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 (07–08c); 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

 

Live Web Cast of 3rd eMedinewS – Revisiting 2011, on January 22, 2012

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eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

 
  Editorial …

11th January 2012, Wednesday

Paradigm shift in the treatment of diabetes

Lessons from ADVANCE, VADT (Veterans Affair Diabetes Trial) and ACCORD trial: 2008

It was said that that intensive diabetes control is not required but one patient with diabetes is not equal to another patient.

Intensive diabetes control is absolutely beneficial for subjects who have just diabetes with no complications, who are relatively young, and who have had diabetes for a shorter time, less than 5 years. These healthy diabetics are often ignored as mild diabetes.

Those with significantly more advanced diabetes, who have had myocardial infarctions, stroke, foot amputation, or laser coagulation in the eye need less intensive treatment. One cannot restore the vasculature to its previous state or to the normal condition after it has been damaged by high glucose for 10 or 20 years. What we can do is only to prevent complications, using all the intensive strategies in subjects with intact cardiovascular systems.

What we should do in the changing paradigm of type 2 diabetes treatment? We should focus more on younger people who are newly diagnosed and strive to maintain their A1c level at 6% to 6.5% and not let it go up for years to come. We should be relatively more relaxed with subjects who have long–standing diabetes and multiple complications, who have been treated with insulin 3 or 4 times a day. We should be happy their A1c level is 7% to 7.5%, or even 8% or more. The new treatment algorithm presented at this IDF congress also aimed A1c level of 7%, not 6.5%.

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

Trimester–specific reference ranges

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela

Harmony – An Inter School Health Festival at Perfect Health Mela Education of school children should include health issues.

 
Dr K K Aggarwal
 
    National News

Policy change in healthcare and medical institutions: Azad

JAIPUR: Highlighting the shortage of skilled manpower in the Indian healthcare system, Union health minister Ghulam Nabi Azad on Saturday said the Centre is now considering to facilitate overseas citizens of India with foreign medical qualifications to both practice and teach in the country. Addressing overseas Indians and people of Indian origin at the Pravasi Bharatiya Divas organised at the Birla Auditorium here, Azad pointed out that the government has undertaken taken policy reforms to encourage capacity building in medical institutions. Azad said these reforms include rationalization of land use for setting up medical institutions, placing FDI in healthcare under automatic approval route, and increasing the faculty student ratio in PG Medical Colleges from 1:2 to 1:1. He pointed out the paradoxical situation in the country, wherein there is a surplus of about five lakh qualified practitioners in the Indian system of medicine and shortage of about seven lakh doctors in the allopathy stream. The Union minister said after recognition of post–graduate medical degrees of five English speaking countries (UK, USA, Canada, Australia and New Zealand) for teaching as visiting faculty in India, India is now considering to facilitate overseas citizens of India with foreign medical qualifications to both practice and teach in India. (Source: TOI, Jan 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

Test all inpatients for high blood sugar, group says

All hospital patients should have blood glucose levels measured on admission, according to an Endocrine Society clinical practice guideline on managing hyperglycemia in noncritically ill patients. The recommendation, classified as weak and based on very low quality evidence, applies to both diabetic and normoglycemic patients, and goes one step further than guidance from the American Diabetes Association (ADA). (Source: Medpage Today)

For comments and archives

New COURAGE analysis provides few answers

A post–hoc analysis of a subset of patients from the landmark medicine versus stenting COURAGE trial found only one angiographic marker that predicted ischemic events –– the number of baseline lesions that had angiographically confirmed narrowing of 50% or more. (Source: Medpage Today)

For comments and archives

IL–1 inhibitor may curb gout flares

Targeting an inflammatory cytokine can reduce gout flares after starting urate–lowering therapy, researchers found. In a phase II trial, gout patients who started on allopurinol (Zyloprim) had significantly fewer flares when taking the interleukin–1 (IL–1) inhibitor rilonacept (Arcalyst) than with placebo (P=0.001), Ralph Schumacher, MD, of the VA Medical Center in Philadelphia, and colleagues reported online in Arthritis & Rheumatism. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on Eat less to remember more in English http://www.youtube.com/watch?v=rCNhBDW7dLo&feature=share via @youtube

@DeepakChopra: The purpose of life is the expansion of happiness. Happiness is the goal of every other goal.

 
    Spiritual Update

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

Changing Spectrum of the Society

If we see the Vedic philosophy time is the only constant which changes every time. The yugas have changed from satya, to tritiya to dwapara to finally to kalyuga. The ashrams have to change from brahmacharya to grahastha to vanaprasthan and finally to sanyasa. Satwa has to change to rajas and then to tamas and rulers of the society have to change from Brahmins to Kshatriyas to Vaishnavas and finally to Shudras.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Is assisted hatching a safe process?

In assisted hatching, the embryo or some of the cells (blastomeres) in the embryo can be damaged by this procedure. There have also been a few cases of an increase in the incidence of either identical twins or conjoined (Siamese) twins after assisted hatching. These pregnancies are considered high risk.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

To Risk

  • To laugh is to risk appearing a fool.
  • To weep is to risk appearing sentimental.
  • To reach out to another is to risk involvement.
  • To expose feelings is to risk exposing your true self.
  • To place your ideas and dreams before a crowd is to risk their loss.
  • To love is to risk not being loved in return.
  • To live is to risk dying.
  • To hope is to risk despair.
  • To try is to risk failure.

But risks must be taken because the greatest hazard in life is to risk nothing. The person who risks nothing, does nothing, has nothing, is nothing.

He may avoid suffering and sorrow, but he cannot learn, feel, change, grow or live. Chained by his servitude he is a slave who has forfeited all freedom. Only a person who risks is free. The pessimist complains about the wind, the optimist expects it to change and the realist adjusts the sails.

For comments and archives

 
    Cardiology eMedinewS

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

Bariatric Surgery Reduces Long–Term Risk of Heart Attack, Stroke and Death

Read More

Monitoring Blood Pressure in Patients With Hypertension

Read More

Statins May Protect Against Flu–Related Death

Read More

In a Published Paper What Is My Status If I Am Not In The First Two Author List?

Read More

 
    Pediatric eMedinewS

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

ICD v/s VATS in Empyema: Dr Sanwar Agrawal

Read More

Nebulizer is Better than MDI in Acute Asthma: Dr. Gautam Ghosh

Read More

 
    Fitness Update

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

Virgin Olive Oil & Fish Fatty Acids Help Prevent Acute Pancreatitis

Oleic acid and hydroxytyrosol present in a particularly high concentration in virgin olive oil and n–3 polyunsaturated fatty acids found in fish affect the cellular mechanisms involved in the development of acute pancreatitis, a disease of oxidative–inflammatory etiology. Therefore, oleic acid and hydroxytyrosol can be considered potential functional ingredients, as they may prevent or mitigate this disease. Such was the conclusion drawn in a study conducted by a research group at the University of Granada Physiology Department, where the researchers examined the role of the Mediterranean diet ingredients in the prevention and mitigation of cell damage.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta, Advocate & Medico–legal Consultant)

Q. Can a general dentist perform treatment procedures under GA?

Ans. He can do so provided:

  1. He does so in a hospital setting where a qualified anesthetist and well–equipped OT and emergency services including an ICU are available and a pre–anesthetic check up has been done.
  2. His doing so will be not objectionable in the opinion of fellow dentists and dental experts.

For comments and archives

 
    Healthy Driving

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

Can a person with diabetes drive?

Although north–south international travel does not necessitate alterations in diabetic management, east–west travel across times zones often requires adjustments in insulin dosing.

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    IJCP Special

Dr Good Dr Bad

Situation: A patient with migraine was put on the herb, Butterbur.
Dr.Bad: It is a drug of choice for preventing migraine.
Dr.Good: It benefits still remain unproven.
Lesson: Herbal therapies like the Butterbur and Feverfew have been evaluated for the treatment of migraine headaches. Of these, Feverfew has been the most widely studied. Some studies have found it to be effective for migraine prevention, although most experts agree that the benefits are still unproven. Neither treatment is recommended.

For comments and archives

Make Sure

Situation: A patient of suspected MI died after receiving sublingual nitrate.
Reaction: Oh my God! Why was a history of intake of Viagra drug not taken?
Lesson: Make sure to take a history of Viagra drug intake before giving nitrates, because the two drug if co–administered can cause fatal fall in blood pressure.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

We promise according to our hopes, and perform according to our fears. Francois duc de la

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Thrombocytopenia

Platelet count < 150,000/microL (Note: 2.5% of the normal population may have a platelet count lower than this).

A fall in platelet count to levels < 150,000/microL may herald severe clinical problems, and requires active follow–up, although thrombocytopenia is not usually detected clinically until the platelet count has fallen to levels significantly below 100,000/microL.

 
    Mind Teaser

Read this…………………

Which of the following statements best describe initiation of HAART in HIV/TB coinfection?

a. HAART should be initiated at diagnosis of TB.
b. Patient with CD4+ count of 100–200 cells/μl should complete antituberculous therapy before starting HAART
c. The development of IRIS does not seems to be with associated with any particular drug class or antiretroviral regimen.
d. IRIS often occurs following completion of antituberculous therapy.

Yesterday’s Mind Teaser: Which of the following statements best describes the treatment of HIV/TB coinfection?

a. All cases of pulmonary TB should be considered for prolonged antituberculosis therapy.
b. HAART reduces the risk of developing TB disease among HIV–positive patient by upto 25%.
c. The protective effect of HAART in reducing the risk of TB disease is greater in those with advanced immunosuppression.
d. The protective effect of HAART in reducing the risk of TB is not influenced by the degree of immunosuppression.

Answer for yesterday’s Mind Teaser: c. The protective effect of HAART in reducing the risk of TB disease is greater in those with advanced immunosuppression.

Correct answers received from: Dr Mrs S Das, Dr PC Das, Raju Kuppusamy, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Anil Bairaria, Dr Niraj kumar Gupta, Dr Neelam Nath.

Answer for 9th January Mind Teaser: Fork in the road
Correct answers received from: Dr Vijay Kansal, Avula Ramadevi, Dr Sidhartha, Dr Ramjeet, Dr Firoz.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr Anil Kumar Jain)

A man was complaining to a railroad engineer.

What’s the use of having a train schedule if the trains are always late.

The railroad engineer replied.

How would we know they were late, if we didn’t have a schedule?

 
    Medicolegal Update

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

Narco–analysis

  • The human being is capable to lie by using his power of fantasy and imagination in brain; however, in practice of medical science there is no way of distinguishing reality from imagination and fantasy. Only mere speculation or leads of facts is possible.
  • Narcoanalysis is based on the principle that a person is able to lie using his power of conscious brain imagination and, therefore, under the influence of the sedative and hypnotic drug the capacity of his imagination, fantasy to create a lie is blocked or diminished, by leading the person into an altered conscious state of mind.
  • The use of narcotic and psychotropic drugs in narcoanalysis tests on healthy human being may have side effects and health hazards to the person.
  • The term narcoanalysis is derived from the Greek word narke which means anesthesia.
  • It is used to describe a diagnostic and psychotherapeutic technique that uses psychotropic drugs, particularly barbiturate induce a spoor/sleep in which mental elements with strong associated affects come to the surface, where they can be used by the treating physician/doctor.
  • The procedure was mainly intended for neurotic and psychosomatic patients, and it met with a certain success by psychiatrists in treating traumatic pathologies, mental deviation and conditions charged with strong human emotions. It is presumed that in the Narco Analysis Test, the subject’s power of fantasy and imagination is neutralized and it becomes difficult for human being to create a lie in brain and his answers would be restricted to facts he is already aware based on truth.
  • Narco–analysis has been used in Anglo–Saxon countries from last more than hundreds year.
  • In India the application of the technique in forensic began since a decade back. Recently the honorable supreme court of India said that the test without consent is violative of the fundamental right of a citizen not to incriminate himself and his right to privacy under Articles 20(3) and 21 of the Constitution hence "No individual should be forcibly subjected to any of these techniques in question, whether in the context of investigation in any criminal cases or otherwise."

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)

Low cost Medicare the answer

Create guidelines for low cost medicare, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Dr Aggarwal said that while it is important to provide latest costly drugs and new advanced technologies to the ones who can afford, it is equally important to provide standard but low cost medical treatment to the majority. In such a situation costly tests should be done only when it is necessary and not just to complete the paper formalities.

He showed concern that the newer drugs being introduced in the market are costly and may be beyond the reach of a common man. Every effort should be made not to use unnecessary antibiotics so as to avoid unnecessary development of resistant organisms.

Momentum is building for an array of incentives for doctors and hospitals to provide higher–quality medical care. Some health plans are using quality–of–care disincentives by refusing to pay for care related to complications from certain types of medical errors.

The genome–wide association studies have identified genes associated with type 2 diabetes, multiple sclerosis, and resistance to HIV infection, to name a few examples.

Sequencing a genome—identifying all the chemical base pairs of someone’s genes—is getting a lot faster and cheaper. Scientists can now shatter the DNA of the genome into millions of pieces and simultaneously sequence the letters. Then, computers knit the data into a single sequence. Within a decade, the price of sequencing a genome may drop to $1,000. Cheap genome sequencing may soon usher in a new era of personalized medicine, with health advice and medical treatments tailored to each individual’s genes.

For comments and archives

 
    Readers Responses
  1. eMedinewS has Very nice & useful articles. Regards: Dr Pallavi
 
    Forthcoming Events

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. All delegates to get registration kit, Attractive gifts, Conference Newsletter, certificates, Morning Snacks, 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/ rekhapapola@gmail.com/drpawangupta2006@yahoo.com

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 know of 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

TIME

Speaker

Topic

8.00 – 8.30 AM

Dr K K Aggarwal

Revisiting the year 2011

8.30 – 9.00 AM

LIC India

Life Insurance Schemes

9.00–9.20 AM

Dr G K Mani

Cardiac surgery in 2012

9.20 – 9.30 AM

Mr M K Doogar

Health Insurance – What’s New

9.30 – 9.45 AM

Central Bank of India

Wealth Management

9.45 – 10.00 AM

Dr Dinesh Bhurani

Hemato Oncology Update

10.00 – 10.15 AM

I M Chugh

Chest Medicine Update

10.15–10.30 AM

Dr Pramod Kumar

Beyond Coronaries

10.30 – 11.00 AM

Dr N K Bhatia

Whats New in Transfusion Medicine

11.00 – 11.30 AM

Dr Praveen Chandra

Dual Anti Platelet Therapy in ACS

11.30 – 12.00 PM

Dr Ambrish Mithal

obesity as a precursor for diabetes

12.00 – 12.30 PM

Dr Ajay Kriplani

Surgery in diabetes

12.30 – 1.00 PM

Dr Kaberi Banerjee

Infertility Update

1.00–1.10 PM

Dr Kailash Singla

Gastro Update

1.00 – 1.30 PM

Zero Hour Session

 

1.30 – 2.00 PM

Dr Surjit Jha

High Risk Diabetes

2.00 – 2.30 PM

Dr Sudhir Kumar Rawal

Robotic Surgery in India

2.30 – 3.00 PM

Dr Amit Bhargava

Oncology

3.00 – 3.15 PM

Dr Sanjay Chaudhary

Automation in Cataract Surgery with Femto-second

3.15 – 3.30 PM

Dr Neelam Mohan

100 Cases of Liver Transplantation in Children

4.00 – 4.15 PM

Dr Surender Kumar

Diabetes in 2012

4.15 – 4.30 PM

Dr S K Khanna

Valve Surgery Update

4.30 – 4.45 PM

Dr Ravi Kasliwal

Markers for Cardiovascular Prevention

5.00 – 8.00 PM

Awards

Doctor of the Year Award, Cultural Hungama

For Complete Details Click

PEDICON 2012

Date: 18th–22nd Januray, 2011
Venue: Leisure Valley Ground, Sector 29, Gurgaon, Haryana
Website: http://pedicon2012.com/
For Latest happenings pls visit: http://pedianews.emedinews.in/

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 multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit 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.

Early Registration till 30th Dec 2011

 
    eMedinewS Special

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

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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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  Mental Diseases

  Perfect Health Mela

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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