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 1st Mega Ajmer Health Camp 2012

 
  Editorial …

10th March 2012, Saturday

Ivabradine for heart failure

Ivabradine is now approved for heart failure. EU approval for heart failure (the drug has been licensed for stable angina since 2006) is restricted to specific patients, constituting around 15% of the heart–failure population: those with a heart rate of 75 beats per minute or greater who are in sinus rhythm and who are optimally treated on ACE inhibitors and maximal doses of beta blockers.

The SHIFT study looking at use of ivabradine in heart failure was first reported in 2010. The study noticed the drug was more effective in those with a higher heart rate.

Within that subsection, total mortality is reduced by 17%, heart–failure mortality is down by 39%, and that’s on top of really good ACE–inhibitor (ACEI) and beta–blocker therapy.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with Dr Neelam Mohan on 3rd eMedinewS Revisiting 2011

 

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

First Mega Ajmer Health Camp – blood donations

72 blood donations were collected on the site in the 1st Mega Ajmer Health Camp

 
Dr K K Aggarwal
 
    National News

Coke, Pepsi alter drink recipe to avoid cancer warning

Coca–Cola Co and PepsiCo Inc are changing the way they make the caramel coloring used in their sodas as a result of a California law that mandates drinks containing a certain level of carcinogens bear a cancer warning label. Coca–Cola and PepsiCo account for almost 90 percent of the soda market, according to industry tracker Beverage Digest. A representative for Dr Pepper Snapple Group Inc said all its caramel coloring now meet the new California standard. Coke, Pepsi alter drink recipe to avoid cancer warning. (AP News)

For comments and archives

Mosquito menace: Routine checks at all public buildings

AHMEDABAD: In a drastic step to curb water and vector–borne diseases, the Ahmedabad Municipal Corporation (AMC) has made routine checks of all public buildings mandatory for health and sanitary facilities. These checks at buildings of state government, local body and central government offices, private and government run schools and colleges, and deemed institutions, will be a weekly affair and include scrutiny of potable water facilities, including quality of water available at these institutions. A separate wing of sanitary inspectors will check for mosquitoes breeding in these areas and even impose heavy fines if the requisite sanitary provisions are not made. (Source: TOI, March 6, 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

HIV prophylaxis for partner cuts transmission

Giving anti–retroviral drugs to HIV–negative people can reduce their risk of acquiring the virus from an HIV–positive partner, a researcher said at the annual Conference on Retroviruses and Opportunistic Infections. (Source: Medpage Today)

For comments and archives

Prednisone/MTX tight control best first step for early RA

Starting tight–control treatment of early rheumatoid arthritis (RA) with methotrexate (MTX) plus low–dose prednisone is more effective than starting treatment with MTX alone, Marije F. Bakker, PhD, from the University Medical Center Utrecht, Department of Rheumatology and Clinical Immunology, Utrecht, the Netherlands, and other researchers from the Utrecht Rheumatoid Arthritis Cohort Study Group report in an article published in the March 6 issue of the Annals of Internal Medicine. (Source: Medscape)

For comments and archives

Caffeine can disrupt sleep for morning people.

Caffeine consumption can disrupt sleep for morning people but has little or no effect on those who are literally "night owls", researchers suggest. In a study, "morning people" who consumed caffeine during the day appeared more likely than late risers to awaken in the middle of their nighttime sleep. According to LiveScience, the researchers said this is the first study to link caffeine intake with "chronotype," the categorizing of people by the time of day they are most alert and active. The findings are preliminary and more research is needed to confirm them, the researchers added. (Source: TOI)

For comments and archives

Broad Anti–smoking vaccination not worth cost: study

A vaccination campaign to prevent teenagers from taking up smoking would be too expensive to recommend, according to Australian researchers who looked at the costs and benefits of anti–nicotine shots in development. Taking into account the effectiveness demonstrated so far by experimental vaccines designed to help smokers quit, the team concluded the drugs would need to be cheaper, require fewer doses and get better results for widespread preventive vaccination of teens to be worthwhile. "On the data that is currently available on NicVax and other nicotine vaccines these scenarios are unrealistic," said Dr. Coral Gartner of the University of Queensland who led the study. (Source: Medscape)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: An orange a day keeps stroke away

@DeepakChopra: At all times the world we perceive is a reflection of our internal dialog.

 
    Spiritual Update

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

Holi beyond Colors

The story behind the festival of Holi, starts with Holika, the sister of Hiranakashyap, the father of Prahalad. Hirnakashyap had declared himself as God and wanted his son Prahalad to worship him and not Vishnu. When Prahalad refused to do the same, he was made to sit with Holika in an open fire. Holika had a boon that she could not be burned even if she was on live fire. When she was made to sit with Prahalad on the live fire, the opposite happened. She lost her life and got burned but Prahalad came out alive from the fire.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is hydrosalpinx?

The embryo travels through the tube into the uterus. When it reaches the uterus, it can implant into the uterine wall and develop into a baby. However, an old infection can cause the tubes to fill with fluid and enlarge (dilate). When this happens, the tube is called a hydrosalpinx

For comments and archives

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

(Dr.(Prof.) Sandeep Guleria, General Surgery, GI Surgery and Transplantation, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi)

The global role of kidney transplantation

On the occasion of World Kidney Day (8th March;), eMedinewS looks at a recent article in transplantation which aims to brings the benefits of transplantation to the one million people who have a right to benefit.

World Kidney Day on March 8, 2012, provides a chance to reflect on the success of kidney transplantation as a therapy for end–stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost–effectiveness.

The theme for 2012 is kidney transplantation

Anything that is both cheaper and better, but is not actually the dominant therapy, must have other drawbacks that prevent replacement of all dialysis treatment by transplantation. The barriers to universal transplantation as the therapy for end–stage kidney disease include the economic limitations which in some countries place transplantation, appropriately, at a lower priority than public health fundamentals such as clean water, sanitation, and vaccination. Even in high–income countries, the technical challenges of surgery and the consequences of immunosuppression restrict the number of suitable recipients, but the major finite restrictions on kidney transplantation rates are the shortage of donated organs and the limited medical, surgical, and nursing workforces with the required expertise. These problems have solutions which involve the full range of societal, professional, governmental, and political environments. World Kidney Day is a call to deliver transplantation therapy to the 1 million people a year who have a right to benefit.

(J Nephrol 2012;25(1):1– 6)

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Plants and People

Plants grow best when we pay attention to them. That means watering, touching them, putting them in places where they will receive good light. They need people around them to notice if they are drooping at the edges or looking particularly happy in the sunlight. The more attention a plant receives, the better it will grow.

We need to be noticed in the same way. If we notice a family member or friend is drooping, perhaps we can pay some special attention to him or her. All of us need someone to care about how we are and to truly listen to us. We can share and double someone’s happiness by noticing and talking about it also. We help the people around us to grow by listening to their droopy edges as well as their bright days. People need this as much as plants need light and water.

For comments and archives

 
  Cardiology eMedinewS

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

Cardiac Resynchronisation Therapy For Heart Failure Read More

Update on Biomarkers For Heart Failure Read More

Routine Cardiac Screening for Kids Not Quite There Yet Read More

Heart Disease and Depression Causive Cognitive Decline 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

Oral Treatment Mows Down Grass Allergy Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient of right ventricular (RV) pacing developed significant MR.
Dr Bad: Nothing can be done.
Dr Good: We should try biventricular pacing.
Lesson: RV pacing behaves like left bundle branch block (LBBB) and can cause functional mitral regurgitation (MR). This interventricular dyssynchrony can be improved with biventricular pacing.

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).

For comments and archives

 
    Microbial World: The Good and the Bad they do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta The Medicity)

Composition of normal resident flora is different at different sites. Why?

Like human beings, bacteria too have preferences. Only certain types of bacteria will normally colonize a particular site in our body. Sometimes the pathogenic bacteria can also colonize these sites without causing disease as happens in healthy carriers e.g. Corynebacterium, Pneumococci and others. Mostly these pathogens are the transient flora and not the regular resident flora. Why do bacteria have a preference and predilection for a particular site and/or tissue? It is because of the environment, food, proteins, and receptors, etc. available at a particular site/tissue/cell and bacterial attraction to the same. This attraction is enacted through an interplay of molecules carried by bacteria and those present in a tissue/cell. The final result is colonization of the site with particular types of bacteria.

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  Quote of the Day

(Dr GM Singh)

Life is a song – sing it.
Life is a game – play it.
Life is a challenge – meet it.
Life is a dream – realize it.
Life is a sacrifice – offer it.
Life is love – enjoy it.

 
  12 Most Common Technology Hazards (Part 1)

A technology hazard meets one or more of the following criteria: It has resulted in injury or death; it has occurred frequently; it can affect a large number of people; it has been widely publicized; and there must be steps that hospitals can take to lessen the risks.

Alarm fatigue hazards

Alarms are put on devices, such as infusion pumps, ventilators, and dialysis units. Alarms can contribute to adverse events. One major reason is "alarm fatigue." The staff may become desensitized to the frequency with which alarms are sounded and become complacent, delaying needed action. The problem is similar to that of car alarms: When they go off constantly, people tend to ignore them. To reduce alarm–related incidents, ECRI recommends, "Establish protocols that ensure that each alarm will be recognized, that the appropriate caregiver will be alerted, and that the alarm will be promptly addressed." Hospitals should determine who is responsible for responding to alarms and notify them.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

D Testing (Du) in blood grouping.

Some red cells possess the D antigen but it is expressed so weakly that the cells are not agglutinated directly by anti–D sera. An indirect antiglobulin test is necessary to identify patients with the Weak D (formerly known as Du) phenotype. Weak D testing is done on all prenatal patients and candidates for Rh immune globulin including Rh negative donors to ensure they are truly D negative.

It should be done routinely on Rh negative candidates for transfusion, depending on the policy of the transfusing institution.

 
    Mind Teaser

Read this…………………

Which is not a true statement regarding breast implants?

a) They are made of silicone shell filled with either saline or silicone gel.
b) Silicone gels filled implants provide a more natural shape.
c) Silicone gel filled implants became controversial because of risk of associated malignancy.
d) In case of rupture of implants, silicone gel may get absorbed in axillary lymph nodes.

Yesterday’s Mind Teaser: 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

Answer for Yesterday’s Mind Teaser: d) Splenectomy is required in all cases

Correct answers received from: Dr Stellaselina, Dr Deepali chatterjee, Raju Kuppusamy,
Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Thakor Hitendrasinh G, Dr Avtar Krishan.

Answer for 8th March Mind Teaser: b) Central breast tumor mass
Correct answers received from: Dr Jainendra Upadhyay.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

A taxi passenger tapped the driver on the shoulder to ask him a question. The driver screamed, lost control of the car, nearly hit a bus, went up on the footpath, and stopped centimeters from a shop window. For a second everything went quiet in the cab, then the driver said, "Look mate, don’t ever do that again. You scared the daylights out of me!"

The passenger apologized and said, "I didn’t realize that a little tap would scare you so much." The driver replied, "Sorry, it’s not really your fault. Today is my first day as a cab driver – I’ve been driving a funeral van for the last 25 years.

 
    Medicolegal Update

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

What is Othello Syndrome?

Othello syndrome or morbid jealousy is a psychotic disorder where the affected person has delusions of infidelity of a spouse or partner. Recurrent accusations of infidelity are a characteristic feature of this disorder. The affected person starts seeking proof that such activities are occurring and searches for evidence, repeatedly interrogates the partner, tests his partner’s fidelity. Sometimes, stalking may also be a feature. The partner may succumb to pressure and falsely confess that she has indeed been unfaithful. This becomes a trigger point and the same confession result in violent murderous attack and jealous homicide. It may be associated with alcoholism, paranoid schizophrenia.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

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

Diabetic or hypertensive: get your albumin check up done

Microalbuminuria or presence of albumin in the urine in micro amounts indicates early kidney damage; an early vascular endothelial dysfunction and early atherosclerosis with major cardio or cerebrovascular events and death.

Current guidelines advocate annual screening in patients with diabetes and wherever possible in non–diabetic patients with hypertension, said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India. Early detection of high–risk patients allows selection of aggressive treatment to slow disease progression.

Antihypertensive agents providing angiotensin II blockade are recommended for the treatment of hypertensive patients with microalbuminuria, regardless of diabetes and/or early or overt nephropathy. Treatment with these drugs provides effective reduction of microalbuminuria and blood pressure and long–term prevention of CV events beyond blood pressure reduction.

Even very low levels of microalbuminuria strongly correlate with cardiovascular risk. Albumin excretion rates as low as 4.8 μg/min, well below the microalbuminuria thresholds as stated in current clinical guidelines, are associated with increased risk of cardiovascular and cerebrovascular disease, independent of the presence of other risk factors.

 
    Conference Calendar

Strokecon 2012

The 7th National Conference of ISA
Date: 09 March to 11 March, 2012
Venue: Hotel Hyatt Regency, Pune, Maharashtra.

Fire Safety & Disaster Prepardness for Healthcare & Hospitals

One Day National Conference on Fire Safety & Disaster Preparedness for Healthcare & Hospitals
Date: 10 March, 2012,
Venue: Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala.

PIDCON 2012

1st National Conference on Primary Immunodeficiency Diseases
Date: 10 March to 11 March, 2012
Venue: PGIMER, Chandigarh, Chandigarh.

 
    Readers Response
  1. Dear Sir, Thanks for providing the vast informations. Regards: Dr SP Shukla
 
    Forthcoming Events
Dr K K Aggarwal

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

"RENAL TRANSPLANTATION & ORGAN DONATION"
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
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

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  Towards Well Being

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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