emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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  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 Workshop on Stress Management and How to be Happy and Healthy

 
  Editorial …

20th May 2012, Sunday

Treating Vitamin D deficiency in the country

India is undergoing an epidemic of vitamin D deficiency. In many States upto 80% of the people are deficient in vitamin D. Vitamin D deficiency should be treated if the levels are less than 20 ng/ml. Standard protocol is as under:

  1. Give one 60,000 units of vitamin D available as vitarol or calcirol D 2 sachet with water or milk every week for 8 weeks followed by 2000 units of vitamin D daily as maintenance (4000 units in obese people). 2000 capsule is available, namely, D–Rise capsule.
  2. Second protocol is to give 60,000 unit sachets for 8 weeks and then maintain it with one sachet every month.
  3. If calcium replacement is required, then give Calcium Carbonate 1000 mg daily. If the requirement of calcium is + only give 500 mg and if calcium is not required, then give only vitamin D. Tiyo preparation is available in the market with 500 mg calcium and 1000 units of vitamin D.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  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)

An All pathy consensus organized by Heart Care Foundation of India in association with All India Radio

The programme was moderated by Padma Shri & Dr. B.C. Roy National Awardee, Dr KK Aggarwal. The experts were Dr Anupam Sethi & Dr Aditya Kaushik from Homeopathy, Dr BN Sinha from Ayurved, Dr Shakir Jamil from Unani and Dr SN Yadav from Naturopathy.

 
Dr K K Aggarwal
 
    National News

Police to have ‘golden hour’ for effectively tackling crime

MUMBAI: The police have drafted an ambitious concept to improve response time in the metropolis. In medicine, golden hour is the crucial first 60 minutes when the life of an accident victim can be saved with instant response. The police want to apply the concept to law and order, where similar response can be instrumental in effectively dealing with terror attacks or violent crime. "The golden–hour plan will come into force from June in six police stations. In an hour of crisis, police response time should be less than 10 minutes," a senior IPS officer told TOI. During an informal survey of crime in the metropolis, it was observed that response time of police stations or the control room was 25–30 minutes. "We studied all major crimes and felt there was scope for improvement. We will form special teams in each police station to ensure that response time is less than 10 minutes," the officer said. Police commissioner Arup Patnaik has proposed that every police station should have a special team of highly trained personnel. Numbering 8–10, they are to be drawn from the arms division and the quick response team. Also joining such teams will be constables who are at present deployed at the residences of some senior police officers. (Source: TOI, May 18, 2012)

For comments and archives

Heart revival centre in Chennai

CHENNAI: In the race against the ‘golden hour’, a city hospital has opened a ‘heart revive center’ which aims at resuscitating and treating patients within two minutes after the ambulance reaches the hospital. Records show that ambulance response has slowed down by two to six minutes in the last three months due to infrastructure projects and traffic snarl. The intensive care unit of the centre is on the ground floor and equipped with beds, said Dr Mohandas, managing director, MIOT hospitals. (Source: TOI, May 18, 2012)

For comments and archives

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology: Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Studies explain why that itch needs scratching

The itch–scratch cycle in humans tracked to specific regions of the brain, including areas related to reward, pain sensation, and addiction, functional brain imaging studies showed. The imaging results showed different neural activation patterns associated with itching versus scratching and with active scratching versus passive scratching performed by an observer. (Source: Medpage Today)

For comments and archives

FDA adds bacteria to test indications

The FDA has expanded the indication for a respiratory infection test to include bacterial as well as viral causes. The FilmArray Respiratory Panel can now be used to detect the following bacteria from a single sample:

  • Bordetella pertussis –– the bacteria responsible for whooping cough
  • Mycoplasma pneumoniae -- which causes respiratory infection and community–acquired pneumonia in younger patients
  • Chlamydophila pneumoniae –– the bacteria responsible for community–acquired pneumonia in older patients

The panel was first approved in December 2011 to detect 15 viral causes of respiratory infection, and was later expanded to test for two additional viruses. The new indication makes the test the first cleared for single–sample detection of both viral and bacterial respiratory infection, according to an FDA statement. The test involves a swab of the patient's nasopharynx to sample it for genetic material specific to the indicated bugs as detected through molecular-based testing. (Source: Medpage Today)

For comments and archives

Contraceptive rings and patches linked to blood clot risk

Women who use transdermal patches or vaginal rings for contraception may be at significantly increased risk for venous thromboembolism compared with women who do not use hormonal contraception, according to a national registry-based Danish study published online May 10 in the British Medical Journal. (Source: Medscape)

For comments and archives

CDC lowers the bar for ‘lead poisoning’

The CDC has lowered by half the danger threshold for lead levels in children’s blood, one of more than a dozen advisory committee recommendations that the agency has accepted in principle. From now on, blood levels of lead exceeding 5 mcg/dL will identify children "living or staying for long periods in environments that expose them to lead hazards," according to a CDC statement released Wednesday. And the CDC now flatly states that any level of lead in the blood is a potential health hazard. (Source: Medpage Today)

For comments and archives

Valve–in–valve TAVI tricky, but it works

Transcatheter replacement of failing bioprosthetic aortic valves is usually successful but likely should be left to the most expert hands, researchers suggested. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Avoid curd at night.

@DeepakChopra: Growth is the willingness to let reality be new every moment.

 
    Spiritual Update

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

Kalyug and Mosquitoes

As we are moving deeper and deeper into Kalyuga, we see that mosquito–related diseases are on the rise whether it is Dengue, Chikungunya or Malaria. As per Shrimad Bhagwad, Pralaya and Mahapralaya are linked to global warming and as global warming progresses, mosquito–related illnesses will only increase.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is genetic screening?

Genetic screening refers to the use of specific tests to determine which members of a population are at increased risk for an inherited condition. Genetic screening may help identify couples who have an increased risk of age–related or familial genetic disorders and birth defect. Screening for genetic diseases that may affect offspring depends upon the racial or ethnic background of the couple, their family and medical history, and associated conditions.

For comments and archives

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

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

LIQUID PLASMA

Description

  • Plasma separated from a whole blood unit and stored at +4°C
  • No labile coagulation factors (factors V and VIII)

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

The giving trees

I was a single parent of four small children, working at a minimum–wage job. Money was always tight, but we had a roof over our heads, food on the table, clothes on our backs and, if not a lot, always enough. My kids told me that in those days they didn’t know we were poor. They just thought Mom was cheap. I've always been glad about that.

It was Christmas time, and although there wasn’t money for a lot of gifts, we planned to celebrate with church and family, parties and friends, drives downtown to see the Christmas lights, special dinners and by decorating our home.

But the big excitement for the kids was the fun of Christmas shopping at the mall. They talked and planned for weeks ahead of time, asking each other and their grandparents what they wanted for Christmas. I dreaded it. I had saved $120 for presents to be shared by all five of us.

The big day arrived and we started out early. I gave each of the four kids a twenty dollar bill and reminded them to look for gifts about four dollars each. Then everyone scattered. We had two hours to shop and then we would meet back at the "Santa’s workshop" display.

Back in the car driving home, everyone was in high Christmas spirits, laughing and teasing each other with hints and clues about what they had bought. My younger daughter, Ginger, who was about eight years old, was unusually quiet. I noted she had only one small, flat bag with her after her shopping spree. I could see enough through the plastic bag to tell that she had bought candy bars – fifty–cent candy bars! I was so angry. What did you do with that twenty dollar bill I gave you? I wanted to yell at her, but I didn’t say anything until we got home. I called her into my bedroom and closed the door, ready to be angry again when I asked her what she had done with the money. This is what she told me:

"I was looking around, thinking of what to buy, and I stopped to read the little cards on one of the Salvation Army’s ‘Giving Trees.’ One of the cards was for a little girl four years old, and all she wanted for Christmas was a doll with clothes and a hairbrush. So I took the card off the tree and bought the doll and the hairbrush for her and took it to the Salvation Army booth.

"I only had enough money left to buy candy bars for us," Ginger continued. "But we have so much and she doesn’t have anything."

I never felt as rich as I did that day.

For comments and archives

 
    Cardiology eMedinewS

Thrombus Aspiration No Risk in PCI Read More

High HDL Not Always A ‘Good’ MI Risk Signal Read More

 
    Pediatric eMedinewS

Guidance For Young People With Wolff–Parkinson–White Syndrome
Read More

Weight–Control Diet For Mom Builds A Better Baby Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with previous triglycerides 300 mg% came for to get his lipid profile done again.
Dr Bad: Get full lipid profile done.
Dr Good: Just get total and HDLC done.
Lesson: ATP III identifies non–HDL–C concentration as a secondary target of therapy in people who have high triglycerides (≥200 mg/dL). The goal for non–HDL–C is a concentration that is 30 mg/dL higher than that for LDL–C.

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is correct. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

For comments and archives

 
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    Legal Question of the day

(Prof. M C Gupta Advocate & Medico–legal Consultant)

Q. It is clearly mentioned in the certificate of registration issued by the Karnataka Medical Council as follows: "All persons Registered under this Act are legally qualified to practice Modern scientific Medicine, Surgery and midwifery". Does it not mean that an MBBS doctor is legally qualified to practice surgery, orthopedics etc.?

Ans. No. It does not mean that.

  1. Whether an MBBS doctor is legally qualified to practice surgery, orthopedics etc. is to be decided under the Indian Medical Council Act, 1956, by the medical council concerned.
  2. If a patient complains to the Karnataka Medical Council that an MBBS carried out an orthopedic or general surgery (such as gall bladder surgery) on him and the outcome of surgery was not proper, the Council is likely to punish the MBBS doctor for undertaking a treatment in a specialty in which he was not qualified. On appeal, the MCI is likely to uphold the decision of the State Medical Council. If the doctor files a writ petition in the HC, against the MCI, the HC is likely to reject it.
  3. Based upon the finding of the medical council, the patient is likely to succeed against the MBBS doctor in complaints filed before the police/magistrate (which may result in imprisonment) and the consumer courts (which may award monetary compensation).
  4. In view of the above, it will be in the interest of an MBBS doctor not to exceed his brief and invite serious consequences as a result.

For comments and archives

 
    Quote of the Day

(Dr GM Singh)

When I quote others I do so in order to express my own ideas more clearly. Michel de Montaigne

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

The patient should be instructed to be fasting for 10 to 12 hours and the dinner one evening before should be a non fatty, non greasy, non alcoholic dinner for Lipid Profile estimation.

 
    Mind Teaser

Read this…………………

Which country makes Panama hats?

Yesterday’s Mind Teaser: Nurse Josie should instruct the client to eat which of the following foods to obtain the best supply of Vitamin B12?

a. Dairy products
b. Vegetables
c. Grains
d. Broccoli

Answer for Yesterday’s Mind Teaser: a. Dairy products

Correct answers received from: Dr PC Das, yj vasavada, Niraj Gupta, Dr Kanta Jain, Raju Kuppusamy, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai.

Answer for 18th May Mind Teaser: d. Potential alteration in renal perfusion
Correct answers received from: Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai.

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr GM Singh)

This fellow wants to live FOREVER, and so before he dies (he has an incurable disease) he asks for his body to be frozen, and then to be thawed out at some later date to be cured…

About a year later, he dies. His body is carefully prepared and quickly frozen, as per his wishes. In the meantime, he goes to Heaven and sees St. Peter at the Pearly Gates. St. Peter asks him his name, and the man tells him. Peter looks in his book, and after a moment says, "Take a seat…"

The next person in line gives his name, and Peter tells him to go on in. This goes on again and again for hundreds of people, but in the meantime the man is sitting on this bench, along with 3–4 other people, wondering WHY can he not get in? FINALLY, when he can’t stand it any longer, he gets up and pushes to the front of the line, demanding to know WHY he cannot get into heaven like all those other people.

St. Peter asks for his name again, looks it up in his book, and says, "You died of a rare brain tumor, and had your body frozen, didn’t you?"

"Yes," says the man. "So?"

"Well, in the year 2389, they will find a cure for that form of tumor, thaw you out, fix it, and bring you back to life. TAKE A SEAT…"

 
    Medicolegal Update

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

Grievous Hurt as per IPC

It is very difficult to draw a line between those bodily hurts which are serious and those which are slight. To make out the offence of voluntarily causing grievous hurt, there must be some specific hurt, voluntarily inflicted and coming within the scope of following as per law. As per Section 320 Indian Penal Code (IPC), the following kinds of hurt are designated as "grievous";

  • Emasculation: It means depriving a male of masculine power.
  • Permanent privation of sight of either eye: The gravity lies in the permanency because it deprives a person the use of the organ of sight.
  • Permanent privation of the hearing of either ear: It deprives a man of his sense of hearing. Injury to the tympanum or auditory nerve or by thrusting something into the ear which causes deafness.
  • Privation of any member or joint: The term ‘member’ means an organ or a limb being part of man capable of performing a distinct function. It includes, nose, mouth, hands, feet, phalanges etc.
  • Destruction or permanent impairing of the powers of any member or joint: the use of limbs and joints of body are essential to the discharge of the normal functions of the body. Their deprivation causes lifelong crippling and makes the person defenseless and miserable.

For comments and archives

 
    Ask Dr KK

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

Dear Dr Aggarwal, Namaskar. Please give me some information about postural hypotension. Is it more common in patients with Parkinson’s disease? How is this condition treated? Vinod Agrahari

Yes, postural hypotension is common in Parkinson disease. A proper lifestyle is the only answer. One must get up slowly and in stages from the lying down position. If this fails, then there are some drugs that may help.

The initial treatment of orthostatic hypotension should focus on non drug measures: removal of offending medications, using elastic stockings, physical maneuvers and exercise. If drugs are required one must follow step–wise treatment using fludrocortisone for patients with disabling symptoms despite non drug measures, followed by a sympathomimetic pressor agent, such as midodrine, for patients who remain symptomatic on or cannot tolerate fludrocortisone. Several other modalities (as mentioned below) may be beneficial

  1. Caffeine in the morning may help.
  2. A trial with recombinant erythropoietin can help in patients with anemia.
  3. Nonsteroidal antiinflammatory drugs may be useful in those with refractory symptoms

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

First Working Group meeting to "Create Awareness about valvular heart diseases" held

Heart Care Foundation of India has announced a new initiative "Creating Awareness about valvular heart diseases". The first Working Group meeting was held in the city today and was attended by Dr. Surinder Bazaz, Dr. ZS Meharwal, Dr. Yugal K Mishra, Dr. Ujjwal K Choudhary, Dr. GK Mani, Dr. Mubeen Mohammad , Dr. OP Yadava, Dr. KG Yadav, Dr. Anoop Ganjoo, Dr. Saurabh Juneja, Dr. AK Kansal, Dr. Vishnu Singhal, Dr. Devagourou, Dr. Narender Singh Jhajharia, Dr. SK Sinha, Dr. Rajesh Kaushish, Dr. OP Jain, Dr. GM Singh, Dr. Sandeep Singh and Dr. Dinesh Negi.

The meeting was moderated by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

The experts felt that valvular heart diseases are on rise today in the country. The problem of rheumatic heart diseases has not reduced in the last two decades. Cases are now occurring in both the affluent as well as rural society. Congenital valvular heart diseases are also on the rise.

The experts said that sore throat in children should not be ignored, especially, in the absence of cough and nasal discharge. Any irritation in the throat or a red angry looking throat and pain in the throat while eating should be taken seriously as it may be rheumatic sore throat, which can bite the heart.

 
    Readers Responses
  1. Dear Sir reading emedinews is pleasant . Regards: Dr Geeta
 
    Forthcoming Events
Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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

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3. eMedinewS audio lectures (This may take a few minutes to open)

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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 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