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Wednesday, March 13, 2013

MAC REPERTORY


MAC REPERTORY
The MacRepertory software is a way for the doctor to keep track of patients automatically by centralizing data about them. Features include:
- Easy to quickly select and analyze rubrics
- Find solutions for remedies
- Materia medica checkup
- Advanced customization and analysis


It Only includes one repertory That is of Kents Repertory 




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Tuesday, March 5, 2013

Homeopathy Practitioners In India Legally Prescribe Allopathic Medicines In Maharashtra

Non-MBBS doctors to soon prescribe allopathic drugs?
TNN Jul 14, 2012, 03.10AM IST
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MUMBAI: The state government on Friday said that ayurvedahomeopathy and unani practitioners would soon be able to legally prescribe allopathic medicines in Maharashtra provided they completed a one-year course in pharmacology.
Dr Vijay Kumar Gavit, minister for medical education, told the assembly that the course material was ready and by August the state would issue an ordinance for these doctors to do the course and clear an exam. If they pass, they can prescribe allopathic medicines.
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The minister said in a written reply that the decision to introduce the one-year pharmacology course was made on the advice of the attorney general, who suggested that it could be done by amending the Maharashtra Medical Practitioners Act, 1961. But when it was referred to the state law and judiciary department, it pointed out that a mere amendment to the Act will be of no use as under the Indian Medical Council Act, 1956, the assent of the Medical Council of India (MCI) is mandatory.
But a senior official told TOI that the government does not need an approval from the Medical Council of India to start a "certificate course" as the state has the requisite powers under the concurrent list. "Only a degree or a diploma course needs a mandatory approval from theMCI," the official said.
The matter came up before the House during a calling attention motion on police harassment faced by doctors who provide alternative treatment, particularly in rural Maharashtra. It was raised by Vijay Wadettiwar, who said that in the absence of allopathic doctors, people had to go to doctors from other streams but they were not allowed to prescribe allopathic medicines. "When the state has the power to allow these doctors to prescribe allopathic medicines, why does it hesitate to do so?"
Gavit said it was true that there was a paucity of allopathic doctors in rural areas and the association of homeopathy doctors had requested that homeopaths should be allowed to prescribe allopathy medicines.
"The government has set up a committee to consider this issue and is awaiting the report," he said, adding that an earlier committee had recommended that if the government were to include pharmacology as a subject for the doctors from other streams, then they could prescribe allopathic medicines.

Source:-Click Here
Maharashtra govt's plan to allow Ayush doctors to practise allopathy may be challenged
Peethaambaran Kunnathoor, Chennai
Tuesday, July 17, 2012, 08:00 Hrs  [IST]
The Maharashtra Government’s soon to be promulgated ordinance to allow Ayush doctors to practise allopathy on completion of a full year study course on pharmacology, will be challenged in the court by the Indian Medical Association, said Dr C Srinivasa Raju, chairman, IMA IT Committee and secretary, Hospital Board of India, AP branch.

Last week the state medical education minister Vijay Kumar Gavit told the Legislative Assembly that doctors wanting to practice allopathy should study pharmacology and an ordinance to this effect would be promulgated next month.

According to the minister the decision in this regard was taken on account of the crisis created by the shortage of allopathic doctors in rural areas in Maharashtra.

“There is a shortage of allopathic doctors in rural areas and it is not possible legally to allow medicos to practice a system which they have not studied. So the doctors practising Unani, Homoeopathy and Ayurveda who wish to practice allopathy should study pharmacology. It will be a full time course of one year duration and the doctors will be allowed to practise only after they clear the examination. For this, the Maharashtra Medical Practitioners Act, 1961 will be amended,” he told the assembly.

He said the Homoeopathy Council in Delhi has been requested to include the subject of pharmacology in the homoeopathy curriculum.

Commenting on the government’s decision, the IMA leader, Dr Srinivasa Raju said, “This maverick step of the government will encourage quackery in the state. IMA strongly opposes this move. First, we will approach the government of Maharashtra requesting them to withdraw from this decision. If there is no positive outcome in our favour, we will approach the high court,” Dr Raju informed Pharmabiz.

According to him the doctors’ association is ready to fight against the decision of the government in the assembly and in the judiciary until the sanctity of the modern system is restored.

Dr M C Gupta, former Professor and Dean, NIHFW, New Delhi and now a practicing advocate on legal issues in the Supreme Court said the step taken by the Maharashtra Government would definitely be a retrograde one. It will not only promote quackery as defined by the Supreme Court in its various judgements, but will also ruin the sanctity of the AYUSH systems which need to be researched and developed in a scientific and serious manner. The present proposal, converting ‘vaidyas’, ‘hakims’ and homoeopaths into allopaths will mean a death knell for the ancient systems.

“If that is the government’s intention, the better way would be to convert the existing AYUSH colleges into modern medical colleges. Thus the establishment cost of putting up new medical colleges can be considerably reduced. It will even be desirable that the MBBS students admitted to such colleges may be given education and training in AYUSH systems for one semester in addition to the MBBS curriculum,” Dr Gupta said.

While answering questions in the assembly, the medical minister said in a written reply that the decision to introduce the one-year pharmacology course was made on the advice of the attorney general, who suggested that it could be done by amending the Maharashtra Medical Practitioners Act, 1961.

To this comment, Dr M C Gupta said when it was referred to the state law and judiciary department, it pointed out that a mere amendment to the Act would be of no use as under the Indian Medical Council Act, 1956, the assent of the Medical Council of India (MCI) is mandatory.

This indicates that the decision of the government is unlikely to be implemented in the state.


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Friday, February 22, 2013

A Color Guide to Diagnosis and Therapy 4th edition


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Wednesday, February 20, 2013

Tuesday, February 19, 2013

PSORIASIS – THE DISEASE AND THE MANAGEMENT CONCEPTS

                              DEFINITION 

PSORIASIS IS A CHRONIC SKIN DISORDER  MARKED BY PERIODIC FLARE-UPS OF SHARPLY DEFINED RED PATCHES COVERED BY A SILVERY, FLAKY SURFACE.   




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Psoriasis

Definition

Psoriasis is a common skin condition that causes skin redness and irritation. Most people with psoriasis have thick, red skin with flaky, silver-white patches called scales.

Alternative Names

Plaque psoriasis

Causes

Psoriasis is very common. Anyone can get it,  but it most commonly begins between ages 15 and 35.
You cannot catch psoriasis or spread it to others.
Psoriasis seems to be passed down through families. Doctors think it may be an autoimmune condition. This occurs when the immune system mistakenly attacks and destroys healthy body tissue.

Usually, skin cells grow deep in the skin and rise to the surface about once a month. When you have psoriasis, this process takes place is too fast. Dead skin cells build up on the skin's surface.

The following may trigger an attack of psoriasis or make the
condition harder to treat:
•            Bacteria or viral infections, including strep throat and upper respiratory infections
•            Dry air or dry skin
•            Injury to the skin, including cuts, burns, and insect bites
•            Some medicines, including antimalaria drugs, beta-blockers, and lithium
•            Stress
•            Too little sunlight
•            Too much sunlight (sunburn)
•            Too much alcohol
Psoriasis may be worse in people who have a weak immune system. This may be due to: 
Some people with psoriasis may also have arthritis (psoriatic arthritis).

Symptoms

Psoriasis can appear suddenly or slowly. Many times, it goes away and then comes back.

The main symptom of the condition is irritated, red, flaky patches of skin. Patches are most often seen on the elbows, knees, and middle of the body, but can appear anywhere including the scalp.

The skin may be:
  • Itchy
  • Dry and covered with silver, flaky skin (scales)
  • Pink-red in color (like the color of salmon)
  • Raised and thick
Other symptoms may include:
  • Genital sores in males
  • Joint pain or aching
  • Nail changes, including thick nails, yellow-brown nails, dents in the nail, and nail lifts off from the skin underneath
  • Severe dandruff on the scalp
There are five main types of psoriasis:
  • Erythrodermic -- The skin redness is very intense and covers a large area.
  • Guttate -- Small, pink-red spots appear on the skin.
  • Inverse -- Skin redness and irritation occurs in the armpits, groin, and in between overlapping skin.
  • Plaque -- Thick, red patches of skin are covered by flaky, silver-white scales. This is the most common type of psoriasis.
  • Pustular -- White blisters are surrounded by red, irritated skin.

Exams and Tests

Your doctor or nurse can usually diagnose this condition by looking at your skin.
Sometimes, a skin biopsy is done to rule out other possible conditions. If you have joint pain, your doctor may order x-rays.

Treatment

The goal of treatment is to control your symptoms and prevent infection.
Three treatment options are available:
  • Skin lotions, ointments, creams, and shampoos. These are called topical treatments.
  • Pills or injections that affect the body's immune response, not just the skin. There are called systemic, or body-wide, treatments. 
  • Phototherapy, which uses light to treat psoriasis.
TREATMENTS USED ON THE SKIN (TOPICAL)
Most of the time, psoriasis is treated with medications that are placed directly on the skin or scalp. This may include:
  • Cortisone creams and ointments
  • Creams or ointments that contain coal tar or anthralin
  • Creams to remove the scaling (usually salicylic acid or lactic acid)
  • Dandruff shampoos (over-the-counter or prescription)
  • Moisturizers
  • Prescription medicines containing vitamin D or vitamin A (retinoids)
SYSTEMIC (BODY-WIDE) TREATMENTS
If you have very severe psoriasis, your doctor will likely recommend medicines that suppress the immune system's faulty response. These medicines include methotrexate or cyclosporine. Retinoids such as acitretin can also be used.
Newer drugs called biologics are used when other treatments do not work. Biologics approved for the treatment of psoriasis include:
  • Adalimumab (Humira)
  • Alefacept (Amevive)
  • Etanercept (Enbrel)
  • Infliximab (Remicade)
  • Stelara
 PHOTOTHERAPY
Some people may choose to have phototherapy.
  • Phototherapy is a medical treatment in which your skin is carefully exposed to ultraviolet light.
  • Phototherapy may be given alone or after you take a drug that makes the skin sensitive to light.
  • Phototherapy for psoriasis can be given as ultraviolet A (UVA) or ultraviolet B (UVB) light.
OTHER TREATMENTS
If you have an infection, your doctor will prescribe antibiotics.
AT HOME CARE
Follow these tips at home:
  • Taking a daily bath or shower can help your psoriasis. Try not to scrub too hard because this can irritate the skin and trigger an attack.
  • Oatmeal baths may be soothing and may help to loosen scales. You can use over-the-counter oatmeal bath products. Or, you can mix 1 cup of oatmeal into a tub of warm water.
  • Keeping your skin clean and moist and avoiding your specific psoriasis triggers  may help reduce the nubmer of flare-ups.
  • Sunlight may help your symptoms go away. Be careful not to get sunburned.
  • Relaxation and antistress techniques may be helpful. The link between stress and flares of psoriasis is not well understood, however.

Support Groups

Some people may benefit from a psoriasis support group.

Outlook (Prognosis)

Psoriasis is a life-long condition that can be controlled with treatment. It may go away for a long time and then return. With proper treatment it does not affect your overall health. Some people with psoriasis have a type of arthritis.

When to Contact a Medical Professional

Call your health care provider if you have symptoms of psoriasis or if the skin irritation continues despite treatment.
Tell your doctor if you have joint pain or fever with your psoriasis attacks.
If you have symptoms of arthritis, talk to your dermatologist or rheumatologist.
Go to the emergency room or call the local emergency number (such as 911) if you have a severe outbreak that covers all or most of your body.

Prevention

There is no known way to prevent psoriasis. Keeping the skin clean and moist and avoiding your specific psoriasis triggers may help reduce the number of flare-ups.
Doctors recommend daily baths or showers for persons with psoriasis. Avoid scrubbing too hard, because this can irritate the skin and trigger an attack.


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