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 & 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

11th August 2012, Saturday

USPSTF Says No to ECG in Low–Risk Patients

US Preventive Services Task Force (USPSTF) announced that individuals who face a low risk of cardiovascular disease should not undergo routine screening with electrocardiography.

American College of Cardiology Foundation contends that EKG is a reasonable testing option for individuals with diabetes or hypertension, as both conditions may increase CV risk.

The recommendations, published online in the journal Annals of Internal Medicine, made the test the latest addition to an expanding list of once routine screening tools that have fallen out of favor.

For individuals at higher risk of heart disease, the panel found there was ‘insufficient evidence’ to determine the benefits and harms of screening with the EKG test –– either at rest or during exercise –– and advised that it be considered case by case basis.

An EKG given to a patient at rest or while exercising won’t predict heart disease or a coronary event in people who are not at high risk of having heart problems. The guidelines carry a grade ‘D’ recommendation, meaning physicians should not offer the tests.

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

A soda a day raises heart disease risk by 20%

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Higgs Boson, Consciousness and Health

Heart Care Foundation of India in association with International Centre for Spirituality and eMedinewS organized a seminar on "Higgs Boson, Consciousness and Health’ on 24th July 2012 at PHD Chamber, New Delhi

 
Dr K K Aggarwal
 
    National News

TB screening must for Indians visiting UK after August 16

NEW DELHI: Visiting the United Kingdom (UK) for more than six months after August 16? If so, you will have to undergo screening for tuberculosis — the deadly air–borne disease that kills 1,000 Indians per day with one in six deaths reported from 15–49 age group. India is among an additional 67 countries to which pre–entry TB screening will be required. The list was prepared in conjunction with the World Health Organization’s latest figures for high TB incidence and includes India’s neighbouring countries like China, Bhutan, Afghanistan, Nepal and Burma. Malaysia, Indonesia, the Philippines and Hong Kong also figure in the list. A phased introduction of pre–entry TB screening will begin on August 16 for UK settlement visa applications in India. All settlement applications from this date will have to be accompanied by a TB clearance certificate. The screening requirement will be extended to applications for UK work visas (Tiers 1, 2 and 5 of the points based system) from September 10 and student visas (Tier 4) from November 1. The British government on Wednesday, however, made it clear that pre–entry TB screening is only required by individuals who are traveling to the UK for more than six months. Anyone who is going to the UK for six months or less — for example on business, family or tourist visas — is not required to undergo a pre–entry TB test. India holds the dubious distinction of being the world’s TB capital. (Source: TOI, Aug 9, 2012)

For comments and archives

My profession my concern

‘Utopian – Ram Rajya’

Dear Dr. Yadava, I read your views and thought over it. You are absolutely right that in the present era of rapidly changing norms in society, practicing ‘utopian – Ram Rajya’ like values is perhaps not practical. This should vary from case to case. A colleague who is unable to pay value for service does require consideration from a professional colleague, which normally is also extended. As regards jumping the queue one can simply seek for a prior appointment. I must say your viewpoint was so stimulating and poignant. Regards: S Dwivedi, Principal, Professor of Medicine/Preventive Cardiology, Hamdard Institute of Medical Sciences and Research, Associated Hakeem Abdul Hameed Centenary Hospital, Jamia Hamdard (Hamdard University) New Delhi

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

(Contributed by Dr Monica and Brahm Vasudev)

Spasticity pump gets FDA OK

The FDA has approved an implantable infusion pump and catheter system for delivery of baclofen in the treatment of severe spasticity. The Medstream Programmable Infusion System, implanted in the abdomen, delivers a continuous measured dose of baclofen –– a muscle relaxer and anti–spastic drug –– to the spinal canal. Drug delivery and flow rates are programmed via a wireless control panel. The device contains no rotating parts or motors and uses a battery that has an 8-year charge, manufacturer Codman and Shurtleff said in a statement. (Source: Medpage Today)

For comments and archives

Falls prevented with novel exercise program for older people

Embedding balance and strength movements into everyday activities such as "carrying the groceries from the car to the porch while walking sideways" may help older people prevent falls and improve overall strength and balance, according to a study published online August 7 in the British Medical Journal. (Source: Medscape)

For comments and archives

FDA greenlights agent for rare leukemia

The FDA has approved vincristine sulfate liposome injection (Marqibo) for treatment of a rare blood and bone marrow cancer. The drug is indicated to treat Philadelphia chromosome negative acute lymphoblastic leukemia (ALL) in adult patients when the condition has returned two or more times or has progressed after two or more treatments with anti-leukemia therapy, the FDA said in a statement. (Source: Medpage Today)

For comments and archives

Preterm birth: Vaginal as good as cesarean in vertex

Vaginal delivery of preterm fetuses (≤32 weeks’ gestation) in vertex presentation has a high success rate with no difference in neonatal mortality when compared with planned cesarean delivery. For fetuses with breech presentation, however, cesarean delivery was associated with a lower neonatal mortality rate. (Source: Medscape)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Honey: A sweet alternative for treating cough

@DeepakChopra: What is the difference between Ego and Self–esteem? My#askdeepak reply:
http://tinyurl.com/8z8pflz

 
    Spiritual Update

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

Signs of Spiritual Awakening

  1. More experiences of telepathy
  2. More experiences of reverse telepathy
  3. More spontaneous fulfillment of desires
  4. Increased tendency to let things happen rather than make them happen. Work done with the least effort.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is ovarian drilling?

In patients with PCOS, the ovaries typically have a thick outer surface and may produce more testosterone than women without PCOS. Ovarian drilling breaks through the thick outer surface and the drilling also reduces the amount of testosterone the ovaries make. In this laparoscopic (minimally invasive) procedure, a tiny camera attached to a thin telescope is inserted into a small incision (surgical opening) below your belly button. Special tools are inserted at other on your belly. These tools make very small holes in your ovaries, which help reduce testosterone production.

For comments and archives

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

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

Leukocyte-reduced (Depleted) Red Cells/Platelets

Definition: Cellular blood components (RBCs and platelets) contain reduced number of leukocytes (< 5×106) prepared by filtration through a leukocyte depleting filter.

Why?

Many of the reactions of blood component transfusion (especially in multi–transfused patients) are due to leucocytes, or cytokines produced by these leukocytes. If we remove these leukocytes, we can reduce the possibilities of these reactions. Leukocyte–depleted blood components imply more than 99.9% of leukocytes. These are the ideal blood components eliminating most of the post–transfusion reactions caused by leukocytes.

Types:

Two types of leukocyte depleted components are available:

  • a. Prestorage leukocyte reduction: Leukocyte reduction is done in blood bank just after collection of blood. This is the ideal method for leukoreduction.
  • b. Bedside leukocyte reduction: Special blood transfusion set (BT set) is available that contains special l leukocyte reduction filter. The blood is transfused through this BT set resulting in transfusion of leukocyte reduced component.

Leukoreduced blood components are used to prevent:

  • Non–hemolytic febrile transfusion reaction (NHFTR)
  • Alloimmunization
  • Platelet refractoriness
  • Transfusion–associated acute lung injury (TRALI)
  • Transmission of some viruses (CMV, HTLV – I and II, EB virus, Varicella Zoster virus etc.)
  • Immunomodulation

Note: Storage, Shelf Life, Dosage and Administration are almost same as of normal cellular components

For comments and archives

 
    An Inspirational Story (Dr GM Singh)

A Story of Tomatoes

An unemployed man goes to try for a job with Microsoft as a cleaner. The manager there arranges for an aptitude test (Section: Floors, sweeping and cleaning). After the test, the manager says: You will be appointed on the scale of $30 per day, let me have your e–mail address, so that I can send a form to complete and advise you where to report for work on your first day. Taken aback, the unemployed man protests that he is neither in possession of a computer nor of an e–mail address. To this the MS manager replies: Well, then, that really means that you virtually don’t exist and can therefore hardly expect to be employed. Stunned, the man leaves.

Not knowing where to turn and only having about $10 left, he decides to buy a 10kg box of tomatoes at the supermarket.

Within less than 2 hours, he sells the tomatoes singly at 100% profit. Repeating the process several times more that day, he ends up with almost $100 before going to sleep that night. And thus it dawns on the man that he could quite easily make a living by selling tomatoes. Getting up early and earlier every day and going to bed late and later, he multiplies his hoard of profits in quite a short time.

Not too long thereafter, he acquires a cart to transport several dozen boxes of tomatoes, only to have to trade it in again shortly afterwards on a pick–up truck.

By the end of the second year, he is the owner of a fleet of pick–up trucks and manages a staff of a hundred former unemployed people, all selling tomatoes.

Considering the future of his wife and children, he decides to buy some life assurance. Calling an insurance adviser, he picks an insurance plan to fit his new circumstances. At the end of the telephone conversation, the adviser asks him for his e–mail address in order that he might forward the documentation.

When the man replies that he has no e–mail, the adviser is stunned: "What, you don’t even have e–mail? How on earth have you managed to amass such wealth without the Internet, e–mail and e–commerce?

Just imagine where you would have been by now, if you had been connected from the very start!"

After a moment’s silence, the tomato millionaire replied: "Sure! I would have been a cleaner at Microsoft!"

Morals of the story

  1. The Internet, e–mail and e–commerce do not need to rule your life.
  2. If you don’t have e–mail, but work hard, you can still become a millionaire.
  3. Seeing that you got this story via e-mail, you’re probably closer to becoming a cleaner than you are to becoming a millionaire.
  4. If you do have a computer and e–mail, you’re already being taken to the cleaners by Microsoft.

For comments and archives

 
  Cardiology eMedinewS

Add PCI to meds in stable CAD? Meta–analysis adds to debate Read More

 
  Pediatric eMedinewS

Maternal smoking linked to severe bronchiolitis in infants Read More

Early team play keeps kids’ BMI in check Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with hypertension had non–responding cough.
Dr. Bad: Take an X–ray.
Dr. Good: Stop ACE inhibitors.
Lesson: The commonest cause of cough in a patient with high blood pressure is the intake of ACE inhibitors.

For comments and archives

Make Sure

Situation: A 62–year–old diabetic with coronary artery disease, on treatment for the same, comes for follow up.
Reaction: Oh my God! Why was he not put on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

For comments and archives

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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
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  Quote of the Day (Dr GM Singh)

Stress is when you wake up screaming and you realize you haven’t fallen asleep yet.

 
    Legal Question of the Day (Dr M C Gupta)

Q. My understanding is that a generic prescription can contain only name of drug molecules/different combinations of molecules of drugs with their required proportions. Is my thinking correct?

Ans.

  1. When doctors prescribe generic drugs, they may have a doubt that the pharmacist will provide a generic drug that is deficient in quality and is marketed by an unscrupulous drug supplier. The apprehension is not without basis.
  2. Your thinking is not correct. Nothing prevents the physician from writing on the prescription––"Tab. ABC (generic name) from DEF, GHI or XYZ companies". He can write the names of three reliable companies. Many reputed companies manufacture and market generic drugs.
  3. Even otherwise, nothing prevents the physician from writing on the prescription––"Tab. ABC (generic name)" and then advising the patient to have a look at the list of reputable drug companies displayed in his clinic. The patient would then be free to buy from a company he likes keeping in view the price etc. Selling/buying is a contract between the seller (the chemist) and the buyer (the patient). The buyer cannot be forced to buy something he does not want.
 
    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Adrenocorticotropic Hormone (ACTH)

To help diagnose adrenal and pituitary diseases such as Cushing’s syndrome, Cushing’s disease, Addison’s disease, adrenal tumors, and pituitary tumors.

 
    Mind Teaser

Read this…………………

What instructions should the client be given before undergoing a paracentesis?

A. NPO 12 hours before procedure
B. Empty bladder before procedure
C. Strict bed rest following procedure
D. Empty bowel before procedure

Yesterday’s Mind Teaser: After Billroth II Surgery, the client developed dumping syndrome. Which of the following should the nurse exclude in the plan of care?

A. Sit upright for at least 30 minutes after meals
B. Take only sips of H2O between bites of solid food
C. Eat small meals every 2–3 hours
D. Reduce the amount of simple carbohydrate in the diet

Answer for Yesterday’s Mind Teaser: A. Sit upright for at least 30 minutes after meals

Correct answers received from: Dr PC Das, Dr KV Sarma, Dr Jainendra Upadhyay, Anil Bairaria, YJ vasavada, Dr Kanta jain, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr K Raju.

Answer for 9th August Mind Teaser: A. Gnawing, dull, aching, hungerlike pain in the epigastric area that is relieved by food intake
Correct answers received from: Dr K Raju, Dr Ajay Gandhi, Avula Ramadevi, Dr Dinesh Mishra,
Dr Sushma Chawla,

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

What is 2 × 2?

Several scientists were all posed the following question: "What is 2 × 2?"
The engineer whips out his slide rule (so it's old) and shuffles it back and forth, and finally announces "3.99".

The physicist consults his technical references, sets up the problem on his computer, and announces "it lies between 3.98 and 4.02".

The mathematician cogitates for a while, then announces: "I don’t know what the answer is, but I can tell you, an answer exists!".

Philosopher smiles: "But what do you mean by 2 × 2 ?"

Logician replies: "Please define 2 × 2 more precisely."

The sociologist: "I don’t know, but it was nice talking about it".

Behavioral Ecologist: "A polygamous mating system".

Medical Student:"4" All others looking astonished: "How did you know?"

Medical Student: "I memorized it."

 
    Medicolegal Update

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

Bolam Vs. Friern Hospital Management Committee 1957

Test for establishing medical negligence

  • The doctor is required to exercise the ordinary skill of a competent doctor in his field. He must exercise this skill in accordance with a reasonable body of medical opinion skilled in the area of medicine.
  • According to the Bolman test, negligence is the genus of which rashness is the species.
  • The latest trend of prosecution of the doctors, the term criminal negligence has come to light, which means recklessly acting without reasonable caution, hurting another person at risk of injury or death by negligence.
  • This applies to a medical practitioner when he shows gross negligence in his treatment, boding to severe injury or even death. He should not be held liable criminally for the patient’s death unless his negligence shows such regard for the life and safety of the patient as to amount to a crime.
  • The most important criterion is the degree of negligence required to prosecute them under the charge of criminal negligence, which should be gross or even high degree.
  • The jurisprudential concept of negligence differs in civil and criminal law. Negligence which is neither gross nor of a high degree may provide a ground for action in civil law but cannot form the basis for prosecution in criminal law.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Weight lifting may reduce type 2 diabetes risk in men

In a message, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that people with diabetes and those who want to prevent diabetes should undergo twice a week weight training exercises.

Quoting a NIH supported study by Harvard School of Public Health, published in the journal Archives of Internal Medicine, Dr Aggarwal said that men who lift weights at least two and a half hours per week decrease their risk of getting type 2 diabetes by a third. Lifting weights 30 minutes a day, five times a week, may reduce a man’s chance of developing type 2 diabetes by as much as 34%, and when combined with aerobic exercise like brisk walking or running, cuts the risk as much as 59%.

Men who lifted weights for just up to 59 minutes a week reduced their risk for diabetes by 12%.

 
    Readers Response
  1. Sir, all awakenings are important and we can start from anywhere. May God bless all. Kuldeep Dhatwalia
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

 
    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)

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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