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 April 2012, Monday

Glucose, insulin & potassium treatment prevent cardiac arrest but not MI

According to a study presented at the American College of Cardiology meeting and published online in the Journal of the American Medical Association, by Dr Harry Selker at Tufts Medical Center, Boston, MA, individuals with symptoms of heart attack who were given a treatment containing glucose, insulin and potassium by paramedics were less likely to experience cardiac arrest, compared to patients who did not receive the treatment, although the treatment may not prevent patients from progressing to a heart attack.

In the trial, paramedics from 13 cities were trained to administer the solution after determining that an individual was likely having or about to have a heart attack." Individuals "who received the solution immediately after being diagnosed with acute coronary syndrome...were 50 percent less likely to experience cardiac arrest or die compared to those who received the placebo." The findings "were even more pronounced for people with more severe ST–elevation heart attacks."

However, the treatment did not reduce progression to MI.

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

Glucose, insulin & potassium treatment prevent cardiac arrest but not MI

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

First Mega Ajmer Health Camp – free blood sugar checkups

Over 3000 free blood sugar checkups were done for the public at large.

 
Dr K K Aggarwal
 
    National News

Baruipur child is not a polio patient

KOLKATA: In what came as a big relief for the state health department as well as the polio surveillance agencies here, the suspected polio case in Baruipur has turned out to be negative.
The test results of the 17–month–old girl’s stool sample were negative. "The tests on the stool sample of Sumi Naskar, the polio suspect case from Bauirpur subdivisional Hospital, is over. According to test report, the samples have tested negative to polio virus," confirmed Asit Biswas, spokesperson of the state health and family welfare department. Sumi Naskar of Indrapala village was admitted to the Baruipur sub divisional hospital (BSDH) on March 12 with acute flaccid paralysis (AFP) and other symptoms of polio. (Source: TOI, Mar 31, 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

Bypass surgery bests stents in real–world survival

In elective cases, surgery has the edge for long term survival over percutaneous interventions for non–acute multivessel coronary disease in older adults, according to registry results that again stirred up debate. (Source: Medpage Today)

For comments and archives

Early HIV treatment delays time to chronic therapy

Temporary treatment with combination antiretroviral therapy (cART) for people first infected with HIV can defer the start of long–term cART, according to the results of a randomized clinical trial published online March 27 in PLoS Medicine. Under current practices, such treatment is often not started until a person’s CD4 cell count falls below a certain level or clinical conditions call for treatment. (Source: Medscape)

For comments and archives

Lung–protective ventilation linked to improved survival

Reducing breath size and pressure settings for mechanical ventilators used in intensive care units can substantially improve long–term survival in patients with acute lung injury (ACI), according to results from the most comprehensive study to date evaluating the long–term effects of mechanical ventilation on patients with ACI. (Source: Medscape)

For comments and archives

Varicocele surgery improves sperm parameters regardless of technique

Varicocelectomy leads to significant improvements in sperm count and motility, regardless of surgical technique, a new meta–analysis shows. But while sperm parameters improved equally with a high ligation, inguinal, or subinguinal approach, the data hint that the inguinal approach may be best for fertility preservation because pregnancy rates were highest with this technique. (Source: Medscape)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Imagination is more important than intelligence.

@DrKKAggarwal: When you make a choice, you change the future.

 
    Spiritual Update

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

9th Chaitra Navratri: Siddhidatri

Navratri is the detoxification of body, mind and soul. The nine-day purification process is observed twice in a year, at the start of summer and winter. Chaitra Navratri is observed at the start of the summer for preparing the body to tolerate summer.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How is hysteroscopy performed?

  • Diagnostic hysteroscopy: Hysteroscopy is sometimes used to diagnose a condition involving the uterine cavity. If your doctor performs this procedure in the office, he or she may give you ibuprofen and medication to numb your cervix. The doctor will then insert the hysteroscope through your vagina into the cervix. Because the hysteroscope is attached to a camera, both you and your doctor can watch the procedure on a television screen. After the procedure is performed, you can usually return to your normal activity.
  • Operative hysteroscopy: Hysteroscopy can also be performed to remove tissue or growths that interfere with fertility. The hysteroscope that is usually used for operating is larger than the one used for diagnosing problems in the uterus, so you will need general, epidural or spinal anesthesia. After operative hysteroscopy, there is very little discomfort since there were no incisions made. If the cervix was stretched (dilated), your doctor may advise you to avoid swimming, taking a bath, or placing anything in the vagina for up to two weeks (this includes avoiding sexual intercourse). This will allow the dilated cervix to return to its normal size and will reduce the risk of infection.

For comments and archives

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

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

How is blood formed?

Blood consists of RBCs, WBCs and Platelets suspended in plasma. In early embryonic life blood cells are formed in liver and spleen. But by the fifth month, hemopoiesis (i.e., formation of blood) occurs in bone marrow and lymphatic tissues. At birth the entire bone marrow is red and active. Gradually as the child grows the marrow only in the flat bones and vertebrae remains red. The RBCs, granulocytes of WBCs and platelets are mainly produced by the bone marrow. The lymphocytes, monocytes and plasma cells are formed in the lymphoid and reticuloendothelial tissues. The orderly proliferation of the cells in the bone marrow and their release into circulation is carefully regulated according to the needs of body. Everyday in our body new blood cells are being produced in the bone marrow and every day old cells are dying and are being removed from the body.

RBCs have life of 120 days i.e. any red cell formed in the body will live for the next 120 days and when it becomes old and senile it is thrown out. White cells live for a couple of weeks and platelets for a few days. Thus everyday new cells are added to the circulation and old ones are removed from it.

For comments and archives

 
    Celiac Disease Update

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

What is the treatment of celiac disease?

At present, the only effective treatment is a life–long gluten–free diet. Strict adherence to the diet allows the intestines to heal, leading to resolution of all symptoms in most cases and, depending on how soon the diet is begun, can also eliminate the heightened risk of osteoporosis and intestinal cancer and in some cases sterility.

For comments and archives

 
    Medi Finance Update

(Tarun Kumar, Chartered Accountant)

Minimum Alternate Tax (MAT)

  • Insurance, Electricity Companies and Banks incorporated under the Companies Act, 1956, have been brought under MAT regime.
  • Gains on disposal of revalued assets, even if not credited to the profit and loss account, to be considered for MAT purposes.
  • MAT Credit allowed to be carried forward up to 10 years.
  • Existing rate of 18.5% remains the same.

For comments and archives

 
    An Inspirational Story

(Dr GM Singh)

One day I decided to quit…

I quit my job, my relationship, my spirituality. I wanted to quit my life. I went to the woods to have one last talk with God.

"God", I said. "Can you give me one good reason not to quit?"

His answer surprised me. "Look around", He said. "Do you see the fern and the bamboo?"

"Yes", I replied.

When I planted the fern and the bamboo seeds, I took very good care of them. I gave them light. I gave them water. The fern quickly grew from the earth. Its brilliant green covered the floor. Yet nothing came from the bamboo seed. But I did not quit on the bamboo.

In the second year the Fern grew more vibrant and plentiful. And again, nothing came from the bamboo seed. But I did not quit on the bamboo. He said.

"In the third year, there was still nothing from the bamboo seed. But I would not quit. In the fourth year, again, there was nothing from the bamboo seed. "I would not quit." He said. "Then in the fifth year a tiny sprout emerged from the earth.

Compared to the fern it was seemingly small and insignificant. But just 6 months later the bamboo rose to over 100 feet tall.

It had spent the five years growing roots.

Those roots made it strong and gave it what it needed to survive. I would not give any of my creations a challenge it could not handle."

He said to me. "Did you know, my child, that all this time you have been struggling, you have actually been growing roots."

"I would not quit on the bamboo. I will never quit on you. Don’t compare yourself to others." He said. "The bamboo had a different purpose than the fern. Yet, they both make the forest beautiful."

Your time will come, "God said to me." You will rise high! "How high should I rise?" I asked.

How high will the bamboo rise?" He asked in return.

"As high as it can? I questioned.

"Yes." He said, "Give me glory by rising as high as you can.

I left the forest and bring back this story. I hope these words can help you see that God will never give up on you. He will never give up on you. Never regret a day in your life.

For comments and archives

 
    Fitness Update

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

Exercise and Nonalcoholic Fatty Liver Disease

Nonalcoholic fatty liver disease (NAFLD) occurs when fat is deposited on the liver that cannot be attributed to excessive alcohol consumption. Typically this is associated with insulin resistance and metabolic syndrome, and can cause inflammation and scarring of the liver. Without treatment, NAFLD can progress to liver failure. Exercise has proven to be a promising option for managing a variety of other chronic diseases but no solid data is seen in patients with nonalcoholic fatty liver.

Most studies done regarding exercise and nonalcoholic fatty liver disease were too small to produce meaningful results, but when pooled the research shows clear evidence that exercise has beneficial effects on liver fat, with or without weight loss and without meeting the federal recommendation of 150 minutes per week of physical activity. Given the difficulty of treating nonalcoholic fatty liver disease, exercise provides a low cost, accessible option for managing the disease.

For comments and archives

 
  Cardiology eMedinewS

Angioplasty for DVT Read More

Early Use of IV Cocktail No Help for ACS Read More

Improvements in Cholesterol Levels In Obese Children: A Review Of Studies Read More

 
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  Pediatric eMedinewS

Prolonged Sublingual Therapy May Ease Oral Dosing Symptoms Read More

Intrapartum PCR Screening For Group B Strep Is Cost–Effective Read More

Outpatient Adenotonsillectomy Safe For Most Toddlers Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 30–year–old male with suspected migraine came with runny nose.
Dr. Bad: It cannot be migraine.
Dr. Good: It can be migraine.
Lesson: Migraine can also cause nasal stuffiness and runny nose, or teary eyes in 10–20% of individuals.

For comments and archives

Make Sure

Situation: A patient with rheumatoid arthritis developed deformity.
Reaction: Oh my God! why was treatment not started early?
Lesson: Make sure all patients with Rheumatoid Arthritis are started with specific treatments within 3 months of diagnosis.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

You are never alone or helpless. The force that guides the stars guides you too. Shri Shri Anandamurti

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Mean Corpuscular Hemoglobin Concentration

MCHC (g/dL) = Hemoglobin (in g/dL) / HCT (in%) × 100

Reference values: 32–34 g/dL

Interpretation: Low MCHC suggests iron deficiency anemia; high MCHC suggests spherocytosis, dehydration, sickle cell anemia or unstable hemoglobin

 
    Mind Teaser

Read this…………………

How can you use the letters in NEW DOOR to make one word?

Yesterday’s Mind Teaser: At a party, everyone shook hands with everybody else. There were 66 handshakes. How many people were at the party?

Answer for Yesterday’s  Mind Teaser: 12 people

Correct answers received from: Yogindra Vasavada, Raju Kuppusamy, Sudhir Grover, Dr.Anurag julka, Dr.Anurag julka, Dr. Thakor Hitendrsinh G

Answer for 31st March Mind Teaser: The father is 72, the son is 42, and the grandson is 6 years old.
Correct answers received from:
Dr. Anupam Sethi Malhotra, Dr. Thakor Hitendrsinh G, Dr. P. C. Das, Dr.Mukesh Sharma, Dr Avtar Krishan, Yogindra Vasavada

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Too Much Sugar

A fellow nurse at my hospital received a call from an anxious patient.

"I’m diabetic and I’m afraid I’ve had too much sugar today." the caller said.

"Are you light–headed?" my colleague asked.

"No," the caller answered, "I’m a brunette."

 
    Legal Question of the Day

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

Q. What percentage of medical errors are avoidable?

Ans.

According to a November 2010 study by the Office of Inspector General of the U.S. Department of Health and Human Services, about 1 in 7 Medicare patients in hospitals experience a serious medical error. Of these, 44% percent are preventable.

–– U.S. Department of Health and Human Services, Office of the Inspector General, Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries (November 2010), pp. i–ii, found at http://oig.hhs.gov/oei/reports/oei–06–09–00090.pdf.

No such data from India is available.

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)

Contestants should take aspirin or a beta blocker

People contesting elections for the MCD should take the election process with a strong heart or else the resultant stress can precipitate acute heart attack, paralysis or dangerously high blood pressure in susceptible individuals, said Dr. K.K. Aggarwal, Padma Shri and Dr B C Roy National Awardee and President, Heart Care Foundation of India.

Data from the Multicenter Investigation of the Limitation of Infarct Size (MILIS) has shown that among 849 patients with acute heart attacks, 48 percent described one or more possible triggers, the most common of which was emotional upset (14 percent). Studies have identified possible triggers in up to 10 percent of patients.

Since current acute emotional stress may be unavoidable, benefit may be gained through efforts to interrupt the link between the stressor and the cardiovascular event by pharmacologic means.

Preliminary data from the Myocardial Infarction Onset study suggest that aspirin modifies the relative risk of anger producing heart attack. Beta–blockers may also be protective. The high–risk contestants should ask their cardiologists to prescribe aspirin and a beta–blocker if not contraindicated.

Adopting pranayama and other relaxation techniques also help. Most important is to identify the underlying risk. Individuals at low risk of having blockages or vulnerable plaques might not require intervention at these emotional stress crises since their absolute risk of an event attributable to the trigger is low.

 
    Readers Response
  1. Dear Sir…Regular reading of emedinews gives immense pleasure to us. Regards: Dr Jaya
 
    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)

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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, Dr Usha K Baveja