Dr.Srinivasa Raju

About a million Indians reach the employment age every month. so, the govt has to focus on  apparels industry which are 80-fold more labor-intensive than autos and 240-fold more jobs than steel and the leather goods industry for which the comparable numbers are 33 and 100, respectively. services sectors such as trade, transport, accommodation, education and health  are other avenues for jobs.

MBBS పాసైన వారికి  ఎగ్జిట్ పరీక్ష వద్దు . -విశ్వవిద్యాలయ పరీక్ష సరిపోతుంది .  PG సీట్లప్రవేశాలలో,సర్వీసు అభ్యర్థులకు   50% రిజర్వేషన్ అన్యాయం .    PG సీట్లు పెంచాలి . - MBBS కరిక్యులం ఆధునీకరించాలి !

1.   వెయ్యిమంది జనాభాకి ఒక్క మోడ్రన్ డాక్టర్ ఉండాలని WHO   సూచిస్తే   , మనదేశంలో ప్రస్తుతం 1600 మంది జనాభాకి ఒక్క   మోడ్రన్ డాక్టర్   ఉన్నారు . కానీ ఆయుష్ వైద్యుల సేవలను కూడా పరిగణ నలోకి తీసుకొంటే WHO   సూచన   కంటే ఎక్కువ   వైద్యులు ఉన్నట్లే !ఎందుకంటే గ్రామీణ భారతీయ జనాభా ఎక్కువగా ,మొత్తం మీద 40% భారతీయులు, ప్రాధమిక మరియు సెకండరీ వైద్య సేవల కోసం ,    ఆయుష్ వైద్యాన్నే కోరుకొంటున్నారు .   సామాజిక ఆరోగ్య కేంద్రాల్లో(CHC) ,జిల్లా హాస్పిటల్స్ లో స్పెషలిస్ట్ ల కొరత  (80%DEFICIT )  తీవ్రం గా ఉంది .   కాబట్టి క్లినికల్ PG సీట్లను బాగా పెంచాలి .  ప్రస్తుత మున్న 15000   క్లినికల్ PG   సీట్లను 30000 కి పెంచాలి .   2. ఇండియన్ మెడికల్ రిజిష్టర్   రియల్ టైం   లో పనిచేసే టట్లు చూడాలి . మరణించిన వారిని , ప్రాక్తీ సు ,సర్వీస్ మానేసిన వారి పేర్లను ఆక్టివ్ రిజిస్టర్ నుండి తొలగించాలి .   3.     కరిక్యులం లో థియరీ కంటే ప్రాక్టికల్స్ కి ఎక్కువ ప్రాముఖ్యత ఇఛ్చి,   సిమ్యులేషన్ లాబ్ లు , వర్త్యు వల్ (virtual ) సౌకర్యాలతో   ట్రైనింగ్ ఇఛ్చి,   మౌలిక సదుపాయాలు కొరత ఉండే గ్రామీణ ప్రాంతాలలో కూడా అ

ఇండియన్ మెడికల్ కౌన్సిల్ చట్టానికి  2016 సంవత్సరం లో సవరణ బిల్లుని ప్రతిపాదించారు . కానీ ఇంకా పార్లమెంట్ ఆమోదం పొందలేదు . ఈ బిల్లులో పొందుపరచిన అంశాలు : . 10E అనే క్లాజు ని పెట్టారు . అందులో ఉన్న విషయం : MBBS వారు ,వారి వారి యూనివర్సిటీ పరీక్షలు పాసై,  డిగ్రీ పట్టా తీసుకొన్న తర్వాత మెడికల్ కౌన్సిల్ లో రిజిష్టర్  చేయించుకొని ఉద్యోగమో, ప్రాక్టీసో చేయాలంటే జాతీయ ఎక్జిట్ పరీక్ష లో ఉత్తీర్ణు లవ్వాలి . అంతే కాదు , ఈ ఎగ్జిట్ పరీక్షే  NEET-PG EXAM  లా  కూడా పనిచేస్తుంది . అంటే వేరే NEET-PG  పరీక్ష ఉండదు . అలాగే విదేశాలైన చైనా ,ఫిలిప్పీన్స్ , రష్యా లాంటి దేశాలలో MBBS పాసైన వారికి నిర్వహించే స్క్రీనింగ్ పరీక్ష ఇక ఉండదు . ఎగ్జిట్ పరీక్షే  స్క్రీనింగ్ పరీక్ష కానుంది . అనగా , స్క్రీనింగ్ పరీక్ష, NEET-PG  పరీక్ష అనేవి వేరే ఉండవు . జాతీయ స్థాయిలో వైద్య విద్య  ప్రమాణాలను పెంచే ఎగ్జిట్ పరీక్షే ఉంటుంది . అంటే ఇదొకరకం గా 3in1పరీక్ష ! (కానీ మనము (IMA)  ఈ ఎగ్జిట్ పరీక్షను వ్యతిరేకిస్తున్నాం . ఎందుకంటే విశ్వవిద్యాలయ  స్థాయి పరీక్ష పాసైన తర్వాత మళ్ళీ ఇంకో పరీక్షలో పాసవ్వ వలసిన అవసరం ఏముంది ?  విద్య

Gone are the days,  doctors have to send a patient’s samples to laboratories for testing which can be time consuming, inconvenient and expensive. However, a new device has been developed which works in synergy with a smart phone and enables it to detect mutations in a cell’s DNA. This device might just help doctors avoid the entire process of sending samples to independent laboratories for testing. It will definitely speed up the diagnosis.  T he device was developed by a team of developers from UCLA, Uppsala University and Stockholm University and will cost around $500 per unit. In comparison, a high-end microscope used for the same job can cost as much as $50,000.

MCI's  ethics regulations 2002. 6.3  Running an open shop (Dispensing of Drugs and Appliances by Physicians) : -  A physician should not run an open shop for sale of medicine for dispensing prescriptions prescribed by doctors other than himself or for sale of medical or surgical appliances. It is not unethical for a physician to prescribe or supply drugs, remedies or appliances as long as there is no exploitation of the patient . Drugs prescribed by a physician or brought from the market for a patient should explicitly state the proprietary formulae as well as generic name of the drug.//.

1.  Link between demography and geography :         a scientific study found that being closer to the equator meant a baby girl was more likely. 2.   Link between  mother’s BP  and gender  of the child :           Researchers from Mount Sinai Hospital in Toronto found that those with lower blood pressure tended to have a girl, while higher blood pressure was an indication that a boy was more likely to be conceived. 3 .  super saver Hot Mirchi …:     The Indian long pepper contains a chemical (a chemical called Piperlongumine (PL), which has shown activity against many cancers including prostate, breast, lung, colon, lymphoma, leukemia, primary brain tumors and gastric cancer. It could stop your body from producing an enzyme that is commonly found in tumors in large numbers, according to the study in Journal of Biological Chemistry. PL converts to hPL, an active drug that silences a gene called GSTP1. The GSTP1 gene produces a detoxification enzyme that is often over

​ ·        Drug reaction- culprit is doctor.(3Doctors were arrested in Madhyapradesh for anaphylactic reaction). ·        egoistic action of political goondas - sitting duck is doctor(One MP of karnataka manhandled doctor) ·        cold blooded murder - soft target is doctor ​ .(Dr.Bansal of allahabad was murdered in his own hospital). ​ How many times we are hearing such sad state of doctors?  For how many more years we are going to allow such barbaric attacks on doctors? entire medical fraternity is scape goat for the failure of the govt. entire medical profession is in shambles. wake up doctor- join the stir- Agitate....until your voice heard! Show your dissent by wearing black badges on ​ National IMA solidarity Day' january 17th. & submit memorandums to nearest authorities&Media.

Health Insurance Regulations 2016 –  3 changes you must know. IRDA announced Health Insurance Regulations 2016 on 12th July, 2016. There are few positives to insured individuals to look for. 1.  There are two types of health insurance policies. One is Indemnity Plans and another is Defined-Benefit Plans. from now onward life insurance companies not allowed to float any medical insurance products. But they can continue offering defined benefit health insurance plans. 2.  now onwards health insurance companies will offer credit linked group health insurance products. The term of such products will be maximum of 5 years. Earlier the maximum tenure of such products used to be 1 year. Now it is increased to 5 years. 3. instead of buying a new plan it is best to go for portability. The advantage of portability is that all the benefits of the existing policy like accumulated bonuses, pre-exiting conditions and waiting period are carried forward to the new policy. However, poli

                    426 medical colleges                                    60000 medicos                                         one country                                            IMA One voice Let us march  on 1st. February to join in the nation wide protestation of  the Proposed EXIT test for MBBS graduates.

  Developed by  Kanav Kahol, who developed the device with the help of grants from Public Health Foundation of India and other such organizations. The kit consists of a digital thermometer, a BP monitor, an easy to use heart rate sensor, an ECG system, a blood sugar monitor, and a water quality unit. The whole system has to be connected with an interface that sends all the diagnostics to any android mobile device via Bluetooth stream or USB connection. A complete Swasthya Slate kit costs USD 800 (approximately Rs. 53,000) with the tablet. Now, at least five billion of us who lack access to quality diagnostics. We develop medical technology only for the top 1% and wait for the trickle-down effect to take place. This process should be reversed. So,what could be done? the answer is "swasthya tab"  medical device that can complete 33 common diagnostic tests in about 45 minutes. it is an instantaneous system. So it really helps in the sense that you don’t have to wait for da

In this post, major portion is contributed by our most honorable IMA Think tank headed by our most dynamic president of national IMA,  Dr.K.K.Aggarwal Ji.... Before we start,let us express our congratulatory thanks to  "Team IMA one voice".          What India needs? We need urgently, Skilled  “Indian Medical Graduate”-IMG. Not AYUSH persons trained in modern medicine!  what various state govts thought of that any body trained for 6 months can become modern doctor" is a retrograde uncivilized stuff. Skilled family doctors of modern medicine, for which 5 ½ year MBBS course along with 6months training in rural clinical skills like-treating poisoning cases,dehydration,blood loss&volume loss,first aid to stroke&heart attack&head injury,snake bite,skills in telemedicine to deal with digital equipment, medicolegal implications and community responsibility. We need such type of  doctors in the ratio of Do(ctor)-Pa(patient) = 1:1000. How can we a

For single member: 7335/-  For couples: 11000/-  This amount shall be send to state secretary by D.D. payable at vijayawada (for AP state). (From this amount, the 26% each share goes to H.Q. , state and JIMA and the remaining 22% goes to various activities and funds of H.Q.). Adding to this,the new member has to pay to the local branch,from where he or she wants to enroll.

Progesterone may protect women from flu The researchers found that progesterone was protective against the more serious effects of the flu by increasing the production of a protein called amphiregulin by the cells lining the lungs. Pre-surgical endocrine therapy less toxic than chemotherapy in Breast cancer.

Govt notifies Electronic Health Records standards 2016'. The Union Health Ministry has notified the Electronic Health Records (EHR) standards 2016 with an aim to introduce a uniform system for creation and maintenance of health records by healthcare providers.

                      American College of Physicians (ACP) recommendations. what outcomes one has to evaluate before prescribimg medication? Hemoglobin A1c, weight, systolic blood pressure, and heart rate; all-cause mortality, cardiovascular and cerebrovascular morbidity and mortality; retinopathy, nephropathy, neuropathy;  “Metformin , unless contraindicated, is an effective treatment strategy because it has better effectiveness, is associated with fewer adverse effects, and is cheaper than most other oral medications,” If a second oral medication is needed to improve high blood sugar, ACP recommends that physicians consider adding either a sulfonylurea, thiazolidinedione, SGLT-2 inhibitor, or DPP-4 inhibitor to metformin. Before i conclude, let me reveal another variant called as   LADA, Latent Autoimmune Diabetes of Adulthood , Type 1.5,which is in  Epidemic proportion in India! LADA is a form of type 1 diabetes that develops later into adulthood.  LADA is an autoimmune di

Doctors may soon determine a person’s risk of 17 different and unrelated diseases -including Parkinson’s and various cancers – just by taking a quick read of their breath, thanks to a new low-cost and non-invasive device developed by researchers in Israel. As CPAP machine is cumbersome,sleep apnoea patients need cute simple tool. During sleep apnea, the muscles of the throat aren’t able to keep the airway open, causing breathing to start and stops repeatedly throughout the night. So the handheld device-Snoozeal' serves as a tongue “workout” that people use for 20 minutes a day, delivering mild electric pulses (called neuromodulation).

To eliminate measles and control rubella/congenital rubella syndrome (CRS) by 2020,  targeting children from 9 months up to 15 years ( 41  crore  children) , MOH    is introducing Rubella vaccine in its Universal Immunization Programme (UIP) as Measles-Rubella (MR) vaccine. 

. Doctors face maximum violence when providing emergency services, with as many as 48.8% of such incidents reported from intensive care units (ICUs) or after a patient had undergone surgery.   Violence against hospital authorities are often triggered from request of advance payments or withholding a deceased body until settlement of final billing.

Hospital owners having employees on their rolls  should contribute 4.75 % towards ESI Fund. up to this day (31-12-2016),  the hospital owners used to contribute to those employees drawing salary below Rs.15000/-. But,from 1-1-2017 onwards,this is applicable to all employees drawing  salary Rs.21000/- or less.  with this rise in the wage threshold, Hospital's financial burden will be increased. 

Every dengue, malaria death now can have claim under accident policy . Death by mosquito bite an accident, insurer must pay up: National Consumer Disputes Redressal Commission (NCDRC). Now NCDRC has held that   malaria death caused by  mosquito bite  is an accident, and directed the insurer to honor the claim. The commission also cited Black's Law dictionary that describes an accident as "an unanticipated and untoward event that causes harm". The national commission observed that the   insurance companies had included snake bites, dog bites and frost bites under the `accident' category. one should spread this message to all patients and also regarding " Pradhan Mantri Suraksha Bima Yojana" which    covers a ccidental death and disability cover of Rs 2 lakh at a premium of Rs 12 per year.   it reminds us  an old judgment ( Judgment-2012 :  National Consumer Disputes Redressal)  in a case of  Life Insurnace Corporation Of ... vs Shri Narender

All insurance companies must comply with the orders of Consumer Forums, Motor Accidents Claims Tribunal, and Awards of Insurance Ombudsman. For companies,life insurance is the most profitable, as they are collecting about 4lac crores as annual premium but settled one crore claims for just Rs. 15000crores.  The profit is mind boggling. But general and health insurance segment,where they  collect about 30000 crores as annual premium but they have paid almost 23000 crores towards claims. Thats why, the insurance companies are averse with health insurance policies. A.P. state is the first state in our country, that is going to implement universal health coverage irrespective of income.

TWO projects envisioned by our dynamic CM going to wipe out the sorrows&debt from the face of the Andhra! Arogya Raksha for a healthy&Happy AP. Its a great  idea of CM chandrababu naidu and is a torch bearing move of A.P. govt, to include all citizens in to health care insurance umbrella. its first of its kind in entire country.By just paying Rs.100/-month,every citizen entitled to have Health coverage of Rs.2lacs per anum. Already 65% of people(BPL) had this type of  coverage under NTR Vaidya seva,which delivers mind boggling service,giving  protection from  about 1044 odd diseases. The health insurance cover is offered up to `2 lakh and  end-to-end cashless services would be rendered for   1,044 listed health ailments in any of the 432 corporate hospitals and 80 government hospitals in the state. One can register for the scheme at any of the Mee Seva centres till February 28. Swasthya Vidya Vahini. Including  the students of medicine, nursing, Clinical psyc

1 . Taking certain omega-3 fatty acid supplements during pregnancy can reduce the risk of childhood asthma by almost a third, according to a new study from the Copenhagen. 2.  A new daily regimen of Fixed Dose Combinations (FDC) for TB/HIV patients was launched at the Indira Gandhi Medical College, Kathirkamam. This follows the Central TB Division deciding to adopt FDC with daily regimen wherein all the four ATT drugs are combined and packed in a single tablet to reduce the number of pills intake and to improve the patient compliance. 3.COPD is the third leading cause of death in the U.S. and even though  smoking is the biggest risk factor,however, approximately one-quarter of Americans with COPD have never smoked. 4.if we find CD36 in tumour markings,definitely the chance of metastasis is higher. Scientists have identified a specific protein called CD36 on cancer cells which has the ability to metastasise or spread. CD36, found in the cell membranes of tumour cells, is responsi

We Indians still  facing challenges in providing last mile health care delivery. Why? Personality challenges: lack of hygienic behavior, careless attitude of citizens.poor adherence to vaccination programs and addiction for smoking,alcohol and drugs. Social challenges: gender discrimination, childhood marriages, poverty, illiteracy and bad banking. Disease challenge: Dual disease burden. Rampant vector borne infectious diseases&malnutrition and lifestyle diseases. Accessibility : Rural areas lacks   connectivity   and deficit of inclusive economy. No roads, no  INTERNET  and no infrastructure and no specialist  doctors and no nurses&paramedics. Lack of proper healthcare centers,testing labs and medical facilities. Affordability : unequal distribution of economy, corporatization of health care, less funding from govt and rampant pilferage of resources and no monitoring and accountability. poor quality of care: Due to rampant uncontrolled mushrooming of quacks,antibiot