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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

 

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 …

5th October 2011, Wednesday

Can diabetics take alcohol?

The consumption of a moderate amount of alcohol in diabetics may have health benefits, particularly with regard to coronary heart disease.

The effect of light to moderate alcohol consumption in diabetic patients was evaluated in the Physicians' Health Study of 87,938 subjects (2790 with diabetes) who were free of heart attack, cancer, or liver disease at baseline. After a 5.5 year follow-up, diabetic patients who consumed alcohol on a weekly or daily basis had a significantly lower risk of death from coronary heart disease than those who rarely or never consumed alcohol. The risk reduction was similar to that seen in non-diabetics.1

Similar benefits of moderate alcohol consumption were noted in diabetic women in the Nurses' Health Study, which evaluated 5103 women with a diagnosis of diabetes at =30 years of age who were free of coronary heart disease, paralysis, or cancer at baseline.2

References

  1. Ajani UA, Gaziano JM, Lotufo PA, et al. Alcohol consumption and risk of coronary heart disease by diabetes status. Circulation 2000;102:500.
  2. Solomon CG, Hu FB, Stampfer MJ, et al. Moderate alcohol consumption and risk of coronary heart disease among women with type 2 diabetes mellitus. Circulation 2000;102:494.

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

Can diabetics take alcohol?

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Divya Jyoti – Nurse’s Festival at MTNL Perfect Health Mela 2010

Nurses are the backbone of any medical services and need to be educated about all aspects of health. Stage exposure for a nurse is very important to become a good communicator in life.

 
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

India hosts Antibiotic Resistance summit

New Delhi: The first ever global forum on antibiotic resistance was kicked off in the Capital on Tuesday. India is hosting the summit following the superbug controversy that put the spotlight on the problem of antibiotic resistance. Antibiotic usage has doubled over the past five years in the country. While access to these life-saving medicines has increased, it's also given rise to antibiotic resistance. The government planned to combat the excessive usage of antibiotic with a new policy which includes colour coding powerful antibiotics, and restricting their sale without prescription. Health Minister Ghulam Nabi Azad expressed his concerns on the sale of antibiotics being sold without prescriptions saying that since many villages do not even have doctors, they cannot stop the sale of antibiotics. "We have received recommendations that antibiotics are being sold without prescriptions. In our country, there are many such villages where there are no doctors. Now if we ban the sale of antibiotics in such places, then what will happen to sick? That is why we have to consider both sides, evaluate them, before we reach a conclusion," Azad said. (Source: http://ibnlive.in.com/news/india-hosts-antibiotic-resistance-summit/189936-17.html)

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)

Three Immunologists win Nobel in Medicine

The 2011 Nobel Prize in medicine or physiology was awarded to Bruce Beutler, MD, of the Scripps Research Institute; Jules Hoffmann, PhD, of the French national lab CNRS; and Ralph Steinman, MD, of Rockefeller University, for discoveries in immunology.

For comments and archives

Indian-American identifies 'wake-up' gene

WASHINGTON: Wonder why you wake up in the morning effortlessly, even without the shrill alarm? A team led by Indian-American scientist, Satchidananda Panda, has identified a new 'wake-up' gene that activates the biological clock from its restful state every morning. "The body is essentially a collection of clocks," said Panda, associate professor at the Salk Institute Regulatory Biology Lab, who led the research with Luciano DiTacchio, post-doctoral research associate, reports the journal Science. (Source: TOI, Oct 2, 2011)

For comments and archives

ECG 'Noise' predicts death after MI

Certain ECG signals that were once considered "noise" are associated with a higher risk of death following a non-ST-segment elevation acute coronary syndrome (NSTEMI ACS), according to computational ECG analysis of the MERLIN-TIMI36 trial.

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Three Immunologists Win Nobel in Medicine The 2011 Nobel Prize in medicine or physiology was awarded to Bruce Beutler, MD, of the Scripps…

@DeepakChopra: In celebration of my new book with @lmlodinow War of the Worldviews enter to win a dinner with me @ahalife

 
    Spiritual Update

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

Science behind 6th Navratri or Katyayani Mata Worship

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 Sadhna as described in nine forms of respective Durga.

  1. Mata Katyayani is worshipped on the sixth day of Navratri.
  2. She has three eyes and four hands and rides on a Lion.
  3. The top right hand is positioned in a gesture of providing courage and the other hand is positioned in a gesture of rendering a boon. The top left hand is holding a sword and the other holding a lotus.
  4. In Yoga Shastra she represents the Ajna Chakra and AUM bija mantra.
  5. AUM chanting helps attaining success in religion, wealth, passion and salvation and removing fear and sorrows.

Spiritual message on the 6th Navratri: AUM chanting is one of the most powerful chakra and should be done concentrating on the Ajna chakra.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

I'm Glad I Got Sick

Twenty-seven years ago I got sick. The reason I can remember the date so well is because being sick is what caused me to choose my future wife. She was just a good friend, but because she came over to my apartment, brought me medicine, and made me breakfast, I thought for the first time "what a super wife she will make for someone."

I took her out to eat in Nashville, Tennessee for helping me get over the flu. After that we became even better friends, but still no thought of marriage. A few months later I was going to take a new job in the Atlanta area with a Community College, so Cathy helped me pack up boxes to get ready to leave. We had a great time that day and had lunch together. Near the end of that day I noticed a few tears in Cathy's eyes, so I asked what was wrong.

She said, "I don't know if I can live without you, you are my best friend." I said, "I know, I've been thinking the same thing." That day we decided to get married and we have been married ever since. We have had our tough times, as many others have had, but we are still BEST FRIENDS!

When I get to the family unit in my Health class and we talk about marriage ...I always tell this story. My students seem to love it because they learn for the first time that giving, sharing and caring about others is all that really matters in life, and that sex, looks, money and other things are secondary.

By the way, my wife is 12 years younger than me, and she is beautiful. Coaches constantly kid her about marrying me; they say she must be blind. We have two beautiful children, but we still have dates on every week-end.

Cathy is the greatest thing (other than becoming a Christian) that has ever happened to me! She is a fantastic mother, and the best wife a coach could ever have. THANK GOD I GOT SICK 27 YEARS AGO!!

For comments and archives

 
    Fitness Update

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

How to take your vitamins

I get a lot of questions about taking supplements. Some folks have terrible problems swallowing tablets. Others can’t stand large capsules or softgels. A few will regularly get vitamins stuck somewhere around the middle of the chest. And a fourth group will experience acidity after taking them. Here is what I recommend: To prevent acidity, and more important, to get maximum absorption and bioavailability, never take vitamins or other supplements on an empty stomach. Always take supplements in the middle of, or immediately after, eating. To avoid swallowing problems, never take supplements with water. Water lacks sufficient body to carry the hard, often awkward-shaped pills, especially several at one time. Always take supplements with a thick fruit juice or fruit nectar. The second strategy to avoid swallowing problems is to pretend to chew the supplements with a mouthful of the shake, so that every surface of the pill is completely coated with liquid. Pretend to chew them with the shake, as if you were chewing a piece of pie, except don’t bite down on them. Swallow them as you would the piece of pie. They slide down a lot easier that way. (Source; http://www.isagenixhealth.net/category/health-features/)

For comments and archives

 
    Malaria Update

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

Rapid Diagnostic Test

The contents and the manner in which the test is done differ with the companies providing RDKs. One should always read the user manual. It is the responsibility of the clinician or technician doing a rapid test for malaria to ensure that (a) the kit is within its expiry date and is transported and stored under cool, dry conditions and (b) the product used is accompanied by reliable documentation that it meets minimum quality standards, in particular that the sensitivity is at least 90% at an asexual parasite density of 200 per µl. False negative results may be observed if these criteria are not followed.

For comments and archives

 
    Medicine Update

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

What is the recommendation for post exposure prophylaxis for contacts with a known HBsAg-positive case?

Most guidelines suggest the following:

  • If the exposed person is unvaccinated:
    • Hepatitis B immunoglobulin (HBIG) 0.06 ml/kg and
    • Hepatitis B vaccine 3 doses should be given
  • Exposed patient with known response to vaccine
    • No treatment
  • Exposed patient with known failed response to vaccine
    • Patient has not yet completed second 3-dose series
      • Hepatitis B immunoglobulin (HBIG) 0.06 ml/kg and
      • Hepatitis B vaccine (complete second 3-dose series)
  • Patient has completed two prior 3-dose series: Hepatitis B immunoglobulin (HBIG) 0.06 ml/kg
  • Exposed patient with unknown response to vaccine
    • Test for antibody to HBsAg
    • Adequate antibody (HBsAg Positive): No treatment
    • Inadequate antibody (HBsAg Negative)
      • Hepatitis B immunoglobulin (HBIG) 0.06 ml/kg and Hepatitis B vaccine booster dose

For comments and archives

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  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Inorganic Phosphorus

Hyperphosphatemia may occur in myeloma, Paget’s disease of bone, osseous metastases, Addison’s disease, leukemia, sarcoidosis, milk–alkali syndrome, vitamin D excess, healing fractures, renal failure, hypoparathyroidism, diabetic ketoacidosis, acromegaly, and malignant hyperpyrexia. Drugs causing serum phosphorous elevation include androgens, furosemide, growth hormone, hydrochlorothiazide, oral contraceptives, parathormone, and phosphates.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A heart patient wanted to know if he could meditate under a pyramid.
Dr Bad: You cannot do it.
Dr Good: Go ahead.
Lesson: The effect of meditation under a pyramid as twice as strong as meditating outside the pyramid.

For comments and archives

Make Sure

Situation: A diabetic patient with BP of 130/90 developed acute heart pain.
Reaction: Oh my God! Why was his BP not kept below 120/80.
Lesson: Make sure that all patients with diabetes should have a goal BP of less than 120/80.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

All hard work brings a profit, but mere talk leads only to poverty.

 
  IDIOMS

No room to swing a Cat: A usually small or confined space.

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

(Dr Anupam Sethi Malhotra)

Even from poison extract nectar, wash and take back gold if it has fallen in filth, receive the highest knowledge (Krsna consciousness) from a low born person; so also a girl possessing virtuous qualities (stri-ratna) even if she were born in a disreputable family.

 
    Mind Teaser

Read this…………………

Which is correct to say, "The yolk of the egg are white" or "The yolk of the egg is white"?

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: a. HPV- related warts may become more prominent in patient on highly active antiretroviral therapy secondary to immune reconstitution.

Correct answers received from: Dr YJ Vasavada, Dr K Raju, Muthumperumal Thirumalpillai, Anil Bairaria, Dr Bharat Bhushan Aggarwal, Dr Rupa Rao, Dr Sanjeev Jain, Ramesh P, Sahasranam, Dr RH Gobbur,
Dr Shirish Singhal, Dr AK Kela, Dr Madhulika Sharma, Dr AP Bhatia.

Answer for 3rd October Mind Teaser: You would be in 2nd.. Well, you passed the person in second place, not first.
Correct answers received from: Dr Ragavan Moudgalya, Dr RH Gobbur, Dr Shirish Singhal, Dr AK Kela, Dr Madhulika Sharma, Dr AP Bhatia.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

Murphy's Laws for Humor

If at first you don't succeed? Destroy all evidence that you ever tried.

 
    Public Forum

(Press Release for use by the newspapers)

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

Rules for Preventing Heart Attack Deaths

Heart attack deaths can be prevented said Padmashri and Dr B C Roy national Awrdee Dr KK Aggarwal President Heart Care Foundation of India and President MTNL Perfect Health Mela.

  1. Rule of 30 seconds: Chest pain, burning, discomfort, heaviness in the center of the chest lasting for over 30 seconds and not localized to a point unless proved otherwise is a heat pain.
  2. Rule of pin pointing finger: any chest pain which can be pin pointed by a finger is not a heart pain.
  3. Rule of forty: First onset acidity or first onset asthma after the age of 40 , first rule out heart attack or heart asthma
  4. Rule of 300: Chew a tablet of water soluble 300 mg aspirin and take 300 mg Clopidogrel tablet at the onset of cardiac chest pain. You will not die.
  5. Rule of ten: Within ten minute of death for the next ten minutes do effective chest compression with a speed of (10 x10) 100 per minute. 80% people can be saved.
  6. Rule of 180: Reach hospital within 180 minutes in heart attack for receiving clot dissolving angioplasty or clot dissolving drugs.

For comments and archives

 
    Readers Responses
  1. I appreciate your reports about false claims of Lasik laser. Such false claims are made in lots of other specialities as well. we must discus at length about it and avoid using such commercial gimmicks. vivekkumar, varanasi
 
    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

   Dr K K Aggarwal on blogs    Dr K K Aggarwal on blogs     Dr K K Aggarwal
on Twitter    Dr k k Aggarwal on Facebook    You Tube

 
    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