Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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 1st Mega Ajmer Health Camp 2012

  Editorial …

9th March 2012, Friday

Nine brain–cancer cases reported in Interventionalists

Researchers in Israel and France have found a few cases that suggest interventional cardiologists and radiologists may be at risk for left–side brain tumors.

In the January 2012 issue of Eurointervention, Dr Ariel Roguin (Technion–Israel Institute of Technology, Haifa, Israel) and colleagues publish the summary of nine reports of brain tumors in people working in catheterization laboratories for 14 to 32 years. In two cases in Haifa, Israel and two in Paris, the tumor was confirmed to be on the left side. In two cases in Toronto from 1998, the side of the tumor was also on the left side. In three cases in Sweden, the side of the tumor is unknown. The types of tumor reported include glioblastomas, meningiomas, acoustic neurinomas and oligodendromas.

Chronic exposure to low–dose radiation such as that used in interventional cardiology can cause damage to somatic DNA that may be cumulative over time and increase the risk of cancer.

Interventional cardiologists have the highest radiation exposure among health professionals, and existing radiation shield devices for physicians do not usually provide much protection for the head. (Heartwire)

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

Communating to the patients

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

First Mega Ajmer Health Camp – Distribution of devices

11,700 devices were distributed including hearing aids, spectacles, crutches, wheel chairs, tricycles and walking sticks etc.

Dr K K Aggarwal
    National News

HIV cases on decline in state, says survey

HYDERABAD: The latest HIV surveillance survey has thrown up some good news for Andhra Pradesh. The preliminary data of the 2011 study jointly undertaken by National AIDS Control Organisation (NACO) and AP State Aids Control Society (Apsacs) has revealed that the state witnessed a sharp decline in HIV prevalence among the high risk groups. If the HIV prevalence among female sex workers was 11% in 2008, it has dropped to 7% now. The highest decline was noted among the Men having Sex with Men (MSMs) community wherein from 23%, the incidence plummeted to 10%. Among the Injectable Drug Users (IDUs), the incidence has declined from 7% to 3%. (Source: TOI, March 7, 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

Diet can cut weight tied to HIV treatment

The right diet can prevent the weight gain, fat changes, and dyslipidemia associated with treatment for HIV, researchers reported. (Source: Medpage Today)

For comments and archives

Joint Action on HIV and TB Saved 900,000 Lives–WHO

An estimated 910,000 lives were saved worldwide over six years thanks to better collaboration between health services to protect people with HIV from tuberculosis, the World Health Organization (WHO) said on Friday. The WHO said there had been a sharp rise in the numbers of HIV positive people tested for tuberculosis (TB) and vice versa from 2005 to 2010. That allowed doctors to treat people more quickly and prevent the spread of TB to other patients, it added. The WHO said more than 100 countries are now testing at least half of their TB patients for HIV. "Progress was especially noteworthy in Africa where the number of countries testing more than half their TB patients for HIV rose from five in 2005 to 31 in 2010," it added. The number of HIV positive people screened for TB rose almost 12–fold, from nearly 200,000 in 2005 to more than 2.3 million in 2010, the WHO said, as it released data on the impact of its 2004 guidelines on TB and HIV. (Source: Medscape)

For comments and archives

Knee replacement outcome data fall short

Long–term data on total knee replacement surgery is largely limited to revision, leaving clinicians and patients in the dark about outcomes such as residual pain and disability, researchers said. Currently the best data come from national procedure registries, but the traditional outcome measure is subsequent revision surgery, which "can underestimate problems (because) patients can remain with pain or poor function without necessarily undergoing revision," according to Andrew J. Carr, FMedSci, of the University of Oxford in England, and colleagues. (Source: Medpage Today)

For comments and archives

Smartphones and other gadgets help low vision

As the population ages, more and more people are turning up in doctors’ offices with low vision, and new gadgets and rehabilitation techniques are becoming available to help improve their quality of life. The American Academy of Ophthalmology (AAO) is working to educate medical practitioners — including ophthalmologists — that more than many realize can be done to help patients with low vision, said Lylas G. Mogk, MD, an AAO clinical correspondent. (Source: Medscape Medical News)

For comments and archives

   Twitter of the Day

@DrKKAggarwal: #AJD FDA adds warnings to statin label Taking a statin can raise blood sugar and glycosylated hemoglobin (HbA1c)… fb.me/1hRVGAB9s

@DeepakChopra: Loving another person is not separate from loving God. One is a single wave, the other is the ocean.

    Spiritual Update

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

Treat Holi as Holy

The general population should be cautioned to refrain from taking alcoholic drinks while celebrating Holi as excess use of alcoholic drinks can lead to fatal vehicular accidents and also end up into fatal quarrels.

Alcohol acts at the level of intellect and causes its dysfunction. It further leads to loss of power of discrimination and impairment of judgment and consequently the power to judge individuals and discriminate between the opposites. The person loses all social inhibitions which can lead to indulgence into use of foul language amongst each other ending up into fatal quarrels.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are Fertility–enhancing treatments?

Fertility is enhanced in women with minimal or mild endometriosis by controlled ovarian hyperstimulation (COH) with intrauterine insemination (IUI). This treatment is also called superovulation with IUI. Without treatment, women with minimal/mild endometriosis–related infertility have spontaneous pregnancy rates of 2–4.5% per month. The monthly pregnancy rate with IUI alone for endometriosis is approximately 5%, and it is approximately 4–7% per month for clomiphene citrate, human menopausal gonadotropin (HMG), or follicle stimulating hormone (FSH) injections, when used without IUI. However, clomiphene + IUI improves the monthly pregnancy rates to approximately 9–10%, at least for the first four treatment cycles.

For comments and archives

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

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

Buddhism and organ donation

There are no injunctions in Buddhism for or against organ donation. The death process of an individual is viewed as a very important time that should be treated with the greatest care and respect. In some traditions, the moment of death is defined according to criteria which differ from those of modern Western medicine, and there are differing views as to the acceptability of organ transplantation.

The needs and wishes of the dying person must not be compromised by the wish to save a life. Each decision will depend on individual circumstances.

Central to Buddhism is a wish to relieve suffering and there may be circumstances where organ donation may be seen as an act of generosity. Where it is truly the wish of the dying person, it would be seen in that light.
If there is doubt as to the teachings within the particular tradition to which a person belongs, expert guidance should be sought from a senior teacher within the tradition concerned.

When he discovered a monk sick and uncared for, the Buddha said to the other monks,
"Whoever would care for me, let him care for those who are sick".

There are many different Buddhist traditions and organ donation is an individual choice:
"I would be happy if I was able to help someone else live after my own death." Dhammarati, Western Buddhist Order

"Non–attachment to the body can be seen in the context of non–attachment to self and Buddhist teachings on impermanence. Compassion is a pre–eminent quality. Giving one’s body for the good of others is seen as a virtue." The Amida Trust

"Organ donation is acceptable in Theravada Buddhism. It is a Buddhist virtue to generously extend help to other sentient beings and this covers the case of organ donation." Phramaha Laow Panyasiri, Abbot, The Buddhavihara Temple

For comments and archives

   An Inspirational Story

(Ms Ritu Sinha)

Happiness comes from giving

This story is about a beautiful, expensively dressed lady who complained to her psychiatrist that she felt that her whole life was empty; it had no meaning.

So the counselor called over the old lady who cleaned the office floors, and then said to the rich lady, "I’m going to ask Mary here to tell you how she found happiness. All I want you to do is listen."

So the old lady put down her broom and sat on a chair and told her story: "Well, my husband died of malaria and three months later my only son was killed by a car. I had nobody… I had nothing left. I couldn’t sleep; I couldn’t eat; I never smiled at anyone, I even thought of taking my own life. Then one evening a little kitten followed me home from work. Somehow I felt sorry for that kitten. It was cold outside, so I decided to let the kitten in. I got it some milk, and it licked the plate clean. Then it purred and rubbed against my leg, and for the first time in months, I smiled. Then I stopped to think; if helping a little kitten could make me smile, maybe doing something for people could make me happy. So the next day I baked some biscuits and took them to a neighbor who was sick in bed. Every day I tried to do something nice for someone. It made me so happy to see them happy. Today, I don’t know of anybody who sleeps and eats better than I do. I’ve found happiness, by giving it to others."

When she heard that, the rich lady cried. She had everything that money could buy, but she had lost the things which money cannot buy.

Source: http://www.heartnsouls.com/str_compassion.shtml

For comments and archives

    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Exercise and weight loss after bariatric surgery: a review

Bariatric surgery, also known as weight loss surgery, has, in the opinion of the medical community, become an increasingly viable treatment option for severe obesity. The safety of these procedures has increased over the last decade and more and more doctors are recommending it to qualified patients. However, weight loss surgery is expensive and requires substantial, long term diet and lifestyle changes. Also, certain procedures drastically increase the risk of certain nutritional deficiencies. An article reviewed 17 studies looking at the effect of exercise on weight loss in people who have had bariatric surgery. This review included studies of both LAP Band and gastric bypass procedures, and found that participation in exercise positively influenced weight loss outcomes. Studies showed that people who exercised after weight loss surgery lost about 3.6 kg (7.9 lbs) more than their non-exercising counterparts.

The data on physical activity in this review came from a variety of physical activity questionnaires and the studies were all observational. In the future, more research is needed to determine the type and duration of exercise that is most effective. However, this review provides evidence that exercise is effective (and safe) for people who have had weight loss surgery.

For comments and archives

   Cardiology eMedinewS

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

Opportunities and Challenges For Healthcare Innovation in India
Read More

Cardiovascular Risk Assessment In Women Read More

Takotsubo Cardiomyopathy – What Is All The Stress About? Read More

   Pediatric eMedinewS

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

Food Allergy May Make Kids Bullying Targets Read More

Starting School Early May Affect ADHD Diagnosis Read More

Snoring Tots More Likely To Turn Into Troubled Kids Read More

    IJCP Special

Dr Good Dr Bad

Situation: A 24–year–old female suffered migraine attacks after physical exertion.
Dr. Bad: It is not related.
Dr. Good: It is related.
Lesson: Migraines can be triggered by stress, worry, menstrual periods, birth control pills, physical exertion, fatigue, lack of sleep, hunger, head trauma, and certain foods or drinks that contain chemicals such as nitrites, glutamate, aspartate, tyramine.

Make Sure

Situation: A patient developed high altitude cerebral edema while traveling to Leh.
Reaction: Oh my God! Why was acetazolamide not started before the journey?
Lesson: Make sure all high–risk patients are given acetazolamide before they go to mountains.

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  Quote of the Day

(Dr GM Singh)

They cannot take away our self–respect if we do not give it to them. Mohandas K. Gandhi

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Low platelet counts

Surgical bleeding due solely to a reduction in the number of platelets does not generally occur until the platelet count is < 50,000/microL.

Clinical or spontaneous bleeding does not occur until the platelet count is < 10,000 to 20,000/microL.

    Mind Teaser

Read this…………………

Which of the following is not true regarding wandering spleen?

a) The spleen is attached to a long vascular pedicle without the usual mesenteric attachments.
b) Torsion and infarction of the spleen are common complications
c) There is congenital atresia of the dorsal mesogastrium in children
d) Splenectomy is required in all cases

Yesterday’s Mind Teaser: Which of the following is a contraindication for breast conserving surgery (BCT)?

a) Small lump to breast ratio
b) Central breast tumor mass
c) Breast tumor size less than 5 cm
d) Young age

Answer for yesterday’s Mind Teaser: b) Central breast tumor mass

Correct answers received from: Dr. Mrs. S. Das, Dr. P. C. Das, Raju KuppusamyMuthumperumal Thirumalpillai, Dr.Deepali chatterjee, Dr Avtar Krishan, Dr Valluri Ramarao, Dr. Thakor Hitendrasinh G,

Answer for 7th March Mind Teaser: c) 4
Correct answers received from Dr Avtar Krishan, Dr Valluri Ramarao, Dr. Thakor Hitendrasinh G,

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Who says Chemistry is easy!!!

Two Guys in a conversation in bathroom during exams…

Guy 1: You gotta help me !
Guy 2: I can’t Help During test
Guy 1: Please Dude… I AM GONNA FAIL
Guy 2: Okay be quick… ask me?
Guy 1: What’s abbreviation for Nobelium?
Guy 2: NO
Guy 1: But you said you will tell me…
Guy 2: NO!
Guy 1: Ok leave it tell me what’s sodium?
Guy 2: Na !
Guy 1: Damn at least tell me of potassium?
Guy 2: K !
Guy 1: What’s Okay?
Guy 2: Just K!
Guy 1: What’s Just OK?
Guy 2: You mean OK2?
Guy 1: What’s OK Too?
Guy 2: Potassium Oxide…
Guy 1: Oxide?
Guy 2: O
Guy 1: Oh! What??
Guy 2: Oxygen
Guy 1: Damn not oxygen I asked for potassium?
Guy 2: K
Guy 1: NO
Guy 2: Nobelium
Guy 1: Nobelium?
Guy 2: NO
Guy 1: Just give me the bonus question answer. What’s Element 166?
Guy 2: Uhh
Guy 1: Go on?
Guy 2: UHH
Guy 1: UHH??
Guy 2: Exactly
Guy 1: NO WHAT IS IT???
Guy 2: Nobelium
Guy 1: Damn, For God’s sake at least tell me for URANIUM ?
Guy 2: That’s U !
Guy 1: I know that’s upto me… but I am asking your help
Guy 2: U!
Guy 1: NO YOU!!!
Guy 2: Nobelium Uranium
Guy 1: You are an ass
Guy 1: You are an ass
Guy 2: Exactly!!
Guy 1: Baaah!!!
Guy 2: Barium!

    Medicolegal Update

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

What are ordinary and extraordinary medical care?

The Pope and Catholic teachings advocate a distinction between ordinary and extraordinary care, with ordinary care being mandatory, whereas extraordinary care may be withheld or withdrawn.

One commentator explicated this distinction in the following way. According to him,

  • Ordinary means of preserving life are all medicines, treatments and operations, which offer a reasonable hope of benefit for the patient and which can be obtained and used without excessive expense, pain, or inconvenience…
  • Extraordinary means of preserving life mean all medicines, treatments, and operations, which cannot be obtained without excessive expense, pain, or other inconvenience, or which, if used, would not offer reasonable hope of benefit.

Many ethicists and courts have concluded that this distinction is too vague and has "too many conflicting meanings" to be helpful in guiding surrogate decision makers and clinicians As one lawyer noted ordinary and extraordinary are "extremely fact–sensitive, relative terms…what is ordinary for one patient under particular circumstances may be extraordinary for the same patient under different circumstances, or for a different patient under the same circumstances". Thus, the ordinary/extraordinary distinction should not be used to justify decisions about stopping treatment.

(Ref: Pope Pius XII. The prolongation of life In: Ethics in medicine. Reiser, SJ, Dyck, AJ, Curran, WJ (Eds), MIT Press, Cambridge 1997).

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)

Living environment, the most important influence on health

Environment influences the health outcome of a family said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India. The noise levels of the area one lives in determine the blood pressure and the anxiety levels. People living near the main roads or the airport have higher blood pressures.

The air pollution levels decide the age of the lungs.

The company of the people one lives with has been described as the most important factor in Vedic literature. The so–called ‘satsang’ decides one’s behavior and culture.

According to a study done at the Ohio State University published in Urban Studies which examined data on 8,782 people in 373 Chicago neighborhoods, the neighborhood had a major influence on how much exercise one does. The researchers found that people who live in neighborhoods with higher levels of poverty lower levels of education, and more families headed by women were less likely than others to exercise. Neighborhood–related factors that influenced exercise levels included: amount of trust among neighbors, perceived violence in the community and beliefs that neighbors help each other.

The study also found that neighborhood was more important for women than men in determining exercise levels. Neighborhood characteristics were more important than a person’s income in determining exercise levels

    Readers Response
  1. Dear Sir, A Very Happy and Colorful Holi. Regards: Dr Chandresh
    Forthcoming Events
Dr K K Aggarwal

On the occasion of World Kidney Day Delhi Nephrology Society is organising a Pannel discussion On

on 10th March, 2012 at 4–6 PM in PGIMER, RML Hospital.

  1. Topic: Role of Physician in Prevention of CKD, Speaker: Prof. Sham Sunder, PGIMER, RML Hospital
  2. Topic: Option of Treatment for End Stage Renal Disease, Speaker: Dr D Bhawmik Ad. Prof. Nephrology, AIIMS
  3. Topic: Overview of Kidney Transplantation,Speaker: Dr S C Tiwari, Dir. Nephrology, Fortis Hospital
  4. Topic: Status of Deceased Organ Transplant in India, Speaker: Maj. Gen. P P Varma, Head, Dept. Of Nephrology, R & R Hospital
  5. Topic: Role of Transplant co–ordinator/ ICU– sister in Organ Donation, Speaker: Lt. Col. Pradhi, R & R Hospital.

For further details please contact
Dr.Sham Sunder Dr.N.P.Singh
President, DNS Secretary, DNS

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

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

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3. eMedinewS audio lectures (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