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; 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 …

eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

14th February 2013, Thursday

Doctors illegally taking organs of mishap victims?

Reports HT. According to the report, doctors, in connivance with the police, may be illegally removing organs of road mishap victims, including missing children, across the country. The Justice JS Verma committee had raised suspicion on the existence of “a racket” of extraction and sale of human organs in its report on the basis of the testimony of a top Union health ministry official and the Central Bureau of Investigation (CBI) director.

My views: No organs can be taken out unless the person is heart alive and brain dead. From a heart- and brain-dead person, only the cornea can be harvested and no other organs.

Brain-dead heart-alive victims will be on a ventilator and cannot be declared brain dead unless 24 hours have passed after the mishap.

Let the public perception not go with the HT story that it is possible to take organs out of a victim who dies in a road accident.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

How is chronic idiopathic constipation defined?

Chronic idiopathic constipation, also known as functional constipation is generally defined as the persistent difficult or seemingly incomplete defecation and/or infrequent bowel movements (once every 3–4 days or less) in the absence of alarm symptoms or secondary causes. The prevalence varies widely and ranges from 4 to 20% of patients.

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Longer CPR efforts may improve
survival chances

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

4th eMedinewS Revisiting 2012

A daylong conference, eMedinewS Revisiting 2012, was organized by eMedinewS, Heart Care Foundation of India and World Fellowship of Religions.

 
Dr K K Aggarwal
    National News

Swine flu: Experts worried by rising cases, advise caution

Chandigarh: The spurt in the number of swine flu cases this year has perplexed even the experts. While last year less than half a dozen cases were reported, the total number of cases has reached 30 this year, and still counting. Significantly, contrary to the past wherein cases would pour in from specific areas, this time cases are being reported from different places and are isolated in nature. Experts say this is one of the reasons why the spread is not being controlled besides the dip in the temperature in the past few days. Doctors are hopeful that with winters subsiding, within next 10 days or so, the virus should be on the decline. However, offering a word of caution, Dr Rajesh Kumar, head of the department, Department of Community Medicine and School of Public Health, PGIMER, said, "H1N1 virus is a very difficult virus to control once it spreads. It is in the air and cannot be controlled at this stage. Since we are getting cases from isolated areas, it is all the more pertinent that there should be early detection and early treatment. If a patient is admitted to the hospital, adequate preventive measures should be taken by the hospital to ensure that the risk for the staff is mitigated." "There are three kinds of cases: one is clinical wherein we see early signs of the virus in a patient, second is sub-clinical where there are no signs or symptoms, and the third has mild symptoms. Nevertheless, it is not at all advisable that the patient should start self-medication by taking Tami Flu on his own. A doctor should be consulted under all circumstances," added Dr Rajesh. (Source: Indian Express, Feb 13, 2013)

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Sexual abuse is when a child engages in sexual activity for which he/she cannot give consent, is unprepared for developmentally, cannot comprehend and/or an activity that violates the law or social taboos of society.

For comments and archives

 
    Valvular Heart Disease Update

When should surgery be avoided in chronic mitral regurgitation?

Asymptomatic patients with severe chronic MR and normal LV systolic function (defined as LV ejection fraction (LVEF) =60 percent and LV end–systolic dimension <40 mm) are usually followed and managed conservatively.

(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)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

FDA approves Pomalidomide for multiple myeloma

The oral therapy pomalidomide (Pomalyst, Celgene) was approved by the US Food and Drug Administration today for use in the treatment of multiple myeloma. (Source: Medscape)

Age plays strong role in H. pylori recurrence

For patients in Latin America, factors such as age and treatment adherence may play as important a role in the recurrence of Helicobacter pylori infection as antibiotic regimens, a study in Latin America found. (Source: Medpage Today)

Soy intake linked to lower recurrence of hormone-sensitive breast cancers

Soy intake is linked to lower recurrence of hormone-sensitive breast cancers, according to the results of a study reported online October 18 in the Canadian Medical Association Journal. (Source: Medscape)

Southern diet has tight grip on 'stroke belt'

For reasons that have eluded explanation, residents of the Southeastern U.S. historically have had about a 20% greater risk of stroke than people living elsewhere in the country. Now, researchers report that deep-fried chicken, sweet tea, and other Southern fare may help explain why this region has come to be known as the "Stroke Belt." (Source: Medpage Today)

Hospitals steadily reducing most inpatient infection rates

Hospitals throughout the United States have made significant progress in reducing healthcare-associated infections and are on track to meet goals set in 2008 as part of the National Action Plan to Prevent Healthcare-Associated Acquired Infections, according to a report published online February 11 by the Centers for Disease Control and Prevention (CDC). (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal:Vitamin B 12 a magic bullet against Hepatitis C Vitamin B12 supplementation improves rates of sustained viral...http://fb.me/1aCqQRJ3e

@Dr Deepak Chopra: Empathy for others isn't possible if you view them as rivals. Pls read my article A LEADER BONDS EMOTIONALLY http://tinyurl.com/bjnl2lq

 
    Spiritual Update

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

Why do we speak delicately in love?

A Saint asked his disciples, “Why do people shout in anger or why do people shout at each other when they are upset?” The disciples thought for a while, and then one of them said, “Because we lose our calm, we shout because of that.” “But why shout when the other person is just next to you?” asked the saint, “Isn’t it possible to speak to him or her in a soft voice? Why do you shout at a person when you are angry?” The disciples gave other answers but none satisfied the saint.

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

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

What about Rh – positive and Rh – negative?

A patient with Rh–negative blood cannot be given Rh–positive blood as the antigen-antibody reactions will result in severe consequences.

In the females who have Rh negative with their husbands being Rh–positive, the first child with Rh–positive may be normal; subsequently, she may not conceive or may have repeated abortions. There may be intrauterine fetal death. If the child born is alive, he/she will suffer from a fatal disease called "erythroblastosis fetalis." Now mothers can be given an injection of anti–D within 24 hours of the delivery of an Rh–positive child and thus protect the next baby from this catastrophe.

For comments and archives

 
    An Inspirational Story (Dr GM Singh)

One step

Foolish people with all their other thoughts, have this one too: They are always getting ready to live, but never living.

Your success will start when you begin to pursue it. To reach your goal or to attain success, you don’t need to know all of the answers in advance. You just need to have a clear idea of what your goal is. Don’t procrastinate when faced with difficult problems. Break your problems into parts, and handle one part at a time.

Develop tendencies toward taking action. You can make something happen right now. Divide your big plan into small steps and take that first step right away. Everyone who ever got where they are had to begin where they were. Your big opportunity is where you are right now.

A journey of a thousand miles begins with one step. Take it.

For comments and archives

 
    Cardiology eMedinewS

Red meat raises gestational diabetes risk, nuts lower it Read More

A little TLC boosts patency of bypass grafts Read More

 
    Pediatric eMedinewS

School-based asthma therapy effective and cost-effective Read More

U.S. birth rate hits historic low Read More

 
    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

What is a street virus?

Street virus is a type of rabies virus, which is virulent and has a long and variable incubation period of about 3 weeks to 3 months.

When first isolated from natural human or animal hosts, rabies virus preserves its natural properties and is referred to as street virus. Most of the street virus isolates generally cause a lethal infection of the central nervous system.

 
    IJCP Special

Dr Good Dr Bad

Situation: A malaria positive patient came with severe thrombocytopenia.
Dr Bad: This is classical malaria.
Dr Good: Also look for dengue.
Lesson: Malaria and dengue may co exist in the same patient.

Make Sure

Situation: A patient of pulmonary Koch’s on ATT complained of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure that in patients talking ATT (including INH) B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

 
  Quote of the Day (Dr GM Singh)

Begin challenging your own assumptions. Your assumptions are your windows on the world. Scrub them off every once in awhile, or the light won’t come in. Alan Alda

 
    Mind Teaser

Read this…………………

When assessing a patient's cultural beliefs about pain, the pain management nurse asks about:

1. A family history of pain
2. Home remedies used to treat pain
3. The frequency of visits to health care facilities
4. The patient's dietary preferences

Yesterday’s Mind Teaser: The pain management nurse observes a male patient with complex regional pain syndrome not wearing his right jacket sleeve. The patient reports intense, right arm pain on light touch. The nurse recognizes this pain as:

1. Allodynia
2. Hypoalgesia
3. Neuritis
4. Paresthesia

Answer for Yesterday’s Mind Teaser: Allodynia

Correct answers received from: Dr Raghavendra Jayesh, you mash, Dr Kanta Jain, Dr PC Das, Dr K Raju, Dr (Maj. Gen.) Anil Bairaria, Dr Arpan Gandhi, Dr Jella, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Dr Avtar Krishan.

Answer for 12th February Mind Teaser: Larger doses of opioids are needed to control pain compared to several weeks earlier.

Correct answers received from: Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

 
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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

Photos of Doctor’s Day Celebration

 
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    Laugh a While (Dr GM Singh)

Water in the Carburetor

Wife: "There's trouble with the car. It has water in the carburetor."
Husband: "Water in the carburetor? That's ridiculous."
Wife: "I tell you the car has water in the carburetor."
Husband: "You don't even know what a carburetor is. I'll check it out. Where's the car?"
Wife: "In the pool."

 
    Medicolegal Update

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

What is a minimally conscious state?

A minimally conscious state is distinguished from vegetative state by the partial preservation of conscious awareness.

  • Some patients with severe alteration in consciousness have neurological findings that do not meet criteria for vegetative state (VS).
  • These patients demonstrate some behavioral evidence of conscious awareness but remain unable to reproduce this behavior consistently; the condition referred here is the minimally conscious state (MCS).
  • To make the diagnosis of MCS, limited but clearly discernible evidence of self or environmental awareness must be demonstrated on a reproducible or sustained basis by one or more of behaviors like verbal yes/no responses regardless of accuracy, purposeful behavior, including movements or emotional behaviors that occur in relation to relevant environmental stimuli and are not due to reflexive activity.
  • Some examples of qualifying purposeful behavior include: appropriate smiling or crying in response to the emotional but not to neutral topics, vocalizations or gestures that occur in direct response to the linguistic content, reaching for objects.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

A medical health checkup camp in East Delhi

A medical health checkup camp will be organized by Heart Care Foundation of India and East Delhi Morning Walkers Association in Bal Mandir Sr. Sec. School, Defence Enclave, Vikas Marg in East Delhi on Sunday, 17th February. The multi disciplinary camp will focus on heart care, eye care and bone care.

Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that for the first time people will also be able to consult doctor while sitting at home using their computers. Doctors will be available on scribe@drkkaggarwal.com and Facetime at emedinews@gmail.com.

In heart care, camp will focus on valvular heart disease and congenital heart disease. Senior cardiac surgeons Dr Sujay Shad from Ganga Ram Hospital and Dr Rajesh Kaushish from Max hospital, Dr Sandeep Singh from Fortis Heart Care, Dr Baldev Sikhin from Artemis and Dr Mubbein Mohammad from Delhi Heart & Lung institute will also be available for free consultation.

Over 100 patients will be booked for free cataract surgery. Specialists from several pathies will also be available. Lions Club will provide the eye services.

Orthopedics services will be given by, Dr Sanjay Gupta from Moolchand Hospital. Infertility clinic will be run by Dr Shveta Gupta from Moolchand.

ENT services will be given by Dr Chanchal Pal, Ayurveda by Dr Shashi Bala, emergency services by Dr Archana Virmani and child care by Dr Anjli Mathur.

Homeopathy services will be provided by homeopathic cardiologists of India & will be run under Dr Mini Mehta.

A blood donation camp by Dr. N.K.Bhatia will also be their.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 29188 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

 
    Readers Responses
  1. Dear KK, In 1967/68 my college was holding elections for the students union. Since it was the silver jubilee year it was expected that there would be a large budget for annual students' festival. One candidate was kidnapped and confined to the hostel during the run up of the canvassing. When the Director learned about this he was livid. The process is to introduce students to ethical democratic institutions and not adopt the worst practices from the political world.

    He cancelled the elections and appointed a student-staff body for the silver jubilee celebrations that were orgainsed very memorably. I have continued to be active socially the last four decades but have not been able to plunge into politics. The message from Dr P.S. Mene Director, Laxminarayan Institute of Technology, Nagpur way back in 1967 continues to guide me. He was later Vice Chancellor of Nagpur University.

    Your editorial concerning DMA elections and worrying trends set me back many years and thought I will share this experience. With best wishes, Yours sincerely, (Er Anuj Sinha)
 
    Forthcoming Events

ANNOUNCEMENT

Sri Aurobindo Ashram – Delhi Branch will organize the 6th Study Camp on ‘Mind-Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from June 8-14, 2013. 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 the Mind-Body Medicine Clinic at AIIMS, and the author of Back to Health through Yoga, Eating Wisely and Well and Essays on Yoga. For more details, send an e-mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

 
    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