Here ’s how a trip to Nepal stopped this medical student’s depression
“Please walk slowly,” cautioned Sunita, my interpreter, as I crept down the stony switchback trail towards the rural Nepali village of Dhulikhel. Sunita, in her petite navy ballet flats, hopped down the rocks as easily as the speckled goats grazing nearby.
Emboldened by her speed, I stepped along eagerly, only to catch my size-ten neon running sneaker on a root and splat face-first into the dust. Looking up, I saw four women standing outside their clay-walled homes, their hands pressed to their mouths, their eyes sparkling with stifled laughter. Talk about making an entrance.
After finishing my third year of me...
Source: Kevin, M.D. - Medical Weblog - November 8, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/tess-timmes" rel="tag" > Tess Timmes < /a > Tags: Education Medical school Psychiatry Source Type: blogs
Travel Ban Is Based on Executive Whim, Not Objective Criteria
ConclusionFor countries on the list, and for any country wishing to remain off the list, it is vitally important that they understand which factors led to their inclusion or exclusion. If the United States is acting in good faith —seeking to change behavior as opposed to looking for an excuse to ban people—its criteria should be clearly explained and understood. The Iran nuclear deal, for example, hasvery precise requirements for Iran to avoid sanctions, down to the exact percentage of purity for its enriched uranium. This is very far from the case here.No consistent combination of factors or mitigating factors trigger...
Source: Cato-at-liberty - October 9, 2017 Category: American Health Authors: David Bier Source Type: blogs
BMC “Research in Progress” photo competition: the winning images
Earlier this year we proudly announced that BioMed Central is becoming BMC. Firmly believing that our research communities share our enthusiasm for innovation, science and progress we launched our first ever “Research in progress” photography competition. We asked you to send us inspiring images reflecting curiosity, integrity and innovation across four categories: people at work, close-ups of equipment, plants and animals and microscopy, and you certainly didn’t disappoint.
So without further ado, here is our winning image, the runner up and a selection of images that caught the eyes of our judging panel of editors ...
Source: BioMed Central Blog - September 29, 2017 Category: General Medicine Authors: Davy Falkner Tags: Open Access Source Type: blogs
Emergency Access Initiative activated for libraries affected by recent disasters
NLM and Publishers Launch Emergency Access Initiative, Granting Free Access to Books and Journals for Libraries Impacted by Hurricanes Harvey and Irma. Expanded to Include Hurricane Maria and the Earthquakes in Mexico
The National Library of Medicine (NLM) activated the Emergency Access Initiative (EAI) on September 15th in response to Hurricanes Irma and Harvey which devastated Florida and several Caribbean islands, as well as parts of South Carolina, Texas, and Louisiana.
On September 20th, NLM extended the area of coverage to include areas impacted by Hurricane Maria, and those in Mexico impacted by the recent earthq...
Source: BHIC - September 22, 2017 Category: Databases & Libraries Authors: Annette Parde-Maass Tags: Emergency Preparedness National Library of Medicine News disaster response EAI Source Type: blogs
Jellybean 075 with Little Medic Aidan Baron
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Government #FOAMed Warning; Life in the Fast Lane is apparently addictive. You have been warned. (It’s Jellybean 075 with Aidan Baron; @ALittleMedic )
Aidan Baron is not really that little when you meet him. He is quite big. If you do twitter you will have noticed this man before. I had doubts that he really existed. Was he something like Max Headroom or Ultron or Hobbs? No! He is a lovely man! He is a lovely man that has been enthusiastic about Para-medicine since, lik...
Source: Life in the Fast Lane - September 5, 2017 Category: Emergency Medicine Authors: Doug Lynch Tags: JellyBean aidan baron Source Type: blogs
Building Health Care Systems In Post-Earthquake, Post-Constitution Nepal
Nepal finds itself at a critical juncture in its history. On September 20, 2015 a new Constitution was brought into full force, crystallizing the coming of age of the world’s youngest democratic republic. Today, challenges abound in Nepal — recovery from the worst natural disaster in 80 years, a brutal border conflict with India, and entrenched poverty. And as a landlocked nation with limited options for exporting goods, Nepal continues to face economic stagnation.
Yet the new Constitution brings us great hope. It is among the world’s most progressive, particularly when it comes to the provision of Univer...
Source: Health Affairs Blog - April 14, 2016 Category: Health Management Authors: Duncan Maru, SP Kalaunee and Shanta Bahadur Shrestha Tags: Costs and Spending Equity and Disparities Featured Global Health Hospitals Organization and Delivery Payment Policy Population Health Public Health Quality ACOs EHRs Nepal Nepal Health System Strategy public-private partnership Source Type: blogs
The Making Of Nepal’s Immunization Law
Financial independence for Nepal’s immunization program is now within reach for the first time in history. On January 26, 2016, President Bidya Devi Bhandari of Nepal signed into law a long-awaited immunization bill. This law will improve oversight of immunization services, set tighter standards for vaccine testing and use, and perhaps most importantly, change the way Nepal finances its immunization program.
Transitioning From Gavi Support
Like many nations, Nepal currently depends on financial support from Gavi, the Vaccine Alliance, to fund 60-70 percent of its vaccine purchases. Nepal’s Finance Minister has stated t...
Source: Health Affairs Blog - March 7, 2016 Category: Health Management Authors: Devendra Gnawali Tags: Costs and Spending Featured Global Health Population Health Gavi Kathmandu Declaration Nepal Sustainable Immunization Financing Program vaccines Source Type: blogs
Four Centuries of Spring Temperatures in Nepal
In the past two decades, much scientific research has been conducted to examine the uniqueness (or non-uniqueness) of Earth’s current climate in an effort to discern whether or not rising atmospheric CO2 concentrations are having any measurable impact. Recent work by Thapa et al. (2015) adds to the growing list of such studies with respect to temperature.
According to this team of Nepalese and Indian researchers, the number of meteorological stations in Nepal are few (particularly in the mountain regions) and sparsely distributed across the country, making it “difficult to estimate the rate and geographic extent of rec...
Source: Cato-at-liberty - January 28, 2016 Category: American Health Authors: Craig D. Idso Source Type: blogs
OpenCon 2015 and open access in Nepal
How did you find OpenCon 2015?Pixabay
The atmosphere was electric and the air was thick with love – love for openness and accessibility to knowledge.
OpenCon, a conference where the global community unites to celebrate the achievements of openness, plan for the future and eulogize the importance and need for open entities to a range of audiences.
I had a remarkable time at the OpenCon where I acquired an in depth knowledge about Open Access, Open Education and Open Data through esteemed keynote speakers, workshops, panel discussions and conference sessions.
Open projects around the globe
I had the opportunity to lear...
Source: BioMed Central Blog - December 11, 2015 Category: Journals (General) Authors: Roshan Kumar Karn Tags: Open Access open data Source Type: blogs
The High Costs Of Nepal’s Fee-For-Service Approach To Health Care
Go to just about any clinic, pharmacy, or hospital in Nepal with a head cold. Your symptoms are invariably caused by a virus, for which time is the only remedy, rather than antibiotics, steroids, or vitamins. Despite the substantial harms and lack of benefit of such medications, you will most likely receive them all.
If you are feeling particularly unwell, you might also get intravenous fluids, perhaps some antacid medications, and certainly some amount of analgesics like paracetamol or diclofenac. You will emerge from your consultation 1,500 Nepalese rupees poorer, despite not having received anything of particular benefi...
Source: Health Affairs Blog - July 20, 2015 Category: Health Management Authors: Duncan Maru and Senendra Uprety Tags: Costs and Spending Equity and Disparities Featured Global Health Health Professionals Hospitals Organization and Delivery Payment Policy Population Health Public Health Quality Duncan Maru fee-for-service globalization Kathmand Source Type: blogs
A plastic surgeon goes to Nepal. What he found surprised him.
Sitting in a rickety jeep rumbling through treacherous mountainous terrain, on winding unpaved roads full of blind curves and teetering on the edge of cliffs recently ravaged by an earthquake, I began to question my decision to go along on this trip. We were about 3 hours outside Kathmandu, Nepal heading to a small village along the banks of the Melamchi River. The driver, who could not have been any older than my teenage son, reassured us that we were almost there. It would be another hour before “there” became “here”!
Our destination on this day was a school devastated by the recent earthqua...
Source: Kevin, M.D. - Medical Weblog - July 16, 2015 Category: Journals (General) Authors: Bhupesh Vasisht, MD Tags: Physician Surgery Source Type: blogs
A physician survived the Nepal earthquake. Here’s what he learned.
The morning after his brother’s bachelor party, standing on the fourth floor of his family home, Dr. Arvind Goel, felt the ground move under his feet. “First it was minor vibrations and then it built up in a crescendo and then the couch where my four-month-old son was lying began to shake.”
“It was creepy,” Goel, 32, continued. “The furniture began to shake, then the light fixtures fell from the wall and then they began to swing like a pendulum. The large screen TV was about to fall.”
Goel, a practicing nephrologist, was in Katmandu, Nepal, last month for his younger brother’...
Source: Kevin, M.D. - Medical Weblog - June 18, 2015 Category: Journals (General) Authors: Manoj Jain, MD, MPH Tags: Physician Emergency Source Type: blogs
Access, Excess, And Medical Transformation: Delivering Durable Health Care In Rural Nepal
Conclusion: On Impact And Scale
We believe that Durable Healthcare can transform the health care industry away from the dominant fee-for-service paradigm and towards a model that incentivizes patient safety, patient-centeredness, and evidence-based medicine. Only then we will have a competitive marketplace of private sector providers who leverage public funds for the broader public good. (Source: Health Affairs Blog)
Source: Health Affairs Blog - May 21, 2015 Category: Health Management Authors: Duncan Maru and Padam Chand Tags: Global Health Innovations in Care Delivery Organization and Delivery Population Health Public Health ACOs Durable Healthcare Organization EMR health technology Nepal health care Possible triple aim Source Type: blogs
Another Nepal Earthquake Makes Disaster Relief Planning Even More Important
Leadership, coordination, communication, and involvement of local stakeholders are critical in order to mount an informed response to natural disasters. Improved disaster management in Nepal could help limit the suffering of impacted communities and help secure a more successful recovery in the long run. (Source: The RAND Blog)
Source: The RAND Blog - May 13, 2015 Category: Health Management Authors: RAND Corporation Source Type: blogs
