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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

 
  Editorial …

10 th December 2011, Saturday

Nicotine is a Gateway Drug

A new study in mice has shown that tobacco products can act as gateway drugs, opening the door to use of illicit drugs. Nicotine, makes the brain more susceptible to cocaine addiction. Lowering smoking rates in young people might help reduce cocaine abuse.

In a recent US national survey, over 90% of adult cocaine users between the ages of 18 and 34 had smoked cigarettes before they began using cocaine.

A team of scientists, led by Dr. Eric Kandel at Columbia University and supported by NIH’s National Institute on Drug Abuse (NIDA), in Science Translational Medicine on November 2, 2011 reported that mice given nicotine in their drinking water for 7 days showed increased activity in response to cocaine. The animals also had changes in a brain signaling process called long–term potentiation.

Earlier research had shown that expression levels of a gene called FosB in the brain’s striatum was linked to cocaine addiction. In the new study, investigators found that 7 days of nicotine administration caused a 61% increase in FosB expression. When given a dose of cocaine, these mice had an additional 74% increase in FosB expression compared to mice treated with cocaine alone. Reversing the order of the drugs didn’t lead to a boost in FosB expression.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on 63rd CSI Live Coverage

Dr Ashok Seth on new advances in
Interventional Cardiology.

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

63rd Annual CSI Conference Inaugurated

Cardiology Update 2011 was also released. The book was coordinated by IJCP Group of Publications and eMedinewS.

 
Dr K K Aggarwal
 
    National News

Second total lunar eclipse of the year on December 10

PUNE: On the night of December 10, more than half the world, including India, will have the opportunity to watch the second total lunar eclipse of the year. In India, the maximum eclipse can be observed at 8.01 pm and entire event will last just about three minutes. The winter season will offer a best possible opportunity for the astronomy enthusiasts in the country to experience this eclipse. The next lunar eclipse in India would be visible only in 2017, almost six years from now. (Source: TOI, Dec 7, 2011)

For comments and archives

Kindly visit Facebook for CSI News. It will cover minute to minute happenings of the 63rd CSI conference at Mumbai 8–11th December

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

CIBD: Activin A may be key in myeloma bone disease

Targeting one key player in multiple myeloma bone disease might also block a second major protein that induces osteoclastogenesis and suppresses osteoblastogenesis, investigators reported (nternational Conference on Cancer–Induced Bone Disease). (Source: Medpage Today)

For comments and archives

AAP: Urinary stones in kids on the rise

The frequency of pediatric urolithiasis more than doubled over an 8–year period at a large children’s hospital and the pediatric urologists have yet to find a reason for the increase. Kidney stone incidence rose from 0.87 per 1,000 unique visits at the beginning of the study period to 2.09 per 1,000 eight years later. Stone frequency increased by an average of 12% per year, Neel Srikishen, of Children’s Medical Center in Dallas, reported at the American Academy of Pediatrics meeting. (Source: Medpage Today)

For Comments and archives

Steroids work for COPD attacks in critically ill

Corticosteroids ease acute exacerbations of chronic obstructive pulmonary disease in the intensive care unit, a randomized trial suggested. In critically ill COPD patients on mechanical ventilation, systemic corticosteroids cut the median duration of ventilatory support from four days to three (P=0.04) and tended to reduce intensive care unit (ICU) stays as well (P=0.09), Andrés Esteban, MD, PhD, of the Hospital de Getafe, Spain, and colleagues found. (Source: Medpage Today)

For comments and archives

 
  Cardiology eMedinewS

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

63rd CSI conference at Mumbai 8–11th December. Grab your e-copy of happenings of 9th December Conference.

Conference e-Newsletter

Newer Anti Platelets Will Change The Practice Scenario In Future: Dr Robert Storey...

Read More

Antiplatelet Agents for the Treatment and Prevention of Atherothrombosis: Dr S.K. Parashar

Read More

Stem Cell Therapy from Lab to Clinics: Dr Biswajit Kar

Read More

Low dose Polypill the only answer: Dr Salim Yusuf

Read More

Cardiology 2020: Where is the Imaging Headed?
Dr Jagat Narula, USA

Read More

Cardiology 2020: Will AF be the Biggest Challenge to Cardiologists?
Dr P K Deb, Kolkatta

Read More

 
  Twitter of the Day

@DrKKAggarwal: Dr Dayasagar Rao.V on late stage heart failure 1. Late stage heart failure means stage D. Persistent symptoms…http://fb.me/1ml8JKJFE

@DeepakChopra: Be kind to yourself and others. Come from love every moment you can.

 
    Spiritual Update

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

Mourning: A Healing Touch

The reference to grieved mourning a death can be found in the Vedic literature. There is custom that the grieved partner is made to weep till she or he is overwhelmed with emotions. In fact all relatives and friends participate in the exercise, depending upon their respective closeness to the deceased.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

The I Can’t Funeral

Donna’s fourth grade classroom looked like many others I had seen in the past. The teacher’s desk was in front and faced the students. The bulletin board featured student work. In most respects it appeared to be a typically traditional elementary classroom. Yet something seemed different that day I entered it for the first time.

My job was to make classroom visitations and encourage implementation of a training program that focused on language arts ideas that would empower students to feel good about themselves and take charge of their lives. Donna was one of the volunteer teachers who participated in this project.

I took an empty seat in the back of the room and watched. All the students were working on a task, filling a sheet of notebook paper with thoughts and ideas. The ten–year–old student next to me was filling her page with "I Can’ts". "I can’t kick the soccer ball past second base." "I can’t do long division with more than three numerals." "I can’t get Debbie to like me." Her page was half full and she showed no signs of letting up. She worked on with determination and persistence. I walked down the row glancing at students’ papers. Everyone was writing sentences, describing things they couldn’t do.

Thwarted in my efforts to determine why students and teacher were dwelling on the negative instead of writing the more positive "I Can" statements, I returned to my seat and continued my observations.

Students wrote for another ten minutes. They were then instructed to fold the papers in half and bring them to the front. They placed their "I Can’t" statements into an empty shoe box. Then Donna added hers. She put the lid on the box, tucked it under her arm and headed out the door and down the hall.

Students followed the teacher. I followed the students. Halfway down the hallway Donna entered the custodian’s room, rummaged around and came out with a shovel. Shovel in one hand, shoe box in the other, Donna marched the students out to the school to the farthest corner of the playground. There they began to dig. They were going to bury their "I Can’ts"!

The digging took over ten minutes because most of the fourth graders wanted a turn. The box of "I Can’ts" was placed in a position at the bottom of the hole and then quickly covered with dirt. Thirty–one 10 and 11 year–olds stood around the freshly dug grave site. At this point Donna announced, "Boys and girls, please join hands and bow your heads." They quickly formed a circle around the grave, creating a bond with their hands.

"Friends, we gathered here today to honor the memory of ‘I Can’t.’ While he was with us here on earth, he touched the lives or everyone, some more than others. We have provided ‘I Can’t’ with a final resting place and a headstone that contains his epitaph. His is survived by his brothers and sisters, ‘I Can’, ‘I Will’, and ‘I’m Going to Right Away’. They are not as well known as their famous relative and are certainly not as strong and powerful yet. Perhaps someday, with your help, they will make an even bigger mark on the world. May ‘I Can’t’ rest in peace and may everyone present pick up their lives and move forward in his absence. Amen."

She turned the students around, marched them back into the classroom and held a wake. They celebrated the passing of "I Can’t" with cookies, popcorn and fruit juices. As part of the celebration, Donna cut a large tombstone from butcher paper. She wrote the words "I Can’t" at the top and put RIP in the middle. The date was added at the bottom. The paper tombstone hung in Donna’s classroom for the remainder of the year.

On those rare occasions when a student forgot and said, "I Can’t", Donna simply pointed to the RIP sign. The student then remembered that "I Can’t" was dead and chose to rephrase the statement. I wasn’t one of Donna’s students. She was one of mine. Yet that day I learned an enduring lesson from her as years later, I still envision that fourth grade class laying to rest, "I Can’t".

For comments and archives

 
  Fitness Update

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

Consumption Of Processed Meats Associated With Prostate Cancer

Increased consumption of ground beef or processed meat is positively associated with aggressive prostate cancer, according to a study published in the online journal PLoS ONE.

The research team, led by John Witte of University of California, San Francisco, also found that the correlation was primarily driven by red meat that was grilled or barbequed, especially when well done.

They suggest that this result, which was determined based on the meat consumption habits of about 1,000 male participants, is due to increased levels of carcinogens in meat prepared these ways. The report furthers previous findings of the correlation between meat consumption and prostate cancer, and may help determine particular compounds that could be targeted for prostate cancer prevention.

For comments and archives

 
    Healthy Driving

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

Visual impairment

The majority of visual impairment and blindness in older people is caused by age–related macular degeneration, glaucoma, cataracts and diabetic retinopathy. Age–related changes in vision that can affect driving include decreases in central visual acuity and peripheral vision,diminished ability to accommodate and heightened sensitivity to glare.

For comments and archives

 
    Medicine Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta)

Breastfeeding or breast milk for procedural pain in neonates

If available, breastfeeding or breast milk should be used to alleviate procedural pain in neonates undergoing a single painful procedure compared to placebo, positioning or no intervention. Administration of glucose or sucrose had similar effectiveness as breastfeeding for reducing pain. The effectiveness of breast milk for repeated painful procedures is not established and further research is needed. These studies should include various control interventions including glucose/sucrose and should target preterm neonates.

For comments and archives

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    IJCP Special

Dr Good Dr Bad

Situation: A patient with Mediclaim was advised to get admitted in a 5–bedded hospital.
Dr. Bad: It does not matter.
Dr. Good: Go to 15 bedded hospital.
Lesson: Mediclaim requires admission in hospital with minimum 15 beds (in C–Towns, it can be 10 bedded).

For comments and archives

Make Sure

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lasson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Once you have mastered time, you will understand how true it is that most people overestimate what they can accomplish in a year and underestimate what they can achieve in a decade!

• Anthony Robbins

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Stool Examination

Diarrhea is a common symptom of a gastrointestinal disturbance.

O & P (Ova and Parasite) testing: A microscopic evaluation of stool for parasites and the ova (eggs, cysts) of parasites. A basic test but very important!!

 
    Mind Teaser

Read this…………………

CSI Quiz of the day (9th December)

A patient had the following echo findings

d MV = 4 cm, d LVOT = 2.5 cm, TVI MV = 4 cm, TVI LVOT = 25 cm, V Ao = 2.5

This patient should have:

a) Absent A2;
b) Opening snap;
c) Quincke’s pulse;
d) Large V–wave;
e) Clubbing

Yesterday’s Mind Teaser: A 65 year old male came with NYHA class II symptoms. EF 55%. Diameter MV = 4 cm, diameter LVOT = 2 cm, TVI (VTI) MV = 10 cm, TVI (VTI) LVOT = 20 cm, V Ao = 1.2 m/s.

What’s next?

a) Operate for MR
b) Operate for AR
c) Observe MR
d) Observe combined AS/AR

Answer for Yesterday’s Mind Teaser: Regurgitant Volume = A(MV) × TVI(MV) – A(LVOT) × TVI(LVOT)

= 125.6 > 62.8= 62 mL
Inflow > Outflow: MR
RV> 60 = Severe
Diagnosis: Severe MR
Answer: a (operate for MR)

Correct answers received from: Dr Prabha Sanghi, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Raju Kuppusamy, Dr Chandresh Jardosh, Anil Bairaria.

Answer for 7th December Mind Teaser: Full time, part time
Correct answers received from: Dr Prabha Sanghi, Muthumperumal Thirumalpillai, Raju Kuppusamy,
Dr Chandresh Jardosh, Anil Bairaria, Avula Ramadevi, Dr KV Sarma, Dr Avtar Krishan, yogindra vasavada, Theogaraj Samraj , Dr Anupam Sethi Malhotra.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Law of Gravity

Any tool, nut, bolt, screw, when dropped, will roll to the least accessible corner.

 
    Medicolegal Update

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

What is the medicolegal importance of age up to 14 years?

  • 7 years age: In accordance with Section 82 of Indian Penal Code, any act that is done by a child under seven years of age is not an offence.
  • 7–12 years of age: In accordance with Section 83 of Indian Penal Code, a child between 7–12 years of age is presumed to be capable of committing an offence, if he attained sufficient maturity of understanding to judge the nature and consequences of his conduct on that occasion. This maturity is presumed in a child of 7–12 years age until the contrary is proved.
  • 10 years age: In accordance with Section 369 of Indian Penal Code kidnapping or abducting child less than 10 years of age with intention to steal from its person is a criminal punishable offence.
  • 14 years age: A child below 14 years of age cannot be employed to work in any factory or mine under Indian Factory Act 1948. A person completing 15 and up to 18 years is allowed to work as adolescent employee in a factory if a fitness certificate is issued by a competent registered doctor.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

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

Smoker’s Cough Strong Predictor of Lung Disease

People who develop chronic cough and phlegm (sputum production) are at significantly high risk of developing Chronic Obstructive Artery Disease (COAD), said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

COAD also called as Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death. It is a combination of chronic bronchitis and emphysema where the lungs get enlarged and weak. The main cause of COAD is smoking.

Quoting a study published in the American Journal of Respiratory and Critical Care Medicine, Dr. Aggarwal said that the presence of chronic cough and phlegm in smokers is not an innocent symptom but is an early

marker of airflow obstruction. In the study, people who developed chronic cough and phlegm had a four fold higher risk of developing COAD. Until now it was thought that only 15% of smokers develop COAD

but the current literature suggests that the lifetime risk of COAD in smokers is upto 50%. If not managed properly COAD leads to heart involvement resulting into right heart failure with increased morbidity and mortality.

Quitting smoking can reverse the process in the early stages. In late stages, quitting will stop further progression of the disease.

For comments and archives

 
    Readers Response
  1. Dear Sir, Thank you for info. I really appreciate it. Regards, Ms Hendra Henny Andries. Minister Counsellor Indonesian Embassy, New Delhi.
 
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai, Ajay Mahajan, G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande, Sushil Kumbhat, Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta, M. J. Gandhi, G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

Lecture on Buddism and Astronomy

By Prof. Trinh X. Thuan

UNESCO Kalinga Awardee, 2009; Prof. of Astronomy, University of Virginia, USA; UNESCO Kalinga Awardee for Popularisation of Science by UNESCO, Kalinga Chair awardee by Department of Science & Technology, Government of India.

Organised by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt.of India

At Nehru Planetarium Chankyapuri New Delhi on 27th Dec 2011 at 10.30 am

No fee, to register email to drkakroo@gmail.com, 9810301261

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

3rd eMedinewS Revisiting 2011

Dr Ajay Kriplani (Surgical management of diabetes); Dr N K Bhatia ( What’s new in transfusion medicine); Dr Kaberi Banerjee (Fertility update); Dr Amit Bahrgava (Cancer update 2011), Onco Radiation update (Rajiv Gandhi Cancer Institute); Dr Ambrish Mithal (Vitamin D update), Dr Praveen Chandra (Interventional Cardiology update); Revisting 2011 (Dr K K Aggarwal), Portfolio management (Central Bank of India); Insurance update (LIC India); General Insurance (Doogar Associates)

 
    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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  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