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 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

 
    Dr KK Aggarwal with Aamir Khan …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate  Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm   Watch Video
Aamir Khan Workshop with kids on dangerous areas   Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan   Watch Video

 
  Editorial …

15th June 2012, Friday

Discussion with Dr JS Pasricha, Professor of Dermatology (Retd), AIIMS, New Delhi

Approach to a patient with hyperpigmentation

  • The commonest condition is chloasma or melasma. It is a dark discoloration of the skin that appears on the sun–exposed areas of the face. It does not cause any other symptoms besides skin discoloration but may be of great cosmetic concern.
  • It is common in post pregnancy phase.
  • Though more common in women, it can also occur in men.
  • It is a hormonal disorder.
  • The answer is peeling of the skin. Peeling of the skin can be done with retinoic acid application.
  • One can also give hydroquinone which is an anti–pigmentation agent for local condition and is present in all fairness creams.
  • One can also try to Ayurvedic raw Haldi (not told by Dr JS Pasricha).
  • Hyperpigmentation can also occur because of photosensitivity on the exposed areas like face, neck, forearm and the exposed parts.
  • There are three agents that can cause photosensitivity in susceptible individuals (1%). They are perfumes, soaps and shampoos; herbal products; sunscreen and drugs. Calamine application for preparation of the skin is safe. Clothes are the best form of sunscreen.

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

Discussion with Dr JS Pasricha, Professor of Dermatology (Retd), AIIMS, New Delhi

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

World No Tobacco Day 2012

The DMA and Heart Care Foundation of India called for a ban on Gutka, Tobacco and Tobacco Products in Delhi on the occasion of World No Tobacco Day.

 
Dr K K Aggarwal
 
    National News

Assam vision document to cut infant, maternal mortality rates

Guwahati: Assam chief minister Tarun Gogoi on Tuesday unveiled a vision document to cut the state’s infant and maternal mortality rates. Assam’s infant mortality rate (IMR) is 58 compared to the national average of 47. The maternal mortality rate (MMR) of 390 is similarly much below the national average of 212. "Our rate of improvement in economic growth during 2001–2010 was sixth highest among all states. But we have a long way to go when it comes to social indicators. Though we have brought down IMR from 76 to 58 in the last 10 years, which is still behind the national average of 47. The MMR too has been brought down from 490 to 390 during this period, but we are nowhere near the national average of 212," Gogoi said. The chief minister said his government has accorded topmost priority to development of women and children. "The vision document thus encompasses areas such as safe drinking water, school enrolment, sanitation, reservation for women and prevention of crimes against women," he added. Gogoi also underscored the high prevalence of malnutrition and anaemia among girls and women. Coupled with a high percentage of girls marrying below 18 years of age, these were major factors for high IMR and MMR in Assam, he said. Approximately 67.8% of adolescent girls (15–19 years) are anaemic in Assam. The vision document quoted DLHS–III (2007–08) as saying that about 40% women in Assam in the age–group of 20–24 years married before the legal age of 18 years. Though this is less than the national average of 42.9%, the increase in mean age of marriage for women had a cascading effect on maternal and child health in the state. (Source: Hindustan Times, June 12, 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 re build 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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Graft patency worse after off–pump CABG in randomized trial

Coronary artery bypass graft (CABG) patency was significantly worse after off–pump surgeries in the Veterans Affairs Randomized On/Off Bypass (ROOBY) trial. "For most patients, on–pump should be the preferred approach," lead investigator Dr. Brack Hattler from Denver VAMC, Colorado told Reuters Health. "There certainly are a few very experienced surgeons who are able to obtain equivalent and excellent outcomes with off–pump CABG, but overall there is really no evidence to argue that off–pump results in improved long term outcomes or graft patency." (Source: Medscape)

For comments and archives

Short sleep may signal stroke risk

People who habitually sleep less than 6 hours appear to be at risk of developing symptoms that may predict future stroke, researchers reported at the annual meeting of the Associated Professional Sleep Societies. (Source: Medpage Today)

For comments and archives

Prediabetes and risk for stroke: A matter of definition

A new meta–analysis published online June 7 in the BMJ finds that prediabetes may be associated with an increased relative risk for stroke. However, the association depends on how prediabetes is defined, and some experts say the magnitude of the effect remains unclear. (Source: Medscape)

For comments and archives

Hospital noise fractures sleep, slows healing

Nighttime noise in hospitals adds up to poor sleep, which may hurt healing when patients need it most, researchers found. In a laboratory sleep study, recorded hospital sounds of overhead paging, IV alarms, squeaky carts, and the like disrupted sleep and raised heart rates, Orfeu M. Buxton, PhD, of Harvard and Brigham and Women’s Hospital in Boston, and colleagues reported. (Source: Medpage Today)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: #IJCP Why travelling by air causes headache Researchers have argued that ‘airplane headache,’ a form of pain that… http://fb.me/14B4dgDH3

@DeepakChopra: To be financially secure don’t spend money that you have not earned to buy things you don’t need to impress people whom you don’t like.

 
    Spiritual Update

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

You cannot serve two masters (God and Wealth)

This is true for both your internal spiritual journey as well as the external social journey in life. Wealth is an indicator of greed which is one of the five known obstacles to the pathway of self–realization.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are IUDs?

Intrauterine devices (IUDs) are safe and effective forms of long–term reversible contraception. There are two available IUDs: one containing a progestin (a hormone) and the other containing copper. A doctor places the device in the woman’s uterus and it can be used for either five (progestin containing) or 10 (copper) years. Failure rates with IUDs range from 0.1–0.8%. Both types of IUDs work by preventing the egg from developing normally. They also impair sperm movement when the sperm enter the uterus, which decreases the chances that an egg will be fertilized. The IUD may also cause changes to the lining of the uterus that could prevent a fertilized egg from implanting. The side effects include a slight increased risk of pelvic infection caused by placement of the IUD.

For comments and archives

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

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

Central venous access

Central vein catheters are used for medium and long–term therapy or for administration of solutions potentially toxic to the vein lining, which requires the dilution achieved with high–volume blood flow. Some catheters are placed via special introducing needles and guide–wires; other is surgically implanted. Catheters with a multilumen design have separate infusion ports for each lumen, permitting the simultaneous infusion of fluids without intermixture in the infusion line. The administration of fluids incompatible with blood is never encouraged in the transfusion setting; however, it may be necessary in urgent situations. There is no evidence that mingling fluids with blood at the exit ports of a multilumen catheter causes problems, because the high blood flow in central veins disperses them off rapidly.

For comments and archives

 
   An Inspirational Story

(Ms Ritu Sinha)

Why are goals important?

On the best sunny day, the most powerful magnifying glass will not light paper if you keep moving the glass. But if you focus and hold it, the paper will light up. That is the power of concentration.

A man was traveling and stopped at an intersection. He asked an elderly man, "Where does this road take me?" The elderly person asked, "Where do you want to go?" The man replied, "I don’t know." The elderly person said, "Then take any road. What difference does it make?"

How true. When we don’t know where we are going, any road will take us there.

Suppose you have all the football eleven players, enthusiastically ready to play the game, all charged up, and then someone took the goal post away. What would happen to the game? There is nothing left. How do you keep score? How do you know you have arrived?

Enthusiasm without direction is like wildfire and leads to frustration. Goals give a sense of direction. Would you sit in a train or a plane without knowing where it was going? The obvious answer is no. Then why do people go through life without having any goals?

For comments and archives

 
   Cardiology eMedinewS

Five wise choices for interventionalists: Seth Bilazarian Read More

Salsalate, an anti–inflammatory, reduces A1c Read More

 
   Pediatric eMedinewS

Dire diabetes outlook among Us kids and adolescents: Type 1 and type 2 on the rise Read More

Newer antipsychotics raise diabetes risk in youth Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient with stroke came for evaluation.
Dr Bad: Get routine test done.
Dr Good: Get blood sugar and A1c also done.
Lesson: Increased rate of heart failure can contribute to higher mortality in stroke patients with hyperglycemia. On multivariate analysis, fasting glucose was significantly associated with risk of in–hospital heart failure (Eur J Neurol 2009;16(2):251–6).

For comments and archives

Make Sure

Situation: A patient with suspected meningitis developed brain damage.
Reaction: Oh my God! Why was the antibiotic not started when the diagnosis was suspected?
Lesson: Make sure that first dose of antibiotic is given at the time meningitis is suspected.

For comments and archives

 
    Health News Bulletin

Healthcare, Better but Cheap

The Economic Times, K Chandrashekhar – Op/Ed

Mumbai: Two senior Philips executives quit their cushy jobs to found Forus Healthcare, a company providing innovative medical technology products. K Chandrashekhar and Shyam Vasudeva Rao had often seen the gap between the demand for medical technology and its supply with the mismatch largely a result of high costs. To bridge this, the duo has set up a firm which promises to deliver a series of diagnostic products. Within a year of launch, they already have Snethra, an ophthalmology pre–screening device in the market. Now, they plan to launch more advanced products in the same segment and have begun research to develop devices for screening of diabetes, oncology nephrology ear nose and throat and cardiology ailments too.

 
  Quote of the Day

(Dr GM Singh)

Talent works, genius creates. Robert A. Schumann

 
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    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Blood ceruloplasmin

  • Decreased ceruloplasmin levels: Lower–than–normal ceruloplasmin levels may indicate Menke’s disease, Wilson’s disease (a rare copper storage disease), overdose of Vitamin C and aceruloplasminemia.
  • Elevated ceruloplasmin levels: May indicate or be noticed in pregnancy, oral contraceptive pill use, lymphoma, acute and chronic inflammation (it is an acute–phase reactant), rheumatoid arthritis, angina and Alzheimer’s disease.
 
    Legal Question of the day

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

Q. I have a PG diploma in Geriatric Medicine awarded through distance learning by a deemed university under the UGC Act. The state medical council refuses to add it as an "additional qualification" in the state medical register. My questions are as follows:

1) Is the MMC justified in doing so?
2) If yes, then what is the legal status of the said diploma?

Ans.

  • The SMC is justified. It can add only those qualifications which are recognised by the MCI. For example, the MCI does not recognise distance learning qualifications. Even otherwise, the SMC is not bound to add each and every academic qualification in the register. For example, if I get a PhD in Sanskrit from Delhi University, the SMC would be justified in refusing to add it.
  • Non-registration of a valid qualification by the SMC does not render it invalid.
    • No law prevents you from holding out as:
      Dr. ABC, MBBS, PG–Diploma in Geriatric Medicine (…………University)
    • No law prevents you from holding out as a physician having special knowledge, qualification, experience and interest in geriatrics.

For comments and archives

 
    Mind Teaser

Read this…………………

Among the following clients, which among them is high risk for potential hazards from the surgical experience?

a. 67–year–old client
b. 49–year–old client
c. 33–year–old client
d. 15–year–old client

Yesterday’s Mind Teaser: Atropine sulfate (Atropine) is contraindicated in all but one of the following client?

a. A client with high blood pressure
b. A client with bowel obstruction
c. A client with glaucoma
d. A client with UTI

Answer for yesterday’s Mind Teaser: c. A client with glaucoma

Correct answers received from: Rameshwar Prasad, Dr Thakor Hitendrsinh G, Dr kanta Jain, Raju Kuppusamy.

Answer for 13th June Mind Teaser: b. Daily baths with fragrant soap.
Correct answers received from: Sagar, Dr Sushma Chawla.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Car dreams

A man went into his shrink’s office and says, "Doc, you have got to help me! Every night I keep dreaming that I'm a sports car. The other night I dreamed I was a Ferrari. Another night I dreamed I was a BMW. Last night I dreamed I was a Porsche. What does this mean?"

"Relax", says the doctor, "You’re just having an auto–body experience."

 
    Medicolegal Update

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

What is conduct money for doctors?

In criminal cases, no fee is paid to any witness, including the doctor, at the time of serving the summons. The summoned doctor must attend the Court and give evidence because of the interest of the State in securing truth/justice, otherwise the doctor will be charged with contempt of Court. However, in criminal cases, conveyance charges and daily allowance can be claimed by the doctor according to Government rules.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Forty percent have metabolic syndrome

Forty percent of adults over age 40 have metabolic syndrome, a constellation of obesity leading to dyslipidemia, hypertension, and insulin resistance and, thus a 10–year risk of a first heart attack event of about 17 percent. All patents with metabolic syndrome should be considered for aspirin prophylaxis. This was stated by Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Current criteria define the metabolic syndrome as the presence of any three of the following five traits:

  • Abdominal obesity, defined as a waist circumference in men >35 inches and in women >32 inches.
  • Serum triglycerides 150 mg/dL or drug treatment for elevated triglycerides
  • Serum HDL (good) cholesterol <40 mg/dL in men and <50 mg/dL in women or drug treatment for low HDL–C
  • Blood pressure 130/85 mmHg or drug treatment for elevated blood pressure
  • Fasting blood glucose (FPG) 110 mg/dL or drug treatment for elevated blood glucose

Metabolic syndrome is an important risk factor for subsequent development of type 2 diabetes and/or CVD.

The key clinical implication of a diagnosis of metabolic syndrome is identification of a patient who needs aggressive lifestyle modification focused on weight reduction and increased physical activity.

 
    Readers Response
  1. Dear Dr. Aggarwal, I think it’s a nice step forward to highlight "Medical mistakes in Indian movies" and many of us believe that it’s a common scenario. Being a Psychiatrist I get annoyed when films portray a negative image of mental illnesses and their treatment. I don’t exactly remember the name of that movie but it did show a very wrong way of administering Electroconvulsive therapy to a patient (Shakti Kapoor as a patient). I will update you with more information related to this matter. Regards: Dr. Neeraj Gupta, Psychiatrist, Victoria, Australia.
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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)

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  Playing Cards

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  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

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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, Dr Usha K Baveja