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 (07–08); 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

 

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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 1st Mega Ajmer Health Camp 2012

 
  Editorial …

5th March 2012, Monday

tPA Safe in Pediatric Stroke

Using thrombolytic therapy appears to be as safe in children with acute ischemic stroke as it is in adults; however, the intra cerebral hemorrhage was higher (4% versus 0.38%), said Dr Amer Alshekhlee, of Saint Louis University. But even though the rate was elevated with thrombolytic therapy, it was comparable to that found in adult populations said Dr Bruce H. Cohen, director of pediatric neurology at Akron Children’s Hospital in Ohio.

Alshekhlee and colleagues identified 9,367 children admitted with acute ischemic stroke who were included in the Kids’ Inpatient Database from 1998 to 2009. Only 75 (0.8%) received thrombolytic therapy Those who were treated were older on average than those who were not treated.

In addition to the higher rate of intracerebral hemorrhage, the unadjusted rate of in–hospital mortality was also elevated in the patients who received thrombolysis (12% versus 6.2%).

After multivariate adjustment, however, intra cerebral hemorrhage was predictive of in–hospital mortality but use of thrombolytic therapy was not.

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

tPA Safe in Pediatric Stroke

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Three days of Conversation on Science and Consciousness

Deepak Chopra and top minds have gathered for three days of conversation on science and consciousness. Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal with Spiritual Guru Deepak Chopra during the Conference.

 
Dr K K Aggarwal
 
    National News

55% Delhi population directly hit by air pollution

NEW DELHI: Deteriorating air quality in the national capital can translate into 3,000 additional "premature deaths" annually due to air pollution related diseases, the Centre for Science and Environment has said in a report. The report, submitted to the Delhi government, estimated that about 55 per cent of Delhi’s population is directly affected by air pollution as they live in a radius of 500 metre of "urban roads" where pollution level was found to be maximum. "Those who live close to roads, are at a serious health risk from vehicular air pollution," the report said adding that people living close to such roads are prone to a variety of physical disorders. The report said around one lakh deaths take place annually in Delhi and the figure can go up by 3,000 additional premature deaths annually due to air pollution related diseases. (Source: The Economic Times, 1 Mar, 2012)

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

Cat scratch disease may be safe in pregnancy

The largest–ever review of outcomes for pregnant women with cat scratch disease –– including just eight cases –– suggests the infection is not damaging to babies, but its authors say there are too few instances to glean any definitive answers. Six of the women gave birth to healthy babies, one woman had a miscarriage in the first trimester, and another opted for an abortion for reasons unrelated to the infection itself. Several years of follow–up showed that the children remained in good health. (Source: Medscape)

For comments and archives

Influenza vaccine less effective on elderly than thought

The benefits of influenza vaccination in the elderly may have been overestimated, a new analysis suggests. (Source: Medscape Medical News)

For Comments and archives

Autoinjector pen for MS Drug ok’d

A pen–type intramuscular injector that allows multiple sclerosis patients to self–administer interferon–beta–1a (Avonex) has won FDA approval, the drug’s manufacturer said. Biogen Idec said the device is the first intramuscular autoinjector to be approved for MS. It uses a thinner and shorter needle (25 gauge, 5/8 inch length) than the prefilled syringes that have been the company’s mainstay for administering the drug. (Source: Medpage Today)

For comments and archives

Bypass plus valve repair improves outcomes

Moderate functional ischemic mitral regurgitation (MR) is not benign and can be surgically repaired in combination with coronary artery bypass graft (CABG) surgery, according to preliminary results from a randomized trial. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: #AJCC Intravascular ultrasound improves TLR outcomes of bifurcation lesions PCI…www.emedinews.in Dr K K Aggarwalfb.me/1bYkvScAg

@DrKKAggarwal: When you blame and criticize others, you are avoiding some truth about yourself.

 
    Spiritual Update

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

Let go of Ego or kill it

Personal ego in normal circumstances should be tamed and keep under control. In mythology ego is depicted with snake (nag) and is always facing inwards. The examples are Shiva with Sheshnaga on the neck or Vishnu sleeping under Sheshnaga etc.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you understand by normal menstural function?

The pituitary gland, located at the base of the brain, controls egg and hormone production by releasing two hormones, follicle stimulating hormone (FSH) and luteinizing hormone (LH). As the menstrual period begins, FSH stimulates a follicle in the ovary to begin growing. The follicle produces the hormone estrogen and contains a maturing egg. LH stimulates the cells surrounding the follicle to produce significant amounts of androgens. The enlarging ovarian follicle (not to be confused with a hair follicle) appears as a small cyst on the surface of the ovary that can often be detected by ultrasound. About two weeks before the onset of the next menstrual period, the follicle ruptures and releases (ovulates) the egg. After ovulation, the egg is picked up by the fallopian tube. If the egg is fertilized, it remains in the fallopian tube for 3 to 4 days and then enters the uterus. The estrogen and progesterone secreted during the luteal phase have caused the lining of the uterus to fill with extra blood in anticipation of receiving a fertilized egg (embryo). If the egg is not fertilized or fails to implant in the uterus, the secretion of estrogen and progesterone declines about two weeks after ovulation, and the extra blood in the lining of the uterus is shed. This results in menstruation, and the cycle begins again.

For comments and archives

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

(Dr KK Aggarwal)

Heart disease risk no higher with one kidney

For healthy kidney donors, living with one kidney carries no more risk for cardiovascular disease than living with two. In fact, the risk of death or major cardiovascular event at 10–year follow–up was lower in donors than in non–donors (2.8 versus 4.1 events per 1,000 person–years), according to Dr Amit X. Garg of the University of Western Ontario in Canada, and colleagues.

For comments and archives

 
    Microbial World: The Good and the Bad they do

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

The First contact with the microbial world

Fetus is sterile in utero. The first contact and colonization with bacteria starts right after the rupture of membranes and passage of fetus through the birth canal. Humans carry complex microbial flora (>200 species). The type of microbes one carries depends upon age, sex, nutrition, stress and of course genetics. There are 1012 bacteria on skin, 1010 in mouth and 1014 in GIT. The total number of bacteria an adult carries is more than all the eukaryotic cells of tissues and organs. Some of these microbes help us by providing nutrients (vitamin K); stimulating immunity and preventing colonization with pathogenic/disease producing Microbes. However, majority have no good or bad effect on us. They co–exist with us.

In the next column, we will take up various body sites and the organisms normally present on each site.

For comments and archives

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

The empty soap box

One of the most memorable case studies on Japanese management was the case of the empty soap box, which happened in one of Japan’s biggest cosmetics companies. The company received a complaint that a consumer had bought a soap box that was empty.

Immediately the authorities isolated the problem to the assembly line, which transported all the packaged boxes of soap to the delivery department. For some reason, one soap box went through the assembly line empty.

Management asked its engineers to solve the problem. Post–haste, the engineers worked hard to devise an X–ray machine with high– resolution monitors manned by two people to watch all the soap boxes that passed through the line to make sure they were not empty.

No doubt, they worked hard and they worked fast but they spent whoopee amount to do so. But when a workman was posed with the same problem, he did not get into complications of X–rays, etc but instead came out with another solution.

He bought a strong industrial electric fan and pointed it at the assembly line. He switched the fan on, and as each soap box passed the fan, it simply blew the empty boxes out of the line.

Moral of the story: Always look for simple solutions. Devise the simplest possible solution that solves the problem. So, learn to focus on solutions not on problems.

If you look at what you do not have in life, you don’t have anything; if you look at what you have in life, you have everything.

For comments and archives

 
    Fitness Update

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

Addition of resistance training to diet education in overweight older adults

A recent study at the University of Rhode Island looked at overweight or obese older adults, randomized to a diet education program or diet education plus resistance training. Diet education consisted of 30 minutes of DASH (Dietary Approaches to Stop Hypertension) diet education per week. In addition, the resistance training group received 40 minutes of supervised training 3 times per week on Cybex Machines. Participants had their weight and body composition measured, blood values drawn, and filled out food frequency and physical activity questionnaires.

After 10 weeks, the diet plus exercise group experienced a reduction in body mass index, percent body fat, and fat mass. And where the diet–only group lost fat free mass over 10 weeks, the diet + exercise group did not, suggesting that resistance training can reduce body fat while still maintaining important lean body mass. Additionally, adults in the diet and exercise group achieved lower LDL cholesterol and triglyceride levels and improved diet quality, based on the DASH diet index, compared to the diet group. The results of this study show that diet and exercise can be more effective than diet alone in improving cardiovascular risk factors in older adults.

For comments and archives

 
  Cardiology eMedinewS

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

No Cancer Protection With Vitamin B Or Omega–3 Fatty–Acid Supplements Read More

Guidance Ignored on Warfarin in Non–STEMI Read More

Swimming May Help Reduce Blood Pressure In Older Adults. Read More

 
  Pediatric eMedinewS

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

Policies To Spur Clinical Trials In Kids Working, IOM Says Read More

Online Program Helps Teens With Chronic Fatigue Read More

Breastfeeding Is ‘Health, Not Lifestyle’ Choice Read More

Health Risks As Kids High For ‘Old’ Preemies Read More

 
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    IJCP Special

Dr Good Dr Bad

Situation: A 44–year–old male came with painless blood in the urine.
Dr. Bad: Do not worry.
Dr. Good: I need to rule out cancer of the urinary bladder.
Lesson: Cancer of the urinary bladder usually presents with painless blood in the urine.

For comments and archives

Make Sure

Situation: A patient with uncomplicated gonorrhea comes to hospital for treatment.
Reaction: Oh my God! Why did I advise ampicillin to this patient?
Lesson: Make sure to remember that cure can be elicited by administering oral doxycycline to patients with uncomplicated gonorrhoea.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Kind words can be short and easy to speak, But their echoes are truly endless. Mother Teresa

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Allergy testing

Allergies are hypersensitivities, overreactions of the immune system to substances that do not cause reactions in most people. Immunoassay and Line Blot Tests are used to screen for type I allergen–specific IgE antibodies.

 
    Mind Teaser

Read this…………………

Ground

……………

Yesterday’s Mind Teaser:  Which is not true regarding BRCA mutations in breast cancer?

a) BRCA 1 tumors are high grade as compared to BRCA 2.
b) BRCA 1 breast cancer are hormone receptor positive.
c) BRCA 1 breast tumor are aneuploid.
d) BRCA 1 breast cancer have an increased S phase fraction.

Answer for Yesterday’s  Mind Teaser: b) BRCA 1 breast cancer are hormone receptor positive

Correct answers received from: Dr R.K Sahoo, Dr. Thakor Hitendrasinh G, Raju Kuppusamy, Dr Jainendra Upadhyay, Anil Bairaria, Dr Valluri Ramarao

Answer for 3rd March Mind Teaser: A) Asymptomatic patients with platelet count between 30000–50000 cu mm
Correct answers received from: Ratnakar Sahoo,  Dr.Chandresh Jardosh, Dr Dinesh yadav

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

College Writing

A visitor to a certain college paused to admire the new Hemingway Hall that had been built on campus.

"It’s a pleasure to see a building named for Ernest Hemingway," he said. "Actually," said his guide, "it’s named for Joshua Hemingway. No relation." The visitor was astonished. "Was Joshua Hemingway a writer, also?"

"Yes, indeed," said his guide. "He wrote a check."

 
    Medicolegal Update

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

Medicolegal importance of age (up to 14 years)

  • 7 years: In accordance with Section 82 of Indian Penal Code, any act that is done by a child under seven years of age is not an offence.
  • 7–12 years: In accordance with Section 83 of Indian Penal Code, a child between 7–12 years of age is presumed to be capable of committing an offence, if he attained sufficient maturity of understanding to judge the nature and consequences of his conduct on that occasion. This maturity is presumed in a child of 7–12 years age until the contrary is proved.
  • 10 years: In accordance with Section 369 of Indian Penal Code, kidnapping or abducting a child below 10 years of age with intention to steal from its person is a criminal punishable offence.
  • 14 years: A child below 14 years of age cannot be employed to work in any factory or mine under Indian Factory Act 1948.
  • A person completing 15 and up to 18 years is allowed to work as adolescent employee in a factory if a fitness certificate is issued by a competent registered doctor.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

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

Spread the message of Holi ‘Communicate to remove mental impurities’

Holi is a festival of love and joy and should be used as a medium of communication to remove the mental dirt and clean the mind said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India.

He said that the festival of Holi should not end up with quarrels, violence or eve teasing,

Unsafe Holi

  1. Green and bluish–green chemicals contain malachite green, which can be toxic to the eyes. Auramine, methyl violet, rhodamine and orange II are all phototoxic colors and can damage the skin.
  2. Mica in colors can damage the skin.
  3. Instead of chemical dyes, one should use floral dyes. Flowers like Marigold, China rose, Butterfly Pea, Flame of the Forest etc are used to extract colors.
  4. ‘Bhang’ or cannabis can precipitate acute abnormal mental behavior and psychosis. They can increase the heart rate and blood pressure in the susceptible individuals. Pre treatment with a beta–blocker drug can take away the harmful effects of bhang.
  5. Alcohol can impair judgment and increase risk of accidents.
  6. Balloons can cause blunt injuries to the eyes and precipitate head injuries.
  7. Beware of date rape drugs. Do not play Holi with strangers.
  8. Do not throw color at sensitive parts, such as eyes. If color enters the eye, immediately wash it with a lot of water. If irritation persists, medical aid should be sought immediately.

Some tips

  • Use dental caps to protect teeth from staining.
  • Use sunglasses to keep eyes safe from the harmful chemicals of the colors.
  • Wear old and ragged clothes that may be discarded.
  • Wear full–sleeved T–shirts or shirts and leggings that cover the legs fully.
  • Wear socks.
  • Brightly colored and dark colored clothes should be preferred.
  • Keep eyes and lips tightly closed, when color is being applied on you.
  • Apply a thick layer of any oil on your body and hair till they glisten to make the skin slippery. It also helps wash off colors easily later on.
  • While washing off the color, use lukewarm water and keep the eyes and lips tightly closed.
  • While traveling, keep the car windows tightly shut.
  • Use a hat, cap to protect the hair from being colored with hard–to rinse dyes.
  • If you venture out on the streets, avoid mob frenzy.
  • Do not bump into a frenzied mob if you take to streets. Cross the road to the sidewalk across or simply stay at a safe distance.
  • Discourage children to play Holi with eggs, mud or gutter water.
  • Avoid use of abir as it has flakes of mica.
  • Stop children from forcibly applying color on a reluctant neighbor.
  • Do not walk alone on the streets on Holi.
  • Use only powdered color and water.
  • Keep a big bucket of water handy for your children, so that they do not resort to gutter water and other unclean sources.
 
    Readers Response
  1. Dear Sir, I have been a silent reader to the emedinews for past few months. I wanted to express my gratitude to you for helping the whole community with this great service. The holistic approach in your ideology makes your blog very special and different from the rest. Thank you sir. 
    Nishkarsh Saxena
 
    Forthcoming Events
Dr K K Aggarwal

On the occasion of World Kidney Day Delhi Nephrology Society is organising a Pannel discussion On

"RENAL TRANSPLANTATION & ORGAN DONATION"
on 10th March, 2012 at 4–6 PM in PGIMER, RML Hospital.

  1. Topic: Role of Physician in Prevention of CKD, Speaker: Prof. Sham Sunder, PGIMER, RML Hospital
  2. Topic: Option of Treatment for End Stage Renal Disease, Speaker: Dr D Bhawmik Ad. Prof. Nephrology, AIIMS
  3. Topic: Overview of Kidney Transplantation,Speaker: Dr S C Tiwari, Dir. Nephrology, Fortis Hospital
  4. Topic: Status of Deceased Organ Transplant in India, Speaker: Maj. Gen. P P Varma, Head, Dept. Of Nephrology, R & R Hospital
  5. Topic: Role of Transplant co–ordinator/ ICU– sister in Organ Donation, Speaker: Lt. Col. Pradhi, R & R Hospital.

For further details please contact
Dr.Sham Sunder Dr.N.P.Singh
President, DNS Secretary, DNS

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL 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

 
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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