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 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 October 2011, Friday

Oral contraceptive increases HIV risk

The Pill and other hormonal methods of contraception are associated with an increased risk of acquiring HIV for both men and women, reports MedPage.

An observational analysis – from a randomized trial of couples in which one partner had HIV and the other did not – found that HIV–negative women using hormonal contraception had nearly twice the risk of catching HIV as those using other methods or none, according to Jared Baeten, MD, of the University of Washington in Seattle and colleagues in The Lancet Infectious Diseases.

The study also found that HIV–negative male partners of women also face an increased risk if the women use hormonal methods of contraception, mainly injections of long–acting depot medroxyprogesterone acetate.

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 on

Oral contraceptive increases HIV risk

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

Medico Masti – An Inter College Health Festival at Perfect Health Mela 2011

Infotainment is a new concept of creating health education where education is inter linked with entertainment.

 
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

Nearly 300 dengue cases reported in New Delhi

NEW DELHI: With 10 more people testing positive for dengue, the total number of cases rose to 293 in the city even as the MCD has launched a special awareness drive targeting schools. "Ten new cases of dengue were reported from different hospitals in the past 24 hours," Dr V K Monga, chairman of Municipal Corporation of Delhi’s health committee said. Monga said the civic body is conducting a special campaign in schools to check the spread of the disease. Under it, students will be given a dengue report card to check the presence of dengue mosquitoes in their premises, he said. (Source: TOI, Oct 5, 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)

Smoking may lead to excess TB deaths

A new research has claimed that smoking could be responsible for 40 million excess deaths from tuberculosis between 2010 and 2050. According to the study led by Dr Sanjay Basu from the University of California, there will be 18 million more cases worldwide between 2010 and 2050 because smoking increases the risk of contracting TB. The authors say that smoking tobacco is a TB risk factor and nearly one fifth of the world's population smokes, and that most cigarettes are smoked in countries with high TB prevalence, where the tobacco industry has expanded its market. (Source: TOI, Oct 5, 2011)

For comments and archives

Same–day discharge safe for some stent patients

Overnight observation after elective percutaneous coronary intervention (PCI) may not be necessary for selected low–risk patients, a large registry study suggested.

For comments and archives

FDA Okays novel gel to curb bleeding during surgery

The FDA has approved a gel called LeGoo that temporarily stops blood flow during surgery. LeGoo is indicated for use in blood vessels below the neck and that are 4 mm or less in diameter. The gel stops blood from filling a surgical area without causing damage to the vessel, which often happens when clamps or elastic loops are used, an FDA statement said. LeGoo is temperature sensitive –– liquid at room temperature and solid at a higher temperature. The gel plugs the vessel for up to 15 minutes, after which it dissolves. The plug can be dissolved sooner by cooling the vessel with an ice pack or cold saline, the statement said.

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: HIV Prevention: Multiple positions with one is better than one with many.

@DeepakChopra: Science vs. Spirituality: Deepak Chopra And Leonard Mlodinow Discuss 'War Of The Worldviews' http://huff.to/qDuasC via@huffingtonpost

 
    Spiritual Update

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

Science behind 8th Navratri or Maha Gauri Worship

  1. Maha Gauri is worshipped on the Eight Day of Navratri.
  2. She looks as white as moon and jasmine. White means purity of mind.
  3. She has three eyes and four hands. She is dressed in a white sari.
  4. She holds a drum and a trident and is often depicted riding a bull (control over the desires)

For comments and archives

 
   An Inspirational Story

(Ms Ritu Sinha)

If and When Planted

How is "if and when" planted? The short stories below are examples of planting "if and when":

Karen, one of my coworkers was stressed about where she was living. She hated the apartment she was in and complained every day about it. One day over coffee, I asked her why she didn’t look for another apartment – it seemed like an easy solution to me. Karen’s reply to this was, "I will look for another apartment when I come back from vacation."

Sam hated his job. He dreaded getting up in the morning. He hated the work he was doing and it started to take a toll on him. He had a love for photography and was currently taking a two–year course to obtain his certificate. Every night he complained about his work. After listening to his complaints for a month, I asked him why he didn’t finish his course and start a small business doing photography on the weekends. His reply, "if only I had more time to finish my course. When I finish my course I will start a business."

Sarah had saved all her life and now was retired and living comfortably. The house she bought had a dishwasher in it; however, the dishwasher was old and didn’t work. She hated doing dishes, and every time we visited with her she complained about doing the dishes. One night, I asked her, "Why don’t you buy a new dishwasher Sarah." Her reply, "I have been thinking about it, if they would only come on sale I would."

Larry worked for a company that allowed early retirement. Larry had both the years of service and his age, which allowed him to retire, but at a reduced pension. He was having difficulty coping with all the changes that were being made in his work. He had a couple of mild attacks, not a heart attack but similar to one. He called me and we talked for hours. I was worried about the stress of his job and the effects it was having on his health. "Why don’t you retire Harry? Do something that you have always wanted to do," I asked. Harry's reply to my question was, "If only I was older then I would get my full pension." I got bolder in my conversation with him, "But Harry, you have your house paid off, you have no bills, the kids are grown up. You could sell your house and downsize, it really is not worth your health is it? Harry then said, "When the summer comes maybe I will."

All of these stories have the same theme running through them. There is a proverb that says it all:

"If and when were planted, and nothing grew."

Now a year later,

Karen is still living in the apartment she hates!

Sam is still complaining about his job and still has not finished his course!

Sarah is still washing dishes!

Larry is still working and his health is not what it used to be!

The sad part of all of these stories is that all of these people had a lot of stress in their lives that they could have taken action to reduce. But, all of them defeated themselves by thinking "if" or "when". Life is too short for "if’s and when’s".

The next time you are in a stressful situation and you find yourself saying or thinking – "if or when" – remember the saying, "If and when were planted and nothing grew!" Change your thinking and take action, so that you can reduce your stress right now.

For comments and archives

 
    Fitness Update

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

Exercise helps prevent heart failure in cancer patients

Cardiotoxicity, or treatment–induced heart failure, is a serious side effect of chemotherapy, a treatment given to cancer patients. The condition affects physical fitness, physical therapy and quality of life. While previous research shows that exercise can help heart failure patients and cancer survivors, no work has been done to test the effect of exercise in cancer survivors with treatment–induced heart failure. Researchers from Vanderbilt University and the University of Texas at San Antonio conducted a pilot study to test a small group of patients who were recovering from various forms of cancer, and who were diagnosed with cardiotoxicity. The patients underwent an exercise–based treatment program for 16 weeks, and researchers measured cardiovascular fitness. While patients were only able to perform a low amount of moderate activity at the beginning of the intervention, they were able to perform more and more exercise as time passed and physical fitness improved. Researchers measured quality of life and mental health (using questionnaires), and both were improved significantly as a result of the intervention.

Study authors note that exercise programs for patients suffering from cancer or treatment–induced heart failure need to be designed by a professional.

For comments and archives

 
    Malaria Update

AC Dhariwal, Hitendrasinh G Thakor, Directorate of NVBDCP, New Delhi

What is the treatment of uncomplicated malaria as per National Guidelines?

All fever cases diagnosed as malaria by RDT or microscopy and should promptly be given effective treatment. Following decision rules are followed based on method of diagnosis:

If Pf–specific RDT is used, negative cases showing signs and symptoms of malaria without any other obvious cause should be considered as ‘clinical malaria’ and treated with chloroquine in full therapeutic dose of 25 mg/kg body weight over three days. If a slide result is obtained later, the treatment should be adjusted accordingly, i.e. P. vivax cases should receive primaquine for 14 days, and in P. falciparum cases, ACT. A single dose of primaquine should be given to all P. falciparum cases on day two.

For comments and archives

 
    Medicine Update

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

Vitamin A supplementation to prevent disease and death in children aged 6 months to 5 years

Vitamin A deficiency (VAD) is a major public health problem in low and middle income countries affecting 190 million children under 5 years of age. VAD predisposes children to increased risk of a range of problems that can even lead to death, including respiratory diseases, diarrhea, measles and vision problems.

A metanalysis published in the Cochrane database which included 43 randomised trials representing 215,633 children, showed that giving vitamin A capsules to children aged 6 months to 5 years can reduce death and some diseases. The results of 17 of the studies were summarized and indicate that vitamin A reduces the overall risk of death by 24%. Death due to measles, respiratory infections or meningitis was not specifically reduced, but vitamin A can reduce new occurrences of diarrhea and measles. When people take very large doses of vitamin A, they may be more likely to vomit within two days after taking it.

For comments and archives

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Prostate specific antigen (PSA)

  • Bacterial prostatitis may increase PSA levels, but they generally return to baseline 6 to 8 weeks after symptoms resolve.
  • Asymptomatic prostatic inflammation can also elevate PSA levels, but this diagnosis is made on biopsy and so cannot generally be used to defer screening tests.

For comments and archives

 
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

I understand that the sale of human organs/tissues/blood is against law. Mere exhortations and appeals to people to make such donations are not very effective. What incentives can be legally given to promote organ donation?

Ans.

  1. In some countries, people who donate organs are accorded a state funeral.
  2. A more practical scheme in India may be for the government to start a scheme of one or more incentives of the following types:
  • A special pension scheme of, say, Rs. 1000/– per month for 5–10 years, to the persons (or to their family members, if deceased), who donate their organs.
  • A special pension scheme for those who donate blood. For example, the scheme may be on the following lines:
    • Those who donate blood five times may be paid a special pension of Rs. 200/– per month for 5 years.
    • Those who donate blood ten times may be paid a special pension of Rs. 200/– per month for 10 years.
    • Those who donate blood 25 times may be paid a special pension of Rs. 400/– per month for 10 years.
    • Those who donate blood 50 times may be paid a special pension of Rs. 1000/– per month for 10 years.
    • Those who donate blood 75 times may be paid a special pension of Rs. 1000/– per month for 15 years.
    • Those who donate blood 100 times may be paid a special pension of Rs. 1000/– per month for 20 years.
  • The government may reserve a preferential quota in jobs etc. or for allotment of housing etc.
  • The government may provide free health insurance/Mediclaim policy for a specified number of years to persons donating or their specified nominee.
  • The government may announce a competitive prize scheme for hospitals where organs are retrieved from a specified percentage of hospital deaths. The toppers may be given special recognition/award. A similar interdepartmental competitive recognition scheme may be similarly started within a hospital to promote organ donation

For comments and archives

 
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    IJCP Special

Dr Good Dr Bad

Situation: A patient with Mediclaim needed chemotherapy.
Dr. Bad: Get admitted for 24 hours.
Dr. Good: Take it has day care.
Lesson: Admission limit of 24 hours is not applicable for chemotherapy, radiotherapy etc.

For comments and archives

Make Sure

Situation: A patient died after receiving 30 ml IV potassium chloride (KCl) bolus.
Reaction: Oh my God! Why was KCL given as bolus?
Lesson: Make sure that IV KCL is not given @ > 10 mEq per hour.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Success is the sum of small efforts, repeated day in and day out. Robert J. Collier

 
    IDIOMS

Nest Egg: Savings set aside for future use.

 
    Mind Teaser

Read this…………………

The fibers from the contralateral nasal hemiretina project to the following layers of the lateral geniculate nucleus:

1. Layers 2, 3 & 5
2. Layers 1, 2 & 6
3. Layers 1, 4 & 6
4. Layers 4, 5 & 6

Yesterday’s Mind Teaser: All of the following statements regarding local treatment of early stage breast cancer are correct except?

1. Mastectomy is the surgery of choice for multi–centric breast cancer.
2. Post–mastectomy chest wall irradiation in women with large tumor size or multiple involved lymph nodes reduces the risk of recurrence.
3. Previous radiation therapy to the breast is not a contraindication to breast conservative approach.
4. Sentinel lymph node biopsy is an alternative to axillary node dissection in women with a clinically negative axilla.

Answer for yesterday’s Mind Teaser: 3. Previous radiation therapy to the breast is not a contraindication to breast conservative approach.

Correct answers received from: Dr Avtar Krishan, Dr K Raju, Dr Prof. HL Kapoor, Dr Surendra Bahadur Mathur, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Anil Bairaria.

Answer for 4th October Mind Teaser: Neither, the yolk of the egg is yellow
Correct answers received from: YJ Vasavada, Dr KV Sarma, Dr Kanu Verma, Dr AK Kela, Rajiv Kohli,
Dr Ragavan Moudglaya.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr Veena Aggarwal)

Murphy’s Laws for Humour

Anything dropped on the floor will roll over to the most inaccessible corner.

 
    Medicolegal Update

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

Whether every cut in the bone of tentative dimensions is Grievous hurt?

The certification of grievous injury is done by doctors in accordance with Section 320 of Indian Penal Code, which lists fracture of bone as a grievous injury.

  • The medical dictionary meaning of fracture is the breaking of a part especially the bone or break or rupture in the bone or in continuity of a bone
  • This definition is applicable to the Radiologist or Orthopedician but certainly not for the purpose of certification of injury as grievous since in many cases in legal scrutiny it has been found that fractures reported by Radiologists were tentative, superficial, fabricated or self–inflicted, hardly one mm deep cuts in the bone or merely a ponding effect on bone having no any medical or surgical complication is certified a grievous injury, which is not a prudent certification for law.
  • It is imported for a doctor to understand that a tentative fracture medically/clinically non–significant/uncomplicated/invented by modern scan methods/cannot be certified as grievous injury.
  • A mere superficial cut and scratch on bone may not be grievous because the meaning of grievous is……………… threatening great harm; "a dangerous operation"; "a grave situation"; "a grave illness"; "grievous bodily harm"; "a serious wound"; "a serious turn of events"; "a severe case of wound or a life–threatening disease
  • It must be remembered that the cutting of a bone does not necessarily involve a fracture of that bone. In a criminal revision at the Patna High Court, in which one received an incised wound, 3" x 3 ¼" x 1, on the lower part of the left leg cutting the bone underneath it was held that where the evidence was merely that the bone had been cut and there was nothing whatever to indicate the extent of the cut, whether deep or a mere scratch upon the surface, it was impossible to infer from that evidence alone that grievous hurt had been caused within the meaning of the definition of Section 320 IPC.
  • In a judgment, the Supreme Court had clarified that until and unless such a cut on bone does not extend deep up to the medullary cavity it will not constitute a grievous hurt within the definition of fracture under Section 320(7) of Indian Penal Code
  • In case of hurt it is the Court that finally decides whether it is simple or grievous. The duty of the medical witness is only to describe the facts and not classify a hurt. The entry made in the wound certificate as simple or grievous is only meant to guide the investigating officer.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

All Pathies consensus conference on prevention of lifestyle disorders

For the first time, an all pathy consensus conference on prevention of lifestyle disorders will be organized as a part of MTNL Perfect Health Mela on Sunday, 16th October, 2011 at Acharya Sushil Muni Ashram, Defence Colony.

The conference will be organized by Heart Care Foundation of India and World Fellowship of Religions in association with Health Department, Government of Delhi, NDMC and MCD. The experts will be provided by Ayurvedic Department, Moolchand Hospital, Homeopathic Cardiologists of India and Sewak Ram Naturopathy Centre.

Giving the details, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Perfect Health Mela said that up till now, there is no consensus between various pathies about cardiovascular prevention in the society.

For example, Ayurveda says that one should not eat curd at night, allopathy is silent on this. A consensus paper will be brought out and published in one of the standard journals.

The experts who will participate will include Dr. K K Aggarwal and Dr S C Manchanda (Allopathy); Dr R K Manchanda, Dr. V K Gupta, Dr. V K Chauhan, Dr. V K Khanna, Dr. C B Nayak, Dr. Ameeta Manchanda, Dr Anupam Sethi Malhotra (Homeopathy), Dr. S P Tripathi, Dr. Shashi Bala, Dr. A K Sharma, Dr B N Sinha, Dr Rakhi Mehra, Dr S K Mishra, (Ayurveda); Dr Pawan Yadav, Dr Shakir Jamil, Dr Shamshad Ahmed (Unani); Dr S N Yadav (Naturopathy), Dr Raman Kapur, Dr R L Tuli (Acupuncture); Mr Ashok Aggarwal, Narender Shri Ji, Pt Padmesh Dubey (Astrology); Acharya Dr Sadhvi Sadhna Ji Maharaj, Dr A K Merchant, Sh N Malekar, B K Sapna, B K Sangeeta, Dr. Pranav Pandya (Dharma Gurus).

More than 500 doctors will be participating in the event.

Dr. Aggarwal said that the Mela is being organized from October 14 to 23, 2011 at different locations.

For comments and archives

 
    Readers Responses
  1. Dear Sir,The content of emedinews is most informative, concise, unambiguous. Regards: Anupama
 
    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals

Dr K K Aggarwal

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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