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

 

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eMedinewS Presents Audio News of the Day

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

 
  Editorial …

13th February 2012, Monday

Can’t avoid anger: take aspirin

Emotionally stressful events, and more specifically, anger, immediately precede and appear to trigger the onset of acute heart attack.

Episodes of anger are capable of triggering the onset of acute heart attack and aspirin can reduce this risk.

Angry people who can not control their anger should ask their doctors to consider taking aspirin.

Quoting a Harvard study Dr Aggarwal said that Doctors at the Deaconess Hospital,Harvard Medical School, Boston, interviewed 1623 patients (501 women) an average of 4 days after a heart attack.

The onset anger scale identified 39 patients with episodes of anger in the 2 hours before the onset of heart attack. The relative risk of heart attack in the 2 hours after an episode of anger was 23.

Regular users of aspirin had a significantly lower relative risk (1.4) than nonusers (2.9).

Anger in response to stress is also of particular importance for the development of premature heart attack in young men. An episode of anger may also trigger an acute heart attack in the next 2 hours.

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

Dr ML Agnihotri on 49th Annual PEDICON

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Ajmer Health Mela 2012

Padma shri and Dr BC Roy Awardee Dr KK Aggarwal during a visit to Ajmer Shariff on 11th February 2012.

 
Dr K K Aggarwal
 
    National News

ID card must for rail journey from Feb 15

LUCKNOW: The passengers will now have to carry a proof of identity while travelling in trains from next week. At present, only passengers travelling on a tatkal or an eticket carry an identity proof while undertaking a train journey. But from February 15, passengers booked on the tickets issued from computerized Passenger Reservation System (PRS) and internet (i–ticket), undertaking journey in AC–3 tier, AC–2 tier, 1st AC, AC chair car and executive classes will have to carry a proof of identity. "This has been done to keep a check on passengers travelling on transferred tickets," said Neeraj Sharma, Sr DCM, Lucknow, NR. The passengers can carry any of the nine ID proofs, in original, while undertaking a train journey –– Voter ID Card, Passport, PAN card, DL, Photo identity card having serial number issued by central/state government, student identity card with photograph issued by recognized school/college for their students, aadhar card, nationalised bank passbook with photograph and credit cards issued by banks with laminated photograph. The passengers failing to produce the original identity proof, as and when asked for, will be treated as ‘Without Ticket’ and charged accordingly. (Source: TOI, Feb 9, 2012)

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

CMS site to track central line infections

A government website that publishes data on hospital outcomes such as mortality and readmission rates will now include information on central line infections, officials said. Hospital Compare will now show data on how often central line–associated bloodstream infections occur in intensive care units across the country, according to the Centers for Medicare and Medicaid Services (CMS). The move will "hold hospitals accountable for bringing down these rates," the agency said in a press release. (Source: Medpage Today)

For comments and archives

MRSA Dx tool in osteomyelitis called faulty

A common clinical method for gauging risk that the Staphylococcus aureus causing a child’s osteomyelitis will be methicillin–resistant is unreliable. The so–called Boston algorithm may have been accurate when and where it originated, but it was no help at all in assessing MRSA risk more recently in a major pediatric hospital in Arizona, according to a poster presented at the American Academy of Orthopaedic Surgeons annual meeting. (Source: Medpage Today)

For Comments and archives

FDA: HCV drug interferes with HIV meds

A new drug for hepatitis C can reduce the effectiveness of some HIV medications if they are taken together and vice versa, the FDA is warning. In a drug safety communication, the agency warned that there are important drug interactions between boceprevir (Victrelis) and anti–HIV protease inhibitors boosted with ritonavir (Norvir). Boceprevir, approved last year, is a novel direct–acting agent targeting the NS3/4A protease of hepatitis C. It’s taken with ribavirin and pegylated interferon–alfa to treat genotype 1 disease. (Source: Medpage Today)

For comments and archives

Heart disease can pass from father to son

Coronary artery disease or CAD, which kills tens of thousands worldwide every year, is likely to pass from father to son, reveals a study. A new study by the University of Leicester’s cardiovascular sciences and genetics departments, which took four years to complete, suggests that the Y–chromosome, a part of DNA present only in men, plays a role in the inheritance of CAD. (Source: TOI, Feb 9, 2012)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: #IJMD Comparision of efficiency of various cleansing techniques on Dentin Wettability using contact angle… fb.me/1GDRAjkhA

@DrKKAggarwal: We can affect change everyday. Through our thoughts, our words, and our actions.

 
    Spiritual Update

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

Understanding the Mental States of a Person

The mental state of a person in Vedic language is described in terms of gunas. The present state of mind of any person is a result of mixing of three gunas of nature called Tamoguna, Rajoguna and Satoguna. In terms of states of mind they are called Tamas, Rajas and Satwa and the nature of a person is called Tamsic, Rajsic and Satvic.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How does fertility decreases with age particularly after the age of 35?

Even though women today are healthier and taking better care of themselves than ever before, improved health in later life does not offset the natural age related decline in the fertility. According to western data, the table below shows how infertility increases with age.

Infertility increases with age

Percentage of married women who are infertile by age group.

Age Group (years)

Percent Infertile

Percentage chances of remaining childless

20–24

7

6

25–29

9

9

30–34

15

15

35–39

22

30

40–44

29

64

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Few things that help you to survive

If you feel tired and hopeless, GOD knows how hard you try. When you already cry for a long time and your heart is still hurt, GOD has counted your tear drops.

If you think that your life is still waiting for something and the time seems just come and pass by…GOD is still accompanying you.

When you feel alone and your friends are too busy to make a phone call, GOD is always with you. When you think that you have tried everything and don’t know what to do anymore, GOD has the answers.

When everything makes no sense to you and you feel stressed…GOD is your comfort. When you see "a bit" of hope…GOD is whispering to you.

When everything works so clear and you want to praise HIM, GOD has blessed you. When you feel beautiful things is happening and you are fulfilled with wonders, GOD has smiled to you.

When you have aims and dreams to reach, GOD has opened your eyes and call your name. Remember, Where ever you are and where ever you will be GOD knows.

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Nervous activity is related to weight loss

A recent study performed by the Baker Heart & Diabetes Institute in Melbourne, Australia reports that certain people with a higher rate of resting nerve activity are more likely to lose weight if they are on a diet. The study was recently published in the Journal of Clinical Endocrinology & Metabolism.

In this study, researchers examined 42 overweight subjects who had volunteered to participate in dietary and lifestyle intervention study that lasted for 12 weeks. The intervention involved decreasing their caloric intake by 30 percent and being "more active." However, there were no distinct measures of physical activity. Researchers measured different types of nervous activity using metal microelectrodes and performing various laboratory tests, and surprisingly, they found that those who lost more weight had higher levels of nervous activity.
The association was so strong that weight loss could be predicted by measuring the nervous system activity. More research is needed before any conclusive results can be agreed upon, but it would be interesting to measure this type of nerve activity in response to exercise, and to determine whether it has an impact on weight loss as well.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta, Advocate)

Q. I understand that first a physician has to get registered with an SMC, which then forwards his name to the MCI for inclusion in the IMR. My question is—Why does the MCI web site provide for direct on line registration with it?

Ans.

  1. Your understanding is correct.
  2. The MCI web site provides for direct registration in reference to section 23, reproduced below–– "REGISTRATION IN THE INDIAN MEDICAL REGISTER
    23. The Registrar of the Council, may, on receipt of the report of registration of a person in a State Medical Register or on application made in the prescribed manner by any such person, enter his name in the Indian Medical Register:
    Provided that the Registrar is satisfied that the person concerned possesses a recognised medical qualification."
  3. It is clear that the provision for direct registration with the MCI has been made for special situations such as:
    1. When a new state has been created but no state medical council has as yet been established in the state.
    2. When the SMC has been dissolved or is dysfunctional.
    3. When, due to some reason or circumstance, the SMC fails to send the report of registration of a person in a State Medical Register.
  4. Even in such circumstances, doctors should, if possible, prefer to get registered in another SMC of their choice rather than directly in the MCI.
  5. Even if some doctor may be forced to get himself registered directly with the MCI, I strongly suggest that he should, after such registration, immediately get himself registered with an SMC and, thereafter, should get his primary MCI registration cancelled.
  6. The reason for the above suggestion is that if he is primarily registered with an SMC, it will be the SMC which will investigate a complaint of medical negligence against him. If it decides against him, he can appeal to the MCI as per law. However, if he is primarily registered with the MCI, it will be the MCI which will investigate a complaint against him. If it decides against him, he will have nowhere to go in appeal.

For comments and archives

 
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  Cardiology eMedinewS

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

CABG Provide Better Survival than PCI

Read More

Troponin Test Reveal Subclinical Heart Damage In Hyperglycemia

Read More

Metformin Preferred To Best Control HbA1c In Type 2 Diabetes.

Read More

 
  Pediatric eMedinewS

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

Inducing Labor Better For Big Babies

Read More

Warmup Prevents ACL Tears In Girl Athletes

Read More

Factors Predict Post–NICU Death In Tiniest Babies

Read More

 
    Healthy Driving

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

Eye problems and driving

Driver licensing staff is not qualified to make a judgment on whether any poor vision found by the eyesight screen check is safe for driving or not. This is why they must refer people to an optometrist (or ophthalmologist or GP) who are better equipped to make that judgment.

 
    Rabies Update

(Dr AK Gupta, Author of Rabies the Worst Death)

Is washing of animal bite wound (s) essential?

By mere washing of wounds and application of antiseptics, the risk of rabies will reduce by about 50%. The maximum benefit of the wound washing is obtained when fresh wound is cleaned immediately. It is important to remove saliva containing rabies virus at the site of bite by physical or chemical means. This can be done by prompt and gentle thorough washing with ordinary soap or detergent (soaps are viricidal) and flushing the wound with running tap water for at least 15 minutes.

Washing of the wound must be done as long as the wound is raw; irrespective of the time elapsed since the exposure. Care must be taken not to disturb the scab, if formed.

After washing with water and soap, disinfectants like Povidone Iodine or Surgical Spirit (Viricidal) must be applied.

In extraneous circumstances, other alcoholic (>40%) preparations like Rum, Whisky or aftershave lotion may be applied on the wound. If soap or antiviral agent is not available, the wound should be thoroughly washed with water.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with high blood pressure came with nasal congestion.
Dr Bad: Take nasal decongestant drops.
Dr Good: Take only saline nasal drops.
Lesson: Decongestant nasal drops can acutely raise the blood pressure.

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 didn’t you put him 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

 
  Quote of the Day

(Dr GM Singh)

Criticism, like rain, should be gentle enough to nourish a man's growth without destroying his roots.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

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…………………

CCCCCCC

Yesterday’s Mind Teaser:  House
                                       Stove

Answer for Yesterday’s  Mind Teaser: Home on the range (or home cooking)

Correct answers received from: Sudipto Samaddar, Dr.Chandresh Jardosh

Answer for 11th February Mind Teaser: b) Right colon replacement is definitely better than left colon
Correct answers received from: Anand Narayan Singh, Dr. Mrs. S. Das, Dr. P. C. Das

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr G Singh)

The CEO of a large TPA and goes to heaven. St. Peter shows him to a lovely villa, wonderful music, great views, full staff of servants, gourmet meals, etc. The CEO says, "This is terrific!"

"Don’t get too comfortable," says St. Peter. "You’re only approved for a three–day stay."

 
    Medicolegal Update

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

Medical examination of rape victim and MLR

  • When the doctor prepares a medicolegal report of a rape victim he should not forget to mention the presence of bodily injuries like bite marks, nail marks etc. on the body of the victim/accused prove that the exchange of offered resistance. Genital injuries can be serious if the act is done on a virgin or a young girl; but it is seen that the genital injuries are minimal or absent in a woman used to sexual act.
  • Trivial general injuries can be seen on the victim as well as the accused in a violent sexual act.
  • Usually if there are signs of general and genital violence, it can be assumed that the sexual act was done against the will and without the consent of the victim and its interpretation should be left on the law. Doctor should not comment on commission or non-commission of rape.
  • Rape is a legal definition and not a medical diagnosis since the necessary and required constituents for law to charge a person in offence of rape, is penetration/touching of penis within vulva (leaps of vagina) however slight/little it may be, or even this act may be only for a fraction of second is sufficient to constitute the offence of rape
  • Neither complete penetration of male genital organ nor rupture of hymen nor complete sexual act or emission of seminal fluid are necessary to amount to the offence of rape.
  • The doctor conducting the medical examination of a rape victim and is also requested for age estimation she is empowered and may give the opinion regarding the age of victim on the basis of the radiological report, findings of secondary sexual characters and dental status or even the bone age as per report of radiologist
  • In cases where the examining doctor is not confident in certifying the age of victim it should be referred to CMO/higher administrator of hospital concerned.

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)

Valentine Day Special - February 14

Extra marital affairs bad for the heart

About 75 per cent of deaths during sexual intercourse occur in people having extra marital affairs and in men who are much older than their sexual partners said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India.

Dr Aggarwal said that extramarital sex is more stressful than sex with a spouse.

  1. Often there's an unexpressed need to perform well with a new partner.
  2. Sometimes there's been a high food and alcohol intake, which adds to the overall stress. Sexual activity after food is more strenuous than on the fasting state.
  3. The anxiety to perform better during extramarital sex could precipitate angina, heart attack and sudden death.
  4. Extramarital sex also usually takes place in unfamiliar surroundings, which increases stress.
  5. Often the sex takes place under the cover of Viagra-like drugs as most elderly patients having sex would take a tablet of Viagra if having sex with the younger newer partner. The combination of Viagra and nitrate (if they are a heart patient) could prove fatal for heart patients.

Danger signals of heart attack during the act are a feeling of pressure, pain or discomfort in the jaw, neck, arm, chest or stomach; marked shortness of breath; and excessively rapid or irregular heartbeats.

Researchers from St Thomas Hospital, London, have shown that couples in long-term relationship were far less likely to have heart attack while having sex compared to those having affairs or one-night stands.

 
    Readers Response
  1. Dr K K Aggrawal, Rs. 100 looks so big amount when patient .has to pay a g p in local area including fee & medicines dispenced but looks small when rs.1000 paid to a specialist or rs. 10000 or more in hospital. Dr B M Gupta Aggarwal
 
    Forthcoming Events

IMSOCN2012

The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund, Faridabad. It is a multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of the British Menopause Society and South Asian Federation of Menopause Societies and is an opportunity to hear international faculties.

For information contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048
Download forms at: http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.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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Activities eBooks

  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