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NEWS: NTRMEDNET consortium & digital library
Journal of Dr. NTR University of Health Sciences, Year 2014, Volume 3, Issue 1 [p. 72]
NEWS: University News
Journal of Dr. NTR University of Health Sciences, Year 2012, Volume 1, Issue 4 [p. 272]
Recording refusal/failure of the patient - A mandatory protocol
Medical Law Cases for Doctors, Year 2016, Volume 9, Issue 7 [p. 118-119]
  1. Patient's refusal to give consent or agree for a particular treatment/procedure must be specifically recorded in medical records such as prescription, referral note, discharge card, and internal medical records. (In this case, the patient refused to undergo open surgery for removal of ovarian tumor and hence she was referred to another hospital (OP) for laparoscopy. This fact was specifically recorded in the prescription of the referring hospital. In the court, the decision to perform laparoscopy was challenged, and the hospital (OP) was able to convince the court thanks to the prescription of the referring hospital.)
  2. In case the patient refuses the first option and instead opts for the second best option, the doctor must be sure that both the options are acceptable to medical science. (In this case, the patient was advised open surgery but she refused and hence laparoscopy was performed. The court observed that both the alternatives were "acceptable" to medical science, and hence there was no negligence.)
  3. Pathology laboratories and imaging centres must not give a confirmatory report unless it is otherwise. (In this case, the pathologist (OP) perhaps missed the diagnosis of cancer but had recorded "S/o" - suggestive of, which meant that it was only a possibility and not final or confirmatory. The court held that the pathologist (OP) cannot be held guilty because she did not give her final diagnosis, report was not completely negative, and only a possibility was expressed, which implied that a second opinion was required.
  4. Keep yourself updated on the drugs prohibited by the government and other statutory authorities. (In this case, one of the allegations was that the hospital (OP) had prescribed pain killer (nemoslide) which was prohibited by the Central Government.)
  5. Failure to perform an intervention by the indicated route could be construed as negligence. (In this case, one of the allegations was that removing ovarian tumor by laparoscopy instead of open surgery was negligence as the tumor was removed in parts, as a result of whichthe tissue of the cancer remained and spread after the operation.)
  6. It is advisable that relatives/attendants of the patient, even if they are doctors, should not be allowed in the OT.
  7. Informing/explaining the patient's relatives/attendants during the course of an intervention about the complications/decisions taken inside the OT is a healthy practice. (In this case, the hospital (OP) had clearly stated that the patient's husband "was also called inside the operation room and made aware regarding the status through monitor.")
  8. Elicit information whether the patient has taken any treatment from a non-allopath or a quack and record this fact specifically in the medical records. Patients usually try to suppress such information. (In this case, it was pointed by the hospital (OP) that the patient took homeopathy treatment and suppressed the above fact.)
  9. Experience of a doctor is slowly being taken into account by the courts.
Legally acceptable protocol to treat an emergency patient outside expertise
Medical Law Cases for Doctors, Year 2010, Volume 3, Issue 8 [p. 97-98]
  1. Emergencies know no boundaries. Whatever is possible must be done. If the patient is outside your expertise and some help has to be given then make efforts to take telephonic advice from the appropriate specialists and act accordingly. Give first-aid and make efforts to transfer the patient to an appropriate facility. It is advisable to disclose to the attendants / friends / relatives of the patient that the patient is outside your competency and take their written endorsement of having received this intimation. The proposed Clinical Establishments Act has provisions that make it obligatory to manage and stabilize emergency patients. Even otherwise the Supreme Court has way back in 1989, cast a legal duty on all doctors / hospitals that all emergency patients must be treated, managed and if indicated, transferred to an appropriate facility.
  2. Not performing sensitivity tests or not giving test doses where indicated could be construed as negligence in appropriate cases.
Quackery and negligence
Medical Law Cases for Doctors, Year 2009, Volume 2, Issue 10 [p. 126]
Prescribing treatment of a different pathy in the absence of the requisite qualifications prescribed by law amounts to quackery and hence negligence. Though it is usually the non-allopaths who are held negligent for prescribing allopathic medicine, an allopath prescribing non-allopathic treatment or medicines would also be equally negligent.
Cross-pathy practice - Homeopath held negligent for using a "Laser Comb'
Medical Law Cases for Doctors, Year 2015, Volume 8, Issue 6 [p. 98]
Any doctor prescribing medicines or using any equipment/technique that is outside the scope of his/her qualification, skill or experience is negligent. (In this case, the homeopath (OP) was held negligent for using a 'Laser Gun' for treating a case of hair fall. The court clearly held that use of the 'Laser Gun' was alien to the practice of homeopathy).
NEWS FROM HERE AND THERE: News from here and there
The National Medical Journal of India, Year 2018, Volume 31, Issue 2 [p. 127-128]
DOI: 10.4103/0970-258X.253160
ORIGINAL ARTICLE: Chromatographic investigation of phytoconstituents in milk yam (Ipomoea digitata L.) tubers
Pharmacognosy Magazine, Year 2020, Volume 16, Issue 5 [p. 462-466]
DOI: 10.4103/pm.pm_116_20
Background: Milk yam commonly called Ksheervidhari is a perennial climber; its tubers are an integral crude drug in different Ayurvedic formulations as well as folkloric medicine. It is used as antidiabetic, restorative, carminative, expectorant, galactagogue, stomachic, and appetizer. Objective: The present study is done with the aim of identifying the maturity stage of milk yam tuber containing maximum concentration of umbelliferone – a coumarin present in the tubers. Materials and Methods: Umbelliferone present in immature tubers (6 months after planting), overmature tubers (36 months after planting), and tubers at optimum maturity (21 months after planting) was assessed using high-performance liquid chromatography (HPLC) and high-performance thin-layer chromatography (HPTLC) analysis. Results: HPLC and HPTLC techniques revealed the presence of umbelliferone and it was quantified to be higher in over mature tubers (0.44 and 0.42 μg/g, respectively), followed by optimally mature (0.31 and 0.22 μg/g, respectively) and immature tubers (0.20 and <0.11 μg/g, respectively). Conclusion: The study reveales that developmental stages affect umbelliferone concentration in milk yam tubers and it increased as the plant ages.
ORIGINAL ARTICLE: Extraction and volatile compounds profiling of the bioactive fraction of Monochoria hastata
Pharmacognosy Magazine, Year 2020, Volume 16, Issue 5 [p. 517-523]
DOI: 10.4103/pm.pm_386_19
Background: An aquatic macrophyte Monochoria hastata (L.) Solms has ethnomedicinal application in various ailments and experimentally is proved to have antibacterial property. Objectives: To evaluate the optimized extraction methods and solvents for antibacterial activity and their characterization by gas chromatography-mass spectrometry (GC-MS). Materials and Methods: Extractions from the aerial parts of the plant in solvents with different polarities and various techniques, viz., microwave, infusion, Soxhlet, and maceration, were used to evaluate the best antibacterial efficacy by agar well diffusion method. The phytochemical constituents present in the bioactive extract were analyzed using standard phytochemical screening methods and characterized by GC-MS analysis. Results: Ethyl acetate extract derived by the Soxhlet method showed the highest antibacterial activity against all the test bacterial strains, and Gram-positive strains were more susceptible than Gram-negative strains. The crude extracts showed antibacterial activity which ranged from 7.0 ± 0.3 to 16.5 ± 0.8 mm at 100 mg/ml. Fifty percent of methanol had the highest extractive value (21.3%) in the Soxhlet method. Phytochemical tests showed the presence of alkaloids, phenols, flavonoids, terpenoids, glycosides, and fats in the bioactive ethyl acetate extract. GC-MS analysis showed the presence of different fatty acids and their saturated esters as the principal components. The major compounds were tridecanoic acid, methyl ester, 2-hexyldecanoic acid, dodecanoic acid, and diethyl phthalate. Conclusion: The results suggest that the ethyl acetate extract of M. hastata (L.) Solms possesses some bioactive volatile compounds including fatty acids and their esters, which have antibacterial potentiality. This is the first report of such antibacterial assessment from M. hastata (L.) Solms.
INVITED LECTURE SUMMARIES: Invited Lecture Summaries
Physiotherapy - The Journal of Indian Association of Physiotherapists, Year 2021, Volume 15, Issue 3 [p. 129-135]
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