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5th March 2010, Friday
Blood sugar levels once considered normal are not safe for baby and mother
More pregnant women may soon be diagnosed and treated for gestational diabetes, as per new guidelines. According to a study by investigators at Northwestern University Feinberg School of Medicine, more than 16 percent of the entire population of pregnant women will qualify as having gestational diabetes (Dr Boyd Metzger, Tom D. Spies Professor of Metabolism and Nutrition, Feinberg, Physician, Northwestern Memorial Hospital). Earlier, between 5 to 8 percent of pregnant women were diagnosed with gestational diabetes.
Blood sugar levels that were once considered in the normal range are now seen as causing a sharp increase in the occurrence of overweight babies with high insulin levels, early deliveries, cesarean section deliveries and potentially life–threatening pre–eclampsia. The study will is being published in the March issue of Diabetes Care, a journal of the American Diabetes Association.
Based on a study of more than 23,000 women in nine countries, Metzger and an international group of 50 experts concluded a fasting blood sugar level of 92 or higher, a one–hour level of 180 or higher on a glucose tolerance test or a two–hour level of 153 or higher on a glucose tolerance test constitute serious risks to the mother and baby. Previously, these levels had been considered in the safe, normal range, and two elevated levels were required for a diagnosis of gestational diabetes. At these levels, the frequency of having an overweight baby is almost double, the frequency of having preeclampsia is almost double, and the frequency of early delivery is 40 percent greater.
Dr KK Aggarwal
Laughter the best medicine
The Balloonist and the Engineer (Dr Mayur Jain)
Realizing he was lost, a balloonist dropped down to ask directions. "Excuse me, but I’m a little off course" he shouted. "I promised to meet a friend an hour ago; I don’t know where I am."
A woman hollered back: "You’re in a hot air balloon hovering approximately 30 feet above the ground. You’re at exactly 40 degrees, 22 minutes, and 21 seconds North latitude and 70 degrees, 30 minutes, and 33 seconds West longitude." "Amazing," the balloonist replied. "You must be an engineer!" "I am," she replied, "How did you know?"
"Well," answered the balloonist, "everything you told me is technically correct, but I can’t use your information. I’m still lost and you haven’t been much help at all. If anything, you’ve delayed my trip."
The woman thought for a moment, then replied: "You must be in management." "I am," replied the balloonist, "but how did you know?"
"Well," said the woman, "you don’t know where you are or where you’re going. You’ve risen to your position due to a large quantity of hot air. You made a promise that you have no idea how to keep, and you expect people beneath you to solve your problems."
"In fact," she said, "you’re in exactly the same position you were before we met, but somehow it’s now my fault."
Formulae in Critical Care
Milestones in Neurology
Oliver Wolf Sacks, CBE, FRCP (1933, London, England), a British neurologist, is a professor of neurology, psychiatry and writing at Columbia University, where he also holds the title of Columbia Artist. He previously spent many years on the clinical faculty of Yeshiva University's Albert Einstein College of Medicine.
Sacks is the author of several bestselling books, including several collections of case studies of people with neurological disorders. His 1973 book Awakenings was adapted into an Academy Award–nominated film of the same name in 1990 starring Robin Williams and Robert De Niro. Most recently, the author and his book Musicophilia: Tales of Music and the Brain were the subject of an episode of the PBS series Nova.
Mistakes in Clinical Practice
Include allergies and age and weight of patient on prescriptions when possible.
11th March World Kidney Day (Dr N P Singh)
Kidney diseases are harmful: Common causes of CKD include inflammatory diseases of the kidney, infections, obstruction in the urinary tract and inherited disorders like polycystic kidney disease. But in both developed and developing nations, diabetes and hypertension are becoming the most common causes of CKD, especially in older people. These are also the most common causes of cardiovascular disease (CVD).
The first consequence of undetected CKD is the risk of developing progressive loss of kidney function leading to kidney failure and the need for dialysis treatment or a kidney transplant. The second is premature death from associated cardiovascular disease. Individuals who appear to be healthy and who are then found to have CKD have an increased risk of dying prematurely from CVD (coronary disease, cerebrovascular disease, peripheral artery disease, and heart failure) regardless of whether they ever develop kidney failure.
1–7 April Prostate Disease Awareness Week: Prostate SMS of the Day (Dr Anil Goyal)
LUTS (Lower Urinary Tract Symptoms) includes:
Lab test (Dr Navin Dang)
Lab diagnosis of rheumatoid arthritis is based on clinical evaluation with lab investigations of CBC with ESR, CRP, RA factor and anti CCP.
List of Approved drug from 1.01.2009 to 31.10.2009
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Advertising in eMedinewS
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Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.
The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.
NATIONAL SEMINAR ON STRESS PREVENTION (17-18 April)
Co-organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: On Saturday 17th April (2pm onwards) and Sunday 18th April (7am-4pm). There will be no registration charges, limited rooms, kindly book in advance, stay and food (satvik) will be provided. Voluntary contributions welcome.
For booking e-mail and SMS to Dr KK Aggarwal: 9811090206, email@example.com BK Sapna: 9811796962, firstname.lastname@example.org
Stroke Update Workshop for GPs
Indian Stroke Association and International Stroke Conference are organizing a Stroke Update Workshop on March 13–14, 2010 at AIIMS Auditorium. eMedinewS has tied up with the conference for free registration for the first 200 GPs of NCR. Organizer: Dr Padma, Prof of Neurology, AIIMS, New Delhi. SMS for free registration to 9717298178 or email to email@example.com
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