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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 7 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 …

17th October 2012, Wednesday

Screen All Adults for Alcohol Misuse: USPSTF

Health providers should screen all adults and pregnant women for risky drinking habits, a government-backed expert panel said in the U.S. Preventive Services Task Force guidelines. With such interventions, at least one in every ten risky drinkers can be brought back down to what is considered a safe drinking level. For men, that means no more than four drinks on any one occasion and at most 14 a week. For women, the numbers are three and seven, respectively.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Carnitine Update

Carnitine in Cardiomyopathy

Facts

  • Deficiencies in thiamine, selenium and L-carnitine have been reported to produce heart failure and replacement therapy results in improvement in cardiac function.
  • Carnitine deficiency impairs the oxidation of fatty acids, resulting in lipid accumulation in the myocyte cytoplasm. This problem is reversed with L-carnitine replacement.

What is familial dilated cardiomyopathy?

Among patients with idiopathic DCM, it is estimated that up to 50 percent have familial disease. No clinical or histologic criteria, other than family history and careful examination of relatives (including those who are asymptomatic), have been derived to distinguish familial from nonfamilial disease. The mode of inheritance is usually autosomal dominant, although autosomal recessive, X-linked and mitochondrial inheritances have also been described.

For Comments and archives…

 
Dr K K Aggarwal
    eMedinewS Audio PostCard

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

Vegatable and fuits lower chances of getting some cancers

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

MTNL Perfect Health Mela to focus on revival after sudden death

Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Dr. B.P. Tyagi, Convener, Heart Care Foundation of India addressing a press conference in Ghaziabad

 
Dr K K Aggarwal
    National News

Small infections cost Indians Rs 69,000 crore a year

MUMBAI: India loses Rs 69,000 crore a year—more than twice the sum of Rs 34,488 crore it set aside for the country's health budget in 2012—to small infections. What's more, an estimated 38 crore of its citizens catch small infections with the result that they lose 162 crore workdays every year. This is the shocking finding of a recent London School of Economics study that puts a question mark on its citizens' hygiene. The study was conducted in Mumbai and Delhi and the findings extrapolated to the whole of India. Small infections, including diarrhoea and skin ailments such as rash, blisters and prickly heat, as well as respiratory illnesses were covered. The respondents were also questioned on the direct and indirect costs for each episode of illness. The findings say that every time a family member falls ill, it costs them an average of Rs 997 which over the course of a year, works out to an average of Rs 8,814 per household. Laddered up to a national level, everyday infections would cost the citizens a staggering Rs 69,000 crore. These infections can be avoided with something as simple as washing hands with soap at critical times—before eating or preparing food and after using the toilet.

Dr Jayanti Shastri, head of the microbiology department at the civic-run Nair Hospital, said that washing hands may sound like a very trivial habit, but it is essential. "People should especially take care to wash their hands with a liquid soap or alcohol-based hand-rubs as soap bars are not generally a good option. We had conducted a study and found that soap bars carry on contamination as they house a lot of bacteria. Moreover, it is also the technique of washing hands that has to be taken into consideration. Fingernail beds and the space between the fingers are areas that have to be given more attention," said Shastri.

The study also found that two out of three episodes of illnesses among children aged 16 or less resulted in loss of three school days. Moreover, two out of three children between five and 15 experience one bout of infection every two months. The Lifebuoy Cost of Infection Study was conducted in association with the London School of Hygiene and Tropical Medicine in India, a department of the London School of Economics. The findings were shared in a hand hygiene awareness campaign by Nitin Paranjpe, CEO of Hindustan Unilever Ltd. (Source: TOI, Oct 16, 2012)

For comments and archives

My Profession My Concern

Nurses to protest against being denied right to prescribe

A day after the Medical Council of India (MCI) declared that only doctors have the right to prescribe drugs, nurses in the state have not taken kindly to the snub and are set to stage a mass protest against the decision. "We are prescribing medicines at sub-centres and other health centers, which is absolutely illegal. We have been prescribing medicines for years in the absence of doctors without any right," said Rajendra Rana, president, Rajasthan Nurses Association (United) on Wednesday. The association is demanding rights for nurses to prescribe medicines to patients in the absence of doctors in emergency situations.

He said there are not even half as much doctors against total number of health centres, including sub centres. At most of these centres, nurses are taking care of the patients…………………….(Source TOI)

For comments and archives

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

Low gradient aortic stenosis

Patients with severe aortic stenosis, left ventricular systolic dysfunction, and a low cardiac output often present with only modest transvalvular pressure gradients (less than 30 mmHg). Such patients can be difficult to distinguish from those with a low cardiac output and only mild to moderate aortic stenosis.

(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)

Checklists fight preventable VTE

Forcing physicians to click through decision support checklists for thromboembolism prophylaxis may cut down on preventable events in trauma patients, researchers found. (Source: Medpage Today)

For comments and archives

Dialysis patients have high rate of post-op complications

Patients receiving long-term dialysis who undergo major, nonemergent general surgery have an increased risk for postoperative complications and death, according to a large retrospective cohort study published online October 15 in the Archives of Surgery. The risk is highest in patients aged 65 years and older, the authors note. (Source: Medscape)

For comments and archives

Hip fractures high with newer sleeping pills

Elderly nursing home residents taking non-benzodiazepine hypnotics such as zolpidem (Ambien), eszopiclone (Lunesta), and zaleplon (Sonata) to treat insomnia had a 70% increased risk of hip fractures, a researcher reported at the annual meeting of the American Society for Bone and Mineral Research. (Source: Medpage Today)

For comments and archives

Hepatitis C point-of-care tests are highly accurate

A new meta-analysis demonstrates that point-of-care tests (POCTs) for the diagnosis of hepatitis C (HCV) have a high level of accuracy and may help increase screening rates for this disease. These findings are published in the October 15 issue of the Annals of Internal Medicine. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Ecofest at MTNL Perfect Health Mela 2012: http://youtu.be/bOKUuSlvwAs via @youtube

@DeepakChopra: Elissa Epel discusses the mind-body connection in relation to wellness & healing. http://tinyurl.com/9ad7s7b

 
    Spiritual Update

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

Why puffed rice and not rice are offered to Lord Ganesha

Lord Ganesha is depicted with big tummy and craving for eating sweets (ladoo or modakas) and puffed rice. Sweets and rice are addicting in nature and consuming them regularly can lead to metabolic syndrome, which presents with diabetes and high blood pressure. In Hindu mythology for this reason it is said to avoid eating carbohydrates atleast once in a week.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How is a hysterosalpingogram done?

A patient is positioned under a ?uoroscope (a real-time x-ray imager) on a table. The gynecologist or radiologist then examines her uterus and places a speculum in her vagina. Her cervix is cleaned, and a device (cannula) is placed into the opening of the cervix. The physician then gently ?lls the uterus with a liquid containing iodine (contrast) through the cannula. The contrast then enters the tubes, outlines the length of the tubes, and spills out their ends if they are open. Any abnormalities in the uterine cavity or fallopian tubes will be visible on a monitor.

For comments and archives

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

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

Introduction of Disposable Plastic Bags

An array of techniques unknown to blood bank workers even a few years ago has come into routine use, ranging from radioimmunoassay to cytotoxicity testing.

Simultaneously with advances in clinical medicine has come an explosive increase in our knowledge of immunohematology.

For comments and archives

 
    Liver Abscess Update

(Dr Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation Medanta – The Medicity Hospital)

What is treatment of fungal liver abscess?

Amphotericin B

For comments and archives

 
    An Inspirational Story (MS Ritu SInha)

How the poor live

One day, a father of a very wealthy family took his son on a trip to the country with the firm purpose of showing his son how poor people live. They spent a couple of days and nights on the farm of what would be considered a very poor family. On their return from their trip, the father asked his son, “How was the trip?”

“It was great, Dad.” “Did you see how poor people live?” the father asked. “Oh yeah,” said the son. “So, tell me, what you learned from the trip?” asked the father.

The son answered, “I saw that we have one dog and they had four. We have a pool that reaches to the middle of our garden, and they have a creek that has no end. We have imported lanterns in our garden, and they have the stars at night. Our patio reaches to the front yard, and they have the whole horizon. We have a small piece of land to live on, and they have fields that go beyond our sight. We have servants who serve us, but they serve others. We buy our food, but they grow theirs. We have walls around our property to protect us; they have friends to protect them.”

The boy’s father was speechless. Then his son added, “Thanks, Dad, for showing me how poor we are.”

For comments and archives

 
    Cardiology eMedinewS

Weight-loss drug may work in diabetes Read More

Largest CCSVI study fails to support theory Read More

 
    Pediatric eMedinewS

More Zzzs earn A's for behavior at school Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with diabetes was found to have high insulin levels.
Dr. Bad: It has no significance.
Dr. Good: It is related to cognitive dysfunction.
Lesson: A prospective Japanese study has suggested that higher insulin and glycohemoglobin levels may be associated with diabetes-related cognitive dysfunction. Dement Geriatr Cogn Disord Extra 2011 Jan;1(1):1-9.

For comments and archives

Make Sure

Situation: A 28–year–old male presents with increased frequency and occasional blood in urine. Examination of urine shows sterile pyuria.
Reaction: Oh my God! Why didn’t you check for TB?
Lesson: Make Sure to rule out TB in patients with frequency, dysuria, hematuria. Sterile pyuria is the first clue to diagnosis.

For comments and archives

 
  Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

ADH

Also known as: Antidiuretic hormone

  • To help detect, diagnose, and determine the cause of ADH deficiency or excess
  • To investigate low blood sodium levels (hyponatremia)
  • To distinguish between the two types of diabetes insipidus
 
  Quote of the Day (Dr GM Singh)

The World suffers a lot sometimes not from the violence of the bad people but because of the silence of the good people. Napoleon

 
    Mind Teaser

Read this…………………

The nurse is assisting in planning care for a client with a diagnosis of immune deficiency. The nurse would incorporate which of the following as a priority in the plan of care?

A. Providing emotional support to decrease fear
B. Protecting the client from infection
C. Encouraging discussion about lifestyle changes
D. Identifying factors that decreased the immune function

Yesterday’s Mind Teaser: A client had a laminectomy and spinal fusion yesterday. Which statement is to be excluded from your plan of care?

A. Before log rolling, place a pillow under the client's head and a pillow between the client's legs.
B. Before log rolling, remove the pillow from under the client's head and use no pillows between the client's legs.
C. Keep the knees slightly flexed while the client is lying in a semi-Fowler's position in bed.
D. Keep a pillow under the client's head as needed for comfort.

Answer for yesterday’s Mind Teaser: B. Before log rolling, remove the pillow from under the client's head and use no pillows between the client's legs.

Correct answers received from: Prabha Sanghi, Dr PC Das, Dr KV Sarma, Raju Kuppusamy, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Thakor Hitendrsinh G, Dr Kanta Jain.

Answer for 15th October Mind Teaser: C. Lower the oxygen rate.

Correct answers received from: Dr Arvind Khanijo.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Medical or Surgical?

Conversation between two small boys in the children’s ward of a hospital: "Are you medical or surgical?" "Gee, I don’t know what you mean by that."

"Well, were you sick when you came in, or did they make you sick after you got here?"

 
    Medicolegal Update

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

Reasons for false negative chemical analysis report of viscera

If the doctor conducting the autopsy has formed a conclusive opinion that the death is due to poisoning based on clinical evidence and after excluding other causes, he has all the authority to inform the investigating officer and mention his conclusive opinion in the postmortem report even if he is preserving the viscera for chemical analysis. A false negative test report may be due to:

  • Delay in chemical analysis
  • Improper preservation
  • Use of wrong analytical technique
  • Early disintegration of poison
  • Complete metabolism
  • Lack of suitable test for certain poison

In accordance with a judicial pronouncement, the doctor who has conducted the postmortem examination can give his opinion as to the cause of death (due to poisoning) despite negative viscera report.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

MTNL Perfect Health Mela to focus on revival after sudden death

Ghaziabad: Tuesday, 16 October 2012: Every family member of a heart patient should learn the revival technique as it is possible to revive a person after sudden cardiac death provided compression only CPR is done within 10 minutes of the heart stopping. The formula of 10 means “within 10 minutes of death for the next 10 minutes compress the centre of the chest with a speed of 10x10=100 per minute”.

Addressing a press conference in Ghaziabad, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Dr. B.P. Tyagi, Convener, Heart Care Foundation of India said that in the forthcoming Perfect Health Mela being organized from 1st to 11th November, 2012, the Foundation will train 10000 people in Compression Only CPR. And, 300 special dummies have been procured for practical training of these people.

Demonstrating the technique on a dummy, Dr. KK Aggarwal said that it is not always possible to reach the medical facility within 10 minutes of death.

The main Mela to be held at the Constitution Club of India will have competitions, exhibitions, workshops and seminars under one roof. Health education will be imparted through competitions and entertainment. Events like choreography, western dance and fashion shows will be utilized to communicate the health sutras to the general public.

Few health sutras released on the occasion were:

  1. Foods of plant in origin contain no cholesterol.
  2. Keep your lower blood pressure, fasting sugar, resting heart rate, bad cholesterol and abdominal circumference all lower than 80.
  3. One should walk 80 minutes a day, brisk walk 80 minutes a week with a speed of more than 80 steps in a minute.
  4. One should eat less than 80 gm or 80 ml of caloric food at a time and omit carbohydrates 80 days in a year.
  5. One should not take alcohol more than 80 ml in a day and 80gm in a week.
  6. One should do 80 cycles of pranayama in a day with a speed of 4 per minutes.

Entry to the Mela will be free.

 
    Readers Responses
  1. Dear Sir, emedinews is really providing useful information: Regards: Dr Prafull
 
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