1 million Sexually Transmitted Diseases (STI) a DAY in the World – WHO

1 million Sexually Transmitted Diseases (STI) a DAY in the World – WHO

Every day, there are more than 1 million new cases of curable sexually transmitted infections (STIs) among people aged 15-49 years, according to data released today by WHO. This amounts to more than 376 million new cases annually of four infections – chlamydia, gonorrhoea, trichomoniasis, and syphilis. On average, approximately 1 in 25 people globally have at least one of these STIs, according to the latest figures, with some experiencing multiple infections at the same time. STIs are preventable through safe sexual practices, including correct and consistent condom use and sexual health education. LINK https://www.who.int/en/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)   Sri Lanka From 2017

Hypertension guidelines: how much low?

Hypertension guidelines: how much low?

In an era that that ‘evidence-based medicine’ is facing challenges from many fronts, the benefits of blood pressure control have been shown to decrease morbidity and mortality and increase lifespan. The evidence is strong and there is no disagreement among clinicians and researchers. However, there is considerable uncertainty and debate as to how much reduction is needed in systolic blood pressure among the leading guidelines that look at the same evidence. The JNC 2018, AHA/ACC and now NICE guidelines vary with the recommendations. The page below gives the summary of guidelines available from JNC 8 (2014), ACC/AHA (2107) and ESC/ESH

How to get back from a disaster stricken mind

How to get back from a disaster stricken mind

ප්‍රහාරයෙන් බිඳුණු මනස යළි හදාගන්නේ කොහොමද? පාස්කු ඉරිදා සිදු වූ අමානුෂික ත්‍රස්ත ප්‍රහාරය හේතුවෙන් තුන්සියයකට ආසන්න පිරිසක් මිය ගොස් පන්සියයකට ආසන්න පිරිසක් තුවාල ලැබූහ. මියගියවුන් අතර කුඩා දරුවෝ හතළිස් පහකට ආසන්න පිරිසක් වූහ. තුවාල ලද දරුවන් සංඛ්‍යාවද බොහෝය. නොසිතූ මොහොතක ඇති වූ මේ දැවැන්ත ව්‍යසනය හමුවේ සමාජයේ ලොකු කුඩා කාහටත් දැඩි මානසික කම්පනයක් ඇති වූ බව රහසක් නොවේ. මේ ව්‍යසනයට මුහුණ පෑ එමෙන්ම එය දුටු සමස්තයේ අවසාන බලපෑම ඇති වන්නේ මේ හැම දෙනාගේම මනසටය. මෙයට විසඳුමක් ලෙස සමස්ත සමාජයේ මෙන්ම දරුවන්ගේ මානසික ව්‍යාකූලතා අවම කිරීම උදෙසා කළ යුතු හා කළ හැකි දේ මොනවාදැයි, අපි මනෝ චිකිත්සාව පිළිබඳ මහාචාර්ය අතුල සුමතිපාල

Grief and Bereavement in Adults

Grief and Bereavement in Adults

Grief is the response to bereavement, which is the situation in which a loved one has died [1]. Natural acute grief reactions are often painful and impairing with emotional and somatic distress, but should not be diagnosed as a mental disorder. However, bereavement is a stressor that can precipitate or worsen mental disorders (eg, unipolar major depression). In addition, complications (maladaptive thoughts, feelings, or behaviors) may occur, such that acute grief becomes intense, prolonged, and debilitating. This condition is called complicated grief, which is viewed as a unique and recognizable disorder that requires specific treatment. Ref -[UpToDate TERMINOLOGY The terms

Gene editing and Designer ‘CRISPR’ babies

Gene editing and Designer ‘CRISPR’ babies

  Gene editing or genome editing is the technique used to replace or cutting pieces of DNA [Ref]. Using a component known as  CRISPR to precisely pinpoint the sequence of DNA in the gene, an enzyme called Cas9 is used to cut through the part identified. It can also replace a removed part by another sequence of DNA. This technique can be used to replace a faculty gene or change a gene to make it behave differently. Gene editing can have very good effects like altering a disease gene or modifying a diseased gene to behave normally. However gene editing

What we learned in 2018 in Health & Medicine according to the NYT

What we learned in 2018 in Health & Medicine according to the NYT

Developments in medicine and health that we’re still thinking about at year’s end. It’s not easy to say that any particular development in health or medicine was the most important in a given year [Ref – NYT]. But if we had to choose some highlights, we’d opt for these unforgettable events and findings.       From left, Douglas A. Warner III, Memorial Sloan Kettering’s board chairman; Dr. José Baselga, its former chief medical officer; and Dr. Craig B. Thompson, its chief executive, at its charity ball in New York last year. Credit Rebecca Smeyne for The New York Times Conflicts of interest

New Cholesterol Guidelines Personalize Risk and Add Treatments – JAMA 2019 Feb 6

New Cholesterol Guidelines Personalize Risk and Add Treatments – JAMA 2019 Feb 6

In the new guidelines, statin treatment targets are back for both primary and secondary prevention. Patients whose 10-year risk of ASCVD is 20% or more should try to reduce LDL-C levels by at least 50%, the same goal as for people with clinical ASCVD. Those with more intermediate risk should aim for at least a 30% decrease. The new update was met with considerably less controversy than the last incarnation, which deemphasized LDL-C treatment targets and introduced the AHA/ACC ASCVD risk calculator. The updated guidelines and a companion AHA/ACC special report on risk assessment tools acknowledge that the calculator estimates risk for an average

Screening for breast cancer in order to reduce the burden of breast cancer in Sri Lanka – the way forward – Is mammography an essential tool?

Screening for breast cancer in order to reduce the burden of breast cancer in Sri Lanka – the way forward – Is mammography an essential tool?

Screening for breast cancer in order to reduce the burden of breast cancer in Sri Lanka – the way forward – Is mammography an essential tool? Yes, mammography is an essential tool for screening for breast cancer. To what extent mammography reduces the burden of breast cancer will depend on the context, country and the research. The NCCP guidelines published in 2014 gives a comprehensive detail in ‘Early Detection and Management of Breast Symptoms’. This is valid even today. [Ref] Q1 Does mammography screening decrease the incidence or mortality rate from breast cancer? N0, because mammography detects breast tumours in the asymptomatic

Using AI to catch irregular heartbeats and to detect cervical cancer – NIH, USA

Using AI to catch irregular heartbeats and to detect cervical cancer – NIH, USA

An arrhythmia is a problem with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slowly, or with an irregular rhythm. When a heart beats too fast, the condition is called tachycardia. When a heart beats too slowly, the condition is called bradycardia. The most common test used to diagnose an arrhythmia is an electrocardiogram (EKG or ECG). [Ref] “Thanks to advances in wearable health technologies, it’s now possible for people to monitor their heart rhythms at home for days, weeks, or even months via wireless electrocardiogram (EKG) patches. In fact, my Apple Watch

Exercise: the miracle cure – Academy of Royal Medical Colleges, UK

Exercise: the miracle cure – Academy of Royal Medical Colleges, UK

‘The big four “proximate” causes of preventable ill-health are: smoking, poor nutrition, lack of physical activity and alcohol excess. Of these, the importance of regular exercise is the least well-known. Relatively low levels of increased activity can make a huge difference. All the evidence suggests small amounts of regular exercise (five times a week for 30 minutes each time for adults) brings dramatic benefits. The exercise should be moderate – enough to get a person slightly out of breath and/or sweaty, and with an increased heart rate. This report is a thorough review of that evidence. Regular exercise can prevent