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 …

18th November 2012, Sunday

Troponin Update

  1. A rise in troponin signifies myocardial necrosis, but not necessarily infarction, so with highly sensitive tests, clinicians need to make a diagnosis.
  2. Different troponin assays vary widely in quality and may have potential limitations, such as being susceptible to interfering substances.
  3. Measurement of troponin levels is not standardized, further adding to variations from assay to assay.
  4. Troponin testing's best value is for the diagnosis of myocardial infarction.
  5. As troponin assays become more sensitive, there will be increasing evidence of low-level elevations that could result from a number of conditions.
  6. It will be necessary to recall the diagnostic model devised by the World Health Organization in 1979 that said to rely on ECG and clinical components and biomarkers of necrosis to make a diagnosis of MI.
  7. Some of the other conditions that can lead to elevated troponin levels include heart failure, surgery, trauma, kidney disease and pulmonary embolism.
  8. The new definition of MI set the troponin levels associated with PCI as elevation of troponin greater than 5 times the 99th percentile upper reference limit in patients with normal baseline levels or a rise in troponin values greater than 20% if the baseline values are elevated and are stable or falling.
  9. In CABG, the task force set the troponin values as greater than 10 x 99th percentile upper reference limit during the first 48 hours when baseline values are normal. This current expert consensus statement refers to the new definition of periprocedural MI during PCI or CABG.

The expert consensus document was developed in collaboration with the American Heart Association, American College of Cardiology, American Association for Clinical Chemistry, American College of Chest Physicians, American College of Emergency Physicians, and Society for Cardiovascular Angiography and Interventions. In addition to being published online, the document also is slated to appear in the Dec. 12 print issue of the Journal of the American College of Cardiology.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

How do stimulant laxatives help in constipation?

Stimulant laxatives affect electrolyte transport across the intestinal mucosa and stimulate intestinal fluid accumulation and colonic motor activity. The currently available stimulant laxatives include senna and bisacodyl. Stimulant laxatives should not be used in patients with suspected intestinal obstruction.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

FDA panel recommends first drug for HIV prevention

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Anmol festival for children with special needs

Anmol, a festival for children with special needs was organized in the Perfect Health Mela. The festival was coordinated by Balwant Rai Mehta Vidya Bhavan. Over 200 children with special needs participated in folk dance, yoga, painting, singing and diya decoration competitions.

 
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

'Know diabetes no diabetes' campaign launch in Bangalore

MANGALORE: A mega national diabetes awareness campaign 'Know Diabetes No Diabetes' will be launched jointly by Rotary International and The Art of Living at Bangalore on Sunday. This initiative will include a walkathon and free diabetes screening camps across Bangalore. About 5,000 people are expected to take part in this screening. This initiative will also be launched in 23 districts of Karnataka by February 2013. The walkathon will be launched by Health Minister Aravind Limbavali at 8 am from Karnataka State Lawn Tennis Association Stadium, Cubbon Park. The event will also see participation by Mukhyamantri Chandru President, Kannada Development Authority, Bhadri Prasad, District Governor Rotary District 3190, Ravindra Prasad, Managing Trustee, The Art of Living, and representatives of Nova Nordisk and Sagar Hospital. Encapsulating the vision behind this initiative, Sri Sri Ravi Shankar said: 'Modern science and technology have made living more comfortable but, also ushered in a plethora of lifestyle diseases like diabetes. Unfortunately, apart from being known as the IT capital of the world, India is also known as the Diabetic Capital of the world. The purpose of this joint initiative is to sensitize more than one million high risk category people to a healthy lifestyle across India.'' J.B.Kamdar, Chairman, Know Diabetes - No Diabetes, said: The initiative aims to mobilize thousands of Rotarians and volunteers of the Art of Living organisation across the country to create awareness on diabetes and sensitizing the population on this health threat. The project will focus on educating people on the requirement for healthy lifestyle, sensible exercise, proper medication, breathing practices, yogasanas to prevent and manage diabetes. Hundreds of screening camps are planned to be conducted by the Rotary clubs across the country.'' Free-of-cost screening camps will be set up across 100 centres in Bangalore. (Source: TOI, Nov 16, 2012)

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

The bicuspid aortic valve is susceptible to infective endocarditis but routine endocarditis prophylaxis is not recommended.

(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)

HF hits older women on breast cancer drugs

Older women with breast cancer being treated with trastuzumab or trastuzumab plus anthracyclines are just as likely as younger women to get heart failure as a result of their cancer treatment, researchers found. (Source: Medpage Today)

For comments and archives

Probiotics may prevent C. difficile diarrhea

Patients at risk of Clostridium difficile-associated diarrhea had a 66% lower infection rate when they received prophylactic probiotics, results of a meta-analysis showed. (Source: Medpage Today)

For comments and archives

Tofacitinib succeeds in refractory disease

When treatment with one or more anti-tumor necrosis factor (TNF) inhibitors fails to control rheumatoid arthritis symptoms, treatment with tofacitinib (Xeljanz) may produce clinical improvements as well as low disease activity, a pooled analysis of phase II and III trials showed. (Source: Medpage Today)

For comments and archives

FDA panel gives nod to bird flu vaccine

An FDA advisory panel has voted in favor of a vaccine against the highly pathogenic H5N1 avian flu that would be stockpiled and used in case of pandemic. By twin votes of 14-0, the panel agreed that the immunogenicity and the safety of the vaccine, made in Quebec by GlaxoSmithKline, were enough to meet licensing standards under accelerated approval regulations. Those rules -- set out in 2007 -- allow rapid approval of a vaccine on the basis of markers that are likely to predict clinical benefit. In the case of this vaccine, dubbed Q-Pan H5N1, the surrogate marker was antibody response measured by a hemagglutination-inhibition (HI) assay. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Fasting before a lipid profile test may not be necessary
http://bit.ly/PYAPLo #Healthcare

@DeepakChopra: What are the qualities of awareness or "#Qualia"? What are their principles? http://tinyurl.com/8zb9des

 
    Spiritual Update

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

Meditation may reduce death, heart attack and stroke in heart patients

Twice-a-day Transcendental Meditation helped African Americans with heart disease reduce their risk of death, heart attack and stroke. Meditation helped patients lower their blood pressure, stress and anger compared with patients who attended a health education class.

For comments and archives

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

How many eggs will be left by the time one reach puberty?

One have over a million eggs in your ovaries at birth, you only have about 300,000 eggs left by the time you reach puberty. Of the eggs remaining at puberty, only about 300 will be ovulated during your entire reproductive years and the rest will undergo atresia.

For comments and archives

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

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

Antibodies

Alloantibodies/Agglutinins
Natural Iso/immune antibodies
IgM IgG

(Formed in response to foreign R.B.C. or soluble blood group substance)

For comments and archives

 
    An Inspirational Story

Making a difference

One day a man was walking along the beach when he noticed a figure in the distance. As he got close, he realized the figure was that of a boy picking something up and gently throwing it into the ocean. Approaching the boy, he asked, "What are you doing?"

The youth replied, "Throwing starfish in the ocean. The sun is up and the tide is going out. If I don't throw them in, they'll die." "Son," the man said, "don't you realize there are miles and miles of beach and hundreds of starfish? You can't possibly make a difference!"

After listening politely, the boy bent down, picked up another starfish, and threw it into the surf. Then, smiling at the man, he said, "I made a difference for that one."

For comments and archives

 
    Cardiology eMedinewS

Panel lays out blueprint for troponin testing Read More

Sudden cardiac death risk may be family matter Read More

 
    Pediatric eMedinewS

Adding Epo to hypothermia for neonatal HIE may boost outcome
Read More

Headaches in children appear unrelated to vision problems Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 19–year–old male with malaria, vomited out all 4 tablets of chloroquine after 20 minutes of swallowing them.
Dr Bad: Ask him to take 4 tablets again after sometime.
Dr Good: Reassure him and go ahead with further treatment.
Lesson: Chloroquine is absorbed within 15 minutes and hence need not be repeated if vomiting occurs later than 15 minutes of ingestion.

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is correct. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

For comments and archives

 
    Legal Question of the Day (Dr MC Gupta)

Q. An ultrasound machine was sealed by the PCPNDT authorities. There was prolonged litigation. HC ordered its release. In the mean time, its registration expired on 11-2-2012. A notice has been served under rule 8(1). I think this is because of vindictiveness on the part of PCPNDT authorities as their ego was hurt when they lost the case in the HC. What are your comments?

Ans. My comments are as follows:

  1. Rule 8(1) of the PCPNDT Rules, 1996, reads:

    “8. Renewal of registration.- (1) An application for renewal of certificate of registration shall be made in duplicate in Form A, to the Appropriate Authority thirty days before the date of expiry of the certificate of registration. Acknowledgement of receipt of such application shall be issued by the Appropriate Authority in the manner specified in sub-rule (2) of rule 4.”
  2. There is nothing in this rule to suggest that the application for renewal of certificate of registration need not be made if the machine has been sealed.
  3. There is no vindictiveness on the part of the PCPNDT authorities. They cannot be faulted for following the rules.
 
    Quote of the Day (Dr GM Singh)

A hug is a great gift - one size fits all, and it's easy to exchange. Unknown

 
    Mind Teaser

Read this…………………

When preparing to teach a client with colostomy how to irrigate his colostomy, the nurse should plan to perform the procedure:

A. When the client would have normally had a bowel movement
B. After the client accepts he had a bowel movement
C. Before breakfast and morning care
D. At least 2 hours before visitors arrive

Yesterday’s Mind Teaser: Eddie, 40 years old, is brought to the emergency room after the crash of his private plane. He has suffered multiple crushing wounds of the chest, abdomen and legs. It is feared his leg may have to be amputated. When Eddie arrives in the emergency room, the assessment that assume the greatest priority are:

A. Level of consciousness and pupil size
B. Abdominal contusions and other wounds
C. Pain, Respiratory rate and blood pressure
D. Quality of respirations and presence of pulses

Answer for Yesterday’s Mind Teaser: D. Quality of respirations and presence of pulses

Correct answers received from: Dr PC Das, Dr Jella, Dr KV Sarma, Dr (Maj. Gen.), Anil Bairaria, Dr RK Goel, Dr Pankaj Agarwal, Dr Thakor Hitendrsinh G,
Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr KP chandra, Dr Avtar Krishan

Answer for 16th November Mind Teaser: B. Abdominal contusions and other wounds

Correct answers received from: Dr Chandresh Jardosh, Dr KP chandra,
Dr Avtar Krishan

Send your answer to ijcp12@gmail.com

 
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   Laugh a While (Dr GM Singh)

The obedient wife

There was a man who had worked all of his life, had saved all of his money, and was a real miser when it came to his money. Just before he died, he said to his wife, "When I die, I want you to take all my money and put it in the casket with me. I want to take my money to the afterlife with me."

And so he got his wife to promise him with all of her heart that when he died, she would put all of the money in the casket with him. Well, he died.

He was stretched out in the casket, his wife was sitting there in black, and her friend was sitting next to her. When they finished the ceremony, just before the undertakers got ready to close the casket, the wife said, "Wait just a minute!" She had a box with her; she came over with the box and put it in the casket. Then the undertakers locked the casket down, and they rolled it away.

So her friend said, "Girl, I know you weren't fool enough to put all that money in there with your husband." The loyal wife replied, "Listen, I'm a Christian, I can't go back on my word. I promised him that I was going to put that money in that casket with him."

"You mean to tell me you put that money in the casket with him!!!!?"

"I sure did," said the wife. "I got it all together, put it into my account and wrote him a cheque. If he can cash it, he can spend it!"

 
    Medicolegal Update

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

DNA Test reliability – Accreditation of lab must be proven

The Nobel Prize winning inventor of PCR, Kary Mullis, said that he does not think that genotyping should be used for forensics, except as one piece of the puzzle.

The reliability and acceptability of DNA test result rests on the accuracy of the samples of DNA that are collected for analysis. Poor collection procedures, improper storage of samples and mishandling of samples/false results are the leading causes for errors in DNA testing. The credentials of scientist/accreditation of laboratory must be carefully scrutinized before the legal use of DNA report by law enforcement agency.

  • Samples may be rejected in the lab because the swab is contaminated in such a fashion that makes it impossible to obtain usable DNA samples from it. Sample may be contaminated if it is dropped on the floor or counter, or used accidentally by people who are not trained or even semi trained individuals who are unaware of the intricacies of DNA science. Such samples should be disposed of and a fresh swab should be used.
  • The swab collection method is an important part of proper tracking and identification of the sample. This is not a failure of the swab, but of the people who handle the swab. It must be correctly identified and tracked through the system to make sure that it is not confused with other samples that may be in the lab. All swabs come with a bar–coded container that they are placed in.
  • Embedding a tiny RFID chip in the swab itself may further help to track and identify the swab.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

In diabetes give vitamin D supplementation as an adjuvant therapy

Vitamin D deficiency is associated with impaired human insulin action, suggesting a role in the pathogenesis of diabetes mellitus type 2, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

In a study of Saudi T2 diabetes patients receiving oral vitamin D3 (2000 IU/day), supplementation of vitamin D at 18 months significantly improved lipid profile with a favorable change in HDL/LDL ratio, and HOMA-ß function, which were more pronounced in T2DM females.

The present interventional study performed in an Arab population suggests that daily 2000 IU vitamin D3 supplementation in a vitamin D deficient T2DM population is associated with measurable cardioprotective indices.

Supplementation to achieve higher levels of vitamin D remains a promising adjuvant therapy for T2DM patients.

 
    Readers Responses
  1. Dear Sir, emedinews is really very informative. Regards:Dr Sanchi
 
    Forthcoming Events

Seminar on "Mind and Body in Health and Harmony in Asian Systems of Medicine"

Date: December 11-13, 2012
Venue: India International Centre, New Delhi
Themes of the Workshop: Anatomy, Philosophy, Diagnostics and imbalances, Therapeutics and treatments, Understanding Mind-Body relationships and Preventive and Promotive aspects in the traditional systems of medicine

4th eMedinews Revisiting 2013

(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
 
    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)

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  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, Dr Usha K Baveja