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 Workshop on Stress Management and How to be Happy and Healthy

 
    Dr KK Aggarwal on Social Media …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Aamir Khan Workshop with kids on dangerous areas Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video

 
  Editorial …

2nd July 2012, Monday

Fibrates have been shown to increase creatinine levels in randomized trials

A population-based study has shown an association between new fibrate use in older patients and nephrologist consultations and hospital admissions for a rise in creatinine level (1).

Though the rise may prompt clinical concern but it is uncertain that the changes in creatinine reflect renal injury.

The results of FIELD trial has shown that the increase in serum creatinine with fenofibrate was reversible on discontinuation, and at the end of the trial fenofibrate treatment appeared to have slowed loss of renal function and reduced proteinuria (2).

References

  1. Zhao YY, Weir MA, Manno M, et al. New fibrate use and acute renal outcomes in elderly adults: a population-based study. Ann Intern Med 2012;156:560.
  2. Davis TM, Ting R, Best JD, et al. Effects of fenofibrate on renal function in patients with type 2 diabetes mellitus: the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) Study. Diabetologia 2011;54:280.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

Fibrates have been shown to increase creatinine levels in randomized trials

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Doctor’s Day Celebration

On the occasion of Doctor’s Day Heart Care Foundation of India and eMedinews organised a program at IIC Annexe, India International Center.

 
Dr K K Aggarwal
 
    National News

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
2. Scene/s where medical care and approach has been depicted incorrectly, or
3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to re build the image of the medical profession.

City’s first civic medical college to start admitting students in April next year

New Delhi: The first civic medical college in the city will start admitting students from April next year, the North Municipal Corporation announced on Wednesday. “We will start admission of the first batch of students for the medical college at Rajan Babu Institute of Pulmonary Medicine and Tuberculosis (RBIPMT) from April 1, 2013. The first batch will have 50 students. We have already started planning the expansion of medical college. In the Phase-II, infrastructure will be developed to accommodate 200 students,” said Mira Aggarwal, Mayor of North Corporation. The medical campus to be built on RBIPMT premises will be integrated with the Hindu Rao Hospital. The proposal to construct a medical college was mooted by the erstwhile unified MCD in May 2011. Post the trifurcation, the North municipality was entrusted with the task as RBIPMT is located in Kingsway Camp, North Delhi. The North administration will built the new medical college by renovating the existing premises of RBIPMT and Hindu Rao Hospital. “We are aiming for utilisation of the existing health infrastructure and provide a state-of-the-art medical college. We assessed the premises of the two campus as per the MCI norm. The number of the departments required, as per the MCI norms, have been divided between Hindu Rao Hospital and RBIPMT. As the departments and the amenities at Hindu Rao already exist, we only need to renovate and improve RBIPMT,” said Mayank Sharma, CA-cum-Finance and the chairman of the concept project report formed for construction of the medical college. He said the medical college will be constructed at a low cost of Rs 30 crore. (Source: Indian Express, Jun 28 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

(Contributed by Dr Monica and Brahm Vasudev)

HIV: New single-pill treatment effective, safe

A new once-a-day treatment for HIV appears to be as effective and as safe as 2 other recommended HIV drug regimens among treatment-naive adults, according to reports on 2 large double-blind, randomized phase 3 trials, published in the June 30 issue of the Lancet. (Source: Medscape)

For comments and archives

Gut flora might trigger or worsen RA

The bridge between genetic susceptibility for rheumatoid arthritis (RA) and environmental triggers might be the bacteria in the digestive tract. Research led by Mayo Clinic immunologist Veena Taneja, PhD, and published in the April 2012 issue of PloS ONE provides the first demonstration that HLA genes and the gut environment interact to affect arthritis susceptibility. The researchers suggest that the gut microbiome might be a useful biomarker in RA studies. (Source: Medscape)

For comments and archives

Younger women may face higher breast cancer risk after IVF

Women who began in vitro fertilization (IVF) treatment before the age 24 years may have a slightly increased rate of breast cancer. However, when all ages of women were grouped together, IVF was not associated with an increased risk for breast cancer. (Source: Medscape)

For comments and archives

Physically fit at 18 may mean less depression later in life

Good physical fitness at age 18 years is associated with a reduced risk for serious depression later in life, a new study shows. "Lower cardiovascular fitness, independent of muscle strength, at age 18 years was associated with increased risk of serious depression in adulthood, even 31 to 40 years later, although no such association could be shown for bipolar disorder," said lead author Maria A. Åberg, MD, PhD, Sahlgrenska Academy, University of Gothenburg, in Sweden. "These results strengthen the theory of a cardiovascular contribution to the etiology of depression," she added. The results, which are from a study that included more than 1 million Swedish men, was published online June 14 in the British Journal of Psychiatry. (Source: Medscape)

For comments and archives

Pregnancy killing a million girls every year

Pregnancy has emerged as the biggest killer across the globe for teenage girls, with a million teenagers dying annually, a report by international voluntary organisation Save the Children said here on Thursday. The report, 'Every Woman's Right' said: "Girls under the age of 15 are five times more likely to die in pregnancy than women in their 20s. Babies born to younger mums are also at far greater risk and around one million babies born to adolescent girls die every year." Speaking of India, the report says that infant mortality rate for teenage mothers was 77 per 1,000 live births, while the total infant mortality rate was 47 per 1,000 (National family health survey - NFHS 3). "India has a high maternal mortality ratio of 254 per 100,000 births," the report said referring to NFHS 3 findings. "In many countries it is normal for young girls to be married off and quickly become pregnant before their bodies have sufficiently developed." "This is a tragedy not just for those girls but also for their children. Babies are 60 percent more likely to die if their mother is under 18," said Thomas Chandy, Save the Children India chief executive officer.

The report paints a grim picture of developing nations, saying: "A woman's lifetime risk of maternal death - the probability that a 15 year old girl will ultimately die from a maternal cause - is 1 in 3,800 in developed countries but 1 in 150 in developing countries." "An estimated 10 million girls under 18 are married every year, or more than 25,000 every day." Even as contraception was not accessible or affordable for many women and girls, females are prevented from using it because of social or cultural prejudices, or myths about side-effects. "This year, an estimated 80 million unintended or mistimed pregnancies will occur in developing countries," Save the Children said. (Source: TOI, Jun 29, 2012)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Tackling Neck Pain http://blog.kkaggarwal.com/2012/06/tackling-neck-pain/

@DrKKAggarwal: The head does not listen until the heart hears - Italo Magni

 
    Spiritual Update

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

You are temple of the God and the Spirit of the God dwells in you

This sutra from the Bible reflects the union between the spirit and the soul. The ‘Spirit’ represents the Parmatama or the Brahman and ‘You’ represents the individualized spirit or the Soul (Jivatama).

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Why would I need ICSI?

ICSI helps to overcome a man's fertility problems, for instance:

  • He may produce too few sperms
  • His sperm may be not be shaped correctly or move in a normal fashion
  • The sperm may have trouble attaching to the egg
  • A blockage in his reproductive tract may keep sperm from getting out.
 
    Tat Tvam Asi………and the Life Continues……

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

Q. Will the donor or recipient family be told who donated or received the cornea?

A. No. The Donor - recipient information is maintained confidential.

 
    An Inspirational Story

(Ms Ritu Sinha)

How we affect others

My second year attending college....

I moved 300 miles away from my home of six years and entered a private Christian college. I was thrilled that I was going to attend my first pick school. My favorite class was English I with Professor Wilcox. He encouraged creativity and open thought which was right up my alley.

Throughout high school I had been pretty much told what to write and what to think. I enjoyed the challenge of his vague writing assignments; it made me have to really think about what I put down on paper.

As the school year progressed I became very ill and missed several of my classes. I apologized over and over to my professors for missing their classes, and I did the assignments out of hospital rooms or between trips to specialists and weekly doctors’ visits. At the end of the term my medical condition had improved some and I was able to start doing some of the extra credit to make up for my daily grades. I worked double time to bring my grades up.

The day of my English final, Professor Wilcox approached me and handed me a single sheet of rose pink paper. He told me to read on my way home to Texas. I decided that I couldn't wait and the second I stepped into my dorm room I opened the paper and read aloud. He had wanted to thank me for encouraging him throughout the school year.

In his letter he described the plight of a young woman, the youngest in her class, struggling with sickness and a full class schedule that somehow managed to pull herself up by her bootstraps and muttle through the year.

The last line of his letter read as follows: "I have watched you thoroughly enjoy yourself in my class, and I have read of your struggle against all odds to stay in school. You truly personify my favorite verse in the book of Psalms. Thank you for showing the world how to be brave and how to rely completely on God." He then went on to quote the following verse: "I have set the Lord always before me; because He is at my right hand; I will NOT be shaken." –Psalm 16:8

I hadn’t realized it at the time but everything we do and say affects other people.

My being sick had helped a professor I barely knew to get through a very trying time in his life. I just want everyone to know that even though things may seem rough, there will always be better days ahead.

For comments and archives

 
  Cardiology eMedinewS

Should We Expect Genetic Mutations That Raise HDL Reduce Cardiovascular Risk? Read More

Daily Walking 3500 steps May Reduce Diabetes Risk Read More

 
  Pediatric eMedinewS

Rizatriptan Safe, Effective For Migraine In Children Read More

OK To Skip Radiation In Some Children With Hodgkin Lymphoma
Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: An obese patient failed to achieve weight loss goal through diet and exercise.
Dr Bad: Go for surgery.
Dr Good: Start drug therapy.
Lesson: Patients who fail to achieve weight loss goals through diet and exercise alone need a trial of drug therapy.

For comments and archives

Make Sure

Situation: A patient developed rifampicin toxicity.
Reaction: Oh my God! Why was a history of Ayurvedic drugs not taken?
Lesson: Make sure to enquire if a patient is also on Ayurvedic drugs. Trikatu can enhance the action of anti TB drugs.

For comments and archives

 
    Health News Bulletin

Panasonic India to enter more categories in B2B business

The Hindu Business Line, Heena Khan

Mumbai: Betting big on the B2B segment, Panasonic India plans to enter a few new segments this year. “In the healthcare segment, Panasonic will launch products such as ECG machines, blood bank refrigerators and diabetes detectors while solar powered, rechargeable batteries will be introduced in the energy segment. In security, Panasonic will focus on CCTV cameras and interactive whiteboards for education vertical,” says Mr Manish Sharma, MD, Consumer Product Division, and Panasonic India.

 
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  Quote of the Day

(Dr GM Singh)

Do the difficult things while they are easy and do the great things while they are small. A journey of a thousand miles must begin with a single step.

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Plasma free metanephrine

To help diagnose or rule out a pheochromocytoma

Related tests: Catecholamines (plasma and urine), urine metanephrines, vanillylmandelic acid (VMA)

 
    Mind Teaser

Read this…………………

Mr. Perez is in continuous pain from cancer that has metastasized to the bone. Pain medication provides little relief and he refuses to move. The nurse should plan to:

A. Reassure him that the nurses will not hurt him
B. Let him perform his own activities of daily living
C. Handle him gently when assisting with required care
D. Complete A.M. care quickly as possible when necessary

Yesterday’s Mind Teaser: After surgery, Gina returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place following a gall bladder surgery. She continues to complain of nausea. Which action would the nurse take?

A. Call the physician immediately.
B. Administer the prescribed antiemetic.
C. Check the patency of the nasogastric tube for any obstruction.
D. Change the patient’s position.

Answer for Yesterday’s  Mind Teaser: C. Check the patency of the nasogastric tube for any obstruction.

Correct answers received from: Surinder Grover, Dr. Shashi Saini, Dr. P. C. Das, Dr Kanta Jain, Dr Pankaj Agarwal, y. j. vasavada, Gopal Shinde, Dr.Chandresh Jardosh, Dr Avtar Krishan, Dr. Thakor Hitendrsinh G, Dr. Prabodh Kumar Gupta, Raju Kuppusamy, Dr Jainendra Upadhyay

Answer for 30th June Mind Teaser: D. "Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow's surgery?"
Correct answers received from: Niraj Gupta, Muthumperumal Thirumalpillai, Dr.Chandresh Jardosh, Dr Avtar Krishan, Dr. Thakor Hitendrsinh G

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

There were three ladies at the obstetrician's office, waiting to see what their results were. When the first young woman came back to the waiting room, she was very happy.

"I'm going to have a boy!" she declared. "The doctor said that if my husband was on top, I would have a boy."

When the second young woman came back, she was very happy, too. "I'm going to have a girl! The doctor said that if I was on top, I would have a girl."

Suddenly, the third young woman burst into tears. The other two tried to console her, but all she could say was "I'm going to have a puppy!"

 
    Medicolegal Update

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

What are Rubber Bullets?

Rubber bullets were introduced in the US to quell anti–war and civil rights demonstrators in the 1960s. They were reintroduced in the late 1980s. Rubber bullets describe about 75 types of "less than lethal devices" that are designed to deliver a stinging blow that incapacitates but do not kill or penetrate flesh as regular metal bullets.

  • The first less–than–lethal bullets appeared in the 1880s when Singapore police shot sawed–off broom handles at rioters. By the 1960s, riot control police in Singapore, Malaysia, and Hong Kong were using wooden bullets. The Wooden bullets still in use today are called "knee–knockers.
  • British colonists replaced the wood, which could shatter and possibly penetrate, with rubber. By the 1980s, they switched to more accurate plastic bullets, solid polyvinyl chloride cylinders about 4 inches long and 1.5 1/2 inches wide.

They are most often used by individual police officers to subdue armed, mentally ill people. The bullets are supposed to be shot at the lower half of the body; but have also accidently killed people. Numerous groups from the European Parliament to Human Rights Watch have called for a ban on plastic bullets.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Nobility of medical profession cannot be questioned: Justice Shah

Delivering a key note address on the occasion of Doctor’s Day celebrations organised by Heart Care Foundation of India and eMedinewS, Justice Ajit Prakash Shah, Former Chief Justice of Delhi High court, said that medical profession was noble, is noble and will remain a noble profession.

Guest of Honour was Delhi High Court Judge, Justice Vipin Sanghi.

The program was organized by the Foundation in view of the recent controversy created by commercial cine star Aamir Khan in his show Satyamev Jayate, where he directly blamed medical profession as one amongst corrupt professions.

Justice Shah said that difference of opinion, errors of judgments, medical errors and medical accidents should not be linked to medical negligence. There is always an element of wilful omission and commission in any medical negligence.

Speaking on the occasion, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that for every 98 people saved there will be at least two patients who will die because of medical treatment.

In US alone, one lakh people die every year because of medical treatment. This number in India would be much larger. For saving crores of people in the society many will die because of side effects, high risk cases or medical errors.

Dr. Aggarwal said that the need of the hour is to create safe and effective system and not target medical doctors who provide the best of the care in the available circumstances.

Dr. Yugal Mishra, Director, Department of Cardiovascular Surgery, Escorts Heart Institute & Research Centre speaks on “Choice of Heart Valves: Bioprosthetic Vs. Mechanical.

A panel discussion was also organised where the panelists discoursed on how to ‘Rebuild the image of Medical Profession’. The panel was moderated by Mr. Vijay Dutt, Nehru Fellow, former Editor Hindustan Times. The panelists included Dr D S Rana, Chairman Ganga Ram Hospital, Padma Shri Awardee Dr Ashok Vaid, Chairman Oncology Medanta - The Medicity, Mr Pramath Sinha, Entrepreneur, Mediworx Pvt Ltd., Dr Arun Bhatanagar, Former Secretary, GOI; Mr Nripendra Mishra, Former Secretary,GOI, Mr Rajiv Dogra, Former Ambassador and Secretary External Affairs, Ms Priya Hingorani, Sr Advocate, Dr Sanjiv Malik, Past President IMA, Dr A K Aggarwal, President Delhi Medical Council, Dr D R Rai Secretary General IMA, Dr Harish Gupta, President DMA and Dr Neelam Mohan, Director Pediatric Hepatology & Gastroenterology, Medanta – The Medicity.

Dr Pawan Gupta, Dr Sudesh Ratan, Dr O P Jain, Dr G M Singh, Dr A K Kansal, Dr N K Gupta, Dr Dinesh Negi the core members of Dr KK Study Circle also interacted.

The consensus that emerged from the panel discussion was that health should be taken on priority by the government. Medical profession should work in a transparent and accountable system and the public should have faith in their doctors and the concept of family physician should be revived.
 

 
    Readers Response
  1. Dear Sir, Happy Doctor’s Day. Heartfelt Congratulations and full support to you. Avdesh Mehta
 
    Forthcoming Events
Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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

 
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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