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 (March 10-13); 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 …

eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

6th May 2013, Monday

Vegetables & fruits lower chances of getting some cancers

Vegetables and fruits help lower your chances of getting head, neck, breast, ovarian and pancreatic cancers. Even one additional serving of vegetables or fruits could help lower the risk of head and neck cancer. The more fruits and vegetables you can consume, the better.

An International Study from National Cancer Institute said that those who eat six servings of fruits and vegetables per 1,000 calories have a 29% decreased risk relative to those who have 1.5 servings. In the study, after adjusting the data to account for smoking and alcohol use – known head and neck cancer risk factors – the researches found that those who consumed the most fruits and vegetables had the lowest risk for head and neck cancers. Vegetables appeared to offer more cancer prevention than fruits alone did. Adding just one serving of fruit or vegetables per each 1000 calories consumed daily resulted in a 6% reduction of risk.

In another study, broccoli and soy protein were found to protect against the more aggressive breast and ovarian cancers. When consumed together, digesting broccoli and soy forms a compound called di-indolylmethane (DIM). In lab experiments, the researchers found that DIM could affect the motility of breast and ovarian cancer cells, which could help keep cancers from spreading. Soy, acts like estrogen and is a nutritious, healthy food, and should be eaten in moderation.

Yet another study compared intake of flavonols to their risk of pancreatic cancer. Flavonols are protective compounds found in fruits and vegetables, such as onions, apples, berries, kale and broccoli. Those who had the highest consumption of flavonols reduced their risk of pancreatic cancer by 23%. The benefit was even greater for people who smoked. Smokers with high levels of flavonols reduced their risk of pancreatic cancer by 59%.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

AHA - ACS update

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2013

Heart Care Foundation of India and World Fellowship of Religions in association with Ministry of Earth Sciences Govt. of India and Delhi Public School Mathura Road observed World Earth Day 2013.

 
Dr K K Aggarwal
    National News

Cabinet approves health plan for urban poor

The cabinet Wednesday approved a scheme to provide healthcare to the urban poor under the over-arching National Health Mission (NHM), official sources said. According to officials, under the National Urban Health Mission (NUHM), the government plans to set up various facilities at an outlay of Rs.22,507 crore for five years. These include one urban primary health centre for every 50,000-60,000 people, one urban community health centre for five to six areas in big cities, one auxiliary nursing midwives' centre for a population of 10,000, and one Accredited Social Health Activist ASHA (community link worker) for 200 to 500 households. Of the total outlay, the central government's share will be Rs.16,955 crore. Centre-state funding share for the scheme will be on 75:25 ratio except for northeastern states and other special category states of Jammu and Kashmir, Himachal Pradesh and Uttarakhand. For these which the funding pattern will be 90:10. The scheme will be implemented in 779 cities and towns that have a population of over 50,000. It will cover about 7.75 crore people, said officials. It will help reduce the infant mortality rate, maternal mortality ratio and will provide universal access to reproductive healthcare and convergence of all health-related interventions. (Source: The Pioneer, 1 May 2013)

For comments and archives

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

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/)

The Medico-Legal Report should be submitted to the Investigating Officer within 48-72 hours of conducting the examination.

    Valvular Heart Disease Update

What are the most common causes of significant mitral regurgitation in the elderly?

The causes are mitral valve prolapse and ischemic heart disease. Surgery for severe chronic mitral regurgitation is recommended for young asymptomatic patients with early evidence of left ventricular dysfunction but the same is not indicated in patients over age 80 to proceed with surgery unless symptomatic.

(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)

Unworn teeth are less resistant to noncarious lesions

Modern lifestyles have made teeth more vulnerable to noncarious cervical lesions because reduced wear has changed their biomechanics, a new study suggests. (Source: Medscape)

For comments and archives

Prediabetes signals CAD risk

Individuals with impaired fasting glucose levels – often called prediabetics – appear to have similar cardiovascular risk factors as patients with diabetes, researchers reported at the annual meeting of the American Association of Clinical Endocrinologists. (Source: Medpage Today)

For comments and archives

Heart health, cognition tied at all ages

A poorer cardiovascular risk profile correlates with poorer cognitive function, even among young adults, a population-based study showed. (Source: Medpage Today)

For comments and archives

Aspiration pneumonia risks premature death in Alzheimer's

The risk of dying of aspiration pneumonia among people with Alzheimer's disease and related dementias (ADRD) is higher for men than women and, in the United States, is higher for younger elderly compared with those 85 years or older, according to a survey of death certificates. (Source: Medscape)

For comments and archives

DHEAS may predict stroke outcome

Testing dehydroepiandrosterone-sulfate (DHEAS) and other measures of adrenal function may have value in predicting outcomes following acute ischemic stroke, a new study found. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Why in hypothermia the body can be revived even after hours of death? Dr. K K Aggarwal It is well known (cont) http://tl.gd/n_1rk40oc

@DrKKAggarwal: How do you keep your creativity alive as you progress further into adulthood? http://tinyurl.com/cewr5w5 #TheRabbitHole

 
    Spiritual Update

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

What do you mean by ‘food is Brahman’?

‘Food is Brahman’ is a Vedic Upanishad and Bhagavad Gita saying.

Brahma is consciousness, therefore, food is consciousness. Though the traditional Vedic teaching has been that consciousness is present in everything and yet only food is considered Brahman.

For comments and archives

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

What is the outcome of an ectopic pregnancy?

There is an increased chance of being infertile after an ectopic pregnancy. In addition, the chance of having another ectopic pregnancy is increased. Since an ectopic pregnancy is often due to pre-existing tubal disease and these patients are at an increased risk for infertility, many physicians may consider further evaluation in those women who want a future pregnancy. Physicians may recommend that women who have had multiple recurrent ectopic pregnancies undergo in vitro fertilization (IVF).

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

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

Blood Donation - Gift of Liquid Love

The discovery of post transfusion Hepatitis in 1968 led to the mandatory testing of blood for Hepatitis B antigen (HbsAg).

 
    An Inspirational Story

Help others win

A few years ago at the Seattle Special Olympics, nine contestants, all physically or mentally disabled, assembled at the starting line for the 100 yard dash. At the gun, they all started out, not exactly in a dash, but with a relish to run the race to the finish and win. All, that is, except one boy who stumbled on the asphalt, tumbled over a couple of times and began to cry.

The other eight heard the boy. They slowed down and looked back. They all turned around and went back. Every one of them. One girl with Down’s syndrome bent down and kissed him and said, “This will make it better.” All nine linked arms and walked across the finish line together. Everyone in the stadium stood, and the cheering went on for several minutes.

For comments and archives

 
  Cardiology eMedinewS

MCI asks CBI to probe into medical seats for sale sting operation
Read More

 
  Pediatric eMedinewS

One of every five Indian kids acutely malnourished: Krishna Tirath
Read More

 
    Rabies Update

(Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

Can all available anti-rabies vaccines be used by intradermal route?

Not all vaccines produced in India are at present fit for intradermal usage. The following vaccines have been approved by DCGI for use by intradermal route.

  • Purified chick embryo cell vaccine (PCEC) - Rabipur and Vaxirab-N.
  • PVRV (Purified verocell rabies vaccine) – Verorab-vial of 0.5 ml,
  • PVRV – Abhayrab – vial of 0.5 ml., Human Biological Institute
  • PVRV – Indirab, vial of 0.5 ml/1.0 ml. Bharath Biotech, Hyderabad.

PDEV (Vaxirab) and HDCV (Rabivax) are approved for IM use only and not for IDRV.

Rabies vaccines formulated with an adjuvant should not be administered intradermally.

 
    Legal Question of the Day (Dr MC Gupta)

Q. What is the medicolegal responsibility of the hospital management when a medicolegal patient from a foreign country dies? What should be done if the relatives do not take away the body? What are the requirements for embalming of the body?

Ans.

  1. If it is a medico-legal case, it is obvious that the police would already be in the picture. If such a patient, whether an Indian or foreigner, dies, it is for the police to take further action. The role of the hospital would be to shift the body to the mortuary till the police takes action. It is not the headache of the hospital to worry about how to dispose of the body if relatives do not come forward to claim it.
  2. Hospital forensic medicine department and the hospital advocate should be kept involved. They might, in specific circumstances, advise the hospital administrator to inform the concerned government authorities (Health Directorate; Ministry). The hospital has no responsibility for embalming the body unless requested to do against payment.
 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever and low TSH had ESR > 100.
Dr Bad: It’s TB.
Dr Good: This is thyroiditis.
Lesson: Thyroiditis typically has very high ESR and low TSH.

Make Sure

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 suggest that this intervention is much better than thrombolytic therapy in such patients.

 
  Quote of the Day (Dr GM Singh)

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

 
    Mind Teaser

Read this…………………

A male client in the short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing post procedure care, the nurse should:

a. Keep the client’s knee on the affected side bent for 6 hours.
b. Apply pressure to the puncture site for 30 minutes.
c. Check the client’s pedal pulses frequently.
d. Remove the dressing on the puncture site after vital signs stabilize.

Yesterday’s Mind Teaser: A male client is scheduled for a renal clearance test. Nurse Maureen should explain that this test is done to assess the kidneys’ ability to remove a substance from the plasma in:

a. 1 minute
b. 30 minutes
c. 1 hour
d. 24 hours

Answer for yesterday’s Mind Teaser: b. 30 minutes

Correct answers received from:  Dr. B.B. Gupta,  Dr U Gaur, Dr.(Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, Dr.Jayashree Sen & Dr.Bitaan Sen, Dr Chandresh   Jardosh, Muthumperumal Thirumalpillai, Dr.K.Raju, Dr Jainendra Upadhyay, Dr. Thakor Hitendrsinh G, Dr Avtar Krishan, Dr Kanta jain, Dr B K Agarwal, DR P K SAHU, Dr.Mohit Sharma

Answer for 4th May Mind Teaser: b. Urine pH of 3.0

Correct answers received from:
Dr P K Sahu, Dr Avtar Krishan, Dr Vineeta Pande, Dr. U Gaur

Send your answer to ijcp12@gmail.com

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

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    Laugh a While (Dr GM Singh)

Benefits of exercise

  • If walking/cycling is good for your health, the postman would be immortal.
  • A whale swims all day, only eats fish, drinks water and is fat.
  • A rabbit runs and hops and only lives 15 years.
  • A tortoise doesn’t run, does nothing … yet lives for 450 years.
 
    Medicolegal Update

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

Medical Testimony of Doctor in the Court of law

A doctor should not be dogmatic about his opinion, and lawyers also should not expect him to be so. He should be reasonable in his opinions and should not overstate the likelihood of a relationship between cause and effect. The doctor should be ready to defend every finding and conclusion on the report on clinical and scientific grounds in the court of law. He should be aware of professional and scientific viewpoints which might differ from his, and should be familiar with the latest scientific literature in relation to the subject involved. For the purpose of illustrating and clarifying his testimony in the court of law, the medical expert may employ photographs, maps, diagrams, charts, X–rays, skeletons, models, slides, films, tapes, etc., when they are properly verified. The doctor should avoid talking too much, talking too soon, and talking to the wrong persons. Prejudicial and sensational statements should not be made prior to trial. Courts of law are open to the public and the junior doctors should attend the Courts, where they can follow the proceedings, hear the evidence given by their senior medical colleague as a witness, to familiarize themselves with the procedures of the court of law.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Diesel bad for the Heart

Diesel exhaust particles contain a chemical component called phenanthraquinone (PQ) that can harm the ability of arteries to regulate blood flow to bone marrow. This can have a number of long–term health effects, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

Men, postmenopausal women, and elderly people are most likely to be affected. The doctors at West Virginia University School of Medicine conducted tests with rats. They found that exposure to PQ reduced by about 65 percent the ability of arteries to regulate blood flow to bone marrow in six– month–old male rats. PQ had a similar effect in older male and female rats and in young female rats whose ovaries had been removed.

Because young female rats with intact ovaries were not affected, it appears that estrogen may provide protective effects against PQ.

Previous research has found that PQ impaired the ability of larger blood vessels to relax and that exposure to particle pollution may worsen cardiovascular diseases in certain people.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 47982 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

 
    Readers Response
  1. Before sports, children need to be screened for the heart I would suggest- sleep apnea should also be ruled out. Dr.S.Ramnathan Iyer
 
    Forthcoming Events
Dr K K Aggarwal
 
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