emedinews
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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 April 2013, Sunday

Pharma sales tactics may harm patients

Pharma sales reps rarely mention serious adverse events and other common side effects about drugs they promote when visiting doctors.

Doctors judged the quality of scientific information they received to be "good" or "excellent" in more than half of cases and indicated readiness to prescribe the medication 64% of the time, reported lead author Barbara Mintzes, PhD, of the School of Population and Public Health at the University of British Columbia in Vancouver in Journal of General Internal Medicine.

"….serious risks were mentioned in only about 6% of visits, even though 45% of the promotions were for drugs that carry FDA black box warnings of serious risks…" said the author.

Such omissions seriously threaten public health. A 2009 U.S. survey found that 85% of physicians see drug reps, and that these reps are the primary source for information about new drugs.

Drug representatives often leave the docs with free samples that they in turn pass on to patients, often without knowing if the drugs are contraindicated or could otherwise cause harm.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Red flag arthritis

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

WHO Day Celebrated

Over 11459 people were trained in Hands-only Cardiopulmonary Resuscitation (CPR 10) in one day

 
Dr K K Aggarwal
    National News

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

Cardiologist quits after U Penn alleges unnecessary stenting

Heartwire: A Pennsylvania cardiologist has resigned from an area hospital after coming under fire for allegedly implanting coronary stents that weren't necessary, performed during the past five years by Dr Vidya Banka at Pennsylvania Hospital, part of the University of Pennsylvania Health System. An outside review of Banka's cases found that some patients received cardiac stents where the patient testing did not appear to show significant vascular blockages.

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/)

Manifestations of child neglect

  • Non-organic failure to thrive
  • Developmental delay
  • Starvation or dehydration
  • Poor hygiene of child’s body, cloths or dyper
  • Severe untreated dental cavities
  • School truancy
  • Injuries caused by lack of supervision like ingestions, bathtub near drowning or other accidental injuries.
  • Child neglect involves both actual and potential harm

For comments and archives

    Valvular Heart Disease Update

What is severe aortic stenosis?

Severe AS is generally defined as an aortic valve area <1.0 cm2. The aortic jet velocity is generally over 4.0 m/sec and the mean transvalvular gradient usually exceeds 40 mmHg. Many patients do not develop symptoms until even more severe valve obstruction is present, while some patients become symptomatic when the stenosis is less severe, particularly if there is coexisting aortic regurgitation.

(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)

New study questions carnitine heart risk

Carnitine found in red meats is cardioprotective as per a systematic review -- a finding that comes barely a week after a Nature Medicine study sounded an alarm about the heart risks of carnitine. The latest study reviewed 13 controlled trials and found that in patients with an acute myocardial infarction, carnitine was associated with significantly reduced all-cause mortality, ventricular arrhythmias, anginal attacks, and infarct size compared with placebo or controls, according to James J. DiNicolantonio, PharmD, of Ithaca, N.Y., and colleagues. Carnitine also was associated with fewer heart failure cases and repeat heart attacks, but these did not reach significance, researchers wrote in the study published April 12 online in the Mayo Clinic Proceedings. In the earlier study, a combination preclinical/clinical study published in the April 8 issue of Nature Medicine, Stanley Hazen, MD, of the Cleveland Clinic, and colleagues found that gut flora transform carnitine into TMAO, a substance that promotes atherosclerosis. (Source: Medpage Today)

For comments and archives

Fluoride no help in osteopenia

Low-dose fluoride didn't improve bone mineral density (BMD) in postmenopausal women with osteopenia, researchers found. (Source: Medpage Today)

For comments and archives

FDA approves Diclegis as first morning sickness drug in 30 years

The US Food and Drug Administration (FDA) approved the combination of doxylamine and pyridoxine (Diclegis, Duchesnay) to treat pregnant women with nausea and vomiting who have not adequately responded to dietary and lifestyle changes, the agency has announced. (Source: Medscape)

For comments and archives

Functional MRI can be used to assess pain

Data from several studies have shown that it's possible to assess and differentiate pain through an fMRI scan, researchers found. (Source: Medpage Today)

For comments and archives

Cervical cancer screening: 'We can do less'

Unnecessary testing for cervical cancer in women younger than 21 years and in those who have had a hysterectomy is costing about $850 million annually in the United States. It also poses clear risks without documented benefit. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Heart Care Foundation of India to organize a dialogue on Life After Death Heart Care Foundation of India (cont) http://tl.gd/n_1rjnd4m

@DeepakChopra: Nobody can tell what is going on in the realm of potentiality. Pls read this article written by Lothar Schafer http://nyurl.com/crl8p3n

 
    Spiritual Update

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

Allopathic Medical Vrat

There was a time when everybody in India, especially the women, used to observe fast on a regular basis. In my childhood, I saw my mother not only observing fast herself but also insisting that my sisters should observe fast once in a week, an extra fast once in a month and observe two Navratras in a year of 9 days each. In total, it comes out to be around 80 fasts in a year.

For comments and archives

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

How does contraception work?

Contraceptive agents are usually divided into those that are either hormonal or non hormonal. Most of the hormonal contraceptives work by changing a woman's hormone levels to mimic a pregnancy, therefore preventing eggs from being able to be released from the ovary. In contrast, non hormonal contraceptive agents or devices work by preventing a man's sperm from joining a woman's egg.

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

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

Blood transfusion

Blood transfusion is a broadly based discipline that overlaps and intersects many other medical, scientific and managerial fields, including hematology, immunology, genetics, histocompatibility, cellular function and metabolism protein structure and function, cryobiology, disposable equipment, bioengineering, statistics, data-processing, public relations, logistics and standardization.

For comments and archives

 
    An Inspirational Story

The Duck and the Devil

There was a little boy visiting his grandparents on their farm. He was given a slingshot to play with out in the woods.

He practiced in the woods, but he could never hit the target. Getting a little discouraged, he headed back for dinner. As he was walking back he saw Grandma's pet duck.

Just out of impulse, he let the slingshot fly, hit the duck Square in the head, and killed it. He was shocked and grieved.

In a panic, he hid the dead duck in the wood pile, only to see his sister watching! Sally had seen it all, but she said nothing.

After lunch the next day Grandma said, " Sally, let's wash the Dishes." But Sally said, "Grandma, Johnny told me he wanted to help in the kitchen." Then she whispered to him, "Remember the duck?" So Johnny did the dishes.

Later that day, Grandpa asked if the children wanted to go Fishing and Grandma said, “I’m sorry but I need Sally to help make Supper." Sally just smiled and said," Well that's all right because Johnny told me he wanted to help." She whispered again, "Remember the duck?" So Sally Went fishing and Johnny stayed to help.

After several days of Johnny doing both his chores and Sally's, He finally couldn't stand it any longer. He came to Grandma and confessed that he had killed the duck. Grandma knelt down, gave him a hug, and said, “Sweetheart, I know. You see, I was standing at the window and I saw the whole thing, but because I love you, I forgave you. I was just wondering how long you would let Sally make a slave of you."

Thought for the day and every day thereafter?

Whatever is in your past, whatever you have done... And the devil Keeps throwing it up in your face (lying, cheating, debt, fear, bad Habits, hatred, anger, bitterness, etc.) ....whatever it is....You need to know that God was standing at the window and He saw the whole thing..... He has seen your whole life. He wants you to know that He loves you and that you are forgiven.

He's just wondering how long you will let the devil make a slave of you.

The great thing about God is that when you ask for forgiveness, He not only forgives you, but He forgets. It is by God's grace and Mercy that we are saved. Always remember: God is at the window.

For comments and archives

 
    Cardiology eMedinewS

New troponin T test predictive in stable CAD Read More

 
    Pediatric eMedinewS

Antibiotic helps fragile X kids 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 “window period”?

It is the time taken by the anti-rabies vaccine to produce protective levels of antibodies in the patient. The window period is of 7-14 days.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came for counseling for a high risk sexual behavior.
Dr. Bad: Use condoms.
Dr. Good: Use condoms and take a pre–exposure prophylaxis pill for 7 days.
Lesson: Pre exposure prophylaxis for 7 days is now a reality.

Make Sure

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

 
    Quote of the Day (Dr GM Singh)

Egotism is the anesthetic that dulls the pain of stupidity. Frank Leahy

 
   Mind Teaser

Read this…………………

When developing a postoperative plan of care for an infant scheduled for cleft lip repair, Nurse Elaine should assign highest priority to which intervention?

a. Comforting the child as quickly as possible
b. Maintaining the child in a prone position
c. Restraining the child’s arms at all times, using elbow restraints
d. Avoiding disturbing any crusts that form on the suture line

Yesterday’s Mind Teaser: Which nonpharmacologic intervention is difficult to use with older adults who are cognitively impaired?

a. Aromatherapy
b. Distraction
c. Guided imagery
d. Heat application

Answer for Yesterday’s  Mind Teaser: c. Guided imagery

Correct answers received from: Dr Jainendra Upadhyay, Dr BB Gupta,
Dr Santha Kumari, Dr Arpan Gandhi, Dr Raghavendra Jayesh, Dr Jella, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Arundhati Malviya, Muthumperumal Thirumalpillai, Dr PC Das, Dr Kanta Jain, Dr Deepali Chatterjee,
Dr Valluriramarao, Dr Jayashree Sen & Dr Bitaan Sen.

Answer for 12th April Mind Teaser: “I will take my medication at breakfast.”

Correct answers received from: Dr PC Das.

Send your answer to ijcp12@gmail.com

 
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   Laugh a While (Dr GM Singh)

Bank name

Mother decided that 10-year-old Cathy should get something 'practical' for her birthday. "Suppose we open a savings account for you?" mother suggested. Cathy was delighted. "It's your account, darling," mother said as they arrived at the bank, "so you fill out the application." Cathy was doing fine until she came to the space for 'Name of your former bank.' After a slight hesitation, she put down 'Piggy.'

 
    Medicolegal Update

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

What is murder?

Murder is the act of killing another human being with malice, traditionally called "malice aforethought." Malice is defined as the intent to kill or to inflict bodily injury, either express or implied. If a deadly weapon is used, intent to kill will necessarily be implied by a court of law. The presumption is that if the assailant brought a deadly weapon with him/her there was intent to use the weapon. If the assailant picked up a weapon at the scene of the crime in an act of defense or in a provoked fit of rage, there might not be malice.

Murder, as defined in common law countries, is the unlawful killing of another human being with intent or malice aforethought and generally this state of mind distinguishes murder from other forms of unlawful homicide

  • Manslaughter means unlawful premeditated killing of a human being by a human being.
  • In the United States, the principle of dual sovereignty applies to homicide, as to other crimes. If murder is committed within the borders of a state, that state has jurisdiction.
  • According to the modern Russian Criminal Code, only intentional killing of another human considered as a murder.
  • In Sweden, Murder (Mord) is defined as a planned taking of life of another and is punishable with imprisonment between 10 to 18 years or life imprisonment.
  • However, according to the Romanian Penal Code, a person can face a penalty ranging from 10 to 25 years or life imprisonment for murder.
  • In Norway, an act of murder (mord or drap) may be either planned murder, intentional murder or murder as a result of neglect.
  • Murder is defined in the New South Wales Crimes Act 1900 as follows:
    • Under NSW law, the maximum penalty for murder is life imprisonment with a standard non–parole period of 20 years, or
    • 25 years for the murder of a child under the age of 18 years, or police official
  • In Finland, murder is defined as homicide with at least one of four aggravating factors: deliberate intent/Exceptional brutality or cruelty significantly endangering public safety Committed against a public official engaged in enforcing the law.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Heart Care Foundation of India to organize a dialogue on Life after Death

Heart Care Foundation of India will be organizing a dialogue with Shri Padmanand Bhartiya and Dr K K Aggarwal Padma Shri & Dr. BC Roy National Awardee, President Heart Care Foundation of India on Life after Death. The Foundation is organizing this event jointly with Bhartiya Vidya Bhavan and World Fellowship of Religions. The event would be on 28th April, 2013, Sunday at India Medical Association Auditorium, ITO. More than 200 doctors and spiritual scholars would be attending the dialogue.

Giving the details, Dr. Aggarwal said that this will be for the first time there will be dialogue between a medical vedic scholar and spiritual vedic scholar. The dialogue will answer the very existence of hell and heaven, the science of consciousness and the science of past lives, if any.

The dialogue will also include basics of quantum physics, information technology model and the science of waves.

Giving an example, Dr. Aggarwal said that the human body is not a solid scripture but is made up of non-matter and a matter is formed when the non-matter waves get converted into a tiniest matter by the interaction of energy bundles with Higgs Boson.

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 44144 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.”

 
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