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 …

24th February 2012, Friday

Last patients on ICU rounds get least time

Doctors spent significantly less time with intensive care unit patients at the end of rounds as compared with the beginning.

The time decreased by about a minute per patient as clinical staff members made rounds in a 12-bed cardiothoracic intensive care unit (ICU).

Comparison of the first four and last four patients seen on rounds produced a statistically significant difference in the time spent with physicians and other participants in rounds, said Laura Jones, PhD, at the Society of Critical Care Medicine meeting.

To study time distribution during clinical rounds, Jones and colleagues accompanied clinical staff on 20 nonconsecutive weekdays during rounds in a cardiothoracic ICU. All patients had undergone coronary bypass surgery. On any given day, participants in rounds included one or more physicians, nurses, medical students, a pharmacist, a dietitian, and other healthcare providers. At the very least, an intensivist and one other physician participated in each session. The number of patient visits during the study period averaged 6.4, and rounds duration averaged 117.9 minutes. Interruptions accounted for about 10 minutes per rounds session and social interruptions for another 11.5 minutes.

Overall, the time spent with each patient during rounds decreased by 54 seconds per patient. Using a nine-patient session as an example, Jones said the clinical staff spent about eight minutes less with the last patient seen compared with the first. The difference between the first four and last four patients seen was statistically significant (P<0.05).

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

Last patients on ICU rounds get least time

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

First Mega Ajmer Health Camp 2012

First Mega Ajmer Health Camp provides Yoga facilities Yoga facilities were provided to the patients as a part of prevention.

 
Dr K K Aggarwal
 
    National News

Delhi 'Frogman' finds rare amphibian family

NEW DELHI: In a rare scientific feat being described as the 'discovery of the year', a team of scientists led by a Delhi University professor, S D Biju, has found a new family of legless amphibians commonly known as caecilians. The new family has been named Chikilidae, consisting of tailless burrowing caecilians which evolved separately from other caecilian species more than 140 million years ago. Its closest relatives are found in Africa, which shows that it existed before the Indian subcontinent broke away from the African landmass. The remarkable discovery, set to be published in the upcoming issue of Proceedings of Royal Society of London, came after massive soil-digging surveys in about 250 localities spread over five years in each Northeast Indian state. The work is the most extensive systematic programme of dedicated caecilian surveys ever attempted. (Source: TOI, Feb 22, 2012)

For comments and archives

Biju's feat lauded as 'giant surprise'

NEW DELHI: The international scientific community has termed the discovery made by DU professor S D Biju and his team a rare achievement and another giant surprise from India. Darrel Frost, curator-in-charge, department of herpetology, American Museum of Natural History, New York, said it was not just luck but a result of determination, scientific acumen, muscle and sweat. Don Church, president and director of Wildlands Conservation, Global Wildlife Conservation, US, called the discovery fascinating. (Source: TOI, Feb 22, 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

Drug-eluting stent approved for diabetics

The FDA has approved the Resolute Integrity drug-eluting stent (DES), the first such stent to carry an indication for use in diabetics with coronary artery disease, according to a statement from the manufacturer. (Source: Medpage Today)

For comments and archives

Mifepristone wins nod for use in Cushing's disease

Mifepristone, best known as the "abortion pill" once called RU-486, has been approved for treating hyperglycemia associated with endogenous Cushing's disease, the FDA said. The drug will be sold for this purpose under the brand name Korlym, by Corcept Therapeutics of Menlo Park, Calif. Because only about 5,000 patients are believed to be eligible for treatment, mifepristone is considered an orphan drug for this indication and Corcept will have seven years of exclusive rights to market the agent for Cushing's disease. (Source: Medpage Today)

For comments and archives

Diabetes may originate in gut

WASHINGTON: In what could be hailed as a possible breakthrough, scientists claim to have found evidence which suggests that diabetes may originate in the gut. A team at Washington University School of Medicine says its research has shown that problems controlling blood sugar - the hallmark of diabetes - may begin in the intestines, contrary to longheld theories about causes of the disease. (Source: TOI, Feb 17, 2012)

For comments and archives

Group exercise for the brain helps dementia

Mentally stimulating group activities -- including such things as discussion groups, games, and gardening -- boost cognition in mild to moderate dementia, a Cochrane review determined. (Source: Medpage Today)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: #AJD Clinic prevalence and risk analysis of early-onset T2DM among rural Indian Diabetic population.AJD Vol 13 No... fb.me/1CB4sHnYu

@DeepakChopra: No matter how many possibilities turn into reality, an infinite number still remain.

 
    Spiritual Update

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

The Conflicts between Ayurveda and Allopathy

According to Charaka Samhita, the Bible of Ayurvedic text, one should not take curd, a predigested fermented food, in the night. This rule of Ayurveda has created a lot of controversy between doctors of Ayurveda and modern system of medicine. In fact, both Chinese and Ay

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How do the androgens affect our hair growth?

Androgens are present in both men and women, but men have much higher levels. In men, androgens are produced primarily by the testes and the adrenal glands. In women, androgens are produced by the ovaries and the adrenal glands. To some degree, estrogen reduces the effect of androgens in women. If your hair follicles are sensitive, androgens may cause some vellus hairs to change to terminal hairs and cause the terminal hairs to grow faster and thicker. Once a vellus hair has changed to a terminal hair, it usually does not change back. Androgens increase sebum production, which results in oily skin and acne. Excess androgens can cause irregular or absent ovulation and menstruation. Extremely high androgen levels, such as when a tumor is present, may cause male-like balding, deepening of the voice, increased muscle mass, enlargement of the clitoris, and decreased breast size

For comments and archives

 
   An Inspirational Story

(Ms Ritu Sinha)

How to Pray with God's Way

Please teach me; Lord...I want to know exactly how to pray. I need some words, which ones are right? Please tell me what to say. I've bowed my head I have knelt down, but... should I be upright? I've closed my eyes, I've raised my hands, or... should I fold them tight?

Do I stand up? Should I sit down? Dear Lord... what do you like? Are lights turned on or are they off? Maybe... candle light? Wear my glasses? Take them off? Be at my desk or table? Should I whisper? Speak out loud? Do I quote the Bible? What do you think about the time? Do you prefer the dawn? Should I pray fast, or keep it slow? Better short... or long? I'm new at this what are the rules? I want to do it right.

How do I know you’ll even hear that I am in your sight? And while I sat there quietly, waiting for some sign, I heard a gentle voice say, "Oh, dearest child of mine... Do you think I really care about the time of day, or whether you are standing up, or kneeling when you pray?"

"I don't care about your posture, or about the place you choose; just open up your soul to me, I have no other rules. Tell me what is in your heart, and tell me what you seek; tell me of your sorrows, And of those things that made you weak." "Speak to me in private about what concerns you most; I know about your good deeds... You have no need to boast.

My child, you don't need lessons, Just talk to me each day; Tell me anything you want, dear child, anyone can pray."

For comments and archives

   Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Obesity inhibits brain function

Because the brain controls the hunger and fullness signals, which control food intake, many medical experts and researchers have postulated that the cause of weight gain has to do with the brain function. Researchers at the University of Turku in Finland studied a group of 19 morbidly obese patients and a control group consisting of 16 normal weight individuals. Researchers measured the brain circuits involved in hunger and eating with different brain imaging methods (such as fMRI and PET scanning). The study results revealed that in obese versus lean individuals, brain activity was significantly higher in certain brain regions which are involved in processing of rewards. Additionally, obese subjects' reward system responded more strongly to photos of foods and desserts, but the brain regions that dictate control were less active than usual. This study shows that the brains of obese individuals might lead them to feel hungry and consume additional food, even when they're not actually hungry.

For comments and archives

 
   Cardiology eMedinewS

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

Unani Medicine - An Approach To Preventive Cardiology In The Light Of Avicenna's Book

Read More

Drug Treatment Of Dyslipidaemia: What Comes After Statins?

Read More

New Anticoagulant Therapy For Patients With Atrial Fibrillation

Read More

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

Read More

 
   Pediatric eMedinewS

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

Fish Oil For Heart Risk Tiny Babies

Read More

Dog Therapy in Waiting Rooms Calms and Eases Pain

Read More

Exercise, Regardless Of Amount Of Sedentary Time, Improves Risk Factors In Kids

Read More

 
    Legal Question of the Day

(Dr MC Gupta)

Q. A gynecologist performs an elective laparoscopic cholecystectomy. The patient dies. Will the anesthesiologist share some blame?

Ans.

  1. In this case the complainant is likely to make the anesthetist a co-accused along with the gynecologist and the hospital.
  2. The medical council or the consumer court are likely to hold that it was wrong and against common sense and against code of medical ethics for a gynecologist to perform such an operation which was totally out of her call of duty and competence.
  3. The complainant’s lawyer is likely to allege collusion between the two doctors to the detriment of the interests of the patient. It would be argued that the anesthetist knew that the credentials of the operating surgeon for the particular type of surgery were suspect.
  4. My reasonable guess is that both the medical council and the consumer court are likely to apportion some blame to the anesthesiologist.

For comments and archives

 
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    IJCP Special

Dr Good Dr Bad

Situation: A patient with migraine and palpitations came for treatment.
Dr. Bad: No drug is needed.
Dr. Good: Take Verapamil.
Lesson: Verapamil is frequently used as a first choice for preventive migraine therapy because it is easy to use and has fewer side effects.

For comments and archives

Make Sure

Situation: A patient developed fainting attack after sublingual nitrate.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with LVOT obstruction are not given sublingual nitrates.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

If I had a rose for every time I thought of you, I'd be picking roses for a lifetime. Swedish Proverb

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Normal platelet count

The normal platelet count in adults ranges from 150,000 to 450,000/microL, with mean values of 237,000 and 266,000/microL in males and females, respectively.

 
    Mind Teaser

Read this…………………

Which of the following statements is correct with regard to gastric bypass for obesity?

a. Rapid weight loss following successful gastric bypass for obesity is associated with an increased risk of developing cholelithiasis.
b. Marginal ulcer develops in 25% of gastric bypass patients.
c. Vitamin B12 deficiency is a potential complication of gastric bypass due to gastric mucosal atrophy. d. Anastomotic leak after gastric bypass surgery (weight loss procedure) is often heralded by bradycardia.

Yesterday’s Mind Teaser: Jejunoileal bypass surgery has now been abandoned. Which of the following is true following jejunoileal bypass?

a) Kidney stones occur with increased frequency due to increased absorption of pyruvate from the colon.
b) The most serious complication of jejunoileal bypass is development of cirrhosis due to protein calorie malnutrition.
c) Bacterial overgrowth in the bypassed segment can be treated with oral vancomycin

Answer for yesterday’s Mind Teaser: c) Bacterial overgrowth in the bypassed segment can be treated with oral vancomycin

Correct answers received from: y. J. Vasavada, Prof. Chetana Vaishnavi, Dr.NeelamNath. Anil Bairaria, Muthumperumal Thirumalpillai, Prabha Sanghi, Dr. Thakor Hitendrasinh G.

Answer for 22nd February Mind Teaser: d. Antiretroviral therapy
Correct answers received from:Dr. Rakesh Bhasin, Dr Avtar Krishan, Dr SK Biswas, Dr Rajammal, Dr Chandra Pal Singh

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Classroom Smarts

Kids are smarter than they used to be. And they do say the dandiest things! Check out the following wisecracks and wisdom and be the judge!

Teacher: How old were you on your last birthday?
Student: Seven.
Teacher: How old will you be on your next birthday?
Student: Nine.
Teacher: That's impossible.
Student: No, it isn't, Teacher. I'm eight today.

 
    Medicolegal Update

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

Antemortem vs postmortem injury

  • The injuries which are received in the body prior or before death is called the antemortem injury in medicine. These injuries may be a contributing factor in the death or even its cause however on the other hand, they may have occurred many days/months or years ago too.
  • During the autopsy, surgeon assesses the age of antemortem injuries, as well as distinguishes them from postmortem injuries, which occur after death. Postmortem injury can be from various sources such as deliberate mutilation of a body by a murderer following a homicide, predation by wild animals, or careless handling in the mortuary. Postmortem injuries can cause confusion over the manner and cause of death.
  • One major difference between an antemortem and a postmortem injury is the presence of signs of bleeding. While the person is still alive, the blood is circulating and any injuries such as cuts or stabs will bleed. After death, the body usually does not bleed. However, there are exceptions. For instance, when a person drowns, their body usually floats face down and these results in the head becoming congested with blood.
  • Careless handling of a cadaver may produce some post-mortem bruising which may need to be distinguished from ante mortem bruising. Blood also tends to pool under gravity after death, causing a bruised appearance in the lower limbs, arms, hands, and feet known as discoloration. Some of the smaller vessels may even hemorrhage under the pressure of this pooled blood. These bruises could be confused with antemortem bruising.
  • If the cadaver receives a head injury by colliding with blunt object/force, then there could be some evidence of bleeding. Scalp wounds sustained after death may also leak some blood. It can be especially difficult to distinguish between injuries inflicted in the very last few minutes of life and those caused postmortem. If the person collapses, there may be areas of laceration to the head and scalp which may be very hard to interpret.
  • Recent research has focused on improved techniques for distinguishing between an ante mortem and a postmortem injury by analyzing damaged tissue. Antemortem injuries show signs of inflammation, while postmortem injuries do not. Some research suggests that tissue from ante mortem injuries contains a chemical involved in inflammation leukotriene B4 (LTB4). Postmortem injuries were found to have no LTB4. This could help in more accurate assessment of injuries.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

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

A musical concert in memory of Jagjit Singh by Doctors

New Delhi: Thursday, 23 February 2012: Heart Care Foundation of India, Hum Khayal and eMedinewS through a musical concert plan to spread awareness about brain haemorrhage. To commemorate this event, the Foundation will be hosting a musical concert on 13th March at Sirifort Auditorium. This concert will be dedicated to the loving memory of noted Ghazal Maestro Late Shri. Jagjit Singh, who recently died of brain haemorrhage.

The major attractions of the evening will be the performances by Shri. Tauseef Akhtar noted Bollywood Music Director and Singer par excellence. He himself was fortunate to be a close associate and a disciple of Shri. Jagjit Singh. He will be joined by noted Bollywood Playback and Sufi Ghazal Artist Mrs. Neerja Pandit. It will be an evening to remember as it will be graced by the glitterati of Delhi along with renowned Medical Doctors, Politicians and an esteemed guest list of around 1000 guests.

On the occasion of awareness drive for Brain Haemorrhage there will be an address speech emphasizing the Prevention and Awareness of Brain Haemorrhage.

Addressing a press conference in the city here today Padma Shri and Dr B C Roy National Awardee Dr. K. K. Aggarwal and Ms. Geeta Thakur Roshni, founding member Hum Khayal, said that the event “Yadein: Remembering Jagjit Singh” is being dedicated to reducing deaths due to preventable brain haemorrhage.

Dr Aggarwal said that a person with pre-hypertension, systolic or upper blood pressure between 120-140 mmHg and diastolic or lower pressure between 80-90 mmHg, is more than three times likely to have a heart attack and 1.7 times more likely to have heart disease than a person whose blood pressure is lower than 120/80 mmHg.

The press was co addressed by Mr. Ghulam Ali, renowned Ghazal singer, Mr. Kapil Dev, former Indian Cricketer & Captain and Ms. Uma Sharma, noted Kathak Exponent & Mr. Ashok Pandit, film director & social activist.

Following messages were released:

  1. Research has shown that if pre-hypertension is aggressively treated, 45% of all heart attacks can be prevented.
  2. Benefits of lowering BP are reduction of stroke incidence by 35-40%; heart attack by 20-25% and heart failure by 50%.
  3. A 5 mm reduction in diastolic lower blood pressure can reduce heart disease risk by 21%.
  4. If we can eliminate pre hypertension from the society, we can prevent about 47 % of all heart attacks.
  5. Lifestyle changes such as weight control, regular physical activity and changes in diet are recommended for people with pre-hypertension.
  6. The importance of pre-hypertension has been enlisted as one of the top 10 recent advances in cardiology.
 
    Readers Response
  1. Dear Sir, eMedinews is very entertaining and informative newsletter. Regards: Dr Anupama
 
    Forthcoming Events

eMedinewS, Board of Medical Education Moolchand, Homeopathic Cardiologists of India (HCI) and Heart Care Foundation of India (HCFI)

Presents

Clinical Communication Skills – Emerging Backhand & Designer Doctors

Faculty: Dr Vivek Chhabra, Specialty Doctor in Emergency Medicine, UK, James Paget University Hospital
Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal
Date and Time: 1st March, 2012, Thursday, 1–4 PM
Venue: Moolchand Medcity

Topics
1. A real life story
2. Structures for learning clinical communication skills?
a. Calgary – Cambridge Guide – the elective model,
b. A.S.S.I.S.T. model – the emergency model,
c. I.C.E. model – to complement above models
4. Jargon of communication skills
5. How these skills help mastering risks or adverse outcomes?
6. Institutional mechanism of designing a communication skills Programme by:
a. Simulation scenarios like – Information gathering, explanation and planning, – Apologizing when mistakes are made, – Managing anger and complaints, – Mental health and consent, – Breaking bad news (can do interactive session here)
b. Feedback via Pendleton’s rules and ALOBA techniques
c. Technology, collaborations, insurances and innovations
7. Transactional Analysis & Herrmann Brain Dominance Instrument – Impact on Communication (can do two interactive sessions here)
8. Emerging Medico–legal obligations, MCI remit, Media judgments

Heart Care Foundation, Hum Khayal and eMedinewS

Presents

"Yadein"

A musical concert in the memory of legendary Ghazal Maestro Late. Shri. Jagjit Singh

Performances by: Shri. Tauseef Akhtar noted Bollywood Music Director and Singer and noted Bollywood Playback and Sufi Ghazal Artist Mrs. Neerja Pandit

Special Guest: Ghazal maestro Shri Ghulam Ali, Kathak exponenet Ms. Uma Sharma, film-maker and social activist Mr. Ashoke Pandit.

This show will be anchored by noted Theatre, Film and Television Writer–Director Shri. Raman Kumar.

PROGRAMME

Date: 13th March, 2012,
Venue: Siri Fort

RSVP: Padmashri and Dr B C Roy National Awardee Dr. K.K Aggarwal, President Heart Care Foundation of India

Ms. Geeta Thakur Roshni, Founder President, Hum Khayal

Confirm: Rekha, SMS: 9899974439, rekhapapola@gmail.com

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

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

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