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 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

 
  Editorial …

16th February 2012, Thursday

Even the elderly should exercise

Research spanning two decades has found that older runners live longer and suffer fewer disabilities than healthy non–runners. This observation applies to a variety of aerobic exercises, including walking.

A study by authors, from Stanford University School of Medicine, published in Archives of Internal Medicine has shown that being active reduces disability and increases survival.

There are benefits of vigorous activity late in life. Earlier many experts believed that vigorous exercise would actually harm older individuals. And running, in particular, would result in an epidemic of joint and bone injuries. But this new study proves otherwise.

Two hundred and eighty–four runners and 156 healthy "controls," or non–runners, in California completed annual questionnaires over a 21–year period. The participants were 50 years old or over at the beginning of the study and ran an average of about four hours a week. By the end of the study period, the participants were in their 70s or 80s or older and ran about 76 minutes a week.

At 19 years, just 15 percent of the runners had died, compared with 34 percent of the non–runners.

In the study running delayed the onset of disability by an average of 16 years. It’s so important to be physically active your whole life, not just in your 20s or 40s, but forever. Exercise is like the most potent drug. Exercise is by far the best thing you can do.

One should take lessons from Yudhishtir in Mahabharata who walked till his death.

However a word of caution, if an elderly is walking or entering into an exercise program, he or she should have a cardiac evaluation to rule out underlying heart blockages.

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

Even the elderly should exercise

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Ajmer Health Camp 2012

Over 70,000 people benefited from this 2–day camp, which was the first ever mega health check up camp with nonstop additional telemedicine facilities with 500 on—site doctors and 200 doctors linked to more than hospitals across the country. 10700 medical devices were also given free in the camp.

 
Dr K K Aggarwal
 
    National News

100% rise in heart ailments among women

MUMBAI: Heart diseases, including heart attacks, among Indian women have risen 300% in 40 years, with a 100% rise in the last 15 years alone. The American Heart Association campaign points out that one American woman dies every minute of a heart ailment. Data for Indian women is not available, but doctors are unanimous that desi women are as vulnerable to heart diseases as their western counterparts. "The problem here is that women tend to ignore symptoms and go late to the doctor," says Jaslok Hospital’s Dr A B Mehta. The expert view is that lifestyle is the sole factor fuelling the alarming rise in the incidence of heart attacks. Women today face stress both at home and the workplace. (Source: TOI, Feb 14, 2012)

For comments and archives

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

Indian women ignore ailments of the heart

It’s a public health campaign urging people to "Go Red" and educate American women about their growing vulnerability to heart diseases. Throughout February, the month associated with matters of the heart due to Valentine’s Day, the US will focus on women’s heart problems; wearing red clothes is only one of the highlights. And, if doctors here are to be believed, India and Mumbai would do well to do the same. India, after all, has recorded a 100% growth in the incidence of heart diseases in women over the last 15 years. "Every minute in the US, someone’s wife, mother, daughter or sister dies from heart disease, stroke or other form of cardiovascular disease (CVD)," goes the campaign planned by the American Heart Association. Corresponding numbers are not available for India but doctors say that desi women are as vulnerable to heart diseases as their western counterparts. And India, too, could take advantage of the day to spread the message. (Source: TOI, Feb 14, 2012)

For comments and archives

High omega–3 boosts vitamin A effect in retinitis pigmentosa

Eating oily fish such as salmon 2 or 3 times a week can improve the efficacy of daily vitamin A palmitate (15,000 IU/day) for delaying vision loss in patients with retinitis pigmentosa (RP), according to an article published online February 13 in the Archives of Ophthalmology. (Source: Medscape Medical News)

For comments and archives

Stem cells show promise for meniscal tears

Allogeneic mesenchymal stem cells (MSCs), injected into knee joints following surgery, appeared safe and showed signs of speeding the healing process in a two–year pilot trial, a researcher said here (American Academy of Orthopaedic Surgeons’ annual meeting). (Source: Medpage Today)

For comments and archives

Most C. difficile infections may not be spread in the ward

Less than a quarter of the Clostridium difficile cases in a hospital could be traced to patients in the same ward, challenging a common assumption about how the infection spreads, researchers report in an article published online February 7 in PLoS Medicine. (Source: Medscape Medical News)

For comments and archives

Stuffing the belly could starve the mind in seniors

Overeating is associated with an increased risk of mild cognitive impairment (MCI) in people 70 or older, researchers are reporting. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: What can you do with your loved ones? http://t.co/Y5PJKEju

@DeepakChopra: We can affect change everyday. Through our thoughts, our words, and our actions.

 
    Spiritual Update

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

The Chemistry of Love: As told by a Yogi

I got the following in a mail. I was inspired and thought of sharing with you all. A saint asked his disciples, ‘Why do people shout in anger or why do people shout at each other when they are upset?’

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How do you know that you are pregnant?

During your reproductive years, your ovaries ovulate (release) an egg each month. If the egg is fertilized and implants in the lining of your uterus (endometrium), you become pregnant. If you do not become pregnant, the endometrial lining that thickened with blood in preparation for a pregnancy is shed in the form of the menstrual flow, and the cycle begins again.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Fireworks

A few weeks before Independence Day, I noticed a fireworks stand in a parking lot in our city. It reminded me of the many wonderful fireworks shows I've attended with my family. There’s something magical about those brilliant colors exploding against the dark sky.

But there’s a problem with fireworks. They don’t last. The same is true of many of the "fireworks" experiences in our lives. We fight and struggle for things that seem beautiful and alluring, but after we get them, their appeal disappears, just like fireworks. Maybe it’s a shiny new car or speedboat. Maybe it’s a big, impressive house. It might even be a promotion at work or a prestigious career. So many of the things of this world are like fireworks. They promise happiness and fulfillment but can’t deliver. TV commercials play on our emotions, making us believe that if we drive a certain kind of SUV or clean our floors with their super–efficient mop, we’ll be happy at last. More often than not, all we feel is disillusioned.

If you’ve had enough of these "fireworks" experiences and the letdowns that follow, I challenge you to pursue the only thing in life that doesn’t disappoint: a personal relationship with Jesus Christ. The astounding thing about loving God is that it actually gets better every day. Once you give your heart to Jesus, you’ll have happiness and fulfillment that lasts into eternity and you'll never want to go back to "fireworks" experiences again.

For comments and archives

 
    Cardiology eMedinewS

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

No cancer help from supplements for heart patients

Read More

Biomarkers may help heart failure risk prediction

Read More

Air pollution tied to stroke, cognitive slide

Read More

 
    Pediatric eMedinewS

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

Kids’ language skills tied to mom’s vitamin D

Read More

FDA wants more data on Menveo for kids under 2

Read More

Frequent moves as kid take toll later

Read More

 
    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Driving and Temporary disabilities

Plaster casts may cause discomfort and can cause difficulties in controlling the vehicle. The person will need to be guided by their doctor as to how the plaster cast will affect their ability to operate all vehicle controls.

 
    Legal Question of the Day

(Dr MC Gupta)

Q. A gynecologist performs an elective laparoscopic cholecystectomy. The patient dies. Will the anesthesiologist share some blame?

Ans.

  1. In this case the complainant is likely to make the anesthetist a co–accused along with the gynecologist and the hospital.
  2. The medical council or the consumer court are likely to hold that it was wrong and against common sense and against code of medical ethics for a gynecologist to perform such an operation which was totally out of her call of duty and competence.
  3. The complainant’s lawyer is likely to allege collusion between the two doctors to the detriment of the interests of the patient. It would be argued that the anesthetist knew that the credentials of the operating surgeon for the particular type of surgery were suspect.
  4. My reasonable guess is that both the medical council and the consumer court are likely to apportion some blame to the anesthesiologist.

For comments and archives

 
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    IJCP Special

Dr Good Dr Bad

Situation: A patient with gestational diabetes came for a follow up 2 months after delivery.
Dr Bad: There are no chances of your developing diabetes.
Dr Good: Get your OGTT done.
Lesson: All women with previous gestational diabetes mellitus should have a regular assessment of their glucose tolerance in the years after pregnancy. The first OGTT should be performed around 2 months postpartum in order to diagnose women already diabetic and to identify women with the highest risk for later development of overt diabetes. (Source: Dan Med Bull 1998;45(5):495–509)

For comments and archives

Make Sure

Situation: A 62–year–old diabetic with coronary artery disease, on treatment for the same, comes for follow up.
Reaction: Oh My God! Why didn’t you put him on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Sunbeams out of the clouds Faith out of all my doubt. Terri Guillemets

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

SGOT and SGPT

  • Alanine aminotransferase (ALT/SGPT) is an enzyme found mainly in the liver; one of the best tests for detecting hepatitis.
  • Aspartate aminotransferase (AST/SGOT) is an enzyme found in the liver and a few other places, particularly the heart and other muscles.
 
    Mind Teaser

Read this…………………

cotaxme

Yesterday’s Mind Teaser: Which of the following is not true about reconstruction in caustic injuries to esophagus?

a) Caustic injuries to esophagus have 1000 times more risk of developing malignancy.
b) Right colon replacement is definitely better than left colon.
c) The only indication for surgery are refractory strictures and possibility of malignancy.
d) Most of the surgeons prefer bypass over resection of esophagus.

Answer for Yesterday’s Mind Teaser: b) Right colon replacement is definitely better than left colon

Correct answers received from: Dr Avtar Krishan, Arshad Hussain, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Yogindra Vasavada, Raju Kuppusamy, Anil Bairaria, Dr Mrs S Das.

Answer for 14th February Mind Teaser
: a) T staging
Correct answers received from: Dr Mrs S Das, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Doctors’ Secret Handshakes

Cardiologist: Left hand on your wrist, feeling pulse

 
    Medicolegal Update

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

Obscure autopsy

  • Post mortem examination of a dead body is carried out to gain insight of anatomy and pathology of corpse and close examination of the injuries, marks of weapon or disease process and it’s significant for forensic application of medical knowledge. Whether it is a clinical/pathological or forensic, autopsy is nothing but medical study of a dead body and is carried out for enhancing clinical findings and its correlation with patient clinical manifestations during the treatment or understanding some unrevealed aspect of disease or diagnose the disease which has caused the mortality. These findings may be simultaneously used for medico–legal purpose
  • The procedure of both the autopsies is same; autopsy conducted by a forensic expert in cases of sudden/unexpected/unexplained death is nothing but a purely clinical autopsy
  • When in a postmortem examination all efforts means macro/gross, microscopic chemical and toxicological result couldn’t be concluding enough into cause, manner or other required medico–legal aspect of death then the obscure or negative autopsy work for logical conclusion
  • Negative autopsy is very useful in cases where there is no adequate history of death and death from fear/fright or shock/Cases of post fracture air embolism. Death due to lesion in neck as diphtheria, laryngeal bronchitis/swelling of glottis or chocking on food, Cases like brown atrophy of heart associated with starvation, asthma or cancer, Sickle cell disease/Lesion of adrenal gland/hemorrhage or destruction by tumor, The negative autopsy is also very informative seen by me in death due to distal coronary artery occlusion or coronary arteries spasm.
  • The opinion expressed on the basis of a clinical autopsy is examined or cross examined in departmental/institutional peer review as the findings and opinion after a forensic autopsy has to withstand the acid test of cross examination by the defense lawyer/prosecutor and judges on circumstantial evidences available before honorable court both clinical and forensic autopsies have a complimentary role towards each other.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Kidney patients should not take any medicine without doctors advise

People with failing kidneys often use "natural", ayurvedic, homeopathic products; over–the–counter medications and/or allopathic pain killers that could worsen their kidney function said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India,

A study published in the American Journal of Kidney Diseases of 87 patients with chronic kidney insufficiency found 65 instances of drug–related problems. The results suggest that routine documentation and monitoring of over–the–counter medications and natural products by community pharmacists is warranted.

Over–the–counter drugs, herbal medicines and other natural products can be particularly risky in patients with poorly functioning kidneys, known medically as "chronic renal insufficiency". These medications may directly cause kidney damage or may interact harmfully with other drugs the patient is taking.

The researchers interviewed 46 patients with moderate renal insufficiency and 41 with severe renal insufficiency. Overall, the patients were taking 66 different over–the–counter drugs and 25 different natural products, usually for pain relief or to treat coughs and colds. Forty–nine percent of the over–the–counter drugs had been recommended by a doctor or pharmacist, as had 19 percent of the natural products.

Eight patients reported using at least one over–the–counter drug that should not have been used, while 27 were using an over–the–counter drug that should have been used with caution. Three patients were using herbal medicines that should not have been used, while seven were using herbal medicines that should have been used with caution. 13 percent of the potentially dangerous over–the–counter drugs were recommended by a doctor or pharmacist, as were 6 percent of the potentially dangerous natural products.

The researchers identified 65 drug–related problems. Forty–two involved at least one product, most commonly calcium or magnesium; 23 involved one or more natural products, including glucosamine, which can affect blood sugar measurements; garlic supplements, which can interact with blood–thinning drugs; and echinacea, which can directly affect kidney function.

 
    Readers Responses
  1. Dear Sir, eMedinewS is very informative. Regards: Dr PC Chandra
 
    Forthcoming Events

IMSOCN2012

The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund, Faridabad. It is a multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of the British Menopause Society and South Asian Federation of Menopause Societies and is an opportunity to hear international faculties.

For information contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048
Download forms at: http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

BSNL 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

 
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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