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 (March 10-13); 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 …

15th June 2013, Saturday

New Mobile phone Illnesses

Up till now the debate has been whether mobile radiations can cause brain cancer or not. But recently, a new spectrum of diseases related to use of mobile phones has come to the notice of medical profession and it is anticipated that 10 years from now they will take an epidemic shape.

  1. Computer vision syndrome: It occurs in 90% of people who use computer for more than three hours at a stretch. It leads to drying of eyes and headache. Prevention is to take a 20 seconds break after every 20 minutes and look by a distance of 10 feet for these 20 seconds.
  2. Blackberry thumb: This is inflammation of the tendons in the thumb leading to pain. This can be prevented by alternatively using fingers while texting on a Blackberry phone.
  3. Stiff neck occurs due to constant use of mobile in one hand with neck flexed. It can be prevented by alternative shifting of phone from one hand to another.
  4. Cellphone elbow is a pain in the elbow because of the stretching of ulnar nerve because of use of mobile phone in a flexed position. Using hands-free set can prevent this.
  5. Nomophobia – It is present in 50% of the mobile users and is a type of mobile addiction. The term literally means, ‘no mobile phobia’, which means that a person always fears losing his/her phone.
  6. Ringxiety – It is the anxiety resulting due to not receiving a call in the last 30 minutes. It is present in the 30% of the mobile users.
  7. Phantom ringing – It is present in 20-30% of mobile users. You can feel that your phone ringing but when you check, it is actually not ringing.
  8. Social site addiction – With the growing popularity of smartphones, one is addicted to Facebook, internet, Twitter and other such applications. These can cause insomnia, fragmented sleep, etc.
  9. After TV, Facebook is the number two cause of relational disharmony within the family and is present in 20% of the houses.
  10. Smartphone is a cause for parent-child conflict in 30% of the cases. Often children get up late and end up going to school unprepared. On an average, people spend 30-60 minutes in the bed playing with the smart phone before sleep.

Prevention

  • Electronic curfew means not using any electronic gadgets 30 minutes before sleep.
  • Facebook holiday: Take a Facebook holiday for 7 days every three months.
  • Social media fast: Avoid use of social media once in a week for the entire day.
  • Use your mobile phone only when mobile.
  • Do not use computer for more than three hours in a day.
  • Limit your mobile talk time to more than two hours in a day.
  • Do not recharge your mobile battery more than once in a day.
  • Mobile can also be a source of infection in the hospital setup; therefore, it is disinfected everyday.

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

5 of the Best Workouts You Can Ever Do: Harvard Medical School

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Ethics of Life and Super Achiever Award

Dr KK Aggarwal delivering a lecture on “Ethics of Life” on June 8 at India Habitat Centre.

 
Dr K K Aggarwal
    National News

Walking or cycling to work can boost heart health in Indians

Indians who walk or cycle to work have a lower cardiovascular risk as they are less likely to be overweight or obese, have diabetes or high blood pressure, according to a new study reported in The Pioneer. Researchers from Imperial College London and the Public Health Foundation of India said that the findings suggest encouraging more people to use physically active modes of transport could reduce rates of important risk factors for many chronic diseases. Rates of diabetes and heart disease are projected to increase dramatically in India and other low and middle income countries over the next two decades. The study, published in journal PLOS Medicine, analysed physical activity and health information collected from almost 4,000 participants in the Indian Migration Study (IMS), conducted during 2005–2007.

The IMS was carried out in factory settings in four cities from northern (Lucknow, Hindustan Aeronautics Ltd), central (Nagpur, Indorama Synthetics Ltd), and southern India (Hyderabad, Bharat Heavy Electricals Ltd; and Bangalore, Hindustan Machine Tools Ltd). Researchers found that 68.3 per cent of people in rural areas in India bicycled and 11.9 per cent walked to work, compared with 15.9 per cent cycling and 12.5 per cent walking in towns and cities. Half of people who travelled to work by private transport and 38 per cent who took public transport were overweight, compared with only a quarter of people who walked or cycled to work. The study found similar patterns for rates of high blood pressure and diabetes.

"This study highlights that walking and cycling to work is not only good for the environment but also good for personal health," said Christopher Millett, of the School of Public Health at Imperial and the Public Health Foundation of India, who led the study. "People can get the exercise they need by building physical activity into their travel to work, so they don't need to make extra time for the gym. "Getting more people to use active modes of travel should be integral to strategies to maintain healthy weight and prevent diabetes and heart disease in India. "This should include improving the safety and convenience of walking and bicycling in Indian towns and cities, and also greater investment in public transport, since this travel generally involves walking to bus or train stops," he said. (Source: The Pioneer, 12 June 2013)

    Valvular Heart Disease Update

Prosthetic valve update

For patients with mechanical prosthetic valves, one should opt for long-term treatment with warfarin (or other vitamin K antagonists). The goal INR varies with valve position and type.

(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)

    Be Human Stop Child Abuse (Team IMA for CMAAO)

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

Working definition of child abuse

Physical abuse is inflicting physical injury upon a child. This may include hitting, shaking, kicking, beating, or otherwise harming a child physically.

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

COPD: 3 biomarkers linked to exacerbation risk

Patients with chronic obstructive pulmonary disease (COPD) who have simultaneously elevated levels of 3 key biomarkers (C-reactive protein [CRP], fibrinogen, and leukocytes) appear to have a higher risk of exacerbations than those with lower levels, according to a prospective study. The association holds true even if for patients who have a mild form of the ailment or have never before experienced such symptoms. (Source: Medscape)

Apnea: 'Sleeping gun' in sudden death?

Obstructive sleep apnea may place adults at a greater risk for sudden cardiac death, researchers found. (Source: Medpage Today)

Ustekinumab efficacy sustained for psoriatic arthritis

Open-label results from a phase 3 study assessing ustekinumab (Stelara, Janssen) show that the improvement achieved at week 24 is confirmed at week 52 in patients with psoriatic arthritis. (Source: Medscape)

Unstable plaque in stents spells danger over time

The causes of very late stent thrombosis are intensely debated, but new research leans toward a rupture in plaque buildup inside the stent. (Source: Medpage Today)

FDA expands denosumab for giant cell tumor of bone

The US Food and Drug Administration (FDA) today expanded the approved use of denosumab (Xgeva, Amgen) to include the treatment of adults and some adolescents with giant cell tumor of the bone (GCTB), a rare condition that is usually noncancerous. (Source: Medscape)

 
  Twitter of the Day

@DrKKAggarwal: Do not ignore joint pain Joint pains need immediate diagnosis and proper treatment Padma Shri & Dr. BC Roy... http://fb.me/1zjXWnXRo

@DeepakChopra: Family values. Remembering our parents & more http://www.youtube.com/watch?v=mj1YJjkgtd4&feature=youtu.be …

 
    Spiritual Update

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

Why Spirituality is wellbeing Friendly

1. What you believe in can have a big impact on health and longevity. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone the body releases in response to stress.

For comments and archives

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

What happens in an egg donation cycle?

In an egg donation cycle, the donor receives fertility medications to stimulate the production of multiple eggs in her ovaries. At the same time, you are given hormone therapy to prepare your uterus to receive the fertilized eggs (embryos). After the eggs are obtained from the donor, they are fertilized in the laboratory with your partner’s sperm. Several days after fertilization, the embryos are transferred to your uterus. Any embryos which are not transferred may be frozen (cryopreserved) for a future cycle.

 
    An Inspirational Story

Improving Self Confidence

Are you the type of person who easily gets influenced by negative advices? Follow this short self confidence lesson…

When Henry Ward Beecher was a young boy in school, he learned a lesson in self confidence which he never forgot.

He was called upon to recite in front of the class. He had hardly begun when the teacher interrupted with an emphatic, “No!” He started over and again the teacher thundered, “No!” Humiliated, Henry sat down. The next boy rose to recite and had just begun when the teacher shouted, “No!” This student, however, kept on with the recitation until he completed it. As he sat down, the teacher replied, “Very good!”

Henry was irritated. ”I recited just as he did,” he complained to the teacher.

But the instructor replied, “It is not enough to know your lesson, you must be sure. When you allowed me to stop you, it meant that you were uncertain. If the world says, ‘No!’ it is your business to say, ‘Yes!’ and prove it.

The world will say, ‘No!’ in a thousand ways.

‘No! You can’t do that.’

‘No! You are wrong.’

‘No! You are too old.’

‘No! You are too young.’

‘No! You are too weak.’

‘No! It will never work.’

‘No! You don’t have the education.’

‘No! You don’t have the background.’

‘No! You don’t have the money.’

‘No! It can’t be done.’

And each ‘No!’ you hear has the potential to erode your confidence bit by bit until you quit all together.

Though the world says, ‘No!’ to you today, you should be determined to say, ‘Yes!’ and prove it!”

For comments and archives

 
  Cardiology eMedinewS

Low vitamin D causes high BP, study shows Read More

 
  Pediatric eMedinewS

Malnutrition condemns millions to stunted lives: UNICEF 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)

Can unvaccinated pet dog/cat pose danger to the family?

As rabies is an enzootic disease, that is, it is widely prevalent in stray dogs in India, so, if unvaccinated pet dog/cat is bitten by a stray dog, the pet may develop rabies and later pose threat at home to all family members.

Dogs effectively vaccinated against rabies ordinarily do not suffer and transmit the disease. But it is very difficult to say with certainty that a particular dog immunized with a specific vaccine is immune against rabies. If a tissue culture vaccine is regularly given to a healthy dog, it should develop sufficient protection. However, following severe and extensive bites (challenge dose of virulent virus infection) by a rabid dog, it may still succumb to rabies.

 
    IJCP Special

Dr Good Dr Bad

Situation: A 50–year–old male came with early morning onset of acidity.
Dr. Bad: Take an antacid.
Dr. Good: Get an ECG done.
Lesson: Onset of acidity after the age of 40 unless proved otherwise is an acute coronary event.

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain out so much ascitic fluid?
Lesson: Make sure to evaluate the patient thoroughly and only moderately tap the ascitic fluid since overenthusiastic tapping can be life–threatening.

 
  Quote of the Day (Dr GM Singh)

Let us follow our destiny, ebb and flow. Whatever may happen, we master fortune by accepting it. Virgil

Our Social
Network sites
… Stay Connected

        FaceBook
  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

        Twitter
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        Blog
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

 
ioc
central bank
lic bank
 

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

Photos of Doctor’s Day Celebration

 
eMedinewS Apps
Archives
Archive
Archive
Archive
Archive
Archive
Alert
 
    Mind Teaser

Read this…………………

Biofeedback is a therapy used to:

a. Develop psycho-physiologic self-regulation.
b. Enhance drug delivery.
c. increase release of serotonin.
d. Promote neuronal regeneration.

Yesterday’s Mind Teaser: A focused examination for fibromyalgia includes assessment for:

1. Autonomic changes, peripheral neuropathy, and skin fold tenderness.
2. Morning fatigue, widespread body pain, and focal tenderness.
3. Skin rashes, edema, and constipation.
4. Unilateral weakness, hyperesthesia and allodynia.

Answer for Yesterday’s Mind Teaser: Morning fatigue, widespread body pain, and focal tenderness.

Correct answers received from: DR SANTHAKUMARI, DR ANUSHA SUDHAKAR, Dr. B.B. Gupta, Dr shashi saini, DR ARPAN GANDHI, Dr. P. C. Das, DrGajveer, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr.K.Raju, Muthumperumal Thirumalpillai, DR P K SAHU, DR AVTAR KRISHAN, Dr. Thakor Hitendrsinh G

Answer for 13th June Mind Teaser: Immediate release morphine

Correct answers received from: Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, dr Kanta jain

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

After just a few years of marriage, filled with constant arguments, a young man and his wife decided the only way to save their marriage was to try counseling. They had been at each other’s throats for some time and felt that this was their last straw.

When they arrived at the counselor’s office, the counselor jumped right in and opened the floor for discussion.

"What seems to be the problem?" The wife began talking 90 miles an hour describing all the wrongs within their marriage.

After 15 minutes of listening to the wife, the counselor went over to her, picked her up by her shoulders, kissed her passionately for several minutes, and sat her back down. Afterwards, the wife sat there speechless.

He looked over at the husband who was staring in disbelief at what had happened. The counselor spoke to the husband, "Your wife NEEDS that at least twice a week!" The husband scratched his head and replied… "I can have her here on Tuesdays and Thursdays."

 
    Medicolegal Update

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

When can pregnancies be terminated by Registered Medical Practitioners?

A Registered Medical Practitioner shall not be guilty of any offence under that code or under any other law for the time being in force, if any pregnancy is terminated by him in accordance with MTP Act

  • where the length of the pregnancy does not exceed twelve weeks,
  • where the length of the pregnancy exceeds twelve weeks but does not exceed twenty weeks, if not less than two medical practitioners are of the opinion, formed by doctor in good faith that – the continuance of pregnancy would involve a risk to the life of the pregnant woman or of grave injury to her physical or mental health, or there is a substantial risk that the child, if born, would suffer from such physical and mental abnormalities as to be seriously handicapped.
  • Where any pregnancy is alleged by the pregnant woman to have been caused by rape, the anguish caused by such pregnancy shall be presumed to constitute a grave injury to the mental health of the pregnant woman.
  • Where any pregnancy results as a result of failure of any device or method used by any woman or her husband for the purpose of limiting the number of children, the anguish caused by such pregnancy shall be presumed to constitute a grave injury to the mental health of the pregnant woman.
  • In determining whether the continuance of a pregnancy would involve such risk of injury to the health as is mentioned in sub–section (2), account may be taken of the pregnant women’s actual or reasonably foreseeable environment.
  • No pregnancy of a woman, who has not attained the age of 18 years, or, who, having attained the age of 18 years is a mentally ill person (substituted for "lunatic" by Amendment Act, 2002), shall be terminated except with the consent in writing of her guardian.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Diabetics should not smoke

The health hazards of cigarette smoking in the general population are well-known. In patients with diabetes mellitus, smoking causes a substantial increase in risk for both macrovascular (cholesterol deposition) and microvascular (eye, kidney involvement) disease, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA. The HCFI has released a few guidelines in this regard.

  • Smoking is an independent risk factor for all-cause mortality, largely due to cardiovascular disease.
  • There is a dose-response relationship between current smoking status and risk of coronary disease in women with diabetes. The risk is 1.7 and 2.68 for 1 to 14 and >15 cigarettes per day, respectively.
  • The risk returns to baseline in those who have stopped smoking for more than 10 years.
  • The risk of mortality in diabetic women also increases with the number of cigarettes smoked per day. The risk is 1.4 and 2.1 for 1 to 14 and >35 cigarettes/day, respectively. The risk decreases substantially 10 years after quitting smoking (risk 1.1)
  • Smoking is associated with increases in the levels of total cholesterol and very-low-density lipoprotein cholesterol, a decrease in serum high-density-lipoprotein cholesterol levels and a greater degree of insulin resistance
  • Smokers, via an uncertain mechanism, have poorer glycemic control.
  • In patients with type 1 diabetes, smoking is independently associated with an increase in urinary albumin excretion and nonproliferative retinopathy; the degree of albuminuria falls to the level of nonsmokers if smoking is discontinued.
  • Smokers with either type 1 or type 2 diabetes are at increased risk for neuropathy, an effect that persists after adjusting for glycemic control.
  • Smoking is associated with an increased risk of end-stage renal disease and with decreased survival once dialysis is commenced.

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 54572 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, 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 Response
  1. Dear Sir, emedinews is very informative. Regards: Dr Tapan
 
    Forthcoming Events

ZOONOSIS – 2013-Conference on Prevention of Diseases
Communicable from Animals to Human

Saturday, 6th July, 9.30 am – 5 pm

Venue: New Delhi

(All About Flu, Malaria, Dengue, Chikungunya, Japanese Encephalitis, Rabies, Neurocysticercosis, Leptospirosis, Food Allergies etc.)

For Free Registration:

Email: rekhapapola@gmail.com
Phone: 9899974439 (Rekha Papola), 9810301261 (Dr Uday Kakroo)

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Name
Date
Time
Place
Duration
Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

 
    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

  DIET BOOK

  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