emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & 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 9 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 …

7th January 2013, Monday

National IMA (membership 2.2 lacs) and eMedinewS (readership 1 lac) recommendations to Justice Verma

1. The word penis should not be used (use male sex organs) anywhere in the law

2. The work vagina, labia majora should not be used anywhere in the law (Female sex organs)

3. Under the influence of alcohol and drugs the punishment should be different and treatment added. For rarest of the rare case death sentence can be added. People with abnormal sexual urges should be treated. 

4. We must sensitize the parents, teachers and schools to identify red flag signals of an abnormal personality trait in children (present in up to 10% of children) so that they do not indulge in sexual offences later

5. Chemical castration is not acceptable to medical profession, is not safe, not health friendly is temporary and lead to corruption

6. Medical profession should help training all policemen in CPR and first aid

7. Every PCR van should be a mini ambulance also. One can post a paramedic in it for RTA and assault cases

8. Private hospital should be allowed to examine rape victims and guidelines should be pasted in every Emergency room

9. We need to define, issuing of medical bulletin, guidelines

10. Transfer to other country there should be a clear cut national policy and decide by a panel of treating doctors in consultation with Govt. health officials

11. Sick RTA or assaulted patients should b shifted to a nearby hospital (govt. or private) so that medical services are available within ten minutes and stabilized within one hour.

12. Forensic examination lab should be strengthened and should give results in time bound manner.

13. Most sexual assault cases occur in slum areas. Efforts should be made to create awareness in these areas

14. All accused should be compulsorily be tested for sexually transmissible illnesses and victims be considered for STI, HIV and pregnancy prevention treatments

15. All health care professionals to have compulsorily short term training in counselling, empathy, communication, etiquette as part of medical education.

Drafted by Dr KK Aggarwal for National IMA and eMedinews based on proceedings of a seminar organised by IMA and inaugurated by National President IMA, Dr K Vijaykumar.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

When should enemas be used in a patient with constipation?

Enemas (tap water, sodium phosphate, soapsuds) should be used only as needed for constipation in the older adult, i.e., after several days of constipation in order to prevent fecal impaction. Adverse effects can include fluid and electrolyte abnormalities with phosphate enemas and rectal mucosal damage with soapsuds enemas. In elderly patients, sodium phosphate enemas should not be used for the treatment of constipation as they may lead to severe metabolic disorders associated with a high mortality and morbidity (Ori Y, et al. Fatalities and severe metabolic disorders associated with the use of sodium phosphate enemas: a single center’s experience. Arch Intern Med 2012 Feb 13;172(3):263–5).

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

ACE inhibitors better ARBs in new meta–analysis in hypertensives

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Large number of students took active participation in the 19th MTNL Perfect Health Mela

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

National Pharmaceutical Pricing Authority notifies ceiling prices of 33 drugs

The National Pharmaceutical Pricing Authority (NPPA) has notified the ceiling prices of 33 drugs as per the new pharmaceutical pricing policy. The notification, NPPA officials say, will have only marginal impact on the prices of most of the drugs —1-2 per cent at the most — the only exception being formulations on glipizide, an oral anti-diabetic drug whose prices are likely to reduce by 20 per cent or more. For monocomponent human insulin, prednisolone acetate ophthalmic (a drop used to treat eye allergies) and ozurdex implant (also used in some eye conditions), all imported items, there would be no change in prices. (Source: Indian Express, Jan 04 2013)

SC commutes death penalty for man who brutally killed 65-year-old woman, raped and stabbed pregnant granddaughter-in-law

Three days before the brutal gang-rape of Nirbhaya, the Supreme Court commuted a death sentence to life for a 23-year-old man who killed a 65-year-old woman and raped her pregnant 25-year-old granddaughter-in-law in an upscale Pune neighbourhood in September 2007.

The convict, Sandesh Abhang, had stabbed the old woman 21 times, severed four fingers of one hand and chopped off the other wrist. He then raped her granddaughter-in-law, stabbed her 19 times, including in her neck, and left believing her to be dead. He later boasted to his friends that he had killed two women and was not afraid of anyone. The woman was five-month pregnant and gave birth to her child later.

The SC bench of Justices Swatantar Kumar and Madan Lokur observed that though the accused had committed a very "heinous and brutal crime", a "vital factor" that he "may not have been aware of what he was doing as he smelled of alcohol'' could not be ruled out and hence his "abnormal behaviour" was relevant in holding against death penalty. The SC said to kill, "it was not expected of him to inflict 21and 19 injures on their bodies respectively. He could have simply given an injury on the vital parts of their bodies and put them to death... amputating the fingers clearly reflects the conduct of an abnormal person".

The convict had sought leniency on the grounds that he was drunk and unaware of his own actions. But the state argued that the law allows intoxication as a defence only when the accused can prove that it was against his will and knowledge and when the effects are such that the person is rendered incapable of proper judgement of his own intent to commit a crime.

The SC said that in cases of capital punishment, reformation was a relevant criterion. In this case, it reasoned that the convict was young, had "no criminal involvement in similar crimes'' and "no evidence (had been) produced by the Maharashtra government'' to show that he was a hardened criminal incapable of being reformed. This, it said, outweighed other factors against him.

The Bombay high court bench of Justices B H Marlapalle and Abhay Thipsay had in March 2011 upheld the death sentence awarded by a sessions court. The HC said Abhang should be shown no mercy as he was incapable of remorse or reform. The accused, a mechanic, had entered the house in the afternoon saying "sahib ne bheja hain" for some work. His intention was to rob, but angered that the older woman's bangles were not of gold, he chopped her fingers and wrist.

The pregnant woman had helplessly pleaded with the accused to spare their lives and take away the valuables but even after taking the gold jewellery, he had in a cold-blooded manner killed the older woman by slashing her neck with his kukri, then at knife-point made the younger woman remove her clothes before raping her. The court observed that the younger woman "displayed wisdom and bravery. She received injuries on her back to protect the child in her womb and pretended to be dead by lying down quietly.''

At 3 pm, the convict left the flat in Bibwewadi after washing himself and his weapon clean. The young woman later called out to her aunt residing in the flat below and was finally rushed to the hospital where she remained in the ICU for almost three weeks.

The HC observed that the accused showed unusual calm and perversity in raping a bleeding pregnant woman after killing one and then washing himself clean. It held his conduct and crime to be rarest of rare and beyond redemption. He would be a menace and threat to society, it said but the SC disagreed and said ''his conduct in jail was not shown to be unworthy of concession.''

The HC and SC held that the evidence had proved the man's guilt beyond doubt. In the SC, Abhang did not challenge his conviction but only pleaded against the death sentence. The SC said life imprisonment shall be for life. (TOI, reproduced for the benefit of the medical profession)

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

 
    Valvular Heart Disease Update

When is antithrombotic therapy indicated after heart valve replacement?

Treatment with warfarin (or other vitamin K antagonist) and/or aspirin is recommended in patients with prosthetic heart valves to prevent valve thrombosis and thromboembolic events.

(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)

Microvascular changes might predict glaucoma

Changes in blood vessels in the eye might be an early warning sign of glaucoma, researchers reported. In a large prospective study, retinal arteriolar narrowing at baseline was associated with an increased risk of open-angle glaucoma after 10 years, according to Paul Mitchell, MD, PhD, of Australia's University of Sydney, and colleagues. But, reporting online in Ophthalmology, Mitchell and colleagues cautioned that – because glaucoma takes so long to develop – it remains unclear if the changes are part of the cause of the disease or part of its normal progression. (Source: Medpage Today)

TAVI may be safe for sickest patients

High surgical risk scores are no barrier for transcatheter aortic valve implantation (TAVI), according to one center's experience. Patients with a EuroSCORE over 40% had an overall 30-day mortality rate after the valve replacement procedure of 6.5% with and 5.7% without cardiogenic shock, Miralem Pasic, MD, PhD, of the German Heart Institute in Berlin, and colleagues found. Although such high risk scores are often considered a contraindication, 54% and 56% of these patients survived to year two, respectively, the group reported in the January issue of the Annals of Thoracic Surgery. (Source: Medpage Today)

More flu vaccine better in HIV, study finds

Patients with HIV received greater seroprotection against the flu with four times the normal dose of flu vaccine, researchers found. (Source: Medpage Today)

GI bleed survival higher with few transfusions

A restrictive transfusion strategy in patients with acute upper gastrointestinal bleeding improved outcomes compared with a liberal approach, results of a randomized trial indicated. (Source: Medpage Today)

Rituxan add-on curbs RA joint damage

Adding the B-cell depleting agent rituximab (Rituxan) to methotrexate slowed joint damage progression in patients with rheumatoid arthritis (RA) regardless of the level of disease activity, Austrian researchers reported. (Source: Medpage Today)

 
  Twitter of the Day

@DrKKAggarwal: At IMA hall for a meeting with leading medical experts http://coll.ag/_hvXjtoM via @PicCollage pic.twitter.com/LEj4eI5q

@DrKKAggarwal: The Conscious Lifestyle: A Leader Must Look and Listenhttp://www.linkedin.com/today/post/article/20130102223336-75054000-the-conscious-lifestyle-a-leader-must-look-and-listen …

 
    Spiritual Update

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

Who is a Good Teacher?

A good teacher is the one who follows the principles of listening first, teaching in detail till confusion arises and then teaching with reasoning while going into the minutest details and finally summarizing the ‘take-home’ messages.

For comments and archives

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

How is PCOS treated?

Some patients may be concerned primarily with fertility, while others are more concerned about menstrual cycle regulation, hirsutism, or acne. PCOS should be treated because of the long–term health risks such as heart disease and endometrial cancer.

  • Weight loss: Obesity is commonly associated with PCOS. Fatty tissues produce excess estrogen, which in turn contributes to insufficient FSH secretion by the pituitary gland. Weight loss improves the hormonal condition of many PCOS patients. If you are overweight, ask your physician to recommend a weight control plan or clinic. Area hospitals and support groups are also helpful. Increasing physical activity is an important step in any weight reduction program.
  • Hormonal treatment: Hormonal treatment is frequently successful in temporarily correcting the problems associated with PCOS. If treatment is stopped, however, symptoms usually reappear. If you are not trying to conceive, birth control pills may be your best hormonal treatment. Birth control pills decrease ovarian hormone production and help reverse the effects of excessive androgen levels. However, birth control pills are not recommended if you smoke and are over age 35.
  • Ovulation induction: If fertility is your immediate goal, ovulation may be induced with clomiphene citrate. Clomiphene is simple to use, relatively inexpensive, and works well to induce ovulation in many patients. Clomiphene causes the pituitary gland to increase FSH secretion. Sometimes increasing the dosage or the length of treatment is necessary. PCOS patients who are insulin resistant may ovulate when treated with metformin, which increase the body’s sensitivity to insulin.
 
    Tat Tvam Asi………and the Life Continues……

(Dr Sanjay Chaudhury, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

What does corneal transplantation mean?

Corneal transplantation is a surgical procedure whereby an impaired cornea of the patient is replaced by a healthy cornea from a donor to regain the lost vision.

 
    An Inspirational Story

Be content about your life

Wonder if any of you ever had the feeling that life is bad, real bad…and you wish you were in another situation. Do you find that life seems to make things difficult for you, work sucks, life sucks, and everything seems to go wrong…

It was not until yesterday that I totally changed my views about life; after a conversation with one of my friends.

He told me despite taking two jobs, and bringing back barely above 1K per month, he is happy as he is. I wonder how he can be as happy as he is now, considering that he has to skimp his life with the low pay to support a pair of old-age parents, in-laws, wife, 2 daughters and the many bills of a household.

He explained that it was through one incident that he saw in India……

That happened a few years ago when he was really feeling low and was touring India after a major setback. He said that right in front of his very eyes, he saw an Indian mother chopped off her child’s right hand with a chopper. The helplessness in the mother’s eyes, the scream of the pain from the innocent 4 years old child haunted him until today. You may ask why did the mother do so, has the child been naughty, was the child’s hand infected??

No, it was done for two simple words — to beg. The desperate mother deliberately caused the child to be handicapped so that the child can go out to the streets to beg. I cannot accept how this could happen, but it really did, just in another part of the world which I don’t see.

Taken aback by the scene, he dropped a small piece of bread he was eating half-way. And almost instantly, flock of 5 or 6 children swamp towards this small piece of bread which was then covered with sand, robbing of bits from one another. The natural reaction of hunger. Stricken by the happenings, he instructed his guide to drive him to the nearest bakery. He arrived at two bakeries and bought every single loaf of bread he found in the bakeries.

The owner is dumb folded, but willing sold everything. He spent less than $100 to obtain about 400 loaf of bread (this is less than $0.25/per loaf) and spend another $100 to get daily necessities. Off he went in the truck full of bread into the streets. As he distributed the bread and necessities to the children (mostly handicapped) and a few adults, he received cheers and bows from these unfortunate. For the first time in life he wonders how people can give up their dignity for a loaf of bread which cost less than $0.25. He began to ask himself how fortunate he is as a Singaporean. How fortunate he to be able to have a complete body, have a job, have a family, have the chance to complain what food is nice what isn’t, have the chance to be clothed, have the many things that these people in front of him are deprived of…..

Now I begin to think and feel it, too. Was my life really that bad?

Perhaps….no, it should not be bad at all….

What about you? Maybe the next time you think you are, think about the child who lost one hand to beg on the streets.

For comments and archives

 
  Cardiology eMedinewS

Women More Likely To Suffer A Broken Heart Read More

Low Vitamin D Has Damaging Vascular Effects In Children Read More

 
  Pediatric eMedinewS

No Increased Stillbirth With Antidepressants In Pregnancy Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient had a strong family history of cancer.
Dr. Bad: Just get regular check ups.
Dr. Good: Take low dose aspirin.
Lesson: A new observational analysis published online in The Lancet reports that long–term daily aspirin may prevent cancer deaths (Lancet 2011 Jan 1;377(9759):31–41).

Make Sure

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

 
  Quote of the Day (Dr Anil Kumar Jain)

A blind person asked Swami Vivekanand: "Can there be anything worse than losing eyesight?" He replied: "Yes, losing your vision!"

 
    Legal Question of the Day (Dr MC Gupta)

Q. I am Director (Medical Services) in a 350 bed hospital. I read an article in Times of India last year which stated that the hospital management does not have any responsibility if the treating consultant is negligent. Is this correct?

Ans.

  • No. This is not correct.
  • The reasons why it is not correct are as follows:
    • There is no contract between the patient and the consultant. The contract is between the patient and the hospital. Fees are paid to the hospital. The ward where the patient is admitted is owned by the hospital. The OT where he is operated is owned by the hospital. The owner of a vehicle pays the damages, not the driver.
    • Let us look at it more analytically. There are three essential ingredients of a contract—offer; acceptance; and, consideration. In the present case:
      • Offer to treat is made by the hospital by way of advertisements etc. and not by the consultant physician. (As a matter of fact, it is against the Code of Ethics Regulations, 2002, for a physician to advertise himself).
      • The patient accepts an offer made by the hospital. He does not accept any offer made by the consultant whom he even does not know.
      • Consideration by way of advance deposit and payment of bill, prepared by the hospital, is made to the hospital and not the physician.

        Hence there is no way that there can be a legal contract between the physician and the patient.
    • The consultant has no independent entity. He works as a part or agent of the hospital. The principal is responsible for the acts of the agent. This is as per the principle of vicarious liability according to which, when negligence is committed by an employee such as a resident or nurse or a ward assistant, the responsibility lies upon the hospital which is the principal under whom they work.
    • If negligence occurs and the court awards compensation, the patient/complainant has a right to recover it. He cannot exercise his right if the consultant is dead, untraceable or a pauper. The complainant cannot be left uncompensated. That is why a hospital has to be made liable. A hospital cannot be dead, untraceable or a pauper. Even if the hospital ceases to exist or becomes insolvent, its assets can be attached for payment of compensation.
  • The above statements are supported by the decision in Sh. Naresh Mehra v. Dr. A.P. Choudhary, decided by The Delhi State Consumer Commission on 31-10-2008, as follows:

    “18. We have taken a view that whenever any patient lands in any Hospital or Nursing Home, Medical Centre, his direct relationship of consumer for hiring or availing the medical services is with the said Hospital or Nursing Home or medical Centre and not with the treating Doctors and other personnel, secondly, the entire consideration in the form of expenses including the component of charges or fees of the operating Doctor and other junior Doctors and staff engaged in pre or post- operative care or any other kind of care are paid to the Nursing Home or Hospital or Medical Centre directly and thirdly that there is totality or compendium of various services including medical and those of para staff and other conveniences and the privity of contract is not with the operating or treating or attending Doctors, nurses and other staff.

    19. Thus if a patient suffers due to the medical negligence or carelessness of Doctors and staff of the Hospital or Nursing Home or Medical Centre whose services he avails against consideration, said Hospital or Nursing Home or Medical Centre alone is liable to compensate the patient as to loss or injury suffered by him and Nursing Home or Hospital or Medical Centre has independent remedy to take any kind of action against such doctors or staff but no doctor or staff has a joint or several liability qua the patient.

    20. Similarly Nursing Homes or Medical Centres or Hospitals alone are liable for the acts of omission or commission or medical negligence of visiting or consulting Doctors as the patient has no direct contract with such Doctors and services of such Doctors are availed by the Hospital or Nursing Home or Medical Centre and not the patient”.
 
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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
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    Mind Teaser

Read this…………………

Jane, a 20- year old college student is admitted to the hospital with a tentative diagnosis of myasthenia gravis. She is scheduled to have a series of diagnostic studies for myasthenia gravis, including a Tensilon test. In preparing her for this procedure, the nurse explains that her response to the medication will confirm the diagnosis if Tensilon produces:

A. Brief exaggeration of symptoms
B. Prolonged symptomatic improvement
C. Rapid but brief symptomatic improvement
D. Symptomatic improvement of just the ptosis

Yesterday’s Mind Teaser: Clara, a burn client, receives a temporary heterograft (pig skin) on some of her burns. These grafts will:

A. Debride necrotic epithelium
B. Be sutured in place for better adherence
C. Relieve pain and promote rapid epithelialization
D. Frequently be used concurrently with topical antimicrobials.

Answer for Yesterday’s  Mind Teaser: C. Relieve pain and promote rapid epithelialization

Correct answers received from: Dr. Bharat Bhushan Aggarwal, Dr Pankaj Agarwal, Dr. Thakor Hitendrsinh G, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, DR P K SAHU, Dr. Vishal D Wahane, Dr Chandresh  jardosh, DR KANTA JAIN, Dr Avtar Krishan, Dr U Gaur, Dr Kanta Jain,

Answer for 3rd January Mind Teaser: A. Inhibit bacterial growth

Correct answers received from: Dr. Bharat Bhushan Aggarwal, Muthumperumal Thirumalpillai, Dr Kanta Jain, Dr. P. C. Das

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Bite my eye

A man walks into a bar has a few drinks and asks what his tab was. The bartender replies that it is twenty dollars plus tip. The guy says, "I'll bet you my tab double or nothing that I can bite my eye." The bartender accepts the bet, and the guy pulls out his glass eye and bites it.

He has a few more drinks and asks for his bill again. The bartender reports that his bill now is thirty dollars plus tip. He bets the bartender he can bite his other eye. The bartender accepts knowing the man can't possibly have two glass eyes.

The guy then proceeds to take out his false teeth and bite his other eye.

 
    Medicolegal Update

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

How is death finally certified?

Permanent and irreversible stoppage of respiration, circulation and brain function, the so called the ‘Tripod of life’

  • Generally the practicing doctor diagnoses death by auscultation; but, this can be difficult in cases of excessive fat, emphysema, apex beat below the rib, poorly beating heart and shallow diaphragmatic respiration. All these conditions dampen the conduction of heart sound with body wall.
  • Diagnosis of recent death is also very difficult whenever the death of the person has not been observed. When a doctor is called to certify a patient brought by ambulance ‘as dead’, he must insist that the body be removed to a well lit room where he can carry out his examination.
  • Even though the condition is satisfactory, there can be errors during examination. The signs of life can be detected by special methods like oscilloscope, ECG, and EEG etc.
  • It can never be assumed that attempted resuscitation is pointless. On the other hand, resuscitative measures should always be continued for half an hour.
  • In cases of electric shock, asphyxia particularly drowning and drug overdose, resuscitative measures should always be done
  • There is segmentation of blood in retinal blood vessels in ophthalmoscopic examination. If still there is little doubt, the patient should be taken to intensive care unit for further investigation of heart and brain function.

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

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Depression should be treated in patients with diabetes

Presence of depression in diabetic patients is the most important factor leading to erectile dysfunction in them.

Commenting on an India cum US study published in the Journal of Urology, Dr. K K Aggarwal, President, Heart Care Foundation of India and Vice President (Elect.), IMA, said that depression and erectile dysfunction are related to each other in the form of a vicious cycle. Depression instigates erectile dysfunction and erectile dysfunction perpetuates the symptoms of depression.

Diabetic patients who complained of erectile dysfunction in the study also had higher prevalence of high blood pressure and cholesterol abnormalities. These patients were also of older age with uncontrolled diabetes, history of smoking and longer duration of diabetes. It was also shown that patients who develop erectile dysfunction also had eye disorders, neuropathy and peripheral vascular disease.

Effective control of diabetes may reduce both depressive symptoms and erectile dysfunctions in such cases.

India is the diabetic capital of the world and both the incidence and prevalence of diabetes are increasing day by day. It is, therefore, important for the family physician to look for presence of depression in patients with diabetes.

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 10” of 22790 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 of10x10 i.e. 100 per minute.”

 
    Readers Response
  1. Dear Sir, emedinews reading is worth reading. Regards: Dr Trishna
 
    Forthcoming Events

4th eMedinews Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013 (8 AM to 8 PM).

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Eminent Faculty:

Dr Praveen Chandra (Cardiology)
Dr NK Bhatia (Transfusion Medicine)
Dr Ambrish Mithal (Diabetes)
Dr Kaberi Banerjee (Infertility)
Dr Yougal Mishra, Dr Manju Gupta, Dr Somesh Juneja, Dr Deepak Khurana (Valve Surgery)
Dr Rajnish Malhotra (Cardiology)
Dr Vivek Bhatia (GI)
Dr Ashish Jain (Ortho)
Dr Kailash Singla (GI)
Dr Navdeep Chabbra (Beriatric Surgery)
Dr IM Chugh (Pulmonoagy)
Dr AK Dhar (Hemato oncology)

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

Dr Pawan Gupta, Past President IMA Haryana, Organizing Secretary

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    eMedinewS Special

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  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, Dr Usha K Baveja