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

 

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 …

2nd July 2011, Saturday

20 percent reduction in lung cancer mortality with
low–dose CT compared to chest X–ray

There was a 20% reduction in deaths from lung cancer among current or former heavy smokers who were screened with low–dose helical computed tomography (CT) versus those screened by chest X–ray, as per primary research results from the National Lung Screening Trial (NLST) published in the New England Journal of Medicine.

The NIH trial is a nearly decade–long study that establishes low–dose helical CT as the first validated screening test which can reduce mortality due to lung cancer, said Harold Varmus, M.D., NCI director.

The NLST was a randomized national trial involving 53,454 current and former heavy smokers ages 55 to 74. Participants were required to have a smoking history of at least 30 pack–years and were either current or former smokers without signs, symptoms, or history of lung cancer. Pack–years are calculated by multiplying the average number of packs of cigarettes smoked per day by the number of years a person has smoked.

Participants were randomly assigned to receive three annual screens with either low–dose helical CT (spiral CT) or standard chest X–ray. Over the three rounds of screening exams, 39.1 percent of the low–dose helical CT screens were positive and 16.0 percent of the chest X–rays were positive.

Across all three rounds, when a positive screening result was found, 96.4 percent of the low–dose helical CT tests and 94.5 percent of the chest X–ray exams were false positive. The vast majority of false positive results was probably due to the detection of normal lymph nodes or inflamed tissues. False positive results not due to lung cancer were typically confirmed by follow–up CT scans that showed no change in the finding over time.

Adenocarcinomas, which begin in cells that line the lungs, and squamous cell carcinomas, which arise from the thin, flat fish–scale–like cells that line passages of the respiratory tract, were detected in the early stages of disease in both arms of the trial. Both types of carcinomas were detected more frequently at their earliest stage by low–dose helical CT compared to chest X–ray. Small–cell lung cancers, which are very aggressive tumors and grow in the tissues of the lung, were infrequently detected at early stages by low–dose helical CT or chest X–ray.

Adverse events, which are harms from the actual screening examinations, were few and relatively minor.

Invasive diagnostic procedures include bronchoscopy, where an instrument is inserted through the nose or mouth into the airways, and percutaneous lung needle biopsy, where a needle is inserted into the lung through the chest to remove a small piece of tissue for examination.

Radiation exposure associated with low–dose helical CT is much lower than that associated with a regular diagnostic CT.

(Ref: National Lung Screening Trial Research Team. Reduced lung cancer mortality in the National Lung Screening Trial. NEJM. Online June 29, 2011).

Dr KK Aggarwal
Group Editor in Chief
Blogs.kkaggarwal.com Dr K K Aggarwal on blogs
drkkaggarwal.blogspot.comDr K K Aggarwal on blogs

Dr K K Aggarwal on iTimes
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

 
  Changing Practice – Evidence which has changed practice in last one year

Optimal rate for patients in atrial fibrillation

Have a lenient rate control goal of <110 beats/min, compared to a stricter rate control goal of <80 beats/min, for patients in atrial fibrillation in whom a rate control strategy has been chosen.

 
  eMedinewS Audio PostCard

Padma Shri & Dr BC Roy National Awardee
 Dr K K Aggarwal on

eMedinewS Medical News of the day

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

BSNL Dil Ka Darbar

Shri SK Sinha, Jt GM PR, BSNL, Padma Shri Ms Geeta Chandran, Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal & Dr Aparna Jaiswal launched the forthcoming BSNL Dil Ka Darbar on 22nd September, 2010 at New Delhi.

 
Dr K K Aggarwal
 
    National News

Pilgrims have first glimpse of Shiva lingam

Vedic hymns and religious slogans glorifying Lord Shiva rented the air as thousands of pilgrims began trekking towards holy Amarnath Cave to pay obeisance and catch a glimpse of naturally formed ice stalagmite (Shiva lingam) on the inaugural day of annual pilgrimage on Wednesday. The overnight shower came as a good omen for the pilgrims who embarked on the pilgrimage with bonus of escaping the sweltering heat back home. The activity at the base camp foothill town touched a crescendo when helicopters began ferrying pilgrims to and from the Cave Shrine. Dozens of community eateries (langars) bedecked with portraits of Hindu deities attract the pilgrims’ attention as they enthusiastically take up the uphill journey. The kaleidoscope consisted heavy deployment of security personnel, presence of local Muslim ponywallahs, saffron–clad sadhus and pilgrims of varied hues. (Source: The Pioneer, Jun 30, 2011)

Signboards that make you smile

Leh: ‘I am curve(a)ceous, Be slow!’ This is one of the many messages put on signboards along the Leh–Manali national highway here to guide drivers about narrow turns and traffic rules. This innovation of the Border Roads Organisation (BRO), a nodal agency under the Government of India involved in construction and maintenance of crucial road infrastructure for the armed forces in inhospitable and far–flung border areas, has caught the fancy of tourists. "It is interesting to find such funny boards on roads. These signboards convey serious messages. I really like the idea," says Christopher, a tourist. ‘Love thy neighbour but not while driving,’ reads another one. Roads maintained by BRO are full of such signboards. For 29–year–old software professional Aniket, who had come to Leh from Ahmedabad on a motorbike, these signboards are rejuvenating after a tiring stint. "I have come to Leh a number of times. Every time I see these boards, I forget all my worries and laugh freely. These are indeed an innovative approach to teach people about traffic and roads rules," he said. (Source: The Hindu, Jun 30, 2011)

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

(Dr Monica and Brahm Vasudev)

Survival benefit with mammography after 30 years

Almost 30 years after initial mammography, screened women continue to have a significantly lower breast cancer mortality risk compared with unscreened women, according to the latest results from a landmark Swedish study. Women randomized to screening mammography were 30% less likely to die of breast cancer as compared with women who did not undergo breast imaging. The relative benefit has remained virtually unchanged since Swedish investigators reported the first results (Lancet 1985;1(8433):829–832). (Source: Medpage Today)

(Dr GM Singh)

Insulin resistance in polycystic ovary syndrome: maker or marker?

Insulin resistance plays a central role in the pathophysiology of polycystic ovary syndrome (PCOS). However, this finding is not universal in PCOS, and many women with insulin resistance do not develop this syndrome, leading to much controversy. Insulin resistance is more prevalent in certain phenotypes of PCOS, but tests of insulin resistance are not included in any of the currently used diagnostic criteria to define PCOS. Several genetic and environmental factors and their interactions appear to modulate the presence, degree and expression of insulin resistance. Tissue–specific defects in insulin signaling have been described, and different tissues contribute to insulin resistance differently in PCOS. Our understanding of the syndrome may benefit from greater insight into the mechanisms of the complex inter–relationship between insulin resistance and PCOS.

Artificial sweeteners broaden waist size

Epidemiologists from the School of Medicine at The University of Texas Health Science Center San Antonio found that diet soft drink consumption was associated with increased waist circumference in humans, and a second study found aspartame raised fasting glucose (blood sugar) in diabetes–prone mice. "Data from this and other prospective studies suggest that the promotion of diet sodas and artificial sweeteners as healthy alternatives may be ill–advised. They may be free of calories but not of consequences," said Helen P. Hazuda, Ph.D., professor and chief of the Division of Clinical Epidemiology in the School of Medicine. (Source: TOI, Jun 28, 2011)

 
  Fitness Update

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

Cut down on carbs to reduce body fat

A modest reduction in consumption of carbohydrate foods may promote loss of deep belly fat, even with little or no change in weight, an important new study reports. Results of the study are being presented at The Endocrine Society’s 93rd Annual Meeting in Boston. When paired with weight loss, consumption of a moderately reduced carbohydrate diet can help achieve a reduction of total body fat, according to researchers from the department of nutrition sciences at the University of Alabama at Birmingham.
"These changes could help reduce the risk of developing Type 2 diabetes, stroke and coronary artery disease," they said, noting that excess visceral, or intra–abdominal, fat raises the risk of these diseases.

The researchers conducted the study, with funding from the National Institutes of Health, in 69 overweight but healthy men and women. Subjects received food for two consecutive eight–week periods: first a weight maintenance intervention, and then a weight loss intervention, which cut the number of calories that each person ate by 1,000 each day. Subjects received either a standard lower–fat diet or a diet with a modest reduction in carbohydrates, or "carbs," but slightly higher in fat than the standard diet. The moderately carb–restricted diet contained foods that had a relatively low glycemic index, a measure of the extent to which the food raises blood glucose levels. This diet consisted of 43 percent calories from carbohydrates and 39 percent calories from fat, whereas the standard diet contained 55 percent of calories from carbohydrates and 27 percent from fat. Protein made up the other 18 percent of each diet.

At the beginning and end of each study phase, the researchers measured the subjects’ fat deep inside the abdomen and their total body fat using computed tomography (CT) and dual–energy x–ray absorptiometry (DXA) scans. After the weight maintenance phase, subjects who consumed the moderately carb–restricted diet had 11 percent less deep abdominal fat than those who ate the standard diet. During the weight loss phase, subjects on both diets lost weight. However, the moderately carb–restricted diet promoted a 4 percent greater loss of total body fat, the researchers said. "For individuals willing to go on a weight–loss diet, a modest reduction in carbohydrate–containing foods may help them preferentially lose fat, rather than lean tissue; The moderately reduced carbohydrate diet allows a variety of foods to meet personal preferences."

 
  Twitter of the Day

@DrKKAggarwal: #Zee UP Aradhana: Eat less or no cereals especially refined carbs during 9 purification days before change in any season. Dr KK Aggarwal

@DeepakChopra: Self righteous morality is jealousy with a halo––H G Wells

 
    Spiritual Update

Science behind Hanuman Chalisa

The spiritual process of Pranayama is the first and the main basic step in achieving this high speed connectivity. The spiritual powers of feeling lighter, heavier, smaller or bigger only mean that in a parasympathetic state, mind becomes suggestive and can perform any function.

 
    An Inspirational Story

(Dr Prabha Sanghi)

Helpless love

Once upon a time all feelings and emotions went to a coastal island for a vacation. According to their nature, each was having a good time. Suddenly, a warning of an impending storm was announced and everyone was advised to evacuate the island.

The announcement caused sudden panic. All rushed to their boats. Even damaged boats were quickly repaired and commissioned for duty. Yet, Love did not wish to flee quickly. There was so much to do. But as the clouds darkened, Love realized it was time to leave. Alas!! there were no boats to spare. Love looked around with hope.

Just then Prosperity passed by in a luxurious boat. Love shouted, "Prosperity, could you please take me in your boat?" "No," replied Prosperity, "my boat is full of precious possessions, gold and silver. There is no place for you."

A little later Vanity came by in a beautiful boat. Again Love shouted, "Could you help me, Vanity? I am stranded and need a lift. Please take me with you." Vanity responded haughtily, "No, I cannot take you with me. My boat will get soiled with your muddy feet."

Sorrow passed by after some time. Again, Love asked for help. But it was to no avail. "No, I cannot take you with me. I am so sad. I want to be by myself."

When Happiness passed by a few minutes later, Love again called for help. But Happiness was so happy that it did not look around, hardly concerned about anyone.

Love was growing restless and dejected. Just then somebody called out, "Come Love, I will take you with me." Love did not know who was being so magnanimous, but jumped on to the boat, greatly relieved that she would reach a safe place. On getting off the boat, Love met Knowledge. Puzzled, Love inquired, "Knowledge, do you know who so generously gave me a lift just when no one else wished to help?" Knowledge smiled, "Oh that was Time."

"And why would Time stop to pick me and take me to safety?" Love wondered.

Knowledge smiled with deep wisdom and replied, "Because only Time knows your true greatness and what you are capable of. Only Love can bring peace and great happiness in this world." The important message is that when we are prosperous, we overlook love. When we feel important, we forget love. Even in happiness and sorrow we forget love. Only with time do we realize the importance of love. Why wait that long?

 
    Pediatric Update

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

What are the lab parameters for vitamin A deficiency?

  • A serum retinol study is a costly but direct measure using high–performance liquid chromatography. A value of <0.7 mg/L in children younger than 12 years is considered low.
  • A serum retinol–binding protein (RBP) study is easier to perform and less expensive than a serum retinol study, because RBP is a protein and can be detected by an immunologic assay. RBP is also a more stable compound than retinol with respect to light and temperature. However, RBP levels are less accurate, because they are affected by serum protein concentrations and because types of RBP cannot be differentiated.
  • A zinc level is useful because zinc deficiency interferes with RBP production.
  • An iron panel is useful because iron deficiency can affect the metabolism of vitamin A.
  • Albumin levels are indirect measures of vitamin A levels.
  • Obtain a complete blood count (CBC) with differential if anemia, infection, or sepsis is a possibility.
  • An electrolyte evaluation and liver function studies should be performed to evaluate for nutritional and volume status.
 
    eMedinewS Apps

eMedinewS Archives: Search past issues of eMedinewS by date.

eMedinewS BMI Calculator: Calculate your BMI. Select either standard or metric units to enter your weight and height. Then click on compute. You will get your BMI result in the box below.

eMedinewS Lab Unit Converter: Use this feature to convert between different systems of measurement. Click on any lab test, then enter the value and select the conversion. The result will appear below.

eMedinewS Email–id & Phone Number Extractor: You can use this application to extract all email ids or phone numbers (Mobile/Landline). It removes all duplicate data. You can copy your data in the box ‘Enter text’ or select a file from ‘Browse’ option given below to extract your data.

Post your comments here: Click here. This will take you to my Blog. Then click on ‘Comment’ and write your views on the topic discussed in the Editorial.

Post your comments here: Click here to write your views on eMedinewS or any relevant issue as a reader.

Useful Links: eMedinewS has compiled a list of websites which we think may of use to you. This application takes you to the list of links.

eMedinewS Advanced Search: Select a more detailed search option in eMedinewS, from ‘Any Time’ to ‘Past 2 Years’, to get more relevant search results.

Get eMedinewS Alerts: Go to Google Alerts. In the box Search terms, write emedinews.in; select the option ‘Everything’ in ‘Type’ next, select the option ‘As–it–happens’ in ‘How often.’ Enter your email address in the box ‘Deliver to.’ Then click on the box ‘Create Alert’ below. You will get regular eMedinewS updates through alerts.

Our Social
Network sites
… Stay Connected

        FaceBook
  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

        Twitter
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        Blog
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

 
Docconnect
Docconnect
eMedinewS Apps
Archives
Archive
Archive
Archive
Archive
Archive
Alert
Archive
Alert
 
  Did You Know

(Dr Uday Kakroo)

Peanut oil is used for cooking in submarines because it doesn’t smoke unless it’s heated above 450°F.

 
  Legal Question of the Day

(Dr MC Gupta, Advocate)

Q. Can a private practitioner with a non–clinical MD degree face legal problem because the public might think he has a clinical postgraduate degree?

Ans. As long as the doctor practices like an MBBS doctor and holds out himself as "Dr ABC, MD", he is unlikely to face a legal problem. It is true that ideally he should hold out as MD (Physiology…etc.), but then, ideally, if a patient wants to be treated by an MD, he should find out the type of MD degree possessed by the doctor. He cannot presume that the degree of MD he has is in a clinical subject. The responsibility for such presumption cannot be fastened upon the doctor.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever and joint pain came with rash.
Dr Bad: It’s a drug allergy.
Dr Good: It looks like Chikungunya.
Lesson: Rash is present in 30% of cases with Chikungunya.

Make Sure

Situation: A patient with dengue died.
Reaction: Oh my God, why was he not given adequate fluids?
Lesson: Make sure that all patients with dengue are given fluids to correct intravascular dehydration.

 
  SMS of the Day

(Ritu Sinha)

A fool thinks himself to be wise, but a wise man knows himself to be a fool. William Shakespeare

 
    Rabies Update

(Dr A K Gupta, Author of "RABIES – the worst death")

What are the factors responsible for rabies transmission in man from rabid animals?

Factors responsible for rabies transmission in man from rabid animals are:

  • Quantum of saliva and dose of virus and strain.
  • The severity and site of bites; the actual distance that the virus has to travel from the site of inoculation to the CNS. Mortality is highest from bites on the face.
  • The extent of wounds
  • Nature of wound care
  • Delay or incorrect vaccine treatment and injection of vaccine in gluteal region.
  • Non use of RIG
 
  GP Pearls

(Dr Pawan Gupta)

In asthma poorly controlled by low dose inhaled glucocorticoid, addition of inhaled tiotropium was superior then to a doubling of the dose of an inhaled glucocorticoid and was not inferior to the addition of inhaled salmetrol. (NEJM 2010;363(18):1715–26)

 
    Medicolegal Update

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

Medical poisoning

There are several reasons as to how medical poisoning can occur.

  • The doctor may not be aware that the patient is allergic to a medicine, or may give the wrong dose because of a mistake in measuring it.
  • People may take drugs to change their mood or behavior, to feel relaxed, or to get more energy. This is called drug abuse because it is not a medical use of the drug. Some people abuse drugs such as heroin, cocaine or barbiturates. Drinking too much alcohol is an important kind of drug abuse.
  • Some people breathe in chemicals such as glue, paint, nail varnish remover, cigarette lighter gas, petrol or dry–cleaning fluid. This is sometimes called solvent sniffing or solvent abuse. People may breathe fumes from a cloth soaked in liquid or put chemicals or glue into a plastic bag and breathe deeply from the bag.
  • In many societies people use plants or fungi for their hallucinogenic, stimulant or relaxing effects. Some plants may be eaten raw; others are cooked, made into drinks, or smoked. Two plants commonly used in this way are tobacco and cannabis.
  • Many of the drugs, chemicals and plants that are abused are poisonous if people take too much at one time or use them for many months or years. For example, alcohol causes liver damage, smoking causes lung cancer and cannabis can affect memory.
 
  Vitamins – Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

B Complex vitamins and atherosclerosis

High blood levels of the amino acid homocysteine have been associated with an increased risk of atherosclerosis. Homocysteine is formed in the body from methionine (an amino acid found in proteins) in a process that can be blocked by folic acid and vitamins B6 and B12. High homocysteine levels can induce endothelial dysfunction (a narrowing of the arteries), which in turn is believed to be a precursor of atherosclerosis.

Researchers at the National Taiwan University Hospital now report that homocysteine–induced endothelial dysfunction can be avoided or very significantly ameliorated by supplementing with folic acid and vitamins B6 and B12. The study involved two men and fourteen women between the ages of 41 and 55 years. At the start of the study all participants had their blood levels of homocysteine and their blood flow through the brachial artery measured after a 10–14 hour overnight fast. They were then given an oral methionine–loading test to simulate the intake of a high protein meal. Four hours later their average homocysteine level had increased from 7 micromol/L to 22.7 micromol/L and the blood flow (flow–mediated vasodilatation) had decreased by 40 per cent.

The experiment was repeated, but this time 5 mg of folic acid was given together with the methionine; the results were similar to those obtained in the first experiment indicating that folic acid does not act immediately as an "antidote" to a high intake of methionine. The participants were then given 5 mg of folic acid, 100 mg of vitamin B6, and 0.5 mg of vitamin B12 daily for five weeks. At the end of the five weeks their average homocysteine level had decreased to 5.2 micromol/L. The methionine–loading test was repeated. Four hours later the average homocysteine level among the participants had increased to 17 micromol/L, but there was no statistically significant difference in blood flow before and after the methionine–loading test. The researchers conclude that short–term (five weeks) administration of folic acid and vitamins B6 and B12 will reduce post–methionine load homocysteine levels and eliminate or ameliorate endothelial dysfunction (an early manifestation of atherosclerosis).

(Ref: Chao CL, et al. Effect of short–term vitamin (folic acid, vitamins B6 and B12) administration on endothelial dysfunction induced by post-methionine load hyperhomocysteinemia. Am J Cardiol 1999 Dec 1;84(11):1359–61, A8)

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Western blot test

Like the ELISA procedure, the western blot is an antibody detection test. However, unlike the ELISA method, the viral proteins are separated first and immobilized. In subsequent steps, the binding of serum antibodies to specific HIV proteins is visualized. Specifically, cells that may be HIV–infected are opened and the proteins within are placed into a slab of gel, to which an electrical current is applied.

There are no universal criteria for interpreting the western blot test: The number of viral bands that must be present may vary. If no viral bands are detected, the result is negative. If at least one viral band for each of the GAG, POL, and ENV gene–product groups are present, the result is positive.

 
    Mind Teaser

Read this…………………

Eisenmenger syndrome is characterized by all except:

1. Return of left ventricle and right ventricle to normal size
2. Pulmonary veins not distended
3. Pruning of peripheral pulmonary arteries
4. Dilatation of central pulmonary arteries

Yesterday’s Mind Teaser: Which one of the following is the investigation of choice for evaluation of suspected Perthe’s disease?

1. Plain X–ray
2. Ultrasonography (US)
3. Computed Tomography (CT)
4. Magnetic Resonance Imaging

Answer for Yesterday’s Mind Teaser: 4. Magnetic Resonance Imaging

Correct answers received from: Dr Surendra Bahadur Mathur, Dr BB Aggarwal, Dr Jainendra Upadhyay, Dr Anil Bairaria, Dr Sudipto Samaddar, Dr U Gaur, Dr Jyotsna Verma.

Answer for 30th June Mind Teaser: Two in One
Correct answers received from: Dr Sumit Mehndiratta, Dr Prabha Sanghi, Dr T Samraj, Dr Anupam Sethi Malhotra, Dr Rajshree Aggarwal, Dr Anindita Sarkar, Dr Neeraj Sharma.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr. GM Singh)

What are guaranteed returns?

Returns from mutual fund schemes are subject to market and other investment risks. As such there is no assured/guaranteed returns in mutual funds. This applies even to debt schemes. The launch of scheme/fund offering guaranteed returns is now subject to certain restrictions imposed by the SEBI, and generally SEBI does not allow guaranteed returns.

 
    Laugh a While

(Dr. Prabha Sanghi)

One bright, beautiful Sunday morning, everyone in tiny Anytown got up early and went to the local church. Before the service started, the townspeople were sitting in their pews and talking about their lives, their families, and so on. Suddenly, Satan appeared at the front of the church. Everyone started screaming and running for the front entrance, trampling each other in a frantic effort to get away from evil incarnate. Soon everyone had left the church except for an elderly gentleman who sat calmly in his pew, not moving, seemingly oblivious to the fact that God’s ultimate enemy was in his presence.

Now, this confused Satan a bit, so he walked up to the man and said, "Hey! Don’t you know who I am?" The man replied, "Yep, sure do." Satan asked, "Aren’t you afraid of me?" "Nope, sure ain’t," said the man. Satan was a little perturbed at this and queried, "Why aren’t you afraid of me?"

The man calmly replied, "I’ve been married to your sister for 25 years.

 
    Drug Update

List of Approved Drug From 01.01.2010 TO 31.8.2010

Drug Name

Indication

DCI Approval Date

Zileuton uncoated bilayered extended release tablet 600mg

For the prophylaxis and chronic treatment of asthma in adults.

30.09.10

 
    IMSA Update

International Medical Science Academy (IMSA) Update

WHO Medical eligibility criteria for contraceptive use

The United States Centers for Disease Control (CDC) modified the World Health Organization (WHO) tables for medical eligibility criteria for contraceptive use. WHO recommendations were adapted for the US population and contraceptive methods not available in the US were removed.

 
    Public Forum

(Press Release for use by the newspapers)

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

Monsoon season is the time to give our child a de–worming tablet

In the monsoons, most of the worms in the soil come up to the surface and infect the vegetables. The associated humidity also leads to more breeding of house flies and mosquitoes.

During the monsoons, all fruits and vegetables, therefore, should be washed thoroughly with clean water and if needed Potassium Permanganate should be added, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

Round worms are normally present in the soil and good sanitation is required to prevent their fecal contamination, which is often impossible in the monsoon season. Washing hands before meals and drinking boiled water can reduce the risk of round worm infection; but, in the India scenario, the same may not be possible.

The easiest way is to give your child a de–worming tablet 3–4 times in a year.

Treatment of school-going children with single dose of de–worming tablet every 3–4 months has been advocated in many countries. In a study conducted in Zanzibar, a single dose of mebandazole tablet given three times a year reduced round worm infection by 97%.

 
    Readers Response
  1. A patient of suspected MI is hypersensitive to aspirin. What is the alternative in emergency (acute chest pain)? Regards: Dr Ajit Tamhane

    eMedinewS Responds: 8 tablets of clopidogrel
 
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme Details

Programme Schedule 10th July MEDICO LEGAL CONFERENCE
Time Session Chairperson Moderator Speaker Topic
8 Am–8:30 Am Ethical Issues in Medical Research   Dr KK Aggarwal
Dr Girish Tyagi
   
8 am–8.10 am       Ajay Agrawal Rights of a patient in medical trial
8.10–8.20 am       Dr Ranjit Roy Chaudhury Ethical Issues in a medical trial
8:20–8.30 am       Priya Hingorani Statutory permits required for conducting trials
8.30–9.10 am Medical ethics and organ donations Dr N V Kamat Dr KK Aggarwal    
8.30 am–8.40 am       Dr Anoop Gupta Ethical issues in IVF practice
8.40 am–8.50 am       Dr N K Bhatia 100% voluntary blood donation
8.50 am–9.00 am       Dr Rajesh Chawla Need for do not resuscitate laws in India
9.00 am–9.10 am       Dr Neelam Mohan Ethical issues in organ transplantation
9.10 am–9.30 am Handling cases of death Mr S K Saggar
Dr Arvind Chopra
Dr KK Aggarwal
Dr Girish Tyagi
   
9.10 am–9.20 am       Dr S C Tewari Spiritual considerations in a dying patient
9.20 am–9.30 am       Dr G.K. Sharma Medico legal and ethical issues in post mortem
9.30 am–9.50 am Medical Insurance Mr Vibhu Talwar
Dr H K Chopra
Dr Vinod Khetrapal
Dr KK Aggarwal    
9.30 am–9.40 am       Meenakshi Lekhi Engaging a lawyer
9.40 am–9.50 am       Maninder Acharya Understanding various court procedures
9.50 am–10.20 am How to handle medico legal cases? Dr Anil Goyal
Dr Rajiv Ahuja
Ajay Agrawal
Dr Girish Tyagi
   
9.50 am–10.00 am       Dr M C Gupta When to do the MLC?
10.00 am–10.10 am       Dr Sudhir Gupta Checklist of MLC case
10.10 am –10.20 am       Siddarth Luthra Medico legal record keeping
10.20–10.50 am Medical Consent Dr Vinay Aggarwal
Dr P K Dave
Dr KK Aggarwal
Dr Girish Tyagi
   
10.20 am–10.30 am       Indu Malhotra Types of consent
10.30 am–10.40 am       Dr Manoj Singh Ideal consent
10.40 am–10.50 am       Dr N P Singh Extended consent
10.50 am–11.20 am Fallacies in acts applicable to medical profession Dr Anup Sarya
Dr Sanjiv Malik
     
10.50 am–11.00 am       Dr Kaberi Banerjee MTP, PNDT Act
11.00 am–11.10 am       Dr Anupam Sibbal Organ Transplant Act
11.10 am to 12.00 noon Inauguration Justice A K Sikrai
Justice Vipin Sanghi
Dr A K Agarwal
     
12.00 noon–1.00 PM Professional misconduct and professional ethics Dr A K Agarwal
Dr. D S Rana
Dr H S Rissam
Dr KK Aggarwal
Dr Girish Tyagi
   
12.00–12.10 pm       Dr Sanjiv Malik Doctor-pharma relationship
12.10 pm–12.20 pm       Dr M C Gupta Advertisement and medical practice
12.20 pm –12.30 pm       Dr Navin Dang Rights of a patient
12.30 pm–12.40 pm       Dr Ajay Gambhir Rights of a doctor
12.40 pm– 12.50 pm       Dr Ashok Seth Kickbacks, touts and commercialization in medical practice
1.00 pm to 2.00 pm When it is not a negligence? Dr Prem Kakkar
Dr S K Sama
Dr O P Kalra
Dr KK Aggarwal
Dr Girish Tyagi
  Complaints of a doctor against doctor
1.00 pm–1.10 pm       Dr Girish Tyagi What is medical negligence?
1.10 pm–1.20 pm       Dr Vijay Aggarwal Medical accidents
1.20 pm–1.30 pm       Mukul Rohatgi Professional Misconduct
1.30 pm–1.40 pm       Dr K K Aggarwal How to defend a complaint?

………………………………………………………………

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), India

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com

………………………………………………………………

Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at
medifilmfestinhealthmela@gmail.com

………………………………………………………………

Share eMedinewS

If you like eMedinewS you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.

   Dr K K Aggarwal on blogs    Dr K K Aggarwal on blogs     Dr K K Aggarwal
on Twitter    Dr k k Aggarwal on Facebook    You Tube
 
    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)

HCFI
Activities eBooks

  HCFI

  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 Naveen Dang, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta