Author Archives: deemagclinic

Certification

Had a lengthy chat with Dr Prem kumar, Ex MCI Secretary, Regarding issuing medical certificate. Here is the summary. I am enumerating only peculiar points . 1. Never give it for more than 15 days. 2. See PT again after 15 days and re issue. 3. Even in repeat case's, make sure that he or […]

Biological markers of yoga

Nature Publishing GroupPreliminary indications of the effect of a brief yoga intervention on markers of inflammation and DNA methylation in chronically stressed womenK N Harkess, J Ryan, […], and S Cohen-WoodsAdditional article informationAbstractarticle-metaYoga is associated with reduced stress and increased well-being, although the molecular basis for these benefits is not clear. Mounting evidence implicates the […]

MCI AND DEBARRED MEDICAL COLLEGE

In pursuance of the Supreme Court's direction asking for detailed clarification from the health ministry on the issue of debarring medical colleges in the country, the health ministry has now released a detailed aspect of why it denied permission to certain medical colleges while allowing others. The following orders were released on 30th and 31st […]

Drugs

The Indian pharma industry with a FY16 revenue of nearly $35 billion has two major streams of business, international (about $18 billion) and the rest domestic. The operating margin in international business is only 15% while that in domestic business is 30%. It is the more profitable domestic business that subsidises the international business and […]

The Neurobiology of Mindfulness Meditation

Brown_HbkOfMindfulness.indb 171 9/17/2014 1:42:28 PM CHAPTER 10 Fadel Zeidan For thousands of years, contemplatives have reported that enhancements in sen- sory awareness, cognition, and health can be accomplished through meditation practice. Before the development and utilization of neuroimaging and other scientific methodologies, the scientific world cast these descriptions as reflections of a relax- ation response […]

Biomarkers in dementia: clinical utility and new directions

R M Ahmed1, R W Paterson2, J D Warren2, H Zetterberg3,4, J T O'Brien5, N C Fox2, G M Halliday1, J M Schott2Author affiliations AbstractImaging, cerebrospinal fluid (CSF) and blood-based biomarkers have the potential to improve the accuracy by which specific causes of dementia can be diagnosed in vivo, provide insights into the underlying pathophysiology, […]

What is the Computational Capacity of the Brain?

One big recent piece of news from across the Atlantic is that the European Commission is funding a brain simulation project to the tune of a billion Euros. Roughly, the objective is to simulate the entire human brain using a supercomputer. Needless to say, many people are skeptical and there are lots of reasons that […]

Alok Ahuja

<span class="label">Share</span><span class="label">Tweet</span><span class="label">Share</span><span class="label">Share</span>VIEW IN APP In an interview with ETHealthworld, Prof. Dr Alok Ahuja, CEO, Dr Ahuja's Pathology & Imaging Centre, Dehradun, talks about the challenges in Indian healthcare. Edited excerpts: Doctors were governed by IMC Act and the government is now introducing 'Clinical Establishment Act'. What is the need for such a […]

Prof Dr alok Ahuja

VIEW IN APP In an interview with ETHealthworld, Prof. Dr Alok Ahuja, CEO, Dr Ahuja's Pathology & Imaging Centre, Dehradun, talks about the challenges in Indian healthcare. Edited excerpts: Doctors were governed by IMC Act and the government is now introducing 'Clinical Establishment Act'. What is the need for such a regulation now?The Indian Medical […]

MCI Rules

For information: Dear Seniors & Friends, As the news regarding the suspension of leading orthopedic surgeon (30 years in practice) of KEM hospital Mumbai by Medical Council of India for practicing with a lapsed license has surfaced, the issue of legal importance of Medical council Registrations has come into the limelight. The said orthopedic surgeon, against […]

MCI

It is clear that relevant qualifications as prescribed in the First, Second or Third Schedules to the Indian Medical Council Act, 1956 (Central Act 102 of 1956) must be followed by each and every registered medical practitioner. While, it is unacceptable that doctors are unaware of these requirements, yet, there are a large number of […]

Gout

Gout is the commonest crystal arthropathy that has seen a dramatic increase in its prevalence in the last decade.Gout often presents as severe monoarthritis of acute onset in lower limb joints such as the first metatarsophalangeal (MTP) joint or ankle.Though the ways for its management and prophylaxis have improved remarkably in recent times it is […]

Ketamine

Ketamine is a well-known dissociative anesthetic that has also been misused as a hallucinogenic club drug (“special K”). Recently, this NMDA receptor antagonist has shown promise in rapidly reversing the symptoms of depression and acute suicidality. I got really excited about ketamine back in residency, and read all the papers by Carlos Zarate, one of […]

*All nursing homes with no ICU should have tie up with nearest ICU facility is only an observation?*

Dr KK AggarwalNational President, IMA In a judgement in the case of Bijoy Sinha Roy (D) vs Biswanath Das & Ors. Civil Appeal no(S).4761 of 2009 with C.A. Nos. 4762-4763 of 2009, delivered on August 30, 2017, the Supreme Court of India concurred with the appellant (since deceased) when it said, “We however, find that […]

Driving after a Heart Attack- Medicolegal issues.

Question Answers quoted from "Medico-Legal and Ethical Issues in Cardiology and General Medicine" by Leslie Tay, Catherine Tay. " A 40-year-old gentleman experienced a sudden onset of chest pain and diaphoresis whilst shopping. He is admitted to hospital and a diagnosis of an acute myocardial infarction is made on his ECG. He has primary angioplasty […]

Tele empathy

ShareTele-empathy is not being empathetic over the phone. It is not crying in the sad parts of your favorite TV show. It is not beaming empathetic thoughts magically across time and space. No, tele-empathy is a technology. I should rather say, it’s a group of technologies recently being created to increase the empathy of health […]

DNP

MD vs. DNP: 20,000 hours make a differenceNIRAN S. AL-AGBA, MD | PHYSICIAN | ShareAs Southern states entertain legislation granting nurse practitioners independent practice rights, there are some finer details which deserve careful deliberation.  While nurse practitioners are intelligent, capable, and contribute much to our healthcare system, they are not physicians and lack the same […]

Neurorehabilitation

Robotic NeurorehabilitationNeurological disorders leave most with devastating disabilities such as the loss of movement in an arm or leg, and the accompanying loss of freedom of movement. Initially, these disabilities were considered incurable and therapy often focused on training people to use their "good side."Fortunately research shows that the concept of "task-specific learning", in Neurorehabilitation […]

WHAT IS CATATONIA TODAY?

Catatonia is now recognized as a motor and mood dysregulation syndrome that is found among men and women of all ages.[2] We closely follow Kahlbaum's description. Onsets are often acute, manifested in repetitive behaviors, stupors and frenzied and delirious states. Some forms are malignant, leading to death. Before Kahlbaum named catatonia, a syndrome of catalepsy […]

Max fink

Max FinkPage issuesMax Fink (née Maximilian) ( born January 16, 1923) is an American neurologist and psychiatrist best known for his work on ECT (electroconvulsive therapy). His early work also included studies on the effect of psychoactive drugs on brain electrical activity; more recently he has written about the syndromes of catatonia and melancholia. Education, […]

Rehabilitation robotics

Page issuesRehabilitation robotics is a field of research dedicated to understanding and augmenting rehabilitation through the application of robotic devices. Rehabilitation robotics includes development of robotic devices tailored for assisting different sensorimotor functions[1](e.g. arm, hand,[2][3] leg, ankle[4]), development of different schemes of assisting therapeutic training,[5] and assessment of sensorimotor performance (ability to move)[6] of patient; […]

Antidepressants don’t work. Wrong!

British society just cannot get comfortable with the reality of medication for depression. Despite widespread use, they still attract disapproval. New research appears to strike a decisive blow against widely publicised claims that antidepressant medications such as Prozac, a selective serotonin reuptake inhibitor (SSRI) are no better than sugar pills for people with depression.Elias Eriksson, […]

Why Doctors Need To Remember That Sick Patients Were Once Healthy People

August 28, 2017 Dr. Abraar Karan(Gerald Herbert/AP)A rainbow of thin wires were tangled up in his matted hair, each one connected to a small probe that would measure the electrical activity in his brain.We weren’t sure if Mr. S was having a seizure, or if he was unable to respond to us for some other […]

Schizophrenia

The concept of schizophrenia is dying. Harried for decades by psychology, it now appears to have been fatally wounded by psychiatry, the very profession that once sustained it. Its passing will not be mourned.Today, having a diagnosis of schizophrenia is associated with a life-expectancy reduction of nearly two decades. By some criteria, only one in […]

GST AND NURSING HOME AND PATHOLOGY LABS

Dhirajlal Rambhia KVO Merau Kutchh Health Care Services by a clinical establishment, an authorised medical practitioner or para-medic is exempted under GST. Under this exemption, all treatment or diagnosis or care for any illness, injury, deformity, abnormality or pregnancy by a clinical establishment is covered. Authorised medical practitioners in any recognised branch of medicine like […]

New rule in MaharastrA

) Recently, the Government of Maharashtra has introduced the Maharashtra Shops and Establishments (Regulation of Employment and Conditions of Service) Bill, 2017 in the Maharashtra Legislative Assembly that categorically includes doctors and hospitals in the definition of establishment. This bill is in sharp contrast with the previous numerous court judgments that implied that individual medical […]

Future of medicine in India

Dr. Narayanan Harimohan (now in Brunei) on Facebook:- "The future of Indian medical sector looks to me of only two choices, one is shoddy government setups with skilled and hard working doctors but one where quality will not be the priority because of demanding situation and poor infrastructure, and, the second will be multinational corporate […]

Dark side

Episode 1. I’m a surgeon. I’d like to think that I’m resilient and well adjusted, having gone through medical school and rigorous surgical training. I’ve been a doctor for 13 years and much of that period has been spent training to be as good a surgeon as I could ever be. I have great family […]

WHY FATHERS ARE NEGLECTED IN OLD AGE. -ITS A MUST READ FOR ALL FATHERS! (and mothers too!)

Take ur time and read through. 1. In the lifetime of family settings, there are 3 Dispensations of Power. 2. The 1st is the first 25 years in the life of the family (father, mother, children) where power indisputably rests with the father. 3. The 2nd is after the kids have grown & started working […]

Epidemic act.

[Act No. 3 of 1897] 1[4th February, 1897.]1. This Act has been amended in its application to–(1) The Punjab by the Epidemic Diseases (Punjab Amendment) Act, 1944 (Punjab Act 3 of 1944); in East Punjab by East Punjab by East Punjab Act 1 of 1947;(2) The C.P. and Berar by the C.P.and Berar Epidemic Diseases […]

Addiction

The Evolution of Addiction Recovery – More than a half century ago, the book Alcoholics Anonymous brought into the mainstream of American consciousness the idea that alcoholism is a physiological disease, as opposed to a moral failing.Until then, America thought on the matter was dominated by the Calvinist principles of our Puritan forbearers. This tradition, […]

O2

Many applications will require a higher percentage than the 19%. That's where Concentrated Oxygen fills the need. Concentrated Oxygen refers to oxygen which is a minimum of 90% pure with moisture removed to a -100 deg F dew-point. It can be produced from an oxygen concentrator or delivered in a pressurized cylinder bottle. There are […]

Padmavati

S. I. PadmavatiDr. Sivaramakrishna Iyer Padmavati commonly known as S. I. Padmavati or S. Padmavati (born June 20, 1917) is an eminent Indian cardiologist. She is director of the National Heart Institute, Delhi and the founder president of the All India Heart Foundation. The institute collaborates with the World Health Organisation (WHO) in training students […]

Yoga

Conn HastingsScience Writer and Editor Scientists in Brazil have imaged elderly female yoga practitioners’ brains and found they have greater cortical thickness in the left prefrontal cortex, in brain areas associated with cognitive functions like attention and memory. The results suggest that yoga could be a way to protect against cognitive decline in old age.As […]

Frontotemporal Dementia: A Brain Disease That Challenges Definitions of Mental Illness

August 22, 2017 | Dementia, Geriatric Psychiatry, NeuropsychiatryBy Barbara Schildkrout, TABLE. Diagnostic approaches to bvFTD for psychiatristsEvery practicing psychiatrist has seen a patient whose presentation resembles Chad’s. Chad consulted me almost 2 decades ago, but I remember him well. It was a few months before his 60th birthday. He was “facing mortality” and thought he […]

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The side effect

“You see, I put the ampicillin next to the Tylenol—a packet of pink pills, a packet of blue pills. The colors have to look good together. If my display doesn’t catch the eye, no one will buy anything.”Aristil Bonord adjusts the blue plastic bucket on his right shoulder as he speaks. Inside it, a steeple […]

Medical errors and ISRO

HEALTHCAREISRO tie-up with healthcare experts to reduce medical errorsBy Namita Kohli | August 19, 2017Representational ImageA unique collaboration between space scientists and healthcare professionals is set to take the country closer to the goal of “error-free” healthcare. The first step in this direction is Health Quest, a new set of guidelines for critical care units […]

Are PPIs Linked With Increased Dementia Risk? The Latest Evidence Says No

David A. Johnson, MDDISCLOSURES August 17, 2017 Hello. I'm Dr David Johnson, professor of medicine and chief of gastroenterology at Eastern Virginia Medical School in Norfolk, Virginia.When it comes to caring for patients who need proton pump inhibitors (PPIs), one of the most troubling things they can tell you is that they've stopped taking their medication because […]

Why we lie

By /react-text Yudhijit Bhattacharjeereact-text: 10 Photographs by /react-text Dan WintersThis story appears in the June 2017 issue of National Geographic magazine. Approvedby Mom. Lorem ipsum dolor sit amet. More Indianthan you thinkDiscover more 0 In the fall of 1989 Princeton University welcomed into its freshman class a young man named Alexi Santana, whose life story […]

Freud.

For a century or more, Sigmund Freud has cast a long shadow not just over the field of psychoanalysis but over the entire way we think of ourselves as human beings. His theory of the unconscious and his work on dreams, in particular, retain a firm grip on the western imagination, shaping the realms of […]

Brahmachari

The story of Upendranath Brahmachari is the story of a forgotten man, remembered only when a street in Kolkata that bears his name shows up on Google Maps. Even here, Brahmachari was handed down a recognition that for more than a century belonged to John Claudius Loudon, the Scottish botanist. A nation that knows not […]

Alcohol and electrolytes

Alcoholic patients commonly develop a variety of acid-base and electrolyte disturbances. The aim of this review is to describe the most commonly encountered abnormalities and their significant role in the patients’ morbidity and mortality. Physicians should be aware of these clinically important disturbances caused by alcohol abuse and their underlying pathophysiological mechanisms involved for their […]

ALCOHOL WITHDRAWAL AND HYPOKALAEMIA: A CASE REPORT

Article NavigationM. R. M. J. Burin C. C. H. CookAlcohol and Alcoholism, Volume 35, Issue 2, 1 March 2000, Pages 188–189, https://doi.org/10.1093/alcalc/35.2.188Published: 01 March 2000 Article history/.ww-history/.pub-history-wrap for mobile PDF Cite Permissions Share/.toolbar-inner-wrapAbstractA case is presented where a 25-year-old man developed a serious hypokalaemia (K+ 2.2 mmol/l) during alcohol withdrawal, despite intravenous saline treatment and […]

The Electroencephalogram in the Management of Psychiatric Conditions

CME | May 07, 2013 | Electroconvulsive Therapy, Addiction, Bipolar Disorder, CME, Neuropsychiatry, Panic AttacksBy Nash N. Boutros, MDLinked ArticlesThe Electroencephalogram in the Management of Psychiatric ConditionsElectroconvulsive Therapy: The Second Most Controversial Medical ProcedureContemporary ECT for Depression Part 1: Practice UpdateContemporary ECT, Part 2: Mechanism of Action and Future Research DirectionsIs ECT an Ethical Treatment?Table: […]

Evidence-Based Guidelines for EEG Utilization at the University Teaching Hospital (UTH)

Gretchen L. Birbeck, E Chomba, […], and the Neurologic & Psychiatric Society of Zambia (NPSZ)Additional article informationBackgroundElectroenphalograph (EEG) technology via a Natus Bio-Logic Ceegraph digital EEG machine will be available at University Teaching Hospital (UTH) very soon. In anticipation of this newly available technology, members of the Neurologic & Psychiatric Society of Zambia discussed the […]

10 Crazy Facts About the Placebo Effect

HEALTH. DAVID DECHER FEBRUARY 16, 2013 Share1K Stumble3 Tweet Pin8 +118 Share5SHARES1KThe Placebo Effect is one of the strangest and least understood phenomenons found in human physiology and psychology. Most of us know a thing or two about it, namely that we can essentially cure ourselves of maladies simply because we believe we are being […]

Case study I CHF

A 58-year-old man has been diagnosed with systolic heart failure (HF) with New York Heart Association (NYHA) class-II symptoms and ejection fraction 25%. The patient had a history of hospitalizations for heart failure. The chief complaints of the patient were dyspnea on exertion (DOE), poor sleep and appetite. (*This case is hypothetical and designed for […]

Coagulation disorders

Coagulation disorders are disruptions in the body’s ability to control blood clotting. Coagulation disorders can result in either a hemorrhage (too little clotting that causes an increased risk of bleeding) or thrombosis (too much clotting that causes blood clots to obstruct blood flow).These clotting disorders develop due to several conditions.Major causes of coagulation disorders resulting […]

PANDAS

.et_pb_column .et_pb_counters.et_pb_column.et_pb_row.et_pb_sectionWHAT IS PANDAS?  PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) occurs when strep triggers a misdirected immune response results in inflammation on a child’s brain. In turn, the child quickly begins to exhibit life changing symptoms such as OCD, anxiety, tics, personality changes, decline in math and handwriting abilities, sensory sensitivities, restrictive […]