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FIRST NATIONAL DAILY MEDICAL NEWSPAPER OF INDIA
Action replay: watch emedinews-revisiting 09 proceedings at http://webex.wstream.net/emedinews/100110/webcast.asp
17th January Sunday
Are canned foods safe?
A Study from England stands that people with highest levels of a chemical known as bisphenol A (BPA) in their urine are more likely to be diagnosed with heart disease. Researchers found that high urinary levels of BPA boosted the risk of heart disease by 1.3 to 1.4 times compared to those with low levels. BPA has been linked to sexual dysfunction, heart disease, cancer, diabetes and even hyperactivity in girls. (JAMA 2008; 300:1303)
Animal studies have shown that BPA acts as a weak estrogen in the body and can impact biological systems at low doses. Animal studies have shown that low levels of exposure to BPA during development could cause changes in behavior, the brain, prostate gland, mammary gland, and the age at which the female animals attain maturity. (National Institute of Environmental Health Sciences)
A draft report from the United States Department of Health and Human Services' National Toxicology Program (NTP) endorsed the conclusions of an expert panel of the Center for the Evaluation of Risks to Human Reproduction (CERHR). This panel concluded that there is "some concern" for neural and behavioral effects in fetuses, infants, and children at current human BPA exposures.
There are some personal choices one can make, to avoid exposure to BPA intake from dietary sources.
1. Not micro waving polycarbonate plastic food containers.
A study of 77 college students demonstrated that urinary excretion of BPA increased by over two-thirds after the students drank water from a BPA containing polycarbonate bottle for one week following a previous wash out phase. (Environ Health Perspect 2009; 117:1368).
Dr KK Aggarwal
News: American Heart Association, Orlando, FL November 14-18.
2. Routine use of the radial artery as an access point resulted in fewer bleeding complications and less pain without substantial increases in procedure time. (Dr Tim Schaufele, MD, of the MediClin Heart Center Lahr/Baden in Germany).
3. The novel fast-on, fast-off intravenous antiplatelet agent cangrelor given at the time of percutaneous coronary intervention or stenting did not reduce the rate of death, MI, or ischemia-driven revascularization at 48 hours compared with clopidogrel. In CHAMPION PCI, in which IV cangrelor was started 30 minutes before stenting and continued for two hours after the procedure, the rate of death, MI, or ischemia-driven revascularization at 48 hours was 7.5% in the cangrelor arm versus 7.1% in patients who received a 600 mg loading dose of clopidogrel (Dr Robert A. Harrington, Duke Clinical Research Center, Durham, N.C). The second trial, CHAMPION PLATFORM, had similarly disappointing results; 7% of patients receiving cangrelor at the time of PCI achieved the primary composite endpoint at 48 hours compared with 8% of patients in the placebo group. In this trial, 60 mg of clopidogrel was given after stenting. (Dr Deepak L. Bhatt, Brigham and Women's Hospital, Boston.)
4. For patients suffering depression after coronary artery bypass grafting (CABG), regular phone calls from a nurse may boost antidepressive therapy as much as psychotherapy and medication. Depression symptom scores improved significantly more for patients who got phone-based management from a nurse than for those who got usual care (Hamilton Rating Scale for Depression score change 7.6 versus 4.5 points). (Dr Bruce L. Rollman, University of Pittsburgh)
5. Bariatric surgery led to sustained improvements in left ventricular mass and diastolic function in morbidly obese teenagers. The gains were seen as early as six months after the operations and they persisted through two years. (Dr Holly Ippisch, Cincinnati Children's Hospital)
6. A subset analysis of data from the JUPITER trial indicates that apparently healthy women treated with rosuvastatin reduced their relative risk of major cardiovascular events by 46%, slightly higher than the 42% reduction seen in men.
Dr Good Dr Bad
Mistakes in critical care
Milestones in neurology
Laughter the best medicine
Question of the Day
As surgery in ulcerative colitis is curative and, in many patients, does not require a stoma, most doctors are hesitant about using these potentially toxic medications. However, patients who do not desire surgery or those with more limited disease but with persistent or debilitating symptoms are candidates for long-term therapy with these drugs.
Formula to Practice
Q = Plasma flow to kidneys in ml/min
Mnemonic to know
This test is the simplest and says that for medical negligence to be proven, three things need to be shown and proven:
1. That there existed a duty of care.
eMedinewS try this it works
Letters to the editor
2. Dear Dr Aggarwal, VOW........great show, great man, heartiest congratulations, two things were out standing, no specific lunch hour and direct live telecast on net. I think all organizers of each conference must follow the same. Dr A C Bansal, Gwalior.
3. Sir, congratulation for organizing such a wonderful CME in MAMC auditorium. This was the best ONE DAY CME I have ever attended in past 7years. Dr Naresh Trehan rightly said that you are mover and shaker for medical professionals. Sir we should never forget our roots and our roots are in rural India. We should device some mechanism by which we can train those doctors who are sitting far away and taking care of are parents and relatives. Sir under your able leadership we can do wonder. Dr Kuldeep Kumar. (Ex President, FORDA Delhi & RDA MAMC New Delhi). Assistt. Professor, Department of Medicine, UCMS and associated GTB Hospital,
4.IMA Kerala State against BRMS: IMA Kerala State Branch conducted an emergency state working committee on 10/01/10 at Ernakulam.The meeting was attended by 168 members. Representatives from the student unions of the medical colleges participated. The state working committee unanimously decided to fight BRMS unitedly.
Calling the bluff of Govt of India
The statistics gleaned from Govt.of India sources show that doctors are in excess in PHCs in 20 states and only in 4 states there is a need .It also shows there is an acute shortage of lab technicians, nurses and health workers in all states. So much for the credibility of Government of India. Dr R V Asokan, On behalf of Joint Action Council
Docconnect update: is a website for a doctor to stay connected with his community and enrich his knowledge and enhance relationship with patients.
Emedinews - Revisiting 2009 update
DocConnect, a community portal exclusively for medical professionals
DocConnect offers advanced tools for clinic management. Doctors can stay connected with each other and their patient community. The portal also provides Customized Personal Web pages to the members which highlight the Doctor's experience, his practice information and also enables online appointment requests for the patients. www.docconnect.com
HealthHiway (www.healthhiway.com) is the services infrastructure for the healthcare ecosystem to facilitate better collaboration and seamless information sharing between Providers, Insurance companies, Doctor Practices and other service organizations, for safer and enhanced patient care.
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Rationale for consideration of testing Al in the drinking water