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Jun 22
One-year-old succumbs to H1N1 virus
MUMBAI: The dreaded H1N1 virus claimed the life of a one-year-old child on Sunday morning, rekindling fears of the potency of the virus that was believed to have become dormant. With this, the total number of swine flu related deaths has gone up to three this month. The virus has already claimed 62 lives in Maharashtra since April this year.

The child, a resident of Dharavi, was taken to the civic-run Sion hospital on Thursday evening where he was administered Tamiflu, said doctors. "The boy was gasping for breath so we did not want to waste anytime and put him on a course of Tamiflu," said paediatrician Dr Preeti Shanbag of Sion hospital, who treated him. She added that his throat swab was collected and sent for examination at the PCR laboratory in Kasturba Hospital.

"We got his reports by Saturday evening that confirmed the presence of the H1N1 virus. But, his condition had already deteriorated by then," said Shanbag. She added that Tamiflu works best if it is administered within 48 hours of showing the swine flu symptoms. Any dose after that may not be much beneficial.

BMC's executive health officer Dr Girish Ambe said that the child was suffering from fever at least five days prior to his admission at the Sion hospital. Ambe, however, did not have any information if the family members had taken him to any other doctor before admitting him to the hospital. "By the time he was brought here, he was breathless and was immediately put on a ventilator," he said. On Monday, his family members were asked to take a course of Tamiflu for five days.

This month 54 people have already tested positive for swine flu in the city. Dr Daksha Shah, head of epidemiology cell, said the hospital has been receiving many cases of swine flu almost everyday.

Jun 19
Common blood pressure drugs may raise cancer risk
A widely used class of blood pressure drugs may slightly increase the risk of cancer, US researchers said, and they are calling on regulators to take a closer look.

They said an analysis of available data on drugs in the class known as angiotensin-receptor blockers showed patients were 1.2 per cent more likely to be diagnosed with a new cancer over four years than others who did not take the drugs.

Most patients in the trials (86 per cent) took German drugmaker Boehringer Ingelheim's telmisartan, sold as Micardis.

"The increased risk of new cancer occurrence is modest but significant," Dr Ilke Sipahi and colleagues from Case Western Reserve University in Cleveland in the journal Lancet Oncology.

There were not enough data in the studies to say if individual drugs in the class raise the risk or if it is a so-called class effect shared by all such drugs.

Even so, Dr Steven Nissen, a cardiologist at the Cleveland Clinic, said in a commentary the findings were "disturbing and provocative, raising crucial drug safety questions for practitioners and the regulatory community."

He said regulators need to look more closely at the risk of cancer with ARB use and that doctors should be more cautious about prescribing ARBs, and especially Micardis.

Privately held Boehringer Ingelheim defended the safety of its drug, saying in a statement its own "internal safety data analysis of primary data contradicts the conclusions" of an increased cancer risk.

Sipahi and colleagues did a so-called meta-analysis, pooling all publicly available data from randomised trials of ARBs published before November 2009.

Other drugs in the class include Merck & Co's Cozaar, sold generically as losartan; Diovan or valsartan made by Swiss drug firm Novartis; irbesartan, jointly marketed by Sanofi-Aventi and Bristol-Myers Squibb as Avapro; Daiichi Sankyo's Benicar or olmesartan; and Solvay Pharmaceuticals' Teveten or eprosartan.

Overall, they found that patients taking the drugs had 7.2 per cent risk of having a new cancer diagnosis, compared with 6 per cent risk for patients in the control groups.

When they looked at cancer types, only lung cancer stood out, with 0.9 per cent of patients taking blood pressure drugs developing a new lung cancer compared with 0.7 per cent of patients in the control arm.

The drugs did not appear to increase the risk of death from cancer, but the team said cancers can develop slowly and cancer deaths might not show up in the relatively short studies.

Just three out of seven FDA-approved drugs - telmisartan, losartan, and candesartan - were studied, and it is not clear what affect other drugs in the class might have on cancers.

Nevertheless, they said given how widely the drugs are used, the risk is worth further study.

Other experts stressed that patients need to keep taking their blood pressure medications.

"At the moment there isn't enough evidence to draw any firm conclusions about how blood pressure drugs might affect cancer risk and this will need further investigation," Martin Ledwick, head information nurse at Cancer Research UK, said in a statement.

Jun 18
Vitamin B6 May Lower Cancer Risk
New research published in the Journal of the American Medical Association suggests that lung cancer may have a formidable foe in both Vitamin B6 and the amino acid methionine.

Dr. Paul Brennan, PhD, and his colleagues from the International Agency for Research on Cancer in Lyon, France found the association present in non-smokers, those who had quit, and current smokers.

Study Details

Brennan and his colleagues found their participants through the European Prospective Investigation into Cancer and Nutrition (EPIC). They focused on 899 lung cancer patients and compared them to a healthy control group of 1,770 participants after checking their blood levels for methionine and B6.

They found that those with higher levels of B6 had a 56% reduced risk of lung cancer, while those with elevated levels of methionine had a 48% reduced risk of developing the disease. Although more research needs to be done to determine if the link is causal or not, prior studies into B6 were limited in that the focus was entirely on smokers.

He also added that the benefit could possibly come from the fact that a deficiency in B6 could elevate the risk of genetic mutations and DNA damage.

More B6 News

This isn't the first time that B6 has been associated with a reduction in cancer risk. In 2005, Dr. Joseph Mercola published a report on a study of 67,000 women between the ages of 40-75 that linked the vitamin to a reduction in colorectal cancer risk (mercola.com).

The women were asked specifically about their diets, family history of colorectal cancer and their intake of supplements. The research showed that women with higher levels of B6 were 70% less likely to develop the disease; the study also showed, interestingly, that a moderate intake of alcohol was also associated with reduced risk.

B6 is found in beans, fish, poultry, grains and some fruits and vegetables. Methionine is found in animal protein and in some nuts and seeds.

Jun 17
Menopause affects 2 percent of elderly men
Scientists have identified symptoms of male menopause but they say this impacts just two percent of elderly men unlike the female menopause that affects all women.

Male menopause is relatively rare and is linked to poor health and obesity. The findings should provide new insights to physicians prescribing male testosterone therapy.

The researchers from University of Manchester, Imperial College London, University College London and other European partners measured the testosterone levels of 3,369 men between the age of 40 and 79 years. Details were sought about their sexual, physical and psychological health.

The team found that only nine of the 32 symptoms were actually associated with low testosterone levels, the most important being the three sexual symptoms - decreased frequency of morning erection, decreased frequency of sexual thoughts (sex drive), and erectile dysfunction.

The study concluded that the presence of all three sexual symptoms, together with low testosterone levels was required to establish a diagnosis of late-onset hypogonadis (male menopause), although other non-sexual symptoms may also be present.

Other symptoms included three physical symptoms - inability to engage in vigorous activity such as running or lifting heavy objects, inability to walk more than one kilometre, and inability to bend, kneel or stoop.

Psychological symptoms included, loss of energy, sadness and fatigue. But non-sexual symptoms were only weakly related to low testosterone.

Additional symptoms, often associated with the male menopause were discounted as not being testosterone related. These includeed changes in sleeping pattern, poor concentration, feeling worthless, nervousness or anxiety and difficulty getting up from a chair.

Jun 16
Obesity can affect your sexual health
It is well known that obesity increases one's risk of developing type 2 diabetes, heart disease, stroke, high blood pressure and certain types of cancer, among other health problems. Now, a new study has concluded that obesity can harm an individual's sexual health too.

During the study, it was found that the rate of unplanned pregnancies is four times higher among single obese women than normal weight women, despite them being less likely to have been sexually active in the past year.

Obese women are less likely to seek contraceptive advice or to use oral contraceptives. Obese men have fewer sexual partners in a 12-month period, but are more likely to suffer from erectile dysfunction and develop sexually transmitted infections than normal weight men.

The research led by Professor Nathalie Bajos, Research Director at the Institut National de la Sante et de la Recherche Medicale in Paris, is the first major study to investigate the impact of being overweight or obese on sexual activity and sexual health outcomes such as sexual satisfaction, unintended pregnancy and abortion.

The authors undertook a survey of sexual behaviours among 12,364 men and women aged between 18 and 69 years of age living in France in 2006. Of the participants, 3,651 women and 2,725 men were normal weight (BMI between 18.5 and 25), 1,010 women and 1,488 men were overweight (BMI between 25 and 30) and 411 women and 350 men were obese (BMI over 30).

The results showed that obese women were 30 percent less likely to have had a sexual partner in the last 12 months. Obese men were 70 percent less likely to have had more than one sexual partner in the same period and were two and half times more likely to experience erectile dysfunction.

Sexual dysfunction was not associated with BMI among women. However, obese women under 30 were less likely to seek contraceptive advice or use oral contraceptives.

They were also more likely to report an unintended pregnancy. Obese men under 30 were far more likely to have had a sexually transmitted infection.

Obese women were also five times as likely to have met their partner on the internet, more likely to have an obese partner, and less likely to view sex as important for personal life balance.

The authors suggest that social pressure, low self-esteem and concerns about body image may help explain these findings.

The authors conclude that the public health impact of these findings is important.

They said: "The scale of the problem and the magnitude of the effects (particularly the fourfold increase in risk of unintended pregnancy among obese women) warrants focused attention. In terms of targeting advice and care, a considerable proportion of the population is obese, is easily identified as such, as is at increased risk in terms of poorer sexual health status."

Jun 16
Ketan Desai admitted in AIIMS
Ex-Medical Council of India chief Dr Ketan Desai, in judicial custody for a graft case, has been admitted to the All India Institute of Medical Sciences (AIIMS) for treatment of a bacterial infection on his face. Desai, who has been lodged in Tihar Jail, was admitted in the old private ward of the AIIMS surgery department on June 11. He is undergoing treatment for a pus cavity or abscess caused by bacterial infection on his eye, said doctors.

Jun 15
Indian-American receives prestigious oncology award
Indian-American medical oncologist Sanjay Goel has won a USD 450,000 award for his unique, patient-oriented approach to colorectal cancer research.

Goel is a researcher at Montefiore Medical Centre and Albert Einstein College of Medicine has been presented with The American Society of Clinical Oncology Cancer Foundation's Advanced Clinical Research Award.

The Indian-American received the award at the 46th Annual Meeting of the American Society of Clinical Oncology (ASCO) in Chicago recently.

Goel is one of three recipients of the award, which is presented annually to physicians who have 5 to 10 years of experience and are full-time faculty members in a clinical setting at an academic medical centre.

Each winner receives a 3-year award totalling USD 450,000 to support original research that is currently not funded.

Jun 15
Pregnancy linked to OCD symptoms
Pregnancy may worsen or trigger obsessive compulsive disorder in some women.

Obsessive-compulsive disorder , or OCD, is an anxiety disorder in which people have persistent, unwanted thoughts that compel them to repeat routines and rituals over and over. An obsession with germs or cleanliness, for example, may drive a person to wash his or her hands constantly throughout the day. A few studies have found that OCD can also arise during or soon after pregnancy, and that pregnancy may worsen OCD symptoms in some women who already have the disorder.

To examine the impact of pregnancy, childbirth, and menstruation on OCD, researchers used medical records and interviews with 126 American women treated at the Yale OCD Clinic.

It was found that of the 78 women who had ever been pregnant, 24 (32 percent) had their first OCD symptoms during or soon after pregnancy. When the researchers looked at pregnancies among women with pre-existing OCD, it was found that the women's OCD symptoms worsened one-third of the time. In a smaller number of pregnancies (22 percent) symptoms actually improved.

It was also found that women whose pre-pregnancy OCD typically got worse in the premenstrual period were at greater risk of exacerbations during pregnancy. That finding supports the notion that there is a hormone-related subtype of OCD that affects some women.

Jun 14
New study links smoking to colorectal cancer
In a new study, smoking was found to have a strong association with the presence of flat adenomas (precancerous polyps) in the colon and may explain the earlier onset of colorectal cancer in smokers, as well as the advanced stage with which they present when compared to nonsmokers.

Flat adenomas are more difficult to detect and have more aggressive pathology than the typical raised type of polyp detected during colorectal cancer screening.

Colorectal polyps, which are growths residing in the lining of the colon or rectum, start as a small colorectal polyp known as an adenoma and their removal is the key to prevent colorectal cancer.

"Little is known regarding the risk factors for these flat lesions, which may account for over one-half of all adenomas detected with a high-definition colonoscope. Smoking has been shown to be an important risk factor for colorectal neoplasia in several screening studies," said study lead author Joseph C. Anderson, MD, Neag Comprehensive Cancer Center, University of Connecticut Health Center, Farmington, Conn.

The study found that in 600 asymptomatic patients who underwent screening colonoscopy, smoking was associated with the presence of flat adenomas. The patients were examined using colonoscopy and divided into groups of non-smokers, heavy smokers and low-exposure smokers. After a multivariate analysis, heavy smoking was the only variable that was found to be predictive of advanced flat colorectal neoplasia.

Jun 14
H1NI flu cases rise to 30 in Kerala
Incidence of swine flu cases continued to be reported in Kerala with the total number of patients who tested positive this month increasing to 30 by last night.

According to H1N1 monitoring cell of the health department, the highest number of 16 cases were reported from Thiruvananthapuram followed by Kollam (7), Kannur (3) and Alappuzha, Ernakulam, Thrissur and Malappuram one each.

However, no death has been reported after one patient died of the infection at Ernakulam General Hospital on June 9, taking the H1N1 toll in the state to 47 since its outbreak last year.

Meanwhile, the spread of other types of viral fever continued to cause worry in several parts of the state with patients pouring into government and private hospitals.

However, health department sources claimed the siutation was under control and all possible measures had been taken to check the spread of the disease.

In many of the fever cases, the patients were given medicine and were asked to take bed rest at home since there was no need for hospitalisation, a health department spokesman said.

Mobile medical services had been pressed into service in worst affected areas. Hygiene campaign had also been stepped up with the involvement of state agencies, civic bodies and NGOs since viral infections were caused by mosquitoes.

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