Google Aarti

Folks, finally I have figured out what the abbreviation "GOD" stands for! It is short for "Google Oriented Development." So, here is the new version of traditional aarti to recognize all the good that this GOD is doing to help us not only quicken the pace of our everyday tasks but also to guide us through many problems / difficulties we encounter in our day to day lives.

This GOD is always with us! The aarti is in Hindi but the English version is below for those who are not being able to read Hindi.

English translation :-

Om Jai Google Hare !! Swami Om Jai Google hare
Programmers ke sankat, Developers ke Sankat, Click main door kare!!

Om Jai Google Hare !! Jo Dhyawe vo pawe, dukh bin se man ka, Swami dukh bin se man ka,
Homepage ki sampatti lawe, Homework ki sampatti karave, kasht mite work ka,
Swami Om Jai Google hare!! Tum puran search engine, Tum hi internet yaami, Swami Tum hi internet yaami
Par karo hamari Salari, Par karo hamari apprisal, Tum dunia ke swami,

Swami Om Jai Google hare. Tum information ke saagar, Tum palan karta, swami Tum palan karta,
Main moorakh khalkamii, Main Searcher tum Server-ami, Tum karta dhartaa !!
Swami Om Jai Google hare!! Din bandhu dukh harta, Tum rakshak mere, Swami tum thakur mere, Apni search dikhaao, sare reasearch karao, Site par khada mein tere,

Swami Om Jai Google hare!! Google devta ki aarti jo koi programmer gaawe,
Swami jo koi bhi programmer gaawe, Kehet SUN swami, MS hari har swami,
Manwaanchhit fal paawe.

Swami Om Jai Google hare. BOLO GOOGLE DEV KI ————- JAI

Courtsey: Mail from Prof. J M Khandeparker, Indore/Mumbai

Traditional versus New Heart Bypass Surgery Techniques

There is great amount of confusion not only amongst patients but also amongst general physicians and referring doctors regarding the benefits of beating heart surgery. Beating heart surgery in various parts of the world has taken by storm especially in underdeveloped countries, mostly promoted by surgeons under-pressure to counter and perform against much publicised, hyped and also practiced “angioplasties”  by cardiologists.

Following passage is an attempt to throw some light on some startling facts in the back drop of recent researches comparing traditional vs. beating heart surgery.
Surgery to bypass blocked heart arteries has traditionally been done using a heart-lung machine. This machine circulates blood throughout the body while the heart is stopped to permit bypass surgery. It was thought that these heart-lung machines were the cause of
or contributed to certain complications — such as stroke, memory loss or trouble thinking clearly — occasionally observed after surgery.

In recent years, techniques have been developed so that bypass surgery can sometimes be done without a heart-lung machine, while the heart is still beating. The theory was that this would improve results by reducing complications associated with the heart-lung machine.

Not so, according to a study published in the The New England Journal of Medicine. The study randomised more than 2,203 men into two groups that received bypass surgery either with or without heart-lung machines. One year later, about 10 percent of those who had bypass surgery without a heart-lung machine had died, had a heart attack or needed another surgery to open a blocked artery. These outcomes occurred in only about 7 percent of those who had surgery using the machines. There was no difference in cognitive function between the two groups.

A probable explanation is that it’s more technically challenging to sew bypass arteries onto a beating heart. This resulted in a small number of planned bypasses never being completed.

Specialists at Mayo Clinic say the study clearly shows that bypassing all blocked arteries must be the goal of any bypass procedure, regardless of the chosen approach. Beyond that, the results remain controversial because the study population was all male and generally younger and healthier than the typical person receiving bypass surgery.

Other studies have shown that women and older, sicker adults may benefit from off-pump bypass. In addition, varying surgeon and anaesthesiologist skills may have altered results. However, the fact remains that in the hands of extremely skilled surgeons and anaesthesiologists, some class of patients people may benefit from bypass surgery done without a heart-lung machine also called as Beating Heart Surgery.

MCI quantifies punishments for doctors accepting gifts

The Medical Council of India (MCI) has suggested some modifications to the regulations notified in December last that put a blanket ban on doctors for accepting gifts, travel facilities and hospitality from pharmaceutical companies in lieu of promoting their products.

While quantifying punishment for medical practitioners violating the provisions of the December 2009 Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002, the MCI has suggested various degrees of punishments for doctors who accept gifts worth Rs.1,000 from any pharmaceutical or allied healthcare company instead of a total ban including one on research projects.

The punishments range from censure (for accepting gifts valued between Rs.1,000 and Rs.5,000) to removal from the Indian or State Medical Registry for more than one year (for accepting gifts worth more than Rs.1,00,000).

The recommendations, sent to the Union Health and Family Welfare Ministry for notification, also address other grey areas, including sponsorship of travel and lodging of medical practitioners participating in a conference, monetary grants and the question of clinical research funding.

According to the recommendations, a medical practitioner will not accept any travel facility within the country or outside, any kind of hospitality or cash or monetary gifts for self or family members for a vacation or even for attending conferences, seminars or continuing medical education programmes as a delegate. Punishment for violation of these clauses can range from censure to removal from Indian or State Medical Register for more than a year.

However, in the case of medical research projects funded by pharmaceutical and allied healthcare companies, the medical practitioner will have to take due permission from the competent authorities and ensure that such a research project has the clearance of national/State or institutional ethics committees and see to it that all prescribed legal requirements are fulfilled.

The source and amount of the funding has to be publicly disclosed at the beginning itself, proper facilities have to be provided to human volunteers if necessary for the project, and undue animal experimentations are not to be carried out. Importantly, the researcher will have the freedom to publish the results of the research in the greater interest of society and there shall be no compromise either with his or with the autonomy of the medical institution while conducting research.

Any kind of violation for the first time will invite censure but repeating the offence could invite the removal of the practitioner's name from the Medical Register. The period of removal would depend on the clause violated.

A medical practitioner is also not allowed to endorse any drug or product publicly and any study conducted on the efficacy or otherwise of these products will have to be presented to appropriate scientific bodies or published in an appropriate scientific journal.

“With these recommendations, we are looking at strict implementation of the regulations,” MCI president Ketan Desai said. There was some ambiguity on a few clauses in the regulations notified in December. “By clearly defining these we have resolved any confusion,” he said.

Keywords: Medical Council of India, MCI, regulations, ban, accepting gifts, pharmaceutical companies