News and Views
1. Patients 65 and older are as suitable as younger individuals for CT colonography, said researchers conducting a large retrospective study. Advanced neoplasias were detected with CT colonography –– often called "virtual colonoscopy" –– in older patients at more than double the rate in the general screening population, reported David H. Kim, MD, of the University of Wisconsin in Madison, Wis., and colleagues in the February issue of Radiology.
2. Septic shock patients treated with a corticosteroid get no survival advantage from tight glucose control or addition of a second corticosteroid to provide more mineralocorticoid activity, according to results of a randomized trial. Aiming for normoglycemia at 80 to 110 mg/dL rather than the standard 150 mg/dL, had no impact on in-hospital mortality rates (45.9% versus 42.9%), Djillali Annane, MD, of Höal Raymond Poincaré in Garches, France, and colleagues found. In–hospital mortality was likewise similar whether patients got hydrocortisone alone or with the addition of fludrocortisone (42.9% versus 45.8%). The study is reported in the Jan. 27 issue of the Journal of the American Medical Association.
3. Intensive treatment to achieve normoglycemia in type 2 diabetes may be almost as bad for survival and heart health as leaving glucose levels elevated, according to a study of real–world practice. A U–shaped link between all–cause mortality and glycosylated hemoglobin levels in which those at a median of 7.5% carried the lowest risk, was noted by Craig J. Currie, PhD, of Cardiff University in Cardiff, Wales, and colleagues.
4. A brief acceleration of the heart rate when a patient stands up quickly may help diagnose long QT syndrome, researchers found. The sudden movement provokes a short–lived tachycardia, which allows documentation of the characteristic QT prolongation on the electrocardiogram of affected patients, according to Sami Viskin, MD, of Tel–Aviv Medical Center in Israel, and colleagues.
5. Overall mortality for children with rheumatologic diseases is down, although the risk of death remains elevated in certain inflammatory disorders, analysis of data from a large registry found. The overall standardized mortality ratio was 0.65 (95% CI 0.53 to 0.78, P<0.001), Philip J. Hashkes, MD, of the Cleveland Clinic, and colleagues reported in the February issue of Arthritis & Rheumatism.
Heatiest congratulations from J.P. Gupta and family: J.P. Gupta, 9811259523
Padmashree is a logical culmination of the best wishes of lakhs of your well wishers and recognition of your selfless dedication: Dr. Sangeeta Bhagat, 9212201526
Congratulations on your getting the recognition. Wish you good future and keep up the good work: Arun Kampani
Aggarwal Sahab, apko Padmashree award ke bahut bahut badhai. Ramesh Thakur, 9390977016
Congratulations for your achievement: Dr. JP Kapoor
Wish you many more decorations for your services towards the suffering humanity: Dr. VP Kumra, 9811132221
Congratulations. You are the one who deserves this victory: Prakash Rajpal
Sir, Hearty congratulations. Your Hardwork, dedication, selfless service and your intelligence has been recognized. We feel so happy and proud of you. Yashpal Sharma, OSD to Minister for Health, Horticulture & Floriculture J&K.
Dear Respected Dr K K Aggarwal. Congratulations for a well deserved award.The emedinews is a fantastic help to the entire medical fraternity.May you live long and keep up the good work. Dr DP Sarkar
Dear Dr KK "Badhaai Ho" "Medical profession Jai Ho" You have added to the grace of profession that has been recently dwindling.
Dear Sir, Hearty Congratulations. We are proud of you, Dr A Chakravarti, Professor ENT, LHMC New Delhi, 83 Batch MGIMS
Dear Dr.K.K., Happy and proud that u got the Padmashree. I knew from 1st day I met u some 25 years back that u are a genius. Regards, Dr.Kalpana Gupta (Chakravarty). Kolkata
Michael Jackson doctor set to surrender (Dr G M Singh)
The family of Michael Jackson is pressing for murder charges to be brought against the doctor who administered the injection of hospital anaesthetic that caused the pop-star’s death, their lawyer said Wednesday. The family’s Attorney Brian Oxman told CBS’ Early Show that reports that prosecutors planned to charge Dr Conrad Murray with involuntary manslaughter were ’just a slap on the wrist, and a slap on the face.’
Oxman argued that Murray should be charged with second degree murder because he was ‘reckless’ in administering the drug propofol as a sleeping aid to the frail singer. Michael Jackson was someone who we knew was in danger of being brought to his knees, brought (to) his death, by the use of these medications,’ Oxman said. His comments followed a statement from Murray’s attorneys that the controversial doctor was ready to surrender to authorities if charges were pressed. ‘I don’t have any specific information that leads me to believe he is going to be charged this week,’ Murray?s attorney Ed Chernoff told the Los Angeles Times. ‘But if he is, we’ve made it clear he's available to turn himself in.’ Murray, 56, has acknowledged giving Jackson propofol after other medications failed to help him sleep. Shortly after receiving the drug Jackson suffered a massive cardiac arrest and was pronounced dead June 25, 2009
AMPICON 2010 NC
XV Annual Conference of Association of Medical Physicists of India – Northern Chapter
February 6–7, 2010
Venue: SN Medical College, Agra, Uttar Pradesh
Prevention–The best treatment to stay away from stress
Heart Care Foundation of India released tips for stress prevention for before, during and after the exams. The best treatment is prevention, said Dr. K K Aggarwal, President, Heart Care Foundation of India and Editor eMedinewS.
Before the exam: Plan, Prioritize and Practice; do what needs to be done first; prepare well, do timely rehearsals; review often, and test yourself as anxiety can lead to "blanking out"; be regular as its what you’ve studied through the year that will be useful, not what you do at the last minute; gather information about the exam; learn quick relaxation and breathing techniques; take compulsory rest for 10 minutes every hour, and do something different. Do not focus on any past experiences of blanking out or performing badly in exams. Instead, focus on the quality of your performance and not the outcome as this would only damage your concentration.
During the exam: Jot down hard to remember formulae; quickly scan the exam paper before answering; decide where to begin; decide how much time to spend on each question; read directions carefully; do easy questions first and relax.
After the exam: Reward yourself, keep practicing positive self–talk and analyze your exam.