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Saturday, June 28, 2008
Doctors call off strike
Office-bearers of the Tamil Nadu Government Doctors Association withdrew their strike after talks with Health Minister M. R. K. Paneerselvam and Health Department officials yielded positive responses to their demands.
S. Kanagasabapathy, State President, TNGDA, said, “The Health Minister has given us a written assurance that the government will consider passing an ordinance to protect the rights and safety of hospital staff.”
In view of this, he said, the association decided to call off the strike.
On Thursday, the TNGDA members decided to go on a two-hour strike in the out-patient unit (OP) of all government hospitals in Tamil Nadu to protest against attacks on hospital staff.
On Friday, government doctors stayed away from the OP between 7.30 a.m. and 9.30 a.m. In Thiruvallur district, where a duty doctor G. M. Nandakumar was assaulted recently, the strike was on for the whole day.
The doctors had threatened that the strike would continue indefinitely and would be intensified if the government did not pass the ordinance.
Insulin being made available at PHCs soon
Special Correspondent
To treat diabetics among rural population |
Special postal cover on prevention of diabetes launched
Gestational diabetes in pregnant mothers a problem in rural areas: official
STAMP RELEASE: Indira Krishnakumar, Principal Chief Postmaster-General, Tamil Nadu Circle (extreme left), releasing the special postal cover on prevention of diabetes at a function in Chennai on Sunday. (From left) V.K. Subburaj, Health Secretary, P. Padmanabhan, Director of Public Health, and Vijay Viswanathan, managing director, M.V. Hospital for Diabetes, are in the picture.
CHENNAI: The Health Department plans to make available insulin at Primary Health Centres to treat the growing number of diabetics in rural population, Director of Public Health P. Padmanabhan said on Sunday.
Launching the ‘Patient booklet–FAQs on Diabetes’ brought out by the M.V. Hospital for Diabetes and Diabetes Research Centre, Dr. Padmanabhan said diabetes was no longer a disease of the cities or of the affluent sections as PHCs had begun to report about 150 patients every week.
A special postal cover on prevention of diabetes was also launched.
Dr. Padmanabhan, while noting that changed lifestyles and dietary patterns were responsible for diabetes making inroads into villages, suggested that the diabetes booklet on prevention be made available in Tamil.
The official said a major problem being faced in villages across the State was the phenomenon of gestational diabetes in pregnant mothers–about 10 per cent as opposed to 16-17 per cent in urban setting. The suspicion is gaining ground that gestational diabetes could be the cause for the high incidence of birth asphyxia deaths in the newborn, he said.
Among the over 11.50 lakh live births recorded annually in Tamil Nadu, an estimated 40,000 neonates die every year from birth asphyxia.
Screening for rural diabetes is also being strengthened with half the 770 PHCs in the State provided semi auto analysers and the remaining too would be given the basic testing equipment. Early detection would strengthen ante natal care and reduce incidence of gestational diabetes during pregnancy, Dr. Padmanabhan said.
Diet counsellingAs 90 per cent of gestational diabetes could be managed through diet counselling and lifestyle modification, the government has focused on training doctors and nurses at PHCs and State-run hospitals to manage diabetes and prevent complications. “We aim at a reduction of infant mortality by at least 20 per cent through these measures”.
Dr. Padmanabhan said the Varumun Kappom health camps initiated by Chief Minister M. Karunanidhi pointed to alarming proportion of diabetics–almost 2 lakh patients in a screened population of 60 lakh persons. The number of people with cardio vascular disease was even higher, he said.
The public health director called for information, education, communication campaigns as a preventive strategy because treatment of these non-communicable disease involved a huge drain on resources.
Health Secretary V. K. Subburaj said the WHO predictions about India having the largest population of diabetics in the world by 2010 were coming true, Mr. Subburaj said. Along with diabetes and cardio-vascular disease, kidney-related disorders were also a major concern, he said.
Mr. Subburaj called for patient education campaigns to create sufficient awareness on a preventable disease like diabetes. However, the key is to implement the recommended lifestyle and dietary modification.
Apart from a growing diabetes burden, the increasing incidence of diabetes and cardio vascular disease, even in young children, had forced government hospitals to tie up with private hospitals in a bid to reduce the backlog and wait-lists, he said.
Special coverLaunching the special cover on diabetes prevention, Indira Krishnakumar, principal chief postmaster general, Tamil Nadu Circle, said the postal department was uniquely placed to run the campaign. An estimated 10 lakh inland letters bearing the message of prevention would be available at post offices. It was also proposed to deliver awareness materials through postmen in the next few months.
Vijay Viswanathan, managing director of MV Hospital, said community research surveys launched by the hospital were showing a high incidence of diabetes and cardio vascular disease in the police force in Chennai. The results of the survey are expected in a month or two, he said.
Surveys had also showed a disconcerting incidence of metabolic syndrome and childhood obesity among children in schools in and around Chennai, he said.
Friday, June 27, 2008
Doctors out,patients in
The doctors launched the State-wide protest from 7.30 am to 9.30 am today condemning the assault of a doctor at the Government Ponneri Hospital recently.
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Their primary demand was that the government should promulgate an ordinance to protect them on the lines of the one followed in Andhra Pradesh.
According to reports, the services at Government General Hospital, Kilpauk Medical College Hospital and Government Royapettah Hospital remained unaffected.
While in Stanley Hospital, outpatients were forced to stand in a long queue for a few hours in the morning, as doctors returned to duty at 10 am.
It may be recalled that on 18 June, Dr G M Nandakumar who was on duty at the Ponneri Hospital was assaulted by two advocates when he reportedly refused to provide them an oxygen cylinder and ambulance to taken an asthma patient from a nearby private hospital to Chennai General Hospital.
In his complaint, the doctor alleged that he was slapped repeatedly, kicked in the lower abdomen and inflicted injuries on the head.
Later when the doctor was taken to hospital, he found his eardrum perforated.
SP Senthamaraikannan who dealt with the case has said that a case has been booked against the two advocates Ebbiraj and Radha Manavalan and one more Jayakanthan under a non-bailable section.
While Jayakanthan was remanded to judicial custody others had obtained anticipatory bail.
Meanwhile, the lawyers in their counter- complaint stated that Dr Nandakumar has made objectionable remarks against them.
On 19 June, the doctors staged a dharna near the Ponneri Hospital. After the issue was brought to the notice of Tamilnadu Government Doctors Association (TNGDA), another dharna was staged on 24 June.
It may be noted that the lawyers were granted anticipatory bail even while Dr Nandakumar was in hospital.
Subsequently, State Health Secretary V K Subburaj held talks with doctors and assured that an ordinance was under consideration.
The case was currently being investigated by Ponneri RDO and the DSP.
Doctors plan two-hour strike to protest against attacks
Dr. Nandakumar
CHENNAI: Members of the Tamil Nadu Government Doctors Association (TNGDA) have threatened to go on a two-hour strike on Friday to protest against repeated attacks on hospital staff, and in support of a legislation to protect their rights. Similar protests will continue until Sunday.
The strike will begin at 7-30 a.m. on Friday and go on for a couple of hours at the outpatient departments of all government hospitals, according to TNGDA representatives. It will be repeated every day until Sunday, when the executive committee of the TNGDA will meet to decide on further course of action.
“It is only a token protest to convey our unhappiness at the repeated attacks on doctors. If there is no response from the government, we will convene an executive committee meeting and plan to intensify our agitation,” S. Kanagasabapathy, State president, TNGDA, said.
The strike call comes in the wake of the arrest of 52 doctors, who were protesting against attacks on medical professionals in hospitals at Tiruvallur. The specific instance raised by them was the attack on a duty doctor in the Ponneri GH last week by relatives of a patient admitted to a nearby private hospital. Doctor G.M. Nandakumar’s tympanic membrane was damaged and he has been admitted to the Government General Hospital in Chennai.
However, K. Senthil, state secretary, TNGDA, said the strike call was also against a series of attacks against the medical community within just the last one-and-a-half months. He recounts incidents beginning mid-May at Rajapalayam, where a duty doctor was assaulted by nearly 200 people. The doctor involved preferred not to register a complaint.
The TNGDA district secretary of Salem was manhandled by relatives of patients, who were angered when they were asked to follow rules.
Thursday, June 26, 2008
Urgent District Level GB ......
State Wide Agitation Planned. Law for protection of doctors demanded.
All Districts to hold Urgent GB - To resolve to boycott OPD from 07:30 to 09:30 daily from 27-06-2008.
Involve IMA
State Secretary
Wednesday, June 25, 2008
Tuesday, June 24, 2008
TNGDA PROTEST AT coimbatore medical college
The Associations of all staff took part, demanding round the clock police protection at sensitive wards like IMCU, Trauma Ward etc. Dharna was called off after the District Collector assured providing enough police protection to the hospital. TNGDA President Dr.Ravindran and Secretary Dr.Ravishankar thanked all the participants
Friday, June 20, 2008
Upgraded PHC to be opened tomorrow
Special Correspondent
Deliveries in PHCs in State have doubled, says Health Secretary at Medavakkam |
READY FOR OPENING: Health Secretary V. K. Subburaj (left) at the upgraded PHC in Medavakkam on Wednesday. The facility is scheduled to be inaugurated on Saturday.
TAMBARAM: The number of deliveries in Primary Health Centres (PHCs) in the State has more than doubled in 2007-08, compared to the previous financial year, Secretary to the Department of Health and Family Welfare V. K. Subburaj said on Wednesday.
The number of deliveries, which was 80,000 in 2006-07, has increased to 1.73 lakh last financial year. That the number of deliveries in these health centres is the highest in the country is a pointer to the facilities available and faith of the people in the government hospitals. Of the 1,421 PHCs in the State, over 1,000 function round the clock.
Further, the appointment of adequate number of doctors and nurses has ensured that pregnant women rushed to the PHCs in odd hours are attended to instead of being referred to private hospitals, Mr. Subburaj said.
Maternity assistance schemes and overall improvement of facilities and services in the PHCs are the reasons for the increase in the number of deliveries, he added. About Rs.40 crore was being spent on upgrading 75 PHCs at the cost of Rs.55 lakh each.
Mr.Subburaj was talking to reporters at the PHC in Medavakkam, near here, which has been upgraded and scheduled to be inaugurated on Saturday by Union Minister for Shipping, Road Transport and Highways T. R. Baalu.
The PHC in Medavakkam has been upgraded in assistance with Catalyst Trust at the cost of Rs.1.8 crore. He said that for the first time, a non-governmental organisation volunteered to construct buildings and provide facilities for a PHC and the department would like to push this concept forward if other private companies and corporate houses were willing to support.
IT major Cognizant and construction firm Rajparis had created parks on the PHC premises and Phoenix Medical Systems had agreed to maintain medical equipment for five years.
In addition, Medavakkam panchayat and the Kancheepuram district administration too contributed by fencing the premises and would also be working along with Exnora International in maintaining the PHC’s premises clean and green, Mr. Subburaj added.
Apart from the 30 beds, the upgraded PHC is equipped with air-conditioned operation theatre and scanning rooms, centralised oxygen supply, a special ambulance for pregnant women, a steam laundry, blood storage facilities, solar heater and a generator.
S. Elango, Director of Public Health and Preventive Medicine, said the PHC would be tying up with other government institutions in and around Chennai.
They would be bringing officials from other districts to study the upgraded PHC in Medavakkam so that they could create similar facilities in their respective places, he said.
S. Krishnaswamy and R. Desikan, managing trustee and president respectively of Catalyst Trust, P. Padmanabhan, former Director of Public Health and Preventive Medicine, T. V. Anthony, former Chief Secretary and currently adviser to the Ministry of Health and Family Welfare and B. Ravi, president of Medavakkam panchayat, spoke.
Thursday, June 12, 2008
Unite For Sight Volunteer Abroad Opportunities
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Unite For Sight welcomes volunteers who may not have previous health or eye care experience. Volunteers receive all necessary training from Unite For Sight so that they are able to assist eye doctors with community eye outreach programs. Unite For Sight also welcomes volunteers to participate as photographers and filmmakers.
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The goal of Unite For Sight and its partner eye clinics and communities is to create eye disease-free communities. Unite For Sight’s volunteers (local and visiting) work with partner eye clinics to provide eye care in communities without previous access. The eye clinic’s eye doctors and Unite For Sight volunteers jointly provide community-based screening programs in rural villages. The clinic’s eye doctors diagnose and treat eye disease in the field, and surgical patients are brought to the eye clinic for surgery. Patients receive free surgery funded by Unite For Sight so that no patient remains blind due to lack of funds. Volunteers immediately see the joy on patients' faces when their sight is restored after years of blindness. These memories last a lifetime.
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"While in Ghana, I worked with an ophthalmologist (Dr. James Clarke), two eye nurses (Robert Dolo, Kartee Karloweah), an assistant (Bismark Boryor), and a coordinator (Seth). Working with the Unite for Sight team on these outreaches in service to these wonderful people of Ghana was the single most rewarding work I've done in my life. The people of Ghana are some of the friendliest and most thankful of anyone I have ever met. Overall, the experience has changed the way I view the world, my own country, and my role in the world forever. The only way to understand the way 4/5 of the world lives is to go yourself and get involved. The staff I worked with that are the heart and soul of Unite for Sight in Accra were some of the brightest and hard working individuals I have ever met. They are accomplishing feats few ever accomplish in their lives, and I am truly blessed to have had the opportunity to work with them and now call them my friends. I look forward to future work with Unite for Sight as an Ophthalmologist. The task at hand in Ghana, and I'm sure in all of Unite for Sight's locations throughout the world, is enormous. The more people that get involved, the more accessible services will be to these wonderful people. Plain and simple, the more we help, the more people can see the world they live in!”—Brian Fowler
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Tuesday, June 10, 2008
TN: Medicos boycott classes
Nearly 1500 students of the three government-run medical colleges in the city- Madras Medical College, Stanley Medical College and Kilpauk Medical College- besides their comrades in other cities like Thanjavur, Salem and Madurai, boycotted classes and also staged demonstration in their premises, students of the college told PTI.
"We would not be going to classes today. We want action against the police officers involved in the episode," a student representative of Stanley Medical College, said.
He also said that they were considering taking up the matter with the Tamil Nadu government.
Meanwhile, Dr G R Ravindranath, general secretary, Doctors' Association for Social Equality (DASE), who had urged the students to protest against the lathicharge, told PTI that government doctors in cities and towns other than Chennai had also joined in the protest by wearing black badges while on duty.
About 200 students, who had come to the Directorate of Medical Education (DME) to attend counselling for PG admissions Monday, protested against its decision to reserve 50 per cent of the seats to in-service candidates and squatted on the road disrupting traffic, following which police resorted to lathicharge to disperse them.
Medicos boycott classes
Showing solidarity and many other emotions, Medicos across the State today boycotted the classes and staged demonstrations.
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The fall out of the agitation was that many patients at government hospitals suffered.
Over 1500 students of the three government-run medical colleges in the city- Madras Medical College, Stanley Medical College and Kilpauk
Medical College staged demonstration in front of Government General hospital raising slogans against the government.
Besides demanding action against the ‘erring’ policemen they also sought immediate apology from the Health Secretary and the Director of Medical Education.
‘We would not be going to classes today. We want action against the police officers involved in the episode. If not the protest would get intensified further ‘, a student representative of Stanley Medical College, said.
He also said that they were considering taking up the matter with the Tamilnadu government.
Similarly in other cities like Thanjavur, Salem and Madurai, medicos boycotted classes and staged demonstration in their premises.
Meanwhile, Dr G R Ravindranath, general secretary, Doctors’ Association for Social Equality (DASE), who had urged the students to protest against the lathicharge, said that government doctors in cities and towns other than Chennai had also joined in the protest by wearing black badges while on duty.
It may be recalled that about 200 students, who had come to the Directorate of Medical Education (DME) to attend counselling for PG admissions yesterday, protested against its decision to reserve 50 per cent of the seats to in-service candidates and squatted on the road disrupting traffic, following which police resorted to lathicharge to disperse them.
Many students, including women, sustained injuries. A group of students later allegedly damaged the glass panes and some furniture inside the DME, following which police filed a case.
Meanwhile, the government has given its nod for including private doctors in the counselling for PG admissions.
This was disclosed by the Public Prosecuter G Sankaran when he appeared before Justice Venkatraman in Madras High Court with regard to the case.
He stated that the decision was taken by the Committee of Medical Education and Examination in order to avoid law and order problems.
Venkatraman informed that the order has been notified by the Court and everyone should abide by the Court’s final decision.
Following this decision, the counselling process was streamlined and went off peacefully, police said.
Doctors take to streets, cops pull no punches
A large number of doctors participating in the blockade were women and they did not escape police action. Retaliating, the doctors later charged into the Medical Directorate and broke chairs and glass doors. However, no one was reported hurt in the mêlée.
The doctors who had completed their MBBS in the non-service category had assembled to participate in the last leg of counselling conducted by the DME for post-graduate courses in government colleges in the state. Non-service candidates are those who have not opted for continuing working with the state government in state-run hospitals.
However, the students realised that only 21 non-service students, who went to court and got a favourable ruling on Monday, were allowed to participate in the 16 courses on offer on Friday in the quota reserved for service candidates.
The left out students contended that those, among them, who went to court had fought on behalf of all non-service students and hence they too should be allowed to attend counselling.
However, after Dr Mohanasundaram, additional director of medical education (in-charge), refused to entertain the demand citing court orders, the students enforced the blockade.
Before police arrived, the blockade had created a traffic snarl on Poonamalee High Road.When police realised that the agitators were unwilling to lift the blockade they began the caning.
However, the protesters stood their ground and demanded to see the court order. When Dr Mohanasundaram produced the government pleader’s opinion on the verdict, the agitating doctors questioned it, asking if only the rich could afford justice. The police then threatened to arrest them and a clash erupted.
The enraged doctors charged into the Directorate. Around 6 pm, Dr Mohanasundaram announced that all non-service students would be allowed to participate in the counselling.
Doctors’ Association for Social Equality (DASE) has demanded action against the guilty policemen and also called for a one-day medical students’ strike in Tamil Nadu on Tuesday.
GENESIS OF THE PROBLEM
THE tussle between the non-service doctors and the Directorate of Medical Education is a long standing one but the latest problem is over rule 52 (b) in the prospectus of post graduate applications, which does not allow the non-service students any quota in eight disciplines each in nonclinical and clinical subjects.
In all the other disciplines otherwise mentioned the quota stands - 50 per cent for all India quota that any student can apply, including the non-service students of Tamil Nadu; 25 per cent for service candidates and 25 per cent for non-service candidates from Tamil Nadu.
But in the select 18 disciplines, the Government had issued a GO stating that 50 per cent quota should be alloted completely to service candidates only and that the non-service students could apply in the all India quota only in those subjects alone. This was mentioned in the prospectus.
The non-service doctors, realising that they would not get any share of the reservation pie went to the Madras High Court. Unfortunately only 21 students went to court.
The court declared an interim stay on the counselling proceedings and said that the 21 students should be included in the 50 per cent quota meant for the service students.
“This sudden demand for courses, including MD radio diagnosis and MD radio therapy, was because these courses are very expensive in the many private colleges, but have immediate remuneration of at least Rs 60,000 to over a lakh per month in private hospitals,” explained the DME additional director.
The situation took a dramatic turn as the MCI clearly states that the admission for post graduation should not be delayed and that the last date for admission being May 31. Since there was a delay in the all India counselling, the SC had granted extension till June 10.
This website's News Paper lensman faces cop’s ire
This website's News Paper photographer was almost attacked and his equipment broken, when he attempted to take photographs of the lathi charge ordered by the police against doctors, here on Monday.
A woman inspector, wielding a lathi, seized the camera equipment and threatened to break it while This website's News Paper lensman J Manoharan was attempting to capture images of the lathi charge. This happend despite the he showed his identity card.
Sunday, June 8, 2008
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Purpose of the interview 10
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Golden Rules 15
The general scheme of the interview 18
Self Introduction 19
Aims and Career Goals 21
General Knowledge Questions 21
Books to read 25
Reference Books 25
Questions from Medical Science 26
FAQ - Frequently asked Questions about the interview 29
Windsor Knot 35
Department of Health, Government of TamilNadu 42
Directorate of Medical Education 43
Medical Colleges 45
Madras Medical College 45
Stanley Medical College (SMC) 46
Kilpauk Medical College 51
Chengalpattu Medical College 51
Thanjavur Medical College 51
Madurai Medical College 52
Coimbatore Medical College 52
Tirunelveli Medical College 52
Mohan Kumaramangalam Medical College (Salem) 53
KAP Viswanatham Medical College (Trichy) 53
Thoothukudi Medical College 53
Kanniyakumari Medical College 53
The King Institute of Preventive Medicine 53
Directorate of Medical and Rural Health Services 55
Department Functioning: 57
Department of Public Health & Preventive Medicine 57
Directorate of Indian Medicine and Homoeopathy 58
Directorate of Family Welfare 59
Indicators and Goals: 59
State Commission on Population: 60
Drug Control Administration 60
1. The Drugs & Cosmetics Act 1940: 61
2. The Drugs Price Control Order 1995: 61
3. Drugs And Magic Remedies (Objectionable Advertisements) Act 1954: 62
4. Narcotic Drugs And Psychotropic Substances Act 1985: 62
Tamil Nadu Medical Services Corporation Limited 62
Organization: 63
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Tamil Nadu State Health Transport Department 64
Tamil Nadu State AIDS Control Society 64
Tamil Nadu State Blindness Control Society 67
Reproductive and Child Health Project 69
RCH priorities: 70
Achievements of RCHP in Tamil Nadu 70
Lessons from RCH Project Phase-I 71
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PROJECT COMPONENTS 72
Maternal Health 72
Infant and Child Health 73
Adolescent Health 73
Mainstreaming India Systems of Medicine (ISM) 74
Family Welfare and Population Stabilization 74
Urban Health 75
Behavior Change Communication (BCC) 75
Health Management Information System 75
BEYOND RCH PROJECT PHASE-II 76
Danida Assisted Tamil Nadu Area Health Care Project-Phase III 76
1.Introduction 76
2.Organisation and Management: 77
3.Achievements and Progress during Phase III: 77
3.1. Construction activities: 77
3.2 Improving Awareness (IEC): 78
3.3 Improved Technical Knowledge & Skills of Service Providers (Training): 79
3.4 Health Services Mangement: 79
3.5 Improvement of Medical Supplies: 81
Proposed Activities for 2001 and 2002: 81
Programmes under DANIDA 82
1. Danida supported National Leprosy Eradication Programme (DANLEP) 82
2. Danida supported Revised National Tuberculosis Control Programme (RNTCP) 83
3. Danida supported National Blindness Control Program (DANPCB) 83
India 80
President of India 80
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Prime Minister of India 80
Council of Ministers 80
Governors and Chief Ministers 84
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