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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
 
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

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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 …

11th March 2012, Sunday

Lifestyle change can reduce aging

(Elissa S. Epel at Sages and Scientists 4th March 2012)

Shorter telomeres, DNA–protein complexes at the end of chromosomes, increase disease risk, but this may be reversed via lifestyle. As per Dr. Dean Ornish of the Preventive Medicine Research Institute in Sausalito, Calif., and colleagues at the University of California, San Francisco, telomere shortness in human beings is emerging as a prognostic marker of disease risk, progression and premature mortality.

Severe stress has been shown to shorten telomeres of the caregiver, but according to Dr Ornish telomere shortening is counteracted by the cellular enzyme telomerase via lifestyle changes.

He showed that 3 months of intensive lifestyle changes can increase telomerase activity in peripheral blood mononuclear cells. He studied 30 biopsy–proven low–risk prostate cancer men who underwent comprehensive lifestyle changes like 10% fat diet, little refined sugar; eating lots of produce; taking vitamins and fish body oils, a half–hour of exercise daily, stress management, relaxation techniques and breathing exercises. The study, published online ahead of print in the November The Lancet Oncology, found lifestyle changes significantly increase telomerase activity.

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

Lifestyle change can reduce aging

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Nostalgia: He is 98 and She is 90. At my medical college they fed me for three years at their small Madras Hotel adjacent to my medicine Ward. I met them after 30 years.

 
Dr K K Aggarwal
 
    National News

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

Drug lowers cortisol in Cushing’s

About 20% of patients with Cushing’s disease achieved normalization of urinary–free cortisol levels when treated with the investigational somatostatin analog pasireotide, results of a multinational trial showed. (Source: Medpage Today)

For comments and archives

Adding second drug no help in Alzheimer’s

For patients with moderate–to–severe Alzheimer’s disease, continuing treatment with donepezil –– a cholinesterase inhibitor –– has some benefits, but adding memantine (Namenda) does not, a randomized trial showed. (Source: Medpage Today)

For comments and archives

FDA mulls fastest track for ‘Limited–Use’ drugs

The FDA is considering a new approval pathway for drugs to treat life–threatening conditions for which there are few approved therapies, including certain infections and even morbid obesity. The new pathway would be a way for antibiotics, weight loss drugs, and other medications, to come to the market much faster, without the traditional expensive and lengthy clinical trials. But there is a catch –– drugs approved via this new pathway would contain highly restrictive labels. The upshot is that the drugs would initially be restricted to a prespecified, narrow population. (Source: Medpage Today)

For comments and archives

LABAs in asthma defended at AAAAI Meeting

Despite FDA statements to the contrary, there is no hard evidence that long–acting beta–agonist (LABA) drugs increase the risk of death or severe exacerbations in asthma patients when combined with inhaled steroids, speakers at a symposium said. They suggested that the FDA went beyond the available science when, in 2010, it ordered LABA drug labels to say that the agents be stopped when asthma patients achieve good symptom control. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: #IJMD As the tracheostomy needs transtracheal dissection and carries significant morbidity, submental intubation… fb.me/tvOlzZiF

@DeepakChopra: Pay attention to the richness of your inner life. Daydream, imagine, and reflect. It’s the source of infinite creativity.

 
    Spiritual Update

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

Principles of Quantum Physics As Applicable To The Soul

Science and Sages 2012: March 3–5 San Diego

Principles of quantum physics as applicable to the soul


An atom is made of sub atomic particles, and they are in turn made of protons, electrons, neutrons, which are in turn made of photons and finally quantum.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What causes a hydrosalpinx?

Hydrosalpinx is commonly caused by an old infection in the fallopian tubes. These infections may be caused by a sexually transmitted disease. Other causes include previous surgery (particularly surgeries on the tube) or severe adhesions of your pelvis.

For comments and archives

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

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Holy Quran…………

"Men who celebrate the praises of Allah, standing, sitting, and lying down on their sides, and contemplate the (wonders of) creation in the heavens and the earth, (With the thought): "Our Lord! not for naught Hast Thou created (all) this! Glory to Thee! Give us salvation from the penalty of the Fire." Qur’an 3:191

The Quran says: "and whoever saves a life it would be as if he saved the life of all the people." Perhaps there is no better way to implement this concept than in the area of saving lives by transplanting donated organs to replace failing vital ones.

Organ donation awareness

The successful implementation of organ donation hinges on the education of the masses and having more trained transplant co–ordinators. What is needed is a proactive attitude towards cadaveric organ donation, counselling for relatives for organ donation in the event of brain death, adequate hospital infrastructure, matching and distribution of the organs and co–ordination amongst hospitals. The Indian society, mired in traditional beliefs, is not very amenable to the idea of cadaver organ transplants, as they want the last rites to be performed without any damage to the bodies at all. What they fail to realize is that in a country with a long waiting list for transplants, they are spoiling the chance of somebody to lead a normal life for, say another few years, just because they want to consign the whole body to flames.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

The Disaster of Negative Thinking

The greatest scientists in the world are just beginning to scratch the surface when it comes to understanding what our minds are really capable of. The mind is so unbelievably powerful in ways we could never imagine. You and I don't need to understand exactly how it works, we just need to take care of our minds and let the magic happen.

Our subconscious mind takes orders from our conscious mind. The subconscious mind doesn't ask questions, it doesn't differentiate between empowering thoughts and demoralizing thoughts. It just acts upon the thoughts that we think. All outcomes and experiences in our lives are a direct result of our dominant mental thoughts. What we think, we become because our subconscious minds translate into reality our thought impulses.

When we ask ourselves a demoralizing question like "Why does this always happen to me?" our subconscious minds go to work whether we realize it or not. How do you think it responds to a demoralizing question like that? You are brilliant; it answers it with a bunch of demoralizing answers. It's just like the computer you are reading. A computer's output is based on its input. When a computer hacker tries to commit a cyber crime or steal someone's identity, the computer doesn't say it can't do that because that's illegal. It just performs what its user instructed it to do whether it's legal or illegal.

Our subconscious minds act the same exact way a computer does. Its output is based on its input whether it's a positive input or a negative input. Its not rocket science, if you want to change your output, you must change its input. The quality of your life is going to depend on the quality of your thoughts. The more empowering questions you ask your subconscious mind, the more empowered you will be. You must understand that the dominate thoughts of your mind will eventually manifest into the real world.

Buddha said, "We are shaped by our thoughts. We become what we think."

All that we are arises with our thoughts. With our thoughts, we make the world. The next time you want to let a negative thought or a demoralizing question enter your precious mind, be careful what you ask for because you are eventually going to get it.

Use incredible thoughts to manifest an incredible life. Your life will follow your thoughts. If you think it and believe it, your subconscious mind will make you achieve it. Take your passion and make it happen

For comments and archives

 
    Cardiology eMedinewS

Renal Denervation Improves Cardiac Function Read More

Diabetes Travelling In Other Time Zone Read More

Nanoparticles as Computed Tomography Contrast Agents Read More

 
    Pediatric eMedinewS

Surgeon General: Teen smoking an ‘Epidemic’ Read More

Immaturity Misdiagnosed as ADHD? Read More

Time HIV Tx Starts Has No Impact on IQ Read More

Drug Combo Cuts Malaria Risk in HIV Patients Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient developed tetany after he was given metoclopramide.
Dr Bad: Give calcium.
Dr Good: Stop metoclopramide. Give inj promethazine.
Lesson: Metoclopramide can cause extrapyramidal symptoms.

For comments and archives

Make Sure

Situation: A patient with angina and abnormal endothelial functions was put on atenolol.
Reaction: Oh my God! Why you did not consider nebivolol?
Lesson: Make sure that nebivolol is used as the beta–blocker of choice in patients with proven endothelial dysfunction (Kardiologiia 2004;44(2):15–18).

For comments and archives

 
    Microbial World: The Good and the Bad they do

(Dr Sunil Sharma, Senior Consultant Microbiology, Medanta The Medicity)

Oral Flora

Our oral cavity harbors a myriad of microbes. These microbes are present on the hard (tooth structures) and soft surfaces in the mouth. The various bacteria like streptococci, staphylococci, lactobacilli, corynebacteria, spirochetes, different types of anaerobes and fungi (candida) are present as the resident flora. From time to time pathogenic bacteria like pneumococci, meningococci, MRSA, Haemophilus influenzae and others may colonize oral cavity for short periods, as transient flora. This happens particularly during the outbreak of such diseases in the community. These individuals who carry pathogenic organisms for short periods without suffering from infection are called "healthy carriers". They can transmit the infection to vulnerable hosts.

For comments and archives

 
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    Quote of the Day

(Dr GM Singh)

Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around. Leo Buscaglia

 
    12 Most Common Technology Hazards (Part 2)

Exposure dangers from radiation therapy and CT

Inappropriate use and dose levels of CT can lead to unnecessary radiation exposure for patients. For radiation therapy, facilities need to ensure that staff follow and document standard patient treatment procedures, including double–checks and time–outs, and develop standard checklists.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Lab tests for Inflammatory Bowel Disease

To rule out other causes of diarrhea and inflammation

  • Stool culture to look for bacterial infection
  • O&P (Ova and parasites) to detect parasites
  • Clostridium difficile to detect toxin created by bacterial infection; may be seen following antibiotic therapy
  • Fecal occult blood to look for blood in the stool
  • Celiac disease tests
 
    Mind Teaser

Read this…………………

Which of the following does not appear to cause early dumping?

a) Serotonin
b) Bradykinin
c) Neurotensin
d) Secretin

Yesterday’s Mind Teaser: 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 gel–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.

Answer for Yesterday’s Mind Teaser: c) Silicone gel–filled implants became controversial because of risk of associated malignancy.

Correct answers received from: Raju Kuppusamy, Dr Jainendra Upadhyay, Dr Thakor Hitendrasinh G,
Dr Mrs S Das, Dr PC Das.

Answer for 9th March Mind Teaser: d) Splenectomy is required in all cases
Correct answers received from: Dr Priya, Dr US Sharma, Dr Prisha, Anubha Dubey, Dr Fatima,
Dr Stellaselina, Dr Mrs S Das, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr GM Singh)

College Writing

A visitor to a certain college paused to admire the new Hemingway Hall that had been built on campus.

"It’s a pleasure to see a building named for Ernest Hemingway, "he said.

"Actually," said his guide, "it’s named for Joshua Hemingway. No relation."

The visitor was astonished. "Was Joshua Hemingway a writer, also?"

"Yes, indeed," said his guide. "He wrote a check."

 
    Medicolegal Update

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

Contact with a poison leads to illness

The very old, very young or those in poor health suffer greater damage

When people come in contact with a poison they are said to be exposed to it. The effect of exposure depends partly on how long the contact lasts and how much poison gets into the body and partly on how much poison the body can get rid of during this time. Exposure may happen only once or many times.

  • Acute exposure is a single contact that lasts for seconds, minutes or hours, or several exposures over about a day or less.
  • Chronic exposure is contact that lasts for many days, months or years. It may be continuous or broken by periods when there is no contact. Exposure that happens only at work, for example, is not continuous. Chronic exposure to small amounts of poison may not cause any signs or symptoms of poisoning at first. It may be many days or months before there is enough chemical inside the body to cause poisoning. For example, a person may use pesticide every day. Each day the person is exposed to only a small amount of pesticide, but the amount of pesticide in the body gradually builds up, until eventually, after many days, it adds up to a poisonous dose. Only then does the person begin to feel unwell.

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)

Prescribe insurance to all patients in the prescriptions

When we do not take our car on the roads without insurance then why we do take our body out without insurance said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

He said:

  1. Everybody should be insured and those who cannot the government must pay for their insurance.
  2. Insurance should be added in the prescription of any doctor.
  3. Even if a patient is having a disease he or she needs insurance so that he is covered for other illnesses.
  4. One is entitled for 1% of the cover as room rent or 2% for the ICU bed.
  5. The coverage amount is for one full year. Do not exhaust it in one admission.
  6. The patients should choose their insurance so that even OPD expenses are added to the coverage.
  7. One can have more than one insurance policies.
  8. One must plan for the old age. Today one can live above the age of 80 and old age treatments can be very costly.
  9. Most disputes are due to property and one must write his or her will in time. Property dispute is the number one cause of heart attack.
  10. All doctors should be insured against malpractice. To err is human and malpractice is not a criminal negligence.
  11. The banks should come out with schemes so that patients can get loans for treatments on the spot.
 
   Conference Calendar

Endosurg 2012 – "Sixth AIIMS Surgical Week", International Conference, CME cum Live Workshop

Date: 16 – 18 March 2012
Venue: All India Institute of Medical Sciences, New Delhi, New Delhi.

 
    Readers Responses
  1. Dear Sir, Reference article by Dr. Dang under the heading Lab Update that appeared today in eMedinewS on Weak D Testing. I would like to comment that the blood banks perform Weak D Testing on ALL Rh–negative blood donors to know their status of Weak D. If agglutination is found then we label such blood as RhPos and NEVER recommend it to be crossmatched for a Rh–negative patient (Recipient), we do not undertake Weak D Testing for a patient who is to be transfused, as even if he/she comes out to be Weak D positive, we resort to give Rh–negative blood only (as a benefit of doubt to patient). Even if a donor who is Weak D positive, needs blood to be transfused, he/she is transfused Rh–negative unit only. Due Regards: Dr NK Bhatia, Medical Director, Mission Jan Jagriti Blood Bank
 
    Forthcoming Events
Dr K K Aggarwal

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)

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4. eMedinewS ebooks (This may take a few minutes to open)

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  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

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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