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 1st Mega Ajmer Health Camp 2012

 
  Editorial …

19th March 2012, Monday

A soda a day raises heart disease risk by 20%

Sugary drinks are associated with an increased risk of coronary heart disease as well as some adverse changes in lipids, inflammatory factors, and leptin as per a new analysis of men participating in the Health Professionals Follow–up Study by Dr Lawrence de Koning at Children’s Hospital Boston, MA. The report is published in March 12, 2012 in Circulation.

Even a moderate consumption, one can of soda every day, is associated with a significant 20% increased risk of heart disease. There was no increased risk of CHD with artificially sweetened beverages in this analysis. However, diet soda has been shown to be associated with weight gain and metabolic diseases in previous studies. Diet soda has high–intensity sweet taste, which may condition people’s taste.

Water is the best thing to drink, or coffee or tea. Fruit juice is not a very good alternative, because of the high amount of sugar. Although if diluted with water, it’s much better than a can of soda.

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

A soda a day raises heart disease risk by 20%

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Yadein, the musical concert

The Team Memebers of Heart Care foundation of India and Humkhayal along with the performers of the Night. The musical concert was organized in the memory of Legendary Ghazal Maestro Shri Jagjit Singh.

 
Dr K K Aggarwal
 
    National News

7th Nutra India Summit focuses on efforts in controlling malnutrition

Bangalore: The 7th Nutra India Summit, which is being held here, is focusing on the Union government’s efforts to control malnutrition in the country. The event, which had no major government announcement coming through on the setting up of a nutraceutical and phyto–pharma park at Mysore, focused on the need to look at the nutraceutical sector to be the next growth driver. The country, which already had made a big impact in information technology and biotechnology, could now take a lead in the area of nutraceuticals, pointed out Dr V Prakash, distinguished scientist, CSIR India, and president, Nutrition Society of India. "There is a paradox in the country. On the one hand, we have obesity, and on the other, there is increasing number of people affected by malnutrition. Therefore in the 12th Five Year Plan, we have called to focus on malnutrition control because we need to ensure that no child goes hungry," he added.
(Source: March 16, 2012, http://www.fnbnews.com/article/detnews.asp?articleid=31484&sectionid=1)

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

Intermittent Foleys tied to more bacteriuria in laboring women

In a randomized study, bacteriuria rates were significantly higher in laboring women with epidurals who had intermittent bladder catheterization relative to those who had continuous catheterization with an indwelling Foley catheter. (Source: Medscape)

PSA testing still has value, trial suggests

The controversy over prostate cancer screening seems likely to continue with publication of a major European trial that continues to show a benefit with routine testing in healthy men. (Source: Medpage Today)

Do cervical Ca tests less often, task force says

Women ages 21 to 29 should undergo cervical cancer screening with Pap tests every three years and then every five years with Pap and HPV tests until age 65, according to updated clinical guidelines. (Source: Medpage Today)

Gastric H pylori infection linked to hemoglobin A1c

Gastric Helicobacter Pylori infection is associated with elevated hemoglobin A1c (Hb1Ac) levels in adults, according to a large study by Yu Chen, PhD, an associate professor of environmental medicine, and Martin Blaser, MD, a professor of internal medicine, at the New York University School of Medicine in New York City. The results of this study were published online March 14 and in the April 15 issue of the Journal of Infectious Diseases. (Source: Medscape)

Young women skipping chlamydia tests

Despite recommendations that sexually active women 25 and younger be screened annually for chlamydia, less than half are tested that frequently, according to estimates from the Centers for Disease Control and Prevention. Data from a national survey on chlamydia testing showed that just 38% of girls and young women ages 15 to 25 had been tested in the previous year. (Source: Medpage Today)

 
  Twitter of the Day

@DrKKAggarwal: #AJD Prediabetes cutoff called cost–effective Using hemoglobin A1c (HbA1c) to catch prediabetes may be…

@DrKKAggarwal: I was inspired by watching 15 year old Aisha Chaudhary talk on life. I highly recommend you watch http://bit.ly/yo78tc

 
    Spiritual Update

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

Can Compassion or Love be Treated as a Drug?

I was recently in US for attending a seminar on Sages AND Scientists. This was one of the take home messages I brought.

Once a scientist was boosting his researches to Dalai Lama. He said how he has shown that anger, jealousy, fear; cynicism can affect the body at cellular levels. He wanted "His Holiness Dalai Lama" to bless him in getting Nobel Prize for his work.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What causes hyperprolactinemia?

Prolactin levels increase as a result of:

  • Certain medications, including commonly prescribed antidepressants, anti–psychotics, and blood pressure medications
  • Herbs, including fenugreek, fennel seeds and red clover
  • Chest wall irritation (from surgical scars, shingles, or even a too–tight bra) Stress Certain foods Exercise Sleep (prolactin levels are highest at night)
  • Nipple stimulation
  • Hypothyroidism, or underactive thyroid, pituitary tumors. These are usually very tiny, but account for about 30% of all cases of hyperprolactinemia

For comments and archives

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

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

Timeline of successful transplants

  • 1995: First successful laparoscopic live–donor nephrectomy by Lloyd Ratner and Louis Kavoussi (Baltimore, USA)
  • 1997: First successful allogeneic vascularized transplantation of a fresh and perfused human knee joint by G.O. Hofmann
  • 1998: First successful live–donor partial pancreas transplant by David Sutherland (Minnesota, USA)
  • 1998: First successful hand transplant (France)
  • 1999: First successful Tissue Engineered Bladder transplanted by Anthony Atala (Boston Children’s Hospital, USA)

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Juggle Balls

Imagine life as a game in which you are juggling some five balls in the air. You name them – work, family, health, friends and spirit and you’re keeping all of these in the air. You will soon understand that work is a rubber ball. If you drop it, it will bounce back. But the other four balls – family, health, friends and spirit are made of glass. If you drop one of these, they will be irrevocably scuffed, marked, nicked, damaged or even shattered. They will never be the same. You must understand that and strive for balance in your life. How?

  • Don’t undermine your worth by comparing yourself with others. It is because we are different that each of us is special.
  • Don’t set your goals by what other people deem important. Only you know what is best for you.
  • Don’t take for granted the things closest to your heart. Cling to them as you would your life, for without them, life is meaningless.
  • Don’t let your life slip through your fingers by living in the past or for the future. By living your life one day at a time, you live ALL the days of your life.
  • Don’t give up when you still have something to give. Nothing is really over until the moment you stop trying.
  • Don’t be afraid to admit that you are less than perfect. It is this fragile thread that binds us each together.
  • Don’t be afraid to encounter risks. It is by taking chances that we learn how to be brave.
  • Don’t shut love out of your life by saying it’s impossible to find. The quickest way to receive love is to give; the fastest way to lose love is to hold it too tightly; and the best way to keep love is to give it wings.
  • Don’t run through life so fast that you forget not only where you’ve been, but also where you are going.
  • Don’t forget that a person’s greatest emotional need is to feel appreciated.
  • Don’t be afraid to learn. Knowledge is weightless, a treasure you can always carry easily.
  • Don’t use time or words carelessly. Neither can be retrieved. Life is not a race, but a journey to be savored each step of the way.

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Fish–oil supplementation enhances the effects of strength training in elderly women

One recent study, featured in the American Journal of Clinical Nutrition, examined the effects of supplementing two omega–3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), on muscle and functional capacity in older adults engaged in resistance training.

During the study, 45 women aged 62–65 years were provided with resistance training alone, resistance training plus fish oil supplement for 90 days, or 60 days of fish oil supplement followed by 90 days of resistance training plus continued supplementation. Findings showed that fish oil supplementation did in fact enhance the response of the muscular system to resistance training but that further supplementation prior to training had no added benefit. Diet and body mass did not change during the course of the study. Participants were given 2 grams per day of fish oil, which is less than recommended by both the United Kingdom government and the American Heart Association. However this study suggests that fish oils may be helpful as a supplement for older adults aiming to improve their muscle strength and functional capacity with resistance training.

For comments and archives

 
  Cardiology eMedinewS

Anger Prone People At Risk Of Heart Failure Read More

Pharmacogenetics in Cardiovascular Disorders Read More

Implications of No–Reflow Phenomenon in Acute Myocardial Infarction Read More

 
  Pediatric eMedinewS

Neonatal Herpes After Maternal Treatment Can Have Atypical Presentation Read More

More Tests For Child With ‘Polio Symptoms’ Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure came for cardiac evaluation.
Dr. Bad: Go for Echo test.
Dr. Good: Go for Tissue Doppler Echo test.
Lesson: A patient with heart failure must go for Tissue Doppler Echo Test for evaluation of diastolic functions.

For comments and archives

Make Sure

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

 
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    Microbial World: The Good and the Bad they do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta The Medicity)

Periodontal infections involving normal oral flora

Periodontal infections include the infections of structures that support teeth–like gingiva, cementum, periodontal membrane, and alveolar bone. Most common infection/disease we all have suffered one time or the other is "gingivitis", the infected, bleeding gums. Gingivitis is facilitated by the dental plaque. The spirochetes like Treponema denticola and various Fusospirochetes add insult to the injury i. e. further harm the already inflamed gums leading to serious conditions like acute necrotizing ulcerative gingivitis (ANUG) and Vincent’s angina. So, we understand that resident microbial flora of oral cavity can harm us. We cannot get rid of this flora. However, we can manage this resident flora so that it does not harm us. Next, we will discuss the practices, which help to control this resident oral bacterial flora.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

It is wise to direct your anger towards problems – not people; to focus your energies on answers – not excuses. William Ward

 
    12 Most Common Technology Hazards (Part 3)

Problems with home use medical devices

Many people receive medical care in their homes. Some devices used in the home are designed for use in hospitals. Problems may go undetected. Many of the devices used in the home are older and have no labeling or instructions for use or maintenance.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Fructosamine

  • To help monitor your diabetes over time, especially if it is not possible to monitor using the A1c test
  • To help determine the effectiveness of changes to your diabetic treatment plan.
 
    Mind Teaser

Read this…………………

Which of the following is a contraindication for breast–conserving surgery (BCT)?

a) Small lump to breast ratio
b) Central breast tumor mass
c) Breast tumor size less than 5 cm
d) Young age

Yesterday’s Mind Teaser:  Which is false for GIST (Gastrointestinal stromal tumor) of stomach?

a. It is the same as leiomyoma and leiomyosarcoma as described previously.
b. Origin is from mucosa from the interstitial cells of Cajal.
c. Associated with C–Kit Mutation.
d. Imatinab is a new effective drug for adjuvant therapy.

Answer for Yesterday’s  Mind Teaser: b) Origin is from mucosa from the interstitial cells of Cajal

Correct answers received from: Dr. Mrs. S. Das, Dr. P. C. Das, Dr Thakor Hitendrasinh G, Raju Kuppusamy, Dr Jainendra Upadhyay

Answer for 17th March Mind Teaser: d) Lesion in upper one–third of submucosa
Correct answers received from: yogindra vasavada, Dr. Mrs. S. Das, Dr. P. C. Das

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

First day at School

A school teacher injured his back and had to wear a plaster cast around the upper part of his body.
It fit under his shirt and was not noticeable at all. On the first day of the term, still with the cast under his shirt, he found himself assigned to the toughest students in school.

Walking confidently into the rowdy classroom, he opened the window as wide as possible and then busied himself with desk work.

When a strong breeze made his tie flap, he took the desk stapler and stapled the tie to his chest.

He had no trouble with discipline that term.

 
    Medicolegal Update

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

What is the medical treatment of chemical contamination and burn?

  • In case of chemical contamination or burn injury of eye, put fluorescein drops in the eye. Burns will stain yellow.
  • If there are yellow stains with fluorescein, put chloramphenicol 1% eye ointment in the eye. Put more ointment into the eye every two hours. Continue until the eye is no longer red and the sclera is white, and then for another 24 hours.
  • If the pain is severe the patient may need an intramuscular injection of morphine.
  • If there is no water nearby dab or gently wipe the skin and hair with cloth or paper.
  • Immediately wash the affected part of the body under cold or lukewarm running water, using soap if you have some. If there is no running water use buckets of water. Do it quickly and use a lot of water. Wear gloves and an apron if needed, to protect you from splashes of chemical. Some chemicals give off vapors: be careful not to breathe in vapors.
  • Quickly remove any of the patient’s clothes contaminated with chemical or vomit, as well as shoes and wrist watch if necessary. Speed is important. Cut the clothes off if the chemicals are very poisonous or corrosive.
  • If large areas of the body are contaminated with chemical, wash the patient under a shower or a hose. Remember to clean the hair and under the fingernails, in the groin and behind the ears, if necessary.
  • Continue to pour water over the patient for 10 minutes or longer if you can still see chemicals on the skin. If the skin feels sticky or soapy, wash it until the feeling disappears. This may take an hour or more.
  • Make sure the water drains away freely and safely as it will have chemical in it.
  • Do not rub or scrub the skin.
  • Dry the skin gently with a clean, soft towel. If clothing stays stuck to the skin even after water has been poured over it, do not remove it.
  • Remember that many chemicals can pass through the skin very quickly. Look for signs of poisoning.

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)

Messages on Tuberculosis

Heart Care Foundation of India today released messages on TB to mark the forthcoming World TB day. Dr. K.K. Aggarwal, Padma Shri and Dr B C Roy National Awardee and President, Heart Care Foundation of India said that TB is curable provided one knows the Formula of 3 (do not ignore cough of more than 3 weeks and get 3 sputum TB tests done)

  • India has the largest number of tuberculosis cases in the world.
  • Tuberculosis is a curable disease.
  • For complete recovery, full and adequate treatment of tuberculosis is important.
  • Most tuberculosis drugs are safe and have minimal side effects.
  • A minimum six months of treatment is required for a patient with tuberculosis.
  • DOTS is an effective way of controlling tuberculosis.
  • Tuberculosis is caused by bacilli spread through droplet infections.
  • Tuberculosis patients should dispose their sputum by burning, burying it in the soil or disinfecting them with a disinfectant.
  • All cases of tuberculosis are not contagious. Only sputum positive TB patients are infectious to others.
  • Even contagious tuberculosis can become non-infectious within one week of effective treatment.
  • Tuberculosis can be of lungs (pulmonary) or outside the lungs (extra pulmonary). In 85% of cases, lungs are involved.
  • In tuberculosis of the lung, often an X–ray chest is the first investigation to be asked.
  • Tuberculosis can infect people of any age or sex.
  • Do not ignore a cough of more than two weeks.
  • Every cough with or without sputum is not TB.
  • Blood in sputum may be an indication of tuberculosis.
  • Even in pregnancy, tuberculosis requires full treatment.
  • Diagnostic tests for tuberculosis are available free of cost by the Govt.
  • Tuberculosis treatment is available free by Govt. of India.
  • TB infection and TB disease are not the same.
  • About 90% of those infected may not develop TB in their life time.
  • About 10% of HIV–positive patients will develop TB every year.
  • After 5 months of treatment if the patient has not responded, suspect a drug failure.
  • Relapse or re–infections can occur in a patient with TB.
  • TB drugs are often taken as single dose. Divided doses are not recommended.
  • Non–healing ulcer on the skin may be an indication of skin TB.
  • Drug resistant TB cases should be handled by a specialist.
  • Transient rise in liver enzyme reports are well–known in early weeks of TB treatment.
  • TB can occur any time in the course of HIV infection.
  • Doctors should not prescribe corticosteroids routinely in the treatment of TB.
  • TB can cause collection of water around the heart or around the lungs.
  • TB of the intestine is of a common occurrence in our country.
  • TB can be a common cause of infertility in women.
  • TB of the brain is the most life threatening of all forms of TB.
 
    Readers Response
  1. Dear Sir,We enjoy "Yadein" the Musicial Concert.Regards:Dr Priyanshu
 
    Forthcoming Events
Dr K K Aggarwal

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

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.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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  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