Head Office: E–219, Greater kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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

  Editorial …

24th March, 2011,Thursday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

24th March is World TB Day

The theme of World TB Day 2011 — "On the move against TB: Transforming the fight towards elimination"— reflects renewed momentum to approach the global problem of tuberculosis with greater intensity and seriousness of purpose. This growing interest is broad–based, emerging from leaders in public health to laboratory scientists, from physicians to activists.

Today, about one–third of the world's population is infected with Mycobacterium tuberculosis (Mtb), the bacterium that causes TB. Most people have no symptoms because the bacterium is inactive, or latent, but individuals with symptoms of active TB disease can infect others. According to World Health Organization (WHO) estimates, in 2009 more than 14 million people had active TB, leading to 1.7 million deaths, or 4,600 deaths each day. Among people infected with the bacteria, those who have certain other conditions, such as HIV/AIDS and diabetes, are more likely to develop active TB and to die from it. Because of this deadly synergy, TB has become the leading cause of death among people with HIV/AIDS.

Although TB control programs have led to a decline in cases worldwide, the emergence and spread of drug–resistant strains of Mtb challenge the way we currently approach TB diagnosis and treatment. Extensively drug–resistant TB, while relatively rare, has been confirmed in 58 countries, including the United States, and likely is present in many more. It has become necessary not just to identify the infection but also to determine the proper therapy for patients at the earliest stages of disease.

Recent developments have created confidence that TB control strategies can be improved to stay abreast of the changing nature of the pandemic. For the first time in decades, a robust pipeline of candidate TB drugs, vaccines, diagnostics, and treatment and prevention strategies are being evaluated in clinical trials. WHO recently endorsed a diagnostic test that enables health care providers to identify drug–resistant TB directly from patient specimens within about two hours rather than waiting months for a conclusive diagnosis. Drugs are being developed that, when combined in novel ways, may significantly improve the way we treat patients with TB. Vaccines are being developed that may one day prevent the disease, even in persons who are already infected with Mtb.

While such advances are crucial to improve patient care, a true transformation in the fight against TB can occur only if we simultaneously deepen our understanding of TB as a disease. For example, a noninvasive means to determine whether an individual is containing the infection or progressing to active disease — what’s called a biomarker — would be of enormous benefit to patient care and for conducting clinical trials of therapies and vaccines. Additionally, although 90 percent of people infected with Mtb never develop active disease, latent TB infection remains largely mysterious. Increasing our knowledge in these and other fundamental areas is a research priority. (Source NIH)

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

Rheumatoid arthritis Update

Dr Harvinder S Luthra Speaks on
‘Synovial membrane’

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Medifinance Conference On Portfolio Management for Doctors and update on Budget 2011

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal expressing his views on Medifinance in the recently concluded Medifinance Conference organized at Auditorium, Delhi TB Association, Lodhi Road, New Delhi on 13th March 2011.

Dr K K Aggarwal
    National News

Lady doctor receives sword of honour, makes history

In a colourful ceremony, 92 medical graduates were commissioned into the Armed Forces Medical Services at the passing out parade (PoP) ceremony held by the Armed Forces Medical College (AFMC) on Friday. Chief guest Lt Gen Naresh Kumar, officiating director general of the Armed Forces Medical Services (DGAFMS), commissioned the graduates into the medical services and also reviewed the parade. History was made when Surgeon Sub–Lieutenant Shikha Awasthi became the first lady doctor to receive the sword of honour. She was also the first graduate to be decorated with all three top honours awarded by the college, namely the sword of honour, president’s gold medal and the Kalinga trophy. (http://www.dnaindia.com/mumbai/report_lady-doctor-receives-sword-of-honour-makes-history_1521774)

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

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

Exercise is good medicine for preventing and reducing an angry mood

Numerous studies have examined the positive effects of exercise on improving mood. However, little research has been designed to investigate the effect of exercise on feelings of anger. A recent study presented at an Annual Meeting in Baltimore discovered that exercise might have a beneficial affect on anger in men. A research team assessed angry mood and emotions in 16 collegiate men high in "trait anger." The subjects viewed anger–inducing scenes before and after 30 minutes of leg–cycling exercise at 65 percent of their maximal oxygen uptake. The investigators measured oscillatory brain activity, the event–related late–positive potential (LPP), and self–reports of anger intensity during picture viewing. "The major novel finding from this study is that exercise protected against angry mood induction, almost like taking aspirin to prevent a heart attack," said lead investigator Nathaniel Thom, Ph.D., a stress physiologist.

(Dr GM Singh)

My blood pressure measurements at home are always higher than at my doctor’s office. Am I doing something wrong?

Blood pressure measurements that are higher at your home than at your doctor’s office could be caused by a decrease in stress at your doctor's office, or an error in measuring your blood pressure at home.
The opposite, higher blood pressure at your doctor’s office than at your home, is often called white–coat hypertension. This means that the stress or anxiety of being in your doctor’s office causes your blood pressure to be higher than it normally is at home, where you feel at ease.

Having lower blood pressure measurements at the doctor’s office than at home is called masked hypertension. Masked hypertension can occur if a calm, quiet environment at your doctor’s office is less stressful than the environment at home — leading to a lower blood pressure reading at the doctor’s office. Likewise, use of alcohol, caffeine or cigarettes at home can increase blood pressure.

Be sure that your home blood pressure monitor is accurate and that you’re using correct technique. If you’re not sure, ask your doctor. He or she may ask you to bring the home blood pressure monitor to the office. You may measure your blood pressure in one arm with the home monitor while your doctor measures your blood pressure in the other arm with the office equipment.

Still, some people consistently get different blood pressure readings outside the doctor’s office — even when blood pressure is measured correctly and repeatedly. If your home blood pressure readings are accurate and consistently higher than those at your doctor’s office, your doctor will likely manage your blood pressure based on the higher readings.

(Dr Monica and Brahm Vasudev)

Physician recommends testing all chemo patients for hepatitis B

Every cancer patient undergoing chemotherapy should be tested for hepatitis B virus (HBV) infection, according to Emmy Ludwig, MD, of Memorial Sloan–Kettering Cancer Center, who presented at the National Comprehensive Cancer Network (NCCN) conference. Testing allows "infected patients –– those with either acute/chronic infection or past exposure –– to be treated with prophylactic antiviral oral therapy, which is an ‘extremely effective’ means of preventing reactivation

FDA panel endorses brain aneurysm device

An FDA advisory panel has unanimously recommended approval of the investigational Pipeline Embolization Device to wall off large intracranial aneurysms in patients who are unlikely to respond to currently available treatments.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with sleep apnea wanted to know his cardiac risk.
Dr. Bad: There is no risk.
Dr. Good: There is a risk.
Lesson: Obstructive sleep apnea is associated with development of coronary artery diseases and heart failure.

Make Sure

Situation: An HIV patient died after sulfa prophylaxis.
Reaction: Oh my God! You should have known that he was sulfa sensitive.
Lesson: Make sure that patients with a history consistent with Stevens-Johnson syndrome and toxic epidermal necrolysis or an exfoliative dermatitis due to a sulfonamide drug should strictly avoid the culprit drug and other agents in the same sulfonamide group. Re–exposure to the same agent may be fatal.

    An Inspirational Story

(Dr Prachi Garg)

Rocks in the Bucket

Use this time management story to show how planning is the key to time management.

Start with a bucket, some big rocks enough to fill it, some small stones, some sand and water.

  • Put the big rocks in the bucket – is it full?
  • Put the small stones in around the big rocks – is it full?
  • Put the sand in and give it a shake – is it full?
  • Put the water in. Now it’s full.

The point is: unless you put the big rocks in first, you won’t get them in at all.

In other words: Plan time–slots for your big issues before anything else, or the inevitable sand and water issues will fill up your days and you won’t fit the big issues in (a big issue doesn’t necessarily have to be a work task – it could be your child’s sports–day, or a holiday).

    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

Do I need endometriosis surgery if I am already planning to pursue IVF?

The question of endometriosis surgery prior to IVF is a somewhat controversial area of reproductive medicine. Most reproductive endocrinologists do not recommend surgery prior to IVF unless the woman has advanced endometriosis, in particular, an ovarian endometrioma. IVF is associated with excellent pregnancy rates (even without surgery) in women who have only mild to moderate endometriosis. When advanced endometriosis is present, such as an ovarian endometrioma, its surgical removal prior to IVF may enhance the chances for a successful IVF outcome and may decrease infectious complications related to egg collection. Thus, in such cases, most reproductive endocrinologists often recommend the removal of advanced endometriosis prior to treatment using IVF.

    Hepatology Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

What is the severity of Hepatitis C infection?

HCV is an enveloped, single–stranded positive–sense RNA virus, belonging to the Hepacivirus genus within the flavivirus family. HCV genotypes are geographically clustered, HCV genotypes 1 and 2 being prevalent worldwide, genotype 3 most common in Australia and the Indian subcontinent, genotype 4 most common in Egypt, the Middle East, and central Africa, genotypes 5 and 6 are seen in South Africa and southeast Asia, respectively. WHO estimates that 3% of the world’s population is infected. Chronic HCV infection correlates with decrements in health related quality of life (HR–QOL) and cognitive functioning in adults; however, little is known about the impact of HCV infection in children.

    Vascular Disease Update

Dr. Rajiv Parakh, Chairman, Div of Peripheral Vascular & Endovascular Sciences, Medanta–The Medicity, Gurgaon NCR, Secretary General, International Society of Vascular Surgery, USA

My husband’s family doctor has advised my husband to wear a support stocking for his leg while working. What else can he do to help his leg swelling and pain. This is not enough.

You should first get a Doppler scan done to assess the condition. Once the diagnosis is established (Medication/stockings), treatment will be advised accordingly.

    ENT Update

(Dept Co–coordinator and Senior Consultant, Dept of ENT Moolchand Medcity)

What is choanal atresia? How does the child present?

Choanal atresia is narrowing or complete blockage of one or both posterior ends of nasal passages. It is a congenital problem. Bilateral complete choanal atresia is diagnosed at birth. As small kids are obligate nose breathers, children with bilateral choanal atresia develop respiratory distress and cyanosis which may improve with crying. To confirm, a red rubber catheter is passed through the nose which in case of choanal atresia cannot be passed to the oropharynx. Nasal endoscopy, CT scan or X–ray with radio–opaque dye in the nose will further confirm the diagnosis. Patients with unilateral atresia may present late with unilateral nasal blockage, discharge or difficulty in taking feeds. Choanal atresia needs to be corrected surgically and bilateral choanal atresia is an emergency situation requiring airway management through intubation followed by corrective surgery. Choanal atresia is one of the conditions of CHARGE syndrome, others being – Coloboma of eyes, Heart defects, Retardation of growth, Genital abnormalities and Ear anomalies or deafness.

    Medicolegal Update

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

Surgical error death

A UK survey has suggested that the damage to underlying structures is the commonest complication for which patients successfully sue surgeons.

  • The survey found that damage to veins, nerves, and other underlying structures accounted for nearly one third of 115 successful claims, with infection accounting for another 12%.
  • Patients also sued successfully after they were burnt by diathermy, after spirit–based skin preparations ignited, and after adverse reactions to iodine.
  • Retained items and failed or delayed diagnosis accounted for 8% and 7% respectively of successful medical negligence claims.
  • The retained items—which included a pair of forceps and a surgical pack after a hemorrhoid surgery occurred despite formal written procedures for swab and needle counts in operating theatres.
  • The top award was for £550000 ($880000) and was allocated to relatives of a patient with a history of deep vein thrombosis and pulmonary embolism who died of an embolism four weeks after elective surgery for varicose veins. The patient had received no anticoagulant treatment until two weeks after surgery.
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Obesity and pregnancy: complications

Maternal Morbidity – Miscellaneous

Obesity during pregnancy is also associated with a slightly higher risk of urinary tract infections and thromboembolic disorders.

    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: cotaxme

Answer for Yesterday’s Mind Teaser: Income tax.

Correct answers received from: Dr Muthumperumal Thirumalpillai, Dr Sudipto Samaddar, Dr K.Raju, Dr Chandresh Jardosh, Dr Madhusinha, Dr Rashmi Chhibber, Dr N C Prajapati, Dr Anil Bairaria, Dr Neelam Nath, Dr Rajiv Kohli, Dr Girish Kally, Dr Tara Natarajan, Dr Bina Sawhney, Dr Rakesh Bhasin, Dr. Amit Kochar, Dr. Anupam Sethi Malhotra, Dr. Manjesha.

Answer for 22nd March Mind Teaser
: Highway overpass
Correct answers received from: Dr Amol R Hartalkar, Dr U Gaur

Send your answer to ijcp12@gmail.com

    Lighter Side of Reading

Laugh a While
(Dr GM Singh)

A Large family

The mother of a large family was explaining why she dressed her children alike, right down to the youngest baby. "When we had just four children, I dressed them alike so we wouldn’t lose any of them." "Now," she added, looking around at her brood of nine, "I dress them alike so we won’t pick up any that don’t belong to us."

    Useful Website

(Dr Surendernikhil Gupta)


Open Access Article From The International Journal Of Epidemiology


    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


  • Increase in serum sodium (Hypernatremia): Conditions of water loss in excess of salt loss, as in profuse sweating, severe diarrhea or vomiting, polyuria (as in diabetes mellitus or insipidus), hypergluco– or mineralocorticoidism, and inadequate water intake. Drugs causing elevated sodium include steroids with mineralocorticoid activity, sodium bicarbonate, methoxyflurane etc.
  • Decrease in sodium (Hyponatremia): Conditions characterized by intake of free water or hypotonic solutions, as may occur in fluid replacement following sweating, diarrhea, vomiting, and diuretic abuse. Dilutional hyponatremia may occur in cardiac failure, liver failure, nephrotic syndrome, malnutrition, and SIADH. There are many other causes of hyponatremia, mostly related to corticosteroid metabolic defects or renal tubular abnormalities. Drugs other than diuretics may cause hyponatremia.
    Medi Finance Update

If payment of expenditure is made to relative, which is unreasonable as per the view of assessing officer, then will it be allowed as deduction?

If payment of expenditure has been made to relative and assessing officer is of the opinion that such expenditure is unreasonable as compared to fair market value, then the expenditure considered unreasonable may be disallowed.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Levosimendan Injection 2.5mg/ml
For the short term treatment of acutely decompensated chronic heart failure (ADHF) in situations where conventional therapy is not sufficient and in cases where ionotropic support is considered appropriate.
    IMSA Update

International Medical Science Academy (IMSA) Update

WHO Medical eligibility criteria for contraceptive use

The United States Centers for Disease Control (CDC) modified the World Health Organization (WHO) tables for medical eligibility criteria for contraceptive use. WHO recommendations were adapted for the US population and contraceptive methods not available in the US were removed.

(Dr Vinay Sakhuja)

Latin Quotes

Absque sudore et labore nullum opus perfectum est.

Without sweat and toil no work is made perfect.

  Quote of the Day

(Dr Vasant Shenoy)

It is error alone which needs the support of government. Truth can stand by itself. Thomas Jefferson

    Readers Responses

Dr KK Aggarwal, Editor in Chief,
e–Medinews Daily, E–219, Greater Kailash, Part 1, New Delhi–110 048, India.

I am writing this letter in connection with the recent ban of human placenta extract as a drug (vide REGD.No.D.L.–33004/99). This is to draw your kind attention that the research on human placental aqueous extract for its evaluation as a drug for wound healing had already been established globally. The extensive 12 yrs research work at Indian Institute of Chemical Biology, Kolkata (a unit of CSIR, India) produced many a number of scientific publications which glorified India at global scientific community.

‘Aqueous extract of Human Placenta’ is a very effective drug. It contains several bioactive therapeutic molecules. We (the team of Indian Institute of Chemical Biology, a unit of CSIR India) are working for the last 12 years with the extract the trade name is ‘Placentrex’ and identified different molecules with the potent therapeutic efficacy e.g. fibronectin type III peptide, NADPH, PDRNs (Polydeoxyribonuleotide fragments), small peptides with protease regulatory property etc (ref. www. Pubmed.com). We have been invited several times abroad (Europe, especially in France) to deliver lectures on Placentrex research findings. So far we have not found any adverse effect of the drug. DCGI recently put a ban on the drug without giving any explanation except the fact that this kind of drug is banned in US. It is ridiculous that thousands of drugs which are really toxic and banned in US and other countries are still exists in the Indian market. Regarding Placental extract, India is the forerunner in proper scientific and thorough clinical research.
Is it the policy of Govt. of India to ban a product which has been proved its unquestionable efficacy through extensive research work? Ironically this high quality research work has been conducted by a reputed research institute of CSIR, India.

  • The project on ‘Biochemical Characterization of the drug ‘Placentrex’ has been running successfully at this institute since 1999 with extension in every alternate year. A committee constituted by experts approved renewal of the project. Ours is a CSIR owned biomedical research institute of national importance. As per CSIR guidelines on human and animal ethics, it is not possible to undertake any research in the institute, which is hazardous or unsafe to human or animal health or the environment.
  • Two research scholars of IICB, Kolkata (Dept. of Structural Biology and Bioinformatics), Dr. Sangeeta Nath and Ms. Debashree De were awarded CSIR–senior research fellowship for continuation of their work on Placentrex in 2004 and 2007 respectively. The expert committee of CSIR, New Delhi, awarded fellowships after extensive reviewing of research proposals. The committee members were fully aware of the manufacturing of the drug.
  • Thesis describing research on Placentrex have been submitted to the Jadavpur University for the award of Ph.D. degree by the following students: Dr. Piyali Datta Chakraborty (2004) Dr. Sangeeta Nath (2006) Dr. Debashree De (2010) National and foreign examiners who are experts in the respective fields have evaluated these thesis. Nobody raised doubts about bio–safety of the starting materials.
  • Since 1999, in many occasions we presented research work in front of national and international audiences (see below). The question of safety of the drug has never been raised.

    Major events of presentations are:
    • Debashree De, Piyali Datta Chakraborty, Jyotirmoy Mitra, Somnath Mandal, and Debasish Bhattacharyya, Peptide Fraction Isolated from an Aqueous Extract of Human Placenta has Proteolytic Activity, 12th International Symposium of Biochromatography and Nanoseparations, Lyon, France, October 2010, at Ecole Centrale de Lyon.
    • Debashree De, Piyali Datta Chakraborty and Debasish Bhattacharyya, Interaction of lysozyme with human placental extract used as wound healer, presented in 10th International Symposium on Biochromatography, University of Sciences end Technologies, Lille, France, 2006.
    • Sangeeta Nath and Debasish Bhattacharyya, Regulation of collagenase activity in presence of placental extract used as wound healer, presented in 10th International Symposium on Biochromatography: University of Sciences end Technologies, Lille, France, 2006.
    • Piyali Datta Chakraborty, Debashree De and Debasish Bhattacharyya, Stabilization of trypsin against autodigestion by human placental extract used as wound healer, presented in 10th International Symposium on Biochromatography, University of Sciences and Technologies, Lille, France, 2006.
    • Piyali Datta Chakraborty and Debasish Bhattacharyya, Presence of fibronectin type III like peptide in human placental extract used as wound healer, presented in 9th International Symposium on Biochromatography, Bordeaux, France, 2004.
    • Piyali Datta Chakraborty and Debasish Bhattacharyya, Fingerprinting of the drug Placentrex by fluorescence EEM plots, presented in 9th International Symposium on Biochromatography, Bordeaux, France, 2004.
    • Piyali Datta, Gargi Maiti and Debasish Bhattacharyya ‘Antimicrobial activity of the drug Placentrex’, poster presented in National Symposium on Recent Challenges in Chemistry, Department of Chemistry, Tripura University, India, March 29–31, 2001. (First prizewinner).
    • Piyali Datta and Debasish Bhattacharyya, Human placental distillate as wound healer: Presence on NADPH oral presentation delivered in National Seminar on Harnessing Science and Technology for HEALTH FOR ALL with Special Reference to North–East India, Department of Pharmaceutical Sciences, Dibrugarh University, India, September 24–25, 2001
  • Once the germination period was over, we are publishing research articles on Placentrex since 2004, in different national and international peer–reviewed journals (see below). It should be noted that no journal would accept a manuscript until the ethical aspects like safety of products are satisfied. Thus it is clear that identified experts have endorsed the safety of the drug in a worldwide fashion. Significantly, a review article is also in print.

experts have endorsed the safety of the drug in a worldwide fashion. Significantly, a review article is also in print.
List of Publications on Placentrex:
Journal Year Country of origin
1. J. Pharma. Biomed. Res. (2004) USA
2. J. Pharma. Biomed. Res. (2004) USA
3. J. Chromat. B (2005) Netherlands
4. Current. Science (2005) India
5. Inter. Immunopharmacol (2006) UK
6. Indian J. Expt. Biol. (2007) India
7. J. Chromat. B (2009) Netherlands
8. J. Wound Care (2009) U.K. (Review article)
9. Physiol. Update (2009) India (review article)
10. J. Cell. Physiol. (2010) USA

In conclusion, it may be summarized that experts of biomedical research have approved the safety of the drug Placentrex worldwide since 1999 i.e., as long as we are associated with its research. None of these experts are beneficiaries of Placentrex research.

So the concern for safety of the drug does not stand on any foundation. Moreover, several clinical studies have also been done on it and these are also published in different peer–reviewed medical journals. Furthermore, from environmental point of view it has a great value of recycling of only human organ with high therapeutic potential. Placenta is treasure house of all bioactive molecules can never be synthetically generated.

It’s a demand for proper justice regarding reconsideration of banning of such a good product of India for the sake of the sufferer of chronic/non healing wounds, burn injuries and surgical trauma. This ban is very much unethical with all respect and must be reconsidered. Without knowing the actual fact banning of such a successful Indian formulation is a shame for the country itself.

This is for your information and public awareness. Thanking You, Sincerely, Dr. Piyali Datta Chakraborty, Ph.D. (Science)

    Public Forum

(Press Release for use by the newspapers)

World TB Day: Important health messages released by Heart Care Foundation of India

World Tuberculosis Day (also called World TB Day) commenced on March 24, 1982. To mark the World TB Day, Padma Shri and Dr BC Roy National Awardee Dr. K.K. Aggarwal and President, Heart Care Foundation of India released few facts on TB:

  • TB is curable. For complete recovery, full and adequate treatment of tuberculosis is important.
  • New case means a patient who has never had treatment for TB or one who has taken anti–TB drugs for less than one month.
  • Default means a patient who received anti–TB treatment for one month or more from any source and returns to treatment after having defaulted, i.e., not taken anti–TB drugs consecutively for two months or more, and who is found to be sputum smear–positive.
  • A minimum six months of treatment is required for a patient with tuberculosis. Even in pregnancy, tuberculosis requires full treatment. Do not ignore a cough of more than three weeks.
  • All cases of tuberculosis are not contagious. Even contagious tuberculosis can become non–infectious within one week of effective treatment. Only sputum–positive TB patients are infectious to others.
  • If the patient has not responded after 5 months of treatment, suspect a drug failure.
  • Relapse or re–infections can occur in a patient with TB. Relapse occurs when active TB develops within the first 2 years after successful completion of therapy.
  • Drug resistant TB cases should be handled by a specialist.
  • TB can occur any time in the course of HIV infection.
  • India has the largest number of tuberculosis cases in the world.
  • TB patients should dispose their sputum by burning, burying it in the soil or disinfecting them with a disinfectant.
  • Ten percent of HIV–positive patients will develop TB every year and 50% eventually.
  • An HIV–positive person is six times (50–60% life time risk) more likely of developing TB disease once infected with TB bacilli, as compared to an HIV–negative person, who has a 10% life–time risk.
  • Tuberculosis can be of lungs (pulmonary) or outside the lungs (extra pulmonary). In 85% of cases, lungs are involved.
  • MDR TB: MDR TB refers to M. tuberculosis that is resistant to at least two drugs, usually isoniazid and rifampin. Multi–drug–resistant TB requires at least 18–24 months of treatment with medicines which are 100 times more expensive and often highly toxic.
    eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. eMedinewS ebooks (This may take a few minutes to open)

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

FAQs Good Eating

  Towards Well Being

    Situation Vacant

Vacancy for a post of Consultant in Pediatric ICU at Medanta – The Medicity Hospital, Sector –38, Gurgaon.
Interested candidates may please contact: drneelam@yahoo.com/9811043475.

*Eligibility: Post MD/DNB/DCH

    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

March 25–27, 2011, 2nd Delhi Knee Course, at Sitaram Bhartia Institute of Science and Research. Dr. J. Maheshwari of Knee & Shoulder Clinic is the Course Director. Faculty includes knee surgeons from Switzerland, Austria, Singapore and US, in addition to experienced Indian surgeons. Contact 9717133885, 9811109833.


March 26–27, 2011, CME on Pediatric Hepatology – 2011 In association with Gastroenterology Chapter of IAP
Auditorium, Medanta – The Medicity, Gurgaon; Organizing Chairperson Dr Neelam Mohan, Director, Department of Pediatric Gastroenterology. No registration fee. Prior registration is must. For More information please contact: 09971018789/ 09717840850/ 09999669415/ 09899996682. Click


Sunday 3rd April, 2011, World Fellowships of Religions and Perfect Health Parade First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof on Global Warming, Ethnic Crises, How to be Healthy
Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM.
Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.
Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm. Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com


April 16–17, 2011, National Conference on Gynae–Endocrinology–2011 under aegis of FOGSI, ICOG and AOGD , Focus on newer advances in management of endocrinal problems in gynaecology with emphasis on PCOS, hyperprolactinemia, amenorrhoea, hormonal contraception. Gyne– endocrinology is a topic of high importance especially for practitioner. Detailed programme http://www.aiims.edu and http://www.aiims.ac.in
For details please contact: Prof Alka Kriplani, Organizing Chairperson, 9810828717 kriplanialka@gmail.com/Dr Nutan Agarwal, organizing Secretary, 9810107464/9868397310 nutan.agarwal1@gmail.com


May 7–8, 2011, National Seminar On Stress Prevention
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com


September 30 – October 02, 2011;XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Highlights of Pre – Conference CME: Case based learning experience & audience interaction, Maximum 250 delegates for CME will be accepted, who will be divided in 5 batches and will rotate to different halls every 90 minutes. The topics are:(A) Right heart pressures & functions (From basics to newer methods (RV anatomy, echo views, echo assessment of RV function, prognostic impact of RV function) (B) Carotid Doppler: How do i assess and interpret in my daily practice.: Technical tips (Anatomy of the vessel, views of ultrasound scanning, Normal & abnormal Doppler hemodynamics, how to measure IMT) (C) Valvular stenosis: Assessment, limitations and their solution: (Anatomy of the valves, 2–D findings of stenotic lesions, quantitation of lesion, limitations) (D) How do I assess and report ventricular dyssynchrony in my lab. (What is ventricular dyssynchrony, what are the types of dyssynchrony, in whom, when & why do we assess it, various echo methods to assess it ) (E) Live 3–D Echo: Protocol for acquisition. How to slice and get full information. Aim is that by end of the day, every participant is well conversant with all the topics
Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231/Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246
worldcon2011@in.kyoni.com, www.worldcon2011.org


ICC Cricket World Cup 2011

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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 Naveen Dang, Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta,