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eMedinewS is now available online on www.emedinews.in or www.emedinews.org
Dr KK Aggarwal

From the Desk of Editor in Chief
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

  Editorial ...

15th October 2010, Friday

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Radio frequency tags may help keep track of surgical sponges

A new method of keeping track of surgical sponges is under development. At the annual meeting of the American College of Surgeons, researchers from the University of North Carolina–Chapel Hill said that they can flag sponges with radiofrequency tags or bar codes. After reviewing 2961 cases in which sponges with radiofrequency tags were used, the investigators found the technology helped to recover 21 missing sponges. The tags, which use the same technology as clothing store tags and pet microchips, could be used along with manual counting and X–ray detection to improve patient safety.

Dr KK Aggarwal
Editor in Chief
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  Dengue Update

What are the side effects of platelets transfusions?

  • Transfusion–related acute lung injury: Blood platelet transfusion may increase the permeability of the lung tissue, which can cause fluid and protein to leak into the lungs. This condition is called transfusion-related acute lung injury (TRALI) and can cause difficulty breathing or damage to the lung tissue.
  • Graft–vs–host disease: Though rare, some patients can develop graft–vs–host disease (GVHD). It is more common in patients who have a depressed immune system. GVHD occurs when the donated platelets attack the cells within the body of the transfusion recipient. Symptoms include skin rash, jaundice, and diarrhea, fever, breathing difficulties or sore joints and tendons. Patients with GVHD are also more susceptible to developing infection or anemia. Treatment includes either taking steroids or other immune suppressants.
  Photo Feature (from the Net)

Weird X-rays

X-ray is one of the most useful medical advancements in history. But as these images show they can also reveal some of the most gruesome and bizarre results. A coloured X-ray of the abdomen of a patient with dementia that has swallowed a razor (centre left) and razor blades (upper right)

(Contributed by Dr Mukul Tiwari)

Dr K K Aggarwal
  IMSA Update

International Medical Science Academy (IMSA) Update

Agomelatine and Depression

Agomelatine, the first melatonergic antidepressant, is beneficial for depressed patients with sleep disturbance. It has both melatonergic and serotonergic action.


  1. McAllister–Williams RH, et al. The use of antidepressants in clinical practice: focus on agomelatine. Hum Psychopharmacol 2010;25:95.
  2. Stahl SM, et al. Agomelatine in the treatment of major depressive disorder: an 8–week, multicenter, randomized, placebo–controlled trial. J Clin Psychiatry 2010;71:616.
  National News

IMA Election (for a CHANGE)

Emedinews requests all its readers to support our editor Dr. K.K. Aggarwal, Padma Shri and Dr. B C Roy National Awardee who is contesting for the post of Vice President of the National Indian Medical Association (IMA). Members of Central Council of IMA, Working Committee Members, Presidents and Secretaries of IMA in addition to all office bearers are the voters in this election. Dr. Aggarwal is well–known for his work in the field of academics.

Location of Anganwadi centres to be put on web

In order to bring in more transparency, the Centre has requested all the states to upload the location of anganwadi centres (AWCs) on the website of state’s Department of Women and Child Development or Social Welfare dealing with Integrated Child Development Services (ICDS). The Ministry of Women and Child Development had already asked the states to display the name boards depicting the name of the anganwadi centre and ICDS logo at the entrance of anganwadi centres in order to give visual impact and help in improving the awareness of the community in the ICDS scheme. The ministry has asked the states to commemorate October 31 as a ‘Day Against Violence and Terrorism’ in all the AWCs across the country. (Source: Indian Express)

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

Today is Global Handwashing Day

Global Handwashing Day is a campaign to motivate and mobilize millions around the world to wash their hands with soap. The campaign is dedicated to raising awareness of handwashing with soap as a key approach to disease prevention. It was made at the annual World Water Week 2008, which was held in Stockholm from August 17 to 23 and initiated the Public Private Partnership for Handwashing (PPPHW). The Global Handwashing Day took place for the first time on October 15, 2008, the date appointed by UN General Assembly in accordance with year 2008 as the International Year of Sanitation. The driving theme for Global Handwashing Day is children and schools.

Hand washing with soap is the single most effective and inexpensive way to prevent diarrhea and acute respiratory infections (ARI), as automatic behavior performed in homes, schools, and communities worldwide. These diseases claim the lives of millions of children in developing countries every year.

Global Handwashing Day logo: Shown in the image are water (blue), soap (orange), and hand (green)

Inter national Handwashing day

(Dr Monica and Brahm Vasudev)

How much fish one should eat?

The American Heart Association recommends that adults eat two servings of omega–3–rich fish (salmon, for example) per week, which works out to about 400 to 500 milligrams (mg) of EPA and DHA per day. People with heart disease are advised to double that, so their daily intake is 1,000 mg, or a full gram. Taking fish oil capsules is often the most practical way to get that amount of omega–3s. If one chooses to take fish oil capsules, note that the amount of EPA and DHA provided is often only about a third of that listed on the front of the bottle.

Carotid stent has higher stroke risk than surgery

Implanting stents in neck arteries is more likely to cause a stroke or death than surgically removing life–threatening blockages, according to US researchers. But patients who get carotid endarterectomy are more likely to have nerve damage and heart attacks. Both therapeutic procedures are effective, Dr. Louis Caplan of Beth Israel Deaconess Medical Center in Boston and Dr. Thomas Brott of Mayo Clinic in Florida, said in a commentary in the Archives of Neurology. Both procedures showed a relatively low rate of serious complications. Surgery is superior concerning some outcomes; stenting seems to have advantages in others.

Insulin resistance might raise risk of stroke

People with insulin resistance may be at higher risk for stroke even if they don’t have full–blown diabetes. Increased risk of stroke among people with insulin resistance is three times higher than among those that don’t have insulin resistance and are non–diabetic, said Dr. Tatjana Rundek, lead author of the study in the October issue of the Archives of Neurology.

No CV benefit seen with folic acid

Taking folic acid supplements for five years seems to have no significant benefit for the prevention of cardiovascular disease or cancer. In an analysis of eight randomized trials that included more than 37,000 participants, the rate ratio for major vascular events in those receiving the dietary supplements was 1.01 (95% CI 0.97 to 1.05, P=0.6), reported Robert Clarke, MD, of Oxford University in England, and colleagues.

  Hepatology Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta - The Medicity

What is biliary atresia? 

Biliary atresia is a serious disease of the very young infant. It results in inflammation and obstruction of the ducts which carry bile from the liver into the intestine. When bile cannot flow normally, it backs up in the liver (a situation called biliary "stasis"). This causes "jaundice," and cirrhosis. Cirrhosis occurs when healthy liver cells are destroyed, in this case by disease, and replaced with scar tissue. This scarring interferes with blood flow through the liver, causing more cell damage and scarring.
  Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director Precious Baby Foundation

What are some less common causes of infertility?

Although still considered "uncommon" by many practitioners, there is increasing evidence that many cases of "unexplained" infertility are actually the result of an immune system malfunction. There are many variances of immune problems, ranging from antisperm antibodies to an outright rejection of a developing fetus. The good news is that greatly improved testing is now available to screen for these problems, and new treatment protocols are netting unprecedented success rates.

  Eye Update: Question of the Day

Can paralytic squints be corrected surgically? (Dr Quresh Maskati)

Yes. Paralytic squints either resulting from birth trauma, such as forceps delivery causing 6th nerve or lateral rectus muscle paralysis or due to vehicular or other trauma in adulthood can be successfully surgically corrected using muscle  positioning techniques.

  Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

What are the types of food poisoning?

Food safety is currently one of WHO’s top 10 priorities. Food Safety is one of the major issues in our world today, and WHO calls for more systematic and aggressive steps to be taken to significantly reduce the risk of food–borne diseases.

There are two types of food poisoning: infectious agent and toxic agent.

  • Food infection refers to the presence of bacteria or other microbes which infect the body after consumption.
  • Food intoxication refers to the ingestion of toxins contained within the food, including bacterially produced exotoxins which can happen even when the microbe that produced the toxin is no longer present or able to cause infection.

Follow the below mentioned guidelines to avoid food poisoning.

  • Do keep kitchens clean. Keep tables and other surfaces on which food is prepared clean, and keep kitchen utensils clean.
  • Do protect food by keeping it covered or in boxes or cupboards with wire screens.
  • Do wash your hands well with clean soap and water before touching or preparing food. Cuts or sores on fingers should be covered with a clean dressing.
  • Do boil plates and eating utensils used by sick people before anyone else uses them.
  • Do not keep food for a long time in a warm place. Do not keep left–over cooked food if you cannot keep it cool or keep it in a refrigerator.
  • Do not let flies, other insects, worms, rats or other animals touch or crawl on food. They carry germs and spread disease.
  • Do not let dust get on food or let people touch food.
  • Do not leave food scraps or dirty dishes lying around, as these attract flies and let germs breed.
  • Do not leave clean utensils lying on the ground.
  • Do not eat raw or undercooked meat. Cook it right through.
  • Do not eat food that is old or smells bad.
  • Do not eat food from cans that are swollen or that squirt out when opened. Be especially careful with canned fish.

(Ref: IPCS, the United Nations Environment Programme, ILO and WHO)

  Medi Finance Update

To what extent can payment be made by cheque, cash, etc?

As per section 40 A (3), in case payment is made in excess of Rs. 20,000 other than by cross cheque or bank draft (cross), then of such expense shall be disallowed.

  Drug Update

List of drugs prohibited for manufacture and sale through gazette notifications under Section 26a of Drugs & Cosmetics Act 1940 by the Ministry of Health and Family Welfare

Drugs prohibited from the date of notification

Fixed dose combinations of Vitamins with Anti TB drugs except combination of Isoniazid with Pyridoxine hydrochloride (Vitamin B6)

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Liver function tests (LFTs)

  • To screen for, detect, evaluate, and monitor for liver inflammation and damage.
  • Periodically to evaluate liver function
  • Whenever you are at risk for liver injury
  • When you have a liver disease
  • When you have symptoms such as jaundice
  IJCP Special

Dr Good Dr Bad

Situation: A 16–year–old female was diagnosed to have calcific lesions in the ventricles on a CT scan.
Dr Bad: This is a typical case of neurocysticercosis.
Dr Good: This is not neurocysticercosis.
Lesson: Calcification in neurocysticercosis is seen only in the parenchyma and not in ventricles or cisterns.

Make Sure

Situation: An 18–year– old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT–scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

Quote of the Day (Dr.G M Singh)
"Managing is like holding a dove in your hand. Squeeze too hard and you kill it, not hard enough and it flies away." Tommy Lasor

  Mind Teaser

Read this…………………

ha ir
ha ir

Answer for yesterday’s Mind Teaser: "Too big to ignore"

Correct answers received from: Dr Chandresh Jardosh, Dr Sukanta Sen, Dr Kalpana Mohan, Dr Muthumperumal Thirumalpillai, Dr S. Upadhyaya, Dr.Susheela Gupta, Dr. Rajiv Dhir, Dr Kala Sarma, Dr Anurag Jain, Dr Rashmi Chhibber, Dr Anupam Sethi Malhotra, Dr Shashi Saini, Dr Vijay Kansal, Dr Virender Prakash Gautam, Dr. Manjesha, Dr Hiren Shah, Dr.G.Padmanabhan

Answer for 13th October Mind Teaser is: "Don’t tread on me"
Correct answers received from: Dr.K.Raju

Send your answer to ijcp12@gmail.com

  Humor Section

Joke (Dr G M Singh)
Patient: Doctor, what I need is something to stir me up, and to put me in fighting form. Have you got anything like that in a prescription?
Doctor: No! You’ll find it in my bill.

You are an Indian if (Anuj Goel)
You use grocery bags to hold garbage.

  An Inspirational Story

We all know this one

One day a man was having a conversation with God when his whole life flashed before his eyes as a series of footsteps on the sands of time. He saw that there were two pairs of footprints, but during the most difficult periods of his life there were only one set of footprints. He asked God "You said you will be with me throughout this journey, but why have you deserted me during the most critical times of my life??" to which God answered "Son, I did not desert you, I was always with you…you see only one set of footprints because during those difficult times in your life, I was carrying you in my hands"

  Readers Responses
  1. Very nice sir. Thank you for sharing great information every day. Regards Dr Nitin Jain.
  Public Forum

(Press Release for use by the newspapers)

After Commonwealth Games 2010, Delhi gears up for MTNL Perfect Health Mela

The 17th MTNL Perfect Health Mela will open for the general public on Saturday, 23rd October, 2010 and will be officially inaugurated on Sunday, 24th October, 2010 at 11 am at NDMC Ground, Laxmi Bai Nagar, New Delhi. The much-awaited health event will be a mix of exhibitions, competitions, checkups, cultural infotainment hungama and will be a perfect picnic spot for health fanatics.
Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India, Acharya Dr. Sadhvi Sadhna Ji Maharaj, Chairperson World Fellowship of Religions, Dr. PK Sharma, MHO MCD, Dr. NK Yadav, MHO NDMC, Dr KS Baghotia, Directorate of Health Services and senior officer from DST  in a joint statement said that the mela will be a perfect spot for public to know the Do’s and Don’ts of not only lifestyle disorders but also of Dengue, Chikungunya and H1N1 flu.

For the first time, facilities for on–the–spot platelet and hematocrit checkups will be available for patients with fever.
The star attraction of the press conference was Mr Santosh Anand, noted Bollywood Poet & Lyricist, who released the health message that “Food of plant in origin contain no cholesterol” and another one that “Dry fruits have no cholesterol”.
Mr S Bhatnagar, GM Sales from MTNL Delhi, Senior officers from LIC, Coca Cola India Ltd. and Oriental Bank of Commerce, in a joint statement said that ‘Chaturmas’ is a period when the negativity is maximum and hence every effort should be made to learn how to tackle negativities in the body and the mind during this period.
The Mela will have events themed at women, spiritual seminars, seminar-cum-competitions for children with special needs, festival for children, eco festival, dancing festival, Medico Masti for nurses and doctors.
Top consultants of the city will also be available for free consultation. Highly subsidized blood tests will be available on the spot. Free executive blood profile will be available to the people at registration fees of Rs. 110.
The Mela is a unique and not-to-be missed event for the public

  Forthcoming Events

CPLD 2010: Dept. of Gastroenterology & Human Nutrition, AIIMS and Dept. of Gastroenterology, PGIMER, Chandigarh are jointly organizing a conference on Current Perspective in Liver Diseases (CPLD) on 15th and 16th October at AIIMS, New Delhi.

eMedinewS Events: Register at emedinews@gmail.com

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to 10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

Dr. Sood Nasal Research Foundation Announces

Rhinology Update 11th to 15th November
22nd National Endoscopic Sinus Surgery Course on 11th & 12th November, 2010 2010 at Dr. Shroff’s Eye & ENT Hospital, New Delhi
Cadaveric Sessions on 13th November, 2010 at Lady Hardinge Medical College.
33rd All India Rhinoplasty Course, on 14th & 15th November, 2010, at Metro Hospital, Preet Vihar, Vikas Marg, New Delhi.

For information contact: Dr. V P Sood, Course Chairman, Ear, Nose & Throat Center, 212, Aditya Arcade, 30, Community Center, Preet Vihar, Vikas Marg, Delhi–110092 (India). Tel: 011–22440011, 42420429. E–mail:drvpsood@gmail.com,vpsood@drsoodnasalfoundation.com
Website: www.drsoodnasalfoundation.com

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

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