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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); 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
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  Editorial …

12th June 2013, Wednesday

All about tea

When we speak of tea, it is commonly assumed to be black tea with milk and sugar. However, the word ‘Tea’ means any herb. This means even hot Tulsi water is Tulsi tea or hot mint water is Mint tea. Herbs which can be converted into tea are jasmine tea, lemon tea, lemon grass tea, masala tea, sounf tea etc.

When the decoction of the leaves and the water is reduced to 50% on boiling, it is called Kadha. Black tea without milk and sugar is much healthier than black tea with milk and sugar. Classical tea without sugar and milk has an astringent taste. But according to Ayurved, this is good for health as it reduces Kapha imbalance. When sugar and milk is added, both of which have sweet taste, they neutralize the weight reducing and kapha-relieving properties of the black tea. Therefore, milk or sugar should not be added to tea. For the purpose of taste, one can add Gur or jaggery or artificial plant sweetener Stevia.

Black tea is also a mild diuretic and increases urination as it contains caffeine, which is also a stimulant and that is the reason why tea is used to remain awake. In this regard, coffee is stronger than tea. When taken in moderation, black tea is good for the heart and the health. If one has to choose tea then jasmine, lemon and lemongrass teas are better than others.

In Ayurveda, there are different teas for different personalities. Therefore, you can get Vata-pacifying tea, pitta-pacifying tea and kapha-pacifying tea.

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 on

FDA panel recommends first drug for
HIV prevention

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Excessive use of mobile phone can be injurious to your health

A press conference was organised by Heart Care Foundation of India on the occasion of World Environment Day.

 
Dr K K Aggarwal
    National News

Cost-effective cure for typhoid by Institute of Medical Sciences soon

VARANASI: The Institute of Medical Sciences (IMS) of the Banaras Hindu University (BHU) is developing a bacteriophage therapy to treat chronic typhoid fever. The medicos of the IMS claimed that the therapy will be cost efficient and more effective than antibiotics to treat the drug resistance salmonella infection. "Typhoid is one disease which is often neglected in India as the government has not conducted any programme to eradicate it completely from the country. It is estimated that in a population of one lakh around 500 cases of typhoid fever occur every year and as per a rough estimate each episode of confirmed typhoid fever treatment costs about Rs 5,300. The total cost of the treatment of the disease in India is approximately Rs 4316 crores every year," informed Dr Gopal Nath of department of Microbiology department, IMS, BHU. According to Dr Nath, who has been working on typhoid fever and chronic typhoid carriage for past 20 years, the bacteriophage therapy is presently being conducted on animal model. The situation has become a cause of concern as the typhoid bacteria have developed drug resistance for many antibiotics he said. However, the bacteriophage therapy being developed by the IMS could become a replacement of antibiotics, in which the bacteria will be directly targeted. The department has already developed a similar therapy for the treatment of bone infection.

According to Dr Nath, the added difficulty with the disease is the association of salmonella infection with various gastro-intestinal diseases, especially gall bladder cancer. "Even after recovery from typhoid or paratyphoid, a small number of individuals (called carriers) continue to carry the bacteria and can become a source of infection for others. The transmission is more likely to occur via contaminated food handled by carriers. Thus a healthy person is not only prone to typhoid fever but is also vulnerable to gall bladder cancer. In a study conducted by us it has already been revealed that carrier rate of gall bladder is about 10% in healthy adult population," informed Dr Nath adding that researches are also underway to prove the association of typhoid with aplastic anemia, bone marrow suppression and other chronic diseases. There was a need to tackle every chronic carrier to eradicate the disease and its related troubles completely, said Dr Nath. (Source: Jun 8, 2013)

Madhya Pradesh gets best wildlife destination award

BHOPAL: Lonely Planet Group conferred "Best Indian Destination for Wildlife" award to Madhya Pradesh Tourism in Mumbai on Friday, reports TOI. The award was bestowed by film actor and chief guest of the function Tushar Kapoor to Corporation chairman Dr Mohan Yadav. The selection for the award is done by readers of Lonely Planet magazine through online voting, a government spokesperson said. There are 25 wildlife sanctuaries and nine National Parks in Madhya Pradesh. Of these, Kanha, Bandhavgarh, Pench and Panna are famous for tigers. Natural environs and dense forests here are suitable for tiger population. A number of programmes have been implemented in the state for preservation of wildlife and vegetation. As a result, Kanha and Panna have established their identity as the most beautiful National Parks in Asia while Bandhavgarh and Pench are famous for tiger reserves. Tourists interested in wildlife are greatly attracted to these places. (Source: Jun 9, 2013)

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, every Thursday 4:30 PM in DD India

    Valvular Heart Disease Update

The aorta is an important source of emboli in patients with unexplained paralysis and arterial emboli. In elderly when valvotomy is done this should be kept in mind and accordingly precautions should be taken.

(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)

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Father and other relatives are responsible for 21% and 19% of sexual abuse victims respectively.

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Men with ED: 25% are aged 40 years or younger

Traditionally considered the bane of aging men, erectile dysfunction (ED) is surprisingly common in younger men as well, the authors of a new study report. (Source: Medscape)

Adding needling and lavage to injection helps calcific rotator cuff tendinitis

Needling and lavage is superior to corticosteroid injections for treating calcific tendinitis of the rotor cuff, according to a randomized trial of treatments for this common condition. (Source: Medscape)

Pad count a poor measure of urinary incontinence

The number of pads used by a person with urinary incontinence has little to do with how severe their incontinence is, new research shows. (Source: Medscape)

Insulin sensitizers halve PAD risk, amputations in BARI 2D

A secondary analysis from the Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) trial reports that glycemic control with an insulin-sensitizing approach reduces the risk of developing peripheral arterial disease (PAD) in these high-risk patients. (Source: Medscape)

Novel agent may prevent PTSD

Infusion of a novel agent that appears to prevent seminal symptoms of posttraumatic stress disorder (PTSD) in animals may also have similar preventive effect in humans, new research suggests. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: Patients with acidity should avoid chocolates and peppermint Persistent acidity is usually due to reflux of acid... http://fb.me/2sge8NsJK

@DrKKAggarwal: Can yoga help defeat cancer? Yuko attributes her practice to helping her beat the disease http://tinyurl.com/8l7486v #UrbanYogis

 
    Spiritual Update

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

I am the Best

People who lack self-confidence and self-esteem face recurrent episodes of depressions. They suffer from inferiority complex as all the time they compare themselves with others.

For comments and archives

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

What can a doctor diagnose and treat with hysteroscopy?

Endometrial polyps are lesions commonly found in infertility patients. Polyps are an overgrowth of the tissue that lines the uterine cavity or cervix.

Uterine fibroids are noncancerous growths in your uterus. These growths can cause heavy bleeding if they are in the inside of the uterus. A hysteroscope can be used to remove these growths.

Intrauterine scar tissue can be removed with either office or operative hysteroscopy. To prevent scar tissue from returning, your doctor may give you estrogen and place a balloon in your uterus for up to a week after surgery. A follow–up hysteroscopy or other method of uterine evaluation may also be needed to determine if scar tissue has returned.

 
    An Inspirational Story

The wonders of motivation

A man was lost while driving through the countryside. As he tried to reach for the map, he accidentally drove off the road into a ditch. Though he wasn't injured, his car was stuck deep in the mud. So the man walked to a nearby farm to ask for help.

"Warwick can get you out of that ditch," said the farmer, pointing to a Person standing in a field.

The man looked at the Person and looked at the farmer who just stood there repeating, "Yep, old Warwick can do the job."

The man figured he had nothing to lose. The two men and the Person made their way back to the ditch. The farmer hitched the Person to the car. With a snap of the reins, he shouted, "Pull, Fred! Pull, Jack! Pull, Ted! Pull, Warwick!"

Go ahead. And the Person pulled that car right out of the ditch. The man was amazed. He thanked the farmer, patted the mule, and asked, "Why did you call out all of those names before you called Warwick?"

The farmer grinned and said, "Old Warwick is blind. As long as he believes he's part of a team, he doesn't mind pulling."

You see all it matters is encouragement and a sense of care to say "You can do it".

If so, you would witness incredible job.

For comments and archives

 
    Cardiology eMedinewS

Apnea-related leg movements may signal CVD Read More

 
    Pediatric eMedinewS

Probiotics may help prevent antibiotic-related diarrhea Read More

 
    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

If HRIG is not available, can human normal immunoglobulin (polyvalent) be given?

Human normal immunoglobulin cannot be a substitute for HRIG.

 
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant diabetic came with A1c 7%.
Dr Bad: Very good control.
Dr Good: You need further control.
Lesson: The A1c goal is <6 % during pregnancy.

Make Sure

Situation: A female patient C/O lower abdominal pain, fever and had uterine tenderness on bimanual palpation.
Reaction: You should do cervical swabs and consider starting antibiotics.
Lesson: Make Sure to remember that a woman with such symptoms may have endometritis, which requires prompt diagnosis and may respond to doxycycline and metronidazole.

 
  Quote of the Day (Dr GM Singh)

Laughter is the closest distance between two people. Victor Borge

 
    Mind Teaser

Read this…………………

Which nonpharmacologic intervention is difficult to use with older adults who are cognitively impaired?

1. Aromatherapy
2. Distraction
3. Guided imagery
4. Heat application

Yesterday’s Mind Teaser: An older adult patient is discharged from the hospital with nortriptyline for neuropathic pain. Which statement indicates the patient's need for additional education?

1. “I will chew sugarless gum and mints.”
2. “I will drink carbonated beverages.”
3. “I will take my medication at breakfast.”
4. “I will use a humidifier at bedtime.”

Answer for yesterday’s Mind Teaser: “I will take my medication at breakfast.”

Correct answers received from: Dr K Raju, Dr Bitaan Sen & Dr Jayashree Sen, Dr BB Gupta, Dr PC Das, Dr Kanta Jain, Dr Arpan Gandhi, Dr Bharat Bhushan Aggarwal, Dr Chandresh Jardosh, Dr Gajveer, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr Thakor Hitendrsinh G, Dr Valluri Ramarao, Dr Avtar Krishan, Dr Ayyavoo ERODE, Daivadheenam.

Answer for 9th June Mind Teaser: 4. may be in conflict with the pain rating, and accepts the report of pain.

Correct answers received from: Dr Valluri Ramarao, Dr Avtar Krishan, Dr Ayyavoo ERODE, Daivadheenam.

Send your answer to ijcp12@gmail.com

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

Photos of Doctor’s Day Celebration

 
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    Laugh a While (Dr GM Singh)

A 92 year–old man went to the doctor to get a physical. A few days later the doctor saw the man walking down the street with a gorgeous young lady on his arm.

At his follow up visit the doctor talked to the man and said, "You’re really doing great, aren’t you?"

The man replied, "Just doing what you said Doctor, ‘Get a hot mamma and be cheerful’."

The Doctor said, "I didn’t say that. I said you got a heart murmur. Be careful."

 
    Medicolegal Update

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

UK Clinical negligence law –Bolam – v – Friern Hospital Management Committee 1957

Sir Liam Donaldson said patients deserve to receive quality healthcare

  • UK Clinical negligence law defines negligence as any act or omission which falls short of a standard to be expected of "the reasonable man."
  • It is necessary to show that whatever the Doctor did or did not do fell below the standard of a reasonably competent Doctor in that field of medicine.
  • In the case of "Bolam – v – Friern Hospital Management Committee 1957," it was stated that a doctor must act in accordance with a practice which is accepted as proper by a responsible body of men
  • There are several acceptable ways of doing something and this may mean that there is no negligence if an alternative method is chosen.
  • The fact that another person would not have done things in the same way does not automatically mean that there was clinical negligence.
  • The Doctor will be able to defend the compensation claim successfully, if it can show that a responsible body of reputable Doctors in the relevant field would have acted in a similar manner.
  • This means that a judge will hear evidence from experts and decide whether the actions taken were appropriate.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Pumpkin Extract Beneficial for Diabetic Patients

Pumpkin extract has insulin-like effects. It can help people with diabetes keep their blood sugar under control, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

Quoting Chinese researchers Dr Aggarwal said that animals with drug-induced diabetes treated with pumpkin extract had lower blood glucose levels, greater insulin secretion and more insulin-producing beta cells than diabetic rats that were not given the extract. This action may be due to the presence of both antioxidants and D-chiro-inositol, a molecule that mediates insulin activity.

The study observed that rats with diabetes had 41 percent less insulin in their blood than normal rates; giving them pumpkin extract for 30 days boosted levels of the blood-sugar-regulating hormone by 36 percent. And after 30 days of being fed pumpkin extract, diabetic rats had blood glucose levels similar to those of non-diabetic rats.

Pumpkin extract is potentially a very good product for pre-diabetic persons, as well as those who have already developed diabetes.

Pumpkin is frequently used to treat diabetes and high blood glucose in Asia.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 54572 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

 
    Readers Responses
  1. Dear Sir, emedinews is very informative. Regards: Dr Priyank
 
    Forthcoming Events

ZOONOSIS – 2013-Conference on Prevention of Diseases
Communicable from Animals to Human

Saturday, 6th July, 9.30 am – 5 pm

Venue: Indian National Science Academy (INSA) Bhadurshah Zafar Marg, ITO New Delhi

(All About Flu, Malaria, Dengue, Chikungunya, Japanese Encephalitis, Rabies, Neurocysticercosis, Leptospirosis, Food Allergies etc.)

For Free Registration:

Email: rekhapapola@gmail.com
Phone: 9899974439 (Rekha Papola), 9810301261 (Dr Uday Kakroo)

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Name
Date
Time
Place
Duration
Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

 
    eMedinewS Special

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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