Dr Penna

I am writing this post after having met one of my patient who is recently been operated for malunion of Ulna in forearm. Patient had complex both bone fractures in the past and was operated to fix them at multiple location. But when the rehabilitation phase started, the problems were more apparent, patient lost most of supination, but with some pronation.

This is is tricky because when you lose supination your upper limb cannont compensate because your body comes in way and prevent you to do all activities that require supination like doing clock wise motion of your hand(like putting a screws) and so on. If the loss of supination in forearm is acompinied by loss of flexion and extension at wrist, you have more disability. On the other hand if you loose your pronation, you can easily compensate by doning trick movements like abducting your shoulder instead of moving at forearm. People can cope really well folllowing loss of pronation compared to those people who lost supination.

Also do you know what muscle is strong supinator - it is famour Biceps. Biceps is famous in lay people mind as bulk arm muscle doing flexion. But it is more important as supinator, than as flexor of the elbow.

I came across this interesting site for webmasters to check their website server statistics and more.

mon.itor.us provides a “24 x 7” network and website monitoring service to help its users quickly identify faults and deficiencies to ensure continuous operations of their IT infrastructure and maintain business operations that provide the ultimate web experience. Particularly mon.itor.us provides personalized Ajax dashboard interface, checks server performance and availability, generates uptime reports, tracks visitors, checks CPU, memory and other systems resources, and alerts its users in case abnormalities are detected. External end-user checks are performed from geographically dispersed servers as well from customer locations. Internal checks can be performed inside of network firewalls through smart agents.

One of the signs of leader is being strong, articulate and well prepared to any problems that they may face. Old proverb says “when going gets tough, tough gets going”. That is main essence of a leader. If people don’t have characteristics of leader but managed get that position based on other reasons like family position, money or similar things, they can’t acts as one. Their work tends to be chaotic, dependent on advisers and get desperate in tough situations. This comparison can be easily drawn between Barack Obama and Hillary Clinton.

Barack Obama came through lots of challenges all through his life. He was born to a black father and white mother. He was raised by single parent, gone to school with scholarships worked hard all the way to Harvard law school. He then went to Chicago to do community service, worked all the way to state senate, then to national senate and now he is pushing himself to become next president of America. Raise of Obama highlights traits one need to have to be a leader. His ability to manage campaign effectively, his approach to people, his novel way to get donations, his stand on his principle all show how effective he can be as a leader.

Hillary Clinton on the other hand was born with silver spoon, was wife of former president. Her career mostly was a cake walk. She became New York senator without significant fight. She was established candidate at the beginning. She chose team not based on talent but on past links. Her team did not grasp rules of nomination process; she was not prepared to run even for primaries. Her principles kept changing as she need, she started lying and finally she is accusing Obama campaign for her failures. In nut shell when going gets tough, she got desperate, chaotic, demoralised and lost her principles.

This is a new move by FDA to relax some rules regarding blood donation who were tested positive for hepatitis B. They suggest that older test (1980’s and 1990’s) to determine Hepatitis B resulted false positive test in some patients which prevented eligible donors from donating blood.According to new proposal people who were tested positive in the past will be screened again to check their Hepatitis and HIV status, and if they are found negative on thorough examination will again be allowed to donate blood.

How ever if those found positive again on repeated testing, they will not be allowed to donate blood. Also those who suffered hepatitis in past will not be allowed to donate blood.

Newlink

If you are working as health professional in National health service in United kingdom and have a hospital email id you are eligible under Microsoft Home user programme to get licence and copy of Latest Microsoft Office at knock down prices. I got mine for 17 pounds. Here is link for you to go ahead and order a copy. Microsoft Home user programme

If you are an NHS employee, you are eligible to participate in the Home Use Programme. It enables eligible employees of the NHS to get a licensed copy of most Microsoft Office desktop applications to install and use on a home computer as part of the benefits entitlement to staff in the Microsoft Enterprise Agreement.

As of March 2007, as an NHS employee, you are now entitled to order a copy of Microsoft Office 2007 Enterprise Edition as part of this agreement. Apple users please note that you are able to order a copy of Office 2008 for Mac under this scheme, just tick the appropriate section when ordering.

This is not a different scheme to that which many have already taken advantage of, but an online mechanism to ensure that all NHS staff who are interested in taking advantage of the offer can get access simply and effectively. If you have already taken advantage of the scheme, please pass this url to your colleagues.

Eligible employees can order online at a dedicated Microsoft HUP web site. In order to access this web site, your employees must use the unique programme code provided for your organisation.

We all know that breast feeding by mother reduces incidence of breast cancer in her. But new reserach suggest that women who were breast fed when they were infants had low incidence of breast cancer later in their life

Adult women who were breast-fed as infants may have a lower risk of developing breast cancer than those who were not breast-fed, unless they were first-born, study findings suggest.

“As a general group, women who reported they had been breast-fed in infancy had a 17 percent decrease in breast cancer risk,” Hazel B. Nichols, who was involved in the study, told Reuters Health.

“However, we did not observe this reduction when we looked specifically among first-born women,” said Nichols, of the University of Wisconsin, in Madison. link

I found this service from pubmed which provides access to their database for information and possibly third party services.  The info on their website

LinkOut is a service of Entrez that allows you to link directly from PubMed and other Entrez databases to a wide range of information and services beyond the Entrez system. LinkOut aims to facilitate access to relevant online resources in order to extend, clarify, and supplement information found in the Entrez databases. Examples of LinkOut Resources include full-text publications, biological databases, consumer health information, research tools, and more.

All links are specially assigned to specific database records. When accessing a link through LinkOut, no additional searching should be necessary to access the relevant resource that has been linked to the record. Please encourage online resources that may be valuable to Entrez users to participate in LinkOut.

Click on the applicable tab to access documentation on becoming a LinkOut provider and linking your resources from PubMed and other Entrez databases. Specific documentation is available for libraries, full-text providers and providers of other resources.

Medical news update from medinews.

• A bad germ gets worseRising rates of the bacterial infection Clostridium difficile, known as C. diff, are sparking worries about a virulent form of…
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• Analysis of alcoholics’ brains suggests treatment target(Wake Forest University Baptist Medical Center) An analysis of brain tissue samples from chronic alcoholics reveals changes that occur at…
• Advertisements saying dairy products help you lose weight are misleading(Wiley-Blackwell) There have been recent claims that dairy products can help people lose weight, and the dairy industry has hyped…
• FDA approves HeartMate II mechanical heart pump for heart-failure patients(New York- Presbyterian Hospital/Columbia University Medical Center) Heart failure patients at NewYork-Presbyterian Hospital/Columbia University Medical Center were among the first…
• Apples, apple juice shown to prevent early atherosclerosis(U.S. Apple Association) Long-term consumption of antioxidant-rich apples and apple juice may prevent atherosclerosis, according to researchers from France. 2…