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 & 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 …

24th January 2013, Thursday

MCI says write generic drugs

In a circular by MCI dated 21st January, to all Dean / Principals of all the Medical Colleges, Director of all the hospitals (exclusive PG Institutions without medical Colleges) and President all the State Medical Councils the council had called upon the doctors practicing medicine to prescribe Drugs with Generic name as far as possible.

To this effect the council earlier also had issued a circular no. MCI-211(2) (Gen.)/2012-

Ethics/145183 dated 22.11.2012.

The act: The Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 inter-alia prescribes as under regarding use of generic names of drugs vide clause 1.5: - “Use of Generic names of drugs: Every physician should, as far as possible, prescribe drugs with generic names and he/she shall ensure that there is a rational prescription and use of drugs.”

The council circular said that all the Registered Medical Practitioners under the IMC Act are DIRECTED to comply with the aforesaid provisions of the Regulations without fail.

The council has asked all the stake holders to give wide publicity of the above regulation to ensure that all the doctors practicing medicine under their jurisdiction comply with the regulation.

Emedinews views

  1. Where are they available?
  2. In a corporate hospital doctors are to write only drugs available in that pharmacy. Are hospital pharmacies under the MCI act? Will they listen to them?
  3. What is the definition of a generic drug? For example if I write amlodipine (generic name) then patient will get which medicine from the chemist.
  4. If MCI wants doctors to write generic names then why the government is allowing branded drugs. These drugs will be for whom?
  5. Is this circular also applicable to generic stents, generic devices and generic implants? They also come under the drug controller.
  6. Why most government hospitals are indenting branded drugs and devises.
  7. Only recently the DGHS has approved branded stents for CGHS patients.
  8. If we need to writ generic drugs, then of which company. If I write Amlodipine Dr Reddy’s lab, then it will be no more generic drug.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Primary colorectal dysfunction consists of three overlapping subtypes: slow transit constipation, dyssynergic defecation, and irritable bowel syndrome with constipation. Secondary causes of constipation should be excluded with a thorough history and physical examination followed by diagnostic testing.

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

5 of the Best Workouts You Can Ever Do: Harvard Medical School

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

High power IMA meet to discuss health budget 2013 to 2014

 
Dr K K Aggarwal
    National News

Be Human Stop Child Abuse (http://behumanstopchildabuse.emedinews.in/)

(Team IMA for CMAAO)

Child sexual abuse

  1. Sexual abuse is defined as attempted sexual touching of any child without consent and includes sexual intercourse (rape/sodomy/oral, genital or anal genital and fondling.

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 ventricular or atrial septal defect, hypoplastic left heart syndrome, patent ductus arteriosus, bicuspid pulmonic valve, and Ebstein’s anomaly.

(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)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Early fluid resuscitation reduces sepsis mortality

Mortality rates are reduced when patients with severe sepsis and septic shock are provided fluid resuscitation within 3 hours of onset, according to research presented here at the Society of Critical Care Medicine 42nd Critical Care Congress. (Source: Medscape)

Emphysema severity proves strong predictor of mortality

Emphysema severity, as measured by computed tomography (CT), accurately predicted mortality among current and former smokers regardless of whether they had chronic obstructive pulmonary disease (COPD), according to results from a study published online January 17 in the American Journal of Respiratory and Critical Care Medicine. (Source: Medscape)

Depression after stroke boosts death risk

Similar to patients with myocardial infarction (MI), depression is associated with worse outcomes in patients with stroke, researchers found. (Source: Medpage Today)

Bladder Ca markers tied to more fatal outcomes

Alterations in a nine-biomarker panel plus smoking intensity predicted survival in patients with bladder cancer, a tissue-based study showed. (Source: Medpage Today)

Abnormal fixation hampers AMD patients' facial recognition

Patients with age-related macular degeneration (AMD) exhibit abnormal eye movement patterns and visual fixations when viewing an image of a face. In a study published in the January 2013 issue of Optometry and Vision Science, researchers suggest that these abnormal patterns may help to explain the deficits in facial recognition experienced by patients with AMD. (Source: Medpage Today)

 
    Twitter of the Day

@DrKKAggarwal:Ask Dr KK: Can blood pressure be higher in one arm? A small difference in blood pressure readings between arms (cont)http://tl.gd/kpqmcg

@Dr Deepak Chopra: A lot of resolutions start with the words“I will quit.” Please read this article on addiction http://tinyurl.com/a2mhxss

 
    Spiritual Update

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

What is the difference between smile, hug and laugh.

Smile is a sign of joy while hug is a sign of love. Laughter on the other hand is a sign of inner happiness. None of them are at the level of mind or intellect. All comes from within the heart.

For comments and archives

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

What do you understand by biochemical pregnancy and clinical pregnancy?

A biochemical pregnancy is a pregnancy confirmed by blood or urine tests but not visible on ultrasound, because the pregnancy stops developing before it is far enough along to be seen on ultrasound.

A clinical pregnancy is one in which the pregnancy is seen with ultrasound, but stops developing sometime afterwards.

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

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

Who can donate liver ?

Willing, family donor with matching blood group. The donor should provide an informed consent and also must undergo psychological evaluation. The donor should be 18-55 years old, weighing 55 - 85kg but not fat, should be healthy with normal liver and kidney functions, HBsAg, HCV and HIV negative. It is very important that the donor liver is not fatty therefore a plain CT scan is performed first to calculate the LAI (liver attenuation index). This should normally be more than 6. One would accept a liver with a positive LAI (as compared to spleen) but not a fatty liver. The donor undergoes complete evaluation of heart, lungs, kidney and other organs. A CT scan is carried out on the donor to evaluate vascular anatomy and graft volume. MRI (MRCP) provides information of the biliary ducts.

For comments and archives

 
    An Inspirational Story

Barber and the dumbest kid

A young boy enters a barber shop and the barber whispers to his Customer,"This is the dumbest kid in the world. Watch while I prove it to you."

The barber puts a five rupee coin in one hand and two one rupee coins (1+1=2) in the other, then calls the boy over and asks,"Which do you want, son?"

The boy takes the two one rupee coins and leaves. "What did I tell you?" said the barber. "That kid never learns!"

Later, when the customer leaves, he sees the same young boy coming out of the ice cream store. "Hey, son! May I ask you a question? Why did you take two one rupee coins instead of five rupee coin?"

The boy licked his cone and replied, "Because THE DAY I TAKE THE FIVE RUPEE COIN, THE GAME IS OVER"

...........

Moral: When you think the other person is dumb, you are making a fool of yourself.

For comments and archives

 
    Cardiology eMedinewS

Meditation may reduce death, heart attack and stroke in heart patients Read More

Sudden Cardiac Death Risk a Family Matter Read More

 
    Pediatric eMedinewS

DTaP shot to arm may cause local reaction Read More

Canadian kids often turn to alternative meds Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with acute pulmonary edema had a blood pressure of 240/140.
Dr. Bad: It is due to heart damage.
Dr. Good: It is due to diastolic heart failure.
Lesson: Patients with significant elevation of blood pressure have mostly preserved left ventricular systolic function.

Make Sure

Situation: A patient with chest pain with normal ECG died half an hour later. Reaction: Oh my God! Why was an acute MI not suspected?
Lesson: Make sure all patients of chest pain are observed for 12 hours. ECG can be normal in acute heart attack for up to six hours.

 
  Quote of the Day (Dr GM Singh)

In shallow holes moles make fools of dragons. Proverb

 
    Mind Teaser

Read this…………………

A patient received spinal anesthesia 4 hours ago during surgery. The patient has been on the unit for ½ hours and now reports severe incisional pain. The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99oF (37.2oC), and respirations are 30 breaths/min. The patient's skin is pale and the dressing is dry and intact. The most appropriate nursing intervention is to:

a) call the physician and report the findings.
b) medicate the patient for pain.
c) place the patient in a high Fowler position and administer oxygen.
d) place the patient in a reverse Trendelenburg position and open the IV line.

Yesterday’s Mind Teaser: Which action will best help reduce anxiety in a 64-year-old patient who has been hospitalized for suspected peptic ulcer disease?

a) Ask all members of the team to reassure the patient about the quality of care provided in the hospital.
b) Assign the patient to a room with a talkative, optimistic roommate.
c) Explain to the patient what will happen during the hospitalization.
d) Visit the patient frequently and get the patient to talk about pleasant future plans.

Answer for Yesterday’s Mind Teaser: Explain to the patient what will happen during the hospitalization.

Correct answers received from:Dr.Jayashree Sen, DR P K SAHU, Pinky Naik, Rajiv Kohli, Dr. P. C. Das, DR KANTA JAIN, dr. deepalichatterjee, Anil Bairaria, DR SHAGUFTA MOIN, DR ARPAN GANDHI, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr. Thakor Hitendrsinh G, Dr Avtar Krishan, drjella, Muthumperumal Thirumalpillai

Answer for 22nd January Mind Teaser: C. A hemolytic transfusion reaction

Correct answers received from: Anil Bairaria, DR SHAGUFTA MOIN, DR ARPAN GANDHI, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr. Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr Avtar Krishan

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Law of Random Comfort Seeking – A cat will always seek, and usually take over, the most comfortable spot in any given room.

 
    Medicolegal Update

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

Antemortem vs postmortem bruises

In some cases, which are brought dead or are dead on arrival, the attending doctor often is not able to differentiate between antemortem bruise and postmortem artefact and the postmortem bruise is often entered in MLC as injuries. I have seen several such cases in AIIMS during conduction of autopsies. However, with closer examination, it is possible to differentiate between the two.

In antemortem bruises, there is swelling and damage to epithelium, coagulation and infiltration of the tissues with extravasated blood and color changes. These signs are always absent in postmortem bruises.

Contusions and abrasions produced immediately after death show a very low degree of changes. Appreciable bruising does not occur after 2–3 minutes of death due to arrest of heart and blood circulation; but, small bruises can be produced up to 3 hours after death by using great force where the tissue can be forcibly compressed against the bone or if the body is dropped on the ground from a height or from transport trolleys or running vehicle. Some of the evidences of bleeding are seen without history of trauma due to tearing of small veins in the skin when the body is lifted from the scene of death and during transportation; the same is called postmortem artifact.

For comments and archives

 
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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

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    Public Forum

(Press Release for use by the newspapers)

Binge Eating: Epidemic of the Society

Binge eating disorder is a recognized condition. People with binge eating disorder frequently eat large amounts of food while feeling a loss of control over their eating, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & Vice President Elect IMA.

This disorder is different from binge-purge syndrome (bulimia nervosa) because people with binge eating disorder usually do not purge afterward by vomiting or using laxatives.

But most people with serious binge eating problems have:

  • Frequent episodes of eating what others would consider an abnormally large amount of food.
  • Frequent feelings of being unable to control what or how much is being eaten.
  • Several of these behaviors or feelings:
    1. Eating much more rapidly than usual.
    2. Eating until uncomfortably full.
    3. Eating large amounts of food, even when not physically hungry.
    4. Eating alone out of embarrassment at the quantity of food being eaten.
    5. Feelings of disgust, depression, or guilt after overeating.
    6. The binges occur at least twice a week for 6 months.

The major complications of binge eating disorder are the diseases that accompany obesity. These include diabetes, high blood pressure, high cholesterol levels, gall bladder disease, heart disease, and certain types of cancer.

Out-of-control binge eating is the biggest eating disorder of today more common than anorexia and bulimia combined and contributing to a rise in obesity. Binge eating afflicts 3.5 percent of women and 2 percent of men at some point in their lives.

Binge Eating Disorder is a little more common in women than in men; three women for every two men have it.

Cognitive-behavioral therapy teaches people how to keep track of their eating and change their unhealthy eating habits. It also teaches them how to change the way they act in tough situations. Interpersonal psychotherapy helps people look at their relationships with friends and family and make changes in problem areas. Drug therapy, such as antidepressants, may be helpful for some people.

Large amounts of food high in carbohydrates and sugars are rapidly consumed in a short period of time. The binge itself may only last fifteen to twenty minutes. Proper levels of serotonin and dopamine aid in impulse. Proteins supplement may reduce the craving.

Binge eating differs from compulsive overeating in that the binge eater enjoys the rush and stimulation of planning the binge. Compulsive overeaters tend to crave foods high in carbohydrates, sugars, and salt.

 
    Readers Responses
  1. Hindi is mother tongue of less than 50% of Indian population.Telugu,Tamil,Kannada,Malayalm,Bengali with Hindi should be national languages.Hindi can be a link languagePeople with hindi have to learn one more language.Others have to learn three languagesIt is injustice to more than fifty percent population of our country. Ram Prasad
 
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