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FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA

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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

 
  Editorial …

16th February, 2011, Wednesday                                 eMedinewS Present Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Surgery on fetus reduces complications of spina bifida

A surgical procedure to repair a common birth defect of the spine, if undertaken while a baby is still in the uterus, greatly reduces the need to divert, or shunt, fluid away from the brain, according to a study by the National Institutes of Health and four research institutions. The surgical procedure consists of closing an opening at the back of the fetal spine. The fetal surgery is a departure from the traditional approach, which involves repairing the defect in the spinal column after an infant has been born. The fetal surgical procedure also increases the chances that a child will be able to walk without crutches or other devices. However, infants who underwent this prenatal surgery were more likely to be born preterm than were the infants who had the surgery after birth, when it is typically performed. As with all infants born early, preterm infants in the study were at increased risk for breathing difficulties. Mothers who underwent the surgery during their pregnancies were at risk for uterine dehiscence, a thinning or tearing at the incision in the uterus.

The study appears in the New England Journal of Medicine and was conducted by researchers at the Children’s Hospital of Philadelphia (CHOP), The UCSF Benioff Children’s Hospital at the University of California, San Francisco (UCSF), Vanderbilt University Medical Center in Nashville, the George Washington University Biostatistics Center in Washington, D.C., and the NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
  eMedinewS Audio PostCard

2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal
FDA warns of suicide risk for tramadol

Audio PostCard
 
  Quote of the Day

(By Dr GM Singh)

Children find everything in nothing; men find nothing in everything.

Giacomo Leopardi

 
    Photo Feature (from the HCFI Photo Gallery)

2nd eMedinewS Revisiting 2010

Dr Subash Arya recieving eMedinewS Life Time Achievement Award of the year 2010 in the 2nd eMedinewS revisiting 2010 on 9th January 2011 at Maulana Azad Medical College.

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Workshop on cancer in city

BANGALORE: Aiming to bring together scientists, clinicians and governmental policy makers for cancer prevention under one umbrella to discuss ways to contain the burden of cancer, Mazumdar Shaw Cancer Center and Narayana Hrudayalaya are conducting a four-day workshop, “Indo-US Translational Cancer Prevention and Biomarker 2011”, from Monday. Cancer can be a major economic burden for patients and the country, besides being lobal challenge, said Kiran Majumdar Shaw, CMD, Biocon and Mazumdar Shaw Cancer Center. “Around 40-50 per cent of patients present cancer when they are in the third stage and most of them are reported from rural areas,” she said. (Source: Express Buzz, 14 Feb 2011)

 
    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

February is Heart Health Month. Today’s tip

Quit smoking. Smoking or using tobacco is one of the most significant risk factors for developing heart disease. Chemicals in tobacco can damage your heart and blood vessels, leading to narrowing of the arteries (atherosclerosis). Atherosclerosis can ultimately lead to a heart attack.

(Dr Monica and Brahm Vasudev)

Endarterectomy may pose less risk than stenting for symptomatic carotid stenosis

Endarterectomy carries less risk than stenting for symptomatic carotid stenosis, according to research presented at the American Stroke Association’s International Stroke Conference and published online in the journal Stroke: Journal of the American Heart Association.

Stroke rates rising dramatically among young, middle–aged Americans

Research presented at the American Stroke Association International Stroke Conference indicates that strokes are down among older Americans…but up among those who are middle aged and the young.

Mexican Americans may be at increased risk for stroke in coming decades

Mexican Americans may be at increasing risk for stroke in the coming decades, finds a new study presented at the American Stroke Assn’s International Stroke Conference in Los Angeles this week.

Energy drinks may pose risk to young people

Popular energy drinks –– which may contain high levels of unregulated ingredients –– could pose a health risk to children, adolescents, and young adults, who consume many of the drinks sold, a review suggests. Many energy drinks contain 70 to 80 mg of caffeine per 8–oz. serving –– about three times the concentration in cola drinks, Seifert and co–authors noted in a special report published in the March issue of Pediatrics. (Medpage Today)

STS: Right artery is right fit for CABG

For coronary artery bypass graft (CABG) conduit, the "forgotten" right internal thoracic artery provides outcomes just as good as the more popular one on the left, Australian researchers affirmed. When grafted to the same areas of the heart, patency rates showed no significant difference between the right and left internal thoracic arteries, James Tatoulis, MBBS, MD, of the Royal Melbourne Hospital in Melbourne, Australia, and colleagues found. In their series of more than 7,700 patients, the right internal thoracic artery consistently performed better than radial artery grafts or saphenous vein grafts, they reported here at the Society of Thoracic Surgeons meeting. (Medpage Today)

 
    IMT Update

Carotid IMT, weak predictor of coronary atherosclerosis in the proximal parts of the coronary tree than in the mid and distal parts. (Am J Cardiol 2006 Mar 1;97(5):624–9).

 
    Infertility Update

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

Is there anything women should beware of?

Beware of "fertility specialists" who deliver babies. Beware of doctors who dismiss your concerns or take the attitude that he/she knows best what’s best for you. Beware of doctors who don’t respond to your questions or return your calls. Beware of doctors who focus on the services offered their clinics even though your reading has alerted you to a treatment appropriate for your diagnosis that isn’t mentioned. Most of all, beware of being complacent. You are your own best advocate, and it is your responsibility to educate yourself. There are so many sources of good information about the treatment and prevention of infertility, use them. Ask your doctor questions. Participate in your own treatment plan. Be in charge of your own fertility.

For queries contact: banerjee.kaberi@gmail.com

 
    Pediatric Update

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

What is the role of CBC in asthma?

In asthma, as in other atopic states, mild eosinophilia is common. Diethylcarbamazine is often irrationally prescribed in the setting of wheezy illness with mild eosinophilia. Its use should be reserved for tropical eosinophilia, which should be considered when the absolute eosinophil count exceeds 3000/cumm.

For queries contact: drneelam@yahoo.com

 
    Medicolegal Update

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

What is August 5, 2005 Supreme Court judgment on medical negligence?

As we have noticed hereinabove that the cases of doctors being subjected to criminal prosecution are on an increase. Sometimes such prosecutions are filed by private complainants and sometimes by police on an FIR being lodged and cognizance taken.

  • The investigating officer and the private complainant cannot always be supposed to have knowledge of medical science so as to determine whether the act of the accused medical professional amounts to rash or negligent act within the domain of criminal law under Section 304–A of IPC.
  • The criminal process once initiated subjects the medical professional to serious embarrassment and sometimes harassment.
  • He has to seek bail to escape arrest, which may or may not be granted to him.
  • At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.
  • We may not be understood as holding that doctors can never be prosecuted for an offence of which rashness or negligence is an essential ingredient.
  • All that we are doing is emphasizing the need for care and caution in the interest of society; for, the service which the medical profession renders to human beings is probably the noblest of all, and hence there is a need for protecting doctors from frivolous or unjust prosecutions.
  • Many a complainant prefer recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.
 
    Useful Websites

(Dr Surendernikhil Gupta)

KidSurvival

For the WHO Websites/updated top hits of 2010, click on the link below

http://www.childsurvival.net/?content=com_articles&artid=300

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Electrolytes (Sodium, Potassium, Chloride and Carbon dioxide)

To help detect and evaluate the severity of an existing electrolyte imbalance and to monitor the effectiveness of treatment. Electrolytes may be affected by many conditions; with Addison’s disease the sodium, chloride, and carbon dioxide levels are often low, while the potassium level may be very high.

 
    Medi Finance Update

Term Insurance

Every earning person, whether salaried or self employed, who has dependent persons on him/her, must have term insurance. Ideally, the sum insured should be 5 times of annual income of the person. Usually, we are reluctant to take personal insurance because we will not get back the premium once paid. But consider a scenario where an earning member of family suddenly meets with a fatal accident. At that time, the premium amount will appear paltry compared to Sum insured. Consider this: For a young doctor aged 28 years, for an insured sum of Rs 1 crore, the cheapest term insurance yearly premium (taken online) would be approximately Rs. 8000/– (Rs Eight Thousand only) Now you know why you should do the term insurance ASAP.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Lidocaine 7.5mg + Prilocaine 2.5mg per acutation spray
For the treatment of adult male patients with premature ejaculation
12/03/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Conventional versus compression–only CPR

Compression–only cardiopulmonary resuscitation for bystanders is suggested in limited situations in adults with cardiac arrest. However, this recommendation does not apply to children, because cardiac arrest is more commonly due to respiratory causes.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever and joint pain came with rash.
Dr Bad: It’s a drug allergy.
Dr Good: It looks like Chikungunya.
Lesson: Rash is present in 30% of cases with Chikungunya.

Make Sure

Situation: A patient with dengue died.
Reaction: Oh my God, why was he not given adequate fluids?
Lesson: Make sure that all patients with dengue are given fluids to correct intravascular dehydration.

Exercise tips

Regular exercise can also help you sleep better, reduce stress, control your weight, brighten your mood, sharpen your mental functioning, and improve your sex life.

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Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

Napoleon and the Furrier

During Napoleon’s invasion of Russia, his troops were battling in the middle of yet another small town in that endless wintry land, when he was accidentally separated from his men. A group of Russian Cossacks spotted him and began chasing him through the twisting streets. He ran for his life and ducked into a little furrier's shop on a side alley. As he entered the shop, gasping for breath, he saw the furrier and cried piteously, "Save me, save me! Where can I hide?" The furrier said, "Quick, under this big pile of furs in the corner," and he covered Napoleon up with many furs. No sooner had he finished than the Russian Cossacks burst in the door, shouting "Where is he? We saw him come in." Despite the furrier’s protests, they tore his shop apart trying to find him. They poked into the pile of furs with their swords but didn’t find him. Soon, they gave up and left.

After some time, Napoleon crept out from under the furs, unharmed, just as the emperor’s personal guards came in the door. The furrier turned to Napoleon and said timidly, "Excuse me for asking this question of such a great man, but what was it like to be under those furs, knowing that the next moment would surely be your last?" Napoleon drew himself up to his full height and said to the furrier indignantly, "How could you ask such a question of me, the Emperor Napoleon! Guards, take this impudent man out, blindfold him and execute him. I, myself, will personally give the command to fire!" The guards grabbed the poor furrier, dragged him outside, stood him up against a wall and blindfolded him. The furrier could see nothing, but he could hear the movements of the guards as they slowly shuffled into a line and prepared their rifles, and he could hear the soft ruffling sound of his clothing in the cold wind. He could feel the wind tugging gently at his clothes and chilling his cheeks, and the uncontrollable trembling in his legs.

Then he heard Napoleon clear his throat and call out slowly, "Ready… aim…" In that moment, knowing that even these few sensations were about to be taken from him forever, a feeling that he couldn’t describe welled up in him as tears poured down his cheeks.

After a long period of silence, the furrier heard footsteps approaching him and the blindfold were stripped from his eyes. Still partially blinded by the sudden sunlight, he saw his eyes looking deeply and intently into his own – eyes that seemed to see into every dusty corner of his being. Then he said softly, "Now you know."

………………………………

Mind Teaser

Read this…………………

search
and

Yesterday’s Mind Teaser: house prarie
Answer for Yesterday’s Mind Teaser: Little House on the Prarie

Correct answers received from: Dr KP Rajalakshmi, Dr Sudipto Samaddar, Dr K Raju,
Dr Muthumperumal Thirumalpillai

Answer for 14th February Mind Teaser: Free for all
Correct answers received from:Dr B V Sai Chandran, Dr Anupam

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Dr GM Singh)

A funny short Story

A blonde was visiting Washington, DC for the first time. She wanted to see the Capitol building. Unfortunately, she couldn’t find it, so she asked a police officer for directions. "Excuse me, officer, how do I get to the Capitol building?" The officer replied, "Wait here at this bus stop for the number 54 bus. It’ll take you right there." She thanked the officer and he drives off. Three hours later the police officer returned to the same area and, sure enough, the blonde is still waiting at the same bus stop. The officer got out of his car and said, "Excuse me, but to get to the Capitol building, I said to wait here for the number 54 bus. That was three hours ago. Why are you still waiting?"

The blonde replied, "Don’t worry, officer, it won’t be long now. The 45th bus just went by!

………………………………

Knowledge is amusing

You can’t kill yourself by holding your breath.

Do you know

Why the 2011 is special

It has the dates like

a. 1.1.11
b. 11.1.11
c. 9.2.11
d. 1.11.11
e. 11.11.11
f. 9.10.11
also one can do permutation and combinations hours, minutes and seconds e.g.
1.1.11; 1.1.11 (1 minute and eleven seconds past 1 o’clock)

One more thing for 2011, two the birthyear (Only last two digits) add the age in years you complete at the end of 2011, the answer is 111. And so is for anyone!

5-Minute Management Course
(By Dr Mukul Tiwari)

A sales rep, an administration clerk, and the manager are walking to lunch when they find an antique oil lamp. They rub it and a Genie comes out. The Genie says, ‘I’ll give each of you just one wish.’ "Me first! Me first!" says the admin clerk "I want to be in the Bahamas, driving a speedboat, without a care in the world." Puff! She’s gone. ‘Me next! Me next!’ says the sales rep. ‘I want to be in Hawaii, relaxing on the beach with my personal masseuse, an endless supply of Pina Coladas and the love of my life.’ Puff! He’s gone. ‘OK, you’re up,’ the Genie says to the manager.

The manager says, ‘I want those two back in the office after lunch’

Moral of the story: Always let your boss have the first say.

 
    Readers Responses
  1. As a regular reader of eMedinews I wish to extend thanks to you for the mammoth task of preparing the enewsletter everyday and reaching to so many readers with plenty of useful information. Regards: Dr Anupam
 
    Public Forum

(Press Release for use by the newspapers)

Don’t misuse drugs to beat exam stress

Cheap and easily available substances are used by the students to get a hype and many of them are used for the first time during exam days to stay awake. They are harmful and addicting said Dr. K K Aggarwal, Padma Shri and Dr B C Roy National Awardee and President Heart Care Foundation of India.

Benedril, corex, phensedyl (all cough syrups) and iodex sandwitch, and now eptoinan, anti–epileptic drug, numbs the mind for a good 3–4 hours. It is an extremely toxic drug, and can destroy blood cells, bone marrow and even cause brain damage.

Engineering and medical students consume iodex and vicks apart from drugs like ecstacy, superman (LSD) to beat pre–exam stress and keep them awake.

Products used

  • Iodex: It is used in place of jam on a toast to get a high. Iodex is a pain relief balm. The active ingredients is iodine 4.7% and inactive ones are oleic acid, petrolatum and paraffin.
  • Petrol: A piece of cotton wool is dipped in petrol and students keep keep it under their nose and inhale the air to get a ‘high’.
  • Lizard: Is killed and burnt and is eaten to get a high. Most often the used part is the tail of the lizard.
  • Boot Polish: Students rub boot polish onto the back of their neck and turn it towards the sun. They get a feeling of ‘high’ this way.
  • Petrol Pipes: Students eat the dirt deposited on the leaking petrol pipe of vehicles and petrol pumps.
  • Bhang in Cigarette: Students rub the bhang leaf in oily hands until it turns into a small ball of dirt and they put that small ball into the cigarette and smoke it. This gives them more thrill/high than normal cigarettes.
  • Correction Fluid: A simple stationary item which is used to correct writing or typing errors on papers. Students cut it open and drink the whole fluid to get a high.
  • Spirit is used as mineral water.
  • Labor pain tablets are the new fashion.
  • Use of toothpaste, pesticides and vicks cream is also on the increase.
 
    Forthcoming Events

Cricket world cup 2011 schedule very very creative

World Cup Schedule

http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

Delhi Medical Council Inaugural CME on Managing Common Emergencies
Date: Sunday, February 20, 2011
Programme – 1.00 PM – 4.00 PM
1.00 PM 1.30 PM Lunch
1.30 PM 1.45 PM Inauguration
1.45 PM 4.00 PM Scientific Programme

Topics Time Speakers Chairpersons
RTA, Emerging Epidemic
1:45 PM – 2.05 PM
 
Dr MC Misra
Dr BK Dhaon, Dr Praveen Bhatia, Dr Chander Prakash
Acute Febrile Illness
2.05 PM – 2.25 PM
Dr N.P Singh
Dr OP Kalra, Dr SP Byotra,
Dr B Gupta
Haematuria – Red Alarm
2.25 PM – 2.45 PM
Dr Anil Goyal
Dr P.N Dogra, Dr. Rajeev Sood
Managing PPH – Saving Lives
2.45 PM – 3.05 PM
Dr Reva Tripathi
Dr Sharda Jain
Panel Discussion of Update of Lt. Side chest pain 3.05 PM – 3.50 PM Dr Purshottam Lal,
Dr Naresh Gupta
Dr PS Gupta, Dr K K Aggarwal, Dr Ashok Seth

Vote of Thanks: 3.50 PM – 4.00 PM

Followed by Tea

Please Note: Prior Registration is Mandatory (No Registration Charges)

For Registration e–mail to delhimedbalcouncil@gmail.com

Organization: President: Dr Arun Aggarwal, Vice President: Dr Vinay Aggarwal, Secretary: Dr Girish Tyagi, Organizing Chairman: Dr Anil Goyal, CME Committee Members: Dr Anil Bansal, Dr Manoj Singh, Dr NP Singh, Dr Praveen Bhatia

eMedinewS Events: Register at emedinews@gmail.com

World Fellowships of Religions and Perfect Health Parade
First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011
Venue: Maulana Azad Medical College, New Delhi
Time: 8 AM – 4 PM
Register: rekhapapola@gmail.com

4th Study Camp on ‘Mind–Body Medicine and Beyond’
Organizer: Sri Aurobindo Ashram – Delhi Branch
Venue: Nainital Centre (Van Nivas)
Day: July 2–9, 2011

A Camp for doctors, medical students and other health professionals at its from. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind-body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind-body medicine clinic at AIIMS, and the author of Back to Health through Yoga.

For more details, contact the Ashram reception in Delhi (011–2656–7863) or e–mail Dr. Bijlani (rambij@gmail.com).

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