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 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 (07–08c); 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

 
  Editorial …

22nd February 2012, Wednesday

Proton–pump inhibitors to carry warning about C. diff

The FDA warned last week that proton–pump inhibitors (PPIs) may be associated with an increased risk of Clostridium difficile–associated diarrhea (CDAD).

Physicians should consider a diagnosis of CDAD in patients taking PPIs who develop diarrhea that does not improve, the FDA said. They should also advise patients who take PPIs to seek immediate care from a health care professional if they experience watery stool that does not go away, abdominal pain and fever. In general, the lowest dose and shortest duration of PPI therapy appropriate to the patient’s condition should be prescribed.

The FDA is currently working with PPI manufacturers to modify drug labels to provide information about the risk of CDAD. Affected medications include:

  • Rabeprazole
  • Dexlansoprazole
  • Esomeprazole
  • Omeprazole
  • Lansoprazole
  • Pantoprazole

The risk of CDAD in users of H2–receptor blockers is also under review by the FDA.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
    eMedinewS Audio PostCard

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

Proton–pump inhibitors to carry warning
about C. diff

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Ajmer Health Camp 2012

Large number of people attended the Mega Health Camp at Ajmer on 11th and 12th February 2012

 
Dr K K Aggarwal
 
    National News

Increase maternity leave to 24 weeks, suggests ILC panel

A committee on social security, set up at the 44th Indian Labour Conference (ILC) that concluded its session here on Wednesday, has suggested that maternity leave to women employees, now provided under the Maternity Benefit Act, be raised to 24 weeks from the present 12 weeks. This has come even as Prime Minister Manmohan Singh, while speaking at the conference on Tuesday, stressed the need to understand the constraints women staff faced in balancing their family and work responsibility, and take measures to increase the strength of women employees in the country. (Source: The Hindu, February 15, 2011, http://www.thehindu.com/news/national/article2897174.ece)

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

Bioabsorbable stent does well

An investigational everolimus–eluting stent with a bioabsorbable polymer coating performed comparably to one with a durable coating in patients with symptomatic coronary artery disease, a preliminary randomized trial showed. The Synergy stent, whether delivering full or half doses of everolimus (Afinitor), was noninferior to the Promus Element stent for the primary clinical endpoint of target lesion failure or target lesion revascularization at 30 days, according to Ian Meredith, MBBS, PhD, of Monash Heart in Melbourne, Australia, and colleagues. (Source: Medpage Today)

For comments and archives

Simple tests may flag dementia, stroke risk

Walking speed and hand–grip strength during middle age correlated with cognitive function and stroke risk in older adults, suggesting simple tests might aid diagnosis of the two conditions, according to data from a large cohort study. During 11 years of follow–up, slower walking speed at baseline was associated with a 50% rise in the hazard for dementia. Brain volume and performance on a variety of tests of cognitive function also were significantly lower in slower walkers. Grip strength did not influence stroke risk in the overall cohort, but a higher baseline grip strength was associated with a 42% reduction in stroke risk among individuals 65 and older, as will be reported here in April at the American Academy of Neurology meeting. (Source: Medpage Today)

For comments and archives

Once–weekly taspoglutide effective for DM2 but development uncertain

The glucagon–like peptide 1 analog taspoglutide taken subcutaneously once a week improves glycemic control and reduces body weight in drug–naive patients with type 2 diabetes, phase III trial investigators report. (Source: Medscape Medical News)

For comments and archives

Radiation gets nod over surgery in early NSCLC

Patients with severe chronic obstructive pulmonary disease and early–stage lung cancer had better 30–day survival when treated with stereotactic body radiotherapy (SBRT) instead of surgery, investigators reported. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Rise and Fall in Share Market Can Precipitate Heart Attack

@DeepakChopra: Always think infinite possibilities!

 
    Spiritual Update

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

The Science behind Shiva and Sakti

After the life force leaves the body even the wife does not likes to come near the body (Bhaja Govindam). This life force has no weight, water cannot wet it, air cannot dry it, and weapons cannot cut it (Bhagwat Gita Chapter 2).

The life force of a computer is its intelligence, which is fed in data. Similarly, the life force of TV is its image, of radio is its voice and a mobile phone is the data in its chip.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Hirsutism: What are the types of hair in an adult?

Adults have two types of hair, vellus and terminal. Vellus hair is soft, fine, generally colorless, and usually short. Terminal hair is long, coarse, dark, and sometimes curly. In most women, vellus hair covers the face, chest, and back and gives the impression of "hairless" skin. In most men, terminal hair covers the face and body. Terminal hair grows on the scalp, pubic, and armpit areas in both men and women. A mixture of vellus and terminal hair covers the lower arms and legs in both men and women. If excessive hair growth is present only on your lower legs and forearms, it is not considered hirsutism and will not respond to hormonal therapy.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

A mountain of dirt

It's always a great idea to keep the front lawn looking tidy and to repair any problems. With this thought in mind, we had delivered a dump truck full of topsoil in order to fill in two large holes created when two old tree stumps were removed.

The big, big mound of earth sat there dumped 200 feet away from these holes waiting for me to begin the process. What had started out as a great idea soon soured when I realized that this big, big mound of earth was not going to move itself and seemed overwhelming. All I could see, as I stood beside it with my shovel and wheelbarrow, was a dump truck full of topsoil; a mound of earth that looked more like a mini–mountain than a pile of earth that would be a simple Saturday afternoon chore. Oh my goodness, why did I ever think that this hole filling, lawn repair project, was something I would be able to tackle?

After staring at this pile of topsoil for ten minutes wondering whether I should hire someone to do what I just couldn’t see myself doing, an old Chinese proverb came to mind, "A journey of a thousand miles begins with a single step." The translation of this proverb to the task at hand immediately became obvious. I needed to take one shovel at a time until a wheelbarrow was full, and then keep filling one wheelbarrow at a time and dumping it until one hole was full then simply repeating the process until both holes were finished.

You see, what I had to remind myself was that what might at first appear as an overwhelming task, or something I couldn't see myself doing, would be resolved by simply taking one step at a time, or one action at a time, over and over again.

Projects, problems, or one’s own need to learn a new job or career skill has the same application. Every difficult goal that, at first, may be viewed as an insurmountable obstacle can be resolved when you implement a strategy that requires only one–step at a time. Each action taken moves you forward, continuous progress is seen, and the final goal is closer and closer until it is accomplished.

 
    Cardiology eMedinewS

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

Health, Home and Vehicle Insurance Set To Cost More

Read More

Mitogen–Activated Protein Kinases In The Regulation Of The Cardiac Fibroblast Cell Cycle

Read More

Role Of Hydrogen Sulfide In Cardioprotection And Alteration Of Metabolic Syndrome In Experimental Animals

Read More

New Anticoagulant Therapy For Patients With Atrial Fibrillation

Read More

 
    Pediatric eMedinewS

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

Signs of Autism Show Up on MRI at 6 Months of Age

Read More

Health, Home and Vehicle Insurance Set To Cost More

Read More

MMC Submission To The Rajya Sabha Secretariat In Response To NCHR Health Bill – 2011’

Read More

Risk factors add up to allergic rhinitis in adolescence

Read More

 
    Legal Question of the Day

(Dr MC Gupta, Advocate and Medico legal Consultant)

Q. I completed the DNB (Psychiatry) course but could not pass the examination. I also have a certificate in psychiatry (distance education) awarded by the IMA Sinha Institute, Patna. I want to start private practice in Psychiatry on OPD basis. The competent authority has declined to issue the necessary certificate for opening such a clinic. What should I do?

Ans.

  1. It is not clear under what Act/Rules/Regulations the authority has declined to issue the certificate. You need to send me the necessary details so that I may give a definitive answer. If the authority is working arbitrarily, it can be challenged.
  2. Assuming that the authority is acting within law, the course open to you is to let the clinic be registered as a general clinic and to start practice both as a GP and a specialist. It is for you to choose a mix of general and psychiatry patients that are treated by you. You can concentrate mainly on psychiatry patients.
  3. You must differentiate between two different laws: The State law for compulsory registration of clinics and the Central law for regulating medical practitioners—the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002. Inability to get the clinic registered as a psychiatry clinic does not necessarily mean that you cannot practice psychiatry, but this will depend on the provisions of the State law concerned.
  4. The only regulation MCI Regulation relevant in the circumstances is:

    "7.20 A Physician shall not claim to be specialist unless he has a special qualification in that branch."
  5. In terms of the MCI Regulations, you can practice psychiatry provided you take care not to give a chance to anybody to allege that you are violating Regulation 7.20. Hence you must take care that

    you represent yourself on your visiting card, prescription letterhead etc. as follows:

    "Dr. ABC
    MBBS (Reg. no.xxxxxxx, DEF Medical Council),

    Certificate in "Psychiatry and Sexual Medicine", IMA AKN Sinha Institute of Continuing Medical & Health Education and Research"

    Trained in Psychiatry for 3 years in…GHI Hospital as a part of DNB course."
  6. If it is not permissible under the State law to have your own psychiatry clinic, you still have the option of practicing psychiatry in a government or private hospital or clinic. You can also open a psychiatry clinic in any other state where there is no legal restriction.
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    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady died.
Dr Bad: Declare her dead.
Dr Good: Deliver the infant within 5 minutes.
Lesson: "Five minute rule", the best outcome with regards to neonatal neurological outcome is most likely when delivery occurs within five minutes of maternal cardiac arrest.

Make Sure

Situation: A rape victim became pregnant.
Reaction: Oh my God! Why was emergency contraceptive not given to her?
Lesson: Make sure that all victims of rape are given an emergency contraceptive.

 
  Quote of the Day

(Dr GM Singh)

Every new beginning comes from some other beginning's end. Seneca

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Tests for Pancreatitis

Serum Amylase: Increases from 2 to 12 hours after symptoms and peaks at 12 to 72 hours. It may rise to 5 to 10 times the normal level and will usually return to normal within a week.

 
    Mind Teaser

Read this…………………

Primary prevention of HIV infection includes all except:

a. HIV education
b. Safe sex practice
c. Avoidance of intravenous drugs and sharing contaminated needles
d. Antiretroviral therapy

Yesterday’s Mind Teaser: Effective therapy for morbid obesity, in terms of weight loss is:

a) Intensive dieting with behavior modification.
b) A multidrug protocol with fenfluramine, phenylpropanolamine, and mazindol.
c) A gastric bypass with a 40–ml. pouch, a 10– to 20–cm. Roux–en–Y gastroenterostomy.
d) A gastric bypass with a 15–ml. pouch, a 40– to 60–cm. Roux–en–Y gastroenterostomy

Answer for yesterday’s Mind Teaser: d. Antiretroviral therapy

Correct answers received from: Prof Chetana Vaishnavi, Dr KV Sarma, Chandra Pal Singh, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Mrs S Das, Dr PC Das, Muthumperumal Thirumalpillai, Venkata Ganesh.

Answer for 20th February Mind Teaser: b) Jejunoileal bypass
Correct answers received from: Anil Bairaria, Dr KV Sarma.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

This is how our children may end up learning the alphabets: If you allow dem play with terry
A – Apple – B – Blackberry C – Chatting D – Download E – Email F – Facebook G – Google H – Hotmail I – iTunes J – Java K – Kaspersky L – Laptop M – Microsoft N – Nintendo O – Outlook P – Playstation Q – Quicktime R – RapidShare S – Skype T – Twitter U – USB V – Vista W – Wikipedia X – XP Y – YouTube Z – Zorpia

 
    Medicolegal Update

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

Errors in diagnosis of Death

  • Generally, there is no difficulty in the diagnosis of somatic death by the doctors. However, in some cases the heart sounds and breath sounds diminish greatly. Errors occur if proper clinical examination is not done or hurriedly done in patients with kidney failure and Cheyne–stokes respiration etc. Nevertheless, there are occasions when the distinction between death and suspended animation poses a real difficulty.
  • Suspended animation is a death–like state in which vital functions of the body are at such a low pitch that they cannot be determined by ordinary methods of clinical examination.
  • Practitioners of yoga can induce this death like state voluntarily.
  • It can be involuntarily due to: (i) Severe shock following accident (ii) Electrical shock (iii) Poisoning (barbiturate). (iv) Drowning. (v) Epilepsy (vi) Sunstroke (vii) Cholera and (viii) Hysteria.
  • Suspended animation lasts for seconds to hours and distinction is not possible by ordinary clinical methods. However. methods like ECG and EEG can be used to reach a diagnosis.

(Ref: Dr. PC Dikshit, Head (MAMC) MD LLB, Textbook of Forensic Medicine, Peepee Publisher)

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Good news for the exam stress

Quoting a study published in the journal Sleep, Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India, said that a 45–minute midday nap can help boost the "declarative memory" which applies to standard textbook learning and knowledge. Sleep appears to help "set" these declarative memories and make them easier to recall.

Other type of memory is "procedural memory," which applies to skills and has no impact with the midday nap. Sleep appears to have an impact on what is learned well, but not so much when one is not motivated to learn.

For the study, 33 people were trained with certain declarative memory tasks. After the training, 16 took a non-REM nap, while 17 stayed awake and watched a movie. Later the same day, all the participants were tested. The tests included memorizing words, memorizing a maze and memorizing a complex line drawing.

The team found that over three very different declarative memory tasks, taking a nap improved performance compared with staying awake. However, napping only worked for people who had really learned the task well in the first place.

 
    Readers Responses
  1. Sir, I really thank you for your regular magazine with balanced proportion of medical information. I find it interesting and informative especially the columns – Medicolegal Update, Legal question of the day and Medilaw as most of us are not aware of these facts. Dr Seema.
 
    Forthcoming Events

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL 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)

4. eMedinewS ebooks (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