|24th June 2013, Monday|
From the Desk of Editor in Chief
Do not treat mild hypertension with low risk for heart disease
The benefit from antihypertensive therapy is unproven in patients with mild hypertension and no preexisting cardiovascular disease.
A meta-analysis combined four placebo-controlled trials adding together 8912 patients with mild hypertension and no preexisting cardiovascular disease.
Up to 5 years of follow-up, antihypertensive therapy resulted in lower rates of mortality and stroke but higher rates of heart attacks.
Low-risk patients with mild hypertension and no preexisting cardiovascular disease who fail to reduce their blood pressure with lifestyle modification should receive antihypertensive therapy.
The lips of truth shall be recognized for ever but a lying tongue is but for a moment
The sutra from Bible has a very deep significance in day to day life. The truth is everlasting and always ends up in internal happiness and self realization & in long run always gives you happiness and an all-win situation. On the contrary, a lying tongue will only give you a momentarily pleasure but will end up in some difficulty later in life. ...Read More
Work-related Stress can kill
Situation: A male child was brought with an allegation of having a sexual play with her classmate. Read More
Avoid unnecessary injections, finger prick blood tests
Checklist for a doctor’s consultation
News Around The Globe
Gene 'switch' turns on cardiac risk
People with a gene that has been turned off through a natural process called DNA methylation may be at higher risk of cardiovascular disease. Levels of triglycerides and very low-density lipoprotein (VLDL) cholesterol were strongly associated with the methylation of the gene encoding carnitine palmitoyltransferase 1A (CPT1A), a key enzyme in lipid metabolism. (Source: Medpage Today) ....Read More
Violence against women 'epidemic,' says WHO global report
Nearly a third of women throughout the world are victims of violence perpetrated by their intimate partners (IPV), according to results of a global meta-analysis that synthesized data from more than 140 studies carried out globally. (Source: Medscape) ........Read More
Better testing catches early HIV infection
A 4th-generation immunoassay, coupled with an HIV-1/HIV-2 antibody differentiation test, picked up acute infections where traditional methods did not, according to two studies reported by CDC in the June 20 issue of Morbidity and Mortality Weekly Report. (Source: Medpage Today) .... Read More
New AAOS knee OA guidelines likely to be controversial
The newly revised American Academy of Orthopaedic Surgeons (AAOS) clinical practice guideline for knee osteoarthritis (OA) has already become a focus for controversy. The most significant change from the 2008 clinical practice guideline is a strong recommendation against the use of intraarticular hyaluronic acid (HA viscosupplementation) for symptomatic knee OA including the use of glucosamine and chondroitin sulfate, and arthroscopy with lavage for primary knee OA. The guideline also reduced the maximum dosage for acetaminophen from 4000 to 3000 mg/day, with a note that it does not recommend for or against the use of acetaminophen, opioids, or pain patches because evidence of efficacy is inconclusive. (Source: Medscape) .... Read More
HCV genotype test kit OK'd
The first standardized test kit for hepatitis C virus (HCV) genotyping has won FDA approval, the agency said Thursday. Abbott Molecular's RealTime HCV Genotype II test identifies the specific viral genotype -- classified as 1, 1a, 1b, 2, 3, 4, or 5 -- present in clinical samples. This information is vital for treatment planning, as available treatments for HCV infection vary in Read More
Azad says no shortage of TB drugs; WHO for regimen change
New Delhi: Even as the Union government rejected reports of shortage of tuberculosis drugs, saying fresh stocks will arrive by July-end, World Health Organisation (WHO) on Friday asked India to consider changing the Read More
Valvular Heart Disease Update
Sudden death can occur in children with aortic stenosis due to a bicuspid aortic valve, especially during and immediately after exertion.
Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)
What is the percentage of miscarriage occurring after ART?
According to western figures, miscarriage may occur after ART, even after ultrasound identifies a pregnancy in the uterus. Miscarriage occurs after ultrasound in nearly 15% of women younger than age 35, in 25% at age 40, and in 35% at age 42 following ART procedures. In addition, there is approximately a 5% chance of ectopic pregnancy with ART.
Rabies Update (Dr. A K Gupta)
How should the animal causing the bite be handled?
It is important to establish if the biting animal is healthy or diseased, bearing in mind that a rabid animal excretes the virus in its saliva not just throughout the illness but also several days before the appearance of the first signs. An unknown animal, which has disappeared, must be considered as rabid and full course of PEP must be given. Cats and dogs, which can be identified, must be kept under observation. The risk of rabies can be considered as slight if the animal shows no sign of disease after 5 days, and non-existent if the animal is still healthy on the 10th day (The European Standards recommend an observation period of 15 days).
(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)
Can a cardiologist dispense medicine?
Situation: What should be the level of TSH to be maintained in a patient of hypothyroidism?
Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Permanence, perseverance and persistence in spite of all obstacles, discouragement, and impossibilities: It is this, that in all things distinguishes the strong soul from the weak. Thomas Carlyle
Dr KK Aggarwal: Smoking leads to cardiovascular ageing http://bit.ly/14JxRjo #Health
The physician writing out a prescription for his hypertensive cardiac patient: “Diazepam 5mg (tranquilizer) TDS".
Motivation of our young doctors for rural posting can be achieved only by improving infra structure like roads, social security, electricity in rural areas; rest all sounds too theoretical and idealistic. Vivek, Varanasi.
An Inspirational Story
How the poor live
One day, a father of a very wealthy family took his son on a trip to the country with the firm purpose of showing his son how poor people live. They spent a couple of days and nights on the farm of what would be considered a very poor family. On their return from their trip, the father asked his son, “How was the trip?” “It was great, Dad.” “Did you see how poor people live?” the father asked. “Oh yeah,” said the son.
Yesterday’s Mind Teaser: "ALLworld "
Answer for yesterday’s Mind Teaser: "It’s a small world after all."
Correct answers received from: Dr Pankaj Agarwal, DR AVTAR KRISHAN, Dr Kanta jain, Dr Kavish, Dr Sanjay, Dr SP Shukla, Dr Vikas, Dr Aman, Dr CP Chandra, Dr Vyom, Dr Shikhar, Dr Jayesh
Answer for 22nd June Mind Teaser: B. Omega-3 > omega-6 fatty acids
Correct answers received from: Dr Jainendra Upadhyay, drperiasamy subarayan, DR.BITAAN SEN & DR.JAYASHREE SEN.
Send your answer to firstname.lastname@example.org
ZOONOSIS – 2013-Conference on Prevention of Diseases
Saturday, 6th July, 9.30 am – 5 pm
Venue: Meeting Room, 1st Floor, A Wing, Dr S P Mukerjee Civic Centre (MCD), Jawaharlal Nehru Marg (Opp Ramlila Ground, Asaf Ali Marg), New Delhi, Entry from Gate 3.
(All About Flu, Malaria, Dengue, Chikungunya, Japanese Encephalitis, Rabies, Neurocysticercosis, Leptospirosis, Food Allergies etc.)
For Free Registration: Email: email@example.com
Enrollment for workshop
Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes
The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at firstname.lastname@example.org. You can also forward this information to your interested friends and colleagues for a registration.
1. IJCP’s ejournals (This may take a few minutes to open)
Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (email@example.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (firstname.lastname@example.org), Dr Navin Dang, Dr Pawan Gupta(email@example.com), Dr Parveen Bhatia, (firstname.lastname@example.org), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta