emedinews
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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 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

 
  Editorial …

4th May, 2011, Wednesday                                 eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Osama death: the questions unanswered


1. Osama was killed by US military forces without taking PAK cops in confidence. Is it allowed in any country? If that so then it will be precedence for India to go to PAK and capture or kill the wanted criminals of India.
 

2. The US govt said that they had tested the DNA test of Osama and confirmed his identity. Where were the tests done, in Pakistan or in US? If in US how could they get the results within hours and if in Pakistan how come the government of Pakistan was not aware?
 

3. The US troops landed in US special helicopters. From where the helicopters came. How entered in the PAK area without being touched by the PAK agencies
 

There is something fishy in the media storey. Was Osama killed much before they actually announced his death for security reasons?
   
Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Blogs.kkaggarwal.com  Dr k k Aggarwal Blogs
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

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

Barrett’s esophagus and high–grade dysplasia management

For most patients with Barrett’s esophagus and high–grade dysplasia who are fit to undergo endoscopy, start endoscopic eradication therapy rather than esophagectomy or intensive endoscopic surveillance. (March 2011)

 
    eMedinewS Audio PostCard

Diabetes Update

Dr Vinod Sanghi Speaks on
‘DCCT trial’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

11th Perfect Health Parade

The 11th Perfect Health Parade was organized to mark the World Health Day. In the photo: The parade in the form of Tableaus carrying messages about various health aspects.

 
Dr K K Aggarwal
 
    National News

ISRO builds India’s fastest supercomputer

The Indian Space Research Organisation has built a supercomputer, which is to be India’s fastest supercomputer in terms of theoretical peak performance of 220 TeraFLOPS (220 Trillion Floating Point Operations per second). The supercomputing facility named as Satish Dhawan Supercomputing a Facility is located at Vikram Sarabhai Space Centre (VSSC), Thiruvananthapuram and the supercomputer SAGA–220 was inaugurated by Dr K Radhakrishnan, Chairman, ISRO on Monday at the VSSC. According to an ISRO Press release the new Graphic Processing Unit based supercomputer named "SAGA–220" (Supercomputer for Aerospace with GPU Architecture–220 TeraFLOPS) is being used by space scientists for solving complex aerospace problems. (Source: The Pioneer, May 03, 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

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Fit Facts and Tips

Adults

  • Adults should do 30 minutes or more of physical activity per day.
  • Some physical activity is better than none, and adults who participate in any amount of physical activity gain some health benefits.
  • For substantial health benefits, adults should do at least 30 minutes per day (2 hours and 30 minutes per week) of moderate–intensity, or 75 minutes per week of vigorous–intensity aerobic physical activity, or an equivalent combination of moderate– and vigorous–intensity aerobic activity. Aerobic activity should be performed in episodes of at least 10 minutes, and preferably, it should be spread throughout the week.
  • For additional and more extensive health benefits, adults should increase their aerobic physical activity to 300 minutes (5 hours) a week of moderate–intensity, or 150 minutes a week of vigorous–intensity aerobic physical activity, or an equivalent combination of moderate– and vigorous–intensity activity. Additional health benefits are gained by engaging in physical activity beyond this amount.
  • Adults should also do muscle–strengthening activities that are moderate or high intensity and involve all major muscle groups on 2 or more days a week, as these activities provide additional health benefits.

(Dr Monica and Brahm Vasudev)

FDA concerned about potential heart risks among some patients who add fibrate to statin

FDA said it was concerned about trial data suggesting that adding a fibrate drug to a statin increased the risk of cardiac events in women and will convene an advisory committee meeting next month to review the findings.

Flu vaccine safe for kidney transplant patients

American Society of Nephrology: Getting vaccinated against the flu lowers kidney transplant recipients’ risk of organ loss and death, according to a study appearing in an upcoming issue of the Clinical Journal of the American Society Nephrology (CJASN).

Ramipril effective in lowering the risk of ESRD in obese patients

The angiotensin–converting enzyme (ACE) inhibitor drug, ramipril, is particularly effective in lowering the risk of end–stage renal disease (ESRD) in obese patients, according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN).

 
    Spiritual Update

Hanuman Chalisa

Ramdoot Atulit Bal Dhamaa
Anjani Putra Pavansut naamaa.

Meaning: Glory to the divine messenger and servant of Sri Rama! He is known as Pavana Suta, son of the Wind and Mother Anjana, and his powers are invincible.

Spiritual Significance: Breathing Pranayama or Hanumana is the messenger of consciousness (Rama). By doing regular Pranayama, one can achieve incredible powers (siddhis). He is the son of Vayu or in other words, he represents Prana Vayu in inner body.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with PUO needed further evaluation.
Dr Bad: Get MRI done.
Dr Good: Get CT abdomen done.
Lesson: CT scan of the abdomen has nearly replaced exploratory laparotomy and other radiographic tests in the search for occult abscesses or hematomas in patients with FUO. The finding of abdominal lymphadenopathy can be a clue to lymphoma or a granulomatous process. The usefulness of CT has resulted in this examination being used in nearly all patients with FUO. While MRI scan can be more sensitive in certain settings, e.g, the diagnosis of spinal epidural abscess, it is rarely required in the initial evaluation of FUO.

Make Sure

Situation: A patient with chest pain with normal ECG died half an hour later.
Reaction: Oh my God! Why was an acute MI not suspected?
Lesson: Make sure all patients of chest pain are observed for 12 hours. ECG can be normal in acute heart attack for up to six hours.

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

This was a question in a physics degree exam at the University of Copenhagen: "Describe how to determine the height of a skyscraper with a barometer."

One student replied: "You tie a long piece of string to the neck of the barometer, then lower the barometer from the roof of the skyscraper to the ground. The length of the string plus the length of the barometer will equal the height of the building." This highly original answer so incensed the examiner that the student was failed immediately. The student appealed on the grounds that his answer was indisputably correct, and the university appointed an independent arbiter to decide the case. The arbiter judged that the answer was indeed correct, but did not display any noticeable knowledge of physics. To resolve the problem it was decided to call the student in and allow him six minutes in which to provide a verbal answer that showed at least a minimal familiarity with the basic principles of physics.

For five minutes the student sat in silence, forehead creased in thought. The arbiter reminded him that time was running out, to which the student replied that he had several extremely relevant answers, but couldn’t make up his mind which to use. On being advised to hurry up the student replied as follows: "Firstly, you could take the barometer up to the roof of the skyscraper, drop it over the edge, and measure the time it takes to reach the ground. The height of the building can then be worked out from the formula H = 0.5g × t squared. But bad luck on the barometer."

"Or if the sun is shining you could measure the height of the barometer, then set it on end and measure the length of its shadow. Then you measure the length of the skyscraper’s shadow, and thereafter it is a simple matter of proportional arithmetic to work out the height of the skyscraper. But if you wanted to be highly scientific about it, you could tie a short piece of string to the barometer and swing it like a pendulum, first at ground level and then on the roof of the skyscraper. The height is worked out by the difference in the gravitational restoring force T = 2 pi sqroot (l/g)."

"Or if the skyscraper has an outside emergency staircase, it would be easier to walk up it and mark off the height of the skyscraper in barometer lengths, then add them up. If you merely wanted to be boring and orthodox about it, of course, you could use the barometer to measure the air pressure on the roof of the skyscraper and on the ground, and convert the difference in millibars into feet to give the height of the building."

"But since we are constantly being exhorted to exercise independence of mind and apply scientific methods, undoubtedly the best way would be to knock on the janitor’s door and say to him, If you would like a nice new barometer, I will give you this one if you tell me the height of this skyscraper."

(The student was Niels Bohr, the only Dane to win the Nobel prize for Physics)

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    Pediatric Update

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

Chronic pancreatitis

Categories of chronic pancreatitis

  • Chronic calcifying pancreatitis
  • Chronic obstructive pancreatitis
  • Chronic inflammatory pancreatitis
 
    Medicolegal Update

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

Chemical castration does not actually castrate the person, nor is it a form of sterilization

Chemical castration involves the administration of anti androgen drugs, or the birth–control drug which is given as an injection every one to three months, making compliance easier to track the offender.

  • The word 'chemical castration' has been called a misnomer because it is not like the surgical castration, where the testes or ovaries are removed through an incision in the body. Chemical castration does not actually castrate the person, nor is it a form of sterilization. When used on men, these drugs can reduce sex drive, compulsive sexual fantasies, and capacity for sexual arousal
  • Chemical castration entails administration of medication designed to reduce libido and sexual activity, usually in the hope of preventing rapist child molester and other sex offender from repeating their crimes as on voluntary basis as a more human approach of punishment.
  • It is generally reversible when treatment is discontinued, except for some effects in body chemistry, such as loss of bone density and osteoporosis.
  • It is still an ethical dilemma to practice chemical castration as punishment and whether it could be done without informed consent or not? However some countries like US and UK consider chemical castration is a humane alternative to life–long imprisonment or surgical castration, the drug cyproterone acetate is used for chemical castration in Europe which considered as safe drug for health.
  • Argentina approved a new law in 2010 which rules the use of chemical castration for rapists, but they must voluntarily undergo it.
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Can weight loss surgery help other physical conditions?

According to current research, weight loss surgery can improve or resolve associated health conditions.

Condition

Percentage found in preoperative individuals

Percentage cured
2 years after surgery

Diabetes or insulin resistance

34%

85%

High blood pressure

26%

66%

High triglycerides

40%

85%

Sleep apnea

22% in males, 1% in females

40%

 
    Mind Teaser

Read this………………… 

Q. What is not true about malrotation of the intestine?

a. In Incomplete rotation, the rotation is arrested at 180 degree.
b. The small intestine lies on the right with cecum in the midline.
c. Ladd’s band extends from the right upper quadrant to the cecum.
d. Hyperrotation is the most common form of intestinal malrotation.

(Dr GM Singh)

Yesterday’s Mind Teaser: cotaxme

Answer for yesterday’s Mind Teaser: Income tax.

Correct answers received from: Dr Riyazul Qamar Khan, Dr Sudipto Samaddar, Dr MK Bhandari, Dr Muthumperumal Thirumalpillai, Dr Neelam Nath, Dr U Gaur, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Anil Bairaria, Dr K Raju, Dr Rashmi Chhibber, Dr K V Sarma, Dr Rakesh Bhasin.

Answer for 2nd May Mind Teaser: b.
Correct answers received from: Dr Muthumperumal Thirumalpillai.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr. GM Singh)

Mathematician, Physicist, and Engineer

A mathematician, a physicist, and an engineer were all given a red rubber ball and told to find the volume. The mathematician carefully measured the diameter and evaluated a triple integral. The physicist filled a beaker with water, put the ball in the water, and measured the total displacement. The engineer looked up the model and serial numbers in his red–rubber–ball table.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Protein C

Formal name: Protein C Functional or Antigen; Protein S Free (Functional) or Antigen (Total). Tests for Protein C and Protein S are usually ordered to help diagnose the cause of a venous thromboembolism (VTE).

  • High Protein C and Protein S levels are not usually associated with medical problems.
  • Low levels of Protein C or Protein S can result in excessive formation of blood clots.
    Low concentrations of Protein C and Protein S may be seen with vitamin K deficiency, liver disease, severe infections (inflammatory conditions), renal disease, cancers, disseminated intravascular coagulation (DIC), HIV, during pregnancy, immediately following a thrombotic episode, and with warfarin or heparin anticoagulant therapy.
 
    Medi Finance Update

(Dr GM Singh)

What are gilt–edged securities?

Gilt–edged securities are government securities and bonds usually with a low interest rate. They are considered safest investments, as the government security is free from default risk. Originally such certificates were edged with gold and hence the name.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name

Indication

DCI Approval Date

Etodolac 300/300mg + Thiocolchicoside 4/8mg

For the treatment of patients with acute painful musculoskeletal conditions

19/07/10

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Randomized controlled trials comparing carotid artery stenting with endarterectomy in symptomatic carotid stenosis have shown that the periprocedural and short term rates of serious complications are higher with stenting than with endarterectomy. (Lancet 2010;375:985; N Engl J Med 2010 May 26)

 
  Quote of the Day

(Dr GM Singh)

The world more often rewards the appearance of merit than merit itself. FranÁois de la Rochefoucauld

 
    Readers Responses
  1. Dear brother Dr. KK, I do not think we can transfer genes through Blood Donation. May be we do so through Blood Transfusion after modifying the blood collected or developing techniques first to introduce some Gene Modification in the Donor by either Chemical Methods or Radiation or some other method, and then drawing blood from such a donor and transfusing it into the recipient???? Fetal Gene Modification may also be looked as an alternative. I will try to look more into literature available and revert back. Regards: Dr.N.K.Bhatia
 
    Public Forum

(Press Release for use by the newspapers )

Diesel bad for the Heart

Diesel exhaust particles contain a chemical component called phenanthraquinone (PQ) that can harm the ability of arteries to regulate blood flow to bone marrow. That can have a number of long–term health effects, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India. Men, postmenopausal women, and elderly people are most likely to be affected. The doctors at West Virginia University School of Medicine conducted tests with rats. They found that exposure to PQ reduced by about 65 percent the ability of arteries to regulate blood flow to bone marrow in 6–month–old male rats. PQ had a similar effect in older male, female rats and in young female rats whose ovaries had been removed.

Because young female rats with intact ovaries were not affected, it appears that estrogen may provide protective effects against PQ.

Previous research has found that PQ impaired the ability of larger blood vessels to relax and that exposure to particle pollution may worsen cardiovascular diseases in certain people.

 
    eMedinewS Special

1. eMedinewS audio PPT (This may take a few minutes to download)

2. eMedinewS audio lectures (This may take a few minutes to open)

3. 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

  Towards Well Being

 
    Forthcoming Events

May 7–8, 2011, National Seminar On Stress Prevention

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com.

………………………………………………………………

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

………………………………………………………………

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