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Showing posts from June, 2013

commercialisation of medical education and corporatization of health care.

o ne of the grave mistake  happening in independent india is crass  commercialisation of medical education and corporatization of health care and sheer negligence of public health. The regulating authority-MCI,within the decade 2000-2010, was set aside twice, once by the Supreme Court and the second time by the government by way of an ordnance. No other regulatory body,Except MCI  has suffered such humiliation. The three critical functions of the Medical profession:  a)  curriculum — what is to be taught and for how long;  b)  accreditation — who is to teach and in what manner; and  c)  ethical practice — adhering to the best interests of patients. this needs good  regulatory framework related to quality of instruction, faculty development, better salary structures and banning private practice .  How to control corruption in MCI? By inclusion of Medical research fellows,  student representatives and civil society activis...

MediNews- june-2013/

1.  The MOH  has suspended the manufacture and sale of all three drugs-   anti-diabetes drug pioglitazone,  painkiller   analgin  and anti-depressant deanxit ,   under Section 26A of the Drugs and Cosmetics Act, 1940 with immediate effect, through a notification issued on June 18.  Under the Drugs and Cosmetic Rule 30-B, the import and marketing of any drug the use of which is prohibited in the country of origin, is banned in India. one month back, MOH had  suspended sale of dextropropoxyphene , sold as Wockhardt's Proxyvon, a widely-used pain-killer. 2. Rs 500 crore sanctioned for establishing research units in 80 government medical colleges in 12th.plan. To  encourage and strengthen an environment of research in government medical colleges and bridge the gap in infrastructure, which is inhibiting health research in medical colleges, The government therefore felt an urgent need to provide assistance to medical colleges to se...

Fitness FAQs

1.what is lipo-toxicity? T he excess of triglycerides and fatty acids created by the visceral fat cells will go into the liver through portal vein and accumulate in the liver as fat. This concept is known as ' lipotoxicity' 2.how to measure the visceral fat?   By W aist measurement. the severity of central obesity is determined by taking waist and hip measurements.  the normal  waist-hip ratio   >0.9 for men and >0.85 for women. waist-to-height ratio <=0.5 is ideal. waist circumference at least half of the individual's height is predictive of increased risk. 3.what is the best screening tool to  assess    metabolic syndrome  and  cardiovascular disease .?   Index of Central Obesity (ICO) which is the ratio of waist circumference and height. Bioelectrical impedence analysis is also best non invasive procedure to know visceral fat accurately. 4.How visceral fat effects health?    Hypertrophy of intra-abdominal ...

Medi Tit-Bits:

Exercise turns on a host of metabolism-boosting genes in fat. As far as possible plz dont administer antibiotics and anti-ameobics to  INFANTS. protein toxins or peptide molecules which are big ,so thats not possible to synthesise in labs. that's why we are extracting (Venom) from various animals,plants and bacteria. US supreme court rules human genes cannot be patented. Though  that free radicals can damage DNA and disrupt cell membranes, that's not always a bad thing. People need free radicals to kill bacteria and eliminate new cancer cells.  High doses of vitamins and supplements increase the risk of heart disease and cancer. Bacterial apocalypse – the bugs are getting cleverer, and we are doing little to stop them. oral sex is dangerous as there is risk of contamination with HPV and other virals. High doses of painkillers such as diclofenac and ibuprofen have been found to increase the chance of heart problems by a small amount. along with iron,iodine is v...

FAQs about fitness...

1.what is lactate threshold?    Lactic acid is released whenever the amount of oxygen you have  in supply is too low to meet your body’s metabolic needs.   When lactic acid rises too high, your muscles can no longer  contract and you simply have to stop. lactate threshold –also called the anaerobic threshold – is important for you to recognize. If you never reach your lactate threshold, you will not reduce your waist circumference quickly. 2.what is Metabolic syndrome?    a set of  unhealthy characteristics ---including being overweight, having high blood pressure and being sedentary ---- that tend to increase your risk for diabetes, heart disease and stroke. Having a waist size over 40 inches (102 centimeters) is one of the  defining characteristics of metabolic syndrome. 3.what is the most useful exercise? Any exercise that is intense enough  to make you run out of breath. 4.what is the most dangerous ac...

MediNews 21-6-2013:

No Shortage of MBBS in the country: As per information provide under RTI in an application dated 27.09.2012 No. Z.28020/34/2012-RHS/NRHM IV dated 10.10.12. As on March 2011, total requirement of doctors at PHCs is 28887. Filled posts : 26329 . the shortfall is 2866 only. But,The Government says that there is a shortage of 7246 doctors. total number of PHCs in India: 23887 PHCs. modern doctors working in PHCs: 26329 . AYUSH working in PHCs: 10439. IRDA guidelines to be challenged by IMA :    A s per the said guidelines a hospital must comply with the minimum criteria of at least 10 in-patient beds in towns of a population less than 10 lakhs and 14 in-patients beds in all other places for getting medical insurance cover. According to the insurance company, only larger set-ups having more beds can deliver quality care to the patients. This is a retrograde step and not in the interest of the patients. In all over the world, medical coverage is moving towards day-care with ...

వైద్య విద్య ఫీజుల పెంపుపై ఇంకా కొనసాగుతున్న అయోమయం ..

  పెద్ద మొత్తంలో పెంచాలని ప్రైవేటు కళాశాలల పట్టు 5-10 శాతానికి మించి అనుమతించబోమంటున్న సర్కారు.  2013-14, 15, 16 విద్యా సంవత్సరాలకు కొత్త ఫీజుల కోసం ఏఎఫ్ఆర్‌సీ(  'ఆంధ్రప్రదేశ్ ఫీజులు, ప్రవేశాల నియంత్రణ కమిటీ)  పలుమార్లు కళాశాలల యాజమాన్యాలు, వైద్య విద్యా శాఖాధికారులతో సమీక్షలు జరిపింది.  ప్రైవేటు కళాశాలల విన్నపం: ఎంబీబీఎస్ కోర్సు ఏ-కేటగిరీ కింద ఉన్న రూ.60 వేల ఫీజును రూ.లక్షకు,  బీ-కేటగిరీ కింద ఉన్న రూ.2.40 లక్షలను రూ.3 లక్షలకు,  సీ-కేటగిరీ కింద ఉన్న రూ. 5.50 లక్షలను రూ.10 లక్షలకు - పెంచాలని కోరుతున్నాయి. కానీ, సర్కారు మాత్రం 5-10 శాతం మేర పెంపునకే సిద్ధంగా ఉన్నట్లు వైద్య విద్యాధికారులు చెబుతున్నారు.  ఆగస్టు 1 నుంచి యూజీ కోర్సులు, మే 1 నుంచి పీజీ కోర్సుల తరగతులు ప్రారంభం కావాలి. కానీ ఇప్పటివరకు కాలేదు. త్వరగా ఫీజులను నిర్ణయిస్తే.. కౌన్సెలింగ్ తేదీలను ప్రకటిస్తారు.

APMPR amendment Bill Passed in A.P. Assembly...Rural service made mandatory for doctors.

An amendment Bill to the APMPR ( Andhra Pradesh Medical Practitioners Registration Act, 1968) Act , making one year service in rural government hospitals mandatory for medical graduates to get a licence to practice, is passed in A.P.Assembly on 19-6- 2013. Henceforth, medical (MBBS)graduates will be eligible for Medical council  registration and practice only after putting in a year’s rural medical service. You know,from 2012-13 academic year, post-graduate students    have to sign a bond for one year and join government hospitals as senior residents. Clinical post-graduate doctors will work in Primary Health Centres (PHC), Community Health Centres, District and Area Hospitals while non-clinical PG doctors will be posted to teaching hospitals. But,the Government is not talking about how it will improve medical infrastructure in tribal regions and villages. The Government has announced a monthly stipend of Rs. 20,000 for a PG diploma holder and Rs. 23,000 to Rs. ...

For What IMA toils? For whom sake IMA functions?

IMA is for quality healthcare to all people,weather they are rich or poor & urban or rural. IMA is for quality & affordable drugs to be in reach of common man. IMA is for strict adherence of vaccination with good supportive cold chain,both for children and adults. IMA strongly opines,that the minimum qualification for "Allopathic clinical  health care delivery" must be MBBS Qualification. IMA never agrees for cross-pathy practice. IMA demands minimum Rs.50000/- salary to MBBS graduates and better service provisions and application of regular service previleges to all graduates and post graduates,who have work mandatorily in rural areas. IMA demands strict implementation of 8 hour only' duty for service doctors. IMA demands recruitment of  more number of paramedics at sub-centers. IMA demands recruitment of 4 MBBS doctors for each PHC. IMA demands commissioning of more number of medical colleges under public sector in Bihar,U.P..MADHYA PRADESH and in NOR...

Medical fraternity under the flag of IMA has to work seriously...

Indian medical association has plenty of work to do in coming months. under the able visionary leadership of Dr.N.Appa rao,IMA  has chalked plans to oppose the retrograde move of GOI,which non chalantly going to enable the AYUSH practitioners to prescribe modern medicines. we have to fight using all platforms-legal,political and social. our weapons: " That no person other than those possessing qualifications mentioned in First, Second and Third Schedule of Indian Medical Council Act 1956 and registered with State Medical Register under the provisions of Indian Medical Council Act 1956 can practice allopathic or the modern scientific system of medicine anywhere in India". 1. supreme court never oppose the IMC Act &  indian medical degrees act. 2.Apex court in   Mukhtiar Chand Vs. State of Punjab (AIR 19999 SC 468) ,proclaims,if GOI wants to empower AYUSH doctors to prescribe modern medicines,first of all, they have to be enrolled in STATE MEDICAL RE...

IMA AP state conference @Tirupati.

Please download the registration form and send accordingly. 

Why the GOI back stabbing Modern doctors?

R ecent letter by joint secretary of NRHM to all state medical councils,Clearly denotes, that GOI is pursuing a proposal to allow indian system of medicine graduates(AYUSH) to prescribe modern medicines after allowing them to enroll in state medical registers on the basis of APEX court's (8-10-1998) opinion. Already department of AYUSH taken an in priciple approval from MOH to empower AYUSH graduates to practice modern medicine in a limited way. IMA Never allows this type of illegal and unethical way of bypassing MBBS graduates from the primary health care. why GOI contemplates such back ward ideas to address health care delivery at primary level we don't know? In fact, NO VACANCIES FOR MBBS doctors at primary or secondary level in southern states.Only few Northeastern states and  northern states like bihar,U.P. has the dearth of modern doctors. Every member of the medical fraternity,in fact every citizen must oppose to this retrograde move of the GOI. there is no meani...

IMA STRONGLY Opposing the amendment of compulsory one year rural service.

The government has introduced an amendment to the APMPR Bill, making one year service in rural government hospitals mandatory for medical practitioners to get a licence. The salient feature of the amendment bill is that the State would initially issue them temporary registration certificates . The doctors will then have to work in any of the government hospitals for a period of one year. After that they can apply for permanent registration by producing a certificate that they have completed one year rural service. The other feature of the amendment bill is that it would keep a check on malpractices committed by practicing doctors, like prescribing wrong treatment and medicines with the aim of making extra money. The State government on Tuesday (11-6-2013) introduced "Andhra Pradesh Medical Practitioners Registration (Amendment) Bill 2013" in the House. if this bill get its nod in the ongoing session of the House , I ts detrimental to doctors unless they would paid...

schedule of NEET-PG Counselling

Is it right to co-locate modern and traditional health services at one place?

off late,providing integrated holistic medicine is new fad among entrepreneurs and the state. the govt.swayed by people's pulse and is very much  eager to provide all type of health services in one campus to ease administrative hassles&expenditure. The authorities,public and media must note , that these  different systems of medicine can not mix or confluence,which can lead  to  dangerous complications. what IMA / modern medical fraternity requests is, --- plz dont encourage crosspathy prescription practice, plz don't promote task shifting or task sharing practise.

Encourage & Protect the small Hospitals.

Biowaste management for every hospital is not only  mandatory but also its a social responsibility. As per 1998 regulations of environmental protection act,every one that deals with biowaste, must be registered & get authenticated with Pollution control dept.of respective district. Mercury free equipment must be used in health care set-ups to prevent the mercury spillage hazard from mercury filled equipment like thermometers,feeding tubes, B.P. machines,bougie dilators,lab chemicals,etc... As you know,mercury destroys(neuro&nephro toxic) not only living beings but also it pollutes air,water and live stock. plight of small hospitals: 80% of  health care services have been rendered by these small&medium hospitals,which have their presence in both rural and urban areas. the waste handling,segregation,storage is usually looked after by 4th.class employees and paramedic staff. unless we render training to impart the technicalities of waste handling, these st...

IMA AP State annual Conference & council meet on july 13th. @ Tirupati.

                  IMA AP State Conference. 165 th Meeting of State Working Committee of IMA AP State Branch, will be held   at Tirupati. , A.P on 13 th Saturdary July 2013 at 8.30 a.m to 10.30 a.m, under the Presidentship of Dr.P. Vijayachender Reddy. 55 th Annual State Council Meeting of IMA AP State Branch will be held at Tirupati. A.P. on 13 th July 2013 Saturday from 11.00a.m am to 4.00 p.m under the Presidentship of Dr.P. Vijayachander Reddy,  IMA AP State President.

what MCI should do? what MCI has done in last 3yrs?

Every media highlights that MCI was  rotten with corruption  under one person and force the govt.  to quash the existence of democratically elected  MCI body and created Nominated bunch of BOG in its place. How this new BOG was functioned? is corruption decreased?every thing is o.k? what are the rules that MCI must adhere with ? 1.As per regulations, every college/application is given an opportunity to make up the deficiencies identified during inspection and is allowed a personal hearing before making a final decision.  2.As per norms, MCI has no power to conduct any inspection after the last date. what was happened in last 3yrs? A.  issued conditional letters of permission (LOPs) to four colleges (National Institute of Medical Sciences and Research, Jaipur; Kalinga Institute of Medical Sciences, Bhubaneswar; Muzaffarnagar Medical College; Teerthankar Mahavir Medical College, Moradabad) on March 31, 2012. B.  the BoG  granted seats to...

Safety net for home buyers.

one more sector that's going to be regulated by the govt. is Real Estate sector which has been much talked notoriously about its frauds. The Real Estate (Regulation and Development) Bill 2013,approved by union cabinet, expected to be tabled in Parliament in the monsoon session, proposes setting up a real estate regulatory authority in every state to decide on consumer complaints . Salient Features: 1. all builders working on projects where the land exceeds 1,000 square metres will have to register themselves with the regulator before launching or even advertising their projects. 2. A false advertisement that shows the site or building as more developed than it actually is would attract a penalty of up to 10 per cent of the project cost. 3. Developers can launch projects only after receiving all statutory clearances. 4. The bill promises buyers refund with interest in case of inordinate delays. 5.   real estate appellate tribunal to adjudic ate disputes ...

Passive Euthanasia ?

Procedure to be followed for withdrawl of life support system (feeding) in PVS(Passive Euthanasia) Aruna Shanbaug vs Union of India (i)Decision to be taken to discontinue life support either by the parents, spouse, other close relatives, or next friend. (ii)Chief Justice of the High Court should constitute a Bench of at least two Judges (iii)Bench should seek the opinion of a committee of three reputed doctors . Preferably one should be a neurologist, one should be a psychiatrist, and the third a physician. (iv)fees for such doctors for this purpose may be fixed. (v)Supply a copy of the report of the doctor's committee to relatives , next friend. (vi)After hearing them, the High Court bench should give its verdict.

MCI issued PUBLIC NOTICE REGARDING FEES in Medical colleges.

Parents and aspiring  students,please be aware with capitation fees and  annual tution fees collected by private medical colleges. some Medical Colleges are charging fees more than what the " Fee Committee of the State" has fixed. So, it is advised to all the students/parents not to pay fee more than the fee fixed by the Fee/Regulatory Committee of the respective States.In case any such matter is reported, the general public is advised to report the same to the Secretary, Medical Council of India, Pocket-14, Sector-8,Dwarka, New Delhi-110075 ( e-mail secy-mci@nic.in). why can't MCI display the actual stipulated fees decided by various states in the MCI  web site?