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

 

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

For regular eMedinewS updates on facebook at www.facebook.com/DrKKAggarwal

eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Workshop on Stress Management and How to be Happy and Healthy

 
  Editorial …

5th May 2012, Saturday

Do not stop aspirin

According to the current study by Gerstein and colleagues, more than 50 million adults in the United States take aspirin regularly for primary and secondary prevention of cardiovascular disease. The cessation of aspirin can cause a platelet rebound phenomenon and prothrombotic state leading to major adverse cardiovascular events. Despite the risks of aspirin withdrawal, exacerbated during the perioperative period, standard practice has been to stop aspirin before elective surgery for fear of excessive bleeding, but evidence suggests that this practice should be abandoned.

The evidence found in a PubMed and Medline literature search "strongly supports" continued perioperative use of aspirin in patients taking it for secondary prevention of coronary artery disease, cerebrovascular disease, and peripheral vascular disease.

"Routine discontinuation of aspirin seven to 10 days preoperatively is not only unjustified but likely significantly compounds patients’ thromboembolic risk because of the described aspirin withdrawal syndrome that occurs contemporaneously during this time interval," said Dr. Neal Stuart Gerstein from University of New Mexico in Albuquerque and colleagues.

"For an at–risk patient, the hypercoagulable state engendered by the surgical procedure compounded by the aspirin withdrawal syndrome creates an ideal scenario for a major cardiac or vascular thromboembolic complication," they write in Annals of Surgery for May.

Surgical procedures that involve particular anatomic locations, including middle ear, posterior chamber of the eye, intracranial, intramedullary spine and possibly transurethral prostatectomy (TURP) confer the highest risk of complicating hemorrhage while on aspirin therapy.

The thromboembolic risks of aspirin cessation in the at–risk patient often outweigh the minor bleeding risks in the vast majority of operative procedures.

The POISE–2 trial, promises to shed light on this issue. POISE–2 is a 10,000–patient randomized controlled trial that is evaluating the impact of perioperative ASA in patients undergoing noncardiac surgery. In this trial, half the patients are taking chronic ASA and they have to stop it at least three days before surgery, and then they are randomized to restart low–dose ASA or placebo just prior to surgery and they continue it until day eight after surgery when they resume their normal ASA. The other half of the patients in POISE–2 are patients who do not take chronic ASA and they are randomized to start low–dose ASA or placebo just prior to surgery and they take the study drug daily until day 31 after surgery.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with Sister Sapna

on Stress Management

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day organized at DPS Mathura Road

Students of Delhi Public School, Mathura Road taking pledge to save the mother earth, on the occasion of World Earth Day. The event was organized by Heart Care Foundation of India, DPS Mathura Road and Ministry of Earth and Sciences.

 
Dr K K Aggarwal
 
    National News

Workshops with Dr KK Aggarwal

Dr KK Study Circle in association with board of Medical education

You all are cordially invited to join the workshop on 6th May 2012, Sunday, 8 AM to 10 AM at Moolchand Medcity Auditorium

Topic: Hypertension What’s New and Common Seasonal Disorders

Kindly confirm your registration to Rekha Papola, 9899974439 email @ rekhapapola@gmail.com

67 breeding spots found, Health dept issues dengue alert

The Health department has directed hospitals and laboratories to be on alert for dengue cases, after sporadic breeding spots of the dengue vector mosquito were found across the city last month. All RWAs, heads of schools, colleges, police stations, and market associations were directed to check breeding spots in their respective areas. The Aedes mosquito was detected in colonies and jhuggi clusters alike across the city. As many as 11 spots were detected in the NDMC area, and 56 in the three municipal zones. A total of 21 dengue cases were confirmed in the city till last week. Health Minister Dr A K Walia has directed the corporations and Northern Railway authorities to use anti–larval spray regularly around railway lines. The Irrigation and Flood Control Department has also been asked to ensure that water bodies are cleaned regularly. Medical superintendents of all hospitals have also been asked to ensure sufficient availability of platelets. Due to rising cases of water–borne diseases like gastroenteritis, cholera, jaundice and typhoid, the Delhi Jal Board has been asked to mark shallow handpumps properly and ensure that drinking water does not mix with sewage. Walia said finding breeding spots in summer is "a matter of serious concern" as it may lead to spread of the disease. Experts said intermittent showers, rising temperature could have created conditions conducive to this untimely breeding. (Source: Indian Express, May 04 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

(Contributed by Dr Monica and Brahm Vasudev)

IL–17 blocker promising for spondylitis

A new monoclonal antibody that targets the interleukin (IL)–17 pathway appeared promising for the treatment of ankylosing spondylitis in a proof–of–concept study presented A new monoclonal antibody that targets the interleukin (IL)–17 pathway appeared promising for the treatment of ankylosing spondylitis in a proof–of–concept study presented here. (Source: Medpage Today)

For comments and archives

Breast screening in 40s proposed based on risk

Breast cancer screening starting at age 40 may have an acceptable balance of risks and benefits for women with extremely dense breasts or a family history of the disease, two studies suggested. Biennial mammography for those two groups in their 40s carried the same ratio of false–positive risk to life–years gained benefit as for average–risk women starting screening at age 50, according to comparative modeling by Nicolien T. van Ravesteyn, MSc, of Erasmus Medical Center in Rotterdam, the Netherlands, and colleagues. (Source: Medpage Today)

For comments and archives

Cancer–like disease detected in 2,900–year–old mummy

WASHINGTON: About 2,900 years after he was mummified , scientists have uncovered that the ancient Egyptian man, likely in his 20s, died of a rare, cancer–like disease that may also have left him with a type of diabetes. A team of doctors who looked at the mummy, which is now in the Archaeological Museum in Zagreb in Croatia, found that while mummifying, the embalmers removed the man’s brain, may be through the nose; poured resin–like fluid into his head and pelvis; took out some of his organs and inserted four linen ‘packets’ into his body. His body showed telltale signs that he suffered from Hand–Schuller–Christian disease, an enigmatic condition in which Langerhans cells, a type of immune cell found in the skin, multiply rapidly. (Source: TOI, Apr 30, 2012)

For comments and archives

Sildenafil improves diabetic cardiomyopathy

Better known as a treatment for erectile dysfunction, the phosphodiesterase 5A inhibitor sildenafil also improves diabetic cardiomyopathy, researchers from Italy report. (Source: Medscape)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Repeated CT scans are riskly to life…: http://youtu.be/VKrEtbrUeS4 via @youtube

@DeepakChopra: The "I" within us is universal.

 
    Spiritual Update

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

How to avoid craving when quitting smoking?

Craving frequently leads to relapse, which can be prevented to some degree by avoiding situations associated with smoking and by minimizing stress.

Avoiding alcohol also reduces craving. Craving invariably subsides over a period of time. Craving usually lasts for three years.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How is hyperprolactinemia treated?

The treatment depends on the cause. If your doctor cannot identify cause or you have a microadenoma or a macroadenoma in the pituitary gland, the primary treatment is with medication. The most commonly used medications are bromocriptine and cabergoline. The treatment continues until you get pregnant. The most common side effects from bromocriptine include lightheadedness, nausea and headache. Other side effects include nasal congestion, dizziness, constipation, abdominal cramps, fatigue, vomiting, and, rarely, neurologic symptoms such as hallucinations. Slowly increasing the dose helps reduce side effects. You can also take bromocriptine as a vaginal suppository or tablet at bedtime.

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)

Q Do cataracts or the use of spectacles render the corneas unfit?

A. No. Both these conditions relate to the lens of the eye and not the cornea.

For comments and archives

 
    An Inspirational Story

(Dr GM Singh)

Never never give up

I was walking around in a Big Bazaar store making shopping, when I saw a Cashier talking to a boy couldn't have been more than 5 or 6 years old…

The Cashier said, ‘I’m sorry, but you don’t have enough money to buy this doll. Then the little boy turned to me and asked: "Uncle, are you sure I don’t have enough money?"
I counted his cash and replied: "You know that you don’t have enough money to buy the doll, my dear." The little boy was still holding the doll in his hand. Finally, I walked toward him and I asked him who he wished to give this doll to. ‘It’s the doll that my sister loved most and wanted so much. I wanted to Gift her for her BIRTHDAY.
I have to give the doll to my mommy so that she can give it to my sister when she goes there.’ His eyes were so sad while saying this. ‘My Sister has gone to be with God… Daddy says that Mommy is going to see God very soon too, so I thought that she could take the doll with her to give it to my sister…"

My heart nearly stopped. The little boy looked up at me and said: ‘I told daddy to tell mommy not to go yet. I need her to wait until I come back from the mall.’ Then he showed me a very nice photo of him where he was laughing. He then told me ‘I want mommy to take my picture with her so my sister won’t forget me.’ ‘I love my mommy and I wish she doesn’t have to leave me, but daddy says that she has to go to be with my little sister.’ Then he looked again at the doll with sad eyes, very quietly.

I quickly reached for my wallet and said to the boy. ‘Suppose we check again, just in case you do have enough money for the doll?" ‘OK’ he said, ‘I hope I do have enough.’ I added some of my money to his with out him seeing and we started to count it. There was enough for the doll and even some spare money.

The little boy said: ‘Thank you God for giving me enough money!’ Then he looked at me and added, ‘I asked last night before I went to sleep for God to make sure I had enough money to buy this doll, so that mommy could give It to my sister. He heard me!" ‘I also wanted to have enough money to buy a white rose for my mommy, but I didn’t dare to ask God for too much. But He gave me enough to buy the doll and a white rose. My mommy loves white roses.’ I finished my shopping in a totally different state from when I started. I couldn’t get the little boy out of my mind. Then I remembered a local news paper article two days ago, which mentioned a drunk man in a truck, who hit a car occupied by a young woman and a little girl. The little girl died right away, and the mother was left in a critical state. The family had to decide whether to pull the plug on the life–sustaining machine, because the young woman would not be able to recover from the coma. Was this the family of the little boy?

Two days after this encounter with the little boy, I read in the newspaper that the young woman had passed away… I couldn’t stop myself as I bought a bunch of white roses and I went to the funeral home where the body of the young woman was exposed for people to see and make last wishes before her burial. She was there, in her coffin, holding a beautiful white rose in her hand with the photo of the little boy and the doll placed over her chest. I left the place, teary–eyed, feeling that my life had been changed for ever…

The love that the little boy had for his mother and his sister is still, to this day, hard to imagine. And in a fraction of a second, a drunk driver had taken all this away from him.

Please DO NOT DRINK & DRIVE.
Now you have two choices:
1) Share this message, or
2) Ignore it as if it never touched your heart.

For comments and archives

 
  Cardiology eMedinewS

Routine ECG Does Not Help Read More

Cut Sodium By 10% and Add 40% Tax To Salted Foods Read More

Medical Societies See ‘Imminent Storm’ of Medicare Penalties Read More

 
  Pediatric eMedinewS

Holding Children’s Attention for Pediatric Strabismus Exams Read More

MR Matches CT in Pediatric Crohn’s Disease Read More

Glucocorticoid Increases Infection in Juvenile Arthritis Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 75–year–old male was to go for flexible sigmoidoscopy.
Dr. Bad: Go for sodium phosphate enema.
Dr. Good: Go for PEG lavage.
Lesson: Use of sodium phosphate enema may be associated with serious adverse events including hypotension, volume depletion, rise in phosphate levels, fall in potassium levels, fall in calcium levels, metabolic acidosis, kidney failure, QT prolongation in ECG (Archives of Internal Medicine 2012).

For comments and archives

Make Sure

Situation: A patient of pulmonary Koch’s taking ATT complained of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure to prescribe B–complex vitamins (especially vitamin B6) in patients talking ATT to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

For comments and archives

Our Social
Network sites
… Stay Connected

        FaceBook
  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

        Twitter
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        Blog
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

 
Docconnect
central bank
lic bank
 
eMedinewS Apps
Archives
Archive
Archive
Archive
Archive
Archive
Alert
 
    Rabies Update

(Dr AK Gupta, APCRI, Author of "RABIES" the worst death")

What are the factors responsible for rabies transmission in man from rabid animals?

Factors responsible for rabies transmission in man from rabid animals are:-

  1. Quantum of saliva and dose of virus and strain.
  2. The severity and site of bites; the actual distance that the virus has to travel from the site of inoculation to the CNS. Mortality is highest from bites on the face.
  3. The extent of wounds.
  4. Nature of wound care.
  5. Delay or incorrect vaccine treatment and injection of vaccine in gluteal region.
  6. Non use of RIG.
 
    Legal Question of the day

(Prof. M C Gupta, Advocate & Medicolegal Consultant)

Q. What are your comments about the recent TN Govt. move to impart LSAS training to its doctors without asking for their willingness?

Ans.

  • The basic facts are as follows:
    • The Life Saving Anaesthetic Skill (LSAS) training course is a 24–week course that covers all aspects of clinical anaesthesia and basic sciences. The trainees should complete 100 cases of spinal anaesthesia, 30 cases of general anaesthesia, 10 cases of epidural anaesthesia, and 10 cases of laryngeal mask insertion apart from cardiopulmonary circulatory resuscitation (CPCR) and cannulation on mannequins. It leads to a certification authorising them to administer general anaesthesia and spinal anaesthesia to obstetrics and gynaecology patients.
    • The course will presumably be attended by government doctors without any course fee and doctors attending the course would be treated as on duty and will get regular salary.
    • Dr P P Ramajeyam, an assistant surgeon posted at Government Hospital, Peraiyur, has filed a writ petition in the Madras High Court Bench alleging that the state government is illegally compelling him to join LSAS training at Madurai Medical College even though he never applied for it. His contention is that such a training was ultra vires to the Constitution and contrary to the provisions of the Indian Medical Council Act, 1956, and the Indian Medical Degrees Act, 1916, and was being given to government doctors without the permission of Medical Council of India. "As per medial norms and ethics, a doctor should not practice in a branch of medicine without possessing statutorily prescribed qualification relevant to that branch. The certificate issued after the completion of LSAS training is not statutorily prescribed qualification to give anaesthesia to patients," the petitioner’s affidavit read.
      The news item can be viewed at—
      http://www.thehindu.com/news/cities/Madurai/article3332604.ece
  • Anaesthetists are in short supply and India needs more anesthetists. Maternal mortality is high in India and one reason for the same is that anaesthetists are not available when expecting mothers have to be operated. In any case, every doctor posted in a hospital should be able to undertake laryngeal mask insertion apart from cardio pulmonary circulatory resuscitation (CPCR).
  • When somebody joins government service, he is under an obligation to be posted anywhere. Posting a doctor to the venue of training would be legally covered under such obligation.
  • A degree or diploma in anesthesia is not a must to administer anesthesia. Army gives similar trains its doctors and such doctors validly give anesthesia to patients.
  • I think the petitioner will not succeed in his petition if the case is properly argued by the respondents.
  • Even if he wins, the government would be within its rights to do the following:
    • Not to post in hospitals those doctors who have not completed the Life Saving Anaesthetic Skill (LSAS) training course.
    • Not to depute for pursuing MD (Anesthesia) or other postgraduate courses those government doctors who have not completed the Life Saving Anaesthetic Skill (LSAS) training course.
    • Give a monetary allowance or other incentives to those who undergo such training.
  • It will be in the interest of doctors themselves, as also of the society, to welcome this opportunity for training and not to oppose it.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Envy is the art of counting the other fellow’s blessings instead of your own. Harold Coffin

 
    Don't Waste That Lemon Peel

(Dr Prabha Sanghi)

Good info on using the whole lemon vs. only the juice…

Lemon productions became more and more abundant around the world because of its nutritious contents. Lemons are used in many different ways in lemon industries and factories, but not among households.

How do you eat or taste lemon in your house?

Probably, you do not know how to apply lemon the right away. Do you just squish a few drips to your whisky, vegetable salad, bread, ice cream, roasted meat, cake, baked chicken, fruit drinks, or to your other favorable dishes? If so, what a waste! Here, I’ll tell you the real use of lemon. I’m sure you know how nutritious a lemon is. But you may only know how to use it as a simple seasoning, as most people do, and not as a side dish. You think that only the squished juice from lemon is used, while the lemon peel is thrown away. Yes, you think that you only need that sour, citrus taste of the lemon's juice, is that right? However, we found out that many professionals in restaurants and eateries are using or consuming the entire lemon and nothing is wasted.

How can you use the whole lemon without waste?

Simple…place the lemon in the freezer section of your refrigerator. Once the lemon is frozen, get your grater, and shred the whole lemon (no need to peel it) and sprinkle it on top of your foods.
Sprinkle it to your whisky, wine, vegetable salad, ice cream, vegetable soup, chicken soup, curry soup, noodles, spaghetti sauce, rice, sushi, meat loaf, sausage, fish dishes, and ramen.
It doesn’t matter whether it’s a Chinese dish, Italian dish, French dish, African, Indian, Japanese, Korean, or Latin American dishes, you just name it. All of these foods will unexpectedly have wonderful taste, something that you may have never tasted before in your life. You don’t believe me? Just try it and you will agree with me. Everything will certainly taste great! Most likely, you only think of lemon juice and vitamin C. Not anymore. Now that you’ve learned this lemon secret, you can use lemon even in instant cup noodles.

What’s the major advantage of using the whole lemon other than preventing waste and adding new taste to your dishes?

Well, you see lemon peels contain as much as 5 to 10 times more vitamins than the lemon juice itself. And yes, that’s what you’ve been wasting. But from now on, by following this simple procedure of freezing the whole lemon, then grating it on top of your dishes, you can consume all of those nutrients and get even healthier.

The lemon peel is good in making you slim if you are a fat person, or makes you healthy fat if you are skinny.

So place your lemon in your freezer, and then grate it on your meal every day. It is a key to make your foods tastier and you get to live healthier and longer! That's the lemon secret!

Lemon (Citrus) is a miraculous product to kill cancer cells. It is 10,000 times stronger than chemotherapy.
Why do we not know about that? Because there are laboratories interested in making a synthetic version that will bring them huge profits. You can now help a friend in need by letting him/her know that lemon juice is beneficial in preventing the disease. Its taste is pleasant and it does not produce the horrific effects of chemotherapy. How many people will die while this closely guarded secret is kept, so as not to jeopardize the beneficial multimillionaires large corporations? As you know, the lemon tree is known for its varieties of lemons and limes. You can eat the fruit in different ways: you can eat the pulp, juice press, prepare drinks, sorbets, pastries, etc… It is credited with many virtues, but the most interesting is the effect it produces on cysts and tumors. This plant is a proven remedy against cancers of all types. Some say it is very useful in all variants of cancer. It is considered also as an anti microbial spectrum against bacterial infections and fungi, effective against internal parasites and worms, it regulates blood pressure which is too high and an antidepressant, combats stress and nervous disorders. The extracts revealed that it destroys the malignant cells in 12 cancers, including colon, breast, prostate, lung and pancreas… The compounds of this tree showed 10,000 times better than the product Adriamycin, a drug normally used chemotherapeutic in the world, slowing the growth of cancer cells. And what is even more astonishing: this type of therapy with lemon extract only destroys malignant cancer cells and it does not affect healthy cells. (Source: http://www.ebnl.co.in/dont_waste_that_lemon_peel.asp)

 
    Microbial World: The Good and the Bad They Do

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

Post Exposure Prophylaxis: Important Considerations

Ascertain HIV, HBV and HCV status of source material (blood/OPIM)

  • If the HIV/HBV status of the source patient is known, and confirmed negative for HIV and HBV, there is no need for prophylaxis for HIV and/or HBV.
  • If the status of the patient is unknown, and neither the patient nor his/her blood is available for testing, then the decision to take PEP and what regimen to take, will depend on the severity of the wound, and how much is known about the individual’s (source patient’s) risk history.
  • If the status of the patient is unknown, and the patient is available to be counselled and gives consent for testing, then draw the blood and do testing to ascertain the status of HIV, HBV and HCV.
  • If the patient refuses testing, but a sample of blood is available, it is the right of the exposed person that the sample is tested for the purpose of prophylaxis.
  • If the patient is known to be HIV–positive and evaluation of risk is in order. The two key factors to consider are whether the patient is antiretroviral drug naïve, or whether he/she has been exposed to antiretroviral medications; and whether the patient is likely to have a high viral load – as determined by testing if available, or by clinical signs and symptoms.
  • For HIV infection: Low risk exposure is an asymptomatic case, and high risk exposure is symptomatic case with an opportunistic infections, or AIDS and acute seroconversion stage.
  • In the case of a high risk exposure from a source patient who has been exposed to or is taking antiretroviral medications, consult an expert to choose PEP regimen taking into consideration the possibility of drug resistance.

A decision to administer PEP for HIV and prophylaxis against HBV is taken after ascertaining the above facts and appropriate prophylaxis is given which we will discuss next.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Prostate specific antigen (PSA)

Acute urinary retention may elevate PSA levels, but the levels may decrease by 50% within 1 to 2 days following resolution. A screening PSA test should not be performed for at least two weeks following an episode of acute urinary retention.

 
    Mind Teaser

Read this…………………

How many cups of fruit and vegetables should you eat daily?

A. At least one cup of fruit or vegetables.
B. One cup of fruit and one cup of vegetables.
C. One cup of fruit and 1 1/2 cups of vegetables, for a total of 2 1/2 cups.
D. Two cups of fruit and two cups of vegetables.
E. Four to five cups of fruit and vegetables.

Yesterday’s Mind Teaser: What color is a purple finch?

Answer for Yesterday’s Mind Teaser: Crimson

Correct answers received from: Dr KV Sarma, Raju Kuppusamy, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Jainendra Upadhyay, Anil Bairaria.

Answer for 3rd May Mind Teaser: Dogs
Correct answers received from: Dr Anupam Sethi Malhotra, Dr Sushma Chawla.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

A little girl asked her mother, "How did the human race appear?" The mother answered, "God made Adam and Eve and they had children, and so was all mankind made…"

Two days later the girl asked her father the same question… The father answered, "Many years ago there were monkeys from which the human race evolved."

The confused girl returned to her mother and said, "Mom, how is it possible that you told me the human race was created by God, and Dad said they developed from monkeys?"

The mother answered, "Well, dear, it is very simple. I told you about my side of the family and your father told you about his."

 
    Medicolegal Update

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

Science shows innocent man hanged in famous British murder case

Michigan’s Foran’s laboratory has devised methods to extract and isolate mitochondrial DNA. His laboratory specializes in ancient and forensic DNA evidence, often working with human remains that are thousands of years old. The nearly 100–year–old microscope slide, sent to Michigan State from the Royal London Hospital Archives and Museum, is the same one the pathologist Bernard Spilsbury used to help hang Crippen in 1910. At that time forensic medicine/pathology was more primitive; Spilsbury’s testimony, identifying what he claimed was an abdominal scar consistent with Cora’s medical history, convinced the jury that these were Cora’s remains. Crippen went to the gallows insisting he was innocent. The present–day challenge: getting past the pine sap that sealed the slide and the formaldehyde used to preserve the tissue in order to examine the mitochondrial DNA that could identify Cora Crippen based on the genetic history of her maternal relatives.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Before sports, children need to be screened for the heart

Sudden Cardiac Death amongst athletes is a rare but a devastating event. Most victims are usually young and, apparently, healthy but many have underlying undiagnosed heart disease, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

As per American Heart Association Guidelines, children and adolescents undergoing athletic training need medical clearance. Majority of sudden deaths amongst athletes are due to malignant irregularities in the heart rhythm such as ventricular tachycardia and ventricular fibrillation. The precipitating factors can be prolonged physical training or unaccustomed athletic activities.

In athletes under the age of 35, the most common cause of death is underlying congenital heart disease and for those above the age of 35, it is the presence of blockages of the coronary arteries.

As per Heart Care Foundation of India, in every school/college, the attached doctor should evaluate all students with a 12–step history and examination to rule out high risk cases that need further evaluation.

The Foundation on the lines of European Society of Cardiology also recommends an additional standard 12 lead ECG before a medical clearance is given for both competitive as well as recreational athletic activities. Master athletes who are above the age of 35 will need an additional exercise testing before they can be given a clearance for athletic activity.

Diagnostic echocardiography is indicated with clinical, historical and physical findings suggestive of possibility of structural heart diseases. Athletes on pacemakers should not engage in sports as bodily collision may damage the pacemaker system.

The 12–element AHA recommendations for pre participation cardiovascular screening of competitive athletes are:

  1. Exertional chest pain/discomfort
  2. Unexplained syncope/near–syncope
  3. Excessive exertional and unexplained dyspnea/fatigue, associated with exercise
  4. Prior recognition of a heart murmur
  5. Elevated systemic blood pressure
  6. Premature death (sudden and unexpected, or otherwise) before age 50 years due to heart disease, in one relative
  7. Disability from heart disease in a close relative <50 years of age
  8. Specific knowledge of certain cardiac conditions in family members: hypertrophic or dilated cardiomyopathy, long–QT syndrome or other ion channelopathies, Marfan syndrome, or clinically important arrhythmias
  9. Heart murmur
  10. Femoral pulses examination to exclude aortic coarctation
  11. Physical features of Marfan syndrome
  12. Brachial artery blood pressure (sitting position, both arms)
 
    Readers Response
  1. Dear Sir, Reading eMedinews is in our routine now. We miss the day without it. RegardsDr Fatima, Dr Anwar
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal

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)

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

 
    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