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 …

17th February 2012, Friday

Caffeine–Alcohol combination in paralysis

A drug Caffeinol containing caffeine and alcohol may help stroke patients recover.

In a small study at Texas Health Science Center in Houston, 60% of stroke patients who were given the drug, had no or minimal disability when they were discharged from the hospital. In contrast, only 26% of stroke survivors given standard therapy with tissue plasminogen activator, or tPA, fared that well.

Caffeinol contains about as much caffeine as 5 to 7 cups of good, strong New Orleans coffee and the equivalent of two shots of alcohol.

The study involved 100 people who had suffered an ischemic stroke. All received intravenous tPA; 10 were also given an infusion of caffeinol. Caffeinol allows cells to tolerate reduced blood flow longer, thereby giving tPA a longer opportunity to do its action.

Will these findings be applicable to heart attack? Only time will tell as heart attack treatment is also done with tPA.

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

Caffeine–Alcohol combination in paralysis

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

Swasth Ajmer, Sashakt Ajmer
Ajmer Health Camp 2012

A health camp was organized at Ajmer on February 11–12. People in large numbers visited the camp and availed the benefits offered.

In the photo: Dr KK Aggarwal interacting with the patients at the camp

 
Dr K K Aggarwal
 
    National News

Mascot Bulgam Bhai to fight TB

NEW DELHI: India’s battle against tuberculosis (TB) now has a superhero to lead the charge – pot–bellied Bulgam Bhai. The mascot with furrowy brows and thick moustache will be seen asking people "Has it been two weeks?" on TV and radio commercials, to be aired from February 15 till March 31. The campaign will be a part of Project Axshya, an initiative of various civil society groups to raise awareness about the need to test for TB in case a person has had cough for two weeks. The campaign was launched by the BBC World Service Trust on Wednesday. (Source: TOI, Feb 16, 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

No age limit on benefits of eating well

That’s the implication of a study looking at mortality and eating habits among a cohort of nearly 4,000 people 65 and older, according to Luis Afonso, MD, of Wayne State University in Detroit, and colleagues. After an average follow–up of 13 years, participants with a good diet had lower rates of all–cause and cardiovascular mortality, compared with those who had a poor diet, Afonso and colleagues reported in the Feb. 13 issue of Archives of Internal Medicine. (Source: Medpage Today)

For comments and archives

Belly fat linked to cognitive deficits in HIV

A large waistline was associated with an increased risk of neurocognitive impairment in people with HIV, researchers reported. But generalized obesity –– represented by a high body mass index –– was not, according to J. Allen McCutchan, MD, of the University of California San Diego, and colleagues. The issue is important because some anti–HIV drugs –– notably the protease inhibitors –– cause patients to gain weight in the center of the body, McCutchan and colleagues argued in the Feb. 14 issue of Neurology. (Source: Medpage Today)

For comments and archives

New glaucoma drug approved

The FDA has approved an ophthalmic solution of tafluprost (Zioptan), a prostaglandin analog, for patients with open–angle glaucoma, its manufacturer said Monday. According to Merck & Co., the approval was based on five controlled trials lasting up to two years in a total of 905 patients. Tafluprost is intended to reduce intraocular pressure. Mean pressure decreases ranged from 5 mm Hg to 8 mm Hg after six months of treatment in the trials from baseline levels of 23 mm Hg to 26 mm Hg, Merck said. The drug was administered once daily in the evening. (Source: Medpage Today)

For comments and archives

Norovirus most common culprit in hospital outbreaks

Nearly one fifth of all infectious outbreaks in hospitals have been linked to norovirus, and according to results from a nationwide survey that covered outbreaks in 289 US hospitals, those organisms were to blame for 65% of ward closings. The results of the survey appear in the February issue of the American Journal of Infection Control. (Source: Medscape Medical News)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: #IJCP GASTROESOPHAGEAL REFLUX DISEASE IN CHILDREN: WHEN IS SURGERY INDICATED? wHAT ARE THE LONG TERM AND SHORT–TERM… fb.me/IF6yc1av

@DeepakChopra: Love is the ultimate truth at the heart of the universe and transcends all boundaries.

 
    Spiritual Update

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

How Does Reciting Hanuman Chalisa Help Somebody In Terms Of Yogic Principles?

There are three paths of Yoga – Karma Marg, Bhakti Marg and Gyan Marg

  1. When you recite Hanuman Chalisa every day, it provides the benefits of Karma Marg.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the factors affecting fertility?

Age is not the only factor that affects fertility. Problems with your partner or any gynecologic or medical problems may affect your chances of conception. There are other conditions, such as uterine fibroids and endometriosis that may progress with age and affect your fertility. Exposure to sexually transmitted diseases can also affect your fertility.

For comments and archives

 
   An Inspirational Story

(Ms Ritu Sinha)

God’s Wings

An article in National Geographic several years ago provided a penetrating picture of GOD’S wings. After a forest fire in Yellowstone National Park, forest rangers began their trek up a mountain to assess the inferno’s damage.

One ranger found a bird literally petrified in ashes, perched statuesquely on the ground at the base of a tree. Somewhat sickened by the sight, he knocked over the bird with a stick. When he struck it, three chicks scurried from under their dead mother’s wings.

The loving mother, keenly aware of impending disaster, had carried her offspring to the base of the tree and had gathered it under her wings, instinctively knowing that the toxic smoke would rise. She could have flown to safety but had refused to abandon her babies. When the blaze had arrived and the heat had singed her small body, the mother had remained steadfast. Because she had been willing to die, so those under the cover of her wings would live.

"He shall cover thee with his feathers, and under his wings shall thou trust" (Psalms 91:4)

For comments and archives

 
   Cardiology eMedinewS

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

Women suffer more ICD complications

Read More

Mediterranean diet good for small brain vessels

Read More

Air pollution spikes bump up MI risk

Read More

 
   Pediatric eMedinewS

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

House screening confers prenatal lead protection

Read More

FDA approves new drug for a form of cystic fibrosis

Read More

Factors predict post–NICU death in tiniest babies

Read More

 
    Healthy Driving

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

Driving safety tips

Make the best use of your side and rear view mirrors, and keep them adjusted correctly.

 
    Legal Question of the Day

(Dr MC Gupta)

Q. I am an oncological surgeon. A gynecologist, having no training in general surgery, has been, for last six years, routinely performing specialized cancer surgeries on breast, (including plastic surgery), Head and Neck region and Chest wall etc in major private hospitals in Kerala. Evidence can be produced. What action can be taken against her and how and with what consequences?

Ans.

  1. The situation described by you is surprising. In this context, a senior pathologist wrote to me as follows:––"I have been practicing histopathology for three decades in private practice as well as in the academic set up of a medical college. I have not received a single breast specimen from any gynecologist till today. So in common clinical practice the surgeons are the specialists who deal with breast lesions including Ca breast."
  2. The following actions can be taken:
    1. A complaint can be made to the state medical council against the doctor either by a patient or by another doctor under the MCI Regulations, 2002. The medical council is likely to hold her guilty.
    2. A consumer complaint can be made to the consumer court by a patient alleging negligence, stating in the complaint that the treating doctor did not take informed consent in the sense that she did not inform the patient that she had no qualification in general surgery, plastic surgery or oncological surgery. The consumer court, depending up on the facts of the case, may award compensation. The doctor’s indemnity insurance company may refuse to pay the compensation on the ground that she exceeded her scope of risk by performing oncological surgery while she declared herself to be a gynecologist while buying the policy.
    3. A complaint can be made to the State Health Directorate (or to the authority established under the Clinical Establishments Act or the nursing home act, as applicable) against the hospital concerned for employing not fully qualified people and thereby exposing patients and public to health hazards and also for violating the provisions of the Act concerned. The authorities are likely to hold the hospital guilty.

For comments and archives

 
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    IJCP Special

Dr Good Dr Bad

Situation: A young female with tinnitus came for marriage counseling advice.
Dr Bad: It is familial.
Dr Good: It is not familial.
Lesson: Tinnitus doesn’t appear to be a highly heritable condition (Source: Arch Otolaryngol Head Neck Surg 2010;136:178–82).

For comments and archives

Make Sure

Situation: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on frusemide. I gave him full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that frusemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

For comments and archives

 
  Quote of the Day

(Dr Prabha Sanghi)

Nothing can be changed by changing the face. But everything can be changed by facing the change.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Maximum errors in lab medicine occur due to wrong labelling, error in collection and delay in transportation of samples.

 
    Mind Teaser

Read this…………………

True about ileostomy output is

a) Sodium excretion is two to three times that of normal stool
b) Contents of ileostomy are alkaline
c) Usually it starts functioning in 24 hours
d) Uric Acid renal calculus formation is more common than cholelithiasis

Yesterday’s Mind Teaser: cotaxme

Answer for yesterday’s Mind Teaser: Income Tax

Correct answers received from: Dr Anupam Sethi Malhotra, Yogindra Vasavada, Dr Rakesh Bhasin,
Dr Rajiv Dhir, Ritu Sinha, Dr Rashmi Chhibber, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr PC Das, Dr Vijay Kansal, Dr Jainendra Upadhyay, Dr NeelamNath., Anil Bairaria, Dr U Gaur, Dr Chandresh Jardosh, Dr Mrs S Das, Dr PC Das.

Answer for 15th February Mind Teaser: b) Right colon replacement is definitely better than left colon
Correct answers received from: Dr NeelamNath., Anil Bairaria, Dr U Gaur, Dr Chandresh Jardosh,
Dr Mrs S Das, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Gynecologist: A man who works and operates in another man’s field

 
    Medicolegal Update

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

What is blast lung?

  • When a bomb explodes, it causes disruptive effect due to burns, air blast, flying missiles injuries, falling masonry, fumes and incendiary bombs
  • A bomb explosion create a pressure of 1000 to 1500 tons per square inch; but, a pressure of 200 kg per square inch is enough to cause destructive injuries to human tissues
  • The injuries to the pulmonary tissues and alveoli tissues that occur due to air blast effect are called blast lung injuries. The lungs air blast victims show pleural patchy bleeding on scans. The reactive pulmonary swelling converts into bronchopneumonia and may prove fatal in these cases.

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)

Ibuprofen may increase heart problems

Ibuprofen, the popular over–the–counter painkiller, may increase the odds of heart problems in patients who have osteoarthritis and are taking daily aspirin to help lower their cardiovascular risk, said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India.

Quoting a study published in the Annals of the Rheumatic Diseases, Dr. Aggarwal said that ibuprofen may cancel out the cardioprotective effects of daily low–dose aspirin. In the study, use of ibuprofen and aspirin boosted arthritis patients’ one–year heart attack and stroke risk nine–fold.

Previous studies have suggested that drugs known as COX–2 inhibitors, as well as non–selective nonsteroidal anti–inflammatory drugs (NSAIDs), increase the risk of cardiovascular events. Many COX–2 inhibitors have been withdrawn from the market.

In the study, investigators revisited data on more than 18,000 individuals over the age of 50 with osteoarthritis, comparing the lumiracoxib, a COX–2 inhibitor with either ibuprofen or naproxen. Ibuprofen and naproxen are both traditional NSAIDs.

In the study, high–risk patients taking aspirin and ibuprofen were about nine times more likely to have heart attacks and strokes over one year as those taking lumiracoxib. People taking ibuprofen were also more likely to develop congestive heart failure than those taking the COX–2 inhibitor.

The findings, are important as ibuprofen is easily available and if cardiac patients take this over–the–counter pill, it may be dangerous. This is an important public health message. It can block the effect of aspirin, so there can be more heart failures, more heart attacks and more hypertension.

 
    Readers Response
  1. Thanks to Dr Aggarwal and his team for this sincere effort in giving eye opening information on regular basis. May God bless you and pave a way of success for you and your team. Sudhir Chaudhary
 
    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

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

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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