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 (07–08c); 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 Doctor’s Day Celebration

 
    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 …

4th July 2012, Wednesday

Now intravenous oxygen

Patients unable to breathe because of acute lung failure or obstructed airway need oxygen to avoid cardiac arrest and brain injury. Boston Children’s Hospital team led by Dr John Kheir, has designed tiny, gas–filled microparticles that can be injected directly into the bloodstream to quickly oxygenate the blood. The microparticles consist of a single layer of lipids (fatty molecules) that surround a tiny pocket of oxygen gas, and are delivered in a liquid solution. The report is published in June 27 issue of Science Translational Medicine.

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 on

Weight loss may improve sexual health of obese diabetes

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Doctor’s Day 2012–07–03

Hon’ble Justice Ajit Prakash Shah, Chief Justice Delhi High Court (Retd) delivered the key note address ‘Nobility of Medical Profession’ at the Doctor’s Day celebrations organised by Heart Care Foundation of India and eMedinewS

 
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.

Heart Care Foundation of India and Bharatiya Vidya Bhawan Centre of Indology

Cordially invites you to a Symposium on "Health & Happiness"
5th July, 2012 Thursday, 5pm
Venue: Bhartiya Vidya Bhawan, Kasturba Gandhi Marg, New Delhi 110004
(Entry from Copernics Lane, Gate No. 4)

Programme
5:15 PM – Assembly & Tea
5:30 PM to 6:00 PM
Introductory remarks by Sh. Ashok Pradhan, Director BVB & Sh. C R Gharekhan (Chairman BVB) Inauguration and Key note address by Dr Karan Singh (MP & Chairman ICCR)

6:00 PM – 6.30 PM: Introductory discussion by Prof Sunil Kumar (Hinduism), Maulana Wahiduddin Khan (Islam), Fr Mathew Abraham (Christianity)

6.30 PM – 7:30 PM – Panel discussion: Dr. A. K. Merchant (Bahai Faith), Rabbi Ezekiel Isaac Malekar (Judaism), Dr. Shernaz Cama (Zoroastrianism), Shri Paramjit Singh Sarna (Sikhism), Samani Rohit Pragya & Samani Mimansa Pragya (Jainism), Dr T D Kartsang (Buddhism).

Moderator: Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

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)

Catheter not required for shock Dx

It may be possible for internists and emergency room physicians to diagnose cardiogenic shock using a model of clinical and echocardiographic variables, researchers suggested. (Source: Medpage Today)

For comments and archives

Presbyopia due to more than just loss of focusing ability

Although women are more at risk of developing presbyopia than men, this appears not to be the result of a physiologic difference in accommodation. Instead, it seems to be the result of other sex differences, such as those pertaining to tasks performed and viewing distances. Adam Hickenbotham, DO, PhD, from the University of California in Berkeley, and colleagues published the results of a metaanalysis online April 24 in Investigative Ophthalmology & Visual Science. The study concluded that aged–based correction nomograms for presbyopia consider sex differences when prescribing. (Source: Medscape)

For comments and archives

Prophylactic antibiotics questioned with some dental surgeries

Antibiotics may not prevent infection with implants and third–molar surgery, according to researchers presenting 2 studies at the International Association of Dental Research (IADR) 90th General Session and Exhibition, held in Iguacu Falls, Brazil. (Source: Medscape)

For comments and archives

God particle’: Best evidence yet found, US physicists say

BATAVIA (ILLINOIS): Physicists at a US laboratory said on Monday they have come tantalizingly close to proving the existence of the elusive subatomic Higgs boson – often called the "God particle" because it may bring mass and order to the universe. The announcement by the Fermi National Accelerator Lab outside Chicago came two days before physicists at CERN, the European particle accelerator near Geneva, are set to unveil their own findings in the Higgs hunt. CERN houses the world’s most powerful particle accelerator, the Large Hadron Collider (LHC). Scientists have worked long and hard to prove the existence of the Higgs boson, the final piece of a model proposed four decades ago laying out the basic building blocks of matter in the universe. The Higgs particle’s presumed power to confer mass seems to endow it with the power of creation itself, which helped lead to its "God particle" nickname. Many physicists loathe the term, fretting that it makes their discipline seem self–aggrandizing. (Source: TOI, Jun 3, 2012)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: What Type Of A Vegetarian Are
Youhttp://blog.kkaggarwal.com/2012/06/what–type–of–a–vegetarian–are–you/

@DeepakChopra: The quality of the present moment matters so make it joyous.

 
    Spiritual Update

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

Get what you give

A son and his father were walking on the mountains. Suddenly, his son falls, hurts himself and screams: "AAAhhhhhhhhhhh!!!"

To his surprise, he hears the voice repeating, somewhere in the mountain: "AAAhhhhhhhhhhh!!!"

Curious, he yells: "Who are you?" He receives the answer: "Who are you?" Then he screams to the mountain: "I admire you!"; the voice answers: "I admire you!"

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)

What happens if one has too much testosterone?

High levels of testosterone cause some symptoms of PCOS. You may have more body hair than most women. In addition, you may be overweight. Your periods may be irregular. Your ovaries may not release eggs every month, so you probably don’t ovulate regularly and you may have a difficult time becoming pregnant.

For comments and archives

 
    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)

Myth: Eyes can be removed out of living human beings.
Fact: Eyes are removed only after death.

For comments and archives

 
    An Inspirational Story

(Dr GM Singh)

Too good not to share

A voyaging ship was wrecked during a storm at sea and only two of the men on it were able to swim to a small, desert like island. The two survivors, not knowing what else to do, agree that they had no other recourse but to pray to God. However, to find out whose prayer was more powerful, they agreed to divide the territory between them and stay on opposite sides of the island.

The first thing they prayed for was food. The next morning, the first man saw a fruit-bearing tree on his side of the land and he was able to eat its fruit. The other man's parcel of land remained barren! After a week, the first man was lonely and he decided to pray for a wife. The next day, there was a woman who swam to his side of the land.

On the other side of the island, again there was nothing! Soon the first man prayed for a house, clothes, more food. The next day, like magic, all of these were given to him. However, the second man still had nothing! Finally, the first man prayed for a ship, so that he and his wife could leave the island. In the morning, he found a ship docked at his side of the island. The first man boarded the ship with his wife and decided to leave the second man on the island. He considered the other man unworthy to receive God's blessings, since none of his prayers had been answered.

As the ship was about to leave, the first man heard a voice from heaven booming, "Why are you leaving your companion on the island?" "My blessings are mine alone, since I was the one was the one who prayed for them." "You are mistaken!" the voice rebuked him. "He had only one prayer, which I answered. If not for that, you would not have received any of my blessings." "Tell me, O God," the first man asked the voice, "What did he pray for that I should owe him anything?" "He prayed that all your prayers be answered."

For all we know, our blessings are not the fruits of our prayers alone, but those of another praying for us. This is too good not to share…My prayer for you today is that all your prayers are answered. Be blessed.

What you do for others is more important than what you do for yourself.

For comments and archives

 
    Cardiology eMedinewS

Heart risk seen with ondansetron Read More

EVINCI: Invasive diagnostic tests can be dramatically reduced 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: A patient came with black stools.
Dr. Bad: It is lower GI bleeding.
Dr. Good: This is upper GI bleeding.
Lesson: Black stools usually indicate upper GI bleeding.

For comments and archives

Make Sure

Situation: A patient with renal failure came to a doctor.
Reaction: Oh, my God! Why was he given painkillers?
Lesson: Make sure to avoid painkillers in renal failure as most painkillers (barring nimesulide, paracetamol) are not kidney–friendly drugs.

For comments and archives

 
    Health News Bulletin

Type 2 diabetes spreading among kids: US study

Hindustan Times

Mumbai: There’s a sharp spike in children being diagnosed with type–2 diabetes that typically affects adults in their fifties and sixties, with 15–50% of newly diagnosed diabetes in under–18s worldwide having type–2. In India, diabetes and insulin resistance, a precursor to type–2 diabetes, ranges between 12–16% in urban children. A decade ago, the number of diabetics under 18 was 1%, with 12 years being the peak age of diagnosis. However, unlike in developed countries like the US where obesity is driving the type–2 diabetes epidemic in children, 50% children diagnosed with the condition in India have normal weight for age and height. "In the US, one in three youth are overweight or obese. That, along with decreased physical activity because of too much online time and bad food choices, lead to type–2 being diagnosed in the second decade of life," said Dr Kenneth Copeland, co–chair of the TODAY (Treatment options for type–2 diabetes in adolescents and youth) study that tracked 699 children across 15 centers for up to six years. The findings were presented at the American Diabetes Association’s 72nd scientific sessions on Saturday. There’s also a strong genetic component that raises risk. "Asian Indians, along with Black Africans, Hispanics, Asians, native Americans and pacific islanders are ethnic groups at greater risk of type–2 diabetes," said Dr Lori Laffel, chief of pediatric, adolescent and young adult section at the Joslin Diabetes Center in Boston, US. South Asians, including Indians, are at risk at lower body weight because of the way body fat is stored in their bodies. "Abdominal fat (large waist sizes), irrespective of general weight, is a risk factor as it causes metabolic imbalances that causes insulin–resistance (precursor to diabetes)," said Dr Timothy Lyons, head of scientific research and director, Harold Hamm Diabetes Center in Philadelphia.

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  Quote of the Day

(Dr GM Singh)

A woman can say more in a sigh than a man can say in a sermon. Arnold Haultain

 
  Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Serum angiotensin–converting enzyme (ACE)

  • To help diagnose and monitor sarcoidosis
  • To help differentiate this systemic condition from other disorders causing similar symptoms
 
    Mind Teaser

Read this…………………

Which of the following statements by the client to the nurse indicates a risk factor for CAD?

A. "I exercise every other day."
B. "My father died of myasthenia gravis."
C. "My cholesterol is 180."
D. "I smoke 1 1/2 packs of cigarettes per day."

Yesterday’s Mind Teaser: A client returns from the recovery room at 9AM alert and oriented, with an IV infusing. His pulse is 82, blood pressure is 120/80, respirations are 20, and all are within normal range. At 10 am and at 11 am, his vital signs are stable. At noon, however, his pulse rate is 94, blood pressure is 116/74, and respirations are 24. What nursing action is most appropriate?

A. Notify his physician.
B. Take his vital signs again in 15 minutes.
C. Take his vital signs again in an hour.
D. Place the patient in shock position.

Answer for yesterday’s Mind Teaser: B. Take his vital signs again in 15 minutes.

Correct answers received from: Dr Sushma Chawla, Dr Alexander Daniel, Dr Pankaj Agarwal, Dr Kanta Jain, Drjella, Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Raju Kuppusamy.

Answer for 1st July Mind Teaser: C. Handle him gently when assisting with required care

Correct answers received from: Dr. Thakor Hitendrsinh G, Raju Kuppusamy

Send your answer to ijcp12@gmail.com

 
  Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

DT, dT, TT Vaccines

DT vaccine contains toxoids to protect against diphtheria and tetanus. dT (abbreviated with a small d) contains lower amounts of diphtheria toxoid, 1/10th the dose contained in DT/DPT. DT vaccine is used for primary immunization and subsequent booster of immunity amongst children where Pertussis component of DPT is contraindicated.

The schedule of immunization (both primary and the booster doses) up to 6 years of age remains the same as for DPT. DT and dT which contains lower amounts of diphtheria toxoid are used to immunize persons 7 years of age or older for safety.

TT vaccine contains tetanus toxoid and is used to prevent tetanus, maternal and neonatal tetanus. Neonatal tetanus is prevented by immunizing women of childbearing age with tetanus toxoid, either during pregnancy or outside of pregnancy. This protects the mother and – through a transfer of tetanus antibodies to the fetus – also her baby.

It should be kept in mind is that even if the child suffers an attack of whooping cough, diphtheria, etc. the recommended schedule of immunizations/boosters should be continued as these infections do not confer lifelong immunity and/or protection.

For comments and archives

 
    Laugh a While

(Dr GM Singh)

A man wakes up in a hospital bed after a terrible accident and cries –"DOC, DOC…I can’t feel my legs, I can’t feel my legs!!!

"Well of course you can’t silly!" replies the Doc… "I’ve cut off both of your arms."

 
    Medicolegal Update

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

Medical negligence

The investigating police officer and the private complainant cannot always be supposed to have knowledge of medical science so as to determine whether the act of the alleged medical professional/doctor or hospital amounts to rash or negligent act within the domain of criminal law under Section 304–A of IPC said the Supreme Court of India. The Supreme Court says,

  • “… As we have noticed hereinabove, that the cases of doctors being subjected to criminal prosecution are on an increase. Sometimes such prosecutions are filed by private complainants and sometimes by the police based on an FIR being lodged and cognizance taken.
  • The criminal process, once initiated, subjects the medical professional to serious embarrassment and sometimes harassment. He has to seek bail to escape arrest, which may or may not be granted to him.
  • At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.
  • We may not be understood as holding that doctors can never be prosecuted for an offence of which rashness or negligence is an essential ingredient.
  • All that we are doing is to emphasize the need for care and caution in the interest of society; for, the service which the medical profession renders to human beings is probably the noblest of all, and hence there is a need for protecting doctors from frivolous or unjust prosecutions.
  • Many a complaint prefers recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Add ECG when screening school children

Quoting a pilot study published in the American Heart Journal, Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India, said that the study has shown that one should screen all healthy children and adolescents with an ECG to detect undiagnosed heart conditions that increase the risk of sudden cardiac arrest.

The current American Heart Association guidelines recommend screening only for competitive athletes, not all children, with an additional ECG. Only in Italy and Japan there is compulsory screening of all athletes or schoolchildren with ECG.

The study evaluated the feasibility of adding an ECG to cardiac screening of healthy school–aged children. In children, sudden cardiac arrest is caused by structural or electrical abnormalities in the heart that frequently cause no symptoms and may go undiagnosed. It results in an estimated over 1000 annual deaths in childhood in the U.S alone.

The current study included 400 healthy subjects, 5 to 19 years old with a medical family history questionnaire, a physical examination and an ECG. The study team identified previously undiagnosed cardiac abnormalities in 23 subjects, and hypertension in an additional 20. Ten of the 400 subjects (2.5%) had potentially serious cardiac conditions. Of those 10 subjects, only one had experienced transient symptoms, which was dismissed as unrelated. None of the 10 subjects had a family history of sudden cardiac arrest. It was the ECG who outperformed the history and physical examination and found previously unidentified potentially serious abnormalities that would not have been identified by history and physical examination alone.

Children screened were not all high school athletes, and most would not have undergone athletic cardiac screening. Regular physical examinations by primary care physicians had not detected the cardiac conditions found in the current study.

 
    Readers Responses
  1. Respected Sir, on "Guru Poornima" I touch thy feet and thank you for so many things that I can never express in words: Salutation to the noble Guru, who has made it possible to realize the state which pervades the entire cosmos, everything animate and inanimate… Salutation to the noble Guru, who has opened the eyes blinded by darkness of ignorance with the collyrium–stick of knowledge… Salutation to that noble Guru, who is established in the power of knowledge, adorned with the garland of various principles and is the bestower of prosperity and liberation. Dr. Anupam Sethi Malhotra.
 
    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

 
    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)

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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 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