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

 
  Editorial …

6th March, 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

There is a recent controversy regarding whether Euthanasia should be legalized in India or not. I personally feel that the answer is NO for the following reasons:

  • We, as medical professionals have no right to comment or give an expert opinion that no treatment is available for a particular condition as research is a day–to–day affair. A disease is untreatable only till a cure is not found. There is no disease in the world which one can certainly say that this can never be treated. The only thing one can say is that there is no treatment available for this disease as on today in that particular pathy. As an allopathic doctor also, we should never comment that there is no cure for a disease. We should only say that as on today I do not have cure for this disease in my pathy.
  • India is a God fearing nation. Praying and religion is a part and parcel of society. As per Vedic philosophy and Indian rituals, specifically Garun Puran, no person can get Moksha or liberation if he or she dies prematurely. Euthanasia is premature termination of life and hence will be against the very spiritual principle of Vedantic life.
  • As per both Buddhist and Vedic philosophies, the very purpose of our life is to face the unsettled miseries of our past lives. The very fact, we did not get Moksha in immediate past life means some miseries were left for us to suffer in this life. When the very purpose of life is to suffer, why postpone them to next life by way of Euthanasia. If suffering is part and parcel of our Karma, why not suffer them in this birth only.
  • Euthanasia has to be differentiated from DNR (Do not resuscitate). In Euthanasia, a person is living and is deliberately killed by the medical professionals.
  • The debate about euthanasia should be amongst medical professionals and not in the court of law where both lawyers and judges are not doctors. It is the medical professional who is authorized to appeal that Euthanasia is required. No doctor in this earth will ever recommend Euthanasia for a patient.
  • If you permit Euthanasia, all the researches on such patients will be over. How will advances in medical sciences happen and how will treatment of such incurable disease be available to the society?
  • Do not resuscitate is a legal entity in many parts of the world. It is reasonable to introduce the same in India. It means that if a patient is dying naturally the medical professionals try to postpone his or her death by artificial means and continue life saving measures knowing very well that this patient will survive only for few hours or days. These measures are only justifiable if there is a chance of recovery. In DNR, you are not killing a person but only postponing the death for a period of time.
  • Physician–associated suicide is another term which is legal in some states in US where a patient judges whether to live or not and if he decides to end his life, he goes to a doctor to find out what are the ways he can terminate his life. As suicide is illegal in India, physician–associated suicide will also be illegal and can never be passed.
  • If Euthanasia is permitted in India, it will be heavily misused for personal, political and property disputes. In the disguise of Euthanasia, people who are unconscious or with paralysis with full chances of recovery may be prematurely killed for situations like property settlements etc.
  • If Euthanasia is permitted, people will start appealing that all patients with mental retardation, paralysis, bedridden bedsores etc. should be killed under the purview of mercy killing.
  • The only medical debate which is permissible is for a person who is suffering from terminal cancer and extreme degree of physical pains. In such situations, the terminal care involves giving heavy analgesics, even amounting to giving addictive morphine like injectible drugs to make the death more peaceful. Even in such situations, premature termination of death by giving intravenous injectibles is not and cannot be permitted.

We hope and pray that the Supreme Court of India takes a right decision in this particular case.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

 
  eMedinewS Audio PostCard

  Treating Diabetes Post 2010

Dr Ambrish Mithal speaks on
The unmet need in type 2 diabetes

Audio PostCard
 
  Thought of the Day

(By Dr GM Singh)

A mistake proves that someone stopped talking long enough to do something. Phoenix Flame

 
    Photo Feature (from the HCFI Photo Gallery)

Dr. Sadhna Women Empowerment Awards Distributed

Dr. Sadhna Women Empowerment Awards were presented to women of eminence. Ms. Sarajana Sharma, Zee Network was felicitated with the award on 27th February 2011.

 
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

Government hospitals to screen for birth defects

CHENNAI: Screening for four types of birth defects will be taken up in government hospitals in three districts later this month as part of a public private partnership venture. The tie–up between the National Rural Health Mission, Down Syndrome Association of India, and MediScan will facilitate free tests for women who are unable to afford such tests at PHCs and hospitals in Chennai, Erode, and Coimbatore. Mediscan will provide training and hand-holding support to the personnel in the PHCs, equipped with portable ultrasound scan machines and computers with broadband connectivity. In the first phase, four basic defects will be diagnosed, according to S. Suresh, director, MediScan. These four conditions — skull formation, spina bifida, abdominal wall defects and limb defects — account for about 65–70 per cent of all birth defects, Dr. Suresh explained. Any pregnant woman can go to any of the centres and have the tests done for free. While very few corrections can be made in a foetus, testing will ensure that the parents are not caught by surprise after the baby is born, Dr. Suresh added. The parent can now make an informed choice about going ahead with the pregnancy or terminating it, based on test results. (Source: The Hindu, Mar 03, 2011)

 
    International News

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

Vitamin D status affected by obesity

People who are overweight or obese are more likely to have lower circulating levels of vitamin D and may have trouble with conversion to its hormonally active form, a Norwegian study suggests.
These findings, published in the Journal of Nutrition, may partially explain why carrying extra pounds raises risk of several poor health outcomes linked to low vitamin D. The hormonally active form is critical for maintaining cell health, strong bones, a strong immune system, and a healthy heart and brain. University of Oslo researchers observed almost 1,800 people for six years—about 62 percent obese and 11 percent morbidly obese as indicated by Body Mass Index (BMI)—and found an inverse relationship between higher BMI and serum concentrations of circulating 25(OH)2D and the hormonally active 1,25(OH)2D. A seasonal variation of both vitamin D metabolites in the obese subjects provided clues that excess weight disturbed the complicated conversion (hydroxylation) of the circulating 25(OH)2D to hormonaly active 1,25(OH)2D in the kidneys.The authors suggest that measurement of both serum concentrations, 25(OH)2D to 1,25(OH)2D, in overweight and obese persons may be valuable because of "the reduced bioavailability" of the fat–soluble vitamin that "accumulates in excess body fat and muscular tissue."

(Dr GM Singh)

Atrial fibrillation – Key Points

  • Atrial fibrillation (AF) is the most common cardiovascular rhythm disorder, and its worldwide prevalence is rapidly increasing owing to aging of the population
  • AF is a leading cause of morbidity and mortality; serious complications associated with this disorder include cardioembolic stroke and heart failure
  • Erratic electrical impulses from pulmonary venous cardiomyocytes initiate paroxysmal AF, and ablation of the venous foci is the recommended curative therapy for drug–refractory AF
  • Further research is needed to understand why pulmonary veins generate impulses that induce AF, which will allow the development of drugs that act on these triggers to prevent undue firing
  • Developing drugs with targets upstream in the disease process and the use of novel noninvasive diagnostic tools, such as body surface mapping and cardiac MRI, could help to ameliorate AF
  • Intrinsic and extrinsic stressors cause widespread and progressive remodeling of the atrial tissue, giving rise to persistent AF; early initiation of therapy is necessary to prevent the progression of AF.

(Dr Monica and Brahm Vasudev)

Data mixed on HIV drug’s MI risk

The FDA said it could not confirm initial reports that the HIV drug abacavir (Ziagen, Trizivir, Epzicom) raises the risk of myocardial infarction. FDA conducted a meta-analysis of 26 randomized clinical trials that evaluated abacavir. This meta–analysis did not show an increased risk of MI associated with the use of abacavir. Nor did the antiretroviral drug’s manufacturer, ViiV, find excess MI rates in its safety database. But, the FDA noted, an increased risk of (MI) has been seen in several observational studies and one randomized controlled trial with abacavir. (Mepage)

FDA okays COPD maintenance drug

The FDA has approved the phosphodiesterase–4 inhibitor roflumilast (Daliresp) to prevent COPD exacerbations, despite a negative advisory panel vote last year. Last April, the FDA’s Pulmonary–Allergy Drugs Advisory Committee voted 10–5 that the drug’s modest benefits failed to outweigh its side effects. Among patients taking roflumilast in clinical trials, 14% discontinued the drug because of problems that included weight loss, psychiatric events including suicide, and the potential for cancer. Diarrhea and nausea were the leading causes of discontinuation. (Mepage)

Reducing red meat consumption may lower risk for bowel, other cancers

UK government experts say people should eat no more than one pound of red meat a week, or 2.5 ounces every day, significantly less than it previously recommended.

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation, banerjee.kaberi@gmail.com)

What are the complementary and alternative treatments for infertility?

Complementary or alternative female infertility treatments have been scientifically tested, with results published in peer–reviewed medical journals. A 2000 Harvard Medical School study examined the effects of group psychological intervention on infertile women (trying to conceive duration of one to two years). The two intervention groups—a support group and a cognitive behavior group—had statistically significant higher pregnancy rates than the control group.

 
    Hepatology Update

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

What is the cause of UGI bleed in children?

In children, the common causes of UGI bleed are:

  • Mallory–Weiss tear
  • Acid peptic disease
  • Varices
  • Stress ulcer/gastritis
  • Caustic injury
  • Foreign body
  • Vasculitis
  • Crohn’s disease
  • Intestinal obstruction
  • Haemobilia
  • Pancreatic pseudoaneurysm
 
    Medicolegal Update

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

The Delaware State Supreme Court ruling

Physician is not a warrantor of cure or of accurate diagnosis

  • It is not enough…for the plaintiff to show that some other physician would personally have acted any differently than the defendant…or that there is an approach which would be better than that used by the defendant, if nevertheless the approach used by the defendant is regarded...as an acceptable approach…No inference of malpractice arises from the mere fact that there was an undesirable result. Malpractice is never presumed. The law does not make a physician an insurer of the best result of his treatment.
  • The Michigan Supreme Court expressed similar sentiments and emphasized that not all mistakes constitute negligence
  • One’s treating physician is not a warrantor of cure or of accurate diagnosis. He is responsible in damages for unfortunate results when and only when it is shown…that he has departed from that standard of care which is known as customary medical practice…Using the benefit of hindsight,
  • The defendant–physician made one of those occasional mistakes which even the most skilled of professional men do make as they proceed with the trial–and–error work they have chosen. Such a mistake is not actionable in the medical field unless it is shown…that the acts or omissions of accused doctor were contrary to customary medical practice.
 
    Legal Question of the Day

(Dr M C Gupta, Advocate)

Q: Which states have Acts meant for protection of doctors?

Ans. To my knowledge, the following states already have it:

  • Andhra Pradesh Medicare Service Persons and Medicare Service Institutions (Prevention of Violence and damage to property) Act, 2008.
  • Delhi Medicare Service Personnel and Medicare Service Institutions (Prevention of Violence and Damage to Property) Act, 2008 (Act 8 of 2008) http://www.bqlubmedilaw.com/pdf/Delhi%20%28Violence%29%20Act.pdf
  • Haryana Medicare Service Persons and Medicate Service Institutions (Prevention of Violence and Damage to Property) Act, 2009.
    • It is an Act to prohibit violence against medicare service persons and damage to property in medical institutions. It provides that anyone who endangers the life of or causes any harm, injury, penalty, intimidation, obstruction or hindrance to any medicare service person in the discharge of duty or damage to any property in medicare service institution would be committing an act of violence which would be an offence. The punishment would be imprisonment for a period of three years and a penalty of the actual cost of the damaged equipment and premises. The amount will be recoverable from the offender.
  • The Maharashtra Medicare Service Persons and Medicare Service Institutions (Prevention of Violence and Damage or Loss to Property) Ordnance, 2009.
  • Orissa Medicare Service Persons and Medicare Service Institutions (Prevention of Violence and Damage to Property) Act, 2008.
  • The Punjab Protection of Medicare Service Persons and Medicare Services Institutions (Prevention of Violence and Damage to Property) Act, 2008
  • The Rajasthan Medicare Service Persons and Medicare Service Institutions (Prevention of Violence and Damage to Property) Ordinance, 2008.
  • Tamil Nadu Medicare Service Persons and Medicare Service Institutions (Prevention of Violence and Damage or Loss to Property) Act, 2008.
 
    Obesity Update

Dr. Parveen Bhatia and Dr Rama Lakshmi

Childhood Obesity

Prevention of Childhood Obesity: What can parents do?

Some factors that influence early childhood obesity begin during pregnancy. We know that pre–pregnant weight, excessive weight gain during pregnancy, tobacco use during pregnancy, and diabetes during pregnancy, all contribute to early childhood obesity.

During pregnancy

  • Babies whose mothers smoked during pregnancy are at risk of becoming obese, even though the babies are usually small at birth. Counsel against excessive smoking during pregnancy.
  • If the woman is overweight, encourage her to lose weight before pregnancy rather than after, to cut the risk of obesity and diabetes in their children;
  • Siblings born after the mother developed type 2 diabetes had a higher body mass index throughout childhood and were almost four times as likely to develop diabetes as siblings born before the diagnosis. Keeping blood sugar under control throughout pregnancy has a role in preventing macrosomia and later development of childhood obesity. The intrauterine environment of a woman with diabetes over nourishes the fetus, and may reset the offspring’s satiety set point, and make them predisposed to eat more.
 
    Useful Website

(Dr Surendernikhil Gupta)

KidSurvival

Africa 2010 In Retrospect

http://www.childsurvival.net/?content=com_articles&artid=321

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Adrenocorticotropic Hormone (ACTH)

This test measures adrenocorticotropic hormone (ACTH) level in the blood to check for problems with the pituitary gland or the adrenal glands. ACTH level is normally highest in the early morning and lowest in the evening. ACTH is released in bursts, and consequently its levels in the blood can vary from minute to minute.

High ACTH levels may be caused by:

  • Emotional or physical stress.
  • Addison’s disease, Cushing’s disease, or a tumor in the adrenal glands or the pituitary gland.

Low ACTH levels may be caused by:

  • Damage to the pituitary gland.
  • An increased amount of cortisol from a tumor in the adrenal glands (Cushing’s syndrome).
ijcpgroup
ijcpgroup
emedinews
nuspera
IJCP
Docconnect
Docconnect
Docconnect
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

 
    Medi Finance Update

BDO Budget Snapshot 2011–12
(Saurabh Aggarwal)

Proposed Direct Tax Amendments In Brief

Minimum Alternate Tax (MAT) and Dividend Distribution Tax (DDT)

  • MAT rate proposed to be increased to 18.5% on book profits.
  • Proposed to introduce sunset clause in the existing MAT exemption in the case of SEZ Developers and units in SEZ. MAT to be applicable to such units w.e.f AY 2012–13.
  • MAT made applicable to Limited Liability Partnerships. Set off of MAT tax available against tax payable under normal provisions subject to certain conditions.
  • Proposal to discontinue exemption from DDT in the case of SEZ Developers and units in SEZ w.e.f 01.06.2011.
 
    Drug Update

List of approved drug from 01.01..2010 to 31.8.2010

Drug Name

Indication

DCI Approval Date

S(–)Metoprolol 25mg/50mg (ER) + Atorvastatin (IR)10mg tablets

For the treatment of patients with both essential hypertension and hypercholesterolemia

04/01/2010

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Treatment of acute flares in gouty arthritis

Canakinumab 150 mg provides rapid and sustained pain relief in patients with acute gouty arthritis, and significantly reduces the risk of recurrent flares compared with triamcinolone acetonide.

(Ref: So A, et al. Canakinumab for the treatment of acute flares in difficult–to–treat gouty arthritis: Results of a multicenter, phase II, dose–ranging study. Arthritis Rheum 2010 Oct;62(10):3064–76.

 
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant diabetic came with A1c 7%.
Dr Bad: Very good control.
Dr Good: You need further control.
Lesson: The A1C goal is <6% for individual patients with type 1 diabetes and during pregnancy.

Make Sure

Situation: A female patient C/O lower abdominal pain, fever and had uterine tenderness on bimanual palpation.
Reaction: You should do cervical swabs and consider starting antibiotics.
Lesson: Make Sure that a woman with such symptoms may have endometritis, requires prompt diagnosis and may respond to doxycycline and metronidazole.

Myths and Facts
(Dr. Narendra Kumar)

Myth: Once the child starts wearing spectacles, its number increases gradually.

Fact: Myopia increases with the development of the child, and whether or not spectacles are worn the spectacle–number usually increases. It’s, thus, foolish to force the child to indulge in excessive eye–strain in order to see distant objects clearly. Myopic correction is mostly for constant use (in order to see clearly in distance as also to maintain the normal working distance in near). The child is encouraged to take part in outdoor activities (and not to indulge in near vision tasks all the time).

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr GM Singh)

The Emperor and the Seed

An emperor in the Far East was growing old and he knew it was coming time to choose his successor. Instead of choosing one of his assistants or one of his own children, he decided to do something different. He called all the young people in the kingdom one day. He said, "Time has come for me to step down and to choose the next emperor. I have decided to choose one of you." The kids were shocked! But the emperor continued.

"I am going to give each one of you a seed today. It is a very special seed. I want you to go home, plant the seed, water it and come back here one year from today with what you have grown from this one seed. I will then judge the plants that you bring to me, and the one I choose will be the next emperor of the kingdom!"

A boy named Ling was there that day and he, like the others, received a seed. His mother helped him get a pot and some planting soil. He planted the seed and watered it carefully. Every day he would water it and watch to see if it had grown. After about three weeks, some of the other youths began to talk about their seeds and the plants that were beginning to grow. Ling kept checking his seed, but nothing ever grew. Weeks went by… still nothing. By now others were talking about their plants but Ling didn’t have a plant, and he felt like a failure. Six months went by, still nothing in Ling’s pot. He just knew he had killed his seed. Everyone else had trees and tall plants, but he had nothing.

Ling didn’t say anything to his friends, however. He just kept waiting for his seed to grow. A year finally went by and all the youths of the kingdom brought their plants to the emperor for inspection. Ling told his mother that he wasn’t going to take an empty pot. But she encouraged him to go, and to take his pot, and to be honest about what happened. Ling felt sick to his stomach, but he knew his mother was right. He took his empty pot to the palace. When Ling arrived, he was amazed at the variety of plants grown by all the other youths. They were beautiful, in all shapes and sizes. Ling put his empty pot on the floor and many of the other kids laughed at him. A sfew felt sorry for him and just said, "Hey nice try."

When the emperor arrived, he surveyed the room and greeted the young people. Ling just tried to hide in the back. "My, what great plants, trees and flowers you have grown," said the emperor. "Today, one of you will be appointed the next emperor!" All of a sudden, the emperor spotted Ling at the back of the room with his empty pot. He ordered his guards to bring him to the front. Ling was terrified. "The emperor knows I’m a failure! Maybe he will have me killed!" When Ling got to the front, the Emperor asked his name. "My name is Ling," he replied. All the kids were laughing and making fun of him.

The emperor asked everyone to quiet down. He looked at Ling, and then announced to the crowd, "Behold your new emperor! His name is Ling!" Ling couldn’t believe it. Ling couldn’t even grow his seed. How could he be the new emperor? Then the emperor said, "One year ago, I gave everyone here a seed. I told you to take the seed, plant it, water it, and bring it back to me today. But I gave you all boiled seeds which would not grow. All of you, except Ling, have brought me trees and plants and flowers. When you found that the seed would not grow, you substituted another seed for the one I gave you. Ling was the only one with the courage and honesty to bring me a pot with my seed in it. Therefore, he is the one who will be the new emperor!"

— — — — — — — — — —

Mind Teaser

Read this   ………………… 

buckDROPet

Yesterday’s Mind Teaser: Head
                                     LOheelsVE
                                    

Answer for yesterday’s Mind Teaser:
Head over heels in love

Correct answers received from: Dr Riyazul Qamar Khan, Dr KP Rajalakshmi, Dr Sudipto Samaddar, Dr Maneesh Gupta, Dr Rashmi Chhibber, Dr K.Raju, Dr Anil Bairaria, Dr Neelam Nath, Dr Vinay Sakhuja, Dr K V Sarma, Dr Anil Vaid, Dr T. Samraj, Dr Satyoban Ghosh

Answer for 4th March Mind Teaser: Ice cube
Correct answers received from: Dr Anita Rajorhia, Dr Sudipto Samaddar, Dr A K Gupta, Dr, Anupam Sethi Malhotra, Dr Rajshree Aggarwal, Dr Prabha Sanghi, Dr U Gaur

Send your answer to ijcp12@gmail.com

— — — — — — — — — —

Laugh a While
(Contributed by Dr G M Singh)

A Letter from school

Dear Dad, $chool i$ really great. I am making lot$ of friend$ and $tudying hard. With all my $tuff, I $imply can’t think of anything I need, $o if you like, you can ju$t $end me a card, a$ I would love to hear from you. Love,Your $on.

A week later…the response from Dad arrived: Dear Son, I kNOw that astroNOmy, ecoNOmics and oceaNOgraghy are eNOugh to keep even an hoNOr student busy. Do NOt forget that the pursuit of kNOwledge is a NOble task and you can never study eNOugh. Love, Dad.

— — — — — — — — — —

Continuing Ed for Doctors described in Bollywood songs……
(Dr Dolly Aggarwal)

Juda hoke bhi tu mujhme kahi baki hai: Constipation

 
    Readers Responses
  1. Dear Dr K K Aggrawal, Great metaphysical explanation of Mahashivratri, Cosmic energy personified as Lord Shiva. Thanks: Dr B K Singh.
 
    Public Forum

(Press Release for use by the newspapers )

ED in younger men may mean future heart blockages

Young men with erectile dysfunction (ED) may be ideal candidates for cardiovascular risk factor screening and medical intervention, like high blood pressure, excess pounds and high cholesterol and take measures to control them, said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India.

A study published in Mayo Clinic Proceedings by Dr. Jennifer St. Sauver has shown that men who develop ED in their 40s have an increased risk of heart disease and ED that arises later in life is not a strong predictor of heart trouble.

The study involving 1,400 men initially free of heart disease, found that those with ED were 80 percent more likely to develop coronary heart disease over the next decade –– even with other risk factors, such as diabetes, obesity and high blood pressure, taken into account. But the effects of ED appeared strongest among men who developed the condition in their 40s. They had twice the risk of heart disease as men their age without ED.

ED alone seemed to have little power to predict heart disease in men in their 50s and 60s, and there was no link between ED and higher heart risks in men in their 70s. In older men, erectile dysfunction is of less prognostic importance for development of future heart disease.

ED occurs when there is impaired blood flow to the male organ. Widespread problems in the arteries may first become apparent in the smaller vessels supplying the male organ –– before blockages in the larger coronary arteries manifest.

In younger men, ED may be an early manifestation of a progressive systemic (vascular disease), preceding the development of coronary disease by decades.

 
    eMedinewS Special

1. eMedinewS audio lectures

2. eMedinewS ebooks

 
    Forthcoming Events

ICC Cricket World Cup 2011

http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

6th Annual Conference of Indian Academy of Nephrology (IANCON–2011)

March 12–13, 2011: Taj Deccan, Banjara Hills, Hyderabad–34
Faculty: Dr MS Amarsen, Dr KV Jhony, Dr SC Dash, Dr Kashivishweswaran, Dr V Sakhuja, Dr RK Sharma, Dr Girishnarayan, Dr Anuradha, Dr SK Agarwal, Dr P Sundarajan, Dr P Keshivya, Dr Ravi Raju, Dr Dilip Pahari, Dr LC Sharma, Dr Sanjeev Saxena, Dr Sanjay Gupta, Dr Abhijit Tarapdhar, Dr PP Verma, Dr Harun Rashid, Dr Sampath Kumar, Dr Sanjib Sharma, Dr S Padmanabhan.
Topics: CKD Symposium (From India, Nepal, Bangladesh), Newer concepts in the pathogenesis of hypertension, Fluid and Electrolyte & AKI, RAAS in treatment of Diabetic Nephropathy, Primary Prevention of CKD: Trials & tribulation in Indian condition, Vitamin–D andchronic kidney disease, Mycophenolate Vs Cyclyophosphamide in Lupus nephritis, Individual zinganemia therapy, How to monitor Immunosuppression minimization, Obesity Diabetes epidemic, Life Style changes & therapeutics, BKV and CMV Nephropathy, Leptospira and Acute Kidney Injury, HIV Nephropathy, Hypophosphatemia and Renal Disease, Immunosuppressant and risk of Malignancy, Pregnancy ARF, Expanding Dialysis services in Andhra Pradesh, Making kidney transplant easier for less privileged, Cardiovascular risk reduction in CKD
Organizing Secretary: Dr Sree Bhushan Raju, Associate Professor, Dept of Nephrology, NIMS, Hyderabad, Mob: 09848492951, sreebhushan@hotmail.com; www.ian2011.in
Note: "Prof SC Dash oration in Nephrology" from this year onwards. Three awards each in oral, poster and imaging in Nephrology sessions

Registration for Delegates Amount
Up to 15th February 2011
 
Rs. 1500/–
Up to 5th March 2011
Rs. 2000/–
Spot registration
Rs. 2500/–
Student
Rs. 500/–

DD/Cheque in favor of "IANCON–2011" payable at Hyderabad. Add Rs 100/– for outstation cheque.

CME on Pediatric Hepatology – 2011

In Association with Gastroenterology Chapter of IAP

Date: March 26–27, 2011; Venue: 2nd Floor, Auditorium, Medanta – The Medicity, Sector 38, Delhi NCR, Gurgaon – 122001, Haryana

Organizing Chairperson: Dr Neelam Mohan, Director, Department of Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity

No registration fee. Prior registration is must

For More information please contact:
Dr Sakshi Karkra – 09971018789
Dr Avinal Kalra – 09717840850
Dr Mahinder S Dhaliwal – 09999669415
Ms Karuna – 09899996682

For detailed scientific program, click

eMedinewS Events: Register at emedinews@gmail.com

Medifinance Conference On Portfolio Management for Doctors and update on Budget 2011

Date: 13th March 2011, Time: 9 Am – 4 Pm

Venue: Auditorium, Delhi TB Association, 9 Institutional Area, Lodhi Road, New Delhi 110003

Speakers: Dr Subhash Lakhotia and other top of line from finance sector. The speakers to be chosen from the industry will be experts in each field to be covered in this conference

Separate sessions for portfolio management, insurance, mediclaim, banking sector, investments primary market, secondary market, taxation, loans for setting up hospitals, nursing homes, labs, etc. all under one roof.

No entry fee, the number of participants will be limited to 100 on first cum first serve basis. advance registration by mail to hcfi.1986@gmail.com/drkk@ijcp.com or by phone on 9899974439/9873716235.

World Fellowships of Religions and Perfect Health Parade

First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011;Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM

Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.

Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm.

Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com

Share eMedinewS

If you like eMedinewS you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.