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

Photos of Workshop on Stress Management and How to be Happy and Healthy

 
    Dr KK Aggarwal on Social Media …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Aamir Khan Workshop with kids on dangerous areas Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video

 
  Editorial …

18th June 2012, Monday

Clinical approach to a patient with hypopigmentation

Discussion with Dr. JS Pasricha, Professor of Dermatology (Retd.), AIIMS

  • The commonest is condition is vitiligo. The hypopigmented patches can also be seen after pregnancy, burns and/or any injury.
  • Vitiligo is not contagious. It is curable if given proper treatment
  • When the disease is active, new patches appear or the existing patches increase in size. At this time, it is important to control the disease completely, repair the damage done and re–pigment the hypopigmented areas.
  • Once the disease is totally controlled, the leftover depigmented skin can be treated surgically by skin grafting.
  • The treatment is oral azathioprine 100 mg daily. If the patient cannot tolerate this, then cyclophosphamide 100 mg daily can be started. This is to be given along with betamethasone 5 mg in 2 consecutive doses in a week (Saturday, Sunday). Fluticasone ointment is also applied once in a day at the affected area.
  • The treatment has to continue for four years. Give full treatment for 2 years and then reduce the dose by half for 2 years, if there is no reactivation.
  • If the disease is mild and localized, half the dose can be administered for four years but if the disease is active and severe, then follow a 2+2 formula i.e. 2 years full dose and 2 years half dose. This is also called OMP, the Oral Mini Pulse therapy. The disease gets controlled in 1 month and repigmentation starts in 2 months.
  • Henna or Mehendi can be applied in hypopigmented areas; the color lasts for about 7 days.
  • KMNO4 also stains the skin and can be used temporarily for hiding the vitiligo patches.
  • Tattooing can be used to pigment the affected area. Tattooing is at the level of dermal skin and pigmentation is at the level of epidermal skin.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Folic acid may decreaes homocysteine in Type 2 Diabetes

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2012

World Earth Day was celebrated by Heart Care Foundation of India jointly with Delhi Public School

 
Dr K K Aggarwal
 
    National News

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 re build the image of the medical profession.

India needs to rework family planning programmes: Expert

India needs to expand the contraceptive choices available to people and rework its family planning programmes to meet special needs of diverse target groups, civil society stakeholders have recommended before a summit in London. Extensive consultations held in a series of meetings across the country under the auspices of the Family Planning Association of India, have pitched for a rights–based approach for family planning. In a country that adds about 18 million people every year, and where stark inter–state variations exist in statistics, there is a need to improve the quality of services. The various stakeholders that participated in the consultations in 13 states, including 448 representatives from civil society groups, and 167 government officials and functionaries, agreed that the imperative was to expand the basket of contraceptive choices available to Indians. Since the 1970s when sterilisation programmes, often forced, created much furore among the people, India has subdued its family planning policies to make them a part of the overall reproductive health care measures. "Programmatically, family planning has tended to focus on sterilisation, typically female sterilisation to the detriment of reversible methods such as condoms, oral contraceptives and intrauterine devices," said a statement from civil society organisations after the consultations.

The groups pitched for a "focused programme" that would address the reproductive needs of the vast population. Meeting the family planning needs of the population, they said, will require unprecedented political commitment and resources from the government, donors, as well as the private sector. The effort would also require an individualised focus on the special needs of diversified groups such as adolescents and young people, divorced and single individuals, among others. Next month, London will host a family planning summit where recommendations from these consultations will help define India’s approach to the issue. Among the recommendations are increasing the access of young people to family planning resources, expansion of the access through more choices, integration of family planning, Maternal Child Health (MCH) and HIV and Family Planning through a gender and rights’ perspective. "Through (these consultations) we want our voices to reach and reflect at the Global FPA Summit, which is scheduled in July, 2012 in London," said Vishwanath Koliwad, Secretary General, FPA India. (Source: Business Standard, June 13, 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

(Contributed by Dr Monica and Brahm Vasudev)

Fall risk in MS patients minimized by tinted lenses

A pilot study of patients with multiple sclerosis (MS) who have reduced visual acuity has demonstrated a correlation between a low functional ambulation profile (FAP) score and increased fall risk, a risk shown to be minimized by the wearing of contrast–enhancing lenses. (Source: Medscape)

For comments and archives

It’s never too late to quit smoking

Giving up cigarettes has benefits even if it happens later in life. That’s one of the findings of a meta-analysis of 17 studies that looked at the risk of all–cause mortality in smokers 60 or older, according to Hermann Brenner, MD, and colleagues at the German Cancer Research Center in Heidelberg, Germany. Regardless of age, the risk of dying in a given time frame from any cause is sharply increased in smokers compared with people who have never smoked, they reported in the June 11 issue of Archives of Internal Medicine. But the increased risk decreases in people who quit, and that benefit is still present even after age 80, the researchers found. (Source: Medpage Today)

For comments and archives

MRSA: Vanco susceptibility doesn’t accurately predict death

Among patients with methicillin–resistant Staphylococcus aureus (MRSA) bacteremia, vancomycin susceptibility is not as significant a factor in predicting risk for death as are advanced age, living in a nursing home, severity of bacteremia, and impaired organ function. (Source: Medscape)

For comments and archives

Selenium linked to lower diabetes risk

The risk of developing type 2 diabetes was as much as 24% lower among people with a diet rich in selenium, in a large new U.S. study. The findings, from 7,000 male and female health care professionals followed for decades, add to a mixed bag of evidence on the protective effects of selenium, a known antioxidant, when it comes to diabetes "I wouldn’t suggest, based on the findings from this study, that people start taking selenium supplements," said Dr. Dariush Mozaffarian, senior author of the new report, from the Harvard School of Public Health in Boston. For one, he said, there are multiple different types of selenium, which may have different effects –– and supplements contain only a single type. (Source: Medscape)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: #AJCC Graft patency worse after off–pump CABG in randomized trial Coronary artery bypass graft (CABG) patency was…http://fb.me/CAhDCrK8

@DrKKAggarwal: Weed out prejudices and personal biases. Explore every thought in depth.

 
    Spiritual Update

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

Understanding the cycle of Universe

The existence of universe has been described in the Vedic literature by three different philosophies, dualism, non–dualism and modified dualism. Dualism or dwait considers soul in the human body separate from spirit; non dualism or adwait considers soul in the human body a part and parcel of the spirit. The modified dualism of Ramanuj considers human body as nothing but a cell of the universe, which is one thinking organism having its own life span cum life cycle called a Brahma year. The existence of this universe is billion of years manifesting over multiple cycles of Brahma year repeating by itself.

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)

What do you mean by barrier contraception?

Barrier contraceptives prevent sperm from entering the uterus and fallopian tubes. The barrier may be chemical (spermicide) or physical (male and female condoms, diaphragm, cervical cap, Lea’s shield, contraceptive sponge). According to western figures, couples using a barrier method of contraception can notice a failure rate (number of failures per 100 women who use the method) that ranges from 15% (male condom) to 20% (diaphragm, cervical cap) to 32% (cervical cap or sponge) of the time. When two barrier methods are used together (like a diaphragm and a condom), they become highly effective (up to 95%). If the barrier method breaks or falls out during sex, a woman may consider taking emergency contraception (the "morning–after" pill).

For comments and archives

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

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

Infusion Sets

Blood and components must be administrated through a filter designed to retain blood clots and particles potentially harmful to the recipient1. All filters and infusion devices must be used according to manufacturer’s directions.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Icecream

Last week I took my children to a restaurant. My six–year–old son asked if he could say grace. As we bowed our heads he said, "God is good. God is great. Thank you for the food, and I would even thank you more if Mom gets us ice cream for dessert. And Liberty and justice for all! Amen!"

Along with the laughter from the other customers nearby I heard a woman remark, "That’s what’s wrong with this country. Kids today don’t even know how to pray. Asking God for ice–cream! Why, I never!" Hearing this, my son burst into tears and asked me, "Did I do it wrong? Is God mad at me?"

As I held him and assured him that he had done a terrific job and God was certainly not mad at him, an elderly gentleman approached the table. He winked at my son and said, "I happen to know that God thought that was a great prayer." "Really?" my son asked. "Cross my heart," the man replied.

Then in a theatrical whisper he added (indicating the woman whose remark had started this whole thing), "Too bad she never asks God for ice cream. A little ice cream is good for the soul sometimes." Naturally, I bought my kids ice cream at the end of the meal. My son stared at his for a moment and then did something I will remember the rest of my life. He picked up his sundae and without a word, walked over and placed it in front of the woman. With a big smile he told her,

"Here, this is for you. Ice cream is good for the soul sometimes and my soul is good already."

For comments and archives

 
  Cardiology eMedinewS

Exercise Can Improve BMD Read More

Cardiac Biomarker for Kidneys Read More

Glycemic Control Reduces CV Risk Read More

 
  Pediatric eMedinewS

ADA: Artificial Pancreas Works Well In Kids Read More

Repeated Antenatal Corticosteroids Tied To Smaller Neonates Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A female with past history of DVT needed an OC prescription.
Dr Bad: Start OC patch (transdermal).
Dr Good: You should not be on OCs.
Lesson: There is a possibility of an increased risk of venous thromboembolism in oral contraceptive patch users.

For comments and archives

Make Sure

Situation: A patient with acute fever developed acute bleeding after aspirin was given.
Reaction: Oh my God! Why was dengue not ruled out?
Lesson: Make sure that all patients with acute febrile illness are evaluated for dengue as low platelets count can precipitate bleeding in them, if aspirin is given to reduce fever.

For comments and archives

 
    Health News Bulletin

Blood test to diagnose Depression

The Times of India, Debarati S Sen

Mumbai: A new research claims to have developed a blood test to determine depression in teenagers. Depression can be considered a dangerous mental disease because of many reasons — difficulty in diagnosing it, the fact that patients are not ready to accept that they are suffering from it, and that tests to diagnose it are mostly subjective. And also, part of the complexity involved in treating depression is that it can manifest in many different ways. In this light, a blood test to determine the levels of depression could make things a lot easier. Researchers at Northwestern University in the US have developed a blood test to diagnose major depression in teenagers.

 
  Quote of the Day

(Dr GM Singh)

Criticism, like rain, should be gentle enough to nourish a man’s growth without destroying his roots. Frank A Clark

 
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    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Tests measuring bone loss

Help to evaluate and monitor the rate of bone resorption and formation before treatment and again after treatment

  • C–telopeptide (C–terminal telopeptide of type 1 collagen (CTx))
  • Deoxypyridinoline (DPD)
  • Pyridinium crosslinks
  • Tartrate–resistant acid phosphatase (TRAP) 5b
 
  Legal Question of the day

(Prof. M C Gupta Advocate & Medico–legal Consultant)

I am a pathologist. I have been appointed as the Ethics counsellor of the CASH (Committee Against Sexual Harassment) of my 250–bedded hospital. I have the following queries:

a. What are the guidelines for CASH?

b. Is it OK if there is no external neutral member? (There is a tendency to hush up matters here and victims of sexual harassment are discouraged from making written complaints.)

c. There is a doctor against whom many complaints have reached me. What action can be taken against him under such circumstances?

d. What is my role?

e. If any untoward incident occurs in future, which is publicised, where do I stand in the court of law?

Ans:

  1. The origin of the Sexual Harassment Committee lies in the Supreme Court judgment titled

    VISHAKA & ORS. Vs. STATE OF RAJASTHAN & ORS. decided by a three judge bench on 13/08/1997. It would be useful to read this judgment at http://www.iiap.res.in/files/VisakaVsRajasthan_1997.pdf
  2. The composition of the CASH as per the judgment is as follows:

    "7. Complaints Committee: The complaint mechanism, referred to in (6) above, should be adequate to provide, where necessary, a Complaints Committee, a special counsellor or other support service, including the maintenance of confidentiality.

    The Complaints Committee should be headed by a woman and not less than half of its member should be women.

    Further, to prevent the possibility of any under pressure or influence from senior levels, such Complaints Committee should involve a third party, either NGO or other body who is familiar with the issue of sexual harassment.

    The Complaints Committee must make an annual report to the government department concerned of the complaints and action taken by them. The employers and person in charge will also report on the compliance with the aforesaid guidelines including on the reports of the Complaints Committee to the Government department."
  3. It is clear that an external member is a must. It is wrong on the part of the management to discourage any employee from making a written complaint. No action can be taken without complaint.
  4. If others are reluctant or are discouraged from making written complaints, nothing prevents you from making a complaint to the authorities on behalf of the victims/sufferers. You ought to do so for the sake of others.
  5. As regards your role as a Counsellor, you appear not to be a part of the CASH. Your role, as per your designation, should be to counsel those suffering from sexual harassment. Taking a literal meaning of the term, you can even counsel them to make written complaints. If you want to be proactive, you can ask them to submit the complaints to you and you can forward the same to the CASH for further action. As Ethics Counsellor, nothing prevents you from counselling even the management and also the chairperson of the CASH to ensure that the committee is constituted as per proper guidelines. Guidelines prevailing in or advised by reputable institutions can be viewed at:

    ––CDS (Centre for Developmental Studies) norms

    ––Tata Institute of Social Sciences
  6. If any untoward incident occurs, you will be safe if you have acted as advised above.

For comments and archives

 
    Mind Teaser

Read this…………………

Efavirenz given during first trimester causes:

a. Cardiac defects
b. Neural tube defects
c. Cleft lip
d. Skeletal defect

Yesterday’s Mind Teaser: Which one of the following statements is correct?

a. TB–HIV coinfection can be prevented by early treatment of HIV.
b. There is no role for TB chemoprophylaxis.
c. IRIS is commonly seen in patient with high CD4 count.
d. Molecular tests are the most sensitive tests in the diagnosis of TB in the HIV–TB co infection setting.

Answer for Yesterday’s  Mind Teaser: a. TB–HIV coinfection can be prevented by early treatment of HIV.

Correct answers received from: Dr shashi saini, Yogindra Vasavada, Dr Avtar Krishan, Dr Kanta Jain, Raju Kuppusamy

Answer for 16th June Mind Teaser: b. Bladder distension
Correct answers received from: Anil Bairaria

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Gorgeous, intelligent, kind, sweet, charming, witty, hilarious, friendly…well enough about ME! How are you?

 
    Medicolegal Update

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

What is a coup lesion of brain?

The brain injury is due to movements of the brain in relation to the skull or distortions of the skull.

  • The flax cerebri and tentorium divide the cranial cavity into three communicating compartments and have a partly restraining effect on brain movements.
  • Injuries like contusion and lacerations of the brain seen in vehicular accidents and falls from heights are caused by the application of violence to the head and may occur with or without external injury to the scalp and fracture of the skull.
  • injuries may be seen superficially anywhere on the surface of the brain, though the commonest site is the outer surface of the parietal and temporal lobes or deep within the brain substance, and are associated with hemorrhages limited in small areas or multiple hemorrhages diffused largely within the brain tissues. They are also associated with disturbances of cerebrospinal fluid circulation.
  • These injuries, also known as coup lesions, are commonly found under the site of application of the blow, but are also sometimes found particularly during autopsy on the surface of the brain diagonally opposite the site of impact, and are called countercoup injuries.
  • Coup injuries are most commonly found on the frontal lobes and near the tips of the temporal and frontal poles, rarely on the occipital poles. They are usually severe injuries.

(Ref: Modi’s Medical Jurisprudence 25th edition)

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Guidelines on Health

In view of the rising incidence of various diseases, few guidelines for health were released by Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

  • Keep your blood cholesterol less than 160 mg/dl. Even a 1% reduction in cholesterol reduces the chances of heart attack by 2%.
  • Uncontrolled diabetes and blood pressure can precipitate a heart attack. Keep these under check.
  • Eat less, walk more.
  • Regular exercise is good for health. The best exercise is 'walking', which should be brisker than brisk walking.
  • Soya products are good for health. These should form an essential ingredient of the diet.
  • Fruits are better than juices. Brown rice better than polished rice and jaggery better than white sugar. Eat a high–fiber diet.
  • Driving and drinking do not go together.
  • Pregnant women must not drink. It harms the baby in the womb.
  • Get your health check–up done at least once in a year.
  • Salt intake should be restricted.
  • Avoid APC where A stands for achar, P for papad and C for chutney.
 
    Readers Response
  1. Dear Sir,It is nice that you have started about medical mistakes in Indian cinema.A common scene in many movies is that a doctor examines only the pulse of a recently fainted young female and declares her to be pregnant witout any proper history or doing any tests.Dr.Rohini Dhillon.
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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

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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, Dr Usha K Baveja