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 (07–08c); 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

 
  Editorial …

15th February 2012, Wednesday

Do not add aspirin in Polypill

A new meta–analysis said to provide "the largest evidence to date regarding the wider effects of aspirin treatment in primary prevention" has shown that cardiovascular benefits are offset by an elevated risk of bleeding.

Dr Kausik Ray at St George’s University of London, UK said that he does not recommend aspirin use in primary prevention. And it certainly should not be put in a polypill for mass use. The new analysis, published online January 9, 2012 in the Archives of Internal Medicine, included nine randomized placebo–controlled trials with a total of 100 000 participants. Results showed that during a mean follow–up of six years, aspirin treatment reduced total cardiovascular events by 10%, driven primarily by a reduction in nonfatal MI, but there was a 30% increased risk of nontrivial bleeding events. The number needed to treat to prevent one cardiovascular event was 120, compared with 73 for causing a nontrivial bleed. (HeartWire)

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

Do not add aspirin in Polypill

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

The mission of Heart Care Foundation of India is to create awareness amongst the public on all aspects of health. The stamp was released to commemorate the "Mega Health Fair" on 11th and 12th Feb 2012 organized as a part of events to mark the silver Jubilee year of the Heart Care Foundation of India.

 
Dr K K Aggarwal
 
    National News

Govt plans pan–India code for ambulances

NEW DELHI: Using any four–wheeler vehicle to ferry critical patients will soon be a thing of the past. The government is going to introduce a pan–India ‘National Ambulance Code’, under which there will be one common colour code, design and equipment for all ambulances plying across the country. According to C P Joshi, minister of road, transport and highways, a committee comprising experts from AIIMS, Automotive Researcher Association of India and the ministry of health and family welfare has been constituted to finalize the draft code. (Source: TOI, February 13, 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

Rare genetic fusion caused superbug NDM1, study finds

NEW DELHI: A "highly rare genetic fusion" between two previously–known antibiotic–resistant genes gave birth to the dangerous Indian superbug metallo–beta–lactamase, NDM1. This fusion also gave NDM1 the power to easily jump between various species of bacteria at superfast speed and consequently making them drug resistant too. British scientists, who first reported the NDM1 last year, has now found through genetic DNA studies that NDM1 – by jumping between bacteria strains – can make several diseases they cause in humans, resistant to known antibiotics. The latest study published in the medical journal, "Antimicrobial Agents and Chemotherapy", also dismisses the argument that the superbug NDM1 has been in the environment for many years. (Source: TOI, Feb 11, 2012)

For comments and archives

Hemorrhage rates lower for planned cesarean deliveries

Women who chose a planned caesarean delivery are at a lower risk for postpartum hemorrhage, according to a new study examining 7 years of data from Denmark. (Source: Medscape Medical News)

For comments and archives

Treating cancer OK during pregnancy

Cancer in pregnant women can usually be treated without terminating the pregnancy and with little impact on infants carried to full term, according to a series of reports. (Source: Medpage Today)

For comments and archives

FDA issues draft guidance for biosimilar products

Manufacturers of "biosimilars," or generic biologic drugs, should consider using a "stepwise" approach to demonstrate their product’s similarity to one that is already on the market, the FDA said in draft guidance issued Thursday. This approach should include "a comparison of the proposed product and the reference product with respect to structure, function, animal toxicity, human pharmacokinetics and pharmacodynamics, clinical immunogenicity, and clinical safety and effectiveness," according to the guidance, which is designed to help biosimilar manufacturers navigate the approval process for their products. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: #AJCC Heart disease can pass from father to son Coronary artery disease or CAD, which kills tens of thousands… fb.me/1le7Qu6ud

@DeepakChopra: No matter what the situation, remind yourself "I have a choice."

 
    Spiritual Update

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

The Stages of Love

When two persons are attracted to each other, a virtual explosion of adrenaline–like neurochemicals occurs. PEA or phenylethylamine is a chemical that speeds up the flow of information between nerve cells.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is atresia?

Atresia is a degenerative process that occurs regardless of whether you are pregnant, have normal menstrual cycles, use birth control, or are undergoing infertility treatment. Smoking appears to accelerate atresia and is linked to earlier menopause.

For comments and archives

 
    An Inspirational Story

(Dr GM Singh)

Fill me, Lord

Fill me with the fruits of your Spirit, Lord.

Fill me with love, so that I seek to understand and appreciate the rich variety and diversity of life that surrounds me.

Fill me with joy, so that I celebrate your presence in each and every moment I am on this earth.

Fill me with peace, so that I know how to ease those angry and sometimes violent urges that well up inside of me.

Fill me with patience, so that I stop rushing long enough to witness your miraculous work taking place all around me (and within me!)

Fill me with kindness, so that I take the extra time to help the one in need, even when it isn’t convenient for me.

Fill me with faithfulness, so that I place my mind, heart and all that I do in the service of your Gospel.

Fill me with gentleness, so that others know that I believe in a God who loves and cares for all people.

Fill me with self–control, so that I act not on my impulses and urges, but rather on my beliefs and values, which are rooted in you.

Fill me with these fruits of your spirit, Lord!

For comments and archives

 
    Cardiology eMedinewS

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

Stenting leg arteries shows some resilience

Read More

New guidelines for immunization 2012

Read More

Appropriate use criteria for PCI flawed

Read More

 
    Pediatric eMedinewS

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

New guidelines for immunization 2012

Read More

Steroids no help for young lungs after a point

Read More

Arthritis in kids may raise cancer risk

Read More

 
    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Driving safety tips

When rain begins to fall lightly, water, dust, oil and leaves cause the road to become slippery. When this happens, increase your following distance.

 
    Legal Question of the Day

(Dr MC Gupta, Advocate and Medico legal Consultant)

Q. I am provisionally registered with UP medical council. I want to get permanently registered with the MCI. I have the following questions.

a. Will I have to get permanent registration with the UPMC before I get registered with MCI?
b. Will I have to get registered with the respective state councils if I practice in Punjab, Haryana etc.?
c. Which registration number should I use if registered with multiple councils?

Ans.

  1. As per Indian Medical Council Act, 1956, a doctor has to get registered only with one SMC—state medical council. After such registration, his name appears on the SMR—state medical register. Names on the SMR are automatically taken on the IMR—Indian medical Register. Anyone whose name is on the IMR can practice anywhere in India. There is no provision in the IMC Act for:
    1. Direct registration with the MCI in ordinary situations;
    2. Multiple registration.
  2. SMCs wrongly keep on warning doctors that they must be registered with the SMC of the state where they work. Doctors, like ignorant fools, keep on getting registered with multiple councils. First of all they bow to injustice. Then they lament that injustice is being done to them. Nobody can help a class of people who, on the one hand, claim to be more educated and intelligent than the IAS and, on the other, display utter lack of common sense and courage when they are treated unfairly.
  3. You must not think of getting registered with MCI or any other SMC except the UPMC. By getting registered with a council, you accept its jurisdiction to punish you. You should never have more than one master.
  4. If an SMC punishes you, you can appeal to MCI. If you are primarily registered with the MCI and are punished by it, you have nowhere to appeal. As a matter of fact, the MCI itself says doctors should not get multiple registrations.
  5. If an SMC or some other authority forces you to get registered with the state council, you should point out the law to them and if they persist, you should challenge in the HC. You will win.

For comments and archives

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    IJCP Special

Dr Good Dr Bad

Situation: A patient with sepsis developed thrombocytopenia.
Dr Bad: It is due to drugs.
Dr Good: It is due to sepsis.
Lesson: More than 50% of patients with sepsis show thrombocytopenia in their peripheral smear.

For comments and archives

Make Sure

Situation: A 14–day–old neonate presented with pneumonia. On history, it was found that mother had complains of dysuria, mucopurulent cervical discharge, episodes of sometimes cervical bleeding and lower abdominal.
Reaction: Oh my God! You should have treated the mother with azithromycin.
Lesson: Make sure to remember that pneumonia in neonates can be prevented by treating mother, having Chlamydia trachomatis infection, with azithromycin.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

It must be borne in mind that the tragedy of life does not lie in not reaching your goal. The tragedy of life lies in having no goal to reach. Benjamin E. Mays

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Calcitonin

To help diagnose and monitor C–cell hyperplasia and medullary thyroid cancer; to screen those at risk for multiple endocrine neoplasia type 2 (MEN 2).

 
    Mind Teaser

Read this…………………

Which of the following is not true about reconstruction in caustic injuries to esophagus?

a) Caustic injuries to esophagus have 1000 times more risk of developing malignancy
b) Right colon replacement is definitely better than left colon
c) The only indication for surgery is refractory strictures and possibility of malignancy
d) Most of the surgeons prefer bypass over resection of esophagus

Yesterday’s Mind Teaser: CT scan in carcinoma esophagus is least useful in describing:

a) T staging
b) Nodal staging
c) Distant metastasis
d) Omental involvement

Answer for yesterday’s Mind Teaser: a) T staging

Correct answers received from: Raju Kuppusamy, Dr Jainendra Upadhyay, Dr Anupam Sethi Malhotra.

Answer for 13th February Mind Teaser: 7 seas
Correct answers received from: Dr Jainendra Upadhyay, Dr Anupam Sethi Malhotra, Dr Nishant, PK Sharma, DB Gupta.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Vote for the Devil

A candidate for city council was doing some door–to–door campaigning, and things were going pretty well, he thought, till he came to the house of a grouchy–looking fellow. After the candidate’s little speech, the fellow said, "Vote for you? Why I’d rather vote for the Devil!" "I understand," said the candidate, "but in case your friend is not running, may I count on your support?"

 
    Medicolegal Update

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

What is the product liability in medical care delivery?

  • A person who alleges an injury caused by a defective product used in medical care the three principles of products liability theories: negligence, warranty, or strict liability considered in criminal, civil, or consumer case proceeding for product liability in the court of law.
  • The manufacturer becomes responsible for injury or death in such case. The patient must prove that the defendant manufacturer departed from standards of due care, with respect to negligent design, manufacture, assembly, packaging, failure to test and inspect for defects or failure to warn or give adequate instructions.
  • The injury or death of the patient may result unexpectedly by faulty, defective or negligently designed medical or surgical instruments or inadequate operating instructions.
  • The proceeding on a negligence theory in a products liability case requires an injured party to show that a specific defendant failed to exercise proper care in designing, testing, manufacturing, or marketing the allegedly defective medical product and that, as a reasonably foreseeable and proximate result of such negligence, the patient suffered the injury.
  • Many countries have evolved basis for liability on the part of the manufacturer of a defective product. This is known as "strict liability in tort".
  • The theory behind strict liability is that is better social policy for manufacturers, rather than injured consumers, to bear the economic burdens, through products liability insurance or otherwise, for any injuries caused by defective products. Under the strict liability theory, an injured party need not prove negligence or any breach of warranty, but rather must establish only that the product causing the injury was defective when it left the control of the manufacturer or the seller

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

A new postal stamp to commemorate the Silver Jubilee Year of Heart Care Foundation of India

A special cancellation postal stamp and a special cover were released by Mr. Sachin Pilot, Minister of State for IT and Communications at a special function, the 1st Ever Mega Health Camp organized in Ajmer.

The stamp was released to commemorate the "Mega Health Fair" on 11th and 12th Feb 2012 organized as a part of events to mark the silver Jubilee year of the Heart Care Foundation of India. The theme of the special cover is: "Swastha Ajmer, Sashakt Ajmer".

Giving the details Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India said that Heart Care Foundation now has the distinction of getting three postal stamps released since 1991. No other health NGO in India has this distinction yet.

  1. Rs one postal stamp for the event Run for the Heart in December 1991.
  2. Rs 6.50/– stamp for the event Perfect Health Mela in December 1993.
  3. Cancellation stamp and special cover: Swastha Ajmer Sashakt Ajmer" on the event "Mega Health Fair" in February 2012.

Over 70,000 people benefited from this 2-day camp, which was the first ever mega health check up camp with nonstop additional telemedicine facilities with 500 on–site doctors and 200 doctors linked to more than hospitals across the country. 10700 medical devices were also given free in the camp.

 
    Readers Responses
  1. Dear Sir, Congrats for adding one more feather in the cap of Heart Care Foundation of India…..Grand Success of Ajmer Camp and release of Cancellation stamp. Regards: Priya
 
    Forthcoming Events

IMSOCN2012

The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund, Faridabad. It is a multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of the British Menopause Society and South Asian Federation of Menopause Societies and is an opportunity to hear international faculties.

For information contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048
Download forms at: http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

 
    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