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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 …

22nd February, 2011, Tuesday                                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 drug policy

A formal proposal to create India’s first ever antibiotic policy will be submitted to the Union health ministry soon. Under the proposal, several drugs will now be sold only against prescription while several others would be available only for hospital use and not in pharmacies. The policy calls for the creation of a new schedule under the Drugs and Cosmetics Act called Schedule HX which will be mentioned on the label of the drug itself as a direction to consumers and physicians.

Schedule H will denote those drugs which would be given only on prescription while Schedule X denotes those drugs which will have to be kept under lock and key in hospitals.

A Schedule HX drug would come with a label warning, "Dangerous to take this preparation except in accordance with medical advice and not to be sold on retail without prescription of a registered medical practitioner."

Schedule HX would have two parts. Part A of Schedule HX (only to tertiary hospitals) would include 16 drugs like Moxifloxacin, Meropenem, Imipenem, Ertapenem, Doripenem, Colistin, Linezolid and Cefpirome. Part B of Schedule HX (against prescription only) would include 75 drugs like Gentamicin, Amikacin, Pencillin, Oxacilin, Zolpidem, Cefalexin, Norfloxacin, Cefaclor and Cefdinir.

Dr KK Aggarwal
Editor–in–Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
  eMedinewS Audio PostCard

  2nd eMedinewS revisiting 2010

Dr Vinod Khetarpal
President–elect DMA on his plans

Audio PostCard
 
  SMS of the Day

(Dr GM Singh)

Go confidently in the direction of your dreams. Live the life you have imagined.

Henry David Thoreau

 
    Photo Feature (From the HCFI File)

2nd eMedinewS Revisiting 2010

Dr BS Ratnakar felicitaed with the preside over function on 9th January 2011, at Maulana Azad Medical College

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Cashless facility for patients

Moolchand is proud to have been selected by India’s leading insurance companies (National Insurance Company Ltd., United India Insurance Company Ltd., The New India Assurance Company Ltd. and The Oriental Insurance Company Ltd.) to extend cashless facility for patients.

Bird flu strikes India again

NEW DELHI: Bird flu has struck the country again. This time at the State Duck Breeding Farm in Agartala that has been ordered to cull all poultry within a radius of three kilometres of the farm. The State will also impose a ban on movement of poultry and its products and order closure of all poultry egg market and outlets within a radius of 10 km. With this, India has lost its bird flu–free status that it acquired in June 2, 2010. It will now inform international authorities about the development. The Centre advised the Tripura government to cull all birds in the State farm after the High Security Animal Disease Laboratory in Bhopal confirmed that samples collected from the farm tested positive for H5 strain of Avian Influenza. The State government had reported "unusual deaths" of poultry on February 15. (Source: The Hindu, Feb 19, 2011)

 
    International News

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

Dietary guidelines for Americans released

The federal government unveiled new dietary guidelines this week encouraging smaller portions, lower salt content, fewer sugary drinks and more fruits and vegetables for all Americans. The Departments of Agriculture and Health and Human Services coauthored the 2010 Dietary Guidelines for Americans, to serve as evidence–based nutritional guidance to promote health, reduce the risk of chronic diseases, and reduce the prevalence of overweight and obesity through improved nutrition and physical activity. (DietaryGuidelines.gov)

(Dr Monica and Brahm Vasudev)

Dutasteride may slow growth of early, low–risk prostate cancer

A new study sponsored by the American Society for Clinical Oncology enrolled about 300 men with low–risk prostate cancer. Biopsies taken 1–1/2 years later showed that prostate cancer got worse in 38 percent of men taking Avodart (dutasteride) and 49 percent of those on placebo. Final biopsies at three years, however, showed no signs of cancer in 36 percent of men on Avodart versus 23 percent of those on dummy pills. The researchers concluded that Avodart, which is manufactured by GlaxoSmithKline, can slow the growth of these tumors in men who opt to be monitored instead of having treatment right away.

Men who experience balding in their 20s may be at risk for developing prostate cancer

Men who start losing their hair at 20 may be twice as likely to get prostate cancer later in life, according to a study in the Annals of Oncology. The researchers studied 388 men with prostate cancer and 281 healthy men and asked how bald they were at age 20, 30 and 40. They found that when a man’s hair began to thin in his 30s or 40s, the risk for prostate cancer did not go up. But any type of balding (at age 20) is a risk factor for prostate cancer, suggested lead author Dr. Michael Yassa of the Maisonneuve–Rosemont Hospital in Montreal, Canada.

Risk of developing, dying from prostate cancer may depend on baseline PSA level

Men who have a low prostate–specific antigen (PSA) score when they’re first tested may not need to be screened annually and probably don’t need to undergo a biopsy, according to a findings presented at the Genitourinary Cancers Symposium in Orlando, Florida.

Women who drink alcohol before bed may have more sleep disruptions than men

Alcohol appears to cause more sleep problems in women than in men, according to a study in the journal Alcoholism: Clinical & Experimental Research.

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

How many people are affected by infertility?

Estimates are that one in six couples is affected by some measure of infertility. However, that number may be very deceptive. Many couples choose to lead child–free lives rather than look for treatment for their infertility, and we believe they are rarely included in infertility estimates. Others suffer frequent pregnancy losses which are, in a way, a form of infertility and are not technically considered "infertile" because they are able to conceive. INCIID is in the process of creating a survey designed to provide new insights about who is infertile, what kinds of infertility they are experiencing, what kinds of treatments have been successful for specific diagnoses, and much more. This survey will be conducted online, and is expected to be a source of important clinical information for practitioners as well as consumers.

For queries contact: banerjee.kaberi@gmail.com

 
    Thyroid Update

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

Some drugs that alter thyroid function

  • Dopamine (even short–term)
  • Dobutamine
  • Octreotide
  • High–dose glucocorticoids (>20mg/dday prednisone, >100mg/day hydrocortisone, >4 mg/day dexamethasone)
  • Furosemide and some NSAIDS displace T4 from binding proteins, decreasing serum T4 levels.

For queries contact: drneelam@yahoo.com

 
    Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

What are the ideal preservatives for viscera?

The investigation of a death from suspected poisoning may stand or fall upon the correctness or otherwise of the sampling of fluids and tissues from the body. Unsuitable samples, inadequate amounts, incorrect sampling sites, poor containers, inadequate preservation methods, and delayed or unsatisfactory storage and transport to the laboratory may frustrate or distort proper analysis.

  • Saturated sodium chloride solution
  • Rectified spirit, except in cases of suspected poisoning by (a) alcohol (b) acetic acid (c) phenol (d) phosphorus and (e) paraldehyde. The organic acids and paraldehyde are soluble in alcohol and the phosphorescence of phosphorus is diminished in alcohol.
  • Glycol solution is used for preservation of brain for virological examination.
  • Heart is preserved in case of strychnine and digitalis poisoning.
  • 10mg/ml of sodium or potassium fluoride should be used for preserving blood.
  • Fluoride should be added to urine and vitreous humor if alcohol estimation is required.
  • Blood samples for analysis for cocaine, cyanide and CO should be preserved with potassium oxalate.
  • Thymol blue is used to preserve urine.
  • Preservatives quantity should be equal to the weight of viscera.
  • Preservative solution should be filled up only 2/3 of jar.
  • Sample of preservative, 100 ml spirit, 25 gm salt should be sealed separately
 
    Legal Question of the Day

(Contributed by Dr Akash Deep)

Heal thy hand, HC tell docs
Saurabh Malik/TNS

Chandigarh, February 15: The Punjab and Haryana High Court wants government doctors in Punjab, Haryana and Chandigarh to find a cure for their illegible handwriting.

A Division Bench of the high court has, in fact, reminded the doctors that they do not scrawl on documents for self consumption; and has even asked the directors of health services in Punjab, Haryana and Chandigarh to ensure the element of legibility is injected into their handwriting. Before parting with the order, the Bench asserted: "Therefore, we are constrained to direct the directors of health services in the states of Punjab and Haryana, as well as the Union Territory of Chandigarh, to issue suitable directions to the doctors to prepare documents – medico–legal reports, bed head sheets and post–mortem reports – legibly and scrupulously, as those documents are exhibited to decide the fate of a case before the court of law."

 
    Usefeul Websites

(Dr Surendernikhil Gupta)

KidSurvival

Melinda Gates on Learning from Coca-Cola

http://www.childsurvival.net/?content=com_articles&artid=309

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

C02 (total)

Increased: Respiratory acidosis, compensation for metabolic acidosis, severe vomiting, primary aldosteronism, volume contraction, emphysema

Decreased: Respiratory alkalosis, starvation, DKA, lactic acidosis, alcoholic ketoacidosis, severe diarrhea, renal failure, drugs (salicylates etc), dehydration.

 
    Medi Finance Update

Individual Mediclaim policies

  • Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines and drugs, diagnostic materials and X–ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, artificial limbs and cost of organs and similar expenses.
  • Pre and post hospitalization expenses.
 
    Drug Update

List of approved drug from 01.01.2010 TO 31.8.2010

Drug Name
Indication
DCI Approval Date
Diclofenac 50mg + Chlorzoxazone 500mg Tablets
For the treatment of acute inflammation conditions associated with spasm in adults only
16/03/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Acute Otitis Media and Influenza

Children receiving live attenuated influenza vaccine (LAIV) had a high level of protection against influenza–associated AOM when compared with placebo or trivalent inactivated influenza vaccine (TIV). This was most evident in children older than 2 years, for whom LAIV is indicated. LAIV recipients who contracted breakthrough influenza illness despite vaccination developed AOM at a significantly lower rate than did unvaccinated children who developed influenza.

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Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
 
    IJCP Special

Dr Good Dr Bad

Situation: A 70–year–old elderly diabetic patient had HbA1c of 7%.
Dr. Bad: This is poor control of diabetes.
Dr. Good: This value is ok.
Lesson: European Diabetes Working Party guidelines for elderly type 2 diabetes patients consider frailty, recommending a conservative target (HbA1c <8%). Tight glycemic control for such patients increases the risk of hypoglycemia and significant functional decline.

Make Sure

Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high?
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

Exercise tips

Stretching or flexibility training is the third prong of a balanced exercise program. Muscles tend to shorten and weaken with age. Shorter, stiffer muscle fibers make you vulnerable to injuries, back pain, and stress. But regularly performing exercises that isolate and stretch the elastic fibers surrounding your muscles and tendons can counteract this process. And stretching improves your posture and balance.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

Muhammad Ali – The Greatest

Muhammad Ali was born Cassius Marcellus Clay Jr. He became a professional boxer after winning an Olympic gold medal in 1960. In 1964 he defeated Sonny Liston earning the world heavyweight championship. He twice defended his title, defeating both Liston and Floyd Patterson.

Ali was stripped of his title in 1967 for his resistance of the draft on religious ground. In 1970 he was re–granted a license to box and in 1971 the Supreme Court upheld his draft appeal. In the same year, he lost a fight to Joe Frazier, his first fight of his comeback. He regained the championship in 1974, at the age of 32 after defeating George Foreman in Zaire.

Considered the greatest boxer of all time, Ali retired in 1980. Although a victim of Parkinson’s disease, he is today the inspiration to millions of disabled people.

In 1999, he was crowned "Sportsman of the Century" by Sports Illustrated, and is considered by many to be one of the greatest athletes of the 20th century.

………………………………

Mind Teaser

Read this…………………

getting
it all

Yesterday’s Mind Teaser: nafish nafish
Answer for Yesterday’s Mind Teaser: tunafish

Correct answers received from: Dr Sudipto Samaddar, Dr Susheela Gupta, Dr Susheela Gupta, Dr Vinay Sakhuja, Dr Neelam Nath, Dr B.V.Sai Chandran, Dr Sharat Naorem, Dr Joginder Pal Manocha, Dr Vikas Kumar

Answer for 20th February Mind Teaser: blanket
Correct answers received from: Dr Neelam Nath

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Contributed by Dr GM Singh)

Old Computer Terms

COPY: What you have to do during school tests because you spend too much time at the computer and not enough time studying.

CURSOR: What you turn into when you can’t get your computer to perform, as in "You $#% computer!"

………………………………

Knowledge is amusing

A CROCODILE cannot stick its tongue out.

 
    Readers Responses
  1. Dr MC Gupta’s article on unethical practices of hospital describes the ground reality and correctly reflects public sentiments, rather frustration on this issue. We rightly shout hoarse on 2–G, Adarsh and CWG corruption cases, but on a daily basis poor & help–less patients are misguided and cheated out of greed by hospitals. Is this not a corruption? The remedies suggested are time–consuming and tension prone. There should be some better methods to punish for unethical practices and policies of hospitals. Doctors themselves are victims of hospital managements' dadagiri. We perhaps need some kind of cultural change. Vinod Varshney, editor Lokayat (English)
 
    Public Forum

(Press Release for use by the newspapers)

Fibre in the food – a major protective factor

Fibre in the food has been identified as a major protective factor and people should consume at least 20 gm of fibre in a days said Dr. K.K. Aggarwal Padma Shri and Dr B C Roy National Awardee and President Heart Care Foundation of India.

The lowly ajjvayan, once grandma’s recipe for stomach disorders, has emerged as heart friendly. It contains 90 percent of fibre and its regular consumption can lower the levels of bad cholesterol in the blood, considered a major risk factor for heart attack.

Dr Aggarwal said that regular use of three table spoonful of Isabgol commonly available in the market can also reduce cholesterol by 15 to 20 percent on account of its high fibre content and can thus prevent heart attacks to a considerable extent.

Consumption of bran, oat, soya, methi, amla, garlic, onion and ginger should also be encouraged in day to day life as all these directly or indirectly have been found to be heart friendly.

People were also advised to take to vegetarian diet as this diet is typically low in cholesterol, high in fibre content and high in anti oxidants.

As a Rule of Thumb, all foods of plant origin have no cholesterol whereas those of animal origin are high in cholesterol.

People specially heart patients were advised to desist the use of junk and fast foods. Junk foods like colas, ketchup and other items supply only empty calories and have no nutritional value; whereas fast foods are rich in cholesterol, saturated fat, salt and calories and are responsible for obesity and causation of diseases like heart attack and paralysis.

Indiscriminate use of food additives should also be avoided as they pose health hazards.

 
    Forthcoming Events

ICC Cricket World Cup 2011

World Cup Schedule… very very creative

http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

National workshop–cum–seminar on role of Yoga in Prevention and Management of Diabetes Mellitus

Date:
March 1 – 2, 2011
Venue: JIPMER, Puducherry
Organizer: The Advanced Centre for Yoga Therapy, Education & Research (ACYTER) and Department of Physiology, JIPMER in collaboration with Morarji Desai National Institute of Yoga, (MDNIY) New Delhi.

For more details please contact: acyter.jipmer@gmail.com

Mobile: 9994628679 (Dr Zeena Sanjay), 9488820627 (Sri Eayasettiaseelon), 9842311433 (Dr Ananda Balayogi Bhavanani)

6th Annual Conference of Indian Academy of Nephrology (IANCON–2011)

Date: 12th –13th March 2011,
Venue: Taj Deccan, Banjara Hills, Hyderabad–34
Faculty: Dr MS Amarsen, Dr KV Jhony, Dr SC Dash, Dr Kashivishweswaran Dr V Sakhuja, Dr RK Sharma Dr Girishnarayan, Dr Anuradha, Dr SK Agarwal, Dr P Sundarajan, Dr P Keshivya, Dr Ravi Raju, Dr Dilip Pahari, Dr LC Sharma, Dr Sanjeev Saxena, Dr Sanjay Gupta, Dr Abhijit Tarapdhar, Dr PP Verma, Dr Harun Rashid, Dr Sampath Kumar, Dr Sanjib Sharma, Dr S Padmanabhan.
Topics: CKD Symposium (From India, Nepal, Bangladesh), Newer concepts in the pathogenesis of hypertension, Fluid and Electrolyte & AKI, RAAS in treatment of Diabetic Nephropathy, Primary Prevention of CKD: Trials & tribulation in Indian condition, Vitamin–D andchronic kidney disease, Mycophenolate Vs Cyclyophosphamide in Lupus nephritis, Individual zinganemia therapy, How to monitor Immunosuppression minimization, Obesity Diabetes epidemic, Life Style changes & therapeutics, BKV and CMV Nephropathy, Leptospiraand Acute Kidney Injury, HIV Nephropathy, Hypophosphatemia and Renal Disease, Immunosuppressantand risk of Malignancy, Pregnancy ARF, Expanding Dialysis services in Andhra Pradesh, Making kidney transplant easier for less privileged, Cardiovascular risk reduction in CKD
Organizing Secretary:
Dr. Sree Bhushan Raju, Associate Professor, Dept of Nephrology, NIMS, Hyderabad
Contact– Mob: 09848492951, sreebhushan@hotmail.com
Website: www.ian2011.in
Note: "Prof SC Dash oration in Nephrology" from this year onwards. Three awards each in oral, poster and imaging in Nephrology sessions

Registration for Delegates Amount
Up to 15th February 2011
 
Rs. 1500/–
Up to 5th March 2011
Rs. 2000/–
Spot registration
Rs. 2500/–
Student
Rs. 500/–

DD/Cheque in favor of "IANCON– 2011" payable at Hyderabad.Add Rs 100 for outstation cheque.

eMedinewS Events: Register at emedinews@gmail.com

World Fellowships of Religions and Perfect Health Parade

First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011
Venue: Maulana Azad Medical College, New Delhi
Time: 8 AM – 4 PM
Register: rekhapapola@gmail.com

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