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Feb 05
Bone marrow donors up but not enough: docs
Even as more people are coming forward to register for bone marrow transplants, doctors maintain that the numbers are still not enough to meet the needs of leukemia and other blood cancer patients in the country.

In India 40,000 patients need bone marrow transplant on a given day. "Of the total blood cancer patients, one third will find a match in brothers or sisters but the rest will not get a match and hence a registry of unrelated donors is important. India needs at least 1,00,000 donors to make a strong database for match," said Dr Navin Khatri, secretary, Marrow Donor Registry (India), Tata Memorial Hospital.

At present, around 1,700 donors have registered with the Marrow Donor Registry (India) based in Tata Memorial Hospital. "In 2004, there were attempts to make marrow donor registry with funds from government. But it did not work out. In 2009, Marrow Donor Registry (India) was set up with the help of its counterpart in UK," said Dr Sunil Parekh, chairman, Marrow Donor Registry.

On World Cancer Day today, doctors will urge people to pledge as donors. "We have posted two short films of four minutes each on Youtube. The idea is to create awareness among youngsters," said Dr Parekh. "We also go to companies, colleges, social and religious organisations, clubs and distribute booklets and pamphlets," said Dr Neelam Nizara incharge of blood bank at Raheja Hospital.

There are around three ways to donate bone marrow. "The donor receives anesthesia. The doctors use hollow needles to withdraw liquid marrow. Donor might feel soreness in the lower back for a few days but the marrow will be completely replenished within four to six weeks," said Dr Parekh.

The second way is through peripheral blood stem cell donation. "This is to increase the number of blood-forming cells . Donor may experience side effects like headache or bone, muscle ache. The blood will be removed through a sterile needle," said Dr Parekh.

Feb 04
Unknown Factor In Heart Failure Found
In a joint study, scientists have discovered that the decreased release of the neuro-transmitter acetylcholine, a chemical messenger slows cardiac activity contributing to heart failure.

Heart failure is the result of a combination of conditions like coronary disease, high blood pressure, diabetes and high alcohol or drug consumption. According to the scientists, two opposing divisions of the autonomic nervous system control cardiac activity. The sympathetic nervous system increases the heart rate, while the parasympathetic system by releasing acetylcholine slows it down.

Experts from the Robarts Research Institute at The University of Western Ontario in collaboration with Brazilian scientists using a genetically-modified mouse line identified a lowered release of the chemical messenger slowed cardiac activity, thus contributing to heart failure.

Robert Gros, a cardiovascular researcher from the Canadian university said that their mouse model showed, even if the sympathetic nervous system is functional, if the parasympathetic system is dysfunctional or under-performs, the end result is still a a sick heart.

One of the striking finds was that heart dysfunction in the study mice was correctable by treating the rodents with an existing drug called Pyridostigmine, which increased acetylcholine levels. However, further study is required though these findings provide a novel opportunity for treating failing hearts.

Currently, the drug Pyridostigmine has been approved for treating certain cases of muscle weakness.

The study's findings have been published online in Molecular and Cellular Biology.

Feb 03
Exercise good for schizophrenics' brains
A new study has found that exercise may increase volume in hippocampus of the brain of schizophrenic patients.

The study has appeared in the February issue of Archives of General Psychiatry, one of the JAMA/Archives journals. Schizophrenia is associated with a reduced volume in the brain's hippocampus, which helps regulate emotion and memory.

The authors write: "In contrast to other illnesses that may display psychotic features, such as bipolar disorder, schizophrenia is often characterized by incomplete recovery of psychotic symptoms and persistent disability.

"These clinical features of illness may relate to an impairment of neural plasticity or mechanisms of reorganizing brain function in response to a challenge." Frank-Gerald Pajonk of The Saarland University Hospital, Homburg, and Dr. K. Fontheim's Hospital for Mental Health, Liebenburg, Germany, and colleagues examined changes in hippocampal volume in response to an exercise program in both male patients with schizophrenia and men who had similar demographics and physical characteristics but did not have the condition.

Eight participants with schizophrenia and eight controls were randomly assigned to exercise (supervised cycling) three times a week for 30 minutes, while an additional eight patients with schizophrenia played tabletop football for the same period of time. All participants underwent fitness testing, magnetic resonance imaging of the hippocampus, neuropsychological testing and other clinical measures before and after participating in the program for 12 weeks.

It was seen that following exercise training, hippocampal volume increased 12 percent in patients with schizophrenia and 16 percent in healthy controls. The authors said: "To provide a context, the magnitude of these changes in volume was similar to that observed for other subcortical structures when patients were switched from typical to atypical antipsychotic drug therapy." It was also seen that patients with schizophrenia who played tabletop football instead of exercising experienced a 1 percent decrease in hippocampal volume.

Aerobic fitness also increased among those who exercised, and improvement in test scores for short-term memory was linked to increases in hippocampal volume among patients and healthy controls.

Feb 02
Doctors live less than others: Study
Doctors help people stay healthy and live long but, sadly, their own lifespan gets shortened because of their work. A survey by the Indian Medical Association (IMA) has revealed that the longevity of Indian doctors on an average is around 58-59 years. This is almost 10 years less than the average lifespan of the general population.

The IMA's Pune chapter arrived at this conclusion after an analysis of the association's social security scheme (SSS) for 5,500 doctors from Maharashtra and over 11,000 across the country registered with it.

IMA Pune chapter's president, Dr Dilip Sarda, told DNA that their data of the last five years indicated that the average lifespan of a doctor pointed to an alarming trend.

"An average Indian lives up to around 70 years of age," he said. "But doctors on an average live only up to 55 to 59 years. It has also been noticed that most of the early deaths among doctors are sudden and caused by cardiac arrest."

Dr Sarda further said that, every year, 12 to 15 doctors in Maharashtra and around 30 doctors across the country died before they were 60. Stress, a sedentary lifestyle and lack of exercise were the main causes of death in these cases, he said.
"They tend to become obese and are under great stress," he said. "Most of them are hypertensive and diabetic. These conditions reduce their chances of living longer."

Dr Sarda blamed doctors for their unhealthy lifestyle. Their sedentary and stress-ridden lifestyle took a heavy toll on their health and was mainly to blame for reduced life expectancy, he said.

The IMA, Pune chapter, has started a yearlong weekly Suryanamaskar session for doctors. It may sound strange to many but the IMA has also organised routine medical examination for medical practitioners.

Feb 02
India, Sweden join hands in health care
India would soon swap with Sweden yoga and ayurveda for diagnostics and medical education.

"A road map would be collectively charted out in this regard very soon," said Union Health Minister Ghulam Nabi Azad. Swedish Minister for Elderly Care and Public Health Maria Larsson was also present at the inauguration of Indo-Swedish health week in the capital on Monday.

Maria Larsson expressed hope that both the countries can benefit from each other's strengths in the area of public health and the size of her delegation bears a testimony to the interest that India has generated in her country.

Azad said that India is ready to partner in the field of geriatric care and mental health particularly for developing faculty and human resource to sustain our national programmes.

"While we are a young country, the absolute number of people who are above the age of 65 years is huge and growing very fast. This segment of the population requires specialised care which currently is provided from within the families. But with economic progress, large families are giving way to micro families leaving the elderly quite vulnerable to disease and distress," Azad added. He said, "India supports Sweden's view in controlling risk factors of alcohol that a global strategy has to be adopted by the World Health Assembly in May 2010.

Azad also pointed out the Swedish Council of Working Life will conduct the Public Health Summer School in 2010-11. The school is an innovative concept to institutionalise exchange of ideas between young research scholars from India and Sweden. The Indo-Swedish health week, to commemorate the first anniversary of the signing of the MoU between the two countries, is being observed from February 1-5.

Feb 01
Vaccine 'could cut HIV TB deaths'
A vaccine could cut tuberculosis cases among HIV-positive Africans by almost two-fifths, a US study suggests.

The lung infection is the most common cause of death among HIV patients in the continent.

Journal Aids reports that Dartmouth Medical School research involving 2,000 people found significantly fewer TB cases in vaccinated patients.

An expert said the jab could be a cheaper option for countries struggling to find money for extra anti-HIV drugs.

HIV patients are particularly vulnerable to TB because their immune systems are compromised.

The vaccine works by boosting the immune responses of patients who have already been given the BCG vaccine earlier in life.

In itself, the BCG jab may offer some protection against TB, but this is far from certain, and protection may only last a few years after immunisation.

The researchers from Dartmouth Medical School in the US tested it among 2,000 HIV positive patients in Tanzania over a seven-year period.

The number of confirmed TB cases was 39% lower in the vaccinated group.

First vaccine

Professor Ford von Reyn, who led the study, said it was a "significant milestone".

One theory now suggests that patients could be given the booster jab as soon as they are diagnosed with HIV, before antiretroviral drugs are needed.

Alvaro Bermejo, executive director at the International HIV/Aids Alliance, said that the other way of fighting TB in HIV patients might be to give them antiretrovirals earlier, an expensive option compared with a vaccination programme.

He said: "This is a very important finding - it is the first time we are going to have a vaccine which is influential in preventing opportunistic infections in HIV patients.

"TB is a massive problem - a third of people living with HIV in Africa are infected with it.

"The reduction of 39% seen in Tanzania, although not fabulous, is a good result."

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