Hindawi Critical Care Research and Practice Volume 2019, Article ID 6948710, 11 pages https://doi.org/10.1155/2019/6948710 Review Article in the Critical Care Setting Adeel Rafi Ahmed ,1 Ayanfeoluwa Obilana,2 and David Lappin3 1MB BCh BAO MRCPI MRCP(UK) PGDip (ClinEd), Holder of European Certificate in Nephrology, University Hospital Galway, Galway, Ireland 2MB BCh BAO MRCPI, Specialist Registrar in […]
835043   research-article2019 SMO0010.1177/2050312119835043SAGE Open MedicineGyawali et al.  Review Paper SAGE Open Medicine  Sepsis: The evolution in definition, pathophysiology, and management Bishal Gyawali*, Karan Ramakrishna* and Amit S Dhamoon Abstract There has been a significant evolution in the definition and management of sepsis over the last three decades. This is driven in […]
  AMERICAN THORACIC SOCIETY DOCUMENTS Diagnosis and Treatment of Adults with Community-acquired Pneumonia An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America Joshua P. Metlay*, Grant W. Waterer*, Ann C. Long, Antonio Anzueto, Jan Brozek, Kristina Crothers, Laura A. Cooley, Nathan C. Dean, Michael J. Fine, Scott […]
Advice to Young Psychiatrists From a Very Old One psychiatric residency ©️FrankPeters/AdobeStock Allen Frances, MD October 4, 2019 Couch in Crisis Dr Frances is Professor Emeritus and former Chair, Department of Psychiatry, Duke University; Chair, DSM-IV Task Force. He is the author of Saving Normal and Essentials of Psychiatric Diagnosis. Twitter: @AllenFrancesMD. I recently came […]
BENGALURU: What the income-tax raids on educational institutions run by Congress leaders have unearthed is merely the tip of the iceberg, said I-T department officials. They suspect a major scam wherein medical college managements block seats under National Eligibility-cum-Entrance Test and later sell them at exorbitant rates. PubMatic ad tag (Javascript) : IP_TOI_timesofindia.indiatimes.com_Both_300x250 | https://timesofindia.indiatimes.com/ […]
Reviewed at the Consensus group meeting at Hotel Tunga , August ,2014 President FOGSI:DrSuchitraPandit Guideline development Group : Meeting August 30,2014 Drafted by DrSuchetaKinjawdekar Guideline development group Dr. Sanjay Gupte,FOGSI Chairman of the GCPR (Obstetrics committee) DrShaliniSingh ,ICMR DrNozerSheriar (Secretary General FOGSI) Dr. RekhaKurian (Vice President Elect FOGSI) Dr. UdayThanawala (Vice President Elect FOGSI Dr.GirijaWagh […]
Dr. Arshad Gulam Mohammad This is one medical syndrome, if it can be termed thus, that is not described in any textbook. No medical journal has ever discussed this phenomenon. But ask any practising physician or surgeon and he will talk about it hours on end. Every practising doctor holds it in dread and is […]
© Dr. Rajas Deshpande False reviews and online beratings against doctors and hospitals have become a reality. However much a doctor goes out of the way to do the best for his/ her patient, following are the reasons why negative reviews are still uploaded, some of them ridiculous: 1. Denial of false certification. 2. Recording […]
Once again, the doctor kafeel has got a clean chit in just 2 Case-answering it. And yes thank you so much for the birthday wishes 🥰 Thank you all for the lovely birthday wishes ❤️ A controversy has been created over the recent enquiry report- plz watch how they are haunting me again🙏 For full […]
PCRM members are petitioning the FDA to place warning labels on dairy. | PCRM October 8, 2019 Charlotte Pointing Senior Editor, UK | LIVEKINDLY | Southsea, United Kingdom | Contactable via charlotte@livekindly.com | Charlotte has an upper second class honors in History from Oxford Brookes University and a postgraduate certificate in Cultural Heritage from Winchester […]
NEW DELHI: India accounts for 28% of global suicides but nearly half of the population is neither aware about mental health issues nor has access to a mental health facility within a 20km radius, says an independent study conducted across seven north Indian states. About 43% of the respondents had a family member or friend […]
REPORTABLE IN THE SUPREME COURT OF INDIA CIVIL APPELLATE JURISDICTION CIVIL APPEAL No.3971 OF 2011 Dr. S.K. Jhunjhunwala ….Appellant(s) VERSUS Mrs. Dhanwanti Kaur & Anr. …Respondent(s) JUDGMENT Abhay Manohar Sapre, J. 1. This appeal is directed against the final judgment and order dated 01.09.2009 passed by the National Consumer Disputes Redressal Commission (hereinafter referred to […]
Joanne Buckle, FIAI, FIA Neha Taneja, FIAI Rachin Aggarwal, MBA Vidhi Gupta, MSc (OR) Introduction As per the World Health Organisation (WHO), mental health refers to a broad array of activities directly or indirectly related to mental well-being, prevention of mental disorders and treatment and rehabilitation of people affected by mental disorders. Mental health is […]
Summary of The Amendments done in NMC Bill …. 1.one single entrance exam for MBBS ( all entrance exam including AIIMS entrance scrapped ) 2.Final Professional Examination all over the country will be one . The Exam will provide for A.MBBS Degree B.Registration and License to practice C. Post Graduate entrance merit . If you […]
  Understanding and Managing Somatoform Disorders A Guide For Clinicians FIRST EDITION Anton Scamvougeras MBChB FRCPC Andrew Howard MD FRCPC AJ medical KS  Vancouver BC Canada Acknowledgements: We would like to thank our colleagues in the UBC Neuropsychiatry team, for many years of rich dialogue, and without whom this book would not exist: […]
मौत एक नर्सिंग होम की ——//——–//——– बड़े अरमान थे अपना भी एक , भले ही छोटा सा हो, लेकिन एक नर्सिंग होम हो । जहां हम भी अपनी मर्ज़ी से , सस्ते दामों में बड़े से बड़े ऑपरेशन कर सकें । मरीजों को सस्ता इलाज़ मुहैया करा सकें । सेवा कर सकें । जुगाड़ तुगाड […]
Different aspects of wisdom may be traced to specific areas of the brain, and might possibly be enhanced by behavioral interventions, suggests the article by Dilip V. Jeste, MD, and Ellen E. Lee, MD, of the Sam and Rose Stein Institute for Research on Aging, University of California San Diego. They write, “Wisdom has important […]
©️Dr. Rajas Deshpande “I found her outside the public lavatory near sassoon hospital” the lady said almost as a whisper after her daughter left the room. “She does not know. Nobody knows. Please don’t tell her ever”. That 15 year old girl Teju was brought to me over 10 years ago, with uncontrolled fits. Not […]
Why Mother is power: A science thought We receive 50% nuclear DNA from mother and 50% from father. But we receive 100% mitochondrial DNA from mother. The mitochondria & mitochondrial DNA come exclusively from mother to child Mitochondria produce ATP. ATP is energy currency…. In short you received Power (energy DNA) from mother Mother received from […]
From a friend’s wall … Missive from a misconstrued medico! Dear Sir, I belong to a profession that Shashi Tharoorji would describe as ‘Somatic decrepitude mender’ and in common parlance….. ‘Doctor’. Of late, I had some weird experiences which I would like to share with you sir! Recently I travelled with my family by flight […]
The danger for private hospitals empaneled under Ayushman Bharat scheme is unfolding slowly. However when private hospitals do not listen to reason and rush to sit in the lap of the Government, the consequences are predictable. The Government had brilliantly brought out a populist scheme to garner votes. It was very well marketed. Private hospitals […]
But such a response is all too often the exception. More frequently, depression and stress are ignored or stigmatised, not treated as the real illnesses – threats to physical and psychological health and productivity – that they are. Mental health problems and associated costs are a worldwide issue. But a 2017 WHO report finds that […]
From Chinese drones to sniper rifles to stones: the weapons connect all the dots between Afghanistan and Kashmir. Imran Khan’s so called moment of truth in USA, masks the reality of Kashmir. His milstablishment is the only missing link. Imran Khan, in the worst flap ever, concedes Pak Army and ISI trained the Taliban and […]
How Big Medicine is hurting patients and putting small practices out of business JOHN MACHATA, MD | POLICY | MARCH 27, 2019 Recently the CEO of a large health care network stated: “Market forces don’t apply to health care.” Of course, economic and political forces apply to health care. Big Medicine’s most powerful entities (insurers, […]
• Communication is a process of exchange of information • Active listening involves paying attention, facilitatory cues (Verbal & nonverbal), reflecting, clarifying, deferring judgment, summarizing and giving feedback. • Proxemics and kinesics need attention • Nonverbal communication plays important role hence learn to decode clients & manage one’s own facial expressions, gestures, postures and vocal […]
Contou et al. Critical Care (2016) 20:360 DOI 10.1186/s13054-016-1537-5 RESEARCH  Open Access : a pragmatic multicenter prospective cohort study Damien Contou1,2*, Damien Roux3, Sébastien Jochmans4, Rémi Coudroy5, Emmanuel Guérot6, David Grimaldi7, Sylvie Ricome8, Eric Maury9, Gaëtan Plantefève10, Julien Mayaux11, Armand Mekontso Dessap1,2, Christian Brun-Buisson1,2 and Nicolas de Prost1,2       […]
Upon joining the MS course, a doctor doesn’t expect to be showered with rose petals. But he shouldn’t be treated like dirt either. Afunny-looking man entered Nirog Hospital. He was swaggering like a WWE wrestler, on the move. But his spotless white coat and the stethoscope hanging around his neck were clear pointers to his […]
Guidelines are 1.Diagnosis by two Psychiatrists 2. Psychological assessments This initial workup taken as starting point 3 months of counselling Monthly visit to primary consultation and behavior assessment (recording ) by primary psychiatrist .. 3rd month : hormonal treatment can be started if patient is well 6 month ( from starting point) : counseling sessions […]
Dear People, Once upon a time, doctors were considered akin to God. The stethoscope was revered and their healing touch was discussed far and wide. The doctor-patient relationship was a pure bond, unaltered by technological interference. Don’t get us wrong; there’s much to cheer in the way we live today, but a lot is still […]
(c) Dr. Rajas Deshpande Neurologist Pune/ Mumbai Ask any doctor in India, how traffic related deaths and injuries cause havoc in the casualties every day. In a country with nearly five lakh traffic related accidents and one lakh fifty thousand deaths every year, with many more lakhs seriously injured and disabled for life, the strictest […]
 Fall Prevention and Healthy Ageing                          The facts    Falls are the leading cause of injury among older Indians. 20-30% of seniors experience one or more falls each […]
Opioid overdose is now responsible for one in five deaths among young adults—an astonishing proportion, according to new data from the American Medical Association. These losses aren’t inevitable: We actually have two medications, which, if made widely available, could cut opioid-related mortality by 50 percent or more. Unfortunately, while doctors and activists are fighting to […]
सरकार ने, ई सिगरेट पर बैन लगा दिया है, यह कहते हुए कि इससे युवाओं को हेल्थ हज़ार्ड से बचाया जा सकेगा। जो लोग ई सिगरेट के बारे में कम जानकारी रखते हैं, उनको ई सिगरेट के बारे में बताना आवश्यक है कि– ई सिगरेट ,सिगरेट छुड़ाने की डिवाइस होती है, जो एक पेन की […]
सरकारी अस्पतालों की एक स्थायी प्रकृति होती है कि वे हमेशा गंधाते रहते हैं। मरीजों व तीमारदारों की भारी भीड़…सफाईकर्मी कम… शौचालय जाम…. उसमें पानी भी नहीं।ऐसे में कोई करे भी तो क्या?अस्पताल जब बना था ,तब सब चालू हालत में था।स्टील की टोंटियां, एग्जॉस्ट फैन व अन्य जो कुछ भी चुराने लायक था ,भाई […]
 The clinical e ectiveness of sertraline in primary care and the role of depression severity and duration (PANDA): a pragmatic, double-blind, placebo-controlled randomised trial Gemma Lewis, Larisa Du y, Anthony Ades, Rebekah Amos, Ricardo Araya, Sally Brabyn, Katherine S Button, Rachel Churchill, Catherine Derrick, Christopher Dowrick, Simon Gilbody, Christopher Fawsitt, William Hollingworth, Vivien Jones, […]
* Prof Pankaj Chaurvedi *A – Attitude* – You are not doing any favor to the patients. Human body is the nature’s best creation and only we are privileged to deal with it. Patients do a favor to us by having trust in us. Give your best where ever you are. Attitude trumps attributes. *B […]
The majority of persons with mental distress (PWMD) in India do not have access to care, and even those who seek care are pushed to attend private providers, given the weak and largely absent public mental health services framework. The aim of this study was to examine the experiences in help-seeking and with unethical health […]
Author’s personal copy Aggression and Violent Behavior 14 (2009) 323–329 Christopher J. Ferguson a,⁎, Richard D. Hartley b a Department of Criminal Justice, Applied Sciences and Criminal Justice, Texas A&M International University, 5201 University Boulevard, Laredo, TX 78041, United States b University of Texas San Antonio, One UTSA Circle, San Antonio, TX 78249-1644, United States […]
Dehradun is in middle of a Dengue Epidemic. Tens of thousands of people in Dehradun are suffering from Dengue, but the government claims only around 1000 people have Dengue. That is because the State Government claims that Dengue tests done in private laboratories are wrong and unreliable and counts, in its statistics , only tests […]
TAKE-HOME MESSAGE This article presents a critical appraisal of a recent meta-analysis on the assocation between gestational exposure to benzodiazepines and major congenital malformations in the offspring. ======================== THE SYNERGY TIMES ======================== Sept 12, 2019: Vol 19 No 95 BENZODIAZEPINES IN PREGNANCY AND MAJOR CONGENITAL MALFORMATIONS: 2 In a systematic review and meta-analysis of […]
मरीज देखते समय एक डॉक्टर का तनाव उसी मरीज से उत्पन्न हास्यास्पद स्थिति से ज्यादातर दूर हो जाता है, लेकिन कभी कभी इसका उल्टा भी। 1 ज्यादातर मरीज आते ही पहली शर्त दाग देते हैं कि डॉक्टर साहब गर्म दवा न लिखियो, गर्म व स्ट्रांग दवा नुस्कान करति आ शहर के मरीज भी ऐसा ही […]
By Malcolm Fisher (World Medicine October 1976) “Surgeons and anaesthetist have a curious sadomasochistic relationship. The love-hate aspects of the relationship are governed by two historical truths: without surgeons, anaesthetists would be unemployed and, because all surgical progress has been made possible by anaesthesia, without anaesthetists, most patients would rather keep their gallbladders, prepuces, and […]
 No. Z.28013/22/2019-MS Government of India Ministry of Health & Family Welfare Department of Health & Family Welfare (Medical Services Division) ****** Nirman Bhawan, New Delhi Dated: 2nd September, 2019 NOTICE Subject: Draft Legislation titled “The Healthcare Service Personnel and Clinical Establishments (Prohibition of violence and damage to property) Bill, 2019” — regarding Ministry of […]
आइये एक चिकित्सक होने के नाते विचार करें ,क्यों डॉ दत्ता को अपनी जान देनी पड़ी विचार इसलिए भी करना है क्योंकि हम उसी नाव में सवार हैं ,हादसा किसी से भी हो सकता है ,लेकिन हादसे की जड़ में नहीं गए तो यह घटनाएं रिपीट होती रहेंगी चिकित्सक एक इंसान है ,इंसानों के बीच […]
POSTED ON SEPTEMBER 6, 2019 .entry-meta .entry-header Serotonin and drugs that target serotonin, such as anti-depressants, can have a major effect on the gut’s microbiota, a new study[1] in mice led by UCLA biologists strongly suggests. An estimated 90 percent of the body’s serotonin is produced in the gut, where it influences gut immunity. The […]
 What you need to know…  Contents 1. What is dengue fever 2. Symptoms of dengue fever 3. Characteristics of the Aedes mosquito 4. Life cycle of the Aedes mosquito 5. How the Aedes mosquito transmit diseases 6. How to prevent the spread of dengue fever 7. The 10-min Mozzie Wipe-out Exercise 8. Quiz […]
A recent Face book entry by Dr.Simmi Waraich on Mental Health Campaign Being asked “Why are you depressed? Life is beautiful!” Is like saying “Why do you have Asthma? There is so much Air”. After doing Psychiatry all my life and also personally suffering, I was never referred to a Neurologist by any astute […]
deemagclinic
deemag and chest clinic 