emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, 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

 
  Editorial …

6th February, 2011, Sunday                                 eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Moderate aerobic exercise may delay age–related memory decline.

According to a study of adults aged 55 or older published Jan. 31 in the Proceedings of the National Academy of Sciences, one year of moderate physical exercise (walking 40 minutes a day, 3 times per week for a year) can increase the size of the brain’s hippocampus by 2% in adults aged 55 and more, leading to an improvement in spatial memory. Also, walking three times a week may improve memory in older adults and help prevent mental decline as people age. Hippocampus is brain's memory processor that can shrink during middle age.

The study recruited 120 older people who didn’t exercise regularly. Half were randomly assigned to an aerobic exercise program, walking around a track three days a week for 40 minutes per session, while the other half embarked on a stretching–and–weights program. MRI revealed that after 12 months, the group that walked showed an average 2% growth in the hippocampus compared with when they began, while the control groups suffered a more than 1% shrinkage in the same region compared with when the study started. Those who showed the greatest improvements in memory also showed the greatest increases in hippocampal volume.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
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  eMedinewS Audio PostCard

  2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal
Making Stem Cells – now a reality

Audio PostCard
 
  SMS of the Day

(By Dr GM Singh)

A happy marriage is the union of two good forgivers.

 
    Photo Feature (from the HCFI Photo Gallery)

Book Release Function – DERMACON 2011

Casebook of Dermatology, a book published by IJCP Group of Publications, was released during the inauguration of DERMACON 2011 at Leisure Valley Garden, Gurgaon. The Book was released by Dr Hashmukh J Shroff, the Editor of the book.

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

India can achieve zero transmission of polio in 2 yrs: Gates

NEW DELHI: India could see zero transmission of the crippling polio virus in the next two years, according to business magnate turned philanthropist Bill Gates. Eradication of polio globally could save the world up to $50 billion over the next 25 years, he said. Calling India’s achievement in reducing cases of polio in 2010 as "good progress", Gates, who spoke to TOI over telephone from US, said that "the combination of the new bivalent vaccine and a committed polio campaign saw a dramatic reduction in cases, giving hope that we are very close to stopping the virus’ transmission." He said, "After reducing transmission to zero, we will have to monitor for two years. Some children will require more than three doses of the vaccine." Last year, both India and Nigeria, the two hotbeds of the virus, had substantially fewer cases than ever before. In India, the number of cases went down from 741 in 2009 to just 41 in 2010 –– a 94% decline. The number of affected districts too has seen a sharp fall from 90 in 2008, 56 in 2009 and just 17 in 2010. (Source: The Times of India, Feb 1, 2011)

 
    International News

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

Seniors’ heart health can be improved with exercise

Good news for seniors: heart health can be improved even at a late age. A study conducted at the University of British Columbia showed that seniors with high blood cholesterol, type 2 diabetes, and high cholesterol were able to improve the stiffness in their arteries by 20 percent after three months. Adults between the ages of 65 and 83 were broken into two groups, one did no exercise and the other rode stationary bicycles and performed vigorous exercise on treadmills three days a week. Seniors reported feeling better and cutting back on medication.

(Dr Monica and Brahm Vasudev)

Obese women more likely to list pain while undergoing mammograms

In a study in the Journal of Women’s Health, researchers from Kaiser Permanente looked at data on 340 women who completed a survey about breast cancer screenings and found that nearly 25 percent of the women said that ‘too much pain’ was an obstacle to getting a mammogram.

Antiretroviral triple therapy may stem mother–to–baby infections.

Breast–feeding mothers who have HIV are much less likely to infect their babies if the women receive antiretroviral triple therapy, even before they are sick enough to qualify for it, according to a study in The Lancet.

Gastric bypass surgery may stabilize, partially reverse obesity–related heart abnormalities

Severely obese patients who have gastric bypass surgery (GBS) can expect obesity–related heart abnormalities to stabilize or partially reverse, according to research published in the Journal of the American College of Cardiology.

Carotid stenting, surgery equal for long–term stroke prevention.

For carotid stenosis, stenting and surgery are on par with each other for long–term stroke prevention in real–world practice, according to a study published in the Journal of the American College of Cardiology.

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

Does one need to get admitted in the IVF process?

A patient undergoing IVF does not require admission. However, one should visit the center 3–5 times during monitoring cycle. On the day of egg collection, the patient would need to fast for 6 hours and come to the clinic (the procedure takes about 30 min). Patients can go home after the effect of anesthesia wears off which takes about 2–3 hours. The next scheduled visit is after 2–3 days for the embryo transfer, which again takes about half an hour and patients are free to go home after resting for one hour.

For queries contact: banerjee.kaberi@gmail.com

 
    Pediatric Update

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

How does CMV spread?

  • Transplacental transmission: Primary infection in a mother who does not have protective antibodies ("congenital CMV").
  • Neonatal transmission can occur through cervical or vaginal secretions at birth or, later, through breast milk from a mother who has active infection ("perinatal CMV"). However, when a pregnant woman develops primary CMV infection in the first half of pregnancy, the risk of transplacental infection is approximately 40%.Of these babies, 5 to 15% are acutely symptomatic at birth.
  • Transmission can occur through saliva during preschool years
  • Venereal route is the dominant mode after about 15 years of age
  • Iatrogenic transmission can occur at any age through organ transplants or blood transfusions.
 
    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What is murder?

Murder is the act of killing another human being with malice, traditionally called "malice aforethought." Malice is defined as the intent to kill or to inflict bodily injury, either express or implied. If a deadly weapon is used, intent to kill will necessarily be implied by a court of law. The presumption is that if the assailant brought a deadly weapon with him/her there was intent to use the weapon. If the assailant picked up a weapon at the scene of the crime in an act of defense or in a provoked fit of rage, there might not be malice.

Murder, as defined in common law countries, is the unlawful killing of another human being with intent or malice aforethought and generally this state of mind distinguishes murder from other forms of unlawful homicide

  • Such a manslaughter means unlawful premeditated killing of a human being by a human being
  • In the United States, the principle of dual sovereignty applies to homicide, as to other crimes. If murder is committed within the borders of a state, that state has jurisdiction
  • According to the modern Russian Criminal Code, only intentional killing of another human considered as a murder
  • In Sweden, Murder (Mord) is defined as a planned taking a life of another and punishable with imprisonment between 10 to 18 years or life
  • However, according to the Romanian Penal Code, a person can face a penalty ranging from 10 to 25 years or life imprisonment for murder.
  • In Norway, an act of murder (mord or drap) may be either planned murder, intentional murder or murder as a result of neglect.
  • Murder is defined in the New South Wales Crimes Act 1900 as follows:
    • Under NSW law, the maximum penalty for murder is life imprisonment with a standard non–parole period of 20 years, or
    • 25 years for the murder of a child under the age of 18 years, or police official
  • In Finland, murder is defined as homicide with at least one of four aggravating factors: deliberate intent/Exceptional brutality or cruelty significantly endangering public safety Committed against a public official engaged in enforcing the law.
 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Vitamin B1, Plasma

Thiamine, or thiamin, sometimes called aneurin, is a water–soluble vitamin of the B complex (vitamin B1), whose phosphate derivatives are involved in many cellular processes. The best characterized form is thiamine diphosphate (ThDP), a coenzyme in the catabolism of sugars and amino acids.

Thiamine deficiency can lead to many problems including neurodegeneration, wasting and death. A lack of thiamine can be caused by malnutrition, a diet high in thiaminase–rich foods (raw freshwater fish, raw shellfish, ferns) and/or foods high in anti–thiamine factors (tea, coffee, betel nuts) and by grossly impaired nutritional status associated with chronic diseases, such as alcoholism, gastrointestinal diseases, HIV–AIDS, and persistent vomiting.

 
    Medi Finance Update

A married daughter/major girl can receive gifts from her father, mother, uncle, brother, etc.

 
    Drug Update

LIST OF APPROVED DRUG FROM 01.01.2010 TO 31.8.2010

Drug Name

Indication

DCI Approval Date

Celecoxib Mouth Dissolving Tablet 50/100/200 mg

For the treatment of Osteoarthritis and Rheumatoid Arthritis

25/02/2010

 
    IMSA Update

International Medical Science Academy (IMSA) Update

American Academy of Neurology updated guidelines for driving risk in patients with dementia

Mild dementia increases the likelihood, but does not establish that a patient is an unsafe driver. A score of 24 or less on the Mini Mental Status Examination (MMSE) is useful in identifying patients at increased risk for unsafe driving

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came for counseling for a high risk sexual behavior.
Dr. Bad: Use condoms.
Dr. Good: Use condoms and take a pre–exposure prophylaxis pill for seven days.
Lesson: Pre exposure prophylaxis for seven days is now a reality

Make Sure

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

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Our Contributors

  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

A Legacy Of Love

What should be our legacy of love be? Here is something for you to ponder about.

As a young man, Al was a skilled artist, a potter. He had a wife and two fine sons. One night, his oldest son developed a severe stomachache. Thinking it was only some common intestinal disorder, neither Al nor his wife took the condition very seriously. But the malady was actually acute appendicitis, and the boy died suddenly that night.

Knowing the death could have been prevented if he had only realized the seriousness of the situation, Al’s emotional health deteriorated under the enormous burden of his guilt. To make matters worse his wife left him a short time later, leaving him alone with his six–year–old younger son. The hurt and pain of the two situations were more than Al could handle, and he turned to alcohol to help him cope. In time Al became an alcoholic. As the alcoholism progressed, Al began to lose everything he possessed – his home, his land, his art objects, everything. Eventually Al died alone in a San Francisco motel room.

When I heard of Al’s death, I reacted with the same disdain the world shows for one who ends his life with nothing material to show for it. "What a complete failure!" I thought. "What a totally wasted life!"

As time went by, I began to re–evaluate my earlier harsh judgment. You see, I knew Al’s now adult son, Ernie. He is one of the kindest, most caring, most loving men I have ever known. I watched Ernie with his children and saw the free flow of love between them. I knew that kindness and caring had to come from somewhere. I hadn’t heard Ernie talk much about his father. It is so hard to defend an alcoholic. One day I worked up my courage to ask him. "I’m really puzzled by something," I said. "I know your father was basically the only one to raise you. What on earth did he do that you became such a special person?"

Ernie sat quietly and reflected for a few moments. Then he said, "From my earliest memories as a child until I left home at 18, Al came into my room every night, gave me a kiss and said, ‘I love you, son.’"

Tears came to my eyes as I realized what a fool I had been to judge Al as a failure. He had not left any material possessions behind. But he had been a kind loving father, and he left behind one of the finest legacy of love, a most giving man I have ever known.

— — — — — — — — — —

Mind Teaser

Read this   ………………… 

you the past

                    

Yesterday’s Mind Teaser: k
                                           c
                                           u
                                           t
                                           s

Answer for yesterday’s Mind Teaser:
Stuck up

Correct answers received from: Dr K.P.Rajalakshmi, Dr Riyazul Qamar Khan, Dr Sudipto Samaddar, Dr S. Upadhyaya, Dr H.L. Kapoor, Dr Chandresh Jardosh, Dr Muthumperumal Thirumalpillai, Dr Anil Bairaria, Dr K.V.Sarma, Dr Parvesh Sablok, Dr Rashmi Chhibber

Answer for 4th February Mind Teaser: Keep in shape
Correct answers received from: Dr Rashmi Chhibber, Dr Sudipto Samaddar,Dr Anjani, Dr Vijay Kansal, Dr U Gaur, Dr Neelam Nath

Send your answer to ijcp12@gmail.com

— — — — — — — — — —

Laugh a While
(Contributed by Dr GM Singh)

Story Begins

A local newspaper funeral notice telephone operator received a phone call. A woman on the other end asked, "How much do funeral notices cost?" "$5.00 per word, Ma’am," came the response. "Good, do you have a paper and pencil handy?" "Yes, Ma'am."

"OK, write this: 'Fred dead." "I’m sorry, Ma’am; I forgot to tell you there’s a five–word minimum." "Hmmph," came the reply, "You certainly did forget to tell me that." A moment of silence. "Got your pencil and paper?"

"Yes, Ma’am." "OK, print this: ‘Fred dead, Cadillac for sale.’"

— — — — — — — — — —

Knowledge is amusing

AG–MARK, which some products bear, stems from ‘Agricultural Marketing’

 
    Readers Responses
  1. Dear Dr KK Aggarwalji, Thanks a lot for restoration of e–subscription of emedinews. The paper is most informative, concise and contemporary. The contents are wholesome and enjoyable. I really appreciate how you explain and link rituals, festivals, seasons and vedic aspect with the most modern sciences. I also like your tips regarding safeguarding doctors from legal hassles. Humor column is excellent. I am really short of praiseworthy words. Pls carry on with service of humanity. Thanks again and warm regards: Dr Kapoor
 
    Public Forum

(Press Release for use by the newspapers)

Women die more of heart disease than cancers

It is a myth that cardiovascular diseases are a disease of mainly older men. Heart diseases and paralysis are both leading causes of death in women and far more frequent than any form of cancer.

Though the vast majority of heart deaths are in the middle–aged and elderly women, it is not a rare event in young women. In US alone 35500 women die before the age of 65. This was stated by Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, and President, Heart Care Foundation of India while delivering a lecture in a conference organized by Indian Menopausal Society, Jabalpur Branch.

It is also a myth, said Dr. Aggarwal that women do not need to worry about cardiovascular disease before the age of menopause. In fact, the risk of heart disease in women starts before menopause. Hormone replacement therapy is not dangerous to the heart provided it is taken under supervision and is only estrogen based. It is also a myth that vitamin supplementation is a key to prevent cardiovascular diseases in women. In fact, artificial vitamins may be harmful and should not be taken.

Another myth is that most women do not experience chest pain during a heart attack. It is true that most women present with shortness of breath or fatigue but the commonest symptom is still chest pain.

That one needs to exercise continuously to get the benefit is also not true. The fact is that even small efforts of walking are as beneficial as prolonged walking.

Dr. Aggarwal further said that the best way to prevent heart attack is to follow the Formula of 80 and that is to keep your bad cholesterol, fasting sugar, abdominal circumference, lower blood pressure and pulse rate all below 80. For that one should walk 80 minutes a day with a speed of 80 steps per minute wherever possible. Take less food, not more than 80 ml of caloric food and not to consume alcohol more than 80 ml in two days and 80 gm in two weeks (for women). Do 80 cycles of pranayamas and laugh 80 times whenever possible in a day and clap 80 times in a day. One should not smoke as it can end up with a hospital bill of Rs. 80,000/–.

 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: Dr KK Aggarwal

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