Dr.Srinivasa Raju

the FDA-approved glaucoma drug, bimatoprost, causes human hair to regrow. It’s been commercially available as a way to lengthen eyelashes, but these data are the first to show that it can actually grow human hair from the scalp. a protein called resistin, secreted by fat tissue, causes high levels of “bad” cholesterol (low-density lipoprotein or LDL), increasing the risk of heart disease.   that resistin increases the production of LDL in human liver cells and also degrades LDL receptors in the liver. As a result, the liver is less able to clear “bad” cholesterol from the body. Resistin accelerates the accumulation of LDL in arteries, increasing the risk of heart disease.    the influenza vaccine could be an important treatment for maintaining heart health and warding off cardiovascular events like strokes and heart attacks.

IMA -Hospital board , appeals all doctors to train compression only CPR and impart hands on knowledge by using  mannequins , to all citizens irrespective of their educational status. For all support, please contact Dr.C.S.Raju-secretary-Hospital Board (9490172569). It is well known that life is reversible after sudden cardiac arrest in the first 10 minutes provided compression only CPR can be done effectively and continuously by bystanders or single bystander. The revival is based on the Mantra “within 10 minutes of cardiac arrest, compress the chest of the victim effectively and continuously with a speed of 10x10=100 per minute”. If automatic external defibrillators are available, then electric shock should be given before starting Continuous Compression-only Cardiopulmonary Resuscitation and if the same is not available, one can substitute them with two thumps in the centre of the chest which can be repeated after every two minutes.

Andhra Pradesh high court gives  relief to Andhra Pradesh from NEET- UG :   NO NEET UG MBBS in Andhra Pradesh in 2013 : A  division bench of the high court on Wednesday ( 17-10-12 ) stayed the applicability of National Eligibility cum Entrance Test (NEET) for  Andhra Pradesh  for the academic year 2013. The bench was dealing with a writ petition filed by the principal secretary, medical and health. The court considered the following points: 1.The rules governing the NEET framed by  Medical Council of India  cannot override the Article 371(D) of the constitution. what is article 371/D :  Article 371 (D) of the Constitution gave special status to the state and the Presidential order provided for local and non local reservations in admissions to professional courses. 2.The prohibition of capitation fee Act and the rules made therein provide for weightage to the intermediate marks while finalising ranks of the students and the NEET rules do not have such provision and th

in 2011, India’s infant mortality rate drops to  44 deaths per 1,000 live births  . Among the states, Goa and Manipur have the lowest IMR of 11, followed by Kerala with 12 deaths per 1,000 live births.  Madhya Pradesh has the highest IMR of 59 per 1,000 live births followed by Uttar Pradesh and Odisha with 57 each. Dispensing medicines by doctors – How ethical? how it be useful for both patient and doctor? By purchasing medicines at a doctor’s dispensary,  the patient can almost be sure that the doctor’s writing will not be misread and in case of confusion, the doctor will be around to clarify.  the doctor would be cautious that the medicines dispensed at his or her dispensary is of good quality and is not expired. And of course, purchasing medicines at the doctor’s dispensary saves a patient’s time and efforts, as the patient doesn’t have to visit another place to get the medicines.

Cardiac Defibrillators - Restoring the Rhythm of Life with courtesy from dr.sanjeevsood and www.medicalbuyer.co.in "Many defibrillation attempts have failed due to poor technique and faulty devices."  Group Capt (Dr) Sanjeev Sood,  Hospital and Health Systems Administrator, Air Force Hospital, Chandigarh Based on the simple principle, external defibrillation involves , conduction of current along the long axis of the heart when electrodes are placed on the chest  upon discharge of a capacitor, which has been charged to a voltage level of about 4000 volts, generating an electric pulse of about 50 to 10 milliseconds. Before the patient is treated, the capacitor is charged to a voltage level corresponding to the desired energy level. At the time of the defibrillation discharge, the high-voltage switch, which normally separates the capacitor charge from the patient, is closed. Automatic Features From a power supply standpoint, defibrillators can be categorized into thr

yesterday,Dr,Sethulakshmi  of Tutucorin and now dr.aravind reddy of vellor.   this grueling and cruel incident is not an ordinary accident ,but it shows how pathetic the situation of doctors in our present society. repeatedly we plea with the authorities- police and MOH people-  to implement the medical protection act strictly and stringently. but to our dismay,the govt and media doesn't inculcate enough confidence in medical fraternity and more over some tabloids indirectly supports the miscreants and show the doctors in negative shades. it seems,doing professional practice by the doctor itself is crime. i strongly believe that we as the association, must force the authorities in what ever way we feel just and practical,to book and file the cases against the criminals immidiately. IMA -TN must initiate the momentum in vellor on warfoot and we on behalf of HBI-IMA AP strongly    coneys our solidarity to the IMA-TN and deepest condolences to bereaved family of dr.ar

1.   a new type of ACT (  artemisinin combination therapy   ) that could stop malaria in a single dose. 2. successfully used stem cells to cure a hip joint disorder, harvest the stem cells and transplant them through four injections over four weeks to restore the hip joint function lost due to damage to its cartilage. The stem cells also repair bone cells as they can differentiate between bone and cartilage cells. shooting pain due to hip disorder despite years of conventional treatment like core decompression. “Though I underwent core decompression for nine years in California, there was no relief. Stem cell therapy has reduced pain and hip movements are almost normal,” Panduranga told IANS. 3. New dissolvable oral strip provides instant pain relief for burns strip for controlled delivery of a local anaesthetic, benzocaine, and a therapeutic polymer.The strip is applied directly to the burned part of the tongue, cheek or roof of the mouth. 4. Painless screening programme for n

why every one fearing and complaining at medical insurance companies ? Insurance companies  are acting in tandem with multi-specialty hospitals and raised their premiums regularly and now the stage has came that these two parties- both  insurance companies and hospital industry ,are at logger heads. The consumers are suffering in the hands of these two so called  devils and  crumpled  under heavy premiums on one side and un-ethical and not so much needy diagnostic and treatment procedures on another side. so the big questions is, weather to support health  insurance or not? & how to control the spiraling health care costs? The answer lies in between.  1.we need universal health insurance coverage for all citizens. we should promote competitive insurance packages by establishing sufficient insurance companies under public sector and by charitable trusts. 2. framing and strict implementation of standard treatment protocols at national level. 3. voluntary gradation of hos

1.Prior to by pass surgery one must assess the pumping function of the heart by various techniques like-  Dobutamine Stress Echo or stress thallium or resting MUGA (Multigated Acquisition) scan  . But they were not very reliable and not accurate.   PET-scan (Positron Emission Tomography) was very  effective in assessing the heart function.

A.P.High court has given stay order against NEET-UG 2003 exam in A.P. According to Article 371 d of Constitution, Andhra Pradesh has special status with respect to the reservation policies for education & job opportunities.  The article states that it’s state students should take the preference, however through NEET-UG each state is supposed to share 15% of Medical seats with other States. On similar lines like last year, the indifference in syllabus and language barrier was also one of the reasons the High Court pointed at. AIIMS, PGI Chandigarh and JIPMER doesn’t come under NEET-PG. Armed Forces Medical College (AFMC) will also take part in NEET-PG, candidates have to specify their interest with AFMC in the ONLINE application form. The registration process for the maiden NEET-PG started on 04 Oct. 2012, the application form fee vouchers are available at Axis Bank Branches. Visit for registration https://neet.prometric.com/.The last date for application fee vouche

Dear friends, Auspicious greetings on initiation of dussehra /navaratri celebrations. MCI derecognized 25 practitioners violating ethics MCI punished the erring doctors for their unethical behavior. Let us wish the same thing prevail over all systems to correct the deep rooted evils- corruption, nepotism and vote bank politics.  when the constitutional bodies acts, no one questions their actions but there is a scope for  misunderstanding that one section of professionals felt  discriminated  when other stake holders of the said  illegal activity left with out punishment. Govt allowing FII & FDIs in to service sectors: Allowing foreign MNCs in to all fields definitely augurs good for the consumers but strike a death nail to Indian service providers as there is glaring imbalance of financial& techno muscle between the two competitors. As a nation of largest democracy , India  is in a confused state of mind. Balancing the interests of consumers on one side and serv

The Principal Regulations namely, “Postgraduate Medical Education  Regulations, 2000” were published in Part III, Section 4 of the  Gazette of India on the 7th October, 2000 and amended vide MCI  notification dated 3-3-2001, 6-10-2001, 16-03-2005, 23-03-2006,  20-10-2008, 25-03-2009, 21-7-2009, 17-11-2009, 9-12-2009, 16-4- 2010 and 27-12-2010.  Eligibility for admission to any postgraduate course :  minimum of marks at 50th percentile in NEET  ‘   An all India merit list as well as State-wise merit list of the eligible candidates shall be prepared For Scheduled Castes, Scheduled Tribes, Other Backward Classes, the minimum marks shall be at 40th percentile.  In respect of candidates as provided in clause 9(II) above with locomotory disability of lower limbs, the minimum marks shall be at 45th percentile.   50% of seats in Post Graduate Diploma Courses shall be reserved for Medical Officers in the Government service, who have served for at least three years in remote and/

“ 80%-90% of diagnostic problems can easily be solved  using ‘basic’ X-ray and/or ultrasound examinations. ” Diagnostic imaging— the most common and most needed procedures of which                       are X-ray and ultrasound examinations—plays a critical role in surveillance,                                  prevention, and diagnosis of  disease as well as in monitoring treatment Instant insight—on site Access to instant ultrasound could result in improved diagnostic accuracy, reduced time to treatment, and increased profitability. Signos is approved for patients of all ages and for a broad range of musculoskeletal, abdominal and limited cardiovascular uses, as well as certain obstetric applications. Some popular uses include  Post-void residual examsution visualization of acute pathology • Screening for abdominal aortic aneurysm (AAA) • Localization of free fluid • Biofeedback of muscle activity • Gross abdominal assessment

Doctors! be aware and truthful in your declarations with medical colleges: In a stern message to the doctors faking as staff in medical institutes, the Medical Council of India (MCI) has derecognised licences of at least 25 medical practitioners and professors with a Tamil Nadu-based college ( Melmaruvathur Adiparasakthi Institute of Medical Sciences (MAIMS), Melmaruvathur in Tamil Nadu ), for giving false and misleading information regarding their working as full time faculty in lieu of money during the MCI’s inspection in 2010 at the college. The derecognition period ranges between three and five years for   violating professional ethics.  . This is probably for the first time that the medical education regulator has cracked down at one go against a battery of doctors and professors by prohibiting them from medical practices and teaching for the stipulated period of time.

Johns Hopkins Medicine &  Bharat Family Clinic to jointly set-up primary care clinics across India :  Johns Hopkins Medicine International (JHI)  and India-based Bharat Family Clinic (B FC) have signed an agreement to establish a large network of outpatient primary care clinics across India over a 10-year period.    “The goal of Bharat Family Clinics is to deliver world-class health care to its patients in India and the region. This is a warning bell to all small hospital & clinic owners, unless they upgrade their quality of service and get  empanelment with insurance companies, its an uphill task to maintain their small outfits. tips to upgrade : 1. reception  of the patient should be courteous by hospital staff..  2.   listen to the complaints and owes of the patient with empathy and care . 3.   counselling  the patient and the attendant,  about the disease process,prognosis and drug interactions. 4.  counselling should be conducted pre& post operatively. 5

1. frame the  standard treatment protocols at national level,for all disease complexes.  2.  By establishing voluntary organization, categorize the private hospitals basing on demography and type of care-primary,secondary& teritiory . 3. initiate the reforms on war foot, like- quality generic drug usage, bringing essential medicines under price control mechanism, - in all public sector hospitals. 4.genuine authentic survey  of  - quality of care, status of logistics & structures and quantity of human resources in all public sector hospitals including sub-centers. 5. unless the health care  be served equally by both public and private sector, out of pocket expenditure towards health never comes down. 6. encourage health  insurance penetration in to  rural areas . 7. with out community participation no health program will be successful.

Clot-busting enzymes perform two jobs therapeutic uses of t-PA, which is used in the treatment of stroke and heart attack. The body’s blood clot-busting enzymes are much busier than previously imagined, with new research showing that they also dispose of every cell that dies prematurely from disease or trauma.

un-necessary diagnostic&therapeutic procedures :                                    Many drugs, operations prescribed without need. Experts said among the most misused procedures were hysterectomy , caesarean section and angioplasty . Among drugs, the most commonly misused were vitamins, steroids and antioxidants. A recent study in US showed that  60% of patients who had undergone non-emergency angioplasty  didn't  met the criteria for the procedure. more than 48% of the doctors  have been  prescribed a particular drug which is not approved. what should be done ?   we need evidence-based treatment methodologies,which  should be emphasized in medical schools. Every hospital should conduct an audit of various procedures carried out, say in a month. Dr Ashok Seth, chairman, cardiovascular sciences division at the Fortis Escorts Heart Institute,said," anybody who can walk 500 metres without chest pain or exertion, can wait for interventional procedures..  

According to the    Syeda Hameed, member, Planning Commission,  India had 26,329 doctors in the public sector in March 2011 against a requirement of 1,09,484, a massive shortage of nearly 76 per cent   T    o train so called quacks is a retrograde step,which denotes callousness and myopic vision of our present planning commission. their statistics  about the quantity of doctors in public sector signifies either mis-construed or utter failure of the MOH. No Responsible citizen is willing to this mockery of health care.Task shifting and task sharing between health workers can be acceptable to some extent but not with quacks,which is against our country's acts, as these quacks have criminal liability for their illegal intrusion in to precious lives of people.

13 Key Assessment Areas The guidelines highlight 13 important areas requiring preoperative assessment in geriatric patients: cognitive impairment and dementia; decision-making ability; postoperative delirium; alcohol and substance abuse; cardiac assessment; pulmonary assessment; functional status, mobility, and fall risk; frailty; nutritional status; medication regimen; counseling; preoperative testing; and patient-family and social support system. Checklist The guidelines strongly recommend the following preoperative assessments for every geriatric patient: Performing complete history and physical examination; Conducting cognitive assessment, including the patient's ability to understand the purpose and likely outcomes of the planned surgical procedure; Screening for depression; Determining risk factors for postoperative delirium; Screening for substance abuse/dependence, including alcohol; Performing cardiac evaluation following the American College of Cardiolog

How to diagnose malaria? 1.microscopy of blood film. The malaria parasite density can be estimated by looking at a monolayer of red blood cells (RBCs) on the thin smear using the oil immersion objective at  100x. The slide should be examined where the RBCs are more or less touching  (approximately 400 RBCs per field). The parasite density can then be estimated from the percentage of infected RBCs, after counting 500 to 2000 RBCs. 2.  antigen detection tests (rapid diagnostic tests or RDTs) using a “dipstick” 3.QBC-  Quantitative Buffy Coat ( QBC ) Test :   method for identifying the malarial parasite in the peripheral blood. Malaria is a nationally notifiable disease and all cases should be reported to your  district or  state health department,  categorization:  Patients diagnosed with malaria are generally  categorized as having either uncomplicated or severe malaria. TREATMENT:                 chloroquin sensitive and resistant types. A chloroqu

IGNOU has started  medical cell for medical education .  The Indira Gandhi National Open University’s (IGNOU’s) School of Health Sciences (SOHS) will soon be coming up with a medical cell wherein a series of Post Graduate Medical programmes such as -  three full-time PG Medical programmes of two-year duration each.  Post Graduate Diploma in Anesthesia,  Post Graduate Diploma in Radio diagnosis and  Post Graduate Diploma in Critical Care Medicine for those with MBBS degree.  The University has created a separate cell for this purpose where these programmes will be developed under the overall guidance of senior medical faculty of the School. It has also been decided that the university shall be conducting entrance examination for admission. 

1. Blood Test to Diagnose Nonviable Pregnancies. Among women who have bleeding or pain and an inconclusive ultrasound scan in early pregnancy, a single serum progesterone test may be able to identify those who are likely to miscarry or who have an ectopic pregnancy. a single test with a threshold of 3.2 to 6 ng/mL predicted a nonviable pregnancy with a sensitivity of 74.6% and a specificity of 98.4%. 2.New drug against T.B. pyridomycin, a natural antibiotic (produced by the bacterium) is active against many of the drug-resistant types of the tuberculosis that no longer respond to treatment with the front-line drug isoniazid.  pyridomycin kills Mycobacterium tuberculosis by inhibiting InhA. 3.prescribe generic medicines:   the union health ministry plans to bring in a legislation to make it mandatory for doctors to prescribe generic medicines. 4.Medical implants capable of dissolving completely in bodily fluids :   medical implants that perform important diagnost

India has averaged 8% p.a. GDP growth rates over the XI th  Plan period.  The total spending by both public & private  is at 5% of the GDP. In this the share of govt contribution is meager at just 1.2% of the GDP.  The govt spending on (core) health – combined Centre and State, plan and non-plan– has hovered around an abysmal 1-1.2% of GDP. still, the proportion of private out-of-pocket spending on health (is 67%) is sky high, and research has established that health expenses is one of the primary reasons for pushing households below the poverty line.   NRHM -Partially achieved the goals but fettered with deep rooted corruption  especially in bihar,U.P. RSBY : covers more than 700 in-patient procedures with a cost of up to Rs. 30,000/-per annum for a nominal  registration fee of Rs. 30/-{  C ashless coverage, absence of any bar on pre-existing conditions and age  limit are other unique features of this scheme. A total of 2.4 crore families out of total 25 cr