New Delhi: Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER) has notified vacancies for the Senior Resident post on an ad hoc basis in this medical institute.

The Institution has a unique recognition by the Medical Council of India and the University Grants Commission as an independent post-graduate College affiliated with Delhi University. the Foundation stone of Govind Ballabh Pant Hospital was laid in October 1961 and was commissioned by the then Prime Minister late Pt. Jawaharlal Nehru on 30th April 1964. From a very humble beginning with 229 beds, it has expanded to currently over 700 beds (714 beds). Today it is an internationally recognized tertiary care institution for Heart, Brain Gastrointestinal, and Psychiatric disorders. It offers super specialty treatment to about 3 lac patients in the OPD and almost 15,000 patients in General and Private wards yearly.

GIPMER Vacancy Details:

Total no of vacancies: 34

The vacancies are in the Departments of Neurology, Biochemistry, and Anaesthesiology.

The Walk-In-Interview date is 29th December 2023.

For more details about Qualifications, Age, Pay Allowance, and much more, click on the given link:
https://medicaljob.in/jobs.php?post_type=&job_tags=GB+Pant+Hospital&location=&job_sector=all

How to Apply For Eligible Candidates:-

1. Appointment will be subject to Medical fitness and verification of Certificate(s) of educational qualification/age/caste/DMC registration.

2. The vacancies are likely to vary and may be filled in phases.

3. Panel of wait listed candidates will be prepared separately.

4. No TA/DA will be paid for appearing in the aforesaid interview.

5. The appointment and services of selected SR’s will be governed under the Residency Scheme.

6. In case, interview cannot be completed on the scheduled date/duration the same shall be conducted on the following working day.

7. No correspondence or personal inquiries shall be entertained.

8. Bring all original documents along with their self-attested photocopies on the scheduled date of Interview & on the date of joining to the post.

9. The Candidates are advised to check the Institute website regularly for any/further updation in the matter.

10. FEES PAYABLE:- Rs. 300/-(Non-Refundable) in the form of a Cash/Demand Draft issued by a nationalized bank in favor of MEDICAL SUPERINTENDENT, G.B. PA VT HOSPITAL, PAYABLE At New Delhi, The eligible candidate can deposit the fee(in Cash) to the Cashier at Accounts Branch of this Institute, GIPMER.

JURISDICTION OF DISPUTE: In case of any Legal dispute, the jurisdiction of the Court will the Delhi/New Delhi only.

• Note: – The application form is available at the Institute’s website gbpant.delhigovt.nic.in.

Hamirpur: Following the detection of COVID-19 variant JN.1 in the country, Himachal Pradesh’s health department has issued an advisory to the chief medical officers in the state to test patients with COVID-like symptoms and take necessary precautions, officials said.

People with symptoms of cold, fever or cough are advised to take a COVID test, Una CMO Dr Sanjeev Kumar said on Tuesday. He also urged people to wear masks.

India has recorded 69 cases of COVID JN.1 variant, as per official sources.

Medical Dialogues team had earlier reported that after a surge in the cases of the new COVID subvariant JN.1, doctors from the All India Institute of Medical Sciences (AIIMS) have advised people to not panic but rather remain alert and vigilant. “People are getting infected by the new sub-variant of COVID-JN.1 in many states of the country. The symptoms of the patients are mild. Therefore, there is no need to panic but the need to remain alert,” Doctor Neeraj Nischal said.

Doctor Nischal, who is an Additional Professor in the Department of Medicine at AIIMS Delhi, said, “We have been saying this type of ripple will keep on happening. Even during the first and second waves, we predicted that this virus would mutate further and the stage would come where it would become more infectious but at the same time cause less mortality or morbidity.” “So this is, you can say, a fight between the viruses in human beings who are also trying to survive. People are becoming infected but at the same time, it’s not causing the problem that its predecessors, like the delta variant, caused,” said the doctor. 

A recent study published in Obesity Surgery found bariatric surgery to have beneficial cardiac effects on non-HFpEF (heart failure and preserved ejection fraction) obese patients. However, it did not substantially improve the pooled analysis of cardiac parameters. The extent of improvement may be influenced by factors such as the patient’s baseline age and BMI and BMI loss extent. Shi-jing Lu et al. led the study.

This meta-analysis assessed BS’s effect on cardiac function by examining LVEF (left ventricular ejection fraction) and NYHA  (New York Heart Association) changes in non-HFpEF patients post-surgery.

Articles were sourced from PubMed and Embase, starting from their inception to December 9, 2022, using the Minors scale to evaluate their quality. The study included patients with non-HFpEF and severe obesity, requiring pre-operative and post-operative values of LVEF or NYHA to be reported.

Important points of consideration from the study include:

· Nine studies (146 patients) were included, with a final result showing improved cardiac functional parameters in non-HFpEF patients.

· Following the mean follow-up time of 15.8 months, the mean NYHA decreased by 0.59, and the mean LVEF increased by 7.49%.

In conclusion, bariatric surgery is associated with improved cardiac parameters in patients with non-HFpEF (heart failure and preserved ejection fraction). The extent of BS on cardiac functional improvement may relate to baseline BMI, age, and extent of BMI loss.

Bariatric surgery positively influences the cardiac function of non-HFpEF patients with obesity, they said.

PhD research initiation program of Liaoning Province, 2022-BS-358, funded the study.

Reference:

Lu, Sj et al. Evidence of Bariatric Surgery Benefits Cardiac Function in Non-HFpEF Patients with Obesity: a Meta-Analysis. OBES SURG 33, 3353–3361 (2023). https://doi.org/10.1007/s11695-023-06670-8

“An acute bout of exercise at 40 %, 60 %, and 70 % VO2 max 12 h before intake of a fat-meal had similar effects on PHTG attenuation,” the researchers reported. “Also, there was an improvement in insulin sensitivity among all exercise trials, leading to decreased insulin response to fat-rich meal.”

The randomized controlled trial found that compared to no exercise, low-intensity exercise on a treadmill for 1 hour significantly lowered serum triglyceride levels following a fat-rich meal that was ingested 12 hours post-exercise

Cardiovascular disease (CVD) is the foremost cause of death worldwide. Postprandial hypertriglyceridemia is a condition characterized by elevated triglyceride levels after a meal. It is a common lipid abnormality linked to an increased CVD risk.

Previous studies showed that exercising at 40-70% intensities not only attenuates PHTG but also lowers insulin response among physically inactive people with metabolic syndrome. However, there is a need to elucidate the effects of different exercise intensities on insulin resistance and PHTG in healthy individuals (non-hyperlipidemic). Therefore, John Q. Zhang, Department of Kinesiology, The University of Texas at San Antonio, USA, and colleagues aimed to investigate the effects of different exercise intensities on insulin resistance and postprandial lipemia (PHTG) in healthy individuals.

The study included 10 adult males (age = 34 ± 2.8 y, fasting plasma TG = 1.36 ± 0.18 mmol/l, body mass = 72.9 ± 2.4 kg, VO2max = 43.7 ± 3.0 ml/kg/min, fasting Homeostatic Model Assessment for Insulin Resistance (HOMA2-IR) = 1.7 ± 0.3, and fasting glucose = 5.2 ± 0.2 mmol/l) with normal fasting triglyceride (TG) concentrations.

Each participant performed a control trial (Ctr, no exercise), and three exercise trials at 40 % (40%T), 60 % (60%T), and 70 % (70%T) of their VO2 max. In the exercise trials, participants jogged on a treadmill for one hour at a designated intensity. Each participant consumed a fat-rich meal 12 hours after exercise. Blood samples were taken at 0 h (before the meal), and 2 h, 4 h, 6 h, 8 h, and 24 h after the meal. After the meal, they analyzed the plasma TG, HOMA2-IR, and area score under the TG concentration curve over an 8 period (TG tAUC).

The study led to the following findings:

• At 2 h, 4 h, and 6 h after the meal, TG in all exercise trials was lower than Ctr but did not differ.
• All the exercise trials were lower in TG tAUC scores than Ctr, but differences were not observed among the exercise trials.
• Compared to Ctr, a significant difference in HOMA2-IR in both 60 % T and 70 % T was observed, but not in 40 % T.

“These findings indicate that exercising at low to moderate intensity may be sufficient in preventing metabolic conditions and atherosclerosis among young, healthy, and recreationally active individuals,” the researchers wrote.

“These results may provide exercise-oriented health promotion measures for communities with healthy and at-risk individuals,” they concluded.

Reference:

Ji, L. L., Fretwell, V. S., Escamilla, A., Yao, W., Zhang, T., He, M., & Zhang, J. Q. (2023). An acute exercise at low to moderate intensity attenuated postprandial lipemia and insulin responses. Journal of Exercise Science & Fitness, 22(1), 14-22. https://doi.org/10.1016/j.jesf.2023.10.006