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 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; National Vice President Elect Elect, Indian Medical Association; 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 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
 
  Editorial …

11th December 2012, Tuesday

Add Fluid to Prevent Contrast Kidney Damage

Renal complications caused by contrast dye can be reduced in at-risk patients by using a sliding scale of fluid volume expansion in individuals undergoing PCI, reports Somjot Brar, MD, MPH, of the University of California, Los Angeles at the 2012 Transcatheter Cardiovascular Therapeutics meeting at Miami, USA.

The sliding-scale for hydration calls for additional hydration for at-risk individuals. They are with a glomerular filtration rate (GFR) < 60, diabetes, age >75, hypertension or a history of congestive heart failure.

The hydration schedule is guided by the left ventricular end diastolic pressure.

  • Left ventricular end diastolic pressure (LVEDP) < 13: Give 5 mL/kg/hour of 0.9% saline hydration.
  • LVEDP 13-18: Give 3 mL/kg/hour.
  • LVEDP > 18: Give 1.5 mL/kg/hour

Hydration at that level is continued for all patients until 4 hours post procedure.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

   Constipation Update

Start bulk laxatives (e.g., psyllium) or osmotic laxatives as the first line of therapy in older patients with chronic constipation who do not respond to dietary and lifestyle modification.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

FDA panel recommends first drug for HIV prevention

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Large number of students took active participation in the 19th MTNL Perfect Health Mela

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Medical colleges plan massive tree plantation drive

BHUBANESWAR: Medical colleges in the state seem to be bitten by the green bug. College authorities of SCB and VSS medical colleges in Cuttack and Burla are planning to paint the campus green by embarking on a massive tree planting drive on the college premises. The Burla medical college in Sambalpur district, one of the premier colleges and hospitals in the state, is the most sought after by patients from 10 western Odisha districts with nearly 2000 people visiting the hospital every day. However, the college was yet to have a good green cover. "In order to make the campus look green, we have sought the help of State Bank of India (SBI), which will provide us saplings, to be planted in vacant space on the campus. Initially, there were a few trees but as the campus was gradually extended the trees were uprooted," said Santosh Behera, principal, VSS Medical College. The college staff, along with first year students, will be engaged in the plantation drive, Behera said. "We are planning to plant around 500 trees. We will also seek the help of the forest department for maintenance of the trees," said the principal. Students are showing great enthusiasm for the plantation drive, he added.

SCB Medical College and Hospital in Cuttack has similar plans. "We are planning a massive plantation on the college campus, not only for beautification, but also to ensure an oxygenated environment for patients," said Prakash¬¬ Mahapatra, principal of the medical college. "There are already many trees on both sides of the road leading to the college campus. However, there are still many vacant spaces, which have been identified for plantation. We have asked the Cuttack Municipal Corporation (CMC) and the forest department to supply us with saplings of trees and also to help in the plantation," said the principal. SCB students have been asked to devote time for planting trees as well as maintaining them subsequently. "This year, our main motto will be to keep the campus environment-friendly by planting fast growing trees in front of a few departments, which have no trees at all. In the drive, the students of a particular department, as well as the faculty members, will be involved," said the principal. Deemed as the best government referral hospital in the state, SCB witnesses a rush of about 3000 patients an any given day, he said. (Source: TOI, Dec 10, 2012)

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

 
    Valvular Heart Disease Update

Direct thrombin inhibitors, such as dabigatran, should not be considered an alternative to therapy with warfarin in patients with prosthetic heart valves.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Polycythemia vera better with low hematocrit

Maintaining patients with polycythemia vera at hematocrit levels below 45% reduced thrombotic complications without increasing rates of other serious adverse events compared with a higher hematocrit target, researchers said at the American Society of Hematology's annual meeting. (Source: Medpage Today)

Worst hematologic malignancy treated without chemotherapy

"Groundbreaking research" presented today at a plenary session of the American Society of Hematology (ASH) 54th Annual Meeting shows that acute promyelocytic leukemia (APL) can be treated without chemotherapy. Instead, it was treated with a combination of all-trans retinoic acid (ATRA) and arsenic trioxide (ATO), compounds that have long been used in traditional Chinese medicine. (Source: Medscape)

FDA panel gives thumbs down to opioid

An FDA advisory committee voted 11-2 on Friday against recommending approval of a single-entity hydrocodone product, raising questions about its abuse potential as a member of a drug class with a history of problems. (Source: Medpage Today)

Crowded EDs associated with higher risk for inpatient death

Patients admitted to hospitals via crowded emergency departments (EDs) may be more likely to die in the hospital than similar patients admitted during slow periods, according to a study published online December 5 in the Annals of Emergency Medicine. Findings also suggest that ED crowding is associated with a slight increase in length of stay and a 1% cost increase. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: Controlling diabetes and high blood pressure can prevent kidney disease Uncontrolled high blood pressure and... http://fb.me/WlBXAIAE

@DeepakChopra: What is consciousness? http://youtu.be/w1ku2O_E4MM

 
    Spiritual Update

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

The vast power of the Spirit

Om Poornamadah
“Om Poornamadah Poornamidam
Poornaat Poornamudachyate
Poornasya Poornamaadaaya
Poornameva Avasihyate”


The whole is whole; if you take away the whole away from the whole the whole will still remain. (That is infinite, this is infinite, from the infinite, the infinite has come out. Having taken the infinite out of the infinite, the infinite alone remains).

For Comments and archives…

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What can one do to reduce my stress?

Talk to your partner.

  • Realize you're not alone. Talk to other people who have infertility, through individual or couple counseling, or support groups.
  • Read books on infertility, which will show you that your feelings are normal and can help you deal with them.
  • Learn stress reduction techniques such as meditation, yoga, or acupuncture.
  • Avoid taking too much caffeine or other stimulants.
  • Exercise regularly to release physical and emotional tension.
  • Have a medical treatment plan with which both you and your partner are comfortable.
  • Learn as much as you can about the cause of your infertility and the treatment options available.
  • Find out as much as you can about your insurance coverage and make financial plans regarding your fertility treatments.
 
    Tat Tvam Asi………and the Life Continues……

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

What about Rh-positive and Rh-negative?

A patient with Rh–negative blood cannot be given Rh–positive blood as the antigen-antibody reactions will result in severe consequences.

Women who are Rh-negative with their husbands being Rh–positive, the first child with Rh–positive may be normal; she may subsequently not conceive or may have repeated abortions. There may be intrauterine fetal death. If the child born is alive, it will suffer from a fatal disease called "erythroblastosis fetalis." Now mothers can be given an injection of anti–D within 24 hours of the delivery of an Rh–positive child and thus protect the next baby from this catastrophe.

For Comments and archives…

 
    An Inspirational Story

Things change, keep up your faith!

For most people, graduation is an exciting day – the culmination of years of hard work. My graduation day… was not.

I remember that weekend two years ago. Family and friends had flown in from across the country to watch our class walk across that stage. But like everyone else in my graduating class, I had watched the economy turn from bad to worse my senior year. We graduates had degrees, but very limited prospects. Numerous applications had not panned out and I knew that the next day, when my lease ended, I would no longer have a place to call home.

The weeks ahead weren’t easy. I gathered up everything I couldn’t carry and put it into storage. Then, because I knew my small university town couldn’t offer me any opportunities, I packed up my car and drove to Southern California to find work. But what I thought would take a week dragged into two, and then four, and 100 job applications later, I found myself in the exact same spot as I was before. And the due date to begin paying back my student loans was creeping ever closer.

You know that feeling when you wake up and you are just consumed with dread? Dread about something you can’t control – that sense of impending failure that lingers over you as you hope that everything that happened to you thus far was just a bad dream? That feeling became a constant in my life.

Days felt like weeks, weeks like months, and those many months felt like an unending eternity of destitution. And the most frustrating part was no matter how much I tried, I just couldn’t seem to make any progress.

So what did I do to maintain my sanity? I wrote. Something about putting words on a page made everything seem a little clearer – a little brighter. Something about writing gave me hope. And if you want something badly enough… sometimes a little hope is all you need!

I channeled my frustration into a children’s book. Beyond the River was the story of an unlikely hero featuring a little fish who simply refused to give up on his dream.

And then one day, without any sort of writing degree or contacts in the writing world – just a lot of hard work and perseverance – I was offered a publishing contract for my first book! After that, things slowly began to fall into place. I was offered a second book deal.

Then, a few months later, I got an interview with The Walt Disney Company and was hired shortly after.

The moral of this story is… don’t give up. Even if things look bleak now, don’t give up. Two years ago I was huddled in my car drinking cold soup right out of the can. Things change.

If you work hard, give it time, and don’t give up, things will always get better. Often times our dreams lie in wait just a little further upstream… all we need is the courage to push beyond the river.

For comments and archives

 
   Cardiology eMedinewS

STEMI and reperfusion therapy: Bernard Gersh Read More

SCD and IHD- Global and Indian perspective: B Hygriv Rao Read More

Acute Coronary disease 2012: Keith AA Fox Read More

Percutaneous valve treatment gains traction: Dr Rajnish Kapoor Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A child came with focal convulsions with onset of high–grade fever.
Dr Bad: These are simple febrile convulsion.
Dr Good: These are not simple febrile convulsions.
Lesson: Simple benign febrile convulsions are always generalized.

Make Sure

Situation: In an STD clinic, a 23–year–old heterosexual male presenting with dysuria and uretheral discharge was prescribed azithromycin to cover suspected Chlamydia trachomatis infection.
Reaction: Oh my God! Why didn’t you advise the same treatment to his partner also?
Lesson: Make sure to remember that it is essential to treat both partners in such cases.

 
  Quote of the Day (Dr GM Singh)

Tricks and treachery are the practice of fools, that don't have brains enough to be honest. Benjamin Franklin

 
  Legal Question of the Day (Dr MC Gupta)

Q. What action can the medical council take against nursing homes indulging in corrupt practices?

Ans.

You have raised many vital issues. My response is as follows.

A. The Delhi Medical Council has failed miserably because it is manned by men without a strong conviction as regards conscience, principles, justice and probity. My statement is based upon the following facts:

  1. The Medical Council has no jurisdiction over nursing homes. It has jurisdiction only upon medical practitioners.
  2. This issue was decided as follows by the MCI Ethics Committee at the meeting dated 10-5-2011:

    “28 Corruption in medical profession and Medical Institutions.(F.No.177/2011)—

    The Ethics Considered the complaint regarding excessive charges in the form of taking commissions for doing MRI, CT Scan etc. The allegation is that the nursing homes taking commissions from Chemist which are functioning from the premises of Nursing Homes and hospitals. The allegation is that medical practitioners who are running the nursing home and hospitals have been indulging in professional misconduct by fleecing the hapless patient. This is a serious allegation on the state of affairs existing in nursing homes and the private hospitals. This cannot be overlooked or ignored by apex regulatory authority i.e. MCI. Therefore the Ethics Committee is of the opinion that a public notice be issued through newspapers to all nursing homes and hospitals that if any complaint is received against nursing home/hospitals that they are indulging in practices which are in the nature of fleecing the hapless patient, the appropriate proceedings will be initiated erring medical practitioners or the Medical Superintendent of the nursing home and hospitals. The Ethics Committee is of the unanimous opinion that the aforesaid steps should be given wide publicity including placing a circular to the said effect on the website of MCI. It is needless to say that the medical practitioners practicing in all such nursing homes and hospitals are amenable to the jurisdiction of the MCI.”
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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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    Mind Teaser

Read this…………………

The meal pattern that would probably be most appropriate for a client recovering from GI bleeding is:

A. Three large meals large enough to supply adequate energy.
B. Regular meals and snacks to limit gastric discomfort
C. Limited food and fluid intake when he has pain
D. A flexible plan according to his appetite

Yesterday’s Mind Teaser: Immediately after cholecystectomy, the nursing action that should assume the highest priority is:

A. encouraging the client to take adequate deep breaths by mouth
B. encouraging the client to cough and deep breathe
C. changing the dressing at least BID
D. irrigate the T-tube frequently

Answer for Yesterday’s Mind Teaser: B. Encouraging the client to cough and deep breathe

Correct answers received from: Dr K V Sarma, Dr PC Das, Dr Bharat Bhushan Aggarwal, Jaya Lakshmi, Dr Arpan Gandhi, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Uma Gaur, Rameshwar Prasad, Dr PC Das, Abhay Singh Deora, Dr Chandresh Jardosh.

Answer for 9th December Mind Teaser: A) Gnawing, dull, aching, hunger like pain in the epigastric area that is relieved by food intake

Correct answers received from: Dr KV Sarma, Archna Parwani, Dr Taiyab Saherwala, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai,
Dr Thakor Hitendrsinh G, Dr (Maj. Gen.) Anil Bairaria.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Sudden Death Final

A man had tickets to Game Seven of the Stanley Cup Final right at center ice. As he sits down, a man comes down and asks if anyone is sitting in the seat next to him.

"No," he says. "The seat is empty."

"This is incredible" said the man. "Who in their right mind would have a seat like this for the Stanley Cup and not use it?"

"Well, actually," the man responds, "the seat belongs to me. I was supposed to come with my wife, but she passed away. This is the first Stanley Cup we haven't been to together since we got married in 1967."

"Oh, I'm sorry to hear that. That's terrible. But couldn't you find someone, a friend or relative, or even a neighbor to take the seat?"

The man shakes his head, "No, no one. They're all at the funeral."

 
  Medicolegal Update

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

Phenol poisoning is known as carbolism

  • Dettol is a chlorinated phenol and it is nontoxic to adults even in higher concentrations; some fatalities have occurred in children.
  • Poisoning by phenol or Dettol is known as carbolism because of the carbolic acid.
  • The acid in a concentrated form acts as a corrosive and remotely as a narcotic poison.
  • It coagulates proteins but does not form a firm chemical combination with them. Applied to the skin, it causes a burning sensation followed by tingling, numbness and anesthesia due to its effect on sensory nerve endings.
  • Dangerous symptoms may be caused by 0.3 to 0.42 g of carbolic acid; about 2g is the average fatal dose. A quarter of a teaspoon full dissolved in glycerin killed a six month old child.
  • Carbolic acid is largely used as an antiseptic, as a disinfectant and as a preservative. It is used in the preparation of many disinfecting powders.
  • Carbolic soaps should not be used for enemas. Several cases of accidental and suicidal poisoning by carbolic acid have occurred as it can be easily procured.
  • On account of its powerful odor and taste, it is rarely used for homicidal purposes though it has been sometimes used for murdering children and infants.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Fluctuating blood pressure more harmful

In the elderly persons with high blood pressure further fluctuations and spikes in blood pressure readings can affect their ability to think clearly and other cognitive functions, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

As per a North Carolina State University study, in people whose systolic blood pressure is 130 mm Hg or higher, the cognitive functions gets impaired on days when their blood pressure spikes and fluctuates. On the other hand, in people with normal blood pressure, the cognitive functions do not get impaired if their blood pressure spikes or fluctuates.

Several studies in the past have found a link between high blood pressure and dementia, which is marked by a loss of memory and other cognitive abilities, including the ability to speak, identify objects or think abstractly. In another study it was found that treating high blood pressure in the very elderly may help reduce their risk of developing dementia.

The carry home message is that if you have blood pressure that wildly fluctuates and you also have underlying high blood pressure, you might be in double trouble for poorer cognitive functioning.

 
    Readers Response
  1. Respected Dr KK Aggarwal Sir, Thanks a lot for ‘How to explain…’ and would like to congratulate you for the same and even we can use some graphics and animation for the same. Regards: Dr Sanjay Soni.
 
    Forthcoming Events

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi

8am-8pm

Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    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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  DIET BOOK

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  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