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Articles by Arvind Joshi
MDF Furniture: Navigating the Nexus of Sustainability and Style in Modern Home Decor
By Arvind Joshi, Vice President and Head Marketing, Greenpanel Industries Ltd In conversation with Charulatha, Correspondent, Homes India Magazine. Arvind Shares his views about the latest trends in contemporary home decor and how MDF can align with and enhance these trends. Arvind Joshi, leveraging a wealth of experience, he has steered marketing initiatives for renowned brands including Somany Ceramics, Relaxo Footwears, Tech Mahindra, and Dish TV.
Jawai Dam gates expected to open as it overflows
The largest Jawai Dam in the Pali district is currently overflowing. The Jawai Dam is completely filled, with a total capacity of 61.25 feet. Water has begun slowly flowing from the dam’s 13 gates, allowing a controlled release into the Jawai River. The dam has been completely filled, and due to the pressure of the water and the force of the wind, there is a controlled release through the gates.
Seat scramble: Congress faces tough choices in Pali District
Pali district has seen a long queue of contenders in Congress for the 6 legislative assembly seats. With 238 contenders applying for the seats, it is becoming increasingly challenging for the Congress party to choose its candidates. Among these, the Sumerpur seat had the highest number of applicants. In the previous election, Congress lost to Bina Kak in Sumerpur, and the party has faced continuous defeats for the past 10 years.
Bjp Deploys Legislators In Rajasthan To Secure Victory In 200 Seats
BJP has become actively engaged in preparations for the upcoming 2023 legislative assembly elections in Rajasthan, aiming for victory in the state. To achieve this goal, BJP has formed a significant plan to send experienced legislators from other states to all 200 assembly constituencies in Rajasthan. These legislators will work alongside party workers and assess the political atmosphere in each assembly constituency.
Invitation for Interference...Re: Rammya Mathew: Tackling overmedicalisation must become a political priority
Dear Editor, Firstly who is to determine what amounts to ovemedicalization? Take a case where a person and the kin consider the problem to be "Acidity" and reach for medical help late only to find it was an infarct. Sometimes it so happens that this delay turns fatal. When a person reaches for medical help, imagine the doctor is under stress that the investigations or the medicines ordered may be under scrutiny and later may be considered over medicalisation.
The Devil Within....Re: How the private sector benefitted from a £2bn NHS covid contract
Rapid Response: The Devil Within....Re: How the private sector benefitted from a £2bn NHS covid contract Dear Editor, When they are Junior Doctors or Regular NHS Staff, they complain about exploitation. When they are part of a Private Practice or Private Hospitals, they, in turn, exploit people. It is the Devil Within, that surfaces, when the opportunity comes. Arvind Joshi, MBBS MD FCGP FAMS FICP. No competing interests
Is Wealth a Virtue or a Vice? Is Wealth Tax Prize or Punishment? Re: Should the UK have a wealth tax? Almost certainly
Rapid Response: Is Wealth a Virtue or a Vice? Is Wealth Tax Prize or Punishment? Re: Should the UK have a wealth tax? Almost certainly Dear Editor, There may be philosophers who may think that wealth is accumulated by thefts. Then shall one argue that Taxes are Highway Robberies? One will have to dwell upon an issue - is charging money or something intangible in return for services, goods or commodities, a fair practice? Also one will be faced with a poser, how much charges in each instant are fair?
Re: Helen Salisbury: I’m a GP-get me out of here?
Dear Editor, The article and the two responses are pretty eloquent by themselves. After reading the articles which say that one in five clinicians have retired prematurely and one in three wish to do so in the near future brings me to the news that the longest working doctor is going strong in the practice at the age past 100 years. Those who want leave the practice have their apt reasons, while those who do continue have theirs.
To each one, one's own Re: Remote working in medicine: the good, the bad, and the barriers
Rapid Response: To each one, one's own Re: Remote working in medicine: the good, the bad, and the barriers Dear Editor, There can be no doubt that the doctor and the patient meeting in person has many advantages except probably the convenience of each one. Many people have become either complacent, reluctant or lazy to travel to the clinic and wait in the antechamber for the turn to enter the doctor's cabin. In some cases doctors themselves may wish to work remotely.
Trust, Respect and Responsibility are two-way phenomena. Re: Doctors are accountable to the GMC, but who is the GMC accountable to?
Subjects are responsible to the Ruler and the Ruler should be responsible to the Subjects. Extending the analogy, Doctors are responsible to the GMC and the GMC should be responsible to the Doctors.
Scapegoats are easy to make, serve no purpose.Re: Covid-19: Charging French former health minister with endangering lives was “very unjust,” says former prime minister
Dear Editor, In many a situation, it is easy to be wise with hindsight but life has to be lived in the present and repurcussions come in the future. But with CoVID-19, not even the scientists are are any wiser after 33 months of gruesome and gruelling Pandemic. Remember, the WHO had not stressed the importance of masks for many months. It may not be correct to blame a person in the rush of emotions. Arvind Joshi, MBBS MD FCGP FAMS FICP.
Pushed to the Brink! Re: Rammya Mathew: Doctors are being pushed to the absolute brink
Dear Editor, I read the article with interest. There was another news item that about one third of the doctors want to leave medical profession. And again there was a feature about a centenarian neurologist still going strong. I was perplexed as to what these diverse manifestations within the profession meant. I tried to recollect what I saw very closely since my childhood. My father was a General Practitioner who qualified 70 years ago. He worked in the village for 50 years.
Politicians are what People are Re: David Oliver: Politicians’ abject failure to tackle the existential crisis in the NHS
Dear Editor, Politicians are like the People they come from. People get whom they Elected. But beyond this philosophical view, there are many Practical aspects which need to be considered. A system which poses to be charitable is not likely to sustain itself in the long run. If everything that is essential has to be provided by Government, that is going to require huge resources. That in turn will require huge Tax Collection. The Individual Taxpayers may have to bear the burden directly or indirectly.
Strike at the Root Cause Re: Groundbreaking anti-smoking laws advance in Malaysia and New Zealand
There are bans on the sale of various substances. Yet illegal procurement and the sale of these substances occur unabated. I wonder, why not take over any land under cultivation for harmful substances and use it for the production of foodgrains and vegetables.
A point missed Re: A seven point plan to suppress covid infections and reduce disruptions
Dear Editor, It is not so much that correct directives regarding safety during the Pandemic are not available or not understood.
Do not Disrupt, Rejuvenate! Re: Time to disrupt health care or is that impossible?
Dear Editor, The words Disrupt, Disruptive are often being used, many times to mean Breakthrough. I used to think Disruptive is something Destructive. I shall leave the subtleties and nuances to the Grammarians and Linguists. Public Health Care is under stress the world over.
Ubiquitous Evil Re: Proton pump inhibitors should not be used to treat persistent throat symptoms
Rapid Response: Ubiquitous Evil Re: Proton pump inhibitors should not be used to treat persistent throat symptoms Dear Editor, Proton Pump Inhibitors (PPI) have got such wide publicity even amongst lay people, that I have seen people consuming PPIs for symptoms ranging from headache, sore-throat, dysplasia, hives and even various manifestations of cardiac ischemia. In the process not only the PPI intake is unwarranted, it causes loss of precious time before proper treatment is instituted.
A Paradigm Shift Is Needed. Re: Rammya Mathew: Keep caring, even when it’s hard
Dear Editor, Often the discussions are centred on what governments are not doing and what governments should do. This is a system of dole-outs. Where are the Governments going to find money to spend it on all the wants of people but from the Taxpayers' money? That means more Taxes. The Taxes are recovered by industries, traders, service-providers and so on from customers.
Mixing up roles may be Detrimental Re: Covid-19: FDA authorises pharmacists to prescribe Paxlovid
Rapid Response: Mixing up roles may be Detrimental Re: Covid-19: FDA authorises pharmacists to prescribe Paxlovid Dear Editor, What FDA should do is their look out. What this decision may lead to is public concern, primarily. But since lay people are not likely to know intricacies of Drug -Human Body - Virus interplay, it falls upon medical community to vet the issue. Will the Pharmacists be able to judge the necessity suitability of the drug for the given person under consideration?
Large Ground to Cover Re: Recent hepatitis outbreak in children may have a foodborne toxin as its cause
Dear Editor, There are large number of possible causes that should be considered for the unexplained hepatitis. 1) Microbes: Old known microbes acquiring new pathogenesis and new microbes which have jumped the host Also to be considered is sewage and wastewater contamination of drinking water and food.
Eradicate Tobacco Endemic Re: FDA orders Juul to remove all its e-cigarettes from US market
Dear Editor, Consider the following facts: Out of nearly 6 Billion people of the World, nearly 1.8 billion people use tobacco in one or other form. Eighty percent of the tobacco users fall in lower and middle income groups. In the year 2018 tobacco sale amounted to $814 Billion. Land under tobacco cultivation around the world is 4.2 Million Hectares. Around US$1436 are spent annually on tobacco related diseases.
Unable to see the wood for the trees? Re: Covid-19: Omicron sub variants driving new wave of infections in UK
Dear Editor, The 14th century plague was deadliest, it is said. So was the great plague epidemic of 1665-1666. It inspired Albert Camus to write Plague. But probably these unfortunate visitations came singly. What is intriguing about the present spate of misfortunes is that the main nemesis of humanity not only has deceptive strategies of its own, but seems to have its lieutenants in waiting to ambush people.
Distressing! Re: Build back better: Why Indian construction must grapple with extreme heat
Dear Editor, I remember my undergraduate days in Preventive and Social Medicine Department 46 years ago, when we used to visit underprivileged people. We used to attend to their health issues, help our Medical and Paramedical staff in providing healthcare. We also used to visit their houses to survey their living conditions. We used to explain to the families about healthy practices.
Collosal Waste! Re: Covid-19: Unusable PPE worth £4bn will be burned, says spending watchdog
Dear Editor, The CoVID-19 Pandemic has laid bare many human adequacies. Neither we could cope with the virus itself, not could we contain collateral damages. The moral of people, the health services, the economy, the administration, the governance and even the ethics, every thing faltered. Then there were shortages in some places and wastages at other.
Daunting Challenge Re: Covid-19: Two million people in the UK are estimated to be experiencing long covid, says ONS
Dear Editor, Various postinfection syndromes have been known for a long time, such as Chorea, PANDAS, Chronic Fatigue Syndrome, Fibromyalgia, and so on. Many of the Autoimmune Diseases could be sequelae to unnoticed infections. Long CoVID-19 is a reality, yet there are people including scientists and doctors who are sceptical about Long CoVID-19.
Think Beyond Politics Re: The UK’s U-turn on obesity is a failure of leadership
Dear Editor, None will disagree that obesity needs urgent attention. However the problem can not be solved by legislation alone. Obesity, Alcohol and Substance Abuse, Gun related violence, Rash driving, Inequalities, all these and many more problems are multidimensional. Why are people becoming obese?
Need Multipronged Approach Re: Government delay on junk food multibuy ban is “shocking,” say health experts
Dear Editor, May it be the UK, the US or anywhere else, a Multipronged and Emphatic action is needed to weed out junk food and junk habits. Legislative, executive, enforcement actions, we demand. These actions will not be effective unless we weed out curiosity and eagerness on part of children, tempting advertising, soft attitude or even considering providing junk food as means of expressing affection by parents and elders and grandparents.
Thinking out loud Re: Tobacco industry is “talking trash” on environmental harms of production, say WHO and watchdog
Just wonder, if tobacco is so harmful, why do not nations legislate to convert tobacco fields into fields producing food grains and fruits and vegetables?
Basic Rights Re: Should patients own their health records?
Dear Editor, Very simply put, Patients should receive a complete copy of their health records and should be able to dynamically update the status of the health records, while every Health Facility that provided the service also should be in position to hold a copy of the health records of the people they have provided the service to.
Look Beyond the Usual Distribution Re: Heatwaves in India and Pakistan are lasting longer than previously seen
Dear Editor, Climate change is certainly not a thing to be taken lightly. But the direction in which most of the discussions go is energy use and energy production. Looking at the energy use is almost like looking at the energy needs which are going to be proportionate to the human population. Our lives have become irreversibly energy intensive. Hence energy needs are not going to decrease.
Irony of Situation Re: Obesity: No European country is on track to halt rising levels by 2025, WHO warns
It is a paradox that this same planet is where there are people and children looking almost skeleton-like while others are finding it nearly impossible to reach goals of obesity control. A similar situation is when some people cannot get vaccinated while others are dumping unused vaccines past their expiry date.
Four Principles for Wellbeing Re: Healthy lifestyle and life expectancy with and without Alzheimer’s dementia: population based cohort study
Dear Editor, Here the discussion is about Alzheimer's Disease and Healthy Lifestyle. But the benefits of a healthy lifestyle extend far beyond, not only Alzheimer's Disease but to the entire spectrum of healthy living and Global Well-being In my practice, I try to expound, explain, elaborate and inculcate Simple Four Principles (Chatuhsootri) for Wellbeing: Ahaar, Vihaar, Vichaar, Aachaar (Ahaar=Diet, Vihaar=Physical Activity, Vichaar=Thought, Aachaar=Behaviour).
Collateral Damage Re: One in three GPs intends to quit within five years, survey finds
Only a few days ago there was an article in JAMA saying that one in five physicians had quit during the Pandemic. There was another article saying nurses wanted to quit. The trend is really frightening, but one cannot but really empathize with those who want to quit the medical and paramedical professions.
Look for Non Biological Causes as well. Re: Scientists search for cause of hepatitis cases in children
Once upon a time cooking in copper utensils was an important cause of childhood cirrhosis. Now there are abundant environmental toxins that can cause damage to various tissues as well as genes and chromosomes. Diligent search also should be done for environmental toxins as causes for Hepatitis in Children.
Old Wisdom Comes In Handy Re: Advise adults to keep waist size to less than half their height, says NICE
Dear Editor, My early days were spent in a village. My Father was a doctor. Fifty two years ago, there were no laboratories, no radiology units in the village. I remember the time between the years 1960 to 1970, when I used to linger in my father's clinic. Apart from his regular work, he also was an Empanelled Medical Examiner for then the only Life Insurance Corporation of India (LIC), a Government Undertaking. The Chat provided by the LIC used to show what body proportions should be.
Re: UK testing was “a shambles” so why hasn’t the government learnt from its mistakes, asks Paul Nurse
One reason why the things are the way they are is that people who make mistakes and suffer take recourse to point out how others are also suffering the same or worse, rather than sitting down to analyse and rectify the mistakes.
Contrasting Attitudes Re: Whitty’s critics fail to see that science is driven by what we don’t know-not what we do
Whitty's Statment and its critics are the contrast between the cautiousness that comes from knowing, caring and eager and hasty enthusiasm as seen in celebration of CoVID-19 Freedom Day.
Inescapable Evil Re: Inequalities responsible for thousands of adverse birth outcomes in black and Asian women
Dear Editor, All inequities inevitably bring sufferings to the underprivileged. However Inequities themselves are inescapable truths of life. The fact of the human existence and the nature itself is that there can be no equal status to each and every one. There is inequality, that is why electric current exists, rivers flow, and there are rulers and the ruled even in Independent Democracies. There are intellectual and the less enlightened. There are the entrepreneurs and the employees.
Ask not what the Nation will do for you, Ask what You will do for the Nation! Re: Memo to COP26 leaders: abandon your hubris, politics, and pride and see the future through young people’s eyes
Dear Editor, Every day in speciality journals and the lay press alike, one keeps reading about the impending disasters climate change is going to cause, and how precious little is being done by the Nations. The developed nations blame the developing nations and the activists blame the Governments in a game of passing the buck. For a change let one look inwards and search which comforts oneself is ready to sacrifice to save the future of the Planet from climate change disaster.
Symbolism will not help Re: Medics get on their bikes to fight air pollution
Dear Editor, Taking to the road on the Bicycles is good symbolism, good to draw attention to the cause and oneself. There are many factors contributing to pollution, carbon footprint and global warming. Automotive Exhaust is only a minuscule contributing factor. The overall consumption of Energy and commodities is a function of the numerical Population and their Habits. The Population is not going to remain Static, forget any reduction. Even Habits are very difficult to change.
Unbiased Perspective Needed Re: Pandemic lessons from India: inappropriate prioritisation for vaccination
Dear Editor, While any constructive criticism is welcome, one should have a correct Perspective. The world population is 6 times the population of India, whereas total CoVID-19 cases in the world are 9 times the total CoVID-19 cases in India and total CoVID-19 deaths world wide are 12 times total CoVID-19 deaths in India. United States of America alone has almost two and a half times total CoVID-19 deaths as compared to total CoVID-19 deaths in India. Arvind Joshi, MBBS MD FCGP FAMS FICP.
When a person points a finger at another, he often forgets three are pointed at himself! Re: Why is India having a covid-19 surge?
Dear Editor, Nothing to wonder! Remember, UK had its own second wave between 17 September 2020 and 03 April 2021, the peak of which was almost 10 times higher than the peak of the first wave? USA also had a second wave between 15 October 2020 and 19 April 2022, the peak of which was almost 5 times higher than that of the peak of the first wave.
Living in a Fool's Paradise?! Re: Do doctors have to have the covid-19 vaccine?
Dear Editor, Whom are we fooling - ourselves or patients? Just minutes ago I read an article by Sharon Amit published by CDC saying 0.54% health workers got CoVID-19 even after Vaccination. (CDC: Emerging Infectious Diseases, Volume 27, Issue 4, April 2021, Zoonoses Articles, online issue.) There are issues of safety, efficacy, personal freedom.
Spontaneous Cervical Swelling
A 56-year-old patient with no medical history presented spontaneously to the emergency department of our university hospital (Assistance Publique Hôpitaux de Paris) for bilateral neck swelling that had developed over 24 hours. The patient had no traumatic or iatrogenic triggers. He reported an edema of the lower lip that resolved spontaneously the day before. He had no dyspnea nor dysphagia, but did have a discrete dysphonia. He had no fever.
Mycosis Fungoides in Children and Adolescents: A Systematic Review
Figure. Survival Outcomes in Childhood Mycosis Fungoides Survival was compared between patients whose time to diagnosis was longer than 5 years vs 5 years or less after symptom onset. Table 2. Clinical Variants, Distribution, Immunophenotypes, and TCR Gene Rearrangement Analysis of MF Lesions Table 4. Risk Factors for Progression Beyond Stage 2A, Large Cell Transformation, and the Development of Secondary Lymphoma and Parameters Affecting 10-Year Overall Survival Review March 3, 2021 JAMA Dermatol.
Deeply saddened. Re: Covid-19: Social murder, they wrote-elected, unaccountable, and unrepentant
Dear Editor, The sheer innocence of early childhood gave way to curiosity. They say: Curiosity Killed the Cat. Here Curiosity Killed the Innocence. First came innocent Empathy and Compassion; then it found so called Social and later Political Awakening as the companions. It soon found Economic Awareness. Fortunately an Inner Critic awakened to moderate the thoughts and actions. First various injustices appeared to be imposed from outside.
Sad, But it was Waiting to Happen. Re: Covid-19: Norway investigates 23 deaths in frail elderly patients after vaccination
Dear Editor, These are the just beginnings. Many oddities and strange things have unfolded during the Pandemic. Some call Cytokine Storms the Culprits for CoVID-19 Pathogenesis, others claim that Cytokines are elevated but to a lesser extent in CoVID-19 as compared to the extent they are in other critical illnesses. CoVID-19 continues to spread in well to do people, while it is seen abating in certain slum dwellers. Wave after Wave keeps crashing on hapless Humans.
Mystery and Misery Continue! Re: Covid-19: Japan declares second state of emergency as Asia struggles with virus surge
Second Waves, Third Wave, Variant Strains, Failure of Projected Elixirs, Unexpected Reactions to the Vaccines, Contradictory Statements from Eminent Personalities: Almost a Yearlong Reign of the Pandemic! We have learnt and understood so little of the Scourge!
Poverty not the Sole Cause of Malnutrition. Re: How doctors can help end food insecurity
Dear Editor, It is a noble thought on the part of the BMJ to help alleviate Food Insecurity. Already many Governments the world over have food subsidies, School Meals Programs and many more schemes. There are Non-government Organisations and even many individuals with a charitable inclination who work to alleviate hunger. Yet the problem persists. What is being done is treating the symptoms and not the causes. When charities are offered, often they create dependency.
Koplik Spots
A woman in her 30s presented with a 3-day history of fever, coryza, and dry cough. She gave no history of recent travel, drug intake, or relevant exposures. On examination, she had tachycardia, tachypnea, and was febrile with a skin temperature of 104 °F. Bilateral conjunctival congestion was seen. Her buccal mucosa showed multiple discrete 2- to 3-mm pinpoint yellow papules and blue-white spots with peripheral erythematous rings on the right side that were opposite the second molar (Figure).
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