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

 
  Editorial …

10th February 2012, Friday

Physician Payment Sunshine Act

The Sunshine Act was derived in part, as the result of scrutiny of pharmaceutical and device manufacturers’ violation of the Anti–Kickback Statute.

To provide transparency regarding financial ties and relationships, the Centers for Medicare " Medicaid Services has proposed disclosure requirements by manufacturers of all payments made to physicians and institutions over the sum of $10.00.

Included in the Proposed Rule are teaching institutions, defined as "any institution receiving direct GME (Accreditation Council for Graduate Medical Education) and indirect medical education payments." The Proposed Rule will require pharmaceutical and device manufacturers to report all academic institutions receiving funds in excess of $10.00 by physician NPI code.

Will the required reporting stymie academic research and GME funding?

Note: The U.S. Centers for Medicare & Medicaid Services (CMS) released a proposed rule implementing the "Sunshine" provisions of the Affordable Care Act (ACA) that requires annual public reporting by certain drug and device manufacturers of payments made by them to physicians and teaching hospitals and of physician ownership interests in such manufacturers. The "Sunshine" provisions of the ACA also require group purchasing organizations to make annual public reports of physician ownership interests in such organizations. CMS is accepting comments on its proposed rule through February 17, 2012.

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

with Dr Anupam Sibal

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

Dr Vinod Khetrapal receving 3rd eMedinewS Revisiting Award in the recently concluded eMedinewS Revisiting 2011

 
Dr K K Aggarwal
 
    National News

National biodiversity project launched

AHMEDABAD: A national project to access genetic resources, their economic values and also share the benefits of the resources was inaugurated in Gandhinagar on Tuesday. The project – Strengthening the Implementation of the Biological Diversity Act and Rules With Focus on its Access and Benefit Sharing (ABS) Provisions – taken up jointly by the United Nations Environment Programme–Global Environment Facility ( UNEP–GEF) and Union ministry of environment and forest, will be launched in five states of India. The states are Gujarat, Andhra Pradesh, West Bengal, Himachal Pradesh and Sikkim. (Source: TOI, Feb 8, 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

New guidelines debunk economy–class syndrome

NEW DELHI: There’s nothing like traveling business class with its sprawled out seats, personal entertainment options and enough space to stretch your legs. But if you aren’t that lucky, an economy class ticket on a long–distance flight (more than six hours) might not be so bad for your health. Debunking the "economy–class syndrome," new evidence–based guidelines from the American College of Chest Physicians (ACCP) released on Tuesday says, "Traveling in economy class does not increase your risk for developing a blood clot even during long–distance travel." However, sitting on a window seat for long and remaining immobile for long hours could lead to developing a blood clot. So if given a choice, ask for an aisle seat. Another interesting recommendation says that having a drink on flight does not put you at risk of deep–vein thrombosis (DVT) as earlier suspected. (Source: TOI, Feb 8, 2012)

For comments and archives

Neutropenia drug falls flat for acute stroke

An agent used for treating chemotherapy–induced neutropenia in patients with nonmyeloid malignancies had no effect on outcomes for patients with acute ischemic stroke, a randomized trial showed. (Source: Medpage Today)

For comments and archives

Exemestane for breast cancer prevention weakens bones

New data from a subset of postmenopausal women participating in a landmark trial that established exemestane for the prevention of breast cancer show that the drug significantly worsens age–related bone loss. (Source: Medscape Medical News)

For comments and archives

Working out in thin air helps diabetics

An hour’s worth of continuous exercise in hypoxic conditions improves glycemic control among patients with type 2 diabetes, researchers found. (Source: Medpage Today)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: #AJCC Cardiology eMedinewS High rate of sleep apnea in patients with silent strokes Sleep apnea is common in… fb.me/1giN11ss7

@DeepakChopra: Today every word I utter will be chosen consciously. I will refrain from complaints, condemnation, and criticism.

 
    Spiritual Update

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

Why only some people are lucky all the time?

It is based on the principle of synchrodestiny and living in the present. These principles are well described by Dr Deepak Chopra in his teachings.

Sometimes back Professor Richard Wiseman at University of Hertfordshire wanted to know why some people are always in the right place at the right time, while others

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How can the damage be fixed?

The surgeon will try to cut the scars between your fallopian tube and ovary. If one or both tubes are completely blocked, your surgeon can attempt to open the tube. Surgery can be done in one of two ways (laparoscopy or laparotomy). Laparoscopy, or minimally invasive surgery, can be performed. During this procedure a very small camera attached to a thin telescope is inserted through a small incision (surgical opening) below your belly button. The surgery is performed during small tools, which can be inserted through other small incisions across your belly. A traditional open procedure, called a laparotomy, also may be used. In this procedure, the surgery is performed through a large incision made in your belly (abdomen).

For comments and archives

 
   An Inspirational Story

(Sudesh Kumar)

A simple story with an amazing moral

There once was a farmer who discovered that he had lost his watch in the barn. It was no ordinary watch because it had sentimental value for him. After searching high and low among the hay for a long while; he gave up and enlisted the help of a group of children playing outside the barn. He promised them that the person who found it would be rewarded. Hearing this, the children hurried inside the barn, went through and around the entire stack of hay but still could not find the watch. Just when the farmer was about to give up looking for his watch, a little boy went up to him and asked to be given another chance. The farmer looked at him and thought, "Why not? After all, this kid looks sincere enough." So the farmer sent the little boy back in the barn. After a while the little boy came out with the watch in his hand! The farmer was both happy and surprised and so he asked the boy how he succeeded where the rest had failed.

The boy replied, "I did nothing but sit on the ground and listen. In the silence, I heard the ticking of the watch and just looked for it in that direction."

Moral: A peaceful mind can think better than a worked up mind. Allow a few minutes of silence to your mind everyday, and see, how sharply it helps you to set your life the way you expect it to be…!

 
    Fitness Update

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

Exercise benefits rheumatoid arthritis sufferers: An update

A lot of research has been done on the benefits of exercise for persons suffering from rheumatoid arthritis. Now, a new study from researchers at the Northwestern University Feinberg School of Medicine sheds some new light on the subject.

Researchers studied a group of 176 patients with rheumatoid arthritis who were age 18 and older. The researchers administered surveys to determine various symptoms and overall quality of life, and monitored participants’ exercise habits. The study found that 42% of the participants were completely inactive, meaning they did not partake in moderate activity for a minimum of a 10 minute period each week. However, the most shocking finding was that 53% of the patients weren’t motivated to engage in physical activity and 49% did not think exercise would benefit them. So whereas previously, researchers and medical experts believed that pain and stiffness related to their condition prevented rheumatoid arthritis suffers from exercising, they now realize that beliefs may be the leading cause of inactivity.

For comments and archives

 
   Cardiology eMedinewS

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

High rate of sleep apnea in patients with silent strokes

Read More

‘Million Hearts’ initiative aims at stroke, too

Read More

Gasping is a good sign before any CPR

Read More

 
   Pediatric eMedinewS

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

Baby’s first foods should be finger foods

Read More

Novel vaccine protects against Meningococcus B

Read More

Spanking no help in child–rearing

Read More

 
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    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Driving safety tips

Use snow tyres and/or chains (where allowed). Snow tyres give you extra traction, and chains increase safety on snow or ice packed roads. Neither tyres nor chains allow you to drive on bad roads at normal speeds.

 
    Legal Question of the Day

(Dr MC Gupta)

Q. An RTA case with head injury was admitted to a corporate hospital as an MLC but the police was not informed because the relatives did not want so. He was discharged after 2 weeks. After another 2 weeks, he was brought to the hospital again but was declared dead by another hospital within the hospital premises but before reaching the casualty. The hospital records are silent about this incident and, as such, the police was not informed and no PM was done. The patient’s lawyer demanded the following:

1. Wound certificate based on the fact that MLC has been charged by the hospital (Rs 1200)
2. A letter that the deceased was declared dead by the hospital (brought dead to hospital)
3. Death certificate

The hospital supplied ‘a’ above. It cannot supply ‘b’ above because there are no records. However, the lawyer has produced an ambulance bill saying that the patient was shifted from his house to hospital and back to his house.

What are your comments? What is the solution ?

Ans.

  1. y comments are as follows:
    1. The hospital has been utterly irresponsible and deserves to suffer because once it suffers, it will be wiser in future.
    2. This incident shows how the corporate hospitals are concerned only about receiving money and not about providing services for which money has been charged.
    3. It also shows how foolish they are and take it for granted that the public is dumb. They maintain records and issue receipts for money charged for services to be provided but are foolish or irresponsible enough not to provide the services and not to maintain any records about them in the smug belief that the people will tolerate any and everything. They forget that there is a group of people called advocates who can shake the foundations of the mightiest using the force called law.
  2. My suggested solution is as follows:
    1. They have no defence and hence should plainly admit their guilt and should try to arrive at a compromise with the opposite party before he goes to court. This is likely to be the wisest, cheapest and least harassing course.
    2. If the hospital decides to contest, their advocates are likely to suggest them various ways such as:
      1. Denying the authenticity of the two receipts;
      2. Saying that the MLC charges were received because the relatives first wanted an MLC but later changed their mind. They were paid back the charged amount in cash because the accounting system did not allow for cancelling the receipt once issued. When receipt for cash payment was asked for, the relatives refused to give a written receipt and the hospital kept quiet because it did not want to fight with its own patients.
      3. When a doctor told them that the patient was dead, the relatives did not bring the patient to the casualty at all and went back before police could be informed or autopsy could be arranged by the police.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient since 20 years came for a routine check up.
Dr Bad: Get blood sugar done.
Dr Good: Also, get your sugar, eye and kidney check up done.
Lesson: The risk of cataract increases with increasing diabetes duration and severity of hyperglycemia. Data from the Beaver Dam Eye Study, the Blue Mountains Eye Study, and the Visual Impairment Project, have documented associations between diabetes and cataract (Source: Diabetes Care 2008;31:1905–1912).

For comments and archives

Make Sure

Situation: A diabetic hypertensive was denied a beta–blocker because of traditional teaching.
Reaction: Oh my God! You should have used nebivolol.
Lesson: Make sure that diabetics are not denied beta–blockers when indicated. Nebivolol has no effect on glucose metabolism unlike atenolol (Source: Am J Hypertens 2005;18 (12, pt. 2):169S–176S).

 
  Quote of the Day

(Dr Prabha Sanghi)

The happiest people in the world are not those who have no problems, but those who learn to live with things that are less than perfect.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Iron deficiency anemia

In men and postmenopausal women, anemia is usually caused by gastrointestinal blood loss from: Certain types of cancer (esophagus, stomach, colon), long–term use of aspirin or nonsteroidal anti–inflammatory medications (NSAIDS), peptic ulcer disease.

Tests to diagnose iron deficiency anemia (IDA)

• Serum iron (this test measures the amount of iron in your blood)
• Serum ferritin (it is a protein that helps store iron in your body)
• Serum transferrin level, or total iron–binding capacity
• Reticulocyte count
• Serum transferring receptor

 
    Mind Teaser

Read this…………………

ie.

Yesterday’s Mind Teaser: Which sentence about schizophrenia medication is true?

a) Medication should never be stopped abruptly, even if you feel better, or even if you’re experiencing a negative side effect.
b) The side effects of some antipsychotic medications are sometimes used to advantage in the treatment of schizophrenia.
c) Some injectable medications can be taken just once or twice a month.
d) All of the above.
e) None of the above.

Answer for yesterday’s Mind Teaser: d) All of the above.

Correct answers received from: Yogindra Vasavada, Dr Deepali chatterjee, Dr Ragavan Sivarmakrishnan, Dr Preeti Rathore.

Answer for 8th February Mind Teaser: c. Cerebral irrigation
Correct answers received from: Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Anil Bairaria.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

A 1st grade school teacher had twenty–six students in her class. She presented each child in her classroom the first half of a well–known proverb and asked them to come up with the remainder of the proverb. It’s hard to believe these were actually done by first graders. Their insight may surprise you. While reading, keep in mind that these are first–graders, 6–year–olds, because the last one is a classic!

  1. Don't change horses ……………until they stop running.
  2. Strike while ...........the bug is close.
  3. It's always darkest ……………before Daylight Saving Time.
  4. Never underestimate the power ……………of termites.
  5. You can lead a horse to water but …………… how?
  6. Don't bite the hand that ……………looks dirty.
  7. No news is …………… impossible.
  8. A miss is as good as ……………a Mr.
  9. You can't teach an old dog…………… new math.
  10. If you lie down with dogs ……………you’ll stink in the morning.
  11. Love all,…………… trust me.
  12. The pen is mightier than ……………the pigs.
  13. An idle mind is the…………… best way to relax.
  14. Where there's smoke ……………there’s pollution.
  15. Happy the bride who ……………gets all the presents.
  16. A penny saved…………… is not much.
  17. Two's company, three’s…………… the Musketeers.
  18. Don't put off till tomorrow…………… what you put on to go to bed.
  19. Laugh and the whole world laughs with you, cry…………… and you have to blow your nose.
  20. There are none so blind as…………… Stevie Wonder.
  21. Children should be seen ……………and not spanked or grounded.
  22. If at first you don't succeed ……………get new batteries.
  23. You get out of something only ……………what you see in the picture on the box.
  24. When the blind lead the blind ……………get out of the way.
  25. A bird in the hand ……………is going to poop on you.
    And the WINNER and last one!
  26. Better late than ……………pregnant.
 
    Public Forum

(Press Release for use by the newspapers)

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

Ibuprofen may increase heart problems

Ibuprofen, the popular over–the–counter painkiller, may increase the odds of heart problems in patients who have osteoarthritis and are taking daily aspirin to help lower their cardiovascular risk, said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India, Quoting a study published in the Annals of the Rheumatic Diseases, Dr. Aggarwal said that ibuprofen may cancel out the cardioprotective effects of daily low–dose aspirin. In the study, use of ibuprofen and aspirin boosted arthritis patients’ one–year heart attack and stroke risk nine–fold.

Previous studies have suggested that drugs known as cox–2 inhibitors, as well as non-selective nonsteroidal anti–inflammatory drugs (NSAIDs), increase the risk of cardiovascular events. Many cox-2 inhibitors have been withdrawn from the market.

In the study investigators revisited data on more than 18,000 individuals over the age of 50 with osteoarthritis, comparing the cox–2 inhibitor lumiracoxib with either ibuprofen or naproxen. Ibuprofen and naproxen are both traditional NSAIDs. High–risk patients taking aspirin and ibuprofen were about nine times more likely to have heart attacks and strokes over one year as those taking lumiracoxib. People taking ibuprofen were also more likely to develop congestive heart failure than those taking the cox–2 inhibitor.

The findings, are important as ibuprofen is easily available and if cardiac patients take this over–the–counter pill it may be dangerous. This is an important public health message. It can block the effect of aspirin, so there can be more heart failures, more heart attacks and more hypertension.

 
    Readers Response
  1. Dear Sir, Thanks for the emedinews. Regards:Dr Subhra
 
    Forthcoming Events

Ajmer Health Fair: Ajmer’s Largest Ever Super Specialty Health Camp

Date: February 11 and 12, 2012
Venue: Patel Stadium, Ajmer
Organizer: Heart Care Foundation of India

IMSOCN2012

The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund, Faridabad. It is a multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of the British Menopause Society and South Asian Federation of Menopause Societies and is an opportunity to hear international faculties.

For information contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048
Download forms at: http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

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

 
    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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  Dadi Ma ke Nuskhe

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  Mental Diseases

  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