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  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 Doctor’s Day Celebration

 
    Nobility of Medical Profession …

Dr KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video
ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Justice A P Shah on Medical Profession Part 1 Watch Video
Justice A P Shah on Medical Profession Part 2 Watch Videos
Nobility of Medical Profession – Panel Discussion part 1 Watch Videos
Nobility of Medical Profession – Panel Discussion part 2 Watch Videos
Nobility of Medical Profession – Panel Discussion part 3 Watch Videos
Nobility of Medical Profession – Panel Discussion part 4 Watch Videos

 
  Parliamentary Committee on Health....
 Parliamentary Committee on Health at New Delhi on 5th July 2012
  DD India's Take Care Holistically....
DD India's Take Care Holistically-Hypertension-1
DD India's Take Care Holistically-Hypertension-2
  Editorial …

15th July 2012, Sunday

Ayush doctors and modern medicine

Ayush doctors can now get training in allopathic medicine

According to a new proposal from the Maharashtra Government and once it has been cleared by an ordinance, Ayush doctors will be able to practice allopathy after undergoing one year course in Pharmacology.

This decision is beyond understanding and needs a rethink. The medical profession needs to challenge it. That means after completing BHMS or BAMS, they can go for one-year course in Pharmacology and after clearing the exam they will be allowed to practice Allopathy and will be equivalent to MBBS degree. This will be a backdoor entry to do MBBS.

There was a time when there was a proposal in the Ministry of Health to start 2-year postgraduate course in respective pathies. This means an MBBS doing a 2-year MD in Homeopathy and a 2-year MD in Ayurveda or an Ayush doctor doing a 2-year MD in modern medicine. This proposal was not accepted and had to be dropped.

In the western countries, especially in Europe, Homeopathy can be studied only getting an MBBS degree. Instead of allowing Ayush doctors to become equal to MBBS by taking this 1-year Pharmacology course, the real answer should be that number of MBBS seats should be increased and only after completing MBBS, those who wish to study other pathies be allowed to do MD to practice other specialties.

One cannot practice Ophthalmology after completing MD in Gynecology, or vice-versa. Similarly, people doing 3 years course in Ayush will have to drop advanced modern practice.

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

Metformin may repair stroke injured brains

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Seminar on Health and Happiness was organised jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan at Bharatiya Vidya Bhavan on 5th July, 2012.
Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal giving memento to Fr Mathew Abraham.

 
Dr K K Aggarwal
 
    National News

My Profession My Concern - National Plastic Surgery Day

Plastic Surgery started in India thousands of years back, when ‘clever surgeons’ reconstructed the nose by a cheek flap. The name of Sushruta (600 BC) is notable. He practiced in Varanasi and his work has been compiled in the treatise ‘Sushruta Samhita’.
The word ‘Plastic Surgery’ itself is quite confusing. Both the medical fraternity and the laymen do not comprehend the scope of work done in this subject. Most take it to be synonymous with cosmetic surgery.

Prof Arun Kumar Singh

The reconstructive part and which is the major part remains totally obscure. Actually, Plastic Surgery word originates from the Latin word ‘Plasticos’ which means ‘to mould’. Subsequent developments and renaissance of speciality occurred during the world wars. Lots of missing tissues resulting from gunshots and blasts had to be reconstructed. The advent of microsurgery has put the plastic surgeon in an enviable position in repairing and anastomosing minute blood vessels and nerves, culminating in successful reimplantation of severed potions of the body. Hand and face transplants too have become a reality today.

India has been and also been acknowledged to be on the forefront of Plastic Surgery in the world. The Association of Plastic Surgeons of India (www.apsi.org.in), last year decided to celebrate 15th July each year as the ‘National Plastic Surgery day’. This was done to create awareness amongst the doctors and the public and also to remove myths about the speciality.

This year 15th July is a Sunday. Depending on the feasibility Plastic Surgeons all over the country shall perform at least one (or more) activity, as given below for this day.

1. Free consultation camp on 15th July
2. Free Surgeries on 15th July
3. Lecture in Local Indian Medical Association
4. Public Lecture
5. Addressing the press on 15th July
6. Addressing the press on the eve of Plastic Surgery day (14 July)

Prof Arun Kumar Singh, President, Association of Plastic Surgeons of India, Head, PG Dept of Plastic Surgery, C S M Medical University (Upgraded KG Medical College), Lucknow, singhkarun@hotmail.com

Ayush doctors can practice allopathy after studying pharmacology: Maharashtra government

Friday, July 13, 2012: Mumbai: Unani, homeopathy and other doctors wishing to practice allopathy should study pharmacology, the state medical education minister Vijay Kumar Gavit on Friday told the legislative assembly. According to the minister, pharmacology will be a full course of one year and once homeopathy and others doctors have studied it and cleared the examination they will be allowed to practice allopathy. An ordinance to this effect will be promulgated next month and accordingly, the Maharashtra medical practitioners act, 1961 will be amended, Gavit said. He further said that the homeopathy council in Delhi has been requested to include pharmacology in the homeopathy curriculum. (Source: TOI)

(Contributed by Dr. Sushma Ani)

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)

Predicting CRT response by ECG: Toward a more nuanced approach

Electrocardiographic criteria for predicting a good response to cardiac resynchronization therapy (CRT) have long focused on QRS interval duration, but only recently have they also considered QRS morphology--that is, whether it does or doesn't indicate left bundle-branch block (LBBB). It turns out that such LBBB is an even stronger predictor of good CRT response than a QRS duration >150 ms, according to an analysis of patients who received the pacing therapy at a major heart-failure center. (Source: Medscape)

For comments and archives

Start insulin at lower dose in diabetics with renal insufficiency: Study

Hospitalized patients with type 2 diabetes and renal insufficiency might benefit from lower than standard weight-based initial doses of insulin glargine or glulisine, a new paper says. In a randomized trial, the authors saw a trend toward less hypoglycemia in patients who were started on lower doses. (Source: Medscape)

For comments and archives

Moderate alcohol intake could help prevent bone loss

Moderate consumption of alcohol as part of a regular healthy lifestyle may promote bone health in postmenopausal women and help them avoid developing osteoporosis, according an article published online July 9 in Menopause. (Source: Medscape)

For comments and archives

HIV prophylaxis for heterosexuals: Conflicting trial results

HIV prophylaxis with tenofovir disoproxil fumarate (TDF) alone or in combination with emtricitabine (FTC), together with counseling and other preventive measures, appears to effectively combat HIV transmission in heterosexuals according to the findings of 3 randomized controlled trials. The findings of 1 of the trials, however, highlighted potential problems with patient compliance. The FEM-PReP Study Group, TDF2 Study Group, and Partners PReP Study Team presented their findings in separate articles published online July 11 in the New England Journal of Medicine. (Source: Medscape)

For comments and archives

Intermittent iron as effective as daily iron for pregnant women

Pregnant women who take intermittent iron supplementation are no more likely to develop anemia than women who take the supplement daily, according to a new Cochrane systematic review. In addition, intermittent iron is associated with fewer adverse effects than daily supplementation. Juan Pablo Peña-Rosas, MD, PhD, MPH, coordinator of Evidence and Programme Guidance for the Department of Nutrition for Health and Development at the World Health Organization in Geneva, Switzerland, and colleagues report their findings online July 11 in the Cochrane Database of Systematic Reviews. (Source: Medscape)

For comments and archives

Higher HDL-particle concentrations associated with reduced CHD risk

A new analysis of the Multi-Ethnic Study of Atherosclerosis (MESA) sheds some light on the complicated association between HDL cholesterol and coronary heart disease risk, with researchers showing that the concentration of HDL particles was independently associated with carotid intima-media thickness (cIMT) and coronary heart disease. HDL cholesterol was also inversely associated with cIMT and coronary heart disease events, but the association was attenuated when adjusted for atherogenic lipoproteins and HDL particles. In contrast, the association between HDL-particle concentration and cIMT and coronary heart disease risk was unaffected when adjusted for atherogenic lipoproteins, HDL cholesterol, and mean HDL-particle size. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Artificial Sweeteners in Sweets May Be
Harmfulhttp://blog.kkaggarwal.com/2012/07/artificial-sweeteners-in-sweets-may-be-harmful/

@DeepakChopra: Bring into your mind anyone against whom you have a grievance and let it go. Send that person your forgiveness.

 
    Spiritual Update

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

Wahe Guru

God exists and God is one, you are God and I am God are the four main teachings of Vedas describes as mahavakyas. Whether He is called Vishnu, Trimurti (Brahma, Vishnu and Mahesh), Wahe Guru, Lord, Allah or by any name, He is the force behind the creation. He is the master server who controls all the local servers or Jeev Atmas.

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 the indications for genetic screening?

Women over 35 years of age, those with a previous affected child and those with a positive family history have a higher risk of chromosomal problems and miscarriage. Women in this age group and those with high risk histories may wish to consult their physician or a genetic counselor about their chances of having a child with a chromosomal problem, such as Down syndrome, and the choice for prenatal genetic testing if pregnancy is achieved. A normal screening test means that the risk of a chromosomal abnormality is reduced, but not zero. Chorionic villus sampling and amniocentesis are two methods of confirming the diagnosis of a chromosomal abnormality when the screening test is positive. Both of these tests carry a small risk of miscarriage.

For comments and archives

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

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

Primary reasons for transfusing blood

  • To restore or maintain oxygen supply to body tissues.
  • To prevent massive blood loss e.g. traumatic accidents
  • To treat blood disorders e.g. anemia
  • To treat Hemolytic Disease of the Newborn, where the pregnant women develop antibodies that destroy the newborn’s red blood cells

Tests must be performed to ensure

  • Safe administration of donor blood to patient
  • Have a pregnancy as safe as possible for both mother and child.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

A good person

What really constitutes a good person? This is one of the questions I have in my life that I long to find the answer for. Does being an upright citizen equate to being a good man?

Does going to church regularly and paying your colleagues compliments that they are due make you virtuous and moral? Is it enough to do good things for other people to make you an ethical and just human being?

With all the norms that the society we live in sets for being good, sometimes, it's just too easy to be bad. Whether that takes the form of gossiping about your co-worker, cheating on a test, changing lanes too fast or merely having malicious thoughts of others, I've done all sort of things that I can never be proud of, nor justify.

Sometimes, it's just way too easy to be bad. The idea of being good is occasionally easier said than done. Doing something I already regard as greatly noble may not be good enough to the person sitting next to me. Let's admit it, we can never please everyone, no matter how we try.

I've just recently stopped apologizing for my existence and started to accept and love myself. I have realized that the key to becoming a truly good person is in also accepting the parts of my personality that I am not very proud of.

I have stopped resisting my nature, instead, tried to work my way around it. I have come to admit that I am not perfect and I do succumb to temptation sometimes. What matters is the fact that every day, I try to be a better person than I was yesterday. If I fail, I try again. Somebody once said, "I may not be a nice person, but I am a good human being".

Being good is like beauty. It is a biased, prejudiced, over-rated and subjective issue. I've learned not to put too much pressure on myself with all the standards that our society has. Instead, I try to simplify them by struggling not to step on anyone's shoes. Then maybe... just maybe, I can be a good person in the process.

For comments and archives

 
    Cardiology eMedinewS

When to start and stop aspirin for cancer and heart prevention Read More

Hypertension prevalence in US stable, at 30% Read More

 
    Pediatric eMedinewS

Growth hormone tied to higher eye pressure in kids Read More

Tablet computer may interfere with shunt valve settings Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with Mediclaim wanted angiography.
Dr. Bad: Get admitted for 24 hours.
Dr. Good: You can go after six hours.
Lesson: If you can justify that due to technological advances, hospitalization is required for less than 24 hours, Mediclaim will be applicable.

For comments and archives

Make Sure

Situation: A patient with renal failure came to a doctor.
Reaction: Oh, my God! Why was he given painkillers?
Lesson: Make sure to avoid painkillers in renal failure as most painkillers (barring nimesulide, paracetamol) are not kidney–friendly drugs.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta)

1. Are government hospitals in general covered within the ambit of the Consumer Protection Act, 1986?

2. More specifically, can government hospitals be liable under the Act because they provide treatment under the RSBY scheme?

Ans.

  1. There is no blanket coverage of government hospitals under the CPA. If a hospital—whether owned by the government or a private party—provides free treatment to all patients, it is not covered under CPA. If some are treated free and some for payment of fees, then all patients will be treated as consumers under the Act.
  2. This is illustrated by a government hospital registered under the RSBY (Rajya Swasthya Bima Yojna) scheme. Here the cost of treatment of beneficiaries of the scheme is paid to the hospital by the RSBY authorities on behalf of the patients. Thus these patients are not treated by the hospital. That being so, all patients treated at the government hospital concerned would be covered by the CPA.
 
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    Fitness Update

(Rajat Bhatnagar, MonaVie www.mymonavie.com/sonraj)

The National Posture Institute (NPI) has become a partner with BackJoy

The National Posture Institute has become a partner with personal wellness company BackJoy. BackJoy has created a series of innovative posture improving products which help people retain good posture in different situations of daily life, such as sitting, standing, sleeping and exercising. Improving posture and preventing injury through education is a long-term commitment of the National Posture Institute. In such way, NPI and BackJoy proudly announce their partnership to work toward their educational and customer-satisfying goals.

"We are very excited to launch the partnership with BackJoy and help increase the awareness of posture and body alignment," said Ken Baldwin, Executive Director of the National Posture Institute and Recipient of IDEA's National Personal Trainer of the Year Award. "It's important to incorporate posture improving tools into your daily life and activities; fortunately, BackJoy products make it practical."

 
    Quote of the Day

(Dr GM Singh)

The soul is born old but grows young. That is the comedy of life. And the body is born young and grows old. That is life's tragedy. Oscar Wilde

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Porphyrin Test: Indications

When a patient has symptoms that suggest an acute neurologic/psychiatric porphyria, such as abdominal pain, tingling in hands or feet, and/or confusion or hallucinations, or that suggest a cutaneous porphyria, such as reddening, blistering, or scarring on sun–exposed skin.

 
    Mind Teaser

Read this…………………

Which is the most relevant knowledge about oxygen administration to a client with COPD?

A. Oxygen at 1-2L/min is given to maintain the hypoxic stimulus for breathing.
B. Hypoxia stimulates the central chemoreceptors in the medulla that makes the client breath.
C. Oxygen is administered best using a non-rebreathing mask
D. Blood gases are monitored using a pulse oximeter.

Yesterday’s Mind Teaser: The nurse is conducting an education session for a group of smokers in a “stop smoking” class. Which finding would the nurse state as a common symptom of lung cancer?

A. Dyspnea on exertion
B. Foamy, blood-tinged sputum
C. Wheezing sound on inspiration
D. Cough or change in a chronic cough

Answer for Yesterday’s Mind Teaser: D. Cough or change in a chronic cough

Correct answers received from: Dr Prabha Sanghi, Dr Gopal M Shinde, Dr. Arvind, Dr. P. C. Das, Yogindra Vasavada, Raju Kuppusamy, Dr Alexander Daniel, Dr kanta jain, Dr Arvind Khanijo, Dr Pankaj Agarwal, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr. Thakor Hitendrsinh G, Dr Jainendra Upadhyay

Answer for 13th July Mind Teaser: B. It prevents conversion of factors that are needed in the formation of clots.
Correct answers received from: niraj gupta, Dr Avtar Krishan, DrValluriRamarao, Anil Bairaria

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr GM Singh)

Doctor: You're in good health. You'll live to be 80.
Patient: But, doctor, I am 80 right now.
Doctor: See, what did I tell you.

 
    Medicolegal Update

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

Patterned bruises

The extent and severity of violence or force used may be determined from the size and swelling of bruise

  • The examining doctor must document the dimension/shape/size of bruise in the medicolegal report as it may connect the victim and the object or weapon used in the specific case, e.g., chain, cane stick, rifle butt, boots, ligature, vehicle etc.
  • The age of injury can be detected by the status of color of bruise; the extent and severity of violence or force used may be determined from the size and swelling of bruise; character and manner of the injury may be known from its distribution over the body.
  • Bruising of the arm may indicate restraining of the victim.
  • Bruising of the shoulder blades indicates firm pressure on the body against the ground or other resisting surface.
  • In manual strangulation, the position and number of bruises and nail marks may indicate the method of attack and the position of the assailant.
  • Patterned bruises on chest/neck and mouth are very important in diagnosing resuscitative injury in medicolegal cases, which may be invariably misconstrued by the doctor as indicative of manual strangulation/smothering.
  • Patterned bruises are an important tool to diagnose torture injury and very commonly appreciated in sole/flexor aspect of hands/buttock and back of thighs by doctors.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Poly Diet and Poly Drugs

Traditional Vedic science has been advocating poly diet i.e. mixing a combination of all seven colours and six tastes, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Each colour provides a different vitamin and each taste has a different function in the body. Combining them together provides a perfect balanced diet. Allopathy is also now promoting the concept of multiple drugs for a single disease. Today, for obesity, lipids, blood pressure, diabetes, tuberculosis, malaria, HIV, rheumatoid arthritis, etc., it is advised to combine multiple drugs in low doses than to give high dose of a single drug.

Giving a single drug for infections like tuberculosis, HIV and malaria can produce drug resistance and giving a single drug for non–communicable diseases like blood pressure, diabetes and high cholesterol may not adequately control the disease and achieve the required goals and targets.

Most patients with diabetes and hypertension of over 10 years’ duration may require a combination of 3 to 4 drugs. Even preparing home cooked vegetables in a traditional Indian way requires more than 10 ingredients. Therefore, one should not count the number of drugs while taking treatment.

 
    Readers Responses
  1. Very informative points have been raised Sir, Thanks. Dr Hari.
 
    Forthcoming Events
Dr K K Aggarwal
Dr K K Aggarwal

Annual Scientific Congress 2012

Menopause Society of Sri Lanka
"Long and Healthy Life for Post Reproductive Women"
July 27th – 29th 2012
Venue: Galadari Hotel, Colombo
Organized by: Menopause Society of Sri Lanka in Association with South Asian Federation of Menopause Societies (SAFOMS)
Supported by: Sri Lanka College of Obstetricians & Gynaecologists (SLCOG)
Web: http://www.menosocsl.org
Email: sessions.menosoc2012@gmail.com

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

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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