Medical Basket: September 2009

Saturday, September 26, 2009

increase ur followers no. on twitter...

join http://fastfollowers.com/

FastFollowers creates a virtual marketplace for followers. Unlike some of the other schemes out there that require you to follow a hundred people before they place you on the list, FastFollowers uses a fair credit system. When you follow people you earn credits from them, and vica versa when they follow you. You can decide how many credits you want to offer per follow, and when you run out you remain on the list so people can still follow you if they like. You can also bulk-purchse credits if you'd prefer to do less following yourself, and just want to grow your own followers...

Tuesday, September 22, 2009

Sutureless Anastomoses Secrets for Success

When doctors first look at sutureless anastomosis devices created by new technologies, the most frequent comment is how amazingly easy it is to create a vascular anastomosis and, as a direct consequence, they believe anybody could play the role of the cardiovascular surgeon. Pessimistic cardiovascular surgeons, on their side, think that creating a machine capable of perfectly reproducing their core activity, which consists in making anastomosis, will kill their profession. Actually, no medical specialty’s demise has been more often predicted and, at the same time, more greatly exaggerated than that of cardiovascular surgery. According to its detractors, beginning in the late 1980s with the angioplasty boom, continuing in the mid-1990s with the introduction of bare metal stents, and then more recently with the introduction of drug-eluting stents, cardiovascular surgery has been on life support for nearly 15 years.

DOWNLOAD

The Comprehensive Laparoscopic Surgery

A great book should leave you with many experiences, and slightly exhausted at the end. You live several lives while reading it. In fewer than 200 pages, this book guides you through the process of developing a foundation of laparoscopic surgery like developing skill of dissection, suturing, knotting and tissue approximation techniques. The second section of book describe comprehensive laparoscopic surgical and gynecological operative procedures demonstrating a method that is tested, proven, and based upon sound instructional theory.

DOWNLOAD

Minimally Invasive Spine Surgery A Surgical Manual Second Edition

In the long history of surgery it always has been a basic principle to restrict the iatrogenic trauma done to a patient during surgery to a minimum. Modern surgical technology and techniques have shifted this principle into a new dimension. In spine surgery, the last decade of the twentieth century has been the decade of minimally invasive surgical procedures. The chapters of this book describe in detail the different techniques which are applied to improve symptoms or cure a variety of spinal diseases. They all follow the basic principles of what is more or less a “philosophy” of minimally invasive surgery.

DOWNLOAD

Practical Plastic Surgery

The book contains over a hundred chapters organized into eight sections that cover the breadth of plastic surgery, starting with General Principles, The Problematic Wound and Integument. The next five sections address the principle disciplines, and include Head and Neck, Trunk and Lower Extremity, Craniofacial Surgery, Aesthetic Surgery, concluding with Hand and Upper Extremity. The book concludes with two large appendices and a comprehensive index. Appendix I lists most of the commonly used flaps and their harvest and has many illustrations of these flaps. Appendix II is comprised of illustrations and the names of the common surgical instruments used by most plastic surgeons. The text is written by over 75 authors, many of whom are considered among the leaders in their respective fields. Each chapter is concise and focused on the practical aspects of the topic. Historical and out-dated procedures are largely ignored. Every chapter concludes with a section titled “pearls and pitfalls,” as well as a handful of important references.

DOWNLOAD

PATHWAY ANALYSIS FOR DRUG DISCOVERY Computational Infrastructure and Applications

Pathway analysis is a rapidly developing discipline that combines software tools, database models, and computational algorithms — all of which help molecular biologists to convert molecular interaction data into a set of computational models. The models are developed for better prediction of cell behavior in response to a drug, nutrients, or other outside stimuli. The development of pathway analysis was triggered by the expansion of high - throughput methods and the completion of human genome sequencing project. Because of these technological advances, the emphasis of molecular biology has shifted from reductionism to system integration.

Obesity Surgery Principles and Practice book

Several bariatric procedures have been developed in the past decades and were diffused throughout the world. Techniques such as the gastric bypass procedure (GBP), the treatmentof choice insomecountries (i.e.,USandBrazil),may not display the same status in others, with different cultural and socio-economic conditions. Biliopancreatic diversions (BPDs) are the choice in some other places (Italy, Canada) and gain more adepts in the United States every day. The adjustable gastric banding is the preference in most of Europe and in Australia.
you can download Obesity Surgery Principles and Practice Book for free from the download link.

http://freebooksearcher.info/downloadbook.php?id=8367

MEDICAL SITES...

http://alex2010.wordpress.com/internal-medicine-e-book/

http://www.ebookhelp4u.blogspot.com/

http://whatnow.890m.com/2008/11/bates-guide-to-physical-examination-9th-edition-2005/

http://medicinerevolution.blogspot.com/

http://cooldogebooks.blogspot.com/2008/08/medical.html

http://go2medicalbooks.blogspot.com/

http://www.goomedic.com/archives/309

http://ticpeny.blogspot.com/2008/07/williams-textbook-of-endocrinology.html

http://medicalbookspro.com/medical-series/blueprints/oxford-handbook-of-clinical-dentistry-4.html

http://medicalbookspro.com/

http://microbehunter.blogspot.com/

http://rxscene.net/

http://buztech.org/free-medical-ebooks.html

http://karyatulisilmiahkesehatan.blogspot.com/2008_10_01_archive.html

http://medicalbooksonline.tripod.com/

http://www.real-doctors.com/forums/index.php?topic=796.msg3537;topicseen

http://medicineforall.blogspot.com/

http://drmasabry.blogspot.com/

http://medobsession.wordpress.com/2007/05/06/boards-books/

http://medibuk.blogspot.com/2008_08_01_archive.html

http://forumdeanestesia.blogspot.com/

http://drpritesh.blogspot.com/

http://seminariosmedicos.blogspot.com/

http://requiredtextbooks.blogspot.com/

http://www.ebooksdownloadfree.com/

MEDICAL SITES...

http://physiologyaspirants.blogspot.com/
http://rapidlyshared.blogspot.com/
http://download-medical-ebooks.blogspot.com/
http://cesmed-ucsm.blogspot.com/
http://cnms-ebooks-medecine.blogspot.com/
http://cedumupsps.blogspot.com/
http://ebook4doctor.blogspot.com/
http://www.addebook.com/biomed/
http://evidenciaclinica.blogspot.com/
http://johnhopkinsnews.blogspot.com/2008_07_01_archive.html
http://portaldeclau.blogspot.com/
http://mechonesefi2007.blogspot.com/
http://bookstor4u.wordpress.com/
http://drgrk.blogspot.com/feeds/posts/default
http://drgrk.blogspot.com/
http://medheaven.blogspot.com/
http://medicalite.blogspot.com/
http://medicalbooks4everyone.blogspot.com/
http://medicinebook.blogspot.com/
http://emedicalsoftware.blogspot.com/

ALL MEDICAL E-BOOKS 100% FREE DOWNLOAD!!!!!!!!!

HERE YOU CAN DOWNLOAD HARRISON BAILEY GRANTS NETTER ACLANDS SOBOTA HARPER ROBBINS DAVIDSON McLEOD KEITHLMORE SABISTON AND MANY MORE BOOKS..........YA ALMOST 99% OF WORLDS POPULAR E BOOKS 100% FREE!!!!!!!NO REG/SIGNUP!!!!!!!!! SO BOOKMARK NOW!!!!!!!

http://medicalebooks-aslam.blogspot.com

USMLE Books + audio lecture....

http://www.doctor.vg/showthread.php?t=934

http://usmle-1-2-3.blogspot.com/

http://drmasabry.blogspot.com/

http://doctormona.blogspot.com/

KAMINEY MOVIE...

Kaminey (2009) - 400MB - Pre-Dvd - X264 - AAC - Subs{RS/MU/FF/NL}
Ripper :- Guru @ Team DG
Source :- Jay78

Rapidshare Links:-
http://rapidshare.com/files/272056476/Kaminey.400MB.PDVD.X264-TeamDG.mp4.001
http://rapidshare.com/files/272058771/Kaminey.400MB.PDVD.X264-TeamDG.mp4.002
http://rapidshare.com/files/272056366/Kaminey.400MB.PDVD.X264-TeamDG.mp4.003

Filefactory Links:-
http://www.filefactory.com/file/ah39hah/n/Kaminey_400MB_PDVD_X264-TeamDG_mp4_001
http://www.filefactory.com/file/ah39ha6/n/Kaminey_400MB_PDVD_X264-TeamDG_mp4_002
http://www.filefactory.com/file/ah39ha5/n/Kaminey_400MB_PDVD_X264-TeamDG_mp4_003

Netload Links:-
http://netload.in/dateikNYJr8ge6C/Kaminey.400MB.PDVD.X264-TeamDG.mp4.001.htm
http://netload.in/datei0yOK7v2kAT/Kaminey.400MB.PDVD.X264-TeamDG.mp4.002.htm
http://netload.in/dateinIpBnEVvCP/Kaminey.400MB.PDVD.X264-TeamDG.mp4.003.htm

Megaupload Links:-
http://www.megaupload.com/?d=Q0EVUYEJ
http://www.megaupload.com/?d=27JLEGHV
http://www.megaupload.com/?d=V2MFFJZA

DIL BOLE HADIPPA MOVIE...

Dil Bole Hadippa (2009) - 400MB - DVD - SCR - XviD - Subs{RS/FF/NL/MU}
DOWNLOAD LINKS:
Rapidshare Links:-
http://rapidshare.com/files/282721013/Dil.Bole.Hadippa.400MB.SCR.X264-By.Guru.mp4.001
http://rapidshare.com/files/282721408/Dil.Bole.Hadippa.400MB.SCR.X264-By.Guru.mp4.002
http://rapidshare.com/files/282720798/Dil.Bole.Hadippa.400MB.SCR.X264-By.Guru.mp4.003
Subs:-
http://rapidshare.com/files/282720171/Dil.Bole.Hadippa.400MB.SCR.X264-By.Guru.srt

Filefactory Links:-
http://www.filefactory.com/file/a0a3d2f/n/Dil_Bole_Hadippa_400MB_SCR_X264-By_Guru_mp4_001
http://www.filefactory.com/file/a0a3d20/n/Dil_Bole_Hadippa_400MB_SCR_X264-By_Guru_mp4_002
http://www.filefactory.com/file/a0a3d2b/n/Dil_Bole_Hadippa_400MB_SCR_X264-By_Guru_mp4_003
Subs:-
http://www.filefactory.com/file/a0a3d01/n/Dil_Bole_Hadippa_400MB_SCR_X264-By_Guru_srt

Netload Links:-
http://netload.in/dateiDTiuwLErAg/Dil.Bole.Hadippa.400MB.SCR.X264-By.Guru.mp4.001.htm
http://netload.in/dateibnU0BzMljE/Dil.Bole.Hadippa.400MB.SCR.X264-By.Guru.mp4.002.htm
http://netload.in/dateibtzvZE9Ynk/Dil.Bole.Hadippa.400MB.SCR.X264-By.Guru.mp4.003.htm
Subs:-
http://netload.in/datei6VHw1ME0U0/Dil.Bole.Hadippa.400MB.SCR.X264-By.Guru.srt.htm

Megaupload Links:-
http://www.megaupload.com/?d=5ZEKQVN7
http://www.megaupload.com/?d=R9HUFDLL
http://www.megaupload.com/?d=DVPXBDD1
Subs:-
http://www.megaupload.com/?d=OQ5BHGJ8

DADDY COOL..

DaddyCool movie download link...

Banner: Ananya films
Cast: Mammootty, Richa Pallod, Bijumenon, Ashish Vidyarthy, Vijayaraghavan, Raadhika, Saikumar
Direction: Aashiq Abu
Production: Alwin Antony

Click Here And Download
http://www.megaupload.com/?d=30EMZK0X

REQUEST YOUR SONGS...

Want ur songs..Request ur songs here.. 'l post d download links...

BLUE MP3s...

Songs:
1. CHIGGY WIGGY
2. AAJ DIL GUSTAKH HAI
3. FIQRANA
4. BHOOLA TUJHE
5. BLUE THEME
6. REHNUMA
7. Yaar Mila Tha

Download Link :

http://www.megaupload.com/?d=D4MIJOOL

DIL BOLE HADIPPA MP3s..

High Quality MP3@320kbps:

Tracklist:

1. (00:04:08) Mika Singh - Hadippa
2. (00:04:26) K.K., Sunidhi Chauhan & Rana M - Discowale Khisko
3. (00:05:25) Sonu Niigaam & Shreya Ghoshal - Ishq Hi Rab Hai
4. (00:04:45) Alisha Chinoy, Sunidhi Chauhan & Hard Kaur - Bhangra Bistar
5. (00:03:17) Joshilay - Gym Shim
6. (00:04:14) Master Salim - Disco Khisko (Remix)
7. (00:04:17) Mika Singh & Sunidhi Chauhan - Hadippa (The Remix)

Playing Time: 00:30:34

Download Link :

http://www.megaupload.com/?d=S7A24P13

RITU MP3s...

Direction: Shyamaprasad
Producer: Vachan Shetty
Written By: Joshua Newtonn
Music: Rahul Raj
Cinematography: Shamdat
Editing: Vinod Sukumaran
Art: Premachandran
Costumes: Cukoo Parameswaran
Make Up: Joy Koratty
Lyrics: Rafeeq Ahamed & Shyamaprasad
Starring: Nishan, Rima, Asif Ali, Jaya Menon, K Govindan Kutty, M G Sasi, Siddarth & Others.

Download it Here.....
http://dc144.4shared.com/download/119780606/5a3753e0/Ritu__Rahul_Raj__VBR-MP3-2009_Vellithiramusicnet.zip

Kanakkanmani MP3

Direction: Akku Akbar
Producer: Neeta Anto
Lyrics: Vayalar Sarath Chandra Varma
Music: Shyam Dharman
Starring: Jayaram, Padmapriya & Others.

Tracks:
01 Muthe Muthe [Sujatha & Shyam Darman]
02 Aadamalle
03 Pon Poovo [Rakhi R Nath]
04 Muthe Muthe [Shyam Dharman]

Downloading Link

http://www.mediafire.com/?kzjmvgomnye

LOUDSPEAKER SONGS

Cast: Mammootty, Gracy Singh, Nedumudi Venu, Innocent, Jagathy Sreekumar, Salim Kumar,
Producer: Time Ad Release
Director: Jayaraj
Music Director: Bijibal
Lyricist: Anil Panachooran.
Story: P.Y.Jose

01_Changazhi Muthumayi
02_Kattarinu Thorathoru
03_Manjinte Mamala
04_Alliyambal
05_Kattarinu Thorathoru[F]
06_Changazhi Muthumayi[M]

http://www.zshare.net/download/656202089b240612/

Thursday, September 17, 2009

ATLAS OF HUMAN ANATOMY - NETTER

Atlas of Human Anatomy - Netter
http://www.4shared.com/file/64801611/5da4378c/Atlas_of_Human_Anatomy_-_Netter_-_2006.html

UROLOGY LINKS..

Nephrology
www.medmark.org/neph/

Urology
www.medmark.org/uro/

Tuesday, September 15, 2009

CARDIORESPIRATORY AUDIO LINKS...

Atlas Of Murmurs
www.kumc.edu/instruction/medicine/cont-edinfotech/car-mur.htm

Auscultation Assistant
www.med.ucla.edu/wilkes/intro.html

Cardiac Auscultation Links
www.westernu.edu/lib_hurtsound.html

Cardiology Multimedia Files
www.greatmar.com/webdoctor/cardiologymm.html

ECG Library
www.homepages.enterprise.net/djenkins/ecghome.html

ECG Tutor
www.bioscience.igh.cnrh.fr//atlasses/heart/ekg/ekg.htm

Virtual Stethoscope
http://www.medicine.mcgill.ca/cardiol/links.htm

IMPORTANT DERMATOLOGY WEBSITES...

Dermatological Outline Atlas
www.derma.med.uni-erlangen.de

Dermatology Image Index
www.medlib.med.utah.edu/kw/derm/

Monday, September 14, 2009

ALL INDIA 2010

All India 2010 exam on JAN 10th..
Applcn available from 14/09/09 to 03/10/09.
Fees Rs:1000/-
Last Date 12/10/09...

ALL ABOUT SWINEFLU.. PREGNANCY MEDICATIONS

Pregnant women
Oseltamivir and zanamivir are "Pregnancy Category C" medications, indicating that no clinical studies have been conducted to assess the safety of these medications in pregnant women.
Because of the unknown effects of influenza antiviral drugs on pregnant women and their fetuses, oseltamivir or zanamivir should be used during pregnancy only if the potential benefit justifies the potential risk to the embryo or fetus; the manufacturers' package inserts should be consulted. However, no adverse effects have been reported among women who received seltamivir or zanamivir during pregnancy or among infants born to women who have received oseltamivir or zanamivir.
Pregnancy should not be considered a contraindication to oseltamivir or zanamivir use. Because zanamivir is an inhaled medication and has less systemic absorption, some experts prefer zanamivir over oseltamivir for use in pregnant women, when feasible.

ALL ABOUT SWINEFLU..ANTIVIRAL AGENTS

Drugs indicated for treatment of H1N1 influenza A virus include neuraminidase inhibitors (ie, oseltamivir and zanamivir).
Oseltamivir (Tamiflu)
Oseltamivir inhibits neuraminidase, which is a glycoprotein on the surface of influenza virus that destroys an infected cell's receptor for viral hemagglutinin. By inhibiting viral neuraminidase, this agent decreases the release of viruses from infected cells and, thus, viral spread. Oseltamivir is effective in the treatment of influenza A or B and must be administered within 48 hours of symptom onset to provide optimal treatment. The sooner the drug is administered after symptom onset, the better the likelihood of a good outcome. However, some studies of treatment of seasonal influenza have indicated benefit, including reductions in mortality or duration of hospitalization even for patients whose treatment was started more than 48 hours after illness onset.22 Oseltamivir reduces the length of illness by an average of 1.5 days. (In a subgroup of high-risk patients, illness was reduced by 2.5 d.) In addition, the severity of symptoms is also reduced.
Duration of administration for treatment is 5 days. Postexposure prophylaxis should be initiated within 7 d of exposure and continued for at least 10 days. Pre-exposure prophylaxis should be initiated during potential exposure period and continue for 10 days after last known exposure.22
Oseltamivir is available as 30-mg, 45-mg, and 75-mg oral capsules and as a powder for suspension that contains 12 mg/mL after reconstitution.
• Adult dose
o Treatment for acute illness: 75 mg PO bid for 5 d
o Prophylaxis: 75 mg PO qd (Please refer to duration of prophylaxis specific for postexposure.)
• Pediatric dose
o Treatment for acute illness and age <1 year
 <3 months: 12 mg PO bid for 5 d
 3-5 months: 20 mg PO bid for 5 d
 6-11 months: 25 mg PO bid for 5 d
o Treatment for acute illness and age >1 year
 <15 kg: 30 mg PO bid for 5 d
 15-23 kg: 45 mg PO bid for 5 d
 23-40 kg: 60 mg PO bid for 5 d
 >40 kg: Administer as in adults
o Prophylaxis and age <1 year
 <3 months: Data limited; not recommended unless situation judged critical
 3-5 months: 20 mg PO qd
 6-11 months: 25 mg PO qd
o Prophylaxis and age >1 year
 <15 kg: 30 mg PO qd
 15-23 kg: 45 mg PO qd
 23-40 kg: 60 mg PO qd
 >40 kg: Administer as in adults
Zanamivir (Relenza)
Zanamivir inhibits neuraminidase, which is a glycoprotein on the surface of the influenza virus that destroys the infected cell's receptor for viral hemagglutinin. By inhibiting viral neuraminidase, release of viruses from infected cells and viral spread are decreased. Zanamivir is effective against both influenza A and B. The preparation of zanamivir is in powder form for inhalation via the Diskhaler oral inhalation device. Circular foil discs that contain 5-mg blisters of drug are inserted into the supplied inhalation device. Individuals with asthma or other respiratory conditions that may decrease ability to inhale drug should be given oseltamivir.
• Adult dose
o Treatment for acute illness: 10 mg inhaled orally bid for 5 d
o Prophylaxis of household contact: 10 mg inhaled orally qd for 10 d (initiate within 36 h)
o Prophylaxis for community outbreak: 10 mg inhaled orally qd for 28 d (initiate within 5 d of outbreak)
• Pediatric dose
o Treatment for acute illness
 <7 years: Not established
 >7 years: Administer as in adults
o Prophylaxis in household contact
 <5 years: Not established
 >5 years: Administer as in adults
o Prophylaxis in community outbreak
 Adolescents 12-16 years: Administer as in adults

ALL ABOUT SWINEFLU..medications

Laboratory testing has found the H1N1 influenza A (swine flu) virus susceptible to the prescription antiviral drugs oseltamivir and zanamivir, and the CDC has issued interim guidance for the use of these drugs to treat and prevent infection with swine influenza viruses.22,23 As part of its preparation for the emergency, the US Department of Homeland Security is releasing 25% of stockpiled antiviral agents (ie, oseltamivir [Tamiflu], zanamivir [Relenza]).
The usual vaccine for influenza administered at the beginning of the flu season is not effective for this viral strain. Also, other antiviral agents (eg, amantadine, rimantadine) are not recommended because of recent resistance to other influenza strains documented over the past several years.
Basic supportive care (ie, hydration, analgesics, cough suppressants) should be prescribed. Empiric antiviral treatment should be considered for confirmed, probable, or suspected cases of H1N1 influenza. Treatment of hospitalized patients and patients at higher risk for influenza complications should be prioritized.
Initiation of antiviral agents within 48 hours of symptom onset is imperative for providing treatment efficacy against influenza virus. In studies of seasonal influenza, evidence for benefits of treatment is strongest when treatment is started within 48 hours of illness onset. However, some studies of treatment of seasonal influenza have indicated benefit, including reductions in mortality or duration of hospitalization, even in patients in whom treatment was started more than 48 hours after illness onset. The recommended duration of treatment is 5 days.22,23
• Prophylaxis with antiviral agents should also be considered in the following individuals (pre-exposure or postexposure):
o Close household contacts of a confirmed or suspected case who are at high risk for complications (eg, chronic medical conditions, persons >65 y or <5 y, pregnant women)
o School children at high risk for complications who have been in close contact with a confirmed or suspected case
o Travelers to Mexico who are at high risk for complications (eg, chronic medical conditions, persons >65 y or <5 y, pregnant women)
o Health care providers or public health workers who were not using appropriate personal protective equipment during close contact with a confirmed or suspected case
• Pre-exposure prophylaxis can be considered in the following persons:
o Any health care provider who is at high risk for complications (eg, persons with chronic medical conditions, adults >65 y, pregnant women)
o Individuals not considered to be at high risk but who are nonetheless traveling to Mexico, first responders, or border workers who are working in areas with confirmed cases

ALL ABOUT SWINEFLU..treatment recommendations..

Treatment is largely supportive and consists of bedrest, increased fluid consumption, cough suppressants, and antipyretics and analgesics (eg, acetaminophen, nonsteroidal anti-inflammatory drugs) for fever and myalgias. Severe cases may require intravenous hydration and other supportive measures. Antiviral agents may also be considered for treatment or prophylaxis (see Medications).
Patients should be encouraged to stay home if they become ill, to avoid close contact with people who are sick, to wash their hands often, and to avoid touching their eyes, nose, and mouth. The CDC recommends the following actions when human infection with H1N1 influenza (swine flu) is confirmed in a community15 :
Home isolation
• Patients who develop flulike illness (ie, fever with either cough or sore throat) should be strongly encouraged to self-isolate in their home for 7 days after the onset of illness or at least 24 hours after symptoms have resolved, whichever is longer.
• To seek medical care, patient should contact their health care providers to report illness (by telephone or other remote means) before seeking care at a clinic, physician's office, or hospital.
• Patients who have difficulty breathing or shortness of breath or who are believed to be severely ill should seek immediate medical attention.
• If the patient must go into the community (eg, to seek medical care), he or she should wear a face mask to reduce the risk of spreading the virus in the community when coughing, sneezing, talking, or breathing. If a face mask is unavailable, ill persons who need to go into the community should use tissues to cover their mouth and nose while coughing.
• While in home isolation, patients and other household members should be given infection control instructions, including frequent hand washing with soap and water. Use alcohol-based hand gels (containing at least 60% alcohol) when soap and water are not available and hands are not visibly dirty. Patients with H1N1 influenza should wear a face mask when within 6 feet of others at home.
Household contacts who are not ill
• Remain home at the earliest sign of illness.
• Minimize contact in the community to the extent possible.
• Designate a single household family member as caregiver for the patient to minimize interactions with asymptomatic persons.
School dismissal and childcare facility closure
• Strong consideration should be given to close schools upon a confirmed case of H1N1 flu or a suspected case epidemiologically linked to a confirmed case.
• Decisions regarding broader school dismissal within these communities should be left to local authorities, taking into account the extent of influenzalike illness within the community.
• Cancelation of all school or childcare related gatherings should also be announced.
• Encourage parents and students to avoid congregating outside of the school if school is canceled.
• Duration of schools and childcare facilities closings should be evaluated on an ongoing basis depending on epidemiological findings.
• Consultation with local or state health departments is essential for guidance concerning when to reopen schools. If no additional confirmed or suspected cases are identified among students (or school-based personnel) for a period of 7 days, schools may consider reopening.
• Schools and childcare facilities in unaffected areas should begin preparation for possible school closure.
Social distancing
• Large gatherings linked to settings or institutions with laboratory-confirmed cases should be canceled (eg, sporting events or concerts linked to a school with cases); other large gatherings in the community may not need to be canceled at this time.
• Additional social distancing measures are currently not recommended.
• Persons with underlying medical conditions who are at high risk for complications of influenza should consider avoiding large gatherings.
Patient education
Patients should be referred to the eMedicine Health article Swine Flu.
Preventive measures for health care personnel
The CDC has issued interim recommendations for controlling the spread of H1N1 influenza in health care settings.20 Recommended measures for care of patients with suspected or confirmed H1N1 influenza include the following:
• Place patients in a single-patient room with the door kept closed. An airborne-infection isolation room with negative-pressure air handling can be used, if available. Air can be exhausted directly outside or can be recirculated after filtration by a high efficiency particulate air (HEPA) filter.
• Suctioning, bronchoscopy, or intubation should be performed in a procedure room with negative-pressure air handling.
• Patients should wear a surgical mask when outside their room.
• Encourage patients to wash their hands frequently and to follow respiratory hygiene practices. Cups and other utensils used by the ill person should be washed with soap and water before use by other persons.
• Routine cleaning and disinfection strategies used during influenza seasons can be applied.
• Standard, droplet, and contact precautions should be used for all patient care activities and maintained for 7 days after illness onset or until symptoms have resolved.
• Health care personnel should wash their hands with soap and water or use hand sanitizer immediately after removing gloves and other equipment and after any contact with respiratory secretions.
• Personnel providing care to or collecting clinical specimens from patients should wear disposable nonsterile gloves, gowns, and eye protection (eg, goggles) to prevent conjunctival exposure.
• As per previous recommendations regarding mask and respirator use during influenza pandemics, personnel engaged in aerosol-generating activities (eg, collection of clinical specimens, endotracheal intubation, nebulizer treatment, bronchoscopy) and/or resuscitation involving emergency intubation or cardiac pulmonary resuscitation should wear a fit-tested disposable N95 respirator.
• Pending clarification of transmission patterns for the 2009 H1N1 influenza A (swine flu) virus, personnel providing direct patient care for suspected or confirmed cases should wear a fit-tested disposable N95 respirator when entering the patient's room.
H1N1 influenza in pregnancy
As of May 10, 2009, a total of 20 cases of novel influenza A (H1N1) virus (swine flu) infection had been reported among pregnant women in the United States, including 15 confirmed cases and 5 probable cases. Among the 13 women from 7 states for whom data are available, the median age was 26 years (range, 15-39 y); 3 women were hospitalized, one of whom died.
Pregnant women with confirmed, probable, or suspected novel influenza A (H1N1) virus infection should receive antiviral treatment for 5 days. Oseltamivir is the preferred treatment for pregnant women, and the drug regimen should be initiated within 48 hours of symptom onset, if possible. Pregnant women who are in close contact with a person with confirmed, probable, or suspected novel influenza A (H1N1) infection should receive a 10-day course of chemoprophylaxis with zanamivir or oseltamivir.

ALL ABOUT SWINEFLU...Viral Strain and Testing

Outbreaks of H1N1 influenza (swine flu) are common in pigs year-round. Historically, when humans have become infected, it is a result of close contact with infected pigs (but not consumption of pork). However, the current virus is a novel influenza A (H1N1) virus not previously identified in humans, and it appears to be spread by human-to-human transmission. The WHO has raised its pandemic alert level for H1N1 influenza to phase 6, which means that community-level outbreaks are in at least one additional country in a different WHO region from phase 5. A global pandemic is under way.
n the current 2009 outbreak in the United States, preliminary testing has shown that, in all cases, the viruses have the same genetic pattern. The virus is being described as a new subtype of influenza A/H1N1 not previously detected in pigs or humans.
Clinicians should consider the possibility of H1N1 influenza virus infections in patients who present with febrile respiratory illness. The CDC criteria for suspected H1N1 influenza are as follows :
• Onset of acute febrile respiratory illness within 7 days of close contact with a person who has a confirmed case of H1N1 influenza A virus infection, or
• Onset of acute febrile respiratory illness within 7 days of travel to a community (within the United States or internationally) where one or more H1N1 influenza A cases have been confirmed, or
• Acute febrile respiratory illness in a person who resides in a community where at least one H1N1 influenza case has been confirmed.
If H1N1 flu is suspected, the clinician should obtain a respiratory swab for H1N1 influenza testing and place it in a refrigerator (not a freezer). Once collected, the clinician should contact his or her state or local health department to facilitate transport and timely diagnosis at a state public health laboratory.
Laboratories should send all influenza A specimens that they are unable to subtype to the Viral Surveillance and Diagnostic Branch of the CDC's Influenza Division as soon as possible for further diagnostic testing.
Viral tracking and research
Internationally, scientists have been collaborating on genetic analysis of current animal and human influenza viruses. These researchers have created a human/swine A/H1N1 influenza wiki to facilitate rapid dissemination of the results of this work. The collaboration is producing insights on the origin of the H1N1 virus and should enable scientists to track its evolution as the outbreak spreads around the world. Information from the National Institute of Allergy and Infectious Disease regarding influenza genome sequencing is available to researchers studying how influenza viruses evolve and those developing new and improved ways to prevent, diagnose, and treat influenza disease.

ALL ABOUT SWINEFLU.. symptoms

Symptoms
Manifestations of H1N1 influenza (swine flu) are similar to those of seasonal influenza. Patients present with symptoms of acute respiratory illness, including at least 2 of the following:
• Fever
• Cough
• Sore throat
• Body aches
• Headache
• Chills and fatigue
• Diarrhea and vomiting (possible)
Persons with these symptoms should call their health care provider promptly. If an antiviral agent is warranted, it should ideally be initiated with 48 hours from the onset of symptoms (see Medications). The duration of illness is typically 4-6 days. The infectious period for a confirmed case is defined as 1 day prior to the onset of symptoms to 7 days after onset.
In children, signs of severe disease include apnea, tachypnea, dyspnea, cyanosis, dehydration, altered mental status, and extreme irritability.

all about swineflu... mortality

H1N1 influenza (swine flu) tends to cause high morbidity but low mortality rates (1%-4%).

ALL ABOUT SWINEFLU.. history

Current H1N1 influenza (formerly called swine influenza) outbreak::

Human cases of influenza A (H1N1) have been reported worldwide. In 2009, cases of influenzalike illness were first reported in Mexico on March 18; the outbreak was subsequently confirmed as H1N1 influenza A.7 Investigation is continuing to clarify the spread and severity of H1N1 influenza (swine flu) in Mexico. Suspected clinical cases had been reported in 19 of the country's 32 states. Although only 97 of the Mexican cases had been laboratory-confirmed as Influenza A/H1N18 (12 of them genetically identical to Influenza A/H1N1 viruses from California7 ). As of May 5th, 2009, nearly 600 H1N1 influenza cases had been confirmed in Mexico, including 25 deaths.9
On April 17, 2009, the CDC determined that two cases of febrile respiratory illness in children who resided in adjacent counties in southern California were caused by infection with a swine influenza A (H1N1) virus.10 By April 26, 2009, the US Department of Health and Human Services declared a national public health emergency involving H1N1 influenza A, citing its significant potential to affect national security.11 By June 25, 2009, 27,717 lab-defined cases of H1N1 influenza had been confirmed in the United States.8,12,13,14 As of June 25, 2009, over 3,000 hospitalizations and 127 deaths had been attributed to H1N1 flu in the United States.12
For an updated tally and case counts in specific states, see the CDC's H1N1 Flu (Swine Flu) Web page.
As of late June 2009, the World Health Organization (WHO) reported that H1N1 influenza had been confirmed in almost 60,000 people in more than 100 countries and that they are aware of 263 deaths confirmed to have been caused by the disease. On June 11, 2009, WHO raised the pandemic alert level to phase 6 (indicating a global pandemic) because of widespread infection beyond North America to Australia, the United Kingdom, Argentina, Chile, Spain, and Japan.8 For an updated tally of affected countries and counts, see WHO's Influenza A (H1N1) Web page.

ALL ABOUT SWINE FLU...Introduction

Swine influenza is a highly contagious respiratory disease in pigs caused by one of several swine influenza A viruses. In addition, influenza C viruses may also cause illness in swine. Current strategies to control swine influenza virus (SIV) in animals typically include one of several commercially available bivalent swine influenza virus vaccines.

Transmission of swine influenza viruses to humans is uncommon. However, the swine influenza virus can be transmitted to humans via contact with infected pigs or environments contaminated with swine influenza viruses. Once a human becomes infected, he or she can then spread the virus to other humans, presumably in the same way as seasonal influenza is spread (ie, via coughing or sneezing)

Sunday, September 13, 2009

search rapidshare for medical buks n softwares...

free medical book

go for www.rsfind.com and type the book name and see....

Thoracoacromiol

Lateral thoracic

Subscapular

Anterior circumflex humeral

Posterior circumflex humeral

Aortic arch: major branch order

"Know your ABC'S":

Aortic arch gives rise to:

Brachiocephalic trunk

left Common Carotid

left Subclavian

Beware though trick question of 'What is first branch of aorta?' Technically, it's the coronary arteries.

Meckel's diverticulum details

2 inches long.

2 feet from end of ileum.

2 times more common in men.

2% occurrence in population.

2 types of tissues may be present.

Note: "di-" means "two", so diverticulum is the thing with all the twos.

Duodenum: lengths of parts

"Counting 1 to 4 but staggered":

1st part: 2 inches

2nd part: 3 inches

3rd part: 4 inches

4th part: 1 inch

Diaphragm apertures: spinal levels

Aortic hiatus = 12 letters = T12

Oesophagus = 10 letters = T10

Vena cava = 8 letters = T8

Saturday, September 26, 2009

Tuesday, September 22, 2009

Thursday, September 17, 2009

Tuesday, September 15, 2009

Monday, September 14, 2009

Sunday, September 13, 2009

free medical book

go for www.rsfind.com and type the book name and see....

Labels

Development of heart takes place during ___week?? (jipmer90)

What is Pentology Of Fallot? (AI07)

Medical Basket

MEMBERS

Blog Archive

Search This Blog