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 (07–08c); 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 Doctor’s Day Celebration

 
    Health Videos…

Nobility of medical profession: Aamir Khan Controversy (Video 1 to Video 9)
Health and Religion: Bharatiya Vidya Bhavan and Heart Care Foundation of India(Video 1 to Video 7)
Take Care Holistically, DD India health series, Anchor Dr KK Aggarwal (Video 1–2)
Chat with Dr KK On life Style Disorders

Health Update (Video 1 to 15)

 
  Editorial …

1st August 2012, Wednesday

FDA update on QT prolongation with Ondansetron

  • A new FDA Drug Safety Communication regarding use of ondansetron states that a single 32-mg intravenous dose of ondansetron may cause QT interval prolongation and should be avoided.
  • QT interval prolongation may, in turn, lead to torsades de pointes, an abnormal and potentially fatal heart arrhythmia.
  • No single intravenous dose should exceed 16 mg.
  • After baseline correction, the maximal mean difference in QTcF from placebo was 20 milliseconds for the 32-mg single intravenous dose and 6 milliseconds for the 8-mg single intravenous dose.
  • Risk factors for QT prolongation associated with use of ondansetron include congenital long QT syndrome, congestive heart failure, bradyarrhythmias, or concomitant use of medications that prolong the QT interval.
  • Before ondansetron is administered, electrolyte abnormalities including hypokalemia or hypomagnesemia should be corrected.

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 on

Vegatable and fuits lower chances of getting some cancers

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on the Role of God Particle in health

Heart Care Foundation of India in association with International Centre for Spirituality and eMedinewS organized a seminar on “Higgs Boson, Consciousness and Health’ on 24th July 2012 at PHD Chamber, New Delhi

 
Dr K K Aggarwal
 
    National News

Try flute yoga to beat stress

The humble flute, which in Hindu mythology was played by Lord Krishna to charm the maidens, birds and animals of Vrindavan and Mathura, is leading a new healing therapy called Bansi Yoga to beat lifestyle stress. Bansi Yoga, created by the S. Vyasa Yoga University using a combination of traditional yoga, breathing exercises and flute melody, will get the official stamp of approval in the capital at the third World Flute Festival, "Raasrang 2012", Aug 9-12. The festival will be presented by the Ministry of Culture and the Krishna Prerna Foundation with support from flute maestro Hariprasad Chaurasia.

A team of experts will demonstrate the yoga and discuss its healing powers in 12 workshops over four days at Hotel Ashok in the capital, Arun Buddhiraja, the founder of the Krishna Prerna Foundation, said. "Bansi Yoga is a combination of yoga and flute used as a deep relaxation technique in 40 minutes of cyclic meditations. The practitioner moves his limbs in a cyclic pattern and the flute, played as an accompaniment, allows him to relax. The relaxation induced is equivalent to eight hours of sleep," Buddhiraja told IANS. The flute was a symbol of love, peace and water, he said.

Explaining the dynamics of the Bansi Yoga, Buddhiraja said in some postures, the practitioner stands straight with his hands alongside at right angles. The practitioner then moves his hand in a cyclic manner to the music of the flute. The cyclic motion fans from the hand to the fingers and to the shoulders. The meditation is followed by chanting of the words Ukara, Akara, Makara (u, aa, maa) - the essence of the word Omkara - to create magnetic sound resonance in the body, Buddhiraja said. "It is a physiological and psychological clean-up," he said. The Bansi Yoga courses are designed for two groups of people - corporate executives and the common people. (Source: The Pioneer, 21 July 2012)

For comments and archives

My Profession My Concern

Newborn dies as father couldn’t pay Rs. 200 for incubator

The father of the premature baby could not pay for the incubator. A five-day-old baby girl died at the government-run Civil Hospital at Jalandhar as the staff stopped treatment when her father could not pay Rs. 200 charged for use of an incubator. The incident came to light when Sanjeev Kumar, a daily wage painter, and his wife Anita accused the staff of “killing” the baby born prematurely in the hospital on July 20. The child required extra medical assistance as it developed complications, including jaundice, immediately after birth. On Wednesday, the staff asked Sanjeev to deposit Rs. 200 for running the incubator. But he was not able to arrange for the money.

Apparently, the staff withdrew all treatment and handed over the baby to the mother, who pleaded for some more time. Within hours, the condition of the baby deteriorated and it died in the arms of its hapless mother. When the shocking incident came under media spotlight, local health authorities went into overdrive to shift blame. Witnesses said some hospital officials tried to argue that a written request was necessary from the child’s parents to allow use of the incubator. Sanjeev, who is not a literate, was not aware of such regulations. Finally, the Chief Minister took “cognisance” of the situation and ordered a fast track inquiry into the incident. (The Hindu)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

(Contributed by Dr Monica and Brahm Vasudev)

USPSTF: Still no ECG screens for low-risk adults

The U.S. Preventive Services Task Force continues to recommend against using electrocardiography (ECG) to screen asymptomatic adults at low risk for coronary heart disease. The recommendation, published online in the Annals of Internal Medicine, is consistent with the task force's 2004 guidance and is based on a update of a review published last September that showed a lack of evidence supporting a reduction in coronary heart disease events from screening a low-risk population. The guidance applies to men and women who do not have any symptoms and have not received a diagnosis of cardiovascular disease. (Source: Medpage Today)

For comments and archives

SQUEEZing a guide to resynch targets out of CT and ECG data

Computed tomography (CT), used in conjunction with ECG imaging (ECGI), may soon be used to guide the placement of leads for cardiac resynchronization therapy (CRT). At the Society of Cardiovascular Computed Tomography (SCCT) 2012 Annual Scientific Meeting, Dr Fady Dawoud (Johns Hopkins University, Baltimore) presented promising results of an animal study showing that CT and ECGI information can be translated into a map that not only helps to identify the best candidates for CRT therapy but can also guide CRT lead placement. (Source: Medscape)

For comments and archives

Fiber-added foods may not stem hunger

Fiber-enriched processed foods promise a healthier version of snacks, but they might not keep hunger at bay, a small study suggests. The researchers found no hunger-limiting effects of chocolate bars containing four different "functional fibers," such as inulin - aka "chicory root extract" - commonly found in fiber-enriched processed foods. Overall, the women in the study were just as hungry come lunch time as they were on a day when they ate a low-fiber bar for breakfast. And their food intake for the rest of the day was similar as well. The findings, reported July 9 in the Journal of the Academy of Nutrition and Dietetics, are in line with other research on added fibers. (Source: Medscape)

For comments and archives

Curcumin capsules found to curb diabetes risk

Supplements containing curcumin, a compound in the curry spice turmeric, may help prevent diabetes in people at high risk, a small clinical trial suggests. Lab research has suggested curcumin can fight inflammation and oxidative damage to body cells. The new study, published July 6 in Diabetes Care, included 240 Thai adults with prediabetes who were randomly assigned to take either curcumin capsules or a placebo. In the intervention group, people took six supplement capsules per day, each of which contained 250 mg of curcuminoids. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Formula of three for hunger strike and Satyagraha A rough Formula of 3 is that one cannot live for three minutes... http://fb.me/zs91rrud

@DeepakChopra: Is my existential crisis a reaction to my awareness or just my ego struggling for survival? http://tinyurl.com/cjwbsya

 
    Spiritual Update

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

The medical profession is like honey and a doctor like a honey bee

In a seminar, Father Thomas from Delhi compared all religious faith with honey. He said that the honey bee goes from one flower to another and collects nectar and it

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Do you have your uterus even after the endometrial ablation?

Endometrial ablation only removes the lining of your uterus. You still have a uterus. This means that if you do not want to become pregnant, you still need to use birth control. If you have gone through menopause and are taking hormone therapy, your hormone therapy must include a progestogen (also called progesterone or progestin). Progestogens reduce the risk of developing cancer in your uterus.

For comments and archives

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

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

Resolution of ABO discrepancies

Case

1 Blood donor 55 years, male

Routine grouping

Anti-A

Anti-B

Anti-D

Infer

Ac

Bc

Oc

Infer

0

0

4+

O+

4+

4+

4+

?

Possibilities

  • Rouleaux formation
  • Cold autoantibodies/alloantibody
  • “Bombay” phenotype

Resolution

  • Saline replacement
  • Antibody screen at different temp
  • Reaction with Anti- H lectin

Causes for discrepancies

  • Errors
  • Techniques
  • Red cell problems
  • Serum problems

Resolution of ABO group discrepancies

  • Rule out clerical error
  • Rule out technical error
  • Obtain history–
    • age, diagnosis, pregnancy,
    • drug & transfusion
  • Previous records of grouping - HIS
  • Repeat test using
    • Washed RBC
    • Antisera from a different lot no.
    • Antisera from a different manufacturer

For comments and archives

 
    An Inspirational Story

(Mr Ranesh Kumar Sabharwal)

Socrates philosophy

Keep this in mind the next time you are about to repeat a rumor or spread gossip.

In ancient Greece (469 - 399 BC), Socrates was widely lauded for his wisdom. One day an acquaintance ran up to him excitedly and said, "Socrates, do you know what I just heard about Diogenes?" "Wait a moment," Socrates replied, "Before you tell me I'd like you to pass a little test. It's called the Triple Filter Test."

"Triple filter?" asked the acquaintance.

"That's right," Socrates continued, "Before you talk to me about Diogenes let's take a moment to filter what you're going to say. The first filter is Truth. Have you made absolutely sure that what you are about to tell me is true?"

"No," the man said, "Actually I just heard about it."

"All right," said Socrates, "So you don't really know if it's true or not. Now let's try the second filter, the filter of Goodness. Is what you are about to tell me about Diogenes something good?"

"No, on the contrary..."

"So," Socrates continued, "You want to tell me something about Diogenes that may be bad, even though you're not certain it's true?"

The man shrugged, a little embarrassed. Socrates continued, "You may still pass the test though, because there is a third filter, the filter of Usefulness. Is what you want to tell me about Diogenes going to be useful to me?"

"No, not really." "Well," concluded Socrates, "If what you want to tell me is neither True nor Good nor even Useful, why tell it to me or anyone at all?"

The man was bewildered and ashamed. This is an example of why Socrates was a great philosopher and held in such high esteem.

For comments and archives

 
    Cardiology eMedinewS

Linagliptin and metformin combination approved in Europe Read More

Shift work hikes MI, stroke risks Read More

 
    Pediatric eMedinewS

All UK kids to get nasal influenza vaccine Read More

Doctors report historic transplant in child Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with Chikungunya was found to have high ESR.
Dr. Bad: It may not be Chikungunya.
Dr. Good: This is Chikungunya.
Lesson: High ESR is seen in Chikungunya.

For comments and archives

Make Sure

Situation: A patient died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that each time a patient is given penicillin injection, anti anaphylaxis measures are available.

For comments and archives

 
  Meet the expert

Dr Brahm Vasudev

Can a renal transplant patient take vaccinations?

Renal transplant patients cannot take any live vaccine. They should get the pneumococcal vaccine every 5 years, Hepatitis A and B vaccine (one course) and Tetanus (killed vaccine) every ten years. The seroconversion rates are lower in transplant patients (implying that even though you take the vaccine, you may not make enough antibodies since your immune system is suppressed. Antibody titers can be evaluated a few months post vaccination to see the response.

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    Legal Question of the Day

(Dr MC Gupta)

Q. Please enlighten me about the following:

1. Can a MBBS state on his prescription card etc. that he is a skin specialist?
2. Who can do LASER treatment on skin e.g. hair removal, skin rejuvenation and other skin treatment like chemical peeling etc.?
3. Who can announce himself as a cosmetologist?

Ans.

a) An MBBS holding out as a skin specialist will be liable under MCI Regulations, 2002, as well as under the CPA, 1986.

b) It would be logical to state that the dermatological procedures like LASER treatment, hair removal, skin rejuvenation, chemical peeling etc. fall within the specialty area of a dermatologist.

c) The following answers your question:

“What are the different areas of cosmetology?

Cosmetologists have several choices of study to specialize in:

  • Hair Stylist – this would include services such as shampooing, cutting, coloring and styling hair as well as scalp massage and treatments.
  • Manicurist – this includes fingernails, cuticle treatments, hand and arm massage, painting nails, applying or removing acrylic nails and skin care.
  • Pedicurist – this specialty deals with all of the same points as a manicurist, except that it pertains to toe nails and foot massage.
  • Facials – this includes the application of treatments to clean and purify the skin of the face, around the eyes, and the chin but includes the knowledge of treatments for various skin types and recommendations of products or regimens to encourage young, healthy skin.
  • Beauty Therapist – this is a broad specialty that includes many different procedures such as hair removal, skin care, hair care, and make-up application among other things.
  • Shampoo Technician – this includes the application of the correct shampoo and conditioner for the customer’s specific hair type. This person usually will prepare the hair for the specific procedure requested of the hair stylist.”

    (http://www.beautyandcosmetologyschools.com/what-is-a-cosmetologist.shtml)

d) If you want to know which medical specialty may be said to improve cosmetic appearance of a person, possibly the closest are—a dermatologist and a plastic surgeon.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Heart tells the eyes "See less, because you see and I suffer lot".
Eyes replied, "Feel less because you feel and I cry a lot".

 
  Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Triglycerides

Markedly increased triglycerides (>500 mg/dL) usually indicate a nonfasting patient (i.e., one having consumed any calories within 12–14 hour period prior to specimen collection).

If patient is fasting, hypertriglyceridemia is seen in hyperlipoproteinemia types I, IIb, III, IV, and V. Exact classification theoretically requires lipoprotein electrophoresis, but this is not usually necessary to assess a patient’s risk to atherosclerosis. Cholestyramine, corticosteroids, estrogens, ethanol, miconazole (intravenous), oral contraceptives, spironolactone, stress, and high carbohydrate intake are known to increase triglycerides.

Decreased serum triglycerides are seen in abetalipoproteinemia, chronic obstructive pulmonary disease, hyperthyroidism, malnutrition and malabsorption states.

 
    Mind Teaser

Read this…………………

During the first 24 hours after thyroid surgery, the nurse should include in her care:

A. Checking the back and sides of the operative dressing
B. Supporting the head during mild range of motion exercise
C. Encouraging the client to ventilate her feelings about the surgery
D. Advising the client that she can resume her normal activities immediately

Yesterday’s Mind Teaser: timertimer

Answer for yesterday’s Mind Teaser: 2 times

Correct answers received from: Dr PC Das, bina sawhney, Anil Bairaria, Raju Kuppusamy,
Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Kumar Prafull Chandra.

Answer for 30th July Mind Teaser: A. Checking the back and sides of the operative dressing

Correct answers received from: Dr Thakor Hitendrsinh G, kumar Prafull Chandra.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr Prabha Sanghi)

Priceless definitions

Dust

Mud with the juice squeezed out.

 
    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Contravention of PNDT Act may lead to Imprisonment up to 3 years

  • The name of the registered medical practitioner who has been convicted by the court under sub–section (1), shall be reported by the Appropriate Authority to the respective State Medical Council for taking necessary action including the removal of his name from the register of the Council for a period of two years for the first offence and permanently for the subsequent offence.
  • Any person who seeks the aid of a genetic counseling center or genetic laboratory or genetic clinic or of a medical geneticist, medical gynecologist or registered medical practitioner for conducting pre–natal diagnostic techniques on any pregnant woman (including the woman unless she was compelled to undergo such diagnostic technique) for purposes other than those specified in clause(2) of section 4, shall be punishable with imprisonment for a term which may extend to 3 years and with a fine which may extend up to ten thousand rupees and on any subsequent conviction with imprisonment which may extend to five years and with fine which may extend up to fifty thousand rupees.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Now the west says Yoga is good for paralysis patients

Since ancient times, yoga exercises in India have been recommended for many diseases including paralysis. And now, a study published in Stroke, Journal of American Medical Association has said that a yoga-based rehabilitation programme can improve the balance, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

In the 8-week study, yoga showed significant progress in static and dynamic balance which was much higher than the people who were on conventional treatment. Yoga has also shown benefit in those with chronic back pain and it also cuts the frequent arterial fibrillation episodes.

Yoga involves a combination of postures, breathing and meditation.

 
    Readers Responses
  1. Dear Sir Many state government are trying to allow Ayurvedic clinicians to use Allopathic medicines ,are state government have power to equalize BAMS to MBBS after just a certificate course/training in pharmacology? Dr Sundeep Nigam
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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

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

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    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