emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
 
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of 1st Mega Ajmer Health Camp 2012

 
  Editorial …

1st April 2012, Sunday

Embolization shows success in benign prostatic hyperplasia

Prostatic artery embolization relieved the symptoms of benign prostatic hyperplasia in 2 studies presented at the Society of Interventional Radiology 37th Annual Scientific Meeting, San Francisco, California. The novel procedure, which has been tried in only 2 centers in the world, offers an alternative to transurethral resection of the prostate (TURP), with potentially fewer adverse reactions, said researcher Francisco Cesar Carnevale, MD, PhD, professor and chief of the interventional radiology section at University of São Paulo in Brazil, in a statement. (Medscape)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Embolization shows success in benign prostatic hyperplasia

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

First Mega Ajmer Health Camp – Distribution of Tricycles

Tricycles were distributed at the camp by the Ministry of Social Welfare, Government of Rajasthan to physically challenged people.

 
Dr K K Aggarwal
 
    National News

Urban Indians shun doctors, risk death from cancer

MUMBAI: By selectively borrowing habits from the West, the urban Indian has worsened his chances with cancer. Doctors say that while the city–bred Indian has willingly adopted a western diet, lapping up high–fat foods and shunning high–fibre content, he or she hasn’t picked up the healthy western attitude of detecting and treating cancer early. The end–result, as the India’s Million Death Study (MDS) reported on Thursday shows, is that urban Indians are not only more prone to cancer, they are more liable to die from the disease than their western counterpart. "Indians, including those from urban centres, falter at the first step. They fail to get their cancers detected early," says Dr Surendra Shastri, who heads the preventive oncology department at Tata Memorial Hospital, Parel. (Source: TOI, Mar 30, 2012)

For comments and archives

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology: Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

FDA Rejects BPA Ban

The FDA has reportedly denied a petition from the Natural Resources Defense Council to ban the plasticizing agent BPA from food packaging.

For comments and archives

Frequent chocolate consumption linked to lower BMI

A recent study showed that frequent chocolate consumption was associated with lower body mass index (BMI), even when adjusting for calorie intake, saturated fat intake, and mood. Beatrice A. Golomb, MD, PhD, associate professor of medicine at the University of California, San Diego, and colleagues described their findings in a research letter published in the March 26 issue of the Archives of Internal Medicine. (Source: Medscape)

For comments and archives

No FDA approval for orally inhaled migraine treatment

The US Food and Drug Administration (FDA) has declined approval of an orally inhaled formulation of dihydroergotamine (DHE; Levadex, MAP Pharmaceuticals Inc) for acute treatment of migraine in adults. A press release from the company late Monday confirmed receipt of a complete response letter from the FDA. (Source: Medscape)

For comments and archives

Non–HDL–C levels linked to risk for cardiovascular events

Levels of non–high–density lipoprotein cholesterol (non–HDL–C) among users of statins is linked to the risk for a major cardiovascular event, such as a heart attack or stroke, more strongly than are levels of low-density lipoprotein cholesterol (LDL–C) and apolipoprotein B (apoB). The finding, from a meta–analysis of data from 8 trials comprising a total of 62,154 patients, is published in the March 28 issue of JAMA. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Lost time is never found again.

@DeepakChopra: A life of purpose reveals the purpose of life.

 
    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

8th Chaitra Navratri: Maha Gauri

Mental and soul detoxification involves practicing Yoga Sadhna as described in nine forms of Durga, one worshipped each day.

  1. Maha Gauri is worshipped on the Eight Day of Navratri.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How will the doctor examine my uterus?

There are many different ways for your doctor to look at your uterus. These include:

  • Vaginal Ultrasound: A vaginal ultrasound utilizes a probe that is placed inside the vagina. The probe transmits sound waves that allow visualization of the organs in and around the pelvic cavity. The use of vaginal ultrasound helps the doctor see the wall and lining of your uterus.
  • Sonohysterogram (Saline Infusion Ultrasound): When the inside cavity of the uterus needs to be evaluated, your doctor may want to perform a saline infusion ultrasound. During this procedure, a small amount of sterile solution is placed into your uterus for a better look at the cavity.
  • Hysterosalpingogram: This procedure provides information about the fallopian tubes and uterine cavity. The doctor injects a special dye into your uterus and then performs an x–ray to visualize the path of the dye through the fallopian tubes. This test allows your doctor to determine if the fallopian tubes are open.
  • Hysteroscopy: This procedure is performed with a small telescope attached to a camera (called a hysteroscope) that lets the doctor look inside your uterus. Because the doctor has a direct view of your uterus, this procedure may provide the most accurate information.

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Blood Donation – Gift of Liquid Love

What are the functions of the components of blood?

  • Plasma acts as a vehicle to carry many substances like glucose, fats, and proteins, enzymes, and hormones etc., in addition to the blood cells.
  • Red blood cells carry oxygen from lungs to various body tissues and take back carbon dioxide from the cells and tissues to be thrown out of body in the form of exhaled air.
  • White blood cells mainly act as body scavengers and guards. They help in the immune system of the body and act as defense forces of the body killing the bacteria or any other organisms enter in the body.
  • Platelets help in the clotting and coagulation of blood. We have experienced in our life that whenever we get injured the bleeding stops after a few minutes. This is brought about by a mechanism called clotting of blood in which platelet plays a very vital role.

For comments and archives

 
    Celiac Disease Update

(Dr Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation, Medanta – The Medicity Hospital, Gurgaon)

How is celiac disease diagnosed in patients who are already on gluten free diet ?

All tests lose their usefulness if the patient is already taking a gluten–free diet. Intestinal damage begins to heal within weeks of gluten being removed from the diet, and antibody levels decline over months. For those who have already started on a gluten–free diet, it may be necessary to perform a re–challenge with some gluten–containing food in one meal a day over 2–6 weeks before repeating the investigations.

For comments and archives

 
    Medi Finance Update

(Tarun Kumar, Chartered Accountant)

Tax Collection at Source (TCS)

  • Seller of bullion or jewellery shall collect tax @ 1% of sale consideration from every buyer if sale consideration in cash exceeds Rs.2 lakhs. (Effective from 01.07.2012)
  • Seller to collect 1% tax on sale of minerals (coal, lignite and iron Ore), subject to prescribed conditions. (Effective from 01.07.2012)

For comments and archives

 
    An Inspirational Story

(Dr GM Singh)

Everyone is important

During Mark’s first month of college, the professor gave his students a quiz. He was a conscientious student and had breezed through the questions, until he read the last one: "What is the first name of the woman who cleans the school?"

Surely this was some kind of joke, he had seen the cleaning woman several times. She was tall, dark–haired and in her 50s, but how would he know her name? He handed in his paper, leaving the last question blank.

Just before class ended, one student asked if the last question would count toward the quiz grade.

"Absolutely," said the professor. "In your careers, you will meet many people, all are significant. They each deserve your attention and care, even if all you do is smile and say ‘hello’".

Mark never forgot that lesson, he also learned her name was Dorothy.

For comments and archives

 
    Fitness Update

(Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, www.mymonavie.com/sonraj)

Improvements in cholesterol levels in obese children: A review of studies

Research has shown that making diet and lifestyle changes can help reduce blood cholesterol levels. Most studies are conducted on adults, but a recent review looked at exercise interventions and their effect on blood cholesterol levels in obese children. Seven studies were analyzed and results showed that programs focusing on aerobic exercise resulted in a moderate effect on LDL cholesterol (the "bad" cholesterol) and a large effect on triglycerides levels. In addition, programs based on combined exercise showed a moderate effect on HDL cholesterol (the "good" cholesterol) levels. The aerobic exercise programs ran for 60 minutes, three times per week at less than 75% maximal heart rate. The combined programs were greater than 60 minutes per session at 75% or greater maximal heart rate. These levels of activity, though less than current federal recommendations, were sufficient to produce significant improvements in LDL, HDL, and triglyceride levels.

For comments and archives

 
    Cardiology eMedinewS

Moderate Drinking May Benefit Heart Attack Survivors. Read More

Link Between Soda, Health Problems More Complex Than Thought.
Read More

Raisins May Help Lower Blood Pressure. Read More

 
    Pediatric eMedinewS

Non–HDL–C Levels Linked to Risk for Cardiovascular Events Read More

H1N1 Vaccine Tied To Spike In Narcolepsy Read More

FDA Adds Children To HIV Drug Indication Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with migraine was put on the herb, Butterbur.
Dr. Bad: It is a drug of choice for preventing migraine.
Dr. Good: Its benefits still remain unproven.
Lesson: Herbal therapies like the Butterbur and Feverfew have been evaluated for the treatment of migraine headaches. Of these, Feverfew has been the most widely studied. Some studies have found it to be effective for migraine prevention, although most experts agree that the benefits are still unproven. Neither treatment is recommended.

For comments and archives

Make Sure

Situation: A patient of suspected MI died after receiving sublingual nitrate.
Reaction: Oh my God! Why was a history of Viagra drug intake not taken?
Lesson: Make sure to take a history of Viagra drug intake before giving nitrates, because the two drugs co–administered can cause fatal fall in blood pressure.

For comments and archives

 
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    Quote of the Day

(Dr GM Singh)

Friendship is a single soul dwelling in two bodies. Aristotle

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Thrombocytopenia

Platelet count <150,000/microL (Note: About 2.5% of the normal population may have a platelet count lower than this).

A fall in platelet count to levels <150,000/microL may herald severe clinical problems, and requires active follow–up, although thrombocytopenia is not usually detected clinically until the platelet count has fallen to levels significantly below 100,000/microL.

 
    Mind Teaser

Read this…………………

At a party, everyone shook hands with everybody else. There were 66 handshakes. How many people were at the party?

Yesterday’s Mind Teaser: The grandson is about as many days old as the son is in weeks. The grandson is approximately as many months old as the father is in years. The ages of the grandson, the son, and the father add up to 120 years. What are their ages in years?

Answer for Yesterday’s Mind Teaser: The father is 72, the son is 42, and the grandson is 6 years old.

Correct answers received from: Dr Thakor Hitendrsinh G, Raju Kuppusamy, Dr Chandresh Jardosh,
Dr Vijay Kansal.

Answer for 30th March Mind Teaser: b) Number
Correct answers received from: Dr Avtar Krishan, Dr Sanghi Prabha, Yogindra Vasavada.

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr GM Singh)

Wife comes home late

Wife comes home late at night and quietly opens the door to her Bedroom. From under the blanket she sees four legs instead of two.

She reaches for a Baseball Bat and starts hitting the blanket as hard as she can. Once she’s done, she goes to the kitchen to have a drink.

As she enters, she sees her husband there, reading a magazine.

"Hi Darling", he says, "Your parents have come to visit us, so l let them stay in our bedroom. Hope you said Hello to them."

 
   Microbial World: The Good and the Bad they do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity)

Normal Flora Of The Respiratory Tract

The spectrum of bacteria that colonize nose, throat, trachea, bronchi, and very occasionally alveoli constitute the normal flora of the respiratory tract. Mostly the bacteria that colonize oral cavity may also colonize the respiratory tract. However, nose because of high salt concentration and relatively low temperature gets colonized with staphylococci including MRSA as staphylococci grow in this environment. Many species of streptococci also colonize nose. Out of these MRSA can cause infection in contacts and is associated with HAI and sometimes small outbreaks of infections in the hospitals.

Throat/pharynx is colonized with a mixture of viridians streptococci, coagulase negative staphylococci, micrococci, corynebacteria and lactobacilli. These commensals occupy the sites of attachment of microbes on pharyngeal mucosa, thus preventing colonization and subsequent infection by pathogens like Strept. pyogenes, Neisseria meningitides and Staph aureus, etc. Sometimes pharynx can get colonized with pathogens like Haemophilus influenzae, N menigitidis, Streptococcus pneumonia, Strept pyogenes, Bordetella perutssis, Gram negative bacilli and Corynebacterium diphtheria. This particularly happens during outbreaks and such individuals are called healthy carriers. They themselves do not/may not suffer from infection but can transmit the pathogenic microbe resulting in infection in vulnerable people.

Bronchi may contain scanty organisms and these normally are extension of same flora as in throat. Alveoli and larynx are normally sterile. This is because of the efficient cleansing action of ciliated epithelium, mucous, etc of the lower tract. Any bacteria which reach the lower respiratory tract are thrown ou/swept upwards by muco ciliary blanket lining the mucosa and also by coughing, sneezing and swallowing.

For comments and archives

 
    Legal Question of the Day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Q. A patient is admitted in the ICU of a hospital having its own ACLS ambulance with necessary staff. He leaves the hospital against medical advice for getting admitted to another hospital. He requests that he may be provided the ACLS ambulance for shifting. The hospital refuses. He goes on his own and dies on the way. Is there negligence?

Ans.

  1. Yes, there is clear negligence.
  2. The patient was in a serious condition. He was in hospital custody. It was the duty of the hospital to take care of his medical condition till another doctor takes over. The hospital ignored its duty. Even if the hospital had no ambulance, it would have been its duty to send with him a medical/paramedical attendant with necessary equipment. If the offer is refused, the hospital must document the refusal in a provable manner.
  3. The courts are likely to award compensation if the hospital is sued.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Exercise Impact on the knee

Different exercises produce different impacts on the knee joints. The best and safest exercises that cause minimum impact on the knee in patients post knee replacement or knee arthritis are walking, biking, hiking, riding an exercise bike, riding an elliptical trainer and walking on the treadmill. In sports, one can play doubles tennis but not singles. One can also participate in downhill or cross–country skiing, said Dr. K.K. Aggarwal, Padma Shri and Dr B C Roy National Awardee and President, Heart Care Foundation of India.

Jogging and golf swings produce maximum stress.

Impact

  • Biking generate the least force, producing impact of about 1.3 times the person’s body weight.
  • Treadmill walking is the next best, producing forces of 2.05 the body weight.
  • Walking on level ground generate forces of 2.6 times the body weight.
  • Tennis produces forces of 3.1 to 3.8 times the body weight, with serving producing the highest impact.
  • Jogging produces forces of 4.3 times body weight.
  • Golf swings produces forces of 4.5 times body weight on the forward knee and 3.2 times body weight in the opposite knee.

Positions and activities placing excessive pressure on the knee joint

  • Squatting and kneeling
  • Twisting and pivoting
  • Repetitive bending (multiple flights of stairs, getting out of a seated position, clutch and pedal pushing, etc.)
  • Jogging
  • Aerobics, dancing
  • Playing stop and go sports (basketball, sports that use racquets)
  • Swimming using the frog or whip kick

Exercise equipment placing excessive pressure on the knee

  • Stair stepper
  • Stationary bicycle
  • Rowing machine
  • Universal gym utilizing leg extensions

The preferred exercise equipment for the knee should provide smooth motion of the knee, maximal toning of the front and back thigh muscles (quadriceps and hamstring muscles), minimal jarring and impact to the joint and the least amount of bending to accomplish toning.

Activities that are acceptable alternatives to the above:

  • Fast walking
  • Water aerobics
  • Swimming using the crawl stroke
  • Cross country ski machines
  • Soft platform treadmill
  • Trampoline
 
    Readers Responses
  1. Dear Sir, I like the spiritual blog…thanks a lot for providing useful information. Regards: Dr Prisha
 
    Forthcoming Events
Dr K K Aggarwal

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Dr Usha K Baveja