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| Direct-To-Consumer Advertising |
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The author endorses a fine tuned approach to regulatory oversight, one involving a proactive and precautionary approach reliant upon prior approval, and working in tandem with generation of alternative and high quality sources of information. Such an approach could help to address the very serious concerns about potential infringements of the human right not to be harmed by unsafe consumer products through corporate malfeasance or negligence. Picture by: Andres Rueda
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By
Alex Wellington
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| Vitiligo: Clinico-Epidemiological Features |
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Vitiligo, a pigmentary dermatosis characterized by discoloration of skin and/or mucous membranes, continues to haunt its victims not only in terms of cosmetic disfigurement but also negative psychosocial impact. Given its unpredictable epidemiological behaviour, this study aimed to reveal the clinico-epidemiological characteristics in patients attending the dermatology clinic of a government hospital in the district of Thane, Maharashtra, India. Picture by incentaurdump
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By
Anmol Ulhas Naik
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| Healthy Volunteers in Clinical Trials |
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Eighteen healthy university students who participated in one of three separate clinical trials were interviewed. These students are not a disenfranchised minority nor are they paid to give word of mouth endorsements to their friends. Their motivation to take part in trials is driven by money, not out of need, but the desire to purchase luxury items such as a holiday, a motorbike, a new camera. Picture by SMercury98
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By
Martin Tolich
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| Ethics of Palliative Care in Sri Lanka |
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In Sri Lanka, the cross-cultural issues related to patients with a diagnosis of cancer undergoing palliative care include, awareness of one’s own cultural identity, acquiring knowledge on different cultural issues, verbal and non-verbal communication skills, respect for patients’ autonomy, involvement of the family and the relatives, addressing moral and spiritual concerns, development of effective communication skills and provision of social support. Picture by DVIDSHUB
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By
Kavinda Chandimal Dayasiri
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EDITORIAL |
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| The Interaction of Design and Medicine |
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A look at some recent gestural interface interaction design such as Touch screens and the IPad and a discussion regarding their use in a clinical setting. This editorial focuses on the ability of interaction design to improve the patient experience and suggests that the use of gestural interface based devices may become a lot more common for patient quality of life surveys in the future. Picture by Lance Shields
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By
Antony Nevin
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RESEARCH |
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| Touchscreen Technology to Assess Psychological Distress |
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Although previous studies report that computer technology is a feasible option for assessing cancer patients’ psychological needs, the data collected in this study suggests that the technology was not reliable with significant practical problems. The technology did not serve these patients better than pen and paper. Picture by nicolasnova
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By
Georgia K Halkett, Moyez Jiwa, Pauline Tanner, Celine Fournier, Paul Katris
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| ENT Disorders- a Study from Rural India |
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The study suggests that otitis media, tonsillitis and rhinitis are the most common otorhinolaryngological problems in paediatric population presenting at the ENT department of a tertiary hospital and contribute significantly to paediatric morbidity. The prevalence of these morbidities is likely to be even higher in the general population. Picture by Pratham Books
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By
Sanjay P Kishve, Nishant Kumar, Prajakta S Kishve, M. M. Aarif Syed, Piyush Kalakoti
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| Health Literacy Before and After Education |
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Tuberculosis (TB) is one of Nepal's major public health problems. Perceptions about various aspects of respiratory health among non-medical personnel working in medical schools in Nepal have not been previously studied. As educated members of the community they can play an important role in promoting measures to reduce respiratory illnesses in Nepal. Picture by Wantedpixel
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By
Ravi Shankar, Rano M Piryani, Kshitiz Upadhyay-Dhungel, Bidur Osti, Shambhu Hiremath
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| Water Borne Diseases in Bangalore |
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Of the total 142 water samples 70 were collected from bore well areas and 72 were from tap water areas. Of the 66 water samples analyzed from household storage, 38.89% (14)of bore well water showed coli forms compared to 10% (3)in piped water. The difference was found to be statistically significant (less than 0.05. Bore well water is clearly not as safe as tap water.The most effective method to prevent infections is surveillance and treatment of drinking water quality at point of consumption. Picture by ILRI
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By
Jyothi Jadhav, D Gopinath
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REVIEW |
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| Insulin Intensification for People with Type 2 Diabetes |
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Insulin intensification should only be considered after the basal insulin dose has been optimised. This is achieved by taking into account basal and prandial (pre and post) blood glucose levels, individualised target HbA1c, and dietary factors. If optimal basal insulin together with oral medications is not sufficient to reach glycaemic targets, the next step is to introduce a basal plus 1 regimen or switch to twice-daily premixed insulin. Each has advantages and disadvantages and existing guidelines do not emphasise or support any particular regimen. Therefore, it is important to individualise the choice according to the individual’s needs. A practical algorithm has been developed to help clinicians choose an appropriate second-line regimen. Picture by Melissa
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By
Greg Fulcher, Stephen Colagiuri, Patrick Phillips, Johannes Prins, Ashim Sinha, Stephen Twigg, Brad Dalton
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| PPARγ:a dagger in endometriosis |
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In this review the authors have highlighted the use of a class of drugs commonly used to treat diabetes mellitus, which could also be used to treat endometriosis. In vivo studies have shown some promising results which could be incorporated in humans. These results have promised new avenues of treatment emerging from older drugs. Since the existing conventional drugs have undesirable side effects, there is always a need for highly efficacious and better tolerated drugs acting through novel mechanisms of action. Picture by Debs
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By
Amberkar Mohan Babu, Meena kumari K, Vijay More, Arvind Semwal, Shalini Adgai
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CLINICAL AUDIT |
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| Indications for Caesarean Section in Coastal South India |
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There has been a steady rise in Caesarean Section rates at this government hospital in Southern India; the major indications were Previous caesarean section, followed by Foetal Distress and Breech presentation. Trial of Vaginal Birth After Caesarean should be offered, failing which, a CS may be performed as indicated Picture by karindalziel
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By
Unnikrishnan B, Rakshith B Prasad, Aishwarya Amarnath, Nithin Kumar, Rekha T, Prasanna P Mithra
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LETTER TO THE EDITOR |
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| Letter to the Editor |
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Plagiarism, consumer preferences and medical humanities.
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By
Santosh Rai, Piyush Kalakoti, Syed M M Aarif, Sankalp Yadav, Manika Sharma, Rishi Jain, Gaurav Kalra, Deepak Singh, Shikha Shrivastava, Inas Rifat Ibrahim, Mohamed Izham M.I., Mahmoud Al-Haddad, P. R. Shankar, P. Subish, R. Paudel
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