emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
 
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); 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 May 2013, Friday

How to make bones strong

Bones are empty and in a typically adult male, the whole skeleton weighs less than 3 kg. Everyone builds bone up to the age of 30, and then, the process of bone resorption begins. It is, therefore, important for children to build strong bones so that they are not susceptible to fractures when they grow old. Here are some tips:

  • For maximizing big bone mass during the bone forming years, one should live a healthy lifestyle, which includes adequate calcium intake, adequate vitamin D intake, optimal physical activity and avoidance of smoking and alcohol.
  • To prevent subsequent bone loss in adults, one should adopt a similar approach, which includes regular weight-bearing exercise, avoidance of over-smoking and limitation of alcohol to an average of not more than 2 drinks per day.
  • Cigarette smoking is associated with reduced bone mass and increased risk of fractures.
  • Calcium supplements are recommended. The recommended daily intake of calcium for post menopausal females is 1200 mg daily (double diet + supplements).
  • Vitamin D supplementation is recommended if dietary intake is inadequate. In India, the recommendation is 2000 units per day.
  • It is recommended that 40% of the body should be exposed uninterruptedly for 40 minutes to sunlight for 40 days in a year so that the body can form adequate vitamin D.
  • Regarding weight-bearing exercises, the general recommendation is a minimum of 30 minutes of physical activity such brisk walking on most, if not all, days of the week.
  • Heavy alcohol intake predisposes to hip fractures due to osteoporosis.
  • Heavy drinking means more than 14 drinks in a week. One drink is equivalent to 30 ml of whiskey.
  • Many drugs including steroids and antiepileptic drugs can cause bone thinning over a period of time.

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

White rice linked to diabetes in Asians

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2013

Heart Care Foundation of India and World Fellowship of Religions in association with Ministry of Earth Sciences Govt. of India and Delhi Public School Mathura Road observed World Earth Day 2013.

 
Dr K K Aggarwal
    National News

Odisha gears up for urban health mission

BHUBANESWAR: Odisha will implement the Union government-sponsored National Urban Health Mission in the state from September, government sources said. Odisha-specific diseases such as sickle-cell and fluorosis will be prime focus of NUHM, which will run parallel to the National Rural Health Mission (NRHM). Gradually, NUHM and NRHM will merge under National Health Mission, health secretary PK Mohapatra said. The mission will be implemented in all the district headquarters and urban areas each with a population of more than 50,000. Under the scheme, the government proposes to set up one urban primary health centre for a population of 50,000-60,000, one urban community health centre for five to six UPHCs, engage an auxiliary nursing midwives (ANM) for a population of 10,000 and an accredited social health activist (ASHA) (community link worker) for 200 to 500 households. While the Centre will fund 75% of the mission, the states will bear the rest 25%. The urban local bodies will be fully involved in the implementation of the scheme. NUHM aims to improve health status of urban population in general, and poor and other disadvantaged sections in particular, by facilitating equitable access to quality health care through a revamped primary public health care system, targeted outreach services and involvement of the community and urban local bodies. The interventions under this submission will aim to result in reduction of infant mortality rate (IMR) and maternal mortality ratio (MMR) and universal access to reproductive health care. (Source: TOI, May 22, 2013)

For comments and archives

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, every Thursday 4:30 PM in DD India

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Child sexual abuse survivors with dissociative amnesia: What’s the difference?

Although the issue of dissociative amnesia in adult survivors of child sexual abuse has been contentious, many research studies have shown that there is a subset of child sexual abuse survivors who have forgotten their abuse and later remembered it. Child sexual abuse survivors with dissociative amnesia histories have different formative and therapeutic issues than survivors of child sexual abuse who have had continuous memory of their abuse.

(Source: Wolf MR, Nochajski TH. J Child Sex Abus 2013 May-June;22(4):462-480).

For comments and archives

 
    Valvular Heart Disease Update

Acute rheumatic fever causes a pancarditis, affecting the valve leaflets, pericardium, epicardium, myocardium and endocardium. Mitral regurgitation (with or without aortic regurgitation) is the most common valve lesions.

(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)

Infection site predicts death in septic shock

The anatomic site where an infection originates seems to predict mortality among patients diagnosed with septic shock, researchers reported at the American Thoracic Society conference. (Source: Medpage Today)

For comments and archives

Daughters of smoking mothers have more gestational diabetes

Women who were exposed to tobacco smoking in utero were more likely to develop gestational diabetes when they became pregnant, new research shows. They were also more likely to be obese than the offspring of women who didn't smoke during pregnancy. (Source: Medscape)

For comments and archives

CT lung screens catch most cancers

The National Lung Screening Trial found that CT scans were highly sensitive in detecting lung cancer in smokers, when compared with chest x-rays, but they weren't very specific in ruling out the malignancy. (Source: Medpage Today)

For comments and archives

Hatha yoga reduces blood pressure in mildly hypertensive patients

Hatha yoga introduced to individuals with mild to moderate hypertension appears to lower blood pressure, and while the reductions in systolic and diastolic blood pressure aren't earth-shattering, they might just be enough to avoid starting antihypertensive medications, say researchers. (Source: Medscape)

For comments and archives

CPAP may help glucose control in prediabetes

Prediabetic patients with obstructive sleep apnea (OSA) had significant improvement in glucose levels after effective treatment of the apnea, a small clinical trial showed. (Source: Medpage Today)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: Preventing heat disorders http://blog.kkaggarwal.com/2013/05/preventing-heat-disorders/ …

@DeepakChopra: The most powerful way to manifest is through subtle intention and choiceless awareness—intend to let go and flow.

 
    Spiritual Update

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

Self-esteem in Mythology

For spirituality, one needs to control two things, firstly, lust and lastly, the ego. Among Kama, Krodha, Lobha, Moha and Ahankara, ego and lust both are slow poisons and do not allow one to be spiritual healthy. There are many examples of how to control ego in mythology. Fundamentally, it is said that one should learn to kill ego of oneself and never hurt the ego of others.

For comments and archives

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

Dr. Kaberi Banerjee, Director Precious Baby Foundation

What are the most common treatments for infertility?

Unfortunately, the most common treatment prescribed by non–experts is clomiphene citrate. This is unfortunate because there is a 12–cycle lifetime maximum recommended use of clomiphene, and many physicians prescribe this drug without first testing the male partner. Further, failure to monitor the woman using clomiphene often makes its use highly questionable. In fact, it may even be counterproductive in one–third of users by causing hostile cervical mucus which can kill sperm on contact. This is not to say that clomiphene is not a wonderful and effective drug for many couples suffering from infertility. But its use should always be administered and monitored by a practitioner who is experienced at treating infertility patients.

Only about 8% of couples with a barrier to pregnancy move to IVF as their treatment protocol. This means that more than 90% are assisted with other, lower tech and less expensive treatments. Such treatments range from ovulation induction drugs to IntraUterine Inseminations (IUIs) to combinations of the two.

 
   An Inspirational Story

Weakness or Strength?

Sometimes our biggest weakness can become our biggest strength. Take, for example, the story of one 10-year-old boy who decided to study Judo despite the fact that he had lost his left arm in a devastating car accident.

The boy began lessons with an old Japanese Judo master. The boy was doing well, so he couldn’t understand why, after three months of training the master had taught him only one move. “Sensei,” the boy finally said, “Shouldn’t I be learning more moves?”

“This is the only move you know, but this is the only move you’ll ever need to know.” the sensei replied. Not quite understanding, but believing in his teacher, the boy kept training.

Several months later, the sensei took the boy to his first tournament. Surprising himself, the boy easily won his first two matches. The third match proved to be more difficult, but after some time, his opponent became impatient and charged; the boy deftly used his one move to win the match. Still amazed by his success, the boy was now in the finals.

This time, his opponent was bigger, stronger, and more experienced. For a while, the boy appeared to be overmatched. Concerned that the boy might get hurt, the referee called a time-out. He was about to stop the match when the sensei intervened. “No,” the sensei insisted, “Let him continue.”

Soon after the match resumed, his opponent made a critical mistake: he dropped his guard. Instantly, the boy used his move to pin him. The boy had won the match and the tournament. He was the champion.

On the way home, the boy and sensei reviewed every move in each and every match. Then the boy summoned the courage to ask what was really on his mind. “Sensei, how did I win the tournament with only one move?”

“You won for two reasons,” the sensei answered. “First, you’ve almost mastered one of the most difficult throws in all of judo. And second, the only known defense for that move is for your opponent to grab your left arm.”

The boy’s biggest weakness had become his biggest strength.

For comments and archives

 
   Cardiology eMedinewS

Seasoning may cut salt needs in hypertension Read More

 
   Pediatric eMedinewS

Antipyretics don't slow children's recovery – Study 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)

How is the total dose of HRIG/ERIG calculated?

The dosage for administration is decided on the basis of body weight.

  • For HRIGs: Dosage is 20 IU per kg body weight subject to a maximum of 1500 IU. HRIG has a longer half-life (about 21 days).
  • For ERIGs: Dosage is 40 IU per kg body weight subject to a maximum of 3000 IU.
 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with mediclaim policy required hospitalization for dental treatment.
Dr. Bad: It will not be covered.
Dr. Good: It will be covered.
Lesson: Clause 4.7 excludes dental treatment/surgery unless requiring hospitalization.

Make Sure

Situation: A 42–year–old male developed acute heart attack after playing squash.
Reaction: Oh my God! Why did he not get a cardiac check up done yet?
Lesson: Make sure that after the age of 40 anybody going for anaerobic games should first get a cardiac clearance.

 
  Quote of the Day (Dr GM Singh)

We are all travelers in the wilderness of the world, and the best that we can find in our travels is an honest friend. Robert Louis Stevenson

 
    Mind Teaser

Read this…………………

A 2-month-old baby hasn’t received any immunizations. Which immunizations should nurse Jess prepare to administer?

a. Measles, mumps, rubella (MMR); diphtheria, tetanus, pertussis (DTP); and Hepatitis B (HepB)
b. Polio (IPV), DTP, MMR
c. Varicella, Haemophilus influenzae type b (HIB), IPV, and DTP
d. HIB, DTP, HepB; and IPV

Yesterday’s Mind Teaser: Nurse Wayne is aware that which finding would be least suggestive of necrotizing enterocolitis (NEC) in an infant?

a. Hepatomegaly
b. Distended abdomen
c. Gastric retention
d. Blood in the stool

Answer for yesterday’s Mind Teaser: a. Hepatomegaly

Correct answers received from: Arundhati, Dr. Bharat Bhushan Aggarwal, dr madhu arora, Dr.K.Vidyashankar, daivadheenam, Dr(Brig) C H Gidvani, Dr. B.B. Gupta, Dr. shashi saini, Dr. P. C. Das, DrGajveer singh, Dr. Thakor Hitendrsinh GDr.(Maj. Gen.) Anil Bairaria, Dr Chandresh Jardosh, DR ARPAN GANDHI, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr.Bitaan Sen & Dr.Jayashree Sen, Paean Mehta, Dr.K.V.Sarma, Dr Vineet jain, DR P K SAHU, DR K P CHANDRA

Answer for 22nd May Mind Teaser: a. Comforting the child as quickly as possible

Correct answers received from: Muthumperumal Thirumalpillai, Paean Mehta, Dr.K.V.Sarma, DR K P CHANDRA

Send your answer to ijcp12@gmail.com

 
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    Laugh a While (Dr GM Singh)

The Leave Application

From an employee who was performing the “mundan” ceremony of his 10 year old son: “as I want to shave my son’s head, please leave me for two days..”

 
    Medicolegal Update

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

Failure to detect poison in chemical analysis by forensic lab

In some cases no trace of poison is found on analysis although from other circumstances it is quite certain that poison was the cause of illness or death. The possible explanations of a negative finding are:

  • The poison may have been eliminated due to vomiting, stomach wash or diarrhea
  • The whole of the poison may have disappeared from the lungs by evaporation or oxidation
  • The poison after absorption may have been detoxified, conjugated and eliminated from the system
  • Some drugs are rapidly metabolized, making extraction difficult.
  • Some biological toxins and venoms, which are protein in nature cannot be separated from body tissues.
  • Some organic poisons especially alkaloids may, by oxidation during life, or due to faulty preservation, or a long interval of time, or from decomposition of the body, deteriorate and cannot be detected.
  • If the poison act slowly and death is delayed following production of irreversible organic changes, the poison may be completely metabolized and excreted.
  • Many drugs may be present in very small amounts and these may require considerable amount of viscera for their identification.
  • When the wrong or insufficient material has been sent for analysis.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Smoker diabetics more likely to have severe hypoglycemia

People with diabetes who smoke are more than twice as likely to have an episode of severe hypoglycemia, or very low blood sugar, as those who have never smoked, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

Loss of sugar can cause mental confusion, or even coma or seizures in severe cases. Smoking, through its effect on hormone regulation and insulin clearance, has been hypothesized to result in severe hypoglycemia.

Quoting a study published in the journal Diabetes Care, Dr. Aggarwal said that after taking account of other factors, smoking was found to confer a 2.6-fold increased risk of having severe hypoglycemia.

Furthermore, smoking was associated with similarly increased odds of having diabetes-related nerve damage, impaired kidney function, and sight-threatening retinal defects.

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 50457 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, 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.”

 
    Readers Response
  1. Dear Sir, updates and information are very useful. Regards: Dr Shreya
 
    Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Name
Date
Time
Place
Duration
Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

 
    eMedinewS Special

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  Dil Ki Batein

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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