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Jun13
ARTIFICIAL OXYGEN & BLOOD ;GREATEST INVENTION OF THIS CENTURY
ARTIFICIAL OXYGEN : GREATEST INVENTION OF THIS CENTURY
DRNAKIPURIA.GMAIL.COM
Oxygen is most important gas for our life on this earth or inside sea or in open sky or moutains if lack of oxygen either not present in surrounding as on himalayan heights,space,moon,mars,saturn planet or inside sea or even in suffocated gathering or chowcked halls or leakage of gas during industrial pollutions,nuclear or bomb explosions ,it leads to severe respiratory distrss and if not rescued or provided oxygen in minutes we can die.Oxygen not going inside our lung during drowning or chocking or smoothering or hanging condition or where our respiratory effort is paralysed due to diseases of lung,thoracic cage or brain or any other metabolic disease or even reaching lung but not circulated by blood to our different body parts as in cardiac failure or many congenital shunts or advanced multi system failure condition if no or less oxygen no beaking of glucose particles in cell so no production of ATPS in mitochondria or no production of energy cell to perform different function of cell/tissue/organ/system or Body resulting in death.
Therefore,oxygen is very imortant for our survival or survival of every living particles ,even plant who can utilise carbon dioxide for nutrition need oxygen too but all animals need it badly even if oxygen but either oxygen carrying pipe or trachea blocked or diseases or lung where change of gas (oxygen in,carbon di oxide out)happens is diseases or red blood cells or RBCs are less in number then oxygen deprivation occurs so if BLOOD IS LET OUT as in anaemic condition where replaced by water or during surgery or during accident or crush injuries then our body needs BLOOD immediately to carry oxygen to our different cells but if Blood not available person may die even supplying excessive oxygen .
Therefore scientist all over the world are trying hard to manufacture a particle like RBC OR BLOOD which can carry oxygen to our body if injected inside our body and if such substance instead of getting blood through lung after travelling from our nose and air pipe,trachea to lung if this particle can be oaded with oxygen outside body in laboratory then it will help us in two ways in serious emergency life saving condition,first BLOOD OR RBC not required second even whole respiratory tract not working even then as there will be no need of ventilators in icu for few minutes to hrs ,thee particles will carry oxygen to heart(so heart will not stop)to Brain (so all vital centres will work) to kidneys (waste secreted)to Liver and intestines so all metabolic process will remain intact.
SUCH PARTICLES HAS BEEN INVENTED AND IT WILL BE USED BY ASTRAUNOTS FOR ITS SPACE PROGRAMME TOO and such particles has been developed by nano technology so every few amount will be needed to make our survival possible for minutes to hr only.
A team at Boston Children’s Hospital have invented a micro-particle that can be injected into your bloodstream to oxygenate your blood – without any help being required from your lungs.

The particles are able to keep a patient alive for up to 30 minutes after respiratory failure – which is normally enough time to prevent a heart attack or brain damage due to oxygen deprivation.

Each particle contains three to four times more oxygen than each of our own red blood cells. The oxygen is stored with a cell membrane made of fat. The membrane can be made of other materials but one issue in the past was that the particles became lodged in the body’s capillaries. These fat membranes however, are much more flexible and prevent this problem from happening.

Dr. John Kheir first began looking at ways to oxygenate the blood without breathing due to a tragic experience with one of his patients, a young girl. She was suffering from pneumonia and at one point her lungs started to fill with blood. It took 25 minutes to remove the blood from her lungs, but unfortunately it wasn’t enough time to prevent a cardiac arrest, leaving the girl in a serious condition which eventually lead to her death.

Potential uses for the new technology include medical, military and private. Military uses could include covert teams being able to stay submerged for 30 minutes at a time without having to come up for air. Private sector could include rescue teams being better protected, or an oil rig crew being able to fix underwater damage without the need for scuba equipment.


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Jun04
FRUITS AND VEGETABLES WE AET-HOW SAFE ARE THEY?
FRUITS WE EAT –HOW ARE THEY SAFE ON HEALTH GROUNDS;--
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Since ancient time Fruits are the important meal or refresher nutrient of Human as it is easily available most natural food without any toxicity or harm to our body beside its easy availability,no need of processing before eating and in rarest place like ‘VAN OR FOREST’ where human race use to live and walk around for day to day activities and lifehood without any price or economical burden.In modern times as cities and town formed at cost of deforestation ,fruits and vegetables the most wanted non animal Biological food product beame commercially cultivated and preserved beside its occasional presence in some households particular in villages or their farm House or Bagans or courtyard.
Now a days,as science and health awareness progress with economical developments fruits and vegetables are consumed more frequently and markets are flooded with them.As Modern Human nature,he wants to eat the things which are newly arrived or Fruits and vegetables which are unseasonale as Mango,Licchi in month of FEB-JUNE,Grapes in june to September beside this he wants to take fruits as many Indian like fruits from from Italy,Japan,Usa,china etc rather that Indian Variety is alco available.These unseasonale fruits and vegetables are available as preserved packed food from last year in COLD STORAGE,BIG FREEDZES OR COLD CHAIN or mostly unripe fruits plucked from trees much before thei ripening time.
There are two types of fruits,one fruit ripe only on plants or trees another are Climacteric fruits like mango, banana, papaya, sapota and custard apple are often harvested in a mature but unripe condition and then subsequently allowed to ripen by natural release of ripening hormone by commercial using Ethylene Gas or by use of Calcium Carbide or smoking in each box /container of fruits commercially. However, natural ripening in some fruits is a slow process, which leads to high weight loss, desiccation of fruits and uneven ripening.

Use of Calcium Carbide:-
It is mostly used method for ripening of fruits like Mango,Bananna,Licchi,Pappaya,Apples,Grapes,oranges etc.In small box a packet of 50-100gs of calcium carbide is kept along with food and box is closed,calcium carbide will absorb water from environment and will produce Acetylene gas which causes artificial ripening of food by producing heat inside box.Some traders ripen fruits like banana in enclosed chambers where large quantities of calcium carbide is put and water sprinkled before sealing the chambers. Though the released acetylene triggers ripening process in fruits, it is an inflammable gas involving risk of fire hazards.However, calcium carbide contains chemical impurities such as arsenic hydride and phosphorus hydride that are highly carcinogenic compounds. Improper use of calcium carbide can therefore cause chemical contamination of fresh produce. Further fruits ripened with calcium carbide though develop attractive surface colour, are inferior in taste, flavour and spoil faster.These fruits are soft as starch turns into sugar by heat ,often uniform in color,may have black patches or multiple colors or completely yellowish(Mangoes and Bannanss ),Some time usually rotten from inside ,apply few drops of iodine if it remains yellow means food is rotten as starch or fresh fruit will turn it blue from yellw.Government of India has banned the use of calcium carbide for ripening of fruits under PFA Act 8-44 AA, 1954.
But inspite of every good warning we are so much eager to eat Fruits and vegetables pretimely and prematurally that we donot mind whether these are asfe for our helath or not,Arsenic phosphorus ,calcium carbide beside producing ill effects on our Gastro Intestinal tract,Liver,Kidneys and skin can produce cancer of lung,liver etc.
Alternatives safe method of ripening fruits;
Ethrel or ethaphon (2-chloroethane phosphonic acid) is a commercially available plant growth regulator, which is a source of ethylene similar to that naturally released by fruits during ripening process. Although dipping of fruits in diluted ethrel solution is recommended for enhancing ripening, it is a cumbersome process and may cause some problems if commercially available ethrel contains chemical impurities. Further, Food Safety and Standard Authority of India (FSSAI) in its advise issued during May 2010 permits only the use of ethylene in gaseous form for artificial ripening of fruits.

To overcome such expensive artificial ripening which is mostly adapted in developed nations like USA,UK,CANADA,JAPAN etc, An alternative simple method is standardized for enhancing the ripening process by exposing the fruits to ethylene gas released from ethrel/ethephon solution. This is a simple method wherein small quantity of alkali is added to ethrel to release the ethylene gas and the fruits are exposed to this liberated gas in air-tight portable plastic tents. In this method the fruits are placed in ventilated plastic crates inside air-tight plastic tents of known volume. Required/calculated quantity of ethrel is taken into a container and placed inside the tents to which required quantity of alkali (Sodium hydroxide) is added for releasing the ethylene gas from ethrel solution and the tents are sealed air tight immediately. A small battery operated fan can be placed inside the tent for uniform circulation of released ethylene gas. After 18-24 hours of exposure the fruits are taken out for completing the ripening process at room temperature or 18-24°C especially for Robusta banana. Using dessert coolers during ripening at room temperature would help to reduce the temperature and increase the relative humidity thereby reducing the weight loss.Mango fruits exposed to 100 ppm ethylene gas for 24 hrs can be ripened in 5 days as compared to 10 days in non-treated fruits without adversely affecting the quality. Similarly banana bunches/hands exposed to 100 ppm ethylene gas for 18 hours can be ripened in 4 days at RT and 6 days at 20°C. Papaya fruits exposed to ethylene gas ripened with uniform surface colour and uniform firmness in 4 days at ambient temperature. Therefore, use of ethylene is suggested as a safe alternative to calcium carbide for ripening of climacteric fruits.

But even use of ethylene gas commercially used in modern ripening chambers as written above and widely practiced in developed nations which requires huge investment and is not economical for farmers or small traders so in our country most of farmers,marketing people and Sabji Mandi and Fruitsellers and even road side hawkers and feriwala all use Calcium carbide for ripening of fruits(one kg of calcium carbide cost Rs.25/- and can ripe 10 tons of Fruits) as regulating authorities,Food safety,hygiene departments and analysts hardly work on ground and all kept mum for bribes and kickbacks so use of such contaminated fruits are widely prevalent in society and have acquired almost in legal daily business of crore,causing so open day light Health hazards to mass and every affluent,middle and poor class of our country equally and SELF AWARENESS and CONTROLof taking such Fruits and vegetables pretimely and prematurally in unseason period ,now a days conscious people even donot use fruits and vegetables grown using manures and fertilizers mixed with spray of insecticides and pesticide,they simple use fruits and vegetables either grown in their field or from a known company where fruits and vegetables are neither riped nor grown by use of fertilizers that is called ORGANIC PURE NATURL FRUIT AND VEGETABLES.SO WE SHOULD NOT EAT SUCH UNSEASONAL FRUITS AND EVEN EATING THEN WASH IT 2-3 TIMES IN PURE TAP WATER OR COOLED BOILED WATER BEFORE EATING.It is high time that our government should lay high standard of food hygiene and toxicity standards with repeated cinspections,raids and catching blackmarketers but all are sleeping in corruption pushing HUMAN RACE TO SUCH FATAL OUTCOMES


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Jun01
MahaPathy: Introduction
We know the extraordinary curing power of Homeopathic medicine. But whatsoever problem is all– regarding the use of this medicine. Selection of accurate medicine from thousands of medicines –many a times, it is not possible. Moreover, in the present day– most of human being’s constitution is so much morbid, –has reached to such complicated level, that many times complete cure (recovery) is not possible by one or two medicines. It is also problem in use of more medicines. In many cases, hopeful result is not gotten, by even application of correct medicine –following the symptoms and also causation.

Man is not ready, to accept defeat– give up, so s/he is engrossed in continuous meditation, in search of accurate path. An excellent result of such meditation is– ‘MahaPathy’. MahaPathy is not ‘Maha’ (great) in only from ‘MahaManas’ namely form, its greatness is in its extraordinary efficacy– its philosophy and science.

Homeopathic medicine is a great mystery –great surprise, to us. We are using homeopathic medicine for a long time, but before this, we did not know –actually what is Homeopathic medicine, in what way it works in our body. With grace of MahaManas, that mystery of the Homeopathic medicine has been unveiled in this book. Let’s say along with that, noticing the beautiful recovery (cure) power of MahaPathy, we some of the student of MahaManas –are trying collecting every patient’s main symptoms of the disease, along with that , their constitutional symptom, and collecting their medicines, classifying them in some categories. So that in future, in case of similar types of patients of those categories –with help of previously prepared medicines of those categories patients, treatment is possible with less expense. We have named this treatment procedure– ‘MPathy’. This is a short form of ‘MahaPathy’. Again, the empathy –the case of similar feeling is also in it.

Google search= MahaPathy


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Jun01
Beware of Poisons
Now that which we are eating, water which we are drinking, air we are breathing in, all are more or less poisoned. Every day in this way we are become poisonous. Now it is difficult to understand that who is ill and who is healthy. Doctors those who are treating us, also they are not free from poison. Knowingly or unknowingly– day after day gradually we are becoming attacked by severe diseases due to poison. Treatments are becoming impracticable.

So many poisons are there to destroy mankind. Besides deadly insecticides and bacterial poisons (toxins), many more poisons are active to make us poisonous. Influence of many electromagnetic fields and radiations are able to effect poisoning. Daily used utensils, especially cooking utensils are cause of slow poisoning (metal poisoning). Poisoning is being occurred regularly by different kind of chemicals. Food those are genetically modified, create a fatal action of poisoning in our body.

Above all, the mental pollution and mental poisons are making our life more bitter and unbearable. Are you informed about internal secretion of poisons? It occurs due to mental pain, excitement and mental pollution. Except this, intemperance– irregularity is other causes of it.

If there will not happen any sudden accident, the poison will be the cause of destruction of mankind.


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May30
BREAST CANCER SURGERY: AFTER ANGELINA JOLIE’S MASTECTOMY
BREAST CANCER SURGERY: AFTER ANGELINA JOLIE’S MASTECTOMY
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Breast cancer is most prevalent Cancer in world about 22.9% of all invasive cancer and 16% of overall cancers
of Woman in world and about 4.5 lakh deaths occur due to it in World,Although a disease more seen in developed countries like USA OR UK 60-80 PER 1000 BUT ONL18 PER THOUSAND IN SOUTH EAST ASIA BECAUSE OF THEIR MODERN LIFE STYLE,obesity,high riched fatty food,less exercise,use of oral contraceptive,late marriage and less use of Breast for Breast feeding ,abortion,ecessive smoking,taking of Alcohol,less iodine and age and sex is important.It occurred after age of 50 in woman and above 60yrs of age in men and also common in woman in comparison to men.
This cancer has reached most discussed point after OSCAR WINNING ACTOR Mrs Angelina Jolie removed her both breast with a fear of getting Breast cancer in her life as one of her cousin had breast cancer and her mother died of Ovarian cancer at age of 56 yrs few years back and she is carring two genes BRCA1 and BRCA2 gene in her blood (these genes is responsible for 87% of cancer in breast and 40-50% of cancer in ovaries in woman and responsible for cancer of prostate and testicles in male not breast),she has told after surgeries that now she can enjoy her life with family without any fear and win over cancer-and her fans and advocates of such surgeries and so called person realted to war over cancer are heighlighting this like any thing and many person affected with cancer or who are at risk like Angelina or having any relative are thinking in the same line or are bound to think ,similisrly Hospitals/ Doctors ,Gene testing laboratories want to exploit her example to earn more money for submitting patients for surgery and earn by advising Gene test ,a patent law will be shortly passed by US COURT and therby hugh profit for company doing this test in coming days from whole world.
Therefore debate is open does Angelina did right thing or not,regarding this,to overcome mental trauma she took personal decision in consultation with her cancer doctors and family,so nobody including me has got no right of any comments but her decision should be extorted and twisted by MEDICAL MARKETING is always questionable.
Gene accounts for only 4-5%of total cancers of breast and ovaries in female so removing breast is not giving immunity for ovarian cancer too,Angelina has to remove ovaries now also ,after removing ovaries she has to undertake oesstrogen progesterone hormone for premenopausal symptoms which may cause thromboembolism,,weight increasing,stroke,hypertension ,cancer of uterus etc.So complete agony not achieved as mentioned.Secondly out of these gene mutation cancers 90% are due to BRACA genes but other Gene changes like p53,stk11,palb2,pten also exist so not only these genes many genes has to be studied and these are costly investigations and they should be done after 30 yrs of age if three members as daughter,mother,sister or grand daughter is affected in family .if lady has got cancer in a breast ,had radiations dur to multiple Mammography,is on estrogen therapy,heve cancer like lobular carcinoma in situ or ovarian cancerlady has got dense breast wher mammography is controversial in these condition PROPHYLACTIC MASTECTOMY 9REMOVAL OF BOTH BREAST) may be done after age of 50 not at 38 as done by Angelina on strong discussion with family and doctors and self decision as removal of breast cures 87% only,lady may have ovarian cancer ,should have regular mammography regularly which is difficult to do in Postmastectomy Silicon water filled implants used to construct breast after such surgeries as cancer is not completely removed as some breast tissue may remain even after good surgery,secondly operation is abig surgery requiring good cost,and chance of scar formation,infection,discharge,bleeiding,and long stay may be required for bsuch big surgery where to reconstruct breast surgey by silicon implants or tissue flaps are done in same sitiing or after 6-8 wks of first surgerywhere nipple with areola may be removed or preserved.
Therefore most Medical literature is of opinion that ladies should not adopt Angelin’s decision immediately and ask for costly Gene tests and ask for such surgeries if any one in family tree of three generation is involved with cancer of Breast or ovary as mandatory or with great fear.
Now a days a question of regular Mamography has ben raised as it causes no less mortality and reduce incidence of breast cancer but submit mor than 30% more unneccary surgeries and radiation to breast causing cancer.
So highly susceptible should do regular Self Breast eaxamination (it has also limitation as diagnose mostly cancer in little advanced stage) with suscpicion MRI testing annually or Mamography ,good life style having family life where Breast being used for Breast feeding,avoiding Smoking,Alcohol completely,reducing weight and avoiding high rich fatty food with regular exercise should be undertaken if GENE TESTING DONE THEN first Ovaries removal or use of drug like tamoxifen to stop estrogen inpost menopausal woman is very helpful,removal Breasts befor 50 is not recommended and absolutely not if gene not tested or no family history in three generation present.
Removal of any part of body for fear of cancer should not be accepted at all Body doesnot govern simply by gene but many environmental factors and strong psychological balnce and stong mind to fight cancer by prophylaxis of avoiding predisposing factors,good food,vitamins,minerals,good exercise and reular self and medical checkup and screening not mere removal of organs unnecessarily.


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May27
AMAZING WONDERFUL FACTS OF OUR HUMAN BODY
AMAZING WONDERFUL FACTS OF OUR HUMAN BODY:-----------

There are 100 trillion (100,000,000,000,000) cells in the average human body.
When the human body is adult, it has to replace two and a half million
red blood cells every second of its life
By 60yrs,60% men and 40% women snore wchich is usually 40-60decibels but
may be above 85 decibel to damage our hearing Our small intestines is 20-23 feet long.
Every inch of our skin has got 32 millions harmless bacteria
Our sneez can have speed of 100miles/hr
We can be without food for weeks but cannot awake after 11days, have to sleep
60000 miles of Blood vessels and ear pumps daily 2000 galons of blood.
We produce 25000 quarts of saliva in life,which can fill 2 big swimming pools
Scientists say the higher your I.Q. The more you dream.

The largest cell in the human body is the female egg and
the smallest is the male sperm.
You use 200 muscles to take one step.
The average woman is 5 inches shorter than the average man.
Your big toes have two bones each while the rest have three.
A pair of human feet contains 250,000 sweat glands.
A full bladder is roughly the size of a soft ball.
The acid in your stomach is strong enough to dissolve razor blades.
The human brain cell can hold 5 times as much information as the
Encyclopedia Britannica.
It takes the food seven seconds to get from your mouth to your stomach.
The average human dream lasts 2-3 seconds.
Men without hair on their chests are more likely to get cirrhosis of the liver than men with hair.
There are about one trillion bacteria on each of your feet.
At the moment of conception, you spent about half an hour as a

single cell.
Your body gives off enough heat in 30 minutes to bring half a
gallon of water to a boil.
The enamel in your teeth is the hardest substance in your body.
Your teeth start growing 6 months before you are born.
Tongue has got unique print as finger print and iris color
1,5 pounds of skin is shed every year by our body
At birth 350 bones but after fusion in adult 206 bones
when you are looking at someone you love, your pupils dilate, and
they do the same when you are looking at someone you hate.
Your thumb is the same length of your nose which can smell 50,000 scents.
At this very moment I know well you are putting this last fact to

the test…
now remove your thumb from your nose and pass this on to the friends

you think might be interested in comparing their thumbs to their noses

as well. .
******@gmail.com


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May24
ROBOT IN PRESENT MEDICAL SURGICAL WORLD & PATIENT CARE
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Robots are now part and parcel of modern medical world ,previously for doing security of our house ,caring for our needs in home,doing all our house hold activites ,understanding our command to receive our visitors,relatives at our home and office and offer them welcome and a warm reception to cooking our food ,serving on lunch or dinner table,locking our house ,office to be remain secutiy watcher all the day,night,giving us medicines,caring our old parents at home,taking them to doctor,calling doctor serving them with medicines ,every useful Robot is now a days avaible in market ,yes,it is a luxury and come with a hefty price and mostly usedin western or japanese world where lack of human service is present and people are so rich and affluent that money or price is nothing before purchasing any technolodgy or any help service for their house hold or official work.PARO,A THERAPETIC ROBOT AT THE COST OF DOLLAR 21THOUSAND is purchased in US for the senior and old senior citizens by their family members or themselves.
But Robot in medical field has also brought a revolution ,whether to perform a cardiac surgery without making a big cut in chest wall as in open surgery or a big cancer sugery of Prostate or oesophagus where space is limited and ofter we cannot reach to cancer involved part perfectly and cause more damage to near by structure or cannot remove the tumor completely but this ROBORT does it precisely in any narrow space,remove tumor completely, arrest bleeding with minimum injuries to surrounding structures so less post operative complications.so if we want to perform major surgeries through the smallest of incisions with the benefits of a definitive treatment but with the potential for significantly less pain, shorter hospital stay, faster return to normal daily activities as well as better clinical outcomes! The product is called ROBERT OF "DA VINCI " in name and honour of great inventor Leonardo da Vinci who first invented the first robot.
DA VINCI used his phisical knowledge of light and its mechanical utility along with its use in medicine by calculating unparelleled anatomical accuracy and three dimensional details to bring his masterpieces to life. It provides surgeons with such enhanced detail and precision that the system can simulate an open surgical environment while allowing operation through tiny incisions. With the da Vinci Surgical system hospitals are rewriting accepted standards for surgical care and changing the experience of surgery for difficult cancer surgeries of prostate,colon,retoperitoneal tumors,breast,pancreas,liver,kidneys,oesophagus ,ovaries,and mediastinal and brain tumors,liver and kidney transplant surgeries . This breakthrough technology is an effective minimally invasive alternative to both open surgery and laparoscopy. as cost is the factor otherwise even any surgery as removal of appendix or gall bladder of herni or hydrocoele can be done.
ONE ROBOT comes with a price of -6-10 crores in our country so they cannot be established every where in our country ,government is yet to bring ROBOT in premier institute like AIIMS OR PGI CHANDIGARH but PRIVATE PLAYERS who have hijacked whole our Meical industry with the help of Insurance company and charging ROBOTIC even for minor procedures or medical illness has brought ROBOT.ROBOTIC SURGERY IS NOW AVAILABLE IN APPOLO HOSPITAL many branches in Delhi,CHennai,Ganga ram Hospital,Few centres of Fortis and Max Hospital and Gigantic Meidcity of Guragoan or many centres in Banglore and Hyderabad. to serve the so called affluent section of our society or bringing patients from Gulf,UK,USA,Afghanistan,Nigeria,South Africa,Bangladesh,Nepal,Bhutan,Pakistan or srilanka ,japan etc.,in name of cheap treatment and Medical Tourism.
Through the use of the da Vinci Surgical system, surgeons are now able to offer a minimally invasive option for complex surgical procedures. Some of the major benefits experienced by surgeons using the da vinci over traditional approaches have been greater surgical precision, increased range of motion,improved dexterity, enhanced visualization and improved access, Benefits experienced by patients include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusion, less scarring, faster recovery and a quicker return to normal daily activities.
Robort is not a very specilised human being NOR IT IS MASTER BUT it is SLAVE OF SURGEON,SURGEON SITS IN ITS CONSOLE out side OPERATION THEATRE 2-5 METERS AWAY OR SOME TIMES MILES AWAY IN OTHER COUNTRY AND HE SEES THE OPERATION FIELD AND THEN DECIDES HOW TO OPERATE HE IDENTIFIES STRUCTURES LIFT THEM CUT THEM BY PRESSING DIFFERENT BUTTONS AS WE DO IN COMPUTER OR ANY OTHER DIGITAL DEVICE,ROBOT ITSELF DOESNOT PERFORM SURGERY AS OUR HOUSEHOLD OR OFFICE ROBOT DO as programmes are reloaded in them and they do as per their programme but here surgeon every time gives command and these command are small precise and for time as required by Surgeon if surgeon does not understand ROBOT AS A SLAVE will follow it and cut wrong structure,it has no brain,it is controlled by surgeon's brain.So,no surgical outcome can be guaranteed, as surgery is necessarily both patient and procedure specific.
While clinical studies support the effectiveness of the Robotic surgeries, individual results may vary,There are no guarantees of outcome. All surgeries involve the risk of complications. Before we decide on surgery, we should discuss treatment options with patient and vice versa . Understanding the risk of each treatment can help us make the best decision for our individual situation so that post op consumer court cases may be avoided even civil and criminal cases avoided,so better to discuss every thing in detail and take written consent of patient in writing before proceeding for any surgery .For every patient ,it should be understood that it is a same type of surgeries as done conventionally by open method only procedure use ROBOT as instrument then man made Scissors and forcep of open instruments or laproscopic instruments ,only surgeon sees the structure sharply with the use of Computerised instruments and mini digital cameras .
The system replicates the surgeons movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way to perform any type of surgical maneuver without the surgeons input. Does the surgeon have any sensations while performing the procedures ? The system relays some force feedback sensations from the operative field back to the surgeon throughout the procedure. This force feedback substitutes for the tactile sensation and is augmented by the enhanced vision provided by the high resolution 3D view. Although seated at a console few meter away from the patient, the surgeon views an actual image of the surgical field while operating in real time through tiny incisions,using miniaturized, wristed instruments. The system does not maneuver on its own outside of the surgeons direct, real time control.
Robotic surgery, a new tehnology in different parts of the world has its disadvantages also. Its uses and efficacy has not been fully determined. There are not many long term studies on this to confirm or deny its effectiveness. The prominent disadvantages to robotics include Time, Cost , Efficacy and its Compatibility with current and existing conditions with hefty price which is a dream for even middle class in country like India what to talk of poor class. Robotic assisted heart surgeries can take nearly twice the amount of time and the patients are under anaesthesia for longer time . It definitely is more expensive.The cost may fall as surgeons gain more experience and start doing it more often but as the system gets upgraded and improved there are chances that the price may even go higher. Only when these systems gain more multidisciplinary use will the cost become more justified. Another disadvantage is the large system in an overcrowded operating room. The robotic arms are awkward and bulky and there are many instruments needed in the small space. For robotic assisted beating heart surgery the space is even smaller because stabilizers are needed. This cramped area can cause interference with the dexterity of the surgeon. The solution is to miniaturize the robotic arms or have larger operating areas. With either solution, robotics is an especially expensive technology. Current operating room instruments are not compatible with new robotic system. Without the correct equipment, tableside assistance is needed to perform part of the surgery. But with time and improvement in technology, these disadvantages will hopefully be remedied and we shall have a day when robot will be placed on patient on ot table programme will be loaded and like Human Brain or Surgeon it will take decision at every momment recognising normal and abnormal tissue or structur and performing difficult sergeries in no tme with very good result and post opeartive complication utilising less human resource and cost.


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May17
SUPREME COURT FOR PG MEDICAL COURSES-CORRECT OR NOT
IMA and other Medical Associations should file a PIL against yestarday passed judgement of Supreme Court for PG Seats as PRIVATE MEDICAL COLLEGES are openly asking for 60-70 lakhs for a Diploma degree as DGO,D ORTHO,DA etc and 1 crore for pg in medicine,surgery,gynae,04 crores for MD in Radiology ,02 crore for MD in PAEDIATRICS,.
MCI has been made a simple office of our gulam nabi azad ,he has kept an IPS officer as MCI secretary totally violating every norm,he takes crores to give recognition for post graduation course to many medical colleges wher even MBBS cannot be allowed but he is allowing PG course for money.
now today verdict has given him more powers now every pg private or even government college which does not coduct any entrance exams(which were conducted for show only) will publish their result and will admit students who paid them in hefty.
very unexpected judgements,privat medical colleges are openly selling pg seats against hard donations in name of management quota as revealed by different sting operations,if private colleges are aloowed to prosper like this way,there is no meaning of education,only those having money will able to read,go to amny pg colleges and you will find these are not uptomark on number of beds,patients,teaching faculties etc,they got only recognition by manipulating by fictitious MCI created by our government having no true representation of state MCI and medical faculties ,this judgment will destroy every aspiration of a good student,when court has passed an order for organising a central exam for MBBS entrance all India basis ,what is problem in PG level,it is ablow to good students who cannot pay,please submit it for appeal or reversal it will destroy every thing corrupt officials,colleges and minister will earn in crores.
If in our country a single central examination is conducted by UPSC for administrative services like IAS,IPS,IFS,BANKING SERVICES,MEDICAL SERVICES AND MANY OTHER EXAMINATION OF CENTRAL GOVENMENT DEPARTMENTS ,a CBSE,ICSE exam by education Board,a central exam of CAT for management ,for IITs and Engineering courses then why not a COMMON ENTRANCE TEST FOR PG SEATS is not accepted? Why it is not binding for private colleges and state colleges to give 50% seats by this test? as being done and accepted for MBBS entrance NEET TEST.Is it only becuase crores of rupees are taken fr backdoor entry of ordinary student into PG courses conducting fictitious entrance examinations or is it becuase our MCI which is like CBI listens Master's voice only and grant permission to private medical colleges run by rich and powerful politicians having no infrastrcture of conducting such courses ?
If our Government is really serious so solve this problem as it filed a case in Supreme court to get a good guideline as now got a purchased guideline so to throw it should bring an ordinace for validity of such NEET examination so that ordinary student get a chance of reading in PG courses incapable of paying such high donations.
Dr.D.R.nakipuria senior Gen./lap surgeon cum endoscopist


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May17
AKSHA TRITYA -GOLD PURCHASE OR SOME THING ELSE
----DR.D.R.NAKIPURIA


Akshaya Tritya or also called as Akha Teej in Rajasthan,punjab Gujrat or Akshaya Teej or teej in Bihar ,UP,MP,Maharasthra is a great festival now a days well popularised by Goldsmiths,Gems and Jwellery sellers both corporate houses and simple shopkeeper to attract general people to purchase GOLD,SILVER etc on this day as purchase of these costly yellow and white materials will bring wealth,prosperity and happiness in their family as its Goddess "MAA Lakshmi" comes with it and reside in our home.But we donot know the actual great scientific facts of this day as beside the above only one proposed effect which has been commercialised and manipulated to the maximum extent for monetary and commercial gain.It is a great auspicious day in Hindu,jain,Sikh mythology recognised as most pious day of startiing all our new activities without any clash of Graha and Nakchhatras,some of its important significances are underlined as follows:--------------
1. Akshay Tritiya is one day which is never “absent” from the lunar Calendar like MAKAR SANKRANTI.

2. It is one of the most pious festivals in Hinduism. It’s begging of ‘Treta Yuga’.

3. Akshaya means imperishable. Japa, worship, purification of body, donations etc. done on this day remain imperishable.

4. All auspicious initiatives can be taken on this day without asking the priest.

5. The Day is worshipped as auspicious day in Jainism because it is said to have established the very first “ahar charya” a methodology to prepare and serve food to Jain Monks. Shreyansha Kumara offered Tirthankara Rishabhadeva sugarcane juice after one year of fast.

6. The day has great significance for taking holy dip in the Ganga River. The holy dip makes a person free from all sins and troubles. (Best day for self confession)

7. Sun baths during the month of Vaisakh also indicated toe need for sun bath to remove vitamin D deficiency from the body.

8. The day is also marked with the opening of doors of Badrinarayanji. (Best time to start new ventures: Vishnu symbolizes doing ventures)

9. It is believed that if you do charity on this day you will be blessed. The devotees should offer mishri and wet gram pulses.

10. One should donate water with sesame and Kusha grass to forefathers. (For treating attachment disorders)

11. One should also install free drinking water or sharbat centers (pyau) on this day. (denotes need to safe water in the summer)

12. This festival is charity-oriented. ( anything which in excess can harm should be donated)

13. One should also donate Sattu with sugar or Jaggery.

14. One must consume Sattu on Akshaya Tritiya. (Sattu is the fast food of summer with cooling properties, it’s a high energy drink)

15. Fast should be broken with sugarcane juice. (Sugarcane is the best summer drink provided it is hygienically made)

16. It is also traditionally celebrated as the birthday of the Hindu sage Parashurama, the sixth incarnation of the god Vishnu, who represents the quality to fight injustice.

17. The gold industry proliferates on the day and people like to buy gold on this day.

18. It is also worshiped as a combined day of Kubera and Goddess Lakshmi and works on the principle “what was lost will come back to you”

19.Akshaya means undestroyable and undamagable too so what ever we start today that will flourish and bring success as no evil power can damage or destroy it.

20.Akshaya will come only by mere starting work but donating some thing our excess to havenots ,a harmony in society brings growth,a chapter always told by every religion"BE HUMAN ,PROSPER YOURSELF AND BRING PROSPERITY TO OTHER FELLOWS TOO BY DONATIONS AND CHARITABLE WORK,EAT AND GIVE FOOD TO HUNGRIES,HAVE SHELTER AND GIVE SHELTERS TO HOMELESS,CARE FOR YOUR FAMILY BUT CARE FOR ORPHANS TOO ,YOU CANNOT PROSPER UNTIL THY SOCIETY OR NATION OR WORLD PROSPER.


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May17
MEDICAL STUDIES IN INDIA AND MCI
MEDICAL COUNCIL OF INDIA:RENOMINATION BY AN ORDINANCE
It is a second TOTA (PIGEON IN CAGE) like CBI as told by Supreme court even worse as it is totally controlled by a single politician Health Minister and present one,a pure political person having no medical knowledge except a very loyal and faithful of Soniaji nominated by Rajya sabha.
On notoriuos charge of open corruption by elected president of MCI Dr.ketan Desai (who was also a man of Soniaji but being 10 yrs on chair was not passing the income to headquarters and was openly looting new colleges in name of recognition,any punishment to that corrupt person is welcomed)but it is being told in Media that our present system started looting MEDICAL COLLEGES TOO and now through his appointed 07 Board of Governors too where no election took place (all are selected by Health Minister and his government without any criteria except of loyality to Government))since last 02 yrs and the Chairman and Health Minister are purely governing the Medical Colleges through so called MCI as if their simple office where as sports body like BCCI,IOA and Instituitions like MBA and IITs ,AMU,JAMIA ISLAMIA are autonomous.
Condition of MCI is very bad as it is taking no action against Private Medical Colleges which has come under so many large numbers in recent days to earn crores run by powerful politicians in nexus with bureaucrats as state or government medical colleges are almost 1/3rd in number only and with limited seats only.Every New private medical college so called conduct TEST FOR MBBS ,DENTAL and Nursing courses but seats are openly sold in market 05-06 months before so called examinations specially for MBBS COURSE ,most colleges charge Rs.20-30 lakh as donations for which no receipt is given and 05-08 lakh is their annual fee with or without hostel so a student guardian has to pay about 50-60 lakhs for MBBS study of his son or daughter.These private medical college say that they are charging this in Mangement quota seats but in practical all seats are distributed against payment of such donations where examinations are simply fictitious or show every thing starting from question paper to answer sheet and every successful name is well arranged and fixed as per payment recieved by these medical college through very selected brokers or dalal or agents who send sms to parent of all students applying for MBBS course from the month of nov-dec as examinations are mostly conducted from april to june and admission is done by july every month .such agents are now in thousands running their shop online sitting in every corner of country but no action is taken agianst them both by state or central governments as their business is completely illegal.
This has been shown by many Media channel openly and the system is more worst than what Dr.Ketan desai was doing as evident two times TWO SECRETARIES of MCI FIRST DR.MRS.SHARMA AND NOW DR.SRIVASTAVA has been removed (now against all rule, a IPS office,most confident our health minister, has been appointed secretary of MCI) ,now there is open robbery but no body can check or can take action against DR.Talwar,a confident of Mr.Gulam Nabi Azad and Mr.Azad is confident Sipahi of Sonia and Rahul.Even few Board Members has resigned due to autocratic style of working of these two persons but who bothers whom,any body who will not obey Boss will either quit or will be forced to quit.
In last few days showing Doctor population ratio very low,PG COURSES has been alotted to many PRIVATE MEDICAL COLLEGES taking bribes in crores ,most of these colleges has got no infrastructure to conduct even MBBS course ,no adequate teaching staff,no enough beds,no enough patients,no diagnostic facilities and no treatment facilities but all have been recognised and as shown by many STING OPEARTIONS in MEDIA these college charge 02-04 crore for a PG IN RADIOLOGY,01-02 CRORE for PG IN PAEDIATRICS,GYNAECOLOGY,MEDICINE and 01 crore for Surgery,Orthpaedics even Diploma seat is offered in 50-75 lakhs,all conduct examination but only for show all results are manipulated ,only criteria is money even you are just passed in high school ,you will be selected for MBBS COURSE and you are 02-03 times failed in MBBS BUT NOW JUST passed MBBS ,you can be selected for PG COURSE AS PER YOUR DONATIONS.Even many state run Medical Colleges are in clutch of State Ministers,Bureaucrats and Politicians that they openly mange seats in these medical colleges by manipulating exams conducted by them because vigilance MCI is corrupt and cannot say to These State Governments who are run by Congress or even by powerful BJP or other Governments as if action taken they dissolve it by central pressure and lobbying and that is why MANY STATE AND PRIVATE MEDICAL COLLEGES want to conduct their own examinations ,not a central NEET (as conducted for IITs,MBA,IAS,IPS etc) so that they can earn crores against few manipulated admissions after giving favour or free admissions to few top bureaucrats,Minister or Politicians and Judges son and daughters).It is an open fact known to every body even all politicians,journalist,Medical Doctors who are teaching there or associated or even practising in their town or city and even people living in surrounding these Medical Colleges know it but nothing can be done as system is totally corrupt,Here,so much crores of rupees are transacted that even our Supreme Court holding PG COURSE DECISION FOR 05 MONTHS inlast passed DECISION in favour of these PRIVATE MEDICAL COLLEGES and now every college will earn 50-100 crore for these seats for one session.Even question for such LOOT as shown by sting operations are asked to Health Minister he says MCI WILL SEE AND MCI Dr.Talwar donot reply at all saying Minister will say.
Now question in a simple brilliant so called poor or middle class Medical aspirant comes ,Mr.Azad removed Dr.Desai but who will remove these two great corrupt Desais,can they dream to study without paying donations on their hard work and intelligence?Answer is simply "NO" today.Such corruptions are open for so many scandals of Common wealth,2G gate,Coal gate,Manerga Gate,Land gate,Chit Fund gate, a new gate medical gate comes ,no problem if we can win election then we are pure and we need not to bother any charge ,all are simply inflicted by Opposition and Bad persons of the society who want to defame the government-this is simple attitude of all ruling party of India whether in Centre or in state.
As our parliament has been paralysed as mostly it doesnot function due to OPPOSITION hue and cry and even function then for such a short time that many important BILLS are passed without discussion so to bring a BILL of own choice is easily possible for any ruling party but as such prepared bill could not be passed in last session so,now The Union Cabinet today gave its nod for the issue of an ordinance to pave the way for an elected body of the apex medical regulator.The term of the Medical Council of India's Board of Governors has ended, rendering the apex medical regulator headless by 13th May2013. In this Ordinance Govennment is defining terms of MCI president for Two terms only and asking that all Doctors should be enrolled after every 10 yrs and power with Government to remove president and other officials if they found corrupt .All can be accepted but when a Minister cannot be removed or a MP can ask reelection if not proved guilty by Court then why a president or MCI Officials will be removed merely by Government instead of a Court,why Governmment elect Board of Governors ?why State MCI or other highly education body cannot nominate as nominating for IITS AND MBA COLLEGES AND UNIVERSITY GRANT COMMISSION OOR PUBLIC SERVICE COMMISSION?.In democracy how can a selection or nomination can be done and whole elected MCI removed not a single president.Corruption was also found in Dental Council and Engineering Board but why these were not dissolved because there money is transacted in lakhs not in crores as for MBBS AND ITS PG COURSE.
What will happen if Government is corrupt as being today where every body know that MEDICAL profession is on sale ,from where good Doctors will come if MEDICAL ADMISSIONS both at MBBS and PG level will be sold to ordinary student against hefty donations as being done today openly,why our Government donot do CBI enquiry in different examination done by PRIVATE COLLEGES and FEW STATE MEDICAL COLLEGES / why our Government didinot bring ordinace to challege recent judgement of Supreme court rejecting idea of NEET EXAMINATION FOR PG COURSE (see for MBBS IT has been accepted and why question not raised on the examinations conducted by these private medical college,a true judgement should consider common student and court should order CBI enquiry in these examinations of PRIVATE AND FEW STATE MEDICAL COLLEGEGES under its supervision if found correct examination then they can select students too except few seats they can fill by management or NRI quota to bear expenses not like today all seats are filled by manipulated examinations ) which was filed by this Government but it was a simple only for show, infact Government was wanting such judjement sothat their robbery and looting remain continued but this will last for one more year if election for LOKSABHA are held in 2014 as people are very vigilant ,such corruption is completely visible to every student,parent ,every house whose son or daughter want to be a Doctor or want to read futher for doing PG STUDY.
Be ware KARNATAKA ,West Bengal,PUNJAB,HIMACHAL PRADESH,UP,BIHAR elections have shown us that now corrupt leaders cannot survive and simple government achievements on government's advertisements on public money doesnot work as 'YEH PUBLIK HAI SAB JANTI HAI'.


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