|27th June 2013, Thursday|
From the Desk of Editor in Chief
Post flood illnesses
1. Post flood impact: The 2010 Pakistan flood affected 20 million people. The impact of the event and recovery was measured at 6 months in a cross-sectional cluster survey of 1769 households conducted six months post-flood in 29 most-affected districts. (1)
2. Post-flood infectious diseases: Following a flood, there exists the potential for transmission of water-borne diseases and for increased levels of endemic illnesses such as vector-borne diseases. The Japan Disaster Relief (JDR) Medical Team was sent to Mozambique where a flood disaster occurred during January to March 2000. The team operated in the Hokwe area of the State of Gaza, in the mid-south of Mozambique where damage was the greatest. A total of 2,611 patients received medical care during the nine days. Infectious diseases were detected in 85% of all of patients, predominantly malaria, respiratory infectious diseases,and diarrhea. There was no outbreak of cholera or dysentery The incidence of malaria increased by 4 to 5 times over non-disaster periods, and the quality of drinking water deteriorated after the event ...Read More
Definition of Health
Health is not mere absence of disease; it is a state of physical, mental, social, spiritual, environmental and financial well being. All aspects of health are not defined in allopathy.
Smell check, scratch and sniff, a new test for Parkinson’s disease
Situation: A child was sexually abused by an acquaintance of adolescent age.
Why do doctors not live long? (Dr K K Aggarwal)
Diabetic or hypertensive: get your albumin check up done
Microalbuminuria or presence of albumin in the urine in micro amounts indicates early kidney damage; an early vascular endothelial dysfunction and early atherosclerosis with major cardio or cerebrovascular events and death.
News Around The Globe
IIT-Kharagpur to start medical course
The Centre has sanctioned a 400-bed superspeciality hospital on the IIT-Kharagpur campus which will have a medical college attached to it so that the premier institute can start a medical course. Once this happens, IIT-Kgp will be the only one in the chain to impart medical education alongside technology.
No mental harm from HRT in early menopause
Hormone replacement therapy (HRT) in early menopause caused no apparent harm to patients' cognitive function, according to long-term follow-up of participants in clinical trials. (Source: Medpage Today)
FDA orders warning on blood volume expander
H ydroxyethyl starch solutions used to treat hypovolemia must carry a boxed warning about increased risk of kidney injury and death, the FDA said Monday. (Source: Medpage Today)
Abnormal imaging indicates surgery in intractable epilepsy
Abnormal neuroimaging in children with early medically intractable epilepsy is a strong indication for surgical rather than medical treatment, new research suggests. (Source: Medscape)
A potential turning point in treatment of CLL
Clinical trial data showing high rates of response with the experimental targeted therapy ibrutinib (Pharmacyclics) in patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma have been published online in the New England Journal of Medicine. (Source: Medscape)
ADA: Time since diabetes Dx key in adherence
Newly diagnosed type 2 diabetes patients are less likely to follow their medication regimen than those with longer-standing disease, and those who take more pills are more likely to be adherent than those on fewer medications, a study found. (Source: Medpage Today)
Valvular Heart Disease Update
Spontaneous echo contrast is also seen in the left ventricle when systolic function is severely reduced or in the presence of an aneurysm.
Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)
Does obesity affect the chances of getting pregnant with treatment and having a healthy baby?
There is an increasing amount of evidence that many complications of pregnancy for the mother (gestational diabetes, preeclampsia) and her baby (birth defects) are increased in obese women. In addition, obese women have an increased chance of a cesarean section for delivery.
Rabies Update (Dr. A K Gupta)
What is “furious form” of rabies in animals?
The excitative phase follows the prodromal phase in some animals. The animal becomes irrational and may aggressively use its teeth, claws, horns, or hooves. The expression is one of anxiety with dilated pupils. Noise invites attack. Rabid animals roam extensively and attack other animals, including humans and any moving object. Cats usually manifest furious type of rabies.
(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)
What are the principles of informed consent?
Situation: What are normal TSH levels after the age of 80?
Situation: A patient on dialysis and on oral antacid developed aluminum toxicity.
If you have controlled your mind you are the conqueror of the whole world. Swami Sivananda
Dr KK Aggarwal: When it comes to losing weight cutting down on liquid calories is equally important said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.
"Weight loss from liquid calories is greater than loss of calorie intakefrom solid food, as per Dr. Liwei Chen, an assistant professor of epidemiology at the School of Public Health at the LSU Health Science Center in New Orleans, in American Journal of Clinical Nutrition.
Body is able to self-regulate its intake of solid food. If you eat too much solid food at lunch, you'll tend to eat less at dinner. But the same self-regulation is not there for what you drink. The body does not adjust to liquid calories, so over time, you gain more weight.
Cutting back on calories from sugary drinks - by only one serving per day –can account for nearly two-and-a-half pounds of lost weight over 18 months.
I recently picked a new primary care physician. After two visits and exhaustive lab tests, he said I was doing "fairly well" for my age. A little concerned about that comment, I couldn't resist asking him, "Do you think I'll live to be 90?"
Dear Dr KK,
An Inspirational Story
Paid in full
A young man was getting ready to graduate from college. For many months he had admired a beautiful sports car in a dealer's showroom, and knowing that his father could well afford it, he told him that was all he wanted. As Graduation Day approached, the young man awaited signs that his father had purchased the car.
All of the following can precipitate pemphigus in a genetically predisposed individual,except....
Yesterday’s Mind Teaser: Antiphospholipid antibodies may be transient in all except...
Answer for yesterday’s Mind Teaser: A.Patient with SLE
Correct answers received from: Soni Brijesh, Dr Jainendra Upadhyay, Dr Sana Khanam, Dr.Bitaan Sen & Dr.Jayashree Sen, Prabha Luhadia, dr pankaj agarwal, Dr.K.Raju, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr.Chandresh Jardosh.
Answer for 25th June Mind Teaser: B. Warfarin
Correct answers received from: Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr.Chandresh Jardosh.
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