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I just tried to note its contents but could not see since they are given in very fine print.But going by their slogan, it's seems to me like a low protein and high calorie food supplement. Since the product comes in powder form, the source calorie must be sugar. And generally frank sugar is not advised to those with high sugar. Please check the sugar content and seek your doctor's view if it could be consumed by the patient. Since its low protein, the product should be safe from the point of creatinine.Please check the sugar angle with your doctor. I am repeating this because fat and sugars are two most commonly used sources of energy and given its powder form, use of fat is ruled out.

The incorporation of computer applications into the healthcare system has generally made it profoundly more expensive and vastly less efficient. I will address the reasons for both of these problems. The opinion of anyone not directly involved in the practice of medicine during this trial and error process of adopting "Information Technology" is simply uninformed speculation. Magical thinking abounds. Unfortunately, this includes large portions of our government bureaucracy.Let me emphasize that I have great confidence that IT will one day improve the efficiency of healthcare delivery, but during this transition period (which will last at least one to two decades) it is having the opposite effect.My undergraduate degree is in Engineering Physics. I am comfortable with concrete "hard science" methods of thinking (like most computer scientists I know), but there are a plethora of reasons why this is of limited use when taking care of patients in the real world. Suffice it to say, I know why this question seems reasonable to the person who asked it - I had a similar view of Medicine before I entered medical school.How has the introduction of IT to the practice of medicine affected it so far? The government has imposed regulations requiring medical information to be put into a database. We used to write (or dictate) a half page note which would summarize the patient's status that any other physician could read and immediately understand what was going on with that patient. (An initial evaluation would require a few pages, but obviously most patient care takes place after the initial visit.) The government has a simple means of enforcing this requirement (which all insurance companies have in turn adopted) - they don't pay you if you don't do it. Clinic visits are billed based on "level of service". There are precise definitions of these levels based on the quantity of information in various categories - History of present illness (HPI), past medical history, medications, allergies, family history, social history and a one page (at least) summary of "Review of Systems" which consists of symptoms from all major organ systems - cardiac, pulmonary, neuro, gi, etc - 11 or more all together, followed by a physical exam (examining at least eleven organ systems), laboratory evaluation, imaging studies, assessment (covering all identified problems), medical decision making - the reasoning (precisely spelled out) behind how we might address each of these problems, and finally a plan of action (for each problem).Computer programs to the rescue - Many programs are now available that will provide a template for the clinic note. The doctor then places the pertinent information into this template (in bold type, so another doctor can read it and actually know what's important) and the rest is printed as "normal" findings. The bold type represents what used to be in the half page note and the other 8 - 10 pages contains the information necessary to bill the top level for that clinic visit. For example, we used to get paid $50 for seeing the patient and doing a half page note - now we can get $150 for seeing the same patient and putting the information into the program. Why not bill the highest level for each visit? - we didn't make the rules, we're just following them.Not only can we bill three times as much as we used to, in order to make the same amount of money, we must do it - because it takes 2 - 3 times as long to input the info into the computer than it did to just dictate what was important.Every patient must have a 3 - 6 digit alphanumeric code for each of (thousands) of diagnoses. Every procedure performed has a five digit code.On the average, surveyed physicians say they can see about half as many patients as they used to - because the process is now so inefficient. Patients complain that the doctor interacts less with them because he spends more than half the visit typing on the damned computer. The human interaction between doctors and their patients - the empathy - is lost - because of the government's intrusion - since they now require collection of information in a digital format - so more bureaucrats can analyze the data for God knows what purpose.There has long been a shortage of doctors which is now twice as bad because each doctor can see only half as many patients. The solution so far has been to use "physician extenders" like Nurse Practitioners and Physician's Assistants - people with less than half as much education who, of course, work less efficiently than do doctors - ordering more of the wrong (expensive) tests - prescribing the wrong treatment leading to complications, etc. (Most of the time they are good at taking care of common problems, but may miss more complex things due to a lack of education and experience.)So "Why haven't medicine and computer science made more progress in automating clinical diagnosis?"The process of data entry is horribly inefficient. Just based on the examples above, you can see how this has adversely affected the practice of medicine so far. If one tried to enter all of the information necessary to make a diagnosis, it would take much longer.The results are only as good as the information provided to the program. There are many pertinent aspects of the HPI that are only collected if the person asking the patient the questions knows what questions to ask. Vague symptoms need to be specifically described - details need to be drawn out and it takes an experienced interviewer (doctor) to get the relevant information from the patient. Only then can the computer be given accurate information. Similarly, the physical examination needs to be carried out by someone who has done this a thousand or more times (which is why medical students and residents practice this with supervision for a minimum of six years (after training in the basic sciences) before getting to actually practice medicine). There are subtle nuances, often difficult to describe, as to how everything looks, feels and sounds. Perhaps these could ultimately be "learned" by an AI program - a nurse could poke a camera into every orifice (as well as photographing every external contour of the patient) - and some method could be developed for inputting tactile information to the computer (this sensory apparatus would have to "feel" the patient from head to toe) and putting a microphone against the skin over the heart, lungs and blood vessels.After entering the initial information from the history and physical examination, the program might give you a list of additional information it needs in the form of laboratory values and imaging studies. Inputting lab values is easy, but finding a way to enter all the nuances of imaging findings will be difficult. Usually imaging findings can't be described in a single sentence, but rather as a list of possibilities - "a picture is worth a thousand words" - and it takes a long time to describe something in a thousand words - much less doing so in a format that an AI program can understand. A program will have to be developed that can actually "look" at the imaging itself and learn to interpret it.After multiple iterations, a biopsy may be needed, and again, an AI program would need to be developed to interpret every nuance of cellular structure and organization - and in turn recommend special staining of the slides - immuno-studies, and imitate the cry of most pathologists: "We need more tissue!"So after hours of inputting data - and hours or days of going through iterative processes, the computer might be able to come up with an accurate diagnosis, that would take a human physician (and perhaps a few consultants if it is a complicated case) 45 minutes (not counting the time intervals between the various diagnostic studies).After training for 8 - 10 years after a regular college degree, and practicing a few years beyond that, most observation, interpretation, and decision making that a physician does, is done at a subconscious level. For example, I may see a patient sitting in the waiting room and know that they have metastatic prostate cancer - or pancreatic cancer - just by seeing them sitting there. When it's not so obvious, I may need to go through the process of taking a history, performing a physical exam, ordering lab and imaging studies, etc. - that's when it might take an hour. I don't spend all that much of my time doing this at a conscious level.Since most of medicine is practiced at a gut level (the "art" of medicine), it is extremely difficult to tell a computer how to go through all the various processes to arrive at a diagnosis - or to prescribe therapy. Probably the biggest hindrance to getting an AI program to come up with a diagnosis will be putting our clinical instincts into a form that the computer can learn - and then it will only be "as good" as a human physician (or a primary doctor and a few consultants), but it's doubtful it will ever be better.Computers are good at solving problems if they have the information they need - the problem with using them to solve medical problems is that we can't give it that information (at least in a manner that rivals a human physician). It will take years to develop an AI program that can make a diagnosis as well as a human physician - and it will never be as efficient because there's no way (at least at present) to input that data.So far, payment for services has been based (logically) on the cost of providing those services. Computers have allowed us to improve the tools we have for gaining information about patients (CT and MRI were not possible before powerful computers were developed) and treating them (complex therapies such as focused radiation therapy, ablation of ectopic foci giving rise to cardiac arrhythmias, robotic surgery, deep brain stimulation, etc were not possible without computers). With every advance in technology, the cost of healthcare has increased - but the monetary value assigned to a medical procedure shouldn't just depend on how much it costs to perform, it must also require evidence that it improves patient outcomes.So as far as developing AI programs that can make clinical diagnoses - they will certainly be less efficient - and - will add to the expense of administering healthcare. Based on the negative impact IT has already had on a physician's ability to take care of patients, the most helpful advancements in computer programming would be to improve the efficiency of the technology we have already been compelled to adopt.If you are interested in “No Nonsense” answers to serious medical questions, please follow me. (>200 answers on cancer, medicine and human behavior.)..........................

It's never too late to begin, the challenge is to keep going.. By your query i assume you are questioning about Upsc Civil service exams. Upsc is a recruitment agency which is responsible in recruiting officers for grade A and B jobs. I write this so that every person who wants to know the answer for your question understand at the least the basic information of what is upsc before questioning how to prepare.If you’re a beginner then study NCERT’s of which give more attention to 11th and 12th NCERT’s , but do not ignore lower grade books too. New ncerts are preferable, Old ncerts are to be referred for history.. Both old and new ncerts contain same content but new ones are updated with latest facts and data.To begin with Ncerts the book list class wise are :Class 6th >>History: Our PastGeography: The Earth Our HabitatSocial Science: Social & Political Life IScience : Class VIClass 7th :History: Our Past – IIGeography: Our EnvironmentSocial Science: Social & Political Life IIScience: Class VII8thHistory: Our Past III – Part I & IIGeography: Resource and DevelopmentSocial Science: Social & Political Life IIIScience: Class VIII9thHistory: India and the Contemporary World-IGeography: Contemporary India – IPolitical Science: Democratic Politics Part – IScience: Class IXEconomics: Economics10thHistory: India and the Contemporary World – IIGeography: Contemporary India – IIPolitical Science: Democratic Politics Part – IIScience: Class XEconomics: Understanding Economic Development11thHistory: Themes in World HistoryGeography:Fundamentals Of Physical GeographyIndia- Physical EnvironmentScience: Chemistry: Unit 14 Biology: Unit 4 & 5Economics:Indian Economic DevelopmentSociology: Understanding SocietyPolitical Science: Indian Constitution at WorkIndian Culture: An Introduction to Indian Art , Living Craft Traditions of India (Chapters 9 & 10)12thHistory: Themes in Indian HistoryGeography : Fundamentals Of Human GeographyIndia – People & EconomyScience : Chemistry: Unit 16 Biology: Unit 8, 9 & 10Economics:Introductory MacroeconomicsSociology:Indian SocietySocial Change and Development in IndiaPolitical Science: Contemporary World PoliticsAfter completing the ncerts there is a must read standard book list which include :Modern History - Spectrum _Rajiv ahirPolity - LaxmikanthEnvironment - Shankar IAS notes printed available on AmazonGeography - G.C.Leong (selective chapters ) and ATLAS ( for map based questions )Economics - sriram economy notes or Mrunal videos and make notes out of itSci and tech - Lucent gk or Follow current affairs science tech section of the Hindu.Apart from all these if in need join weekly test series of websites like IASbaba or Insights or vision IAS to keep yourself in check and they have well planned time table to cover the above books through weekly tests.Reading the hindu plays a pivotal role in forming opinions , and keeps you updated with current affairs.Go through old question papers a compilation by Disha Publications can be brought from amazon or few websites provides the same .All these done should be done with multiple revisions .PLEASE dont run behind coaching materials without classroom coaching .I hope i answered your query all the best .. Prepare well its a very long road ahead be patient .