HCFIe-Medinews A Service of IJCP Publications Pvt. Ltd.WFR
Address: 39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



emedinews is now available online on www.emedinews.in and www.emedinews.org


2nd  January 2010 Saturday

Dear Colleague,

                Research to be a priority in India 

 All postgraduates before they appear in the exam will have to have the following: one poster presentation, one appear presentation in a recognised society / association conference and one paper published in (Indexed Journal (ISSN/Indian Medlar/Medline).  Talking to the emedinews Dr Ketan Desai President Medical Council of India said that the only way India can compete with the west in the filed of medical rwesearch is to senistise the medical strudents at the post graduate stage to conduct and publish research in established journals.

Medical Council of India as an apex body has formed ten regional centres to train teachers (training of the trainers). Each batch will have 25 teachers. The basic purpose is to train them in research and other teaching capabilitiesMCI's gift to the teachers is that instead of five years, now the waiting period of promotion will be four years. An Associate Professor should be able to become a Professor after four years. This relaxation in time has been given with a rider: Everybody will have to publish two research papers for any promotion. 

Dr KK Aggarwal





Sodium Meta Silicate, the Form of Silicic Acid has been found to have a Clinically Proven Effect on Nails,Hairs and Skin. It is Known to Reduce the Brittleness of the Nails and make them look more Strong and Healthy. Moreover,It Increases the Tensile Strength of Hair and is Useful in Treating the conditions with "Double Headed" Hairs. It has been found that The Hairs Glow and Look Healthy after a 4- weeks Trial ,using a Supplement containing Silicic Acid . Studies also Indicate the Role of Silicic acid in Preventing and delaying the falling of Hair.

The Dietary Supplement Products containing Silicic Acid are known to play an Important role in the Prevention and treatment of Acne Vulgaris. Studies have shown that Sodium Metasilicate helps in the Prevention of the Comedone Formation,delays the Scarring of Skin in the healing phase and helps diminish the Post scarring Pigmentation of Skin . 

A decade of successful liver transplants in India (Dr Anupam Sibal)

Till the late nineties, in the absence of pediatric liver transplantation facilities in India, a patient with liver failure had only two options, certain death or travel abroad for a transplant. Ever since the first successful pediatric liver transplant was performed at the Apollo Hospital in Delhi in 1998, the scenario has improved dramatically. Children with a variety of conditions (notably biliary atresia, neonatal hepatitis, crypotogenic cirrhosis, Wilson's disease, Crigler Najjar syndrome, other metabolic disorders, acute liver failure, malignancy, Budd Chiari syndrome) and as young as 6 months have received successful transplants. The patient survival rates are now comparable to the best centers in the world and Apollo Delhi has a follow up of over a decade. The growing faith and support of the medical fraternity and the public at large, has made liver transplantation a practically feasible and economically viable treatment modality in India. Pediatric liver transplantation is now, therefore, the established modality of treatment for children with end stage chronic liver disease and acute liver failure in India.

What is new in LASIK (Dr. Sanjay Chaudhary)

Lasik is the most accepted technique for vision correction, now in the market for over 15 years. It essentially involves picking up a thin corneal flap of 160 microns, ablating and reshaping the underlying cornea with the excimer laser to correct the refractive error and replacing the corneal flap where it self seals in 2 minutes.

Customized lasik or wave-front guided lasik corrects the optical aberrations in the eye along with the spectacle power .This is also popularly referred to as C-lasik.

Aspheric C-lasik refers to making the corneal shape 'Aspheric' to improve the contrast perception and reduce chances of halos and glare.

i-lasik brought a further change by picking up a thinner corneal flap of 110 microns. Since approx. 13 microns is used to correct one dioptre (D) of spectacle power, an additional 4D of power can be corrected just by reducing the thickness of flap. A thinner flap also meant leaving behind more corneal tissue especially useful in thin corneas .This technique involves 2 lasers - the femto second laser picks up the corneal flap, while the excimer laser corrects the power. Since a blade is not used to picks up the flap, it is also referred to as bladeless lasik.

SBK or Sub-Bowman's Keratomilieusis also picks up a 110 micron flap with a disposable cutting blade. It gives all the advantage s of thin flap lasik at half the cost of  i-lasik.

ICL as implantable contact lens is for those people in whom lasik is contraindicated like excessively thin cornea or in a weak cornea (e.g. Keratoconus) or eye power beyond 12 D. It involves implanting an ultra thin lens (with a central thickness of just 50 microns) in the eye. This lens lies over the natural lens without actually touching it and has the capacity to correct powers of up to -20 D. These lenses are made in Switzerland only and are custom made to a particular eye. It takes about 10 days to get a lens in Delhi on order. A special certification is required to use these lenses.

News and Views  (Breast Cancer Symposium)

1. Even a few glasses of wine or cocktails a week may increase risk of recurrence for breast cancer survivors: Women who averaged three to four or more drinks per week were 34% more likely to have a recurrence than those who drank less than once a week (Marilyn L. Kwan, PhD, of Kaiser Permanente in Oakland, Calif). The American Cancer Society says the cardiovascular benefits of moderate drinking may outweigh the risk of cancer for men over age 50 and women over 60. However, the ACS and the American Heart Association recommend against starting to drink solely to reduce heart disease risk. Thus, the new results could be consistent with counseling breast cancer patients that "one glass of wine may be okay, but keep it at that," [Kwan ML, et al, SABCS 2009; Abstract 17]

2. Women taking oral osteoporosis drugs had a 30% lower risk of breast cancer than women who didn't take them. Data from the U.S. Women's Health Initiative (WHI) showed an overall risk reduction, a significant reduction in the risk of receptor positive breast cancer, and a trend toward a lower risk of receptor negative breast cancer in women taking a bisphosphonate. [Rennert G, et al, SABCS 2009; Abstract 27]

3. Obesity significantly worsens breast cancer prognosis, including response to therapy and survival. Compared to normal weight breast cancer patients, obese patients had as much as a 38% greater risk of breast cancer mortality 10 years after diagnosis. Obesity increased the risk of distant metastasis by almost 50%. Normal weight women also were as much as 77% more likely to benefit from adjuvant systemic therapy for breast cancer. The poorer prognosis among obese patients with breast cancer is likely due to diagnosis at a more advanced stage and a higher risk of developing distant metastases. [Ewertz M, et al, SABCS 2009; Abstract 18]

4. After more than two decades of follow up, anthracycline based chemotherapy added to tamoxifen continues to offer a survival advantage for postmenopausal breast cancer. Women treated with chemotherapy and then tamoxifen had a 24% improvement in disease free survival compared with women treated with tamoxifen alone (P=0.002). Chemotherapy also led to a trend toward improved overall survival. The trial also showed a trend toward better survival when the chemotherapy and tamoxifen were given sequentially rather than concurrently. [Albain KS, et al, Lancet Oncol 2009; DOI:10.1016/S1470 2045(09)70314 6.]

Funny clinical notes (Dr. Minakshi)
The patient was to have a bowel resection. However, he took a job as a
stockbroker instead.

Doctor: You're in good health. You'll live to be 80. Patient: But, doctor, I am 80 right now. Doctor: See, what did I tell you.

 Dr Good Dr Bad

Situation: a diabetic on metformin came with vitamin B 12 deficiency
Dr Bad: Take Vitamin B12
Dr Good: Take vitamin B12 and switch metformin.
Lesson: Long term use of metformin can cause B12 deficiency.

Letter to the editor

Ref that MCI  has announced 3 yr certificate course to produce Rural Doctors. You see on one side there is strong opposition to Quacks from all quarters including IMA, Ministry and MCI also but 3 yr course will again be a factory producing Quacks-half baked, jhola chhap doctors. Will they be any better that thousands of those struggling to get licence/registration to practice medicine in this country, because they have not passed the PG level so called screening test given by the NBE under the designs of MCI?

These are hapless Indians having obtained medical degree from foreign universities which are recognised and find place in WHO Directory of Medical Schools. About a year and half back this idea was mooted by Chhattisgarh Govt and that time it was vehemently opposed by MCI . Sanjay Dewal. 

Emedinews Pearl (Try This): ACCURATE BLOOD PRESSURE READINGS: For measuring diastolic blood pressure in patients in whom the fifth Korotkoff sound is indistinct because of poor arterial turbulent blood flow. Have the patient lift up arm and clench the fist about 10 times. This drains the blood from the forearm. Then, as the patient keeps the arm raised, inflate the occlusion cuff until the pressure rises above the systolic point. Then have the patient lower the arm, and take the pressure. This makes the fifth Korotkoff sound much more distinct. (Dr Gary Chee Singapore) 

Panjab & Sindh Bank 
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emedinews: revisiting 2009
IJCP Group, Heart care Foundation of India and World Fellowships of Religions are  is organizing emedinews: revisiting 2009, day long conference on the top health happenings in the year 2009 on 10th Jan 2010 at Maulana Azad Auditorium. There is no registration fee however advanced information is required.  Top experts (Dr KK Aggarwal (revisiting 2009), Dr Naresh Trehan (what's new in cardiac surgery), Dr Anupam Sibal (A decade of successful liver transplants in India), Dr Ajay Kriplani (Current Trends in the Management of Morbid Obesity), Dr Praveen Chandra (The Indications of Interventional Treatment in Cardiology), Dr Kaberi Banerjee (IVF- Where We Stand Today?), Dr N K Bhatia (TTI infections), Dr V Raina ( molecular genetics), Dr Ajit Saxena (ED and male infertility), Dr S C Tewari (Nephroprotection), Dr. Ambrish Mithal (Diabetes), Dr Vanita Arora (ECG arrhythmias), Dr N Subramanium (Current concept in Male infertility ), Dr Neelam Mohan (Coeliac Disease), Dr. Sanjay Chaudhary (Eye Update), Dr Harish Parashar (aluminum toxicity), Dr Praveen Khillani (Whats new in field of critical care in past decade?), Dr Rohina Handa ( Whats new in rheumatology), Dr Ajay Kumar ( Fatty Liver), Dr P K Julka (Whats new in oncology), Mr.  B.N.S Ratnakar, will deliver lectures

CME will be followed by lively cultural evening guest performances by Shabani Kashyap, Vipin Aneja and perfomances by medical professional singers Dr Praveen Khillani, Dr Lalita and Dr N Subramanium, Dr Lata Tandon, Dr Arti Pathak, Dr Sudipto Pakrasi, Dr Harjeet Kaur, Dr Ramni Narsimhan, Dr Sanjay Chugh (on the drum), Dr Yash Gulati (Anchor) Dr Reshma Aggarwal (Anchor), doctors of the year award, dance and dinner. For registration mail emedinews@gmail.com. We have crossed 1200 registrations.

PSB & Aviva is proud to be associated with Emedinews: Revisiting 2009. To know more about us, please visit our stall on day of the conference. http://avivaindia.com/

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What's the difference between an oral thermometer and a rectal thermometer?
The taste.

emedinews-revisiting 2009 Program

8.00   AM  -  8.30 PM   Dr KK Aggarwal  Revisiting the year 2009
8.30   AM  -  8.45 AM   Dr Neelam Mohan, Advances in Paedatric Diseases ( Non Liver)
8.45   AM  -  9.00 AM   Dr S C Tewari, Nephroprotection
9.00   AM  -  9.15 AM   B.N.S Ratnakar (GM CBI), Presentation
9.15   AM  -  9.45 AM   Dr Ambrish Mithal, Newer treatments in diabetes
9.45   AM  -  10.00AM   Dr Harish Parashar, Aluminium Toxicity
10.00 AM  -  10.30AM   Dr N K Bhatia, Screening for TTI
10.30 AM  -  10.40AM   Anshu Gupta, Probiotics Update
10.40 AM -   11.10AM   Dr Praveen Chandra, Indications of Cardiac Interventions            11.10 AM -   11.25AM   Dr Sanjay Chaudhary, What's new in Lasik
11.25 AM -   11.55AM   Dr Naresh Trehan, What's New in Cardiac Surgery
11.55 AM -   12.10PM   PSB-AVIVA, Presentation
12.10 PM -   12.40PM   Dr Anupam Sibal, A Decade of Succesful Liver Tansplant in India
12.40 PM -   1.10 PM    Dr Ajay Kriplani, Current Trends in the Management of Morbid Obesity
1.10   PM -   1.40 PM    DR Vanita Arora, Common Arrhythmias
1.40   PM -   2.10 PM    Dr N Subramanium, Current Concept in Male Infertility
2.10   PM -   2.40 PM    Dr V Raina, Molecular Genetics
2.40   PM -   3.10 PM    Dr Kaberi Banerjee, IVF: Where We Stand Today?
3.10.  PM -   3.25 PM    Anil Chopra (Bajaj Capital), Mutual Funds
3.25   PM -   3.40 PM    Dr Praveen Khillani, Whats New in Critical Care in Past Decade?
3.40   PM -   4.10 PM    Dr Ajit Saxena, Erectile Dysfunction and Male Infertility
4.10  PM  -   4.20 PM    Dr Ajay Kumar, Whats New in Gastroenterology
4.20  PM -    4.30 PM    Dr Rohini Handa, Whats New in Rheumatology
4.30  PM -    4.40 PM    Dr P K Julka, Whats New in Oncology
5.00  PM Onwards Cultural hangama, awards, masti, dine and dinner