Dr. Vikram .R. Lotwala

Alarmed by reports that India will become the global diabetes capital by 2050, the Health Ministry has reduced the diagnostic cut-offs for body mass index (BMI) to 23 kg/m2 and the standard waist circumference to fight the battle against obesity. The standards have been set for the first time in the Ministry's consensus guidelines for Prevention and Management of Obesity and Metabolic Syndrome for the country, released on Tuesday. The BMI—considered the individual's fitness and obesity indicator—is the ratio of the body weight in kg versus height in m2. The country's new diagnostic cut-off for the body mass index is 23 kg/m2 as opposed to 25 kg/m2 globally. The guidelines were released jointly by the Health Ministry, the Diabetes Foundation of India, the All-India Institute of Medical Science (Aiims), Indian Council of Medical Research, the National Institute of Nutrition and 20 other health organisations. A person with a body mass index of 23 kg/m2 will now be considered o...

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Hello friends. This is regarding the Bomb blast in Ahmedabad, India. The threat mail send just before the blast was send thro a laptop, which belonged to a multinational company executive in New Mumbai. According to police , he looks to be innocent and the mail was send through his network WiFi connection by a terrorist hacker. So please check the following article to prevent unauthorized use of your WiFi network and please secure your WiFi Network. WiFi: Cheap, easy to use, but a security risk Navi Mumbai: The Anti-Terrorism Squad (ATS) has all but confirmed that Ken Haywood, the US national from whose IP address the terror mail was sent, was a victim of hacking, most probably committed by gaining access to his WiFi network. WiFi has become the con nection of choice for many in the corporate sector since it is easy to use and provides easy access to information. In a WiFi-enabled space, the internet can be accessed from any point within range. Despite its ad vantages, WiFi doe...

Hello Friends . This article is in regards to recent ruling that all mbbs doctors passing out should compulsorily do a one year stint after the mandatory one internship. That makes MBBS in India to 6 and half year. Not only the doctors are fuming even the press is against this decision. TIMES VIEW If the health ministry has its way, all MBBS graduates in India will have to work for a year in rural areas to be eligible to apply for a postgraduate degree in the country. This proposal is not new. It did the rounds last year and was shelved following protests from students of medicine. Soon after, the health minister proposed to make the MBBS course a six-and-a-half years affair including a one-year compulsory rural posting. That too was cried down. So the good minister has revived his original plan now. It will however have to be passed by the Medical Council of India before it can be enforced. There is no denying that there is a shortage of doctors staffing rural clinics and hospital...

Hello Friends. Yesterday at Tata Hospital, Mumbai a new website has been inaugurated. The site is regarding Pancreatic cancer. This is an important step as there is no dedicated Indian Site on this dreaded disease. This site gives lot of information regarding the disease, a forum and a platform for discussion of patients with doctors, doctor with fellow doctors and even patients with patients. http://www.pancreaticcancerindia.com A thumps up for this effort.

Basic security Turn off your computer when not using it, especially if you have an ‘always on’ connection Get a firewall if you have DSL or cable modem Use a good anti-virus program. Use only one, as different programs use the same system resources and may conflict Turn off file and print sharing Hackers count on the public being uninformed and use that lack of knowledge to gain access. Visit sites run by your OS manufacturer to stay updated on security Specific measures Don’t visit chat rooms unless they are closed and you know the room administrator Almost never open an attachment that ends in .DLL or .EXE, even if the e-mail is from your best friend. The only time you can open such an attachment is if you know exactly what’s in it To outwit script-based viruses, ask an expert how you can open scripts in Notepad (or Wordpad). Then get someone who knows about Visual Basic to look at it before running it Keep data private through encryption If you’re not surfing and you see your modem ...

HOW HACKERS WORK Getting the IP address Every computer has an IP (Internet Protocol) address. A DSL or cable modem connection keeps the IP address ‘always on’. A dial-up account’s IP address is turned off by the Internet Service Provider after a certain amount of inactivity Dial-up accounts get a different IP address each time they are on. So a hacker can’t make repeat visits unless he loads a program on your PC to tell him when you are on-line and gives the current IP address. A hacker can take his time to get to know an ‘always on’ connection and its weaknesses Common methods for finding your IP address are through chat rooms, looking up domain names on a domain name registrar site, or running programs that can create a log of all valid addresses In a chatroom, all a hacker has to do is right click on your chat ID and get your IP address. A domain registrar can yield a lot of information, including a website’s employee names, phone numbers, fax numbers, physical addresses and IP addr...

Many of my friends ask me about the Softwares to be installed on their laptops and PC’s. Well there are lots and lots of softwares available in the market. You are really spoiled in choosing them and it’s confusing too. I have listed the softwares which I found easy to understand and operate. It’s not necessary the best in the market, but I am sure it will be really easy to work on. I will rally need your inputs and suggestion in improving this list. This list will surely suffice most of medical software working needs. My Favorites Softwares: MS office 2007: This score’s over the 2003, for it takes lesser space and great options in graphics and themes. 2008 is now available in market, but personally I don’t have an experience I using it. Internet Browser : I really love the Mozilla Firefox 3 version. It’s really faster and much safer to use than explorer. Antivirus : There are lots of options for these one. I use Bitdefender and I am really happy with...

Here is a view of our party. We do believe in the philosophy of "Work Hard, Party harder"

Hi Friends. This is the one which most of us are interested in. This is a very humble effort by my side. I have not done a voice over on the video. Please gimme some time to improve it. I will upload pinnacle editing video soon, as per demands. I hope this will help Vikram

Hello Colleagues Lot of queries regarding what to look for, before buying a laptop. This is a good article on the tech2.com website regarding the same. Please check this out and let me know your opinion. Vikram

Hi Friends . I found this presentation by my very good friend, Dr. Vinod Gore very interesting and thought provoking.Please let me know about your feelings about it. Vikram

Hi friends. I wish to write today on selecting a good light source. Basically there two kinds of it Halogen Xenon A. Halogen: This is cheaper compared to Xenon. It gives a yellow light. Some manufacturers also make a white light Halogen light source. Advantage: Cheaper The bulp lasts long Bulb change is cheaper too. Disadvange: The main disadvantage of halogen light source is that, in case of bleeding, red color of blood absorbs light and thus visibility due to decreased light to a great extent. For this particular reason, it can be used for basic laparoscopic procedure only. B. Xenon: This Light source gives white light. Advantage: Gives almost natural vision. Must for advanced surgical procedures. . Disadvantages Apart from initial Costs, bulb is costly too. The life of bulp is shorter compared to halogen bulbs

Insufflators There are various brands available in market, Indian as well as Foreign. Well, the most commonly used one in Karl storz. They are pricey but are very effective compared to Indian some of the indian products. I have used few Local products, but sometimes they do cause problems. The most common difficulty I faced is they can lead to subcutaneous emphysema. There can be other reasons for this particular problem, like the port is place in subcutaneous region.

I would like to discuss the basics first before starting in detail about the laparoscopy procedures. So today i will discuss little about what is an ideal or atleast a desired setup for a Advanced Laparoscopic Opertion theatre. Today we discuss about Camera Camera : An Ideal camera for advanced Minimal access surgery is a 3 chip camera. There are many brands available in market like Karl Storz, Maxer, Olympus, B Braun, Stryker. Among these I have used Storz, Maxer and Stryker. According to me, the best images among these three 3 Chip cameras , were in Stryker, Storz and Maxer. Stryker was also the cheaper than Storz. It was also earlier to launch HD ( High Defination) camera, which is much superior than the 3 chip camera. Karl Storz has too recently lauched the HD version, which although very costly (About 20 lacs) but gives the best image till date. If cost is not a problem, I believe Storz HD is the best camera today. Strykar company also sells a package of all setup of camera with...

Basic Laparoscopic are simple procedures like Diagnostic Laparoscopy Lap. Appendectomy Lap. Cholecystectomy Lap. Tubal Ligation Lap. Ovarian cyst Excion etc Lap. Adhiosiolysis Lap. duodenal Perforation Closure There are other smaller procedure too, which i have not mentioned. But these are the basic procedure routinely performed by laparoscopic approach.