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 7 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 …

1st October 2012, Monday

Yogurt may help prevent hypertension

People who ate at least the equivalent of one serving every three days were 31% less likely to develop high blood pressure than those who ate no yogurt at all, Huifen Wang, PhD, of Tufts University in Boston, and colleagues found. An even stronger effect was seen among individuals who were not taking antihypertensive drugs, according to their analysis of the Framingham Heart Study Offspring Cohort reported at the American Heart Association's High Blood Pressure Research meeting in Washington, D.C, reports Medpage.

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

Cigarettes Hurt women's Hearts More than Men's.

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

4th Dil Ka Darbar

The Darbar was organized by Heart Care Foundation of India in association with Indian Oil, Central Bank of India Department of AYUSH and various Departments under Health Ministry, Government of Delhi on Sunday 23rd September 2012 at Talkatora Stadium.

 
Dr K K Aggarwal
    National News

Norms relaxed to increase medical seats

JAIPUR: With an aim to churn out more doctors, the union health ministry increased PG seats by 85% and undergraduate seats by 35% in various medical colleges of the country over the last three years. Union health minister Ghulam Nabi Azad on Friday said that to increase the medical seats the rules of Medical Council of India were rationalised. Azad was addressing doctors at the inauguration of VSICON 2012 - a congregation of vascular surgeons from all over the world organized by the Vascular Society of India (VSI) in Jaipur. He said though health is a state subject, the union ministry has helped by releasing funds so that seats could be increased in medical colleges. He said around 30% of doctors migrate to other countries for work which leaves vacant posts in the country.

Azad said the government had relaxed norms for setting up medical colleges. Earlier, a minimum of 25 acres of land was required for setting up colleges, which has now been reduced to 20 acres. Similarly, infrastructure requirement for a medical college has been reduced by 30%. The minister also added the teacher -student ratio in PG courses has been increased from 1:1 to 1:2 and even 1:3 in certain colleges. He then went on to talk about the low doctors to patients ratio. India has only about 59 doctors for 1 lakh patients, which is far lesser than the ratio in developed countries. For instance, US has nearly 550 doctors for 1 lakh patients.

Moreover, Azad expressed concern over increase in the number of non-communicable diseases (NCDs) in the state. He said that project for free screening of diabetes, hypertension and cancer has been planned for 100 identified districts, including Barmer and Jaisalmer, in 21 states. The centre plans to launch free screening for NCDs in the coming years, but due to limited resources, the ministry is looking to rope in private hospitals. "After it (talks with private hospitals) gets finalized, the centre would launch NCD screening in the country." He also said in the coming years, India would have the maximum number of people suffering from NCDs. Moreover, he said that to make people aware about diseases, the ministry has purchased time slots on Doordarshan's 30 regional channels and 30 radio channels. For the purpose, the ministry has selected 5,000 doctors of all specialties who would address the people on TV and radio channels at prime time. (Source: TOI, Sep 29, 2012)

For comments and archives

My Profession My Concern

(Prof. Dr. S. Arulrhaj, Chairman, Commonwealth Health Professions Alliance, UK)

Dear Colleagues, MOH & MCI have connived in the pretext of Rural Health and introducing the 3½ year course … old wine in a new bottle. As per the MCI constitution, the basic allopathic qualification is MBBS. It does not have any jurisdiction in paramedical education. Where will these paramedics be registered? Silent … IMA must seek legal opinion and get a stay and fight legally. We are for Rural Health but through fully-qualified doctors. Paramedics can be developed by a Paramedical council and registered subsequently by the same council. MCI has no role to develop the curriculum and to endorse its stamp as the MOH claims. This is gross violation of MCI Act 1956. Let us all think and proceed.

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

Should all patients after valve replacement receive antibiotics?

Patients with prosthetic heart valves are at high risk for endocarditis and should use prophylactic antibiotics in accordance with current guidelines.

(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)

Retinopathy provides window into chronic kidney disease

The primary role of the retina is to capture light and create sight, but adverse changes to the retina may also signal important alterations to the kidneys. Using photographs of the retina collected from 1820 patients with renal disease, Juan E. Grunwald, MD, from the Department of Ophthalmology at the University of Pennsylvania School of Medicine in Philadelphia, and colleagues found a significant association between the presence of retinopathy and chronic kidney disease as measured by lower estimated glomerular filtration rate (eGFR; P < .001). They reported the findings from this multicenter, cross-sectional study in an article published in the September issue of the Archives of Ophthalmology. (Source: Medscape)

For comments and archives

Lubiprostone effective for opioid-induced constipation

Constipation drug lubiprostone (Amitiza, Sucampo Pharmaceuticals, Takeda Pharmaceuticals) shows efficacy and tolerability in treating opioid-induced constipation without affecting patients' analgesic response to the pain medications, according to research presented here at the American Academy of Pain Management (AAPM) 23rd Annual Meeting. (Source: Medscape)

For comments and archives

Trauma linked to chronic pain severity

Traumatic experiences, such as serious accidents or assault, play a significant role in chronic pain that is severe enough to interfere with daily activities, new research suggests. The results were presented at the American Academy of Pain Management (AAPM) 23rd Annual Meeting. (Source: Medscape)

For comments and archives

Hemophilia drug hits mark in trial

A coagulation factor replacement therapy for hemophilia B met its primary efficacy and safety objectives in a phase III trial, which will underpin a marketing application to be filed early next year, its developers said. The product is a recombinant Factor IX Fc fusion protein (rFIXFc) that its sponsors, Biogen Idec and the Swedish Orphan Biovitrum (Sobi), have designed to last longer in circulation than current clotting factor replacements. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Even children can have acidity Children who have continuing recurrence of cough and croup could be suffering...http://fb.me/2fBqviha2

@DrKKAggarwal: Are your medical lab results making you confused? My visual Health Tip is a guide to your basic biomarkers. http://tinyurl.com/8j6tww7

 
    Spiritual Update

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

Sexuality in ancient mythology

  1. Both sexuality and spirituality have been mentioned in mythology to prevent HIV and sexually transmitted diseases. An educational art was created at Khajuraho which talks about “multiple positions with one are better than one position with many.”
  2. Asexual reproduction - Lord Ganesha’s birth from the skin of Goddess Parvati represents a form of asexual reproduction using pluripotent cells.

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 are the types of twins?

There are two types of twins: identical and fraternal (non-identical).

Identical twins occur when a single embryo, created by the union of a sperm and egg, divides into two embryos. Each embryo is monozygotic, genetically identical. When the twinning process occurs early in the pregnancy, in the first two weeks after conception, each fetus has its own separate gestational sac and placenta.

Non-identical twins occur when two separate eggs are each fertilized by a separate sperm. The two embryos that result are dizygotic, not genetically identical. Therefore, the twins are not identical.

For comments and archives

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

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

Blood Donation – Gift of liquid love

The development of cryobiology has enabled the preservation of cells and plasma for prolonged storage for years, in frozen state. The emphasis is now rightly put on the use of various components of blood based on the requirement of the patients, since this helps to utilize one unit of donated blood for more than one patient.

With the use of the cell separators, the pheresis procedures help separate and collect platelets, granulocytes and plasma in enough quantity from a single donor. Therapeutic applications of these cell separators have also enabled clinicians to reduce morbidity and mortality from many diseases.

For comments and archives

 
    Liver Abscess Update

(Dr. Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation Medanta – The Medicity Hospital)

Right lobe vs left lobe liver abscess. Is there a clinical relevance?

  • Most of them are in right lobe (around two-thirds)
  • Right lobe: Usually single - easy to aspirate
  • Left lobe: Frequently associated with complications like rupture into peritoneum and pericardium and cause pericardial effusions
  • Left-sided liver abscesses require drainage far more often (85% cases) as compared to right-sided lesions.

For comments and archives

 
    An Inspirational Story

Learn from mistakes

Thomas Edison tried two thousand different materials in search of a filament for the light bulb. When none worked satisfactorily, his assistant complained, “All our work is in vain. We have learned nothing.”

Edison replied very confidently, “Oh, we have come a long way and we have learned a lot. We know that there are two thousand elements which we cannot use to make a good light bulb.”

For comments and archives

 
  Cardiology eMedinewS

FDA Approves First Subcutaneous ICD Read More

Food Fighters: Yogurt, Cranberries, Rice/Bran Oil Lower BP Read More

 
  Pediatric eMedinewS

Probiotic improves colic in breastfed infants Read More

Progeria improves with an experimental cancer drug Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with high triglycerides developed stroke.
Dr Bad: They are not related.
Dr Good: They are related.
Lesson: Men and women with high triglyceride levels are at an increased risk of ischemic stroke.

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia after taking light breakfast.
Reaction: Oh my God! Why was insulin dose not reduced?
Lesson: Make sure that insulin dose is correct. The formula is 500/total daily dose. The value will be the amount of sugar fluctuation with 10 grams of carbohydrates.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

A great man shows his greatness by the way he treats little men. Thomas Carlyle.

 
    Legal Question of the Day (Dr MC Gupta)

Q. Should it be acceptable to the medical profession that after the MBBS degree is given to a student by a university, he should be denied registration by the medical council unless he passes an exit exam as proposed by the MCI? If he fails, that means he was not given proper education and the university, the medical college and the MCI failed in their duty to provide proper education. I think the punishment for failing to discharge their responsibility should fall on these entities and not on the medical students who stand to suffer by prolongation, in effect, of their 5½ years’ course by maybe 6 months and deprivation from earning during this period and by general delay in their career prospects. What are your views?

Ans.

 
  • Your concern is correct.
  • The objective of the exit test is to ensure minimum acceptable standards in a physician before he is licenced by the medical council. The university ought to have exactly the same objective—"to give such education and training as will be required for licencing by the medical council". If the MBBS course and degree granted by the university are themselves certified recognised by the medical council, there should be no reason why the University, the College and the MCI should not work together towards the common aim of giving quality education.
  • One needs to seriously think whether this approach of the MCI can be challenged legally. The following need to think seriously about submitting a legally drafted representation to the government and the MCI in this regard:

    a. The IMA
    b. Residents’ associations
    c. Undergraduate students unions
    d. Faculty associations/Teachers’ associations
    e. Medical educationists
    f. Deans/Principals/VCs

    Those who are against it need to move fast in this direction rather than exchanging mails and losing precious time, as happened in the case of the CEA, 2010.
 
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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Pap smear manual reporting

Manual reading of cervical smear slides is superior to automation–assisted reading at detecting abnormal cells. Technology is available, which can assist in cervical screening by automatically detecting abnormal fields on a slide and presenting them on an automated microscope, and is analogous to manual cytological microscopy.

A professor of gynecological oncology and lead author in UK said, "Although automated reading could achieve productivity gains in terms of the numbers of slide checked, on the basis of this evidence there does not appear to be sufficient grounds to recommend automation." The trial also found that the cytoscreeners preferred manual reading as automation–assisted reading was monotonous. The article was published in January 2011, in Lancet Oncology.

 
    Rabies Update

(Dr. A. K. Gupta, Author of "RABIES – the worst death")

An unvaccinated or partially vaccinated pet dog or cat is bitten by a stray dog. What should be done?

If an unvaccinated or partially vaccinated pet dog or cat is bitten by a stray dog, wounds should be thoroughly washed with water and povidone iodine should be applied. If the stray dog is suspected to be rabid, then the pet dog should be put to sleep (Euthanasia). But if the owner is not ready or the rabid status of the stray dog is not known, post-exposure vaccination of the pet with cell culture vaccine and simultaneous careful observation of the pet are recommended for up to 2 months (up to six months is desirable) for possible signs of rabies in the pet. During this period for any sickness in dog, the owner should take the dog to the veterinarian to get rabies ruled out at the first instance. It should be noted that post-exposure vaccination is not very successful in dogs. Simultaneously, pre-exposure vaccination of all household members is necessary.

 
    Fitness Update (Rajat Bhatnagar, MonaVie, www.mymonavie.com/sonraj)

How much physical activity does it take to boost mental health?

Research has shown that physical activity can improve depression symptoms and quality of life. Now, a study in Preventive Medicine examined the relationship between mental health and physical activity to determine the optimal amount of exercise needed to maintain or improve mental health based on age, gender, and overall physical health. The study looked at responses from over 7,000 people collected during the U.S. Health Information National Trends Survey of 2008. Results showed that people who exercised between 2 ½ and 7 ½ hours per week were more likely to report better mental health state than people who didn't exercise. Public health recommendations advice most adults to get at least 150 minutes, or 2 ½ hours, of moderate physical activity per week.

 
    Mind Teaser

Read this…………………

Which of the following indicates poor practice in communicating with a hearing-impaired client? A. Use appropriate hand motions
B. Keep hands and other objects away from your mouth when talking to the client
C. Speak clearly in a loud voice or shout to be heard
D. Converse in a quiet room with minimal distractions

Yesterday’s Mind Teaser: Either weigh or whey

Answer for Yesterday’s  Mind Teaser: One way or another

Correct answers received from: Dr Avtar Krishan, Dr Jainendra Upadhyay, Dr. P. C. Das, Dr.K.Raju, Dr.(Maj. Gen.) Anil Bairaria, Dr Chandresh  Jardosh, Dr. Thakor Hitendrsinh G

Answer for 29th September Mind Teaser: Somewhere over the rainbow.
Correct answers received from: Dr Chandresh  Jardosh, Dr. Thakor Hitendrsinh G

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Law of Cat Disinterest

A cat's interest level will vary in inverse proportion to the amount of effort a human expends in trying to interest him.

 
    Medicolegal Update

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

Standard of medical care The Nebraska Supreme Court

A physician is not responsible for the consequences of an honest mistake or error in judgment in his diagnosis.

  • A patient is entitled to an ordinary, careful, and thorough examination…and, while he does not insure the correctness of his diagnosis, a physician or surgeon is required to use reasonable skill and care…If he omits to inform himself, by proper examination, as to the facts and circumstances and injury results, he is not relieved of liability of errors in judgment…It is the duty of a physician or surgeon in diagnosing a case to use due diligence in ascertaining all available facts and collecting data essential to a proper diagnosis.
  • The Minnesota Supreme Court in 1976 published its perspective Negligence cannot be found when the facts show no more than an error in diagnosis which…may be the result of an error in judgment rather than negligence…A physician is not responsible for the consequences of an honest mistake or error in judgment in his diagnosis.
  • Five years later, an Illinois appellate court issued this commentary the plaintiff must demonstrate what the average reasonable physician in good standing…would have done in a similar case.
  • Proof of a bad result or a mishap is not evidence of lack of skill or negligence. If a doctor has given a plaintiff the benefit of his best judgment, assuming that judgment to be equal to that ordinarily used by reasonably well–qualified doctors in similar cases, he is not liable for negligence, even if that judgment is erroneous…Plaintiff has established that other physicians may have handled her case differently, but we find that a reasonably well–qualified doctor might well have proceeded in the same manner as defendant.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

19th Perfect Health Mela at Constitution Club

This year, the MTNL Perfect Health Mela will be organised from 7th to 11th November, 2012 at Constitution Club.

Giving the details, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that the theme for this year’s Mela will be ‘Lifestyle Disorders Can Be Prevented’.

For the first time, multiple events organised at the venue in three different halls every day.

The Mela will be a mix of exhibitions, checkups, competitions and entertainment.

For the first time, the cardiologists from all pathies will meet under one banner and organize various workshops.

Practical training will be given to 600 people every day on ‘How to revive a dead person’.

From 1st to 6th November, various activities will be organized at other locations.

 
    Readers Response
  1. Hello sir, this is jayakrishna from Andhra Pradesh your words excellent about meditaion.Thank you sir
 
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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