Your feedback sets the

tone for Gyandeep.

Thank you.

Dear Gyandeep member,

We are pleased to welcome you all to the second issue of Gyandeep. Our first issue was a great success, made possible by all of you who

have taken up this programme with enthusiasm and commitment. Thank you.

The number of enrollments speaks for itself. Till date, we have over 700 Principals enrolled in our programme. We look forward to having more of you join us in the near future.

We would also like to convey our appreciation on the feedback we have received. This very positive response has enabled us to take on board your concerns and matters of interest to fine tune our programmme.

In fact, it was a member's feedback that influenced our decision to have a theme based communique’. Hence this issue is based on a subject of marked significance to you and the world at large: Nutrition.

A highly competitive work place and stressed out personal lives, all threaten work-life balance. Add to this, bad and nutritionally inadequate eating habits and we have a nutritional disaster in the making. Thus this feedback from one of our members to focus on nutrition is both timely and relevant. Please continue to give us your feedback. It's invaluable.

We would also like to direct your attention to our web site:

Customised to suit the needs of the Indian medical professional, this website is user-friendly and offers information on new releases categorized by subject and consults on a range of specializations, to name a few of the benefits available to you on our website.

We look forward to your continued feedback and interaction with the Gyandeep programme.

Yours sincerely,

www.elsevier.co.in

Ajit K SharmaChief Custodian, GyandeepElsevier Health Sciences, India

Communique

Message from the Chief Custodian The effect of comprehensive lifestyle intervention or metformin on obesity in young women

Background and aim

Young women are at high risk of weight gain but few weight

management interventions have been investigated in this group. This

study aimed to determine the effect of metformin on body weight, body

composition, metabolic risk factors and reproductive hormone levels in

overweight or obese young women compared to placebo and

comprehensive lifestyle intervention.

Methods and results

203 overweight or obese young women (BMI 33.2+/−0.3 kg/m2,

age 28+/−0.3 years) were randomised to 1500 mg/day metformin

(M) plus general

lifestyle advice,

placebo (P) plus

general lifestyle

advice or

comprehensive

lifestyle intervention

including structured

diet, exercise and

behavioural therapy

(L) for 12-weeks. At

12-weeks, linear

mixed models

found that L group

had greater weight loss (−4.2+/−0.4 kg) compared to

M (−1.0+/−0.4 kg) and P groups (−0.2+/−0.3 kg) (P < 0.0001).

Weight loss between M and P groups were not significantly different.

Attrition rate was 48% for L, 34% for M and 29% for P (P = 0.08).

Intention-to-treat analysis showed that 10% (8/79) of the subjects in P

group had gained weight (>3%), compared to 3% (2/65) from M

group and none (0/59) from L group (P < 0.001). The L group had

the greatest decrease in waist circumference (−5.2+/−0.7 cm) and

fat mass (−5.4+/−0.7 kg) compared to the other groups (P < 0.05).

No significant time-by-group effects were seen in plasma lipids, SHBG,

testosterone, blood pressure, serum folate, serum ferritin and serum

vitamin B12.

Abstract

Conclusion: Lifestyle intervention was more effective in reducing body weight and improving body composition compared to metformin among healthy, overweight or obese young women.

Issue 2: April, 2010

Objective:To examine changes in motivation and the relationship of motivation to

Global Round Up: Science & Health News..

St. Louis, MO, March 1, 2010 – 2009 estimates projected that in the United States alone 21,550 new cases of ovarian cancer would be diagnosed and 14,600 women would die of the disease. Often diagnosed in late stages, ovarian cancer has an asymptomatic onset and a relatively low 5-year survival rate of about 45%. Consequently investigation linked to survivorship is critical. A study published in the March 2010 issue of the Journal of the American Dietetic Association, is among the first to evaluate possible diet associations with ovarian cancer survival. Researchers from the University of Illinois at Chicago determined that

higher vegetable consumption alone led to a survival advantage. Likewise, a statistically significant improvement in survival was observed for the healthier grains. Higher intakes of less-healthy meats were associated with a survival time disadvantage.

Writing in the article, Therese A. Dolecek, PhD, MS, “The study findings suggest that food patterns three to five years prior to a diagnosis of epithelial ovarian cancer have the potential to influence survival time. The pre-diagnosis food patterns observed to afford a survival advantage after an epithelial ovarian cancer diagnosis reflect characteristics commonly found in plant-based or low fat diets. These diets generally contain high levels of constituents that would be expected to protect against cancer and minimize ingestion of known carcinogens found in foods.”

there is a strong relationship between healthy eating and prolonged survival.

The subjects included 351 women diagnosed with incident epithelial ovarian cancer who participated in a previous case-control study. The original study collected demographic, clinico-pathologic, and lifestyle-related variables including diet. Each subject completed a food frequency questionnaire where they were asked to report their usual dietary intake over the three to five years prior to their diagnosis.

To translate the diet estimates into a meaningful way, the FFQ items were assigned to the major food groups reflected in the Dietary Guidelines for Americans 2005 (DGA) including fruits, vegetables, grains, meats, dairy, fats and oils, sweets, and alcohol. Grains, meats, and dairy were further subdivided to “suggested” and “other” groups. The “suggested” subdivisions included healthier food choices, whereas the “other” subdivisions contained less desirable selections.

The authors found that higher total fruit and vegetable consumption, and

adherence to self-monitoring and weight loss in a 16-week Internet behavioral weight-loss intervention.

Participants: Sixty-six women, ages 22-65, with a body mass index (BMI) between 25-40, and with a home computer and Internet access.

Intervention: This data is from an Internet behavioral weight-loss program in which all participants received a face-to-face initial session followed by the 16-week Internet program.

Analysis: Linear regression and mediation analysis using the Baron and Kenny method were conducted.

Results: Autonomous motivation

Motivation and Its Relationship to Adherence to Self-monitoring and Weight Loss in a 16-week Internet Behavioral Weight Loss Intervention

Conclusions and Implications

These results suggest that autonomous motivation may be a promising intervention target for promoting program procedure adherence and weight loss.

Abstract

Dietary factors influence ovarian cancer survival ratesNew Study Shows Relationship Between Healthy Eating and Prolonged Survival

increased initially and remained high for those who ultimately achieved a 5% weight loss, but declined over time for participants who did not achieve a 5% weight loss. Autonomous motivation at 4 weeks was a predictor of adherence to self-monitoring and 16-week weight loss. Adherence mediated the relationship between autonomous motivation and weight loss.

Conclusion: The authors provide

new evidence that dietary factors,

particularly total fruit and

vegetable, red and processed

meat and milk intakes, may

influence ovarian cancer survival...

done after taking the students'

feedback. We conduct seminars

and conferences on important

subjects and also ensure that

students participate in quizzes,

presentations and role-plays. In

subjects like psychology, role-

play is extremely helpful as it

makes for interactive learning.

Towards the end of each

academic year, the potential of

each and every student is

brought to surface. This is done

to deal with the weaker students

and help them come at par with

their classmates. We do this by

interactive teaching sessions.

Q: What do you find is your biggest

challenge as a Principal? And

what would be your most

important goals?

A:Q: What is the vision statement of

your college? And how does it fit

in with your personal educational

philosophy?

Q: What do you see as the over-

riding

Q: What are the important methods

and inputs that can help teachers

impart excellence in education to

their students?

Mittal College of Nursing is a

premier institute of nursing

education where we will develop

an in-service education centre

and also offer specialized short

term courses and PG courses, all

under one roof. Having a

hospital for a college of nursing

students is a boon. Practice

maketh perfect is the theme. And

I believe that if the goal is clear,

we can achieve them.

Strict discipline is to be enforced

among the students and teachers

and the head of the department

has to be a role model. However,

the principals also have to deal

with the students. So, we arrange

a counseling session, wherein we

assess each student's potential,

so that we can invest extra time

and effort for the weaker

students. Also, we make each

senior student responsible for

looking after one student from

their junior batch, so that room

for ragging doesn't exist.

Every new teacher is asked to

take a demo class. Recruitment is

A:

A:

A:

role of a Principal in

helping students develop

academic, personal and ethical

values?

Q: Are there any recent articles,

books, people or conferences

that have impacted your

professional life?

Q: What was the biggest

accomplishment/failure which

you would consider a stepping

stone in your career?

Q: Who is/are your role model(s)?

A: I have been conducting

workshops for burns and geriatric

nursing for the last two years as it

is in demand. This is a national

workshop assisted by Canadian

and International Geratolo

Association of India.

My biggest accomplishment is

that I could successfully complete

my Ph D in 2½ years at the

Rajasthan University while I was

on duty at the Govt. College of

Nursing in the year 1988.

My Principal, Dr. T.H.A Khan of

Govt. College of Nursing,

A:

A:

In conversation with...

Dr. Vimal Agarwal, Principal,

Mittal College of Nursing,

Mittal Hospital & Research Centre,

Pushkar Road, Ajmer, Rajasthan

Williams Basic Nutrition and Diet Therapy, 13th Ed.-Staci NixRs. 750.00

Recommended Reading

Diet Management, 3rd Ed.-Rekha SharmaRs. 195.00

Handbook of Clinical Nutrition, 4th Ed. -Douglas C. Heimburger & Jamy D. ArdRs. 425.00

Nutrition Essentials and Diet Therapy, 11th Ed.-Peckenpaugh$ 59.95

We conduct seminars, conferences

on important subjects and also

ensure that students participate in

quiz, presentations and role-play.

In subjects like psychology, role-play

is extremely helpful as it makes for

interactive learning.

Elsevier, a division of Reed Elsevier India Private Limited14th floor, Building No. 10B, DLF Cyber City, Phase-II, Gurgaon, Haryana, India-122002

Tel: +91-124-4774444 Fax: +91-124-4774100

E-mail: contactus@elsevier.comWebsite: www.elsevier.co.in

Hyderabad – A.P. She was then

principal of the college.

We are going to start the PG

Programme. This college will be

conducting short term courses for

nurses in collaboration with

T.N.A.I and I.N.C.

I graduated from the College of nursing, Osmania University at Hyderabad, in 1965. I did my master's in Nursing from R A K, Delhi. I have worked as lecturer

Q: What are your plans for the

college in the next 5 - 10 years?

A:

A:

Q: Could you tell us a little bit about

yourself? Your academic

highlights? Your personal

philosophy vis-à-vis educating

the young?

at PGMER, Chandigarh and as senior lecturer at SNDT Women's University and L T College of Nursing. Thereafter I served as senior lecturer and Principal at Govt. College of Nursing Jaipur, Rajasthan. Further on, I was appointed Dean of Nursing at Vinayaka Mission's Annapurna College of Nursing, Salem and later as Principal in Christian College, Neyoor (Tamil Nadu).

I believe in creating and nurturing a relationship with all our students. Young students enter college with a lot of aspirations and it is our duty to help them realize their goals. Many of them have language problems, so we communicate

with them in their language. By motivating them, we help them tremendously and they overcome all impediments.

I do keep a distance but they

are most welcome to talk to me.

At times I am a mentor yet other

times, I am their friend.

Q: Would you consider yourself a

mentor and friend or do you

believe in keeping a certain

distance between yourself and

your students?

A:

Gyandeep Help Desk:

We would like to hear from you!

Your feedback is of great importance to us and it helps us to better serve your needs. We look forward to your queries, suggestions and comments about :

How to improve the Gyandeep programme

Books and journals related information

How to improve the next issue of Gyandeep newsletter3

2

1

011-41664558

011-46074929

SMS on 9560136060

contactus@elsevier.com

To contact us, please call:

Vote now!

SMS your response to 9560136060

1

2

3

Do you think the Woman's Reservation Bill is a step in the right direction towards the empowerment of women?

Yes No Can’t say

Should women be allowed to go into combat zones in the services?

Yes No Can’t say

Is enough being done to punish medical practitioners who are caught practicing female infanticide?

Yes No Can’t say

A. B. C.

A. B. C.

SMS format: Your name (space)1<Ans> 2<Ans> 3<Ans>

Gyandeep enjoys a wide network.

If Gyandeep can help I would like

to develop a developmental

Programme for teachers for the

whole country.

A. B. C.