Dr. Ram Prasad Subedi Health blog

Struggling with exam-related anxiety? You're not alone! In this video, we explore the causes and impacts of anxiety on medical, PhD, high school, and college students, providing you with effective strategies to combat it. Discover the latest research findings that shed light on this common issue and learn practical tips to manage your stress and boost your confidence before exams. Whether you're cramming for finals or prepping for a big presentation, this video will empower you to overcome your fears and perform your best! If you find this information helpful, please like and share the video!  

Ryles Nasogastric Tube:  This is a narrow tube made of non-toxic, medical grade polyvinyl chloride (PVC) or polyurethane. The distal end is coned with steel balls sealed into the tube to facilitate easy insertion. Four lateral eyes along the distal end provide efficient drainage of secretions/fluids. The tubes are marked at 50, 60 and 70 cm from the distal end for accurate placement into the abdomen. The radio-opaque line provided throughout the tube helps radiographic visualisation. The proximal end is provided with a universal funnel connector for easy extension and allows a drain or feeding bag to be connected. Sizes available are 6–18F for adults and 10–14F for children. Ryles tubes are available in packs that have been pre-sterilised with ethylene oxide. They are also available individually in peelable pouch packs. Nasogastric tubes are used for: aspiration in cases of intestinal obstruction and pyloric stenosis diagnosis of gastrointestinal haemorrhages and acute gastric...

Telescopes And Lens Systems in surgery: Telescopes are used to visualise inside the abdomen during laparoscopy or cystoscopy. The size ranges from 0.8 mm (needle scope) to 15 mm diameter. The brightness of the image reduces with decreasing size of the scope. The angle of view can be a straight-on view at 0° or angled at 0°/30°/45°/70°/120°. Zero-degree telescopes provide a field of view of only 76°. A 30° telescope provides a total field of view of 152°. The 30° forward oblique angle permits far greater latitude for viewing areas under difficult anatomical conditions, has an unobstructed view from a distance and provides more space for instrument manoeuvrability. There are two lens system designs: conventional thin lens system Hopkins rod–lens system. The thin lens system, which consists of a series of objective lenses to transport the image down the laparoscope, is used less commonly. The Hopkins lens system, which consists of a series of quartz-rod lenses, carries the image through t...

Minimal access surgery: Minimal access surgery is now commonplace in a wide range of specialties. With increased surgeon expertise, absolute contraindications of MIS surgery have been replaced by relative contraindications based on surgeon experience. Reduced blood loss, and improved visualisation may make minimal access surgery the approach of choice for obese patients, Jehovah’s Witness or even in certain re-do procedures (particularly with the advent of surgical robotics).

Surgical Navigation and Tumor Localization: Augmented reality in surgery allows for the overlay of real-time imaging/data onto the surgical field. It may improve localisation of tumour pathology or anatomical structures and can be used to ‘navigate’ the surgeon to the area of interest. Virtual reality has been used for simulation and training and can improve the learning curve for novel minimal access surgery approaches. Ref: Bailey and Love 28th edition

  The National Institutional Ranking Framework (NIRF), Outlook India, and The Week are some of the organizations that release annual rankings for various institutions, including medical colleges. To get the most accurate and recent rankings for medical colleges in India for the year 2021, I recommend checking the latest publications from these organizations or referring to reputable news sources. You can also visit the official websites of the respective medical colleges, as they often provide information about their rankings and achievements. Additionally, news outlets and educational magazines may publish updated rankings and reviews based on various parameters. Keep in mind that rankings are just one aspect of evaluating a medical college, and it's essential to consider other factors like faculty, infrastructure, research opportunities, and student reviews when making decisions about educational institutions. 1. All India Institute of Medical Sciences , New Delhi 2. Post Graduat...