emedinews
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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 & 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 7 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 …

22nd October 2012, Monday

5 steps to lower Alzheimer's risk (HealthBeat)

  • Maintain a healthy weight.
  • Check your waistline.
  • Eat mindfully. Emphasize colorful, vitamin-packed vegetables and fruits; whole grains; fish, lean poultry, tofu, and beans and other legumes as protein sources; plus healthy fats. Cut down on unnecessary calories from sweets, sodas, refined grains like white bread or white rice, unhealthy fats, fried and fast foods, and mindless snacking. Keep a close eye on portion sizes, too.
  • Exercise regularly. Aim for 2½ to 5 hours weekly of brisk walking (at 4 mph). Or try a vigorous exercise like jogging (at 6 mph) for half that time.
  • Keep an eye on important health numbers. In addition to watching your weight and waistline, keep a watch on your cholesterol, triglycerides, blood pressure, and blood sugar numbers.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Carnitine Update

Facts

  • Deficiencies in thiamine, selenium and L-carnitine have been reported to produce heart failure and replacement therapy results in improvement in cardiac function.
  • Carnitine deficiency impairs the oxidation of fatty acids, resulting in lipid accumulation in the myocyte cytoplasm. This problem is reversed with L-carnitine replacement.

How is cocaine linked to dilated cardiomyopathy?

The use of cocaine is associated with cardiomyopathy, but the relationship is less well understood than that between cocaine and coronary ischemia. Nevertheless, cardiomegaly with otherwise unexplained heart failure in a young person should raise the possibility of cocaine abuse.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Carotid neck untrasound the only way to check regression of heart blockages

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

MCD South Zone to Train is Teachers on Health & Hygiene at Perfect Health Mela

Addressing a press conference, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Mr. Satish Upadhyay, Chairman Education Committee, MCD South Zone said that MCD South Zone in association with Heart Care Foundation of India will be organizing a training program for its teachers on 7th November, 2012, Wednesday, at Constitution Club of India.

 
Dr K K Aggarwal
    National News

Manipur, Goa best places to be born in India

NEW DELHI: Olympic medalist Mary Kom would be happy to hear this. Manipur has burst into the scene to become the best place to be born in India along with Goa. For every 1,000 live births, 11 die in Manipur as compared to 59 in Madhya Pradesh, which ranks as the worst place in the country to be born. The infant mortality rate (IMR) in Manipur has dipped to 11 in 2011 as against 14 in 2010. Goa, like last year, is still the best place to be born in India. However in a strange twist of events, the state has actually recorded an increase in IMR among smaller states - from 10 infant deaths per 1,000 live births to 11 in 2011. West Bengal is the only major state to record a rise in IMR.

The latest Sample Registration Survey (SRS) data sent to the Union health ministry by the Registrar General of India on Friday shows that while the IMR for Bengal was 31 in 2010, it has increased to 32 in 2011 - one more child dying per 1,000 live births. Overall in India, IMR has dropped by three points from 47 to 44 infants deaths per 1,000 live births during 2011. The IMR for rural areas has dropped by three points from 51 to 48 infant deaths, while the urban rate stands at 29 in 2011 from the previous 31 in 2010. Around 19 more children are dying in rural India per 1,000 live births as compared to urban India. While IMR in urban India stood at 29 in 2011, it was 48 in rural India. In Maharashtra, 25 children died per 1,000 live births, whereas Delhi's IMR stood at 28. Tamil Nadu had an IMR of 22 (24 in 2010). According to SRS 2011, among major states, Maharashtra has seen the largest percentage decline in IMR - 14.7% over 2010, followed by Punjab (11.5%), Karnataka and Kerala (10.3%), Tamil Nadu (9.3%) and Bihar (8.1%).

National Rural Health Mission chief Anuradha Gupta told TOI that compared to 2010, India in 2011 has seen a 6.3% reduction in annual infant mortality rate compared to 1.7% in 2005. This, Gupta says, is largely due to the tremendous increase in institutional deliveries, thanks to the Janani Suraksha Yojana (JSY), which was launched in April, 2005, which promoted institutional delivery among would-be mothers by providing cash assistance. "One big reason for the dip in IMR is the 24x7 public health facilities. Also states have given tremendous attention to neonatal health. There are at present 384 sick and new born child units (SNCUs) that handle critical neonatal cases," Gupta said.

States with the highest IMR are Madhya Pradesh (59), Odisha and Uttar Pradesh (57), Assam (55), Rajasthan and Meghalaya (52) and Chhattisgarh (48). The top five states with the lowest IMR are Goa and Manipur (11), Kerala (12), Puducherry (19), Chandigarh (20) and Nagaland (21).

Urban IMR was highest in Chhattisgarh and Uttar Pradesh (41), followed by Odisha (40), Madhya Pradesh (39), Meghalaya (38) and Haryana (35). States like Assam with an IMR of 55, Chhattisgarh (48), Madhya Pradesh (59), Odisha (57), Rajasthan (52) and UP (57) still have IMRs more than the national average of 44. Institutional deliveries, where children are delivered at health centres or hospitals and not their homes, have picked up in India over the last five-odd years.

Around 60 lakh more children were born in safe confines of healthcare centres in 2010-11 as compared to 2005-06. On the other hand, from 7.39 lakh pregnant women as beneficiaries in 2005-06, the JSY reached out to about 113 lakh in 2010-11. Consequently, the financial expenditure, under the scheme, increased manifold from Rs 38 crore in 2005-06 to Rs 1,618 crore in 2010-11. (Source: TOI, Oct 20, 2012)

For comments and archives

My Profession My Concern

Recommendations of the Expert Advisory Group Meeting on the 14th Oct, 2004

Use of selected life saving drugs and interventions in obstetric emergencies

Administration of injection oxytocin and misoprostol: It was decided that Tab. Misoprostol would be used as prophylaxis against PPH, in all deliveries, as a part of active management of the third stage of labour. Tab. Misoprostol should be given, sublingually or orally, 600mg (3 tablets of 200 mg each), immediately after the delivery of the baby. If a woman bleeds for more than 10 minutes after deliver, she should be given 10U Inj. Oxytocin preferably by the IV route (when the ANM is trained to give the same)

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

Aortic regurgitation in the elderly

Prophylactic surgery is often recommended in asymptomatic adults with chronic aortic regurgitation and evidence of left ventricular dysfunction or marked dilation. However, symptoms are the preferred indication in elderly patients, especially those over age 80. Mild symptoms and not advanced heart failure should alert the physician to consider surgery if the regurgitation is severe.

(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)

FDA expands Sapien TAVI indication to high-risk surgical patients

The US Food and Drug Administration (FDA) has agreed to expand the approved use of the Sapien transcatheter aortic valve (Edwards Lifesciences) to high-risk aortic-stenosis patients who are also eligible for surgery, but at high risk of serious complications or death. The decision follows a positive opinion in June 2012 from the agency's 12-member circulatory system devices panel, which voted unanimously that the device is effective, 10 to 2 that the device is safe, and 11 to 0 (with one abstention) that the device benefits outweighed any risks. The extended indication is based on the PARTNER A trial results. (Source: Medscape)

For comments and archives

Weight loss no help for diabetic heart

Losing weight -- an average of 5% of total body weight -- `and keeping it off for 4 years didn't reduce the number of heart attacks or strokes in persons with diabetes. That result prompted the National Heart, Lung, and Blood Institute to pull the plug on its massive Look AHEAD (Action for Health in Diabetes) study. The study enrolled 5,145 people with type 2 diabetes and a BMI greater than 25, randomizing half to a lifestyle intervention and half to a general program of diabetes support and education. (Source: Medpage Today)

For comments and archives

Ectopic first pregnancy means risk for fewer children later

Women whose first pregnancy is an ectopic pregnancy are likely to have fewer children in later years compared with women whose first pregnancy resulted in a delivery, miscarriage, or abortion, according to a study published online October 18 in Human Reproduction. These women are also more likely to have future ectopic pregnancies. (Source: Medscape)

For comments and archives

Psoriasis linked to heightened risk for diabetes

Psoriasis was associated with a 59% increased prevalence of diabetes and a 27% increased risk of developing it, according to the results of a meta-analysis of 27 observational studies. (Source: Medscape)

For comments and archives

MRSA strategy in ICU cuts all infections

Bathing all patients in the ICU with antibacterial agents rather than simply screening for methicillin-resistant Staphylococcus aureus (MRSA) reduced all bloodstream infections by more than 40%, researchers said during IDWeek 2012. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: MCD South in association with Heart Care Foundation of India will be organizing a training program for its teachers on 7th November, 2012, Wednesday, at Constitution Club of India.

@DrKKAggarwal: Who is God ? http://youtu.be/zqP9wvswqwc

 
    Spiritual Update

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

On the 5th Navratri, learn detached attachment and to control one’s ego

Skanda Mata is worshipped on the fifth Day of Navratri. SHE is holding her son ‘Skandaa or Kartikaya’ on her lap.

SHE has three eyes and four hands. Two hands hold lotuses while the other two hands respectively display defending and granting gestures.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How will the doctor examine my uterus?

There are many different ways for your doctor to look at your uterus. These include:

  • Vaginal Ultrasound. A vaginal ultrasound utilizes a probe that is placed inside the vagina. The probe transmits sound waves that allow visualization of the organs in and around the pelvic cavity. The use of vaginal ultrasound helps the doctor see the wall and lining of your uterus.
  • Sonohysterogram (Saline Infusion Ultrasound). When the inside cavity of the uterus needs to be evaluated, your doctor may want to perform a saline infusion ultrasound. During this procedure, a small amount of sterile solution is placed into your uterus for a better look at the cavity.
  • Hysterosalpingogram. This procedure provides information about the fallopian tubes and uterine cavity. The doctor injects a special dye into your uterus and then performs an x-ray to visualize the path of the dye through the fallopian tubes. This test allows your doctor to determine if the fallopian tubes are open.
  • Hysteroscopy. This procedure is performed with a small telescope attached to a camera (called a hysteroscope) that lets the doctor look inside your uterus. Because the doctor has a direct view of your uterus, this procedure may provide the most accurate information.

For comments and archives

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

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

Blood transfusion

Widespread transfusion has caused widespread blood group sensitization, with resultant problems in antibody identification and procurement of blood of special types.

For comments and archives

 
    An Inspirational Story

Never underestimate the Power of God!

Dwight Nelson recently told a true story about the pastor of his church. He had a kitten that climbed up a tree in his backyard and was then afraid to come down. The pastor coaxed, offered warm milk, etc. The kitty would not come down.

The tree was not sturdy enough to climb, so the pastor decided that if he tied a rope to his car he could bend the tree down enough to get the kitten. He did all this, checking his progress frequently. But as he moved the car a little further forward, the rope broke.

The tree went "boing!" and the kitten instantly sailed through the air-out of sight.

The pastor felt terrible. He walked all over the neighborhood asking people if they'd seen a little kitten. No. Nobody had seen a stray kitten. So he prayed, "Lord, I just commit this kitten to your keeping," and went on about his business.

A few days later he was at the grocery store, and met one of his church members. He was amazed to see she was buying cat food. Now this woman was a cat hater and everyone knew it, so he asked her, "Why are you buying cat food when you hate cats so much?"

She replied, "You won't believe this," and told him how her little girl had been begging her for a cat, but she kept refusing. Then a few days before, the child had begged again, so the Mom finally told her little girl, "Well if God gives you a cat, I'll let you keep it."

She told the pastor, "I watched my child go out in the yard, get on her knees, and ask God for a cat. And really, Pastor, you won't believe this, but I saw it with my own eyes. A kitten suddenly came flying out of the blue sky, with its paws outspread, and landed right in front of her."

Never underestimate the Power of God!

http://www.christysclipart.com/inspirational_stories.htm

For comments and archives

 
  Cardiology eMedinewS

Sapien Valve Ok’d for High-Risk Surgery Patients Read More

Diets High In Fat Can Result In Atherosclerosis Read More

 
  Pediatric eMedinewS

Tonsil Removal Not A Factor In Obesity Read More

Early Glutamine Supplementation Yields Long-Lasting Benefits In Preemies Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with diabetes was found to have high uric acid levels.
Dr. Bad: It carries no significance.
Dr. Good: It is related to diabetic complications in future.
Lesson: Hyperuricemia is associated with diabetic micro- and macroangiopathies. It is a predictor of coronary heart disease and renal dysfunction in patients with type 2 diabetes. In a cross-sectional study, the frequency of hyperuricemia was significantly higher in the diabetic patients (32% in men and 15% in women) than in the normal controls (14% in men and 1% in women) (PLoS One 2011;6(11):e27817).

For comments and archives

Make Sure

Situation: A patient with hiatus hernia developed severe symptoms after eating a ‘Paan’.
Reaction: Oh my God! Why was he given a peppermint?
Lesson: Make sure patients with reflex esophagitis are not given any food which can relax GI sphincter.

For comments and archives

 
    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Serum calcium

Hypocalcemia

Hypocalcemia must be interpreted in relation to serum albumin concentration (Some laboratories report a "corrected calcium" or "adjusted calcium" which relate the calcium assay to a normal albumin. The normal albumin, and hence the calculation, varies from laboratory to laboratory).

  • True decrease in the physiologically active ionized form of Ca++ occurs in many situations, including hypoparathyroidism, vitamin D deficiency, chronic renal failure, magnesium deficiency, prolonged anticonvulsant therapy, acute pancreatitis, massive transfusion, alcoholism, etc. Drugs producing hypocalcemia include most diuretics, estrogens, fluorides, glucose, insulin, excessive laxatives, magnesium salts, methicillin, and phosphates.
 
  Quote of the Day (Dr GM Singh)

Treat your kid like a darling for the first five years. For the next five years, scold them. By the time they turn sixteen, treat them like a friend. Your grown up children are your best friends. Chanakya.

 
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    Mind Teaser

Read this…………………

A man is looking at a picture of a man on the wall and states: Brothers and sisters I have none, but this man's father is my father's son. Who is the man in the picture in relation to the man looking at the picture?

Yesterday’s Mind Teaser: What seven-letter word has hundreds of letters in it?

Answer for Yesterday’s  Mind Teaser: Mailbox

Correct answers received from: Dr Kanta Jain, Dr. Rajiv Dhir, Dr. Thakor Hitendrsinh G , Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr pankaj Agarwal, Dr Vijay Kansal, Dr.K.Raju, Dr Avtar Krishan

Answer for 21st October Mind Teaser: Too wise you are
Correct answers received from: Dr Vijay Kansal, Dr.K.Raju, Dr Avtar Krishan

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

The Leave Application

From an employee who was performing the “mundan” ceremony of his 10 year old son: “as I want to shave my son’s head, please leave me for two days..”

 
    Medicolegal Update

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

Sudden Cardiac arrest

Some people confuse sudden cardiac arrest (SCA) with a heart attack. They are by no means the same.

  • Nineteen cases of SCA have been examined and certified by me in AIIMS in the year 2010 where a defibrillator was not used prior to fatality.
  • During a heart attack, caused by blockage of the arteries, the victim has severe chest pain but almost always remains conscious. Whereas, victims of SCA will always lose consciousness. SCA is the result of a "ventricular fibrillation" a quivering of the heart which prevents the heart muscle from pumping blood to the body. To overcome this condition, the victim will need various forms of help in order to survive.
  • The most important is the assistance of a defibrillator.
  • Each minute that passes without defibrillation decreases the victim’s survival chances by 10–20%.
  • When a defibrillator is used, it in effect kicks the heart muscle into action again, causing it to resume sending blood throughout the body.
  • A defibrillator is a machine used to shock the victim’s heart and restore the heart’s normal rhythmic patterns.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Conference on consciousness and artificial intelligence on 8th November, 2012

For the first time Heart Care Foundation of India will be organizing a discussion on Consciousness and Artificial Intelligence on 8th November, 2012 at Constitution Club of India as a part of 19th MTNL Perfect Health Mela being organized by the foundation in association with various department of Government of Delhi. Eminent scholars from all faiths of life are being invited in the programme.

Giving the details, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that scientists across various disciplines are uncovering new knowledge in modern science industry, diagnostic and health management. Based on better understanding of industry, all researchers have used the principles of quantum physics to develop artificial intelligence. Several times, matter and knowledge have to be viewed in new light coming from research work of high knowledge physicists, neurology scientists, philosophers and mathematicians. Neuroscientists’ methods with inputs from biochemistry as well researches in artificial intelligence should work to improve diagnostic and treatment protocols.

 
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  1. Dear Sir, i like reading emedinews very much. Regards: Dr Shradha
 
    Forthcoming Events


19th MTNL Perfect Health Mela 2012 Programme

Dr K K Aggarwal
Dr K K Aggarwal
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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