emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

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eMedinewS Presents Audio News of the Day

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

Photos of Workshop on Stress Management and How to be Happy and Healthy

 
    Dr KK Aggarwal on Social Media …


DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan
ASAR–Aamir Khan And Dr KK Aggarwal on Satyamev Jayate

 

 
  Editorial …

9th June 2012, Saturday

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

Dr. Jacques Busquet is President of the International Society of Endovascular Specialists (ISES). He is currently coordinator of Vascular and Endovascular Service at the Clinique Chirurgicale Val d’Or - Saint Cloud, Paris, France.

Endovascular surgery has advanced so much that today one can do interventions from head to toe in any vessel. The need for surgery is reducing day by day. Interventions are now becoming less and less aggressive with reduced hospital stay. The techniques are more advanced with better prostheses, guidewires, stent catheters etc. For the younger generation of intervention cardiologists and vascular interventional specialists, who are getting trained in interventional procedures, treatment today has become easier than before; however, it is not for prevention but only for curative procedures.

In the west, the stent graft can be put in any vessel; however, it is important to perfectly size the graft to get the best results.

The use of the imaging cardiology is equally important.

At the International Society of Endovascular Specialists with 1500 members from 60 countries, we are working towards providing a uniform standard of care. The aim of the society is to produce endovascular intervention cardiologists so that the same treatment is provided irrespective of country you are getting treatment in.

It is very unfortunate that most stents are made in the US and hence their cost is high. More and more research should be held in every country to make indigenous stents and the least expensive stents. The dream of our organization is that the standard of care should be disease specific and not country specific. One should be able to provide same standard of care irrespective of the centre or country he or she is being operated.

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

Ventilator-associated tracheobronchitis.

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

APVIC-IV

The 4th Asia Pacific Vascular Intervention Course is ongoing at The Oberoi Hotel, New Delhi from June 8-10, 2012.

In the photo: Padma Shri & Dr BC Roy National Awardee Dr KK Aggarwal with Dr Dr. Jacques Busquet.at the workshop

 
Dr K K Aggarwal
 
    National News

Health Ministry mulls regulator to assess aptness of new technologies

In line with the suggestions of a panel of Planning Commission, the Union Health Ministry has taken the first step to set up a regulator to scientifically assess new health technologies for promotion before they could be introduced in the market for public usage. A senior Health Ministry official said an advisory group comprising senior officials from the Department of Health Research (DHR), ICMR, Department of Biotechnology, DRDO and DGHS among others has been constituted to initiate the process of setting up the Medical Technology Assessment Board (MTAB) under the DHR. "The Board would be empowered to make recommendations to the government after suitable health technologies, interventions and procedures for introduction or procurement in the Country, "the official added. The advisory group, headed by scientist MS Valiathan, Director of the Sree Chitra Tirunal Institute of Medical Sciences (SCTIMS), Thiruvananthapuram will submit its report soon following which further action will be taken in the matter. The officer said that as in the case of the clinical trials which are approved only after they are assessed by a panel, the MTAB will review the technologies available in the country or say those being introduced in the medical sector. "This is in line with the suggestions from the Working Group of the Planning Commission headed by ICMR head and DHR secretary VM Katoch," he added. The working group of Planning Commission for 12th Five year plan has also emphasised that the DHR should set up a development board also to promote development and accelerate the indigenous production of instruments/ medical devices that are vital for affordable health care. The panel has also stressed on need to set up strict regulatory mechanisms systems and mechanisms for quality control of drugs and other health products. "To address this need, the DHR should set up apex drug testing laboratories and related regulatory infrastructure in every State in coordination with DCGI and other appropriate mechanisms." (Source: The Pioneer, 06 June 2012)

For comments and archives

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Novel agent works against resistant TB

The investigational drug delamanid may help combat multidrug–resistant tuberculosis, results of a phase II trial indicate. When added to background therapy with second–line agents for 2 months, two different doses of delamanid resulted in higher rates of sputum–culture conversion than placebo, according to Lawrence Geiter, PhD, of Otsuka Pharmaceutical in Rockville, Md. –– which is developing the agent –– and colleagues. That endpoint has been associated with improved clinical outcomes among patients infected with strains of Mycobacterium tuberculosis that are resistant to the first–line agents isoniazid and rifampin, the researchers reported in the June 7 issue of the New England Journal of Medicine. (Source: Medpage Today)

For comments and archives

Mortality in mentally ill rises with soaring temperatures

Patients with psychosis, dementia, or substance misuse may be at an increased mortality risk during hot weather, new research suggests. A cohort study of adult patients in England showed that for those with severe mental illness, the risk for death increased by almost 5% per 1°C increase in temperature above 18°C. In contrast, the risk for the general population is approximately 2% per 1°C increase. (Source: Medscape)

For comments and archives

Label update for Dabigatran

Boehringer Ingelheim today announced an update to the prescribing information for dabigatran (Pradaxa), to include language confirming that the 150–mg twice–daily dose was superior to warfarin in reducing ischemic and hemorrhagic strokes in patients with nonvalvular atrial fibrillation (NVAF). The "Clinical Studies" section of the label will now read, "Pradaxa 150 mg twice daily was superior in reducing ischemic and hemorrhagic strokes relative to warfarin." The update reflects previously released results of the Randomized Evaluation of Long–Term Anticoagulation Therapy (RE–LY) trial, a noninferiority comparison of dabigatran vs warfarin in more than 18,000 patients with NVAF. (Source: Medscape)

For comments and archives

ASCO: Mutations key to chemo in brain tumor

A duo of chromosomal mutations may predict benefit of chemotherapy in anaplastic oligodendroglial brain tumors, long–term clinical trial results indicated. (Source: Medpage Today)

For comments and archives

CT scan and cancer risk in children

New research highlights the risk of ionising radiation from Computed Tomography (CT) scans given to children. Radiation exposure from 2 to 3 scan of the head in childhood (aged under15 years) – giving a cummulative dose of 60 mGy – could increase the risk of developing brain cancer; around 5 to 10 scans (cummulative dose around 50 mGy) could increase the risk of leukaemia. While the absolute risk of these cancers occurring after CT scanning is small, radiation dose from CT scan should be kept as low as possible and alternative procedures, that do not use ionising radiation, should be considered. (Courtesy: The Lancet.com online 6.6.2012)

(Dr SK Verma, New Delhi)

 
    Prayer Meeting

Dr. Vidya Prakash Sood (13/04/1936 – 03/03/2012)

A prayer meeting will be held to pay homage to the departed soul of Dr VP Sood (Issue Editor – Asian Journal of Ear, Nose and Throat) who passed away peacefully on March 3, 2012 in USA.

Date: Sunday 10th June 2012
Venue: Chinmaya Mission (Auditorium), 89, Lodhi Road, New Delhi.
Time: 11 A.M – 12 Noon

(IJCP and eMedinews)

 
  Twitter of the Day

@DrKKAggarwal: Working Hard When Tired Not Good For The Health

@DeepakChopra: Let your life flow from Being to feeling, to thinking to doing, and not the other way around.

 
    Spiritual Update

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

Why do we say Aum Shanti Shanti Shanti?

It is believed that trivaram satyam – that which is said thrice comes true. For emphasizing a point we repeat a thing thrice. In the court of law also, one who takes the witness stands says, "I shall speak the truth, the whole truth and nothing but the truth".

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How do you tell your child about gamete donation?

You should tell your child at a young age. Later disclosure, when the child is a teenager or adult may make it more difficult for your child to integrate this information into his or her identity. Giving information in a calm, loving manner will set the tone for open family communication later. If you don’t know how to begin a conversation about disclosure, there are books that provide scripts to give you some idea.

For comments and archives

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

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

Emergency Release

Pretransfusion testing can be bypassed if blood is urgently needed for patient survival, provided the records properly document the emergency request and the issued units are of a type unlikely to cause immediate harm to the recipient.

For comments and archives

 
    An Inspirational Story

(Man Mohan Mundhra)

A Message by a Woman

Someone asked me "Are you a working woman or a housewife?

I said: Yes I am a full time working Housewife. I work 24 hours a day I am a Mom, a Wife, Daughter and a Daughter–in–Law.

I am an alarm clock, Cook, Maid, Teacher, Waiter, Nanny, Nurse, Handyman, Security officer, Counselor and a Comforter. I don’t get Holidays, sick leave or days off; I work through Day and Night.

I am on call all hours and get paid with a sentence "What you do all day at home"

For comments and archives

 
  Cardiology eMedinewS

Fruit sugar may not be linked to increased hypertension risk Read More

North Carolina pioneers ‘pit–crew’ approach to STEMI response that can work anywhere Read More

 
  Pediatric eMedinewS

‘Breastfeed only’ goal missed by many new moms Read More

Children’s exercise program increases bone mass, not fracture risk
Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with very high triglycerides.
Dr Bad: Restrict fat.
Dr Good: Restrict carbohydrates.
Lesson: High triglycerides are due to excess of refined carbohydrates in diet.

For comments and archives

Make Sure

Situation: A patient with prosthetic heart valves (bioprosthetic) developed infective endocarditis.
Reaction: Oh my God! Why was he not given infective endocarditis prophylaxis?
Lesson: Make sure that all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis.

For comments and archives

 
    Legal Question of the day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Q. I have got my basic medical degree from the Odessa Medical University, Odessa, which is not recognized by the MCI. I appeared for the FMGE test four times but was not able to pass it. Can I practice medicine in India without MCI registration?

Ans.

  1. Since 2002, the MCI holds a screening test, also known as Foreign Medical Graduates Examination (FMGE), which is a mandatory licensure examination conducted for the MCI by the National Board of Examinations (NBE). This test is one of the mandatory requirements for an Indian citizen who has a medical degree from a college outside India (such as the former Soviet Union, Eastern European countries, China, Nepal, Philippines, and Caribbean countries). The Medical School should have been listed in the WHO international directory of Medical Schools.
  2. After passing the FMGE, the student must satisfactorily complete a compulsory one–year internship at an Indian hospital attached to a medical college (teaching hospital) at an MCI recognized hospital. If the internship is completed at a hospital outside India, the internship completion certificate has to be counter attested by Indian mission embassy or consulate office there. Thereafter, the student can apply to the MCI for registration as a physician.
  3. This examination is held twice in year in March and September on the last Sunday of the month. The legality of the test was challenged but was upheld by the Supreme Court of India in 2009.
  4. Since you have not completed the above mandatory requirements, you are not eligible for registration with the MCI. Without such registration, you cannot legally practice medicine in India.

For comments and archives

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  Quote of the Day

(Dr GM Singh)

Inventing is the mixing of brains and materials. The more brains you use, the less materials you need. Charles F. Kettering

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Celiac Disease tests

The best initial laboratory test for diagnosis of celiac disease is anti–tissue transglutaminase antibody (anti–tTG), IgA. If this test is positive, it is likely that the patient has celiac disease. If the anti–tTG is negative but the physician still suspects celiac disease, an intestinal biopsy may be done to determine whether there is damage to the intestinal villi.

Other tests to evaluate the severity of the disease and the extent of a patient’s malnutrition, malabsorption, and organ involvement include: CBC (complete blood count) to look for anemia, ESR (erythrocyte sedimentation rate) to evaluate inflammation, CRP (C–reactive protein) to evaluate inflammation and vitamin D, E, and B12 to measure vitamin deficiencies.

 
    Mind Teaser

Read this…………………

A client is experiencing spinal shock. Nurse Myrna should expect the function of the bladder to be which of the following?

a. Normal
b. Atonic
c. Spastic
d. Uncontrolled

Yesterday’s Mind Teaser: The nurse is aware that the early indicator of hypoxia in the unconscious client is:

a. Cyanosis
b. Increased respirations
c. Hypertension
d. Restlessness

Answer for Yesterday’s Mind Teaser: d. Restlessness

Correct answers received from: Dr BB Aggarwal, Dr Sushma Chawla, Dr PC Das, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Thakor Hitendrsinh G.

Answer for 7th June Mind Teaser: c. Hypertension
Correct answers received from: Dr U Gaur, Dr Mrs S Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

If you cannot change your mind, are you sure you have one.

 
    Medicolegal Update

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

Summons from court of law

Few years back I realized the importance of punctuality in the court of Additional Session Judge Delhi when the honorable judge asked me to look at my watch to point out that I was late by two minutes…Why?…Is it not a contempt of court? I was appearing as a medical witness for the Delhi Police, in response to a summon, in the Shivani Bhatnagar murder case, a journalist of Indian Express, whose postmortem was conducted by me.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Lifestyle counseling can reduce heart disease

An intensive, effort to change the lifestyle in people at high risk of heart disease can help them reduce such risk factors as high blood pressure, cholesterol and smoking said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India.

A trial, called the Euroaction study, published in The Lancet compared the results of added counseling on lifestyle issues such as diet, physical activity and smoking to the usual care. It included more than 3,000 people with coronary heart disease and 2,300 at high risk. Half got the counseling from a team of nurses, dietitians, physiotherapists and the treating doctors. The counseling was given to families as well as individuals.

Two groups of patients were studied. One group included patients who already had developed coronary heart disease. The second group included those who were asymptomatic but at high risk because of a combination of risk factors that gives a high chance of developing heart disease over 10 years.

Fifty–five percent of those getting the counseling reduced their intake of saturated fat, compared to 40 percent of those not getting the advice. Increased consumption of fruits and vegetables was seen in 72 percent of the counseled group, and 17 percent of them also increased their consumption of heart–friendly oily fish, compared to 35 percent and 8 percent in the other group. Similar results were seen for blood pressure, cholesterol and physical activity, but it proved difficult to have people seen in general practice quit smoking.

 
    Readers Response
  1. Respected sir, Thanks for making us wiser day by day we are highly obliged God bless you & your family. duchan dolma
 
    Forthcoming Events
Dr K K Aggarwal

4th Asia Pacific Vascular Intervention Course (APVIC-IV)

Date: June 8-10-2012

THE OBEROI, Dr. Zakir Hussain Marg, New Delhi
In association with 'International Society of Endovascular Specialists' 'Vascular Society of India' 'Society of Cardiovascular Angiography & Interventions'

IYCNCON 2012

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

Dil Ka Darbar

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

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

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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