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FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA

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  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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

 
  Editorial …

7th August 2011, Sunday

TEMPI, a new mysterious, life–threatening blood disease affecting kidneys

Harvard Medical School and the University of Southern California doctors are going public to seek new cases of a mysterious, life–threatening blood disease.

Doctors have identified three people in the world with the syndrome, which worsens over time and causes painful fluid buildup around the kidneys, shortness of breath that can require oxygen, dilated blood vessels under the skin and spontaneous bleeding in the brain.

Three more potential cases of the TEMPI syndrome, have been previously reported in medical literature, the researchers wrote in the New England Journal of Medicine"

The disease does not seem to be caused by cancer, infection, or by genetics, but could have a correlation to a particular abnormal antibody protein discovered in all three patients' blood.

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Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

TEMPI, a new mysterious, life–threatening
blood disease affecting kidneys

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

National Conference on Insight on
Medicolegal Issues

Dr Anoop Gupta was felicitated in the National Conference on Insight on Medicoleagl Issues held on 10th July, 2011.

 
Dr K K Aggarwal
 
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter

http://blogs.kkaggarwal.com/?p=1134
http://twitter.com/#!/search/medicolegal
https://www.facebook.com/pages/Insight–on–Medicolegal–Issues/247091668637671

Indian medical industry to be worth Rs 10,800 crore by 2015

NEW DELHI: India’s world–class medical technology coupled with a skilled medical workforce will ensure that the Indian medical tourism industry is worth Rs.10,800 crore ($108 billion) and that the number of foreign patients visiting the country crosses 32 lakh by 2015, a commerce chamber report said Friday. "Emerging Trends In Domestic Medical Tourism Sector", prepared by the Associated Chambers of Commerce and Industry of India (Assocham) estimated the current worth of Indian medical tourism industry at around Rs.4,500 crore with about 8.5 lakh foreign patients annually getting treated here.
"India enjoys strategic advantage of essential resources like world–class medical technology, infrastructure and skilled medical workforce. The rapid growth will not only earn foreign exchange but will also give a huge boost to the country’s health sector," said the study. (Source: Economic Times, 5 Aug, 2011)

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

(Dr Monica and Brahm Vasudev)

Medical tourism industry going mainstream

For procedures ranging from knee replacements to breast implants, heart transplants to dental crowns, medical tourism is expected to draw 550,000 Americans this year to hospitals across the globe for high–quality medical care at drastically lower costs than they find in the US, said medical tourism consumer advocate Josef Woodman, author of the book ‘Patients Beyond Borders’. The Chicago Tribune:

For comments and archives

A blood test to detect Alzheimer’s early

A new blood test that is 96 per cent accurate at identifying Alzheimer’s disease and can perhaps detect it even before symptoms such as memory loss, poor judgment or erratic behaviour appear has been developed by scientists from Durin Technologies, Inc., and the University of Medicine and Dentistry of New Jersey (UMDNJ)–School of Osteopathic Medicine. The test that uses human protein microarrays to detect the presence of specific antibodies in the blood has a specificity of 92.5 per cent and has the potential to spot Alzheimer’s in its earliest stages. (Source: TOI Aug 2, 2011)

For comments and archives

West Nile numbers top other like diseases

West Nile virus was the most common cause of tick– or mosquito–borne neuroinvasive disease in the U.S. in 2010, CDC researchers found. The FDA has approved the biologic Anascorp as an orphan drug to treat scorpion stings, making it the first antidote against scorpion venom. Anascorp –– Centruroides (scorpion) immune F(ab’)2 equine injection –– is made from horse plasma immunized to venom from the Centruroides scorpion, the most common type in the U.S., an FDA statement said. (Source: Medpage Today)

For comments and archives

Air cleaners do not thwart most effects of secondhand smoke

Air cleaners significantly reduce particulate matter (PM) levels but are not enough to reduce exposure to secondhand smoke in inner–city children with asthma residing with a smoker, a new study has found. Arlene M. Butz, ScD, MSN, CPNP, with the Division of General Pediatrics at The Johns Hopkins University School of Medicine, in Baltimore, Maryland, and colleagues reported the findings in the August issue of the Archives of Pediatrics & Adolescent Medicine. (Source: Medscape Medical News)

For comments and archives

 
    Fitness Update

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

A rich new source of heart–healthy food ingredients – Seaweed

In an article that may bring smiles to the faces of vegetarians who consume no dairy products and vegans, who consume no animal–based foods, scientists have identified seaweed as a rich new potential source of heart–healthy food ingredients. Seaweed and other "macroalgae" could rival milk products as sources of these so–called "bioactive peptides," they conclude in an article in ACS’s Journal of Agricultural and Food Chemistry. Maria Hayes and colleagues Ciarán Fitzgerald, Eimear Gallagher and Deniz Tasdemir note increased interest in using bioactive peptides, now obtained mainly from milk products, as ingredients in so–called functional foods. Those foods not only provide nutrition, but have a medicine–like effect in treating or preventing certain diseases. Seaweeds are a rich but neglected alternative source, they state, noting that people in East Asian and other cultures have eaten seaweed for centuries: Nori in Japan, dulse in coastal Europe, and limu palahalaha in native Hawaiian cuisine.

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Why the first hour in any medical emergency is important: http://www.itimes.com/users/iti475269/blogs One… http://fb.me/17Yo85FNQ

@DeepakChopra: #CosmicConsciousness To observe the universe is to take a snapshot of its past. To see its possibilities you must transcend perception

 
    Dr KK Answers

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

When to screen for carotid blockages?

Carotid duplex ultrasonography is not recommended for routine screening of asymptomatic patients who have no clinical manifestations of or risk factors for atherosclerosis. However, one should screen asymptomatic individuals who have:

  • Carotid bruit
  • Peripheral arterial disease
  • Coronary disease
  • Aortic aneurysm
  • Two or more risk factors for atherosclerotic disease.

For comments and archives

 
    Spiritual Update

I am the Best

People who lack self–confidence and self–esteem face recurrent episodes of depressions. They suffer from inferiority complex as all the time they compare themselves with others.

It’s a common saying that "everyone likes someone else’s wife, money and their own buddhi or intelligence".

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Building your House

An elderly carpenter was ready to retire. He told his employer–contractor of his plans to leave the house–building business to live a more leisurely life with his wife and enjoy his extended family. He would miss the paycheck each week, but he wanted to retire. They could get by.

The contractor was sorry to see his good worker go and asked if he could build just one more house as a personal favor. The carpenter said yes, but over time it was easy to see that his heart was not in his work. He resorted to shoddy workmanship and used inferior materials. It was an unfortunate way to end a dedicated career.

When the carpenter finished his work, his employer came to inspect the house. Then he handed the front–door key to the carpenter and said, "This is your house… my gift to you."

The carpenter was shocked!

What a shame! If he had only known he was building his own house, he would have done it all so differently.

So it is with us. We build our lives, a day at a time, often putting less than our best into the building. Then, with a shock, we realize we have to live in the house we have built. If we could do it over, we’d do it much differently.

But, you cannot go back. You are the carpenter, and every day you hammer a nail, place a board, or erect a wall.

Someone once said, "Life is a do–it–yourself project." Your attitude, and the choices you make today, help build the "house" you will live in tomorrow.

Build wisely!

For comments and archives

 
    Idioms

(By Ritu Sinha)

Barking Up the Wrong Tree: A mistake made in something you are trying to achieve.

 
    Pediatric Update

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

What are the effects of CMV infection in newborn?

Of the severely infected infants, up to 30% die, and approximately 80% of the survivors have serious sequelae The principal clinical manifestations of severe congenital CMV infection include

  • Hepatosplenomegaly
  • Thrombocytopenia with resultant petechiae
  • Intracranial calcifications
  • Intrauterine growth restriction
  • Hepatitis
  • Jaundice,
  • Microcephaly,
  • Chorioretinitis
  • Hearing loss,
  • Mental retardation
  • Seizures.

For comments and archives

 
  Infertility Update

(Dr. Kaberi Banerjee, Infertility and IVF Specialist)

What is the importance of Meningococcus vaccine?

Meningococcus vaccine should be administered to any person who is at increased risk for meningococcal infection. For pregnant women, its use should be limited to those at high risk who have not been inoculated previously. Individuals at high risk include those who live in high endemic areas, such as sub–Saharan Africa, parts of the Middle East, and college dormitories. Preferably, such high–risk women should be vaccinated before pregnancy, because experience with the vaccine in pregnancy is limited.

For comments and archives

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  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

C-reactive protein (CRP) test

CRP test measures the amount of a protein called C–reactive protein in blood. C–reactive protein test measures general levels of inflammation in the body. High levels of CRP are caused by infections and long–term diseases. C–reactive protein (CRP) test is done to:

  • Check for infection after surgery. Its levels normally rise within 2 to 6 hours of surgery and then go down by the third day after surgery. If levels stay elevated 3 days after surgery, an infection may be present.
  • To check for infections and diseases that cause inflammation, such as:
    • Diseases of the immune system
    • Painful swelling of the blood vessels in the head and neck
    • Rheumatoid arthritis
    • Swelling and bleeding of the intestines (inflammatory bowel)
    • Bone infection

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with high grade fever with low platelet count came for evaluation.
Dr Bad: Treat him for dengue.
Dr. Good: Perform a tourniquet test and check his PCV.
Lesson: Low platelet count is not the only diagnostic criteria for severe dengue. The classical triad is low platelets, positive tourniquet test and 20% increase in hematocrit.

For comments and archives

Make Sure

Situation: A patient with ejection fraction of 20% dies on sudden cardiac death.
Reaction: Oh my God! Why was ICD not put?
Lesson: Make sure all patients with ejection fraction less than 35% are put on ICD unless contraindicated.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Never fear shadows… that always means there is a light shining somewhere. Jonathan Santos

 
    Medicolegal Update

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

What are the Phenol or carbolic acid health hazards?

Lysol is a 50% solution of cresol in vegetable oil.

  • The toxicity of phenol is eight times greater than that of Lysol. Dettol is a chlorinated phenol. It is non toxic to adults even in higher concentrations; some fatalities have occurred in children.
  • Poisoning by carbolic acid is known as carbolism. The acid in a concentrated form acts as a corrosive and remotely as a narcotic poison. It coagulates proteins but does not enter a firm chemical combination with them. Applied to the skin, it causes a burning sensation followed by tingling, numbness and anesthesia due to its effect on sensory nerve endings.
  • Dangerous symptoms may be caused by 0.3 to 0.42 g of carbolic acid; about 2g is the average fatal dose. A quarter of a teaspoon full dissolved in glycerin killed a six month old child.
  • Fatal Period or death usually occurs within three to four hours, but it has taken place between three to twenty minutes. On the other hand, death has been delayed for sixty hours and even for some days.
  • Carbolic acid is largely used as an antiseptic, as a disinfectant and as a preservative. It is used in the preparation of many disinfecting powders. Carbolic soaps should not be used for enemas. Being easily procurable several cases of accidental and suicidal poisoning by carbolic acid have occurred.
  • Due to powerful odor and bitter taste it is rarely used for homicidal purposes though it has been sometimes used for murdering children and infants.

For comments and archives

 
    Mind Teaser

Read this…………………

Which of the following is not true about carbon monoxide poisoning?

a) It shift the oxygen hemoglobin dissociation curve to left.
b) It kills cytochrome.
c) It increases displacement of oxygen from hemoglobin.
d) Direct action occurs on central nervous system

Yesterday’s Mind Teaser: Which of the following statements is true:

a. Infection withHPV–16 is the most common STI worldwide.
b. A majority of HPV infections persist if left untreated.
c. Persistent HPV infection is a major risk factor for cervical cancer.
d. Cervical cancers are most commonly associated with HPV–6 and HPV–11.

Answer for Yesterday’s Mind Teaser: c. persistent HPV infection is a major risk factor for cervical cancer.

Correct answers received from: Dr Neelam Ohri, Dr K Raju, Dr Chandresh Jardosh, Dr Prabha Luhadia, Dr Muthumperumal Thirumalpillai, Dr Shirish Singhal, Dr Neelam Nath, Dr Sukanta Sen.

Answer for 5th August Mind Teaser: c. Altered mental status
Correct answers received from: Dr A K Pal, Dr Rakesh Bhasin, Dr Pramod M Kulkarni, Dr Valluri Rama Rao, Dr Subash Vedantam, Dr Periasamy Subarayan, Dr Dilip Kumar Jha.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Baap: Mere 4 Bachche hai: 1st MBA, 2nd MA, 3rd PHD aur 4th Chor hai.

Frnd: Chor Ko ghar se nikalte Q nhi?
Baap: Wohi to kamata hai, baki sab bekar hai.

For comments and archives

 
    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
Indication
DCI Approval Date
Tioconazole Vaginal Gel 65mg per gm
For the local treatment of vulvovaginal candidiasis in adult patients.
22.03.11
 
    Public Forum

(Press Release for use by the newspapers)

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Low BP may be normal

There is nothing like low blood pressure. If it is low keep it low and is good for the heart said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Low blood pressure, medically called hypotension, however can be a medical problem if there is an acute or chronic fall of blood pressure from a baseline blood pressure value.

Any fall of upper blood pressure of more than 30 mm Hg will be called as an acute low blood pressure and cause symptoms and reduced flow to vital organs.

An acute fall in blood pressure can occur in heart failure, acute heart attack, and reactions to some drugs, acute allergic reaction, dehydration, blood infection or irregular heart rhythms.

Blood pressure may become permanently low in heart valve stenosis, chronic heart failure, some cardiac drugs Some individuals routinely may have blood pressures of 90/50 with no symptoms and therefore do not have low blood pressure. However, others who normally have higher blood pressures may develop symptoms of low blood pressure if their blood pressure drops to 80/60 or a fall of 30 in the above reading.

The arbitrary criteria for low blood pressure is upper BP lower than 90 or lower BP lower than 60 or a fall of more than 30 mm Hg in upper blood pressure acutely.

If there is an acute fall in blood pressure, kidney shutdown is at risk. If the patient does not pass urine in the next 8 hours the patient can end up with acute kidney failure.

For comments and archives

 
    Readers Responses
  1. Dr Dr KK Aggarwal Spiritual Update As is the atom so is the universe was very up to the mark. Regards: Dr Anupam
 
    Forthcoming Events

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & National Icons in the field of Cardiology & Echocardiography will form the teaching faculty.

...more

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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