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Dick – Doc
It is strange that the reproductive system are the days of submission and sublimation.
It is a day of the aggressor and the sexual
conquerer. Men want to be like Zorba, the
Greek and women secretly desire the skills
Andrologist. And this is not talking about the
of Cleopatra. Sexual jokes and conquests are
openly discussed in cocktail parties and social
Embryologist, etc. Andrology has recently
have always apportioned the right attention
caught the eye of people because of increasing
number of patients with erectile failure. The
Ellora and Konark caves bear testimony to
testis is not only an organ that produces
sexual attitudes of yonder years. Vatsyayan’s,
sperms but also has hormonal functions, e.g.
the Leydig cells produce testosterone, which
sexology. That makes the Andrologist a very
important person specially to the middle aged
secondary sexual characters. The Andrologist
gentry. Man has constantly looked for a good
largely deals with male infertility, low sperm
count and cases of inadequate erection.
was rampant, the greater the king the larger
Erectile failure has long been ascribed to
the harem. So obviously aphrodisiacs were
nervousness and psychological causes. Only
now it is believed that the majority of cases
are because of inadequate blood flow into the
penis. Enormous amount of research is going
unicorns were hunted for the phallic-friendly
properties of their single horn. Even recently
highlighted this as a speciality hence the
specialist is nick named Dick–Doc.
favours from Tribal chiefs by gifting them
longer spoken in hush hush tones. It is now
considered an important part of ones life.
The science of Andrology has kept up with
Magazines are full of tips to men and women
as to how they can perform better in bed.
mechanical stimulators, Vacuum pumps were
Seduction is now considered an art. There is
a clamour for sex education in schools. Gone
erection was achieved a small rubber bandwas used at the base of the penis as atourniquet to prevent back flow. Later on Inj.
*Ex. Hon. Paediatric Surgeon, Bai Jerabi WadiaHospital for Children, Parel; Hon. Surgeon,
of Papaverine in the penis became popular
Arogyanidhi Hospital, Juhu and BARC Hospital,
as it could be used by the patients himself.
Bombay Hospital Journal, Vol. 51, No. 4, 2009
Implantation of semi stiff plastics rods in the
even unani systems about their own brands
corpora cavernosa were popular, and still
of sex stimulators. Clearly the last word is
have their supporters. Inflatable implants are
devices and the pharmaceutical industries.
The Andrologist still has lot of work to do.
pharmalogical advances. After Viagra, which
Man is considered old, only when he stops
diverts more blood to the penis (also the
copulating. That is where the Dick-Doc comes
ALBUMINURIA IN HEART FAILURE : A CHARMING NEW RISK FACTOR?
GFR is now considered to be one of the most important factors of an unfavourable cardiovascularrisk profile in patients with heart failure. However, the National Kidney Foundation Kidney DiseaseOutcomes Quality Initiative not only characterizes renal dysfunction on the basis of a reduction inGFR but also on the basis of renal damage, which is assessed by the presence of increased levels ofurinary albumin excretion, the so-called albuminurias.
These studies showed that almost one-third of patients with chronic systolic heart failure mighthave either microalbuminuria or macroalbuminuria.
Reduced GFR and albuminuria are physiologically two different entities. Although in most casesthey coexist, reduced GFR might be present without albuminuria and vice versa. In the CHARMtrials, almost half of patients with macroalbuminuria actually had a GFR above 60 mL/min per 1.73m2. These patients would not have been considered and classified as having renal impairment on thebasis of GFR. Furthermore, mortality risk associated with albuminuria was independent of serumcreatinine or estimated GFR, which suggests that both entities reflect different pathophysiologicalmechanism.
The CHARM trials did not formally test the effect of candesartan on albuminuria and did not testalbuminuria-targeted therapy. However, even with the substantial proportion of missing simplesand the fact that candesartan had no effect on albuminuria in the small subset of patients with serialmeasurements, this observation is interesting.
Until a properly designed, adequately powered study is done, this question is open to debate.
Kevin Damman, Hans L Hillege, Dirk J van Veldhuisen, The Lancet, 2009; 374 : 506-7.
Bombay Hospital Journal, Vol. 51, No. 4, 2009
BRIEF CURRICULUM VITAE (June 2006) Matthew E. Falagas, M.D., M.Sc. PERSONAL AIBS office: Alfa Institute of Biomedical Sciences (AIBS), 9 Neapoleos Str. & Kifissias Ave., 151 23 Marousi, Athens, Greece (www.aibs.gr) Tel. (+30) 210-68.39.604, Fax (+30) 210-68.39.605, Mobile tel. (+30) 694-61.10.000 e-mail: firstname.lastname@example.org, email@example.com “Henry Dunant” Hospit
Dear fellow VACD Committee Members and Volunteers, Blessings and Greetings from Australia…. It is with great pleasure that Yasmin and I address this letter to you. We wish to place on record and express our deepest and most sincere gratitude for your advice, support, assistance, dedication and passion towards children with disabilities and their families. Your devotion to VACD objectives has hel