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Georgian

     Georgian Georgian Georgian

    MAY 2008 Vol. 2/08

     THE ALUMNI NEWSLETTER

    completely at odds with the nature of the Medical

    University. Professors can‟t impose their personal

    dress preferences on students. It‟s even worse when an

    entire department seeks to impose a dress code. And it‟s probably illegal. I however have a different point of

    view. DRESS CODE FOR MEDICAL

    One of the cool things about college is the freedom STUDENTS allotted for students to be themselves. They are given

    carte blanche to let their individuality shine through their appearance. Standards tend to become more lax as s there a prescribed look for a doctor? Well, time passes. It used to be that college and university whether you like it or not, the society expects a life were highly esteemed realms of academia where it doctor to look like one smartly dressed in a I was important to look your best. This meant a shirt and formal attire and proper footwear, clean shaved or well tie and maybe even a blazer for men and, given the manicured beards in case of males and a well managed standards of the time, a nice, conservative dress for set of hairs and finger nails in case of ladies, an overall women. Today, it‟s not uncommon to see people in sober personality, not casually sloppy and neither too their pajamas, as if they just rolled out of bed 15 gaudy and flashy. Which brings us to the question of minutes before coming to class. There are also people how should a „doctor in the making‟ dress up. Here we who appear to have just come from the gym or who are have a bunch of adolescents who have just graduated going to the gym right after class. All standards for from a regimented school life into the free world of personal attire have been sacrificed in the name of College. Will it be fair to expect them to adhere to a comfort and convenience. These stark differences fresh set of dress codes, or is it the time to let them reflect on societies and the social standards of their express themselves in every way they can and let them respective time periods. I object to people looking like acquire a personality? The issue is not so simple, slobs in class, hence a proper dress code. particularly in professional colleges, and specifically in those professions which deal with the public at large "Dress for success" is a quote used by many people in right from the period of training. the market and in the industry today. I subscribe to this quote. I feel that a person must dress according to the It's a free country. Why then a dress code in college? place that he or she wants to be in life. As college The recent move by the Mumbai University Vice students, we are being prepared to enter the Chancellor to impose `modest dressing' by students professional ranks of many different fields. One didn't cut much ice. It was scrapped later. But the common factor in all of these professions is proper Archbishop of Mumbai, Cardinal Ivan Dias's statement dress. This can be a catalyst to a new attitude. One of to dispense with `casual dressing' in church and the positive effects is the construction of a professional religious functioning soon after that, has set society wardrobe. The attire that we buy as students will also thinking about dress codes. Many feel that uniforms be appropriate when we enter the professional ranks. are the best option in colleges because financial One thing most new employees stress about is having disparity is not loudly proclaimed and young hearts are the proper attire as they start a new job. Another not wounded. Certain Medical and Engineering positive aspect to having a dress code is that the colleges have uniforms, and the students of A.F.M.C possibility of clothing being a distraction is greatly easily stand out in the crowd. But what is college decreased. In business-casual clothing, it is less likely without some colour, some vibrancy! that tattoos, body piercing or other distracting things will be revealed, and if you think they are not common The worst part of dress codes is that they seem to send in India you are not paying attention to the students. a message of conformity and repression (that‟s why corporations and conservative religious colleges like A change in clothing also brings about a change in them). The suppression of individual freedom is attitude and self-confidence. I feel that if you dress

    successful, you feel successful, and you will become ? Shorts of any style successful. Successful people always remain open to ? Funky hair colours change. A proper dress code, not a uniform, is a needed ? Clothing which might embarrass or offend and it will bring a positive change for our campus. The others will not be worn University administration has made many plans to upgrade the quality of our education and in turn • If for religious, medical or cultural reasons, there is increase the respect the institution and the students a need to deviate from this policy like wearing a hijab receive. I view the dress code is needed to further or a turban, which certainly should not be an issue. augment our transformation into an elite institution of higher learning. Most city colleges and professional colleges have a dress code, some written and some unwritten, but the So what is a professional dress for a Medical student? girls and boys generally don't seem to mind, because Professional dress is required for classes, they have several other avenues to wear all those funky laboratories, experiential Units, all rotations, and at all outfits. There's so much to study these days that one times in patient care areas. cannot think of spending too much time on dressing, • A KGMU identification badge must be worn on an anyway, and there are so many celebrations in a year outer garment as close to eye level as possible. when one can just freak out, so why fret? These codes White aprons must be worn and be clean and neatly are based in part on safety concerns as well as the pressed. facilitation of effective professional interactions with Footwear should be clean and appropriate for the faculty, fellow students, staff and patients and relatives setting (no athletic shoes or sandals). in the community. The move is a dramatic shift for Men should wear a light coloured shirt, tie, and full-students accustomed to coming to class in hoodies, length pants flip-flops, and tank tops. Clothing that works well for Women should wear a dress or, blouse or sweater the beach, yard work, dance clubs, exercise sessions, with a sari, a salwar suit or dress pants (of appropriate and sports contests are not appropriate for a length). professional appearance. Cosmetics should be used in moderation. Perfumes, colognes or heavy fragrances should not In a Government College, especially, where students be used, as many people are offended by, or allergic to, from all backgrounds come, a dress code is essential to chemical scents or odors. break down differences. Anyway, wearing fancy and Jewelry should be conservative in style and kept to a tight clothes in such colleges is a part of showing off. minimum to prevent loss or injury to self or patients. They surely should concentrate on studies, instead; Visible pierced body jewelry should be limited to two uniforms are the answer in regular colleges too, so that small pairs of earrings in earlobes. Dangling earrings students from the economically weaker sections do not and bracelets/bangles should not be worn. develop a complex. In a professional college, it is Wristwatches may be worn. Rings, bracelets, necklace better that boys and girls wear formal wear because should not interfere in patient care. Jewelry is to be they are gearing up for responsible jobs. The removed if it is excessive and/or interferes with safe justification of a dress code is that it helps prepare delivery of patient care. students for the professional world by creating an Fingernails must be clean, short, and neatly trimmed. environment that parallels demands students will face Clear or light colored nail polish is acceptable. in the future. Almost all of them will soon be a part of Extreme nail polish colors and artificial fingernails, that professional world, so it‟s not such a bad idea to tips, wraps or fillers may not be worn. get a little practice first. For how long can they Inappropriate attire for professional settings continue to look like slobs and yet expect to be taken includes: seriously by this world?

    ? T-shirts

    ? Isolation gowns or patient gowns

    ? Recreational attire including: exercise/jogging

     shorts or sports outfits

    ? Mini skirts, sun dresses, halter tops, tank tops

    CURRENT AFFAIRS ? Blue denim jeans and pants made of spandex CURRENT AFFAIRS

    or lycra material

     ? Party clothes such as glitter, sequins, or other

    evening attire WE HAVE A NEW VICE CHANCELLOR ? “Revealing” clothes such as low-cut, sheer, see-through, or tight/form fitting attire

     ? Leather clothing On March 8 Prof Saroj Chooramani Gopal took over as ? Dark glasses (except for documented medical the Vice-Chancellor, of King Georges' Medical reason) University. Prof Saroj, who is the first woman vice-? Head wear including hats, sweatbands, and chancellor of CSMMU, was talking to newspersons bandannas

    ? Surgical scrubs worn by non-OR staff

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    soon after taking charge on March 8, which both print and electronic media in order to create incidentally was also International Woman‟s Day. awareness and better knowledge about HIV/AIDS

     among the doctors and patients in the community.

    She said that she will try to introduce Patients were distributed sweets and high tea was also

    career counseling for MBBS students, arranged for them. Nurses (Sister Dolly Victor, N.J.

    particularly girls, to help them have a Singh and Arti Sarkar) of the CSM Medical University

    clear vision about what they want to do tied red ribbons to faculties, employees and

    in future. Girl medicos normally opt for administration workers of the whole CSM Medical

    gynaecology, ophthalmic and non-University in order to create awareness regarding

    clinical branches of medicines and HIV/AIDS in the general public. For this purpose rarely seen in branches like neurosurgery, oncology etc. pamphlet distribution was also done in general mass. Prof Saroj recalled she also had faced opposition when The program turned out to be a great success after doing MBBS in 1966 she decided to pursue

    general surgery, which has been traditionally a male domain. She even had to threaten her college principal of going to court to seek admission in general surgery. WORKSHOP ON VAGINAL WORKSHOP ON VAGINAL It was this courage which made her first woman RECONSTRUCTIVE SURGERY RECONSTRUCTIVE SURGERY general surgeon in the state and later first woman to graduate as paediatric surgeon from AIIMS, New Delhi. The Department of Obstetrics & Gynecology and Urology in association with Lucknow Obstetrics & Known for her honesty, simplicity and an unflinching Gynecology Society organized a one-day workshop on dedication towards medical profession, the former dean „Vaginal reconstructive surgery‟ on February 7, 2008. of Institute of Medical Sciences (IMS), Benaras Hindu Dr C. H. Vander Vaart from Dept of Perinatology & University (BHU), Prof Saroj is not only the first Reproductive Medicine, University Medical Center, woman to become the vice-chancellor of CSMMU but Utrecht, Netherlands and Dr J. P. W. R. Roovers from also the first woman paediatric surgeon of the country Department of Obstetrics & Gynecology, Academic to have graduated from All India Institute of Medical Medical Center, Amsterdam, Netherlands performed Sciences (AIIMS). Earlier, Prof PK Misra had served complex surgical procedures like sacrospinous fixation KGMC, now CSMMU, as first woman principal. Prof of uterus with amputation of anterior lip of cervix in Saroj‟s commitment towards patient care could be patient of second degree uterovaginal prolapse, Apogee gauged from the fact that she performed an emergency with anterior colporrhaphy for rectocele and cystocele operation even on her wedding day. “It took her almost and Pergee with right sided sacrospinous fixation with five hours in the operation theatre and by the time she perineorrhaphy for third degree uterovaginal prolapse came out, the wedding muhurat was already over,” with cystocele and rectocele. informed a doctor in BHU. Apart from the operative demonstration, there were lectures on various aspects of stress urinary

    incontinence and pelvic floor weakness. Prof D Dalela (Dept of Urology, CSMMU) discussed the „Diagnostic WORLD AIDS DAY approach in a case of incontinence in women‟, Dr SN

    Sankhwar (Dept of Urology, CSMMU) presented

    „Newer trends in pelvic floor repair‟ and Dr Apul Goel World AIDS Day was celebrated by the Department of

    (Dept of Urology, CSMMU) discussed the „Patho-Medicine on 1ST December 2007: Awareness and

    physiology of stress urinary incontinence.‟ About 60-knowledge about HIV/AIDS is of paramount

    70 delegates from the city attended the workshop. Prof importance in control of HIV/AIDS. The Antiretroviral

    Vinita Das was the organizing chairperson. therapy Center (ART Center UP 02), Medicine OPD,

     Medicine Department, C.S.M. Medical University

     Lucknow organized an awareness quiz on the occasion

     of World AIDS day on 1st December, 2007 in which

    FOUNDATION DAY OF DEPARTMENT OF approximately 100 HIV patients actively participated FOUNDATION DAY OF DEPARTMENT OF

    PSYCHIATRY and were benefited with the information given. Prizes PSYCHIATRY were distributed by Dr. Ashok Chandra, Head of

    Department, Medicine Department, C.S.M. Medical

    University Lucknow on the basis of the scores patients The Department of Psychiatry celebrated its gained in the quiz as well as the advice they shared Foundation Day on February 18, 2008. Prof Rudra with others. First prize was given to Mr. Hari Om, Prakash, Clinical Professor of Psychiatry, Vanderbilt second and third to Mr. Pankaj Gupta and Mr. University, Tennessee, USA delivered the Foundation Narendra respectively. Best suggestion awards were Day Oration. The topic was „Homelessness and mental given to Ms. Taranum and Mr. Ram Prasad. The Nodal health: east and west.‟ Prof Prabhat Sitholey, Prof and Officer, ART Center, Prof A.K. Tripathi was present in Head presented the annual report of the department. the quiz along with other members of the ART unit. He also told about the treatment adherence importance to UROLOGY SYMPOSIUMUROLOGY SYMPOSIUM the patients. There was wide coverage of the event by

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    For the first time in its history, the university organized On the occasion of World Kidney Day, the Department

    an elaborate ceremony to bid farewell to outgoing of Urology organized a mini-symposium on „Strategies

    MBBS, MD/MS, diploma and DM/MCh students. The for preventing progression of renal failure‟ on March

    function was held on 11th February in the Scientific 15, 2008. Various topics related to renal failure were

    Convention Centre. Mohd Amir Mohammed Khan, discussed. The presenters were Dr Apul Goel, Dr

    Raja Mehmoodabad was the Chief Guest on the Vishwajeet Singh, Dr Deepak Dewan and Dr Manish

    occasion, which was presided over by the Vice Ahuja.

    Chancellor. The students were exhorted to serve the The Department of Urology also organized a

    ailing humanity with compassion ad always keep the symposium on „Pharmacomanipulation of urinary

    Georgian flag flying high. Each student was called out bladder: shifting focus from prostate to bladder in

    by name and a „tilak‟ applied on his or her forehead management of benign prostatic hyperplasia‟ for

    amidst the chanting of Sanskrit ‘shloks’. They were general surgeons with interest in urology on March 29,

    encouraged to donate to the Central Library Fund of 2008. The guest speakers were Dr Deepak Dubey

    the university by giving „Gurudakshina‟. Besides the (SGPGI), Dr D Dalela (CSMMU) and Dr Apul Goel

    Vice Chancellor, the Dean, Prof AM Kar, and the (CSMMU).

    Chief Guest, the students were addressed by 3 senior

    teachers. Four students also expressed their sentiments towards their alma mater through emotional

    speeches. The Chief Guest announced starting Raja FOUNDATION DAY AND WORKSHOP ON FOUNDATION DAY AND WORKSHOP ON

    LIPOPLASTYMehmoodabad CSMU Oration an annual event in LIPOPLASTY

     which an international or national luminary would be The Department of Plastic Surgery celebrated its 32nd invited to deliver an oration at the university. The Annual Foundation Day on April 3, 2008. On this function was followed by high tea. occasion Padamshri Dr JL Gupta, ex Head, Department

    of Plastic Surgery, Safdarjang Hospital, New Delhi thdelivered the 6 Late Prof RN Sharma oration on „Experience with organizing and running the largest burn unit of Asia.‟ An operative workshop on ndrdLipoplasty was also organized on 2 and 3 April, OPINIONS OPINIONS2008. Dr Satish Arolkar from Mumbai was the operating faculty. MEDICAL TOURISM WE HAVE A LOT TO CATCH UP! PROF. R.N. MISRA MEMORIAL ORATIONPROF. R.N. MISRA MEMORIAL ORATION An estimated 500,000 Americans traveled outside the Prof RN Misra Memorial Oration was organized on United States for medical care in 2006, and a large March 31, 2008. Dr Lalit Kumar, Professor, BRAIRC increase was projected for 2007 as part of the rapidly Hospital, All India Institute of Medical Sciences, New growing phenomenon of medical travel. Delhi delivered the Annual Oration on „Stem cell In 2005, hospitals in Thailand treated 1 million patients transplantation: its newer applications.‟ A book written from other countries. Hospitals elsewhere that reported by Dr Anupam Misra was also released on the occasion. treating high numbers of patients from other countries The function was chaired by Prof Saroj Chooramani included those in Singapore (375,000 patients), the Gopal. Philippines (250,000), India (150,000), and Malaysia (100,000). Medical travelers from the United States leave for a single, compelling reason: low cost. Almost all of these P.G TRAINING IN MAXILLO-FACIAL P.G TRAINING IN MAXILLO-FACIAL patients are uninsured. The cost of major procedures SURGERYSURGERY abroad is usually one-fifth to one-eighth the cost of those performed in the United States, so any travel Post Graduate Training Course in Oral & Maxillofacial expenses are insignificant. Surgery was organised from 31st March to 3rd April In the past, most U.S. medical travelers sought 2008. This was a joint venture of the Royal College of cosmetic surgery, which was rarely covered by Physicians & Surgeons (Glasgow, UK) and the insurance. Now, just 15% of patients travel for Department of Oral & Maxillofacial Surgery, CSMMU. cosmetic surgery. Many patients combine their The Chief Guest at the inaugural function was Dr Saroj postoperative recovery with vacations arranged by a Chooramani Gopal, Vice Chancellor, CSMMU. medical travel organization. Approximately 50 medical Organising Secretary was Dr Shadab Mohammed. tourism companies in the United States offer services. These companies charge a processing fee of a few hundred dollars, and receive a commission from the hospital to which the patient is sent. In addition, FAREWELL AND GOOD LUCK FAREWELL AND GOOD LUCK

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medical tourism organizations recently formed an 3 Hidden Battery Power

    association. Imagine your mobile battery is very low. To activate, Medical insurers and employers are discussing the press the keys *3370# Your mobile will restart with possibility of outsourcing expensive procedures for this reserve and the instrument will show a 50% their subscribers. Blue Cross/Blue Shield of South increase in battery. This reserve will get charged when Carolina has formed a medical travel organization as you charge your mobile next time. an affiliate, and their subscribers are covered for 4 How to disable a STOLEN mobile phone?

    medical and surgical care outside the United States. To check your Mobile phone's serial number, key in The Joint Commission has given accreditation to the following digits on your phone: * # 0 6 # organizations outside the United States since 1999 A 15 digit code will appear on the screen. This number through its subsidiary, Joint Commission International is unique to your handset. Write it down and keep it (JCI). The mission of JCI is “to improve the safety and somewhere safe. When your phone gets stolen, you can quality of care in the international community through phone your service provider and give them this code. the provision of education, publications, consultation, They will then be able to block your handset so even if and international accreditation.” the thief changes the SIM card, your phone will be Currently, 170 institutions in 22 countries are totally useless. You probably won't get your phone accredited by JCI. In addition to conducting back, but at least you know that whoever stole it can't educational activities, JCI sets standards that are use/sell it either. If everybody does this, there would be comparable to those used by the Joint Commission in no point in people stealing mobile phones.the United States and determines performance against the standards through triennial site visits by trained surveyors. Unless the incentive for medical travel is removed by BABY DROP OFF BOX the introduction of universal health insurance in the United States, the phenomenon is likely to increase. A Japanese hospital opened the country's only The globalization of health care is underway, and the anonymous drop box for unwanted infants on Thursday implications for the American health care industry are despite government admonitions against abandoning both obvious and disconcerting. babies. The baby drop-off, called "Crane's Cradle," was opened by the Catholic-run Jikei Hospital in the southern city of Kumamoto as a way to discourage abortions and the abandonment of infants in unsafe 4 NEW THINGS YOUR MOBILE PHONE CAN public places. The hospital described it as a parent's DO last resort. A small hatch on the side of the hospital allows people There are a few things that can be done in times of to drop off babies in an incubator 24 hours a day, while grave emergencies. Your mobile phone can actually be an alarm will notify hospital staff of the new arrival. a life saver or an emergency tool for survival. Check The infants will initially be cared for by the hospital out the things that you can do with it: and then put up for adoption. "We started the service 1 Emergency but hope it won't be used," head nurse Yukiko Tajiri The Emergency Number worldwide for Mobile is 112. said. "I hope it is seen as a symbol that we are always If you find yourself out of the coverage area of your here for parents to share their difficulty." mobile; network and there is an emergency, dial 112 But government officials warned the service might and the mobile will search any existing network to only encourage more abandonments. "In principle, establish the emergency number for you, and parents should not abandon their babies anonymously," interestingly this number 112 can be dialed even if the was the opinion of the Prime Minister, Mr. Shinzo Abe. keypad is locked. Try it out. Chief Cabinet Secretary Yasuhisa Shiozaki said it was 2 Open a locked car "fundamental for parents to raise their children with Have you locked your keys in the car? Does your car their own hands". have remote keyless entry? This may come in handy Similar baby drops exist in Germany and South Africa. someday. Good reason to own a cell phone: If you lock Some US states, such as Alabama and Minnesota, also your keys in the car and the spare keys are at home, have programs protecting identities of women who call someone at home on their mobile phone from your give up their babies. The drop box was set up after a cell phone. series of high-profile cases in which newborn babies Hold your cell phone about a foot from your car door were abandoned in parks and supermarkets, triggering and have the person at your home press the unlock a public outcry. button, holding it near the mobile phone on their end. Abortion is readily available and widespread in Japan Your car will unlock. Saves someone from having to where restrictions against the measure is loose and drive your keys to you. Distance is no object. You there are no clear religious taboos. Nearly 290,000 could be hundreds of miles away, and if you can reach abortions were reported in 2005, according to the someone who has the other 'remote' for your car, you Health Ministry. can unlock the doors (or the trunk). (Source: B.B.C. News Service) Editor's Note: It works fine! We tried it out and it unlocked our car over a mobile phone!'

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    direct investment destination. Pakistan wasn't even in

    the top 25 countries. In 2004, the United Nations, the LUCKEY TO BE AN INDIAN

     representative body of 192 sovereign member states,

    had requested the Election Commission of India to

    assist the UN in the holding elections in Al Jumhuriyah

    al Iraqiyah and Dowlat-e Eslami-ye Afghanestan. Why

    the Election Commission of India and not the Election

    Commission of Pakistan? After all, Islamabad is closer

    to Kabul than is Delhi.

    Imagine, 12 percent of all American scientists are of Twenty-five thousand years ago, haplogroup R2 Indian origin; 38 percent of doctors in America are characterized by genetic marker M124 arose in Indian; 36 percent of NASA scientists are Indians; 34 southern Central Asia. Then began a major wave of percent of Microsoft employees are Indians; and 28 human migration whereby members migrated percent of IBM employees are Indians. southward to present-day India and Pakistan (Genographic Project by the National Geographic For the record: Sabeer Bhatia created and founded Society; http://www.nationalgeographiccom/ ). Indians Hotmail. Sun Microsystems was founded by Vinod and Pakistanis have the same ancestry and share the Khosla. The Intel Pentium processor, that runs 90 same DNA sequence. percent of all computers, was fathered by Vinod Dham. Here's what is happening in India: Rajiv Gupta co-invented Hewlett Packard's E-speak

     project. Four out of ten Silicon Valley start-ups are run The two Ambani brothers can buy 100 percent of every by Indians. Bollywood produces 800 movies per year company listed on the Karachi Stock Exchange (KSE) and six Indian ladies have won Miss Universe/Miss and would still be left with $30 billion to spare. The World titles over the past 10 years. four richest Indians can buy up all goods and services produced over a year by 169 million Pakistanis and For the record: Azim Premji, the richest Muslim still be left with $60 billion to spare... The four richest entrepreneur on the face of the planet, was born in Indians are now richer than the forty richest Chinese. Bombay and now lives in Bangalore, India now has

     more than three dozen billionaires; Pakistan has none In November, Bombay Stock Exchange's benchmark (not a single dollar billionaire). Sensex flirted with 20,000 points. As a consequence, Mukesh Ambani's Reliance Industries became a $100 The other amazing aspect is the rapid pace at which billion company (the entire KSE is capitalized at $65 India is creating wealth. In 2002, Dhirubhai Ambani, billion). Mukesh owns 48 percent of Reliance. Mukesh and Anil Ambani's father, left his two sons a

     fortune worth $2.8 billion. In 2007, their combined In November, comes Neeta's birthday. Neeta turned wealth stood at $94 billion. On 29 October 2007, as a forty-four three weeks ago. Look what she got from her result of the stock market rally and the appreciation of husband as her birthday present: A sixty-million dollar the Indian rupee, Mukesh became the richest person in jet with a custom fitted master bedroom, bathroom the world, with net worth climbing to US$63.2 billion with mood lighting, a sky bar, entertainment cabins, (Bill Gates, the richest American, stands at around $56 satellite television, wireless communication and a billion). separate cabin with game consoles. Neeta is Mukesh Indians and Pakistanis have the same Y-chromosome Ambani's wife, and Mukesh is not India's richest but haplogroup. We have the same genetic sequence and the second richest. the same genetic marker (namely: M124). We have the

     same DNA molecule, the same DNA sequence. Our Mukesh is now building his new home, Residence culture, our traditions and our cuisine are all the same. Antillia (after a mythical, phantom island somewhere We watch the same movies and sing the same songs. in the Atlantic Ocean). At a cost of $1 billion this What is it that Indians have and we don't? would be the most expensive home on the face of the planet. At 173 meters tall Mukesh's new family Indians elect their leaders! residence, for a family of six, will be the equivalent of a 60-storeyed building. The first six floors are reserved Dr Farrukh Saleem for parking. The seventh floor is for car servicing and 12/9/2007 maintenance. The eighth floor houses a mini-theatre. Then there's a health club, a gym and a swimming pool. ....The writer is an Islamabad-based freelance Two floors are reserved for Ambani family's guests. columnist. Email: farrukh15@hotmail.com

    Four floors above the guest floors are family floors all with a superb view of the Arabian Sea. On top of everything are three helipads. A staff of 600 is expected to care for the family and their family home.

     AND YOU THOUGHT HORSE’S ASS WASN’T In 2004, India became the 3rd most attractive foreign IMPORTANT!

     6

     When you see a Space Shuttle sitting on its launch pad,

     there are two big booster rockets attached to the sides

    Does the statement, 'We've always done it like that' of the main fuel tank. These are solid rocket boosters, ring any bells? or SRBs. Read this to the end; you'll love it!! The SRBs are made by Thiokol at their factory at Utah. The US standard railroad gauge (distance between the The engineers who designed the SRBs would have rails) is 4 feet, 8.5inches. preferred to make them a bit fatter, but the SRBs had to That's an exceedingly odd number. Why was that be shipped by train from the factory to the launch site. gauge used? The railroad line from the factory happens to run Because that's the way they built them in England, and through a tunnel in the mountains. English expatriates built the US Railroads. The SRBs had to fit through that tunnel. Why did the English build them like that? The tunnel is slightly wider than the railroad track, and Because the first rail lines were built by the same the railroad track, as you now know, is about as wide people who built the pre-railroad tramways, and that's as two horses' behinds. the gauge they used. So, a major Space Shuttle design feature of what is Why did 'they' use that gauge then? arguably the world's most advanced transportation Because the people who built the tramways used the system was determined over two thousand years ago by same jigs and tools that they used for building wagons, the width of a horse's ass. which used that wheel spacing. - And - Okay! Why did the wagons have that particular odd You thought being a HORSE'S ASS wasn't important! wheel spacing? Well, if they tried to use any other spacing, the wagon wheels would break on some of the old, long distance roads in England, because that's the spacing of the PANEL OF DOCTORS wheel ruts. So who built those old rutted roads? Imperial Rome built the first long distance roads in When a panel of doctors was asked to vote on adding a Europe (and England) for their legions. The roads new wing to their hospital, the Allergists voted to have been used ever since. scratch it And the ruts in the roads? The Dermatologists advised not to make any rash Roman war chariots formed the initial ruts, which moves everyone else had to match for fear of destroying their The Gastroenterologists had sort of a gut feeling about wagon wheels. Since the chariots were made for it Imperial Rome, they were all alike in the matter of The Neurologists thought the administration had a lot wheel spacing. of nerve The United States standard railroad gauge of 4 feet, 8.5 The Obstetricians felt they were all laboring under a inches is derived from the original specifications for an misconception. Imperial Roman war chariot. And bureaucracies live The Ophthalmologists considered the idea shortsighted forever. the Pathologists yelled, 'Over my dead body' So the next time you are handed a specification and the Pediatricians said, 'Oh, grow up!' wonder what horse's ass came up with it, you may be The Psychiatrists thought the whole idea was madness, exactly right, because the Imperial Roman army the Radiologists could see right through it, chariots were made just wide enough to accommodate the Surgeons decided to wash their hands of the whole the back ends of two war horses! thing

     The Internists thought it was a bitter pill to swallow

    The Plastic Surgeons said, 'This puts a whole new face

    on the matter.'

    The Podiatrists thought it was a step forward

    The Urologists felt the scheme wouldn't hold water.

    The Anesthesiologists thought the whole idea was a

    gas

    and the Cardiologists didn't have the heart to say no.

    In the end, the Proctologists left the decision up to

    some asshole in administration.

    ENGLISH IS ANYTHING BUT SYSTEMATIC

     We'll begin with a box, and the plural is boxes, Now, the twist to the story But the plural of ox becomes oxen, not oxes.

     One fowl is a goose, but two are called geese,

    Yet the plural of moose should never be meese.

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You may find a lone mouse or a nest full of mice,

    Yet the plural of house is houses, not hice. RESEARCH RESEARCH If the plural of man is always called men, (This is a segment in which we will discuss research Why shouldn't the plural of pan be called pen? projects being conducted by Georgians in the campus If I speak of my foot and show you my feet, and elsewhere in the world and so your input would be And I give you a boot, would a pair be called beet? vital. We will also discuss some outstanding research If one is a tooth and a whole set are teeth, being conducted in the leading centers of the world, Why shouldn't the plural of booth be called beeth? which will have special significance to India) Then one may be that, and three would be those,

     Yet hat in the plural would never be hose,

    And the plural of cat is cats, not cose. GASTRIC BANDING AND TYPE II OBESE We speak of a brother and also of brethren, DIABETICS But though we say mother, we never say methren. Then the masculine pronouns are he, his and him, But imagine the feminine: she, shis and shim! Obese patients with type 2 diabetes who had gastric banding surgery lost more weight and had a higher Let's face it - English is a crazy language. likelihood of diabetes remission than did patients who There is no egg in eggplant nor ham in hamburger; used conventional methods for weight loss and neither apple nor pine in pineapple. diabetes control, according to a preliminary, unblended, English muffins weren't invented in England. randomized controlled trial reported in the January 23 We take English for granted, but if we explore its issue of the Journal of the American Medical Society. paradoxes, we find that "Significant sustained weight loss achieved using quicksand can work slowly, boxing rings are square, bariatric surgery has never been formally investigated and a guinea pig is neither from Guinea nor is it a pig. as a treatment for type 2 diabetes in obese participants,” write John B. Dixon, MBBS, PhD, from And why is it that writers write but fingers don't fing, Monash University in Melbourne, Australia, and grocers don't groce and hammers don't ham? colleagues. "Several observational studies suggest Doesn't it seem crazy that you can make amends but substantial benefit, but these have generally been not one amend. restricted to severely obese participants; to our If you have a bunch of odds and ends and get rid of knowledge, there have been no published randomized all but one of them, what do you call it? controlled trials." The aim of this study was to evaluate whether If teachers taught, why didn't preachers praught? surgically induced weight loss was associated with If a vegetarian eats vegetables, what does a better glycemic control and with less need for diabetes humanitarian eat? medications than were traditional approaches to weight Sometimes I think all the folks who grew up speaking loss and diabetes control. English should be From December 2002 through December 2006, 60 committed to an asylum for the verbally insane. 2obese patients (body mass index >30 and <40 kg/m) with type 2 diabetes diagnosed in the past 2 years were In what other language do people recruited from the general community to established recite at a play and play at a recital? treatment programs at the University Obesity Research We ship by truck but send cargo by ship. Center in Australia. Participants were randomly We have noses that run and feet that smell. assigned to conventional diabetes therapy emphasizing We park in a driveway and drive in a parkway. weight loss by lifestyle change or to conventional And how can a slim chance and a fat chance be the diabetes care with laparoscopic adjustable gastric same, while a wise man and banding surgery. a wise guy are opposites? The primary endpoints included remission of type 2 diabetes, defined as fasting glucose level less than 126 You have to marvel at the unique lunacy of a mg/dL (7.0 mmol/L) and glycated hemoglobin (HbA1c) language in which your house value lower than 6.2% in the absence of glycemic can burn up as it burns down, therapy. Secondary endpoints were weight and in which you fill in a form by filling it out, components of the metabolic syndrome, and analysis and in which an alarm goes off by going on. was by intent-to-treat. Two-year follow-up was completed by 55 (92%) of the And, in closing, if Father is Pop, 60 patients enrolled. In the surgical group, 22 of the how come Mother's not Mop? patients (73%) had remission of type 2 diabetes, as did 4 patients (13%) in the conventional- therapy group, yielding a relative risk of remission for the surgical group of 5.5 (95% confidence interval, 2.2 14.0).

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    Tyco, Johnson & Johnson, Autosuture, Allergan, At 2 years, mean weight loss was 20.7% ? 8.6% in the Roche, Storz, GI Dynamics, Amylin, and/or Power surgical group and 1.7% ? 5.2% in the conventional- Medical Interventions. therapy group (P < .001). Remission of type 2 diabetes 2 = 0.46; P < .001), JAMA. 2008;299(3): 316323, 341343 was associated with weight loss (Ras well as with lower HbA1c levels at baseline 2(combined R = 0.52; P < .001). Neither group developed any serious complications. "Participants randomized to surgical therapy were more IMAGE GENTLY FOR BABIES likely to achieve remission of type 2 diabetes through greater weight loss," the authors write. "These results need to be confirmed in a larger, more diverse The Alliance for Radiation Safety in Pediatric Imaging, population and have long-term efficacy assessed.... a group representing about a half-million medical While caution is required in interpreting the longer-professionals, has launched today the Image Gently term benefits of surgery and weight loss, this study campaign with the motto "Be wise. Adjust for size." presents strong evidence to support the early The alliance aims to raise awareness on the need to consideration of surgically induced loss of weight in child-size radiation doses from pediatric CT scans to the treatment of obese patients with type 2 diabetes." reduce the possible harmful effects of cumulative Study limitations include participation restricted to radiation exposure over time. those with a recent diagnosis of type 2 diabetes; Mounting evidence suggests the increased utilization in extensive experience of the bariatric surgical team with recent years of medical imaging, particularly CT, has the gastric banding procedure, limiting generalizability heightened patients' exposure to ionizing radiation. to other institutions; insufficient power for safety or to Radiation protection experts have repeatedly warned detect differences in hard endpoints, such as mortality physicians, who are responsible for pediatric or cardiovascular events; duration of follow-up limited radiography, that children are more sensitive to to 2 years; and missing follow-up data in 5 patients. radiation than adults because of its cumulative effects. "An important finding of this study is that degree of To date, however, no comprehensive effort regarding weight loss, not the method, appears to be the major pediatric radiation safety has involved all the driver of glycemic improvement and diabetes organizations representing the specialists who remission in obese participants,” the authors conclude. participate in pediatric imaging, said Dr. Marilyn "This has important implications, as it suggests that Goske, alliance chair. intensive weight-loss therapy may be a more effective About a year and a half ago, Goske, as chair of the first step in the management of diabetes than simple board of directors of the Society for Pediatric lifestyle change. This study shows that few participants Radiology, contacted representatives of the American achieved remission with a body weight loss of less than College of Radiology, the American Society of [10%], a level expected to produce important health Radiologic Technologists, and the American benefits." Association of Physicists in Medicine. In July 2007, This study was funded by Monash University, which the four founding groups agreed upon their key received an unrestricted grant from Allergan Health. message. The manufacturers provided the laparoscopic They later earned an education grant from GE adjustable gastric bands (Allergan Health) and the Healthcare, put together the Image Gently website, and

    laparoscopic ports (Applied Medical) without charge. prepared to launch the campaign. Some of the authors report various financial The first phase will target radiologists, radiologic arrangements with the National Health and Medical technologists, and medical physicists, according to Research Council, Allergan Health, Novartis, Eli Lilly, Goske. These providers will be encouraged to Novo Nordisc, Sanofi Aventis, Alphapharm, and/or

    Abbott Australia. ? reduce significantly the amount of radiation used In an accompanying editorial, David E. Cummings, in pediatric CT MD, and David R. Flum, MD, MPH, from the ? scan when necessary, do it once, and scan only the University of Washington, Seattle, call these findings indicated region "clear and striking." ? work together to optimize and monitor pediatric "Policy and health care leaders are grappling with the CT scanning costs and risks of surgical interventions, which must be

    balanced against the costs and risks of not taking "We hope to change practice," Goske said. "We know advantage of surgically induced diabetes remission, in that these healthcare providers want to do the right the face of an expanding pandemic," they write. thing. But they primarily do imaging for adults. We "Addressing these issues requires time and resources, hope to give them straightforward information and but in this era of advanced diabetes research, the resources so they know what they need to do to take insights already beginning to be gained by studying care of children in the best way possible." surgical interventions for diabetes may be the most The number of pediatric CT scans has tripled in the last profound since the discovery of insulin. As a result, the five years, according to the alliance. About four million future looks brighter for patients." pediatric CT scans were performed in 2007. Dr. Cummings and Dr. Flum report various financial

    arrangements with the National Institutes of Health,

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The Alliance's long-term goal is to ensure that medical and other sexually spread infections, but Ahmed protocols for pediatric imaging keep pace with admitted that "what Carraguard showed in the lab advancing technologies. Its ultimate goal is to establish couldn't be converted to humans". kid-size radiation doses as the standard of care in the She suggested that the low adherence rate could have U.S., Goske said. been a factor: women who participated in the study Image Gently is not intended to be a scare campaign or used Carraguard less than half the number of times a move to humiliate or punish physicians, said Dr. they had sex, and only 10 percent said they used it Donald P. Frush, chief of pediatric radiology at Duke every time as directed. However, condom use shot up University and chair of the ACR Pediatric Commission. from 33 percent when the study began, to 64 percent. "We want this to be a cooperative effort, with a While acknowledging that the news was a positive tone that gives people helpful information disappointment, Ahmed stressed that the Carraguard about how to do things better," Frush said. trial was a "major milestone for microbicide The Image Gently campaign will focus initially on CT. development", as the trial had been completed with no Future phases will include other ionizing radiation safety concerns being raised. imaging modalities, and it will eventually address the This is another setback in the race to develop an utilization of alternative nonionizing medical imaging effective microbicide - applied via a range of products modalities such as MRI and ultrasound, Frush said. like gels, films and sponges - that could help women The four charter members of the Alliance represent prevent the transmission of HIV and other sexually more than 160,000 physicians, radiologic technologists, transmitted infections. In 2000, a large full-scale trial and medical physicists. Nine affiliate organizations showed that nonoxynol-9, a potential microbicide, was have joined the effort: the American Academy of unsafe after women in the study developed a higher Pediatrics, American Osteopathic College of Radiology, risk of HIV infection. American Registry of Radiologic Technologists, Seven years later, microbicide research was dealt American Roentgen Ray Society, Association of another blow when the US-based reproductive health University Radiologists, Conference of Radiation research organisation, CONRAD, announced the Control Program Directors, National Council on premature end of trials of a cellulose sulphate-based Radiation Protection and Measurements, RSNA, and microbicide after the data safety and monitoring Society of Computed Body Tomography and Magnetic committee found a higher number of infections in the Resonance. active group compared to the placebo group. Alliance officials estimate the Image Gently campaign Advocates and researchers are reluctant to describe this could reach more than 500,000 medical professionals. trial as a setback. Fiona Scorgie, programmes For more information from the Diagnostic Imaging coordinator at the Gender AIDS Forum, a non-archives: governmental organisation monitoring microbicide Pediatric CT dose reduction strategies get global focus trials in South Africa, told IRIN/PlusNews that Radiation spotlight shows jump in pregnancy imaging although the end result had been disappointing, the trial NEJM article blames CT-related radiation for up to 2% had been "successful on another level". of cancers in U.S. The women participating in the trials had benefited Dose-saving strategies play catch up to greater CT use from regular health screenings, while the safety of Carraguard meant that it could be used in future microbicide trials as a "vehicle for more specific substances, like antiretrovirals", but further A ROAD BLOCK IN AIDS RESEARCH development was needed. According to Scorgie,

communities also had to be involved in the process, rather than being passive recipients. "Communities have a very important role to play ... it's important that JOHANNESBURG, (PlusNews) - The first we inform ourselves and remain critical". microbicide candidate to reach the final phase of testing has failed to prevent HIV transmission, researchers announced on Monday, 18 February 2008. Testing of the microbicide, Carraguard, was carried out PROBIOTICS FOR KIDNEY STONES over a three-year period on 6,000 women in South Africa, and was completed in March 2007. But there was no difference in HIV infections between women in Treating patients with bacteria may be an effective way the group using Carraguard compared to the placebo of reducing their risk of repeatedly developing painful group. kidney stones, a study suggests. "The trial ... was unable to demonstrate Carraguard's People naturally carrying the bacterium Oxalobacter efficacy in preventing HIV transmission," noted Dr formigenes were found to be 70% less likely to have Khatija Ahmed, principal investigator of the trial. The problems. microbicide developed by the Population Council, an Researchers at Boston University, in the US, are now international non-profit organization, contains investigating the possibility of using the bacteria as a carrageenan, which is derived from seaweed and "probiotic" treatment. widely used in the food and cosmetics industries as a The study features in the Journal of the American gel, stabilizer and thickening agent. Laboratory, animal Society of Nephrology. and early human tests suggested it might prevent HIV

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