|25th June 2013, Tuesday|
From the Desk of Editor in Chief
New European High Blood Pressure Guidelines
Should doctors detach themselves?
While dealing with patients, the traditional Patient-Doctor relationship model has been that doctor should remain cool, calm and collected at all times.
Honey excellent for Cough
Situation: A 20-year-old male sexually assaulted a 13-year-old girl
Why do doctors not live long? (Dr K K Aggarwal)
Eating fast food can cause liver damage
Quoting a Swedish study by Dr. Fredrik H. Nystrom of University Hospital of Linkoping, published in the medical journal Gut, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA., said that eating aleast two fast foods meals every day and restricting levels of physical activity to no more than 5,000 steps a day can lead to signs of liver damage or weight gain.
At the end of the 4 weeks, the fast food eaters had put on an average of 6.5 kilograms (14.3 pounds). After just 1 week on the fast food diet, blood tests showed sharp increases in a liver enzyme called SGPT. SGPT levels were more than quadrupled over the 4-week study period. Increased SGPT levels are used to diagnose liver disease before symptoms develop. In 11 fast food dieters, SGPT rose to levels suggestive of liver damage. The SGPT increases were linked to weight gain and higher sugar and Carbohydrate intake.
Sutra: Eating 2 fast food meals a day, walking < 5000 steps a day can cause liver damage or gain weight as per a Swedish study. ...Read More
News Around The Globe
High dose of statins do not cause acute kidney injury.
Of late there has been a concern that some high potency statins can increase the risk of acute kidney injury but a recent study from Boston presented by American Heart Association's Webinar has shown that for post acute heart attack patient’s high dose statins does not lead to higher risk of acute kidney injury then compared to low dose regimen. There was no difference in kidney functions in the study. ....Read More
Clopidogrel of no help in cyanotic heart disease
Children with cyanotic congenital heart disease derive no benefit from prophylactic clopidogrel for shunt thrombosis, as per large randomized trial published in New England Journal of Medicine. ........Read More
Post traumatic stress disorder
Post traumatic stress disorder affects 23% of patients with paralysis within first year as per a Meta analysis published in .... Read More
Depressive symptoms and use of anti-depression
Depressive symptoms and use of anti-depression are associated with marker linked to risk of diabetes and cardiovascular disease as per study published in American Journal of Public Health. .... Read More
H7N9 flu: Worse than pandemic, better than H5N1
The novel H7N9 avian flu appears to be less severe than the highly pathogenic H5N1 avian flu but more severe than the 2009 pandemic H1N1 flu, researchers reported. (Source: Medpage Today) Read More
ADA: Intensive Tx yields long-term gain in type 1 diabetes
Benefits seen with intensive therapy for type 1 diabetes in a large epidemiological study persist through extended follow-up, according to the latest data from the Diabetes Control and Complications Trial (DCCT) and Epidemiology of Diabetes Interventions and Complications (EDIC) trial. (Source: Medpage Today) Read More
ADA: Drug combo beats step-up Tx in new T2D
Starting newly-diagnosed type 2 diabetes patients on triple combination therapy rather than progressing step-wise up from metformin keeps glucose lower for longer, a randomized trial showed. (Source: Medpage Today) Read More
New DCCT data: HbA1c matters today, tomorrow, and 20 years on
Dramatic reductions in diabetes complications achieved with intensive glycemic control in the landmark Diabetes Control and Complications Trial (DCCT) are still being seen — although to a somewhat lesser degree — nearly 2 decades after the study's end. (Source: Medscape) Read More
Valvular Heart Disease Update
Left atrial appendage: Determination of left atrial appendage function has a complementary role to spontaneous echo contrast in assessing embolic risk. Those in atrial fibrillation at highest risk have maximum left atrial appendage contractile velocities below 0.25 m/second. These patients also tend to have appendage thrombi.
Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)
How are sexual dysfunction and infertility inter-related?
Sexual dysfunction may cause problems getting pregnant (infertility). The right time for sexual activity is when the egg is released from the ovary (ovulation). Determine the time of ovulation by your partner's menstrual history or by the use of a urine test that becomes positive when the hormone that triggers the egg to be released can be detected. If you cannot or do not have sex near that time, the woman is less likely to get pregnant. If you only have sex once in a while because of low sexual desire or pain during sex, you may miss that important time for pregnancy. Men who have erectile dysfunction or ejaculatory dysfunction will not be able to get their partner pregnant.
Rabies Update (Dr. A K Gupta)
If the pet is immunized, do family members need pre-exposure vaccination?
A dog effectively vaccinated against rabies ordinarily will not suffer and transmit rabies. But it is very difficult to say with certainty that a particular dog immunized with specific vaccine is immune against rabies, more so in a rabies-endemic area.
(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)
Can an action be taken against a frivolous complaint?
Situation: Once the TSH is stable on treatment, when should it be measured again for maintenance?
Situation: A patient with rheumatoid arthritis was not responding.
Never fear shadows.... that always means there is a light shining somewhere. Jonathan Santos
Dr KK Aggarwal: Smoking leads to cardiovascular ageing http://bit.ly/14JxRjo #Health
When Will IMA and DMA in particular will declare obesity as illness to prevent , at least, Thul Thul Cancers (Breast, Endometrial and Prostate)
An Inspirational Story
Sitting on your talent
There was a man played piano in a bar. He was a good piano player. People came out just to hear him play. But one night, a patron told him he didn't want to hear him just play anymore. He wanted him to sing a song.
The most common cutaneous manifestation with APS...
Yesterday’s Mind Teaser: "Thinkuact"
Answer for yesterday’s Mind Teaser: Think before you act
Correct answers received from: DR.BITAAN SEN & DR.JAYASHREE SEN, Dr. T. Samraj,, Ritu Sinha, Dr Pankaj Agarwal, Dr.(Maj. Gen.) Anil Bairaria, Dr Jainendra Upadhyay, Dr. Thakor Hitendrsinh G, DR AVTAR KRISHAN
Answer for 23rd June Mind Teaser: "It’s a small world after all."
Correct answers received from: Dr Jainendra Upadhyay, Dr. Thakor Hitendrsinh G, DR AVTAR KRISHAN
Send your answer to firstname.lastname@example.org
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 email@example.com. 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 (firstname.lastname@example.org), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (email@example.com), Dr Navin Dang, Dr Pawan Gupta(firstname.lastname@example.org), Dr Parveen Bhatia, (email@example.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta