Friday, November 15, 2013

Doctors are told to get serious about obesity
Next time you go for a checkup, don't be surprised if your doctor gets on your case about your weight.

The medical profession has issued new guidelines for fighting the nation's obesity epidemic, and they urge physicians to be a lot more aggressive about helping patients drop those extra pounds.

Doctors should calculate your body mass index, a weight-to-height ratio. And if you need to lose weight, they should come up with a plan and send you for counseling.

"We recognize that telling patients to lose weight is not enough," said Dr. Donna Ryan, co-chair of the guidelines committee.

The good news? By next year, most insurance companies are expected to cover counseling and other obesity treatments, following in the steps of the Medicare program, which began paying for one-on-one help last year.

More than a third of U.S. adults are obese, and that's been the case since the middle of the last decade. Officials define someone with a BMI of 30 or higher as obese. A 5-foot-9 person would be obese at 203 pounds.

Doctors are well aware that excess weight can trigger diabetes and lead to heart disease and other health problems. Yet surveys have shown that only about a third of obese patients recall their doctor talking to them about their BMI or counseling them about weight loss.

The guidelines were released this week by a group of medical organizations that include the American Heart Association, the American College of Cardiology and the Obesity Society.

They come amid a spate of important developments in the fight against obesity.

Last year, the Food and Drug Administration approved two more obesity-fighting drugs. And this year, the AMA labeled obesity a disease, a measure intended to get doctors to pay more attention to the problem and prod more insurers to pay for treatments.

Yet many people have been on their own when it comes to slimming down, left to sift through the myriad diets and exercise schemes that are promoted for weight loss. And most doctors have little training in how to help their obese patients, other than telling them it's a problem and they need to do something about it.

"I feel for these guys," said Dr. Tim Church, a researcher at Louisiana State University's Pennington Biomedical Research Center. "They have patients who come in and ask them about the latest fad diet. They're not trained in this stuff and they're not comfortable" recommending particular diets or weight-loss plans.

The guidelines advise doctors to:

- At least once year, calculate patients' BMI, measure their waists and tell them if they are overweight or obese.

- Develop a weight-loss plan that includes exercise and moderate calorie-cutting.

- Consider recommending weight-loss surgery for patients with a BMI of 40 or for those with a BMI of 35 who also have two other risk factors for heart disease such as diabetes or high blood pressure.

- Refer overweight and obese patients who are headed for heart problems to weight-loss programs. Specifically, discuss enrolling them in at least 14 face-to-face counseling sessions over six months with a registered dietitian, psychologist or other professional with training in weight management.

Web or phone-based counseling sessions are considered a less effective option.

Diane LeBlanc said the new guidelines are overdue.

More than year ago, the Baton Rouge, La., woman sat down with her longtime family doctor to talk about her weight and get a referral for some kind of help. She had tried dieting without success for more than a decade, had high blood pressure and was about to hit a dress size of 20.

She said the doctor smiled and told her: "There's a lot of programs out there. But really, you just have to eat less."

"It just devastated me," LeBlanc recalled. "He was saying, `It's all in your mind.' I was thinking, `If I could do that, don't you think I would have done it by now?'"

She changed doctors and has lost 40 pounds from her 5-foot-4 frame since May after getting into an intensive Pennington weight-loss program that includes counseling sessions.

Doctors "need to get the message," "LeBlanc said. "Just telling someone you need to push the plate away is not going to work for everyone."

Source : Foxnews

Thursday, November 14, 2013

Affordable medical education will bring down healthcare costs
One way to make healthcare affordable is by ensuring that medical education becomes inexpensive, Sri Jayadeva Institute of Cardiovascular Sciences and Research (SJICSR) Director Dr C N Manjunath said.

Delivering the  keynote address at the inaugural of a two-day workshop titled ‘Affordable Healthcare and Access to Clean Water’ at the Indian Institute of Management, he said,”Because of expensive medical education, doctors are constantly thinking about how much they’ve spent on their training, and patients are made to bear the costs. To make clinical service affordable, medical education has to become affordable.”

Dr Manjunath said affordable medical education would also make 25-30 per cent doctors follow an evidence-based medical approach.

“We need to strengthen the basics of medicine. Doctors seem to be taking pride in conducting investigations (tests), most of which may be unnecessary. It is wrong to make patients undergo so many tests. In more than 50 per cent of the cases, lending a good ear to patients will give us the diagnosis,” he said.

“The basic cost of treatment will be decided by the managements in private hospitals, which are mostly looking only at a revenue model. They need to adopt a volume-cum-revenue model instead,” Dr Manjunath suggested.

He referred to how SJICSR did close to 80 angiogram procedures every day.

“With such volume, I can easily perform at least 7-8 free of cost,” he added.

Dr Manjunath said hospitals in the public sector were unable to win the trust of patients due to lack of uniformity in high standard healthcare.

“There is a need to cut red tape. Also, a corporate culture should come in the public sector. Otherwise, patients will be forced to go to the private hospitals.” With 70 per cent of clinical services today being provided by the private sector, “there is a need for better synchronisation between public and private institutions,” he said.  Dr Manjunath urged the government to reduce duties on costly medical equipment.


Where do you want to study?

If you’re unfamiliar with China’s cities and universities, there are a number of pages you may want to take a look at. For university rankings, browse our Good Universities Guide or the Top Universities in China. For more information on Chinese cities, peruse our City Guide. Universities are listed here and displayed on a map here.

If you’re interested in taking a non-degree program to learn Chinese, you may have been told that Beijing is the best location because the local dialect is the closest to standard Mandarin. However, smaller cities with fewer foreigners are also well-worth considering, as you’ll likely find yourself with even more opportunities to practice your Chinese. Consider somewhere in the northeast like Liaoning province, where locals speak standard Mandarin, but the cost of living is cheaper.

How long will you spend in China?

Academic degree programs are generally fixed: undergraduate degree programs last for four to five-years, master’s degrees for two to three years, and doctorate degrees for three to five years.
Language programs are mainly six months (one semester), one-year or short-term (the scheduling for short courses in some universities are already fixed, but some can be adjusted according to the demands of a large group of students).

When do you want to start your class?
Most Chinese universities’ degree courses begin every autumn (September). A small number of courses can admit students during spring. Regarding the enrolment period for language courses, the six-month language course usually opens in both semesters; the One-year language course usually opens during fall; the Short-term courses may have fixed times or may arrange a time at the request of a group of students.

Chinese universities each have a one to two-month winter break (January-February) and a two month long summer break (July-August). Universities usually do not arrange classes during the vacation (if the applicant wishes to study during the school holidays, please contact us service@ Private language schools usually accept applicants anytime.

Note: Schools which state that you can enroll anytime mean that you can enroll anytime except on holidays, winter and summer vacation. Winter and summer vacations are normally during January to March and July to Sept.

Source :

Friday, November 8, 2013

Enrollment in MD, DO Schools Hits New Highs school applications and enrollment reached record highs this year as organized medicine's cries for more funding for residency slots continued with little response from Congress.

The number of first-year medical students exceeded 20,000 for the first time in 2013, reaching 20,055, the Association of American Medical Colleges (AAMC) said Thursday in its annual report on medical school enrollment and applications.

Meanwhile, first-year student enrollment at osteopathic medical colleges increased 11.1% in 2013, to 6,449, according to the American Association of Colleges of Osteopathic Medicine (AACOM).

The two organizations increased their pleas for Congress to provide more money for graduate medical education and funding residency training slots to handle the newly minted doctors.

"We think, that as much as we see gridlock in Washington, that is something that we need to attend to sooner rather than later,"Atul Grover, MD, PhD, chief public policy officer at AAMC, said during a congressional briefing Thursday.

First-time medical school enrollment jumped 2.8% this year and is up 21.6% since 2002, according to the AAMC. The group attributed the increase to four medical schools opening their doors this year and an additional 14 increasing their class sizes by more than 10%.

Total medical school applications are up 6.1% to 48,014, this year while first-time applicants have grown 5.8%, the AAMC said. First-time female applicants increased 6.9%, after remaining flat in 2012. Hispanics attendance at medical schools increased 5.5%.

Furthermore, total enrollment at osteopathic medical schools increased to 4.9% over 2012, growing to more than 22,000 students. New osteopathic medical schools opened in the last year in Alabama, North Carolina, and Indiana.

"Because large numbers of new osteopathic physicians become primary care physicians, often in rural and underserved areas, it is evident that the osteopathic medical profession will help the nation alleviate a primary care physician crisis," Stephen Shannon, DO, MPH, AACOM president and chief executive, said in a statement. "And colleges of osteopathic medicine are expanding and increasing to meet this demand."
But the increase in enrollment will mean little in the fight to ease the nation's physician shortage unless teaching hospitals have a greater ability to train physicians, the AAMC and AACOM said. The AAMC projects a shortage of more than 90,000 doctors by 2020.

"Unless Congress lifts the 16-year-old cap on federal support for residency training, we will still face a shortfall of physicians across dozens of specialties," AAMC President and Chief Executive Darrell Kirch, MD, said in a release. "Students are doing their part by applying to medical school in record numbers. Medical schools are doing their part by expanding enrollment. Now Congress needs to do its part and act without delay to expand residency training to ensure that everyone who needs a doctor has access to one."
The Balanced Budget Act of 1997 limited the number of residencies Medicare would support. But seeing the pending shortage of physicians coming, the AAMC pleaded with its members in 2006 to increase its enrollment, which was mostly flat between 1980 and 2006.
While medical schools have complied, the number of residency training positions has remained the same. Nearly 1,000 graduates initially were unmatched last year, a number that was eventually whittled down to 520.
"We should probably be training another 4,000 doctors per year," Grover said.
With 26,504 medical students starting in 2013 between osteopathic and allopathic medical schools, only 26,392 first-year residency slots existed in 2013, Grover said.

"We hear from our educators and our teaching hospitals the way that clinical revenues have been compressed, they don't have the resources for additional positions anymore," he added.
Legislation is pending in both chambers -- H.R. 1201 and S. 577 -- that would increase the number of residency slots Medicare would support by 15,000 over 5 years. The legislation would cost about $9 billion over 10 years, Grover said.

It costs about $145,000 a year to train a physician, but Medicare supports only about $3.2 billion annually of the roughly $15 billion it takes to train physicians nationwide.
Source: Med Page today

Thursday, November 7, 2013

A boy born without a brain dies after three-year

A three-year-old Colorado boy born without a brain has died after living what doctors called a miracle life. Coke suffered from a rare condition known as anencephaly, meaning he was born with only a brain stem.

While most children with this condition die shortly after their birth, Nickolas far exceeded that sentence.

“Nickolas Coke suffered from a rare condition known as anencephaly which meant he was only born with a brain stem

  Children with the very rare condition are considered unable to think or have emotions

  His family believed he was growing both physically and mentally”
Surviving on little else than pain medication, Nickolas lived what his family called an incredible life.
'He was never hooked up to any machines, no tubes, no nothing,' Sherri Kohut, Nickolas’s grandmother, told KOAA in Colorado.

'He taught us everything, he taught the love, how to be family. He taught us everything.'
Kohut, who was with Nickolas when he died, said the boy stopped breathing after having difficulties doing so all morning. 
Medical officials attempted to revive him using CPR, but after three failed attempt, he was pronounced dead.

'They told us "no more, let him go",' Kohut said. 'So he died at 12:40 today. Peacefully.'
Nickolas was apparently in good spirits just days before his death. Recent photographs posted on Facebook show the boy smiling and laying in a pumpkin patch.
'He was laughing because he thought it was funny that we couldn't get him to stay still enough to roll off the pumpkins,' Kohut said.

The family made an effort to get Nickolas out as much as possible, taking him on trips to the zoo and going camping.

Anencephaly occurs in about 1 in every 10,000 births, according to the National Center of Biotechnology Information. 
Children with anencephaly are considered unable to think or have emotions. 

Without a brain, Nickolas couldn’t speak, eat or walk and frequently suffered from debilitating seizures.
Still his family believed the boy was growing both physically and mentally.

'He was our hero because he showed the strength if I can do this anything can be done,' Kohut said. 
'He will always be remembered.'
Source :

Wednesday, November 6, 2013


Theme of the Program — A Miraculous Tour: Chinese Medicine

We are happy to inform you about the SUMMER HOLIDAY PROGRAM offered by Shanghai University of Traditional Chinese Medicine.

About the Program:
Traditional Chinese medicine is undoubtedly deemed as the quintessence of Chinese culture. It has been
well recognized across the international community for its natural therapies, holistic medical philosophy
and significant clinical efficacy. Lectures, cultural experience and field trips offered in this program will
enable international students from very different cultural and educational backgrounds to get to know
Shanghai, understand Chinese culture and experience the magnificent traditional Chinese medicine.
Young volunteers are ready to welcome and help you.

Modules of the Program
  • Chinese Language and Culture
  • Traditional Chinese Medicine and Chinese Medicinal
  • Acupuncture and Tuina
  • Clinical Application of Traditional Chinese Medicine
  • Life‐nurturing and Healthcare

Learning Patterns
  • Lectures on Traditional Chinese Medicine
  • Chinese Language Learning
  • Experience Chinese Culture First‐Hand
  • Study Tours
  • Field Trips to Chinese Medicinal Gardens

The University offer two kinds of SCHOLARSHIP
To apply for Scholarship program there is no GRADE Criteria required, the student should be 16 and above. The students, who apply for the program without a delay, will get the Government scholarship or the University scholarship type accordingly.

The university started accepting the applications please hurry up to get the scholarship.

Date of the Program — June 15th (Sunday) July 11th, 2014 (Friday)

Period of the Program — 4 Weeks

Application Deadline — April 30th, 2014