emedinews
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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; 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 …

12th December 2012, Wednesday

5 Ways to Use less Salt

  1. Use spices and other flavor enhancers (spices, dried and fresh herbs, garlic and ginger, citrus, vinegars, and wine. Flavors can be black pepper, cinnamon, and turmeric to fresh basil, chili peppers, and lemon juice.
  2. Use the right healthy fats — from roasted nuts and avocados to olive, canola, soybean, and other oils.
  3. Searing and sautéing foods in a pan builds flavor. Roasting brings out the natural sweetness of many vegetables and the taste of fish and chicken. If you do steam or microwave food, perk up these dishes with a finishing drizzle of flavorful oil and a squeeze of citrus.
  4. Get your whole grains from sources other than bread. White bread contains salt, not just for flavor but to ensure that the dough rises properly.
  5. Shop for raw ingredients with maximum natural flavor, thereby avoiding the need to add as much (if any) sodium. (Harvard)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

The first step in the treatment of chronic functional constipation is with lifestyle and dietary modification. A daily fiber intake of 20 to 25 g/day is generally recommended.

 
Dr K K Aggarwal
    eMedinewS Audio PostCard

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

One can predict acute lung injury

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Heart Checkup camp at Dept. of Science & Technology

Heart Care Foundation of India organized a Heart Checkup camp for the employees and staff of Dept. of Science & Technology, Government of India. Over 200 employees and staff availed of this opportunity.

 
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

At 3.4%, Maharashtra has the highest death rate for dengue

Maharashtra has the highest mortality rate in the country in dengue cases, according to data from National Vector Borne Diseases Control Program (NVBDCP). State wise provisional data for dengue cases and deaths available on the NVBDCP website shows that Maharashtra has reported 59 dengue deaths. However, mortality rate for the disease in Maharashtra is as high as 3.4% - 59 deaths in 1731 cases of dengue, while Tamil Nadu had 9249 cases of dengue, giving it a mortality rate of 0.64%. “This year, the DEN-2 virus which is more severe in nature is in circulation in the Western part of the country. The apt way to tackle such mosquito borne diseases is to reduce the source of transmission by eliminating breeding sites,” said Dr AC Dhariwal, director, NVBDCP. Amidst speculation over mutation of the virus, Dr Dhariwal said there has been no mutation in the dengue virus. “The dengue virus is classified into serotypes, which are further classified in genotypes. The type of virus in circulation will decide the course of the illness and hence we are seeing different symptoms this year,” said Dr Dhariwal adding that if people didn’t store water in containers for more than seven days there would no breeding grounds. State health officials said that Mumbai has reported the highest number of dengue cases in state. Since January, the city has recorded 935 dengue cases. “Dengue is a national issue, not just Mumbai’s problem. In fact, Tamil Nadu and West Bengal has more cases than Maharashtra, as per the figures,” said Manisha Mhaiskar, additional municipal commissioner, Brihanmumbai Municipal Corporation. (Source: Hindustan Times, December 11, 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

Infective endocarditis, arrhythmias, conduction abnormalities, and thromboembolism are significant issues in dialysis patients with valvular abnormalities.

(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)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Hands-only CPR saves more lives

The chances of surviving cardiac arrest with good brain function are better when bystanders focus CPR efforts on chest compression without mouth-to-mouth rescue breathing, a nationwide Japanese study affirmed. When bystanders performed chest compression-only CPR and used a public-access defibrillator, 40.7% of out-of-hospital cases survived at least a month without needing assistance in daily living, Taku Iwami, MD, PhD, of the Kyoto University Health Service in Kyoto, Japan, and colleagues found. That rate was a third higher than with conventional CPR group and a defibrillator shock, at 32.9%, the group reported online in Circulation: Journal of the American Heart Association. (Source: Medpage Today)

Nurses remain nation's most trusted professionals

Medical professionals are among the most trusted people in the United States, a new Gallup survey shows, with 85% of survey respondents ranking nurses highest for honesty and ethics, followed by pharmacists (75%) and physicians (70%). The 2012 sampling was conducted via telephone November 26 through 29 among 1015 people aged 18 years and older in all 50 states and the District of Columbia. The survey results, published December 4, have a margin of error of ±4 percentage points and a confidence interval of 95%. (Source: Medscape)

Checklists, communication may reduce surgical complications

Training surgical teams in communication and using a procedure checklist before, during, and after surgery may significantly decrease 30-day postoperative complications such as surgical site infections and bleeding requiring transfusions, according to a study conducted at 2 Connecticut medical centers. (Source: Medscape)

All-oral Tx proves safe in untreated MM

An all-oral treatment that included an investigational proteasome inhibitor appeared active and tolerable in patients with newly diagnosed multiple myeloma, researchers said at the American Society of Hematology (ASH) annual meeting. (Source: Medpage Today)

 
    Twitter of the Day

@DrKKAggarwal: Fluctuating blood pressure more harmful In the elderly persons with high blood pressure further fluctuations and... http://fb.me/1PaymVKpS

@DeepakChopra: Do you love yourself as completely and effortlessly as you love this other person? http://tinyurl.com/cf4a659

 
    Spiritual Update

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

The Road to Spirituality

‘Love’ is what one is born with and ‘fear’ is what one learns. Spiritual journey is nothing but unlearning of fears and prejudices along with return of love back into ones heart.

The first principle, therefore, of living a spiritual life is to be full of

For comments and archives

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

How does BMI affect fertility?

A BMI of 18.5 or less (underweight) may cause irregular menstrual cycles and may cause ovulation (release of an egg from the ovaries) to stop. A BMI of 17.5 or less may indicate an eating disorder. A BMI in the obesity range may also lead to irregular menstrual cycles and irregular ovulation. Women with a BMI of greater than 29

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

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

Whole blood

Definition: Whole blood contains 350 ml. of donor blood plus anticoagulants.

Volume: 350 ml.

Storage: Between 2° C to 6° C in approved Blood Bank refrigerator

Shelf Life: 35 days

Indications

  1. Red cell replacement in acute blood loss with hypovolemia
  2. Exchange transfusion

Contraindications

  1. Chronic anemia
  2. Incipient cardiac failure

Dosage: One unit of whole blood increases Hemoglobin by 0.75 to 1 gm/dl and hematocrit by 3–5 %.

Administration

  1. Must be ABO and RhD compatible with the recipient
  2. Never add medications to the unit of blood
  3. Complete transfusion within 4 hours of commencement

For comments and archives

 
    An Inspirational Story

Stop Waiting

We convince ourselves that life will be better after we get married, have a baby, then another. Then we are frustrated that the kids aren’t old enough and we’ll be more content when they are.

After that, we’re frustrated that we have teenagers to deal with. We will certainly be happy when they are out of that stage. We tell ourselves that our life will be complete when our spouse gets his or her act together, when we get a nicer car, are able to go on a nice vacation, when we retire. The truth is, there’s no better time to be happy than right now. If not now, when?

Your life will always be filled with challenges. It’s best to admit this to yourself and decide to be happy anyway.

One of my favorite quotes comes from Alfred D. Souse. He said, “For a long time it had seemed to me that life was about to begin – real life. But there was always some obstacle in the way, something to be gotten through first, some unfinished business, time still to be served, or a debt to be paid. Then life would begin. At last it dawned on me that these obstacles were my life”.

This perspective has helped me to see that there is no way to happiness.

Happiness is the way. So, treasure every moment that you have and treasure it more because you shared it with someone special, special enough to spend your time… and remember that time waits for no one.

Happiness is a journey, not a destination.

So… “Work like you don’t need money, love like you’ve never been hurt and dance like no one is watching.”

For comments and archives

 
    Cardiology eMedinewS

Management of Hypertrophic Cardiomyopathy: Bernard Gersh Read More

The Orphan Right Ventricle : Mandeep Mehta Read More

 
    Pediatric eMedinewS

Same outcomes if daunorubicin omitted in AML induction Read More

IVF associated with increased risk for childhood asthma Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient wanted to know if he could buy Vigor–25 from the net.
Dr Bad: Go ahead.
Dr Good: It can be harmful.
Lesson: The US FDA has warned that Vigor–25, a product marketed as a natural dietary supplement to enhance male sexual performance, should not be purchased or used because it contains sildenafil which may interact with nitrates and can dangerously lower blood pressure. Vigor–25, distributed by Piston Corp., is sold on Internet sites.

Make Sure

Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high?
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

 
    Legal Question of the Day (M C Gupta)

What are your views as regards prescribing of medicines by generic names? How will it help the patient?

Q. What are your views as regards prescribing of medicines by their generic names in place of trade names? Will this help a patient? What affect will it have on the Indian Medical scene?

Ans.

  • Prescribing of medicines by their generic names in place of trade names is a standard scientific approach. Physicians are required to prescribe by generic names as far as possible in terms of the MCI Regulations, 2002.
  • In a recent decision dated 10-5-2011, the MCI Ethics Committee emphasised the need to to prescribe by generic names. The following is reproduced from the minutes of the meeting:

    “27. Request for seeking compliance of order dated 29.03.2011 passed in

    DBCWP No. 3031/2007.

    The Ethics considered the letter received from Ravinder Singh Saluja, Advocate dated nil and the order of the Hon’ble High Court of Rajasthan dated 29.03.2011 and directions contained therein was placed before the Ethics Committee. The issue posed in the said judgement/ order is as to whether branded name of drugs can be permitted in respect of combination and life saving drugs or not.

    The Ethics Committee deliberated and discussed on the issue in threadbare manner. The Ethics Committee relied on the provisions of Ethics Regulations namely the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002, contained in Regulation 1.5 and the same is reproduced here as under:-

    “Every physician should, as far as possible, prescribe drugs with generic names and he/she shall ensure that there is a rational prescription and use of drugs.”

    The Ethics Committee also cited the example that generic drugs are much cheaper to the branded drugs. The Ethics Committee also noted that a provision is already there in the Ethics Regulations which says that as far as possible, generic name of drugs should be used and there should not be any exception for combination drugs or life saving drugs. The generic name should be prescribed as it is beneficial to the Society.

    The Committee felt that it is scientifically rational to prescribe generic name of drug and the same should be communicated to Mr. R. S. Saluja, Advocate.
  • The practice of prescribing of medicines by their generic names in place of trade names will help the patient/public in the following ways:
    • The patient can easily find from the internet the indications, contraindications, side effects, toxic effects, dosage etc. in reference to the drug concerned. This will help him take the drug in a more responsible and correct and safe manner.
    • The patient will get better treatment from some other doctor at a latter time because the latter doctor would be better able to understand the nature of disease and the treatment given in the past. It is quite common for doctors to get confused in this matter because the same medicine may have dozens, scores or even more than a hundred brand names.
    • The patient will get more rational and scientific treatment. Doctors prescribing by brand names have often don’t have much idea about the real nature of the medicine. It also happens sometimes that the same medicine is prescribed at the same time under two brand names out of ignorance of the true nature of the generic compound in the brand drug. This can even be harmful.
    • The patient will get cheaper treatment. Generic drugs are much cheaper than branded drugs.
  • The effect on the Indian medical scene will be as follows:
    • Treatment will become less costly.
    • Doctors will become more knowledgeable.
    • Patients (consumers) will be more empowered and less likely to be taken for a ride.
    • The practice of offering/accepting gifts (bribes) among the pharma companies and doctors will decrease

For comments and archives

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

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  Quote of the Day (Dr GM Singh)

The way a person uses his emotions is what we call attitude. Someone has correctly said, "Your attitude determines your altitude in life".

 
    Mind Teaser

Read this…………………

Unconscious client is admitted to the ICU, IV fluids are started and a Foley catheter is inserted. With an indwelling catheter, urinary infection is a potential danger. The nurse can best plan to avoid this problem by:

A. Emptying the drainage bag frequently
B. Collecting a weekly urine specimen
C. Maintaining the ordered hydration
D. Assessing urine specific gravity

Yesterday’s Mind Teaser: 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

Answer for yesterday’s Mind Teaser: B. Regular meals and snacks to limit gastric discomfort

Correct answers received from: Dr Kanta Jain, Dr PC Das, Dr Arpan Gandhi, Dr Bharat Bhushan Aggarwal, Dr Jainendra Upadhyay, Dr Uma Gaur, Dr Chandresh Jardosh Dr Avtar Krishan, Dr Thakor Hitendrsinh G.

Answer for 10th December Mind Teaser: B. Encouraging the client to cough and deep breathe

Correct answers received from: Dr Chandresh Jardosh Dr Avtar Krishan, Dr Thakor Hitendrsinh G.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

An Engineer, Physicist and Mathematician in a hotel

An engineer, a physicist and a mathematician are staying in a hotel.

The engineer wakes up and smells smoke. He goes out into the hallway and sees a fire, so he fills a trash can from his room with water and douses the fire. He goes back to bed.

Later, the physicist wakes up and smells smoke. He opens his door and sees a fire in the hallway. He walks down the hall to a fire hose and after calculating the flame velocity, distance, water pressure, trajectory, etc. extinguishes the fire with the minimum amount of water and energy needed.

Later, the mathematician wakes up and smells smoke. He goes to the hall, sees the fire and then the fire hose. He thinks for a moment and then exclaims, "Ah, a solution exists!" and then goes back to bed.

 
    Medicolegal Update

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

How should biological samples and medical evidences be collected in a medicolegal case?

The analyst/doctor has a legal responsibility to retain untested biological specimen in legal cases so that another person can test it and come to an independent conclusion as to its origin.

The observation of scenes of crime, collection of human body fluids, weapons of the offence and medical examination of victim, accused, or both is required in any investigation of crime against human body such as injury, rape, murder.

The medical examination is carried out in emergency ward of hospitals and treatment of injured and dying patient remains the major focus of the treating doctor. But, in cases of crime against the human body, the medical examination and collection of biological sample/s, its documentation, packaging, and analysis have an important role and should be done by the doctor very meticulously with the high standards of science and the law in mind. These biological materials include: Blood, seminal stains, vaginal smears/slides gastric lavage, chemical substances, poison, hair, fiber, broken glasses, knives, blunt instruments/objects, fire arms, bullet, live and empty cartridge cases, wads, clothing etc. This scientific biological evidence becomes legal evidence in prosecution/acquittal of case if collected correctly.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Heart Checkup camp at Dept. of Science & Technology

Heart Care Foundation of India organised a Heart Checkup camp for the employees and staff of Dept. of Science & Technology, Government of India. Over 200 employees and staff availed of this opportunity.

Speaking on the occasion, Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India, said that all those who have a history of high blood pressure and abdominal circumference of more than 90 cm in men and more than 80 cm in women should have their lipid profile, blood sugar and blood pressure checkup done as they may be candidates for metabolic syndrome, which is responsible for future heart attacks and paralysis.

Dr. Aggarwal further said that maximum heart attacks occur in early morning in winter. All patients with heart disease, high blood pressure and/or diabetes should have their medication doses adjusted during winter.

Both aspirin and cholesterol drugs (statins) can prevent heart attacks during winter and one should ask his or her doctor about the same.

Winter Guidelines

  • Keep doses of your drugs adjusted during winter.
  • Ask your doctor for aspirin and statin, if you are not taking them.
  • Say no to smoking. Early morning smoking with a cup of tea/coffee can be fatal.
  • Do not consume alcohol to relieve winter cold.
  • Take your flu vaccination.
 
    Readers Responses
  1. Dear Dr. Aggarwal, By giving Medinews daily you are doing a wonderful work. I go through them daily. Thanks for the same. Dr.B.R.Bhatnagar
 
    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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  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