News Around The Globe
21st MTNL Perfect Health Mela Programme Brouchure
EMINENT RHEUMATOLOGIST DR. (LT GEN) VED CHATURVEDI TAKES OVER AS DG MEDICAL SERVICES (ARMY)
Dr (Lt Gen) Ved Chaturvedi, MD, DM is a renowned Rheumatologist and has been appointed as Director General of Medical Services (Army) recently. Dr Chaturvedi has the distinction of being the first and remains the only DM qualified Rheumatologist in Armed Forces till date. A pioneer of Rheumatology science in Armed Forces, he has established state-of-the-art Rheumatology centres in Army Super-speciality hospitals in Delhi and Kolkata which have been acknowledged to be of standards comparable to some of the best hospitals in Europe.
Dr Chaturvedi has been a doyen not only in the field of Rheumatology but in Disaster management as well. He single-handedly managed disaster crisis during serial bombing in Guwahati in the year 2008. With an experience of 30 years practising Rheumatology in India, Dr Chaturvedi is recognised as an authority in this speciality.
- MRI to detect bone marrow edema of the wrist and finger joints may help doctors diagnose early rheumatoid arthritis when added to the 2010 RA classification criteria, according to researchers from Japan published in Annals of the Rheumatic Diseases, online September 2.
- The US Food and Drug Administration (FDA) has approved dulaglutide (Trulicity, Eli Lilly & Co), as a once-weekly injection for the treatment of type 2 diabetes.
- Intermittent proton pump inhibitor therapy is as effective as continuous PPI therapy for high-risk bleeding ulcers, according to a systematic review and meta-analysis. Current guidelines recommend an IV bolus followed by a continuous infusion after endoscopic treatment of bleeding ulcers with high-risk findings. Dr. Loren Laine from Yale School of Medicine, New Haven, Connecticut and colleagues reported in September 8th in JAMA Internal Medicine.
- Extended follow-up still supports no higher cardiovascular risk with insulin glargine (Lantus) than standard care. In the ORIGINALE study, which continued for an additional 2.5 years beyond the 6 years of the main ORIGIN study, there was no significant difference between the two groups in terms of a composite cardiovascular endpoint (HR 1.01, 95% CI 0.94 to 1.10, P=0.72).
- Atrial fibrillation (AF) has been linked to a significantly higher risk of cognitive impairment and dementia in patients with no history of clinical stroke. While research continues into the mechanisms by which AF increases risk of cognitive impairment, stroke prevention remains the focus of efforts to prevent AF-related cognitive decline
- Striking, positive results have been reported for artificial pancreas, a closed-loop insulin-delivery system, in 40 patients with type 1 diabetes, when compared with a sensor-augmented insulin pump for unsupervised, at-home, overnight delivery of insulin. The data were presented at the European Association for the Study of Diabetes 2014 Meeting.
- Odanacatib, an investigational once-weekly oral highly selective cathepsin-K inhibitor, has shown strong effect in reducing fracture in postmenopausal women with osteoporosis in a long-term phase 3 clinical-trial; however, small increases in numbers of serious adverse effects, including stroke, atrial fibrillation, and atypical fractures have been noted with the drug. The findings were presented recently at the American Society for Bone and Mineral Research (ASBMR) 2014 Annual Meeting.
New MBBS syllabus to introduce students to patients in first year CHENNAI: Medical students could soon have their first brush with treating patients in the first year of MBBS with the Medical Council of India (MCI) giving final shape to a revision of the undergraduate medical curriculum. This will be the first major overhaul of MBBS syllabus in 17 years.
At a recent press conference in Chennai, Dr M Rajalakshmi, MCI's chief consultant in the academic cell said the conversion of the existing MBBS curriculum to a competency-based one is almost complete.
The last time the MBBS curriculum underwent a major revamp was in 1997 when the duration of the academic year for first-years was reduced from 18 months to 12 months.
Subjects like radiology and surgery are likely to be introduced in the first year as part of the new syllabus. This will also help MBBS doctors acquire diagnostic and analytical competence for clinical evaluation earlier on. (TOI News excerpts. E A John)
Rashtriya Bal Swasthya Karyakram (RBSK) is a new initiative aimed at screening over 27 crore children from 0 to 18 years for 4 Ds – Defects at birth, Diseases, Deficiencies and Development Delays including Disabilities. Children diagnosed with illnesses shall receive follow up including surgeries at tertiary level, free of cost under NRHM.
Health screening of children is a known intervention under the School Health Programme. It is now being expanded to cover all children from birth to 18 years of age.
Out of every 100 babies born in this country annually, 6 to 7 have a birth defect. In Indian context, this would translate to 1.7 million birth defects annually and would account for 9.6 per cent of all newborn deaths. Various nutritional deficiencies affecting the preschool children range from 4 percent to 70 percent. Developmental delays are common in early childhood affecting at least 10 percent of the children. If not intervened timely, these delays may lead to permanent disabilities with regard to cognition, hearing and vision.
The services aim to cover all children of 0-6 years of age group in rural areas and urban slums, in addition to older children upto 18 years of age enrolled in classes 1st to 12th in Government and Government aided schools. It is expected that these services will reach and benefit about 27 crore children in a phased manner.
- Burden of congenital diseases: Globally, about 7.9 million children are born annually with a serious birth defect of genetic or partially genetic origin which accounts for 6 percent of the total births. Serious birth defects can be fatal at times. For those who do not receive specific and timely intervention and yet survive, these disorders can cause irreversible life–long mental, physical, auditory or visual disability. At least 3.3 million children under – five years of age die from birth defects every year and another 3.2 million of those who survive may be disabled for life. More than 90 percent of all infants with a serious birth defect are born in low and middle income countries. Cutting across countries and their economic status, 64.3 infants per thousand live births are born annually with birth defects. Of these, 7.9 have cardiovascular defects, 4.7 have neural tube defects and 1.2 have some form of hemoglobinopathy, 1.6 have Down’s syndrome and 2.4 have G6PD deficiency (All – figures are in per thousand).
With a large birth cohort of almost 26 million per year, India would account for the largest share of birth defects in the world. This would translate to an estimated 1.7 million babies born with birth defects annually. In the study conducted by National Neonatology Forum, congenital malformations were the second commonest cause (9.9%) of mortality among stillbirths and the fourth commonest cause (9.6%) of neonatal mortality and that accounted for 4 per cent of under– five mortality. Preliminary reports of metabolic studies from five zonal centers covering 5 lakh newborns has revealed an incidence of congenital hypothyroidism of 1 in 1000 live births; A similar prevalence rate of 1 in 1000 was reported for Down’s Syndrome in India. There are several reports of the incidence of beta thalassemia trait from different parts of the country which varies from less than 1 percent to as high as 17 percent.
Rabies News (Dr A K Gupta)
Can the type of vaccine be interchanged during the course of IDRV?
As far as possible, the same vaccine should be used throughout a course of IDRV.
However, in exigencies, the permitted vaccines are interchangeable.
- Renal artery revascularization offers only marginal benefit for patients with renal artery stenosis and hypertension, suggested a new meta-analysis published online in JAMA Internal Medicine.
- A feasibility study presented at the Heart Failure Society of America (HFSA) 2014 Scientific Meeting has stated that some cancer survivors who were put on ACE inhibitors, beta-blockers, or other heart-failure medications to fight or prevent chemotherapy cardiotoxicity need not stay on them forever as recommended, if they do not need them for other reasons.
- Infants at genetic risk of developing type 1 diabetes, who were given probiotics before 3 months of age, had a 33% reduction in the risk of pancreatic beta-cell islet autoimmunity, suggest new results from an ongoing study presented at the European Association for the Study of Diabetes 2014 Meeting.
- Live-attenuated influenza vaccine (LAIV) administered by intranasal spray is well tolerated in children and adolescents with cystic fibrosis (CF) and does not lead to a respiratory deterioration, suggested a new study published online in Pediatrics.
Dr K K Spiritual Blog
To know the Mental States of a Person
The mental state of a person in Vedic language is described in terms of gunas. The present state of mind of any person is a result of mixing of three gunas of nature called Tamoguna, Rajoguna and Satoguna. In terms of states of mind they are called Tamas, Rajas and Satwa and the nature of a person is called Tamsik, Rajsik and Satvik.
Vedas, Upanishads, Bhagavad Gita and Ayurveda all talk about these gunas. The Sankhya philosophy also says that a mixture of the three makes up the cosmic mind as well as the human mind. Bhagwad Gita talks in great detail about the Nature, Yagna as well as diet depending upon these gunas.
A Satvik diet is the one, which makes a person full of Satoguna and makes him or her with predominant Satvik nature. The same is true for other two gunas. According to Ayurvedic text and in Atharvaveda any food, which comes from the roots or underground part of the tree, is Tamsik in nature. Tamsik foods should not be eaten raw. They should either be slow cooked or soaked in water for hours before consumption.
Foods which are from the top part of the tree like coconut, fruits, leaves and flowers are Satvik in nature and can be consumed fresh, as they are. Foods which come from the middle part of the tree are often Rajsik in nature.
Fresh, soaked, sprouted, natural foods are often Satvik and old, left over foods are Tamsik in nature. Most Satvik foods are naturally white.
In Ramayana, Kumbhakaran represents a person with Tamsik nature; Meghnad and Ravana with Rajsik nature and Vibhishana with Satvik nature. One can see that the diet of Kumbhakaran was left over foods, onions, radish, carrots and non vegetarian food, all tamas producing foods.
Shastras also teaches us about Satvik food. In Vedic knowledge, God is represented by the consciousness and whatever is offered to God is the one, which is offered to consciousness and hence all offerings to God are soul–healing and soul–nurturing food items. Only Satvik foods are offered to God as one can live on Satvik food forever. Examples are dry fruits, fruits and milk. One cannot live on Rajsik or Tamsik foods; hence, they have to be taken in moderation only.
The offerings to God include honey, milk, curd, fruits and vegetables, etc. Panchamrit offered in Puja is a mixture of milk, curd, ghee, honey and sugar is a classical example.
Yogashastra also talks about the role of Satvik diet in great detail. It says people who eat less are yogi, people who eat in moderation are bhogi and people who eat a lot are rogi. The synonymous are Tamsik for Rogi, Rajsik for Bhogi and Satvik for Yogi.
In terms of proper diet, one should eat dinner lighter than lunch, eat only natural food in the night and follow the principles of moderation and variety.
Zee News – Health Wealth Shows
Sudden Cardiac Death
Total CPR since 1st November 2012 – 98440 trained
The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."
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Health Check Up and CPR 10 Camp at St. Mathews Public School, 9th April 2014
An orange a day keeps stroke away
IJCP Book of Medical Records
IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.
If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :
Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time?
Lesson: Make sure that all foreigners are diagnosed to be suffering from Traveler’s diarrhea even if there is one single loose motion.
Doctor, Doctor! I keep thinking I’m God!
Doc: When did this start?
Well first I created the sun, then the earth, then the…
Quote of the Day
Happy is the man who can do only one thing; in doing it, he fulfills his destiny. Joseph Joubert
Twitter of the Day
Dr KK Aggarwal: Heart Care Foundation of India to focus on youth health education during the 21st MTNL Perfect Health Mela http://Blogz.org/A/885894
Dr Deepak Chopra: We are all trying to be happy. Here are my ten tips to happiness http://tinyurl.com/mwjtqc