning to send small devices containing human cells in a 3D matrix — known as tissue chips or organs-on-chips — to the International Space Station (ISS) to test how they respond to stress, drugs and genetic changes.

Made of flexible plastic, tissue chips have ports and channels to provide nutrients and oxygen to the cells inside them.

The “Tissue Chips in Space” initiative seeks to better understand the role of microgravity on human health and disease and to translate that understanding to improved human health on Earth, NASA said.

“Spaceflight causes many significant changes in the human body,” said Liz Warren, Associate Program Scientist at the Center for the Advancement of Science in Space (CASIS) in the US.

Kepler, NASA, tissue
This illustration made available by NASA shows the Kepler Space Telescope. As of October 2018, the planet-hunting spacecraft has been in space for nearly a decade. VOA

“We expect tissue chips in space to behave much like an astronaut’s body, experiencing the same kind of rapid change,” Warren said.

The US space agency is planning the investigations in collaboration with CASIS and the National Center for Advancing Translational Sciences (NCATS) at the National Institutes for Health (NIH).

Many of the changes in the human body caused by microgravity resemble the onset and progression of diseases associated with ageing on Earth, such as bone and muscle loss. But the space-related changes occur much faster.

That means scientists may be able to use tissue chips in space to model changes that might take months or years to happen on Earth.

Parkinson's Disease, Kepler, NASA, tissue
A researcher takes a tissue sample from a human brain at the Multiple Sclerosis and Parkinson’s UK Tissue Bank, VOA

This first phase of Tissue Chips in Space includes five investigations. An investigation of immune system ageing is planned for launch on the SpaceX CRS-16 flight, scheduled for this year.

The other four, scheduled to launch on SpaceX CRS-17 or subsequent flights, include lung host defense, the blood-brain barrier, musculoskeletal disease and kidney function.

In addition, four more projects are scheduled for launch in summer 2020, including two on engineered heart tissue to understand cardiovascular health, one on muscle wasting and another on gut inflammation.

Kepler, NASA, tissue
“Detecting life in an agnostic fashion means not using characteristics particular to Earth life,” said Heather Graham at NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Pixabay

Also called a micro-physiological system, a tissue chip needs three main properties, according to Lucie Low, scientific programme manager at National Center for Advancing Translational Sciences in the US.

Also Read: NASA’s Ralph Will Explore Jupiter’s Trojan Asteroids in 2021

“It has to be 3D, because humans are 3D,” she explained.

“It must have multiple, different types of cells, because an organ is made up of all kinds of tissue types. And it must have microfluidic channels, because every single tissue in your body has vasculature to bring in blood and nutrients and to take away detritus,” she added. (IANS)