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Solutions to Prevent Research Misconduct


              However committed and honest we are, our colleagues may not subscribe to the same principles as
              we do and it is possible that the collaborator may indulge in fraud — resulting in our reputation being
              tarnished when the fraud comes to light. The only solution is to prevent it from happening in the
              first place. For this, we have to make it a point to select our collaborators very carefully. We must
              read every reference that we are quoting so that we know for sure that there is no plagiarism. When
              in doubt about any aspect of the study — be it on scientific grounds or ethical issues, we need to
              withdraw from study and/or declare all possible conflicts of interest, financial or otherwise.
              Scientific  bodies  and  governments  in  India  must  have  an  ombudsman  and  an  Office  of  Research
              Integrity, like in the West (Pai, op. cit.). These institutions must be filled with people of impeccable
              integrity — something which can be achieved with relative ease, provided the will to do so exists.
              Appropriate  punishment  must  be  meted  out  to  those  responsible  for  research  misconduct;  this
              would work both as a punishment and a way to warn others. Directors and Deans must investigate
              misconduct and follow-up with the appropriate action, no matter how distasteful it may be. Finally,
              once  again,  prevention  is  better  than  cure.  Many  who  indulge  in  questionable  practices  are  not
              even  aware  that  some  of  their  acts  are  not  acceptable  in  the  scientific  world.  Thus,  there  must  be
              undergraduate and postgraduate education in the various fields of research ethics.
              One of the simplest principles to follow in research and indeed, in life in general, is the advice that has
              come down through generations — Honesty is the best policy.


              Ethical Clinical Research in Developing Countries


              All developing countries face problems and situations that are unique to them and are considerably
              different  from  the  situation  in  the  developed  world.  Angell  (1997)  and  Emanuel,  et  al.  (2004),
              specifically reflect on ethical conduct of clinical research in the developing world.

              Angell’s  article  focuses  primarily  on  the  ethics  of  using  placebo  and  was  written  in  the  context
              of  offering  placebo  in  HIV-trials.  She  denounces  the  research,  which  conveniently  uses  different
              standards for the developing world compared to the developed world, under the guise of applying
              “local standards of care” — even when the local standard of care is considerably less rigorous than
              what is considered the acceptable standard in the developed world.

              Emanuel, et al. (op. cit.) point out that because of various reasons — poverty, illiteracy, sociocultural
              and linguistic differences, and the relatively weaker regulatory infrastructure in the developing world,
              the  ethical  framework  for  clinical  research  needs  to  be  robust  but  modified  to  reflect  the  reality.
              Therefore, for multinational research, they present eight principles and benchmarks, which are self-
              explanatory:

              •    Collaborative partnership
              •    Social value

              •    Scientific validity
              •    Fair selection of study population
              •    Favourable risk: benefit ratio
              •    Independent review

              •    Informed consent
              •    Respect for recruited participants and study communities.





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