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 …

19th November 2012, Monday

Pacing Two Sides of Heart Better Than One

Heart failure patients with an electrical problem that requires a single-lead pacemaker do better when both ventricles are paced, a randomized trial found.

Patients who underwent biventricular pacing had a 26% reduction in the combined endpoint of mortality, heart failure-related urgent care, and worsening heart function, according to Anne Curtis, MD, of the University of Buffalo School of Medicine in N.Y., and colleagues.

These patients with both a right and left ventricular pacing lead also had a 27% relative risk reduction in the composite endpoint of heart failure urgent care and all-cause mortality, Curtis reported here at the annual meeting of the American Heart Association.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

What are the causes of constipation in children?

Constipation in children usually is functional. But it can also be due to organic causes such as Hirschsprung’s disease (congenital aganglionic megacolon), pseudo-obstruction, spinal cord abnormality, hypothyroidism, diabetes insipidus, cystic fibrosis, gluten enteropathy or congenital anorectal malformation.

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

Treating vitamin D deficiency in the country

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A unique inauguration of the National Workshop on Homeopathy in Cardiology

Haryana's Health Minister Rao Narendra Singh and Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India inaugurated the conference in a different way by doing CPR 10 in the recently concluded 19th MTNL Perfect Health Mela 2012

 
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

India lags in pictorial warnings on cigarettes

MUMBAI: When it comes to pictorial warnings on tobacco packets, India ranks a low 123 among 198 countries surveyed on the warnings parameter. While experts agree that pictorial warnings on tobacco packets is a proven strategy that deters people from smoking or chewing tobacco, the ground reality is that less than 40% of the display area on cigarette and tobacco packets is covered by the warnings in India. This finding was part of the 'Cigarette Package Health Warnings: International Status Report', released at a recent WHO Framework Convention on Tobacco Control (FCTC) conference. India ranks 123 among the countries surveyed on the size and fulfillment of requirements for picture- based warnings on packets. Under the FCTC, an international treaty signed and ratified by India, the countries are required to carry health warnings on all packages of tobacco products describing the harmful effects of tobacco use. The warnings "should be 50% or more of the principal display areas, but shall be no less than 30% of the display areas", and include pictorial warnings. Dr Pankaj Chaturvedi, oncologist at Tata Memorial Hospital who has been working against cigarette and tobacco products, said pictorial warnings serve as a deterrent to a first-time user. "The tobacco industry has exploited loopholes in the pictorial warning notifications to subvert the law. While smokeless tobacco packets have gory pictorial warnings of mouth cancer, the picture quality is so bad that they become meaningless. Moreover, the cigarette industry chooses the least graphic warning—photo of a lung—that has literally no impact on a user's mind." International guidelines under the FCTC recommend that warnings should be as large as is achievable, should include a rotating series of graphic pictures and should be on both the front and back of packages. Examples of pictures that appear on packages include a diseased lung or mouth, a patient in a hospital bed and a child exposed to secondhand smoke. (Source: TOI, Nov 16, 2012)

Visually impaired can now see the Tricolour

Bangalore: Some 12 million visually challenged persons in the country will be able to see the nation's Tricolour. This, thanks to the initiative taken by an eye hospital and NGO working for betterment of the visually impaired. Sankara Eye Hospital, in partnership with Sightsavers, introduced the first Braille Indian flag on Thursday. The tactile flag was unveiled by Governor HR Bhardwaj. The flag colours are depicted through varying textures and a raised chakra at its centre allows the visually challenged to feel the Ashoka Chakra with its 24 spokes. Its colours and features are explained in Braille alongside the flag. The Braille flag is a fully tactile graphic made on copper with enamelled paint accompanied with a user key that helps the visually impaired make out the orientation and colours. Only the US and UK are known to have national flags that are accessible to the blind. Dr RV Ramani, founder and managing trustee, Sankara Eye Care Institutions India, said, "It is unfortunate that something as important as the national flag is inaccessible to the blind. We focus on preventive eye care for the children through our paediatric programme Nanna Kannu. At the same time we believe that the blind should get equal access to rights and services as their sighted counterparts . This tactile flag is one of the steps towards this." (Source: TOI, Nov 16, 2012)

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

By echocardiography, although a bicuspid aortic valve with a raphe may appear similar to a tricuspid valve during diastole, the systolic opening shape of a bicuspid valve is elliptical rather than the triangular pattern of a tricuspid valve. Echocardiography is also helpful is evaluating the diameter of the aortic root and ascending aorta

(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)

FDA panel wants more info about Hep B vaccine

An FDA advisory committee voted 13-1 in support of the efficacy of a hepatitis B vaccine on Thursday but questioned its safety and lack of information on its effects among certain minorities. The Vaccines and Related Biologics Advisory Committee voted 5-8, with one abstention, against the safety of Heplisav in adults 18 to 70. (Source: Medpage Today)

Increasing BMI tracks with hypertension over a lifetime

New results from a study tracking medical students for almost 50 years shows that weight gain at any time in their lives increased their risk of developing hypertension. Dr Hasan M Shihab (Johns Hopkins University School of Medicine, Baltimore, MD) and colleagues report their findings online November 14, 2012 in Circulation. (Source: Medscape)

Gestational diabetes screening based on risk misses too many

Selective screening of pregnant women for gestational diabetes by risk factors misses about a third of women who have the condition and who are at increased risk for adverse pregnancy outcomes, a large retrospective analysis shows. (Source: Medscape)

'Bath Salts' delirium a challenge to manage

Excited delirium following the use of synthetic cathinones or "bath salts" strengthens the pattern of paranoia, extreme agitation, and violent behavior that has been reported following the use of other stimulant drugs and requires careful management, new research shows. (Source: Medscape)

Dramatic increase in CVD in young relatives of SCD victims

A new study has identified a significant increased risk of cardiovascular disease, cardiomyopathies, and ventricular arrhythmias in people related to young victims of sudden cardiac death (SCD). Dr Mattis F Ranthe (Statens Serum Institute, Copenhagen, Denmark) and colleagues report their findings from a large population-based cohort study, with up to 11 years of follow-up per person, online November 13, 2012 in the European Heart Journal. (Source: Medscape)

 
  Twitter of the Day

@DrKKAggarwal: Rhinitis medicamentosa Topical vasoconstrictor decongestants include phenylephrine, oxymetazoline,... http://fb.me/26D1cQTsJ

@DrKKAggarwal: Stop struggling at the level of the problem--the answer never lies there. #SuperBrain

 
    Spiritual Update

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

Mini-Relaxation Exercises: When You’ve Got Two Minutes

Count down slowly from 10 to 0. With each number, take one complete breath, inhaling and exhaling. For example, breathe in deeply, saying “10” to yourself. Breathe out slowly. On your next breath, say “nine”, and so on. If you feel

For comments and archives

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

What is atresia?

Atresia is a degenerative process that occurs regardless of whether you are pregnant, have normal menstrual cycles, use birth control, or are undergoing infertility treatment. Smoking appears to accelerate atresia and is linked to earlier menopause.

For comments and archives

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

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

Antibodies can be detected by

a. Saline agglutination test (SAT)
b. Tests using cells suspended in colloid media
c. Tests using enzyme-treated cells- Rh & occasional antibodies
d. Indirect antiglobulin (Coomb’s test) - wide spectrum.

Dr K K Aggarwal

For comments and archives

 
    An Inspirational Story

Gossip

A peasant with a troubled conscience went to a monk for advice. He said he had circulated a vile story about a friend, only to find that the story was not true.

"If you would make peace with your conscience," said the monk, "you must first fill a bag with goose downs, go to every door in the village, and drop in each one of them a feather."

The peasant did as he was told. Then he came back to the monk and said he had done penance for his folly.

"Not yet," replied the monk. "Take a bag, go two rounds again, and gather up every down that you have dropped."

"But the wind must have blown them all away," said the peasant.

"Yes, my son" said the monk. "And so it is with your vile words. Words and goose downs are quickly dropped, but try as hard as you will, you can never get them back."

For comments and archives

 
  Cardiology eMedinewS

Zilver stent OK'd for peripheral artery disease Read More

Tamiflu Efficacy, Safety in Doubt: BMJ Read More

 
  Pediatric eMedinewS

Trial Proves Pneumococcal Vaccine Works Read More

Asthmatic Children Taking Steroids Often Have HPAS Dysfunction
Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 6–year–old child with fever needed an antipyretic.
Dr Bad: Take aspirin.
Dr Good: Take paracetamol.
Lesson: Children should not be given aspirin for chickenpox and flu–like symptoms as it can cause Reye’s syndrome.

Make Sure

Situation: A patient with hypothermia with no shivering died.
Reaction: Oh my God! Why was intensive management not given?
Lesson: Make sure all patients of hypothermia with no shivering are treated aggressively. Absence of shivering is bad prognostic sign.

 
    Legal Question of the Day (Dr MC Gupta)

Q. What should be done when a patient needs emergency surgery but either the surgeon or the anaesthetist are not available and the surgeon or the anaesthetist in a government hospital, getting NPA, are willing to provide services on the condition that the their name does not appear in the medical records?

Ans.

  • The best course is to refer the patient to the local government hospital and even to arrange transport if it is an emergency.
  • In no case should the medical records be false or incomplete or deceitful. If the names of the surgeon or the anaesthetist are concealed, the nursing home owner is asking for trouble. The court is likely to decide against the nursing home.
  • If there is no alternative to the government employed surgeon or anaesthetist providing service, their names must duly appear in the case sheet with proper notes along with written and signed statements as follows:
    • A statement by the I/C nursing home that the patient needs emergency life- saving surgery but no surgeon or anaesthetist is available except the concerned government servants who have been requested to provide treatment.
    • A statement by the concerned surgeon or anaesthetist confirming the above fact and accepting to provide service on compassionate humanitarian grounds. iii) A statement (informed consent) by the patient/attendants that they have been explained the situation and are not in a position to go to the government hospital and are willing to be treated by the concerned non-nursing home staff.
    • It is commonly seen that doctors in government service perform surgery or give anesthesia in private nursing homes to earn extra income but their names do not figure in the records. This is detrimental to the interests of all concerned—the nursing home; the patient; and, the doctors concerned.
 
  Quote of the Day (Dr GM Singh)

When the game is over, the king and the pawn go into the same box. Italian Proverb

 
    Mind Teaser

Read this…………………

Eddie, a plane crash victim, undergoes endotracheal intubation and positive pressure ventilation. The most immediate nursing intervention for him at this time would be to:

A. Facilitate his verbal communication
B. Maintain sterility of the ventilation system
C. Assess his response to the equipment
D. Prepare him for emergency surgery

Yesterday’s Mind Teaser: 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

Answer for Yesterday’s  Mind Teaser: A. When the client would have normally had a bowel movement

Correct answers received from: Dr. P. C. Das, Dr. Thakor Hitendrsinh G, Dr Jainendra Upadhyay, DR Chandresh  Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr.mohan, Dr.A.K.KELA, Dr.K.Raju

Answer for 17th November Mind Teaser: D. Quality of respirations and presence of pulses

Correct answers received from: Dr.(Maj. Gen.) Anil Bairaria, Dr. shashi saini, Arvind Khanijo

Send your answer to ijcp12@gmail.com

 
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    Laugh a While (Dr GM Singh)

There was a competition between a Japanese Samurai and a Chinese Samurai. First they took the Japanese Samurai into a room and told him there is a mosquito flying in this room and he has to hit the mosquito. The Japanese Samurai listens for the buzzing of the mosquito and then suddenly whooshes with his sword. There is silence in the room and sure enough they find the mosquito cut in half on the floor.

Then they ask the Chinese Samurai that there is a mosquito flying in this room and he has to hit the mosquito with his sword. The Chinese man listens for the buzzing from mosquito and then suddenly whooshes with his sword. There is silence in the room for few seconds and then the buzzing sounds start again. The Japanese Samurai jumps up and says he won because the mosquito is still alive. The Chinese man says the mosquito may be alive but no more babies.

 
    Medicolegal Update

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

What is contributory medical Negligence?

The pregnant woman delivered a child with spina bifida however she failed to regularly attend the advised dates for antenatal ultrasounds that would have identified this problem. The patient was found to be 100% at fault."

  • In a medical malpractice/maloccurence case, medical negligence is the foremost ingredient to establish the liability of damage and dereliction in provided medical care. However, it is important to establish the difference between malpractice and contributory negligence when determining liability.
  • Contributory negligence means the patient/legal heirs/parties are partially to blame for the maloccurrence or medical untoward incident. For e.g., a patient is admitted to the emergency room for treatment and they fail to inform the doctor about a pre–existing condition e.g. any allergy to a drug. The patient is guilty of contributing to the negative outcome/damage of the treatment.
  • If the victim is found to be even one percent at fault, they will be unable to recover compensation for their injuries. However, comparative negligence is used to determine degree of liability of the doctor/medical care provider.
  • Contributory negligence will determine who will receive compensation for their losses and how much they may be entitled to receive in compensation for their injuries. Pure comparative negligence means that in case of an aggrieved patient, damages will be calculated and then reduced to reflect his or her contribution to the injury.

In India, the doctors take the defense against malpractice cases when determining how the parties involved are responsible. In US, 4 categories apply in compensation cases in many of its states: Pure Comparative Negligence/Pure Contributory Negligence/ Modified Comparative Negligence—50% Bar Rule and Modified Comparative Negligence—51% Bar Rule. Twenty–one states that recognize the 51% Bar rule which means that the party who is less than 51% liable can seek compensation; only 11 US states use the 50% Bar rule, which means that if the damaged party is less than 50% responsible, they can collect damages.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Flaxseed for lowering blood pressure

Eating flaxseed can reduce the upper blood pressure (systolic) by 10 mmHg and lower BP (diastolic) by 7 mmHg after six months said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India. He was quoting an international double-blind, placebo-controlled study presented at the American Heart Association 2012 Scientific Sessions.

This reduction of SBP and DBP after administration of dietary flaxseed is the largest decrease in BP ever shown by any dietary intervention.

Such reductions would be expected to result in around a 50% fall in the incidence of stroke and a 30% reduction in heart attacks.

Animal studies have shown that flaxseed has antiatherogenic, anti-inflammatory and antiarrhythmic effects and may reduce circulating cholesterol and trans-fatty acid levels.

 
    Readers Response
  1. Dear Sir, thanks for providing useful informations. Regards: Dr Jatin Shah.
 
    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