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Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
President, Heart Care
Foundation of India
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)
FIRST NATIONAL DAILY MEDICAL NEWSPAPER OF INDIA
emedinews is now available online on www.emedinews.in
31st December Thursday
emedinews wishes all readers a happy and healthy new year.
New Challenges for the year 2010
1. The year 2009 saw emergence of Swine Flu, H1Ni disease as a pandemic which started from Mexico and spared no country. In India, though initially, the Government felt that it will be able to tackle the disease , it spread like a wild fire, initially in Pune and later in North India, especially, Delhi.
More than 30,000 people died every year because of normal human flu in US alone. At the start, it was contemplated that Swine Flu will kill more than 60,000 people in US but now it is a well known fact that this disease is milder than the regular human flu and the number of people dying per year in US is anticipated to be less than 20,000. The same will be true for India. However, there is a difference. Swine Flu is affecting younger people while human flu affects more children and the elderly.
Pandemics like Swine Flu are an opportunity for any country to teach the community about respiratory hygiene and how to manage and control cough and sneezing. If this is taught properly, the country should be able get rid of many other respiratory illness including the deadly Tuberculosis. The year 2010 will be a challenge for all of us to see how H1N1 behaves.
2. Diphtheria on the rise: The MCD recently reported that the number of cases of Diphtheria are rising every year. Though the rise is marginal but if not controlled five years from now, Diphtheria may become a major public health problem for the country, particularly, Delhi.
3. Different dengue: Delhi saw a different version of Dengue fever this year. The same is anticipated to be a challenge in the coming year. The Dengue epidemic lasted after Diwali involving people from all walks of life and presented with predominantly liver involvement which had not been the case in the past. Also, the fall in platelet count was much higher with most reaching below the 10,000 count. Managing Dengue will be a real challenge in the coming year as the second attack is more serious than the first attack and the third attack of Dengue is even more serious than the second attack. A person in his life can have up to four attacks of Dengue fever.
4. Pot Belly Obesity: Urban India, including Delhi, is now facing a new epidemic of obesity and normal weight obesity. This problem is going to be of main concern in the coming years. So called Pot Belly Obesity, it is characterized by selective increase in abdominal girth which makes people prone for liver damage, heart blockages, diabetes and future paralysis. The culprit is eating refined carbohydrates including white rice, white maida, white sugar and not exercising. The disease is not only affecting the adults, but is growing like a wild fire in adolescents and young college students.
5. Multiple drug resistant disease: It is going to be a big challenge in the coming years. The diseases involved are Typhoid, Tuberculosis, Malaria and AIDS. The treatment of non MR TB varies between Rs. 1,000 to 2,000 but that of multiple drug resistant TB is in lakhs. The same is true for HIV AIDS. A simple treatment of Malaria today costs less than Rs. 100 but that of drug resistant Malaria may cost Rs. 1,000. It is high time steps are taken to stop drug resistance or the country will have to pay the price for the same. The current patent laws prohibits the Indian Pharma companies from making cheaper drugs.
6. BRMS to start in India: If passed by the Union Health Ministry, India soon will have parallel medical courses called Bachelor of Rural Medicine and Surgery. 2,500 such doctors will be produced in the next two years in various district hospitals. They will be selected from notified rural areas with a population of less than 10000 and will be allowed to practice only in that area. They will not be allowed any Post Graduation nor will they be allowed to go outside India. Will this solve the problem of not having doctors in rural areas? Only time will tell.
Dr KK Aggarwal
ROLE OF IMMUNITY BOOSTERS IN CLINICAL PRACTICE.
Body Immunity is one of the vital Ingredients in maintaining Good Health. Good Immune System Helps Prevent many Ailments, we come across in our day to day Practice. The Role of a Good Immunity Booster would be, to Protect T4 LYMPHOCYTES from Invasion by an Antigen or a Foreign Body. Helper Cells and the Natural Killer (NK) Cells Constitute the Major Defense Mechanism of our Body. The Antigen Once Bound to the Receptor Site on the Surface of T4 Lymphocyte "eats up" and makes the Cells, More Vulnerable to Various Opportunistic Infections. Once Compromised ,the Body Defense gives way to the fatal Antigens and diminishes the Ability of our body to fight against any Disease.
Various Health Supplements are now available in the market , which claim to provide "Immunity Boosting" Effect, But We need to look for a Health Supplement which should be Supported by Enough Clinical evidence and Comprehensive Double Blind Trial Studies, to prove it,s Efficacy in Clinical Practice.
We should have the Desired Health Supplement with us very soon.
MCI News: MBBS course to be shortened
If the bill passes the MBBS course will get shortened to 4 years instead of 4 and a half years said Dr Ketan Desai President MCI. " Why should we have separate subjects and exam for ENT and Eye" said Dr Desai. The purpose of MBBS course should be to make them better family physicians and not specialists. Our purpose is to reduce the total period from entry to MBBS to passing of DM/MCH by 2 years said Dr Desai.
American Society of Clinical Oncology: The Breast Cancer Symposium: San Francisco, CA (October 8-10, 2009)Hereditary Cancer Diagnosed Earlier
The age at which breast cancer is diagnosed in families that carry harmful BRCA mutations is getting younger in succeeding generations. The median age of breast cancer onset in BRCA1 or 2 carriers is six years earlier than for their mothers and aunts said Dr Jennifer Litton, of the M.D. Anderson Cancer Center in Houston.
DCIS Recurs More Often in Younger Women
Young women with ductal carcinoma in situ may get poorer outcomes with breast conserving surgery than older patients do, though survival is unaffected. Local recurrence rates after lumpectomy and radiation therapy are 64% to 83% higher for those diagnosed before age 45 than among older women (Dr Iwa Kong, of the Sunnybrook Odette Cancer Center in Toronto)
Most Deaths Fall Outside Screening Programs
Nearly three quarters of breast cancer deaths occur among women who do not get regular screening mammograms, according to a large population based study. Breast cancer mortality rates extrapolated from the findings were just 4.7% for women on the recommended screening schedule, but 56% for those who never or only infrequently got mammograms (Dr Blake Cady, of the Cambridge (Mass.) Hospital)
Causes of xerosis Dr Rajiv Bhatt(9810141116)
It is associated with both skin thickening and skin thinning and is triggered by both exogenous (e.g. climate, environment, lifestyle) and endogenous (e.g. medication, hormone fluctuations, organ diseases) factors. Xerosis or dry skin is caused by a lack of moisture. The skin can lose moisture in a number of ways.
Some of the factors which can remove natural oil and lead to xerosis are:
1. Weather: This is most common and worse during the winter months because a. the amount of moisture contained in air is much less in cold air than in the warm air b. excessive use of heating devices such as heater or heat convector / blower or heating systems is used to keep air warm. These not only make air warm but also make air to dry. Central heating of home and other buildings is especially very drying to the skin. C. using hot water d. bathing e. washing f. spending extended periods of time in the hot sun g. athe skin's natural aging process also remove moisture and oils from the skin.
2. Climate: The climate in north and central India makes dry skin symptoms more severe, especially for migrants who come from more humid geographical areas.
3. Occupation: Working with excessively hot water
4. Agents: Excessive use of hot water; long hot baths or showers or bathing for long periods of time; showering or bathing more than once a day in winters and use of harsh soaps or nonmoisturizing soaps.
There are nine key elements to the Mediterranean diet: (Dr G M singh)
1. Olive oil as the primary source of fat
2. High daily consumption of vegetables
3. Low consumption of red meat
4. Consumption of fish and seafood at least once or twice a week
5. Daily consumption of "pulses" such as beans, lentils and
6. High daily consumption of cereals, especially those made of whole grains
7. Low to moderate consumption of dairy, with an emphasis on preferred consumption of yogurt and cheese
8. High daily consumption of fruit
9. A regular but moderate intak of alcohol, mostly as wine, usually during meals.
The following warning signs may indicate uterine fibroids: (Dr. Soni Verma)
- Menstrual bleeding that is heavier, occurs more often or lasts longer than normal.
- Menstrual cramps.
- Spotting or bleeding between periods.
- Painful intercourse.
- Pain in the abdomen or lower back.
- Difficult or frequent urination.
- Constipation or pain during bowel movements.
- Infertility or miscarriage.
At Risk for Another Heart Attack? (Dr Prachi Garg)
Factors that raise your chances of subsequent heart attack:
1. Lack of exercise
2. Excessive alcohol consumption
3. Being overweight
4. Having high cholesterol or high blood pressure
5. Uncontrolled diabetes
7. Too much stress
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emedinews: revisiting 2009
IJCP Group, Heart care Foundation of India and World Fellowships of Religions are is organizing emedinews: revisiting 2009, day long conference on the top health happenings in the year 2009 on 10th Jan 2010 at Maulana Azad Auditorium. There is no registration fee however advanced information is required. Top experts (Dr KK Aggarwal (revisiting 2009), Dr Naresh Trehan (whats new in cardiac surgery), Dr Anupam Sibal (A decade of successful liver transplants in India), Dr Ajay Kriplani (Current Trends in the Management of Morbid Obesity), Dr Praveen Chandra (The Indications of Interventional Treatment in Cardiology), Dr Kaberi Banerjee (IVF Where We Stand Today?), Dr N K Bhatia (TTI infections), Dr V Raina ( molecular genetics), Dr Ajit Saxena (ED and male infertility), Dr S C Tewari (Nephroprotection), Dr. Ambrish Mithal (Diabetes), Dr Vanita Arora (ECG arrhythmias), Dr N Subramanium (Current concept in Male infertility ), Dr Neelam Mohan (Coeliac Disease), Dr. Sanjay Chaudhary (Eye Update), Dr Harish Parashar (aluminum toxicity), Dr Praveen Khillani (Whats new in field of critical care in past decade?), will deliver lectures.
CME will be followed by lively cultural evening guest performances by Shabani Kashyap, Vipin Aneja and perfomances by medical professional singers Dr Praveen Khillani, Dr Lalita and Dr N Subramanium, Dr Lata Tandon, Dr Arti Pathak, Dr Sudipto Pakrasi, Dr Harjeet Kaur, Dr Ramni Narsimhan, Dr Sanjay Chugh (on the drum), Dr Yash Gulati (Anchor) Dr Reshma Aggarwal (Anchor), doctors of the year award, dance and dinner. For registration mail firstname.lastname@example.org. We have crossed 1200 registrations.