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Showing posts from February, 2013

Cholesterol Won't Kill You, But Trans Fats Could."

1.D ietary cholesterol is good for your heart -- unless that cholesterol is unnaturally  oxidized (by frying foods in reused oil, eating lots of polyunsaturated fats, or  smoking). Oxidized lipids  contribute to heart disease both by increasing deposition of calcium  on the arterial wall,  and by interrupting blood flow.   When the researchers added oxysterols to the healthy plasma,  the proportion of sphingomyelin in the cells increased, as did the uptake of  calcium. In the presence of certain salts (in the blood, for example), lipids like sphingomyelin develop a  negative charge. This explains the attraction of the positively charged calcium to the arterial wall  when high amounts of sphingomyelin are present. LDL, the so-called "bad cholesterol") when oxidized, it increases the synthesis of a blood-clotting  agent, called thromboxane, in the platelets. The oxysterols enhance calcification of the arteries and promote the synthesis of a clotting agent.  And th

Health budget 2013-14. is it healthy budget?

Health care,medical education, medical research and public health, these  4 wings   should be strengthened for healthy country. we need ideally Rs.100000 crore for these 4 wings per anum. what our finance minister proposed to allocate as follows: for 2013-14. 1. To health care: 37330 crore to MOH &   Rs 1,069 crore to be given to  Department of Ayush. 2. T o medical education :  Rs 1650 crore  (  six more AIIMS-like institutions)  3.To  medical education and research .:  Rs 4,727 crore   4.To public health schemes:   13215 crore for mid-day meal programme: Rs.15260 crore given for improvement of clean and drinking water facilities in the country.  Rs 1200 crore given separately for setting up of water purification plants. Rs 110 crore to be allocated to the department of disability affairs.

emergency medical courses for science graduates & refresher courses for Doctors

GVK EMRI Post-Graduate Program in Emergency Care (PGPEC) - For  B.Sc. graduates. Development of a Self-Sustaining Paramedic Educational Program in India: The Stanford-EMRI Partnership  to develop India’s first collaborative two-year paramedic program , to be taught at EMRI’s campus in Hyderabad, Andhra Pradesh. GVK EMRI Pediatric District Hospital Training Program Faculty and fellows from Stanford University School of Medicine were responsible for development and deployment of the Pediatric District Hospital Physician Training Program (PDHPT). The PDHPT is an intensive 3-day course created by internationally recognized educators to address the educational deficiencies of physicians practicing in India. The course addresses a wide range of clinical topics essential to the practice of emergency medicine, and emphasizes a methodical approach to emergency pediatric patient evaluation and management. Each PDHPT course is customizable to the specific instructional needs of the parti

Letter to all IMA leaders...Let us promote BLS...

To The presidents & secretaries, SWC and state council members of all local IMA branches of A.P. Dear doctor,              Seasons greetings. Sir, It’s directed to pass this information to your branch members and send the names of willing members to the under signed. Hospital board of IMA is planning to organize very useful and innovative program – “emergency medical skill enhancement program”- for  doctors, in collaboration with EMRI-GVK foundation,RENATO foundation who facilitate this 6-HOUR training program. The program comprises of different learning modules of total 6 hour duration. Mode of training:  Lectures, discussions,  Hands-on guided skills practice,mannequins. Assessment: Multiple Choice Questions   The aim of this program is to make the doctor effectively handle emergencies. How does this program help the participant?  accrues basic Resuscitation skills  Recognizes Emergency, activates the Emergency Response System, takes ini

MediNews:

Snakebite: a forgotten problem: Even though the mortality due to snake bite (50000 deaths/anum in India) equals of mortality due to AIDS, our govt.,media,medical fraternity doesn't show enough stress on this forgotten tropical hazard. Still, Malnutrition remains major threat to Indian women,  Women in India face the twin problems of obesity and undernutrition, whereby  the “fat are becoming fatter” while the “thin continue to remain thin,” a study published last month . Researchers from  the University of Toronto and Harvard  School of Public Health found that as India underwent  massive social, economic,  and demographic changes the mean body mass index of Indian  women rose. Is taking Fishoil Supplements Beneficial? while eating fish or fish oil might be beneficial consuming fish oil supplements  (long chain omega 3 fatty acid supplements) will not have the same beneficial effect for preventing strokes.    The bottom line is that natural fish is helpful and not the su

How to improve standards in small hospitals?

70% of the hospital beds in India provided by small hospitals  run by  single doctors . overall quality of care in India would not improve unless these small hospitals, accounting  for over  70 per cent of the beds in the country, could also be initiated to start on the  journey to improve  quality. Even though the NABH accreditation is mandatory in future, the small hospitals can start  with  “Level 1″ Certification that would be a stepping stone for these smaller hospitals,  focused only  on infection  control – possibly, the most important of the 10 chapters  required for full accreditation. Even though,the small hospitals lacking managerial bandwidth and the technical expertise,  they can establish   Hospital Infection Control Committee (HICC) — to drive compliance  of agreed protocols and processes  by training of all nurses and staff, installing and  collecting surveillance data on the six Healthcare  Associated Infections (HAIs) —  needle-stick inju

Think Simply & leanly!

with mere 300/- this simple,yet more useful innovative product  has been     designed & created by Vikram Dinubhai Panchal 

Digital hijacking ? or is it real dependable identyfying exercise?

In the coming days, not only the gold but one should have right information at right time. suppose if all our information gone in to the hands of other country's business and  govt big  wigs, what will happen to us? Is government would like to turn India from a liberal democracy into a closely  monitored police state  ? Is The  UID  is simply a method of surveillance, surveillance  to prevent pilferage  & corruption in PDS? UID scheme is dependent on foreign private agencies which may potentially    de-duplicate our  biometric data. The entire national demographic data base would be stored in foreign, private  company systems, apart from continued dependence on them for identification.  In these days of cyber wars,  this would  raise concerns of national security. The Hindu recently had a story that mentioned that much of the data for   Aadhar  card    is being collected  and collated by an American company that under US law would  have to turn over data to the

Congrats Dr. Samaram...

Its very interesting & Proud  to note, that Dr.Samaram(National president-IMA-2010)  is the first & foremost person from medical fraternity of A.P. to share the dias with modern crusader of anti-corruption-"Anna Hazare"  during his recent  campaigning for  Jan Lokpal Bill in the  meet of janatantra morcha organized at Vesley college grounds. Anna stressed multi-pronged measures - Right to Reject'  power to gram sabhas'   janlokpal -   are needed to root out corruption  and to "change the system". Here one should remember our country's past national president and great  humanitarian-Dr.Abdul Kalam's  vision of establishing "PURA" to strengthen  and sustain the rural picture of india as green prosperous self sustainable zone. Sure,our IMA under the able leadership of Dr.N.Appa Rao & Dr.K.VijayKumar, always  in forefront to  lead and support the right movement at right time.

the rules one should know,before getting foreign medical education

As per  The Indian Medical Council (Amendment) Act, 2001- Amendment of Section 33 In section 33 of the principal Act, after clause (m), the following clause shall be inserted, namely:- "(ma) the modalities for conducting screening tests under the sub-section (4A), and under the proviso to sub-section (4B), and for issuing eligibility certificate under sub-section (4B), of section 13,". it conveys, that all students  aspiring to get UG medical education in foreign universities must get eligibility certificate from MCI and after  successfully  complete their courses,they have to appear for screening examination. for all details browse-  http://www.mciindia.org/Egazette.aspx

NEET Update

started from 12th. of this month,the hearing of MCI Vs medical colleges,is going on ... Christian medical college advocate  Mr.Harish Salve  has completed his argument which  was followed by    Mr.KKV representing Tagore Medical College.  The hearing will continue tomorrow(14/2/2013) also. 

A.P. AND KARNATAKA MEDICAL/ DENTAL P.G. Entrance:

1.COMED-K’ :  03/02/2013 Sunday COMEDK PGET -2013 Test Day. 2.APPG Notification : Post Graduate Medical (MD/MS/Diploma) and Dental (MDS) Courses for the academic year 2013-14 for the seats in Colleges affiliated to Dr. NTR University of Health Sciences, Vijayawada. Website http://www.pgntruhs.org   from 09-02-2013 to   15-02-2013 upto 5.00 p.m only.  The online application can be filled through any computer with internet connection (home/internet café/net center) .   Registration Fee:- The Registration fee is Rs.1550/- (Rs.1250/- for SC/ST candidates) in the form of SBI e-challan paid at any SBI branch. The procedure for downloading SBI e-challan is available in the prospectus. Date and Time of Entrance Test:  MDS Courses on 09-03-2013 from 11.00 AM to 12.30 PM. PG Medical Courses on 17-03-2013 from 10.00 AM to 1.00 PM.

RNTCP- DOTS Strategy:

Medi news:

A diagram of the synthesis of degradable nanocapsules into cell nuclei to induce apoptosis, or programmed cell death, in cancer cells. The nanocapsules degrade harmlessly in normal cells. Image Courtesy: UCLA Engineering. A degradable (water soluble polymer) nano shell (tinier than the smallest bacterium,) to carry proteins(  cell-destroying material, apoptin, is a protein complex derived from an anaemia virus in birds.)  to nucleus of cancer cells and stunt the growth of tumours without damaging healthy cells. Advantage is, this nano delivery is devoid of  risk of genetic mutation posed by gene therapies for cancer, or the risk to healthy cells caused by chemotherapy, which does not effectively discriminate between healthy and cancerous cells. how synchronosed contractions in uterus occur during delivery? its due to  due to some electrophysiological changes that take place in the uterus.

Generic Drugs Vs Medical fraternity Vs patients Vs Govt.

What is meant by generic drug? A generic drug is a copy of a brand name drug. To be sold, a generic drug must be “bioidentical” to the brand name drug. This means that the generic drug must be proven to be the same as the original brand name drug in the following ways:  • dosage form (tablet, capsule, liquid, etc.) • strength (same amount of drug in both) • safety • how it is taken (by mouth, injection, etc.) • quality • how the medicine gets into the bloodstream and works in the body . Why generic drugs produced? Because they are cheap and affordable to millions of patients. What are the benefits of generic prescription, especially for our country? Benefits are huge for patients suffering from prolonged illnesses such as cancer, HIV and diabetes. ''Most cancer drugs are costly. For example, Nexavar (a pioneer drug), used for treatment of liver and kidney cancer costs Rs 3 lakh per month for 120 tabs. The generic version costs Rs 7,000 per month. Another brand

Clinical trials?

 In our country,the procedure of  approval for  clinical trials  is in compliance with " drugs and cosmetics rules"  . what is the recent development regarding    grant of compensation? Recently,government has notified rules for grant of compensation  in case of  serious adverse events (SAEs) like death and injuries  on account  of participation in clinical trial of drugs including  biologicals and  medical devices. what is the procedure to get compensation?  Ethics Committee of the medical institute conducting the trial,  the sponsor of trial and its principal investigator  will have to report the injury or death within 24 hours and  submit their separate reports to the independent  expert committee set up by the DCGI to review the case.

MEDINEWS:

1.Single blood test -  Onko-Sure , to screen 13 types of cancers  a simple test to detect the presence of protein fragments called FDPs  (Fibrinogen Degradation Products), which occur when cancer cells break down their  surroundings to facilitate cancer growth.The patient has to just give a blood sample  and one test costs Rs 2,400. 2.A safe way to vaccinate -MIT  researchers describe a new type of vaccine-delivery film which  holds promise for improving the effectiveness of DNA vaccines and they  could overcome not only the safety risks of using viruses to vaccinate against diseases such as HIV, but they would also be more stable, making it possible to ship and store them at room temperature.

Why we need standardization of treatment protocols?

Protocol based care enables doctors   to put evidence  into practice by addressing the key questions of what should be done, when, where and by whom at each level –primary, secondary and territory .   Protocols aid the clinician in giving the best evidence-based treatment plans.  It provides a framework for working in multi-disciplinary teams.  This standardization of practice  reduces variation  in the treatment of patients and improves the quality of care.   Protocols usually include  decision support systems  to help doctors, make decisions about appropriate care for specific clinical circumstances .ex: poisononing, snake bite, head injury, burns and various emergency situations where rapid clinical action is necessary. Protocol based care optimises patient flow by examining what should be done, when and by whom, thereby  reducing delays for patients . Few of our friends express their doubts & dislike as --- 1. These protocols are just like cookbook, formulaic