Biochemistry Ques:
"need ya guys help n thx"

Vitamins A and D are usually prescribed in doses that satisfy several weeks' requirement for these vitamins. on the contrary vitamins of group B have to be taken every day. why is it so?

I know B is water soluble..A n D are fat soluble..maybe fat soluble vitamins are able to store in body while excess of water soluble vitamins are flushed out through urine..?!

I have a clinical question on Physiology

Doctor administers barbiturate during anesthesic before operation, the patients stops breathing. Doctor gives artificial source of oxygen but patients die in the end....Why is that so?

Pls help ASAP! thank u!

"IMO, barbiturate is inhibiting respiratory control in Medulla oblongata - therefore even though u have oxygen, Carbon dioxide cannot be exhaled out, person dies of acidosis of alveoli..."

I am in Russia. The popular 3 Choices would be

Moscow Medical Academy I M Sechenov
Pros: The russian batch of students are quality students provided that its not the clubbing party type. Malaysian students go there because of false assumption of its the 2nd ranking medical university in the world. "Perhaps it can be, but If so its for the russian medium"
Cons: Wake up at 5am daily travel around metro, buses. High cost of living "after tokyo". Hostel management is a mess. U are not guarenteed to stay back in the same hostel each year. Students studying here have the worst russian. "I know they think the language is unimportant after u graduate but oh well" and skinhead/beaten up problems are the most frequent compared to other places.

Moscow is another country - general consensus of russians.

Nizhny Novgorod State Medical Academy - I am here so I can further elaborate
Pros: lovely. Serene and conducive for study. Hostel is like hotel and its reasonably priced "even though rises each year at rate of USD 350 - USD 700 annually". You can earn single room as you become a senior. In moscow and volgograd its 3 per room. Not that crowded, russians here are not as fancy and as fashion as in moscow.
Not expensive. Teachers mostly are good, become even better and have very good english as you go through to clinical years. Even Some are sent to malaysia to teach, for example my anatomy teacher "a neurosurgeon". Physiology teacher is researching on nerve stem cells and if she succeeds, nobel prize awaits her for alzheimer/Parkinson's disease. Her lab is awesome.
Cons: coldest amongst all choices. 400km Northeast of Moscow, when moscow is at 0 degrees here is -10 to -15. But ppl adapt well. so it shouldnt be a problem I have no regrets coming here!

Volgograd State Medical University
Pros: Russians here are the most friendly. Formerly known as stalingrad, city is cleaner than moscow. Students here study very well too. But boring life. Not much to see. In nizhny we get to nearby city Kazan, or a train 5 hours to moscow during winter break.
Cons: Strict hostel rules. Be a guai kia here or u get warnings. Far from Moscow. 4th year onwards you have to study your clinical years in full Russian. Russian speaking here is generally the best because of this.

u can choose Kursk or RSMU too - but not very favourable as both conducts in Full Rus at clinical years and I never heard much of them.

All in all, doesnt matter where you study, its YOURSELF that study for your own knowledge and to serve the community. Its not like primary school where you have tuition and teachers spoon fed you. With that mentality you never get far no matter where you placed at - be it PMC ireland or Monash Aus. and most important of all, he must have self discipline.

Thats a public general opinion. It is very unfair and biased. Because they are private students and may not study well. Party life is there. But it accounts only for 35% of the students who mix with Africans n Mauritius people. Take the recent JPA batches that just graduate, and the students here are better.
and FYI, had the government provide more quota to Chinese ppl, and not to feed bumis so much, We wont have this problem n also braindrain. and not all parents are businessman/CEO, they are really trying to make ends meet and sending their children even to Russia is considered a blessing. Afterall if the children is a disciplined obedient one, he can be among the creme de la creme with english irish contemporaries.
On and off, Mara students here lead a luxurious lifestyle. USD 500 a month, buy this jacket and that jacket and etc. This is how the bumi spend their money - our parents income tax money. on top of all, they dont need to serve government if they pay a minimal lumpsum of 50k RM after graduate.


IMO This person should not become a doctor in the first place.

This post has been edited by Jedi: Jan 21 2010, 02:39 AM

hi guys, I am really interested in USMLE.
I searched the web but all I found is what is to be tested, what to expect, books audios

I wanna ask if anyone here has had experience with the Step 1 before? I am on my 2nd year now in Russia "do not bash me because I am not the black sheep lk the general consensus think of graduates here". Thing is, I asked my seniors here none have taken this exam so far...which is depressing since I cant ask for much info. Do I have to do the step 1 in Russia or can I do it in Malaysia? My guess is I have to apply under the university and proceedings are through the university..theres no private seats.

yes, unfortunately neopets u have to have strong foundation in chemistry. Do you like the subject? because Biochemistry is a core subject for understanding the human organism processes.

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Added on February 27, 2010, 2:17 amyes this is so true. They do not know what is wrong with them. Self-administering medicine is often seen! at least even here in russia the patients even know the sceintific name of medicine that should be given to them - the same for europeans and americans "most of them" So i have heard



and I think I know what is the problem with graduates from Ukr and Ru. It is the clinical part, because reports are written in detail in Ru, while it is a simple conclusive line in Mal "and docs often told rus students to cut the crap we dont need that much". and the clinical part in Rus is worse in the sense that docs are not as dedicated as Mal docs in GH back home. "PMC students stand out and the same for local U". and diseases are different too in both countries...and the MMC doesnt allow Rus students to do their summer practical back home starting this year...

This post has been edited by Jedi: Feb 27 2010, 02:18 AM

A question about obstetrics,

can someone explain to me why during physiological changes of pregnancy, bilirubin decreases? (my thoughts are with fetal and maternal, bilirubin break down from RBC should increase, the only reason I could reasoned out..is hypervolemic anemia and albumin decreases which cause transport of unconjugated bilirubin decreases)

A better clearer explanation perhaps? many thanks