emedinews
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FIRST NATIONAL 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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

 
  Editorial …

4th October 2011, Tuesday

FDA warns LASIK doctors: Stop making false claims

The US FDA is once again cracking down on eye care professionals who make false safety claims and promises about the popular LASIK eye surgery. The agency’s Letter to Eye Care Professionals, follows an earlier warning from May of 2009. In its latest salvo against deceptive, potentially harmful advertising, the FDA is now giving eye doctors 90 days to get in line and update any advertising or promotional materials that make false claims. After this time, the agency will take regulatory action.

LASIK, a laser cornea–shaping procedure, does come with risks. Those risks are small but can include vision loss, under–or over–correction of vision, dry eye, infection, glare, halos and or double vision. And LASIK isn't for everyone. At this point in time, the procedure can help repair vision among people who are nearsighted, farsighted or have an astigmatism (irregular curvature of the cornea).

For Comments and archives…

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

FDA warns LASIK doctors: Stop making
false claims

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Medico Masti - An Inter College Health Festival at Perfect Health Mela

Infotainment is a new concept of creating health education where education is inter linked with entertainment.

 
Dr K K Aggarwal
 
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter

http://blogs.kkaggarwal.com/?p=1134
http://twitter.com/#!/search/medicolegal
https://www.facebook.com/pages/Insight–on–Medicolegal–Issues/247091668637671

Azad Dedicates AIIMS Geriatric OPD to National Programme for Health Care of Elderly Launches Guidelines for NPHCE
National Institutes for Ageing to Comeup at AIIMS and Chennai

On the occasion of the International Day of Senior Citizens, the Union Health and Family Welfare Minister Shri Ghulam Nabi Azad today dedicated the geriatric OPD at All India Institute of Medical Sciences, New Delhi to the National Programme for Health Care of Elderly (NPHCE). He said "On this international Senior Citizens Day, let us resolve to make every effort to provide better health care to our elderly to ensure that they remain active members of our society. This is the occasion to acknowledge the contribution of the elderly in shaping today’s world and we should pay our tribute by committing ourselves to the cause of healthy ageing". The Minister noted that Geriatrics is a specialty that needs help and support of the medical fraternity to achieve its full potential. He informed that the Ministry of Health and FW, Government of India has initiated a national programme in the name of "National Programme for Health Care of Elderly" which is being initially implemented in 100 most backward and remote districts of the country with poor health indicators, covering 21 states. Shri Azad today also launched the NPHCE guidelines and said that the programme would be extended to all the 640 districts of the country over the 12th plan period. He added that National Institutes of Aging would be setup at AIIMS, Delhi and at Madras Medical College, Chennai. (Source: Press Information Bureau, 01–October, 2011)

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

(Dr Monica and Brahm Vasudev)

Long–term mammography needed for breast cancer survivors

Regular surveillance mammography after breast cancer boosts survival and should be continued for at least a decade, a systematic review suggested. Second cancers in the same or opposite breast occurred at a fairly constant rate over the first 10 years instead of being largely in the first two or three years as often thought, Clare Robertson, MSc, of the University of Aberdeen, Scotland, and colleagues found. (Source: Medpage Today)

For comments and archives

AAOS: Updated post-op guidelines highlight clot prevention

Patients undergoing surgery for knee or hip arthroplasty should not undergo postoperative duplex ultrasonography to screen for deep venous thrombosis (DVT) or pulmonary embolism (PE), according to a revised clinical practice guideline issued by the American Academy of Orthopedic Surgeons (AAOS). (Source: Medpage Today)

For comments and archives

Fibroid Surgery May up birth rates after recurrent miscarriage

Removing fibroids that distort the uterine cavity may improve live birth rates among women with recurrent miscarriage, researchers found. Myomectomy was associated with a significant drop in mid-trimester loss rate (21.7% versus 0%, P<0.01), Sotirios Saravelos, MD, of the University of Sheffield in the U.K., and colleagues reported online in Human Reproduction. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on Who should not donate blood in Hindi

@DeepakChopra: #CosmicConsciousness The individual is a pattern of activity of the universal

 
    Dr KK Answers

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

What is the physiology of sexual act?

DrKKAnswers:
Sexual act includes arousal, erection, ejaculation, orgasm, refractory period, and resolution and depend on changes in the autonomic nervous system. Arousal and erection in men results from stimulation of parasympathetic nerves in the male penile organ; reduced activity of sympathetic pathways and release of nitric oxide from the endothelium (1). In women early sexual arousal results from activation of sympathetic nervous system (2).

References

1. Am J Cardiol 2000;86:19F.
2. Am J Cardiol 2000;86:30F.

For comments and archives

 
    Spiritual Update

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

Science behind 4th Navratri or Kushmanda Worship (Keep smiling and be happy in all situations)

Navratri is the detoxification of body, mind and soul. Body detoxification involves Navratri diet containing eating less devoid of cereals. In Navratri diet, flour is replaced with Kuttu or Singhara flour; pulses with amaranth or Rajgiri and rice with Samak rice. Mental and soul detoxification involves practicing Yoga Sadhana as described in the nine respective forms of Durga.

1. Kushmanda is worshipped on the fourth day of Navratri.
2. SHE shines brightly with a laughing face.
3. Out of eight hands (Ashtabhuja) in her four arms, she carries weapons like bow, arrow, discus and mace. In other three hands, she holds a lotus, a beaded rosary and a Kamandalu. In remaining hand, she carries a jar of nectar.
4. SHE rides on Lion.
5. Rosary represents her power to bless her devotees with Ashtasiddhi (eight types of studies or wisdom sources) and Navanidhi (nine types of wealth).
6. In Ayurveda SHE represents the control over the air element.
7. In Yoga Shastra SHE represents the heart or Anhata Chakra with the Bija sound YAM.

Spiritual message on the 4th Navratri: One should continuously (beaded rosary) control the air (anahata plexus) within us by using our sharp intelligence (sword) and balancing the mind (Trishul) by focusing on one point (arrow and bow), practicing detached attachment (lotus), accepting things as they are (Kamandalu), keep smiling in both acceptable and difficult situations (smiling face) and killing the negative energies by using discus (power) when needed.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

I Can’t, I Can

I know that motivational speakers and therapists discourage the use of the phrase, "I can’t". They think it is too negative. But it’s true, I really can’t! Sure, there are occasions when I can respond with a hearty "I can!" For example, I can brush my teeth. I can make a cheese sandwich. I can cuddle up with my dogs.

However, when it comes to the really big and important things, it seems that I have to respond with, "I CAN’T!" It’s less of being negative than it is of being absolutely truthful. I CAN’T change a person’s heart. I CAN’T feed all the hungry children in my neighborhood. I CAN’T mend a soul that’s been wounded. I CAN’T fill an unloved person with love. My hands are too weak. I can’t. My heart is too timid. I can’t. My will is too distracted. I can’t. I can’t. I can’t! It is then that I find the verse Philippians 4:13, "I can do all things through Christ which strengthened me." All things? I can do things bigger than making a cheese sandwich? If I believe that verse is true, and I do, then I CAN!

More accurately, WE CAN! I don’t mean you the reader and me the writer. I mean Jesus and I CAN. I mean Jesus and you CAN. I really mean Jesus, you and I CAN! It is not conventional to announce one’s weakness. Usually we try to hide them. When it comes to Christ, something amazing happens when we acknowledge and broadcast our own weakness. Consider 2 Corinthians 12:9–10 "And he said unto me, my grace is sufficient for thee: for my strength is made perfect in weakness. Most gladly therefore will I rather glory in my infirmities, that the power of Christ may rest upon me. (10) Therefore I take pleasure in infirmities, in reproaches, in necessities, in persecutions, in distresses for Christ’s sake: for when I am weak, then am I strong."

When I stand out in the yard, and tell God and the world how weak I am, all of a sudden it is like my shirt changes to a superhero shirt, and I am wearing a red cape. With God in charge, I truly CAN DO ALL THINGS! So can you!

Jesus said in Matthew 17:20 "…for verily I say unto you, If ye have faith as a grain of mustard seed, ye shall say unto this mountain, Remove hence to yonder place; and it shall remove; and nothing shall be impossible unto you." I guess it is a good thing that I like the mountains just where they are!

When you and I allow Jesus to take charge of our hands, He will do truly amazing and impossible things with them. Things that are so tremendous that our imaginations aren’t big enough to picture them before they happen.

Has God been calling for you? Has He asked you for your hands and obedience? Have you responded with, "I can"t." or "I am too weak."? Have you answered, "Not me God, pick someone stronger, more qualified."? Good. We honestly can’t. We are honestly too weak. We are woefully under qualified. Now let God fill you, your heart and your hands, and get prepared to do great things. Be prepared to watch God use your hands to change hearts and minds. Be ready to be awed as God uses your hands to feed the hungry and love the unloved. Be ready to be touched as God uses your hands to bandage wounded souls.

James 4:7a, "Submit yourselves therefore to God." Then fasten your seatbelt, because God is going to do something great!

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

How safe is whey protein? Ask Dr Colgan

Increased protein consumption has become popular among individuals, especially athletes, trying to increase or maintain lean muscle mass and lose body fat. Whey protein concentrate (WPC) in liquid form has become the most used protein supplement because it is shown to be rapidly and easily digestible without adverse side effects. Clinical studies show that approximately 30 g of WPC as a liquid meal produces a large rise in postprandial plasma amino acid levels in approximately 90 minutes, which returns to baseline within 5 hours. The rise in amino acid levels reliably increases protein synthesis and nitrogen balance. Recently, it has been reported that intake of WPC above 1.5 g/kg/day helps to decrease body fat, increase lean body mass, and maintain nitrogen balance. WPC intake as high as 2.8 g/kg/day (3.5 times the current Recommended Daily Allowance) is reported to have no adverse effects on renal or other organ function.

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    Malaria Update

AC Dhariwal, Hitendrasinh G Thakor, Directorate of NVBDCP, New Delhi

Rapid diagnostic tests

The following situations may result at the end of the test (Pf RDK)

  • No red line appears on the test strip: This means that the test strip is not working. You should discard it and repeat the test carefully with a new test strip.
  • A single red line appears: This means that the patient does not have falciparum malaria. You need to send slide to a laboratory to check for P. vivax malaria.
  • Two red lines appear: This means that the patient has falciparum malaria. So treat the patient for falciparum malaria.

You should not try to read the test after more than 30 minutes.

For comments and archives

 
    Medicine Update

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

Nutrient Needs of Adolescents

Fads about Figure

  • Girls today acquire wrong ways to achieve the so–called "size zero".
  • Boys too work out in a wrong manner for muscular physique.

For comments and archives

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Epstein-Barr virus (EBV) antibodies

These antibodies are used to help diagnose Mono if you are symptomatic but have a negative Mono test. The Centers for Disease Control and Prevention (CDC) recommends:

  • Viral capsid antigen (VCA)–IgM, VCA–IgG and D early antigen (EA–D): To detect a current or recent infection
  • VCA–IgG and Epstein Barr nuclear antigen (EBNA): To detect a previous infection

In pregnant women with symptoms of a viral illness, one or more of these EBV antibodies may be ordered along with tests for CMV, toxoplasmosis, and other infections (sometimes as part of a TORCH screen) to help distinguish between EBV and conditions that may cause similar symptoms. Occasionally, a VCA–IgG or other EBV antibody may be repeated 2–4 weeks after the first test, either to see if a test changes from negative to positive or to measure changes in antibody concentrations to see if they rise or fall.

A VCA–IgG test, and sometimes an EBNA test, may be done in case of an asymptomatic patient to see if that person has been previously exposed to EBV or is susceptible to a primary EBV infection. This is not routinely done, but it may be ordered when a patient, such as an adolescent or an immune compromised patient, has been in close contact with a person who has Mono.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic came with A1c 7.5%.
Dr Bad: This is ok.
Dr Good: You need better control.
Lesson: The A1c goal is <7% for most patients.

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is correct. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

For comments and archives

 
  Quote of the Day

(Dr Chandresh Jardosh)

It is wonderful when people believe in their leader. It is more wonderful when the leader believes in the people.

 
  IDIOMS

New York Minute: A minute that seems to go by quickly, especially in a fast paced environment.

 
  Sri Chanakya Niti-Sastra: The Political Ethics of Chanakya Pandit

(Dr Anupam Sethi Malhotra)

Do not put your trust in rivers, men who carry weapons, beasts with claws or horns, women, and members of a royal family

 
  Medicolegal Update

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

Medicolegal cases & injury, assault and hurt in Indian law

The words injury, assault and hurt are invariably used by doctor in hospital practice and are used as synonymous. But all three have a different meaning as per law. It is defined by the Indian Penal Code as below:

  • Injury: Section 44 of IPC defines injury as any harm whatever illegally caused to any person in body, mind, reputation or property.
  • Assault: Section 351 of IPC defines assault as an offer or threat or attempt to apply force on body of another in a hostile manner. It may be a common/simple assault or an intention to murder.
  • Hurt: Section 319 of IPC defines hurt as whoever causes bodily pain, disease or infirmity to any person is said to cause hurt.

When we as doctors deal with cases of Hurt/body injury, it means bodily pain, wound, disease or infirmity voluntarily caused to any person in medicolegal cases. These would include abrasions, contusions, lacerations, stab wounds, electric shock, firearm or ligatures etc resulting in human body injury. The doctor who is certifying an injury report should keep in mind the Penal provisions required by police to book the case i.e.

  • Simple injury: IPC Section 323
  • Simple injury caused by dangerous weapons: IPC Section 324
  • Grievous injury: IPC Section 325
  • Grievous injury caused by dangerous weapons: IPC Section 326
  • Dangerous injury: IPC Section 307
  • Injury likely to cause death: IPC Section 304
  • Injury sufficient to cause death: IPC Section 302
  • Causing hurt by means of poison: IPC Section 328

For comments and archives

 
    Mind Teaser

Read this…………………

Which of the following statements is true:

a. HPV–related warts may become more prominent in patient on highly active antiretroviral therapy secondary to immune reconstitution.
b. HPV vaccine is more effective in HIV–positive patients.
c. HPV vaccination will reduce size of genital warts.
d. Untreated penile warts will progress to penile cancer.

Yesterday’s Mind Teaser: If you were running a race, and you passed the person in 2nd place, what place would you be in now?

Answer for Yesterday’s Mind Teaser: You would be in 2nd.. Well, you passed the person in second place, not first.

Correct answers received from: Satyanarayana Akupatni, Gita Arora, Prabha Sanghi, Y. J. Vasavada, Theogaraj Samraj, Dr.(Maj. Gen.) Anil Bairaria, Dr. sandeep Arora, Mamtha Satish, Vinesh K Midha, Dr Sudipto Samaddar, Yamini Alsi, Dr.Kanu Verma, Dr CP Singh, Dr Chandresh Jardosh, Dr.K.Raju, Dr.Vidhi Trikha, Dr Prabodh Kumar Gupta, Dr Jainendra Upadhyay, Dr.Anil Kumar Jain, Neelam Nath, Dr PC Bajpai, Dr. Anupam Sethi Malhotra

Answer for 2nd October Mind Teaser: There is no dirt in a hole.
Correct answers received from: Dr Prabakar Navamani, Ramesh P, Dr Mayur Gunderia, Dr.S.K.Bansal, Muthumperumal Thirumalpillai, Dr Rakesh Bhasin

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr Veena Aggarwal)

Murphy's Laws for Humour

Since Light travels faster than Sound, people appear brighter before you hear them speak.

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

For every one doctor, there are 1 ½ quacks

Quacks or fake doctors are rampant in the society and it is high time that Government of India comes out with anti–quackery law, said Padma Shri & Dr. B. C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Dr. Aggarwal was speaking on the occasion of National Anti–Quackery Day falling on 2nd October, 2011. He further added that quacks survive on the findings that 85% of most clinical disorders are self–limiting and do not require any treatment.

Even in ICU, 85% of patients getting admitted will recover whether they are treated or not. Similarly 5% will die irrespective of advancement of treatment. It is for the remaining 10% that medical science advancements come to the rescue. In the hands of quacks, such patients will invariably die as they lack skill, knowledge, expertise and diagnostic facilities to treat such cases.

Most quacks will not be able to diagnose a serious illness or diseases like cancers in time and the patients will end up with larger mortality.

Giving further details Dr. Aggarwal said that if treatment of meningitis is delayed by few hours, it can cause permanent brain damage and if the heart attack diagnosis is missed in the first three hours, it can cause irreversible damage to the heart muscles. Heart attack and paralytic attacks are curable in the first three hours. In the hand of quacks, it is possible that many such patients may survive as a part of natural history but they will invariably end up with high morbidity as most of these situations require active and aggressive management in the first few hours.

Talking about the politicians’ view that quacks are required as most qualified doctors do not wish to go to villages, Dr. Aggarwal said that this statement is not true as otherwise there could not have been 45000 quacks in the city of Delhi alone. Strict anti–quackery law is need of the day.

For comments and archives

 
    Readers Response
  1. Dear Sir, At the outset I would appreciate your wonderful initiative of the daily medical news letter where no one ever had thought of this. The topics covered are all updated and medicine linked with that is so amazing and illustration is fantastic. I start my day with reading of emedinews. I would appreciate many more such initiatives from you. Regards, Dr. Praveen Raj, Medical Advisor BIOCON
 
    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals

Dr K K Aggarwal

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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