Author Archives: deemagclinic
safdarjang hospital
14 Responses By ASHISH JHA, MD I visited Safdarjung Hospital in New Delhi today – an institution with 1,531 beds and 145% occupancy rate. Yes, 145%. You do the math. A lot of bed sharing and asking families to bring in cots. It’s right across the street from the All India Institute of Medical Sciences (AIIMS), the premier public […]
landmark judgement
“It is a treatable, manageable disease, on par with hypertension and diabetes” Temporary ill-health including schizophrenia, a mental illness, which is curable, cannot be a ground for divorce under Section 13 (1) (iii) of the Hindu Marriage Act, the Supreme Court has held. A Bench of Justices G.S. Singhvi and V. Gopala Gowda, quoting Vedic […]
Reducing the dose of epilepsy medication guards against birth DEFECTS
Reducing the dose of epilepsy medication guards against birth DEFECTS If pregnant women take epilepsy medications with valproic acid, the danger of birth defects such as spina bifida or hypospadias is greatly increased. Australian researchers have now discovered that this risk can be significantly lowered by reducing the dose, reports “Neurology”. The scientists from the […]
the state of USA health
Understanding the major health problems in the United States and how they are changing over time is critical for informing national health policy. Objectives To measure the burden of diseases, injuries, and leading risk factors in the United States from 1990 to 2010 and to compare these measurements with those of the 34 countries in […]
Longacting somatostatin analogue shows promise in the ALADIN trial
Autosomal dominant polycystic kidney disease slowly progresses to end-stage renal disease and has no effective therapy. A pilot study suggested that the somatostatin analogue octreotide longacting release (LAR) could be nephroprotective in this context. We aimed to assess the effect of 3 years of octreotide-LAR treatment on kidney and cyst growth and renal function decline […]
No association between psychedelics and mental health problems
The use of LSD and other psychedelics does not increase the risk of developing mental health problems – on the contrary. This is the result of a study undertaken by The Norwegian University of Science and Technology (NTNU) and published in “PLOS ONE”. Evaluating data from more than 130,000 people, including 22,000 who had experience […]
Antidepressants during pregnancy can be tricky
Antidepressants during pregnancy can be tricky For years, pregnant women who suffer from depression have been told it’s safer for them and their unborn child to continue taking antidepressants during pregnancy. Now a new study is challenging that advice, suggesting the opposite is true and advocating against most women taking these drugs. If the depression is […]
depression
Importance Depression has been identified as a risk factor for dementia among patients with type 2 diabetes mellitus but the cognitive domains and patient groups most affected have not been identified. Objective To determine whether comorbid depression in patients with type 2 diabetes accelerates cognitive decline. Design A 40-month cohort study of participants in the […]
stroke
If mild or moderate strokes are treated within 90 minutes, the probability of permanent disability would be greatly reduced. This is shown in an international study under the leadership of Finnish researchers at the University of Helsinki. The results were printed in the American Heart Association’s (AHA) journal “Stroke”. The study showed that if people […]
white paper on medical education by dr.DEVI SHETTY
Contents Page No. Executive Summary ……………….. 02 1. Preamble ……………….. 04 2. Current scenario ……………….. 05 3. Challenges faced ……………….. 06 4. Initiatives in the past by MCI ……………….. 08 5. Recommended actions ……………….. 09 6. Outcome and Benefits ……………….. 11 Executive Summary Preventing and treating NON-COMMUNICABLE DISEASES(NCD) is […]
A close relationship between grandparents and grandchildren reduces symptoms of depression
A close relationship between grandparents and grandchildren reduces symptoms of depression in both well into grandchildren’s adulthood, according to a US study presented at the 108th Annual Meeting of the American Sociological Association. The researchers at Boston College used data from the Longitudinal Study of Generations, a survey of 3- and 4-generation US families with […]
suicide deaths in the military
Importance Beginning in 2005, the incidence of suicide deaths in the US military began to sharply increase. Unique stressors, such as combat deployments, have been assumed to underlie the increasing incidence. Previous military suicide studies, however, have relied on case series and cross-sectional investigations and have not linked data during service with postservice periods. Objective […]
Polypharmacy: How widespread is the practice?
Monday, August 12, 2013 by Vidhi Rathee New Delhi: Monika, a migraine patient, felt as if a thick fog has descended on her brain, as once again she felt heavy and drowsy while reading the prescription letter to take another dose of afternoon pills. She feels lethargic and inactive to perform her daily household tasks, […]
No Alzheimer drug works as well as exercise
Exercise could be the best medicine against Alzheimer’s. A study of persons with slight cognitive impairments found that brain functions had improved following a 12-week, moderate training program. The results were published in the “Journal of Alzheimer’s Disease”. Researchers at the University of Maryland divided the study participants (60 to 88 years old) into two […]
health benefits of religious practice,
AS evidence accumulates about the many health benefits of religious practice, prayer is looking better and better. Some atheists have even gone public with their own prayer-for-health’s-sake practice. Enlarge This Image T. M. Luhrmann ROOM FOR DEBATE Should Atheists Pray? What’s the point of prayer? Is it just for believers, or would praying be a […]
Most doctors in urban India are not MBBS:
MUMBAI: In a shocking representation of the lack of essential healthcare, the largest chunk of doctors in the country do not hold the MBBS degree (bachelor of medicine, bachelor of surgery) — a basic prerequisite to practice modern medicine (allopathy). Instead, they have degrees of alternative medicine like ayurveda or homeopathy, but they may still […]
sunshine act
Toolkit for Physician Financial Transparency Reports (Sunshine Act) The Physician Payments Sunshine Act (Sunshine Act) requires manufacturers of drugs, medical devices and biologicals that participate in U.S. federal health care programs to report certain payments and items of value given to physicians and teaching hospitals. Toolkit for Sunshine ActManufacturers are required to collect and track […]
Importance Physicians’ views about health care costs are germane to pending policy reforms.
Objective To assess physicians’ attitudes toward and perceived role in addressing health care costs. Design, Setting, and Participants A cross-sectional survey mailed in 2012 to 3897 US physicians randomly selected from the AMA Masterfile. Main Outcomes and Measures Enthusiasm for 17 cost-containment strategies and agreement with an 11-measure cost-consciousness scale. Results A total of 2556 […]
music in pediatrics
Importance Many medical procedures aimed at helping children cause them pain and distress, which can have long-lasting negative effects. Music is a form of distraction that may alleviate some of the pain and distress experienced by children while undergoing medical procedures. Objective To compare music with standard care to manage pain and distress. Design, Setting, […]
How has the human brain evolved over the years?
How has the human brain evolved over the years? —Emma Schachner, Salt Lake City John Hawks, a professor of anthropologyat the University of Wisconsin–Madison, answers: Humans are known for sporting big brains. On average, the size of primates’ brains is nearly double what is expected for mammals of the same body size. Across nearly seven million years, the […]
Can Brain Scans Diagnose Mental Illness?
One common complaint about psychiatry is its subjective nature: it lacks definitive tests for many diseases. So the idea of diagnosing disorders using only brain scans holds great appeal. A paper published recently in PLOS ONE describes such a system, although it was presented only as an initial proof of concept. News reports, however, trumpeted the advent […]
herpes zoster
The incidence of herpes zoster increases with age. Management includes antiviral therapy (recommended in persons with or at increased risk for complications, immunocompromised persons, those ≥50 years of age, and those with severe pain or severe rash) and pain medications. The newest article in our Clinical Practice series comes from Dr. Jeffrey Cohen of the […]
the Bio-Medical Waste (Management and Handling) Rules, 1998.
MINISTRY OF ENVIRONMENT & FORESTS NOTIFICATION New Delhi, 20th July, 1998 S.O. 630 (E).-Whereas a notification in exercise of the powers conferred by Sections 6, 8 and 25 of the Environment (Protection) Act, 1986 (29 of 1986) was published in the Gazette vide S.O. 746 (E) dated 16 October, 1997 inviting objections from the public […]
Doctors Badmouthing Other Doctors
114 Comments Doctors Badmouthing Other Doctors By PAULINE W. CHEN, M.D. Tetra Images/Getty Images FACEBOOK TWITTER GOOGLE+ SAVE E-MAIL SHARE PRINT DOCTOR AND PATIENT Dr. Pauline Chen on medical care. A physician friend known for her conscientious work recently disclosed that a year ago she was named in a malpractice lawsuit. The revelation rattled me not […]
THE PERSONS WITH DISABILITIES (EQUAL OPPORTUNITIES, PROTECTION OF RIGHTS AND FULL PARTICIPATION) ACT, 1995
PWD ACT, 1995 THE PERSONS WITH DISABILITIES (EQUAL OPPORTUNITIES, PROTECTION OF RIGHTS AND FULL PARTICIPATION) ACT, 1995 PUBLISHED IN PART II, SECTION 1 OF THE EXTRAORDINARY GAZETTE OF INDIA New Delhi, the 1st January, 1996/Pausa 11, 1917 (Saka) The following Act of Parliament […]
an interesting and funny case
IT was an interesting and funny case which came to my clinic today. A Hindu patient named(changed) vikram who was had an acute manic episode, in a fit of grandiose delusion , suddenly changed his religion and became Muslim, changed his name to Mohemmed,started wearing muslim topi,kurta and pyjama and frequented madrarasas and got into […]
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 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 […]
deemagclinic
deemag and chest clinic 