Wednesday, December 07, 2016

YDA Nishtar Prostest Against Central Induction Policy

Young Doctors' Association (YDA) fights for the rights of doctors as well as for the patients in Pakistan. Now-a-days, YDA is protesting against the policy called "Central Induction Policy" or CIP for post-graduation in Pakistan. According to YDA, CIP is a killer for the medical post-graduation in Pakistan. It is against the rights of doctors. Here are some recent videos of protest by YDA Nishtar against CIP implemented by Punjab Government.
YDA protest (YDA dharna) on jail road multan...

YDA Multan protest against Nishtar Hospital Administration...

YDA Multan protest on jail road (Dr. Kabeer- Ex-president YDA Multan is addressing )...

Keywords: YDA, CIP, Young doctors association, Central induction policy, Medical postgraduation, Doctors Protest, YDA Nishtar, YDA Multan, Chapters of YDA

Saturday, March 12, 2016

Steroid Doses in Different Conditions

Dose of steroids is different in different medical conditions. Below are some mentioned doses of steroids: 

Dose of steroids in the patients with space occupying lesion (SOL):

Dexamethasone 0.4–1.5 mg/kg/day, 6 hourly is given as it reduces vasogenic cerebral edema due to tumors, inflammation or infection, and has minimal mineralocorticoid activity. Steroids may be harmful in traumatic brain injury, ischemic lesions, subarachnoid hemorrhage (SAH) and cerebral malaria.

Dose of steroids in the patients with bacterial meningitis:

Dexamethasone 0.4 or 0.6 mg/kg per day in 4 divided doses for 4 days.

Steroid Dose in the patients with tuberculous meningitis


IV Dexamethasone is given for 4 weeks followed by a tapered dose of oral dexamethasone for next 4 weeks.
  • First week: 0.4 mg/kg per day
  • Second week: 0.3 mg/kg per day
  • Third week: 0.2 mg/kg per day
  • Fourth week: 0.1 mg/kg per day
  • Fifth week: 4 mg/day
  • Sixth week: 3 mg/day
  • Seventh week: 2 mg/day
  • Eigth week: 1 mg/day


Keywords: Steroids, Doses, Space occupying lesion, SOL, Bacterial meningitis, Tuberculous meningitis, TBM, Infections

Tuesday, March 08, 2016

Can a Doctor Earn Online?

Can a doctor earn money online? It is the question which may click your mind if you have internet experience and skills.
The answer to this question is "Yes, of course!" Being a doctor, there are many ways to earn money online. For example, writing medical content, medical papers, giving medical advice, writing multiple choice questions (MCQs), writing eBooks, medical proofreading, review articles, synopses, dissertations and making presentations or lectures, and many more. There are several websites where employers post their projects and ask for bidders to bid on their projects, and then pay to them on the completion of the work/assignments. Two of the top websites include Freelancer and Upwork. You can join Freelancer or Upwork if you intend to earn money online.
It is real to earn money online. You can earn money if you have any skills with some knowledge about computer use. Follow the links above, create your profile, select your skills and place bids on the projects you are interested in. Don't worry, payment is 100% with milestones. So, always insist on milestones.

Keywords: Doctor, Online earning, Freelancer, Upwork

Saturday, March 05, 2016

Hepatitis D Suppresses Hepatitis B

Hepatitis D virus (HDV, delta agent) infection is a super-infection in the patients suffering from hepatitis B virus (HBV) infection. Hepatitis D virus suppresses hepatitis B virus and may lead to laboratory results with negative HBV and positive HDV. Remember, HDV is a defective agent which only replicates in the presence of HBV, affecting 20 million people round the world.
Keywords: Hepatitis B, Hepatitis D, Super-infection, Hepatitis B antigen, Hepatitis D antigen

Saturday, January 30, 2016

What is Euthanasia or Mercy-Killing?

Euthanasia or mercy killing refers to end of life of the patient in order to relieve his/her intractable suffering (Taqi, 2012). It has been and still to date is a controversial topic of discussion and has been described differently in different situations and at different places in terms of ethics as well as law. ‘Euthanasia’ or ‘mercy killing’ as an ‘act or practice of painlessly putting to death person suffering from painful and incurable disease or incapacitating physical disorder OR allowing them to die by withholding treatment OR withdrawing artificial life support measures (Encylopaedia Baritannica, 2015). On the other hand, physician-assisted suicide (PAS) refers to “the self-administration of lethal substance by a person prescribed by a physician” (Churchill, 1994). However, PAS negates the Hippocratic Oath “I will neither give a deadly drug to anyone if asked, nor will I make a suggestion to this effect” (Manthous, 2009). To date, a little number of countries (e.g. Netherlands, Belgium and Luxembourg) have legalized euthanasia (Pereira, 2011). In Netherland, it took about 30 years of debate in order to legalize euthanasia in the country in 2001 (Deliens & van der Wal, 2003). In United States, although PAS is legalized in some of the states; however, euthanasia is still illegal (Steinbrrok, 2008).
References

America- the National catholic Review. (2015). Euthanasia in California. Retrieved from: http://americamagazine.org/issue/euthanasia-california.

SB-128 End of life. (2015-2016). Retrieved from: https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB128.

Churchill, L.R. (1994). Physician-assisted suicide. Journal of the Royal Society of Medicine, 22(87), 44-45.
Deliens, L., vander Wal, G. (2003). The euthanasia law in Belgium and the Netherlands. Lancet, 362, 1239–40.
Encyclopaedia Britannica. (2015). Euthanasia (law). Retrieved from: http://www.britannica.com/topic/euthanasia.

Manthous, C.A. (2009). Why not physician-assisted death? Critical Care Medicine, 37(4), 1206-1209.

Pereira, J. (2011). Legalizing euthanasia or assisted suicide: the illusion of safeguards and controls. Current Oncology, 18(2), e38–e45.
Steinbrook, R. (2008). Physician-assisted death—from Oregon to Washington State. The New England Journal of Medicine, 359, 2513–15.
Taqi, A. (2012). Euthanasia: is it really a bad idea? Anaesthesia Pain & Intensive Care, 16(3), 226-229.

Cryoglobulinemia: Images of the Patient

Cryoglobulinemia refers to a clinical syndrome of systemic inflammation due to the presence of cryglobulin-containing immune complexes. Most commonly affected organs are skin and kidneys. Cryoglobulinemia is closely associated with hepatitis C.
Here is presented a 30-year old married male who presented with blackened tip of nose, tips of fingers and toes (images). The patient is also positive for hepatitis C virus. Vasculitic lesions are shown in images.



Keywords: Cryoglobulinemia, Cryoglobulins, Immune complexes, Hepatitis C

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