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

 

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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

Videos Justice A P Shah on Doctor’s Day Celebration Part 1

Videos Justice A P Shah on Doctor’s Day Celebration Part 2

 
    Dr KK Aggarwal with Aamir Khan …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Aamir Khan Workshop with kids on dangerous areas Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video

 
  Editorial …

7th July 2012, Saturday

Running clinic from residence not a commercial activity: Delhi High Court

Tuesday, July 3, 2012

New Delhi: Running a clinic from one’s residence can’t be labeled a commercial activity, the Delhi High Court has said.

Quashing a criminal case lodged against Dr D V Chug, who was booked by the Municipal Corporation of Delhi (MCD) in 2004 for running a clinic from his house at Rajouri Garden, Justice Suresh Kait on Monday said he wasn’t liable to be prosecuted for running the clinic.

"The professional establishment of a doctor cannot come within the definition of commercial activity.
Commerce is that activity where a capital is put into work and risk run of profit or loss… The word ‘profession’ used to be confined to the three learned professions: the Church, Medicine and Law. There is a fundamental distinction between the professional activities and commercial activities," Justice Kait said.

According to the MCD, running of a doctor’s clinic from the residential premises is currently permissible and is not an offence. However, at the time of filing the complaint against Dr Chug, it was not permissible. (Source: ToI)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

The Indian Health Sector – Where are we after 64 years of independence

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

A seminar on Health and Happiness was organised jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan at Bharatiya Vidya Bhavan on 5th July 2012.

 
Dr K K Aggarwal
 
    National News

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 re build the image of the medical profession.

India worst–hit by ailments originating from animals

NEW DELHI: India has topped a list of countries worst affected by diseases originating from animals (zoonotic). The first–of–its–kind global study mapping human-animal diseases has pin pointed an "unlucky" 13 zoonoses that are responsible for 2.4 billion cases of human illness and 2.2 million deaths per year. India is among the top geographical hotspots for such diseases, with 75% of recently identified emerging infectious diseases affecting humans being that of animal origin. Globally, 60% of all human diseases and 75% of all emerging infectious diseases have been found to be zoonotic. The study, conducted by the International Livestock Research Institute (ILRI) and the Institute of Zoology (UK), said most of these human infections were acquired from the world’s 24–billion livestock. The 13 zoonoses were identified as most important, based on analysis of 1,000 surveys covering more than 10 million people, six million animals and 6,000 food or environment samples. The study said, 27% of livestock in developing countries like India showed signs of current or past infection with bacterial food–borne disease — a source of food contamination and widespread illness.

At least one–third of global diarrheal diseases are because of zoonotic causes. Additionally, 80% of pathogens — with a high potential for bio–terrorism — are zoonotic. "From cyst–causing tapeworms to avian flu, zoonoses present a major threat to human and animal health," said Delia Grace, a veterinary epidemiologist with ILRI in Kenya and the study’s lead author. "Targeting the diseases in the hardest hit countries is crucial to protecting global health as well as to reducing severe levels of poverty and illness among the world’s one billion poor livestock keepers. Exploding global demand for livestock products is likely to fuel the spread of a wide range of human–animal infectious diseases," Grace added. The study has ranked India at the top, followed by Ethiopia, Nigeria and Tanzania, which have the highest zoonotic disease burdens with widespread illness and death. (Source: TOI, Jul 6, 2012)

For comments and archives

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

FDA warns of seizure risk with cefepime

The Food and Drug Administration has reported cases of a specific type of seizure called nonconvulsive status epilepticus that is associated with the use of the antibacterial drug cefepime in patients with renal impairment. The sei zures have been seen primari ly in patients with renal impairment who did not receive appropriate dosage adjustments of cefepime, although in several cases patients received "dosage adjustment appropriate for their degree of renal impairment," according to the agency. The FDA is working to revise the "Warnings and Precautions" and "Adverse Reactions" sections of the cefepime label to highlight this risk. (Source: Family Practice News)

For comments and archives

High vitamin D doses lower fracture risk for most vulnerable

Those older than 65 years who take high doses of vitamin D lower their risk of suffering a fracture by from 14% to 30%, according to a pooled analysis that demonstrated fracture risk reduction only at the highest level of vitamin D intake. Heike A. Bischoff–Ferrari, MD, DrPH, from the Center on Aging and Mobility at the University of Zurich and the Wald City Hospital, Zurich, Switzerland, and coauthors reported their findings in a study published online July 4 and in the July 5 print edition of the New England Journal of Medicine. (Source: Medscape)

For comments and archives

Patient–derived stem cells to treat Parkinson’s

Researchers have taken a major step in drug research for Parkinson’s disease, by investigating signs of the disease in patient–derived cells and testing how the cells respond to drug treatments.
The researchers collected skin cells from patients with genetically inherited forms of Parkinson’s and reprogrammed those cells into neurons. They found that neurons derived from individuals with distinct types of Parkinson’s showed common signs of distress and vulnerability – in particular, abnormalities in the cellular energy factories known as mitochondria. At the same time, the cells’ responses to different treatments depended on the type of Parkinson’s each patient had. "These findings suggest new opportunities for clinical trials of Parkinson’s disease, in which cell reprogramming technology could be used to identify the patients most likely to respond to a particular intervention," said Margaret Sutherland, Ph.D., a program director at NIH’s National Institute of Neurological Disorders and Stroke (NINDS). The study was conducted by a consortium of researchers led by Ole Isacson, M.D., Ph.D., a professor of neurology at McLean Hospital and Harvard Medical School in Boston with primary funding from NINDS. (Source: TOI, Jul 5, 2012)

For comments and archives

5–day therapy effective against H pylori infection

A 5–day levofloxacin–containing concomitant regimen effectively eradicates Helicobacter pylori infection as effectively as a 10–day sequential regimen, according to the findings of a prospective, randomized controlled trial. Alessandro Federico, MD, from the Second University of Naples in Italy, and colleagues reported their findings in an article published online April 5 and in the July issue of Gastroenterology. (Source: Medscape)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: I posted 56 photos on Facebook in the album "Seminar on Health and Happiness" http://fb.me/1Ry6M9nLA

@DeepakChopra: In consciousness there is no distance in space & time

 
    Spiritual Update

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

Satyamev Jayate Effect

Last week I visited Jaipur for the marriage of my friend’s son. I hired a car and a driver for the day. While I was in the car to pass time I asked the driver how much he earns. He said 6500 per month as salary and Rs 6000 as other charges. When I asked what you mean by other charges, he said that it is the same as…

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

When should ART treatment be stopped?

According to western studies, the chance for pregnancy in consecutive IVF cycles remains similar in up to four cycles. Many other factors should be considered when determining the appropriate endpoint in therapy, including financial and psychological reserves. Members of the IVF team can help couples decide when to stop treatment and discuss other options such as egg and/or sperm donation or adoption, if appropriate.

For comments and archives

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

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

Myth: Removal of eyes causes disfigurement of the face.
Fact: Removal of eyes does not produce any disfigurement of the face.

For comments and archives

 
    An Inspirational Story

(Dr GM Singh)

The spilt milk

This is a story about a famous research scientist who had made several very important medical breakthroughs. He was being interviewed by a newspaper reporter who asked him why he thought he was able to be so much more creative than the average person. What set him so far apart from others?

He responded that, in his opinion, it all came from an experience with his mother that occurred when he was about two years old. He had been trying to remove a bottle of milk from the refrigerator when he lost his grip on the slippery bottle and it fell, spilling its contents all over the kitchen floor—a veritable sea of milk!

When his mother came into the kitchen, instead of yelling at him, giving him a lecture, or punishing him, she said, "Robert, what a great and wonderful mess you have made! I have rarely seen such a huge puddle of milk. Well, the damage has already been done. Would you like to get down and play in the milk for a few minutes before we clean it up?"

Indeed, he did. After a few minutes, his mother said, "You know, Robert, whenever you make a mess like this, eventually you have to clean it up and restore everything to its proper order. So, how would you like to do that? We could use a sponge, a towel, or a mop. Which do you prefer?" He chose the sponge and together they cleaned up the spilled milk.

His mother then said, "You know, what we have here is a failed experiment in how to effectively carry a big milk bottle with two tiny hands. Let’s go out in the back yard and fill the bottle with water and see if you can discover a way to carry it without dropping it." The little boy learned that if he grasped the bottle at the top near the lip with both hands, he could carry it without dropping it. What a wonderful lesson!

This renowned scientist then remarked that it was at that moment that he knew he didn’t need to be afraid to make mistakes. Instead, he learned that mistakes were just opportunities for learning something new, which is, after all, what scientific experiments are all about. Even if the experiment "doesn’t work," we usually learn something valuable from it.

For comments and archives

 
  Cardiology eMedinewS

Echo reveals soft plaque in carotids Read More

Bloodless CABG risk overstated Read More

 
  Pediatric eMedinewS

Spine fractures common in kids after chemo for ALL Read More

Extended womb time makes better students Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient was found unconscious.
Dr Bad: He has suffered a stroke.
Dr Good: First rule out hypoglycemia.
Lesson: In diabetics, sudden loss of consciousness is hypoglycemia unless proved otherwise.

For comments and archives

Make Sure

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh my God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

For comments and archives

 
    Health News Bulletin

Early intervention, intensive lifestyle may stop diabetes

Deccan Chronicle, Teena Thacker

New Delhi: Treating pre–diabetes early and aggressively with intensive lifestyle changes or medication could be an effective way to significantly reduce the chances of developing type–2 diabetes later in life. According to the study published in the British Medical Journal the Lancet, people with pre–diabetes are 56 per cent less likely to develop type–2 diabetes with lifestyle changes. "Studies have shown that diabetes can be prevented or delayed in people with pre–diabetes by diet, physical activity, and various drugs," said the Lancet. The WHO estimates that more than 346 million people worldwide have diabetes. Without intervention this number is likely to more than double, and around 470 million people are projected to have pre-diabetes by 2030. Pre–diabetes is considered a "high–risk state" for developing type–2 diabetes. The US Centers for Disease Control and Prevention (CDC) estimate one in 10 people with pre–diabetes goes on to develop full–blown diabetes. The new findings suggest that timely interventions, reduces the growth of the diabetes epidemic. The new research is published in the Lancet to coincide with the American Diabetes Association meeting taking place in Philadelphia from June 8–12. In the long term research, about 3,000 patients were monitored.

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  Quote of the Day

(Dr GM Singh)

Many of the great achievements of the world were accomplished by tired and discouraged men who kept on working.

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Tests for Adrenal Insufficiency & Addison’s Disease

Adrenocorticotropic hormone (ACTH): A pituitary hormone that signals the adrenal glands to produce cortisol. This test is primarily ordered as a baseline test to evaluate whether or not the pituitary is producing appropriate amounts of ACTH. In a patient with adrenal insufficiency, low ACTH levels indicate secondary adrenal insufficiency, while high levels indicate primary adrenal insufficiency (Addison’s disease). The ACTH test is often ordered along with the ACTH stimulation test.

ACTH stimulation test: This test involves measuring the level of cortisol in a patient’s blood before and after an injection of synthetic ACTH.

 
    Mind Teaser

Read this…………………

The nurse is teaching the patient regarding his permanent artificial pacemaker. Which information given by the nurse shows her knowledge deficit about the artificial cardiac pacemaker?

A. Take the pulse rate once a day, in the morning upon awakening
B. May be allowed to use electrical appliances
C. Have regular follow up care
D. May engage in contact sports

Yesterday’s Mind Teaser: Mr. X was ordered Digoxin 0.25 mg OD. Which is poor knowledge regarding this drug?

A. It has positive inotropic and negative chronotropic effects
B. The positive inotropic effect will decrease urine output
C. Toxicity can occur more easily in the presence of hypokalemia, liver and renal problems
D. Do not give the drug if the apical rate is less than 60 beats per minute.

Answer for Yesterday’s Mind Teaser: B. The positive inotropic effect will decrease urine output

Correct answers received from: Yogindra Vasavada, Prabha Sanghi, Raju Kuppusamy, Dr PC Das,
Dr Jainendra Upadhyay, Dr Mayur Modasia.

Answer for 5th July Mind Teaser: C. Bleeding from ears
Correct answers received from: Deepali Chatterjee, Dr Jainendra Upadhyay, Dr Mayur Modasia.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Lil’ Johnny was sitting in front of a party store, with him he had a German Shepherd dog.

A man came up and asked Johnny: "Does your dog bite?" Johnny said: "No."

So the man went to pet the dog and he bit the man’s arm.

The man said: "I thought you said your dog doesn’t bite." "He doesn’t," said Johnny, but this isn’t my dog."

 
    Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

MMR vaccine

MMR vaccine is a mixture of three live attenuated viruses namely Measles, Mumps and Rubella, which should be administered as part of primary immunization of infants. This vaccine so far is not included in the EPI of India. The vaccine is also recommended in adults with HIV infection. Before the advent of MMR vaccine, all three viral diseases were very common as they are spread by coughing and sneezing.

  • Measles: The exanthem/"red measles" (or rubeola) caused by the measles virus is endemic all over the world. Before the mass immunizations were given, measles infection was a certainty for all children. Currently, the incidence of measles is less than 1% of people under the age of 30 in countries with routine childhood vaccination with MMR.

    The infection manifests as a cold followed by typical rash (red papular lesions on face that spread to chest arms and legs). Infection may lead to sequelae like ear infection or pneumonia in some children. In rare cases (1/1000 appx.) encephalitis–leading to seizures, hearing loss, mental retardation or even death may occur.

    Measles virus is susceptible to ribavirin in vitro. Ribavirin (either IV or aerosolized) has been used to treat immunocompromised adults with acute measles or sub acute sclerosing pan encephalitis (SSPE), no controlled trials have been conducted; ribavirin is not approved by the FDA for this indication, and such use should be considered experimental. So, practically there is no treatment for measles so it is best protect the child from infection by immunization.
  • Mumps: Caused by mumps virus. Most common in children sometimes adults get it, too. Infection is characterized by fever, headache and painful swelling of the parotid salivary glands. Sometimes it may cause meningitis, deafness. In adults there may be bilateral orchitis which may lead to sterility. There is no antiviral treatment for mumps but disease can be prevented by prophylactic immunization with MMR vaccine.
  • Rubella: Also known as German measles, it is caused by the rubella virus. This infection is milder compared to measles. There is low grade fever and rash may follow. The disease lasts for about 3–4 days. However, if the females of childbearing age, who are not vaccinated, conceive and get rubella infection during the first five months of pregnancy, they can pass on the infection to the fetus resulting in congenital rubella infection of fetus. The fetus that gets rubella during the first 12 weeks of pregnancy will be born with many problems. The baby may be blind, deaf or have heart damage. If rubella infection happens between 16 and 20 weeks of pregnancy, the baby will probably be born deaf. One out of 10 babies born with rubella may die during the first 12 months of life. There is no treatment so the damage that happens to the fetus lasts for the child’s whole life.

For comments and archives

 
    Medicolegal Update

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

What is the Native American Graves Protection and Repatriation Act 1990?

Doctors and scientists have long sought to understand life in early civilizations through the excavation of burial grounds and exhumation of human remains. In the United States the attempt to understand early cultures led to the exhumation of the remains of Native Americans, many of which ended up in the nation’s museums and archaeology labs. In an attempt to prevent the desecration of Native American graves, the Native American Graves Protection and Repatriation Act was introduced in Congress in July 1990 and subsequently passed into law.

  • The bill states that any human remains and objects found on federal or tribal lands after the date of enactment are to be considered owned or controlled by lineal descendants, the tribe on whose land it was found, the tribe having the closest cultural affiliation, or the tribe which aboriginals occupied the area. Anyone who discovers items covered by the bill must cease his or her activity, notify the federal land manager responsible and the appropriate tribe, and make a reasonable effort to protect the items.
  • Anyone who violates the provisions of the bill may be fined, imprisoned not more than one year, or both. The penalty may increase to five years for a second violation.
  • The act further states that all federal agencies and museums receiving federal funds that have control over any of the items covered in the bill are to, within five years, inventory and identify the items, notify the affected tribes, and make arrangements to return such items if the appropriate tribe made a request. If an item was acquired with the consent of the tribe or if the item was part of a scientific study which was expected to be of major benefit to the country, the request for repatriation (i.e., return) could be denied.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Hospital safety incidents have 20% mortality

Patients who experience a patient safety incident have a 20 percent chance of dying as a result of the incident, said Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal President, Heart Care Foundation of India.

The 16 different patient safety concerns are:

  1. Complications of anesthesia
  2. Death in low mortality diagnosis related groups
  3. Bed sores
  4. Failure to rescue
  5. Foreign body left in during procedure
  6. Physician–induced pneumothorax (air in the lungs)
  7. Selected infections due to medical care
  8. Post–operative hip fracture
  9. Postoperative hemorrhage or hematoma
  10. Postoperative physiologic and metabolic derangements
  11. Postoperative lung failure
  12. Postoperative pulmonary embolism or deep vein thrombosis (clot in the legs or the lungs)
  13. Postoperative infections
  14. Postoperative wound dehiscence in abdominopelvic surgical patients
  15. Accidental puncture or laceration
  16. Transfusion reaction
 
    Readers Response
  1. Dear Dr Kk G, i do not think any body else could have summed up the seminar better than u. i take a print out of your summary and distribute to my patients and collegues. long live. god bless u Dr.R.Mani Chennai
 
    Forthcoming Events
Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    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)

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    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