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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos…
eMediTube (videos), eMedipics, eMediSlide, eMediLaw
  Editorial…

3rd May 2013, Friday

20 minutes of sunlight and a glass of milk can keep osteoporosis at bay

Osteoporosis and vitamin D deficiencies are the two new epidemics of the society.

Drinking less milk, avoiding sunlight exposure and omitting the traditional aerobic indoor games are few reasons for these new epidemics. Most young professionals now remain confined to their offices or workplace, with practically no exposure to sunlight. This is especially true for the medical residents.

Here are a few tips for preventing osteoporosis and strengthening the bones.

  1. One should stop smoking as it increases bone loss.
  2. Eat a calcium-rich diet: The aim should be to get 1,500 mg of calcium a day in postmenopausal woman or a man over age 65. Good dietary sources of calcium include dairy products, tofu and other soy products, orange juice fortified with calcium, canned salmon with the bones, and cooked spinach. The alternative is to take calcium supplements.
  3. Get enough vitamin D: Vitamin D levels are influenced by how much sunlight one gets. Levels tend to decrease in older adults, especially in winter and in people who are unable to leave their home. One should consider taking a supplement to make sure one gets the recommended daily amount.
  4. Get exposure to sunlight of at least 20 minutes per day. The exposure should be for duration of 20 minutes every day for a month in a year.
  5. Get enough protein in diet: An adequate intake of protein in diet, combined with an adequate intake of calcium helps increase bone density. One should aim for about 12% of calories to come from proteins such as legumes, poultry, seafood, meat, dairy products, nuts and seeds. However, too much protein with too little calcium can be harmful.
  6. Weight-bearing exercise: Activities such as walking, jogging and climbing stairs with your feet and legs supporting your weight. They work directly on the bones of the legs, hips and lower spine to slow mineral loss.
  7. Weightlifting exercises: These exercises, also called resistance training or strength training. They strengthen muscles and bones in the arms, chest and upper spine. They can work directly on the bones to slow loss of minerals.
  8. Get adequate vitamin K: This vitamin may be helpful in enhancing bone strength. Green leafy vegetables are the best sources of vitamin K. If one is taking a blood thinner, he or she should check with the doctor.
  9. Avoid excessive alcohol: Women should limit alcohol consumption to less than one ounce a day and men should limit it to less than two ounces.
  10. Limit cola drinks: People who have high cola intake often have lower bone density.

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

Obesity reduces life expectancy

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Heart Care Foundation of India
organizes an event with His Holiness
Sri Sri Swami Parmanand Ji Maharaj
on Sunday 28th April 2013.

 
Dr K K Aggarwal
    National News

MCI asks CBI to probe into medical seats for sale sting operation

New Delhi: The Medical Council of India (MCI) has written to the Central Bureau of Investigation (CBI) asking for a probe into a sting operation conducted by CNN-IBN, which exposed the sale of postgraduate medical seats in five colleges across three states for crores of rupees. The CBI will also probe a complaint filed by BSP MP Seema Upadhyay who was reportedly asked to pay Rs 1.5 crore for her daughter's admission in Subharti Medical College in Meerut. Upadhyay, an MP from Fatehpur Sikri, has written a letter to the MCI, the CBI, the Prime Minister's Office (PMO), the President and the Health Minister, asking for a probe into the illegal sale of medical seats in Subharti Medical College. Subharti Medical College has denied the charges. (Source: CNN-IBN)

For comments and archives

One of every five Indian kids acutely malnourished: Krishna Tirath

Nearly 20 percent of children in the country suffer from acute malnutrition, Women and Child Development Minister Krishna Tirath informed the Lok Sabha Friday. The minister was citing statistics from the National Family Health Survey-3, 2005-06 which showed that the percentage of acutely malnourished children under five years is 19.8 percent. The problem of malnutrition is complex, multi-dimensional and inter-generational in nature, and cannot be improved by a single sector alone, she said. Tirath said: "The approach to deal with the nutrition challenges has been two pronged. First is the multi-sectoral approach for accelerated action on the determinants of malnutrition in targeting nutrition in schemes or programmes of all the sectors. "The second approach is the direct and specific interventions targeted towards the vulnerable groups such as children below six years, adolescent girls, pregnant and lactating mothers." Government has given top priority to addressing the huge problem of malnutrition. The Prime Minister's National Council on India's Nutrition Challenges was constituted in 2008 for policy direction, review and effective coordination between ministries for tackling malnutrition. (Source: The Pioneer, 26 April 2013)

For comments and archives

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, every Thursday 4:30 PM in DD India

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 rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Medical neglect

Refusal to seek or delay in seeking medical care resulting in damage or risk of damage to the child's health.

 
    Valvular Heart Disease Update

When should aortic valve replacement be done?

Aortic valve replacement should be performed in essentially all patients with symptomatic aortic stenosis. Surgery in such patients is associated with marked reductions in symptoms and subsequent mortality.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Stiff spleen predicts decompensation in cirrhotic patients

In a multivariate analysis of compensated cirrhotic patients infected with hepatitis C virus, spleen stiffness and model for end-stage liver disease (MELD) score emerged as independent predictors of decompensation, leading investigators to develop a predictive model. (Source: Medscape)

For comments and archives

Cannabis use in teens linked to irreparable drop in IQ

According to a new study, cannabis users who start smoking the drug as adolescents show an irreversible decline in IQ, with more persistent use linked to a greater decline. On the other hand, adult-onset cannabis use is not linked to a decline in IQ. (Source: Medscape)

For comments and archives

Meditation, mindfulness exercises reduce PTSD symptoms

Symptoms of posttraumatic stress disorder (PTSD) can be reduced by treatment that includes meditation, stretching and emotional acceptance. (Source: Medscape)

For comments and archives

Low calorie diet helps in type 2 diabetes

In a new study, insulin sensitivity and beta-cell function improved to a similar extent in patients with type 2 diabetes with a very-low-calorie diet as they did after bariatric surgery. (Source: Medscape)

For comments and archives

New DSM faulted for ignoring social issues

According to researchers, the soon-to-be-released update of the Diagnostic and Statistical Manual of Mental Disorders does not adequately take into account the social influences on psychiatric illness and diagnosis. (Source: Medpage Today)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: Guest speaker at Medicos Club http://coll.ag/_linN0yp via @PicCollage pic.twitter.com/i6bHLFxnrw

@DeepakChopra: What is the best way to get rid of anger on the spot? My reply http://tinyurl.com/cu2c5zg #askdeepak

 
    Spiritual Update

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

Why do we apply holy ash?

Bhasma is the holy ash produced from the Homa, the sacrificial fire, wherein special wood along with ghee and other herbs are offered as a part of pooja. By the time a Bhasma is formed, no trace of original matter remains in the ash. Ash obtained from any burnt object is not bhasma.

For comments and archives

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is prolactin?

Prolactin is a hormone produced by your pituitary gland, which sits at the bottom of the brain. Though prolactin plays a role in the growth and development of your breasts, its primary function is in milk production after a child is born. It is present in small amounts throughout your bloodstream (including in men), kept under control by another hormone called a prolactin inhibiting factor (dopamine). When you become pregnant, however, prolactin levels increase significantly.

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

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

Timeline of successful transplants

  • 1905: First successful cornea transplant by Eduard Zirm (Olomouc Eye Clinic, now Czech Republic)
  • 1954: First successful kidney transplant by J. Hartwell Harrison and Joseph Murray (Boston, USA)
  • 1966: First successful pancreas transplant by Richard Lillehei and William Kelly (Minnesota, USA)
  • 1967: First successful liver transplant by Thomas Starzl (Denver, USA)

For comments and archives

 
   An Inspirational Story

The Trouble Tree

The carpenter I hired to help me restore an old farmhouse had just finished a rough first day on the job. A flat tire made him lose an hour of work, his electric saw quit, and now his ancient pickup truck refused to start.

While I drove him home, he sat in stony silence. On arriving, he invited me in to meet the family. As we walked toward the front door, he paused briefly at a small tree, touching the tips of the branches with both hands.

After opening the door, he underwent an amazing transformation. His face was wreathed in smiles, and he hugged his two small children and then gave his wife a kiss.

Afterward, he walked me to my car. We passed the tree, and my curiosity got the better of me. I asked him about what I had seen him do earlier.

“Oh, that’s my trouble tree,” he replied. “I know I can’t help having troubles on the job, but one thing for sure, troubles don’t belong in the house with my wife and children. So I just hang them up on the tree every night when I come home. Then in the morning, I pick them up again.”

“Funny thing is,” he smiled, “when I come out in the morning to pick them up, there aren’t nearly as many as I remember hanging up the night before.”

What do you think about the way the carpenter chose to deal with his problems? What do you think he accomplished by leaving his troubles outside of his home?

For comments and archives

 
   Cardiology eMedinewS

New diabetes guidelines have it both ways Read More

 
   Pediatric eMedinewS

At-home drug errors may harm kids with cancer Read More

 
    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

What is the criterion for “protection” after immunization?

The rabies virus neutralizing antibody (RVNA) titer of =0.5 IU/ml of serum in the vaccinated person is considered protective.

The facility for this test is available at NCDC, Delhi, CRI, Kasauli, Pasteur institute, Coonnor, NIV, Pune and NIMHANS, Bangalore.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with burns came with severe pain.
Dr Bad: It is bad sign.
Dr Good: It is a good sign.
Lesson: Pain indicates that the nerves are intact.

Make Sure

Situation: A patient with rheumatic arthritis was not given penicillin prophylaxis, and subsequently developed another attack.
Reaction: Oh my God! Why was the prophylaxis not started?
Lesson: Make sure that one administers secondary prophylaxis in the setting of suspected poststreptococcal reactive arthritis for up to one year after the onset of symptoms. Evidence of valvular disease after one year should prompt continued prophylaxis; otherwise, antibiotic prophylaxis may be discontinued.

 
  Quote of the Day (Dr GM Singh)

A dreamer is one who can only find his way by moonlight, and his punishment is that he sees the dawn before the rest of the world. Oscar Wilde

 
    Mind Teaser

Read this…………………

Nurse Lea is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

a. Rashes on the palms of the hands and soles of the feet
b. Cauliflower-like warts on the penis
c. Painful red papules on the shaft of the penis
d. Foul-smelling discharge from the penis

Yesterday’s Mind Teaser: A female client with chronic renal failure (CRF) is receiving a hemodialysis treatment. After hemodialysis, nurse Sarah knows that the client is most likely to experience:

a. Hematuria
b. Weight loss
c. Increased urine output
d. Increased blood pressure

Answer for yesterday’s Mind Teaser: b. Weight loss

Correct answers received from: Dr Arpan Gandhi, Dr. Deepali Chatterjee, Dr.K.V.Sarma, Dr. P. C. Das & Dr. Mrs. S. Das, Dr. B.B. Gupta, Dr.(Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, drjella, Dr U Gaur, Dr Jainendra Upadhyay, DR SANTHAKUMARI, DR AYYAVO, DR P K SAHU, Dr Avtar Krishan, Dr B K Agarwal, Dr.Rohini Dhillon, Dr.Jayashree Sen & Dr.Bitaan Sen, Dr B K Agarwal

Answer for 30th April Mind Teaser: c. Pyuria

Correct answers received from: Dr. B.R.Bhatnagar, Dr. P. C. Das & Dr. Mrs. S. Das, Dr.(Maj. Gen.) Anil Bairaria

Send your answer to ijcp12@gmail.com

 
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    Laugh a While (Dr GM Singh)

A couple in their nineties is having problems remembering things. During a checkup, the doctor tells them that they're physically okay, but they might want to start writing things down to help them remember.

Later that night, while watching TV, the old man gets up from his chair. 'Want anything while I'm in the kitchen?' he asks.
'Will you get me a bowl of ice cream?' 'Sure.'

'Don't you think you should write it down so you can remember it?' she asks. 'No, I can remember it.'

'Well, I'd like some strawberries on top, too. Maybe you should write it down, so as not to forget it?' He says, 'I can remember that. You want a bowl of ice cream with strawberries.'

'I'd also like whipped cream. I'm certain you'll forget that, write it down?' she asks.

Irritated, he says, 'I don't need to write it down, I can remember it! Ice cream with strawberries and whipped cream - I got it, for goodness sake!'

Then he toddles into the kitchen. After about 20 minutes, the old man returns from the kitchen and hands his wife a plate of bacon and eggs. She stares at the plate for a moment.

'Where's my toast?’

 
    Medicolegal Update

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

Medical Testimony of Doctor in the Court of Law

Do not misrepresent documents/medical literature in the Court of Law

When evidence is read into the record of a trial, only that portion of the document, which validates the information being discussed needs to be read aloud. One paragraph or even one part of a paragraph may be all that is necessary to substantiate the point you are making. Documents must be presented in the words of the author. When you paraphrase evidence, you argue in a circle. Reading the remainder of the document, even if it establishes a context for the evidence, is unnecessary and time–consuming. When a document is cut in a manner, which lends the quoted passage a meaning other than what would be derived from a more complete reading, you are misrepresenting the document. This does not mean, however, that you are responsible for drawing the same conclusions from information as the author of the document.

Drawing a contrary conclusion from passages accurately interpreted does not constitute misrepresentation. The fact that the author of the document reached a different conclusion from the information argues perhaps persuasively against your conclusion. However, you have not misused the evidence.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Heart disease may present with asthma like symptoms

Heart disease may present with asthma like symptoms said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

Dr. Aggarwal said that the commonest cause of breathlessness is not asthma. Obesity and anemia can cause exertional breathlessness. Uncontrolled high blood pressure, diastolic dysfunction of the heart and enlarged heart can also cause breathlessness.

The rule of thumb is that any breathlessness appearing for the first time in life after the age of 40 is cardiac in nature unless proved otherwise.

Impaired relaxation functions of the heart are a new epidemic of the society where the heart arteries do not have any blockages but the heart cannot relax properly.

Diastolic functions of the heart can be evaluated by tissue Doppler echocardiography examination. Ordinary echo exam will miss the diagnosis as it usually detects the contracting systolic functions of the heart.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 46674 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

 
    Readers Response
  1. Dear Sir, Your editorial are very Informative. Regards:Dr Shradha
 
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