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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos…
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 15 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

6th February 2013, Wednesday

Is caffeine good for the health?

  1. Caffeine is the most consumed stimulant in the world,
  2. It is consumed in the form of coffee and tea.
  3. At present there is no scientific data for promoting or discouraging coffee and/or tea consumption in the daily diet.
  4. Short term benefits include mental alertness and improved athletic performance.
  5. Short term adverse effects including headache, anxiety, tremors, and insomnia.
  6. Long term adverse affects include generalized anxiety disorder and substance abuse disorders.
  7. Long-term benefits are dose-dependent. Caffeine is associated with a reduced risk of Parkinson disease, Alzheimer disease, alcoholic cirrhosis, and gout. Both caffeinated and decaffeinated coffee are also associated with a lower risk of type 2 diabetes.
  8. Heavy coffee intake may trigger coronary and arrhythmic events in susceptible individuals, although coffee intake is not considered a long-term risk factor for myocardial disease.
  9. Most studies show a modest inverse relationship between coffee consumption and all-cause mortality.
  10. Caffeine withdrawal is a well-documented clinical syndrome with headache being the most common symptom.

    (Source uptodate)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

How is chronic idiopathic constipation defined?

Chronic idiopathic constipation, also known as functional constipation is generally defined as the persistent difficult or seemingly incomplete defecation and/or infrequent bowel movements (once every 3–4 days or less) in the absence of alarm symptoms or secondary causes. The prevalence varies widely and ranges from 4 to 20% of patients.

 
Dr K K Aggarwal
    eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Vitamin D intake associated with
reduced risk for Crohn’s disease

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Photo for 6th February 2013

A daylong conference, eMedinewS Revisiting 2012, organized by eMedinewS, Heart Care Foundation of India and World Fellowship of Religions.

 
Dr K K Aggarwal
    National News

THE CRIMINAL LAW (AMENDMENT) ORDINANCE, 2013

For comments and archives

Drug-resistant fungi new hospital menace

NEW DELHI: After the superbug, it might soon be the 'superfungi'. The organisms, known to be opportunistic pathogens causing infection in critically-ill patients, are fast turning drug-resistant. A study by microbiologists at Ganga Ram Hospital has revealed that several new species of fungi have become difficult to treat even with most potent antifungal medicine, such as amphotericin B. One particular species — C. haemulonii — has also proved untreatable in some cases, called clinical failure in medical terminology, say microbiologists. "There are few antifungal medicines available. If the fungi species continue to develop resistance against all available drugs, we might have no option for treatment in the future," said Dr Chand Wattal, the lead author of the study and chairman of the department of microbiology at Ganga Ram Hospital. The study, based on a retrospective analysis of all instances of infection caused by fungi in patients admitted at the hospital between 1999 and 2008, has been published in the latest issue of the Indian Journal of Medical Research (IJMR). It says, "Emergence of amphotericin B resistant C. haemulonii is a matter of concern. This species was first isolated at our hospital in 2006 and its isolation increased significantly so that it became the third most common species in from 2006-2008." (Source: TOI, Feb 4, 2013)

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Sexual Harassment and Punishment Therefore

A person is said to commit sexual harassment upon a child when such person with sexual intent,—

(i) utters any word or makes any sound, or makes any gesture or exhibits any object or part of body with the intention that such word or sound shall be heard, or such gesture or object or part of body shall be seen by the child; or

(ii) Makes a child exhibit his body or any part of his body so as it is seen by such person or any other person; or

(iii) Shows any object to a child in any form or media for pornographic purposes; or

(iv) Repeatedly or constantly follows or watches or contacts a child either directly or through any means; or

(v) Threatens to use, in any form of media, a real or fabricated depiction through electronic, film or digital or any other mode, of any part of the body of the child or the involvement of the child in a sexual act.

Explanation: Whoever commits sexual harassment upon a child shall be punished with imprisonment of either description for a term which may extend to three years and shall also be liable to fine.

For comments and archives

 
    Valvular Heart Disease Update

Progressive fibrocalcific stenosis requiring surgery eventually occurs in over 75 percent of patients with bicuspid aortic valve.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

New drugs, awareness needed for growing population with arterial stiffness and hypertension

An aging population grappling with rising rates of hypertension and other cardiometabolic risk factors should prompt an overhaul of how hypertension is diagnosed and monitored and should spur development of drugs with entirely new mechanisms of action, one expert says. Speaking here at the 2013 International Conference on Prehypertension and Cardiometabolic Syndrome, meeting cochair Dr Reuven Zimlichman (Tel Aviv University, Israel) argued that the definitions of hypertension, as well as the risk-factor tables used to guide treatment, are no longer appropriate for a growing number of patients. (Source: Medscape)

ESC backs transradial as the default access route in PCI

The European Society of Cardiology (ESC) has thrown its weight behind radial-access PCI in a new consensus paper, stating that the radial artery should be the default access route for patients undergoing transcatheter coronary interventions. (Source: Medscape)

Studies back drug to trim double chin

An injectable drug that disrupts fat cell membranes effectively reduced fat deposits under the chin, called submental fat (SMF), in two phase III studies, one of its co-developers said. (Source: Medpage Today)

Selenium supplements 'not justified' for CVD prevention

Taking selenium in the form of supplements does not prevent cardiovascular disease, at least not in well-nourished individuals, and could even slightly increase the risk of type 2 diabetes, a new meta-analysis shows. (Source: Medscape)

Veggies are good for the heart

Vegetarians are less likely to develop ischemic heart disease than those who eat meat, British researchers found. (Source: Medpage Today)

 
    Twitter of the Day

@DrKKAggarwal:Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers http://bit.ly/11NoEBU #Health

@DrKKAggarwal: How do I deal with the loss of a child? Please watch this episode of SPIRITUAL SOLUTIONS http://tinyurl.com/c54l5b7

 
    Spiritual Update

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

Why does our mythology say to omit one food item each day during the month of Magh?

Kalpavas is observed in the month of Magh as one month of disciplined life. Apart from a compulsory early morning sunbath, a person is expected to eat only once in a day and omit one food item every day. One should eat less salt during the full moon Purnima which falls during the Magh month. Purnima is linked with water retention, therefore, eating less salt on any Purnima is recommended. The only answer as to why our

For comments and archives

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How can the damage be fixed?

The surgeon will try to cut the scars between your fallopian tube and ovary. If one or both tubes are completely blocked, your surgeon can attempt to open the tube. Surgery can be done in one of two ways (laparoscopy or laparotomy). Laparoscopy, or minimally invasive surgery, can be performed. During this procedure a very small camera attached to a thin telescope is inserted through a small incision (surgical opening) below your belly button. The surgery is performed during small tools, which can be inserted through other small incisions across your belly. A traditional open procedure, called a laparotomy, also may be used. In this procedure, the surgery is performed through a large incision made in your belly (abdomen).

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

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Multiple red blood cells transfusion

  • Multiple transfusions are repeated transfusions of red blood cells over a long period of time.
  • Patients who receive multiple transfusions are particularly at risk of acute febrile reactions. With experience these can be recognized, so that transfusions are not delayed or stopped unnecessarily.

For comments and archives

 
    An Inspirational Story

The value of time

Imagine there is a bank that credits your account each morning with $86,400. It carries over no balance from day to day. Every evening deletes whatever part of the balance you failed to use during the day. What would you do? Draw out every cent, of course!!!

Each of us has such a bank. Its name is TIME.

Every morning, it credits you with 86,400 seconds. Every night it writes off, as lost, whatever of this you have failed to invest to good purpose. It carries over no balance. It allows no overdraft. Each day it opens a new account for you. Each night it burns the remains of the day. If you fail to use the day’s deposits, the loss is yours.

There is no going back. There is no drawing against the “tomorrow”. You must live in the present on today’s deposits. Invest it so as to get from it the utmost in health, happiness, and success!

The clock is running. Make the most of today.

To realize the value of one year, ask a student who has failed his final exam. To realize the value of one month, ask the parent of a premature baby. To realize the value of one week, ask the editor of a weekly newspaper. To realize the value of one day, ask a daily wage laborer who has a large family to feed.

To realize the value of one hour, ask lovers who are waiting to meet.

To realize the value of one minute, ask a person who has missed the train, the bus, or a plane.

To realize the value of one second, ask a person who has survived an accident.

To realize the value of one millisecond, ask the person who has won a silver medal at the Olympics.

Treasure every moment that you have! And treasure it more because you shared it with someone special, special enough to spend your time. And remember that time waits for no one.

For comments and archives

 
    Cardiology eMedinewS

Stroke: Time is still brain Read More

Beating-heart bypass adds $$ Read More

 
    Pediatric eMedinewS

Pediatric-onset MS linked to obesity Read More

Prenatal inflammation may increase autism risk Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient since 20 years came for a routine check up.
Dr Bad: Get blood sugar done.
Dr Good: Also get your eye check up done.
Lesson: The risk of cataract increases with increasing diabetes duration and severity of hyperglycemia. Data from the Beaver Dam Eye Study, the Blue Mountains Eye Study, and the Visual Impairment Project, have documented associations between diabetes and cataract (Source: Diabetes Care 2008;31:1905–1912).

Make Sure

Situation: A diabetic hypertensive was denied a beta–blocker because of traditional teaching.
Reaction: Oh my God! You should have used nebivolol.
Lesson: Make sure that diabetics are not denied beta–blockers when indicated. Nebivolol has no effect on glucose metabolism unlike atenolol (Source: Am J Hypertens 2005;18 (12, pt. 2):169S–176S).

 
  Quote of the Day (Dr GM Singh)

The happiest people in the world are not those who have no problems, but those who learn to live with things that are less than perfect.

 
    Mind Teaser

Read this…………………

The husband of a client asks the nurse about the protein-restricted diet ordered because of advanced liver disease. What statement by the nurse would best explain the purpose of the diet?

A. “The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system.”
B. “The liver heals better with a high carbohydrates diet rather than protein.”
C. “Most people have too much protein in their diets. The amount of this diet is better for liver healing.”
D. “Because of portal hyperemesis, the blood flows around the liver and ammonia made from protein collects in the brain causing hallucinations.”

Yesterday’s Mind Teaser: What instructions should the client be given before undergoing a paracentesis?

A. NPO 12 hours before procedure
B. Empty bladder before procedure
C. Strict bed rest following procedure
D. Empty bowel before procedure

Answer for yesterday’s Mind Teaser: (B) Empty bladder before procedure

Correct answers received from: Dr. P. C. Das, Dr. Thakor Hitendrsinh G, Dr.(Maj. Gen.) Anil Bairaria, drjella, Prabha Sanghi, Dr.K.V.Sarma, Dr. Bharat Bhushan Aggarwal, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Kanta Jain, Dr Avtar Krishan, Dr.Jayashree Sen & Dr.Bitaan Sen

Answer for 4th February Mind Teaser: A. Sit upright for at least 30 minutes after meals

Correct answers received from: Dr.K.V.Sarma, Dr. P. C. Das, Dr.(Maj. Gen.) Anil Bairaria, Dr. Bharat Bhushan, Aggarwal, Dr Avtar Krishan, Raju Kuppusamy, Dr B K Agarwal

Send your answer to ijcp12@gmail.com

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

Photos of Doctor’s Day Celebration

 
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    Laugh a While (Dr GM Singh)

During their silver anniversary, a wife reminded her husband: Do you remember when you proposed to me, I was so overwhelmed that I didn't talk for an hour?"

The hubby replied: "Yes, honey, that was the happiest hour of my life."

 
    Medicolegal Update

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

What is somatic death?

For many years it was accepted that death occurred if respiration and circulation ceased for more than 10 minutes. Now it is possible to stop the heart and respiration for an hour or longer and restart them again at will by methods such as cooling the whole body to 15°C or 59°F or less. During this period, ECG and EEG show no electrical activity and body looks like a corpse. This leads to the view that it is not the cessation of the respiration or circulation but it is their failure to return that indicates death. Thus we are driven from a positive to negative approach. Therefore, the doctor while taking decision must satisfy himself that not only respiration and circulation have stopped, but their failure has persisted to such a period that under no circumstances it is possible for the person to come to life again.

  • Death is said to have occurred when a final expiration is followed by continuous immobility of the chest, loss of pulse and alteration of the features. These changes indicate that respiration and circulation have been stopped and the brain will stop functioning if it has not been so.
  • Residual heart movement is not of practical importance as they are insufficient to maintain the circulation.
  • Somatic death can be detected by ECG that will stop within minutes.

(Ref: Dr. PC Dikshit Head (MAMC) MD LLB, Textbook of Forensic Medicine, Peepee Publishers)

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Exercise induced asthma in 10% of the society: IJCP

Exercise-induced asthma means narrowing of the airway that occurs with exercise. More than 10% percent of the general population and up to 90% of persons previously diagnosed with asthma, have exercise-induced asthma, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, Editor in Chief IJCP and Vice President-Elect National IMA.

Quoting a study published in the Indian Journal of Clinical practice, Dr Aggarwal said that common symptoms of exercise-induced asthma include coughing, wheezing, and chest tightness with exercise. Many athletes may present only with non-specific symptoms, such as fatigue and impaired performance.

Non drug treatment options include avoiding known triggers, choosing sports with low minute ventilation, warming up before exercising and wearing a heat exchange mask in cold weather.

Short-acting beta2 agonists are recommended first-line agents, although leukotriene receptor antagonists or inhaled corticosteroids with or without long-acting beta2 agonists may be needed in refractory cases.

If symptoms persist despite treatment, alternative diagnoses such as cardiac or other pulmonary etiologies, vocal cord dysfunction, or anxiety should be considered.

 
    Readers Responses

1. Dear Sir, emedinews is very informative. Regards: Dr Rajat

 
    Forthcoming Events

ANNOUNCEMENT

Sri Aurobindo Ashram – Delhi Branch will organize the 6th Study Camp on ‘Mind-Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from June 8-14, 2013. 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 the Mind-Body Medicine Clinic at AIIMS, and the author of Back to Health through Yoga, Eating Wisely and Well and Essays on Yoga. For more details, send an e-mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

 
    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

  DIET BOOK

  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