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 & 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 & 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 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

13th August 2012, Monday

FDA Approves New Colon-Cleansing Drug

  • The US Food and Drug Administration (FDA) has approved a new colon-cleansing drug, Prepopik (sodium picosulfate, magnesium oxide and citric acid), a dual-acting stimulant and osmotic laxative, for colonoscopy preparation.
  • A previously available, low-volume oral phospho-soda preparation was removed from the market for safety reasons.
  • The advantage of a small-volume solution (300 ml) for bowel preparation is greater patient compliance, as use of large-volume cleansing preparations may be a deterrent to some patients for having the procedure.
  • Increased use of screening colonoscopy and cleaner bowel allowing high-quality colonoscopy may improve screening rates and cancer detection.
  • The preparation consists of 2 packets of sodium picosulfate, magnesium oxide and citric acid. In a split-dose regimen, patients dissolve the first packet of powder into water and drink the orange-flavored solution the night before a scheduled colonoscopy, and then do the same for the second packet the morning of the procedure.
  • If that split-dose regimen cannot be performed, patients may also take the drug as a day-before regimen in the afternoon and evening before a colonoscopy.
  • Patients are also advised to drink additional fluids during and after use of the preparation to reduce the risk for fluid and electrolyte imbalance.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Crime Against Women - Dr Rashmi Singh part 3

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Heart Care Foundation of India and Bharatiya Vidya Bhavan jointly organized a seminar on Health and Happiness at Bharatiya Vidya Bhavan on 5th July 2012.

 
Dr K K Aggarwal
 
    National News

Health regulator at hospitals soon

NEW DELHI: If you are being charged more or are getting poor quality service at a hospital — both public and private -- you can soon get your grievance redressed with the government planning to set up a health quality regulator. The regulator, both at the national and state level, is expected to be empowered to audit heath facilities and standards of treatment in hospitals to ensure quality service at reasonable cost. "There is need for much better regulation of both public and private sector hospitals. I am not talking only of big hospitals but also of hospitals with 10-15 beds," Planning Commission deputy chairman Montek Singh Ahluwalia said. The proposal, being discussed with health ministry officials and other stakeholders, will be incorporated along with other initiatives in the 12th five-year plan. Ahluwalia also suggested more autonomy for big public sector hospitals, along with strengthening the professional and managerial capability in such hospitals. Denying any move to privatize health services, he said the role of public sector in healthcare would increase in the 12th plan. "Health will be top-most priority of the government in the next five years. The impression that the commission wants to bring down public spending on health is wrong," he said.

"If you see the government spending only on curative health, then it will not be more than 2%," Ahluwalia said, adding that there were capacity constraints to absorb the fund. He said providing free medicines, upgrading all district hospitals to medical colleges and expansion of medical education were priority areas for the government during the 12th plan. Around 100 district hospitals across the country could be upgraded to medical colleges in the next five years to meet the acute shortage of trained doctors and medical staff. A provision to provide free generic medicines is also under consideration for the 12th plan period. The medicines would be purchased by a centralized agency and distributed free to patients across the country. (Source: TOI, Aug 11, 2012)

For comments and archives

My Profession My Concern

Professor Suchitra N. Pandit, Kokilaben Dhirubhai Ambani Hospital & Research Centre, Mumbai, Vice President, FOGSI (2008 -2009) on the profession

For comments and archives

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Cataract surgery increases risk for late AMD

A new study has established a connection between cataract surgery and the heightened likelihood of late-stage age-related macular degeneration (AMD). The study was published in the August issue of Ophthalmology. (Source: Medscape)

For comments and archives

Cone beam CT: Dental Association Panel calls for caution

New guidelines on cone beam computed tomography (CT) scanning by the Scientific Affairs Council of the American Dental Association (ADA) imply that dentists could be responsible for analyzing the complete image from their scan, not just reviewing the maxillofacial area. The guidelines, published in the August issue of the Journal of the American Dental Association, urge dental professionals to use the new technology only when necessary, and only if properly trained to interpret the findings. (Source: Medscape)

For comments and archives

Gum disease risk 4 times greater in patients with RA

Evidence of an association between gum disease and rheumatoid arthritis (RA) received a boost in a small study that found the odds of having gum disease to be 4 times greater among patients with RA. The study, published online August 8 in the Annals of Rheumatic Diseases, lends further support to a hypothesis that the immune response to Porphyromonas gingivalis — a major pathogen in gum disease — can act as a trigger to RA in genetically susceptible people. (Source: Medscape)

For comments and archives

High pollen counts tied to ED visits for asthma

Days of the year with the highest pollen counts also tend to see a greater number of emergency department visits for people with asthma, according to a new study. The main pollen culprits tied to the increase in hospital visits came from oaks and grasses, whose levels spike in the spring. (Source: Medscape)

For comments and archives

Lucentis OK’d for diabetic eye disease

The FDA has approved ranibizumab (Lucentis) for treatment of diabetic macular edema.

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Frequent Urination In Night: Look For
Snoringhttp://blog.kkaggarwal.com/2012/08/frequent-urination-in-night-look-for-snoring/

@DrKKAggarwal: Love yourself. Love the world. There is no power stronger than love.

 
    Spiritual Update

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

Importance of Sixteen in Mythology

  1. Solah Shringar are the sixteen adornments of a woman done on the bride. The ritual is said to correspond to the sixteen phases of the moon which has a negative effect on the woman’s menstrual cycle. It is said to nullify this effect. Solah shringar (literally meaning sixteen decorations) is traditionally marked by the sixteen items of cosmetics and jewelry.
  2. Shodasha Upachara Pooja is sixteen steps of pooja, detoxification and attending to a guest at home.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the treatments with no proven benefit for recurrent miscarriages?

Treatments with no proven benefit include leukocyte (white blood cell) immunization and intravenous immunoglobulin (IVIG) therapy.

For comments and archives

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

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

Plasma components

Fresh frozen plasma

Definition: Fresh frozen plasma or FFP is plasma separated by normal whole blood donation by single donor and rapidly frozen within 6 hours of being collected. It contains all coagulation factors.

Volume: 200 – 220 ml (1 unit)

Storage: At -30°C or colder

Shelf Life: 1 year

Note: Before use, FFP should be thawed in blood bank in thawing bath between 30°C to 37°C. FFP should be administered as soon as possible after thawing and any event within 24 hours if kept at 2° C to 6° C.

Indications:

  • Used in patients with multiple coagulation factor deficiencies
    • Liver diseases
    • Warfarin (anticoagulant) overdose
    • Depletion of coagulation factors in patients receiving large volume transfusions
  • Disseminated intravascular coagulation (DIC)
  • Thrombotic thrombocytopenic purpura (TTP)

Contraindications: Should not be used as a volume expander

Dosage: Initial dose of 10-15 ml/kg

Administration:

  • Must be ABO compatible
  • No compatibility testing required
  • Infuse using standard blood transfusion set as soon as possible after thawing

For comments and archives

 
    ENT Update (Dr Aru Handa, Sr. Cosultant ENT, Medanta-The Medicity, Gurgaon)

What is laryngopharyngeal reflux (LPR)?

Laryngopharyngeal reflux happens due to retrograde flow of gastric contents i.e. liquid from the stomach goes the wrong way and comes to the throat leading to symptoms related to larynx and pharynx.

For comments and archives

 
    An Inspirational Story (Dr GM Singh)

The Troubles Tree

The carpenter I hired to help me restore an old farmhouse had just finished a rough first day on the job. A flat tire made him lose an hour of work, his electric saw quit, and now his ancient pickup truck refused to start. While I drove him home, he sat in stony silence.

On arriving, he invited me in to meet his family. As we walked toward the front door, he paused briefly at a small tree, touching the tips of the branches with both hands.

After opening the door, he underwent an amazing transformation. His tanned face was wreathed in smiles and he hugged his two small children and gave his wife a kiss.

Afterward, he walked me to my car. We passed the tree, and my curiosity got the better of me. I asked him about what I had seen him do earlier.

"Oh, that's my trouble tree," he replied. "I know I can't help having troubles on the job, but one thing for sure, troubles don't belong in the house with my wife and the children, so I just hang them up on the tree every night when I come home.

Then in the morning, I pick them up again." "Funny thing is," he smiled, "when I come out in the morning to pick them up, there aren't nearly as many as I remember hanging up the night before."

For comments and archives

 
  Cardiology eMedinewS

Modest Weight Loss May Help Cut Diabetes Risk In Overweight Individuals.
Read More

Obesity Can Limit Organ Donors Read More

 
  Pediatric eMedinewS

More Kids Say 'No' To Tobacco, CDC Says Read More

Preterm Birth: Vaginal As Good As Cesarean In Vertex Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with right heart failure.
Dr Bad: Continue with your normal fluid intake.
Dr Good: Restrict your fluid intake.
Lesson: In right heart failure, fluids should be restricted.

For comments and archives

Make Sure

Situation: A patient missed her last dose of hepatitis B vaccine as she was out of station at 6th month.
Reaction: Oh my God! Why was the vaccine not given between 4–6 months?
Lesson: Make sure that all patients are given the complete vaccine regimen. The correct regimen is 0, 1–2 months and 4–months.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

If you want to be attractive and young, remain serene and calm, don't get tense, frustrated or angry, never allow bitterness or discontent be your lot.

 
    Legal Question of the Day (Dr MC Gupta)

Q. I think the income acquired by doctors in contravention of the MCI code of medical ethics is a type of "bribe". I don’t think the government should charge income tax on it. Am I right?

Ans. No. You are not right.

  1. You are obviously referring to the CIRCULAR NO. 5/2012 (F. NO. 225/142/2012-ITA.II), DATED 1-8-2012, issued by the income tax department, para 2 of which reads as follows—

    “2. The council in exercise of its statutory powers amended the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 (the regulations) on 10-12-2009 imposing a prohibition on the medical practitioner and their professional associations from taking any Gift, Travel facility, Hospitality, Cash or monetary grant from the pharmaceutical and allied health sector Industries.” The circular can be viewed at— http://www.taxmann.com/taxmannflashes/whatsnew.aspx?stype=1&sid=11860
  2. Para 4 of the circular is reproduced below—

    “4. It is also clarified that the sum equivalent to value of freebees enjoyed by the aforesaid medical practitioner or professional associations is also taxable as business income or income from other sources as the case may be depending on the facts of each case. The Assessing Officers of such medical practitioner or professional associations should examine the same and take an appropriate action.”
  3. It is obvious that even if you consider the said free gifts etc. as bribe, they very much are income in the hands of the medical practitioner. There is no reason why he should not declare such income.
  4. There is no law that income obtained by illegal or criminal means should not be taxed. Even an income obtained by theft is taxable. The law is similar in India as in USA. The US law is as follows:
    “Stolen property. If you steal property, you must report its fair market value in your income in the year you steal it unless, in the same year, you return it to its rightful owner” Reference-- TAX GUIDE, 2011, published by the USA Department of the Treasury, Internal Revenue Service (Federal Publication 17 Catalog Number 10311G), page 95. http://www.irs.gov/pub/irs-pdf/p17.pdf
 
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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

BUN

Increased: Renal failure, pre–renal azotemia, shock, volume depletion, postrenal (obstruction), GI bleeding, stress, drugs (aminoglycosides, vancomycin etc).

Decreased: Starvation, liver failure, pregnancy, infancy, nephrotic syndrome, overhydration.

 
    Mind Teaser

Read this…………………

Which of the drug of choice for pain controls the patient with acute pancreatitis?

A. Morphine
B. NSAIDs
C. Meperidine
D. Codeine

Yesterday’s Mind Teaser: The husband of a client asks the nurse about the protein-restricted diet ordered because of advanced liver disease. What statement by the nurse would best explain the purpose of the diet?

A. “The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system.”
B. “The liver heals better with a high carbohydrates diet rather than protein.”
C. “Most people have too much protein in their diets. The amount of this diet is better for liver healing.”
D. “Because of portal hyperemesis, the blood flows around the liver and ammonia made from protein collects in the brain causing hallucinations.”

Answer for Yesterday’s  Mind Teaser: A. “The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system.”

Correct answers received from:  Dr.(Maj. Gen.) Anil Bairaria, Dr. Thakor Hitendrsinh G, Dr Parimal Shah, Dr Avtar Krishan, Dr Pankaj Agarwal, Dr Chandresh  Jardosh, Dr Jainendra Upadhyay, Dr Kanta  jain, Dr Dinesh Yadav, Arvind Khanijo,Dr Jella

Answer for 11th August Mind Teaser: B. Empty bladder before procedure
Correct answers received from: B. Empty bladder before procedure Correct answers received from: Dr Jainendra Upadhyay, Dr Kanta  jain, Dr Dinesh Yadav, Arvind Khanijo,Dr Jella

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Carpenter's distance

A carpenter was giving evidence about an accident he had witnessed. The lawyer for the defendant was trying to discredit him and asked him how far away he was from the accident.

The carpenter replied, "Twenty-seven feet, six and one-half inches."

"What? How come you are so sure of that distance?" asked the lawyer.

"Well, I knew sooner or later some idiot would ask me. So I measured it!" replied the carpenter.

 
    Medicolegal Update

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

What are the viscera samples to be taken for chemical analysis by the doctor conducting the autopsy?

The majority of poisons are taken orally and the poison due to water content/liquids is likely to be present in the stomach and intestinal contents and their walls. After absorption all poison pass through the liver, which is the major detoxifying organ in the body and has the power of concentrating many poisons and making them identifiable when the blood and urine concentrations may have declined to very low levels. The kidney being the organ of excretion contains large amounts of poison, which is excreted into the urine. The following viscera are preserved in case of any suspected or evident case of death due to poisoning.

  • Stomach and its contents. If the stomach is empty, the wall should be preserved.
  • Upper part of small intestine about 30 cm long with its contents.
  • Liver about 500 gm
  • One kidney or half of each kidney.
  • Brain in case of alcohol death
  • Blood 100 ml/minimum 10 ml
  • Urine 100 ml

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Azadi from Diseases

15th August marks the day when India became free from British Rule. The day is celebrated with numerous cultural events including flag-hoisting ceremonies across the country. However, 15th August should also be commemorated as the day for our commitment to eradicate one more disease, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, president Heart Care Foundation of India. Every year efforts should be made to start a 'Quit India’ Movement for a particular disease.

In 1992, six "eradicable" or "potentially eradicable" infectious diseases were identified by the International Task Force for Disease Eradication. These were dracunculiasis, poliomyelitis, mumps, rubella, lymphatic filariasis and cysticercosis. In 2002, measles was added to this list.

Of these, only guinea worm disease or dracunculiasis has already been eradicated from India.

Malaria, yellow fever, and yaws eradication programmes of earlier ears were unsuccessful but they contributed greatly to a better understanding of the biological, social, political, and economic complexities of achieving the ultimate goal in disease control. In early 1997, WHO listed leprosy, onchocerciasis (River blindness), and Chaga’s disease as being candidates for elimination "as public health problems within ten years".

This year on January 12, India completed one year without a new polio case since its last case. This has been a major step in the fight to eradicate the disease from India and the world. This should inspire us and its time for us to create an India force and start working on eradicable diseases.

Dr Aggarwal further pointed out that an effective cardiovascular control program should be strengthened all over the country as heart attacks are not known to occur in wild animals.

 
    Readers Response
  1. Dear Sir, You are really a source of inspiration. Regards:Dr Jyoti
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

 
    eMedinewS Special

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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, Dr Usha K Baveja