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Monday, November 7, 2005

Internship transfer in Maharashtra

Maharashtra UNIVERSITY OF HEALTH SCIENCES

No. MUHS / EO / 54 /3098 / 2005 Date : 08/09/2005

Academic Notification No. 03/2005

Sub :- Internship Transfer from one affiliated College to other affiliated College.

This is notified to all concerned that, the University has framed the Rules governing Internship Training Programme for final year passout candidates of MBBS / BDS / BAMS / BUMS / BHMS / OT / PT / B.Sc. (HLS) Courses. The said rules are available on the University Website. The students desirous of transfer to another College for doing Internship Training Programme shall have to apply to the University in the prescribed form along with necessary fee, before cut off date for respective faculties.

The applications for internship transfer may be submitted on or before cut off date mentioned below along with necessary documents and D.D. of Rs. 1000/- drawn in favour of 'Registrar, Maharashtra University of Health Sciences, Nashik' from any Nationalised Bank, payable at Nashik.

Applications received after cut off date shall stand rejected.

For internship transfer rules and application form, refer Internship Training Programme of respective Faculty, which is available on the Website.

Maharashtra UNIVERSITY OF HEALTH SCIENCES

Mhasrul, Dindori Road, Nashik – 422 004.

Phone: 0253-2539190 - 94 / EPABX: 0253-2539100, 300 / Fax: 0253-2539195

E-mail: academic at muhsnashik.com / Web: www.muhsnashik.com

Saturday, November 5, 2005

Where Does a Post Plabber Stand?

Author: bindasnikhilg, Posted on Wednesday, November 02 @ 11:32:06 IST by RxPG at http://www.rxpgonline.com/article1492.html

This is basically a message to all UK bound doctors, please read this, these thoughts have given me strength and i hope it helps you somehow! I am yet to leave for UK but this is based on general views of doctors at UK.

The joy of a hard working doctor has no bounds on clearing the PLAB1.

Wishes of congratulations come from all corners; the excitement of having cleared one step of an important exam takes time to sink in.

Then the person starts enquiring about books and possible dates, coaching, places where he can stay.

This leads him to contact all people at UK known to family and friends. Then the real picture starts emerging. Some people reply and some regular contacts seem to vanish into thin air ;-)

Still he doesn’t loose hope, he sits for hours together on the computer, sending letters to consultants at UK requesting for clinical attachment. For every negative reply he gets, he sends 3 more requests for clinical attachment. His spirits are high in spite of the odds.

Then comes the time to book his PLAB Part 2 seat, book his coaching, he gets ready to battle the UK winter, shopping tops the 'TO DO' list.

All is set, the big days arrives he leaves his homeland for so called greener pastures, while there at UK he slogs it out at the coaching centre, he may have been a king back home but the bitter reality starts staring him straight into his eye.

He clears the PLAB Part 2, there is joy, the emotional burden which he was carrying on his shoulders eases and the vigour and vitality returns. After a long wait for criminal verification is over, he starts clinical attachment with full enthusiasm.

This attachment gets over; he tries for another and another.

His resources, his stores are getting depleted, then he feels the crunch, he has no job, no security and nothing to fall back on in case he returns, all seems dark but that ray of hope is still shining in the distance.

Months pass, but that first job is still a mirage.

Where does he go from there, what should he do?

My advice to all is don’t stretch yourself till you feel your going to snap, man is like an elastic band which can only be stretched to a certain extent.

Realise this fact that you have tried your best, in case you don’t succeed it is not your failure; it just goes to show that the system could not accommodate you in the time frame you had set for yourself.

At this stage instead of loosing hope, gather yourself and arise from this situation, find solutions (in fact i would suggest all of you to plan your trip in such a way that even if you have to return back to your country, you do so in such a way that you give yourself enough time to plan for something else without giving yourself too much time to sit and dissect what went wrong at UK).

I hope and pray that whoever tires their level best at UK gets what they want but in case you don’t, please don’t feel dejected, be like the phoenix which arose from its ashes to fly higher than before.

Failure is all in your mind, if you believe you have failed then you have failed, if you believe that you have learnt something from the experience of staying at UK and have returned out of your own free will you can consider yourself a WINNER of sorts.

One article I had read had the caption, "end of Indian holiday”, what I believe is that if you consider it a holiday then I guess it doesn’t matter as one day every holiday has to end, and just in case you have one bad holiday you can make up for it by having another one.

Sunday, October 30, 2005

Books for Pathology - Complete List

Books for MD Pathology

Standard Text Books
01. Robbins Pathological basis
02. Anderson
03. de Gruchy Clinical Hematology
04. Dacie and Lewis Practical hematology
05. Walter and Isravel - General pathology
06. Oxford Text book of Pathology
For Undergraduates - Reference:
07. Williams Hematology
08. Symmers Systemic pathology
09. John.B.Miale laboratory medical hematology
10. Govan Mac Farlane Callander Pathology Illustrated
For Practical
11. Frank N.Miller Pathology - review for national boards
12. Dr.Ramnik Sood Medical Lab technology
13. Jhala and Mansuri Clinical pathology
14. K.S.Ratnakar and R.R.Rao Principles and practices of Laborary Medicine
For Postgraduates - Reference
15. Ackermann
16. Evans Histologic Appearance of Tumours
17. Lever Skin
18. Shiela Sherlockl
19. Bernad Knight The coroners autopsy
20. Wintrobe Clinical Hematology
21. Wiontrobe, Williams, Butler Hematology
22. Butler Cytology of Body Cavity Fluids
23. Huges and Dodd Diagnostic Cytology
24. Todd Clinical Diagnosis and Management in Lab Methods

The above list is taken from the list given by Department of Pathology Tirunelveli Medical College

Thursday, October 27, 2005

Microfractures and Objective Questions (MCQs)

Microfracture is a surgical procedure aimed at cartilage regeneration.

The arthroscopic technique involves clearing damaged tissue from the knee joint and creating tiny holes ("microfractures") in the bone area where the cartilage is defective.

The underlying bone marrow seeps out through the holes and becomes part of a blood clot that forms over the area.

The marrow contains stem cells, which have the ability to form replacement cartilage between the bare-bone surfaces of the knee. Appropriate rehabilitation of the knee after surgery is critical to the success of the operation.

Continuous Passive Motion (CPM), where the knee is moved gently by a machine for 5-8 hours a day for several weeks, keeping weight off of the joint for a period of 6-8 weeks, and strict adherence to an aggressive physical therapy program following surgery all appear to enhance the success of the procedure.

AIIMS NOV 2003 question
microfracture is done for?
1) delayed union femur
2) non union of tibia
3) loose bodies of ankle joint
4) osteochondral defect of femur

Answer is 4) Osteochondral defect of femur



Isolated articular cartilage lesions in the knee are common and are difficult to treat. A number of treatment modalities have been utilized in an effort to promote the regeneration of articular cartilage, including microfracture (MFX) and autologous chondrocyte Implantation (ACI).
Management of focal chondral defects
Isolated superficial cartilage injuries that do not penetrate the vascular subchondral bone do not heal and may enlarge for several years following the initial injury, potentially leading to overt degenerative arthritis. Full-thickness cartilage injuries that penetrate the more vascular subchondral bone permit local access to an undifferentiated cell pool (primitive mesenchymal stem cells) capable of forming fibrocartilage or "scar cartilage." Fibrocartilage is composed predominantly of type I collagen and is biochemically and mechanically inferior to normal hyaline articular cartilage, which is composed predominantly of type II collagen. Fibrocartilage formation is the biological basis for the MSTs commonly used to treat symptomatic full-thickness cartilage defects.

Abnormal shear and blunt forces are manifested at the junction of the uncalcified and calcified cartilage layers, potentially creating isolated cartilage injury extending to the subchondral bone. This is otherwise known as a focal or full-thickness cartilage defect. Typically, femoral lesions result from shear stress due to a twisting injury; patellofemoral joint lesions result from direct trauma to the front of the knee. The natural history of an asymptomatic full-thickness cartilage defect and its relationship to the development of secondary degenerative changes typically seen in osteoarthritis is poorly understood. However, lesions that become symptomatic inexorably progress, leading to reciprocal degenerative changes at the opposing articular surface.

The goals of any surgical option used to treat articular cartilage defects are to restore the joint surface, leading to full, painless range of motion; and halting cartilage degeneration. Surgical options can be palliative (ie, arthroscopic debridement and lavage), reparative (ie, MSTs), or restorative (ie, ACI and osteochonral grafts). Osteochondral grafts can be obtained from the patient (ie, autografts) or from cadaveric donors (ie, allografts). Arthroscopic debridement and lavage was discussed previously. Most studies reflect outcomes following the treatment of established osteoarthritis, not of isolated focal chondral defects.

Determining the appropriate surgical option is a complex process.24 Decision-making is affected by the following variables: the size of the defect (ie, smaller or larger than 2 cm2), the number and type of previous surgeries (ie, primary or secondary), location of the defect (ie, femoral condyle, trochlea, or patella), patient demands and expectations, and coexisting pathologic lesions (ie, ligament tears, malalignment)

Source: Steadman J, Rodkey W, Singleton S, et al. Microfracture technique for full-thickness chondral defects. Op Tech Ortho 1997;7(4):300-4

Tuesday, July 5, 2005

How to Pay

How to Pay

1. By A/c Payable Demand Draft in the name of "TargetPG" payable at Thoothukudi (Tuticorin) Send the DD (Demand Draft) to the Postal Address given below. Please make sure that the Demand Draft (DD) is Crossed before you sent it by post or courier.

2. By Money order to Mr.John at the Postal Address given below. If the space for communication does not have your name and address, we are not in a position to send you the books

3. By paying into our account in any of the ICICI Bank Branches throughout India - Account Number 613905013764 Name TargetPG. Make sure that you write our account number correctly and then verify our account name also. Please contact our accounts department for further instructions before you use this method. You have to mail us (by post) the original counterfoil of the payment challan

4. By Writing a cheque favouring "TargetPG" Account Number 613905013764 and dropping it in the cheque collection box of ICICI Bank ATM. The cheque should be from a branch of the bank (any bank) which SHOULD be in the same town/area as the ICICI ATM. Only if the Cheque is from a bank which is at the same place as that of the ATM, the cheque may be considered as Local Cheque.Make sure that you write our account number correctly and then verify our account name also. Please Send us a Xerox Copy of the cheque. Please contact our accounts department for further instructions before you use this method.

5. By ICICI Money transfer into Account Number 613905013764 Name "TargetPG" Thoothukudi (Tuticorin) Branch . Make sure that you write our account number correctly and then verify our account name also. Please contact our accounts department for further instructions before you use this method. You have to inform us the transaction ID to confirm payment. If the transaction ID is not informed, payment is not assured

Postal Address

M/s TargetPG
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P&T Colony Extension, 3rd Mile
Tuticorin - 628008

Phone
0461 2310725

E-Mail

sales@targetpg.com

Sunday, July 3, 2005

Wednesday, June 15, 2005

Books for Physiology

What to read for Physiology After MBBS

The best way to be prepared in Physiology is by reading Ganong and Guyton thoroughly, but it is impossible. So we will go for an optimum strategy. Your plans should be decided on what you have read during your undergraduate classes
1. If you had read Ganong during your Undergraduate classes, you can read Ganong ONCE again
2. If you had read Guyton during your Undergraduate classes, go for a rapid revision of Guyton and Read the following from Ganong
  1. All Tables
  2. All Diagrams
  3. Foot Notes under each diagram and Table
  4. The MCQs given at the end of Ganong
  5. Chapter on Kidneys
  6. First Chapter from Ganong

3. If you have read some other book in your Undergraduate, you have to
  1. Read Consice Medical Physiology by Sujit. K. Chaudhuri and
  2. The topics from Ganong Enumerated above

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