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 …

19th February 2012, Sunday

Dr Walia Inaugurates National Conference of State Medical Councils

1st National Conference of state medical councils organised by DMC was inaugurated at New Delhi Here today and was attend by 14 medical councils.

Master of the ceremony Dr. Navin Dang said that the combo of Dr. A K Walia and Mr. Anshu Prakash is unique and we must take maximum advantage out of it.

Dr. Arun Aggarwal President DMC in his inaugural, address said that the council will come out with a white paper on the subject.

Dr. Ashok Gupta, member BOG MCI said that a committee has been instated under Dr. Ganguley and will come out with rules of medical ethics.

Mr. Anshu Prakash, Principal Secretary Health and Family Welfare Government of India said regulations are desirable but self regulation is the best answer. Medical ethics issue is dear to me. I get complaints every day against the doctors. There should not be any prize regulation in the private sector. The market forces must decide about the same. Consumables and drugs prizes however must be regulated. Patient safety issue must be our priority. Maintaining quality standards should also be on priority. Doctor’s safety should also be discussed. Each system of medicine has its strength. Delhi Govt. is committed against quacks. CEA will be implemented. Nurse’s issue is of concern. Qualified nurses, bed nurse ratio. ANM cannot substitute GNM’s. PNDT act implementation should be strict. Public health intervention should be every ones priority. There will be no red tapism in health ministry.

Dr. A K Walia, Health Minister Government of Delhi inaugurated the conference. In 1982 my mother had Cancer esophagus. I saw an advertisement of miracle treatment. I went to Raipur under pressure. Dr was practicing on the top of the restaurant. After 3 days we realized that he was a fake doctor. These doctors have no ethics. Doctors must restrict to their own path. Food adulteration is my priority. Fake medicines are being sold and we must do something about it.

Dr. Vinay Aggarwal Vice President DMC also graced the dais. Dr. Girish Tyagi Secretary DMC proposed the vote of thanks.

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

Donating Blood Reduces Chances of Heart Attack

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

Dr NP Singh Receiving Faculty Award in the 3rd eMedinewS Revisiting 2011 held on 22nd January 2012 at Maulana Azad Medical College

 
Dr K K Aggarwal
 
    National News

Dr. A K Aggarwal President DMC and Additional DGHS: Key note address – National Conference of State Medical Councils

  1. Biggest personality by size started his key note adDr.ess with humor.
  2. Medical education stared before the medical council.
  3. In 1935 1st medical college in Calcutta, 2nd in Madras, 3rd Mumbai, 4th in Lahore, 5th KGMC, 6th LHMC, 7th Vishakhapatnam, now 176th year of medical education.
  4. Council: a group of people who opines together.
  5. Medical council is difference as it deals with life and death.
  6. Ethical and medico–legal issues are important.
  7. 41000 admissions every year in medical education.
  8. We should be transparent.
  9. Right to information is a part of transparent system.
  10. We must be focused, targeted and persistent.
  11. Patient safety must come first.
  12. We must be listening, learning and adaptive organization.
  13. We must take measures to rebuild the credibility of medical profession.

For comments and archives

Dr. Vinay Aggarwal, Vice President DMC – National Conference of State Medical Councils

  1. There is instability in MCI.
  2. The new bill also needs a debate.
  3. Why the government is changing board of governors of MCI every year.

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

FDA warns of fake Avastin

The FDA has issued an alert warning about counterfeit bevacizumab (Avastin) 400 mg/16 mL; the product does not contain the drug’s active ingredient. The agency notified 19 U.S. medical practices that purchased unapproved cancer drugs, including the faux bevacizumab, to stop buying through Quality Specialty Products, a foreign distributor that may also be known as Montana Health Care Solutions, the FDA said in a statement. (Source: Medpage Today)

For comments and archives

Antibiotics no help for sinusitis

Antibiotics won’t chase away patients’ sniffles any faster than watchful waiting, researchers found. (Source: Medpage Today)

For comments and archives

Happy patient no indicator of better outcomes

What does a satisfied patient look like clinically? Not what you might expect –– in fact, happy patients have higher rates of hospitalization and mortality, researchers found. Patients who reported the highest satisfaction in a national survey were at the highest odds of inpatient admission and mortality in the years that followed, at 12% and 26% above that of the least satisfied group, respectively. High patient satisfaction also came with greater total healthcare expenditure and more spending on prescriptions, Joshua J. Fenton, MD, MPH, of the University of California Davis, and colleagues reported online in the Archives of Internal Medicine. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: #AJPP Factors Predict Post-NICU Death In Tiniest Babies .http://pedianews.emedinews.in/?p=608 fb.me/1qqRgR1Y2

@DeepakChopra: #CosmicConsciousness Mind and brain are forms of consciousness within consciousness. Upon death they return to potential form till recycled.

 
    Spiritual Update

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

What Is The Difference Between Values And Ethics?

Values are linked to Dharma and ethics to religion. Code of ethics, vary from religion to religion, profession to profession and community to community as they are. In every Yogic code of ethics changes as decided by the collective consciousness of the people.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the indications of TDI?

When the male partner has azoospermia, severe oligospermia, or other significant sperm or seminal fluid abnormalities or has ejaculatory dysfunction. It demonstrates significant male factor infertility i.e. failure in fertilization after insemination in vitro, and Intracytoplasmic sperm injection ICSI. The female partner is Rh–negative and severely Rh–iso–immunized and the male partner is Rh–positive. If the male partner has a sexually transmissible infection that cannot be eradicated.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

God Is Good

There were two men having a trip together. They brought a donkey to carry their things, a torch to brighten the road at night and a chicken, which was a donkey’s friend. The chicken sat on the donkey’s head during the trip.

One of the two men was very religious, while the other one was the unbeliever. Along the way, they were having conversation about God. "God is so good," said the first one. "Well, we’ll see if you still think the same during this trip," said the second.

When the nightfall, they reached a small village and they were looking for a place to sleep. They have been looking everywhere yet no one would want to take them in. So they had to continue their trip out of the village and decided to sleep there. "I thought you said that God is good," said the second one cynically. "God has decided that this is the best place for us to sleep," explained the first one.

They put their tent under a big tree, beside the road to the village and tied the donkey five metres away from their tent. When they were going to light the torch, they heard some noise. A lion attacked the donkey, dragged and ate it. They promptly climbed the tree to survive. "You still think that God is good?" asked the second man angrily. "Hadn’t the lion killed the donkey, we would have been eaten. God is good," said the first.

A second later, they heard the sound of their chicken. From the tree, they could see that a big cat attacked the chicken and dragged it everywhere. Before the second man said anything, the first man said, "The sound of the chicken saved us once again. God is good." A few minutes later, a big wind blew off their torch which was the only thing that kept them warm. Once again, the second one mocked his friend.

"Apparently, God’s kindness has been working on us all night," he said. The first man said nothing. The next morning, the two men went back to the village for food. Soon they found out that there were some robbers attacked the village and robbed the whole village.

Knowing that, the first man said, "Now it’s clear. God is really good. Had we spent the night here, we would have been robbed along with other people. Had the wind not blown our torch, the robbers, who passed the street near us, would have seen us and robbed us too. It is so clear that God is good."

For comments and archives

 
    Cardiology eMedinewS

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

James T. Willerson, MD : Recipient of Gold Jewel ward by AHA; Key Note Address at AIIMS

Read More

Dr James T. Willerson Recipient of Gold Jewel Award by AHA delivers a Key Note Address at AIIMS

Read More

Dr K K Talwar on Tachycardia–induced Cardiomyopathy

Read More

 
    Pediatric eMedinewS

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

Exercise Trumps Sitting Time For Kids’ Health

Read More

Spanking No Help in Child–Rearing

Read More

 
    Healthy Driving

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

Cardiac evaluation for a commercial driver includes exercise evaluation on a bicycle or treadmill.

 
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    Legal Question of the Day

(Dr MC Gupta, Advocate)

I am provisionally registered with UPMC. How to get permanent registration with the MCI?

QUESTION—I am provisionally registered with UP medical council. I want to get permanently registered with the MCI. I have the following questions:

  • Will I have to get permanent registration with the UPMC before I get registered with MCI?
  • Will I have to get registered with the respective state councils if I practice in Punjab, Haryana etc.?
  • Which registration number should I use if registered with multiple councils?

ANSWER

  1. As per Indian Medical Council Act, 1956, a doctor has to get registered only with one SMC—state medical council. After such registration, his name appears on the SMR—state medical register. Names on the SMR are automatically taken on the IMR—Indian medical Register. Anyone whose name is on the IMR can practice anywhere in India. There is no provision in the IMC Act for:
    1. Direct registration with the MCI in ordinary situations;
    2. Multiple registrations.
  2. SMCs wrongly keep on warning doctors that they must be registered with the SMC of the state where they work. Doctors, like ignorant fools, keep on getting registered with multiple councils. First of all they bow to injustice. Then they lament that injustice is being done to them. Nobody can help a class of people who, on the one hand, claim to be more educated and intelligent than the IAS and, on the other, display utter lack of common sense and courage when they are treated unfairly.
  3. You must not think of getting registered with MCI or any other SMC except the UPMC. By getting registered with a council, you accept its jurisdiction to punish you. You should never have more than one master.
  4. If an SMC punishes you, you can appeal to MCI. If you are primarily registered with the MCI and are punished by it, you have nowhere to appeal. As a matter of fact, the MCI itself says doctors should not get multiple registrations.
  5. If an SMC or some other authority forces you to get registered with the state council, you should point out the law to them and if they persist, you should challenge in the HC. You will win.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A 80 year old male patient with acute heart attack was posted for reperfusion therapy.
Dr Bad: chew 300 mg aspirin.
Dr Good: chew 300 mg aspirin and 75 mg clopidogrel.
Lesson: Start clopidogrel 75 mg as opposed to prasugrel for patients older than 75 years of age who are treated with fibrinolytic therapy.

For comments and archives

Make Sure

Situation: A patient with hypertension developed bleeding at the puncture site while on intergrilin therapy.
Reaction: Oh my God! Why was the Anti–Platelet Agent Started?
Lesson: Make Sure before starting intergrilin the BP is checked. Severe hypertension (Systolic blood pressure>/200 mmHg or diastolic blood pressure >110 mmHg not adequately controlled on antihypertensive therapy is a contraindication for intergrilin therapy.

For comments and archives

 
    Quote of the Day

(Dr GM Singh)

God whispers to us in our pleasures, speaks to us in our conscience, but shouts in our pains: It is His megaphone to rouse a deaf world ~ C.S. Lewis

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Hematology Tips

Anemia is very common in our country. Always try to get a causative diagnosis in anemia. Red cell indices using a cell counter, reticulocyte count and a blood smear reported by a trained person either a pathologist or a medical technologist are three basic tests in anemia. If there are no facilities for these tests, one is justified in giving a therapeutic trial of iron and folic acid for a short time and investigate the non responders.

 
    Mind Teaser

Read this…………………

Most common site for carcinoid tumor is

a) Duodenum
b) Jejunum
c) Ileum
d) Appendix

Yesterday’s Mind Teaser: Most common cause of nausea and vomiting in patients with carcinoma head of pancreas is:

a) Tumor infiltration of coeliac nerve plexus
b) Direct tumor infiltration of duodenum
c) Tumor infiltration around superior mesentery artery
d) External compression of duodenum

Answer for Yesterday’s Mind Teaser: a) Tumor infiltration of coeliac nerve plexus

Correct answers received from: Dr PC Das, Yogindra Vasavada, Prof Chetana Vaishnavi, Dr Jainendra Upadhyay, Dr Hitendrasinh Thakor, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Anil Bairaria, Anand Narayan Singh
.

Answer for 17th February Mind Teaser: a) Sodium excretion is two to three times that of normal stool
Correct answers received from: Anand Narayan Singh, Raju Kuppusamy, Muthumperumal Thirumalpillai.

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr Chandresh Jardosh)

Test your chemistry knowledge

Which weapon can be made with tungsten iodine and iron?
?
?
It’s the deadliest weapon in the universe. ?
?
WIFE
( W+ I + Fe )

 
    Medicolegal Update

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

How death was defined by scientist in past?

In the fatal automobile accident of Smith v/s Smith both husband and wife sustained injury. Husband died on the spot and the wife was taken to the hospital where she remained unconscious for 17 days and then died. The petitioner argued that the deaths were simultaneous, since there was no evidence of brain activity after accident. The Inference was that resuscitative efforts were maintaining the body in a state of animation although it could not be shown that life existed. The court did not accept the contention. They quoted Black’s definition of death and stated that "one breathing, though unconsciousness is not dead." The living body depends upon the integrity of three principal interdependent systems circulation, respiration and enervation. Failure of one of them will cause failure of the other two. This leads to the death of the individual. There are two phases of death: (i) Extinction of the personality is immediate sign of vital process: This is Somatic death. (ii) Progressive disintegration of the body tissue: This is molecular death or cellular death that occurs sometimes later.

Calne, in 1970, gave a more practical definition that states when destruction of the brain has been established, the individual has died no matter what the state of the rest of his body, giving four signs for such a diagnosis: (i) Deep, irreversible coma with fixed, dilated pupils and absent cranial nerve reflexes (ii) No spontaneous respiration (iii) absence of electrical brain activity (iv) Cessation of circulation in the retinal vessels.

Rantoul and Smith in 1973 defined death as complete and persistent cessation of respiration and circulation.

(Ref: Dr. PC Dikshit Head (MAMC) MD LLB, Textbook of forensic medicine, Peepe Publisher)

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)

Be Alert from Symptom of Heart Attack

If you aren’t sure whether you are having heartburn or something more serious –– like a heart attack –– you should get yourself checked out, said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India.

The most common symptom of coronary heart disease is chest pain (angina) or discomfort, which can also occur in the shoulders, arms, neck, jaw or back. People may mistake this pain for indigestion, which can be dangerous. Sometimes, it’s impossible to tell the difference between the symptoms of heartburn, angina and heart attack.

A heart attack occurs when the blood supply to part of the heart muscle is severely reduced or stopped. This can result in death or disability, depending on how much of the heart muscle is damaged. Unfortunately, many people may not be aware they are having a heart attack.

There are some useful pointers that might help a person know whether they're having a heart attack or not, but when in doubt, one should check it out.

Symptoms of a heart attack include the sudden onset of tightness, pressure, squeezing, burning or discomfort in the chest, throat, neck or either arm. When these symptoms are accompanied by nausea, vomiting, sweating, shortness of breath or a fainting sensation, Dr. Aggarwal says one should be especially suspicious that you might be having a heart attack. People who have any risk factors that may predispose them to a heart attack should be particularly cautious.

Main points

  1. Heart attack pain is never pinpointed
  2. Heart attack pain never lasts less than 30 seconds.
  3. If you smoke, have diabetes, high cholesterol, high blood pressure, are overweight or have a strong family history of heart disease and have any symptom related to the chest or heart, you should be alert.
 
    Readers Responses
  1. Dear Dr. Aggarwal, I have always commented that you are doing a praiseworthy job with E medinews. Regards: Dr Prachi
 
    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)

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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Activities eBooks

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  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