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Category : All ; Cycle : February 2016
Medical Articles

This is really a good news that every wise person knows!

What is it?

God has decided to nurture our hearts and souls through the nectar of REMEMBRANCE OF HIS NAME viz. NAMASMARAN revitalize every nook and corner of every aspect of life! This global spring is unstoppable!

Every wise person therefore is rejoicing while ecstatically sharing it with others!

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सर्वांगीण आरोग्याचा म्हणजेच संपूर्ण तणाव
सर्वांगीण आरोग्याचा म्हणजेच संपूर्ण तणावमुक्तीचा सोपा उपाय: डॉ. श्रीनिवास जनार्दन कशाळीकर

तमोगुण आणि रजोगुण वाढल्यामुळे वेड, वासना, आवडी, छंद, लहरी, फॅशन्स, व्यसने, विकृती; अशा बाबींसाठी अब्जावधी रुपये खर्च होत आहेत. संकुचित स्वार्थापायी फसवणे आणि फसले जाणे; हे सार्वत्रिक झाले आहे.

जोपर्यंत नामस्मरण सर्वत्र पसरत नाही आणि झिरपत नाही, तोपर्यंत आत्मसाक्षात्कारी निस्पृह संत आणि समाधान सापडणे कठीण आहे.

ज्या अजरामर आंतरिक चैतन्याची हाक (Inner Voice) आपल्याला ऐकू येत नाही आणि ज्याच्यापासून तुटल्यामुळे आपण अचेतन आणि मरतुकडे बनलो आहोत, त्या अनादी, अनंत, सर्वव्यापी तसेच सर्वांच्या अंतर्यामी आणि बाहेर असलेल्या सच्चिदानंद “वस्तु”ला ओळखणे, समजणे, आठवणे आणि हळु हळु त्या “वस्तु”शी तद्रुप होणे; हा सर्व दुरवस्थेवरील इलाज आहे.

ह्या सच्चिदानंद वस्तूला ओळखण्याचे, समजण्याचे, आठवण्याचे आणि हळू हळू त्या वस्तुरूप होण्याचे अनादी साधन; ह्या वस्तूच्या नावाचे म्हणजेच नामाचे स्मरण म्हणजे नामस्मरण आहे. प्रत्येकाच्या हृदयात जो नामरूप गुरु असतोच, त्याच्याच कृपेने आपल्या सर्वांना; नामस्मरणाच्या द्वारे होणारा स्वधर्म सूर्याचा उदय आणि त्याचा कल्याणकारी प्रभाव यांचा अनुभव आल्याशिवाय राहणार नाही!

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The ultimate definition of health is realization of the immortal self experienced usually as unshakable and complete fulfillment or satisfaction. Hence, obviously; the best time to start promotion of such health is right from the time of conception.


Through the practice of NAMASMARAN. Even as the conceived embryo cannot do it, the pregnant mother is blessed to enable the conceived embryo to participate in it! Every pregnant mother has this golden opportunity and privilege!

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Regulation of Blood Pressure? Dr. Shriniwas Kashalikar
Regulation of Blood Pressure? Dr. Shriniwas Kashalikar

We are taught that throughout undergraduate and postgraduate medical career, that heart rate and blood pressure are regulated.

But is this true? and if this is true, on what basis a set point for these is decided?

The answer to these questions is:

What is regulated is the oxygen supply to the tissues on moment to moment basis according to their changing needs.. This decides the need of blood supply to different tissues and this decides the heart rate, stroke output, peripheral resistance and cardiac output. In turn, this decides the blood pressure.

In short, heart rate and blood pressure are not primarily regulated but get "regulated" as a byproduct of the regulation of oxygen supply to tissues, with priority to the oxygen needs of the vital organs.

It appears therefore, that use of terms such as "regulation of heart rate" and "regulation of blood pressure" would be eventually discarded and replaced by "Regulation of cardiovascular function to serve the oxygen needs of tissues".

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Micropercutaneous nephrolithotomy (microperc) vs retrograde intrarenal surgery for the management of small renal calculi: a randomized controlled trial (British Journal of Urology International)
• To compare micropercutaneous nephrolithotomy
(microperc) and retrograde intrarenal surgery (RIRS) for
the management of renal calculi <1.5 cm with regard to
stone clearance rates and surgical characteristics,
complications and postoperative recovery.
Patients and Methods
• Seventy patients presenting with renal calculi <1.5 cm
were equally randomized to a microperc or a RIRS group
between February 2011 and August 2012 in this
randomized controlled trial. Randomization was based
on centralized computer-generated numbers. Patients
and authors assessing the outcomes were not blinded to
the procedure.
• Microperc was performed using a 4.85-F (16-gauge)
needle with a 272-mm laser fibre. RIRS was performed
using a uretero-renoscope.
• Variables studied were stone clearance rates, operating
time, need for JJ stenting, intra-operative and
postoperative complications (according to the
Clavien–Dindo classification system), surgeon discomfort
score, postoperative pain score, analgesic requirement
and hospital stay.
• Stone clearance was assessed using ultrasonography and
X-ray plain abdominal film of kidney, ureter and bladder
at 3 months.
• There were 35 patients in each group. All the patients
were included in the final analysis.
• The stone clearance rates in the microperc and RIRS
groups were similar (97.1 vs 94.1%, P = 1.0).
• The mean [SD] operating time was similar between the
groups (51.6 [18.5] vs 47.1 [17.5], P = 0.295). JJ stenting
was required in a lower proportion of patients in the
microperc group (20 vs 62.8%, P < 0.001). Intra-operative
complications were a minor pelvic perforation in one
patient and transient haematuria in two patients, all in
the microperc group. One patient in each group required
conversion to miniperc.
• One patient in the microperc group needed RIRS for
small residual calculi 1 day after surgery. The decrease in
haemoglobin was greater in the microperc group (0.96 vs
0.56 g/dL, P < 0.001). The incidence of postoperative
fever (Clavien I) was similar in the two groups (8.6 vs
11.4%, P = 1.0). None of the patients in the study
required blood transfusion.
• The mean [SD] postoperative pain score at 24 h was
slightly higher in the microperc group (1.9 [1.2] vs 1.6
[0.8], P = 0.045). The mean [SD] analgesic requirement
was higher in the microperc group (90 [72] vs 40 [41]
mg tramadol, P < 0.001). The mean [SD] hospital stay was
similar in the two groups (57 [22] vs 48 [18] h, P = 0.08).
• Microperc is a safe and effective alternative to RIRS for
the management of small renal calculi and has similar
stone clearance and complication rates when compared
to RIRS.
• Microperc is associated with higher haemoglobin loss,
increased pain and higher analgesic requirements, while
RIRS is associated with a higher requirement for JJ

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Capillary haemangioma on the palate: a diagnostic conundrum
Haemangiomas are benign tumours of blood vessel origin and are classified as capillary, cavernous or central. They appear as flat or raised reddish-blue lesions and are generally solitary, affecting women in younger age groups. The tumour may be slowly progressive, involving extensive portions of the superficial and deep blood vessels, and affect function, depending on location. They are common in the head and neck region but rarely in the oral cavity. Oral lesions generally appear on the lips, buccal mucosa and tongue, but rarely on the palate. As the lesion can be confused with pyogenic granuloma, histopathological examination is important for a final diagnosis. The case presented here signifies a rare location of a capillary haemangioma on the palate in a middle aged man. The lesion was diagnosed by histopathology after surgical excision.

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Local Drug Delivery Modalities in Treatment of Periodontitis: A Review
Periodontitis is an inflammatory disease that causes destruction of tooth supporting tissues, characterized by multifactorial etiology with pathogenic bacteria being the primary etiologic agents that dwells the subgingival area. Local drug delivery system consists of antimicrobial dosages that produces more constant and prolonged concentration profiles within the subgingival tissue and provides better access into the periodontal pockets. It addresses the critical distress of exposing the patient to adverse effects of systemic administration. This article reviews the literature and presents novel trends such as osteoblast activators, growth factors, and herbal products in the local drug delivery system.

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Gynaecological cancers
Today is the WORLD CANCER DAY and the theme of this year is "We can, I can".... Yes we all can battle the cancer. But the irony is that majority of women ignore early signs and symptoms of cancer and do not consult doctors in time. And even some of these cancers are preventable if proper action is taken.

Ovarian Cancer-

What will you do if you feel gaseous distension (gas, bloating), acidity, constipation, change in bowel habit, decreased appetite, feeling of full stomach, weight loss and abdominal swellling? Majority of the women ignore these symptoms and take antacids before it is too late. But these are often symptoms of early ovarian cancer and thus if you ignore these symptoms, you are harming yourself. Ovarian cancer is difficult to treat if detected at late stage. But in early stage, it is curable. So, don't ignore these symptoms.
Who are the women at risk of ovarian cancer- women who are not having baby, who themselves or close relatives (sister/ mother/ daughter) had history of cancer in breast/ ovary/ bowel/ uterus etc. But some women are at lower risk like those using Oral Contraceptive Pills- OCP(- the birth control pills can reduce the risk by 50%) and who had tubal ligation (permanent family lanning methods).
If you had such risk factors, you must not avoid any such above mentioned symptoms. Rather you should consult gynecologist early. Ovarian cancer can be detected by ultrasound, CT scan, some blood tests (CA 125) and some cases biopsy may be needed. And remember, majority of the ovarian diseases are NOT cancer but you must be sure that it's not cancer causing your problem.
If ovarian cancer is diagnosed, the treatment is surgery (to be done by expert personnels) and most of the women need chemotherapy.
Ovarian cancer is common in elderly women but it can afect younger women also. So, all the women should take care of the above mentioned symptoms

Cancer of Cervix: Cervix is the mouth of the terus. In our country, this is the COMMONEST CANCER in GYNAECOLOGY affecting women whereas it is uncommon in the Western countries. The irony is that women die of this disease whereas it is TOTALLY PREVENTABLE

It is caused by a virus (human papilloma virus- HPV) that is sexually transmitted (so afects sexually active women). But it has a peculiar feature that before cancer actually occurs, there is precancerous stage- when the cells of cervix shows some changes that we can detect and treat. So, if women regularly consult doctor (WHEN THEY DO NOT HAVE PROBLEMS), we can check if she is at risk of cervical cancer or not, by some simple tests (Pap Smear, HPV testing etc). Is such changes are found (that is not cancer) we can treat her so that she does not develop cancer. These method of detection, before disease occurs or before an individual feels that she is having disease, is called "Screening".
Another method of preventing it is vaccination of HPV, that should be given to the adolescent girls before they become sexually active. Even it can be given in older women (who are sexually active), although the response is somehow lower than if given at early age. But vaccination is not alternative to screening. SO, both screening and vaccination should be done to prevent this cancer.
Even if detected at early stage, it is totally curable. So, women should not ignore symptoms of excessive vaginal discharge (remember, all excessive discharges are not due to cancer), abnormal or heavy menstrual bleeding, bleeding occuring unredictably in between menstrualtion, bleeding after intercourse etc.
It is treated by surgery and some cases may need radiation also.

Cancer of uterus

Cancer of uterus is common after 50 years of age (although can occur at early years also). It is the commonest gynaecological cancer in the Western World. It mainly occurs in women who are obese (excessive weight), having diabetes or hypertension (high blood pressure), not having any baby, who are having personal or family history of cancer in uterus/ breast/ ovary/ bowel.
It can be prevented by taking OCP (birth control pils) and controlling weight. In many cases, it is also preceeded by some precancerous changes (hyperplasia) that can be detected by ultrasonography and if needed small biopsy procedure.
The common symptoms are abnormal heavy bleeding and bleeding after attaining menopause (after totall stoppage of menses). So, any abnormal menstrual bleeding must be properly investigated.
It is usually well curable if treated early- by surgery and in few cases, may need radiation, chemo or hormone therapy.

Cancer of Vulva: The external genitalia of female is known as vulva. Cancer in vulva is relatively uncommon but still it can happen, especially those who are having diabetes, HIV positive or those having poor hygiene.

Never ignore any symptoms of excessive itching in your private parts. It may be the early symptom of vulval cancer. Some cases, patient may have ulcer or tumour or bleeding.
It can be detected easily by examination by doctor and then taking biopsy. It is treated well with surgery and some cases, radiation may be needed.

Sumary: Majority of the gynaecological cacers are preventable. They can be diagnosed early if women consult doctor at early stage. Majority of them respond to treatment.

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