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 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 April 2012, Tuesday

Does folic acid improve immunity?

  • Folic acid is the synthetic form of folate, a B vitamin that occurs naturally in some foods, including vegetables, fruits and dried beans and peas and is essential for health.
  • Folate is vital for the production and maintenance of our bodies’ cells, especially during rapid periods of growth, such as pregnancy and infancy. It’s needed to make DNA and RNA, the genetic material that dictates cell functions, and it helps prevent changes to DNA that may lead to cancer.
  • Deficiency of the vitamin could hamper immunity. In animal experiments, severe folate deficiency has been found to impair immunity.
  • For healthy adults, the Recommended Dietary Allowance (RDA) of folate from both natural and synthetic sources (fortified foods and vitamin supplements) is 400 µg a day.
  • Pregnant women should take more—600 µg a day—to reduce the risk of neural tube defects such as spina bifida in their babies.
  • Others who may need more than the RDA include people with intestinal disorders that interfere with absorption of nutrients; people who take certain medications; and alcoholics, because alcohol reduces the absorption of folate and promotes its excretion through the kidneys.
  • The Tolerable Upper Intake Level for folic acid from supplements or fortified foods is 1,000 µg a day.
  • Folic acid is water–soluble and any excess is excreted in the urine, so the risk of toxicity is small even if you exceed that limit.
  • Naturally occurring folate from foods is not associated with any health risk. (Source HealthBeat)

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Stress Management Part 1

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2012

Students of Delhi Public School presented a beautiful skit on the occasion of the World Earth Day celebrations at DPS Mathura school premises on April 20, 2012. The Event was jointly organized by Heart Care Foundation of India, Delhi Public School and Ministry of Earth Sciences.

 
Dr K K Aggarwal
 
    National News

World Heart Federation gets its first Indian president!

The World Heart Federation (WHF), a global NGO dedicated to prevention of heart diseases in low and middle–income countries, elected its first ever Indian president, a federation statement said Saturday. Dr. K. Srinath Reddy is currently the president of the Public Health Foundation of India (PHFI) and former head of cardiology at the All India Institute of Medical Sciences (AIIMS). He will serve a two–year term, commencing in January 2013. (Source: Apr 22, 2012, http://health.india.com/news/world–heart–federation–gets–its–first–indian–president/)

For comments and archives

India to declare tea national drink in 2013

India will declare tea as the national drink by April next year, the country’s top planner has said. "The drink would be accorded national drink status by April 17 next year to coincide with the 212th birth anniversary of first Assamese tea planter and Sepoy Mutiny leader Maniram Dewan," Planning Commission Deputy Chairman Montek Singh Ahluwalia was quoted by local media, as saying Saturday. Ahluwalia made the remarks in his address at the Platinum Jubilee celebrations of the Assam Tea Planters Association in Jorhat in Assam. Maniram Dewan was the country’s first indigenous tea planter who also took part in India"s struggle for the freedom movement, he said. India is the largest producer and consumer of black tea in the world, with 83 per cent households consuming the beverage considered to be the cheapest in the world after water. (Source: TOI, Apr 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

Depression linked to PAD

Depression is associated with both prevalent and incident peripheral arterial disease, although the relationship is explained by other cardiovascular risk factors, researchers found. (Source: Medpage Today)

For Comments and archives…

Low-fat dairy skims off stroke risk

Getting plenty of low–fat milk, yogurt, and other dairy in the diet is associated with lower stroke risk, Swedish researchers found. The more low–fat dairy consumed, the lower the ischemic stroke risk (P=0.03 for trend), Susanna C. Larsson, PhD, of the Karolinska Institute in Stockholm, and colleagues reported in the July issue of Stroke: Journal of the American Heart Association. (Source: Medpage Today)

For Comments and archives…

Meta–analysis shows link between GI symptoms and rising BMI

A new meta–analysis of studies found a significant association between specific gastrointestinal (GI) symptoms and increasing body mass index (BMI) and obesity, with upper abdominal pain almost 3 times more likely to occur among obese individuals. These findings were published in the May issue of Obesity Reviews. (Source: Medscape)

For Comments and archives…

New diabetes guideline urges tailored therapy

Clinicians should take an individualized, patient–centric approach when treating type 2 diabetes, according to a joint statement from American and European diabetes organizations. Both HbA1c targets and pharmacological interventions should be tailored to patients’ needs and preferences, said the position statement from the American Diabetes Association and the European Association for the Study of Diabetes, published in both Diabetes Care and Diabetologia. (Source: Medpage Today)

For Comments and archives…

Broad–spectrum antibiotic fails to boost CBT for anxiety

Pharmacologic augmentation of cognitive behavioral therapy (CBT) with the antibiotic D–cycloserine (DCS) does not improve outcomes in patients with social anxiety disorder, new research shows. Yet, these negative results for a treatment that has caused considerable excitement within the field were largely glossed over by the researchers and some other experts. Presented here at the Anxiety Disorders Association of America (ADAA) 32nd Annual Conference, the double-blind, randomized, placebo–controlled trial showed that although the drug offered no clear advantage in response and remission, a time–slope analysis did show that DCS produced a more rapid rate of response to CBT than placebo. (Source: Medscape)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Reduce weight first if facing infertility problem http://blog.kkaggarwal.com/2012/04/21/reduce–weight–first–if–facing–infertility–problem/

@DeepakChopra: The present moment is alive vivid vibrant. Past and future are the fuzzy dreamlands of imagination.

 
    Spiritual Update

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

Meditation for healthy living

The fast evolving hi–tech world has disturbed the body, the mind and the environment. It seems people have no time for either relaxation, or introspection. The need for self–analysis, control over the self and shedding ignorance and practicing the spiritual principles is what is required for perfect health.

For Comments and archives…

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Are there options for preserving fertility in women who have been newly diagnosed with cancer?

Yes. New technology lets your doctor remove and freeze some cells, tissues, or fertilized eggs (embryos) before treating your cancer. This way you may be able to have children after your treatment. This process is called cryopreservation or freezing. The most common cancers in girls and young women are leukemia, thyroid cancer, breast cancer, melanoma, or gynecologic cancers (cervix, uterus, or ovary). Most of these cancers can be successfully treated with chemotherapy, radiation, or a combination of both. Chemotherapy is effective at treating many cancers, but these drugs are likely to cause infertility. Infertility from using these chemotherapy drugs usually happens because a woman produces fewer or no eggs.

For Comments and archives…

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

(Dr. Sujay Shad, Senior Consultant Cardiac Surgeon and Director, Heart–Lung Transplantation, Sir Ganga Ram Hospital, New Delhi)

Heart: Failure, Therapies & Transplantation

One patient’s husband asked me: "Will we have to………………… provide the donor; ……………but there is only one heart that the donor has…… how can ……"

This is a real conversation in Delhi. Success of live related donation of kidney and partial liver has percolated down to the masses. If someone has renal failure and is getting dialysis, then even before the doctors mention transplantation as an option, they start scouting for blood group matches within the family. And it appears that everybody now knows that only if there is a group matched donor can the patient get transplanted.

Ditto for the liver. So how can a heart transplant be different? That must be an important question in the minds of the patient with heart failure and the near and dear ones.

The truth is that a heart can only come from a brain–dead beating heart donor. The family is never asked or expected to arrange a donor. The donation of the heart, lungs, kidneys, liver, corneae, bone and skin, pancreas and small bowel are all an altruistic expression. A gift from a human who no longer needs them to those who are desperately in need.

Tat tvam asi: You are that. One and the other are same…… so the life continues

For Comments and archives…

 
    An Inspirational Story

(Dr Anil Kumar Jain)

A young man was getting ready to graduate from college. For many months he had admired a beautiful sports car in a dealer’s showroom, and knowing his father could well afford it, he told him that was all he wanted. As Graduation Day approached, the young man awaited signs that his father had purchased the car. Finally, on the morning of his graduation his father called him into his private study.

His father told him how proud he was to have such a fine son, and told him how much he loved him. He handed his son a beautifully wrapped gift box. Curious, but somewhat disappointed the young man opened the box and found a lovely, leather–bound Bible. Angrily, he raised his voice at his father and said, "With all your money you give me a Bible?" and stormed out of the house, leaving the Holy Book.

Many years passed and the young man was very successful in business. He had a beautiful home and wonderful family, but realized his father was very old, and thought perhaps he should go to him. He had not seen him since that graduation day. Before he could make arrangements, he received a telegram telling him his father had passed away, and willed all of his possessions to his son. He needed to come home immediately and take care of things.

When he arrived at his father’s house, sudden sadness and regret filled his heart. He began to search his father’s important papers and saw the still new Bible, just as he had left it years ago. With tears, he opened the Bible and began to turn the pages. As he read those words, a car key dropped from an envelope taped behind the Bible.

It had a tag with the dealer’s name, the same dealer who had the sports car he had desired. On the tag was the date of his graduation, and the words…PAID IN FULL.

How many times do we miss God’s blessings because they are not packaged as we expected?

For Comments and archives…

 
   Cardiology eMedinewS

A review of clinical research in Ayurvedic Cardiology and the way forward Read More

Translational elements from Ayurveda for preventive cardiology
Read More

 
   Pediatric eMedinewS

Early milk feeds safe, beneficial in growth–restricted preemies Read More

Childhood trauma ‘profound’ predictor of PTSD Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A man who was to be married was found to be HIV–positive.
Dr Bad: Keep the report secret.
Dr Good: I will inform the to–be married girl.
Lesson: Sections 269 and 270 of the Indian Penal Code provides as under: "269. Negligent act likely to spread infection of disease dangerous to life – whoever unlawfully or negligently does not act which is, and which he knows or has reason to believe to be, likely to spread the infection of any disease dangerous to life, shall be punished with imprisonment of either description for a term which may extend to six months, or with fine, or with both.

For comments and archives

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain so much ascitic fluid?
Lesson: Make sure to only moderately tap ascitic fluid as overenthusiastic tapping can be life–threatening.

For comments and archives

 
  Legal Question of the day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Q. I am not a doctor. My question is "When patients have 100 percent faith in doctors, why do they abuse their profession?"

Ans.

  1. Nobody except a fool should have 100% faith in others. Doctors do not ask their patients to have 100% faith in them. They know that they are neither Gods, nor demigods, nor the best in their profession. If somebody has 100% faith in another, then the another is not liable.
  2. Nobody, in general, abuses his or her profession. But, there are always a few black sheep. The percentage of black sheep is probably the lowest in the medical profession compared to the following other professions: Law, Architects, Chartered accountants, Taxation experts, Civil engineers, Company Secretaries, etc.
  3. If there is abuse, there is remedy for the same under an appropriate law. The number of laws that bind the medical profession is much more than other professions. In other words, the medical profession is highly regulated.
  4. Among the professional councils, medical councils are the most active as regards redressal of complaints made by the public.

For comments and archives

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  Quote of the Day

(Dr Anil Kumar Jain)

Our minds are like programs, awaiting the code that will determine behaviors; like bank vaults awaiting our deposits. If we regularly deposit positive, encouraging, and uplifting thoughts, if we continue to bite our lips just before we begin to grumble and complain, if we shoot down that seemingly harmless negative thought as it germinates, we will find that there is much to rejoice about.

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum calcium

Hypocalcemia (or low serum calcium level) must be interpreted in relation to serum albumin concentration (Some laboratories report a "corrected calcium" or "adjusted calcium" which relate the calcium assay to a normal albumin. The normal albumin, and hence the calculation, varies from lab to lab). True decrease in the physiologically active ionized form of Ca++ occurs in many situations:

  • Hypoparathyroidism
  • Vitamin D deficiency
  • Chronic renal failure
  • Magnesium deficiency
  • Prolonged anticonvulsant therapy
  • Acute pancreatitis
  • Massive transfusion
  • Alcoholism
  • Drugs: Most diuretics, estrogens, fluorides, glucose, insulin, excessive laxatives, magnesium salts, methicillin and phosphates.
 
    Mind Teaser

(Dr Anil Kumar Jain)

Read this…………………

In which month do Russians celebrate the October Revolution?

Yesterday’s Mind Teaser: dont red
                                          me

Answer for Yesterday’s Mind Teaser: Don’t tread on me

Correct answers received from: Dr Amit Kochar, Dr PC Das, Raju Kuppusamy, Dr Thakor Hitendrsinh G, Sudipto Samaddar, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr NeelamNath, Yogindra Vasavada.

Answer for 22nd April Mind Teaser: D. At age 50
Correct answers received from: Dr ValluriRamarao, Yogindra Vasavada.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Law of Cat Disinterest

A cat's interest level will vary in inverse proportion to the amount of effort a human expends in trying to interest him.

 
  Medicolegal Update

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

What is Forensic Thanatology?

Thanatology is the branch of science that deals with death in all its aspects. Shapiro, a well–known thanatologist defined death as the irreversible loss of the properties of living matter. However, it is difficult to appreciate his claim that this definition satisfies the practical requirements for death certification. 

  • Black’s law dictionary (Black 1951) in United States defines death as "The Cessation of life, the ceasing to exit", defined by physicians as total stoppage of circulation and cessation of vital functions, thereupon such as respiration and pulsation
  • Section 46 IPC states that death denotes the death of a human being unless the contrary appears from the context.
  • Section 2 (b) of the Registration of Births and Deaths Act defines death as Permanent disappearance of all evidence of life at any time after live birth gas taken place.

(Ref: Dr. PC Dikshit, Head (MAMC) MD LLB, Concise Textbook of Forensic Medicine & Toxicology, Peepee Publishers)

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

April 25th is World Malaria Day

More than 40 percent of the world’s population living in more than 100 countries is at risk of contracting malaria said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India on the occasion of World Malaria Day falling on April 25. This year’s theme is "Sustain Gains, Save Lives: Invest in Malaria".

The World Health Organization estimates that 300 million to 500 million cases of clinical malaria worldwide occur each year, killing 1.3 million people, most of who live in developing nations. The vast majority of deaths occur in children under the age of 5 and in pregnant women in sub–Saharan Africa. Malaria also impedes economic growth and development in affected countries.

Malaria is remarkably resilient, resurging because of the emergence of drug–resistant parasites and insecticide–resistant mosquitoes.

Drug–resistant malaria is the number one cause of death in many parts of India. With global warming, malaria is going to be a major problem in the country. Cases of malaria will occur throughout the year and in the mountains.

Apart from malaria, dengue too has become endemic in Delhi. It is expected that the problem of dengue is going to increase and is going to infect younger people in years to come. The problem of dengue and chikungunya picks up during the rainy season but continues uniformly in other months. All three are mosquito–borne infections and need vector control strategies.

Cleaning the cooler on a weekly basis is not the perfect answer. The cooler should be cleaned, rubbed and then re–filled. Rubbing is important to kill the ova which can live for over two hours if not killed properly. Mosquitoes born out of these ova carry the dengue virus. Therefore, community participation has become more important in mosquito control.

Malaria prevention includes avoiding outdoor exposure between dusk and dawn, wearing clothing that reduces the amount of exposed skin, wearing insect repellant (e.g. DEET or picaridin), staying in well–screened or air–conditioned rooms, and sleeping within bed nets treated with insecticide like permethrin.

All heart patients in the malaria season should be given hydroxychloroquine, one tablet every week, as a prevention strategy. This is the drug advised to all the foreign travelers to India and given for the entire duration of their stay and continued four weeks after the stay is over.

Malaria transmission is predominantly via the bite of a female Anopheles sp. mosquito, which occurs mainly between dusk and dawn. Other potential mechanisms for transmission include: congenitally acquired disease, blood transfusion, sharing of contaminated needles, and organ transplantation.

"Autochthonous malaria" results if the mosquito feeds on a malaria–infected individual and transmits the infection by biting someone else.

"Airport malaria" occurs when the infected mosquitoes enter the country via the aircraft and then transmit the infection.

Compared to non pregnant women, pregnant/postpartum women are at increased risk of both acquiring malaria and developing more severe disease. One of the unique features of malaria in pregnancy is the ability of P. falciparum- parasitized red blood cells to sequester within the intervillous space of the placenta. Placental infection and poor pregnancy outcome decrease in frequency with successive pregnancies. Non immune pregnant women, especially the first pregnancy ones are at higher risk.

 
    Readers Response
  1. Dear Sir, eMedinewS is full of education and learning. Dr Rajat
 
    Forthcoming Events
Dr K K Aggarwal

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