dipak-dr

a MD student, NEW age Doctor,
collection of my thoughts health medical information

What are the biggest problems facing Nepal?

kaajoo:

At a glance, the biggest problems in Nepal do seem to stem from political instability. And it does seem that if the political roadblocks were sorted out, we would fare better.

However, let’s pause right here and take a moment. Let’s ask ourselves how well were we faring before all this public…

T27: G+,Twitter,Tumblr

i still remember, the first social site what i had used, Hi5, then i think, Orkut.. after that off course Facebook. Honestly, when i used to hang on FB, i was happy and keep on touch with everyone,

but once i got unnecessarily tagg mesg though i was not there in pictures, i got pissed up.. then i started to hate FB and another reason, is that, once upload the photo, ppl can comment anything.. some good and some bad.. but didnt know why, ppl dont realize that some of family members are also in FB, so they might see and they do some reaction because of such comments made in such photos..and off course no privacy from girls.. hehe..

then i decided to deactive the account of FB and G+ came in my alternative because there is a option where we can make sort of circle so its better have a kind of privacy to share something.. ulikely FB, it couldnt gather the ppl interests on it, so i didnt use frequently.. and then start to do Twitter..

i find it effective..and more faster, more friendly and easy to transfer and get the infomation..so still i am enjoying it alot and i use and follow everyday…

but today suddenly when i update my G+ application in iphone, i surprised the way it looks now, and more features.. and quite fun to use, seems like all in one combo.. but i still dont know what will be in future,

so.. for this moment of time, i am using these three best social media application to touch and transit few information here there…….

social media…..

(Source: drdipak)

T26: Long time BUSY,TIRED,SUMMER

its been a long period of time, didnt even open lappy…so unbale to write and share something in this blog. its actually not because of i didnt hang on social media. but actually its due to influence of smart phones.. once we have smart phones, we do have everything to hang in all platform of social media, so sometimes not necessarily open our laptop too.. 

but on the other hand, semester was wrapping… summer vaccation was on and before that need to do practise in hospital.. so its hot weather now..thats why when i back to home, feel tired and just like to rest , watch tv and again preparation for practical..

same time, i am helping some of my lecture who are doing physiological and anatomical research on medical students. so just helping on that project too.. and my summer vacation still in due.. still havent gone for vacation.. might be going in mid august.. well lets see.. 

and hope i can continue to share some my thoughts and collection which is really new to me, and makes me interesting…

in this period, i really amazed by Mr amitabh bachchan, in this age, he is soooo active in twitter and blogging, and even now, in tumblr too…so once i will be free, gonna through all his blog.. its an encourgement for all of us.. and it really motivate too..

dipak

(Source: drdipak)

freedomofmymind:

I can’t quite explain what this does to me.  Home. One day I will be back here, where my everything began. Nepal. 

Nepal Mountain Bike- Himalayan High

(Source: nepal, via neharaysays)

T25:HEALTH BENEFITS OF COCONUT WATER

Health benefits of coconut water:

Coconut water is a very refreshing drink to beat tropical summer thirst. The juice is packed with simple sugar, electrolytes, and minerals to replenish hydration levels in the body.

Research studies suggest that cytokinins (e.g., kinetin and trans-zeatin) in coconut water showed significant anti-ageing, anti-carcinogenic, and anti-thrombotic effects.

Coconut water has been generally offered to patients with diarrhea in many tropic regions to replace fluid loss from the gastrointestinal tract and reduce the need for intravenous therapy. The osmolarity of tender coconut water is slightly greater than that of WHO recommended ORS (Oral Rehydration Therapy) osmolarity. Presence of other biological constituents like amino acids, enzymes, minerals, and fatty acids may account for this higher osmolarity. However, unlike WHO-ORS, its water is very low in sodium and chlorides, but rich in sugars and amino acids. This well-balanced fluid composition with much needed calories would be an ideal drink than any other brand of soft drink beverages in dehydration conditions.

Coconut water is composed of many naturally occurring bioactive enzymes such as acid phosphatase, catalase, dehydrogenase, diastase, peroxidase, RNA polymerases etc. Altogether, these enzymes aid in digestion and metabolism.

Despite very light consistency, its water has much better composition of minerals like calcium, iron, manganese, magnesium, and zinc than some of fruits like oranges. (Compare mineral composition of oranges).
Its water is also a very good source of B-complex vitamins such as riboflavin, niacin, thiamin, pyridoxine, and folates. These vitamins are essential in the sense that body requires them from external sources to replenish.

Coconut water contains a very good amount of electrolyte potassium. 100 ml of water has 250 mg of potassium and 105 mg of sodium. Together, these electrolytes help replenish electrolytes deficiency in the body due to diarrhea (loose stools).

In addition, fresh coconut water has small amount of vitamin-C (ascorbic acid); provides about 2.4 mcg or 4% of RDA. Vitamin C is a water-soluble ant-oxidant.


(Source: drdipak)

T24:CATARACT(EYE)

CATARACT(eye):

A cataract is a cloudy or opaque area in the lens of the eye. Cataracts usually develop as a person gets older and may run in families. Other environmental factors such as smoking or exposure to toxic substances can also accelerate the development of a cataract. Cataracts can cause visual problems such as difficulty seeing at night, seeing halos around lights, and sensitivity to glare.

Symptoms and Detection:
What are the symptoms of a cataract?
The most common symptoms of a cataract are:

Cloudy or blurry vision.
Colors seem faded.
Glare. Headlights, lamps, or sunlight may appear too bright. A halo may appear around lights.
Poor night vision.
Double vision or multiple images in one eye. (This symptom may clear as the cataract gets larger.)
Frequent prescription changes in your eyeglasses or contact lenses.
These symptoms also can be a sign of other eye problems. If you have any of these symptoms, check with your eye care professional.
How is a cataract detected?
Cataract is detected through a comprehensive eye exam that includes:

Visual acuity test: This eye chart test measures how well you see at various distances.
Dilated eye exam: Drops are placed in your eyes to widen, or dilate, the pupils. Your eye care professional uses a special magnifying lens to examine your retina and optic nerve for signs of damage and other eye problems. After the exam, your close-up vision may remain blurred for several hours.
Tonometry: An instrument measures the pressure inside the eye. Numbing drops may be applied to your eye for this test.
Your eye care professional also may do other tests to learn more about the structure and health of your eye.

How is a cataract treated?
-The symptoms of early cataract may be improved with new eyeglasses, brighter lighting, anti-glare sunglasses, or magnifying lenses. If these measures do not help, surgery is the only effective treatment. Surgery involves removing the cloudy lens and replacing it with an artificial lens.

What are the different types of cataract surgery?
-There are two types of cataract surgery. Your doctor can explain the differences and help determine which is better for you:

-Phacoemulsification, or phaco. A small incision is made on the side of the cornea, the clear, dome-shaped surface that covers the front of the eye. Your doctor inserts a tiny probe into the eye. This device emits ultrasound waves that soften and break up the lens so that it can be removed by suction. Most cataract surgery today is done by phacoemulsification, also called “small incision cataract surgery.”
Extracapsular surgery. Your doctor makes a longer incision on the side of the cornea and removes the cloudy core of the lens in one piece. The rest of the lens is removed by suction.


(Source: drdipak)

T23:ANATOMICAL DEAD SPACE

Anatomical dead space

The entire respiratory system is separated into two parts, the conductive, and the respiratory parts. The conductive is everything that is connected from the nose to the terminal bronchioles. Air is moved throughout the conductive parts, but O2 and CO2 are not exchanged.
This lack of gas exchange gives rise to the name dead space. The dead space of the lungs is approximately 150 ml.

Conductive(anatomical dead space) – Nose, Pharynx, Larynx, Trachea, Bronchi, Terminal Bronchioles
Respiratory – Respiratory Bronchioles, Alveolar Duct, Alveolar Sac

Physiologic dead space includes all the non-respiratory parts of the bronchial tree included in anatomic dead space, but also factors in alveoli which are well-ventilated but poorly perfused and are therefore less efficient at exchanging gas with the blood. Because atmospheric PCO2 is practically zero, all the CO2 expiredin a breath can be assumed to come from the communicating alveoli and none from the dead space. By measuring the PCO2 in the communicating alveoli (which is the same as that in the arterial blood) and the PCO2 in the expired air, one can use the Bohr Equation to compute the “diluting,” non-CO2 containing volume, the physiologic dead space.

(Source: drdipak)

T22: IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR(ICD)

Implantable cardioverter-defibrillator 

An implantable cardioverter-defibrillator (ICD) is a small battery-powered electrical impulse generator
which is implanted in patients who are at risk of sudden cardiac death due to ventricular fibrillation
and ventricular tachycardia.

The device is programmed to detect cardiac arrhythmia and correct it by delivering a jolt of electricity. In current variants, the ability to revert ventricular fibrillation has been extended to include both atrial and ventricular arrhythmias as well as the ability to perform biventricular pacing in patients with congestive heart failure or bradycardia. Implantation Automatic implantable cardioverter defibrillator.

The process of implantation of an ICD is similar to implantation of a pacemaker. Similar to pacemakers, these devices typically include
electrode wire(s) which pass through a vein to the right chambers of the heart, usually being lodged in
the apex of the right ventricle. The difference is that pacemakers are more often temporary and
generally designed to consistently correct bradycardia, while ICDs are often permanent
safeguards against sudden abnormalities.

The most recent development is the subcutaneous
ICD (S-ICD). Current state-of-the-art electronics and batteries have enabled an implantable device to
deliver enough energy to defibrillate the heart without the need for a lead in or on the heart. This
prevents lead-related problems and the risk of dangerous infections in or near the heart.

This ICD
is positioned just under the skin and outside the ribcage. It can be placed during a minor procedure
under conscious sedation. A study of 300 patientsis in progress for US approvals.


(Source: drdipak)

You say that you love rain, but you open your umbrella when it rains. You say that you love the sun, but you find a shadow spot when the sun shines. You say that you love the wind, but you close your windows when wind blows. This is why I am afraid, you say that you love me too.

—William Shakespeare (via sunday26th)

Love and true love, life, relationship

(Source: venula, via likeanantinspace)

Busy

Busy days are moving as well are in q till summer break! Gonna wrapp up this sem, lots of freaking subjects too.:( so no time to update any social site even:(

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