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11th March 2010, Thursday
A1c predicts cardiovascular disease and death in nondiabetics
Compared to fasting glucose tests, A1c levels also predict diabetes development and cardiovascular disease and death. A new study of nondiabetic adults used blood samples from more than 11,000 black or white adults participating in the Atherosclerosis Risk in Communities study. The study found
The same trends were true for coronary heart disease and stroke. Study participants with A1cs under 5% had a reduced risk for all three outcomes. The results indicated that even patients with A1cs in the normal range may be at an increased risk for coronary heart disease, stroke and death.
Laughter the best medicine
Actual medical record:
Formulae in Critical Care
Predicted endotracheal tube size for age
Milestones in Neurology
H. Houston Merritt (1902 – 1979) was one of the pre–eminent academic neurologists of his day. As the chair of the Neurological Institute of New York from 1948 to 1967, he oversaw the training of hundreds of neurologists; 35 of his former students have become chairs of academic neurology departments across the United States. He was also the dean of the Columbia University College of Physicians and Surgeons from 1958 to 1969. Merritt was also known in his day as an expert on neurosyphilis; his 1946 monograph on the topic provided an overview of this condition, which almost disappeared from the medical eye shortly thereafter owing to the advent of penicillin.
Mistakes in Clinical Practice
A trailing zero should never be used after a decimal e.g, 1 mg not 1.0 mg.
Today is World Kidney Day (Dr N P Singh)
Glomerular Filtration Rate (GFR): Your GFR tells how much total kidney function you have. It may be estimated from your blood level of creatinine. Normal is about 100 ml/min, so lower values indicate the percentage of normal kidney function which you have. If your GFR falls below 60 ml/min you will usually need to see a kidney disease specialist (called a nephrologist), If the treatment you receive from the nephrologist does not prevent a further reduction in GFR, your kidney doctor will speak to you about treatments for kidney failure like dialysis or kidney transplant. A GFR below 15 indicates that you may need to start one of these treatments soon.
1–7 April Prostate Disease Awareness Week: Prostate SMS of the Day (Dr Anil Goyal)
Cause of BPH: Imbalance between testosterone and estrogen due to aging, stromal epithelial interaction, growth factors and neurotransmitters either singly or in combination have been suggested as etiological factors.
Lab test (Dr Navin Dang)
The patient should be instructed to be fasting for 10 to 12 hours and the dinner one evening before should be a non fatty, non greasy, non alcoholic dinner for lipid profile estimation.
List of Approved drug from 1.01.2009 to 31.10.2009
ZEN IMMUNE–FACT SHEET
ZENIMMUNE SLIM IS KNOWN TO HELP PREVENT PLAQUE FORMATION IN THE BLOOD VESSELS AND FACILITATE IMPROVED BLOOD CIRCULATION.
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: email@example.com firstname.lastname@example.org
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) . Over 300 registrations done already.
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, email@example.com or BK Sapna: 9811796962, firstname.lastname@example.org
Stroke Update Workshop for GPs (This Saturday and Sunday)
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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Chronic Kidney Disease: A Family Affair (TODAY IS WORLD KIDNEY DAY)
Chronic kidney disease (CKD) is the permanent loss of kidney function. CKD may be the result of physical injury or a disease that damages the kidneys, such as diabetes or high blood pressure.
Diabetes is the leading cause of kidney failure.
Some racial groups are also at increased risk for CKD.
A test that can show smaller amounts of protein or albumin in the urine is called a microalbumin test and also uses a dipstick in the urine.
Your doctor may also do a calculation of the protein-to-creatinine or albumin-to-creatinine ratio. A ratio greater than 30 milligrams of albumin per 1 gram of creatinine indicates that the kidneys are leaking helpful substances from the blood and failing to filter out harmful substances. This test should be used in people at high risk, especially those with diabetes.
If your first laboratory test shows high levels of protein, another test should be done 1 to 2 weeks later. If the second test also shows high levels of protein, you have persistent protein in the urine (proteinuria) and should have additional tests to test your kidney function.
A 24-hour urine collection is no longer necessary. Small samples of urine and blood, which can easily be taken in the doctor's office, are all the new methods require.
What can I do to slow down or avoid kidney failure?
You can control many of the things that can make CKD worse and may lead to kidney failure.
What can I do to avoid the complications of CKD?
ADD COLOURS TO THE LIFE OF YOUR PATIENTS!!!!
Celebrate WORLD KIDNEY DAY With Department of Medicine MAMC AND Sanjivni
1. High blood Sugar detection camp (in line with the theme of WKD10: keep your sugar under control!!!)
2. Public lectures by Eminent physicians
3. Release of the book ‘KNOW YOUR KIDNEYS’ for general public by honourable Principal Secretary (Health) Sh J P SINGH ji, Govt of NCT of Delhi at 10 am
4. Annual kidney awareness Padyatra from Jain Bal Ashram, Darya Ganj to Rajpath to be flagged off by Dr. Kanwar Sain, Honourable Mayor of Delhi, Govt of NCT of Delhi at 12.30pm.
5. Panel Discussion on “Preventing Kidney Disease –Role of Physicians”(Venue Auditorium, MAMC), at 7.30 pm followed by Dinner. Dr Amit Benerjee , Medical Supt , Lok Nayak Hospitals will be chief guest Panellists are (Dr SC TEWARI, DR KKAGARWAL, DR MANJU AGGARWAL, DR DINESH KHULLAR &DR SANJAY GUPTA)
Dr N P SINGH All are welcome!!! DR R DEWAN