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 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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

 
  Editorial …

12th December 2011, Monday

The Triad Of Early Diagnosis, Timely Treatment And Mass Awareness

The triad of early diagnosis, proper treatment and mass awareness in cancer is essential.
Unless there are good centres in a city which can provide complete treatment if the cancer is detected in time then only the awareness will have an impact. If the general feeling is that what is the use of diagnosis, if there is no cure’ then the programme is going to be a failure.

In awareness, more important is to detect cancer at its early stage. Cancers of head, neck, lung and cervix are preventable. If treated in time a large number of cancers are curable. Most of the childhood tumors are curable, so are a few of the adult cancers like Hodgkin’s disease, non Hodgkin’s lymphomas and breast cancer.

The incidence of cancer is increasing in the West but the mortality is decreasing.
It is unfortunate to note that while in the U.S.A. most of the breast cancers are detected in stage 0 or 1, the same are detected in our country at stage 3 or 4.

Nobody should die of cervical cancer. In the West the mortality has come down to zero. But in India its still one of the major causes of cancer deaths. The only answer seems to be detection of early cancer by periodic PAP smear test but not more than 2% of Indian women get their annual PAP smears done.

Everybody after the age of 40 must be screened for the presence of early cancer but if a family history of cancer (e.g. breast, other organs) is present, the screening must start at the age 25. There are a few cancers (e.g. blood cancers) which cannot be predicted or detected by annual screening. The emphasis for them has to be on the right and timely treatment.

Most of the stomach cancers in India are misdiagnosed as acidity for atleast 6 months to one year, and this loss of time is many a time responsible for progression of cancer to an incurable stage. This is the time to create awareness amongst public and to refresh knowledge of doctors. One should remember that first treatment is the best treatment. Never leave the first chance. If at the first instance the diagnosis is missed, or only partial treatment is started, the outcome can never be successful.
All cancers are not identical. They all behave differently and the response to therapy may also be different. Mythical beliefs should be removed only then a uniform level of public awareness can be expected.

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 63rd CSI
Live Coverage

Dr K K Aggarwal in Conversation with Dr B K Goel

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011

Harmony – An Inter School Health Festival at Perfect Health Mela. Education of school children should include health issues is the message given by Padma Shri Awardee Dr KK Aggarwal.

 
Dr K K Aggarwal
 
    National News

Trust to plant 10L trees across Gujarat by Diwali 2012

SURAT: The quest for green Gujarat is on for Harikrishna Charitable Trust that plans to plant 10 lakh new trees in the state in a span of one–year till Diwali 2012. The charitable trust run by the Rs 1,500 crore diamond group Harikrishna Exports started the campaign" Our Gujarat Green Gujarat" by gifting a sapling to all the well-wishers and friends on Diwali and economically valuable trees to their staffers at their native place in Saurashtra. (Source: TOI, Dec 6, 2011)

For comments and archives

Kindly visit Facebook for CSI News. It will cover minute to minute happenings of the 63rd CSI conference at Mumbai 8–11th December

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

RSNA: A fish a week keeps the brain at its peak

Eating fish at least once a week could help lower older patients’ risk of developing dementia, researchers said here. Those who ate baked or broiled –– but not fried –– fish on a weekly basis had a greater volume of gray matter in areas of the brain associated with Alzheimer’s disease than people who didn’t eat fish as often, Cyrus Raji, MD, PhD, of the University of Pittsburgh, and colleagues reported at the Radiological Society of North America meeting. (Source: Medpage Today)

For comments and archives

Single vaccine dose protects infants and mothers against H1N1

A single dose of a monovalent, nonadjuvanted 2009 influenza A(H1N1) vaccine conferred seroprotection to pregnant women and neonates, according to the findings of a phase 2, prospective, single–group clinical trial. Vassilis Tsatsaris, MD, PhD, from the CIC de Vaccinologie Cochin–Pasteur, in Paris, France, and colleagues published their findings in the December 6 issue of the Annals of Internal Medicine. (Source: Medscape Medical News)

For Comments and archives

Endurance athletes may incur heart damage

Intense endurance exercise –– such as running a marathon –– may induce cardiac damage confined to the right ventricle, a small study showed. Highly trained endurance athletes had reductions in right ventricular function immediately after a race, although it mostly returned to normal about a week later, according to André La Gerche, MBBS, PhD, of the University of Melbourne in Australia, and colleagues. (Source: Medpage Today)

For comments and archives

 
  Cardiology eMedinewS

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

TAVI: Dr Charanjit S Rihal

Read More

Meet the master: Dr Navin C Nanda

Read More

Angiotensin Blockages: Dr Venkat Ram

Read More

Beta blockers for hypertension should rest in peace: M N Krishnan, Calicut

Read More

Beta blockers is still valuable for hypertension: Rajiv Bajaj, Delhi

Read More

Debates In Hypertension: No, I will choose first line antihypertensive drug as per patient’s profile: Dr Sunil Modi

Read More

Intervention Therapy in HT: Dr Venkat Ram

Read More

 
  Twitter of the Day

@DrKKAggarwal: Drunk and Drugged Driving (3D) Prevention
Monthhttp://blog.kkaggarwal.com/2011/12/10/drunk–and–drugged–driving–3d–prevention–month/

Hypertension: A Lifestyle Disorder Needs a Lifetime of Attention. My Health Tip: https://bitly.com/Dpak_Hypr

 
    Spiritual Update

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

Learning to Channelize Thoughts

Health does not just involve the physical aspects of the body, but mental and emotional aspects are equally important for our well–being. A healthy person, in practical terms, will be the one who is physically relaxed, mentally alert, emotionally calm and spiritually aware. ‘You are what you think’ is an old Upanishad saying. Your deep–rooted desires can direct your life towards health or disease. Hence, emotions should not be ever repressed or suppressed, as any repression over a period of time can lead to lifestyle disorders.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Learn from your mistakes

Thomas Edison tried two thousand different materials in search of a filament for the light bulb. When none worked satisfactorily, his assistant complained, "All our work is in vain. We have learned nothing."

Edison replied very confidently, "Oh, we have come a long way and we have learned a lot. We know that there are two thousand elements which we cannot use to make a good light bulb."

For comments and archives

 
  Fitness Update

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

New Research Finds Obesity Negatively Impacts Income, Especially For Women

A new report from The George Washington University School of Public Health and Health Services’ Department of Health Policy (GW) uncovered an overall wage differential between those of normal weight and those who are obese, especially when it comes to women. The research, released today, demonstrates the impact obesity may have on a person’s paycheck.

Examining years 2004 and 2008 in the National Longitudinal Survey of Youth (NLSY79) to quantify obesity–attributable wage gaps, the GW research team found the connection between obesity and reduced wages to be stronger and more persistent among females than males. In 2004, wages among the obese were $8,666 less for females and $4,772 lower for males. In 2008, wages were $5,826 less for obese females, a 14.6% penalty over normal weight females.

"This research broadens the growing body of evidence that shows that in addition to taxing health, obesity significantly affects personal finances," said Christine Ferguson, J.D., Professor in the Department of Health Policy. "It also reinforces how prevalent stigma is when it comes to weight–related health issues."

Additionally, the research shows that there are significant differences in wages dependent upon race. In 2004, Hispanic women who were obese earned $6,618 less than those who were normal weight. In 2008, the differential doubled for Hispanic men who were obese to earnings of $8,394 less than normal weight counterparts, while for women the gap narrowed slightly.

For comments and archives

 
    Healthy Driving

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

Over age 50, the total horizontal peripheral visual field declines from 170° to 140°. Drivers with deficits in peripheral vision have twice as many collisions as those with normal vision. Many older adults avoid driving at dusk and twilight because of these changes.

 
    Medicine Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta)

What is Disimpaction?

Disimpaction means cleaning of retention from the rectum. This can be achieved by two methods: oral or rectal route. The oral route is preferred over rectal route as the latter is invasive and is likely to add fear and discomfort to the child. Polyethylene glycol (PEG) lavage solution in a large dose is given orally (20–30ml/kg/hr for 4 hours, may be repeated on next day or day after if there is inadequate response on first day) or by naso–gastric tube (25ml/kg/hour) until clear fluid is excreted through anus. Adequate disimpaction means both output (stool) and input (lavage solution) should be of same color.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A man who was to be married was found to be HIV–positive.
Dr Bad: Keep the report secret.
Dr Good: I will inform the to–be married girl.
Lesson: Sections 269 and 270 of the Indian Penal Code provide as under: "269. Negligent act likely to spread infection of disease dangerous to life – whoever unlawfully or negligently does not act which is, and which he knows or has reason to believe to be, likely to spread the infection of any disease dangerous to life, shall be punished with imprisonment of either description for a term which may extend to six months, or with fine, or with both.

For comments and archives

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain so much ascitic fluid.
Lesson: Make sure, to evaluate only moderately tap ascitic fluid as overenthusiastic tapping can be life–threatening.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

"Anger manages everything badly." Statius

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum calcium

Hypocalcemia (or low serum calcium level) must be interpreted in relation to serum albumin concentration (Some laboratories report a "corrected calcium" or "adjusted calcium" which relate the calcium assay to a normal albumin. The normal albumin, and hence the calculation, varies from lab to lab). True decrease in the physiologically active ionized form of Ca++ occurs in many situations:

  • Hypoparathyroidism
  • Vitamin D deficiency
  • Chronic renal failure
  • Magnesium deficiency
  • Prolonged anticonvulsant therapy
  • Acute pancreatitis
  • Massive transfusion
  • Alcoholism

Drugs producing hypocalcemia include most diuretics, estrogens, fluorides, glucose, insulin, excessive laxatives, magnesium salts, methicillin, and phosphates

For comments and archives

 
    Mind Teaser

Read this…………………

b
bow
w

Yesterday’s Mind Teaser:  What do the words ALMOST and BIOPSY have in common

Answer for Yesterday’s  Mind Teaser: Their letters are in alphabetical order.

Correct answers received from: Yogindra Vasavada, Dr Avtar Krishan, Dr Thakor Hitendrasinh G, Dr.Chandresh Jardosh, Dr.Harkanwaljit Singh Saini, Dr Sukla Das, Dr P C Das, Dr Neelam Nath, Dr Smita, Dr Heena, Dr Sanjay, Suman sharma

Answer for 10th December Mind Teaser: Answer: c
Correct answers received from: Dr Rajat, Dr Yogesh, Dr GP Pant, Dr SD Sharma, Dr Laxman, Dr Priya, Dr Anupam, Dr Simran

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr Anuj Goyal)

Doctor, doctor, my little boy’s swallowed a bullet. What shall I do?
Well, for a start, don’t point him at me.

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    Medicolegal Update

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

What is Forensic Thanatology?

Thanatology is the branch of science that deals with death in all its aspects. Shapiro, a well–known thanatologist defined death as the irreversible loss of the properties of living matter. However, it is difficult to appreciate his claim that this definition satisfies the practical requirements for death certification.

  • Black’s law dictionary (Black 1951) in United States defines death as "The Cessation of life, the ceasing to exit", defined by physicians as total stoppage of circulation and cessation of vital functions, thereupon such as respiration and pulsation
  • Section 46 IPC states that death denotes the death of a human being unless the contraryappears from the context.
  • Section 2 (b) of the Registration of Births and Deaths Act defines death as Permanent disappearance of all evidence of life at any time after live birth gas taken place.

(Ref: Dr. PC Dikshit, Head (MAMC) MD LLB, Concise Textbook of Forensic Medicine & Toxicology, Peepee Publishers)

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)

Use of Mobile Phones Risky While Driving

Quoting a British study Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India said that talking on a mobile phone while driving is more hazardous than operating a vehicle while under the influence of alcohol.

Tests conducted by UK scientists involved 20 subjects using a driving simulator to test reaction times and driving performance.

Researchers tested how driving impairment was affected when drivers were talking on a handheld mobile phone or a hands–free phone, and when drivers had consumed enough alcohol to register above the legal blood–alcohol limit.

  1. Driver’s reaction times were, on average, 30 percent slower when talking on a handheld mobile phone than when legally drunk. And 50 percent slower than under normal driving conditions (no alcohol).
  2. Drivers talking on phones were less able than drunk drivers to maintain a constant speed, and they had greater difficulty keeping a safe distance from the car in front.
  3. Using a handheld mobile phone had the greatest impact on driving performance. On average, it took handheld mobile phone users half a second longer to react than normal and a third of a second longer to react compared to when they were drunk. At 70 mph, this half–second difference is equivalent to traveling an additional 46 feet before reacting to a road hazard, researchers said.
  4. Hands free mobile was no safer.
  5. Clearly the safest course of action is to not use a cell phone while driving.
  6. Remember the combination will be the worst.

For comments and archives

 
    Readers Response
  1. Dear Sir, This information offered by you is very effective for good planning.Regards: Nereida Cofresi
 
    Forthcoming Events

Lecture on Buddism and Astronomy

By Prof. Trinh X. Thuan

UNESCO Kalinga Awardee, 2009; Prof. of Astronomy, University of Virginia, USA; UNESCO Kalinga Awardee for Popularisation of Science by UNESCO, Kalinga Chair awardee by Department of Science & Technology, Government of India.

Organised by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt.of India

At Nehru Planetarium Chankyapuri New Delhi on 27th Dec 2011 at 10.30 am

No fee, to register email to drkakroo@gmail.com, 9810301261

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. Delegate bags, gifts, certificates, breakfast, 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

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 have 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

Dr Ajay Kriplani (Surgical management of diabetes); Dr N K Bhatia ( What’s new in transfusion medicine); Dr Kaberi Banerjee (Fertility update); Dr Amit Bahrgava (Cancer update 2011), Onco Radiation update (Rajiv Gandhi Cancer Institute); Dr Ambrish Mithal (Vitamin D update), Dr Praveen Chandra (Interventional Cardiology update); Revisting 2011 (Dr K K Aggarwal), Portfolio management (Central Bank of India); Insurance update (LIC India); General Insurance (Doogar Associates)

 
    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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    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