fabiochiu/medium-articles huggingface dataset:
SAIL Recruitment 2021 (Medical Officer & Specialist)
By: Akash Kewat
Tags: Recruitment, Medical, Job Hunting, Doctors, Bharti

SAIL Recruitment 2021 for the 46 Medical Officers & Specialist posts in Steel Authority of India Limited. Steel Authority of India Limited (SAIL), a Maharatna CPSE, is a major Steel Maker of the Nation. Raw Materials Division (RMD), SAIL invites applications from young, energetic, result-oriented, and promising talent to join as Medical Officer (Dental), Medical Officer (OHS), Medical Officer — GDMO, and Medical Specialists in identified disciplines for posting in its various mines having a total of 324 bed in its Hospitals & OHS located in the States of Jharkhand [Kiriburu- Meghahatuburu Iron Ore Mines, Gua Ores Mine, Manoharpur Ore Mine, and Bhawanathpur Limestone Mine], Odisha [Bolani Ores Mines, Barsua Iron Mine and Kalta Iron Mine] and Madhya Pradesh [Kuteshwar Limestone Mine]. Eligible candidates apply quickly before the last date of the Online Application. In this job pay scale is lucrative. In this job have much more for learning & gaining experience. SAIL Recruitment 2021 (SAIL Bharti 2021) or SAIL Job 2021. www.governmentnokari.in/sail-recruitment.

A] Advertisement No- RMD/K/PERS/F-13/2021/446

B] Total Vacancy: 46

C]Post Name & Vacancy:

1. For Medical Officers posts [E-1 Grade]:

What is Age Limit for Medical Officers posts [E-1 Grade]: General: 34 years [SC/ST: 05 years relaxation, OBC: 03 years relaxation]

Salary for Medical Officers posts [E-1 Grade]: Rs. 20600 to Rs. 50500

2. Medical Specialist [E-3 Grade]:

What is Age limit Medical Specialist [E-3 Grade]: General: 41 years [SC/ST: 05 years relaxation, OBC: 03 years relaxation]

What is the Salary for Medical Specialist [E-3 Grade]: Rs. 32000 to Rs. 58000

D] Medical standard: Minimum require-ments of Weight: 45 kg (male) / 35kg (female); Height: 155 cm (male) /143 cm (female)

E] What is Selection Procedure:

1. Medical Officer [Dental]/[OHS]/GDMO: Selection will be through Written Examination/ Computer Based Test (CBT) and interview. Written Examination consisting of 100 questions (Multiple Choice Questions). The duration of the test would be two hours

2. Medical Specialist: Selection will be through interview. The minimum qualifying marks in the interview will be 50% for the Unreserved/ EWS category and 40% for SC/ ST/ OBC (NCL)/ PWD category. For final selection, the merit list shall be drawn up based on the performance of the candidates in the interview.

F] Where is Job Location: Jharkhand [Kiriburu- Meghahatuburu Iron Ore Mines, Gua Ores Mine, Manoharpur Ore Mine, and Bhawanathpur Limestone Mine], Odisha [Bolani Ores Mines, Barsua Iron Mine, and Kalta Iron Mine] and Madhya Pradesh [Kuteshwar Limestone Mine]

G] Application Fee: General/ OBC/ EWS: Rs. 500 [SC/ ST/ PWD/ ESM / Departm-ental Candidate: No Fee]

H] Starting Date for Application fee Challan accepting by SBI Bank: 01 April 2021

I] The Last Date for Application Fee accepting by SBI Bank: 30 April 2021

J] Send before the Last Date of Application Form by Speed Post/ Registered Post: until 07 May 2021

For detailed information visit: governmentnokari.in
DILEMMA OF A NIGERIAN DOCTOR ll
By: Zahra'U Ahmed
Tags: Nigeria Health System, Doctors, Planning Ahead, Nigeria, Residency

DILEMMA OF A NIGERIAN DOCTOR ll

On getting residency slot:

Congratulations doc, go on and do your residency. Once you finish, the opportunities are limitless. You will become hot cake, we really need specialists.

During Residency

Entrepreneurship: You doctors now are only after money, you should concentrate. After residency you can do whatever you want.

Master's & research: what are you rushing for? Take it one step at a time.

Advocacy:what do you know now that you want to tell others. You don't know anything and ure still learning.



International exams: you can't abandon your training, wait and finish before you start looking elsewhere.

After residency

Public hospital: Sorry doc, we can't employ more consultants, the hospital can't afford to pay your salary. Try getting job with the university.

University: we have enough lecturers at the moment, a department in your medical college has more lecturers than another faculty. We can't take more.

Why don't you go into private practice.

Senior colleague: my friend, If you work for someone you won't earn enough to sustain your family. It's better you start your own practice.

But you need money to start, go work with an NGO and get money to start.

NGO: you have no experience in advocacy and we need people who have other skills outside clinical practice.

Loan from bank/investors: doc, you don't seem to have any entrepreneurship skills. We don't see how this your business plan is sustainable.

Ministry: We already have our doctors who climbed their way in civil service. If only you have a master's we can employ you.

Going abroad: you start struggling to write PLAB and USMLE together with fresh graduates.

If you go they say, you use resources of our country to be trained. Now you are qualified and can’t wait to serve your fatherland

Na 9ja we dey!

Don't wait to finish residency before you start planning your life. If not you will be back to square one. Only striving to survive.

Know where you want to be and plan your life.

Don't let anyone stop you.

Make hay while the sun shines.

First written 26th August, 2020.
Top 5 things to consider before having tummy tuck
By: Sana Jaise
Tags: Plastic Surgery, Beauty, Bangalore, Facts, Doctors

Tummy Tuck

Tummy tuck also referred as an abdominoplasty is a surgery, that removes the excess fat and skin and also restores the weakened muscles and leads to have a smoother abdominal area.

Most people wish to have a flat and a well toned abdomen, but sometimes exercising and dieting would help in reaching that goal. In such cases a tummy tuck helps in achieving those results through surgery. If you are considering to have a tummy tuck surgery Bangalore, then the first thing is to check whether you are good enough to undergo the surgery or not. Some common factors required for an ideal tummy tuck candidate include, a non smoker, in good health, have realistic expectations with the surgery outcome. In this article, I have listed out some of the factors that have to considered before moving forward with the decision to undergo a tummy tuck surgery.

1.Best surgeon

Let the surgery be of any type, this is the initial factor that have to be considered. It is important to choose the best plastic surgeon in Bangalore or from any of your preferred location for handling your surgery. Having a skilled and an experienced surgeon could benefit in lot of ways such as a well experienced surgeon could bring up the surgery results in its best form and also reduce the possibilities of risks to its minimum level. And it would be your surgeon who be finally deciding on whether you are a good candidate for the surgery or not.

2.Proper preparation

Generally in all types of surgeries, the patient has to take proper preparation prior to the day of surgery. Mostly during the consultation with your surgeon, he/she will provide you with all the information’s on how to prepare for the surgery. Strictly follow the instructions given by your surgeon because it would help in your surgery and the recovery period.

3.Well informed

During the initial consultation, your surgeon would help you in knowing all the information’s regarding the surgery such as the preparations required, the steps involved in the surgery, surgery risks etc. Other than this, you must have to gather all the information regarding tummy tuck as much as possible, because let it be any surgery, it is always good to be well informed on the surgery type before undergoing that surgery.

4.Ask questions

During the initial consultation with your surgeon, it is important to share all your questions with your surgeon. Some of the most common asked questions are:

Are you a board certified surgeon?

Can I see the before and after photos of your past surgeries?

Am I a good candidate for the surgery?

What all can be expected during the recovery period?

How should I prepare for the surgery?

How will you perform the surgery?

What technique will be used in the surgery?

How long will be the recovery period?

5.Stay hydrated

For all the surgeries, it is important for the patient to remain hydrated before the surgery and also after the surgery. So drink lots of water and stay hydrated.
Pricing Transparency — Not for Consumers
By: Cloud Cray
Tags: Hospital, Medical, Doctors, Transparency, Healthcare

For starters, the chargemaster format is not standardized. While most provider tie charges to individual procedures (called a “fee-for-service” contract), the published chargemasters typically do not distinctly identify those procedures by CPT code, revenue code, or equivalent. This makes comparing prices at the procedure level nigh impossible.

Even though many of these line-items have decipherable descriptions, which a motivated patient or third-party could tie back to a CPT code, this still fails to address nuances which commonly affect costs — procedure modifiers, location, unit type (per day, per number of images, etc.), and other important cost factors. This skews prices and leaves the reported price questionable at best.

Finally, the chargemasters — as they are currently published — do not reflect the costs that most patients will experience. The current chargemasters only include Medicare contracted rates, whereas most patients will experience contracted rates negotiated by their health insurance or employer. While there is sure to be a correlation between Medicare costs and commercial insurance contracts, this will virtually never represent the costs to the consumer on a per-procedure basis.

DRG Costs Don’t Apply to Most Patients

Median Total Cost (in thousands) for Revision of Knee or Hip Replacement (Without Complications or Comorbidity)

Median total cost of DRGs, on the other hand, are much more standardized in their representation. CMS laid out specific guidelines for which DRGs needed to be included, and how to calculate the total costs. As a result, it is easier to compare DRG costs than chargemaster prices across hospitals. Unfortunately, the data still fails to serve consumers in a meaningful manner.

For starters, the total cost to Medicare for any DRG is hardly representative of the contracted rates for insured patients, and even less so for patients’ total out-of-pocket costs. While two hospitals may have drastically different prices for the same condition or treatment, the end result to the patient will largely depend on whether the hospital is in network, how their policy covers their treatment, and whether or not they meet their deductible along the way.

In the data I looked at, some hospitals cost more than twice their competitors in the same city for the same DRGs. As seen in the chart above, a joint replacement revision at Brigham and Women’s hospital costs more than twice that of Beth Israel Deaconess, despite both hospitals being located in Boston. However, most patients in the area wouldn’t feel the difference in their wallets, as they would reach their out-of-pocket maximum and insurance would cover the rest.

DRG Costs Lack Important Context
The #1 toxicity factor at work
By: Dr Amina Aitsi-Selmi
Tags: Coaching, Leadership, Doctors, Health, Careers

So this is the start of a shorter (medium?) version of Wise Wednesdays while I test if some of the writing momentum can be put into the book.



It’s officially three years since I took a career leap into the unknown: beyond a structured, institutional career into entrepreneurialism.



Yesterday, I was at a meeting on reinventing healthcare public services.



Last week, a client was reflecting on the role of work culture on her career decisions. She’s worked in some of the most pressured and prestigious organisations in the world including alongside the military in fragile states.



She was clear that one of her core values is collaborativeness. This clarity has played a key role in her decision to take a career leap to create something that works better for her.



I was reminded of the aphorism that People don’t leave jobs, they leave bosses.



I would rephrase to:



People don’t leave jobs, they leave work cultures.



Interestingly, research by Google and others has found that the best performing work teams didn’t deliver because of talent, resources or money. Out of 250 factors they examined, the common denominator for outstanding teams was psychological safety. Those that lacked it, didn’t do so well…

What is Psychological Safety?



[Read on or watch the video]

You’ve probably come across an environment with a lack of psychological safety i.e. an environment where competitiveness dominates (people play a zero sum game, hog credit, talk over one another, devalue each other to improve their own standing, claim superior knowledge through snide criticism, etc. — there’s a constant sense of threat and manipulative politicking). Imposter Syndrome thrives here!



If you’re fortunate, you may have experienced an environment built on psychological safety i.e. one where individuals can take risks and be vulnerable in front of each other.



“We don’t solve our problems, we grow larger than them.” — Carl Jung.



The rest of the top 5 factors for outstanding teams were Dependability; Structure and Clarity; Meaning or work; and Impact of work.



We spend so much time trying to prove our technical skill and specialist knowledge in solving problems. But what might be most needed for teams and individuals to thrive in 21st century complexity is completely different…



What we might really need is to outgrow industrial work cultures and embrace kinder, more humane principles of relating that make us feel valued and unlock creativity — a radical transformation of our social matrix.

Have a great week,

Amina

www.doctoramina.com

p.s. Join the next webinar?

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Physicians employed by hospitals and corporations more dissatisfied than independent doctors
By: Dr Felice Gersh
Tags: Doctors, Health, Physicians, Healthcare, Womens Health

What a sad situation it is when on a scale of 1 to 5 on the Physician Misery Scale, the typical score is a 4 out of 5! A 2018 survey also found that 72% of hospital and corporate employed physicians had little empathy for patients, and the majority openly admitted they suffered from job burnout.

It turned out the self employed docs such as mysel fared far, far better! A dramatic difference was seen in the way self employed doctors felt about their careers and lives. That’s not to say many of them are unhappy or burned out, but the numbers are very different.

As for me, I love what I do! That doesn’t mean I love all that running my own business entails. I dread having to discipline an employee, or deal with insurance issues or office maintenance, or oversee that the office is always properly stocked with all that is needed to stay in practice. Of course, I must hire people to help with such things — but the bottom line is, I’m responsible for everything and everyone. It is a big burden.

Still, I am more or less the master of my life and no one comes in to boss me around or tell me how to practice medicine. I don’t live by some inane protocols for drug prescribing — I rely on evidence. No one tells me how much time to spend with patients. I can make my own schedule and take off to lecture to eager docs in South Africa if I choose — which I have done. And, while there in Cape Town, I had telemedicine appointments with patients during my night time. No employed physician could do that!

As I see the misery level sky high for such a high percentage of doctors, I feel such gratitude that I escaped that fate, and that my patients know that I still possess the very important human trait of empathy. In fact, if anything, I feel everyone’s pain greatly, as I do know what it feels like to be in pain. How sad is it to know that the majority of people go to see their doctor expecting a caring and concerned physician, unaware that there is nearly an 80% chance the doctor is wishing all through the brief visit that the patient just leave quickly and not bother him/her again with difficult health concerns.

My advice is to use a self employed physician if at all possible, and if that simply can’t happen, to put on your best human antennae and try to discern the emotions felt by your doctor. If you sense burnout, you’re most likely correct. If so, give serious consideration to changing your caregiver. Sadly, burned out docs not only care less about you, they tend to provide far less quality care.

Let’s hope the scenario changes in the reasonably near future and doctors learn to love caring for their patients and enjoy their jobs again. It’s heartbreaking to see the down slide in physician morale. I am glad, however, that I’ve escaped that fate.

Reference: https://www.mdlinx.com/internal-medicine/top-medical-news/article/2018/11/19/7549551/
I checked the vitals of the patients and then we all went to the dressing room.
By: Dr. Nk
Tags: Doctors, Surgery

I checked the vitals of the patients and then we all went to the dressing room. I wanted to do atleast one of the dressings but, I didn’t do any today either…

After dressing we had ward rounds which got intense when our HOU figured that a patient with history of elephant stampede didn’t have an antibiotic included in his documented treatment ( I know it was important but, so is maintaining a good decorum and morale of the PGs who’ve been working all day everyday which is neglected more often than not)

We had to stay in the hospital the entire day correcting case sheets, organising them, attaching the sugar monitoring chart and investigation chart. Quite a bit of mindless work.

I like working in Surgery. It feels amazing to suture, it feels even better to see the patients improving each day, it’s surreal to watch a surgery and understand what’s actually happening. I just wish there was less mind numbing work, that there was less paper work, that there was more healthy work environment is all.
Evolution of Medical Billing Software
By: Health Service
Tags: Doctor, Healthrecord, Health, Medical, Healthcare

With progress in medical industry, population growth, and increase in the complexity of clinical care environment, it became imperative that appropriate modern tools for handling the current landscape were developed. Not just the billing process, other related factors such as facilitating efficient communication, assigning patients to providers appropriately, and tracking the quality with regard to pay-for-performance measures also became crucial in the healthcare setting. The electronic version of medical billing, namely, medical billing software , ensures that the entire process gets more efficient, while assuring that there are fewer lost charges and improved reconciliation process.

Data mining and data collection having become easier, providers are seen to meet increased need for documentation for proving medical necessity and other related factors to get their claims paid properly. Sophisticated health information systems such as 75Heallth Medical Billing Software enable medical professionals and practices to get their regular billing and accounting tasks performed efficiently in lesser time and with the help of reduced resources.

Today, the innovative 75Health Medical Billing Software provides control and clarity of healthcare practices’ critical information, enabling them to access detailed billing and accounts receivable information.
What Doctors Should Know about the Pass-Through Deduction
By: Capital Preservation Services
Tags: Doctors, Tax Deduction, Taxes

Hundred Dollar Photo by Pixabay from Pexels

Capital Preservation Services is a firm of advisors that provides effective tax planning services for affluent clients. Based in Flowood, Mississippi, Capital Preservation Services advises clients across the country, including private practice healthcare professionals like dentists and general physicians, on tax deductions, such as the pass-through deduction.

The pass-through deduction allows physicians in qualifying businesses to deduct 20 percent of their qualified business income for taxes. That’s a huge deduction that can mean huge savings. Here’s what physicians should know about it:

1. To qualify for the deduction, one must own a pass-through business. These include sole proprietorships (where the doctor is a self-employed private practice), partnerships, or limited liability companies.

2. They must have qualified business income. This generally means the net amount of the business’s income minus expenses and the standard deduction ($12,200 for singles, $24,400 for married couples).

3. There is a cap on qualifying income. For 2019, the full 20 percent pass-through deduction can only be claimed by doctors whose qualified service business income is $160,700 or below in annual income if single and $321,400 if married. Beyond that cap, the deduction is phased out progressively up until a maximum income limit of $210,700 for singles and $421,400 for joint filers. Beyond that point, the deduction is not claimable.
Don’t Blame Your Doctor
By: Ashley Koff Rd
Tags: Doctors, Nutrition, Health, Supplements

You need to tell your doctor about your nutrition and it’s super easy with these forms.

Daily, I hear them, the comments at the coffee shop or on phone calls to friends “my doctor doesn’t know anything about nutrition,” or “my doctor didn’t even ask me what I eat…” or “my doctor told me to lose weight, but doesn’t even know I’m keto right now,” etc. Dear patient, if your doctor doesn’t know all about your nutrition, your total nutrition — like what goes in and on your body most often, YOU are to blame…not them.

What a doctor knows about nutrition will depend on their training. But there isn’t a doctor out there that doesn’t know that better nutrition is essential for better health. They might be as confused as you about whether that is to adjust carbs or which carbs to eat, if CBD will help you or not, or what supplements are worthy and not, but it is not that your doctor doesn’t know about nutrition that’s keeping you from better health.

IF YOUR DOCTOR DOESN’T KNOW YOUR TOTAL NUTRITION YOU ARE TO BLAME, NOT THEM.

Whether a doctor knows about YOUR nutrition — that is solely on you. You both know that your nutrition has the power to massively influence your health. But only you know what you eat, what you pop, what you slather on most days and nights. If you don’t share that information with your practitioner, they can not create your better recommendations.

When your doctor doesn’t know what you take, sip, bite into, or apply, they can’t develop your better plan. They can’t tell you NOT to take your statin in the morning because that’s when you take Coq10, or to enjoy your coffee with unsweetened almond milk instead of adding an additional 200 milligrams of calcium as a supplement to reach your daily needs. Your doctor can’t advise that you increase your magnesium intake from foods or from supplements to help equip your body to turn off stress if they don’t know your current magnesium intake from foods and supplements.

Your health depends on your better health efforts. That begins with sharing your current nutrition with your practitioner. Because you can not get nor stay healthy if you don’t have better digestion, the first place to start is to see if your digestion is better. If it’s not, you and your practitioner (doctor, therapist, trainer, dentist (yup even oral health requires healthy digestion!), health coach, nutritionist, dietitian) need to start with fixing your digestion.

ITS SUPER EASY TO SHARE YOUR TOTAL NUTRITION WITH YOUR PRACTITIONER USING THESE FORMS.

Look, you might be right to complain about your doctor (as the daughter of surgeon, I have a lot of complaints about doctors — ha ha ha) BUT complaining doesn’t get you healthier. And in the case of complaining about your doctor’s lack of nutrition knowledge, it is time we patients take responsibility too. We need to make sure our practitioners know about our total nutrition. Then, if they can’t create personalized better health recommendations that’s when we don’t complain, we move on to another practitioner.
A Doctor’s Perspective on the Pandemic | Facedrive Health
By: Facedrive Global
Tags: Covid 19, Doctors, Health, Pandemic, Medicine

Dr. Hamilton has been practicing family medicine for 13 years and is currently directing 6 clinics, with an average of 200,000 yearly patients pre-covid, here is what he has to say about how Covid-19 has impacted the medical industry as a whole.

Dr. Hamilton found that resources became more covid centric and the overall way in which care is provided has been dramatically impacted by this pandemic. From a clinic perspective, a lot of preventive care is done where they bring patients in to do an assortment of medical screenings but amid the COVID-19 pandemic, some of those screenings needed to be put on hold as they analyze the situations of each patient to better understand whether they are in need of acute care or if they are able to delay those medical screenings as much as they can in a safe manner. From a hospital perspective, Dr. Hamilton expands on how non-emergent surgeries are also being pushed back due to lack of ICU space and medical supplies. Although things have gotten better compared to when this pandemic initially started there is still a great impact on the quality of care that is provided to patients.
5 Reasons Physicians Should Become Thought Leaders
By: Lauren Mcgill
Tags: Doctors, Physicians, Publishing, Healthcare, Thought Leadership

The benefits

Build your reputation.

Publishing articles, being a guest on podcasts, speaking on webinar panels, providing quotes to magazine writers, and posting on social media allows others to learn about you — your ideas, your personality, your passion. It draws in new patients and boosts referrals from other providers. It creates credibility for your practice and establishes you as an expert at what you do. This in turn creates trust with patients and respect from colleagues. Creating content will make you more findable on the web and will help you to be seen as trustworthy and, dare I say, popular.

Control the narrative.

You already have a reputation on the web, whether you like it or not. Patients have an endless list of ways to offer reviews: ratemymd.com, Yelp, Google reviews, etc. Some will be glowing. Others will not. And LinkedIn has likely already created a business page for your practice, regardless of whether you asked. Content is created about your practice whether you’re involved or not. Take control by creating some of your own — this allows you to put out factual, on-point information and can counterbalance any ugliness found on the deep dark web. The more content you put out, the more control you have over your reputation.

Create collaboration opportunities.

Thought leadership can establish you as a known expert in your field, which will spark interest from interested parties. Some of these opportunities will be professionally important ones — the chance to partner on projects, research, practices, etc. Others might be financially lucrative — speaking engagements, brand collaborations, and other ways to diversify your revenue stream. And some might just be plain interesting — participating in documentaries, charity dance competitions, or magazine features. Of course, you don’t have to accept any of these offers. But isn’t it gratifying to be asked to the dance?

Advance your career.

Maybe you have a clear career path. Maybe you don’t. One thing is for sure: thought leadership can open new doors. Creating a strong reputation over time will serve as an important point of reference for future associates. It paints a clearer picture of your value than any resumé could. As a well-respected expert whose opinion is valued by many, you are more likely to be considered for various positions in the future.

Establish your legacy.

No doubt you already help and inspire many people through your work as a physician. Creating an archive of thought leadership materials throughout your career ensures that you will continue to help people with your amazing work and valuable ideas for many years to come.
It Is Closer
By: Vyanda Sri Weningtyas
Tags: Doctors, Confused, Health, Humanity

It Is Closer

When I was young, a doctor is a big dream for me. I always praying,

Dear God, please show me a path to be a doctor.

Well, God heard that and He helps me to make it real.

Now, I am afraid. I know, a doctor is a challenging profession. You could be a devil or an angel. You will help their life. But with a wrong decision, you will be a murderer.

I am in a clinical phase, a few steps closer to be a doctor. Honestly, I am not ready yet. I always read a textbook, journal, news, etc. But I feel stupid, as well. The more I read, the more I feel dumb. My lecturer’s knowledge is always better than mine. My friend knows something that I do not know. It feels like a fish in an ocean of knowledge. I need more books, journals, lore, and information. I am exhausted. But I will stay “hungry" because I know nothing — zonk — if I stop to learn.

I was confused.

Is this the right path for me?

I am not ready yet to be a mediator of life. I am afraid, also delighted while giving a bit of medical advice.

What should I do?

Is it okay to confide in this place?

Well, I am just a human. I wish I will be a good doctor — with specific proficiencies . So I can help my patients — as soon as possible — and focus on few organs. I wish I could meet a man who has the same job as me. I do not have a boyfriend but hopefully, he is a doctor with a broadminded. So we could discuss many things, then I never know how loneliness feels.

In the name of Allah, aamiin.

Wonogiri, 22/01/2021
Telehealth Anticoagulation Management by Pharmacists is at Least as Effective as Face to Face Management
By: Jessica Pyhtila
Tags: Anticoagulation, Doctors, Warfarin, Pharmacy, Healthcare

Telehealth Anticoagulation Management by Pharmacists is at Least as Effective as Face to Face Management Jessica Pyhtila Follow Jan 22 · 2 min read

By Jessica Pyhtila, PharmD, BCGP, BCPS

A recent systematic review and meta-analysis published in the Annals of Pharmacotherapy aimed to ascertain if phone-based anticoagulation management by pharmacists embedded in ambulatory care practice was as effective as face-to-face visits. The study notes that pharmacists have managed outpatient anticoagulation services since the 1970s, and that telehealth has played a role in outpatient disease state management since the early 2000s. This study attempts to clarify the data on telehealth in anticoagulation management. For the purposes of this study, telehealth comprises not only phone-based visits but also online, video, and mail.

Overall, 11 studies were included in the analysis. Studies were eligible if they were randomized controlled trials or observational studies in which pharmacists provided anticoagulation management, and if telemedicine was compared to face-to-face visits. Studies were excluded if the pharmacists’ role was limited to dispensing or order verification, if they were conducted in the inpatient environment, or if the studies were limited to assessing excessive anticoagulation or anticoagulation reversal.

The meta-analysis reported on several different outcomes:

— Thromboembolic events: No statistical difference was found in the rate of recurrent thromboembolism (2.81% in the face-to-face group vs 1.42% in the telehealth group per; RR = 1.98, 95% CI = 0.36 to 10.81).

— Bleeding events: No statistical difference was found between bleeding events in the face-to-face versus telehealth groups (RR = 0.84; 95% CI = 0.53 to 1.32).

— INR control for patients on warfarin: No statistical difference was found in the time in therapeutic range in the face-to-face versus telehealth groups (weighted mean difference = −0.02; 95% CI = −5.3 to 5.3).

The researchers concluded that telehealth management of anticoagulation services is at least as effective as face-to-face management.
Practice Lockdown Behaviour by Dr. Rajiv M
Tags: Covid 19, Healthy Lifestyle, Covid Precautions, Doctors, India

Regardless of what the government does or does not do, I think it’s time to practise lockdown behaviour if we want to get out of this alive.

By now, Everyone knows how to prevent Covid : masks, social distancing, hand rub. And vaccination.

Vaccinate your elders please. It’s so frustrating to still get calls from people asking, “My parents have diabetes and high BP…is it safe for them to take the vaccine?”

“Compared to what? Getting Covid?”

The hospitals are overflowing with patients at death’s door, and NOT ONE of them is related to a vaccine side effect. So make your choice. Somewhere our education system has failed if people are still harbouring such doubts about vaccine. Vaccination for elderly started in March, in theory most should have been vaccinated by now.

If you do get Covid, chances are you will be okay if you are below 50 years and in reasonably good health.

Please don’t panic and jam hospitals simply because you developed fever or a cough and have a positive report.

Don’t buy remdesivir on the black market. It’s of doubtful benefit in Covid. Avoid quack remedies. If the drug you’re using is not recommended by the NHS of the UK, or CDC of the USA or ICMR of India, it’s not worth the money or health risk.

Pay attention to your diet and general health, do exercise, and manage your diabetes and hypertension and other comorbid conditions by consulting your doctor online.

This is the bonus bonanza of Covid : hospitals are so full, chances are they won’t have a bed for you if you need it for a heart attack or stroke. It would be really stupid to dodge Covid and die of some easily preventable complication of diabetes.

Let’s all get through this together, friends.

by Dr. Rajiv M
Heart breaking, first hand experience of a Dr in the recent wake of Covid around the world.
By: Nabil Shahzad
Tags: Experience, Covid-19, India, Pakistan, Doctors

It goes like ..

“I’m a first year resident doctor; the first death I ever witnessed was on 30th March 2021 – a COVID patient was admitted into our ICU the previous night. His condition was critical, but since he was only in his 40s, I thought he’d pull through. But the next day, he succumbed – I went numb.

I’d just started working in the ICU; my seniors reassured me by saying, ‘2020 was much worse.’ But it didn’t take long for 2021 to supersede 2020. Now, at least 5 critical patients come in everyday; 2–3 of them die on a daily basis.

In the first week of April, a 22-year-old was admitted because he was showing symptoms. He was so critical, he had to be intubated in the emergency ward. The 4 days that he was there, I never saw him conscious. I knew his chances of recovery were bleak.

Everyday, his 50-year-old parents would ask me, ‘Will he get better if we feed him fruits and veggies?’ and then they’d reassure themselves by saying, ‘Prayers can do miracles, he’ll never leave us.’

But I’ve learnt this the hard way – when you are in the COVID ward, nothing really works. On day 4, he passed away. But breaking it to his parents killed me – they cried bitterly; I felt dead from within.

Then on, I decided that it’s better to prep the family, so if somebody’s critical, I’d update the family by saying things like, ‘pulse rate is dropping.’ That way, I’m at least not giving them false hope.

Now, I’ve learnt to lie to my patients – when they ask me, ‘Will I be okay?,’ even though I know that they won’t make it, I tell them they’ll get better soon. I just don’t want somebody’s final moments to be spent in anxiety.

In the past 2 weeks, I’ve witnessed the worst. The last words of one of my patients before being taken into the ICU was, ‘I have a 11 and 4 year old at home… I want to live.’ But a few hours later, I had to tell her children that they wouldn’t get to even see her body one last time. The youngest one yelled, ‘I want to hug Mumma,’ and I had no choice but to pull her away. I didn’t even know how to feel at that point.

Looking at dead bodies piling up in our mortuary, I sometimes wish I’d never been born. My mental health has diminished; sometimes, I even dream of death. The only thing that keeps me going is that every day I’m out there, the chances of saving somebody’s life increases.

I’m working as hard as I can, knowing that the other healthcare workers would do the same for my parents if they were hospitalized – they’re both in their 50s and stay alone in Kerala. I talk to Amma-Appa everyday and reassure them that things will get better. Still, I sometimes think, ‘What if I get COVID and something happens to me? Who’ll take care of my parents?’

So, all I’m asking of you all is to understand how bad it is out here and stay at home. Wear your masks correctly and don’t crib about not being able to step out. IT’S A PRIVILEGE TO STAY AT HOME – PLEASE UNDERSTAND THAT.”

via Humans of Bombay
Donut Chart Angular & D3.js
By: Laakissi Achraf
Tags: Donuts, Charts, Angular, Donut Chart, D3js

Welcome to the D3.js Angular graph gallery: a collection of simple charts made with d3.js & angular created by LAAKISSI Achraf. D3.js is a JavaScript library for manipulating documents based on data. This gallery of a few graphics, always providing reproducible and editable source code. If you are new to creating graphics with Angular & D3.js, this is probably the place to start.

This post describes how to build a dounut chart using angular & d3.js. we’ve built a component you just need to add to your project, passing the input data, specifying other options and you get your chart easily. you can find the code on our website or in stackblitz.

Doughnut charts are probably the most commonly used charts. They are divided into segments, the arc of each segment shows the proportional value of each piece of data.

Input dataset provides the group names, their corresponding numeric value, and Color.

Note that each year contains 10 values, in the data file you will find, for example, 2010, 2010.1, 2010.2…, the reason is to make the animation looks good. Also, you can customize the code as you want.

Component inputs :

data: It is an array of objects (dataset), each object contains the name, value, and color of each piece of chart ( name: string; value: string; color?: string )

https://stackblitz.com/edit/angular-d3-js-donut-chart

Click here to check out some other awesome charts. Any feedback is highly encouraged. You can fill an issue on Github, drop me a message on Twitter / Linkedin, or send an email.
Flying Bat Robot Bike Transformation Games
By: Hamza Maggi
Tags: Robots, Båt, Android, Transformation, Flying

Flying Bat Transform Robot bike bicycle robot games

The modern robot fight has begun in this new flying bicycle robots game for 2021. Road wrongdoing has expanded and day by day wrongdoing is spiralling crazy. Flying bat robot change game has genuine city salvage mission from wrongdoing. This game incorporates a flying bicycle, a bat robot and a wrongdoing battling mission. Play as a flying robot changing a cyclist and ride a bicycle in the extraordinary flying racket games. You can likewise play as Robot Bat in these cutting edge bicycle change games. Wrongdoing City has genuine robots and bats in which the wrongdoing warriors are prepared to confront the super scalawags in the city fight. Bat Robot Games is the new cruiser game with weighty bikes battling insidious robots and bat flying missions in robot fighting on a city scale. Experience a cutting edge game in extraordinary compared to other flying robot games that will change the bat robot and rout the robot bicycle with new weapons across the city.

This is an exceptional blend of bat robot flight games and genuine robot change games. This game cycles robot games like change and has multi-robot change which is like the best flying bicycle games. US police conveyed a pain message to a flying bat robot bicycle for a salvage mission in the city. With super miscreants utilizing a flying bicycle and flying bat robot, everybody needs a flying bat robot bicycle to challenge the evil in the city. Hoodlum additionally has a cruiser robot racer who should be crushed on the salvage mission for the criminal city. Acquire XP in the flying bat robot change game by finishing missions and saving blameless residents. The mission is to make a flying bike robot change in this game.

In the flying robot change game, you battle in a modern robot war, change into a flying bike robot and be a legend like in multi-robot wars and flying robot change games. In this game, become a bat robot hero and work on your abilities to challenge the enormous supervisors. The level objective isn’t simple in the flying robot bicycle game and the modern robot change game. Our multi-robot bicycle games include flying and driving robots for nothing. The saint of the flying bat robot secures the average folks in this genuine robot war.

Qualities of Flying Bat Transform Robot Moto Bike Robot Games

- Immersive cruiser robot climate with new conflict change robots

- Challenging battle missions with flying bike robots

- Futuristic robot bicycle with flying bicycle games.

- The advanced cyclist of the Flying Bat robot

- Really incredible cruiser games

Download Flying Bat Transform Moto Bike Robot Games with a curve on new flying robot change games and flying robot games
This glorious 65-inch 4K Roku TV is a jaw-dropping $400 today
Tags: Electronics, Security Cameras, Connected Home, Consumer Electronics

The Super Bowl is coming, and if you plan to watch the big game you're going to need a bigger screen. Best Buy has you covered today with a Westinghouse 65-inch 4K Roku smart TV for a measly $400Remove non-product link—$200 off the MSRP and one of the best prices you'll ever see.



The TV itself features 4K resolution, as well as HDR 10. We wouldn't call that true HDR as this TV doesn't get quite bright enough to qualify, but you'll certainly notice the improved picture over similarly sized sets without it. With Roku on board, you have access to all your favorite streaming services including Apple TV, HBO, Hulu, Netflix, Starz, and more. This TV also works with Amazon Alexa and Google Assistant for voice control, as well as integrating with other smart home devices.



For ports, it has three HDMI one of which has HDCP 2.2, as well as one USB 2.0 for thumb drives and other storage devices. It's also packing one digital optical audio out and analog audio out. For connectivity, you get Wi-Fi and Ethernet, but no Bluetooth.



Add it all up and you've got one heck of a bargain for just $400. So go grab one and get read to watch the big game in style.



[Today's deal: Westinghouse 65-inch 4K Roku smart TV for $400 at Best BuyRemove non-product link]



Note: When you purchase something after clicking links in our articles, we may earn a small commission. Read our affiliate link policy for more details.
The best smart home devices for 2021: The Race among Amazon, Google and Apple
By: Science
Tags: Smart Home

If you want to make your home smart and control it from any where you are. Then automation has brought some advance smart devices for you to make your living outstanding, here are the best gadgets to use at home.

If you’re already connecting your lightbulbs, speakers, doorbells and more to the internet — perhaps you’ve paid more attention to smart home gadgets now that many of us are spending more time at home — you’ll know the process can be complicated. You might just need one device to address a particular issue, like a smart plug to put a lamp on a schedule. Or you may be thinking about how to build on what you already own, like an Amazon Alexa- or Google Assistant-powered smart speaker, or even Siri and Apple’s HomeKit smart home service.

We tend to think of the voice assistants as the starting point for building a do-it-yourself smart home. They offer a convenient way for family members or roommates to interact with the various devices without having to manage basic access within each app. Many, but not all, of the products on our list of the best smart home products will work with multiple voice assistants.

Before you dive into our picks for the best smart home devices, keep in mind that Amazon, Google and Apple have each released a new set of smart home speakers this year. Our reviews of Apple’s new HomePod Mini, Google’s Nest Audio and Amazon’s fourth-gen Echo speaker and the fourth-generation Echo Dot are live.

Now that you have more choice than ever before for your smart home hardware, here are the best of the best in smart home devices you can buy today.

Our list focuses narrowly on the best product in each smart home subcategory. If you want to know the best smart thermostat or the best smart lighting kit, regardless of which voice platforms support them, we have you covered. What this list is not is a road map for a single, coherent smart home installation (you won’t get far trying to pair an Amazon smart speaker with a Google smart display). For that, please refer to our platform-based lists linked below:

For Complete article please visit here https://asadtechlib.blogspot.com/2021/01/the-best-smart-home-devices-for-2021.html
It’s An Old Story
By: Ryan Ritonga
Tags: Personal Experience, Sad, Friends

It’s an old story when I decide to engage the plan that I name it as “Family Project.” It is the plan to boost up my morale, my friends too, where one seeks others pleasure, and happiness. In the beginning, I search three candidates to forward this spirit to everyone in the community, our community. Although what I did far beyond expectation, I knew I have to finish it. I know now, that was a ridiculous idea, but that is me, straightforward man who tried to survive and succeed through a social support system that I planned. Despite far beyond expectation, I learn something. People have different way to make them keep fight and struggle hard for their life. Some people need care from the people around them so they tend to search friends or maybe best friends in their everyday lifestyle. Some people need to remember and recall their relative often who cares for them so they tend to regularly call and meet their family. Some people need to express themselves through various act wether it is good or maybe trashy one. Then, the others need a clear vision of what they want to achieve and grasp for people their care and themselves too so they tend to talk about their dreams and ambitions. In addition, for me who somehow love to make friends, it’s not simple task to take and give comfort from the people around me. It is… very hard for some extent. I admit that the plan execution is a failure. Yes, but it is not a definite failure. I could not change the world of mine but somehow I gave much colors to others world.

1st Revision (May 2011, June 2021)
Left Behind
Tags: Poetry, Sad, Love, Longing, Rain

Left Behind

It’s just not fair that you walked away with all I had, leaving with so much hurry you didn’t even remember to carry your things with you. Now i’m here, layd all alone in our room, smelling the perfume on the shirts you left behind.

I ran down the stairs hoping to see you sitting on the table and waiting for me so we could have breakfeast, but all i saw was a cup with cold coffee and a empty pack of your favorite cigarettes that i always complained about… maybe if I smoked too you’d be here.

I’m alone like I used to be, looking at the window as the rain speaks to me, listening to the tic tac from the clock and waiting and waiting and waiting and waiting for you to feel sorry and come back to our bed once again.

I open a bottle of wine, the cheapeast i could find, pour me a glass and drink it till I can’t feel the hole you left inside of my chest.

There was a last cigarette left in the pack, I light it up and smoke it with anger, sadness and pain, that grey cloud consumes my mouth and my lungs, and for the last time i taste you in my tongue.

From now on it’s me and the longing you tattoed on to my skin