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6th March 2010, Saturday
New guidelines for PSA
Since 1997, the American Cancer Society (ACS) has not routinely recommended the PSA test, but most doctors have done it. Now the Society says that you need to have a conversation between you and your doctor before this test is done.
New guidelines emphasize that physicians should better educate men about both the risks and benefits of using PSA test for screening.
The new guidelines follow recent findings that the PSA test may lead to unnecessary treatment for many men, because ‘the test cannot clearly indicate whether a cancer is aggressive or harmless.’
PSA blood tests can lead to false readings that require additional tests and biopsies.
Dr KK Aggarwal
Laughter the best medicine
An Old Story (Dr Suman Sinha)
The Ant works hard in the withering heat all summer building its house and laying up supplies for the winter.
The Indian Version
The Ant works hard in the withering heat all summer building its house and laying up supplies for the winter. The Grasshopper thinks the Ant’s a fool and laughs & dances & plays the summer away. Come winter, the shivering Grasshopper calls a press conference and demands to know why the Ant should be allowed to be warm and well fed while others are cold and starving. NDTV, BBC, CNN show up to provide pictures of the shivering Grasshopper next to a video of the Ant in his comfortable home with a table filled with food.
The World is stunned by the sharp contrast. How can it be that this poor Grasshopper is allowed to suffer so? Arundhati Roy stages a demonstration in front of the Ant’s house. Medha Patkar goes on a fast along with other Grasshoppers demanding that Grasshoppers be relocated to warmer climates during winter. Mayawati states this as ‘injustice’ done on Minorities. Amnesty International and Ban–Ki moon criticize the Indian Government for not upholding the fundamental rights of the Grasshopper.
The Internet is flooded with online petitions seeking support to the Grasshopper (many promising Heaven and Everlasting Peace for prompt support as against the wrath of God for non–compliance). Opposition MPs stage a walkout. Left parties call for ‘Bengal Bandh’ in West Bengal and Kerala demanding a Judicial Enquiry. The CPM in Kerala immediately passes a law preventing Ants from working hard in the heat so as to bring about equality of poverty among Ants and Grasshoppers.
Mamta Banerjee allocates one free coach to Grasshoppers on all Indian Railway Trains, aptly named as the ‘Grasshopper Rath’. Finally, the Judicial Committee drafts the ‘Prevention of Terrorism Against Grasshoppers Act’ (POTAGA), with effect from the beginning of the winter.
Kapil Sibal makes ‘Special Reservation’ for Grasshoppers in Educational Institutions & in Government Services. The Ant is fined for failing to comply with POTAGA and having nothing left to pay his retroactive taxes; its home is confiscated by the Government and handed over to the Grasshopper in a ceremony covered by NDTV.
Arundhati Roy calls it ‘A Triumph of Justice’. Mamta Banerjee calls it ‘Socialistic Justice’. CPM calls it the ‘Revolutionary Resurgence of the Downtrodden’. Ban–Ki moon invites the Grasshopper to address the UN General Assembly.
Many years later.....
The Ant has since migrated to the US and set up a multi–billion dollar company in Silicon Valley, Hundreds of Grasshoppers still die of starvation despite reservation somewhere in India , and...............
…… As a result of loosing lot of hard working Ants and feeding the grasshoppers, India is still a developing country !!!
Formulae in Critical Care
Clearance of a drug from body
Milestones in Neurology
Ugo Cerletti (1877–1963) was an Italian neurologist who discovered the method of electroconvulsive therapy in psychiatry. In his long career as a psychiatrist and neurologist, Cerletti published 113 original papers, about the pathology of senile plaques in Alzheimer’s disease, on the structure of neuroglia, the blood–brain barrier, syphilis, etc. In 1950 he received a honorary degree by the Collège de Sorbonne at the University of Paris, in addition to a long list of other awards and degrees.
Mistakes in Clinical Practice
Written prescriptions must be legible; printing is usually best.
11th March World Kidney Day (Dr N P Singh)
Kidney diseases are Treatable
Detection: Kidney disease can be detected early. Simple laboratory tests are done on small samples of blood (to measure creatinine content and estimate GFR) and on urine (to measure creatinine and albumin excretion). The majority of individuals with early stages of CKD (chronic kidney disease) go undiagnosed, particularly in the developing world. The early detection of kidney impairment is essential and allows suitable treatment before kidney damage or cardiovascular problems occur.
Screening: Screening must be a priority for those people considered to be at high risk of kidney disease, namely:
Current kidney protective treatments should now be extended to those with early stages of CKD.
Key preventative measures have been defined and proven successful in protecting against both renal and cardiovascular disease, such as:
Treatment: Clinical research over the last decade has shown the potential benefit of blockade of the renin–angiotensin system by angiotensin converting enzyme inhibitors (ACEs) and angiotensin receptor blockers (ARBs) to significantly reduce the burden of disease from cardiovascular disease (CVD), diabetes, hypertension and CKD at relatively low cost.
1–7 April Prostate Disease Awareness Week: Prostate SMS of the Day (Dr Anil Goyal)
Associated urinary infection with BPH can cause burning in urination and hematuria.
Lab test (Dr Navin Dang)
The American Diabetes Association has recommended HbA1C as the diagnostic test for diabetes.
List of Approved drug from 1.01.2009 to 31.10.2009
ZEN IMMUNE–FACT SHEET
Zen Immune Power – a known immunity booster with ability to help reduce absorption of aluminum from the GI tract and enhance excretion through kidneys and is a key to eliminate aluminum toxicity and the related systemic involvement.
Advertising in eMedinewS
eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month. Contact: firstname.lastname@example.org email@example.com
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)
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.
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, firstname.lastname@example.org BK Sapna: 9811796962, email@example.com
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 firstname.lastname@example.org
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