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FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA
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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

  Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
 
  Editorial …

13th November 2012, Tuesday

eMedinewS wishes its readers a happy, healthy and joyous Diwali

Pneumonia more risky to heart patients

People who are hospitalized with bacterial pneumonia are eight times more likely to suffer heart attack or other "acute coronary syndrome" within 15 days of admission than are their peers hospitalized for other conditions.

Even the patients with bacterial pneumonia are at greater risk for acute heart-related "events" in the days following admission than they are one year before or after hospitalization.

As per a research at Baylor College of Medicine in Houston, from a study which focused on 206 patients with pneumonia and 395 non-pneumonia patients, compared to control patients, pneumonia patients had 7.75-fold higher risk of suffering an acute heart-related event within 15 days of being admitted to the hospital.
Overall, 10.7 percent of pneumonia patients suffered an acute coronary heart event within 15 days of hospital admission, compared with only 1.5 percent of control patients. Further analysis showed that pneumonia patients were roughly 45-times more likely to experience an acute coronary heart syndrome in the days following their admission than either one year before or after their hospital stay.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

   Constipation Update

Constipation Sutra: Panel Discussion (Dr KK Aggarwal, Dr Ajay Kumar, Dr Rajiv Khosla, Dr A K Jhinghan, Dr Kailash Singla)

Pain is not a feature of chronic constipation

Pain is not a feature of chronic constipation according to the Rome III diagnostic criteria (Foxx-Orenstein AE, McNally MA, Odunsi ST. Update on constipation: one treatment does not fit all. Cleve Clin J Med 2008 Nov;75(11):813-24). Abdominal pain is a prerequisite clinical feature of IBS. Abdominal pain is highly variable in location and intensity and is often cramp-like. Pain is often exacerbated by eating or emotional stress and is often relieved by defecation. Symptoms may worsen during premenstrual period (Malone MA. Irritable bowel syndrome. Prim Care 2011;38(3):433-47; viii).

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

FDA OKs first drug-eluting stents for use in MI

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

50 foreign nationals from across the globe join our country’s spiritual gurus in raising awareness about revival after sudden death

Over fifty foreign nationals representing countries such as France, Germany, Serbia, Norway, The United States etc were seen learning the art of CPR 10 along with spiritual gurus from various religions. The event was organized as part of the closing ceremony of the 19th MTNL Perfect health mela.

 
Dr K K Aggarwal
    National News

CPR 10

click for Programme

Pushing the dietary envelope

Provisional data from the new Comprehensive Nutrition Survey in Maharashtra (CNSM) released recently shows that the State has been able to improve the nutritional status of children below two years of age by a significant percentage for the first time since the shocking results of the National Family Health Survey (NFHS- 3) in 2005-2006. The prevalence of stunting in children below two years has reduced by 16 per cent to 22. 8 per cent for the first time since 2005-2006, when it was pegged at 39 per cent. In addition, children under two years reported a reduction in wasting (or being too thin for height) from 19.9 per cent to 15.5 per cent and in being underweight (too thin for age) from 29.6 per cent to 21.8 per cent. The CNSM 2012 is the first ever State-specific nutrition survey with a focus on infants under two and their mothers. The International Institute of Population Sciences (IIPS) and UNICEF are involved in the study which examined a representative sample of 2,809 children from each of the six administrative divisions of Maharashtra. The results give a boost to the State, which has been under fire for its deaths due to malnutrition, especially in areas like Melghat, Thane and Nashik. (Source: The Hindu, November 11, 2012)

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

 
    Valvular Heart Disease Update

Bicuspid aortic valve is associated with dilation of the ascending aorta in some patients which occasionally progresses to aortic aneurysm and less frequently to aortic dissection. Bicuspid aortic valve is also associated with coarctation of the aorta.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Surgical checklist from WHO improves safety and outcomes

The World Health Organization (WHO) Surgical Safety Checklist appears to improve safety and patient outcomes when adhered to in the operating room, according to an analysis of 20 studies. (Source: Medscape)

For Comments and archives…

Tolvaptan slows progression of polycystic kidney disease

Treatment with tolvaptan, a currently marketed drug, can slow the progression of autosomal dominant polycystic kidney disease (ADPKD). Although not currently approved for this indication, tolvaptan slowed the increase in kidney volume and decline in kidney function over a 3-year period, Vicente Torres, MD, PhD, professor of medicine and chairman of the Division of Nephrology and Hypertension at Mayo Clinic in Rochester, Minnesota, told delegates here at Kidney Week 2012. The trial was published online November 3 in the New England Journal of Medicine to coincide with its presentation at Kidney Week 2012: American Society of Nephrology 45th Annual Meeting. (Source: Medscape)

For Comments and archives…

Pneumonia: Corticosteroids linked to longer hospital stay

Administration of corticosteroids to patients with community-acquired pneumonia (CAP) at a hospital in Spain showed no significant associations with mortality or clinical stability, but instead was linked to a longer length of hospital stay for some patients, according to an article published online November 7 in Respirology. (Source: Medscape)

For Comments and archives…

Global warming may double pollen by 2040

If you're allergic to pollen, brace yourself."By the year 2040, we will get about 1.5 to two times the amount of pollen that we have now," says Leonard Bielory, MD. Bielory is professor of environmental prediction at Rutgers University and attending physician at Robert Wood Johnson University Hospital, New Brunswick, N.J. Pollen production will also start earlier and peak earlier, according to Bielory's new model. He will present his findings at the American College of Allergy, Asthma & Immunology meeting in Anaheim, Calif., on Sunday. (Source: Medscape)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Temp below 30 not conducive for dengue

@DeepakChopra: You are capable of making a quantum leap in how you use your brain. http://tinyurl.com/adwt7hy

 
    Spiritual Update

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

Gambling in Indian Mythology

  1. Gambling on Diwali celebrations is mentioned in the story of Mahabharata. It teaches us about taking calculated risks in life
  2. In Mahabharata, it teaches that excess of everything is bad. If Yudhishtira had not risked Draupadi on that day while plying dice, the Mahabharata would not have been fought. The same divine dice game became a vice for that moment.

For Comments and archives…

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

What are the symptoms of intrauterine adhesions?

Women with intrauterine adhesions may experience menstrual dysfunction in the form of absent, light, or infrequent menstruation. Also, they may be unable to achieve pregnancy or may experience recurrent miscarriages. Less commonly, pelvic pain or dysmenorrhea (painful menstrual periods) may be present if the adhesions block menstrual blood flow.

For Comments and archives…

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

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

The basics of blood

Antigens

  • Controlled by genes at unknown number of chromosomal loci.
  • Appear by 40 days of intrauterine life- unchanged till death.
  • Also present in tissues and tissue fluids.
    • Blood group system: A group of antigens controlled by a locus having a variable no of allele genes. More than 15 blood group systems are recognized: ABO, Rh, Kell, Duffy, MN, P, Lewis, Lutheran, Xg, Li, Yt, Dombrock, Colton, Public antigens & Private antigens.
  • Blood type- means individual antigen phenotype which is the serological expression of the inherited genes
  • Most of these blood group antigens have been found to be associated with hemolytic disease.
  • However, ABO and Rh account for 98%.

For Comments and archives…

 
    An Inspirational Story

Dearest Grandmamma

Hi all, I would like to share a story with you, a person who has been a source of inspiration to each and every one of our family member.

She is (was rather, she is no more) my grandmamma. She was an affectionate woman who could win over anyone with her undying love, no matter what. Let me narrate to you, the story of her life, the trauma that no woman should ever undergo! She was the eldest of a family of 7 girls and 1 boy. Of these, 2 children died shortly after birth. Right now, only 2 of them are alive.

At the age of 16, my grandma got married as a second wife to a 40 year old man. She lost her husband 1 year after her wedding. By God’s grace she had a son whom she considered a solace. But that didn’t last, as the son passed away shortly too! Ultimately, by the age of 25 she lost her entire family! Nevertheless, she then dedicated her life towards the upbringing of each and every child in the family. This was the reason she was loved and respected by everyone in our family.

Last year, by this same time, my marriage was fixed. Being the oldest grandchild in my family, she was very happy and said she would bring up my kid too! I was in tears and said of course you will have to! Shortly before my engagement, she had a fall one night when sleeping. It left her right hand fractured. There began all the trouble. She was 83 years old by then. At my engagement function, all she could do was sit quietly in one place. It was a hard hitting reality for all of us since we got used to seeing her doing the entire household chores all by herself!

There was hardly a month left for my wedding. She developed a strange mental depression since that time, imagining things, fearing death, longing to see my wedding and the like. All of us assured her that she would be the first person to bless me at my wedding. But nature is inevitable as we all know. She was admitted in the ICU for nearly 20 days. All day we would stay at the hospital, praying for her. One fine day it happened-what we all feared. She was no more, and left all of us teary-eyed.

My dad was the eldest child in the family, so naturally he had to do the rites. But our family stopped him since I had my wedding the next month. We (me, dad, mum and sis) weren’t allowed to even see her face! Imagine our plight! At my wedding, her garlanded photo was in front of me and my husband. I was speechless, moved to tears. I knew, my dearest grandmamma will bless me as ever!

Even today, we don’t feel her loss; I only feel why she isn’t around to share our joys and sorrows. I’d like to conclude by saying not only parents; grandparents need our affection and care! They are precious; do not lose them at any cost!!

Source: http://academictips.org/blogs/dearest-grandmama/

For comments and archives

 
   Cardiology eMedinewS

AHA: PPI-aspirin pill eases GI ulcers in heart patients Read More

Cutting salt restores vessel health Read More

 
   Pediatric eMedinewS

Palmitic acid linked to white matter injury in preterm infants Read More

Egg allergy most likely to be outgrown Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A female smoker wanted to know her risk of diabetes.
Dr. Bad: There is no risk.
Dr. Good: You are at high risk.
Lesson: A study published in the journal ‘Diabetes Care’ has shown that females who smoke more than 20 cigarettes daily have higher chances of developing type 2 diabetes.

For comments and archives

Make Sure

Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy. Gingival hyperplasia is a known side effect of amlodipine.

For comments and archives

 
  Legal Question of the Day (Dr MC Gupta)

Q. Our hospital has a practice that when an unconscious patient is unaccompanied by anybody and needs urgent life saving surgery, the Medical Superintendent signs the consent form as attendant or on behalf of the patient. Is such a practice legally correct?

Ans.

  1. The practice is correct but not fully so.
  2. In such a case, the “consent” should preferably be in the form of a written and signed statement by a group of three doctors on the following lines:

    “We have examined and reviewed the patient named………….who is suffering from………….. We are of the clear and unanimous opinion that he should be immediately subjected to the surgical procedure named…………….because not doing such surgery is likely to result in avoidable loss of life. The patient is incapable of giving consent because of the following reason:

    ………………….

    …………………..

    The patient is not accompanied by any other person who may give consent on his behalf. In the circumstances, we, the following, together assume the role of his guardians acting in his best interest and, by virtue of that role, do hereby give consent on his behalf for performing the said surgery and, additionally, any other surgical procedure that may be felt, because of circumstances arising during the course of surgery, to be essential for saving life. We also give consent for the anesthesia of the following type named…………………and / or any other type of anesthesia that may be deemed necessary by the anesthetist.

    SIGNED (along with names and medical council registration no. and designations and address)—

    XXXXXXX

    XXXXXX

    XXXXXXX COUNTER-SIGNED BY—

    XXXXXX

    MEDICAL SUPERINTENDENT”
  3. It is strongly advised that such consent/statement should be obtained before actually starting surgery. I have seen situations where one or more of the doctors concerned refuse to sign later. This is likely to happen if there is an unfavorable outcome/complication.
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  Quote of the Day (Dr GM Singh)

True genius sees with the eyes of a child and thinks with the brain of a genie. Puzant Kevork Thomajan

 
    Mind Teaser

Read this…………………

A man was killed on Sunday morning. His wife found the body and called the police. The police arrived and questioned the chef, maid, butler, and gardener. Their alibis were:
Chef - making breakfast
Maid - getting mail
Butler - setting table
Gardener - watering plants
The police immediately arrested the criminal. Who was it and how did they know?

Yesterday’s Mind Teaser: What number comes next?

2, 2, 4, 12, 48, ___

Answer for Yesterday’s Mind Teaser: 240. To get the number, multiply the previous number in the series by its position. 48 is in the 5th position, so 48 × 5 = 240

Correct answers received from: Nitin Ghaisas, Dr Kanta Jain, Dr KV Sarma, Dr Surendra Jain,
Dr Suresh Arora, Dr.Shagufta Moin, Dr PC Das, Dr Mukesh K Bhandari, Dr Rajiv Dhir, Dr (Maj. Gen.), Anil Bairaria, Dr HL Kapoor, Dr Pankaj Agarwal, Dr RK Goel, Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr LC Dhoka, Dr Vijay Kansal, Dr Avtar Krishan, Archana Rawat, Dr U Gaur, Dr Thakor Hitendrsinh G, BB Gupta.

Answer for 11th November Mind Teaser: 3 cuts. Cut each link in one chain. Separate them, and use the links to join the ends of the 3 intact chains.
Correct answers received from: Dr. P. C. Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

A guy decides to get a sex change. So he goes to a very famous surgeon and has the whole thing done.
A few weeks after the surgery he is the center of attraction at a party thrown by his old buddies and they are all anxious to know about the surgery.
One of them said, "It must have really hurt when they shot all that silicon into your chest to make your breasts."
The young lady replied "Not really, I hardly felt it." "Well, it must have really hurt when they chopped off your manhood!"
"Nope, I didn’t really feel it either. The only thing that really hurt was when they drilled a hole in my skull and sucked out half my brains."

 
  Medicolegal Update

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

The injuries produced by a blunt weapon on tense skin covering the bones, as on scalp, eyebrow, iliac crest, shin, perineum, knee or elbow looks like incised

  • While preparing the MLC report, the doctors should keep in mind that he has to provide clues about the weapon used (sharp-edged or otherwise), the direction of the force, the duration of injury, and the location of the wound which may suggest mode of production i.e. suicide, accident, homicides along with whether the injury is fabricated or otherwise
  • The wounds produced by a blunt weapon or by a fall on the hard surface, object, on tense structures/skin covering the bones, such as the scalp, eyebrow, iliac crest, shin, perineum, knee or elbow when the limb is flexed look like incised wound. But lacerated wounds, also called split lacerations, are caused by blunt force and create confusion in the mind of doctor, public and police official about sharp weapon.
  • When the incised looking wounds are examined by doctor under magnifying lens, the edges of such wounds are found to be irregular with bruising and wounds are produced by blunt weapon.
  • Neatly incised laceration is considered as incised wound and broken glass as dangerous weapon.
  • An incised wound, cut, slash, and slice is a clean cut through the skin may or may not underlying tissues and structures caused by sharp edged instruments, which is longer than the depth of wound. It is produced by infliction of an object having a sharp cutting edge such as knife, razor, blade, scalpel, sword over the body.
 
    Public Forum

(Press Release for use by the newspapers)

50 foreign nationals from across the globe join our country’s spiritual gurus in raising awareness about revival after sudden death

12 lakh of 24 lakh Indians who die due to sudden cardiac arrest each year can be saved till 10 minutes after their death through the new age CPR called CPR 10

The Perfect Health Mela, a health awareness initiative that has been organized by the Heart Care Foundation of India since the past25 years, a leading Indian NGO committed to healthcare awareness saw a unique fusion of global and Indian efforts to save lives yesterday.

Over fifty foreign nationals representing countries such as France, Germany, Serbia, Norway, The United States etc were seen learning the art of CPR 10 along with spiritual gurus from various religions.

The event was organized as part of the closing ceremony of the 19th MTNL Perfect health mela. The spiritual gurus included Mr Sunil Kumar (Ramakrishna Mission), Dr AK merchant (Bahai Faith), Mr V Qazi (Islam), BikshuPoornima (Buddhism), Mr E.I Malekar (Juadism) and Bishop Karam (Christianity)

What is CPR 10?

CPR 10 – Within 10 mins of death, the earlier the better, for the next 10 mins, compress the center of the chest of the person with cardiac arrest with a speed of 10*10 ie 100 per minute.

Details

It is estimated that 24 lakh people across India die through sudden cardiac arrest every year and 12 lakh of these people can be saved if hands only CPR is performed by the bystander. 8500 people in total were trained in practical CPR 10 during the Mela which included the general public, school children, teachers, VIP’s, nurses, doctors, physically challenged people etc. Giving the details, Padmashri and Dr BC Roy Awardee, Dr KK Aggarwal, President Heart Care Foundation of India said that age is no bar for doing CPR and everyone from children to the very old can perform successful CPR. Even physically challenged people can learn the technique. Dr Aggarwal also urged the general public to follow the example set by the foreign nationals in learning CPR and helping save lives. The foundation aims at training 1 lakh people in the next one year as part of their initiative of reducing the amount of cardiac deaths in India.

About Heart Care Foundation of India

Founded in 1986 as a National Charitable Trust with the basic objective of creating health awareness, the Heart Care Foundation of India is in its 25th year and it has been working tirelessly to spread health awareness through various Health Mela’s, free check up camps, health parades, health conferences, health darbars, run for your heart etc. It has received three commemorative postal stamps by the Government as well.

Its mission is to create awareness about all aspects of health for people from all sections of the society of life, incorporating all pathies under one roof by conceptualizing and designing cost effective replicable health awareness modules.

 
    Readers Response
  1. I PLACE ON RECORD MY HEARTIEST CONGRATULATIONS FOR SUCCESSFUL CONCLUSION OF HEALTH MELA. SIR, YOU ARE THE PIVOT ON WHICH THE WHEEL OF MELA REVOVLED. HATS OFF TO YOU, SIR.

    MAY GOD GIVE U STRENGTH TO FULLFIL YOUR MISSION. I TAKE THIS OCCASION TO WISH YOU AND YOUR FAMILY A HAPPY DIWALI. MAY GODDESS LAKSHMI SHOWER ITS BLESSINGS ON YOU AND BRING PEACE AND PROPERITY. RAJ KUMAR KALRA
 
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