The world hangs on a balance as it awaits in fear the next influenza pandemic. experts are debating on the best way to manage seasonal influenza illness. There is combines disappointment and fear on recent reports of studies showing the emergence of osenltamivir resistance in influenza A H1N1 viruses. Oseltamir-resistant influenza virus strains are both communicableble and pathogenic, and the intranasal live attenuated influenza vaccine has limitations. Oseltamivir blocks the release of influenza virus from infected cells. experts previously believed that oselmativir resistant influenza viruses would be unlikely to arise, and if they did emerge, their virulence would be significantly reduced. However, oselmativir-resistant strains were noted world wide during the 2007-2008 influenza season. There are published reports of a nosocomial out brek of oselmativir-resistant influenza A H1N1 infected a involved in hospital transmission of the strain to several patients including health care workers. Based on surveillance data from 2008 and early part of 2009 influenza seasons, oselmativir-susceptible ones. Journal editorials note that the regional incidence of oselmativir-resistant strains does not correlate with local use of the agent, suggesting that resistant viruses are as “fit” as susceptible viruses and could persist indefinitely. Infectious disease experts acknowledge the unresolved challenges to influenza-control efforts, and highlight the need for disaster-preparedness programs in the case of uncontrolled outbreaks.

Martial art as a sport is not only good for action stars or armed force personnel, but for doctors as well, expert suggests that doctors, most especially the older ones, should take up martial arts. ” It not only improves your agility but it also helps in the management of arthritis,” he says.
A CNN headline news titled Tai Chi May Aid in Arthritis Treatment, cited a review article in the Achieves of Internal Medicine, Stating that tai chi, an ancient form of marital art, “not only inproves strength, balance and flexibility in older people, but it also has positive effects on chronic health conditions like multiple sclerosis and joint problems.”
So doctors and other health care professionals, kindly shake a leg and choose what sports you want to go into.

Depression has been associated with pregnancy, particularly the period during and after delivery. perinatal depression was substantially more prevalent among women with diabetes than among those without, according to recently published data. Although previous studies have suggested an association in the general adult population, there were no data in pregnant women, who are also atprone for feeling the blues. Researchers evaluated medicaid data from 11,000 pregnant women for perinatal diagnoses of treatment of depression, diabetes, or both. The study showed depression was more common in older than in younger women , which was consistent with general data. After adjusting for other factors such as race, year of delivery, and preterm versus term delivery, women with any type of diabetes (gestational of nongestational, taking or not taking insulin) were nearly twice as likely to have depression during pregnancy or postpartum ( 15.2% vs. 8.5% ) than women without diabetes. evaluating women who did not have prenatal depression, diabetic mothers had a 70 percent higher risk to develop new onset than those without diabetes. Pregnancy and subsequent deleviry are stressful events, which by themselves can trigger depression in pregnant women. but aside from the maladaptive response, expertsalso implicate hormonal changes during pregnancy as predisposing factors to develop both diabetes and depression. These two conditions are believed to share underlying interrelated pathophysiologic mechanisms.
Hyperglycemia can affects the thyriod and the hypothalic-pituitary-adrenal axis, and the resulting emotional and mental stress of handling a new or worsening chronic disease can aggravate preexisting depression.
the clinical implication of this study is that physicians should screen women with preexisting or newly diagnosed diabetes for depression ( both during and after pregnancy ) and should institute appropriate treatment when depression is identified.

Children diagnosed with autism may improve with oxygen therapy, according yo a new multi center study done in the united states. This validates previous data on the benefit of hyperhavic oxygen theraphy (HBOT) in a autistic children. After 40 hours of hyperbaric treatment, autistic children showed significant improvements in social interaction and eye contact compared with controls.
One theory is that oxygen can help reduce inflammation and improve flow of oxygen to brain tissue. Hyperbaric treatment gives high concentration of oxygen at increased atmospheric pressure.It been shown to have some benefits in other neurological conditions such as fetal alcohol syndrome and celebral palsy. In this latest study, carried out at six centers in the US, 62 children aged two to seven with autism were randomly assigned to receive 40 hours of treatment over a month with 24 percent oxygen at increased atmospheric pressure ( 1.3 atm ) in a slightly pressurized room ( 1.03 atm). It was found out that the children who received the treatment showed significant improvements in overall functioning, receptive language, social interaction, and sensory or cognitive awareness.

How is relationship marketing practiced in our country? For therapharma medical expert, a clear cut definition of relationship marketing barely exists in the pharmaceutical industry. “relationship marketing is a very broad concept,” he says. ” for many, it is like medical representatives use a certain relationship to promote the product, which may affect the drug prescribing habits of doctors. “But this is done in a highly professional manner, says expert. As a practicing physicians, expert attests that the reason why medical representatives need to talk to the doctors is to provide them (the doctors) with the product information of dugs being promoted prescribing it.
Expert doctor, states the same reason for repeated visits by the medical representatives and other managers of the pharmaceutical company. “The only concern why we need to be seen by medical representatives is for us to be updated as far as our practice of medicine is concerned” he/she says. “The doctor prescribes medicine based on the need of the patient and the merits of the drug” however, doctors are very busy people and it is in reality that sometimes they could not spare a fraction of their time to listen to the abbreviated spiels of medical representatives and would just instruct them to leave the drugs samples to their secretaries. “such instance is a barrier for medical representatives to make the first base or start a conversation with the doctor,” expert explains.
This is where the confusion start and some amount of deviation from the real spirit of professional relationship marketing may happen.medical representative, in line with their duty, goes out of the box and start to find creative ways to talk to the doctor. some of them would go to the extent of giving gifts to the doctors on their favorite sports just to gain their attention and make them spare some of their precious time.
“Being a medical representative is an art,” says expert. “You have to learn to blend with the doctors personality and never impose the personality that you want. “He adds though that medical representatives should also promote not only the good points or efficacy of th product buy also the potential adverse reactions or side effects. The patients welfare must be paramount at all times and drugs must only be prescribed to suitable patients, expert stresses.

Golf is a physical game as well as a mind game where it requires the player to have a balanced combination of their physical, mental, and even emotional well being. “People sometimes don’t realize that if you ster out on the golf course in the wrong spot, it can be detrimental,” says Pearson. ” If your mind is in the wrong spot, it can be detrimental to your game. So, you have to find away to get focused and relaxed in the game.”
In addition,” a quiet, non-analytical mind is necessary to get into flow and become immersed on execution,” says expert, sports psychology expert, in his article Mental Training for Golfers: Simple is Always Best. He advises: “How do you quiet the mind? First, don’t ruminate about past shots or holes and let them obstruct your thinking. Be totally focused on the shot you have now, not the one you had ten minutes ago. and don’t analyze the details of every missed shot and try and fix your swing on the course.”