To explain it shortly, nanotechnology, although useful, has many inherited pitfalls. There are more chances of it being used for destructive purposes, as I perceive! The ‘user’ of the technology must be an extra-capable ? a genius humanbeing ... Read More »

Is it justifiable to recommend lipid lowering agents to every diabetic patient?
I remember the only   well-established   outcome of various research activities on usefulness & effectiveness of lipid lowering agents, like ‘Clofibrate’, ‘Gemfibrozil’   & others in the past ... Read More »

Although MI, fortunately, is an uncommon entity in young adults aged less than 45 years, it constitutes an important problem for both the patient and the treating physician. It has a devastating effect on the more active lifestyle of young patients. These young patients also have a different risk factor profile, clinical presentation, and prognosis in comparison with older patients, which has to be taken into consideration when treating these young adults presenting with MI. The increased prevalence of risk factors for CHD may set up an alarming trend.
Substance misuse, coronary artery anomalies, premature coronary artery disease, and hypercoagulable state have to be considered in all patients with suspected MI who are less than 45 years. Early stabilisation should be followed by risk stratification, and early revascularisation, where appropriate, should be offered as it carries a better clinical outcome. Risk factors modification should be emphasised. We strongly emphasise the importance of secondary preventive measures in all young patients admitted with MI as the long term mortality can reach up to one third if not treated appropriately. ... Read More »

Failure of thrombolysis with streptokinase was associated with:
1. Higher rate of recurrent acute coronary syndrome (OR 2.49, 95% CI 1.16 – 5.32)
2. Mortality after one year (OR 7.61, 95% CI 0.95 - 61.24) ... Read More »

When people are observed or monitored, their performance is affected – this is the Hawthorne effect in a nutshell. This is regardless of the condition in which they are monitored. Henry A. Landsberger first observed this while analyzing older experiments from 1924-32 conducted in Hawthorne Works, a Chicago electric ... Read More »

The traditional way of replacing a diseased aortic valve is through a stenotomy incision and open heart surgery. When patients are turned down for surgery, they have, until recently, been treated conservatively. Prognosis for this group of patients is very poor with most of them dying within 2 years of presenting. Over the ... Read More »

^{About a poster I presented at WONCA Europe 2011} ... Read More »

The 2009 H1N1 pandemic influenza highlighted one of the most significant new tools in tracking epidemics – the Google Flu Trends. Google is one of the most popular search engine used by millions to search for information about anything and everything under the Sun. More and more people are using Google to search for ... Read More »

In the coronary artery bypass (CABG) operation, saphenous vein is harvested from the leg for use as a conduit to bypass stenoses in coronary arteries. This harvesting can be done in 2 ways - open harvest i.e. using an incision that is as long as the length of vein required or endoscopic harvest using a 3cm incision above ... Read More »

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