emedinews
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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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

 
  Editorial …

1st December 2011, Thursday

Today is World AIDS Day

What is PrEP?

PrEP is short for Pre Exposure Prophylaxis and may be part of comprehensive HIV prevention services in which HIV–negative people who are at high risk, take antiretroviral medication daily to try to lower their chances of becoming infected with HIV if they are exposed to it.

To date, PrEP has been shown to be effective in men who have sex with men (MSM) and heterosexual men and women.

In November 2010, the NIH announced the results of the iPrEx clinical trial, a large, multi–country research study examining PrEP. The study found that daily oral use of tenofovir plus emtricitabine (TDF/FTC single tablet) provided an average of 44% additional protection to men who have sex with men (MSM) who also received a comprehensive package of prevention services that included monthly HIV testing, condom provision, and management of other sexually transmitted infections.

In July 2011, a new CDC study called the TDF2 study, along with a separate trial by the University of Washington, provided evidence that a daily oral dose of antiretroviral drugs used to treat HIV infection can reduce HIV acquisition among uninfected individuals exposed to the virus through heterosexual sex.

CDC has developed interim guidance for physicians electing to provide PrEP for HIV prevention among MSM. Because pregnant and breastfeeding women were excluded from participation in PrEP trials, further evaluation of available data will be needed before any recommendations can be made regarding the use of PrEP for women during conception, pregnancy, or breastfeeding.

Oral pre–exposure HIV prophylaxis may be an effective therapy to decrease HIV transmission in HIV discordant couples who choose to conceive naturally.

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

Today is World AIDS Day

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011

Heritage – An Inter Dancing School Health Festival was organised as a part of Perfect Health Mela. Students from Various School took active part in this and were Awarded on their performance.

 
Dr K K Aggarwal
 
    National News

Bangalore best Indian city to live: Survey

Pipping past the four metro cities of New Delhi, Mumbai, Kolkata and Chennai, the southern technology hub Bangalore has emerged as the best city to live in India, a global survey said on Tuesday. Despite its top Indian ranking, Bangalore’s worldwide rank is very low at 141st position in a list of 221 cities globally in terms of standard of living, compiled by the ‘Quality of Living Survey – Worldwide Rankings, 2011’ by the global HR (human resources) consultancy major Mercer. Vienna has been ranked as the world’s best city to live in on the global list, which has five Indian cities –– Bangalore (141st), New Delhi (143rd), Mumbai (144th), Chennai (150th) and Kolkata (151st). (Source: TOI, Nov 29, 2011)

For comments and archives

Kindly visit Facebook for CSI News. It will cover minute to minute happenings of the 63rd CSI conference at Mumbai 8–11th December

For Facebook Page

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

Today is World AIDS Day 2011

The theme for World AIDS Day this year is about "Getting to Zero." The new theme, that will be used until 2015, echoes the UNAIDS vision of achieving "Zero new HIV infections. Zero discrimination. Zero AIDS–related deaths." This year’s World AIDS Day is anticipated to see renewed activism from the civil society as 1st December 2011 falls only 6 months before the International AIDS Conference taking place in Washington DC. This year also marks the 30th year since AIDS was first report.

For comments and archives

HIV not well controlled in U.S., CDC says

Despite advances in the treatment of HIV, only 28% of infected Americans have the virus under control, the CDC said. That is largely because only 41% of the estimated 1.2 million HIV–positive individuals living in the U.S. are both aware that they are infected and are receiving ongoing care, according to a CDC Vitals Signs report published online in Morbidity and Mortality Weekly Report. (Source: Medpage Today)

For comments and archives

HbA1c must be just right in diabetic kidney disease

Among patients with diabetes and stage 3 or 4 chronic kidney disease, glycated hemoglobin levels that are too low are associated with worse clinical outcomes, just as are levels that are too high, an observational study showed. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: WMA non–therapeutic Biomedical Research guidelines Involving Human Subjects The WMA standards have been drafted…

@DeepakChopra: You probably know what atherosclerosis is. Watch how it progresses and get a few tips on how to deal with it. https://bitly.com/DpakAthero

 
    Spiritual Update

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

Why do we prostrate before parents and elders?

Most of us are taught to prostrate before our parents, elders, teachers and noble souls by touching their feet. The elder in turn blesses us by placing his or her hand on or over our heads.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

The Challenge

It was decided that we would enter our first sports race or challenge as it was also called. The event was for a really good cause and sounded like a great idea. We would all train accordingly in preparation for the big day. A 60–mile course consisting of three paddling legs, two cycling segments and two running courses lied ahead. We decided which part of the race each of us would complete and recruited a driver for our team.

We came up with a team name, and so we had the birth of the Warren Street Rat Pack. What we might have lacked in physical ability, we would make up in enthusiasm. We arrived at the starting point adorn with our team t–shirts. We looked like true contenders. My teammates left me at the starting line to run my leg of the challenge and headed off to the next checkpoint.

When it was time for the challenge to begin, I joined the large group of runners at the starting line. I observed some of the runners stretching, some walking in circles nervously and decided to converse with a small group who chattered and laughed non–stop while waiting for the race to begin. I have never been in a race before; the excitement of taking off swept me away. People lined that streets and were cheering. I stuck with the group of runners until I realized I was completely out of breath and was running at speed that was twice as fast as I had ever gone before.

I managed to finish my leg in the time that I had hoped for, with only two runners finishing behind me. My team cheered me on as if I was the first to cross the line and I felt like a champion. It was time to pass the baton to our next team member who would embark on his first kayak ride since he attended summer camp as a boy.

With the completion of each leg of the race, our team members applauded wildly and acknowledged success for the person who just finished their turn. I am sure the spirit of our team was lifted a bit higher when one our teammates took off with a giant smile while ringing the bell on her three–speed bike. We all followed her in the car for a bit, laughing as we watched her emanating joy with her smile; waving to every person she passed by.

The first place team had long since passed the finish line, the check in points were being dismantled, and the big celebration party had already kicked off when we had one last kayak route to complete. Now on his second kayak ride since attending summer camp as a boy, our finish line team member set off to complete the challenge for our team. We did our best to stay close enough to him, so that he could hear us rooting for him. Our excitement level was high, as we were about to complete our first sports race, or challenge as it was also called.

At last we helped our kayaker to pull the boat ashore after he crossed the finish line. Jumping up and down, hugging one another, offering raised hands welcoming the high–fives, we had finished. The encouragement we gave to each other, the laughter we shared and the way we embraced each part of the journey put us on a winning team, which by the way came in last.

We all agreed to enter the Greenway Challenge together again this year. Although we have considered making some changes in our strategy looking back, perhaps we shouldn't change a thing.

For comments and archives

 
    Cardiology eMedinewS

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

Radial PCI Feasible

For comments and archives

Medsacpe Top Ten Practice Changing News in Cardiology in the Year 2011

For comments and archives

EuroPCR 2011

For comments and archives

Cellular Phone Safe in the Shirt Pocket

For comments and archives

Cutaneous Manifestations of CAD

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Healthier people create a healthier economy

Can poor health and lack of exercise make the recession worse? Absolutely! That is, according to a new report from the Trust for America’s Health, a non–profit, non–partisan organization that is dedicated to promoting community health and disease prevention. The report digs deep to investigate and explain how the health of a population is tied to that population’s economic productivity. It also examines how health affects the ability of states, cities and towns to attract and retain employees and employers, and how workplace and community wellness programs help improve productivity and reduce health spending.

The report details specific case studies and interviews with business executives, elected officials and public health leaders in a variety of different U.S. states, including Minnesota, Texas, Tennessee, Indiana, California and Mississippi. In these states, over half the inhabitants live with one or more chronic disease, including heart disease, stroke, diabetes and cancer, which are oftentimes preventable. The report presents data that exemplify how chronic health conditions affect worker productivity and increase healthcare costs. For instance, obesity alone cost Texas businesses an extra $9.5 billion in 2009, including more than $4 billion for health care, $5 billion for lost productivity and absenteeism and $321 million for disability. However, they go even further to make the case that in order to attract new business, a city must be prosperous and healthy.

For comments and archives

 
    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Should old patients drive?

A careful history of prescription, over–the–counter (OTC) and herbal medications is important in all seniors. Medications with effects on the central nervous system, such as benzodiazepines, antihistamines, anticholinergics and some tricyclic antidepressants, can be harmful alone and especially when used in combination. More than one–third of all benzodiazepine prescriptions are written for people aged 60 and older. Traffic accident risk increases by nearly 50% in the first week after starting benzodiazepine therapy.

 
    Medicine Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta)

What are the causes of hereditary fructose intolerance?

Hereditary fructose intolerance occurs due to deficiency of an enzyme called aldolase B, which is needed to break down fructose. If a person without this substance eats fructose and sucrose (cane or beet sugar, table sugar), complicated chemical changes occur in the body. The body cannot change glycogen, into glucose. As a result, the blood sugar falls.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A 45–year–old male with community–acquired pneumonia came for a prescription.
Dr Bad: Start combination azithromycin and cefuroxime.
Dr Good: Start levofloxacin.
Lesson: In a meta–analysis that included 23 randomized trials, respiratory fluoroquinolones (levofloxacin, moxifloxacin, or gemifloxacin) were more likely to result in treatment success than the combination of a beta–lactam plus a macrolide for the treatment of CAP that was mostly mild to moderate in severity (CMAJ 2008;179:1269–77).

For comments and archives

Make Sure

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh my God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

No tool is more beneficial than intelligence. No enemy is more harmful than ignorance. Al–Shaykh Al–Mufid

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Lactate Dehydrogenase Serum

Also known as: LD, Lactate dehydrogenase, Lactic dehydrogenase, Total LDH, and LDH isoenzymes.

This test helps to identify the cause and location of tissue damage in the body and to monitor its progress. Increased levels of LDH and changes in the ratio of the LDH isoenzymes usually indicate some type of tissue damage. Raised levels of LDH may be seen with:

  • Cerebrovascular accident (CVA, stroke)
  • Drugs: Anesthetics, aspirin, narcotics, procainamides, alcohol
  • Hemolytic anemias
  • Pernicious anemias (megaloblastic anemias)
  • Infectious mononucleosis (Mono)
  • Intestinal and pulmonary infarction
  • Kidney disease
  • Liver disease
  • Muscular dystrophy
  • Pancreatitis
  • Lymphoma or other cancers

Low and normal levels of LDH do not usually indicate a problem. Low levels can be seen when a patient ingests large amounts of vitamin C.

 
    Mind Teaser

Read this…………………

thought an

Yesterday’s Mind Teaser: Business :)

Answer for Yesterday’s Mind Teaser: Business before pleasure

Correct answers received from: Dr BB Aggarwal, Yogindra Vasavada,
Dr Chandresh Jardosh, Raju Kuppusamy, Muthumperumal Thirumalpillai, Anil Bairaria, Dr NeelamNath, Dr KV Sarma, Dr BB Aggarwal, Dr Ankita Kanathia,
Dr Shabina.

Answer for 29th November Mind Teaser
: c) Islet tissue is present in all the organs where ectopic pancreas is present.
Correct answers received from: Dr NeelamNath, Dr KV Sarma, Dr BB Aggarwal, Dr Ankita Kanathia, Dr Shabina.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Faith

A nun who worked for a local home health care agency was out making her rounds when she ran out of gas. As luck would have it, there was a station just down the street. She walked to the station to borrow a can with enough gas to start the car and drive to the station for a fill up.

The attendant regretfully told her that the only gas can he owned had just been loaned out, but if she would care to wait he was sure it would be back shortly.

Since the nun was on the way to see a patient she decided not to wait and walked back to her car. After looking through her car for something to carry to the station to fill with gas, she spotted a bedpan she was taking to the patient. Always resourceful, she carried it to the station, filled it with gasoline, and carried it back to her car.

As she was pouring the gas into the tank of her car, two men walked by. One of them turned to the other and said: "Now that is what I call faith!"

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    Medicolegal Update

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

Forensic anatomy and importance of larynx in postmortem examination

  • The larynx consists of a large ‘V’–shaped thyroid cartilage. Below the smaller cricoid cartilage, at the upper margin of the posterior wing of the thyroid on each side, are the superior horns or ‘cornuae’, which are connected by the thyrohyoid membrane to the greater horns of the hyoid bone, which lies immediately above.
  • The hyoid bone lies at the root of the tongue. The hyoid calcifies at variable times; the body is usually calcified, but the horns may calcify irregularly, both in space and time. In teenagers and young adults they are usually cartilaginous and the joints mobile.
  • In middle and later life, the hyoid and thyroid horns calcify and become more brittle.
  • The cricoid cartilage is a modified upper tracheal ring but can also become partly calcified as age increases.
  • No meaningful ages can be placed on any calcification, but traumatic fractures can occur at any time except in children and most teenagers.
  • The pressure is mainly bilateral, so that the sides of the larynx are squeezed. Particularly vulnerable structures are the four ‘cornuae’ or horns, which protect backwards to maintain the patency of the airway around the glottis
  • Lateral pressure of the fingers can displace any of the four horns inwards, either by direct pressure or by pressure on the thyrohyoid membrane, which then drags the horns medially. In young persons, the horns are so pliable that they return to their normal position on release of the pressure but, variably beyond the third decade, they may be sufficiently calcified to fracture.
  • Though the hyoid bone has received most attention in publications as being the marker of violence to the larynx, in fact the thyroid horns are far more vulnerable. Simpson (1985) found that, in 25 successive deaths from manual strangulation, there were 22 fractures of thyroid horns but only one fractured hyoid.

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)

Winter Health Problems in Women

Winter can create health problems, especially in women, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India. Following are some of the problems women might have to face are:

  1. Heart disease: Heart disease kills more women than any other disease. It takes more lives than breast cancer, cervical cancer, or any other disease. Stroke and heart disease–related hospitalizations and deaths rise by more than 50 percent during the winter months.
  2. Seasonal affective depression: This condition is characterized by having episodes of depression every year, but only during the winter. What the exact cause is yet to be discovered, but it is thought that body temperature, ambient light, and hormone regulation play a role.
  3. Hypothermia: Hypothermia is as an abnormally low body temperature and can occur in cold weather. In cold weather one looses heat faster than one is able to create it. If this happens gradually one may not even realize it is happening. If the body temperature drops below 95 degrees Fahrenheit, one needs to see emergency medical care immediately in order to avoid death.
  4. Vitamin D deficiency: Women are at an increased risk of vitamin D deficiency, especially during the winter month. Women who work in the house at times cannot take out time to give sunshine to their body. Vitamin D is essential for bone, immune system, and heart health. It may also help to prevent cancer.
  5. Influenza: Flu is very common during the winter and has the potential to be deadly. One should not forget to take the flu shot.

For comments and archives

 
    Readers Responses
  1. Dear Sir, you are doing genuinely a good job, just maintain the good work, may god bless you and your whole team with success. Regards: Dr PK Gupta
 
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai, Ajay Mahajan, G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande, Sushil Kumbhat, Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta, M. J. Gandhi, G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

 
    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)

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  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