Dbs for depression
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Dr. Paresh Doshi performed the first deep brain stimulation surgery for treatment resistant depression in the Asian-Australian continents. He is the director of neurosurgery and stereotactic and functional neurosurgery at Jaslok Hospital and Research Centre in Mumbai. The document discusses Dr. Doshi's experience performing DBS surgery for psychiatric disorders like OCD and depression, guidelines for patient selection, results from long-term studies showing response rates up to 75% at 3 years, and details a case study of a patient named Ben who underwent DBS surgery for treatment resistant depression.
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The shoulder complex acts as in coordinated fashion to provide the smoothest and greatest range of motion possible of the upper limb.
Combined motion of GH and ST joint of shoulder complex helps in:
Distribution of motion between other two joints.
Maintenance of glenoid fossa in optimal position.
Maintenance of good length tension
Although some amount of glenohumeral motion may occur while the other shoulder articulations remain stabilized, movement of the humerus more commonly involves some movement at all three shoulder joints.
Hingula.ppt- Rasadravya parichaya- NCISM
Hingula.ppt- Rasadravya parichaya- NCISMShri Shivayogeeshwar Rural Ayurvedic Medical college, INCHAL,
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Hingula(Cinnabar)
Synonyms - Churna Parada, Darada, Mleccha, Rasagarbha,Rasodbhava,
Shukatunda, Hamsapada, Lohagna
Mineralogical Identification
Chemical Formula- HgS
Chemical name- mercury sulfide
Nature Crystalline
Colour- Bright Red
Crystal- Trigonal.
Clevage- -
Diaphaneity- Transparent to Translucent
Fracture- Uneven
Tenacity- Brittle
Lustre- Vitreous
Streak- Red
Sp. Gravity- 8 to 8.1
Hardness- 2 to 2.5
Sources
- It is found near volcanic region and near mercury mines(extracted).
- It is associated with other minerals like Stibnite, pyrite, realgar, calcite etc.
- Almaden (Spain), California, Texas.
Types
1) Charmara
2) Shukhatunda
3) Hamsapada ( Ap 2/69)
1) Khanija
2) Kritrima (RT 9/4)
Grahya ad Agrahyata
爐爐爐 爐爛爐伍爐 爐朽ぐ爛爐爐鉦き: 爐爛爐劇ぃ 爐伍爐爐爛爐項ぐ: |
爐爐項爐爛爐朽ぞ爐迦 爐爐鉦ぐ爐爛爐萎爐爛 爐項た爐爐爛爐: 爐謹爐萎爐劇爐 爐爐爛爐爐む || RT 9/3
Doshas
Andya( Blindness)
Kshinata
Klama
Bhrama
Moha
Prameha ( AP 2/73)
Shodhana
1) Grahya Hingula ChurnaArdraka rasa bhavana(7)--Shuddhahingula (RT 9/12)
Marana
Other Processing Techniques
Satwa Patana
-Shuddha HingulaAdhaha patana/Urdhwa patana -Satva (Parada) (RRS 3/144)
Yogas
Hinguleshwar rasa
Anandabhairava Rasa,
Mrutunjaya Rasa,
Tribhuvana keerti Rasa, etc.
Research Updates
A CONCEPTUAL REVIEW ON HINGULA (CINNABAR- HgS)
https://ijapr.in/index.php/ijapr/article/view/1237
EXTRACTION OF PARAD FROM HINGULA, A TRADITIONAL AYURVEDIC METHOD
https://www.researchgate.net/publication/323601866_EXTRACTION_OF_PARAD_FROM_HINGULA_A_TRADITIONAL_AYURVEDIC_METHOD
DrMahantesh.B.Rudrapuri,
M.D.(Ayu) FAGE , PGDYT
HOD Department of Rasa Shastra&BhaishajyaKalpana
Shri Shivayogeeshwar Rural Ayurvedic Medical College,
INCHAL 591 102, Dist: Belgaum
Mob: 9972710790
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Title: Regulation of Tubular Reabsorption A Comprehensive Overview
Description:
This lecture provides a detailed and structured explanation of the mechanisms regulating tubular reabsorption in the kidneys. It explores how different physiological and hormonal factors influence glomerular filtration and reabsorption rates, ensuring fluid and electrolyte balance in the body.
Who Should Read This?
This presentation is designed for:
鏝 Medical Students (MBBS, BDS, Nursing, Allied Health Sciences) preparing for physiology exams.
鏝 Medical Educators & Professors looking for structured teaching material.
鏝 Healthcare Professionals (doctors, nephrologists, and physiologists) seeking a refresher on renal physiology.
鏝 Postgraduate Students & Researchers in the field of medical sciences and physiology.
What Youll Learn:
Local Regulation of Tubular Reabsorption
鏝 Glomerulo-Tubular Balance its mechanism and clinical significance
鏝 Net reabsorptive forces affecting peritubular capillaries
鏝 Role of peritubular hydrostatic and colloid osmotic pressures
Hormonal Regulation of Tubular Reabsorption
鏝 Effects of Aldosterone, Angiotensin II, ADH, and Natriuretic Peptides
鏝 Clinical conditions like Addisons disease & Conn Syndrome
鏝 Mechanisms of pressure natriuresis and diuresis
Nervous System Regulation
鏝 Sympathetic Nervous System activation and its effects on sodium reabsorption
Clinical Correlations & Case Discussions
鏝 How renal regulation is altered in hypertension, hypotension, and proteinuria
鏝 Comparison of Glomerulo-Tubular Balance vs. Tubulo-Glomerular Feedback
This presentation provides detailed diagrams, flowcharts, and calculations to enhance understanding and retention. Whether you are studying, teaching, or practicing medicine, this lecture will serve as a valuable resource for mastering renal physiology.
Keywords for Easy Search:
#Physiology #RenalPhysiology #TubularReabsorption #GlomeruloTubularBalance #HormonalRegulation #MedicalEducation #NephrologyHUMAN SEXUALITY AND SEXUAL RESPONCE CYCLE
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This presentation delves into the latest advancements in non-invasive intracranial pressure (ICP) monitoring techniques, specifically tailored for neurosurgeons. It covers the importance of ICP monitoring in clinical practice, explores various non-invasive methods, and discusses their accuracy, reliability, and clinical applications. Attendees will gain insights into the benefits of non-invasive approaches over traditional invasive methods, including reduced risk of complications and improved patient outcomes. This comprehensive overview is designed to enhance the knowledge and skills of neurosurgeons in managing patients with neurological conditions.
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Dbs for depression
- 1. Dr. Paresh Doshi Director of Neurosurgery Director Stereotactic and Functional Neurosurgery Dept. Jaslok Hospital and Research Centre Mumbai DEEP BRAIN STIMULATION (DBS) FOR TREATMENT RESISTANT DEPRESSION (TRD) DR. PARESH DOSHI
- 2. Dr. Paresh Doshi FIRST CASE IN ASIAN- AUSTRALIAN CONTINENTS
- 3. Dr. Paresh Doshi History of Psychiatric disorders surgery MGH lesional experience Also include other indication being OCD 25 publications and 130 cases From where do claim this, world ns paper of mayberg Papers published in IJP
- 4. Dr. Paresh Doshi DEEP BRAIN STIMULATON
- 5. Dr. Paresh Doshi ABOUT FUNCTIONAL NEUROSURGERY DEPT Started in 1998 Offers treatment for Parkinsons disease, movement disorders, epilepsy, pain, spasticity and psychiatric disorders Pioneer in performing several surgeries for the first time in India Largest experience of Deep brain stimulation (>250) in India Member of board of directors on Asian and the World societies for functional neurosurgery.
- 6. Dr. Paresh Doshi WHAT IS SUBGENUAL CINGULATE GYRUS (SCCG) Located in the frontal lobe At the base of the brain Close to the midline Brain Target
- 7. Dr. Paresh Doshi WHY SCCG Inc activity in depression
- 8. Dr. Paresh Doshi MAY 2009- PSYCHOSURGERY CONSENSUS GROUP MEETING
- 9. Dr. Paresh Doshi GUIDELINES OCD and Depressionas the only confirmed indication Accept published inclusion and exclusion criteria for pt. selection Selection to be done with a 100% consensus of one neurosurgeon and two psychiatrists Selected case to be further reviewed and confirmed by independent neurologist, neurosurgeon and psychiatrist Doshi PK, Indian J Psych, 2009
- 10. Dr. Paresh Doshi WSSFN PSYCHIATRIC FORUM MEETING- SHANGHAI 2011
- 11. Dr. Paresh Doshi LONG TERM RESULTS 62% -1yr 42% -2yrs 75% -3yrs Kennedy HS, Lozano et al. Am J Psychiatry 2011; 168:502510
- 12. Dr. Paresh Doshi BENS JOURNEY 23rd September, 2013
- 13. Dr. Paresh Doshi DAY 1
- 14. Dr. Paresh Doshi DAY 2 Picture of consensus group with names tagged
- 15. Dr. Paresh Doshi DAY 3 : FRAME FIXATION
- 16. Dr. Paresh Doshi DAY 3: PLANNING
- 17. Dr. Paresh Doshi DAY 3: SURGICAL SETUP
- 18. Dr. Paresh Doshi DAY3: INTRAOPERATIVE ASSESSMENT
- 19. Dr. Paresh Doshi
- 20. Dr. Paresh Doshi DAY 3: FINAL REWARD, BEN SMILING!!!
- 21. Dr. Paresh Doshi THANK YOU