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Mar28
जीवनाचे सार्थक: डॉ. श्रीनिवास जनार्दन कशाळ
जीवनाचे सार्थक: डॉ. श्रीनिवास जनार्दन कशाळीकर

वास्तविक; आपले अंतर्बाह्य व्यापणारे चैतन्य आपल्या अंत:करणातल्या आकाशात निरंतर बरसत असते. मनुष्य कोणत्याही धर्माचा, पंथाचा, जातीचा, देशाचा, वंशाचा, व्यवसायाचा वा वयाचा असो, याला अपवाद असत नाही. त्याचप्रमाणे मनुष्य व्याधीग्रस्त असो वा निरोगी, अपंग असो वा धडधाकट, अशक्त असो वा सशक्त, व्यसनी असो वा निर्व्यसनी, अपराधी असो वा निरपराधी आणि गरीब असो वा श्रीमंत याला अपवाद असत नाही. अगदी जगभरातल्या बलाढ्य देशांचे अध्यक्ष, पंतप्रधान आणि सेनानी देखील याला अपवाद असत नाहीत!

"आपण रोज असंख्य बऱ्या-वाईट गोष्टी करतो. ह्यातल्या कोणत्या गोष्टी आपल्याला सत्याकडे पोचवतात; म्हणजेच “सत्कारणी” लागतात? शिक्षण, क्रीडा, करमणूक, व्यापार, उद्योग, शेती, आरोग्यसेवा, संगीत, नाट्य; ह्यातल्या ज्या ज्या गोष्टी आपण नामविस्मरणात करतो, त्या त्या आपल्याला आपल्या अंतरात्म्यापासून म्हणजेच सत्यापासून परावृत्त करतात आणि दूर लोटतात! म्हणजेच त्यांत घातलेले पैसे, श्रम आणि वेळ वाया जातात, व्यर्थ जातात, फुकट जातात! नामस्मरण म्हणजेच चैतन्याचे, सत्याचे स्मरण. त्याची जोड मिळाली की, आपली प्रत्येक कृती सत्कारणी लागते!"


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Mar28
चैतन्याची हाक: डॉ. श्रीनिवास जनार्दन कशाळी
चैतन्याची हाक: डॉ. श्रीनिवास जनार्दन कशाळीकर

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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Mar27
NAMASMARAN THE GLOBAL SPRING: DR. SHRINIWAS KASHALIKAR
NAMASMARAN THE GLOBAL SPRING: DR. SHRINIWAS KASHALIKAR

This is really a good news that every wise person is aware of!

Which is it?

Spring of NAMASMARAN, which revitalize every nook and corner of every aspect of life is incoming and here to stay! Moreover, this global spring is inevitable and unstoppable!

Every wise person therefore is rejoicing the practice of NAMASMARAN and ecstatically sharing it with others!


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Mar22
Infertility due to Diminished Ovarian Reserve
Ovarian reserve is a term that is used to determine the capacity of the ovary to provide egg cells that are capable of fertilization resulting in a healthy and successful pregnancy.The ability of a woman's ovaries to produce high-quality eggs is known as ovarian reserve (OR). As women get older, their OR naturally declines, the number and quality of eggs go down, and it becomes harder to get pregnant. Women attempting pregnancy after age 40 often have difficulty getting pregnant for this reason.

Premature Ovarian Aging and Infertility & Diminished Ovarian Reserve

DOR or POA negatively affects female fertility primarily through sub-optimal number of eggs and poor quality of eggs. Smaller number of lower-quality eggs reduce women’s fertility in two ways: they make it more difficult to get pregnant, and once pregnant, miscarriage are more likely to happen.

The standard goal of all fertility treatments is the improvement in pregnancy rates in patients with infertility problems. Within the past years, ovulation induction has contributed to the success of assisted reproduction techniques, in vitro fertilization (IVF) and embryo-transfer (ET). The efficacy of these techniques depends on a personalized protocol of controlled ovarian hyperstimulation (COH) and an adequate oocyte recruitment.

A woman is born with her entire life supply of eggs, approximately 1-2 million. At the time of her first menstrual period, the number of eggs has diminished to 300,000-400,000. Each cycle, hundreds of eggs undergo stimulation and usually only one is released during ovulation; the others are reabsorbed and are not functional. Peak fertility in women occurs before age 30, with a monthly pregnancy rate of 20-25 percent. This monthly rate starts to decrease around age 32, but rapidly declines beginning in the late 30’s and into the 40’s. Approximately one in three women experience infertility by age 40, mainly due to poor egg quality. Egg quality decreases as a woman ages, resulting in impaired fertilization, reduced implantation, and increased miscarriage along with the increased potential for chromosomal abnormalities of the fetus.

As more women are delaying childbirth and more baby boomers are reaching midlife, the problem of diminished ovarian reserve (DOR) is increasing. This has several major medical consequences including infertility, decreased bone mass with risk of fracture, abnormal uterine bleeding from lack of regular ovulation, and hot flashes. This article will address ovarian reserve testing and its impact on treating infertility.

As a woman, your fertility potential is largely determined by your ovarian reserve. Ovarian reserve refers to the number of eggs you carry in your ovaries, as well as the health and quality of those eggs. Assuming no other reproductive problems exist, ovarian reserve plays a large role in determining whether you will get pregnant or not. Your ovarian reserve depends not only on the quantity and quality of the eggs in your ovaries, but also on the quality of the response of ovarian follicles to hormone signals from the brain.

Ovarian reserve is a biological variable, and egg quantity and quality in an individual woman can be average for her age, better than average, or worse than average. Women with poor egg quality are said to have poor ovarian reserve , poor ovarian function, or occult ovarian failure.

Know in detail about Infertility in male and female and their treatment at http://www.blossombestivfindia.com/InfertilityServices

Diminished Ovarian Reserve

Diminished ovarian reserve (DOR) is a condition where the ovary loses normal reproductive potential, which will compromise fertility. DOR can occur from injury or disease, but it is most often the result of normal aging. Around 20% of women diagnosed with infertility have DOR. Diminished Ovarian Reserve (DOR) is a condition meaning a woman's natural reserve of eggs has significantly reduced. This is a process that does normally occur for a woman as she is nearing menopause, but it can occur in a woman of any age. When this occurs, conceiving becomes difficult for a woman as her ability to produce eggs begins to diminish. Diminished ovarian reserve does not eliminate the possibility of pregnancy. However, this problem should encourage a woman to be more aggressive in her quest to become pregnant as time is clearly of the essence.

When a woman is diagnosed with DOR (high baseline FSH, low antral follicle counts and/or low AMH), most often she is told her chances of conceiving a biological child are very slim and that common infertility treatment, such as IVF, may also not be successful. Most of these women are told their only option is to seek out an egg donor to help her successfully achieve a pregnancy.

What are common causes of diminished ovarian reserve?

By the age of 45, few women remain fertile. However, success rates for fertility improve using in vitro fertilization (IVF) and egg donation. Certain things contribute to the diminished ovarian reserve. The common causes include:

Age of 35 years and older
Smoking
Cancer treatments using chemotherapy and radiation
Genetic abnormalities, such as X chromosome abnormalities
Surgical removal of a portion or all of an ovary

What signs and symptoms are associated with DOR?

There are no outright symptoms and signs associated with diminished ovarian reserve, other than shortening of the menstrual cycle (going from 30 days to 24 days). Once menopause occurs, women show symptoms and signs of low estrogen, which include vaginal dryness, hot flashes, missed or absent menstrual periods, and trouble sleeping.

How is the ovarian reserve assessed?

To diagnose diminished ovarian reserve, the fertility specialist will perform a thorough physical examination and take blood samples. Testing is done on the second or third day of the menstrual cycle to measure estradiol and follicle-stimulating hormone(FSH) levels. Fluctuations in normal baseline values of these two hormones indicates a decline in the ovarian reserve. Another blood test that checks fertility is the anti-Mullerian hormone (AMH), which reflects the actual number of eggs in the woman’s body. In addition, the doctor will conduct ultrasounds to visualize the number of follicles on the ovaries.

Learn in detail about egg donation, egg quality, sperm donation, sperm management and cryopreservation of egg and sperm at http://www.blossomivfindia.com/archives/1071


How is DOR treated?

At present, there are no treatments for slowing down or preventing ovary aging. After DOR is diagnosed, a woman can cryopreserve (freeze) eggs or embryos for later use. With ovarian failure, or when ovaries do not respond to ovarian stimulating drugs, donor eggs are recommended by the fertility specialist. Women with DOR can use eggs donated from younger women to conceive long after menopause occurs. Part of the treatment for infertility is injectable gonadotropin (FSH). The response of the ovaries following FSH for stimulation is predictive of egg quantity. In vitro fertilization is a treatment option for women who have poor egg quality, as well as few viable eggs. A natural IVF cycle is used for women who produce 2-3 follicles, and it does not require ovarian stimulation. With natural IVF, the success rate is only 5%. However, with regular IVF, the success rate is 10%.

The option which offers the highest pregnancy rate for women with a poor ovarian response is to use donor eggs. While this is medically straight forward, it can be very hard for a young woman with regular cycles to accept this option. Often, it's worth doing one cycle with your own eggs even if the chances are poor, so that you have peace of mind that you did your best. This also may make it easier to explore the option of donor eggs for the future. When making the choice to move on to donor eggs or adoption be sure that you have explored all available treatment options to your satisfaction.

Many treatment strategies have been developed in order to treat women with poor ovarian reserve. Because time is at a premium for these women, treatment needs to be aggressive, in order to help them conceive before their eggs run out completely. IVF is usually their best option, as it offers the highest success rates. Superovulating these women can be quite tricky, and this is where the experience and the expertise of the doctor makes a critical difference ! Blossom Fertility and IVF Centre and its team of experts take individual interest in each and every patient because the problem of ovarian reserve differs from patient to patient. It is true that a skilled doctor will be able to design an optimal superovulation for women with poor ovarian reserve, it is also true that the results are still likely to be poor. We the doctors at Blossom, provide all the help to patients from blood test, counselling, ultra sonography and all other support till the success of the treatment and the ultimate goal of having a baby.

Contact Blossom Fertility and IVF Centre if you are facing the infertility issue due to diminishing ovarian reserve and our team of experts will be happy to assist you in all the ways. Visit our website at http://www.blossombestivfindia.com/


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Mar11
DOI: 10.4103/0019-5413.177568
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KNEE SYMPOSIUM
Year : 2016 | Volume : 50 | Issue : 2 | Page : 154-158

Arthroscopic management of popliteal cysts

Amite Pankaj, Deepak Chahar, Devendra Pathrot
Department of Orthopedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India

Correspondence Address:
Deepak Chahar
University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5413.177568

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Background: Management of popliteal cyst is controversial. Owing to high failure rates in open procedures, recent trend is towards arthroscopic decompression and simultaneous management of intraarticular pathology. We retrospectively analysed clinical results of symptomatic popliteal cysts after arthroscopic management at 24 month followup. Materials and Methods: Retrospective analysis of hospital database for patients presenting with pathology suggestive of a popliteal cyst from June 2007 to December 2012 was done. Twelve cases of popliteal cyst not responding to NSAIDS and with Rauschning and Lindgren Grade 2 or 3 who consented for surgical intervention were included in the study. All patients underwent arthroscopic decompression using a posteromedial portal along with management of intraarticular pathologies as encountered. Furthermore, the unidirectional valvular effect was corrected to a bidirectional one by widening the cyst joint interface. The results were assessed as per the Rauschning and Lindgren criteria. Results: All patients were followed for a minimum of 24 months (range 24-36 months). It revealed that among the study group, six patients achieved Grade 0 status while five had a minimal limitation of range of motion accompanied by occasional pain (Grade 1). One patient had a failure of treatment with no change in the clinical grading. Conclusion: Arthroscopic approach gives easy access to decompression with the simultaneous management of articular pathologies.


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Mar11
http://dx.doi.org/10.1016/j.jcot.2016.02.012
Case Report
Ipsilateral hip and knee dislocation: Case report and
review of literature
Gaurav Sharma MBBS, MS (Ortho)a, Deepak Chahar MBBS, MS (Ortho)b,
Ravi Sreenivasan MBBS, MS (Ortho), DNB (Ortho)b,
Nikhil Verma MBBS, MS (Ortho), DNB (Ortho)b,
Amite Pankaj MBBS, MS (Ortho), DNB (Ortho), MRCS (Edin)c,*
a Senior Resident, Department of Orthopaedics, AIIMS, Delhi, India
b Senior Resident, Department of Orthopedics, University College of Medical Sciences, University of Delhi and GTB
Hospital Delhi, India
c Professor, Department of Orthopedics, University College of Medical Sciences, University of Delhi and GTB Hospital
Delhi, India
1. Introduction
Hip or


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Mar11
What really is health, wealth and, or happiness?
In the midst of our pursuit of whatever we’re after, it’s easy to get so distracted that we lose sight of what matters—and before we know it, we waste our time chasing the wrong things.

It’s fine to set goals and pursue things in life. However, you don’t need whatever you’re pursuing to live a meaningful life.

“Very little is needed to make a happy life; it is all within yourself, in your way of thinking.”– Marcus Aurelius

Disease will never be cured or eradicated by popular materialistic methods, for the simple reason that disease in its origin is not material.


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