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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 …

8th November 2012, Thursday

Probiotics for prevention of the common cold

A meta-analysis of 10 randomized trials compared probiotics (strains of lactobacilli, bifidobacterium, and propionibacterium) with placebo for the prevention of upper respiratory tract infections showed that probiotics decreased the rate of acute respiratory infections but they had no significant effect on the duration of symptoms.

Higher-quality trials that include older adults are needed before it can be determined whether probiotics have a role in the prevention of respiratory tract infections in adults. [Source: Cochrane Database Syst Rev 2011; :CD006895.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Constipation Sutra

Panel Discussion (Dr KK Aggarwal, Dr Ajay Kumar, Dr Rajiv Khosla, Dr A K Jhinghan, Dr Kailash Singla)

Always rule out secondary causes in the elderly constipation

For comments and archives

 
Dr K K Aggarwal
    eMedinewS Audio PostCard

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

Proton–pump inhibitors to carry warning about C

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela formally opens today

Inaugurating the Mela, Dr. Ashok Walia, Hon’ble Minister of Health and Family Welfare, Government of Delhi Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and invited special dignitaries on the dais

 
Dr K K Aggarwal
    National News

19th MTNL Perfect Health Mela 2012

Click for Programme

CPR 10

Click for Video

Today in MTNL Perfect Health Mela

Inter Echo Club Schools Competitions Date: 8th November, Thursday 2012, 9.00 am - 2.00 pm; Venue: Constitution Club of India, Rafi Marg, New Delhi Coordinated by Birla Vidya Niketan, Sector - IV, Pushp Vihar

Workshop for Teachers on Health and Hygiene Date: 8th November, Thursday 2012 10.00 am - 12.00 Noon; Coordinated by Birla Vidya Niketan, Sector - IV, Pushp Vihar, Venue: Constitution Club of India, Rafi Marg, New Delhi

Women’s Conference on Impact of Climate Change on Family Health Date: 8th November, Thursday 2012 Venue: Constitution Club of India, Rafi Marg, New Delhi Organizer: Heart Care Foundation of India Associates: Dr Sadhna International Woman Rights Protection Trust, Supported by: Ministry of Earth Sciences, Govt. of India

Seminar on Looking Within: Consciousness and Artificial Intelligence

Date: 8th November, Thursday 2012, Time: 9 am - 1 pm; Venue: Constitution Club of India, Rafi Marg, New Delhi Convenor: Er Anuj Sinha; Former Director Vigyan Prasar Dept.of Sci.& Tech. Govt.of India

A Cultural Evening

Hindi Academy - Kavi Sammelan
Date: 8th November, Friday 2012
Time : 6 pm onwords: Venue: Constitution Club of India, Rafi Marg, New Delhi

My Profession My Concern

Reduce the risk of patient harm resulting from falls

Why?

Falls are common and associated with significant morbidity and mortality in the nursing care facilities and the acute hospital setting.

For comments and archives

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

A congenitally bicuspid aortic valve is present in about 1 to 2 percent of the population

(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)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Prediabetes no barrier to kidney donation

Patients with prediabetes may still be eligible to serve as kidney donors, making more organs available for transplant, researchers said here. In a single-center, retrospective study, only about 11% of patients who were prediabetic when they donated a kidney had developed diabetes 10 years later, Sindhu Chandran, MD, of the University of California San Francisco, and colleagues reported here at Kidney Week. (Source: Medpage Today)

For comments and archives

More cooling may help after cardiac arrest

For patients who remain comatose after an out-of-hospital cardiac arrest, setting a lower temperature target for therapeutic hypothermia may provide better protection against neurological damage, a pilot trial showed. (Source: Medpage Today)

For comments and archives

UMPIRE's Ruling: Fixed-dose combo improves adherence, lowers cholesterol and BP

A fixed-dose combination tablet that includes aspirin, a statin, and two antihypertensive medications improves adherence to therapy and results in a significant reduction in LDL-cholesterol levels and blood pressure when compared with patients randomized to usual care. (Source: Medscape)

For comments and archives

Healthy habits in 40s pay off in 70s

Healthy living in middle age can add more than a decade of heart attack-free living to old age, researchers found. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Any pain which can be pinpointed by a finger cannot be heart pain Any chest pain which lasts less than 30 seconds... http://fb.me/zqJVONh3

@DeepakChopra: How to tell the difference between your true self & your everyday selfhttp://bit.ly/IRHBMb

 
    Spiritual Update

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

The scientific aspects of prayer

Whenever our near or dear ones suffer a sickness most of us often pass on the heartfelt promise that we’ll "pray for him or her". So many people believe in the power of prayer that it's now caught the attention of scientific doctors.

For comments and archives

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

What could happen to the babies in multiple births?

The babies could be born too early, which is called premature birth. Half of all twins and 90% of all triplets are born prematurely. These babies may have many health problems as seen in babies born early without the help of fertility treatments. Their lungs might not be strong enough, so they might have trouble breathing. The blood vessels in their brains might bleed easily. The babies will probably be underweight and may get sick or even die. Twins, triplets, and other multiples are more likely to have problems with their brain development and nerves if they are born early. One of the more common problems is cerebral palsy, an abnormality of the brain.

For comments and archives

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

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

Immune antibodies

  • In contrast the immune or isoantibodies are IgG.
  • Best react at body temperature and readily cross the placenta.
  • Most antibodies are complement binding; the notable exceptions being Rh and MN.

For comments and archives

 
    An Inspirational Story (Ms Ritu Sinha)

Value and invest in yourself

Imagine that a Genie offers you any car in the world. The catch is that it is the only car you will ever own. What would you do? You would read the manual ten times, change the oil twice as often as required, and you would take fastidious care so that that car remained the car of your dreams forever.

Think about what this tells you about your body. You get only one mind and one body–the same ones you will have at 20, 40, 60, etc.

Take care of them and maximize their potential. It will be too late to take care of your body and mind (and car) later on. You can maintain them, but it is hard or impossible to undo big mistakes or negligence later on. You do not want to end up with a wreck on your hands.

Your main asset in life is yourself.

Treat yourself as a valuable asset. I often explain to students that I would be willing to pay today for a percentage of the future earnings of good students.

If you value yourself, and invest in yourself, you will be worth a great deal throughout your lifetime, both to yourself and to your community.

For comments and archives

 
    Cardiology eMedinewS

Management of atrial fibrillation in the heart failure patient Read More

Smoke-free workplace laws may be linked to lower heart attack rates Read More

 
    Pediatric eMedinewS

Early-term birth linked to increased long-term mortality Read More

Treat kids with sore throats to curb rheumatic fever in South Africa Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with suspected malaria was found to have negative falciparum smear.
Dr. Bad: This is not malaria.
Dr. Good: Repeat the smear every six hours for the next 72 hours.
Lesson: If initial screening is negative and an alternative diagnosis is not available, smear examinations should be repeated every 6–12 hours for the next 48–72 hours (Clin Microbiol Rev 2002;15:66)

For comments and archives

Make Sure

Situation: A patient with Chikungunya had persistent joint pain.
Reaction: Oh my God! Why was hydroxychloroquine not given?
Lesson: Make sure that all patients with post Chikungunya arthritis are treated with hydroxychloroquine to reduce disability.

For comments and archives

 
  Legal Question of the Day (Dr MC Gupta)

Q. I think the PNDT authorities are unreasonably strict in filing criminal cases against doctors if they detect any deficiency in the F form. Doctors are very busy and don’t have sufficient time to carefully fill each and every column of the F form. What is the legal position?

Ans.

  1. The PNDT authorities are unreasonably strict. They have to follow the law. The law is clear that it is illegal to fill the form inaccurately or to leave any columns blank. The foot note in Form F clearly states as follows:

    “Person conducting ultrasonography on a pregnant woman shall keep complete record thereof in the clinic/centre in Form – F and any deficiency or inaccuracy found therein shall amount to contravention of provisions of section 5 or section 6 of the Act, unless contrary is proved by the person conducting such ultrasonography”.
  2. If doctors are very busy, that cannot be an excuse for breaking the law.
  3. The legal position in this regard has been set forth as follows in Suo Motu Vs State of Gujarat, decided on 30/09/2008 by the Full Bench of Gujarat HC, reported as 2009 CRI.L.J. 721—

    “ii) The proviso to sub-section (3) of section 4 of the PNDT Act does not require that the complaint alleging inaccuracy or deficiency in maintaining record in the prescribed manner should also contain allegation of contravention of the provisions of section 5 or 6 of the PNDT Act.

    (iii) In a case based upon allegation of deficiency or inaccuracy in maintenance of record in the prescribed manner as required under sub-section (3) of section 4 of the PNDT Act, the burden to prove that there was contravention of the provisions of section 5 or 6 does not lie upon the prosecution.

    (iv) Deficiency or inaccuracy in filling Form F prescribed under Rule 9 of the Rules made under the PNDT Act, being a deficiency or inaccuracy in keeping record in the prescribed manner, it is not a procedural lapse but an independent offence amounting to contravention of the provisions of section 5 or 6 of the PNDT Act and has to be treated and tried accordingly. It does not, however, mean that each inaccuracy or deficiency in maintaining the requisite record may be as serious as violation of the provisions of section 5 or 6 of the Act and the Court would be justified, while imposing punishment upon conviction, in taking a lenient view in cases of only technical, formal or insignificant lapses in filling up the forms. For example, not maintaining the record of conducting ultrasonography on a pregnant woman at all or filling up incorrect particulars may be taken in all seriousness as if the provisions of section 5 or 6 were violated, but incomplete details of the full name and address of the pregnant woman may be treated leniently if her identity and address were otherwise mentioned in a manner sufficient to identify and trace her.”
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  Quote of the Day (Dr GM Singh)

The ingredients of health and long life are great temperance, open air, easy labour and little care. Sir Philip Sidney

 
    Mind Teaser

Read this…………………

The first physiological response to high environmental temperature is:

1. Sweating
2. Vasodilation
3. Decreased heat production
4. Non–shivering thermogenesis

Yesterday’s Mind Teaser: The nurse knows that a client with pernicious anemia understands the teaching regarding the vitamin B12 injections when she states that she must take it:

A. When she feels fatigued
B. During exacerbations of anemia
C. Until her symptoms subside
D. For the rest of her life

Answer for yesterday’s Mind Teaser: D. For the rest of her life

Correct answers received from: Dr.K.Raju, Dr Mukesh K Bhandari, Dr.Suresh Arora, Dr. P. C. Das,drjella, DR.SHAGUFTA MOIN, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai

Answer for 6th November Mind Teaser:C. IM injections once a month will maintain control

Correct answers received from: Dr BB Aggarwal, Dr KP Chandra, Sagar Tucker.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

A kangaroo kept getting out of his enclosure at the zoo. Knowing that he could hop high, the zoo officials put up a 10-foot fence. He was out the next morning, just sauntering around the zoo. A 20-foot fence was put up. Again he got out. When the fence was 40 feet high, a camel in the next enclosure asked the kangaroo, “How high do you think they’ll go?” The kangaroo said, “About a thousand feet, unless somebody locks the gate at night!”

 
    Medicolegal Update

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

Integrity of a doctor must be whole and complete

  • The word "integrity" stems from the Latin adjective "integer" meaning whole and complete. In the context of medical professional, integrity is the inner sense of "wholeness" of a doctor deriving from qualities such as honesty and consistency of character. As such, one may judge that others "have integrity" to the extent that they act according to the values, beliefs and principles they claim to hold. Integrity is a concept of consistency of actions, values, methods, measures, principles, transparency, expectations, and outcomes.
  • In medical ethics, integrity is regarded as the honesty and truthfulness or accuracy of one's actions in medical care delivery in the form of diagnosis and therapeutic intervention. Integrity can be regarded as the opposite of hypocrisy in that it regards internal consistency as a virtue, and suggests that parties holding apparently conflicting values should account for the discrepancy or alter their beliefs.
  • One essential aspect of a consistent framework is its avoidance of any unwarranted or arbitrary exceptions for a particular doctor especially the doctor that holds the framework in medical setup. In law, this principle of universal application requires that even those in positions of official power be subject to the same laws as pertain to their fellow person.
  • In personal ethics, this principle requires that one should not act according to any rule that one would not wish to see universally followed. For example, one should not steal unless one would want to live in a world in which everyone was a thief.
  • Speaking about integrity can emphasize the "wholeness" or "intactness" of a moral stance or attitude. Wholeness may also emphasize commitment and authenticity. Integrity "does not consist of loyalty to one’s subjective whims, but of loyalty to rational principles and practice of medicine in the interest of patient and public at large that strictly apply in medicolegal cases
  • In a formal study of the term "integrity" and its meaning in modern ethics, Law. Professor Carter sees integrity not only as a refusal to engage in behavior that evades responsibility, but also as an understanding of different modes or styles in which discourse attempts to uncover a particular truth/fact in public interest. Carter writes that integrity requires three steps: "discerning what is right and what is wrong; acting on what you have discerned, even at personal cost; and saying openly that you are acting on your understanding of right from wrong." He regards integrity as being distinct from honesty.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

19th MTNL Perfect Health Mela formally opens today

Inaugurating the Mela, Dr. Ashok Walia, Hon’ble Minister of Health and Family Welfare, Government of Delhi said that to reduce the menace of increasing lifestyle disorders in the society, we must say no to junk food and avoid eating a combination of white sugar, white rice and white maida. He said that one should not use trans-fat in the diet as it can lead to abdominal obesity.

Dr. Walia emphasized regarding heart diseases in the city and said

Dr. T. Meniya, Member of Parliament said that emphasis on the role of exercise in day to day life should be given. He said that even simple walking can make all the difference.

In her message to the Mela, Smt. Sheila Dixit, Hon’ble Chief Minister of Delhi, said that for combating lifestyle disorders, the public health education is the only answer.

Smt. Savita Gupta, Hon’ble Mayor, South MCD in her message said that meditation and prayer are part and parcel of healthy lifestyle. Acharya Dr. Sadhvi Sadhna Ji Maharaj, Chairperson World Fellowship of Religions emphasized on the role of Mantra meditation.

Delivering the presidential address, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that the Government should think of limiting the quantity of trans fats in the hotel industry. He also said that education should be created amongst school children about the hazards of eating trans fats. Talking about dengue menace, Dr. Aggarwal said that all school children should be given home work to check for dengue breeding in their respective houses and neighbourhood.

Other eminent personalities who gave their messages were – Shri AK Garg, CMD MTNL, Shri Suman Mukherjee, Director, SAIL, Shri AP Frank Noronha, DG DAVP, Shri SS Gupta, Dev. Commissioner Handicrafts, Govt.. of India, Padma Shri Awardee Alok Mehta Editor National Dunya, Sh Rajiv Ranjan Srivastava Editor Deshbandhu, Sh Anil Ganeriwala Joint Secretary, AYUSH, Govt. of India, Shri Satish Kumar, ED, Indian Oil, Shri R. Chandra Mohan, Pr. Secretary-cum-Commissioner, Transport Department, Shri Sanjiv Kumar, Secretary, Dept of Environment, Shri AP Singh, Zonal Manager(North), LIC, Shri GG Saxena, CMD DTDC, Shri BP Singh, Advisor & Head, RVPSP, DST, Shri Rajiv Kale, Director WCD, Dr. M Sudhakar, Scientist G, Ministry of Earth Science, Shri Sanjay Kumar, Secretary (Environment & Forest), Shri Deepak Jolly, Vice President Coca Cola Ltd., Shri R.C. Daka, Director AIIMS, Shri Vivek Kumar, Trustee, Brij Rma Foundation, Shri KS Rao, Jt. Secy., MOHFW, GoI, Dr. A K Aggarwal, President, DMC, Sh Satish Goell Chairman Mujaffar Nagar Medical College, Dr Harish Gupta, President, DMA, Shri Sandeep Marwah, Chairman, AAFT, Shri Rajender Gupta, Former Transport Minister Delhi, Shri Satish Upadhayay, Chairman Education Committee, MCD South Zone and Dr V K Khanna President IAHP.

Celebrities who were present were Padma Bhushan Awardee Uma Sharma, Kathak Dancers Nalini Kamalkini, Sangeeta Bahl and Ramon Lamba.

Over 50 activities have been planned in the Perfect Health Mela and will include inter-school; inter-nursing school, inter-dancing school and inter-college festivals, workshops on physics and consciousness, cardiology workshops for naturopaths, Ayurved physicians and homeopaths, all pathy and all religion meet on exercise and prayer. The 5 days of Mela will be a mix of exhibition, checkups and infotainment.

Workshop on obesity

A special workshop was organized on obesity and concluded that trans-fat should be banned in the hotel industry. The participants included Dr. KK Aggarwal and Dr Praveen Bhatia obesity surgeon.

1. Abdominal obesity is more dangerous than generalized obesity
2. One should avoid a combination of refined carbs and animal fat
3. Eat in moderation
4. Exercise more
5. Longer the waist line shorter the life line

1000 children walk for good health

1000 children walked from Shastri Bhavan to the Mela ground in the morning with health play cards

1. Foods of plant in origin have no cholesterol
2. Dengue mosquito grows in fresh collected home water
3. Breathing with a speed of 5 per minute for twenty minute can be a used like a drug
4. Eat seasonal fruits and vegetables
5. Move and walk is the fitness mantra

1500 school children participate in Harmony

Over 1500 school children participated in the special festival Harmony in competitions like Poster-cum-Slogan Writing, Health Model Display-cum-Demonstration on prevention of vector born diseases, Quiz on non-communicable diseases and Folk Dance on dance to good health. The prizes were distributed on the spot. Birla Vidya Niketan school was the coordinating school.

Mrs Minakshi Kushwaha and Mrs Tapati Singhi from BVN said that school children can paly a major role in checking the menace of dengue in the city.

1. Dance is good for the heart
2. Walk atleast 80 minutes a day
3. Brisk walk atleast 80 minutes a week
4. Brisk walk should be more than 80 steps a minute
5. Do not use lift for the first floor

National workshop on Ayurveda in cardiology

Over 200 Ayurvedic doctors participated in a workshop organized in association with Integrated Medical Association on all about cardiac diagnostics an Ayurveda doctor should know. The faculty included Dr. KK Aggarwal and Dr. Vinayak Aggarwal and Dr R P Parasher.

Facts

1. Arjuna Chaal is good for heart patients
2. One clove of garlic is good for the heart
3. Heart patients should avoid eating food rich in pungent, sour and salt taste.

Over 400 school teachers attend a workshop on Health and Hygiene

Over 400 school teachers attended a workshop on health and hygiene. The workshops were conducted for school teachers by Birla Vidya Niketan and Ryan International School. Over 400 teachers including from SMCD were trained. The workshops were conducted by Dr. KK Aggarwal and Anju Uppal Principal Rynes International School Faridabad.

Facts

1. One should not cough in hands or in handkerchief
2. One should wash hands before eating
3. Washing hands should be for 15 seconds.

PFA stalls attack crowd

Large number of people could be seen at the food adulteration stalls showing how to detect adulteration in food.

Cultural Shows at Perfect Health Mela

Cultural shows were organized by Punjabi Academy and National Song and Drama Division.

  1. About 50 people die of heart disease every day in Delhi itself. Delhi Government has planned to reduce this in the city.
  2. It has already banned Gutka.
  3. It has started diabetic and hypertension control programmes,
  4. It is working against the supply of junk food in schools and is educating about the concept of exercise in schools.
  5. The Government also has a school health scheme for the examination of school children.
  6. For kidney patients, it has a free dialysis programme.
  7. For BPL heart patients, Delhi Government provides free angioplasty and bypass surgery and the Government is enforcing free beds for heart patients in private hospitals, which have received free or concessional land from the Government.
 
    Readers Responses
  1. Not only active ingredient determines expiry Of a drug, but also safety. With time, oxidative, Photo, hydration etc related new products are Formed. These can be unsafe. Please examine this aspect to see what FDA says about the basis for expiry. Rakesh Tuli
 
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