This document provides a summary of Dr. Vikram Cleophas's curriculum vitae. It outlines his extensive training and experience in general medicine, which includes postgraduate degrees in internal medicine, fellowships in gastroenterology and hepatology, and positions as a lecturer, senior resident, and general physician in India and Saudi Arabia. It also lists his publications and experience opening private medical clinics.
Consensus Guidelines For The Management Of Chronic Pelvic PainEliana Cordero
The document provides clinical practice guidelines from the Society of Obstetricians and Gynaecologists of Canada (SOGC) for the management of chronic pelvic pain (CPP). It includes:
1) An overview of CPP, including its burden and complex multifactorial causes.
2) Recommendations across various areas of CPP management, including general assessment, myofascial pain, medications, imaging, and multidisciplinary care.
3) Evidence and guidelines related to specific sources of CPP, such as endometriosis, adnexal torsion, hysterectomy, and interstitial cystitis.
4) Emphasis on the need for improved education of healthcare professionals and research
This document summarizes a study of 233 cases of abdominal tuberculosis treated at a hospital in Pakistan from 2003-2008. Some key findings include:
- The average age was 28 years and most patients were from poor families.
- The most common presentation was acute abdomen (67%), requiring emergency surgery. Common surgical findings included intestinal strictures (69%).
- Most cases involved the ileocecal region and presented as intestinal obstructions.
- The majority of cases were considered primary abdominal tuberculosis, though some had a history of pulmonary TB.
- Most patients required hospitalization, with an average stay of 19.5 days. The in-hospital mortality rate was 2.1%.
Mohammed Ibrahim Tarawneh is a family medicine consultant with over 25 years of experience in primary healthcare in Jordan. He has extensive experience in management, having directed several hospitals and healthcare programs. He also has a background in humanitarian work, having led medical teams in disaster areas. Tarawneh has been actively involved in family medicine organizations, having served as president of WONCA EMR and participated in numerous conferences. He maintains an active private practice in addition to his consulting work.
Gregory C. Utz is a US Navy Captain retiring in April 2016 with 29 years of experience in medical leadership roles. He has extensive experience as a physician, researcher, and director of medical operations in international settings in Asia, South America, Africa, and the Middle East. He is seeking a new civilian position upon his retirement from the Navy.
This case study analyzes a 16-year-old male patient admitted to the Philippine Orthopedic Center with a fractured left foot from a vehicular accident. The patient underwent surgery to repair fractures of the 5th, 1st, 2nd, and 3rd metatarsals and 2nd metatarsal head. Diagnostic tests revealed the fractures and ruled out infection or inflammation. The patient is being treated medically with antibiotics, analgesics, and ulcer medications and is recovering from surgery with a slipper mold. The case study aims to evaluate the patient's condition and formulate an appropriate nursing care plan.
clinical distribution and molecular profiling on postoperative colorectal can...LucyPi1
Abstract
Background: Traditional Chinese medicine (TCM) syndrome, also named syndrome, are comprehensive and
integral analyses of clinical information which helps to guide different individualized treatment prescriptions.
Methods: Thirty healthy controls and 80 colorectal cancer (CRC) patients (including 33 Spleen Qi Deficiency
syndrome, 23 Dampness Heat syndrome, 17 Blood Stasis syndrome and 7 other syndrome) were enrolled into this
study. Human mRNAs were extracted from peripheral blood mononuclear cells. The gene expression for CRC
patients with different TCM syndrome was determined by microarray and qRT-PCR. Results: Spleen Qi Deficiency,
Dampness Heat and Blood Stasis were the most common syndromes in CRC patients. There is a significant
difference was found in mRNA expression levels (especially for PIK3CA, STAT3, SOX9 and KDM5C) among
Spleen Qi Deficiency, Dampness Heat and Blood Stasis syndrome groups. The higher mRNA levels of JNK1, TP53,
MLH1, MSH6, PMS2, SOCS3, TCF7L2, FAM123B, PSAP, FBXW7, SALL4 and the lower expression of
inflammatory cytokine IL-6 were found in Spleen Qi Deficiency group but not other syndrome types. The higher
mRNA levels of KRAS, MUC16, EGFR, GRASP65, PIK3CA, MAPK7, CD24, STAT3, SLC11A1, Bcl-2, TXNDC17
and some inflammatory cytokines (IL-6, IL-23, TNF-a, CXCR4) were found in Dampness Heat group but not other
syndrome types. Blood Stasis syndrome showed higher expression of SOX9, MLH1, MSH6, KDM5C, PCDH11X,
PSAP and SALL4, and lower mRNA levels of PIK3CA, CD24, STAT3, CXCR4, TXNDC17 and TP53. The CRC
patients with Dampness Heat syndrome might have a poor prognosis than other syndrome types. Conclusion: The
identification of syndrome conditions had different impacts on CRC prognosis, and which might be related with
different mRNA expression levels. Some oncogenes and pro-inflammatory cytokines were highly expressed in
Dampness Heat group but not other syndrome types, suggesting that the CRC patients with Dampness Heat
syndrome might have a poor prognosis. Our results prelimitarily uncovered the molecular basis of syndrome
differences in CRC prognosis, a better understanding for TCM treatment of CRC.
HISTORY OF 3-STEP LADDER WHO
1980 – WHO establishes Cancer Control Programme
Cancer prevention
Early diagnosis with curative treatment
Pain relief and palliative care
1986 – ” Cancer Pain Relief “ published by WHO
Step Ladder WHO
Updated on 1996
Worldwide acceptance protocol
Today, worldwide consensus favouring its used for management of all pain associated with serious illness
This document provides an overview of head and neck cancer rehabilitation from a physical therapy perspective. It defines head and neck cancers and discusses their prevalence in India. It describes the side effects of cancer treatments that rehabilitation addresses, such as pain, fatigue, lymphedema, shoulder dysfunction, and swallowing difficulties. The role of physical therapy in rehabilitation is to prevent impairments, restore function, and improve quality of life through exercises, manual therapy, education and more. The cancer rehabilitation team works to restore independence through a variety of interventions depending on each patient's individual problems.
Consensus Guidelines For The Management Of Chronic Pelvic PainEliana Cordero
The document provides clinical practice guidelines from the Society of Obstetricians and Gynaecologists of Canada (SOGC) for the management of chronic pelvic pain (CPP). It includes:
1) An overview of CPP, including its burden and complex multifactorial causes.
2) Recommendations across various areas of CPP management, including general assessment, myofascial pain, medications, imaging, and multidisciplinary care.
3) Evidence and guidelines related to specific sources of CPP, such as endometriosis, adnexal torsion, hysterectomy, and interstitial cystitis.
4) Emphasis on the need for improved education of healthcare professionals and research
This document summarizes a study of 233 cases of abdominal tuberculosis treated at a hospital in Pakistan from 2003-2008. Some key findings include:
- The average age was 28 years and most patients were from poor families.
- The most common presentation was acute abdomen (67%), requiring emergency surgery. Common surgical findings included intestinal strictures (69%).
- Most cases involved the ileocecal region and presented as intestinal obstructions.
- The majority of cases were considered primary abdominal tuberculosis, though some had a history of pulmonary TB.
- Most patients required hospitalization, with an average stay of 19.5 days. The in-hospital mortality rate was 2.1%.
Mohammed Ibrahim Tarawneh is a family medicine consultant with over 25 years of experience in primary healthcare in Jordan. He has extensive experience in management, having directed several hospitals and healthcare programs. He also has a background in humanitarian work, having led medical teams in disaster areas. Tarawneh has been actively involved in family medicine organizations, having served as president of WONCA EMR and participated in numerous conferences. He maintains an active private practice in addition to his consulting work.
Gregory C. Utz is a US Navy Captain retiring in April 2016 with 29 years of experience in medical leadership roles. He has extensive experience as a physician, researcher, and director of medical operations in international settings in Asia, South America, Africa, and the Middle East. He is seeking a new civilian position upon his retirement from the Navy.
This case study analyzes a 16-year-old male patient admitted to the Philippine Orthopedic Center with a fractured left foot from a vehicular accident. The patient underwent surgery to repair fractures of the 5th, 1st, 2nd, and 3rd metatarsals and 2nd metatarsal head. Diagnostic tests revealed the fractures and ruled out infection or inflammation. The patient is being treated medically with antibiotics, analgesics, and ulcer medications and is recovering from surgery with a slipper mold. The case study aims to evaluate the patient's condition and formulate an appropriate nursing care plan.
clinical distribution and molecular profiling on postoperative colorectal can...LucyPi1
Abstract
Background: Traditional Chinese medicine (TCM) syndrome, also named syndrome, are comprehensive and
integral analyses of clinical information which helps to guide different individualized treatment prescriptions.
Methods: Thirty healthy controls and 80 colorectal cancer (CRC) patients (including 33 Spleen Qi Deficiency
syndrome, 23 Dampness Heat syndrome, 17 Blood Stasis syndrome and 7 other syndrome) were enrolled into this
study. Human mRNAs were extracted from peripheral blood mononuclear cells. The gene expression for CRC
patients with different TCM syndrome was determined by microarray and qRT-PCR. Results: Spleen Qi Deficiency,
Dampness Heat and Blood Stasis were the most common syndromes in CRC patients. There is a significant
difference was found in mRNA expression levels (especially for PIK3CA, STAT3, SOX9 and KDM5C) among
Spleen Qi Deficiency, Dampness Heat and Blood Stasis syndrome groups. The higher mRNA levels of JNK1, TP53,
MLH1, MSH6, PMS2, SOCS3, TCF7L2, FAM123B, PSAP, FBXW7, SALL4 and the lower expression of
inflammatory cytokine IL-6 were found in Spleen Qi Deficiency group but not other syndrome types. The higher
mRNA levels of KRAS, MUC16, EGFR, GRASP65, PIK3CA, MAPK7, CD24, STAT3, SLC11A1, Bcl-2, TXNDC17
and some inflammatory cytokines (IL-6, IL-23, TNF-a, CXCR4) were found in Dampness Heat group but not other
syndrome types. Blood Stasis syndrome showed higher expression of SOX9, MLH1, MSH6, KDM5C, PCDH11X,
PSAP and SALL4, and lower mRNA levels of PIK3CA, CD24, STAT3, CXCR4, TXNDC17 and TP53. The CRC
patients with Dampness Heat syndrome might have a poor prognosis than other syndrome types. Conclusion: The
identification of syndrome conditions had different impacts on CRC prognosis, and which might be related with
different mRNA expression levels. Some oncogenes and pro-inflammatory cytokines were highly expressed in
Dampness Heat group but not other syndrome types, suggesting that the CRC patients with Dampness Heat
syndrome might have a poor prognosis. Our results prelimitarily uncovered the molecular basis of syndrome
differences in CRC prognosis, a better understanding for TCM treatment of CRC.
HISTORY OF 3-STEP LADDER WHO
1980 – WHO establishes Cancer Control Programme
Cancer prevention
Early diagnosis with curative treatment
Pain relief and palliative care
1986 – ” Cancer Pain Relief “ published by WHO
Step Ladder WHO
Updated on 1996
Worldwide acceptance protocol
Today, worldwide consensus favouring its used for management of all pain associated with serious illness
This document provides an overview of head and neck cancer rehabilitation from a physical therapy perspective. It defines head and neck cancers and discusses their prevalence in India. It describes the side effects of cancer treatments that rehabilitation addresses, such as pain, fatigue, lymphedema, shoulder dysfunction, and swallowing difficulties. The role of physical therapy in rehabilitation is to prevent impairments, restore function, and improve quality of life through exercises, manual therapy, education and more. The cancer rehabilitation team works to restore independence through a variety of interventions depending on each patient's individual problems.
Background: Traditionally, Patients are not given fl uids or food after abdominal surgery until bowel functions returns, as by bowel sounds, passage of flatus or stool, or a feeling of hunger, Early versus Traditional oral hydration have been studied to evaluate prospectively the benefits and safety of early hydration on bowel movement after Cesarean Section.
Aim of the work: To evaluate prospectively the benefits and safety of early hydration on bowel movement after Cesarean Section.
This document provides an overview and introduction to the book "Surgery: Complications, Risks and Consequences" edited by Brendon J. Coventry. The book aims to provide comprehensive information on over 250 surgical procedures and their associated complications to help surgeons better inform patients and improve outcomes. It includes descriptions of procedures, estimated frequencies of complications, and discussions of major complications. The book is intended to be a resource for clinicians to gain a better understanding of risks and to assist in surgical risk management and the informed consent process.
Comparison Between Antiviral Combination Therapies Against Hepatitis C Virus ...Mohammed Fathy Zaky
This document appears to be a thesis submitted for a degree from the Faculty of Medicine at Ain Shams University in Egypt. It summarizes a clinical study that compared the efficacy and safety of different antiviral combination therapies for hepatitis C virus genotype 4 in 1000 Egyptian patients. The study found overall sustained virological response rates above 95% for all treatment regimens. Sofosbuvir combined with ledipasvir or daclatasvir showed the highest response rates, while sofosbuvir with pegylated interferon and ribavirin showed the lowest. Baseline factors like higher albumin, platelets and lower bilirubin, AFP, and fibrosis scores predicted treatment success.
This document discusses rehabilitation for cancer patients. It describes how physical medicine and rehabilitation aims to restore and maintain function and quality of life for cancer patients and survivors. The rehabilitation team typically includes a physiatrist and physical or occupational therapists. Complications from cancer and its treatment that rehabilitation addresses include issues affecting the neuromuscular, skeletal, and lymphatic systems. Rehabilitation interventions can include therapeutic exercise, modalities like heat and cold therapy, orthotics, non-pharmacological pain management, and assistive devices. The overall goal is to improve patients' physical and functional abilities and independence.
This study compared the effectiveness of gonadotropin-releasing hormone agonist (GnRHa) treatment versus hysterectomy for premenopausal women over 45 years old with symptomatic uterine fibroids. GnRHa treatment significantly reduced fibroid symptoms and volume in 88% of patients over 24 months, though 22% required additional cycles. Neither treatment had a significant effect on female sexual function based on standardized assessments.
Presentazione a cura del Professor Franco Scaldaferri - M.A.S.T.E.R. ECM in Gastroenterologia: Approccio personalizzato alla complessità in Gastroenterologia - Fondazione Santa Lucia - Roma 19/01/2018
This document provides brief biographies of several notable individuals associated with the University of Michigan Medical School, including their backgrounds, careers, and major accomplishments. It describes Keith Black as a pioneering neurosurgeon and researcher in brain tumors. It outlines Benjamin Carson's journey from poverty to becoming a renowned pediatric neurosurgeon, notably for separating conjoined twins. It also highlights Antonia Novello as the first woman and Hispanic Surgeon General, and Victor Vaughan's roles in medical education and support of eugenics policies.
This guideline presents recommendations for the management of acute pancreatitis (AP). Key recommendations include: assessing hemodynamic status upon presentation and providing resuscitation as needed; admitting patients with organ failure to intensive care; providing aggressive intravenous hydration within the first 12-24 hours; using ERCP within 24 hours for patients with AP and cholangitis; not routinely using prophylactic antibiotics for severe AP or sterile necrosis; considering infected necrosis in patients not improving after 7-10 days and using antibiotics known to penetrate pancreatic necrosis; and providing enteral nutrition for severe AP to prevent infectious complications while avoiding parenteral nutrition.
Introduction to Medical surgical nursingAnil patidar
- Medical-surgical nursing evolved from caring for adult patients in various settings to its own specialty as medicine and surgery advanced.
- The history of nursing in India dates back to 3000 BC in the Rigveda and King Ashoka established hospitals in 272 BC. Formal nursing training began in the mid-1800s with the establishment of training schools.
- In the late 1800s, the development of safer anesthetics allowed for longer surgeries and the need for specially trained nurses in surgical units. In the US, the first operating room nurse education was provided in 1876 and associations were formed in the 1900s to standardize practice and establish nursing as a profession.
This case study examines a 23-year old female patient diagnosed with ascites secondary to peritoneal tuberculosis or possible peritoneal carcinomatosis. She was admitted to the hospital in November 2012 with abdominal distention and constipation. After discharge, her symptoms persisted and she was readmitted in December 2012. The case study aims to understand the disease process and provide appropriate nursing care for patients with this condition.
1. The document provides an overview of integrative medicine, discussing definitions of primary care, healthcare trends, evidence-based treatments, and the role of complementary and alternative medicine.
2. It describes a typical day in the life of a physician, including patient cases, medical education and certification requirements, and professional positions held.
3. The future of healthcare is discussed, focusing on healthcare reform, accountable care organizations, and rewriting medical education through programs like the MS ACP at National University of Health Sciences.
Lauren Parsons has extensive clinical experience in a variety of specialties including emergency medicine, internal medicine, orthopedics, psychiatry, obstetrics/gynecology, family medicine, pediatrics, pulmonology, general surgery, and dermatology. She has a Master's degree in Physician Assistant Studies and a Bachelor's degree in Zoology/Pre-PA with a minor in Chemistry. Her duties have included performing histories and physicals, developing treatment plans, assisting in procedures, providing patient education, and more. She is certified in CPR/AED and ACLS and is a member of professional organizations.
This document summarizes trends in gastrointestinal diseases at a single institution in Korea over the past two decades from 1990 to 2006. Some key findings include:
1) Admission rates for GI diseases increased between 1990 and 2006, with gastric cancer, colon cancer, and colon adenomas/polyps becoming the most prevalent.
2) While gastric cancer rates decreased, colon cancer rates doubled over the two decades.
3) Detection and treatment of early gastric cancer and colon adenomas increased noticeably.
4) New emerging diseases included inflammatory bowel disease and gastroesophageal reflux.
The natural medicine physician plays an important role within a new healthcare paradigm focused on wellness rather than just disease treatment. Conventional medicine has had successes but also problems like high costs, side effects, and not addressing the root causes of disease. Patients increasingly seek natural medicine due to these issues with conventional care. A wellness-oriented approach to primary care that emphasizes prevention, lifestyle, and addressing underlying causes can help reduce the disease burden and rising healthcare costs crisis. Research supports that addressing modifiable risk factors through lifestyle and behavioral changes can significantly reduce mortality and morbidity from chronic diseases. Overcoming political and reimbursement barriers can help create a system that better facilitates this wellness-focused approach.
Here you find all the subject names of Doctor of Veterinary Medicine (DVM) 2ND semester, their theory and practical course contents & books
recommended.
Autoimmune pancreatitis is the pancreatic manifestation of a systemic disorder that affects various organs, including the bile duct, retroperitoneum, kidney, and parotid and lacrimal glands. It represents a recently described subset of chronic pancreatitis that is immune mediated and has unique histologic, morphologic, and clinical characteristics. A hallmark of the disease is its rapid response to corticosteroid treatment. Although still a rare disease, autoimmune pancreatitis is increasingly becoming recognized clinically, leading to evolution in the understanding of its prognosis, clinical characteristics, and treatment.
The University of Virginia Department of Medicine is hosting its 36th Annual Recent Advances in Clinical Medicine Conference from October 28-30, 2009 at the Omni Charlottesville Hotel. The conference will feature lectures on various medical specialties from allergy/immunology to psychiatry delivered by UVA faculty. Attendees will have opportunities for interactive case discussions and workshops. The goal is for attendees to learn how to better manage and evaluate patients for various clinical issues. Charlottesville provides a beautiful fall setting for the conference near Thomas Jefferson's UVA and Monticello estates.
The document provides information about the 15th International Conference on Ayurveda and Autoimmune Disorders taking place from October 9-11, 2015 in Santa Clara, California. It includes details about registration, the conference organizers and hosts, and lists 10 keynote speakers who will present on topics related to Ayurveda and autoimmune disorders.
Myanmar's First Workshop on How to Reduce Unnecessary IV/IM Vitamin Injections in Primary Care.
This presentation explain about the history, clinical, ethical and financial point of views to explain how injections effect national level. by Dr. Kyaw Thet Soe (General Practitioner)
The document discusses the Emergency Care Summary (ECS) system in Scotland. [1] The ECS extracts patient data like allergies, medications, and consent status from GP systems twice daily and makes it available to emergency departments and out-of-hours clinicians. [2] Over 5.4 million patient records are extracted, with very few opt-outs, and over 4.7 million accesses have occurred. [3] The system is being expanded to include palliative care summaries and a pilot with the Scottish Ambulance Service. Evaluations show the ECS improves patient safety and care by providing accurate medication and allergy information.
World cat powerpoint_oct_2012_changed 4lesleycarey
WorldCat is an online catalog that links the collections of over 72,000 libraries around the world. It contains over 1.9 billion items, including books, music, videos, journals, and other materials. Users can search WorldCat through their local library website or directly at worldcat.org. The tutorial provides tips for basic, advanced, and expert searching on WorldCat, and explains how to locate items within one's own library collection or request them through interlibrary loan.
Background: Traditionally, Patients are not given fl uids or food after abdominal surgery until bowel functions returns, as by bowel sounds, passage of flatus or stool, or a feeling of hunger, Early versus Traditional oral hydration have been studied to evaluate prospectively the benefits and safety of early hydration on bowel movement after Cesarean Section.
Aim of the work: To evaluate prospectively the benefits and safety of early hydration on bowel movement after Cesarean Section.
This document provides an overview and introduction to the book "Surgery: Complications, Risks and Consequences" edited by Brendon J. Coventry. The book aims to provide comprehensive information on over 250 surgical procedures and their associated complications to help surgeons better inform patients and improve outcomes. It includes descriptions of procedures, estimated frequencies of complications, and discussions of major complications. The book is intended to be a resource for clinicians to gain a better understanding of risks and to assist in surgical risk management and the informed consent process.
Comparison Between Antiviral Combination Therapies Against Hepatitis C Virus ...Mohammed Fathy Zaky
This document appears to be a thesis submitted for a degree from the Faculty of Medicine at Ain Shams University in Egypt. It summarizes a clinical study that compared the efficacy and safety of different antiviral combination therapies for hepatitis C virus genotype 4 in 1000 Egyptian patients. The study found overall sustained virological response rates above 95% for all treatment regimens. Sofosbuvir combined with ledipasvir or daclatasvir showed the highest response rates, while sofosbuvir with pegylated interferon and ribavirin showed the lowest. Baseline factors like higher albumin, platelets and lower bilirubin, AFP, and fibrosis scores predicted treatment success.
This document discusses rehabilitation for cancer patients. It describes how physical medicine and rehabilitation aims to restore and maintain function and quality of life for cancer patients and survivors. The rehabilitation team typically includes a physiatrist and physical or occupational therapists. Complications from cancer and its treatment that rehabilitation addresses include issues affecting the neuromuscular, skeletal, and lymphatic systems. Rehabilitation interventions can include therapeutic exercise, modalities like heat and cold therapy, orthotics, non-pharmacological pain management, and assistive devices. The overall goal is to improve patients' physical and functional abilities and independence.
This study compared the effectiveness of gonadotropin-releasing hormone agonist (GnRHa) treatment versus hysterectomy for premenopausal women over 45 years old with symptomatic uterine fibroids. GnRHa treatment significantly reduced fibroid symptoms and volume in 88% of patients over 24 months, though 22% required additional cycles. Neither treatment had a significant effect on female sexual function based on standardized assessments.
Presentazione a cura del Professor Franco Scaldaferri - M.A.S.T.E.R. ECM in Gastroenterologia: Approccio personalizzato alla complessità in Gastroenterologia - Fondazione Santa Lucia - Roma 19/01/2018
This document provides brief biographies of several notable individuals associated with the University of Michigan Medical School, including their backgrounds, careers, and major accomplishments. It describes Keith Black as a pioneering neurosurgeon and researcher in brain tumors. It outlines Benjamin Carson's journey from poverty to becoming a renowned pediatric neurosurgeon, notably for separating conjoined twins. It also highlights Antonia Novello as the first woman and Hispanic Surgeon General, and Victor Vaughan's roles in medical education and support of eugenics policies.
This guideline presents recommendations for the management of acute pancreatitis (AP). Key recommendations include: assessing hemodynamic status upon presentation and providing resuscitation as needed; admitting patients with organ failure to intensive care; providing aggressive intravenous hydration within the first 12-24 hours; using ERCP within 24 hours for patients with AP and cholangitis; not routinely using prophylactic antibiotics for severe AP or sterile necrosis; considering infected necrosis in patients not improving after 7-10 days and using antibiotics known to penetrate pancreatic necrosis; and providing enteral nutrition for severe AP to prevent infectious complications while avoiding parenteral nutrition.
Introduction to Medical surgical nursingAnil patidar
- Medical-surgical nursing evolved from caring for adult patients in various settings to its own specialty as medicine and surgery advanced.
- The history of nursing in India dates back to 3000 BC in the Rigveda and King Ashoka established hospitals in 272 BC. Formal nursing training began in the mid-1800s with the establishment of training schools.
- In the late 1800s, the development of safer anesthetics allowed for longer surgeries and the need for specially trained nurses in surgical units. In the US, the first operating room nurse education was provided in 1876 and associations were formed in the 1900s to standardize practice and establish nursing as a profession.
This case study examines a 23-year old female patient diagnosed with ascites secondary to peritoneal tuberculosis or possible peritoneal carcinomatosis. She was admitted to the hospital in November 2012 with abdominal distention and constipation. After discharge, her symptoms persisted and she was readmitted in December 2012. The case study aims to understand the disease process and provide appropriate nursing care for patients with this condition.
1. The document provides an overview of integrative medicine, discussing definitions of primary care, healthcare trends, evidence-based treatments, and the role of complementary and alternative medicine.
2. It describes a typical day in the life of a physician, including patient cases, medical education and certification requirements, and professional positions held.
3. The future of healthcare is discussed, focusing on healthcare reform, accountable care organizations, and rewriting medical education through programs like the MS ACP at National University of Health Sciences.
Lauren Parsons has extensive clinical experience in a variety of specialties including emergency medicine, internal medicine, orthopedics, psychiatry, obstetrics/gynecology, family medicine, pediatrics, pulmonology, general surgery, and dermatology. She has a Master's degree in Physician Assistant Studies and a Bachelor's degree in Zoology/Pre-PA with a minor in Chemistry. Her duties have included performing histories and physicals, developing treatment plans, assisting in procedures, providing patient education, and more. She is certified in CPR/AED and ACLS and is a member of professional organizations.
This document summarizes trends in gastrointestinal diseases at a single institution in Korea over the past two decades from 1990 to 2006. Some key findings include:
1) Admission rates for GI diseases increased between 1990 and 2006, with gastric cancer, colon cancer, and colon adenomas/polyps becoming the most prevalent.
2) While gastric cancer rates decreased, colon cancer rates doubled over the two decades.
3) Detection and treatment of early gastric cancer and colon adenomas increased noticeably.
4) New emerging diseases included inflammatory bowel disease and gastroesophageal reflux.
The natural medicine physician plays an important role within a new healthcare paradigm focused on wellness rather than just disease treatment. Conventional medicine has had successes but also problems like high costs, side effects, and not addressing the root causes of disease. Patients increasingly seek natural medicine due to these issues with conventional care. A wellness-oriented approach to primary care that emphasizes prevention, lifestyle, and addressing underlying causes can help reduce the disease burden and rising healthcare costs crisis. Research supports that addressing modifiable risk factors through lifestyle and behavioral changes can significantly reduce mortality and morbidity from chronic diseases. Overcoming political and reimbursement barriers can help create a system that better facilitates this wellness-focused approach.
Here you find all the subject names of Doctor of Veterinary Medicine (DVM) 2ND semester, their theory and practical course contents & books
recommended.
Autoimmune pancreatitis is the pancreatic manifestation of a systemic disorder that affects various organs, including the bile duct, retroperitoneum, kidney, and parotid and lacrimal glands. It represents a recently described subset of chronic pancreatitis that is immune mediated and has unique histologic, morphologic, and clinical characteristics. A hallmark of the disease is its rapid response to corticosteroid treatment. Although still a rare disease, autoimmune pancreatitis is increasingly becoming recognized clinically, leading to evolution in the understanding of its prognosis, clinical characteristics, and treatment.
The University of Virginia Department of Medicine is hosting its 36th Annual Recent Advances in Clinical Medicine Conference from October 28-30, 2009 at the Omni Charlottesville Hotel. The conference will feature lectures on various medical specialties from allergy/immunology to psychiatry delivered by UVA faculty. Attendees will have opportunities for interactive case discussions and workshops. The goal is for attendees to learn how to better manage and evaluate patients for various clinical issues. Charlottesville provides a beautiful fall setting for the conference near Thomas Jefferson's UVA and Monticello estates.
The document provides information about the 15th International Conference on Ayurveda and Autoimmune Disorders taking place from October 9-11, 2015 in Santa Clara, California. It includes details about registration, the conference organizers and hosts, and lists 10 keynote speakers who will present on topics related to Ayurveda and autoimmune disorders.
Myanmar's First Workshop on How to Reduce Unnecessary IV/IM Vitamin Injections in Primary Care.
This presentation explain about the history, clinical, ethical and financial point of views to explain how injections effect national level. by Dr. Kyaw Thet Soe (General Practitioner)
The document discusses the Emergency Care Summary (ECS) system in Scotland. [1] The ECS extracts patient data like allergies, medications, and consent status from GP systems twice daily and makes it available to emergency departments and out-of-hours clinicians. [2] Over 5.4 million patient records are extracted, with very few opt-outs, and over 4.7 million accesses have occurred. [3] The system is being expanded to include palliative care summaries and a pilot with the Scottish Ambulance Service. Evaluations show the ECS improves patient safety and care by providing accurate medication and allergy information.
World cat powerpoint_oct_2012_changed 4lesleycarey
WorldCat is an online catalog that links the collections of over 72,000 libraries around the world. It contains over 1.9 billion items, including books, music, videos, journals, and other materials. Users can search WorldCat through their local library website or directly at worldcat.org. The tutorial provides tips for basic, advanced, and expert searching on WorldCat, and explains how to locate items within one's own library collection or request them through interlibrary loan.
O documento discute exemplos de atitudes péssimas e excelentes em relação a Deus, como desobediência, cobiça e fidelidade. Apresenta casos bíblicos como Caim, Saul e Acã que tiveram atitudes péssimas ao ignorarem a Palavra de Deus, e Enoque, Noé e Pedro que tiveram excelentes atitudes de fidelidade e arrependimento. Conclui que devemos evitar pecados que começam no coração e em vez disso andar com Deus.
We held a scenario generation workshop with stakeholders on 29 November 2012 to develop four plausible future scenarios to 2030, focusing on high impact, high uncertainty drivers of requirements of the GP workforce.
A family general practitioner treats patients of all ages for general medical issues. They provide comprehensive primary care services including annual physicals, management of chronic conditions, immunizations, minor procedures, and referrals to specialists when needed. They aim to develop long-term relationships with patients and focus on preventative care and whole-person health.
Tom Fahey, Professot of General Practice, RCSIInvestnet
The document discusses the role of general practitioners in a seamless health system. It covers several topics:
1) Background on general practice and the core functions of primary care like first contact care, comprehensive care, and care coordination.
2) Safe prescribing practices for general practitioners, including data showing increasing polypharmacy and prevalence of potentially inappropriate prescribing over time.
3) Quality improvement through health data and communication between primary and secondary care to ensure safe diagnosis, referrals, and medicines management.
Effective Falls and Fracture Management within Primary Care: a qualitative ge...UKFacultyPublicHealth
This document summarizes a study that explored general practitioners' perspectives on managing falls and fractures in older patients. Through interviews with 17 GPs, the study identified several key themes: falls prevention is a high priority but GPs face barriers like a lack of integration between primary and secondary care, incomplete awareness of available services, and complex referral pathways that consume valuable time. Opportunities exist at both the population and individual levels through public health initiatives, risk stratification, and targeting interventions to high-risk groups. Overall, the study highlights the ongoing challenge of falls management within primary care given its time constraints and role as the frontline of the overstretched NHS.
Global health trends and lessons learned towards better advocacy and develo...Farooq Khan
Written from the perspective of a Canadian Emergency Medicine Resident in July 2013 as a presentation to peers and colleagues for academic purposes only.
Part 1: Advocacy in Emergency Medicine
- Patients, communities and the world at large
Part 2: Global Health trends
- Political, social, economic and environmental determinants
- Emergency Medicine as a global priority
Part 3: Examples of Emergency Medicine development and activism
- Global Emergency Care Collaborative - Uganda
- International Emergency Medicine research at WHO
- Getting involved without leaving the country
Children's diets are important as they can directly impact health and development as well as increase risks for chronic diseases later in life. What children eat early in life can also cause epigenetic changes that affect disease risk and health behaviors long-term. Providing children with proper nutrition from the beginning helps give them a good start in life.
CADUCEUS: The Visual Symbol of Medical Profession (Component Analysis) By Dr....Dr. Kabita Mishra
An analytical study of "Caduceus", the visual representation-symbol of medical profession worldwide. This is a component wise analysis of holy Caduseus. Purpose of this presentation is to spread awareness among people, and is purely holistic.
Most of the doctors are using logo which is not for them. Are they ignorant or never think of it.
Red Cross on white background is the patented logo of Red Cross society, so doctors are not legally allowed to use it. Rod of Asclepius is the right logo for medical personnel, but they are using The caduceus, the traditional symbol of Hermes .
Men, muscles and masculinity: The general practitioner and the male experienc...Scoti Riff
The prevalence of body dissatisfaction and disordered eating amongst males is on the rise. Early figures that men accounted for 1 in 10 diagnoses of anorexia and bulimia nervosa are now considered underestimates, and researchers have increasingly focused on new disorders, such as muscle dysmorphia, that capture the “male experience” of wanting a more muscular body. I review the nature and prevalence of male body dissatisfaction and disordered eating, and explore their relationship with traditional notions of masculinity. I further review the stigmatisation of males with body image and eating disorders, and discuss the challenge that stigma represents to treatment seekers and to health professionals. In addition, I explore the concept of muscularity-oriented disordered eating and some of its major components, including nutritional supplements, steroid use, and compulsive exercise. Finally, the role of the general practitioner in recognising and addressing male body dissatisfaction and disordered eating is addressed, and guidelines for working with males are suggested.
This document provides guidance on how to assist others in emergency situations by summarizing basic first aid principles and procedures for common injuries and illnesses. It outlines the DRABC actions to take for an unconscious casualty and the secondary survey for a conscious casualty. Key first aid steps are summarized for bleeding, shock, burns, choking, asthma attacks, seizures, fractures, heat and cold exposure, and poisonings from bites, stings or ingestion.
This document provides an overview of emergency medicine as a specialty. It discusses the top causes of death, the reception process in emergency departments, how cases are triaged from life-threatening to non-urgent, and examples of common illnesses and injuries seen in emergency medicine including chest pain, fractures, seizures, and psychiatric illnesses. It also outlines both the appeals and challenges of working in emergency medicine as well as potential career paths within the specialty.
1. ESP and GE programs differ in their purpose and content. ESP focuses on teaching language in specific contexts and developing professional skills for job situations, while GE focuses on language itself and developing overall competence.
2. In content, GE exposes learners to universal topics while ESP combines subject matter with English teaching tailored to a particular domain.
3. An ESP practitioner wears multiple hats as a teacher, collaborator, course designer, materials provider, and researcher due to the specialized nature of ESP compared to a GE teacher.
Dr. Mahamuod Akli Nour has over 5 years of experience working as a physician in Somalia. His experience includes working in regional hospitals in Gabiley and Tog Wajale, as well as Hargeisa Group Hospital. He has held positions in medical, pediatric, surgical, obstetrics/gynecology, and emergency departments. His responsibilities have included outpatient consultations, ward management, minor surgeries, emergency procedures like c-sections, and teaching/supervising nurses. He has references from hospital directors and regional health officers to support his work history and skills in diagnosis, treatment, and management of medical cases.
Osama Ahmed has over 20 years of experience as a nephrologist and internal medicine specialist in the UAE and Egypt. He received his medical degree and master's degrees in internal medicine and nephrology from Assiut University in Egypt. His CV details his residency training and experience managing dialysis units and caring for inpatients. Currently, he works as a nephrologist at Al Gharbia Hospital in Abu Dhabi, where he oversees the hemodialysis unit and treats patients as an attending physician.
Tintu John is a registered nurse with 8 years of experience in dialysis, ICU, nephrology, toxicology, and renal transplant units. She has a nursing diploma and post-basic BSc in nursing. She is seeking a role where she can utilize her clinical skills and experience in patient care. Her experience includes hemodialysis monitoring, assisting with procedures, caring for patients on ventilators, blood transfusions, and more. She is skilled in communication, critical thinking, and managing stressful situations.
Dr. Zafar Iqbal Ahmed Javed has over 30 years of experience working in general practice and family medicine in the UK, Pakistan, and other countries. He has qualifications including an MBBS, BSc, diplomas in public health and homeopathic medicine. His career has included roles as a GP, rural general practitioner, lecturer, and NHS locum work in the UK. He has skills in areas such as chronic disease management, emergency medicine, and health promotion.
This document provides an overview of the historical development of medical-surgical nursing. It begins with definitions of medical-surgical nursing and discusses its evolution since ancient India. Key developments include the establishment of early hospitals and nursing schools in India in the 1800s-1900s and the formation of organizations like the Academy of Medical-Surgical Nurses to advance the specialty. The document also reviews trends in medical-surgical nursing like reduced hospital stays, increased technology, and new areas of specialization.
Dr. Weam Dawood is a Canadian national who has been practicing as a family physician in Muscat, Oman for the past 8 years. He has over 25 years of experience as a general practitioner, with additional training and experience in various medical specialties. Dr. Dawood is fluent in Arabic and English and received his medical degree from the University of Basra in Iraq. He has worked in hospitals in Oman, Canada, and Iraq, treating a variety of medical conditions for patients of all ages. References and awards attest to his strong clinical and communication skills and dedication to patient care.
This document is a curriculum vitae for Mohammed A. Geddawy that includes his personal and contact details, education history, registrations, training, work experience, skills, publications, and invited lectures. He has over 29 years of experience in anesthesia and is currently an Assistant Consultant Anesthetist at King Faisal Specialist Hospital and Research Center in Riyadh, Saudi Arabia. He also holds an Associate Professor position at South Valley Faculty of Medicine in Egypt. His work focuses on liver transplant surgeries, oncology procedures, obstetric anesthesia, and acute pain management.
Improving Outcome for the Elderly Surgical Patients in a Singapore Teaching H...Crimsonpublisherssmoaj
Improving Outcome for the Elderly Surgical Patients in a Singapore Teaching Hospital by Si Ching Lim*, Peter Chow, Peter CL Chow, Fuyin Li, Swee Sim Hiew, Lau Soy Soy and Zhang Di in Crimson Publishers: Surgical Medicine Open Access Journal
The elderly patients admitted under surgery have longer lengths of stay and develop multiple complications during their hospital stay particularly with delirium, medical complications and functional decline. A Geriatrician’s input was helpful to identify incident and postop delirium early and put in measures to improve outcome, together with better nursing care and pharmacist’s input to reduce harm from medications.
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Dr. Ahmed Shihab Ahmed Al Juboori is a specialist physician in internal medicine and endocrinology currently working at Al Ain Hospital in Abu Dhabi, UAE. He received his medical degree from Al-Mustansiriya University in Baghdad, Iraq and has over 15 years of experience in both emergency and hospital settings. Dr. Al Juboori specializes in diabetes and endocrinology and manages clinics, inpatients, research, and education at Al Ain Hospital. He is passionate about patient care and quality improvement through involvement in audits and continuing medical education.
EDUCATION / QUALIFICATIONS:
● Bachelor degree in medicine (MBChB) 2006 faculty of medicine, Mansoura University,Egypt.
● Diploma degree of OB/GYNE November 2014faculty of medicine, Zagazig University ,Egypt.
ABSTRACT- The treatment of carbuncle is early administration of antibiotics and surgery. The commonest surgical approach is Saucerization and Incision & Drainage (I&D). Two cases are presented here, one underwent Saucerization and then primary split thickness skin grafting. Another un-derwent I&D for her carbuncle. They were followed up for 8 weeks to assess their outcome. Saucerization produced the shortest length of hospital stay while I&D resulted in shortest wound healing. As a new modality of treatment now-a-days two new modalities gaining popularity for better cosmetic purpose: primary split thickness skin grafting & transposition of local skin/musculocutaneous flap.
Keywords: carbuncle, surgery, good glycemic control
This document is a CV for Dr. Mohamed Usman Shaikh, a surgeon with over 43 years of experience specializing in advanced laparoscopic surgery techniques. Some key details:
- He has performed over 3,000 surgical procedures internationally and has experience teaching medical students and training other surgeons.
- His areas of expertise include general surgery, laparoscopic surgery, hepatobiliary surgery, and breast cancer surgery.
- His education includes an M.B.B.S. from B.J. Medical College in India and an M.S. and qualifications from FRCS, FICS, and FACS.
- His career history includes positions in India, the UK, Saudi Arabia
This curriculum vitae summarizes the professional experience and qualifications of Javed Ahmed Memon. He has over 20 years of experience working as a general practitioner and emergency medical officer in the United Arab Emirates and Saudi Arabia. He holds an M.B.B.S. degree from Peoples Medical College and is licensed to practice medicine in the UAE and Saudi Arabia.
This document is a CV for Dr. Mohamed Usman Shaikh, a consultant laparoscopic and general surgeon with over 43 years of experience. Some key details:
- He has performed over 3,000 surgical procedures internationally and specializes in advanced laparoscopic techniques for hepatobiliary and pancreatic conditions.
- His education includes an M.B.B.S. from B.J. Medical College in India, an M.S. in surgery, and fellowships from the Royal College of Surgeons of Edinburgh, the International College of Surgeons, and the American College of Surgeons.
- His career history includes positions as a consultant surgeon in the UAE, Saudi Arabia, India
Dr. Jagarlamudi Kalyan Chakravarthy is a hospitalist at Banner Del Ebb Medical Center in Phoenix, AZ. He received his medical degree from Deccan College of Medical Sciences in India in 2007. He completed his residency in internal medicine at St. Vincent Mercy Medical Center in Toledo, OH from 2011-2014. He is licensed to practice medicine in Arizona and has passed all steps of the USMLE.
- The applicant is a 42-year-old married Yemeni doctor currently working in Saudi Arabia with over 15 years of experience in various medical roles including general practitioner, surgeon, and staff physician in home health care.
- He holds a degree in medicine from Aden University and has worked in Yemen, Saudi Arabia, and for the WHO gaining experience in both rural and urban settings.
- The applicant is seeking new opportunities that allow him to continue enhancing his skills in a challenging environment and contribute to healthcare preparedness.
The presentation provides an overview of a hospital training program at several hospitals in Jashore, Bangladesh. It discusses the objectives of the training program which are to learn standard treatment patterns, communicate with patients, understand how hospital pharmacies operate, and share information with doctors. The training areas covered include the Chowgacha Upazilla Health Complex, 250 Bedded General Hospital Jashore, Queens Hospital PVT Ltd, and Ad-Din Sakina Medical College Hospital. The presentation outlines the roles and responsibilities of pharmacists in different hospital units including the pharmacy, outdoor patient dispensary, emergency ward, medicine unit, pediatric unit, gynecology unit, CCU, surgery department, and orthopedics unit. It
An institution providing medical and surgical treatment and nursing care for sick or injured people.
By WHO "Directory of Hospitals in India, 1988" is to some extent simple and short.
According to this,
definition. "A hospital is an institution which is operated for the medical surgical and/or obstetrical care of in-patients and which is treated as a hospital by the Centrally State Government/Local bodies or licensed by the appropriate authority.
1. Patient care:- patient care involves diagnosis, treatment ofllness or injury preventive medicine, rehabilitation, convalescent care, dental care, personalized services
2. Education services :- The education services are two form:-
a. Medical & allied health profession education: - Teaching of physician nurses, pharmacist, medical technologist, medical social service worker, hospital administration & training, dietician etc.
b. Patient education: - children, general education, social education for rehabilitation health care & also patient counseling.
3.Research: - Research is important to advanced medical knowledge against disease & to improve hospital service. This is important for better health care of patient.
4. Public health care: - public health is important to assist the community to reduce chance of illness & to improve general health population.
This research article describes a study of 127 premature infants diagnosed with necrotizing enterocolitis (NEC) who were treated with either medical or surgical interventions. 88 infants were treated medically, with 54 responding well and 34 requiring laparoscopy. 39 infants underwent emergency surgery. Overall, medical treatment had a 61.4% success rate and lower mortality and morbidity compared to surgical treatment. For infants not responding to medical care, bedside laparoscopy provided diagnostic and therapeutic benefits and reduced the need for emergency surgery in some cases. The study aims to outline treatment approaches and outcomes for NEC to improve management of this serious condition in preterm infants.
Multidisciplinary Approach in a Peritoneal Surface Malignancy Program
resume2-1
1. DR.VIKRAM CLEOPHAS
CIRRICULUM VITAE
OBJECTIVE
GENERAL PRACTITIONER POSITIONS
A SUMMARY OF PAST TRAINING & EXPERIENCE:
Please ignore the excessivedetails aboutcase–mix/ patient encouneters which was necessary for fellowship application.
2. 2
POST MBBS (1985)
(AFTER MBBS
UNDERGRADUATION)
CMC LUDHIANA
DEPT OF MEDICINE
MD ADULT INTERNAL
MEDICINE (POST-
GRADUATION)
MD DISSERTATION
(THESIS)
1STJan 1985-28thFeb 1986:
(Christian Medical College & Brown Memorial Hospital,Ludhiana),Compulsory Rotating Internship
March 1986- June 1989 Christian Hospital, Azamgarh . U.P.India
General Practitioner
Managed general medical ,surgical,paediatric and gynaecological patients in a 100 bed, Rural M
which ran general outpatients departments with around 50 patients per day includingfamily med
gynaecology and obstetrics.This included several procedures inpatientas well as outpatientwith
anaesthesia.
Learned major surgical,orthopaedic :includingfracture -management, obstetrical emergencies/P
haemorrhage/PPH. Gynaecological infections/Episiotomy/D&C’s/copper-Tinsertions/cervical sm
cautery/retained placenta/ruptured uterus/abnormal and complicated presentations includingb
prolapses.includingproficiency in independent ceasarian sections(morethan 500).
July 1989- Dec 1993 Christian Medical College & Brown Memorial Hospital, Ludhiana, Panja
Passed the All India PG selection exam for General Medicine speciality:
PG Resident General Medicine:
Worked as a resident doctor in department of internal medicine, in anticipation of M
Medicine) speciality degree awarded on Dec 1993.
Management of all general medical emergencies, ward-patients,includingpostings in varioussu
departments-cardiology,ICCU-arrythmia-mgmt, temporary pacemaker insertion,gastroentero
psychiatry,dermatology neurology& oncology includingpain-management.
Geriatrics/psychogeriatricsand palliative-care.
Acquired proficiency in all bedsidemedical procedures:central venous catheterization,subclavia
hemodialysis-vascular access,temporary pacemaker,lumbar puncture, liver-peritoneal-pleura
pleural/ascitictappingetc.
ID 196163
Call Number T 616.13 C628S
Title Proper Study of plasma fibrinogen in patients with angiographically proven CAD.
Language ENG
Author Cleophas, Vikram
Publication Ludhiana, C.M.C.. 1992.
Description 98p. graphs.
Classification Number 616.13
3. 3
POST -MD GENERAL
MEDICINE EXP.
GENERAL PHYSICIAN ,
MISSION HOSP,
JAGADHRI
LECTURER,INT.MEDIC INE
CMC LUDHIANA
CHRISTIAN MEDICAL
COLLEGE, VELLORE
Christian Medical College&Brown Memorial Hospital, Ludhiana.
Jan1994-July 1994
Senior Resident: General Medicine
Management of general medical patients and critical careadmissionsincludinggastrointestinal m
UGI Endoscopy.
July 1994-Feb 1996 Christian Hospital ,Jagadhri, Haryana.
General physician & Administrator (Mandatory three year bond of rural service).
General medical ,surgical,paediatric,obgyn includingcaesarean sections&hysterectomies.Admin
mission ,rural hospital includingcommunity health (strategic planning) and development of vario
There were several outpatient as well as inpatientprocedures to do includingminor and major s
Examples: I&D’s superficial and deep, cut wounds, minor as well as a few major surgical procedu
biopsies,lumbarpunctures,jointaspirations (diagnostic),appendicectomies,cholecysectomies,h
management.
Obstetrics and gynaecology: all types of deliveries :Normal as well as independent management
deliveries:breech, forceps application all levels as well as several retained placentas and suction
More than 300 independent caesarean sections (lower segment) and a few hysterectomies.
Feb 1996 (Appointment rec’d Feb) –July 1997
Christian medical College and Brown Memorial Hospital, Ludhiana,Panjab, India
: Lecturer in Medicine.:
.
Worked with and managed all emergency, intensivecare, cardiology,respiratory medicine,ren
gastrointestinal medical cases.Includinggeriatric and psychogeriatric patients.
Also learned hands-on independant upper and lower GI endoscopy with some therapeutic pro
i.e.sclerotherapy,injection of bleeders, foreign-body extraction,polypectomy. Worked in a bu
tertiary centre (cmc ludhiana)averaging>15 procedures /day/3 days per week..
Taught undergraduate students and presented seminars.
July 1997-Dec 1998.
Christian Medical College, Vellore, Department of Gastrointestinal sciences and Liver Diseases.
Vellore , India
Senior Registrar: Gastroenterology and Liver Diseases.
Managed all gastrointestinal patients as emergencies and ward patients includingliver patients ,
4. 4
PUBLICATIONS
UMKAL MEDICAL CLINIC
GURGAON(HARYANA),
INDIA
liver transplantation,speciality:liver clinic,IBS clinic,pancreasand ulcer clinics.
. Gastrointestinal procedures :liver biopsies,GI endoscopy,enteral feeding- tube insertion indepe
1.Research Project; Hepatitis B clearancein HBSAg carriers treated with Phyllanthus Amarus.
2.J Clin Gastroenterol. 2000 Jul;31(1):77-9.
Spontaneous fungal(cryptococcal) peritonitis in patients w ith hepatitis B virus-related liver disease.
Cleophas V1
, George V, Mathew M, Samal SC, Chandy GM.
196163
T 616.13 C628S
Study of plasma fibrinogen in patients with angiographically proven coronary artery disease.
ENG
Cleophas, Vikram
Ludhiana, C.M.C.. 1992.
Jan 1999-July 1999.
General Physician.
Ran a day clinic 8am-5pm( Mon-Fri). Night callsfor admission to a 30-bed privategeneral hospit
This clinicwas owned by a cardiologistin New Delhi (18 km away).
Catering to mostly general medical patients and their families.Mostly out-patientwork with very
inpatients were cardiac and seen by the cardiologistfrom3-5 pm.
The owner was wanting to widen and develop the general patient numbers and wanted to expan
baseof the centre as ithad previously been catering to largely cardiology paients.
Casemix:URTI, skin disease,children with infectious diseases and viral exanthemata.
Adult respiratory,GI and minor surgical problems.Women antenatal checkups. General memdiac
annual checkups e.g. Commercial Pilots annual cardiovascular fitnessassessment.
Many suburban families livingnearby (previous patients of the cardiologist) were catered to .E.g.P
pain control and respiratory carewas given to wife of a Congress minister (VasantSathe) who
of end-stage Ca breast at home.
A major aspectof the work included home visits to these families esp elderly patients who couldn
hospital.
Initial management of the cardiological patients ,their investigations (e.gexercisestress testing,
Industrial Health:
Doing the company health checkups (this hospital was on the referral panel of a local growingin
Being a suburban community, many patients included drug and alcohol related problems of the a
transmitted diseases in youngpeople.
Issues dealtwith in the elderly were seen with chronic diseases and socio-psycological problems
5. 5
SAUDI ARABIA
LUCKNOW MEDICAL
COLLEGE, INDIA
F.I PRIVATE CLINIC AND
NURSING HOME,
July 1999- Feb 2003
Al-Rashid General Hospital , Hail, Saudi Arabia,
General Physician and Endoscopist
8am-1pm & 2pm-5pm.An on-call roster was shared by all specialists and consultants.I was on ca
expatriate patients who request for me).
1.Outpatients : General medical patients as well as pregnant women with diabetes /seizures /hyp
/PET/Eclampsia.
2.Several companies were on the hospital panel (includingthe biggest oil company Saudi Aramco
factor profiles /diabetes/hypertension and routine cardiac fitnesschecks were performed.
3.Expatriate health clinic:OPD:this was solely run by me and catered to most of the Indain,Pakis
other Asian workingcommunities who were not covered by the Saudi public health system.
4.Several OPD-based procedures and minor suturingfor minor trauma/I&D/abscess drainaige/tre
disorders incudingimpetigo , psoriasis, leishmaniasis(there was a high incidenceof dermal le
Saudi community),dermatitis, zoster, exanthemata+viral infections in children.
5.Management of internal medical ward , trauma/critical care/vascularaccess(arterial line/cava
lines/subclavian cannulation.
Upper GI and Lower GI Endoscopy.These had a separate day 1-2/week depending on numbers.
Feb 2003- Dec 2004
Era Lucknow Medical College andHospital,
Lucknow,India.
General Medical Specialist/Asso.Professor of Medicine.ICU &Haemodialysis Incharge
9am-3pm wk days,Free for privatepracticein the afternoons daily.
Major experience was management of a broad spectrum of medical patients,outpatient work an
makingregardingfurther referral of medical patients,heavy outpatient attendance.
Undergraduate teachingas well as internal medical patientcareincludingICUand hemodialysisp
Head of Endoscopy department.Independant Upper and lower GI Endoscopy and minor thereutic
F.I .Clinic and Nursing Home, Lucknow ,India. July 2003-Dec 2004.
Position: General Practitioner
Hours : Daily (week days :4pm - 9pm).
A private consultation clinic with an attached nursing home providing generalist as well as spec
inner city mixed population of patients.
Patient casemix:
General medical adultpatients:
Respiratory illnesses:Upper respiratory tractillness,ENTdiseases e.gpharyngitis and tonsillitis,p
6. 6
LUCKNOW, INDIA
RIYADH, SAUDI ARABIA.
pain : largely dyspepsia ,ulcer disease,chronic illnessdetection and screening (DM and HT wi th c
careand intermittent medical management.
Several women and children with simpledisorders likeinfections and minor trauma.A few eye d
conjunctivitisand FB extraction.Psychological illnesses:initial evaluation/detection before referr
Womens Diseases:Antenatal clinicwas largeowingto an attached IVF clinic .All complicated ANC
sent to me to evaluatepreoperative risk .E.g patients of pre-eclampsia (control of HT), Diabetes
abortion evaluation of infectious diseases.
Dec 2004 till Nov 2006
Artawiya General Hospital, Artawiya,Riyadh,
Saudi Arabia.
General Medical Specialist; Ministry of Health <Saudi Arabia>
Outpatients: 8am-1pm,2pm-5pm week days.
Management of General medical patients and ICU as well as longdistancetransportof serious p
accompaniment.
Skin Diseasemanagement : Was included with general medicine. Examples:
Impetigo, rashes,herpes, gonococcal infections in males,allergic dermatosis.
Management of several patients:
Women with PET/Eclampsia-control of hypertension/seizure-management duringpregnancy/dia
pregnancy (ran a diabetic clinic).
Children:asthmatics,emergencies, cerebral palsy with seizures undergoing terminal care.Referra
necessary.
Preventative Medicine: Risk factor screening,screeningpremarital couples for congenital anoma
childhood pbesity screening(childhood obesity and consanguinousmarriagewith high incidence
anomalies in the these communities with increasingawareness of screeningfacilities provided by
Government) independent management of coronary patients in ICU and several geriatric and psy
terminal carepatients(Adults,geriatric as well as children).
7. 7
SAVEETHA MEDICAL
AND DENTAL COLLEGE
CHENNAI
AUSTRALIA ,KARRATHA.
APRIL 2007-NOVEMBER
2007 .
PRE-FELLOWSHIP
FROM DEC 2008 TILL 21-
08-11--AUSTRALIA,
COLLIE
GENERAL
PRACTITIONER.
COLLIE RIVER VALLEY
MEDICAL CENTER &
COLLIE HOSPITAL
EMERGENCY VMO
Jan 2007 –March 2007
Specialist Physician : The Deparment of Medicine;
(This was full time)I had alredy begun correspondence with the WACHS which began in Dec 20
This was a full time position in the general hospital .
Patient casemix:
General medical adultpatients:
Respiratory illnesses:Upper respiratory tractillness,ENTdiseases e.gpharyngitis and tonsillitis,p
pain : largely dyspepsia ,ulcer disease,chronic illnessdetection and screening (DM and HT with c
careand intermittent medical management.
Several women and children with simpledisorders likeinfections and minor trauma.A few eye d
conjunctivitisand FB extraction.Psychological illnesses:initial evaluation/detection before referr
The Pilbara Division of Medical Practice,
Karratha Medical Centre,
Worked as a GP at the Karratha Medical Centre.
*A busy general practice8am -6pm Mon-Fri in hours appointment –based as well as after-hours
Casemix included the average middle and lower income group Australian patientwith an urban-r
number of fly-in-fly outpatients with related health issues:
*An Industrial Occupational Health and Safety Clinic :Received on siteorientation at PilbaraIron
plantwhere onsite trainingwas undertaken regardingworkplacesafety and occupational health
Received the indusrial safety awareness card.
Providinghealth carefor the employees and families of the PhaseV Pluto gas project. (Australi
resources project).
The Collie River Valley Center,
A busy general practiceservinga small industrial town in the (South West) WA.
Regular Consultation:hours areMonday –Friday 9am-5pm
Separate on call days (24 hrs) with the Colliehospital and on call weekends Fri 9am-Mon 9am, de
schedule.
The patients are the typical Australian rural general practicetype of casemix with a largenumber
employees and related health issues.
Procedures: office-based e.g cryotherapy,biopsies and implants,jointaspirations,foreign-body re
STD diagnosis.
8. 8
POST –FELLOWSHIP (SYDNEY NSW)
SPECIALIST GENERAL
PRACTIONER/ 01-9-11
TILL DATE
JANNALI MEDICAL
CENTER/MIRANDA
MEDICAL CENTER; FULL
TIME
HAMMOND CARE
(MIRANDA)
AGED CARE VISITING GP
HAMMOND CARE
MIRANDA
Sydney suburban general practicein an area of need.A 5- doctor group ,bulk billingpractice.
Covering regular hours+after hours in 2011-2012,followed by normal hours practice2013 till dat
Very busy practices,longworkinghours 45-60 hrs per week.
Usual suburban mix of patients includingseveral minor procedures /skin lesion biopsies +other
Academic sessions
Mental Health ; was one of the major area of practiceincludingmental health trainingand provis
careplans.
This is an eight- cottage (8-15persons/cottage) , high care, dementia-specific aged care
. Provision of weekly visits to center + unplanned visits..
I was the visitingGP for several other N homes (Chesalon Jannali,StellaMarisCronulla,Warena G
Patient rounds and associated clinical care,family conferences,liason with geriatriciansin theare
EDUCATION/FURTHER TRAINING AND EXPERIENCE:
1.Graduation
2.Post-Graduate
3.Specialisation
MBBS July 1980– Dec1985Christian Medical College,Ludhiana, Panjab ,India
Graduated Dec 1985,Internship completed in 1996.
MD Medicine (Internal medicine specialist degree)
Post Graduated Dec 1983
Christian Medical College,Ludhiana, Panjab,India
Fellowship General Practice RACGP Part I,II&III passed as of June ‘11
AMC (MCQ) PartI Passed in March 2008.Istattempt
No 2071607.
ECIS verified(ECIS No E27452-2)
IELTS >7 in each band overall score7.5
Basic Cardiac LifeSupport Certification-2003.
Advanced Cardiac LifeSupport 2008
Airway Management Certification2008
Implanon coursecertification17-04-08
OfficeBased Procedural SkillsWorkshop:FractureManagement and Injection of joints and sof
2009.
Resucitation Royal LifeSavingCourse Exp Dt 16-09-2010
Young Minds (Mental Health Skills TrainingIntroductory Module) 13 March 2010
Medical student (Supervision) March –May 2009.Activity No 743255)
Other educational activities:Attended Presentations eg Pandemic Planningfor our practice(G
9. 9
Mx of Obesity Course2012 (Brighton Le Sands iNova )conference)
INTERESTS
Oil Painting,
Spanishguitar,travel,philosophy,reading.
PERSONAL INFORMATION
MARITAL STATUS;
MARRIED,
2 CHILDREN 15 & 17
YRS.
Dr.Vikram Cleophas,
Jannali Medical Center
3/40,Railway Crescent,Jannali-2226.
Sutherland Shire.
Ph;95288572,Mob: 041890 1994, Fax 95280571
Home Address.
Dr.Vikram Cleophas,
3,Pierce Place,
Bonnet Bay-NSW -2226
E-mail:vikcleo@yahoo.com
Wife Dr.Shalini Cleophas:(Mob) 0438550528,
Registrar A&E ,St.George Hospital Hospital,
Sydney.