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; 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 …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

16th December 2012, Sunday

Norepinephrine in septic shock

Patients on dopamine during septic shock have increased mortality compared with patients who receive norepinephrine. A meta-analysis of six randomized trials (1408 patients) compared dopamine with norepinephrine in septic shock and showed that patients who received dopamine had a higher 28-day mortality rate than patients who received norepinephrine.

Arrhythmic events were two times more common with dopamine than norepinephrine. Norepinephrine is preferable to dopamine as a vasopressor in the management of septic shock (Crit Care Med 2012;40:725).

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Stimulant laxatives have direct effects on the colonic smooth muscle to stimulate contractile activity. The examples are triphenylmethanes (such as sodium picosulfate and bisacodyl) and anthraquinones (including senna, cascara, and aloe). Sodium picosulfate is metabolized in the colon to bisacodyl.

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Vovel chanting producing aspirin in my body

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Children from various schools participated with great enthusiasm in learning the technique of CPR 10 - hands-only cardio pulmonary resuscitation.

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Chulha smoke choking Indian women, kids

NEW DELHI: High blood pressure (BP) has become the world's deadliest disease-causing risk factor. But for Indians, indoor air pollution (IAP) — emanating from chulhas burning wood, coal and animal dung as fuel — has been found to be a bigger health hazard for Indians. The first-ever estimates of the contribution of different risk factors to the global burden of disease between 1990 and 2010 has found that household air pollution from solid fuels have risen from being the second highest risk factor for Indians. Published in the British medical journal, The Lancet, on Thursday, the study, which took five years and involved nearly 500 researchers from 50 countries, including India, found that globally high BP jumped four spots since 1990 to become the worst risk factor for disease, followed by smoking including second-hand smoke, alcohol, low fruit consumption and high body fat. However for Indians, high BP is the third worst threat after IAP and smoking, including second-hand smoke. The World Health Organization (WHO) had said that IAP was claiming 500,000 lives in India every year, most of whom were women and children. According to WHO, India accounted for 80% of the 600,000 premature deaths that occur in south-east Asia annually due to exposure to IAP. Nearly 70% of rural households in India don't even have ventilation. More than three billion people rely on the burning of solid fuels to prepare their meals. Burning solid fuels emits carbon monoxide, particulates, benzene and formaldehyde which can result in pneumonia, asthma, blindness, lung cancer, tuberculosis and low birth weight. WHO estimates that pollution levels in rural Indian kitchens are 30 times higher than recommended levels and six times higher than air pollution levels found in the national Capital. (Source: TOI, Dec 14, 2012)

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 rebuild 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

 
    Valvular Heart Disease Update

Percutaneous balloon valvotomy is not indicated in patients with mitral obstruction due to mitral annular calcification.

(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)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

New combo replaces CHOP for lymphoma

Once the most common treatment for indolent non-Hodgkin's Lymphoma, the combination chemotherapy known as CHOP is rapidly falling to the wayside in Germany – replaced by bendamustine (Treanda), frequently combined with rituximab (Rituxan), researchers reported at the annual meeting of the American Society of Hematology. (Source: Medpage Today)

Insulin sensitivity improved with Mediterranean-style diet

Boosting daily consumption of unsaturated fat and reducing the proportion of carbohydrates resulted in improved insulin sensitivity at 6 weeks among adults without diabetes but with mild hypertension or prehypertension, according to results from a new study. The findings were published online December 5 in Diabetes Care by Meghana D. Gadgil, MD, MPH, from the Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, and colleagues. (Source: Medscape)

CVD death rate in US declines, but one in three still dying from cardiac causes

The American Heart Association (AHA) has released its most recent update on heart disease and stroke, estimating that the total direct and indirect costs of cardiovascular disease and stroke are more than $310 billion in the US. Although the relative rate of deaths attributable to cardiovascular disease declined from 1999 to 2009, cardiovascular disease still accounts for one in every three US deaths. (Source: Medscape)

Drug-resistant Klebsiella pneumoniae rises across the US

Klebsiella pneumoniae drug resistance has significantly increased since 1998 for all antimicrobial agents except for tetracycline, according to a study published online December 12 and in the January issue of Emerging Infectious Diseases. (Source: Medscape)

Severe acute kidney injuries double in 10 years

Researchers estimate that the incidence of severe, dialysis-requiring acute kidney injury (AKI) and the number of resulting deaths more than doubled during a recent 10-year period. Raymond K. Hsu, MD, from the Department of Medicine, University of California, San Francisco, and colleagues report their findings in an article published online December 6 in the Journal of the American Society of Nephrology. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: Importance of Vitamin D in Mythologyhttp://blog.kkaggarwal.com/2012/12/importance-of-vitamin-d-in-mythology/ …

@DeepakChopra: In remembrance of all those that have been killed in the senseless Newtown massacre, I'm observing silence on Twitter + Facebook until 12/17

 
    Spiritual Update

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

Why should you finish your pending work?

Pending work can disturb your dreams as the very thought of a pending work is converted into a file and stored in the hard disk of your human body. In relaxed state, the pending work will keep on sending signals or reminders to the mind.

For comments and archives

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

What are the consequences of infertility?

Infertility treatments can be stressful, intrusive, and emotionally demanding. As part of your infertility treatments, you and your partner may need to have sex at certain times, even if you do not feel like it. Some of the medications that you need to take as part of your treatment may make it harder to have sex. Because of the stress caused by the need for a male to "ejaculate on demand," some men may have erectile dysfunction. Both partners may have less sexual desire.

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

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

ABO blood typing

Principle

  • Patient/Donor RBC is tested with reagent antisera.
    • Reaction is positive = antigen is present
    • Reaction is negative = antigen is not present

For comments and archives

 
    An Inspirational Story

The last game

Wow! What a ride! I feel like I just got off the worlds biggest rollercoaster and I am still woozy! I don’t know to laugh or cry. I feel a sense of relief, yet disappointment. I even dream to jump back on. I dare not for my heart may not take another ride!

My son started football as a freshmen boy, and now four years later, a senior, played his last game. He has learned a lot about life; the ups and downs that come without warning. He’s learned life isn’t always fair. Sometimes you watch life "happen" for others, while on the sidelines wondering what’s wrong with me. The sweat and tears. Oh the tears…if I had a bottle to catch them all! Tears of joy, disappointments, dropped balls, what ifs, only ifs, the injuries. The list goes on and on.

My mind wanders back over the years to my own tears and emotions.

In two hours time I was capable of love, hatred, excitement, disappointment and great anxiety! I was a mom all week packing lunches, carpooling, cooking and breaking up fights before school, after school and at the dinner table! Trying to make the home a safe haven for our kids!! On Friday nights I turned into a screaming, poor sported fan, full of pride.

The first time I sat at a game and screamed I looked around to see who it was, I couldn’t believe that noise came out of my mouth. And so it was my glorious life for four years. Cool aid mom during the week and crazy, screaming fan on Friday nights! A couple times I even thought I’d make a great coach! I always knew what the coach should have done after the play was over!

I ask myself, "Would I do it again?" The answer is most assuredly a YES. I’d do it again and again and again and again! I will never forget the last game. The kids all squished together in a circle of unity, chanting, swaying back and forth holding their helmets up high into the sky. ON this night it came clear to me it wasn’t about any one player or position. It didn’t matter who started or ended or just watched from the sidelines. This was a family. Sometime, somewhere and somehow, along the way, they became ONE.

For comments and archives

 
    Cardiology eMedinewS

Adult congenital heart disease a new subspecialty Read More

People living longer but not healthier lives Read More

 
    Pediatric eMedinewS

Rare safety data on zoledronic acid beyond 2 years Read More

Salty foods make kids want sugary drinks Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient developed asthma within a year of menopause.
Dr. Bad: It is not asthma.
Dr. Good: It is associated with menopause.
Lesson: The onset of asthma within a year of menopause is a separate asthma phenotype.

Make Sure

Situation: A patient with chest pain with normal ECG died half an hour later.
Reaction: Oh my God! Why was acute MI not suspected?
Lesson: Make sure all patients of chest pain are observed for 12 hours. ECG can be normal in acute heart attack for up to six hours.

 
    Legal Question of the Day

Q. I am a senior FMT specialist. About 4 months ago, an ASI conveyed the verbal request from his boss to get an autopsy performed by a board of doctors and to certify the cause of death as heart attack. My interpretation is as follows:

a. The police have doubted the honesty and integrity of the autopsy surgeon without knowing his identity.
b. The action of the police in making the request amounts to defamation and I can file a case alleging defamation.
c. Many people do not know in which cases other than section 304B, IPC, should autopsy be done by a board of doctors?

What are your comments?

Ans.

  1. A request for examination by a board of doctors does not mean casting a doubt on somebody’s honesty or integrity or defaming somebody.
  2. There cannot be defamation against a person whose identity is not known.
  3. Section 304B, IPC, has nothing in it regarding a medical board.
  4. There are no clear guidelines regarding when a medical board should be formed. For example, the recent Kerala Medico-Legal Code is silent about it. The fact is that the formation of a board for performing autopsy has to be under written instructions from a court or other competent authority.
  5. An FMT specialist should not take any verbal instructions from anybody.
  6. No professional expert, including an FMT specialist, should ever give up his professional independence as an expert. You would be within your rights to inform the Commissioner Police/SSP about the illegal request made by the ASI, including his “instructions” to report the cause of death as heart attack.
 
  Quote of the Day (Dr GM Singh)

"Success is not measured by what you accomplish but by the opposition you have encountered, and the courage with which you have maintained the struggle against overwhelming odds."

…Orison Swett Marden.

 
    Mind Teaser

Read this…………………

Rene, age 62, is scheduled for a TURP after being diagnosed with a Benign Prostatic Hyperplasia (BPH). As part of the preoperative teaching, the nurse should tell the client that after surgery:

A. Urinary control may be permanently lost to some degree
B. Urinary drainage will be dependent on a urethral catheter for 24 hours
C. Frequency and burning on urination will last while the cystotomy tube is in place
D. His ability to perform sexually will be permanently impaired

Yesterday’s Mind Teaser: In dealing with a dying client who is in the denial stage of grief, the best nursing approach is to:

A. Agree with and encourage the client’s denial
B. Reassure the client that everything will be okay
C. Allow the denial but be available to discuss death
D. Leave the client alone to discuss the loss

Answer for Yesterday’s Mind Teaser: C. Allow the denial but be available to discuss death

Correct answers received from: Dr KV Sarma,, Dr PC Das, Dr Arpan Gandhi, Dr Kanta Jain, Dr Pankaj Agawal, Dr Jjella, Dr Suresh Arora, Dr Jainendra Upadhyay, Dr Shagufta Moin, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan.

Answer for 14th December Mind Teaser: (A) 30 degrees

Correct answers received from: Dr Shagufta Moin, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai.

Send your answer to ijcp12@gmail.com

 
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    Laugh a While (Dr GM Singh)

A man was brought in to the hospital intensive care ward, put in a bed, tubes coming out everywhere. A week later, another man was admitted, in a similar condition. Both lay there, machines pinging, tubes poking etc. A couple more weeks before one of them had the strength to raise his hand and point to himself and say: "Scottish".

The other signalled he had heard, raised his own hand, and said "Irish".

This act tired them out so badly it was a week before the first summoned up the strength to say: "Glasgow".

Again the second replied in a weedy frail voice "Dublin".

Once more, the strain was too much for them both and they passed out. Days passed before the first man managed to again point to himself and say: "Jimmy".

Replied the other: "Paddy". A few hours later, Jimmy managed to point to himself again and rasp out weakly: "Cancer". Paddy responded: "Sagittarius"

 
    Medicolegal Update

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

Facilitate cadaver organ retrieval for transplantation

In India, certain amendments to the Human Organ Transplant Act 1994 are required to enhance cadaver organ retrieval and transplantation to bridge the huge demand–supply gap. The pool of donors, including increasing the supply of organs by widening the definition of ‘near relatives’ by allowing organ swaps among needy families, as well as, simplifying cadaver transplant procedures. The paired matching should be permitted i.e. if patient A’s donor does not match A, and likewise for patient B, then donor switch should be allowed, if it results in a match. Swaps or exchanges between families unable to fulfill the need of their family member in need of a transplant.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Beware of winter depression

SAD or seasonal affective disorder is defined as recurring depression with seasonal onset and remission. Fall-onset (winter) SAD is more common than spring-onset SAD said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

Fall-onset SAD is characterized primarily by atypical symptoms of depression, while spring-onset SAD is associated with the more typical features.

Fall-onset SAD is characterized by the following symptoms of depression:

  • Increased rather than decreased sleep (inability to get up in the morning)
  • Increased rather than decreased appetite with carbohydrate craving (craving for sweet sour and salt)
  • Marked increase in weight
  • Irritability
  • Interpersonal difficulties (especially rejection sensitivity)
  • Leaden paralysis (heavy, leaden feelings in arms or legs)

The cause is imbalance of serotonin to melatonin ratio. And the treatment involves enough light exposure, artificial light exposure, sun therapy and drugs if needed.

Light therapy has proven effective. It may take 4 to 6 weeks to see a response, although some patients improve within days. Therapy is continued until sufficient daily light exposure is available through other sources, typically from springtime sun.

 
    Readers Responses
  1. Wonderful thought on Is it wrong not to respond to an SMS?

    Lele Ravi
 
    Forthcoming Events

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi

8am-8pm

Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    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