When people think of Botox

injections, they probably think

of getting rid of unwanted

wrinkles around the eyes or

forehead, but recently the US

F o o d a n d D r u g

A d m i n i s t r a t i o n ( F D A )

approved using the injections

to he lp pa t i en t s w i th

neurological conditions who

suffer from incontinence, or

an overactive bladder.

Botox injections paralyze the

bladder muscle to prevent contractions that cause urgency to urinate or

leak. Although medications and behavioral modifications are treatment

options, many patients, especially the elderly, do not respond to these

methods and need a more aggressive approach.

"About 80 percent of patients with neurological conditions, such as spinal

cord injuries, Parkinson's disease and multiple sclerosis, see improvement

after about a week, and the results can last four to nine months," said

Charles Nager, MD, co-director of the UC San Diego Women's Pelvic

Medicine Center at UC San Diego Health System.

Incontinence is the seventh condition, including chronic migraines and

underarm sweating, that Botox has been approved to treat since the drug

first arrived on the market as a wrinkle reducer in 2002.

The outpatient procedure uses a local numbing gel, followed by 15 to 20

injections in different areas of the bladder muscle.

"It can really be life changing for someone with severe incontinence

issues," said Nager who also serves as director of Urogynecology and

Reconstructive Pelvic Surgery in the Department of Reproductive

Medicine at UC San Diego.

UC San Diego Health System is currently recruiting for a clinical trial to

test Botox injections versus sacral nerve stimulation as incontinence

treatment options.

Sacral nerve stimulation uses small, electrical impulses to the nerves that

control urination. The impulses are generated by a small device surgically

placed under the skin. Attached to the device is a thin, electrode-tipped

wire that passes under the patient's skin, carrying impulses to the sacral

nerve. The surgery is an outpatient procedure done under local

anesthesia.

Patients involved in the clinical trial are required to have tried two drugs

that previously failed to treat their incontinence issues.

| 1

Ma -y rcr ha u 2n 01a 2J

Communique

Message from the chief custodian BOTOX INJECTIONS NOW USED FOR SEVERE

URINARY INCONTINENCEDear Gyandeep Member,

May each coming day fills

your heart with new hopes,

open up new horizons and

brings for you promises of

brighter tomorrows.

This is a season that will

magica l ly prov ide the

catalyst, motivation and

persistence we need to reinvent ourselves. So, why

not start with taking a lead to get more involved in this

community? It doesn't take much to make a difference

and make your voice heard.

We invite you to share your thoughts with us so that

we can disseminate them to the Indian nursing

fraternity. Contribute through your articles, reviews,

suggestions, topics for discussion etc and participate

in the various upcoming campaigns and programmes

organized by Elsevier!

Through this issue, we would also like to thank all the

Nursing principals and students who participated in

the Elsevier Gyandeep Nursing Studies Scholarship

programme. Such an overwhelming response has

motivated us to further this programme with more

new campaigns for the nursing community.

Registrations for the Nursing Studies Scholarship

Contest, 2012 are open and can be done by sending

an email at contactus@elsevier.com, mentioning the

name of the participating college, expected no. of

participants and contact details of the coordinators.

This year promises to be exciting with many new

product releases & campaigns especially for the

Elsevier Gyandeep members. Let us know if there's

anything specific you want to see in this newsletter.

Wishing you the best in life!

Regards,

Ajit Sharma

Chief custodian, Gyandeep

Elsevier Health Sciences, India

ELSEVIER GYANDEEP EXCELLENCE IN NURSING STUDIES SCHOLARSHIP!

WHAT IT MEANS…Dyspnea: Difficult or labored breathing; shortness of breath. It is a sign of serious disease of the airway, lungs, or heart.2 |

The Elsevier Gyandeep Excellence in Nursing Studies Once again we congratulate and wish the Elsevier group Scholarship contest concludes successfully! to excel in their services. Thank you for giving an opportunity to be a part in your services."

Launched with an objective to identify the nursing students who are passionate about the nursing field, it Elsevier believes that nurses play a vital role in the health received an overwhelming response and participation care sector of country and hence, the nursing students from various nursing colleges across India and ended must be encouraged to strengthen their interest and up rewarding the 50 best write-ups on the theme "How passion for their own field. With this scholarship can the Nursing Profession lead the change in the programme, Elsevier has reached a milestone in healthcare sector in India". Each of these 50 winners is supporting the student fraternity in their studies and now entitled to world class books worth Rs. 5000/- from learning process. By providing its world class books as the shelves of Elsevier. the scholarship reward, it not only celebrated the

students' achievement but also helped ease their The esteemed panel of jury who assessed the

educational expenses.participants' write ups on the above topic, was composed of Prof. Sujana Chakravarty (Principal, Delighted to be chosen as the winner, Breeza Merin Rufaida College Of Nursing, Delhi), Mrs. Ambika Thomas said, "This gave me immense pleasure to be a Ravindran (Dean, M.A. Chidambaram College Of part of the Elsevier Gyandeep excellence in nursing Nursing, Chennai), Dr. Saroj Kumar (Principal, Ahilya Bai studies scholarship award. It was really motivating and College Of Nursing, Delhi), and Mrs. Shashi Bala, encouraging to me and this inspires other students also (Principal, Mata Gujri Institute Of Nursing, Punjab). to participate in the future endeavors. The prizes are Elsevier offers a heartfelt thanks to all the judges for the very useful for our higher studies."effort and commitment that they put into evaluating the Taking a further step in this regard, we invite write ups.

registrations for the Elsevier Gyandeep Excellence in In the words of Dr.A.Jayasudha, principal, Sri Gokulam Nursing Studies Scholarship 2012. For online Collge of Nursing Salem, "Excellence is doing ordinary registration, visit the link things extraordinarily well… At the outset I congratulate the Elsevier Gyandeep for their Excellence or write to us at in Nursing Studies Scholarship. Elsevier excels in giving contactus@elsevier.com.an opportunity not only for the Nurse Educators, Administrators, and Researchers but also for the young Student Nurses by organizing various programmes and competitions. The students are highly motivated to participate and receiving a scholarship gives them a pride not only for the individual and also for the Institution.

http://www.facebook.com/ElsevierGyandeep/app_204085496366909

Nursing Principals distributing theScholarship prize voucher to winners

Q. Could you tell us a little bit about Q. What are your plans for the college in the next 5 - 10 years?

yourself? Your academic highlights?

Your personal philosophy vis-à-vis

educating the young?

Q. Do you believe that everything in the college has to be as

per the letter of the law?

Q. What are your views on the education scenario today and

do you think there are any specific changes that need to take

place?

Q. How did you find the Gyandeep's initiatives like Principals

Meet, students' scholarship programme etc, and any

feedback on this?

Q. What is the vision statement of this college? And how does

it fit in with your personal educational philosophy?Q. Favorite Quotation:

Q. What has been your experience with the present

curriculum? How are you utilizing this experience at the

college?

Q. What are the important methods and inputs that can help

teachers impart excellence in education to their students?

Q. What facilities are available in your college to help the

students stay updated with the latest research and news in

their field of study?

Ans. To start post basic B. Sc. Nursing course under Indira

Gandhi National Open University (IGNOU) and later M. SC

Nursing in Critical care.

Ans. I passed B.Sc. nursing as well as

M.Sc. Nursing in Medical- Surgical

Nursing speciality from RAK College of Ans. Yes. We strictly follow INC syllabus and do believe that

Nursing under University of Delhi. I am every institution should do so in order to achieve a uniform

a nurse teacher for about 34 years. I standard of nursing education and practice throughout India.

have taught students of all the nursing

courses starting from ANM to M. Sc.

nursing students in different govt.

institutions. I worked as a Reader in Ans. Opportunity for higher education has become very West Bengal Govt. College of Nursing, Kolkata before my competitive and expensive also. More and more colleges of retirement from Government service. In between I have also nursing in government sector should be opened.worked as the Secretary, Indian Nursing Council for a period

of about 1 year 4 months. I believe that any student with

average intelligence can achieve success in nursing

profession if she develops little bit of love towards it. Ans. Principals' meet brought a change in our day to day busy

Personally I enjoy teaching and am willing to help students in schedule. We were informed about your publications also.

any extent to make them succeed.Students' scholarship programme was unique. I am sure you

will carry on these types of programmes in future.

Ans. Our parent hospital Woodlands Multispeciality Hospital Ans. "Purity, patience, and perseverance are the three

is a renowned hospital in Kolkata and nursing care demands essentials to success and, above all, love."

of the patients of this hospital are very high. We have

established the college to provide best possible care based

on recent scientific knowledge and principles and our motto

is providing service with excellence.

Ans. I feel the present nursing curriculums are quite

adequate. More emphasis is given on clinical practice so that

the students gain expertise in patient care rather than

bookish knowledge only. We are sending our students to

various clinical fields to get hands on experience in caring

various groups of clients. I believe that this type of curriculum

will ultimately motivate the students to become a clinician

rather than a class room teacher.

Ans. Teachers should follow the philosophy of patient

oriented teaching in clinical fields more and more and also

update their knowledge and skills through various continuing

education programmes.

Ans. Students are given very good facilities in our institute.

Students may remain updated through the college library

which is adequately equipped with books, journals,

newsletters, newspapers and unlimited internet facility.

In conversation with…..

3 |DID YOU KNOW??? When you take a step, you are using up to 200 muscles.

Elsevier: Your Knowledge Partner for Life

Srinanda GhoshPrincipal

Woodland's College Of NursingWest Bengal

Join us on facebook www.facebook.com/elseviergyandeep

| 4For any query contact: Priyanka Jain

ELSEVIER, A Division of Reed Elsevier India Pvt. Ltd.14th Floor, Building No.10B, DLF Cyber City, Phase-II, Gurgaon, Haryana-122002. INDIATel: +91-124-4774312, Fax: +91-124-4774100. Website: www.elsevier.co.in E-mail: contactus@elsevier.com

Answers to gyandeep quiz(Oct-Dec issue)

vJoseph Lister - antiseptic surgery

vAlexander Fleming - penicillin

vChristian Barnard - heart transplant

vWilliam Harvey - blood circulation

vLouis Pasteur - pasteurization

vEdward Jenner - small pox vaccination

vRobert Koch - microbiology

gyandeep quiz1. Which of the following drugs precipitate depression?

a) Reserpine b) Clonidine c) Methyldopa d) All of the above (answer)

2. A hypothesis which a researcher tries to disprove is:

a) Research hypothesis b) Null hypothesis(answer) c) Alternate hypothesis d) Positive hypothesis

3. Which of these are not retroperitoneal?

a) Inferior vena cava b)Spleen( answer) c) Ascending colon d) Rectum e)Descending colon

4. Which of these values does not exhibit the contraction characteristics of smooth muscles?

a) Slow b) Periodic c) Incessant (answer) d) Protracted

5. What is the most common cause of hyperkalaemia?

a) Metabolic acidosis b) Hypoaldosteronism c) Renal impairment (Answer) d) Insulin deficiency

Send your answers to our email id: contactus@elsevier.com

You may also send your response through SMS.

For this, type: GD112<space><Your name><space><ans1><ans2><ans3><ans4><ans5>

(e.g. GD112 Priyanka Jain abcda) and send it to +91-8527 422 622

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