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 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 Workshop on Stress Management and How to be Happy and Healthy

 
  Editorial …

14th May 2012, Monday

Eating too quickly may raise type 2 diabetes risk

People who thoughtfully chew their food and don’t rush mealtimes not only avoid indigestion but also lower their chances of diabetes.

Eating too quickly may raise" the risk for type 2 diabetes, according to a study set for presentation at the International Congress of Endocrinology and European Congress of Endocrinology by Lithuania researchers.

They found that those who gobble down their food are 2.5 times more likely to have diabetes than those who take their time while eating.

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

Strenuous exercise may increaes risk of cardiac disorder

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day organized at DPS Mathura Road

Students of Delhi Public School, Mathura Road presented a beautiful skit, on the occasion of World Earth Day. The event was organized by Heart Care Foundation of India, DPS Mathura Road and Ministry of Earth and Sciences.

 
Dr K K Aggarwal
 
    National News

Dementia cases in Delhi to rise by 226%

NEW DELHI: Delhi will see a mammoth 226% increase in dementia cases among those aged 60 and above by 2026 as compared to 2006, while Maharashtra will see a 112% increase. Jharkhand will see the highest percentage increase in dementia patients during the same period at 262%. According to Union health ministry’s projections released on Friday, Bihar will see a 221% increase, followed by Assam (183%), Chhattisgarh (180%) and UP (177%). Rajasthan is projected to see a 176% increase in dementia numbers among those aged 60 years and above, while Madhya Pradesh is expected to see a 163% increase, Gujarat (159%), J&K (158%), West Bengal (154%), Karnataka (142%) and Tamil Nadu (110%) in 20 years. Kerala, however will see the least increase among all states at 87%, followed by Punjab (93%) and Himachal Pradesh (94%). In absolute numbers, however, UP tops the list at 8.6 lakh dementia patients by 2026. Maharashtra will have 5.9 lakh dementia patients, Bengal (4.6 lakh) and Bihar (4.3 lakh). Delhi’s dementia number will increase from 26,000 to 85,000 between 2006 and 2026, while Karnataka’s will rise from 1.3 lakh to 3.3 lakh. Health minister Ghulam Nabi Azad said, "It is estimated that India’s elderly population will increase from 7.5% in 2001 to almost 12% in 20 years." (Source: TOI, May 12, 2012)

For comments and archives

PGIMER: US doctors to collaborate on child cardiology

The Advanced Cardiac Centre (ACC) at the PGIMER is all set to the raise the bar for providing quality healthcare facilities, especially in the field of paediatrics cardiology, as the centre is collaborating with the renowned centres, Columbia Presbyterian and Weil Cornell Medical Centre, New York. For the purpose, a paediatric cardiac team from Columbia Presbyterian and Weil Cornell Medical Centre, New York, is currently on a visit to the ACC to help build up the paediatric cardiac programme at the institute. The team consisting of paediatric cardiac surgeon, paediatric cardiologist, paediatric echo cardiographer, paediatric cardiac anaesthesiologist, paediatric cardiac intensivist, paediatric cardiac perfusionist and paediatric cardiac ICU nurses is here for one week. (Source: Indian Express, May 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

(Contributed by Dr Monica and Brahm Vasudev)

FDA panel recommends Tofacitinib approval for RA

The US Food and Drug Administration Arthritis Advisory Committee voted 8–2 today to recommend the approval of tofacitinib, the first oral drug to treat rheumatoid arthritis. The 10–member panel was asked to "discuss new drug application 203214, tofacitinib tablets, Pfizer Inc., for the treatment of adult patients with moderately to severely active rheumatoid arthritis who have had an inadequate response to one or more disease–modifying anti–rheumatic drugs (DMARDs)," according to background material provided before the meeting. (Source: Medscape)

For comments and archives

Local anesthesia may be enough for TAVI

Local anesthesia alone may be enough for transcatheter aortic valve implantation (TAVI), according to a feasibility study. (Source: Medpage Today)

For comments and archives

Treatment response pattern predicts seizure freedom

Patients with newly diagnosed epilepsy in whom the first or second round of antiseizure therapy fails have a good chance of remaining refractory to further treatment, a new study has confirmed. The results suggest that failure of 2 drug regimens should be "a turning point" at which patients with epilepsy are evaluated for an alternative treatment, such as surgery, said the study’s lead author, Patrick Kwan, MD, PhD, chair of Neurology, Department of Medicine, University of Melbourne, and head of Epilepsy, Department of Neurology, Royal Melbourne Hospital, Australia. (Source: Medscape)

For comments and archives

Tranexamic acid reduces heavy menstrual flow

Tranexamic acid (Lysteda) therapy significantly reduced blood loss among women with menorrhagia compared with placebo treatment, researchers said at the annual meeting of the American College of Obstetricians and Gynecologists. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Long Commutes May Be Harmful to Your Health Commuting distance is adversely associated with moderate to (cont)

@DrKKAggarwal: Think cosmically, communicate globally, act locally but with global and cosmic impact.

 
    Spiritual Update

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

What a doctor should know about a Buddhist patient?

1. Life is full of sufferings

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How is pelvic pain evaluated?

Your doctor will ask you whether it is painful for you to go to the bathroom, walk, sit, climb stairs, or drive a car. If you have pain during these activities, your problems may be in your bladder, bowels, or the muscles of your pelvis, hips, or lower back. Problems such as endometriosis can cause pain because there may be tissue from the endometriosis on different organs within and outside of the pelvic cavity, which includes the ovaries, bladder, behind the uterus, and bowel.

For comments and archives

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

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

Red cell suspension

Description

  • 150–200 ml red cells with minimal residual plasma to which ± 100ml normal saline, adenine, glucose, mannitol solution (SAG–M) or an equivalent red cell nutrient solution has been added
  • Hemoglobin approximately 15 g/100 ml (not less than 45g per Unit)
  • Hematocrit 50–70%

Unit of issue: 1 donation

Infection risk:
Same as whole blood

Storage:
Same as whole blood

Indications:
Same as red cells concentrate

Contraindications:
Not advised for exchange transfusion of neonates. The additive solution may be replaced with plasma 45% albumin or an isotonic crystalloid solution, such as normal saline

Administration

  • Same as red cell concentrate
  • Better flow rates achieved than with red cell concentrate or whole blood

For comments and archives

 
    An Inspirational Story

Believe what you feel

On this day, Morrie says that he has an exercise for us to try. We are to stand, facing away from our classmates, and fall backward, relying on another student to catch us. Most of us are uncomfortable with this, and we cannot let go for more than a few inches before stopping ourselves. We laugh in embarrassment.

Finally, one student, a thin, quiet, dark-haired girl whom I notice almost always wears bulky, white fisherman sweaters, crosses her arms over her chest, closes her eyes, leans back, and does not flinch, like one of those Lipton tea commercials where the model splashes into the pool.

For a moment, I am sure she is going to thump on the floor. At the last instant, her assigned partner grabs her head and shoulders and yanks her up harshly.

"Whoa!" several students yell. Some clap. Morrie finally smiles. "You see", he says to the girl, "you closed your eyes, that was the difference. Sometimes you cannot believe what you see, you have to believe what you feel. And if you are ever going to have other people trust you, you must feel that you can trust them too – even when you’re in the dark. Even when you’re falling".

Source: "Tuesdays With Morrie" by Mitch Albom

For comments and archives

 
  Cardiology eMedinewS

Older Patients With Diabetes Can Benefit From Interventions Read More

No Increase In VTE Risk With Vaginal Ring Read More

Left Main Spasm Prompts Unneeded Bypass Read More

Death Risk High for Stent Patients with PAD Read More

 
  Pediatric eMedinewS

Child Mortality Drops Worldwide, But Fails To Meet Goals Read More

FDA Drafts Rules To Cut Radiation Exposure In Kids Read More

Next-Generation Exome Sequencing Works In Clinical Setting Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient of CAD developed dengue.
Dr Bad: Start paracetamol.
Dr Good: Start paracetamol and also stop low dose aspirin.
Lesson: In dengue we need to discontinue use of low dose aspirin.

For comments and archives

Make Sure

Situation: A patient of asthma worsened on aspirin.
Reaction: Oh my God! Why was history of allergy not taken?
Lesson: Make Sure that patients with asthma are not given aspirin without first asking a history of allergy.

For comments and archives

 
  Legal Question of the day

(Prof. M C Gupta Advocate & Medico–legal Consultant)

Q. A radiologist reports an MLC x–ray as "? # linear". Some people complain that such a report can create confusion in the court where a clear answer is needed as to whether there is a fracture or not. The radiologist says he has to write in this manner because a linear fracture appearance can occur due to certain artefacts, yet fracture cannot be ruled out. What are your comments?

Ans: My comments are as follows:

  1. The courts are presided by laymen who know law but not medicine. It is the duty of a medical officer to use words and phrases etc. that are clearly understood by a layman. Medical symbols, if used, should be explained in simple words.
  2. The radiologist should consider writing the report as follows—"The x–ray appearance suggests linear fracture but such appearance is not conclusive of fracture in this case because artefacts can cause such an appearance. Advised repeat x–ray and correlation with clinical picture".

For comments and archives

 
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  Quote of the Day

(Dr GM Singh)

Distance tests a horse’s strength. Time reveals a person’s character. A Chinese Proverb

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

RDW (Red cell Distribution Width)

The red cell distribution width is a numerical expression which correlates with the degree of anisocytosis (variation in volume of the population of red cells). It can be used

  • To differentiate thalassemia from iron deficiency anemia (this use is not universally accepted)
  • To monitor the results of hematinic therapy for iron–deficiency or megaloblastic anemias; as new, normally–sized cells are produced, the RDW increases at first, but then decreases as the normal cell population gains the majority.
 
    Mind Teaser

Read this…………………

Nurse hazel receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?

a. Liver disease
b. Myocardial damage
c. Hypertension
d. Cancer

Yesterday’s Mind Teaser: A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be:

a. Flank pain radiating in the groin
b. Distention of the lower abdomen
c. Perineal edema
d. Urethral discharge

Answer for Yesterday’s  Mind Teaser: c. Elevate the scrotum using a soft support

Correct answers received from: Dr Mrs S Das, Dr PC Das, Dr KV Sarma, Yamini Sarwal, Dr Ashraf Siddiqui, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Pramod M Kulkarni,

Answer for 11th May Mind Teaser: a. Flapping hand tremors
Correct answers received from: Niraj Gupta, Rajurajam RR, Dr Mrs S Das, Dr PC Das, Dr Ragavan Sivaramakrsihnan Moudgalya, Surinder Pal Singh Grover

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Doctor, doctor, I keep thinking I’m a billiard ball.

Get back in the queue.

 
    Medicolegal Update

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

Doctor’s role must be ethical to help the rape victim during medical examination

A woman who has been raped often encounters painful and humiliating procedures when she reports her sexual assault even in the hospital emergency room where she may have to wait a long time for a medical examination and the collection of evidence that is needed to convict a suspect. She often has little privacy while she waits. The offence of rape is a brutal crime not only against the human body; it also affects mind and soul of victim resulting in rape crisis syndrome.

The Doctor who examines a rape victim in hospital should listen and act fast as counselor to release some of the emotions to make the victim feel calm and comfortable. A program called SANE (Sexual Assault Nurse Examiners) that has been established in Tulsa, Oklahoma and several other U.S. cities, seeks to treat the emotional, physical, and legal needs of rape victims with greater consideration and sensitivity.

  • A medical professional should test for STDs, including HIV/AIDS to start treatment courses for protection against developing these diseases.
  • Treatment to prevent an unwanted pregnancy
  • A medical examination to check for any internal injury that might have been caused by the rape.
  • A medical professional or trained technician may look for and take samples of the rapist’s hair, skin, nails, or bodily fluids from victim clothes or body.
  • A doctor can test for a rape drug, if the victim thinks that she may have been given a rape drug, a doctor can test for this, too. Be aware that this toxicology test covers any and all illegal drugs.
  • At any time during the medical exam, the victim can say if you don’t want a certain test performed or evidence collected. All procedures are being done to help victim and can only be done by valid consent of victim.
  • Victims should be seen in private rooms that are decorated to avoid the look of a sterile, hospital waiting room.
  • The nurse examiner allows the victim to complete the examination at her own pace, in from one to five hours.
  • A police officer should be requested to be available to transport the evidence to laboratory for analysis.

(Ref: TC Carmody. 2002. "A Feminist Repudiation of the Rape Shield Laws." Drake Law Review 51 October).

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Heat index should be communicated to the public

‘Heat index’ measures the combined effects of temperature and humidity on the ability of the body to lose heat. It determines how hot it really feels. Periods of high heat index adversely affect human health.

Elaborating on this, Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India explained that the human body normally cools itself by sweating through evaporation, which carries heat away from the body. But, high relative humidity reduces the evaporation rate and so heat is removed from the body at a lower rate causing it to retain more heat than it would in dry air. As a result, the body temperature increases leading to heat-related illnesses such as heat exhaustion, heat cramps and heat stroke.

‘Heat cramps’ is the mildest form of heat disorder, presenting with cramps due to salt and water dehydration. ‘Heat exhaustion’ is a milder form of heat disorder where sweating is still present. But, ‘heat stroke’ can be lethal if not diagnosed and treated in time. Patients with heat stroke manifest with high fever, dehydration and absence of sweating. The rectal temperature often shoots more than 106°F. Oral and axillary temperatures may not be reliable in such situations. The affected person may be dehydrated to up to 8 to 10 litres of fluid.

This summer, with temperatures already crossing 42.6°C, cases of heat stroke are likely to increase in the coming days.

Sportspersons should avoid workouts during peak sun hours and should take adequate fluids to prevent dehydration. Salted lemon water and mango ‘panna’ are the drinks of choice.

  • Heat stroke is common in elderly and in people who take anti–allergic tablets.
  • Altered consciousness in a patient with fever should make one suspect underlying heat disorders.
  • One may lose 500 to 1000 ml of fluids everyday due to summer sweating. This amount, therefore, may need to be taken extra. However, patients with kidney diseases or heart failure need to consult their doctors to decide the amount of extra fluid they need to take.
  • Absence or presence of sweating can be detected by armpit test. A dry armpit may mean severe dehydration.
  • In summer, everyone should pass urine once in 8 hours. Not passing urine in 8 hours may mean severe dehydration.
  • One should avoid eating cut–open fruits and vegetables during this season to prevent disorders like jaundice, typhoid, gastroenteritis and cholera.
 
    Readers Response
  1. Dear Sir, Reading emedinews is joy forever. Regards: Dr Priya
 
    Forthcoming Events
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
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)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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