ss_blog_claim=1171d5b92486f56defaa78b66751ca95

poundmed.com

Best blog for health and soul

Archive for January, 2008


Pain management of Post Herpetic

pain

Post herpetic Ophthalmic Neuralgia occurring as a sequela to Herpes Zoster Ophthalmicus is not rare and is characterised by severe burning and lancinating pain often associated with allodynia. There is no effective treatment for intractable post herpetic neuralgia. Here we report such a case where regional nerve blocks helped in the management of severe acute pain and prevention of chronic neuralgia.

Continue Reading →

Popularity: 14% [?]

Try Out 2008

try outHi,I’m Nico, I just wonder if your country have competence test for general physician or not,but in my country (Indonesia) we must have competence test before we can practice as a doctor. This test specially for the doctor who graduated after april 2007. In short, I will give you a file of competence test 2008 (try out). If you a doctor or co-ass, I suggest you to read the posting about ‘Tes Uji Kompetensi Dokter’ in here. Please download this zip.file (available only in Indonesian Language) : Soal TO Kompetensi 2008

or in document file : Soal TO doc

 

Popularity: 22% [?]

Management of Fever—We Know Less Than We Should

 

fever

It is difficult to imagine a time when humans weren’t preoccupied with the mysteries of fever and its treatment. Efforts to probe the pathophysiology of the febrile response are evident as early as 2,500 years ago, when the Sumerians used a pictogram of a aming brazier to symbolize fever. This earliest known effort to conceptualize mechanisms responsible for fever evolved slowly through the humoral theory of the Hippocratic era, the demonic-possession explana­tion of the Middle Ages, the friction and fermen­tation theories of Renaissance iatrophysicists and iatrochemists, to the pyrogen-mediated schema we now accept as valid today.

Continue Reading →

Popularity: 7% [?]

ACE Inhibitor : Lower your risk of heart attacks and strokes

heart attack

If you are at risk for developing heart disease—or even if you have already had a heart attack— taking an ACE Inhibitor every day can help keep you healthy. People who take ACE Inhibitors daily are much less likely of having a heart attack or dying from a heart attack or stroke.

Continue Reading →

Popularity: 6% [?]

Creeping Eruption : What is it ?

creeping eruption

Cutaneous larva migrans (CLM), creeping eruptions, creeping verminous dermatitis, sandworm eruptions, plumer’s itch, and duckhunter’s itch are all terms that describe a clin-ical finding caused by several different parasites. CLM was first described in 1874. It has the most frequent serpiginous lesions seen in travelers and is the most common tropically acquired dermatosis. CLM is rated second to pinworm among helminth infections in developed countries.

Continue Reading →

Popularity: 23% [?]

Common Cold : What you should to know

I’m sure you ever have cold or flu, but do you know what’s the different between cold or flu. They have same symptos, but there are a little different you need to know about.How can I tell if I have a cold or the flu?  A cold and the flu cause many of the same symptoms. But a cold is generally mild, while the flu tends to be more severe. A cold often starts with feeling tired, sneezing, coughing and having a runny nose. You may not have a fever or you may run a low fever–just 1 or 2 degrees higher than usual. You may also have muscle aches, a scratchy or sore throat, watery eyes and a headache. Continue Reading →

Popularity: 5% [?]

Combination drugs: Are they rational?

Combination products also known as fixed-dose combinations (FDCs) are combina­tion of two or more active drugs present in a dosage form. The Food and Drug Admi­nistration, USA defines a combination product as a product composed of any combination of a drug and a device or a biological product and a device or a drug and a biological product or a drug, device, and a biological product.

Several branded formulations are avail­able in India which are either single or fixed dose combination drugs. No doubt all the formulations are meant for pre­vention or treatment of ailments and dis­eases, out of which only a few drugs are lifesaving and essential; rest of the drugs are substitutes for each other. The safety of the combination drugs has to be thor­oughly evaluated and there are considera­tions for the drugs that are already in the market as individual or single drug en­tity. However, the safety profile of the established drugs will alter when they are combined together. There was alarming increase in irrational FDCs in recent years and pharmaceutical companies manufac­turing these FDCs are luring physicians to prescribe by unethical means. This may be due to the implementation of product patent regime where the mediocre compa­nies find various alternatives to sustain themselves in the market place and com­bination products for newer indications play a major role. The total number of essential drugs mentioned in the 14th list of essential medicines by WHO is 312, out of which only 18 are fixed dose combina­tions. But many of the irrational combi­nations are popular and widely prescribed by physicians in our country. The combi­nations such as tetracycline and vitamin C, quinolones and nitroimidazoles and penicillins with sulfonamides are some of the examples of irrational FDCs. Such dubious FDCs entail financial burden, resistant strains of bacteria and increase in unwanted effects. The regulatory requi­rements for approval of combination products vary from country to country and there are no specific regulations in our country. In our country, after amendment of the Drugs Act in 1982, the Government has acquired the power to prohibit manufacture and sale of certain drugs and irrational FDCs. The government, subsequently, issued a first gazette notification in July 1983 banning several drugs and their FDCs after due consideration. Since then the government has been notifying the list of banned drugs on a regular basis. The Drugs Controller General of India (DCGI) had issued an order in May 2002 to State drug-controlling authorities not to grant any manufacturing or marketing approvals for new drugs. Since then DCGI has be­come the centralized authority for granting new drug approvals. This has affected many companies who have already estab­lished manufacturing units for their ap­proved FDCs by the State drug-regulatory authorities. The principal regulatory body, USFDA is not convinced of the rationality behind combination products other than anti­tubercular and anti-AIDS drugs. Due to continuous demands from pharmaceuti­cal companies, they had established the office of combination products in 2002 and they had approved a few combina­tions in anti-diabetic and cardiovascular segments. Regrettably there are no guide­lines for the combination products with specific demarcation of chemical, herbal, biological products and devices. As of now, there is only a guidance draft available at office of combination products, USFDA website. Hence, there exists confusion in manufacturing and rationality of the FDCs. As the wellbeing of a patient’s health lies in the hands of healthcare profes­sionals and pharmacists, it is essential for them to get acquainted with the list of drugs which are irrational and banned by DCGI. In addition, they should keep themselves updated with the notifications issued by the DCGI to curb irrational fixed dose combinations. Moreover, regula­tory authorities, healthcare professionals, researchers and pharmaceutical companies should join hands together to formulate guidelines for the FDC’s to drive away fear from the minds of patients.

Typically drug abusers abuse several drugs at the same time. A dual diagnosis rehab is perfect in this situation because it can help with both your an alcohol treatment in addition to your a drug treatment. Recovery from an addiction is hard, but is vital to straighten out your life.

Popularity: 6% [?]

Clinical Application of the Widal Test

The Widal test is one of the most utilized diagnostic tests for typhoid fever in developing countries. This test demonstrates the presence of somatic (O) and flagellar (H) agglutinins to Salmonella typhi in the patient’s serum using suspensions of O and H antigens. Antigens of S. paratyphi A, S. paratyphi B, S. paratyphi C are included in most commercial kits. The recommended method of performing the Widal test is by the tube agglutination technique where serial two-fold dilutions of the subject’s serum from 1:20 to 1:1280 are tested. In later years, a rapid slide test was developed which is now the most commonly used technique in local laboratories because of its convenience.1   Continue Reading →

Popularity: 5% [?]

Circumcision – surgical procedures

May your child have circumcision, don’t worry, but before you take him to get circumcised, you better read this information. Circumcision is the surgical removal of the foreskin that covers the tip of the penis. The functions of the foreskin include protecting the head of the penis and contributing to sexual sensations. Circumcision is typically done in the first few days after birth, since the risk of complications increases in older babies, boys and men. Circumcision is an elective surgical procedure, which means in many cases that it is done for cosmetic reasons. Ultimately, it is a matter of parental choice. Many male babies are circumcised because of religious tradition or hygiene concerns. Studies indicate that circumcision offers health benefits, although some researchers argue the benefits are too small to justify surgery.

Continue Reading →

Popularity: 4% [?]

What you should know about Ciprofloxacin

What is Ciprofloxacin?

Ciprofloxacin is a bacteria-killing drug also known as an antibiotic. Prescribed for several reasons, ciprofloxacin can be used to protect people who have come into contact with someone who has meningitis, a bacterial infection of the brain lining and/or blood.

  Continue Reading →

Popularity: 4% [?]

    • Free Web Hosting
    • Cosaaranda Biz
    • Your Ads Here
    • Your Ads Here
  • Enter your email address:

    Delivered by FeedBurner

    Add to Technorati Favorites
  • Meta