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 …

2nd March 2012, Friday

Stent benefit questioned in stable angina

For patients with stable coronary artery disease (CAD), stent placement offered no more benefit than optimal medical therapy, according to a new meta–analysis by Kathleen Stergiopoulos, MD, PhD, and David Brown, MD, of Stony Brook University Medical Center in Stony Brook, N.Y reported in the Feb. 27 issue of the Archives of Internal Medicine.

Stents had no significant effect on the risk of nonfatal myocardial infarction, unplanned revascularization, or persistent angina. The current guidelines prefer initial medical treatment with aspirin, statins, angiotensin–converting enzyme inhibitors (ACEIs), or angiotensin receptor blockers (ARBs), combined with lifestyle changes. The researchers included eight trials with a total of 7,229 patients, including the landmark COURAGE trial. For a study to be included, at last half of the patients assigned to PCI had to have been given a stent; the proportions ranged from 72% to 100%. The death rate for stent implantation was 8.9% compared with 9.1% for medical therapy. The rates for nonfatal MI were also similar –– 8.9% for stents and 8.1% for medical therapy. The rate of unplanned revascularization in the stent group was 21.4%, compared with 30.7% in the medical treatment group. The rates of persistent angina were 29% for stents and 33% for medical therapy.

Up to 76% of patients with stable CAD can avoid PCI altogether if treated with optimal medical therapy.

Simply putting in a stent in a blockage does not address the underlying problem. Lifestyle changes and aggressive medical management are far more important than just putting in a stent.

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

Stent benefit questioned in stable angina

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

First Mega Ajmer Health Camp – Checkups

Both general and specialty consultations were available incorporating all pathies in the recently concluded First Mega Ajmer Health Camp 2012

 
Dr K K Aggarwal
 
    National News

Government to provide free generic drugs at public hospitals: Ghulam Nabi Azad

NEW DELHI: Admitting that the healthcare system was "overwhelmed" by inequities, Health Minister Ghulam Nabi Azad today said Government would provide universal healthcare in the 12th Plan and take steps to ensure free generic drugs at all public health facilities so as to reduce out of pocket expenditure of patients. "In the 12th Plan, in our attempt to provide universal health care, steps would be taken to provide free generic drugs at all public health facilities for reducing financial burden on the patients," said Azad while addressing a National Consultation on "Social determinants of Health". About 70 per cent of out of pocket expenditure on healthcare in India is on drugs. (Source: The Economic Times, 27 Feb, 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

 
    TAT TVAM ASI............And the life continues

Life after death is a strong belief of Hindus and is an ongoing process of rebirth. This could be seen as reflecting positively on the concept of organ donation and transplantation. There are many references that support the concept of organ donation in Hindu scriptures. Other religions and scriptures also support the concept of organ donation. Blood donation is also literally organ donation (tissue donation)

And the Life continues from one individual into another and we REALIZE the Truth of the Mahavakya…………TAT TVAM ASI……… (You and I are same)

As we start this new column, our readers will have glimpses into this Unique Medical Feat …………The Organ Transplantation

 
    International News

Vitamin D eases menstrual cramps

Women with a history of severe menstrual cramps reported significantly less pain when they took an ultra–high dose of vitamin D five days before their next expected period, according to results of a small randomized trial. (Source: Medpage Today)

For comments and archives

Supercomputer ‘Watson’ tries its hand at medicine

IBM’s supercomputer Watson –– the formidable Jeopardy! contestant who beat two humans by answering trivia questions at record speed –– may be able to apply the same technology in a clinical setting and arrive at a diagnosis faster than a doctor can. "It’s a bit like House, but for real," said Nick van Terheyden, MD, chief medical information officer for speech technology company Nuance Communications, during a presentation at the Healthcare Information and Management Systems Society (HIMSS) conference here. (Source: Medpage Today)

For comments and archives

HFSA tightens QRS indications for CRT

A new update of the Heart Failure Society of America (HFSA) 2010 heart–failure management guidelines broadens the strongest recommendation for using cardiac resynchronization therapy (CRT) to include patients with milder, NYHA class 2 disease, but it also tightens up on the QRS–duration requirement. Before, the device therapy for systolic heart failure was "recommended" when, among other criteria, the QRS interval was >120 ms; now the cutoff is >150 ms in the absence of right bundle–branch block (RBBB). It now says only that CRT "may be considered" in cases with QRS durations >120 ms to <150 ms. (Source: Medscape)

For comments and archives

Peripheral arterial disease affects more women than men

The burden of peripheral arterial disease (PAD) in the female population is highlighted in a new scientific statement from the American Heart Association. The statement, entitled "Call to action: Women and peripheral artery disease," is endorsed by the Vascular Disease Foundation and its Peripheral Artery Disease Coalition and was published online February 15, 2012 in Circulation. (Source: Medscape)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: Eating fast food can cause liver damage Eating at least two fast foods meals every day and restricting levels of… http://t.co/J5G7bh22

@DeepakChopra: Three things are absolute and cannot be destroyed; awareness, Being, and love.

 
    Spiritual Update

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

Am I the same every time you meet me?

No if you listen to Dr. Deepak Chopra who says that you make a new liver every 26 weeks, a new skin every month, a new skeleton every 3 months, new brain cells every year and a new DNA every six weeks. If you watch the account of every atom in the body, it is replaced in less than 2 year.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is polycystic ovarian syndrome?

Polycystic ovarian syndrome or PCOS is a term used to describe a group of conditions that cause the ovaries to produce excessive amounts of androgens. The ovaries may become enlarged with many small cysts (fluid–filled sacs). Symptoms of PCOS include hirsutism, acne, irregular, absent, or heavy menstrual periods, lack of ovulation and infertility.

For comments and archives

 
   An Inspirational Story

(Ms Ritu Sinha)

A rainy night in New Orleans

It was a rainy night in New Orleans; at a bus station in the town, I watched a young girl weeping as her baggage was taken down. It seems she’d lost her ticket changing buses in the night. She begged them not to leave her there with any sign of help in sight.

The bus driver had a face of stone and his heart was surely the same. "Losing your tickets like losing cash money," He said, and left her in the rain. Then an old Indian man stood up and blocked the driver’s way and would not let him pass before He said what he had to say. "How can you leave that girl out there? Have you no God to fear? You know she had a ticket. You can’t just leave her here. You can’t put her out in a city where she doesn’t have a friend. You will meet your schedule, but she might meet her end."

The driver showed no sign that he’d heard or even cared about the young girl’s problem or how her travels fared. So the old gentleman said, "For her fare I’ll pay. I’ll give her a little money to help her on her way." He went and bought the ticket and helped her to her place and helped her put her baggage in the overhead luggage space.

"How can I repay," she said, "the kindness you've shown tonight? We’re strangers who won’t meet again a mere ‘thank you’ doesn’t seem right." He said, "What goes around comes around. This I’ve learned with time – What you give, you always get back; what you sow, you reap in kind. Always be helpful to others and give what you can spare; for by being kind to strangers, we help angels unaware."

For comments and archives

 
   Cardiology eMedinewS

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

Intravascular ultrasound improves TLR outcomes of bifurcation lesions PCI Read More

Focus on CKD patients with highest SBP: KEEP Read More

FDA approves once–a–day drug for type 2 diabetes Read More

 
   Pediatric eMedinewS

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

Kids with heart disease can do well after ECMO Read More

Pediatricians urge routine HPV shots for boys Read More

Hypnosis may help kids’ stomach woes long–term Read More

Play ball, but be safe, say pediatricians Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient has an episode of TIA.
Dr Bad: Start aspirin 150 mg per day.
Dr Good: Start aspirin 300 mg per day.
Lesson: The recommended dose of aspirin for stroke prevention is 300 mg/day as compared to coronary artery disease prevention where the dose is 150 mg/day.

For comments and archives

Make Sure

Situation: A patient came to ICU with acute GI bleeding.
Reaction: Oh! he had also received a painkiller from his dentist.
Lesson: Make sure before prescribing NSAIDs that the patient is not taking any other NSAID for some other illness.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Rudeness is the weak man’s imitation of strength. Eric Hoffer

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Osmolality

  • To help evaluate the body’s water and electrolyte balance
  • To investigate hyponatremia and increased or decreased urine production
  • To detect the ingestion of toxins such as methanol To monitor the effectiveness of treatment for conditions affecting osmolality
  • To help determine the cause of chronic diarrhea
 
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    Mind Teaser

Read this…………………

Which of the following is not true regarding wandering spleen?

a) The spleen is attached to a long vascular pedicle without the usual mesenteric attachments.
b) Torsion and infarction of the spleen are common complications.
c) There is congenital atresia of the dorsal mesogastrium in children.
d) Splenectomy is required in all cases.

Yesterday’s Mind Teaser: Overwhelming post–splenectomy infection (OPSI) is commonest in splenectomy done for

a. Thalassemia
b. Trauma
c. Hereditary spherocytosis
d. ITP

Answer for yesterday’s Mind Teaser: Thalassemia

Correct answers received from: Dr Mrs S Das, Dr PC Das, Raju Kuppusamy, Dr Chandresh Jardosh.

Answer for 29th February Mind Teaser: a) Use of Argon Beam coagulator is superior to other techniques
Correct answers received from: y J Vasavada, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Mrs S Das, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Winning election

The politician was sitting at his campaign headquarters when the phone rang. He listened intently, and after a moment his face brightened. When he hung up, he immediately phoned his mother to tell her the good news.
"Ma!!!," he shouted, "the results are in. I won the election!!!"
"Honestly?", his mother replied.

The politician’s smiled faded. "Aw hell, ma, why bring that up at a time like this?"

 
    Medicolegal Update

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

Doctor and Terminal illness care?

The duty of the physician is to heal and, where possible, relieve suffering and act to protect the best interests of his patients.

  • There shall be no exception to this principle even in the case of incurable disease or malformation.
  • This principle does not preclude application of the following rules
  • The physician may relieve suffering of a terminally ill patient by withholding treatment with the consent of the patient or his immediate family if unable to express his will.
  • Withholding of treatment does not free the physician from his obligation to assist the dying person and give him the necessary medicaments to mitigate the terminal phase of his illness.
  • The physician shall refrain from employing any extraordinary means which would prove of no benefit for the patient.
  • The physician may, when the patient cannot reverse the final process of cessation of vital functions, apply such artificial means as are necessary to keep organs active for transplantation provided he acts in accordance with the laws of the country or by virtue of a formal consent given by the responsible person and provided the certification of death or the irreversibility of vital activity had been made by physicians unconnected with the transplantation and the patient receiving treatment.
  • These artificial means shall not be paid for by the donor or his relatives. Physicians treating the donor shall be totally independent of those treating the recipient and of the recipient himself.
 
    Public Forum

(Press Release for use by the newspapers)

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

Mobile phones can spread infections in the hospital

Mobile phones used by hospital healthcare workers are often contaminated with germs, including those that can cause illness in hospitalized patients, said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India.

Quoting a Turkish study published in the BMC journal Annals of Clinical Microbiology and Antimicrobials, Dr Aggarwal said that Dr. Fatma Ulger and coresearchers at Ondokuz Mayis University, Samsun, swabbed the dominant hand and the mobile phones of 200 doctors, nurses and other healthcare staff working in intensive care units and operating rooms and found that 95 percent of telephones were contaminated, often with more than one type of microbe and often with antibiotic–resistant bacteria.

Potentially serious infectious bugs such as staphylococci were isolated from phones in intensive care units.
90% of health care workers said they never cleaned their mobile phones. The investigators recommend routine decontamination of mobile phones with alcohol-containing disinfectants.

 
    Readers Response
  1. It is really informative & useful. Pravin Patel
 
    Forthcoming Events


Dr K K Aggarwal

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

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)

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  Perfect Health Mela

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  Towards Well Being

  First Aid Basics

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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