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Articles by Bhaskar Kumar
The temporal changes in GPT-4 performance on UKMLA practice questions: educational and clinical implications
Abstract Background: Generative Artificial Intelligence (GAI) models, such as GPT-4, have been extensively studied for their integration into medical practice and education. GPT-4 has demonstrated excellent performance on medical licensing examinations, including the United Kingdom Medical Licensing Assessment (UKMLA). However, the field lacks longitudinal data on whether such performance is stable or varies over time.
How GenAI & ML is (and will be) helping Health Sector for good (Jargon elimination is just the start)
Member-only story Bhaskar Kumar · Follow 6 min read · -- The below paragraph in the recent issue of The Batch caught my attention.
Create a ChatGPT like UI for chatting with Open Source Models using OpenWebUI, OpenRouter and Ollama on your local
Bhaskar Kumar · Follow 5 min read · -- OpenWebUI interacting with OpenRouter and Ollama With the advent of multiple open source models in the market, starting all the way from BLOOM (which required very large compute to run) to the availability of super quantized models which can be run on any decent CPU device, Generative AI models have come a long way in terms of serving privacy needs and allowing users to experiment with multiple models.
Does age impact outcomes of retrograde intrarenal surgery in the elderly? Results from 366 patients from the FLEXible ureteroscopy outcomes registry (FLEXOR) (pdf) | Paperity
Aging Clinical and Experimental Research, Sep 2023 There has been a consistent increase in the last decades in prevalence of renal stones in elderly. To evaluate outcomes of retrograde intrarenal surgery (RIRS) for renal stones in elderly and factors associated with postoperative complications and residual fragments (RFs). Data from 12 centers were retrospectively reviewed. Inclusion criteria: ≥ 75 years, renal stones only, normal renal anatomy.
Expanding horizons and navigating challenges for enhanced clinical workflows: ChatGPT in urology
Introduction In this modern day and age medical practitioners are challenged with a significant amount of administrative tasks and documentation. Unfortunately, these duties frequently require more time to complete than actual medical procedures on patients (1). Sadly, the present healthcare system in most countries neglects to address the challenges faced by physicians and aide workers.
Clinical and genetic determinants of severe acute pancreatitis: A genetic association study in the UK Biobank
Discussion We investigated the clinical and genetic predictors for SAP based on a large sample in a UK population. To the best of our knowledge, this is the first-time determinants for disease severity have been studied in the UK Biobank.
An initial genomic blueprint of the healthy human oesophageal microbiome
Background. The oesophageal microbiome is thought to contribute to the pathogenesis of oesophageal cancer. However, investigations using culture and molecular barcodes have provided only a low-resolution view of this important microbial community. We therefore explored the potential of culturomics and metagenomic binning to generate a catalogue of reference genomes from the healthy human oesophageal microbiome, alongside a comparison set from saliva. Results.
How Machine Learning is Changing the Landscape
Marketing has been in existence for a very long time in history. Although it was not in the form of marketing as we see today, instead it was used more as a medium to convey information to a larger audience. The foundations of modern marketing started in the 1450s when one of the most significant investors of all time, Johannes Gutenberg invented the printing press.
Low- vs. High-Power Laser for Holmium Laser Enucleation of Prostate
This is an early access version, the complete PDF, HTML, and XML versions will be available soon. Open AccessOpinion by Vasileios Gkolezakis 1, Bhaskar Kumar Somani 2 and Theodoros Tokas 3,4,* 1 Department of Urology, Athens Medical Centre, Distomou 5-7, 151 25 Marousi, Greece 2 Department of Urology, University Hospital Southampton NHS Trust, Southampton SO16 6YD, UK 3 Department of Urology and Andrology, General Hospital Hall i.T., Milser Str.
Complications of diagnostic upper Gastrointestinal endoscopy: common and rare - recognition, assessment and management
Perforation Perforation at upper GI endoscopy is a potentially life-threatening complication, with mortality rates of 2%–36% for oesophageal perforation.10 Prospective, multicentre studies report perforation rates of between 1 in 2500 and 1 in 11 000 for diagnostic upper GI endoscopy.30 31 Factors conferring an increased risk of perforation include the presence of anterior cervical osteophytes, Zenker’s diverticulum, oesophageal stricture, malignancies of the upper GI tract and duodenal...
Kamareddy: Cheetah dies in road accident
Kamareddy: A leopard died in a road accident in Kamareddy district on Wednesday late night. A cheetah was killed after being hit by an unidentified vehicle in a forest area of Sadashivanagar mandal. The forest department officers who came to know about the matter reached the spot and inspected it. The dead body of the leopard has been seized. FRO Ramesh and forest staff estimated the age of the leopard to be one to one and a half years old.
Oesophageal adenocarcinoma metastasis into a microcystic meningioma: a rare occurrence of tumour to tumour metastasis | BJR|case reports
Open AccessCase Report Abstract A 78-year-old male was admitted with a history of a fall following seizures. This occurred 2 years post-curative treatment (minimally invasive oesophagectomy with neo-adjuvant chemotherapy) for an oesophageal adenocarcinoma staged T3N0M0. On examination, patient had left-sided hemiparesis.
Method to Measure the Degree of Reduction of Eu3+ to Eu2+: How Anion and Cation Vacancies Influence the Degree of Reduction
1. Introduction Eu2+-doped phosphors exhibit a broad emission band, and therefore, they are tested as potential materials for white light-emitting diodes (WLEDs). Because there is no known mineral in which europium ions are in the +2 oxidation state, during the synthesis, europium must be reduced from the trivalent form. Therefore, high reduction efficiency, that is, a high Eu2+/Eu3+ ratio, is sought after.
Nizamabad: Concerted campaign to stop child marriages pays off
Nizamabad: Nizamabad has witnessed a sharp increase in the number of child marriages being prevented over the past decade, following greater awareness and better coordination among ICPS, ICDS, police, Revenue field level staff. More than 390 child marriages were prevented in Nizamabad and Kamareddy districts during the last 10 years, say the officials. Nizamabad district was divided into three parts in October 2016. One mandal was merged with Rajanna Sircilla district.
Postsurgical gastroparesis syndrome (PGS) following sleeve resection of a giant (6.1 kg) gastric gastrointestinal stromal tumour (GIST)
Postsurgical gastroparesis syndrome (PGS) following sleeve resection of a giant (6.1 kg) gastric gastrointestinal stromal tumour (GIST) Free http://orcid.org/0000-0002-2410-888XTze Hao Leow1, Stephen Lam2,3, Loveena Sreedharan4 and Bhaskar Kumar3 1Department of General Surgery, James Paget University Hospitals NHS Foundation Trust, Norwich, UK 2Norwich Medical School, University of East Anglia, Norwich, UK 3Department of Upper Gastrointestinal Surgery, Norfolk and Norwich University Hospitals...
Policing with a heart in India
The country's police system is plagued by the lack of accountability and the absence of effective mechanisms to deal with excesses committed by police officials | | Published 04.08.20, 02:12 AM Even as the world was recovering from the George Floyd tragedy in the United States of America, India witnessed a similar incident of police brutality in near Chennai. Two men without criminal antecedents were beaten while in custody, resulting in their death.
weakening of labour laws
Amidst the fear and chaos generated by the Covid-19 pandemic, we witnessed the plight of migrant labourers across India. Even as the economy stands wrecked by the lockdown, various state governments, in an unprecedented move, started diluting the extant labour law framework to give a push to economic activities. The absence of protection to labourers would add to their precarious existence. Punjab, Gujarat, Himachal Pradesh and Haryana have enhanced daily working hours for labourers to 12 hours.
Rare and dangerous complication of nasogastric tube insertion
Rare and dangerous complication of nasogastric tube insertion Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways. Copyright information: © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Narrow vision of Modi govt
In the last few years, scholars and intellectuals have raised their concerns over the Bharatiya Janata Party’s pursuit of the ideals of Vinayak D. Savarkar and M.S. Golwalkar. The economic policies of the ruling dispensation lay bare its intentions. Under Narendra Modi, India is moving towards an isolationist position by imposing higher tariffs and being sceptical towards free trade and globalization. New Delhi’s withdrawal from the Regional Comprehensive Economic Partnership is a recent example.
Using Section 144 to stifle peaceful protests wrong
As protests against the controversial Citizenship (Amendment) Act, 2019, continue to gain momentum, the government has resorted to the coercive step of imposing Section 144 of the Criminal Procedure Code (CrPC) in different cities across India. In Bengaluru, Section 144 has been imposed from December 19 to December 21. Section 144 prohibits gatherings of more than four people.
Citizenship Amendment Act: Imposition of Section 144 to prevent democratic protests against law smacks of colonialism; shows govt's inability to handle dissent - Firstpost
India Bhaskar Kumar Dec 19, 2019 08:23:50 IST In the present case, the line differentiating peaceful protest and disturbance of public tranquillity has been overlooked by officials imposing Section 144. The students of different universities are peacefully protesting and registering their dissent against CAA. The imposition in such a scenario is extremely arbitrary and should only be imposed in exceptional circumstances.
Coalition of convenience: India must evolve a legal framework to curb unethical post-poll alliances
NCP chief Sharad Pawar, Shiv Sena Chief Uddhav Thackeray and Maharashtra Congress President Balasaheb Thorat By Bhaskar Kumar After the NCP, the Congress party and the Shiv Sena announced their alliance, certain voters moved the Supreme Court to stop the ‘unholy alliance’ (as termed by them), since it defeats electoral mandates. In recent times, as mandates are getting more and more fractured, post-poll alliances have become inevitable in electoral politics.
Hyderabad encounter killing: Courts must decide if accused should hang, not the cops
India Prannv Dhawan and Bhaskar Kumar Dec 06, 2019 22:45:06 IST The accused, who were arrested a day after the incident, were shot dead by the police around 3 am last night Police reforms are urgent and necessary to stop public faith in the justice system from withering away Law abiding citizens who uphold the Constitution must be critical of the hyper-nationalist narrative of indifference After the gruesome rape and murder of a Hyderabad veterinarian last week, the debate on women's safety...
Shiv Sena-NCP-Congress alliance in Maharashtra: To counter unethical post-poll alliances, scope of anti-defection law needs widening
Politics Bhaskar Kumar Nov 28, 2019 09:25:08 IST The question before the Supreme Court is whether these alliances are permissible under the constitutional scheme and not contrary to the democratic ethos The whole gamut of democratic politics revolves around the informed choices made by voters In cases of post-poll alliances, those who have been rejected by voters come into government and make efforts to further their policies that have been discarded by the public After the NCP, Congress...
Maharashtra Govt Formation: Governor's decision to appoint Fadnavis, Ajit Pawar raises serious questions over assumed neutrality of post
Politics Bhaskar Kumar Nov 24, 2019 13:43:48 IST The decision of Governor should not be seemingly illegal or arbitrary otherwise court have authority to struck down these decisions declaring them as brazen disregard of the Constitution The assessment of the strength of the ministry is not a matter of private opinion of any individual, be he the Governor or the President.
GUJCOCA makes confessions to cops, intercepted conversations admissible in court; threatens checks and balances against government interference
India Bhaskar Kumar Nov 18, 2019 12:41:09 IST The police should remember that confession may not always be a short cut to a solution. In the times when the institutional legitimacy of the police is questioned widely such an unbridled empowered which potentially interferes with the liberty of an individual is a travesty of criminal justice. Making the confessions to police official admissible as evidence is a departure from the established practice of criminal justice.
Providing sexuality education
In a recent judgment, the Madras High Court ruled that courts should not be influenced by misconceptions that children are likely to lie in cases of sexual abuse or that they are tutored by parents to make false statements in court. While these observations are welcome, the attitude of the defence lawyer in this case was seriously problematic.
Is there a message in the choice of winners of the Nobel Prize for Literature and the Booker Prize?
19 minutes ago Bhaskar Kumar Share Tweet Email Reddit Print Share Tweet Email Reddit Print The last couple of weeks have been filled with excitement and thrill for lovers of literature across the world. Two of the biggest prizes in the field have been awarded within a week. On October 11, Austrian writer Peter Handke bagged the 2019 Nobel Prize for Literature, and Polish author Olga Tokarczuk was named the winner for 2018.
INX Media case: Outcry against P Chidambaram based on approver's testimony makes media appear as propaganda platform
India Prannv Dhawan and Bhaskar Kumar Aug 30, 2019 18:25:30 IST While dismissing Chidambaram’s plea for anticipatory bail, the high court had held that he was the kingpin in the case. The foundation of the suspicion of crime — the testimony of the approver witness — needs to be interrogated. There are inherent perverse incentives for the ‘approver’ to acquiesce to the putative institutional bias of investigative agencies.
Lesson from Karnataka: Review powers of Speaker
The inevitable fall of the troubled Congress-Janata Dal (Secular) coalition government in Karnataka was precipitated after a long-delayed and controversial trust vote. This imminent event occurred after the long-drawn political and legal contest in the state Assembly, the Supreme Court, the media and the public domain in general.
Lessons from Karnataka constitutional crisis: Speaker's functioning must be effectively regulated to ensure impartiality
Politics Prannv Dhawan and Bhaskar Kumar Jul 25, 2019 21:45:10 IST The inevitable fall of the troubled Congress-JD(S) coalition government in Karnataka was precipitated after a long-delayed and controversial trust vote on Tuesday. This occurred after the long-drawn political and legal contest in the state Assembly, the Supreme Court, the media and the public domain in general.
Why and how the Congress must live
Ever since the exit polls predictions about a crumbling Opposition and the possible decimation of the Congress party began to be discussed, Swaraj India president and long-time political analyst, Yogendra Yadav, stirred up a controversy talking of how the Congress must die. The debate raged further after the confirmation of the exit polls through the electoral results that proved nothing short of a debacle for the Congress-led United Progressive Alliance (UPA).
Bridging clinic: The initial medical management of patients with newly diagnosed pancreatic cancer
Bridging clinic: The initial medical management of patients with newly diagnosed pancreatic cancer Loveena Sreedharan1, Bhaskar Kumar2, Anna Jewell3, Paul Banim4, Andreas Koulouris5, Andrew R Hart6 1 ST Upper GI Surgery, East of England Deanery, UK 2 Upper GI Surgery, Norfolk and Norwich Hospital, Norwich, UK 3 Pancreatic Cancer UK, London, UK 4 James Paget University Hospitals, Great Yarmouth, Norfolk, UK 5 Academic Clinical Fellow in Gastroenterology, Norfolk and Norwich Hospital, Norwich,...
The Delhi Voter’s Conundrum
Noted social scientist and politician, Yogendra Yadav, along with various political activists and the Delhi unit of Swaraj Abhiyan had appealed to Delhi voters to choose NOTA. This comes in the context of a larger campaign by democratic activists to coalesce opposition forces against the authoritarian and majoritarian establishment.
Bridging clinic: The initial medical management of patients with newly diagnosed pancreatic cancer
Pancreatic cancer is the 11th most common cancer in the UK and has the worst prognosis of any tumour with minimal improvements in survival over recent decades. As most patients are either ineligible for surgery or may decline chemotherapy, the emphasis is on control of symptoms and management of complications such as poor nutritional status.
Why Article 35A is Crucial to the Indian Constitution
Federalism is a device by which plural qualities of a society are articulated and protected. It is devised to secure both regional autonomy and national unity. It is a product of historical forces in plural societies. If the forces of national unity are very strong in such society, the central government shall have more powers. The strength of these regional and national forces changes from time to time, in keeping with changing social, economic and political conditions and compulsions.
Higher judiciary an “old boys’ club”
August 4, 2018, will be marked as a historic day for Indian judiciary. On that day, the Supreme Court (SC) for the first time had three sitting woman judges after Madras High Court Chief Justice Indira Banerjee was appointed a judge of the SC. Also, for the first time since its inception, the Jammu & Kashmir High Court will get a woman judge, Justice Sindhu Sharma, and a woman chief justice in Justice Gita Mittal. But the percentage of women in higher judiciary still remains dismal.
Assessing the quality of primary care referrals to surgery of patients with diabetes in the East of England: A multi-centre cross-sectional cohort study - Pournaras - 2017 - International Journal of Clinical Practice - Wiley Online Library
Peri-operative hyperglycaemia is associated with an increased incidence of adverse outcomes. Communication between primary and secondary care is paramount to minimise these harms. National guidance in the UK recommends that the glycated haemoglobin (HbA1c) should be measured within 3 months prior to surgery and that the concentration should be less that 69 mmol/mol (8.5%).
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