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  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

Photos of 1st Mega Ajmer Health Camp 2012

 
  Editorial …

13th March 2012, Tuesday

Trimetazidine for heart failure

An old antianginal drug, the fatty acid–oxidation inhibitor, trimetazidine (flavedon), may have potential as a heart failure treatment, according to a meta–analysis that concluded that the drug improved left ventricular ejection fraction (LVEF), functional capacity and ventricular dimensions in 884 HF patients across 16 randomized trials.

The current analysis is published in the March 6, 2012 issue of the Journal of the American College of Cardiology.

It improve LVEF by 6.46 points, total exercise time by 64 seconds, NYHA functional class by 0.57%, LV end–systolic diameter by 6.67 mm, LV end–diastolic diameter by 6.05 mm, and B–type natriuretic–peptide levels by 203.40 pg/mL.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Trimetazidine for heart failure

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Women’s Day Celebration at Dr Sadhna International Women Rights’ Protection Trust

The occasion saw distribution of awards to prominent women in different fields.

The function was organized by Dr. Sadhna International Women Rights’ Protection Trust with World Fellowship of Religions, Heart Care Foundation of India, eMedinewS and Acharya Sushil Muni Ahimsa Peace Award Trust at Acharya Sushil Muni Ashram, Defence Colony, New Delhi.

 
Dr K K Aggarwal
 
    National News

Glaucoma awareness walk held

PATNA: Eminent ophthalmologists of the state on Sunday participated in the Glaucoma awareness walk from Kargil Chowk as part of the World Glaucoma Week being organized here under the aegis of Bihar Ophthalmological Society. The walk, which was flagged off by Senior SP, Patna, Alok Kumar, was part of the society’s awareness campaign about glaucoma, considered as a silent eye disease leading to irreversible blindness by the time patient becomes aware, as it does not produce any symptom. Dr Sunil Kumar Singh, editor of an eye journal, said that the high risk people are those aged 40 and above, patients with eye injury, those taking oral drug (steroids), diabetes, hypertension, those suffering from thyroid and frequent changes of glass etc. (Source: TOI, Mar 12, 2012)

For comments and archives

"Walk for Glaucoma" held in Bangalore

Bangalore: To increase awareness among the public about Glaucoma, Bangalore Ophthalmic Society and Glaucoma Society of India jointly organized. Walk for Glaucoma, a walkathon from Freedom Park to Gandhi statue at M G Road. Glaucoma is the third leading cause of blindness in India. 12 million people are affected accounting for 12.8 per cent of the country’s blindness. This is expected to grow to 16 million by 2020, eye specialists said.
(Source: http://zeenews.india.com/news/health/fitness/walk–for–glaucoma–held–in–bangalore_15988.html, March 11, 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

Excessive cured meat intake may be harmful to COPD patients

Excessive consumption of cured meat is associated with an increased risk for hospital readmission among patients with chronic obstructive pulmonary disease (COPD), report Jordi de Batlle, BMedBiol, from the Centre for Research in Environmental Epidemiology, Hospital del Mar Research Institute, the CIBER Epidemiología y Salud Pública, and the Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain, and colleagues. Results from their study were scheduled to be published online March 8 in the European Respiratory Journal. (Source: Medpage Today)

For Comments and archives…

Contraceptive use carries no bigger HIV risk

Women who use oral contraceptives do not appear to have any increased risk of acquiring HIV, researchers said at the Conference on Retroviruses and Opportunistic Infections. (Source: Medpage Today)

For Comments and archives…

Exercise and rest both effective for some patients with back pain

Exercise might not always be the best treatment approach for some low back pain sufferers. A new randomized trial shows no difference in pain, disability, or general health among patients with lower back pain and Modic changes (MCs) — edema or fatty degeneration in the vertebral endplate — who followed an exercise regime and those who adopted a routine of rest and load reduction. (Source: Medscape)

For Comments and archives…

iPad can cause ‘computer vision syndrome

WASHINGTON: iPads too can contribute to "computer vision syndrome", a set of eye problems caused by staring at a screen for long periods of time without taking a break. According to the American Optometric Association, symptoms of computer vision syndrome include eyestrain, headaches, blurred vision and dry eyes. Many of us may already have the syndrome and not even realize it. People who spend two or more continuous hours in front of a computer or digital media each day are most at risk for computer vision syndrome, according to Wake Forest Family Eyecare. (Source: TOI, Mar 10, 2012)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Soul and Spirit in The Language Of Quantum Physics The basic oneness of the universe is the central…
https://www.facebook.com/permalink.php?story_fbid=367588279929148&id=158624224158889

@DeepakChopra: Every time you are tempted to react in the same old way, ask if you want to be a prisoner of the past or a pioneer of the future.

 
    Spiritual Update

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

Soul and Spirit in The Language Of Quantum Physics

Excerpts from Sages and Scientists 2012 (San Diego 3–5th March 2012)

The basic oneness of the universe is the central characteristic of the mystical experience and today is also one of the most important revelations of modern physics. It is the most important discovery in the history of science, says Prof. Henry Stapp, Quantum physicist who received The Spirit of Rustum Roy Award 2012 this Year atSan Diegoon 4th March.

For Comments and archives…

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How will my doctor diagnose hydrosalpinx?

There are three ways that your doctor can check if you have hydrosalpinx.

  • X–ray procedure: The doctor will inject a special liquid into your uterus and then take an x–ray (called a hysterosalpingogram or HSG) to see where the liquid goes. If your fallopian tubes are open, the liquid will flow out of the ends of the tube. If the tubes are blocked, the liquid will be trapped and your doctor will be able to tell that you have a hydrosalpinx.
  • Surgery: Your doctor will make a small opening in your belly and insert a special telescope or laparoscope. During this surgery, the doctor can look at your fallopian tubes to see if they are blocked. Usually the doctor inserts a dye through the vagina into the uterus and fallopian tubes to confirm that the dye passes through the ends of the tubes.
  • Ultrasound: Your doctor may do an ultrasound to look at your fallopian tubes.

For Comments and archives…

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

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

Organ transplantation

Organ donors may be living, or brain dead. Tissue may be recovered from donors who are cardiac dead – up to 24 hours past the cessation of heartbeat. Unlike organs, most tissues (with the exception of corneas) can be preserved and stored for up to five years, meaning they can be "banked". Transplantation raises a number of bioethical issues, including the definition of death, when and how consent should be given for an organ to be transplanted and payment for organs for transplantation. Other ethical issues include transplantation tourism and more broadly the socio-economic context in which organ harvesting or transplantation may occur.

A particular problem is organ trafficking. Some organs, such as the brain, cannot yet be transplanted in humans.

In the United States of America, tissue transplants are regulated by the U.S. Food and Drug Administration (FDA) which sets strict regulations on the safety of the transplants, primarily aimed at the prevention of the spread of communicable disease. Regulations include criteria for donor screening and testing as well as strict regulations on the processing and distribution of tissue grafts. Organ transplants are not regulated by the FDA.

Transplantation medicine is one of the most challenging and complex areas of modern medicine. Some of the key areas for medical management are the problems of transplant rejection, during which the body has an immune response to the transplanted organ, possibly leading to transplant failure and the need to immediately remove the organ from the recipient. When possible, transplant rejection can be reduced through serotyping to determine the most appropriate donor-recipient match and through the use of immunosuppressant drugs.

For Comments and archives…

 
    An Inspirational Story

(Dr GM Singh)

An act of kindness

Years ago, when my then husband had been made redundant, I was pregnant with our second child and our daughter was only 10 months old.

We were on benefits for the first time in our lives – even the baby milk was free – and our mortgage was being paid. Our pride was in our boots. A free supermarket bus used to drop off people outside our house and a lady got off the bus and came down our drive with two bags of shopping for us. She said she hoped I didn’t mind but she'd heard of our troubles from some of the neighbors and had bought us a chicken, fresh cream, cakes and biscuits to help us out.

I stood on the doorstep and cried at her kindness. I offered to pay but she wouldn’t hear of it and said I'd have the opportunity to do the same for someone else one day when our fortunes took a turn for the better.

I’ve done the same more than once and I’ll never forget the stranger who knocked on my door with free shopping for me and my family in our time of need.

For Comments and archives…

 
   Cardiology eMedinewS

Kidney Donors Not At Higher Risk of Heart Disease. Read More

Bariatric Surgery Complication Rate Associated With Decrements In Renal Function. Read More

Bread Is Number 1 Source of Na Read More

Sedentary Women Prone To Diabetes. Read More

 
   Pediatric eMedinewS

Drug Holiday For HIV Kids Can Be Done Safely Read More

Novel Drug Bolsters Bone In Genetic Disorder Read More

In a Nutshell, Exercise Can Read More

Does Drinking Coffee Increase Glaucoma Risk? Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient developed tetany after he was given metoclopramide.
Dr Bad: Give calcium.
Dr Good: Stop metoclopramide. Give inj promethazine.
Lesson: Metoclopramide can cause extrapyramidal symptoms.

For comments and archives

Make Sure

Situation: A patient with angina and abnormal endothelial functions was put on atenolol.
Reaction: Oh my God! Why you did not consider nebivolol?
Lesson: Make sure that nebivolol is used as the beta blocker of choice in patients with proven endothelial dysfunction (Kardiologiia 2004;44(2):15–18).

For comments and archives

 
    Microbial World: The Good and the Bad they do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity)

DENTAL CARIES

The Lactobacilli, Streptococcus mutans and S sanguis, all part of normal oral flora produce acid by fermentation of sugars and carbohydrates of the food sticking to dental surfaces. This acid accumulates in the plaque and slowly destroys the enamel/dentine of affected tooth by demineralization.

It seems as if the bacterial populations present in the mouth have intelligence, talk to each other through enzymes, proteins, polysaccharides and function in a sequence as a team to finally bring about tooth decay, caries and destruction. Most important player is S mutans with special physiological and biological properties. Enamel pellicle formed of salivary glycoprotein’s (mucins) attracts the molecular receptors (glycosyl transferase) on these bacteria. The bacteria produce the lactic acid, initiate the tooth decay process and other oral bacteria as above, the secondary invaders, carry on and further harm the tooth.

Veillonella is an anaerobic oral bacterium that loves acidic environment provided by carious tooth. These anaerobes use the acid produced by other bacteria in mouth and in fact slow down the process of caries, some good by the oral flora.

Listen to your Dental Surgeon and maintain oral hygiene to prevent dental caries. We all know it but are complacent and suffer as a result. Be diligent in oral hygiene practices.

For Comments and archives…

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  Quote of the Day

(Dr GM Singh)

Life is for living! And it doesn’t really matter what’s going on in your life right now – whether joy or despair or boredom – this is still true. Obviously a life filled with ‘good stuff’ seems to be a life that is easier to enjoy, I agree. But any life – yours or mine – really can be enjoyed, moment by moment.

 
  12 Most Common Technology Hazards (Part 4)

Cross–contamination from flexible endoscopes

Improper cleaning and disinfection techniques of flexible endoscopes can lead to patient cross–contamination, resulting in life–threatening infections. A brand of colonoscope changed its design and required independent cleaning of a new channel for it to be fully disinfected," says Keller. "The hospital didn’t realize that, so it treated patients with endoscopes that weren’t fully disinfected.

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Stool Examination

Diarrhea is a common symptom of a gastrointestinal disturbance.
O & P (Ova and Parasite) testing: A microscopic evaluation of stool for parasites and the ova (eggs, cysts) of parasites. A basic test but very important!!

 
    Mind Teaser

Read this…………………

Which does not predispose to carcinoma stomach?

a) Low fat and protein diet
b) Salted meat and fish
c) Low nitrate consumption
d) High complex carbohydrate consumption

Yesterday’s Mind Teaser: Which is not a genetic alteration associated with carcinoma stomach?

a) Overexpression of k–sam
b) Overexpression of c–erbB2
c) Inactivation of c–met
d) Inactivation of p53

Answer for Yesterday’s Mind Teaser: c) Inactivation of c–met

Correct answers received from: Dr Mrs S Das, Dr PC Das, Dr Deepali Chatterjee, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Valluri Ramarao.

Answer for 11th March Mind Teaser: d) Secretin

Correct answers received from: Dr Chandresh Jardosh, Dr Mrs S Das, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Daytime Television

A newspaper reporter was writing a feature story about prison life and was interviewing one of the prisoners. "Do you watch much television here?" "Only the daytime shows," the inmate said. "At night we’re locked in our cells and don’t see any television."

"That’s too bad," the reporter said, "But I do think it is nice that the warden lets you watch it in the daytime."

"What do you mean, nice?" the inmate said. "That’s part of the punishment."

 
  Medicolegal Update

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

Exposure to a poison leads to illness

The very old, very young or those in poor health suffer greater damage

When people are in contact with a poison they are said to be exposed to it. The effect of exposure depends partly on how long the contact lasts and how much poison gets into the body, and partly on how much poison the body can get rid of during this time. Exposure may happen only once or many times.

  • Acute exposure is a single contact that lasts for seconds, minutes or hours, or several exposures over about a day or less.
  • Chronic exposure is contact that lasts for many days, months or years. It may be continuous or broken by periods when there is no contact. Exposure that happens only at work, for example, is not continuous. Chronic exposure to small amounts of poison may not cause any signs or symptoms of poisoning at first. It may be many days or months before there is enough chemical inside the body to cause poisoning. For example, a person may use pesticide every day. Each day the person is exposed to only a small amount of pesticide, but the amount of pesticide in the body gradually builds up, until eventually, after many days, it adds up to a poisonous dose. Only then does the person begin to feel unwell.

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)

Ideal sleep time: Eight hours

People who sleep less than 7 hours or more than 9 hours a night, gain more weight over a period of time and become obese as compared to individuals who log 8 hours every night.

People who want to lose weight or prevent weight gain should not only exercise and eat well, but also sleep well said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India.

In a study by Dr. Angelo Tremblay, of Laval University in Quebec City, published in the Journal Sleep, the researchers followed 276 men and women for 6 years. During that time, people who averaged 5 to 6 hours of shut eye a night gained 1.98 kgs more than those who slept 7 to 8 hours, while those who slept for 9 to 10 hours gained 1.58 kgs more than the average–length sleepers.

Short and long sleepers also showed greater gains in fat mass and waist circumference than average–length sleepers, and were significantly more likely to gain 5 kgs or more.

Getting too much or too little sleep somehow disrupts appetite control by causing a reduction in leptin, a hormone that dampens appetite, while increasing secretions of the appetite–stimulating hormone ghrelin.

Short and long sleepers were also more prone to hypoglycemia, or low blood sugar, than average sleepers, which could increase appetite as well.

 
    Conference Calendar

IANPSCN 2012 – IAN Postgraduate Summer Course in Neurology–2012 – 16 Mar to 18 Mar, NIMHANS Convention Centre, Bangalore, Karnataka.

 
    Readers Response
  1. Good to see pharmacology in good doctor bad doctor. We encounter such amazing side effects in day to day practice, which are mentioned in the text books. I encountered hallucination in a patient after IV ranitidine. Vivek Kumar, Varanasi.
 
    Forthcoming Events
Dr K K Aggarwal

Board of Medical Education Moolchand Medcity and eMedinewS

Invites you for a lecture

16th March Friday, 9am

Topic: Social Intelligence (the new science of success, getting people to cooperate with you) by

Mary Keightley, Speaker, Trainer, Coach

Mind Associates Ltd

SMS/Registration: Rekha 9899974439 rekhapapola@gmail.com

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

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    eMedinewS Special

1. IJCP’s ejournals (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