emedinews
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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

 
  Editorial …

20th May 2011, Friday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

New Board of Medical Council of India

The new Board of Governors of Medical Council of India was announced last Friday. Ever since there have been lot of undercurrents in the medical profession. It is difficult to understand the policy of the Government of India of changing the entire previous Board of Governors.

The Govt has treated the MCI more like a local medical association with a President and other office bearers for a peirod of one year. Even in IMA, the tenure of President is for one year but that of other office bearers is for minimum period of two years. By the time one gets acquainted with functioning in any organization, a period of one year is over.

When we talked to various people, most of the seniors in the profession were of the opinion that at least some of the previous members should have been retained so as to follow continuity in the council. Two seats even now have been kept vacant against which two persons from the old team could have been retained.

Will the new team start afresh or carry on the functions of the old team, only time will tell. This type of ad hoc arrangement in MCI cannot be permanent. Sooner or later, government will have to declare elections and maintain the autonomy of the council. Will this happen in this year or government will extend the tenure for another year? The new board of governors under the leadership of Dr. KK Talwar should work in this direction so that the MCI maintains its autonomy at the earliest.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Blogs.kkaggarwal.com Dr K K Aggarwal on blogs
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

 
  Changing Practice – Evidence which has changed practice in last one year

Influenza vaccine dosing for children 6 months through 8 years

Children who are six months through eight years and did not receive at least one dose of monovalent 2009 influenza H1N1 vaccine will require two doses of influenza vaccine, even if they received two doses of influenza vaccine in the past.

 
  eMedinewS Audio PostCard

Chronic Hepatitis B: Optimum vaccination schedule

Dr Neelam Mohan Speaks on
‘Hepatitis B endemicity: High endemicity zone’

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

World Earth Day 2011 observed

Students of DPS, Mathura Road, New Delhi presented a welcome song dedicated to save the mother Earth at a function organized to mark World Earth Day.

 
Dr K K Aggarwal
 
    National News

Thunder, duststorms claim 56 lives in Uttar Pradesh, Bihar

56 died in UP and Bihar when severe dust storm accompanying with rain and thundershowers lashed some parts of the states on Wednesday evening, according to All India Radio. In Uttar Pradesh, at least 30 people were killed in cyclonic storm that hit several districts of eastern UP. Eight people were killed in Siddhartha Nagar, Seven in Jaunpur, five each in Varanasi, Bhadohi and Ambekarnagar. High velocity wind and scattered rain is still occurring at some places in Gorakhpur, Varanasi and Basti divisions. Eight members of a marriage party were killed when a tree, uprooted by a fierce dust storm, fell on their jeep in Siddhartnagar district in Uttar Pradesh.

  1. Rain
  2. High velocity wind
  3. Fall of trees and objects

How come dust storm in peak summer: The answer comes from Ayurveda. Jeyestha summer season is accompanies with pitta aggravation, vata accumulation and kapha suppression. Accumulation of vata or movements functions of the nature explains this phenomenon.

AIIMS acquires latest MRI machine

NEW DELHI: The All India Institute of Medical Sciences (AIIMS) has acquired a multi–crore rupee technology which, doctors claim, would help in improving the outcome of brain surgeries and ensuring speedy recovery to patients. Doctors will be able to watch live multiple 3D–scans of the area of the brain even as they operate with the new intra–operative MRI machine also known as ‘brain suites’. Those suffering from brain tumour, epilepsy, Parkinson’s disease and neuro–psychiatric disorders will benefit the most, said a doctor. Said Dr Ashish Suri, Associate Professor Neurosurgery at AIIMS, said that till now, neurosurgeries at AIIMS were done on the basis of MRI scans taken outside the operation theatre and during the operation doctors had to rely on what they saw after the skull was opened up. "Sometimes, when a portion of a tumour is removed, its position may shift a bit as the spinal fluid is drained. The intra–operative MRI technique is designed to guide doctors through such situations during surgery." (Source: TOI, May 17, 2011)

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

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

Waist size is a better predictor of health, especially in heart patients

Research studies and health experts have long predicted that waist size is a better way to estimate heart disease and mortality risk than BMI. Now a new review article published in the Journal of the American College of Cardiology adds to the list of evidence in favor of measuring waist size. The article, which reviews and analyzes results from several major studies, declares that waist size provides a far more accurate way to predict a heart patient’s chances of dying at an early age from a heart attack or other causes. Researchers from the Mayo Clinic analyzed data from just under 16,000 heart patients who had participated in previous studies. More than one–third of the patients died during the studies, which lasted from six months to eight years. The researchers found that heart patients with a high ratio of waist–to–hip circumference or a large waist size (greater than 35 inches for women or greater than 40 inches for men) were 70 percent more likely to die during the study period than those with smaller waists. The combination of a large waist and a high BMI upped the risk of death even more, indicating that overall body weight does play a part, although it’s to a lesser extent. In order to keep your waistline down, aim to exercise or be active on most days of the week.

(Dr Monica and Brahm Vasudev)

Illicit market for organ transplants

A growing and illicit market for organ transplants…spans the globe. Every year, about 5,000 gravely ill people from countries including the US, Israel, and Saudi Arabia pay others to donate an organ, says Francis Delmonico, a Harvard Medical School professor and surgeon, a practice against the law everywhere except in Iran. More than 75 percent of the recipients of kidney transplants in the US live for more than 10 years, according to the National Institutes of Health.

People with diabetes may have 10% risk for developing cancer

Individuals with diabetes are at higher risk for certain cancers than those without the metabolic disease, according to a study published in Diabetes Care. In a poll of roughly 400,000 adults, 16 out of every 100 diabetic men and 17 out of every 100 diabetic women said they had cancer. In contrast, only seven per 100 men and 10 per 100 women had cancer without concurrent diabetes. After taking into account factors such as age, race, and smoking and drinking habits, the study team estimated that people with diabetes had a 10 percent greater likelihood for a cancer diagnosis of any type.

Consumption of dairy products may reduce risk for type 2 diabetes

According to a review published online in the European Journal of Clinical Nutrition, consumption of dairy products, especially those with a low fat content, may reduce the risk for developing type 2 diabetes.

Self–monitoring of urine glucose as effective as blood testing for maintaining good glycemic control

According to a study published online in the journal Diabetes Research and Clinical Practice, self–monitoring of urine glucose is as effective for maintaining good glycemic control and is more acceptable to patients than blood glucose monitoring. The study authors found that while there was no significant difference in the degree of glycemic control obtained using urine versus blood glucose monitoring, the average frequency of monitoring was significantly higher in group A than in group B suggesting a higher level of acceptability of this technique.

 
   Twitter of the Day

@DrKKAggarwal: Both PPI and surgery good for GERD long term with contemporary treatments for gastroesophageal reflux disease.

@DeepakChopra: No matter what the situation, remain connected to the stillness inside you.

 
    An Inspirational Story

(Dr Prabha Sanghi)

Pickup in the Rain

One night, at 11:30 pm, an older African–American woman was standing on the side of a Alabama highway trying to endure a lashing rain storm. Her car had broken down and she desperately needed a ride. Soaking wet, she decided to flag down the next car. A young white man stopped to help her–generally unheard of in those conflict–filled 1960s. The man took her to safety, helped her get assistance and put her into a taxi cab. She seemed to be in a big hurry! She wrote down his address, thanked him and drove away. Seven days went by and a knock came on the man’s door. To his surprise, a giant combination console color TV and stereo record player were delivered to his home.

A special note was attached. The note read: Dear Mr. James: Thank you so much for assisting me on the highway the other night. The rain drenched not only my clothes but my spirits. Then you came along. Because of you, I was able to make it to my dying husband’s bedside just before he passed away. God bless you for helping me and unselfishly serving others. Sincerely, Mrs. Nat King Cole.

Lesson: Be good for everyone.

 
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady needed CPR.
Dr Bad: Do conventional chest compressions.
Dr Good: Put the hand more cephalad.
Lesson: For chest compressions, hand placement is more cephalad than that used for non pregnant women. It is suggested that chest compressions be performed slightly above the center of the sternum.

Make Sure

Situation: A patient with unexplained syncope after PPI developed lead infection.
Reaction: Oh My God! Why was PPI done (Permanent pacemaker implantation).
Lesson: Make sure that PPI is not implanted in patients with syncope of undetermined etiology.

 
    Spiritual Update

Hanuman Chalisa

Juug Sahastra Jojan Par Bhaanu
Leelyo Taahi Madhur Phal Jaanu

Meaning: You grabbed the sun, millions of kilometers away in the sky, taking it for a ripe fruit.

Spiritual Significance: Grabbing the sun millions of kilometers away in the sky means acquiring the power to control and balance the Agni and Pitta Dosha in the body.

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

How can we evaluate the Male Partner?

The male partner should be examined for clinical evaluation. Medical records should be reviewed before the procedure and alternative treatments should be discussed. Human immunodeficiency virus (HIV) testing in compulsory which could help avoiding medical and legal issues. if the male partner is HIV infected, he should be counselled on safe sex practices for preventing HIV transmission. However, in the opinion of the ASRM, HIV–positive directed donors should not be used because the risk of viral transmission cannot be eliminated completely.

 
    Pediatric Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

What is Wilson disease?

Wilson disease (WD; also known as hepatolenticular degeneration) is a familial, lethal neurological disease accompanied by chronic liver disease leading to cirrhosis. The pattern of inheritance is autosomal recessive.

WD occurs worldwide with an average prevalence of 30 affected individuals per million population. Absent or reduced function of ATP7B protein leads to decreased hepatocellular excretion of copper into bile which results in copper accumulation and injury of liver and failure to incorporate copper into ceruloplasmin. Over a period of time, copper is released into the bloodstream and deposited in other organs, like brain, kidneys, and cornea. It can present clinically as liver disease, as a progressive neurological disorder, or as psychiatric illness.

Wilson disease presents with liver disease more often in children and younger adult patients than in older adults. Symptoms at any age are frequently nonspecific.

 
    Medicolegal Update

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

Posthumous pardon– the emotional reasons

During World War II, many innocent civilians were shot summarily or killed otherwise and then buried in mass graves without coffins and even without proper last rites. After the war was over, many such bodies were exhumed and reburied with proper rites.

  • Keith mant mentions this fact in his classical paper on adipocerous, because a number of these bodies were found to be converted into adipocerous.
  • Exhumation for reburial means posthumous pardon e.g. in case of Timothy John Evans 20 November 1924 – 9 March 1950, a Welshman was hanged in the United Kingdom in 1950 for the murder of his infant daughter at 10 Rillington Place, London. An official inquiry conducted 16 years after Evans’s hanging determined that his daughter had in fact been killed by his co–tenant, serial killer John Christie, and Evans was subsequently recommended and granted a posthumous pardon. His body was thereupon exhumed and reburied with honour outside Pentonville Prison.
 
ijcpgroup
Docconnect
Docconnect
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Why should we be bothered about Obesity?

An obese person has a 50–100% increased risk of premature death compared to someone of normal weight. More than 300,000 deaths a year are attributable to obesity. Obesity is associated with type 2 diabetes, coronary heart disease, stroke, hypertension, elevated blood cholesterol, some cancers (e.g., colon, endometrial, kidney, gallbladder, and postmenopausal breast cancer), osteoarthritis, gallbladder disease, and respiratory disease. In addition, obesity is often associated with discrimination and prejudice, causing some obese people to suffer poor self–esteem and reduced quality of life.

 
    Mind Teaser

Read this…………………

(Dr GM Singh)

A 5–year–old boy has been diagnosed to have posterior superior retraction pocket cholesteatoma. All would constitute part of the management, except:

1. Audiometry
2. Mastoid exploration
3. Tympanoplasty
4. Myringoplasty

Yesterday’s Mind Teaser: revirdtaes

Answer for yesterday’s Mind Teaser:
Backseat Driver

Correct answers received from: Dr Pramod M Kulkarni, Dr Muthumperumal Thirumalpillai, Dr Vijay Kansal, Dr Rashmi Chhibber, Dr Anil Bairaria, Dr Neelam Nath, Dr Jainendra Upadhyay, Dr Sudipto Samaddar, Dr YJ Vasavada, Dr Chandresh Jardosh, Dr Manjesha, Dr K Raju, Dr Amit Kochar, Dr Anupam Sethi Malhotra, Dr Sumit Mehndiratta.

Answer for 18th May Mind Teaser: Color contrast
Correct answers received from: Dr YJ Vasavada, Dr Jainendra Upadhyay.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

How many wives?

A little boy was attending his first wedding with the family. After the service, a cousin wondered aloud, "I wonder how many women can a man marry?" "Sixteen," volunteered Jenni’s boy. The cousin was amazed that the boy had figured it out so quickly and asked, "How do you know that for sure?" "Easy," Jenni’s boy said. "All you have to do is add it up, didn’t you hear the preacher say: ‘Four for better, four for worse, four richer, and four poorer,’ and that makes sixteen.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Plasma Free Metanephrine

To help diagnose or rule out a pheochromocytoma.

Related tests: Catecholamines, Plasma and Urine; Urine Metanephrines; Vanillylmandelic acid (VMA)

 
    Medi Finance Update

Can one claim leave travel expenses for family twice in a block of four years?

Yes

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Zotepine tablet 25/50/100mg
For the treatment of schizophrenia
15/04/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Chronic daily headache

Chronic daily headache usually consists of a mixture of migraine and tension–type headaches (TTH), with the more severe headaches having migraine features and the less severe headaches fitting the definition of TTH.

 
  SMS of the Day

(Dr GM Singh)

Make time for exercise and your heart will thank you.

 
    Public Forum

(Press Release for use by the newspapers)

Diabetics Considered Coronary Artery Disease Equivalent Patient

It has been estimated that by 2012 there will be more than 22 crore people in the world with diabetes. Of these, 97% will have type 2 diabetes, which is strongly associated with abdominal obesity. This was stated by Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India. The incidence of diabetes increases with age. Diabetes in the elderly is now becoming increasingly common. If untreated, diabetes can cause permanent damage to kidneys, eyes and peripheral nerves.

The latest recommendation is that regardless of whether a patient with diabetes has high blood pressure, he or she should be considered for ACE inhibitors, a group of drugs which is otherwise given to lower the blood pressure, especially if the urine shows presence of albumin in micro amounts.

Dr. Aggarwal said that diabetic patient is considered a coronary artery disease equivalent patient as a diabetic patient has the same complication rate as that of a person who has suffered from a heart attack.

Most diabetics will require multiple drugs which aim not only at controlling blood pressure but also keeping the blood pressure lower than 120/80 mmHg and LDL (bad) cholesterol lower than 70 mg%.

It is the right time that diabetic patient should ask their doctor for a cocktail of polypill therapy so that they can prevent themselves from getting a future heart attack or paralysis.

It is irony that even today era we have not developed an answer to diabetic complications. Lifestyle management alone or along with any other pathy has not shown any significant advancement in preventing diabetic complications.

 
    Readers Responses
  1. This is regarding the news "NEW MCI PANEL FACES ACID TEST" TOI dated 17.5.11." We had been hearing some comments daily from the earlier body headed by Dr Sarin regarding the drastic changes in medical curriculum. With one stroke of pen by the health ministry, all the members have been shown the door. This is how the medical education has been reduced to a laughing stock. Now we are back to square one. The term of the newly constituted committee will be the same i.e. one year and this body will dictate its own terms which will be thrown into the dustbin. If this body does not have a mandate why is it being constituted? Let the health ministry run the medical education. One year was sufficient for the health ministry to hold the election and constitute a new body as per the constitution. But autonomous body does not suit the politicians. What is DMA and IMA doing to set this rot? Sincerely, Dr R S Bajaj, Consultant Pediatrician.
 
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    Forthcoming Events

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com

………………………………………………………………

Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at
medifilmfestinhealthmela@gmail.com

………………………………………………………………

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    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 Naveen Dang, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta