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

 
  Editorial ...

9th December, 2010, Thursday

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

Revisiting 2010

Carboplatin dosing

Carboplatin dosing uses the Calvert formula, which is based upon desired exposure (area under the curve (AUC) of concentration × time) and the glomerular filtration rate. When the GFR is estimated based upon measured serum creatinine, limit the maximal GFR to 125 mL/min for this calculation (Grade 2C).

The US FDA has issued a safety alert that the laboratory method used to measure serum creatinine may impact carboplatin dosing. If an estimated GFR based upon measured serum creatinine is used in the Calvert formula, the FDA recommends limiting the maximal GFR in the calculation to 125 mL/min. This recommendation does not apply if the GFR is directly measured.

FDA safety alert available online at http://www.fda.gov/AboutFDA/CentersOffices/CDER/ucm228974.htm (Accessed on October 14, 2010).

Influenza vaccine dosing for children 6 months through 8 years

Children who are 6 months through 8 years and did not receive at least one dose of monovalent 2009 influenza H1N1 vaccine require two doses of influenza vaccine, even if they have received two doses of influenza vaccine in the past.

References

  1. Fiore AE, Uyeki TM, Broder K, et al. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Recomm Rep 2010;59:1.
  2. American Academy of Pediatrics. Committee on Infectious Diseases. Policy statement––recommendations for prevention and control of influenza in children, 2010–2011. Pediatrics 2010;126:816.

Neonatology

Bicarbonate therapy in very low birth weight infants with metabolic acidosis — sodium bicarbonate should not be used routinely to correct acidosis in preterm infants. In an observational study of 775 very low birth weight infants (<1500 g), sodium bicarbonate was given to 21% within the first seven days of life. The infusion was associated with an increased risk of death and intraventricular hemorrhage.

Reference

  1. Berg CS, Barnette, AR Myers BJ, et al. Sodium bicarbonate administration and outcome in preterm infants. J Pediatr 2010;157:684.
Dr KK Aggarwal
Editor in Chief
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  HIV/AIDS Update

Rule of 3

3 components of mother to child transmission
1. Pregnancy
2. Delivery
3. Breastfeeding

3 by 5 initiative
Launched by UNESCO and WHO in 2003, targets 3 million people from low and middle income group countries to get ARV BY 2005.

3 DCR–HIV Strain
New 3–DCR HIV strain does not respond to 3 classes of anti–retroviral medication

3 best websites for HIV AIDS
1. NACO
2. CDC
3. WHO

3 tests for HIV AIDS
1. ELISA
2. Western Blot
3. PCR

3 Important days to remember
1. World AIDS Day, 1st December
2. World Blood Donor Day, 14th June
3. World Hemophilia Day, 17th April

Virus qualities
1. Slow
2. Fast replicating
3. RNA oncogenic

3 TB formulas
1. 4–2 4–2 (4 drugs two months, 4 months 2 drugs)
2. 5–2 5–2 (5 drugs two months, 5 months 2 drugs)
3. 3–2 4–2 (3 drugs two months, 4 months 2 drugs)

3 bodies connected with HIV AIDS
1. NACO
2. State Blood Transfusion Councils
3. State AIDS Control Societies

 
  Quote of the Day

(By Dr GM Singh)

"Three things cannot be long hidden: the sun, the moon and the truth."

Gautama Buddha

 
    Photo Feature (from the HCFI Photo Gallery)

 Divya Jyoti – 2010

Nurses from various nursing schools actively participated in the on–the–spot drawing competition in the 17th MTNL Perfect Health Mela 2010

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

88 per cent teenagers heavily dependant on mobile phone

A whopping percentage of teens are heavily dependant on the mobile phone, which has also found its way into classrooms now. According to a survey conducted by ASSOCHAM, 66 per cent of adolescents between 16 and 18 years carry a mobile handset while going to school, attending classes and tuition sessions, and while visiting public places with their friends and colleagues. The survey also points out that 90 per cent of parents who have given their children mobile phones feel they bought them to keep the children busy and because of their own preoccupation. (Source: The Hindu, Dec 06, 2010)

Cycling for green Delhi

Cycling enthusiasts, environmentalists, students and people from different walks of life participated in the "4th Climate Bicycle Ride" in the Capital, pledging their support for a green Delhi and National Capital Region. The rally covering 11–km along the BRT corridor was organised by Delhi Cycling Club (DCC) and supported by The Open Planning Project (TOPP), Delhi Integrated Multi Modal Transit System (DIMTS), and Institute for Transportation Development & Policy (ITDP). The rally was aimed at raising awareness about climate change and rising vehicular pollution and promoting cycling, walking and public transport as the most healthy and environment–friendly way of commuting within the city. (Source: The Hindu, Dec 06, 2010)

 
    International News

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

Yoga benefits the brain, helps manage mood and anxiety

It’s obvious that yoga is not just good for the body–it benefits mental and emotional health as well. But what exactly does all that stretching and posing do to the body? Researchers (and part–time yoga instructors) at Wellesley College recently discovered that the practice of yoga increases gamma–amino butruic acid (GABA) levels, a chemical in the brain that influences mood and anxiety. Low levels of GABA indicate depression. If the depression is treated, GABA levels increase. The study, as published in the Journal of Alternative and Complementary Medicine and supported by the National Institutes of Health, demonstrates that GABA levels increase immediately after completing yoga exercises. In the study, participants either practiced yoga or did a metabolically equivalent amount of walking over a 12–week period. At the end, their GABA levels were measured with MRIs. Researchers found that participants had an increase in GABA levels immediately following yoga exercise, though results did not reflect an overall increase.

(Dr Monica and Brahm Vasudev)

Insomnia may predict individual risk of metabolic syndrome.

Insomnia predicts an individual's risk of developing metabolic syndrome and may even help cause it. Adults who had difficulty falling asleep had an 80% increased risk of developing metabolic syndrome during the follow–up period, according to the study published in the new issue of the journal Sleep.

Snoring may predict individual risk of metabolic syndrome.

Loud snoring was associated with doubled risks of other metabolic abnormalities, and remained a significant metabolic syndrome predictor after further apnea–hypopnea index (AHI) adjustment, whereas other sleep symptoms were only marginally significant. The study published in the new issue of the journal Sleep.

Revised American Heart Association/American Stroke Association guidelines in stroke prevention

  • Over 77% of the strokes that occur are first events.
  • The third leading cause of death after heart disease and cancer, stroke is a significant economic and social burden and one of the major causes of disability in adults.
  • Accounting for 87% of all strokes, ischemic stroke happens when a blood vessel in or leading to the brain is blocked. TIA occurs when the blockage is temporary, but is considered a major risk factor for a later, larger stroke. A blood vessel rupture causes non–ischemic, or bleeding stroke, known as a hemorrhagic stroke.
  • Those who make healthy lifestyle choices — such as not smoking, eating a low–fat diet high in fruits and vegetables, drinking in moderation, exercising regularly and maintaining a normal body weight — lower risk of a first stroke as much as 80% compared with those who don’t make such changes.
  • Emergency room doctors should try to identify patients at high risk for stroke and consider making referrals, conducting screenings or beginning preventive therapy.
  • General population screening for carotid artery narrowing isn’t recommended.
  • Aspirin doesn’t prevent a first stroke in low–risk persons or those with diabetes or asymptomatic peripheral artery disease. However, it’s recommended for those whose risk is high enough for the reduction in stroke risk to outweigh the bleeding risks of aspirin.
 
    IMA Update

Redefining IMA 2015

II. IMA Permanent Agendas

  • Membership of all Medical Graduates
  • To be registered and function as a Trade union
  • Be an umbrella body of all Medical Specialities
  • Achieve uniform National Medical curriculum & Modular Teaching Programme.
  • IMA AKN Sinha Distant learning University
  • National Guidelines on Diseases
  • Adopt EHealth & mHealth – Create models in Rural & urban areas
 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

How can sperms be retrieved from the testis?

New surgical techniques have been introduced to retrieve spermatozoa from patients with nonobstructive azoospermia. Microdissection of the testis to extract sperm (TESE) from the seminiferous tubules has been successful in obtaining sperm in >50% of patients with nonobstructive azoospermia, including patients with Klinefelter syndrome.

For queries contact: banerjee.kaberi@gmail.com

 
    Medicine Update

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

How do you treat lactose intolerance?

There is no drug therapy available. The only treatment available is diet modification i.e. foods containing lactose need to be limited e.g. milk, cheese but not yoghurt where the bacteria have mostly metabolized the lactose. The quantity of lactose that may be ingested without developing symptoms is different for different individuals and only the affected person himself or herself along with the family members are able to determine this value. In addition, milk taken along food or a cereal is better tolerated than plain milk alone. In some countries, lactase enzyme is available that is added to milk and left overnight for the enzyme to digest the lactose before it is drunk! Lactose intolerance is usually not clinically significant in acute gastroenteritis and does not demand modification of diet. Almost never should breast feeding be discontinued for this reason.

 
    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What is the legal definition of Rape?

Rape is not a medical diagnosis. It is a legal definition. Rape is the commission of unlawful sexual intercourse or unlawful sexual intrusion and it constitutes more than 90% of all the sexual offences in our country. Section 375 of IPC defines that a man is said to have committed "rape" falling under any of the six following descriptions:

  • First–against her will.
  • Second – without her consent
  • Third – with her consent when her consent has been obtained by putting her or any person in whom she is interested in fear of death or of hurt.
  • Fourth – with her consent when the man knows that he is not her husband, and that her consent is given because she believes that he is another man to whom she is or believes herself to be lawfully married.
  • Fifth – with her consent, when at the time of giving such consent by reasons of unsoundness of mind or intoxication or the administration by him personally or through another of any stupefying or unwholesome substance, she is unable to understand the nature and consequences of that to which she gives consent.
  • Sixth – with or without her consent when she is under 16 years of age exception in case of sexual intercourse by a man with his wife, the wife not being under 15 years of age, is not rape
 
    Legal Question of the Day

(Contributed by Dr M C Gupta, Advocate)

Q: I wish to join a private medical college as an Assistant Professor. Will it be possible for me to join a Government medical College after, say, six months? This question is related to the recent norms announced by the MCI according to which a faculty member must continue in his job for a full academic session.

    A:
  1. I have not gone into the details of the said MCI norms. In any case, the MCI has nothing to do with what and where a doctor seeks a job and whether a medical college should employ an applicant or not. The only restriction that the MCI may impose could possibly relate to: either, permission to start a new college or course or increase the number of students/seats; or, granting or withdrawing recognition to a medical college.
  2. You can safely join the private medical college. The service at the government medical college would be governed by the terms and conditions which are known in advance. I do not think there would be a condition that you cannot apply or be selected for a government medical college job if you have worked for less than the full academic session at another medical college. If there is no such condition and anybody tries to impose such condition, this may be challengeable in the court.
  3. It is likely and reasonable that in view of the undesirable practice on the part of some teachers to be willing, for consideration, to be counted as a teacher at multiple medical colleges within the same academic year, sometimes even without actually teaching there, the MCI might place a restriction to curb such practice. For example, a person who is counted as a teacher at a medical college A during the academic year 2010–11 but quits job to join medical college B from 1–2–2011 would be entitled to get his salary from the college B but may not be entitled to be counted as a teacher at college B during the current academic year.
 
    Medilaw – Medicolegal Judgements

In what situations is consent not required?

The decision of Supreme Court of Canada, illustrates the exception to the rule, that an unauthorized procedure may be justified if the patient’s medical condition brooks no delay and warrants immediate action without waiting for the patient to regain consciousness and take a decision for himself. In that case the doctor discovered a grossly diseased testicle while performing a hernia operation. As the doctor considered it to be gangrenous, posing a threat to patient’s life and health, the doctor removed it without consent, as a part of the hernia operation. An action for battery was brought on the ground that the consent was for a hernia operation and removal of testicle was not consent. The claim was dismissed. The court was of the view that the doctor can act without the consent of the patient where it is necessary to save the life or preserve the health of the patient. Thus, the principle of necessity by which the doctor is permitted to perform further or additional procedure (unauthorized) is restricted to cases where the patient is temporarily incompetent (being unconscious), to permit the procedure delaying of which would be unreasonable because of the imminent danger to the life or health of the patient. (Supreme Court of India: Samira Kohli vs. Dr. Prabha Manchanda. Ref: 2008 vol2 SCC @ pg1)

 
    Lab Update

(Dr. Naveen Dang and Dr Arpan Gandhi)

Serum phosphorus

Hypophosphatemia or low serum phosphorus levels can be seen in several biochemical derangements, including acute alcohol intoxication, sepsis, hypokalemia, malabsorption syndromes, hyperinsulinism, hyperparathyroidism, and as result of drugs, e.g., acetazolamide, aluminum–containing antacids etc

 
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    Medi Finance Update

(Contributed by GM Singh)

What is the difference between Health Insurance & Critical Illness Policy?

A Health Insurance policy is a reimbursement of the medical expenses. Critical illness insurance is a benefit policy. Under a benefit policy, upon the occurrence of an event, the insurance company pays the policyholder a lump sum amount. Under a Critical Illness policy, if the insured is diagnosed with any critical illness as specified in the policy. The insurance company will pay the policyholder a lump sum. Whether the client spends the amount received on the medical treatment or not depends on the client’s own discretion.

 
    Drug Update

List of Approved drugs from 01.01.2010 TO 30.4.2010

Drug Name
Indication
DCI Approval Date
Rivaroxaban film coated Tablets 10mg For the prevention of venous thromboembolism in patients (VTE) in adult patients undergoing hip or knee replacement surgery. 30–Jan–10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Probiotics and necrotising enterocolitis

A meta–analysis concluded that probiotics are safe and beneficial in preterm infants at risk for NEC.

(Ref: Guthmann F, et al. Probiotics for prevention of necrotising enterocolitis: an updated meta-analysis. Klin Padiatr 2010 Sep;222(5):284–90).

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient of recurrent miscarriage wanted to know her future risk of heart attack.
Dr. Bad: There is no risk.
Dr. Good: There is a future risk of heart attack.
Lesson: Women who suffer recurrent miscarriage have an increased risk of heart attack. Each miscarriage increases heart attack risk by 40% and having > 2 miscarriages increases the risk by more than four folds. In women who had > 3 miscarriages, the risk is 9–folds. One stillborn increases the risk of heart attack by 3.5 times (December 1, Journal Heart)

Make Sure

Situation: A patient died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that every time a patient is given penicillin injection, anti anaphylaxis measures are available.

 
    Lighter Side of Reading

An Inspirational Story

Value your spouse
(By Dr Prabha Sanghi)

Do read ………a heart touching article…………

When I got home that night as my wife served dinner, I held her hand and said, I’ve got something to tell you… She sat down and ate quietly. Again I observed the hurt in her eyes. Suddenly I didn’t know how to open my mouth. But I had to let her know what I was thinking. I want a divorce… I raised the topic calmly. She didn’t seem to be annoyed by my words, instead she asked me softly, why? I avoided her question. This made her angry. She threw away the chop sticks and shouted at me, you are not a man! That night, we didn’t talk to each other. She was weeping. I knew she wanted to find out what had happened to our marriage. But I could hardly give her a satisfactory answer; she had lost my heart to Dew. I didn’t love her anymore. I just pitied her!

With a deep sense of guilt, I drafted a divorce agreement which stated that she could own our house, our car, and 30% stake of my company… She glanced at it and then tore it into pieces. The woman who had spent ten years of her life with me had become a stranger. I felt sorry for her wasted time, resources and energy but I could not take back what I had said for I loved Dew so dearly.
Finally she cried loudly in front of me, which was what I had expected to see. To me her cry was actually a kind of release. The idea of divorce which had obsessed me for several weeks seemed to be firmer and clearer now.
The next day, I came back home very late and found her writing something at the table. I didn’t have supper but went straight to sleep and fell asleep very fast because I was tired after an eventful day with Dew. When I woke up, she was still there at the table writing. I just did not care so I turned over and was asleep again.

In the morning she presented her divorce conditions: she didn’t want anything from me, but needed a month’s notice before the divorce. She requested that in that one month we both struggle to live as normal a life as possible. Her reasons were simple: our son had his exams in a month’s time and she didn’t want to disrupt him with our broken marriage. This was agreeable to me. But she had something more, she asked me to recall how I had carried her into out bridal room on our wedding day. She requested that everyday for the month’s duration I carry her out of our bedroom to the front door every morning. I thought she was going crazy… Just to make our last days together bearable I accepted her odd request.

I told Dew about my wife’s divorce conditions… She laughed loudly and thought it was absurd. No matter what tricks she applies, she has to face the divorce, she said scornfully…

My wife and I hadn’t had any body contact since my divorce intention was explicitly expressed. So when I carried her out on the first day, we both appeared clumsy. Our son clapped behind us, daddy is holding mummy in his arms.
His words brought me a sense of pain. From the bedroom to the sitting room, then to the door, I walked over ten meters with her in my arms. She closed her eyes and said softly; don’t tell our son about the divorce. I nodded, feeling somewhat upset. I put her down outside the door. She went to wait for the bus to work. I drove alone to the office.

On the second day, both of us acted much more easily. She leaned on my chest. I could smell the fragrance of her blouse. I realized that I hadn’t looked at this woman carefully for a long time… I realized she was not young any more. There were fine wrinkles on her face, her hair was graying! Our marriage had taken its toll on her. For a minute I wondered what I had done to her.
On the fourth day, when I lifted her up, I felt a sense of intimacy returning. This was the woman who had given ten years of her life to me.
On the fifth and sixth day, I realized that our sense of intimacy was growing again. I didn’t tell Dew about this. It became easier to carry her as the month slipped by. Perhaps the everyday workout made me stronger. She was choosing what to wear one morning. She tried on quite a few dresses but could not find a suitable one. Then she sighed, "all my dresses have grown bigger…" I suddenly realized that she had grown so thin, that was the reason why I could carry her more easily. Suddenly it hit me… she had buried so much pain and bitterness in her heart. Subconsciously I reached out and touched her head.

Our son came in at the moment and said, Dad, it’s time to carry mum out. To him, seeing his father carrying his mother out had become an essential part of his life. My wife gestured to our son to come closer and hugged him tightly. I turned my face away because I was afraid I might change my mind at this last minute. I then held her in my arms, walking from the bedroom, through the sitting room, to the hallway. Her hand surrounded my neck softly and naturally.
I held her body tightly; it was just like our wedding day. But her much lighter weight made me sad.

On the last day, when I held her in my arms I could hardly move a step. Our son had gone to school. I held her tightly and said, I hadn’t noticed that our life lacked intimacy. I drove to office… jumped out of the car swiftly without locking the door. I was afraid any delay would make me change my mind… I walked upstairs. Dew opened the door and I said to her, Sorry, Dew, I do not want the divorce anymore. She looked at me, astonished, and then touched my forehead. Do you have a fever? She said. I moved her hand off my head. Sorry, Dew, I said, I won’t divorce. My marriage life was boring probably because she and I didn’t value the details of our lives, not because we didn’t love each other any more. Now I realize that since I carried her into my home on our wedding day I am supposed to hold her until death does apart. Dew seemed to suddenly wake up. She gave me a loud slap and then slammed the door and burst into tears.

I walked downstairs and drove away. At the floral shop on the way, I ordered a bouquet of flowers for my wife. The sales girl asked me what to write on the card. I smiled and wrote, I’ll carry you out every morning until death do us apart.

That evening I arrived home, flowers in my hands, a smile on my face, I ran up stairs, only to find my wife in the bed – dead…… I cried and cried uncontrollably and carried her for the last time from the room to the hall with tears streaming down my face and gazing at my only son, his tears rolling from his eyes, they made me cry even more. I had lost my love, my wife and a loving and caring mother and nothing I could do now to put the clock backward… I had all the time now to look at her motionless body in detail but I knew it was going to be only for a short while until she made her last journey to the Lord…… I held my son and wept again and again thinking of all the things I did not do for her when she was still alive…… & placed gently the flowers in her hands with my tears trickling on them…… she was gone forever, all my tears would not bring her back.

The small details of your lives are what really matter in a relationship. It is not the mansion, the car, property, the money in the bank. These create an environment conducive for happiness but cannot give happiness in themselves.
So find time to be your spouse’s friend and do those little things for each other that build intimacy. Do have a real happy marriage!

To those who are married… Not married… and soon to be married the time is always right to do what is right Moral of the story is to value all the things we possess, once they are gone we have nothing but regrets!

………………………………

Mind Teaser

Read this…………………

step
the rest  

Yesterday’s Mind Teaser: "STEP PETS PETS"
Answer for Yesterday’s Mind Teaser:
"One step forward, two steps back"

Correct answers received from: "Dr C.Vaishnavi, Dr. Manjesha, Dr Sudipto Samaddar, Dr A K Gupta, Dr Chandresh Jardosh, Dr Neelam Nath, Dr Sudha Nayyar"

Answer for 7th December Mind Teaser: "Don’t cry over spilled milk"
Correct answers received from: Dr. Anupam Sethi Malhotra, Dr K Raju, Dr G Padmanabhan, Dr Rashmi Chhibber, Dr S K Bansal, Dr Anurag Jain, Dr Vijay Kansal, Dr Vikas Kumar, Dr Muthumperumal Thirumalpillai, Dr C.Vaishnavi, Dr. Rohini Vaswani, Dr Prabha Sanghi, Dr K V Sarma, Dr S Upadhyaya,  

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Contributed by Dr G M Singh)

Doctor, Doctor my son has swallowed my pen, what should I do?

Use a pencil ‘till I get there.

 
    Readers Responses
  1. Dear Dr Aggarwal, you have raised the topic of "Suffix" added to degrees and their implication. There is lot of confusion and will persist; the reason being multiplicity of authorities and their failure to do their job. I wish to bring to your notice certain situations: There are many Govt. medical colleges who are having postgraduate courses for the last 20 years and awarding degrees. Many of these courses are not recognized. Now what is their status? Many of the doctors are practicing in Delhi and several of these are working as professors and lectures in those medical colleges who are awarding postgraduate degrees (recognized by MCI). If the Medical Council of India could not take a decision about recognition of these PG degrees in the last 20 years why are these courses being run in these colleges? Suddenly one fine morning someone raised this point and these doctors are blackmailed. Or when these doctors appear for UPSC advertised jobs as specialist then they feel the pinch. The recent allegations against the former MCI chief are not without any basis. The PG degrees awarded by private medical colleges are recognized after first inspection but the degrees of Govt. medical colleges not recognized in the last 10 inspections.
    eMedinewS answers: MCI act is self explanatory.
    1.4.2 Physicians shall display as suffix to their names only recognized medical degrees or such certificates/diplomas and memberships/honours which confer professional knowledge or recognizes any exemplary qualification/achievements. Sincerely Dr R S Bajaj, Consultant Paediatrician
 
    Public Forum

(Press Release for use by the newspapers)

Winter Exercise Tips for Asthmatics

Exercise is a common trigger for asthma and may cause symptoms in 80–90% of asthmatics. Cold dry winter air can also make breathing difficult for asthmatics, which may result in shortness of breath, wheezing, cough or chest tightness. The symptoms can occur during, just after or several hours after exercise, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Heart Care Foundation of India released few exercise tips for asthmatics during the winter season.

  • Get your asthma fully controlled during winter
  • Cooling and drying of the bronchial airways can trigger an asthma attack.
  • Avoid strenuous exercise in cold dry air.
  • Avoid winter sports, such as skiing, snowboarding, or ice skating.
  • Use the bronchodilator inhalers, 20 minutes prior to exercise.
  • Keep the inhalers warm in order to avoid a cold aerosol spray.
  • "Warm–up" and "cool–down" after strenuous exercise.
  • When exercising in cold air, wear a scarf or facemask over the nose and mouth to warm the air one is breathing.
  • Drink plenty of liquids before and after exercise to prevent drying of the airways.
  • Exercise indoors when outdoor temperatures drop.
 
    Classifieds – Situation Vacant

Wanted a Senior Resident in Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation at Medanta, The Medicity, Gurgaon, Delhi (NCR). Those interested please contact: Dr. Neelam Mohan (9811043475), or Secretary to Dr. Neelam Mohan – Amit (9818200582).

 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

eMedinewS Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on Sunday, January 9th 2011, 8 AM to 6 PM.
The one day conference will revisit and cover all the new advances in the year 2010. There will also be a web-cast of the event. The eminent speakers will be Padmabhushan Dr Naresh Trehan (cardiac surgery); Padma Shri Dr KK Aggarwal (revisiting 2010); Dr Neelam Mohan (liver transplant); Dr N K Bhatia (transfusion medicine); Dr Ambrish Mithal (diabetes); Dr Anoop Gupta (Male infertility); Dr Kaberi Banerjee (Female infertility) and many more.

There will be no registration fee.
Delegate bags, gifts, certificates, breakfast and lunch will be provided.
Kindly register at www.emedinews.in

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