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Feb25
HEALTHY PREGNANCY: DR. SHRINIWAS KASHALIKAR
HEALTHY PREGNANCY: DR. SHRINIWAS KASHALIKAR
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.

How?

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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Feb24
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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Feb19
Micropercutaneous nephrolithotomy (microperc) vs retrograde intrarenal surgery for the management of small renal calculi: a randomized controlled trial (British Journal of Urology International)
Objective
• 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.
Results
• 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).
Conclusions
• 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
stenting.


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Feb16
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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Feb16
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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Feb04
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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Jan28
Facts to know about effects of Smoking on Fertility, Infertility & IVF
Smoking is the largest cause of preventable death in the world. Smoking causes 90% of all deaths from lung cancer and chronic obstructive pulmonary disease (COPD). It increases the risk of coronary heart disease, stroke, several types of cancer, infertility, stillbirth, sudden infant death syndrome (SIDS), osteoporosis, and premature skin ageing (wrinkles). Even second-hand smoke is dangerous for health.

Cigarette smoking can cause infertility.

If you are a smoker and are trying to get pregnant, stop smoking now. Quitting may be one of the best things you can do for your health, for family and for your fertility.

Smokers are more likely to have fertility problems than non smokers. If you smoke for many years, or smoke many cigarettes per day, your risk for fertility problems is increased. When you smoke, more than 7000 chemicals spread throughout your entire body and all of your organs.

In females smoking can lead to fertility problems, including the following:

Ovulation problems
Genetic issues
Damage to your reproductive organs
Damage to eggs or premature menopause
Increased risk of cancer and increased risk of miscarriage

Detailed information about male and female infertility treatments, causes and symptoms is available at http://www.rupalhospital.com/infertilitytreatmentformaleandfemale.html

In males Men that smoke are at an increased risk for the following male fertility problems:

Lower sperm count and sperm motility problems
Hormonal issues
Erectile dysfunction - trouble getting or maintaining an erection

In addition, smokers that try fertility treatments tend to take long time to conceive. If you are trying to get pregnant without success and your partner smokes, encourage him to quit. The sooner he quits, the sooner you may be able to conceive.
Here are the few important questions and answers that need to be considered and understood by the persons smoking.

"The best way to protect your fertility is to give up smoking."

Can smoking affect my ability to have a child?

Most people understand that smoking increases the risk for heart, vascular, and lung disease. Many do not realise that smoking can also lead to problems with fertility in both men and women. Sperm count, Erectile dysfunction and pregnancy complication rates increases with smoking.

Will smoking affect my eggs or sperm?

Chemicals (such as nicotine, cyanide, and carbon monoxide) in cigarette smoke speed up the loss rate of eggs. Unfortunately, once eggs die off, they cannot be regenerated or replaced. This means that menopause occurs 1 to 4 years earlier in women who smoke (compared with non-smokers). Male smokers can suffer decreased sperm quality with lower counts (numbers of sperm) and motility (spermÕs ability to move) and increased numbers of abnormally shaped sperm. Smoking might also decrease the spermÕs ability to fertilize eggs.

How can smoking impact my ability to conceive?

Women who smoke do not conceive as efficiently as non smokers. Infertility rates in both male and female smokers are about twice the rate of infertility found in non smokers. The risk for fertility problems increases with the number of cigarettes smoked daily. Even fertility treatments such as IVF may not be able to fully overcome smoking effects on fertility. Female smokers need more ovary-stimulating medications during IVF and still have fewer eggs at retrieval time and have 30% lower pregnancy rates compared with IVF patients who do not smoke.

Does second hand smoke of partner have effect on fertility?

Second-hand smoke can affect your fertility. If you live with a smoker, encourage your loved one to stop. Second-hand smoke exposes you to poisonous chemicals, affecting your fertility. In fact, fertility experts say that second hand smoke is almost as damaging to your fertility as if you were smoking yourself! Exposure to cigarette smoke for even just a few days can affect your health and your fertility. Second-hand smoke is also a known cause of Sudden Infant Death Syndrome (SIDS). If you do become pregnant, you and your partner must stop smoking to protect the health of your baby.

If I stop smoking, will my chances for conceiving and having a healthy pregnancy improve?

Yes. Quitting smoking can improve fertility though the decrease of the egg supply cannot be reversed. The rate of pregnancy complications due to smoking decreases, the longer a person has not smoked.

Can smoking affect my children?

Men whose mothers smoked half a pack of cigarettes (or more) a day had lower sperm counts. Smoking during pregnancy also can lead to growth restriction of the baby before birth. Children born with lower-than expected birth weights are at higher risk for medical problems later in life (such as diabetes, obesity, and cardiovascular disease). Children whose parents smoke are at increased risk for sudden infant death syndrome (SIDS) and for developing asthma.

Read about the factors affecting fertility and infertility in men and women of fertile age at https://rupalhospital.wordpress.com/

Quitting smoking can be very, very difficult but studies show that the chance for success is much higher if you work with your health-care provider and/or a support group. Sometimes, temporary use of a nicotine replacement (such as nicotine gum or patch) and/or prescription medication can improve quitting smoking rates, and you can use these while trying to conceive, if needed. Though it generally isnÕt advised to use these during pregnancy, you and your health-care provider might consider their use during pregnancy after weighing the risks and benefits.

The facts about smoking and fertility

Smokers take longer to conceive than non-smokers and are more likely to have fertility problems. While smoking can lead to some long-term fertility damage, studies have also shown that fertility rates can improve after one year of quitting.

Some women may be tempted to keep smoking until they get pregnant. However, it's best for you and your future baby if you quit before you achieve pregnancy. It'll improve your chances of conceiving, be easier on your body, healthier for your baby, and lower the risk of miscarrying the pregnancy before you've even had a chance to give up smoking. The take-home message for young women is that smoking irreversibly damages an irreplaceable population of ovarian cells. Numerous studies had identified specific effects of maternal smoking during pregnancy, including foetal growth retardation, neonatal deaths, pregnancy complications, premature delivery and possible effects on lactation and long-term effects on surviving children.
Further, there have been indications that smoking decreases fertility in women increases the frequency of menstrual abnormalities and decreases the age of spontaneous menopause. In males, it has been suggested that cigarette smoking negatively affects every system involved in the reproductive process. Spermatozoa from smokers have reduced fertilising capacity, and embryos display lower implantation rates.

If your partner is also a smoker, it's best to quit together, and there are many good reasons to do so. Dropping the habit together will increase your chances of successfully quitting, too.

Fertility often improves for women after they stop smoking. Studies show that female smokers can increase their chances of conceiving by quitting at least two months before trying to get pregnant. Quit smoking and you may just find it easier to get pregnant. In conclusion, although smokers as a group may not experience reduced fertility, males with marginal semen quality may benefit from quitting smoking. Also, smokers should quit smoking for the sense of responsibility for their future generation as tobacco smoke contains numerous mutagenic substances.

The best way to protect your fertility is to give up smoking. Despite these warnings, millions of women of childbearing age still continue to smoke. By doing so, they risk their own health and the health of their babies and put the family building at stake.

Its in the interest of the family that couple makes healthy choices for themselves, their partners, and their future children. Rupal Hospital is dedicated to provide the highest quality of services in womenÕs health. It is the result of years of experience, knowledge, understanding and constant updating and effort that has made the Rupal Hospital the best amongst all. Doctors at Rupal Hospital take keen interest in public health education. We believe that preventive interventions are equally important as curative medicine, and prevention always requires awareness and educations. We conduct several workshops and seminars that will improve the health being of couples and in turn will help them to attain pregnancy.

Get Awesome Facts on pregnancy and and benefit of our expertise on Infertility Treatment, male and Female infertility symptoms and solutions at http://www.rupalhospital.com or you can contact us on 91-261-2599128-9


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Jan17
Understanding Cerebral Palsy
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Dr. Pooja Pathak
@swavalambanrehab


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Jan17
Understanding Bipolar Disorder ( Depression n Mania)
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Bipolar disorder is in a class of mood disorders that is marked by dramatic changes in mood, energy and behavior. The key characteristic of people with bipolar disorder is alternating between episodes of mania (extreme elevated mood) and depression (extreme sadness). These episodes can last from hours to months.

&#2360;&#2381;&#2357;&#2366;&#2349;&#2366;&#2357; &#2350;&#2375;&#2306; &#2361;&#2379;&#2344;&#2375; &#2357;&#2366;&#2354;&#2375; &#2311;&#2344; &#2346;&#2352;&#2367;&#2357;&#2352;&#2381;&#2340;&#2344;&#2379;&#2306; &#2325;&#2375; &#2346;&#2352;&#2367;&#2339;&#2366;&#2350;&#2360;&#2381;&#2357;&#2352;&#2370;&#2346; &#2357;&#2381;&#2351;&#2325;&#2381;&#2340;&#2367; &#2325;&#2368; &#2342;&#2376;&#2344;&#2367;&#2325; &#2325;&#2381;&#2359;&#2350;&#2340;&#2366; &#2319;&#2357;&#2306; &#2325;&#2366;&#2352;&#2381;&#2351;&#2358;&#2368;&#2354;&#2340;&#2366; &#2349;&#2368; &#2346;&#2381;&#2352;&#2349;&#2366;&#2357;&#2367;&#2340; &#2361;&#2379; &#2332;&#2366;&#2340;&#2368; &#2361;&#2376;.&#2332;&#2348; &#2357;&#2381;&#2351;&#2325;&#2381;&#2340;&#2367; &#2350;&#2375;&#2344;&#2367;&#2351;&#2366; &#2325;&#2375; &#2342;&#2380;&#2352; &#2350;&#2375;&#2306; &#2310;&#2340;&#2366; &#2361;&#2376; &#2340;&#2348; &#2357;&#2361; &#2357;&#2366;&#2360;&#2381;&#2340;&#2357;&#2367;&#2325;&#2340;&#2366; &#2319;&#2357;&#2306; &#2351;&#2341;&#2366;&#2352;&#2381;&#2341; &#2360;&#2375; &#2325;&#2335; &#2332;&#2366;&#2340;&#2366; &#2361;&#2376; &#2319;&#2357;&#2306; &#2309;&#2340;&#2381;&#2351;&#2343;&#2367;&#2325; &#2332;&#2379;&#2358;,&#2313;&#2340;&#2381;&#2360;&#2366;&#2361; &#2325;&#2366; &#2309;&#2344;&#2369;&#2349;&#2357; &#2325;&#2352;&#2340;&#2375; &#2361;&#2369;&#2319; &#2325;&#2312; &#2348;&#2366;&#2352; &#2326;&#2340;&#2352;&#2344;&#2366;&#2325; &#2346;&#2352;&#2367;&#2360;&#2381;&#2341;&#2367;&#2340;&#2367;&#2351;&#2379;&#2306; &#2350;&#2375;&#2306; &#2360;&#2350;&#2381;&#2350;&#2367;&#2354;&#2367;&#2340; &#2361;&#2379; &#2332;&#2366;&#2340;&#2366; &#2361;&#2376;.

The experience of mania can be very frightening and lead to impulsive behavior that has serious consequences for the person and the family.

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Treatment of Bipolar Disorder depends upon the nature, severity and progression of signs n symptoms.


Dr. Pooja Pathak
@swavalambanrehab


Category (Psychology, Stress & Mental Health)  |   Views (7530)  |  User Rating
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Jan17
Understanding Dyslexia (learning disability)
DYSLEXIA ALSO KNOWN AS READING DISABILITY, IS A COMMON LEARNING DISORDER IN CHILDREN. IT IS CHARACTERIZED BY DIFFICULTY IN READING DUE TO PROBLEMS IDENTIFYING SPEECH SOUNDS AND LEARNING HOW THEY RELATE TO LETTERS AND WORDS.


Diagnosis of Dyslexia is based on signs/symptoms related to reading/ learning n academic performance of the children.

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&#2325;&#2367;&#2360;&#2368; &#2349;&#2368; &#2325;&#2381;&#2352;&#2367;&#2351;&#2366; &#2325;&#2379; &#2325;&#2352;&#2344;&#2375; &#2325;&#2368; &#2346;&#2381;&#2352;&#2325;&#2381;&#2352;&#2367;&#2351;&#2366; &#2360;&#2381;&#2335;&#2375;&#2346; &#2348;&#2366;&#2319; &#2360;&#2381;&#2335;&#2375;&#2346; &#2347;&#2377;&#2354;&#2379; &#2344;&#2361;&#2368; &#2325;&#2352; &#2346;&#2366;&#2344;&#2366;.


By applying specific therapeutic strategies and special education techniques,children with Dyslexia can lead a normal productive life.


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