सरकार को चाहिए कि खुद स्वास्थ्य केंद्रों के संचालन की बजाय वह स्वास्थ्य बीमा का दायरा विस्तृत करे। मजबूत कानून तथा मापदंडों के चलते यदि स्वास्थ्य बीमा का व्यापक विस्तार हो, तो जनता सरकारी या निजी क्षेत्र से चिकित्सा सुविधाएं प्राप्त करने में कहीं अधिक सक्षम हो सकेगी।
आज के हिन्दुस्तान दैनिक में प्रकाशित मेरा आलेख: स्वास्थ्य सेवा की सुध लेने का समय
विस्तार में पढने के लिऐ: http://epaper.livehindustan.com/story.aspx?id=174553&boxid=29349096&ed_date=2015-03-18&ed_code=1&ed_page=10
Time has come that India catches up with an alternative model of allocating resources and funding to its public health programs and provide health insurance to its citizens.
My piece published on March 17, 2015 in ‘The Pioneer’ on why the Government instead of running its own health facilities, should consider providing health insurance to its citizens: Providing effective health cover
To read the full article please click on the web link: http://www.dailypioneer.com/columnists/oped/providing-effective-health-cover.html
The Pioneer dated March 10, 2015 published my analysis of the basic health care delivery models that are prevalent in the world and how India can improve its healthcare system: Universal healthcare for India
To read the article please click on the web link: http://www.dailypioneer.com/columnists/oped/universal-healthcare-for-india.html
Delhi’s crumbling health care system needs overhaul and some out of the box ideas.While, increasing budgetary spending on health will definitely help, there could be several other ways to meet the need.
My piece in Indian Express published today – Healthcare challenges to new government in Delhi:
October 24: Today is World Polio Day. Today marks the duration of India being polio-free since three consecutive years. It is, indeed, a historic day for our country!
In India, the oral polio vaccine was introduced in 1985 in the Universal Immunization Program at a time when India was reporting almost 200,000 cases of polio annually (as per estimates of the Indian Academy of Pediatrics). However, with the introduction of Pulse Polio Program in 1995, the scenario started changing quickly. But, polio continued to trick us. Until the year 2009, almost fifty percent of the reported case globally were from India. Therefore, looking at the chronology of the polio disease, Pulse Polio program is a truly a success story that we can take pride in.
But, we must not sit on laurels! Continued surveillance is the key. Prevention of the disease with oral polio drops in pulses (that is, Pulse Polio program) must continue nationwide. This is also the right time to introduce injectable pulse polio vaccine (killed vaccine, also called Salk vaccine). The latter is the norm where polio is not prevalent. The killed vaccine is easy to store and the biggest advantage is that it does not cause vaccine-induced paralytic polio disease. With the oral vaccine (which is a live vaccine), the polio disease can actually happen- as an adverse effect- though it is extremely rare.
Polio continues to be a fixture in our neighboring countries of Afghanistan and Pakistan. This can upset our apples’ cart. Thus, there is also need to continue efforts, collaboration with world health agencies so that we see the end of Polio from the earth. Remember, polio is 100 % eradicable disease. It is doable.
Euthanasia = Good death!
I had penned down this article on Euthanasia which appeared in the Times of India news paper on July 28, 2014.
To read, please click at the Link.
There are some concerns as to how to obtain a wholesome diet if someone is a vegetarian.
I will consider a few points here.
1. Proteins from animal sources (meat, chicken) have a high biological value (B V). The proteins in cereals and legumes have a lower BV. For those vegetarians,who are not averse to eating eggs, this fact is compensated to some extent. Soybeans has the highest percentage of proteins amongst all cereals and legumes, thus more consumption is indicated.
2. Vitamin B12 comes from animal sources (meat). It is not found in vegetable sources. While milk and milk products do provide B12, for vegans (who consider even milk out because it comes from animals) this source is also out. The answer is fortified foods, like cereals which will give you B12.
3. Fish is considered nutritious because it provides rich amounts of proteins and omega-3 fatty acids. For the vegetarians, walnuts (akhrot) and vegetable oils like canola oils will give you omega -3.
4. One aspect about milk is worth mentioning. Although milk is a considered a wholesome item, it is not a good source of iron.
1. Prune Belly syndrome is also called Eagle Barrett Syndrome. Main features: hypoplasia of abdominal musculature, cryptorchidism.
2. HIDA Scan:
A HIDA scan is an imaging test used to examine the gallbladder and the ducts leading into and out of the gallbladder. In this test, also referred to as cholescintigraphy, the patient receives an intravenous injection of a radioactive material called hydroxy iminodiacetic acid (HIDA). The HIDA material is taken up by the liver and excreted into the biliary tract. In a healthy person, HIDA will pass through the bile ducts and into the cystic duct to enter the gallbladder. It will also pass into the common bile duct and enter the small intestine, from which it eventually makes its way out of the body in the stool.
HIDA imaging is done by a nuclear scanner, which takes pictures of the patient’s biliary tract over the course of about two hours. The images are then examined by a radiologist, who interprets the results. It is generally a very safe test and is well tolerated by most patients.
Indications for GH therapy:
A] GH- deficiency
B] Non- GH-deficient conditions:
1. SGA (small for gestational age)
2. Ch renal failure
3. Turner syndrome, Prader- Willi
4. Idiopathic short stature: most controversial
Side effects of GH:
1. Pseudo-tumor cerebri
2. arthralgia, myalgia
5. SCFE (slipped capital femoral epiphysis)