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RMU designed Residency
programme is best
suited to Pakistan

RAWALPINDI: Vice Chancellors from many public sector medical universities in the province of Punjab, Baluchistan, Sindh and KPK Province held a meeting here hosted by Prof. Muhammad Umar Vice Chancellor of Rawalpindi Medical University recently. They had in depth discussion regarding training of postgraduates to produce specialist doctors in the country.

The participants were briefed about the Residency Training Model developed by RMU which they are implementing for the last over one year successfully. The participants appreciated the efforts of RMU team and agreed to implement the RMU Mode of Residency training in their institutions which they opined was best suited to Pakistan’s requirements. They were of the view that a uniform curriculum and training manual should be followed by all the universities to ensure standards and transparency. The meeting was attended by the Vice Chancellors and senior professors from many universities.


Does the Mediterranean
Diet Protect against
Rheumatoid Arthritis?

Previous research has demonstrated a variety of health benefits associated with the Mediterranean diet, which is rich in olive oil, cereals, fruit and vegetables, fish, and a moderate amount of dairy, meat, and wine. Now results from an analysis published in Arthritis & Rheumatology suggest that the diet may also help prevent rheumatoid arthritis in individuals who smoke or used to smoke.

The analysis included 62,629 women from France who have been taking part in a questionnaire-based study assessing dietary intake since 1990. In total, 480 women developed rheumatoid arthritis. Adherence to the Mediterranean diet was not associated with rheumatoid arthritis risk overall; however, among women who smoked or used to smoke, it was associated with a decreased risk: 383 cases of rheumatoid arthritis per 1 million people per year among those with high adherence to the Mediterranean diet, compared with 515 cases per 1 million people per year among those with low adherence to the diet. (Among women who never smoked and had high adherence to the diet, there were 358 cases per 1 million people per year.)

Ref: https://onlinelibrary.wiley.com/doi/10.1002/art.41487


Neuroendocrine Markers of Grief

Researchers have examined what’s currently known about the neuroendocrine effects of grief and whether biological factors can predict complicated or prolonged grief after the death of a loved one. The findings appear in the Journal of Neuroendocrinology.

The review of the 20 published studies that were deemed relevant found that most studies reported on levels of the stress hormone cortisol, finding higher blood urine, or saliva levels associated with bereavement. While most published studies on the topic were of fair statistical quality only, many found that cortisol levels were altered in bereaved individuals, with possible consequences for health.

The authors called for additional studies encompassing more potential markers of neuroendocrine activity associated with grief. Such efforts may point to new treatment strategies related to psychological and physical adaptations to loss.

Anticipatory grief and grief after social loss are fundamental stressors and can have long-term health implications for those who lose a loved one. Identifying neuroendocrine factors that are associated with grief might help tailor interventions for the bereaved and help them cope with loss. said senior author Beate Ditzen, PhD, of Heidelberg University Hospital, in Germany.

Ref: https://onlinelibrary.wiley.com/doi/10.1111/jne.12887


Certain Jobs Linked
to Higher Risk of
Knee Osteoarthritis

Workers in jobs that typically involve heavy lifting, frequent climbing, prolonged kneeling, squatting, and standing face an increased risk of developing knee osteoarthritis. That’s the conclusion of a new analysis published in Arthritis Care & Research.

Knee osteoarthritis is a highly prevalent, chronic condition and one of the leading contributors to loss of work and disability. To see if certain jobs put individuals at higher risk, investigators analyzed the results of relevant studies published to date.

The combined results from 71 studies with over 950,000 participants revealed significantly higher odds of knee osteoarthritis in physically demanding job titles including farmers, builders, metal workers, floor layers, miners, cleaners, and service workers. Compared with sedentary (or low physically active) workers, agricultural workers had up to a 64% increased odds of knee osteoarthritis. Similarly, builders and floor layers had a 63% increased odds of knee osteoarthritis. This collaborative research informs workplace regulators by identifying people frequently involved in specific work activities who may be susceptible to knee osteoarthritis, the most common joint disorder worldwide, said lead author Xia Wang, MMed, PhD, of the University of Sydney, in Australia.

Thus, tailored preventive strategies need to be implemented early on to adapt the aging workforces in many countries that push for longer employment trajectories.

Ref.: https://onlinelibrary.wiley.com/doi/10.1002/acr.24333

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