24th September, 2010, Friday

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Aging gracefully

Age-related changes in our facial appearance are unavoidable.

1. Sun protection. Protecting face from the sun is the single best way of keeping it youthful. Much of the damage comes from the UVA part of the light spectrum, so you need to put on sunscreen that protects against it and UVB light, which causes sunburn.

2. Creams and lotions. Moisturizers soothe dry skin and may temporarily make wrinkles less noticeable. Moisturizers for the face contain water to make them less greasy, and many have substances -glycerin, for example-that may help bind water to the skin. Exfoliant creams can improve the appearance of older skin by getting rid of dead skin cells that don't slough off as readily as they did when we were young. Several prescription creams have been shown to reduce wrinkles and so-called liver spots caused by sun exposure. These FDA-approved creams contain retinoids, compounds related to vitamin A that seem to work by inducing collagen production in the dermis and altering melanin, the pigment that causes liver spots. There are several varieties of retinoids. Tazarotene and tretinoin are the ones used in the FDA-approved products.

3. Botulinum toxin injections. These injections are used to treat the expression lines of the forehead and between the brows. They work by partially immobilizing the muscles that form expression lines so the skin smoothes out, although some deep expression lines may not go away. Botox is the familiar brand name. Other FDA-approved botulinum toxins are Myobloc and Dysport. The FDA issued a new warning in 2009 about the botulinum toxin spreading from injection sites, although there have been no reports of that happening when the injections were for expression lines.

4. Dermal fillers. Dermal fillers are used to treat lines created by lost collagen and fat. After botulinum toxin injections, dermal filler injections are the most common cosmetic procedure performed in the United States. Prime locations for the injections are two sets of parentheses: the pair of lines that extend down from the nose to the corners of the mouth, known as the nasolabial folds, and another pair that extends down from the corners of the mouth to the chin, known as marionette lines. Many different materials are used as dermal filler. Collagen has fallen out of favor. Currently, the most popular one is hyaluronic acid, a complex sugar found naturally in many tissues. Hyaluronic acid is more expensive than collagen, but lasts longer  up to six months in the nasolabial folds. Like botulinum toxin injections, the effect of the dermal filler shots wears off after several months how long depends on the injection site  but with repeat injections it seems to last a little longer.

5. Laser treatments. Lasers can be used to home in on certain pigments: brown, if the goal is to get rid of freckles and liver spots, red if the target is broken capillaries. They e also used for wholesale resurfacing of facial skin. The uppermost layers are stripped away, and with them, wrinkles from sun damage and scars from acne. The energy from some nonablative resurfacing lasers passes through the outer layer of the skin to work at a deeper level, in the dermis, to stimulate inflammation, which leads to collagen formation. Skin needs time to recover after most laser treatments. It can take a couple of weeks to heal, depending on the type and extent of the treatment. The nonablative treatments tend to heal a bit faster.

(Source Harvard Newsletter)

Dr KK Aggarwal
Editor in Chief
drkkaggarwal
Krishan Kumar Aggarwal

International Medical Science Academy (IMSA) Update

Screening for cervical cancer

Two randomized trials of cervical cancer screening showed that HPV testing led to earlier detection of high-grade cervical lesions but identified large numbers of women, especially at younger ages, with lesions that would regress without treatment.

References

1. Kitchener HC, et al. HPV testing in combination with liquid-based cytology in primary cervical screening (ARTISTIC): a randomised controlled trial. Lancet Oncol 2009;10:672.

2. Ronco G, et al. Efficacy of human papillomavirus testing for the detection of invasive cervical cancers and cervical intraepithelial neoplasia: a randomised controlled trial. Lancet Oncol 2010;11:249.

IMA Election (for a CHANGE)

Emedinews requests all its readers to support our editor Dr. K.K. Aggarwal, Padma Shri and Dr. B C Roy National Awardee who is contesting for the post of Vice President of the National Indian Medical Association. Members of Central Council of IMA, Working Committee Members, Presidents and Secretaries of IMA in addition to all office bearers are the voters in this election. Dr. Aggarwal is well-known for his work in the field of academics.

1000 kids, elders participate in drawing contest

Mangalore: KMC Hospital, Attavar, organized a drawing competition `Art of Young Hearts' on the theme `I Work with Heart' here on Saturday. The competition was held for students of classes four to 10 along with their senior partners, namely their grandparents, parents, relatives, friends, who were above 45 years old. Over 1,000 students and seniors from across the city took part in this drawing competition and contributed to its success. The hospital distributed complementary cardiac health check-up coupons to all the elders who accompanied the children for the competition. Prizes worth Rs 25,000 will be distributed to the winners at the valedictory function of `World Heart Day' run being organized by the KMC Hospitals on September 26. (Source: The Times of India)

(Dr Brahm and Dr Monica Vasudev)

FDA panels vote against plan to reduce opioid abuse

Two US FDA advisory panels voted against the FDA's plan for reducing abuse of long-acting and extended-release opioid drugs in July this year.

Stopping Epoetin regulates high hemoglobin levels

Stopping epoetin in patients on hemodialysis is more effective in normalizing the raised hemoglobin levels as compared to decreasing the dose reports a study published online July 22 in the Clinical Journal of the American Society of Nephrology.

FDA: Daptomycin may increase eosinophilic pneumonia risk

The US FDA has requested addition of a possible increased risk of eosinophilic pneumonia in patients receiving daptomycin to the drug label.

AHA Meeting report

A study reported at the Basic Cardiovascular Sciences 2010 Scientific Sessions Technological and Conceptual Advances in Cardiovascular Disease of the American Heart Association (AHA) states that a technique that combines nanotechnology with adult stem cells appears to destroy atherosclerotic plaque and rejuvenate the arteries, according to. In the study, nanoparticles (microscopic particles with at least one dimension less than 80 nm) were infused into the heart of pigs along with adult stem cells. Heating of the nanoparticles with laser light burned away arterial plaque. But, nanoparticles were not so effective at eliminating plaque if not combined with adult stem cells.

Vitamin B may not safeguard against second stroke, heart attack

Vitamin B supplements taken to reduce homocysteine levels may not protect stroke patients from a second episode or heart attacks. Studies have shown an association between homocysteine (an amino acid) in the blood, and an increased risk for stroke and heart attack. Vitamin B supplements lower homocysteine levels. According to Dr. Graeme J. Hankey, head of the stroke unit at Royal Perth Hospital in Western Australia and the lead researcher, B vitamins are safe, but they were not, statistically, significantly more effective than placebo in preventing major vascular events among stroke and TIA patients. These vitamins have not been proven to have a role in secondary stroke prevention. The study is published in the Aug. 4 online edition of The Lancet Neurology.

Read this…………………

belt
hitting

The answer for yesterday’s Mind Teaser: "Breaking a custom"

Correct answers received from: Dr Antara Sablok, Dr.Asim Kumar Sen, Dr Meera Rekhari, Dr Chandresh Jardosh, Dr Muthumperumal Thirumalpillai, Dr.K.Raju, Dr.K.V.Sarma, Dr Aruna Tyagi, Dr. Rohini Vaswani, Dr .K.P.Rajalakshmi, Dr. Alok Deb, Dr Vikas Kumar

Answer for 22nd Sept Mind Teaser is: "All in all".
Correct answers received from: Dr Suruchi Aditya, Dr.K.Raju, Dr Anurag Jain, Dr Meera Rekhari

Send your answer to ijcp12@gmail.com

Are You God's Wife?

New York City: It's a cold day in December. A little boy about 10-year-old was standing before a shoe store on Broadway, barefooted, peering through the window, and shivering with cold. A lady approached the boy and said, "My little fellow, why are you looking so earnestly in that window?"
"I was asking God to give me a pair of shoes," was the boy's reply.

The lady took him by the hand and went into the store, and asked the clerk to get a half dozen pairs of socks for the boy. She then asked if he could give her a basin of water and a towel. He quickly brought them to her. She took the little fellow to the back part of the store and, removing her gloves, knelt down, washed his little feet, and dried them with a towel.

By this time the clerk had returned with the socks. Placing a pair upon the boy's feet, she then purchased him a pair of shoes, and tying up the remaining pairs of socks, gave them to him. She patted him on the head and said, "No doubt, my little fellow, you feel more comfortable now?"
As she turned to go, the astonished lad caught her by the hand, and looking up in her face, with tears in his eyes, answered the question with these words: "Are you God's wife?"

1. What a speech by Bryan of Coca Cola. We forget that most of the time we are working hard and extra for family and future. Good family members appreciate this and reciprocate these feelings by small gestures like sending fruit juice in the busy OPD or sending coffee and biscuits in a busy schedule, sending small cards on your success and remain by your side in your failures. Vivek Kumar, Varanasi.
2. Thanks. Dr KK Aggarwal for providing daily medical news bulletin to every email provider at free of cost without any disturbances. Dr KP Singh

(Press Release for use by the newspapers)

Dr. K.K. Aggarwal talks on Science behind Indian Mythology
 
Padma Shri & Dr. B. C. Roy National Awardee Dr K.K.Aggarwal delivered a lecture on Science behind Indian Mythology, organised by Rotary Club of Delhi attended by Rotarians. Dr. Aggarwal who is an expert in allopathic aspects of Indian Mythology has written a book ‘Alloveda’ which combines Vedic knowledge with allopathy. Dr. Aggarwal said that chanting of vowels produces painkillers and chanting of nasal consonants produces Tranquilizers. Dr. Aggarwal said that AUM chanted in spirituality is a combination of a vowel with a nasal consonant. He said that Bhagwad Gita was the first text book of counseling and first introduction to cardiac resuscitation was in the Satyawan Savitri era.

When in trouble one requires multiple counseling sessions and not one. Arjuna in Bhagwad Gita required 18 such sessions. In the first chapter of Bhagwad Gita, Krishna uses the principals of patience listening. He does not utter a word and lets Arjuna come out with his emotions. In the second session, Krishna talks in great detail. Second chapter of the Bhagwad Gita is the longest chapter. From 3 to 17 chapters – Krishna re-discusses, gives reason for every word, reassures all the time and yet creates fear in Arjun’s mind while doing continuous counseling and in 18th chapter, he revises the whole teaching. These today form the principles of conjunctive behavior therapy. Dr. Aggarwal also talked of every God, religion, dharma, festival and rituals in allopathic language. 

The forthcoming BSNL Dil Ka Darbar being held on Sunday 26th at Maulana Azad Medical College will also focus on Indian mythology and heart.

BSNL Dil Ka Darbar to screen patients for metabolic syndrome

Dr Aggarwal also said that the forthcoming BSNL Dil Ka Darbar will also screen patients for metabolic syndrome. Facilities for free blood tests and ECG on the spot will be available. People can get a number of the tests done and need not come fasting.

Metabolic syndrome is associated with a more than doubled risk of cardiovascular disease and stroke, and a 1.5-fold increase in the risk of all-cause mortality. Even in patients without type 2 diabetes, metabolic syndrome was associated with a 62% increased risk of heart attack and 86% increased risk for stroke.  

Metabolic syndrome is when one has three or more of five cardiovascular risk factors

1. Central obesity
2. High triglyceride levels in the blood
3. Decreased HDL cholesterol levels in the blood
4. Systemic hypertension
5. High fasting glucose levels in the blood

eMedinewS Events: Register at emedinews@gmail.com

26th September: Sunday–BSNL Dil ka Darbar A day–long interaction with top cardiologists of the city. 8 AM – 5 PM at MAMC Auditorium, Delhi Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi 24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to 10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

Dr. Sood Nasal Research Foundation Announces

eMedinews Revisiting 2010

The 2nd 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.

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