Monday, April 23, 2018

Endoultrasound being used to identify and manage malignant tumours.

New equipment to target malignant tumours

Endoultrasound being used at Stanley hospital

A new equipment, endoultrasound (EUS), used by the Government Stanley Hospital, has been able to identify and manage malignant tumours.
The equipment, the only one of its kind in a government hospital in the State, has been used for both diagnostic and therapeutic purposes.
Patients with pancreatic cysts, tumours or necrosis were being treated at the hospital. M.S. Revathy, head of medical gastroenterology, said the EUS was used on 210 patients, many referred from other government hospitals, and in most of them, malignant tumours had been diagnosed.
The EUS can be used to identify tumours starting from oesophagus, Dr. Revathi said.
“If there is a tumour in the lymph node surrounding the oesophagus with the ultrasound, we are able to differentiate between tuberculosis and malignant tumours,” she said.
It requires just sitting for the patient and within 20 minutes, the doctor would know the result and thus plan management of the ailment.
The EUS has also helped in treating patients with pancreatic cysts.
We are able to differentiate between TB and malignant tumours
M.S. Revathy
Government Stanley Hospital

Experts dub doctor’s stem cell technique flawed,

Experts dub doctor’s stem cell technique flawed, fraudulent

TNN | Apr 24, 2018, 05:40 IST
Like India, Sri Lanka’s scientific community doesn’t sanction stem cell therapy as a treatment for neurodevelopmental disorders, but there are no laws prohibiting it.
Alleging that Sion Hospital’s Dr Alok Sharma screened patients in a Colombo hotel after delivering a talk on the subject, the Sri Lanka College of Paediatricians (SLCP) put out a public notice warning people from falling prey to “unproven and exploitative therapies”.


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Speaking to TOI, SCLP member Dr Samanmali Sumanasena expressed anger at Dr Sharma allegedly marketing the therapy for sums nearing Rs 6.6 lakh. “He or the company (NeuroGen Brain and Spine Institute, Navi Mumbai) had no authority to screen patients in our country without our medi council’s approval,” she said.


Dr Sharma is unfazed by the uproar. “The Lankan community has reacted just the way Indian doctors have over the years. We have MRI and PET scans of 1,200 children to show how stem cells have improved the problematic areas of the brain in autistic children. Nearly a third of these children have gone out of the autism spectrum.”


Explaining the technique, he said he injects stem cells derived from the bone marrow of such children and therefore it’s absolutely safe. But this very mechanism has been dubbed as flawed and even fraudulent by experts. Paediatric neurologist Dr Vrajesh Udani said, “Researchers have zeroed down on 11 genes that are believed to be involved in the pathogenesis of autism. Hence, whatever genetic defects a child has will also be present in the bone marrow. Also, it is unethical to charge patients for an experimental therapy.”


ICMR’s member Dr Geeta Jotwani said its guidelines don’t approve of stem cell use for autism (see graphic). “We framed norms keeping international regulations and research advances in mind,” she said. “The guidelines have a provision for clinical trials as well.” But Dr Sharma implied that conducting a clinical trial would mean depriving some children from stem cell therapy “that works”.

Sunday, April 8, 2018

Srinagar, April 08 (KMS): In occupied Kashmir, medical evidence is mounting to show the devastating effects like blindness of eye injuries caused by metal pellets fired from shotguns by Indian troops on protesters.
The ongoing use of the indiscriminate pellet guns has blinded 1,314 people in occupied Kashmir since 2016 alone. The so-called non-lethal weapon has also caused deaths since it was introduced in the territory during the public uprising of 2010.
A number of empirical studies conducted on Kashmiri victims of the weapon recently published in international scientific journals emphasised the irreversible nature of damage caused to their eyesight. “Pellet injuries in eye causes serious visual decline due to vitreous hemorrhage, cataract and retinal detachment,” states a research paper titled Management of Ocular Pellet Injury published in Global Journal of Medical Research (US).
The study, first since 2016 when mass scale pellet injuries were caused in Kashmir, has been carried out by doctors from an eye hospital in Amritsar on pellet victims visiting from Kashmir for treatment. According to this study, chances of regaining normal vision in a pellet victim eye were minimal.
Another study titled ‘Pellet Gun Fire Injuries in Kashmir Valley – Cause of Ocular Morbidity’ has documented how chances of improvement of vision “remained poor despite development of advanced micro-surgical techniques”. The findings were published in Journal of Evolution of Medical and Dental Sciences.
Researchers found over 50 percent of eyes injured by pellets “had only perception of light” at the time of presentation in the hospital, “reflecting the severe nature of trauma caused by gun pellets”. After multiple surgical interventions, the final corrected vision remained “unchanged” in about 35 percent of victims, researchers found.
“About 50 percent of the cases had final corrected visual acuity less than 6/60” according to the study, meaning the person is able to see something at only 6 meters what someone with standard vision could see from 60 meters away.
An earlier study published in international journal of Medical Science and Public Health found that only 16 percent of people who had been hit by pellets in eyes had vision more than 20/40, meaning “vision half good as normal”.
The rest, 84 percent pellet victims, had blindness of varying degrees. One in three could not see beyond movement of hands in front of their injured eye. An article published in Indian Journal of Medical Ethics in 2016, quoting from various clinical studies on pellet injuries concludes that the weapon was “far from being a benign non-lethal weapon” and has “far-reaching human costs”.
Since the widespread protests sparked by the killing of BurhanWani in July 2016, some 1253 victims of eye injuries caused by pellet guns were treated at SMHS Hospital Srinagar. The use of pellet guns causing “dead eye epidemic” in Kashmir in 2016 caused an international outrage.

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