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Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


4th June, 2010, Friday

Nutrient–dense foods

Dear Colleague

Nutrient–dense foods have a lot of nutrients relative to the number of calories they contain. As reported by Health Beat, some examples of foods that pack a nutritional punch are:

Avocados

Chard, collard greens, kale, mustard greens, spinach

Bell peppers

Brussels sprouts

Mushrooms (crimini and shiitake)

Baked potatoes

Sweet potatoes

Cantaloupe, papaya, raspberries,

Strawberries

Low–fat yogurt

Eggs

Seeds (flax, pumpkin, sesame, and sunflower)

Dried beans (garbanzo, kidney, navy, pinto)

Lentils, peas

Almonds, cashews, peanuts

Barley, oats, quinoa, brown rice

Salmon, halibut, cod, scallops, shrimp, tuna

Lean beef, lamb, venison

Chicken, turkey

Dr KK Aggarwal
Padma Shri Awardee and Chief Editor

 

Photo Feature

 

World No Tobacco Day observed by DMA

 

A seminar on "Gender and Tobacco with Emphasis on Marketing to Women" was organized by the DMA on Sunday, May 30, 2010, on the eve of the World No Tobacco Day.

Photo Feature eMedinewS

In the photo (from left to right): Dr AK Israni, Dr Urmil Sharma, Padma Shri & Dr BC Roy Awardee Dr KK Aggarwal and Dr Narendra Saini, President DMA

International Medical Science Academy Update (IMSA): New FDA Drug Update

Romidepsin

The histone deacetylase inhibitor, Romidepsin, has been approved by US FDA for the treatment of persistent or recurrent cutaneous T cell lymphoma. In this population, the overall response rate was approximately 35 % (6 % complete). Common toxicities include transient granulocytopenia and lymphopenia, nausea, vomiting, fatigue, electrolyte abnormalities, and asymptomatic T–wave flattening and ST segment depression on electrocardiogram.

References

  1. Piekarz RL, Frye R, Turner M, et al. Phase II multi–institutional trial of the histone deacetylase inhibitor romidepsin as monotherapy for patients with cutaneous T–cell lymphoma. J Clin Oncol 2009;27:5410.

MCI Update

 

 
HC reserves order on Ketan Desai bail plea

 

The Delhi High Court today reserved its order on the bail plea of DR Ketan Desai, who was arrested by CBI nearly a month ago. After hearing the contentions of Desai and CBI, which opposed the bail plea, Justice Mukta Gupta reserved his judgement. Claiming that he had to attend on his mother, who was hospitalised recently, Desai, who is currently in judicial custody pleaded with the court to grant him bail. (Source PTI). The judgment is likely to be announced today.

IMA in the mean time is having its next working commitee meeting on Saturday and Sunday at Ahmedabad. If Dr Desai gets a bail, will he attend the same and if he is  denied the bail who will be leading the working committee meet, will be a question. 

 Readers Column

Why emedinews is not publishing my views about the MCI? Dr Goyal

A: we receive responses in hundreds every day. We as a  non political newspaper reserve the right what to publish and what not to publish. We believe in reproducing facts and observations and not judgments by individuals.

 

Mnemonics of the Day (Dr Prachi)

Murmurs: Features of innocent murmur (8 Ss)

Soft
Systolic
Short
Sounds (S1 & S2) normal
Symptomless
Special tests normal (X–ray, EKG)
Standing/ Sitting (vary with position)
Sternal depression

 

News and Views

Pfizer to prematurely halt hypertension drug trial due to positive results

Encouraging results from a clinical trial its hypertension drug Inspra (eplerenone) has led to Pfizer calling a premature halt to the trial. Evidence shows that the drug was effective in reducing the risk of cardiovascular death or hospitalization for heart failure in certain patients.

New immunotherapy shows promise in late-stage melanoma

A flurry of immunotherapies that activate the immune system to attack tumors is emerging from laboratories of pharmaceuticals. Leading the race is ipilimumab, for skin cancer, from Bristol–Myers Squibb. Results from three small trials found that the drug prolonged survival in stage IV melanoma patients. Evidence with this drug will be presented at the American Society of Clinical Oncology meeting June 4–8, 2010.

Heroin under medical supervision may be better than methadone to kick habit

Some heroin addicts who were prescribed heroin under medical supervision had a better chance of kicking the habit than those who got methadone, reports a study published May 28 in The Lancet. Those who were given heroin were much less likely to continue taking the drug illegally than those who were given methadone after six months.

Novartis ovarian cancer drug falls short of expectations

A new ovarian cancer drug, Patupilone has failed to show improvement over current drugs in patients with advanced ovarian cancer.

Conference Calendar

Famdent 2010
Date: June 4 –6, 2010
Venue: World Trade Centre, Cuffe Parade, Mumbai, Maharashtra.

Quote of the day (McMahon Pharmacy Practice News, November 2009)

Portfolio Life – Where can it take you?

David Corbett’s book, "Portfolio Life, The New Path to Work, Purpose and Passion after 50."

Influencing people

1. We all have influence in one way or another.
2. We choose the nature of the influence that we exert over others.
3. We must work to earn the influence we desire to have.
4. Know what is important.
5. Live what is important.
6. Leverage our influence.
7. Choose those who can best multiply your influence over others, in order to develop successors.
8. Prepare your team to perform in your absence.

Question of the Day

What is the drug treatment of variceal upper GI Bleed? (Dr. Amarender S Puri, Delhi)

The aim of pharmacological therapy is to decrease the portal pressure, particularly esophageal variceal pressure. This is accomplished by decreasing portal venous blood flow and azygous blood flow. Vasoactive drugs can be used as a single therapy or in combination with endoscopic therapy.

Initiation of pharmacological therapy as soon as variceal bleeding is suspected may result in better initial control of variceal bleeding, lower transfusion requirement, and possibly a survival benefit.

The usual duration of therapy is 5 days, unless there is treatment failure. Success rate for control of varicel bleed with these drugs is between 65–80%. Vasopressin and nitroglycerin which were used earlier are now considered obsolete and have been replaced by terlipressin and somatostatin. The dose of Terlipressin is 1–2 mg q 4–6 h IV

A meta–analysis has confirmed the superiority of terlipressin over vasopressin in the control of acute variceal bleed with significantly less side effects. The major side effects are: Hypertension, cardiac and mesenteric ischemia.

Somatostatin acts primarily by reduction in azygous blood flow and is used in a dosage of 250–500 mg IV bolus followed by continiuous infusion @ 250– 500 mg/hour. The major side effects include: Hyperglycemia, diarrhea and flushing. Octreotide in a dosage of 50 µg IV. bolus followed by infusion @ 25–50 µg/hour may also be used.

Liver Fact

SGOT/SGPT value less than 8 times normal can be seen in both hepatiocellular and cholestatic liver diseases.

Women Safety Tips

If the predator has a gun and you are not under his control, ALWAYS RUN! The predator will only hit you (a running target) 4 in 100 times; and even then, it most likely WILL NOT be a vital organ. RUN, Preferably in a zig –zag pattern!

7 Myths About Bipolar Disorder (3)

Manic episodes are happy and highly productive.

eMedinewS Try this it Works

Extending the cytobrush

Inserting the handle of a povidone–iodine swab into the handle of a cytobrush extends the length of the tool. This is useful for prepping the cervix for endometrial biopsies and other procedures

Dr Good Dr Bad

Situation: An asymptomatic patient with no obvious underlying cardiac disease shows ventricular premature contractions (VPCs).
Dr Bad: Anti–arrhythmics should be given.
Dr Good: No treatment is needed.
Lesson: In the absence of cardiac disease, isolated asymptomatic VPCs regardless of configuration and frequency, need no treatment.

Make Sure

Situation: A patient with fever and cough developed complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure a patient with fever and cough are not given antibiotics as most cough is due to viral infection.

IMANDB Joke of the Day (Anuj Goyal)

Hard of hearing

Bill’s friend Harry feared his wife was getting hard of hearing. So one day he called her doctor to make an appointment to have her hearing checked.
The Doctor made an appointment for a hearing test in two weeks and told the man there was a simple informal test he could do in the meanwhile to give him some idea of the state of her problem.
‘Here’s what you do," said the doctor, "start out about 40 feet away from her, and in a normal conversational speaking tone see if she hears you. If not, go to 30 feet, then 20 feet, and so on until you get a response."
That evening, the wife is in the kitchen cooking dinner, and he’s in the living room. He says to himself, "I’m about 40 feet away, let’s see what happens."
Then in a normal tone he asks, ‘Honey, what’s for supper?" No response.
So the husband moved to the other end of the room, about 30 feet from his wife and repeats, "Honey, what’s for supper?"
Still no response. Next he moves into the dining room where he is about 20 feet from his wife and asks, "Honey, what’s for supper?"
Again he gets no response so he walks up to the kitchen door only 10 feet away. "Honey, what’s for supper?"
Again there is no response, so he walks right up behind her. "Honey, what’s for supper?" "Damn it, Harry, for the fifth time, CHICKEN!"

Formulae in Clinical Practice

Volume loss

Formula: Actual blood pressure – present blood pressure.
Comments: A fall of more than 30 mmHg suggests 10% volume loss.

Milestones in Diabetology

Rosalyn Yallow, (born July 19, 1921) is an American medical physicist. She was awarded the 1977 Nobel Prize in Physiology on Medicine for her development of radioimmuno assay (RIA) technique This procedure can be used to measure insulin with much greater precision than earlier techniques.

Lab Test (Dr Arpan Gandhi and Dr Navin Dang)

Dengue Fever Antibodies (IgG, IgM)

These assays detect both IgG and IgM class antibodies against Dengue fever virus types. Except for very early IgM responses, the immune response to Dengue fever is not type specific.

List of Approved drugs from 1.01.2009 to 31.10.2009

Drug Name

Indication

DCI Approval Date

Ezetimibe 10 mg + Fenofibrate 145 mg Film coated tablets

For the treatment of combined hyperlipidemia in patients with normal hepatic and renal function

01.09.2009

 

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eMedinewS–revisiting 2010

The second eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited .

 

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Public Forum (Press Release for use by the newspapers)

Flagging off The World Environment Day

World Environment Day is celebrated each year on 5th June, with an objective to give a human face to environmental issues; empower people to become active agents of sustainable and equitable development; promote an understanding that communities are pivotal to changing attitudes towards environmental issues; and advocate partnership to ensure that all nations and peoples enjoy a safer and more prosperous future.

On the eve of World Environment Day, a special tableau made by Heart Care Foundation of India supported by Department of Environment, Government of Delhi, was flagged off by Shri Oris Syiem Myriaw Member Tribal Commission, Govt.of India, from outside the New Saachivalaya,Delhi State ITO at 2 pm.

On this occasion, Shri Rakesh Mehta, Chief Secretary Delhi, in his message said that all citizens of Delhi should make efforts for a safer and clean Delhi. He said that efforts should be made to have a 100% environment–friendly Delhi by the time the 2010 Commonwealth Games commence. He said that the 12 days of the Commonwealth Games should set an example by providing a clean environment to the Commonwealth Games visitors.

Presiding over the function, Shri Dharmender Kumar, Secretary (Environment), Government of Delhi spoke about the varios initiatives taken by their Deptt. in the State. He further said that World Environment Day can be celebrated in many ways, including street rallies, bicycle parades, green concerts, essay and poster competitions in schools, tree planting, recycling efforts, clean–up campaigns and much more.

Padma Shri and Dr. B.C. Roy National Awardee Dr. KK Aggarwal said that apart from external environment, we should also clean and look after our internal environment. He also appealed that manufacture of mercury instruments should be stopped in our society. Dimensions of environment and financial health have now been added to the definition of health. Environment health is not only reducing air pollution but also involves reducing global warming, electromagnetic radiation pollution, and noise pollution.

He said that one should switch over to CFL lamps as tubelights and bulbs consume more electricity compared to a CFL bulb. By just replacing 275 watt light bulbs that are switched on for four hours a day with 215 watt energy conservation lamps, one can save almost 18 kilowatt hours of electricity in an hour. He recommended the use of compact fluorescent bulbs in fixtures that are kept switched on for more than two hours a day. They consume 75% less electricity and last 10 times longer. A 23 watt compact fluorescent bulb can replace the 100 watts that a simple bulb requires.

Dr. S.S. Agrawal, Professor, DIPSAR said that pollution, particularly if not tackled, will cause kidney failure and such other diseases. He also said that noise pollution not only disturbs the environment but also the ear health of a person. Experts have said that even listening to music with head phones, through iPod or a music CD player, can be harmful to the health of ear. Loudness of the sound is measured in decibels (dB) and any sound louder than 85 dB can cause hearing loss. The higher the decibel, the shorter the amount of time one is exposed to the sound before hearing loss occurs.

Eminent Kathak Dancers Ms Nalini and Ms Kamalini, said that one can be spiritually healthy only in an atmosphere of clean environment. Acharya Dr. Sadhnaji Maharaj, President, World Fellowship of Religions, said that all the religions and dharmas talk about the importance of clean environment. Among others who were present on the occasion were Dr. Sudesh Ratan, Dr. Ashwini Dalmia, Dr. Sanjay Sood, Dr. Anil Kumar, Dr. Uday Kakroo, Ms A. Khanna, Mr. Anand Gopal Bhatnagar and Mr. K. Sareen.

(Advertorial section)

Forthcoming eMedinewS Events: Register at emedinews@gmail.com

5th September: 3 PM to 5 PM – A dialogue with His Holiness Dalai Lama at Parliament Street Annexe in association with Acharya Sushil Muni Ahimsa Peace Award Trust

12th September: BSNL Dil ka Darbar – A day-long interaction with top cardiologists of the city.
8 AM – 5 PM at MAMC Auditorium, Dilli Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from
8 AM to 5 PM

30th October, Saturday: eMedinewS Update from 8 AM to 5 PM

29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama

30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to 10 PM

31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

Share eMedinewS

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