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  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 …

eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

24th March 2013, Sunday

When is your doctor at fault while prescribing antibiotic?

  • Prescribes antibiotics when no bacterial infection exists.
  • Prescribes the wrong antibiotic or the wrong dose.
  • Prescribes antibiotics for longer than necessary.
  • Prescribes strong antibiotics, when a less strong would be as effective.
  • Prescribes an expensive antibiotic when a cheaper but equally effective antibiotic is available.

You are at fault when

  • You demand antibiotics even when the doctor thinks it is unnecessary
  • You buy an antibiotic without prescription.
  • You buy an antibiotic without a bill
  • You stop antibiotics as your symptoms start improving and you do not take a full course of antibiotics.
  • When you change brands without the doctor’s knowledge.

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

Intensive medical treatment prevents second stroke not intracranial stenting

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A symposium on prayer, faith, meditation and healing was organised by Heart Care Foundation of India jointly with Bhartiya Vidya Bhavan at Bhavan’s Auditorium. Speakers from various religions participated in the symposium.

Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India moderated the session

Dr K K Aggarwal
    National News

17 per cent of urban India lives in slums: Census

NEW DELHI: Nearly one in every six urban Indian residents lives in a slum, newly released Census data shows. The new numbers are significantly lower than the slum growth that had been projected for India. "Our own projections were that the all-India slum population would be 27.5% by 2011, so the new data comes as a pleasant surprise," Arun Kumar Misra, secretary in the ministry of housing and urban poverty alleviation, said. The slum populations in individual cities like Mumbai was also lower than expected, Mishra said.

The census defines a slum as "residential areas where dwellings are unfit for human habitation" because they are dilapidated, cramped, poorly ventilated, unclean, or "any combination of these factors which are detrimental to the safety and health", registrar general of India C Chandramouli said.

Roughly 1.37 crore households, or 17.4% of urban Indian households lived in a slum in 2011, data released by the registrar general and census commissioner's office showed. The new data is difficult to compare with previous years, because the 2011 Census covers all 4,041 statutory towns in India, as compared to 2001 when only statutory towns with population over 20,000 were covered. The 2001 data had set India's slum population at 15% of the total population.

The census counted slums notified under various acts, those recognized by governments but not notified, and those that were in no way accepted by state governments, but fit the definition of a slum. Housing and urban poverty alleviation minister Ajay Maken said that the high proportion - over 37% - of slum households in this last, unrecognized, category was a serious problem, and committed to his ministry extending benefits like the Rajiv Awas Yojana to such slums too. "State governments are unwilling to admit to their being more slums in their cities because then they will have to provide these slums basic services like water and drainage," Maken said.

With the exception of sanitation, the indicators on housing amenities for slum and non-slum households in most of India are more similar than most would expect. Over 77% are permanent and 70% are owned, and not rented. Close to half are made up of just one room and most are home to one married couple.

Over 70% of slum households get their water from a tap but just half get water inside their homes. Over 90% get electricity and most use LPG for cooking; 70% have a TV and 10% even a computer. The census data seems to indicate that the "more cellphones than toilets" line might be wrong for urban India: two out of three slum households have a toilet within the premises, while slightly fewer have a mobile phone. (Source: TOI, Mar 22, 2013)

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Working definition of child abuse

Child abuse refers to the intended, unintended and perceived maltreatment of the child, whether habitual or not, including any of the following:

  • Psychological and physical abuse, neglect, cruelty, sexual and emotional maltreatment.
  • Any act, deed or word which debases, degrades or demeans the intrinsic worth and dignity of a child as a human being.
  • Unreasonable deprivation of his/her basic needs for survival such as food and shelter, or failure to give timely medical treatment to an injured child resulting in serious impairment of his/her growth and development or in his/her permanent incapacity or death.

For comments and archives

    Valvular Heart Disease Update

Valvular thickening or sclerosis of the aortic and mitral valve is a frequent occurrence in hemodialysis patients and occur in 55 to 69 percent of individuals.

(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)

Umbrellas may shield you from more than rain: Study

If it's streaming sunshine outdoors and the sunscreen isn't handy, an umbrella could help shield skin from ultraviolet (UV) rays, according to a new study by dermatologists at Emory University in Atlanta. They found that any fully-functioning handheld umbrella can block more than three-quarters of UV light on a sunny day. Black ones seem to do the job especially well, blocking at least 90% of rays. (Source: Medscape)

Promising new targets identified in early AD

A soluble amyloid-ß (Aß) oligomer labeled Aß*56 that's so tiny it's invisible even under a microscope but can be diffuse throughout the brain may be a more promising target than amyloid plaque for future drug trials in Alzheimer's disease (AD), a new study suggests. (Source: Medscape)

Postpartum depression underidentified, undertreated

Postpartum depression is increasingly common, new research suggests. In a study of 10,000 women who had recently given birth, 14% — or roughly 1 in 7 — screened positive for recurrent episodes of major depression. And of these, more than 19% reported having considered harming themselves. (Source: Medscape)

Mental illness not a barrier to weight loss

Overweight and obese individuals with serious mental illness who participated in a behavioral intervention were able to significantly reduce their weight, a randomized trial showed. (Source: Medpage Today)

FDA sends cystic fibrosis treatment back for more study

The US Food and Drug Administration (FDA) has completed its review of Pharmaxis' New Drug Application (NDA) for its dry powder formulation of mannitol (Bronchitol, Pharmaxis) and has recommended that the company conduct an additional study to obtain marketing approval in the US, Pharmaxis announced today. (Source: Medscape)

    Twitter of the Day

@DrKKAggarwal: Granting pardon Dr K K Aggarwal. If the law is clear that under Section 25 (1 A) of the arms act that after (cont) http://tl.gd/n_1rjcjbh

@DeepakChopra: I feel an unpleasant sensation in my forehead while meditating. Do u know the cause? My #askdeepak reply http://tinyurl.com/bwthvvg

    Spiritual Update

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

You can reverse heart disease

Every cell in the body eventually dies and replaced by new cell. Every day is a new opportunity to build a new body. The entire body totally rebuilds itself in less than two years with 98% in less than one year.

For comments and archives

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

Is infertility more common in any particular group? For example, IT industry, BPO sector, highly competitive and career minded people or any other group.

People in the cities are definitely more prone to it as their stressful lifestyle and long working hours do not allow them to have contact at the right time with the desired frequency. Most cases are from people working in the BPO industry.

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

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

False Negatives

Positive DAT - Rh HDN - blocking D antigen sites - elute and retype

For comments and archives

    An Inspirational Story

Teen Mental Health

Being a teenager is hard. You're under stress to be liked, do well in school, get along with your family and make big decisions. You can't avoid most of these pressures, and worrying about them is normal. But feeling very sad, hopeless or worthless could be warning signs of a mental health problem.

Mental health problems are real, painful and sometimes severe. You might need help if you have the signs mentioned above, or if you

  • Often feel very angry or very worried
  • Feel grief for a long time after a loss or death
  • Think your mind is controlled or out of control
  • Use alcohol or drugs
  • Exercise, diet and/or binge-eat obsessively
  • Hurt other people or destroy property
  • Do reckless things that could harm you or others
  • Mental health problems can be treated. To find help, talk to your parents, school counselor or health care provider.

For comments and archives

    Cardiology eMedinewS

Midlife stroke a harbinger of early death Read More

Whole world uses too much salt, study finds Read More

    Pediatric eMedinewS

Catheters threaded closer to heart pose fewer risks for kids Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

Can a lactating mother be given antirabies vaccination?

Modern Anti-rabies vaccines being used now are Tissue Culture Vaccines (TCV) inactivated by beta-propiolactone (BPL) and can safely be given to a lactating mother.

    IJCP Special

Dr Good Dr Bad

Situation: A patient wanted to know if the cost of the spectacles would be covered by Mediclaim after cataract surgery.
Dr. Bad: It will be covered.
Dr. Good: It will not be covered.
Lesson: Mediclaim does not cover the cost of spectacles, contact lenses, hearing aids.

Make Sure

Situation: A known epileptic child died of a seizure while swimming.
Reaction: Oh my God! Why was he allowed to swim?
Lesson: Make sure that patients with uncontrolled epilepsy are not allowed to swim.

    Quote of the Day (Dr GM Singh)

A true friend is one who overlooks your failures and tolerates your success! Doug Larson

    Mind Teaser

Read this…………………

A male client with acute pyelonephritis receives a prescription for co-trimoxazole (Septra) PO twice daily for 10 days. Which finding best demonstrates that the client has followed the prescribed regimen?

a. Urine output increases to 2,000 ml/day.
b. Flank and abdominal discomfort decrease.
c. Bacteria are absent on urine culture.
d. The red blood cell (RBC) count is normal.

Yesterday’s Mind Teaser: A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?

a. Chlamydia
b. Gonorrhea
c. Genital herpes
d. Human papillomavirus infection

Answer for Yesterday’s Mind Teaser: b. Gonorrhea

Correct answers received from: Dr Jella, Arpan Gandhi, Dr PC Das,
Dr KV Sarma, Anil Bairaria, Dr Kanta Jain, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G.

Answer for 22nd March Mind Teaser: c. Limiting fluid intake

Correct answers received from: Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G.

Send your answer to ijcp12@gmail.com

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   Laugh a While (Dr GM Singh)

A woman and a man are involved in a car accident on a snowy, cold Monday morning; it's a bad one. Both of their cars are totally demolished, but amazingly neither of them is hurt.

God works in mysterious ways. After they crawl out of their cars, the man is yelling about women drivers. The woman says, 'So, you're a man. That's interesting. I'm a woman. Wow, just look at our cars! There's nothing left, but we're unhurt. This must be a sign from God that we should be friends and live in peace for the rest of our days. Flattered, the man replies, 'Oh yes, I agree completely, this must be a sign from God! But you're still at fault, women shouldn't be allowed to drive.'

The woman continues, 'And look at this, here's another miracle. My car is completely demolished but this bottle of wine just fine didn't break. Surely God wants us to drink this wine and celebrate our good fortune.'

She hands the bottle to the man. The man nods his head in agreement, opens it and drinks half the bottle and then hands it back to the woman. The woman takes the bottle, puts the cap back on and hands it back to the man. The man asks, 'Aren't you having any?'

The woman replies, 'No.. I think now I'll just wait for the police.........' And

When the police came, he smelled the wine out of the mouth of the man.....

Moral of the story: Women are clever n smart creations of God. Don't mess with them okay?

    Medicolegal Update

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

World Medical Association Declaration on Principle-Undergraduate Medical Education & faculty

The goal of medical education is to educate physicians who are entitled and consistent with their training to practice the profession without limitation. Medical Education leading to the first professional degree must be conducted by an organized faculty and the faculty must possess the appropriate academic qualifications that can only be achieved through formal training and experience.

The first professional degree should represent completion of a curriculum that qualifies the student for a spectrum of career choices, including patient care, public health, clinical or basic research or medical education. Each career choice will require additional education beyond that required for the first professional degree.

The research to advance medical knowledge and the provision of the highest quality of care must occur in academic settings to demonstrate the highest medical standards.

The content, format and evaluation of the educational experience provided are the responsibility of the faculty with participation of National Medical Associations.

The faculty is responsible for providing its own obligatory basic curriculum in an academic environment of freedom in which learning and inquiry can thrive in a maximal way.

Frequent reviews of the curriculum, allowing for the needs of the community and for input from practicing physicians should be conducted by the faculty,

The proper administrative structure and academic records must be maintained. When the necessary elements are available the clinical education of practitioner and specialist can be sponsored by either a university or a hospital.

(Adopted by the 39th World Medical Assembly Madrid Spain, October 1987)

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Blue and Green Holi Colours may be Dangerous

Use only natural herbal colors to play Holi as other colors can be toxic and cause serious health hazards said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

An alternate way is to use chandan ka tika. The deeper meaning behind the festival is to remove internal dirt from the body by spreading love and affection.

Chemical colours, bhang and the indiscriminate use of alcohol, all can lead to health hazards.

An earlier study from AIIMS has shown that green or bluish-green colours are associated with higher incidence of ocular toxicity.

In fact most “pleasing to eye” colours available in the market are toxic and could cause serious disorders.

Malachite green is extensively used in Holi and if it enters the eye, it can cause severe eye irritation with epithelial defect upon exposure, though malachite green usually does not penetrate through the cornea.

Colours often contain cheap inorganic chemicals like mica, acids, alkalis, pieces of glass, which not only cause abrasions, irritation or itching in the skin, but can also impair vision, cause respiratory problems and also cancer.

The alkaline base of these colours can cause injuries, the severity of which depends upon the area of contact and the degree of penetration.

Broadly, three categories of colours are available in the market — pastes, dry powders and water colours. The hazard increases when these are mixed with oil and applied to the skin.

Most inorganic dry colours or gulals have two components — a colorant which may be toxic and a base, which could be asbestos or silica, both of which are capable of causing health hazards. While silica dries as well as chaps the skin, asbestos that is a known human carcinogen, can result in cancer.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 31322 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

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