I thought i might as well keep a primer ready for the primaries.
Here are notes on "Introduction to Medical ethics"
09 October, 2009
05 October, 2009
Healthy lifestyle benefits-
PODCAST from MedlinePlus
Previously, most research focused on the impact of one or two lifestyle choices on hypertension, heart failure, and other diseases. Here are 2 studies which assess the impact of a cluster of modifiable lifestyle choices on the onset of hypertension and heart failure.
1) The risk of the onset of hypertension was prevented or delayed by 78 percent if study participants:
* Kept their body mass index under 25 (within a normal weight range)
* Exercised vigorously daily
* Maintained a diet designed to stop hypertension
* Drank alcohol moderately
* Used a non-narcotic analgesic less than once a week. Non-narcotic analgesics include pain relief medications, such as acetaminophen, or Tylenol
* And took recommended doses of a folic acid supplement
2) A 21 percent lifetime risk of heart failure was reduced to 10 percent if male participants followed four of the following lifestyle recommendations:
* maintaining normal weight
* not smoking
* regular exercise
* moderate alcohol intake
* consumption of breakfast cereal
* and eating fruits and vegetables
16 September, 2009
Change in Health education apparatus in India
Task Force Report on setting up NCHR in Health
To overcome the acute shortage and uneven distribution of human resources in public health delivery system, the Ministry of Health & Family Welfare aims at overhauling the current regulatory framework. Toward this end, it is proposed to set up a National Council for Human Resources in Health as an overarching regulatory body to achieve the objective of enhancing the supply of skilled personnel in the health sector.
http://www.mohfw.nic.in/nchrc-health.htm
Here is the draft report for initiating Positive changes in our medical education system.
Some of the ideas mentioned are revolutionary scrapping multiple levels of control and having a standardised post graduation level exam) whereas some are half-assed (like the umpteen administrative functions concentrated in a select few).
The general public is invited to go through the report of the Task Force and the draft bill and sent their comments / observations on the suggested provisions by the 15th October, 2009.
http://www.mohfw.nic.in/nchrc-health.htm
Kindly mail your views to make a difference
11 September, 2009
Swine Flu Update: Single-Dose Vaccine Appears to Work
Swine Flu Update: - We have all been waiting for the ideal swine flu vaccine, and lo, its POSSIBLY Here now.
A Single-Dose Vaccine Appears to Work, Study Shows: "
The first clinical trial data on new vaccines being developed to treat the H1N1 pandemic flu virus in the U.S. suggest that one dose will work to immunize most people, according to a preliminary report in the New England Journal of Medicine. Researchers studied two vaccines, one which had a substance added to improve immune response, called an adjuvant, and one that didn’t, for 21 days. Both showed the vaccines elicited immune responses with single shot. One big question for public health officials was whether a single dose would be sufficient.
Full results will be published after patients have been followed for 42 days, the journal said.
An accompanying editorial, written by Kathleen Neuzil of the University of Washington, calls the findings “welcome and reassuring” and suggests that it would be “appropriate” to start vaccination using one regular dose of non-adjuvanted vaccine. Two doses might be needed in children, she writes, but if supplies are short, the vaccine shouldn’t be held in reserve to give a second dose.
The nonadjuvant vaccine is being developed by CSL Ltd. of Australia.
The adjuvant version is from Novartis. Both are expected to be available in the fall.
Side effects, including pain at the injection site and headaches, were reasonably tolerated, Neuzil noted.
Chinese vaccine marker Sinovac Biotech and Novartis have both said recently that their swine-flu vaccines showed positive results.
05 September, 2009
WHO: Impact on healthcare services
Swine flu has now been around for about 6 months.It has caused an alarming impact on health services trying to cope with all thr panicked populations, more so in Developing countries.
Mexico, India, and Central and Southern American countries have born the brunt.
Check the image.
27 August, 2009
Using Cellphones to diagnose Malaria and Blood disorders
Microscopy provides a simple, cost-effective, and vital method for the diagnosis and screening of hematologic and infectious diseases.It is an essential tool in disease diagnosis and widely used all over the world. Unfortunately, the EXPERTISE required to use the tool, and to evaluate the findings is not very common. One requires a pathologist with many years of experience to make sense of those seemingly random and confused pixels. (I know, i am a pathologist :-)
It takes a lot of effort, and money to train a pathologist, equip him/her with all the instruments required, and then use the skills in a backward area without proper facilities. But the advent of digital imaging has solved many of our troubles. Telepathology made sure that we do not need a pathologist physically present at the site, to render a diagnosis. But microscopy and digital imaging of the biopsy/tissue fragment was still a hassle. Now we have done better. You don't even need a microscope to send a microscopic image over the network!! Researchers from the Univ. of California worked with high-powered LED – which retails for just a few dollars – coupled with a typical camera phone to produce a clinical quality image sufficient for detecting in a field setting some of the most common diseases in the developing world.
The newly developed technology, CellScope, allows for average cell cameras to be retrofitted with powerful microscopes, able to detect malaria parasites, and even fluorescent marker-stained tuberculosis bacteria.
Thus you have your humble cell-phone transformed into the sherlockian "cell-scope".“The images can either be analyzed on site or wirelessly transmitted to clinical centers for remote diagnosis. The system could be used to help provide early warning of outbreaks by shortening the time needed to screen, diagnose and treat infectious diseases,” University of California in San Francisco (UCSF)/UCB Bioengineering Graduate Group graduate student David Breslauer adds. CellScope could also provide remote access to digitized health records, and would be amenable to epidemiological studies, using triangulation or global positioning system location data, such that outbreaks could be monitored as they happen.
So maybe i could click a photomicrograph of that mole on my friend"s forearm, twitter it to my onco-pathologist friends, who view it on their smartphones and twitter / message their diagnosis back to me. Simple and fast, especially with my own group of pathologists on the network. Related articles
Kindle in Medicine
Kindle is a new device that is changing the face of reading. The best of the current lot of e-book readers, Kindle is a boon for medical students and professionals, allowing them access to hundreds of books on the go!. The basic functions of Kindle can be seen here.Kindle, now in its third avatar, the Kindle Dx (Deluxe) boasts of more advanced features, like PDF support (experimental) , longer battery life, 5-way Controller and sleeker design.
Check out more features here.. You can view it from all angles, zoom into any area and look at its features. Using Kindle in Medicine- Easy for medical students to keep up with all their scheduled reading. You can download and read reference materials that you have read previously to refresh your memory.You can seek out new textbooks to look for answers too.
- Seeking out symptoms, conditions, and other relevant information is easy.You can view photos on the Kindle if you need to see pictures of various signs and symptoms conditions.
- Study medical texts and highlight portions of texts / make notes on the Kindle as you go. Zoom into images for micro details.Bookmark and annotate important portions.
- Research can be done on its built-in web browser ( experimental feature) , no need to carry a laptop to access the internet.It offers free Wireless access to Wikipedia
- .Multiple books can be read at once, no need to carry a JUMBO Grey"s anatomy or Robbin"s Pathology encyclopedias !! It boasts of storage capacity of 1500 / 3500 books, depending on the Model.
- You can listen to music while you read.
- Inbuilt Text-to-Speech feature lets you listen to your favorite books.
Also , many more wireless features ( like chat, email, videos etc) need to be added. If more such functionality is added to justify its high prices, i expect a LARGE number of medical students turning to Kindle.
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