Giant cell fibroblastoma is a rare intermediate grade fibrohistiocytic tumour of childhood and even rarer in adults. It is seen in first decade of life. It is known for its recurrence, but its metastasis has never been reported. Giant cell fibroblastoma requires attention as it was previously misdiagnosed as sarcoma. So histology is mandatory and remains the gold standard for its diagnosis. We present a case of 21 year old female who presented with complains of painless lesion over the dorsal aspect of left hand.
{"title":"Giant Cell Fibroblastoma of Hand in an Adult: An Uncommon Presentation","authors":"Akshay Surana, S. Nandedkar, Virendra K. Mehta","doi":"10.58999/cijmr.v2i02.23","DOIUrl":"https://doi.org/10.58999/cijmr.v2i02.23","url":null,"abstract":"Giant cell fibroblastoma is a rare intermediate grade fibrohistiocytic tumour of childhood and even rarer in adults. It is seen in first decade of life. It is known for its recurrence, but its metastasis has never been reported. Giant cell fibroblastoma requires attention as it was previously misdiagnosed as sarcoma. So histology is mandatory and remains the gold standard for its diagnosis. We present a case of 21 year old female who presented with complains of painless lesion over the dorsal aspect of left hand.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-31DOI: 10.58999/cijmr.v2i02.116
Anurag Kesarwani, Prashant Nichat, Nikhil Rajak, G. G. Potey
Delta bilirubin is albumin bound conjugated bilirubin that can be calculated by formula [Total bilirubin - (conjugated + unconjugated bilirubin)]. Newer technology like dry chemistry provide conjugated and unconjugated bilirubin fraction which is more specific and informative than direct and indirect bilirubin by conventional method in which only approximate values of conjugated bilirubin can be measured. In cholestasis conjugated bilirubin combines with albumin non enzymatically and form delta bilirubin in circulation and remains for long duration. The present review describes the usefulness of delta bilirubin in cholestasis, chronicity of liver diseases, in pediatric jaundice, transplant rejection and other jaundice condition.clinical correlation of delta bilirubin in all conditions have been summarized and their future perspectives are discussed.
{"title":"Measurement and Clinical Usefulness of Delta Bilirubin in Liver Disease","authors":"Anurag Kesarwani, Prashant Nichat, Nikhil Rajak, G. G. Potey","doi":"10.58999/cijmr.v2i02.116","DOIUrl":"https://doi.org/10.58999/cijmr.v2i02.116","url":null,"abstract":"Delta bilirubin is albumin bound conjugated bilirubin that can be calculated by formula [Total bilirubin - (conjugated + unconjugated bilirubin)]. Newer technology like dry chemistry provide conjugated and unconjugated bilirubin fraction which is more specific and informative than direct and indirect bilirubin by conventional method in which only approximate values of conjugated bilirubin can be measured. In cholestasis conjugated bilirubin combines with albumin non enzymatically and form delta bilirubin in circulation and remains for long duration. The present review describes the usefulness of delta bilirubin in cholestasis, chronicity of liver diseases, in pediatric jaundice, transplant rejection and other jaundice condition.clinical correlation of delta bilirubin in all conditions have been summarized and their future perspectives are discussed.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aditi Vashistha, Suchika Agrawal, Surbhi Patidar, P. K. Roy, Case Reports
Clinical manifestations of Mullerian duct abnormalities vary greatly and can range from isolated abnormalities of a single reproductive organ to multiorgan aplasia. An early and precise diagnosis is essential because untreated symptoms may result in pelvic endometriosis, retrograde tubal reflux, and infertility. MRI and ultrasonography are the imaging modality that accurately helps in the diagnosis of mullerian duct anomalies. Two interesting cases came to C. R. Gardi OPD with Mullerian duct anomalies. The first case came with dysmenorrhea and a lower abdominal palpable mass upto 14 wk size was present, which was diagnosed to be bicornuate uterus, obstructed hemivagina. It is a diagnostic dilemma because menses were regular. Another case came with severe cyclic dysmenorrhea and was found to be a hematometra in the non-communicating rudimentary horn on the left side.
穆勒氏管异常的临床表现差异很大，从单个生殖器官的孤立异常到多器官增生都有可能。由于不及时治疗可能会导致盆腔子宫内膜异位症、输卵管逆行返流和不孕症，因此早期准确诊断至关重要。核磁共振成像和超声波检查是准确帮助诊断穆勒管异常的成像方式。C. R. Gardi 手术室接诊了两个有趣的穆勒氏管异常病例。第一个病例伴有痛经，下腹部可触及14周大小的肿块，被诊断为双角子宫、血道阻塞。由于月经规律，这是一个诊断难题。另一个病例伴有严重的周期性痛经，被发现是左侧不沟通的先天性宫角有血子宫。
{"title":"Mullerian Duct Anomaly: Two Patients in Adolescent Age in C. R. Gardi Hospital","authors":"Aditi Vashistha, Suchika Agrawal, Surbhi Patidar, P. K. Roy, Case Reports","doi":"10.58999/cijmr.v2i02.66","DOIUrl":"https://doi.org/10.58999/cijmr.v2i02.66","url":null,"abstract":"Clinical manifestations of Mullerian duct abnormalities vary greatly and can range from isolated abnormalities of a single reproductive organ to multiorgan aplasia. An early and precise diagnosis is essential because untreated symptoms may result in pelvic endometriosis, retrograde tubal reflux, and infertility. MRI and ultrasonography are the imaging modality that accurately helps in the diagnosis of mullerian duct anomalies. Two interesting cases came to C. R. Gardi OPD with Mullerian duct anomalies. The first case came with dysmenorrhea and a lower abdominal palpable mass upto 14 wk size was present, which was diagnosed to be bicornuate uterus, obstructed hemivagina. It is a diagnostic dilemma because menses were regular. Another case came with severe cyclic dysmenorrhea and was found to be a hematometra in the non-communicating rudimentary horn on the left side.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-31DOI: 10.58999/cijmr.v2i02.115
S. P. Dhaneria
Alcohol is the oldest recreational substance, and its consumption is increasing all over the world as it produces a pleasurable effect and also it allows people to relax and unwind. A large number of over the counter and prescription medicine interacts with Alcohol by Pharmacokinetic and/or Pharmacodynamic mechanisms. Alcohol consumption with drugs having CNS depressant property may lead to marked impairment in psychomotor performance and making the person’s injury prone. Alcohol consumption increases the systemic toxicity and organ dysfunction caused by certain drugs. Alcohol consumption may cause unpleasant manifestations with a few drugs/substances (didisulfiram-likeeaction). Alcohol may reduce the therapeutic effect of a few drugs. Awareness about the various interactions of Alcohol with drugs/medicines/food/herbals/occupational agents will ensure the safety of the people consuming Alcohol and may help the physician in clinical decision-making.
{"title":"Drug – Alcohol (Ethyl Alcohol) Interactions","authors":"S. P. Dhaneria","doi":"10.58999/cijmr.v2i02.115","DOIUrl":"https://doi.org/10.58999/cijmr.v2i02.115","url":null,"abstract":"Alcohol is the oldest recreational substance, and its consumption is increasing all over the world as it produces a pleasurable effect and also it allows people to relax and unwind. A large number of over the counter and prescription medicine interacts with Alcohol by Pharmacokinetic and/or Pharmacodynamic mechanisms. Alcohol consumption with drugs having CNS depressant property may lead to marked impairment in psychomotor performance and making the person’s injury prone. Alcohol consumption increases the systemic toxicity and organ dysfunction caused by certain drugs. Alcohol consumption may cause unpleasant manifestations with a few drugs/substances (didisulfiram-likeeaction). Alcohol may reduce the therapeutic effect of a few drugs. Awareness about the various interactions of Alcohol with drugs/medicines/food/herbals/occupational agents will ensure the safety of the people consuming Alcohol and may help the physician in clinical decision-making.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"177 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Tripathi, Ashish Sharma, Dr Himanshu Jain, Chandrakant Salve, Dr Aayush Malik, Tejaswini Dwivedi
The COVID-19 pandemic is being fought against worldwide; the major weapon against this pandemichas been the vaccine against it. There are reports of neurological complications and sequelae afterCOVID-19 vaccinations, some cases with ChAdOx1 nCov-19 is adenovirus vector-based vaccines. InIndia vaccination program against covid19 is using this vaccine by this vaccine. Reports of vaccineassociated side effects have emerged, which are rare but serious. This case series presents a few such cases reported in our hospitals:- RD Gardi Medical college (CR Gardi Hospital, Ujjain) and Charitable trust Hospital, Ujjain.
{"title":"Post COVID-19 Vaccine-associated Complications","authors":"A. Tripathi, Ashish Sharma, Dr Himanshu Jain, Chandrakant Salve, Dr Aayush Malik, Tejaswini Dwivedi","doi":"10.58999/cijmr.v1i03.35","DOIUrl":"https://doi.org/10.58999/cijmr.v1i03.35","url":null,"abstract":"The COVID-19 pandemic is being fought against worldwide; the major weapon against this pandemichas been the vaccine against it. There are reports of neurological complications and sequelae afterCOVID-19 vaccinations, some cases with ChAdOx1 nCov-19 is adenovirus vector-based vaccines. InIndia vaccination program against covid19 is using this vaccine by this vaccine. Reports of vaccineassociated side effects have emerged, which are rare but serious. This case series presents a few such cases reported in our hospitals:- RD Gardi Medical college (CR Gardi Hospital, Ujjain) and Charitable trust Hospital, Ujjain.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114101619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The minimum sample size required to answer a specific research question is unavoidable regardlessof study designs, more pertinent in case of randomized controlled trials. Sample size exploration isnot required in many situations, including a pilot study; it is simply decided as feasible or a rule ofthumb. However, in situations, including a conclusive study like the third and final phase of drugdevelopment, it becomes mandatory to ensure optimal power as well as level of confidence to thestudy. The present write-up aims to address various issues related to sample size considerations forclinical studies in a non-statistical language, focusing on making it easily understandable by medicalresearchers.
{"title":"How to Deal with Sample Size Exploration and its reporting in Clinical Research?","authors":"S. Dwivedi","doi":"10.58999/cijmr.v1i03.65","DOIUrl":"https://doi.org/10.58999/cijmr.v1i03.65","url":null,"abstract":"The minimum sample size required to answer a specific research question is unavoidable regardlessof study designs, more pertinent in case of randomized controlled trials. Sample size exploration isnot required in many situations, including a pilot study; it is simply decided as feasible or a rule ofthumb. However, in situations, including a conclusive study like the third and final phase of drugdevelopment, it becomes mandatory to ensure optimal power as well as level of confidence to thestudy. The present write-up aims to address various issues related to sample size considerations forclinical studies in a non-statistical language, focusing on making it easily understandable by medicalresearchers.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127402190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background- Blood stream infection is a very important cause of morbidity and mortality worldwide, especially in resource limited countries. It ranges from transient bacteremia to life-threatening septic shock. Blood culture is a gold standard method of diagnosis of infectious agents present in the blood.Method- This study was conducted From August 2021 to October 2021 at Ruxmaniben Deepchand Gardi medical and Ujjain Charitable trust Hospital, Ujjain (M.P.). All received blood samples were processed, isolates were identified, and antibiotic susceptibility testing was performed using the Vitek 2 Compact (Biomerieux) system in the Microbiology laboratory.Results- A total of 74(17%) pathogens were isolated from 432 blood samples. Gram-positive bacteria 47(64%) were predominant organisms obtained, followed by gram-negative bacteria 25(34%) and non-albicans candida species 2(2.7%). The predominant pathogens were Staphylococcus aureus 40(54%), Klebsiella pneumoniae and Pseudomonas aeruginosa 6(24%) each. Among Staphylococcus aureus isolates 36 (90%) were methicillin-resistant Staphylococcus aureus (MRSA). And among gram-negative bacteria, all isolates of K. pneumoniae were extensively drug-resistant. Majority of drug-resistant organisms were isolated from neonatal intensive care unit (%).Conclusion- Successful treatment of bloodstream infection depends on early diagnosis and appropriate use of antimicrobial agents.
{"title":"Microbiological Profile and Antimicrobial Resistant Pattern among Isolates from Bloodstream Infection in a Tertiary Care Hospital","authors":"Sonali Waske, Pratibha Singh, Soumendra Nath Mathy, Yogyata Maroyhi","doi":"10.58999/cijmr.v1i03.27","DOIUrl":"https://doi.org/10.58999/cijmr.v1i03.27","url":null,"abstract":"Background- Blood stream infection is a very important cause of morbidity and mortality worldwide, especially in resource limited countries. It ranges from transient bacteremia to life-threatening septic shock. Blood culture is a gold standard method of diagnosis of infectious agents present in the blood.Method- This study was conducted From August 2021 to October 2021 at Ruxmaniben Deepchand Gardi medical and Ujjain Charitable trust Hospital, Ujjain (M.P.). All received blood samples were processed, isolates were identified, and antibiotic susceptibility testing was performed using the Vitek 2 Compact (Biomerieux) system in the Microbiology laboratory.Results- A total of 74(17%) pathogens were isolated from 432 blood samples. Gram-positive bacteria 47(64%) were predominant organisms obtained, followed by gram-negative bacteria 25(34%) and non-albicans candida species 2(2.7%). The predominant pathogens were Staphylococcus aureus 40(54%), Klebsiella pneumoniae and Pseudomonas aeruginosa 6(24%) each. Among Staphylococcus aureus isolates 36 (90%) were methicillin-resistant Staphylococcus aureus (MRSA). And among gram-negative bacteria, all isolates of K. pneumoniae were extensively drug-resistant. Majority of drug-resistant organisms were isolated from neonatal intensive care unit (%).Conclusion- Successful treatment of bloodstream infection depends on early diagnosis and appropriate use of antimicrobial agents.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116800349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Bandaru, Dr. Sai Sailesh kumar Goothy, Anita Choudhary, M. V. K.
Background: Research is essential for the progress of the medical field. The research base should be developed from the undergraduate level itself. Though there are efforts taken by universities to fund Undergraduate research, the involvement of students is not up to the mark.Objective: The present study was undertaken to observe the perceptions of first-year medical students towards undergraduate research.Materials and methods: The present cross-sectional study was conducted at Alluri Sitaramaraju Academy of Medical Sciences (ASRAM) Medical College, Eluru, Andhra Pradesh. A total of 80 willing participants of first-year MBBS were included in the study. Informed consent was obtained duly from all participants. A standard questionnaire was given to students to answer by themselves.Results: 90% of students agreed that research helps them for better learning. 91% of students agreed that research upgrades their knowledge. 96% agreed that research is absolutely needed in the medical field. 23% reported that they will opt for research as a career option. 14% reported that they have knowledge about funding agencies of research. 70% of students reported that they need research to be inculcated in the curriculum.Conclusion: The study highlights that there is a strong need to increase awareness about medical research in undergraduate students and motivate them to apply for funding from agencies like Indian Council of Medical Research, Short Term Studentship and from university funding. Further detailed studies are recommended
{"title":"Undergraduate Medical Research: Perception of First MBBS Students","authors":"S. Bandaru, Dr. Sai Sailesh kumar Goothy, Anita Choudhary, M. V. K.","doi":"10.58999/cijmr.v1i02.37","DOIUrl":"https://doi.org/10.58999/cijmr.v1i02.37","url":null,"abstract":"Background: Research is essential for the progress of the medical field. The research base should be developed from the undergraduate level itself. Though there are efforts taken by universities to fund Undergraduate research, the involvement of students is not up to the mark.Objective: The present study was undertaken to observe the perceptions of first-year medical students towards undergraduate research.Materials and methods: The present cross-sectional study was conducted at Alluri Sitaramaraju Academy of Medical Sciences (ASRAM) Medical College, Eluru, Andhra Pradesh. A total of 80 willing participants of first-year MBBS were included in the study. Informed consent was obtained duly from all participants. A standard questionnaire was given to students to answer by themselves.Results: 90% of students agreed that research helps them for better learning. 91% of students agreed that research upgrades their knowledge. 96% agreed that research is absolutely needed in the medical field. 23% reported that they will opt for research as a career option. 14% reported that they have knowledge about funding agencies of research. 70% of students reported that they need research to be inculcated in the curriculum.Conclusion: The study highlights that there is a strong need to increase awareness about medical research in undergraduate students and motivate them to apply for funding from agencies like Indian Council of Medical Research, Short Term Studentship and from university funding. Further detailed studies are recommended","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134414483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 19-year old patient with 8th-month pregnancy was admitted in our hospital with severe COVID infection. She was put on oxygen support and managed as per COVID protocol. She had spontaneous vaginal delivery and the baby was found to be COVID-negative. She developed initially left and later right-sided Pneumothorax. She had prolonged hospitalization and was managed with intercostal drains, NIV, Remdesivir and chest physiotherapy. The pneumothoraxes resolved and she made a satisfactory recovery and could be discharged on room air.
{"title":"Bilateral Pneumothorax in a case of severe COVID-19 Pneumonia with Pregnancy","authors":"B. Shah, Ravendra Singh, A. Julka, Swapnil Jain","doi":"10.58999/cijmr.v1i02.30","DOIUrl":"https://doi.org/10.58999/cijmr.v1i02.30","url":null,"abstract":"A 19-year old patient with 8th-month pregnancy was admitted in our hospital with severe COVID infection. She was put on oxygen support and managed as per COVID protocol. She had spontaneous vaginal delivery and the baby was found to be COVID-negative. She developed initially left and later right-sided Pneumothorax. She had prolonged hospitalization and was managed with intercostal drains, NIV, Remdesivir and chest physiotherapy. The pneumothoraxes resolved and she made a satisfactory recovery and could be discharged on room air.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123372054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
My association with R. D. Gardi Medical College is long. I was a classmate of Dr V. k. Mahadik from 1967 to 1971 as we graduated with MBBS. Later for different reasons I traveled to Zambia and worked for the Government of Zambia Ministry of Health at two districts, Mporokoso and Luwingu, both in the northern province. However, contact with Dr Mahadik was continuous. On my completion of contract in Zambia and on my way to the Bahamas, I visited Ujjain. With other friends, we had discussions about developing a healthcare institution in the form of a hospital. We wanted a cooperative hospital and even contributed funds to this end. However, politicians and individuals advised us to create a charitable trust and a hospital. There are many steps, hard work, and diplomacy, mostly by Dr Mahadik to achieve what is a medical college and other hospitals associated with this. Only a person with imagination, persistence, technical knowledge and patience knows how this could be achieved. In my view, Dr Mahadik has all these qualities.
我与dr . Gardi医学院合作已久。从1967年到1971年，我是V. k. Mahadik博士的同学，我们获得了医学学士学位。后来由于不同的原因，我去了赞比亚，在北部省份姆波罗科索和卢温古两个地区为赞比亚政府卫生部工作。然而，与马哈迪克博士的接触是持续的。我在赞比亚的合同结束后，在去巴哈马的路上，我去了乌贾因。我们和其他朋友讨论了发展医院形式的医疗机构。我们想要一个合作医院，甚至为此捐款。然而，政治家和个人建议我们创建慈善信托和医院。有许多步骤，艰苦的工作和外交，主要是由Mahadik博士实现的，这是一个医学院和其他医院相关的。只有具有想象力、毅力、技术知识和耐心的人才知道如何做到这一点。在我看来，马哈迪克博士具备所有这些品质。
{"title":"Self-Reliance is the best strategy for development","authors":"V. Diwan","doi":"10.58999/cijmr.v1i02.46","DOIUrl":"https://doi.org/10.58999/cijmr.v1i02.46","url":null,"abstract":"My association with R. D. Gardi Medical College is long. I was a classmate of Dr V. k. Mahadik from 1967 to 1971 as we graduated with MBBS. Later for different reasons I traveled to Zambia and worked for the Government of Zambia Ministry of Health at two districts, Mporokoso and Luwingu, both in the northern province. However, contact with Dr Mahadik was continuous. On my completion of contract in Zambia and on my way to the Bahamas, I visited Ujjain. With other friends, we had discussions about developing a healthcare institution in the form of a hospital. We wanted a cooperative hospital and even contributed funds to this end. However, politicians and individuals advised us to create a charitable trust and a hospital. There are many steps, hard work, and diplomacy, mostly by Dr Mahadik to achieve what is a medical college and other hospitals associated with this. Only a person with imagination, persistence, technical knowledge and patience knows how this could be achieved. In my view, Dr Mahadik has all these qualities.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132216580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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