emedinews
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FIRST NATIONAL 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 …

22th January 2013, Tuesday

Why follow the post mortem report

In the last Consultant-cum-management Joint Meeting held at Moolchand Hospital, the Medical Director of the hospital issued a statement that as per the requirement of National Accreditation of Boards of Hospitals, it is the duty of the hospital to follow the autopsy report, if done, from the Police.

The duty of the hospital is not over by handing over the file to the Police, if the patient was treated in their hospital.

I can only explain it under two reasons, firstly, by following up of autopsy report, the hospital can correlate their findings, learn their mistakes and improve in their future protocols.

The second reason I can narrate by way of an example. Long time back, there was a murder of the wife of a senior resident in Anesthesia in our Hospital. On the complaint of the parents of the murdered girl, the hospital Anesthetist was arrested under the Dowry Death Act. He remained in Tihar Jail for over a year when on humanitarian ground, one of our consultants visited Tihar Jail and looked at the file of the case of the doctor who in the past one year had not appeared in the court even once as every time there was a date and the court used to say ‘adjourned’.

When he looked at the file, the post mortem report had shown that the girl was raped before death as sperms were detected in her female sex organs and these sperms’ DNA did not match with that of the Anesthetist doctor.

The very next hearing the doctor was released for not being found guilty in the case. Had the hospital, followed post mortem report, the case would have been solved within the initial few dates.

In more than 30 years of my career, I have not seen any hospital following this but being a requirement of NABH recognition, I think it will not only updated by medical profession but save situations like this as stated above.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

   Constipation Update

Recurrent abdominal pain or discomfort at least 3 days per month in the last 3 months associated with 2 or more of the following:

  • Improvement with defecation
  • Onset associated with a change in frequency of stool
  • Onset associated with a change in form (appearance) of stool
 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Uric acid and endothelial dysfunction

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

4th eMedinewS Revisiting 2013

4th eMedinewS Revisiting inaugurated. The conference revisited all the happenings of the year 2012

 
Dr K K Aggarwal
    National News

“Be Human Stop Child Abuse”

Dear Colleague, Greetings from Team India Medical Association for CMAAO meet

Indian Medical Association will be hosting the 49th CMAAO Council Meeting on the subject “Be Human Stop Child Abuse” from 12th to 14th September, 2013, at Hotel Shangri-La, Ashoka Road, New Delhi.

We have created a facebook page on the theme. It can be seen on the following link:

www.facebook.com/BeHumanStopChildAbuse

Kindly join this page by liking it.

About CMAAO

CMAAO is a Confederation of Medical Associations of Asia and Oceania. The associated countries are : Australian Medical Association; Bangladesh Medical Association; Cambodian Medical Association; The Hong Kong Medical Association; Indian Medical Association; Indonesian Medical Association; Japan Medical Association; Korean Medical Association; Macau Medical Association; Malaysian Medical Association; Myanmar Medical Association; Nepal Medical Association; New Zealand Medical Association; Philippine Medical Association; Singapore Medical Association; Sri Lanka Medical Association; Taiwan Medical Association and The Medical Association of Thailand. The secretariat of the CMAAO is in Tokyo under Japan Medical Association.

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

Bicuspid aortic valve can be associated with dilation of the ascending aorta and aortic aneurysm or aortic dissection.

(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)

Biopsied heart cells improved heart function and reduced scars

Two human trials, each using different types of cells, showed that cells from heart biopsies could be purified and replaced into the patient’s own heart, improving heart function and reducing scarring.

Disconnecting the kidneys might be the key to treating high blood pressure

The sympathetic nervous system controls most of the body’s internal organs. A hyperactive sympathetic nervous system is believed to be a major contributor to hypertension. Now, four studies conclude that renal denervation — a procedure that reduces the functional connection between the sympathetic nervous system and the kidneys — is safe and effective at lowering high blood pressure resistant to other treatments.

Why children and adolescents should “just say no” to sugary drinks

Two clinical trials this year provided definitive evidence that reducing the consumption of sugar-sweetened beverages reduces weight gain in children and adolescents.

 
    Twitter of the Day

@DrKKAggarwal: Exercise impact on the knee by Dr k k aggarwal http://bit.ly/VUlzkK

@DrKKAggarwal: How can we change the structure of our brain & what is neuroplasticity? My conversation with Prof. @RudyTanzihttp://tinyurl.com/awmzge3

 
    Spiritual Update

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

Live In The Present And Take Hints
You can only take hints if you live in the present. When JCI inspection team concluded their inspection at Moolchand Hospital they said we can not tell you about the results of inspection whether or not we are going to re recognize you or not.

Its the US higher ups how will decide after ten days. His last remarks wee " thanks for inviting us at the hospital We will re see you i three years. And that was the hint which came from their mouth that which meant that the hospital has cleared the re accreditation exam.

For Comments and archives…

 
    Be Human Stop Child Abuse (Team IMA for CMAAO)

Medical neglect in a child

In addition to refusal to seek or delay in seeking medical care, medical neglect also includes lack of adherence to health care recommendations.

Lack of adherence can be due to lack of education, motivation, resources, or understanding.

American Academy of Pediatrics recommends that physicians respect parental religious beliefs and the role of parents in rearing their children, and seek to make collaborative decisions with families whenever possible.

BUT if the physician believes that parental religious convictions interfere with appropriate medical care that is likely to prevent substantial harm, suffering, or death, the doctor should request court authorization to override parental authority.

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

What are the psychological aspects of hirsutism and PCOS?

Dealing with hirsutism and PCOS can be emotionally difficult. You may feel unfeminine, uncomfortable, or self–conscious about your excessive hair growth or weight, as well as worry about your ability to have children. Even though you may be embarrassed to share these feelings with other people, it is very important that you talk to your physician as soon as possible to explore the medical and cosmetic treatments available to treat these disorders.

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

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

What is the cadaveric & liver transplantation ?

In cadaveric liver transplantation the liver of a brain dead person, whose family volunteers to donate, liver is used.

Living related liver transplantation : This has been a further step to answer the shortage of organs for children. In living related liver transplantation, a part of the liver from a living related donor is used in the child. In India, the human organ donation act was passed in 1984. The donor has to be spouse or first degree relative or emotionally related to the patient. In India, presently cadaveric donation has not gained momentum and majority of transplants, whether renal or liver are living related.

For Comments and archives…

 
    An Inspirational Story

When I was a kid, I remember my Mom liked to cook food every now & then. I remember one night in particular when she had made dinner after a long, hard day at work. On that evening, my Mom placed a plate of bread, jam and extremely burned biscuits in front of my Dad. I remember waiting to see if anyone noticed!

Yet all my Dad did was reach for his biscuit, smile at my Mom and asked me how my day was at school. I don't remember what I told him that night, but I do remember hearing my Mom apologize to my Dad for burning the biscuits. I'll never forget what he said: "Honey, I love burned biscuits."

Later that night, I went to kiss Daddy & say Good Night and I asked him if he really liked his biscuits burned. He wrapped me in his arms and said,

"Your Momma put in a long hard day at work today and she's real tired. And besides, a burnt biscuit never hurt anyone but harsh words do!

"You know, life is full of imperfect things... And imperfect people.

I'm not the best at hardly anything, and I forget birthdays and anniversaries just like everyone else.

What I've learned over the years is that learning to accept each others faults and choosing to celebrate each other’s differences, is one of the most important keys to creating a healthy, growing, and lasting relationship.

So...please pass on a biscuit. And yes, the burnt one will do just fine! (Paramjit Chadha)

For comments and archives

 
   Cardiology eMedinewS

Converting “Non-Beating” Heart Cells Into “Beating” Heart Cells Read More

Biopsied Heart Cells Improved Heart Function And Reduced Scars Read More

 
   Pedia News

Dietary therapy for eosinophilic esophagitis in children Read More

Oral immunotherapy and egg allergy Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with migraine and palpitations came for treatment.
Dr. Bad: No drug is needed.
Dr. Good: Take verapamil.
Lesson: Verapamil is frequently used as a first choice for preventive migraine therapy because it is easy to use and has few side effects.

Make Sure

Situation: A 19–year–old boy came to the clinic with complains of rectal pain, tenesmus and bleeding per rectum. He gave the history of anorectal intercourse. Rectal culture was positive for Chlamydia trachomatis.
Reaction: Oh my God! Why did you not prescribe macrolides?
Lesson: Make sure to remember that treatment with single dose of 1 g azithromycin is effective in treatment of LGV proctitis.

 
  Quote of the Day (Dr GM Singh)

‘Tis the set of the sail that decides the goal, and not the storm of life. Ella Wheeler Wilcox

 
    Mind Teaser

Read this…………………

Dennis receives a blood transfusion and develops flank pain, chills, fever and hematuria. The nurse recognizes that Dennis is probably experiencing:

A. An anaphylactic transfusion reaction
B. An allergic transfusion reaction
C. A hemolytic transfusion reaction
D. A pyrogenic transfusion reaction

Yesterday’s Mind Teaser: A client jokes about his leukemia even though he is becoming sicker and weaker. The nurse’s most therapeutic response would be:

A. “Your laugher is a cover for your fear.”
B. “He who laughs on the outside, cries on the inside.”
C. “Why are you always laughing?”
D. “Does it help you to joke about your illness?”

Answer for Yesterday’s Mind Teaser: D. “Does it help you to joke about your illness?”

Correct answers received from: drjella, Dr. P. C. Das, suresh arora, Dr. Bharat Bhushan Aggarwal,. Dr.(Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, Dr Arpan Gandhi, Dr. Vishal D Wahane, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Dr Kanta jain, Dr Avtar Krishan, Muthumperumal Thirumalpillai, Dr. Bharat Bhushan Aggarwal, Dr kanta Jain, Dr.(Maj. Gen.) Anil Bairaria,, Dr Jainendra Upadhyay

Answer for 20th January Mind Teaser: (C) A hemolytic transfusion reaction

Correct answers received from: Dr.Raghavendra Jayesh, Dr Avtar Krishan, Dr.Mohit Sharma, Dr Avtar Krishan , Dr Jainendra Upadhyay, Dr.Suresh Arora, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, DR KANTA JAIN, Dr. Thakor Hitendrsinh G

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

To be in news in Kalyuga

Certain people learn the art of being in the news. There was a person who was nominated for a noble prize, so he remained in news for a month.

Next month he got the prize and again remained in news for a month. A month later, he said the he is going to return the noble prize, thus, again remained in news for another month.

Next month he said that he was going to retain his noble prize but he was going to donate the prize money in charity. It made him remain in news for another month. Next month, he donated the money to the charity and a month later people came to know that he donated the money to address where he was the lone surviving trustee.

This is an imaginary humor based fact. Remember publicity is earned and publicity like above in longer run will only harm.

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  Medicolegal Update

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

What are the cases that should be regarded as medicolegal?

The following cases must be labeled as medicolegal by the treating doctor and medicolegal report should be prepared for further legal investigation

  • All injury/hurt cases, circumstances of which suggest commission of offence by someone
  • All traffic vehicular, railways, aeroplane, ship, boat, factory, construction site or other unnatural accidents
  • Self–inflicted injuries/attempted suicide
  • Cases of criminal abortion
  • Accidents where there is likelihood of death or grievous hurt
  • All cases of suspected or evident poisoning
  • Suspected or evident homicide, suicide including attempted
  • All burn injuries, whatever the cause of burn
  • All suspected or evident sexual assaults
  • All suspected or evident criminal abortion
  • Unconscious cases where the cause is not natural or not clear
  • Cases referred by Courts for age estimation
  • Cases brought dead with improper medical history
  • Dead on arrival cases or patients who die shortly after being brought to the hospital before a definite diagnosis can be made
  • Patients dying suddenly after parenteral administration of a drug or medication
  • Patient falling down or any mishap in the Hospital, sustaining injury in the Hospital
  • Death on the operation table
  • Unexplained death after surgery or interventional procedure
  • Unexplained ICU death
  • Patient treated and then referred from a private hospital or other Government hospital with complications of surgery or delivery or bleeding, where the cause of death is unexplained.
  • Relatives of the patient assault the treating doctor or other staff of the hospital.
  • Any other case not falling under the above mentioned category but has legal implications like medical examination of arrested accused without consent of person.

In case of death of a medicolegal case, the treating doctor has to only handover the body to the concerned police officer with written recommendation for medicolegal (Forensic) autopsy in final death summary/discharge report and a receipt must be obtained for record.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Exercise: a prescription

New Delhi: Monday, 21 January 2013: Stating why one should do exercises Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & National Vice President Elect IMA laid down a few facts:

  1. Reduces the chances of getting heart disease. For those who already have heart disease, exercise reduces the chances of dying from it.
  2. Lower the risk of developing hypertension and diabetes.
  3. Reduce the risk for colon cancer and some other forms of cancer.
  4. Improve mood and mental functioning.
  5. Keeps the bones strong and joints healthy.
  6. Helps you to maintain a healthy weight.
  7. Help maintain independence into later years
  8. Age is no bar; there is abundant evidence that exercise can enhance health and well-being. But today for most watching TV, surfing the Internet, or playing computer and video games is replacing the helpful exercises.
  9. The minimum threshold for good health is to burn at least 700 to 1,000 calories a week through physical pursuits.
  10. Exercise improves health and can extend life. Adding as little as half an hour of moderately intense daily physical activity can help one avoid a host of serious ailments, including heart disease, diabetes, depression, and several types of cancer, particularly breast and colon cancers.
  11. Regular exercise can also help one sleep better, reduce stress, control weight, brighten mood, sharpen mental functioning, and improve sex life.

As per Harvard researchers a well-rounded exercise program must have all the four components-
1. Aerobic activity
2. Strength training
3. Flexibility training, and
4. Balance exercises

Aerobic activity: is the centerpiece of any fitness program. Most benefits of exercise revolve around aerobic cardiovascular activity, which includes walking, jogging, swimming, and cycling. One should work out at moderate intensity when performing aerobic exercise—brisk walking that quickens the breathing is one example. This level of activity is safe.

Strength training protects bone: Strength or resistance training, such as elastic-band workouts and the use of weight machines or free weights, are important for building muscle and protecting bone. Bones lose calcium and weaken with age, but strength training can help slow or sometimes even reverse this trend.

Flexibility exercises ease back pains Muscles tend to shorten and weaken with age. Shorter, stiffer muscle fibers make one vulnerable to injuries, back pain, and stress. But regularly performing exercises that isolate and stretch the elastic fibers surrounding the muscles and tendons can counteract this process. And stretching improves posture and balance.

Balancing exercises prevents fall Balance erode over time, and regularly performing balance exercises is one of the best ways to protect against falls that lead to temporary or permanent disability. Balance exercises take only a few minutes and often fit easily into the warm-up portion of a workout. Many strength-training exercises also serve as balance exercises. Or balance-enhancing movements may simply be woven into other forms of exercise, such as tai chi, yoga, and Pilates.

 
    Readers Response
  1. Respected Aggarwal Sir , We are extremely happy to know your medical information in all respects. Sir the valuable programme and CME you are arrange most worthful to us..Thanking you Dr R D Sutar Asso prof pediatrics Bhubaneswar Odisa
 
 
    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