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Dr. Dewat Ram Nakipuria's Profile
BETTER DRUG ELUTING STENTS FOR ANGIOGRAPHY
BETTER STENT FOR ANGIOPLASTY;----
When due to acute myocardial infarction or ischaemia or after a heart attack in common language when we investigate by CT guided Scan or by Angiography seeing patency of arteries of heart or cornary arteries and if we find significant Blocks then our Intervention cardiologist suggest us to by pass such blocks by using Stents or pipe loaded with medicines to pass from our thigh or wrist to heart under X-rays called Cardiac Arteries Scanning or Angiography machines in CATH LAB without going for Cardiac surgeries either open heart or by Endoscopy to by pass these blocks.
now a days better anticoagulant loaded Medical stents are available.As shown below these stents keep these arteires patent for more days as they always liberate some medicines sothat these bloks by thombosis or deposition of bad fats doesnot happen.
Newer–generation drug–eluting stents, particularly the everolimus–eluting stent, significantly reduce the risk of target vessel revascularization (TVR) in patients with ST–segment–elevation MI (STEMI) without increasing the risk of adverse safety outcomes, including rates of stent thrombosis, when compared with bare–metal stents. Published online August 6, 2013 in Circulation: Cardiovascular Interventions, the analysis showed that compared with the sirolimus–eluting stent (Cypher, Cordis), the paclitaxel-eluting stent (Taxus, Boston Scientific), and bare–metal stents, the use of an everolimus-eluting stent reduced the relative risk of stent thrombosis 62%, 61%, and 58%, respectively. — with Shreya Nakipuria and 2 others.




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SURROGACY LAW & ART REULATION BILL;FIRST TIME IN INDIA
Government to introduce landmark bill on surrogacy in Cabinet
drrnakipuria@gmail.com,07503303359,09832025685,SENIOR GYNAECOLOGIST & INFERTILITY ,IVF AND SURROGACY EXPERT,SILIGURI,DELHI NCR
Women in India cannot act as surrogates for more than three successful births, including of their own children, and it would be mandatory for surrogate mothers to have a minimum two-year interval between two deliveries to ensure they remain healthy. These landmark provisions are part of the proposed draft Assisted Reproductive Technologies (ART) Bill which the government plans to bring to the Cabinet before introducing in Parliament for passage. Any contravention of provisions of this bill would attract severe penalties.
The bill, a first in India's history, seeks to monitor the unregulated sector of ART clinics, which offer infertility solutions to couples at huge costs, besides preventing commercial surrogacy and safeguarding the rights of surrogate mothers and children born out of surrogacy arrangements.
An estimated 15 per cent couples worldwide are infertile, making ART services critical. The draft ART Bill seeks to fill these gaps and addresses "ethical, legal issues related to gamete donation, surrogacy and nationality of the child born out of ART." Top sources in the Health Ministry said the bill had been sent for comments to ministries and replies were expected by August 5, after which the final draft bill will be prepared.
Government to introduce landmark bill on surrogacy in Cabinet
The bill addresses ethical and legal issues related to child birth through Assisted Reproductive Technologies.
The bill is significant as currently there is no supervisory body in the country under which ART clinics offering services, including surrogacy to infertile couples, can be placed and there is no system to monitor these services and ensure that surrogate mothers are not exploited. According to draft bill provisions, no woman less than 21 years of age and over 35 years can act as a surrogate mother. The bill also, for the first time, states conditions for foreign couples seeking to hire surrogates in India. "Several issues such as ethical, moral, monetary and safety, have been raised in this area by various sectors of the society as there is no law to regulate the issues of surrogacy in India," a Health ministry note states.
The Bill comes at a time when surrogacy has become a preferred mode of having children, with film stars like Aamir Khan and Shahrukh Khan opting for the method. Under the new draft law, surrogacy is defined as "an arrangement in which a woman agrees to a pregnancy achieved through ART in which neither of the gametes (the egg or the sperm) belong to her or her husband, with the intention of carrying the pregnancy to term and hand over the child to the persons for whom she is acting as a surrogate."
As per the bill, all expenses of the surrogate mother would have to borne by the infertile couple, including her insurance. A surrogate, before being hired, has to be medically tested for sexually transmitted diseases and AIDS to ensure she does not pass on the infection to the child. To streamline financial commitments between the infertile couple and the surrogate mother, the draft bill says a surrogate mother has the right to terminate her pregnancy at any time but if she does so without medical reasons, she will have to reimburse the cost to the infertile couple which has hired her.
If, however, the pregnancy has been terminated for medical reasons, no reimbursement would be needed. Also by law, a surrogate mother would have to relinquish all parental rights over the child born out of the arrangement. The draft bill adds that a surrogate cannot undergo embryo transfer for more than three times for the same couple.
This provision aims to prevent commercialisation of the service. The bill states conditions for foreign couples seeking to hire surrogates in India. As per the draft, they would have to first give a certificate from their foreign ministry stating that the child born out of a surrogacy arrangement would be permitted entry in their country of origin and would be considered the biological child of the couple. "A foreign couple seeking a surrogate service in India will have to appoint a local guardian to care for the surrogate mother till the child is delivered to the hiring couple. Foreign couple will use at least one gamete of their own in the creation of the embryo. "In case the foreign couple fails to take delivery of the child, the local guardian would be obliged to take the said delivery and he would be free to hand over the child in adoption," the draft law states.
Once the bill is passed by Parliament, all states and UTs would have to constitute state boards and registration authority to regulate ART clinics and banks in their areas. Every state board will have the power of a civil court to adjudicate matters under the law and even impose penalties.
A National Advisory Board for ART will be established under the Health Ministry to recommend modification of rules to the ART techniques and Indian Council of Medical Research will maintain a national registry of ART clinics and banks in India which will act as a central database through which all information related to services offered by clinics will be maintained.

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FUNCTION OF HUMAN APPENDIX
Scientists Finally Discover The Function of the Human Appendix
It has long been regarded as a potentially troublesome, redundant organ, but American researchers say they have discovered the true function of the appendix.

The researchers say it acts as a safe house for good bacteria, which can be used to effectively reboot the gut following a bout of dysentery or cholera.

The conventional wisdom is that the small pouch protruding from the first part of the large intestine is redundant and many people have their appendix removed and appear none the worse for it.

Scientists from the Duke University Medical Centre in North Carolina say following a severe bout of cholera or dysentery, which can purge the gut of bacteria essential for digestion, the reserve good bacteria emerge from the appendix to take up the role.

But Professor Bill Parker says the finding does not mean we should cling onto our appendices at all costs.

“It’s very important for people to understand that if their appendix gets inflamed, just because it has a function it does not mean they should try to keep it in,” he said.

“So it’s sort of a fun thing that we’ve found, but we don’t want it to cause any harm, we don’t want people to say, “oh, my appendix has a function”, so I’m not going to go to the doctor, I’m going to try to hang onto it.”

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Attractive theory

Nicholas Vardaxis, an associate professor in the Department of Medical Sciences at RMIT University, says the theory put forward by the Duke University scientists makes sense.

“As an idea it’s an attractive one, that perhaps it would be a nice place for these little bacteria to localise in, a little cul-de-sac away from everything else,” he said.

“The thing is that if we observe what’s been happening through evolution, the higher on the evolutionary scale we are and the more omnivorous animals become, then the smaller and less important the appendix becomes and humans are a good example of that.

“The actual normal flora bacteria within the appendix, as well within our gut, are the same, so we’ve lost all of those specialised bacteria.

“So it doesn’t have that safe house type of function anymore, I don’t think.

“It’s a vestige of something that was there in previous incarnations, if you like.”

Koala appendix

Unlike the human, the koala is famous for having a very long appendix.

It is thought to aid digestion on a diet made up exclusively of eucalyptus leaves.

Professor Vardaxis says that is not likely to change any time soon.

“Unless of course we have a massive blight and we get the eucalypt on which the koala thrives dying, then we may find some mutant koalas out there perhaps that will start eating other things, and as they start to eat other things, then over generations and hundreds of thousands of years of time, then surely, yes, the koala’s appendix will shrink as well,” he said.

Professor Vardaxis says it is possible that at that point, koalas might be afflicted by appendicitis and have to have it taken out at times.

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SELF MANAGEMENT TIPS TO AVOID DISEASES AND MAKING LIFE BETTER
If we learn some Self Management Tips and Tricks,we can make our life better and and our family,society,country all more safe and strong.

We should accept that we are responsible for everything that happens in our life.We oftern say it is not our fault or misdeed which broght pain,sorrow or difficulties but it is either nature or our destiny “BHAGYA’ or ‘LUCK’ did it,but ofter relly it is not true.We have to Learn to accept total responsibility for ourself. If we do not manage ourself, then we are letting others have control of our Life. These tips will help "us" manage "us."Please live present cautiously and patiently at every momment with joy and happiness taking difficulties and failures easily ,behave more as youth or kids in tackling these failures rather than very seriously raisingBlod pressure,hear attack,brain stroke etc.


Our present form of style of living put under a quantum of tension,fear,apprehensions, doubts,anxiety and strss leading to a lot of mental or Psycho social disbalaces making us a patients of mmental or Psyciatric patients full of Anxiety Neurosis and depression,leading to MDP and SCHIZOPHRENIA,not only this these Psycho social disease also make us a patient of GASTRIC PROBLEMS,ULCERS,COLITIS,IBS,CARDIAC DISEASES,DIABETES,HYPERTENSION, KIDNEY DISEASES and so on many more somatic diseases.SO CHANGE IN LIFE STYLE IS A MUST AND NEED NOT IT TO BUY SIMPLY READ AND PRACTICE FOLLOWING FEW SUGGESTIONS WHICH WILL ABLE US TO GET IT AND PROTECT US FROM SUCH FATAL DISEASES.

Here is a list of things that help you in self management and which will in turn lead you to the path of success: -

-) Look at every new opportunity as an exciting and new-life experience.

-) Be a professional who exhibits self-confidence and self-assurance in your potential to complete any task.

-) Agree with yourself in advance that you will have a good attitude toward the upcoming task.

-) Frequently ask, "Is what I am doing right now moving me toward my goals?"

-) Do it right the first time and you will not have to take time later to fix it.

-) Accept responsibility for your job successes and failures. Do not look for a scapegoat.

-) Do not view things you do as a "job." View all activities as a challenge.

{mosgoogle left}-) Use your subconscious mind by telling it to do what you do want. Instead of telling yourself, "I can't do that very well," say, "I can do this very well."-) Give yourself points for completing tasks on your "to-do" list in priority order. When you reach 10 points, reward yourself.

-) Practice your personal beliefs. It may be helpful each morning to take 15 minutes to gather your thoughts and say a prayer.

-) Make a commitment to show someone a specific accomplishment on a certain date. The added urgency will help you feel motivated to have it done.

-) Practice self-determination, wanting to do it for yourself.

-) Believe that you can be what you want to be.

-) Never criticize yourself as having a weakness. There is no such thing. You are only talking about a present undeveloped skill or part of yourself that if you so chose, you can change. You do not have any weakness, only untapped potential.

-) Be pleasant all the time-no matter what the situation.

-) Challenge yourself to do things differently than you have in the past. It provides new ideas and keeps you interested.

-) Talk to yourself. A self-talk using positive affirmation is something that is common among all great achievers. They convince themselves that they can accomplish their goals.

-) Create your own "motivation board" by putting up notes of things you need to do on a bulletin board or special wall space. It is an easily visible way to see what you need to work on. When an item is done, remove the note. Also keep your goals listed and pictured on your board.

-) Stay interested in what you are doing. Keep looking for what is interesting in your work. Change your perspective and look at it as someone outside your job would,

-) Establish personal incentives and rewards to help maintain your own high enthusiasm and performance level.

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DELHI MCI QUASHING AYUSH REGISTRATION ORDER OF HEALTH MINISTRY
MEDICAL COUNCIL OF DELHI STATE QUASHED SUGGESTION/RECOMMENDATION AND ORDER OF OUR GREAT CORRUPT HEALTH MINISTER MR.AZAD TO REGISTER NAME OF AYUSH OR HOMEOPATHIC,AYURVEDIC,UNANI AND SIDDHA DOCTORS UNDER THEIR REGISTER AND ALLOW THEM TO PRACTICE MODERN MEDICINE OR MBBS OR MD/MS MEDICINES AND SURGERY WITHOUT ANY KNOWLEDGE OF SUCH THING AND ALREADY SUPREME COURT PASSING ORDER TO DO SUCH THING A MOST PUNISHABLE ACT OF CRIME PLAYING WITH LIFE OF A PATIENT.MR.AZAD TOOK THIS STEP TO INCREAS NUMBER OF DOCTORS IN INDIA SAYING THESE AYUSH DOCTORS KNOW GOOD KNOWLEDGE OF SUCH MEDICINES AND ARE PRACTISING THIS,OUR HEALTH MINISTER AND HIS FAMILY TAKES TREATMENT FROM COSTLY MODERN HOSPITALS AND AIIMS AND SEND HER BOSS MRS SONIA FOR TREATMENT OT USA BUT LEFT ALL OTHER INDIANS FOR TREATMENT BY SUCH QUACKS(AS HEY DONOT HAVE ANY KNOWLEDGE OF MODERN MEDICINE EITHER AS TEACHING OR PRACTICE) AS HELATH MINISTER HE SHOULD RESPECT SUPREME COURT TO CATCH AYUSH DOCTORS DOING PRACTICE OF MODERN MEDICINE WHICH IS ILLEGAL AS PER SUPREME COURT BUT A MISINSTER EARNING CRORES BY QUASHING MEDICAL COUNCIL OF INDIA,MAKING IT AS HIS OWN OFFICE ,GUIDING IT TO ALLOTT MORE PG SEATS TO PRIVATE MEDICAL COLLEGE TAKING HUGH BRIBE IN SWISS BANK AND OPENING NEW PRIVATE MEDICAL COLLEGES WHICH ARE CONDUCTING LL FAKE MBBS AND PG EXAMINATIONS AND ADMITTING STUDENTS TAKING A BRIBE OF 50 LAKH TO 4 CRORE FOR DIFFERNET MBBS AND MD/MS/DIPLOMA SEATS IN WELL ADVANCE TO ANY OTHER ENTRANCE EXAMINATIONS,THIS MONEY IS SHARED TO HIS PLOTICAL BOSS TOO AND IN THOUSAND CRORES SO INSPITE OF MEDIA DOING SO MANY STING OPERATIONS HE IS TAKING NO MEASURE TOCHECK TRUTHNESS OF PRIVATE MEDICAL COLLEGES .
NOW WITHOUTPROVIDING ANY SERVICE TO YOUNG DOCTORS HE HAS ADDED RURAL ONE YEAR COURS MANDATORY FOR APPEARING FOR PG EXAMINATION WHICH SEEMS A AUTHOTORIAN BARBARIC RULE,STUDENTS HAVE NO JOB,GOVERNMENT PROVIDING NO JOB BUT STILL ASKED TO SHOW RURAL COURSE SERVICE SERTIFICATE,HOW A EDUCATED PERSON MAKES SUCH RULING BUT UNEDUCATED LYAL TO SONIA CAN DO ANY THING AS HE WANTS CRORES MORE FROM PRIVATE MEDICAL COLLEGES AS NOW STUDENTS WILL HAVE NO CHOICE BUT SEEK ADMISSION IN PRIVATE MEDICAL COLLEGES PAYING CRORES IN BRIBE AND POOR STUDENTS HAVE TO COME TO INDIA GATE OR BEFORE SONIA'S HOUSE TO EXPOSE SUCH CORRUPT MINISTER IN PUBLIC XPOSING HIS NEXUS WITH PRIVATE MEDICAL COLLEGES.
In a letter written to Principal Secretary, Government of Delhi dated 19.06.2013, Delhi Medical Council has totally rejected the Ministry of Health, Government of India proposal to amend the Delhi Medical Council Act and allow registration of Ayush doctors in DMC so that they can start limited allopathy practice.
Tamil Nadu Medical Council and Punjab Medical Council have also similarly rejected this proposal and written to the Ministry of Health as well as Medical Council of India. Tamil Nadu Medical Council has even gone to the court in this regard.
Delhi Medical Council says that the provisions of Medical Council of India as well as Delhi Medical Council Act cannot permit doctors from other systems of medicines to register with State Medical Council. The Council also cited two judgments - one is Punam Verma vs Ashwin Patel and other one is Dr. Mukhtar Chand & Ors vs State of Punjab. In clarifying its position, the Council said that the aforesaid proposal is in violation of the legal provisions clarified or laid down by the Supreme Court of India in Dr. Mukhtar Chand judgment. In Punam Verma case also, the Supreme Court of India said that the person who does not have knowledge of a particular system of medicine and practices in that is quack.
The Council also cited Supreme Court of India judgment in Martin S D’Souza Vs Ishfar where it was held that professional may be held liable for negligence under ground that he was not possessing the requisite skill.

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