emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.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
Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


YOU CAN DOWNLOAD EMEDINEWS AT www.emedinews.in

Dear Colleague

13th March 2010, Saturday

How sleep loss threatens your health

Many people do not realize that lack of sufficient sleep can trigger mild to potentially life–threatening consequences, from weight gain to a heart attack. Recently I came across an article in the Harvard Health Newsletter (Health Beat) and thought of sharing the information with you all.

Viral infections: Anecdotal evidence supports the belief that when you’re tired and run–down, you’re more likely to get sick. A 2009 study in Archives of Internal Medicine provides some proof. Researchers followed the sleep habits of 153 men and women for two weeks, then quarantined them for five days and exposed them to cold viruses. People who slept an average of less than seven hours per night were three times as likely to get sick as those who averaged at least eight hours.

Weight gain: Not getting enough sleep makes you more likely to gain weight, according to a 2008 review article in the journal Obesity that analyzed observations from 36 different studies of sleep duration and body weight.

This association is especially strong among children. Lack of sufficient sleep tends to disrupt hormones that control hunger and appetite, and the resulting daytime fatigue often discourages you from exercising. Excess weight, in turn, increases the risk of a number of health problems.

Diabetes: A 2009 report in Diabetes Care found a sharp increase in the risk of type 2 diabetes in people with persistent insomnia. People who had insomnia for a year or longer and who slept less than five hours per night had a three-fold higher risk of type 2 diabetes compared with those who had no sleep complaints and who slept six or more hours every night. As with overweight and obesity (which are also closely linked to type 2 diabetes), the underlying cause is thought to involve a disruption of the normal hormonal regulation of the body due to inadequate sleep.

High blood pressure: Researchers involved in the diabetes study also evaluated risk of high blood pressure among the same group of people, which included more than 1,700 randomly chosen men and women from rural Pennsylvania. As described in a 2009 article in the journal Sleep, the researchers found the risk of high blood pressure was three–and–a–half times greater among insomniacs who routinely slept less than six hours per night compared with normal sleepers who slept six or more hours nightly.

Heart disease: A number of studies have linked short–term sleep deprivation with several well–known risk factors for heart disease, including higher cholesterol levels, higher triglyceride levels, and higher blood pressure.

One such report, published in a 2009 issue of Sleep, included more than 98,000 Japanese men and women ages 40 to 79 who were followed for just over 14 years. Compared with women who snoozed for seven hours, women who got no more than four hours of shut–eye were twice as likely to die from heart disease, the researchers found.

Sleep apnea is a common cause of poor sleep, a life–threatening condition in which breathing stops or becomes shallower hundreds of times each night also increases heart disease risk. In the Wisconsin Sleep Cohort study, people with severe sleep apnea were three times more likely to die of heart disease during 18 years of follow–up than those without apnea. When researchers excluded those who used a breathing machine (a common apnea treatment), the risk jumped to more than five times higher. Apnea spells can trigger arrhythmias (irregular heartbeats), and the condition also increases the risk of stroke and heart failure.

Mental illness: A study of about 1,000 adults ages 21 to 30 found that, compared with normal sleepers, those who reported a history of insomnia during an interview were four times as likely to develop major depression by the time of a second interview three years later. Two studies in young people–one involving 300 pairs of young twins, and another including about 1,000 teenagers–found that sleep problems developed before a diagnosis of major depression and (to a lesser extent) anxiety. Sleep problems in teenagers preceded depression 69% of the time and anxiety disorders 27% of the time.

Mortality: In the Japanese heart disease study (described above), short sleepers of both genders had a 1.3–fold increase in mortality compared with those who got sufficient sleep. According to a 2009 study of 6,400 men and women whom researchers followed for an average of eight years, severe sleep apnea raises the risk of dying early by 46%. Although only about 8% of the men in the study had severe apnea, those who did and who were between 40 and 70 years of age were twice as likely to die from any cause as healthy men in the same age group.

It is clear that getting enough sleep is just as important as other vital elements of good health, such as eating a healthy diet, getting regular exercise, and practicing good dental hygiene.

In short, sleep is not a luxury but a basic component of a healthy lifestyle.


Dr KK Aggarwal
Chief Editor


Dr. K K Aggarwal, the new Chairmanship IMSA, Delhi State Chapter

Padma Shri awardee Dr KK Aggarwal will be the new Chairman IMSA, Delhi State Chapter. The objectives of IMSA (International Medical Sciences Academy) are as under:

  1. To bring together national and international medical scientists, medical educationists, medical and health workers and research workers in medical and health sciences on a worldwide basis for the development of medical and health sciences for the advancement of the health of all people of the world.

  2. To undertake, organize and facilitate research, study courses, conferences, lectures and research in matters relating to different health sciences and health care systems of the world.

  3. To undertake, facilitate and provide expertise for the publication of newsletters, research papers, books and a journal for the exposition of developments in the field of medicine and health in different parts of the world.

  4. To establish and maintain effective collaboration with all similar organizations, both governmental and non governmental in the world.

  5. To facilitate exchange of workers between different countries and provide cooperation and international understanding between workers in different countries of the world.

  6. To develop, establish and prescribe international standards with respect to medical education, medical and health care medical research and to establish an International Institute of Medical Education.

  7. To constitute or cause to be constituted Regional Chapters at convenient places in India and elsewhere in the world to promote the objectives of the society.

  8. To establish, maintain and cooperate with libraries and information services to facilitate the study of world medicine and health and spread information in regard thereto.

  9. To cooperate with approved institutions and interested bodies for the purposes of helping the cause, understanding amongst medical educationists, scientists specialists and administrators of different countries.

  10. To award Fellowship/Membership of the Medical Sciences Academy to Proven meritorious workers in various disciplines of medicine anywhere in the world.

  11. To invite as and when feasible, leaders of the profession, scientists and scholars who may or may not be Fellows of the society to utilize the facilities of the society.

  12. To establish a trust for the management and administration of all the properties, monies, assets and activities of the society.

  13. To issue appeals and applications for finances/funds for the furtherance of the said objectives and to accept gifts, donations and subscriptions of cash and securities and of any property either movable or immovable in India or any part of the word.

  14. To invest and deal with funds and money of the society and to vary, or to transfer such investments from time to time, in India or outside India.

  15. To purchase or otherwise acquire to lease to exchange and otherwise transfer or deal or hire in Delhi or outside, temporarily or permanently, any movable or immovable property necessary or convenient for the furtherance of the objectives of the society.

  16. To sell, mortgage, lease, exchange and otherwise transfer or dispose of, or deal with all or any property, movable or immovable anywhere of the society for the furtherance of the objectives of the society.

  17. To construct, maintain, alter, improve or develop any buildings or works necessary or convenient for the purposes of the society.

  18. To undertake the management of any endowment or trust fund or donation with objectives similar to those of the society.

  19. To establish or provide fund for the benefit of the employees of the society.

  20. To establish or help to establish colleges in various disciplines of medicine for continuing education.

  21. To offer prizes and to grant scholarships and stipends to medical scientists in furtherance of the objectives of the society.

  22. To do, get done, all such other lawful things as are conducive or incidental to the attainment of the above objectives.

  23. All income of society shall be utilized towards the promotion of aims and objectives of the society.

  24. Power to enlarge objectives etc.: The Academy shall have the power to enlarge, alter, extend or abridge any of the objectives or purposes specified hereinabove.

News and Views (by Dr Monica Vasudeva)

NYTimes urges state lawmakers to impose sugary drink tax

The New York Times editorializes that New York’s proposed sugary soft drink tax could help lower obesity rates. Study suggests sin tax could decrease consumption of sugary drinks. (Archives of Internal Medicine). According to the research, An 18% price increase on soda would lead people to trim 56 calories from a daily diet, which is five–pound weight loss over a year.

One in four parents suspect vaccine–autism link

One in four parents think some vaccines cause autism in healthy children, and nearly one in eight have refused at least one recommended vaccine, according to a study published online March 1 in the journal Pediatrics.

Moderate alcohol intake may reduce midlife weight gain in women

Researchers analyzing data from the Harvard Women’s Nurse’s Health Study found that women who drink moderately have less of a chance of gaining weight over time. The study published in March 8 issue of the Archives of Internal Medicine showed that women who drink moderate amounts of alcohol do not gain as much weight in midlife as those who abstain. After examining data from 19,220 women, researchers at Brigham and Women’s Hospital in Boston found that compared with women who did not drink, women who drank 15 to 30 grams a day –– the equivalent of a drink or two –– were 30% less likely to be overweight or obese at the end of the study period.

FDA says kidney transplant drug may carry potentially fatal side effects

US FDA announced that belatacept, improves kidney function, but also appears to carry potentially fatal side effects in patients undergoing a kidney transplant.

Delhi High Court stay against sealing of property by MCD

W.P. ( C ) 6357/2007, W.P. ( C ) 7526/2007, W.P. ( C ) 9647/2007 , (Common rder)

We have heard the matter in some detail. Learned counsel for the Respondent, on instructions, states that in view of the stay of the 'Regulation dated 20th November, 2006 and the subsequent notices, dated -17th, 24th and 26th June, 2Q07 and the order passed by this-Court on June 29, 2007, no coercive steps shall be taken either for sealing the property or for recovery of charges for excess FAR use in terms of clause 15.8 (iv) of the Master Plan 2021 as amended. Renotify on 27the April, 2010.

Dasti under signature of the Court Master. VIKRAMAJIT SEN, J. MANMOHAN SINGH, J.

Conference Calendar

Mechanical Ventilation (MV) (Target Audience – Doctors only)
Date: March 13–14, 2010
Venue: V Block, No: 70 (Old No: 89) Fifth Avenue Anna Nagar, Chennai, Tamil Nadu.

What’s New : Red yeast rice or statins

Patients who discontinued statin therapy because of myalgias tolerated red yeast rice and achieved significant reductions in LDL–C, in a placebo–controlled randomized trial.  (Source: Becker DJ, Gordon RY, Halbert SC, et al. Red yeast rice for dyslipidemia in statin-intolerant patients: a randomized trial. Ann Intern Med 2009;150:830.)

Cancer Alert : Prostate Cancer Screening

A US study of the diagnosis and treatment of prostate cancer between 1986 and 2005 estimated that 18 men had to be treated for prostate cancer to prevent one death, suggesting that most of the additional cases of prostate cancer found since 1986 represent overdiagnosis.

Welch, HG, Albertsen, PC. Prostate cancer diagnosis and treatment after the introduction of prostate–specific antigen screening: (1986–2005. J Natl Cancer Inst 2009;101:1325.)

Quote of the Day

When you pray, rather let your heart be without words than your words without heart. (John Bunyan)

Diabetes Fact

Any food item whose name ends with 'ose' contains sugar. 

Public Forum (Press Release)

Deep frying of potato can cause cancer but soaking potatoes in water before frying can nullify these effects

Quoting a study Dr K K Aggarwal President, Heart care Foundation of India and Editor, eMedinewS, said that soaking potatoes in water before frying cuts down on the formation of the suspected carcinogen acrylamide.

Acrylamide is formed when starch–rich foods are cooked at high temperatures, (120°C) such as frying, baking, grilling, broiling or roasting. Raw or even boiled potatoes test negative for the chemical. Boiling and microwaving appear less likely to form acrylamide as the coking does not involve very high temperatures. Longer cooking time inreases the amount of acrylamide produced when the temperature is high enough.

Potato chips and French fries contain high levels of acrylamide compared to other foods, with lower levels also present in bread and cereals.

Acrylamide, is harmful to health and may cause cancer in animals.

A study published in Journal of the Science of Food and Agriculture has found that simply soaking potatoes before frying can significantly reduce the formation of acrylamide. The researchers tried three different approaches. They washed raw French fries; soaked them for 30 minutes, and soaked them for two hours. This reduced acrylamide levels by up to 23 percent, 38 percent and 48 percent, respectively, but only if the fries were cooked to a light color. But it’s not clear whether the same reductions could be achieved if French fries are cooked to a deep, dark brown.

The cooking and re–cooking of fried foods in the same fry pan or broiler is the main cause. Even the thoroughly washed iron skillet can continue to contain submerged carcinogens collected from previous use. Most restaurants use the same rancid cooking oil for days or even weeks and even reuse it after washing the pot.

For centuries, traditional ayurveda has advised against deep frying and has been advocating low temperature cooking. It has also been suggesting not to consume foods grown under the ground raw but soak them before use or frying them.

Question of the day: What is the role of Homeopathy in liver disorders?

Homeopathy is a system of medicine invented in the 1800s and currently popular in Europe, Russia, India and South America. It is based upon two principles:

  • The Law of Similars
  • The Law of Dilutions

According to the Law of Similars, a drug that would cause a symptom in a healthy person is used to treat the same symptom in a sick person (like cures like). As an example, a homeopathic remedy for poison ivy might be used to treat a child suffering from eczema. Serious side effects from homeopathic treatments rarely occur.

The safety of homeopathy is attributed to its second principle. According to the Law of Dilutions, the more the remedy is diluted, the more powerful it becomes. Homeopaths believe that dilute remedies contain energy or information that is used by the patient to heal his or her symptoms. Homeopathic drugs have been evaluated in randomized controlled trials and shown to provide improvement in patients with some common conditions like allergic rhinitis and diarrhea1-5.  A systematic review of randomized controlled trials of individualized homeopathy suggested that individualized homeopathy had an effect over placebo (rate ratio of 1.62)6

References

  1. Taylor MA, Reilly D, Llewellyn-Jones RH, et al. Randomized controlled trial of homoeopathy versus. Placebo in perennial allergic rhinitis with overview of four trial series. BMJ 2000;321:471.

  2. Oberbaum M, Yaniv I, Ben–Gal Y, et al. A randomized, controlled clinical trial of the homeopathic. Medication TRAUMEEL S in the treatment of chemotherapy–induced stomatitis in children undergoing stem cell transplantation. Cancer 2001;92:684.

  3. Reilly DT, Taylor MA. Is homoeopathy a placebo response? Controlled trial of homoeopathic potency, with pollen in hayfever as model. Lancet 1986;2:881.

  4. Jacobs J, Jimenez LM, Malthouse S, et al. Homeopathic treatment of acute childhood diarrhea: results from a clinical trial in Nepal. J Altern Complement Med 2000;6:131.

  5. Jacobs J, Jimenez LM, Gloyd, SS et al. Treatment of acute childhood diarrhea with homeopathic medicine: a randomized clinical trial in Nicaragua. Pediatrics 1994;93:719.

       6. Linde K, Melchart D. Randomized controlled trials of individualized homeopathy: a state–of–the–art review. J Altern Complement Med 1998;4:371.

eMedinewS Try this it Works

Remember your ‘ABC’s when reading chest films

A Airway (midline, patent)
B Bones (eg, fractures, lytic lesions)
C Cardiac silhouette size
D Diaphragm (eg, flat or elevated hemidiaphragm)
E Edges (borders) of the heart (to rule out lingular and left middle lobe pneumonia or infiltrates)
F Fields (lung fields well inflated; no effusions, infiltrates, or nodules noted)
G Gastric bubble (present, obscured, absent) H Hilum (nodes, masses) I Instrumentation (e.g, lines, tubes)

Dr Good Dr Bad

Situation: A diabetic came for routine evaluatiuon
Dr Bad: Get fasting sugar and A1C done.
Dr Good: Get fasting sugar, A1C and GFR test done.

Lesson: Impaired glomerular filtration rate (GFR), a complementary sign of kidney damage, is also associated with increased risk. These findings support current recommendations to regularly assess GFR in the clinical care of patients with diabetes. (Source: Diabetes Care 2009;32(10):1833–8.)

Make Sure

Situation: Patient with uncomplicated gonorrhoea developed complications. 
Reaction: Oh my God! Why I did not advise doxycycline to this patient?
Make Sure to administer oral doxycycline to all patients with uncomplicated gonorrhea for effective cure.

Medi Finance : (BUDGET 2010–2011), CORPORATE

  • No capital Gain on transfer of assets on conversion of small companies into Limited Liability Partnerships

  • The Centralized Processing Centre at Bengaluru is now fully functional and is processing around 20,000 returns daily. This initiative will be taken forward by setting up two more Centers during the year.
Punjab & Sind Bank
 
action
docconnect
 
Central Bank of India
 
Nestle
 
nuspera
 
Docconnect

Laughter the best medicine : GP referral to a Physician
‘Thanks for seeing this delightful young man with a BP of 170/100. I think we ought to exclude another cause apart from sensual’.

SMS of the Day: Things to learn from a Child

1. Be happy for no reason!
2. be always busy with something.!
3. Know how to demand whatever U desire….!!

Formulae in Critical Care

Dose adjustment
Formula: Cpss (desired) = Dose (new)
Cpss (measured) = Dose (previous)
Cpss – concentration of drug in plasma

Milestones in Neurology

Joseph Jules François Félix Babinski (1857–1932, Paris) was a Polish neurologist. He is best known for his 1896 description of the Babinski sign, a pathological plantar reflex indicative of corticospinal tract damage.

Mistakes in Clinical Practice

Written prescriptions must be legible; printing is usually best.

1–7 April Prostate Disease Awareness Week: Prostate SMS of the Day (Dr Anil Goyal)

All prostatic diseases can be diagnosed by digital rectal examination (DRE)

Lab test (Dr Navin Dang)

HPV is the primary cause of cervical cancer and almost all the cervical cancers are caused by HPV

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name

Indication

Approval Date

Bimatoprost Ophthalmic solution 0.03%

For the treatment of hypotrichosis of the eyelashes by increasing their growth including length, thickness and darkness.

30.03.09


(Advertorial section)

ZEN IMMUNE–FACT SHEET

ZENIMMUNE SLIM IS KNOWN TO HELP PREVENT PLAQUE FORMATION IN THE BLOOD VESSELS AND FACILITATE IMPROVED BLOOD CIRCULATION.

Advertising in eMedinewS

eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month. Contact: drkk@ijcp.com emedinews@gmail.com

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

NATIONAL SEMINAR ON STRESS PREVENTION (17–18 April) . Over 350 registrations done already.

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.

Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch

Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.

Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9811090206, emedinews@gmail.com BK Sapna: 9811796962, bksapna@hotmail.com

Stroke Update Workshop for GPs (Starts today)

Indian Stroke Association and International Stroke Conference are organizing a Stroke Update Workshop on March 13–14, 2010 at AIIMS Auditorium. eMedinewS has tied up with the conference for free registrationS. Organizer: Dr Padma, Prof of Neurology, AIIMS. SMS 9717298178 or email to isacon2010@gmail.com

Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards

Readers Responses

  1. Dear Aggarwal Ji, Please accept my hearty congratulations on conferring you the prestigious Padmashree Award for your excellent contribution in field of medical. I am sure you will achieve many more heights in the coming days. With regards: Vijay Goel, All India Gen, Secretary, B.J.P, Former Union Minister, and Govt. of India

  2. Congratulations Dr. Aggarwal for your award and your modesty and kindness in dedicating this to all your well wishers. All the best: 9811142877

  3. Heartiest congratulations on getting Padma Shri: Dhasmana family

  4. Congrats for getting Padma award: Dr RP Parasher