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 (07–08); 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 1st Mega Ajmer Health Camp 2012

 
  Editorial …

22nd April 2012, Sunday

Negative stress may lead to heart disease

Marital disharmony and job dissatisfaction are the two main mental risk factors for the causation of heart attack. Many studies in the past have linked that there is a strong correlation between a nagging wife and early heart attacks in men. Similarly, literature has shown that work related stress is related to early onset of high blood pressure, diabetes, stroke and heart attacks.

A study from University College, London has shown that chronically stressed workers have a 68% higher risk of developing heart disease, especially in people under the age of 50.

Is stress–related chemical change or stress–related behavior linked to heart disease, is yet to be answered.
Stress–related lifestyle involves eating unhealthy food, smoking, drinking and skipping exercises.
Chemical changes related to chronic stress are increased levels of cortisol, epinephrine and norepinephrine.

Amongst stress, negative stress is more dangerous than positive stress and of negative stress, jealousy, anger and cynicism are associated with heart attack.

The answer lies in managing stress by acting on a personal situation and not reacting to it. In children the same type of stress, especially during exam days, can cause anxiety, insomnia and suicidal attempts.

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

Avoid these foods for a healthier heart

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Flagging the World Earth Day Walk organized by Heart Care Foundation of India jointly with Delhi Public School, Mathura Road

 
Dr K K Aggarwal
 
    National News

Cancer rising among India’s youth

More youngsters are developing cancer in India, doctors said at a conference here Thursday. However, most of those affected by the disease remain ignorant about it, which leads to delays in diagnosis and treatment, they said. "We are seeing more cases of cancer among teenagers and young adults. However, not much attention is being paid to it," said Dr. G. K. Rath, director of the Dr. B.R.A. Institute Rotary Cancer Hospital at All India Institute of Medical Science (AIIMS). He said the cancer in youngsters was curable but timely diagnosis remained a problem. Rath was speaking at a conference on cancer ahead of a workshop on the disease at the Asian Institute of Medical Science in Faridabad April 21–22. Of the 1 million cancer cases reported in India every year, 150,000 of the patients were aged between 15 and 35, said the doctors. "Cancer screening is usually not suggested before 35 years. However, we need to see if the age limit needs to be brought down," Dr. Prakash G. Chitalkar, a senior consultant and head of the medical and pediatric oncology department at the Asian Institute of Medical Science, said at the conference. (Source: TOI, Apr 20, 2012)

For comments and archives

Now, a smart card to travel across country

CHENNAI: From your home in Chennai to your hotel in New Delhi, you can pay for parking charges, railway ticket, and the ride on the taxi, all using a smart card. The smart card is named ‘More,’ which signifies the national bird peacock, and also the literal meaning in English of getting more using the same card. S K Lohia, national project director of Sustainable Urban Transport Project that comes under the Union ministry of urban development, met several transport agencies in the city on Tuesday. Representatives from Chennai Metro Rail, Southern Railway, Corporation of Chennai and the transport department met at the Metropolitan Transport Corporation office to discuss the challenges ahead in the implementation of the project. "The biggest challenge is meeting of minds. All transport agencies have to be involved to get the project running in a year," said Lohia. The project will be completed in phases. It has been implemented in Jaipur. "The idea is to take one step at a time. In Chennai, either the MTC or the metro rail may be the implementing agency," said Lohia. (Source: TOI, Apr 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

FDA puts 16 drugs on watch list

The US Food and Drug Administration (FDA) today issued its latest quarterly list of drugs to monitor after having identified potential signs of serious risks or new safety information in the agency’s Adverse Event Reporting System (AERS) database during the last 3 months of 2011. The 16 drugs on the list include milnacipran (Savella, Forest Pharmaceuticals), a drug for managing fibromyalgia, with a potential safety issue of homicidal ideation as identified through AERS. A similar concern put milnacipran in the news in 2010 when the consumer watchdog group Public Citizen asked the FDA — to no avail — to ban the drug on account of adverse events such as suicidal ideation. (Source: Medscape)

For comments and archives

Nutrients promote eye health in aging, says panel

Several nutrients, including zinc, vitamins C and E, lutein, zeaxanthin, and long–chain omega–3 fatty acids, help promote eye health in aging individuals, according to a statement from a roundtable of experts convened by the Ocular Nutrition Society (ONS). (Source: Medscape)

For comments and archives

Increased risk of serious adverse events in ‘real world’ psoriasis patients

Patients who would have been ineligible for clinical trials of psoriasis treatments are more likely to suffer serious side effects from these treatments compared to patients who could have participated in the trials, researchers from Spain have found. (Source: Medscape)

For comments and archives

Mothers who conceive with ART more likely to have parenting difficulties

Compared to mothers who conceived spontaneously, women who conceived with assisted reproductive technology (ART) are much more likely to be admitted for residential early parenting service (REPS), Australian researchers say. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: World Earth Day organized at DPS Mathura Road…http://fb.me/I8EdoZ4N

@DeepakChopra: I affirm my life as life itself. I affirm my love as love itself.

 
    Spiritual Update

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

Formulas to Improve the Soul Profile

Satchittananda: The soul characteristics: (Absolute Existence –Absolute Knowledge)

Sat means ‘truth or knowingness’; Chitta means ‘conscious based’; Ananda means ‘bliss or inner happiness’

The soul in Vedic description is described as Sattchittaananda. People in touch with their soul speak the truth, take consciousness

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you understand by Dilation and Curettage?

Dilatation and curettage (D&C) is a minor (short) surgical procedure that removes tissue from your uterus (womb). D&C also is done to remove pregnancy tissue remaining from a miscarriage or an abortion.

For comments and archives

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

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

Transfusion with incompatible blood (mismatched blood)

The symptoms begin only after a few ml. of blood has been given:

  • Patient complains of shivering, restlessness, nausea, and vomiting. Precordial and lumbar pain.
  • Cold, clammy skin with cyanosis.
  • Pulse rate and respiratory rate increase. Temperature rises to 38° to 40°C. (101 to 105°F).
  • B P falls and patient passes into a state of shock.
  • Hemoglobinemia, hemoglobin urea (urine turns red), oliguria (urine becomes scanty or the urinary output is reduced) and anuria (total output of urine becomes 200 ml in a day)
  • Jaundice appears after a few hours and in some cases anuria persists and uremia develops. This may lead to death.

For comments and archives

 
    An Inspirational Story

(Dr Anil Kumar Jain)

Insanity ???

It was a Sports Stadium. Eight children were standing on the track to participate in a running event.

Ready! Steady! Bang !!!

With the sound of toy pistol, all eight girls started running. Hardly had they covered 10 to 15 steps, when one of the smaller girls slipped and fell down. Due to bruises and pain she started crying. When the other seven girls heard the little girl cry they stopped running, stood for a while and turned back. Seeing the girl on the track they all ran to help. One among them bent down, picked her up and kissed her gently And enquired as to how she was..

They then lifted the fallen girl pacifying her.

Two of them held her firmly while all seven joined hands together and walked together towards the winning post……………There was pin drop silence at the spectators stand.

Officials were shocked.

Slow claps multiplied to thousands as the spectators stood up in appreciation. Many eyes were filled with tears And perhaps even God’s!

YES.!! This happened in Hyderabad, India, recently! The sport was conducted by National Institute of Mental Health. All these special girls had come to participate in this event They were spastic children.

Yes, they were Mentally Challenged. What did they teach the WORLD?
Teamwork? Humanity? Equality among all?

Successful people help others who are slow in learning so that they are not left far behind.

We never do this because we have brains !!!!

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, www.mymonavie.com/sonraj)

Aerobic exercise: a key to successful aging

Exercise is a beneficial tool that helps loss and improve symptoms of diabetes and heart disease. But now evidence supports the idea that exercise could help people better cope with the aging process. As age progresses, the capacity for aerobic exercise declines, and this decline is often accelerated by development of chronic cardiovascular and respiratory diseases. However, both observational and intervention research shows that exercise can increase peak oxygen consumption in the elderly in both healthy and disease states, and can exert beneficial effects on blood pressure, cholesterol, blood sugar, bone density, and quality of life. In other studies, resistance and balance training in the elderly have been associated with reduced fear of and risk for falls, a major health risk for this age group. It is recommended that adults engage in 150 minutes of physical activity per week, and continue exercising as they age. Physicians and communities should work towards increasing the low participation rates of older adults in home based and supervised exercise programs.

 
    Cardiology eMedinewS

Surgery Wins Again For Obese Diabetics Read More

Stem Cell Preconditioning By Phosphodiesterase-5 Inhibition Read More

 
    Pediatric eMedinewS

Tough Home Life For Toddlers Tied To Obesity Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A CKD patient wanted to know if she should undergo brachial artery flow mediated test for arterial stiffness.
Dr Bad: It’s not needed.
Dr Good: Get it done.
Lesson: Increased arterial stiffness is noted in patients with CKD and end–stage renal disease, and is a possible risk factor for increased cardiovascular mortality.

For comments and archives

Make Sure

Situation: A 28–year–old pregnant woman was advised erythromycin estolate for her upper respiratory tract infection. A week later she developed jaundice.
Reaction: Oh my God! You should have prescribed erythromycin stearate instead of estolate.
Lesson: Make sure to remember that higher incidence of hepatitis with cholestatic jaundice occur in pregnancy with erythromycin estolate.

For comments and archives

 
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    Legal Question of the day

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

Q. Please answer the following questions regarding the courses offered by the College of Physicians and Surgeons, Maharashtra.

a. I understand that they are recognised by the SMC, Maharashtra and Gujarat. What will be my status legally if I get a diploma in pediatrics from CPS and practice pediatrics in Rajasthan?

b. Shall I be eligible for direct admission to secondary–DNB in Pediatrics after doing the above course?

Ans.

  1. CPS courses are, in general, not recognised by the MCI. You need to be sure that CPS courses are recognised by SMC Maharashtra and Gujarat. I know that SMC Maharashtra has withdrawn recognition to some CPS courses.
  2. You can practice as a general physician on the basis of your MBBS and, in that capacity, can treat pediatrics patients also. The CPS course will certainly enhance your knowledge and skills for pediatrics practice.
  3. After you get your DCH from CPS, you can legally display your name as:

    Dr. ABC, (Reg. no……)

    MBBS, DCH (CPS)
  4. For DNB, you should ask the NBE.

For comments and archives

 
    Quote of the Day

(Dr Anil Kumar Jain)

"Even God cannot undo what is destined there is nothing to regret nor cause for surprise nobody can take away what destiny gives us."

 
    How I Treat

(Dr. Anupama Jaggia, Chairperson and Hony. Consultant, Dept of Clinical Hematology, Sir Ganga Ram Hospital, New Delhi )

Folic acid deficiency

  • Rule out underlying hemolysis and alcoholism
  • Prefer oral folic acid to any other form of administration
  • Don’t worry about overdose (if in excess excreted in the urine)

For comments and archives

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum angiotensin converting enzyme factor is used to help diagnose and monitor sarcoidosis and to help differentiate this systemic condition from other disorders causing similar symptoms.

 
    Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity)

Prevention of Airborne Infections

The infection prevention and control measures outlined here are to be practiced for respiratory viral infection outbreaks like SARS and HINI (CDC Guidelines 2009 for HINI), etc.

  • Hand hygiene: This is extremely important and should be practiced by all persons at all times; alcohol–based (60–90%) handrubs/soap and water for washing hands should be available at the facility/clinic, residential units and at point–of–care in the resident’s room.
  • Respiratory hygiene (Respiratory cough etiquette): Patients should be taught about respiratory hygiene practices (coughing into sleeve, using tissues, wearing a mask). Patients suspected of having H1N1 should wear a mask (if tolerated) when HCPs, or other staff or visitors are present.
  • Contact precautions: HCPs should wear gloves when entering the room, taking care of a patient suspected to have H1N1 or similar infection. Personal protective equipment (PPE) commensurate with the type of infection/type of care being provided, should be used.
 
    Mind Teaser

Read this…………………

When should you have your first colonoscopy to screen for colon cancer?

A. At age 35
B. At age 40
C. At age 45
D. At age 50
E. At age 55

Yesterday’s Mind Teaser: What is the number one cancer killer of women?

A. Colon cancer
B. Breast cancer
C. Lung cancer
D. Cervical cancer
E. Esophageal cancer

Answer for Yesterday’s Mind Teaser: C. Lung cancer

Correct answers received from: Yogindra Vasavada, Panwar Raja, Dr Sushma Chawla, Arvind Pandey, Raju Kuppusamy, Rashchahar, Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh.

Answer for 20th April Mind Teaser: D. A and C.
Correct answers received from: Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh.

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr GM Singh)

Be careful what you wish for

A Government employee sat in his office, and out of boredom, decided to see what was inside his old filing cabinet. He poked through the contents and came across an old brass lamp. "This will look good on my mantel," he said and took it home with him.

While polishing the lamp, a genie appeared and, as usual, granted him three wishes.

"I would like an ice–cold Coke right now." he gets his Coke and drinks it.

Now that he could think more clearly, he stated his second wish. "I wish to be on an island with beautiful women, who find me irresistible."

Suddenly, he’s on an island with gorgeous women eyeing him lustfully.

He tells the genie his third and last wish. "I wish I’d never have to work again."

Instantly, he was back in his Government office.

 
    Medicolegal Update

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

How can snake bites be avoided?

Snake venom is a very complex mixture of proteins and toxins. Snakes use their venom to immobilize, and in some cases, digest their prey.

Snakes bite only when they are surprised by a sudden movement and cannot get away. Cobras and the Russel viper are responsible for as many as 20,000 snake bite deaths in India every year. Inland Taipan is the world’s most venomous land snake. Its bite is synonymous with death. Maximum survival time recorded after the bite of a Taipan snake is not more than few hours. Without prompt medical assistance its victim has rarest chance of recovery.

To avoid snake bite:

  • Do not sleep on the ground. You might roll over onto a snake while asleep, or a snake may move next to you to get warm.
  • Do wear shoes when walking outdoors. Tall leather boots give the best protection for walking in long grass or undergrowth.
  • Do learn about the poisonous snakes in your area. Learn what they look like and where they live. Most snakes live on the ground but some live in trees or bushes. Find out if there are any snakes that spit venom and how they attack.
  • Do take care at night because this is when many snakes are active. Tell children to wear shoes and use a torch when walking around at night. Teach them to leave snakes alone.
  • Do not go near snakes. Run away if you can. If you cannot run away, do not make sudden movements.
  • Do not touch a snake even if it looks dead. Some snakes pretend to be dead to avoid attack.
  • Do not turn over stones or logs, or put your hand or foot into a hole in the ground. Before stepping over a log look for snakes on the other side.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Workshop on how to be happy and healthy

Inaugurating a two–day workshop on Stress Management and "how to be happy and healthy", Sh. Rakesh Mehta, State Election Commissioner, Delhi & Chandigarh said that"hostility, aggressive behavior and anger" are the new risk factors for heart diseases. One should learn to manage anger.

Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India, said that out of 100% of happiness, 90% is in one’s own hands. About 50% of it depends upon our past experiences, which one can reinvent and 40% on the choices we make. Only 10% is circumstantial and not in our hands.

BK Sister Asha, Director ORC said that the only way to be happy is to consider oneself not as human body but as a pure soul. The word ‘human being’ consists of ‘human’ and ‘being’ and one often forgets that ‘being’.

BK Sister Geeta, Director ORC said that one of the ways of acquiring happiness is to indulge in non–violent communication and behavior.

BK Sister Sapna, Senior Rajyoga said that whenever we need somebody, we should offer a non–materialistic gift like appreciation, prayer or smile.

Dr. Harish Gupta, President, DMA said that doctors should practice what they preach and make sure that they remain happy and healthy too.

Other organizations which participated in the event were IMA New Delhi Branch, IMA Janak Puri Branch, IMA North Zone Branch and IMA South Delhi Branch.

 
    Readers Responses
  1. Dear Sir, Informative Newsletter. Regards: Dr SP Singh
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal

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

 
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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