Author Archives: deemagclinic

cea

Clinical Establishments Registration & Regulation Act and Treatment of Emergency Cases Sunday, June 30, 2013 Dr S K Joshi The application of Clinical Establishments Registration and Regulation Act, 2010 (CEA-2010) in many states, has caused a lot of confusion as well as resentment among doctors for various reasons. In addition to the resistance to compulsory […]

Do therapists have to report a crime?

Posted on July 10, 2012 1 Vote   Morning Question #10 Do counselors report crimes? General answer is NO! The more you can talk to a therapist about the more likely you will be helped to change your behavior. Therapists have a legal and ethical duty to NOT repeat what you say. Any exceptions to that […]

BPD

People with Borderline Personality Disorder (BPD) differ so much there might be more than one type of BPD or that we may be placing several different mental illnesses together under one label. Gunderson in his book Borderline Personality Disorderdescribes three levels of functioning in people with BPD. Hotchkiss appears to enlarge this idea into three types of borderlines. […]

antidepressants in bipolar patients

Page 1 Am J Psychiatry 161:9, September 2004 1537 Reviews and Overviews http://ajp.psychiatryonline.org Antidepressants for Bipolar Depression: A Systematic Review of Randomized, Controlled Trials Harm J. Gijsman, Ph.D., M.R.C.Psych. John R. Geddes, M.D., F.R.C.Psych. Jennifer M. Rendell, M.A. Willem A. Nolen, Ph.D. Guy M. Goodwin, D.Phil., F.R.C.Psych. Objective: This study reviewed the evi- dence from randomized, […]

Doctors by merit

Doctors by merit, not privilege June 26, 2013 , By Sujatha Rao | 71 comments Cleaning the mess in India’s medical education first needs a strengthening of the Medical Council of India through the appointment of members by an independent and rigorous selection process India is the only country that authorises, as official policy, the sale […]

facebook

  Facebook May Boost Self Esteem But Reduce Motivation.Nordqvist, J. (2013, June 2). “Facebook May Boost Self Esteem But Reduce Motivation.” Medical News Today. 03 Jun 2013 New research published in Media Psychology suggests that looking at your Facebook profile can be psychologically good and bad for you. The finding revealed that checking your profile […]

doctors and feelings

Is Your Model of Physician Behavior Out of Date? As a physician, you are a product of medical culture; in that culture, there are unspoken manners and mores that its members are expected to note and assimilate. In dealing with patients, for example, the historical model has been for physicians to remain cool, calm, and […]

caste system in india-genetic basis

A 2001 genetic study, led by Michael Bamshad of University of Utah, found that the genetic affinity of Indians to Europeans is proportionate to caste rank, the upper castes being most similar to Europeans, whereas lower castes are more like Asians. The researchers believe that the Indo-European speakers entered India from the Northwest, admixing with […]

tinnitus

Tinnitus is a noise that you hear in one or both of your ears or in your head. It is a symptom, not a disease. Those who have it describe it as a ringing, buzzing, humming, heartbeat, or chirping noise. What is the cause? Tinnitus can be caused by damage, blockage, or an irritation of […]

New mental health bill bans electric shocks, gives right to treatment

New mental health bill bans electric shocks, gives right to treatment Sunday, June 16, 2013 New Delhi: The right of mentally-ill patients to decide their mode of treatment, decriminalising suicide for them and a ban on electric shock treatment without anaesthesia are some of the progressive provisions of the new mental health bill proposed by […]

A Hindu temple in South India combines psychiatry and religion to treat people with mental ailments.

A Hindu temple in South India combines psychiatry and religion to treat people with mental ailments. by Lesley Branagan In 2001, a fire occurred at Erwadi dargah in south India, a highly popular Sufi Muslim shrine with reputed miraculous powers to heal people with mental ailments. The fire killed 25 people who had been chained […]

MENTAL HEALTH ACT 1987

THE MENTAL HEALTH ACT, 1987 (No. 14 of 1987)1 [22nd May, 1987] An Act to consolidate and amend the law relating to the treatment and care of mentally ill persons, to make better provision with respect to their properly and affairs and for matters connected therewith or incidental thereto. STATEMENT OF OBJECTS AND REASONS OF […]

Clinical Establishments Act

The Clinical Establishments (Registration and Regulation) Rules, 2010 Draft Rules for the Central Government These rules may be called The Clinical Establishments (Registration and Regulation) Rules (Central Government), 2010 These rules extend to the whole of the States of Arunachal Pradesh, Himachal Pradesh, Mizoram, Slkkim and in any other State which adopts this Act under […]

lactose intolerance

Lactose intolerance is the inability or insufficient ability to digest lactose, a sugar found in milk and milk products. Lactose intolerance is caused by a deficiency of the enzyme lactase, which is produced by the cells lining the small intestine. Lactase breaks down lactose into two simpler forms of sugar called glucose and galactose, which […]

A hydrogen breath test

A hydrogen breath test (or HBT) is used as a clinical medical diagnosis for people with irritable bowel syndrome, and common food intolerances. The test is simple, non-invasive, and is performed after a short period of fasting (typically 8–12 hours). Even though the test is normally known as a “Hydrogen Breath Test” some physicians may […]

Fructose malabsorption

From Wikipedia, the free encyclopedia Fructose malabsorption Classification and external resources Fructose ICD-10 E74.3 ICD-9 271 OMIM 138230 Fructose malabsorption, formerly named “dietary fructose intolerance,” is a digestive disorder[1] in which absorption of fructose is impaired by deficient fructose carriers in the small intestine’s enterocytes. This results in an increased concentration of fructose in the […]

Sucrose intolerance

From Wikipedia, the free encyclopedia Sucrose intolerance Classification and external resources Sucrose ICD-10 E74.3 ICD-9 271.3 OMIM 222900 DiseasesDB 29844 This article may be too technical for most readers to understand. Please help improve this article to make it understandable to non-experts, without removing the technical details. The talk page may contain suggestions. (November 2012) […]

in flight medical emergencies

Commercial airlines serve approximately 2.75 billion passengers worldwide annually. When in-flight medical emergencies occur, access to care is limited. Physicians and other medical professionals are often called on to assist when traveling, despite limited training or experience with these situations.1 Airlines partner with health care institutions to deliver real-time medical advice from an emergency call center […]

Alzheimer’s Disease: Imaging Key to Early Treatment

  By Charlene Laino, Senior Writer, Gupta Guide Published: May 28, 2013 Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner Action Points Increased accumulation of beta-amyloid in the brain is associated with gray matter atrophy and memory impairment in cognitively healthy older people. […]

syncope

Back    Syncope Lyall A. J. Higginson last modified in November 2012 In this topic Syncope • Pathophysiology • Etiology • Evaluation • Treatment • Geriatrics Essentials • Key Points AudioSyncope: A Merck Manual of Patient Symptoms podcast Syncope is a sudden, brief loss of consciousness (LOC) with loss of postural tone followed by spontaneous revival. The patient is motionless and limp […]

prayers

Prayer, spirituality gets the doctors’ nod Tuesday, May 21, 2013 New Delhi: Hardly anyone doubts the power of prayer and almost everyone has a turnaround tale — maybe personal, or of someone else’s — that credits the “miracle” to a prayer. Now while science and spirituality may not always see eye-to-eye, holistic treatment is now […]

drug treatment of depression

Pharmacologic Therapy for Depression Drugs used for treatment of depression include the following: Selective serotonin reuptake inhibitors (SSRIs) Serotonin/norepinephrine reuptake inhibitors (SNRIs) Atypical antidepressants Tricyclic antidepressants (TCAs) Monoamine oxidase inhibitors (MAOIs) St. John’s wort Selective serotonin reuptake inhibitors SSRIs include the following: Citalopram (Celexa) Escitalopram (Lexapro) Fluoxetine (Prozac) Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) Vilazodone […]

meta analysis of drug treatment of depression

Get PDF (70K) Keywords: teratogenicity; congenital malformations; antidepressants; SSRIs; SNRIs; pregnancy; clinical toxicology Abstract Background A substantial number of women of childbearing age suffer from depression. Despite this, relatively little is known about the safety of antidepressant use during pregnancy. Purpose We conducted a meta-analysis of prospective comparative cohort studies to quantify the relationship between […]

Psychiatrists Can Do What No Other Medical Specialists Can Do

Anti-Coercion Is Not Anti-Psychiatry MAY 01, 2008 by THOMAS S. SZASZ The term “anti-psychiatry” was created in 1967 by the South African psychiatrist David Cooper (1931–1986) and the Scottish psychiatrist Ronald David Laing (1927–1989). Instead of defining the term, they identified it as follows: “We have had many pipe-dreams about the ideal psychiatric, or rather anti-psychiatric, […]

Why Psychiatry Should Be Abolished as a Medical Specialty

by Lawrence Stevens, J.D. Psychiatry should be abolished as a medical specialty because medical school education is not needed nor even helpful for doing counselling or so-called psychotherapy, because the perception of mental illness as a biological entity is mistaken, because psychiatry’s “treatments” other than counselling or psychotherapy (primarily drugs and electroshock) hurt rather than help […]

The Case Against Psychotherapy

The Case Against Psychotherapy by Lawrence Stevens, J.D. “What we need are more kindly friends and fewer professionals.” – Jeffrey Masson, Ph.D., his book Against Therapy (Atheneum, 1988, p. XV) The best person to talk with about your problems in life usually is a good friend.  It has been said, “Therapists are expensive friends.”  Likewise, friends are inexpensive “therapists”.  […]

antipsychiatry

Controversy has often surrounded psychiatry,[1] and the anti-psychiatry message is that psychiatric treatments are ultimately more damaging than helpful to patients. Psychiatry is thought by some to be a benign medical practice, but at times is seen as a coercive instrument of oppression. Psychiatry is seen to involve an unequal power relationship between doctor and patient, and a highly subjective diagnostic […]

suicidal patient.what to do

A health care practitioner who foresees the likelihood of suicide in a patient is, in most jurisdictions, required to inform an empowered agency to intervene. Failure to do so can result in criminal and civil actions. Such patients should not be left alone until they are in a secure environment. They should be transported to […]

the bond between medical students and their cadavers

A letter from a medical student at the end of her gross anatomy course. Dearest Walter, The time we’ve spent together over the past few months has been wonderful, but I’m afraid it must come to an end.  We knew this day would come.  I must move on with my life, and you must move […]

1.) Resistant hypertension

At the annual ASH meeting, 2 difficult therapeutic scenarios in hypertension were updated. The treatment of resistant hypertensives and the management of ACEI/ARB-induced hyperkalemia were reviewed.  Important innovations are summarized here: 1.) Resistant hypertension (a blood pressure not at target despite a 3 drug regimen that includes a diuretic) is on the rise. From 1988 […]

how to treat depression in pregnancy

Pregnancy is supposed to be one of the happiest times of a woman’s life, but for many women this is a time of confusion, fear, sadness, stress, and even depression. According to The American Congress of Obstetricians and Gynecologists ( ACOG), between 14-23% of women will struggle with some symptoms of depression in pregnancy. Depression […]

Do Not Ignore a Headache

By Shefali Sabharanjak, PhD | 6 Comments | Share | Print | Email | Tweet | Like | 1+ A thunderclap headache. Post-partum cerebral angiopathy. Sub-arachnoid hemorrhagic headache. Posterior reversible encephalopathy. Primary and benign angiopathies of the central nervous system. Call-Fleming syndrome. I am not throwing the dictionary at you. These are all sudden onset headaches resulting from changes in the flow of blood in cerebral arteries. Recent opinion tends […]

exercises for depression

Exercise for Depression – A Gold Standard Therapy By Cristiano Batista, PhD | 3 Comments | Share | Print | Email | Tweet | Like | 1+ Depression has become a common medical issue worldwide. Conventional treatments, generally, have not been effective in preventing recurrence of this condition. SSRIs can take months to provide a beneficial effect. Adverse side effects of antidepressant medications are a further concern, based on individual physical and […]

psychiatry as a subject in mbbs

VISAKHAPATNAM: The Medical Council of India (MCI) now plans to include a question paper on psychiatry for all MBBS students, said vice-chancellor of NTR University of Health Sciences I V Rao at the annual conference of the Indian Association of Private Psychiatrists, (Andhra Pradesh chapter) held in the city for the first time. “At present […]

famous people with bpd

Famous people with mental illnesses have always intrigued those of us who also have a mental illness. It’s interesting to find out which celebrities have our particular mental disorder, and maybe even to compare ourselves to them. There are a few famous people with Borderline Personality Disorder; the most famous one being Princess Diana. The […]

Famous People with Mood Disorders

  By Disabled World – 2008-01-14 Mood disorders what it is and a list of famous people who suffer and have suffered from various forms of mood disorders. * * * What are Mood Disorders? A mood disorder is a condition whereby the prevailing emotional mood is distorted or inappropriate to the circumstances. The two major types […]

Experts in palliative care differ on whether or not patients who are terminally ill should be informed that they are dying.

A debate, published online April 24 in BMJ, reflects the latest thinking on both sides of the issue. On the yes side are Emily Collis, MD, a consultant in palliative medicine at Pembridge Palliative Care Centre, St. Charles’ Hospital, and Katherine E. Sleeman, MD, PhD, from the Cicely Saunders Institute, King’s College, both in London, […]

Hypothyroidism manifesting as ischemic heart disease in elderly without significant coronary atherosclerosis

ECE 2013: Hypothyroidism manifesting as ischemic heart disease in elderly without significant coronary atherosclerosis RSi CommunicationsApr 30, 20130 view No rating as presented at the 15th European Congress of Endocrinology Researchers at the Tyumen Cardiology Center, Tyumen, Russia, and Italian colleagues, designed a study to determine predictors of significant coronary atherosclerosis (SCA) absence in elderly […]

when animal grieve

An elephant at the Emmen, Netherlands, zoo stands at the edge of a ditch in 2009, a day after another elephant fell into the ditch and died. Olaf Kraak/AFP/Getty Images Eleanor was the matriarch of an elephant family called the First Ladies. One day, elephant researchers in Kenya’s Samburu National Reserve saw that Eleanor was […]

Harmful Drinking Practices

Besides the harmfulness of certain beverages themselves, the way in which they are consumed is also detrimental to health and well-being. Drinking with meals, drinking hot and cold beverages, and using drinks as substitutes for good nutrition are harmful drinking practices that should be avoided. 3.1 Drinking With Meals Drinking while eating is such a […]

Overprotective Parents Can Make a Kid a Target of Bullies

By Charlene Laino, Senior Writer, Gupta Guide Published: April 25, 2013 Reviewed by Zalman S. Agus, MD; Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, MA, BSN, RN, Nurse Planner Take Posttest Action Points This is a systematic review of the published literature investigating associations between parenting behavior and […]

chinese medicine

In lieu of the current move to regulate Traditional Chinese Medicine, the following petition has been created in response to some of the injustices currently being experienced by practitioners.   Please sign HERE The following statement has been release by Acupuncturist Solidarity: Ontario’s Traditional Chinese Medicine (TCM) Act will be in force as of April 1, 2013. […]

indian medicine

Ayurveda From Wikipedia, the free encyclopedia Alternative medical systems Dhanvantari, an incarnation of Krishna[1] and the Lord of Ayurveda worshiped at an ayurveda expo, Bangalore. Acupuncture · Chiropractic medicine · Massage Therapy · Naturopathic medicine · Osteopathy · Traditional medicine Chinese · Mongolian · Tibetan · Unani · Siddha · Ayurveda NCCAM classifications Whole medical […]

chinese medicine

Western medicine researchers are increasingly focusing their attention on the development of drugs from traditional Chinese medicinal herbs. This is frequently achieved by identifying the active ingredients and their pharmacological actions. Yet the scientific evaluation of such herbs sometimes fails to replicate their clinical efficacy. How can this be explained and how can Chinese medicine […]

dr trehan

  (From Left to Right) Shekhar Gupta, editor-in-chief, Indian Express; Dr Girdhar j Gyani, director general, Association of Healthcare Providers (India); Dr Randhir Sud, chairman, Institute of Digestive and Hepatobiliary Sciences, Medanta – The Medicity; Shiv Khera, motivational speaker and author of ‘You Can Win’; and Dr Naresh Trehan, chairman and managing director, Medanta – […]

Hippocratic Oath

  Hippocratic Oath I swear by Apollo, the healer, Asclepius, Hygeia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgment, the following Oath and agreement: To consider dear to me, as my parents, him who taught me this art; to live in […]

Staff slipups on patient privacy can get doctors sued

  Staff slipups on patient privacy can get doctors sued ■ Medical offices must train employees adequately about confidentiality rules to avoid legal risks, experts say. By ALICIA GALLEGOS — Posted April 22, 2013. PRINT  |   EMAIL  |   RESPOND  |   REPRINTS  |   LIKE   |   SHARE   |   TWEET  In the Courts A column analyzing the impact of recent court decisions on physician SEE ARCHIVES WITH THIS STORY: » External links » Related content […]

gp

The many dilemmas of a GP General practitioners or family physicians are in a soup and may soon become an extinct species. 1. The GPs are surrounded by quacks. Instead of quacks competing with them, they end up competing with quacks. 2. There is no structural education program for GPs after they pass MBBS. They […]

benifits of drinking alcohol

Beer Just as Beneficial as Red Wine, Research Shows Beer drinkers can hoist a cold one to celebrate the news that their beverage of choice offers the same benefits as red wine, the alcohol long celebrated for its antioxidant properties. Researchers at The University of Western Ontario have found one drink of beer or wine […]

dbs

  Neurosurgery Psychiatry RESEARCH Researchers report ‘sensational success’ in patients with major depression Wednesday, April 10, 2013 Berlin: Researchers from the Bonn University Hospital implanted pacemaker electrodes into the medial forebrain bundle in the brains of patients suffering from major depression with amazing results: In six out of seven patients, symptoms improved both considerably and rapidly. Dr Volker Arnd Coenen […]