emedinews
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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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

 
  Editorial …

24th July 2011, Sunday

Can weight lifting lower the metabolic syndrome risk?

Not alone or not without combining it with the aerobics.

Walking, jogging, and cycling are the key in fight against metabolic syndrome, whereas weight lifting doesn’t help. In a randomized trial conducted by Lori A. Bateman, MS, of Duke University Medical Center published in the American Journal of Cardiology; eight months of resistance training had little impact on metabolic syndrome in overweight adults with abnormal lipid profiles.

They also showed that the same duration of aerobic exercise yielded greater benefits for weight, waist circumference and triglycerides. Doing both types of exercise wasn’t significantly more effective than aerobics alone. Even the American Heart Association recommends aerobic exercise over resistance training for modifying cardiovascular disease risk factors.

The study Targeted Risk Reduction Intervention through Defined Exercise (STRRIDE–AT/RT) included 196 men and women ages 18 to 70 who exercised no more than twice a week and had a body mass index in the 25 to 35 kg/m2 range with mild to moderate dyslipidemia. The study subjects were randomized to eight months in an exercise program. For comments and archives

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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

Can weight lifting lower the
metabolic syndrome risk?

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

National Conference on Insight on
Medicolegal Issues

Dr Kaberi Banerjee was felicitated at the National Conference on Insight on Medico legal issues.

 
Dr K K Aggarwal
 
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter

http://blogs.kkaggarwal.com/?p=1134
http://twitter.com/#!/search/medicolegal
https://www.facebook.com/pages/Insight–on–Medicolegal–Issues/247091668637671

Health Ministry for audit system to curb perinatal mortality

With 50 infants, out of every 1,000 live births, dying despite an overabundance of policies, the Health Ministry is looking to create an effective audit system that can be a useful tool to help bring down perinatal mortality rates in health care facilities. The Health Research wing of the Ministry, Indian Council of Medical Research (ICMR) has urged researchers to come out with effective perinatal audits which would help to cut down child deaths by almost half to reach to the UN goal of IMR at 28 per 1,000 live births by 2015. It is also seeking proposals for improving delivery of evidence–based interventions for maternal, newborn and child health through continuum of care approach. The move came after it dawned upon the authorities that existing Government schemes have not helped much in ensuring better child survival rate. With such snail’s pace and just three–and–a–half–years to go, the target — 28 per 1,000 live births — as envisaged under the Millennium Development Goals (MDGs) set by the UN for 2015 is unlikely to be met. Many developed countries have adopted perinatal audits to record and study the deaths so that appropriate preventive steps can be taken. (Source: The Pioneer, July 21, 2011) For comments and archives

Cure for TB: Nation pins hope on new technique

Burdened with a high number of killer multi–drug resistance tuberculosis (MDR–TB) cases, India is pinning hopes on the new rapid 90 minutes diagnosis technique–GeneXpert–to scale up the treatment to the patients. In a recent meeting, Health Ministry’s Directorate General Health Services, RK Srivasatva gave the green signal for initiating a pilot project at 18 sites across the country to test the validity of the GeneXpert, a cartridge–based, automated diagnostic test. It claims to identify Mycobacterium tuberculosis (MTB) and resistance to rifampicin (RIF) within 90 to100 minutes. "The new technique is expected to be faster and accurate and cut down time as the present microscopic tests that are used to diagnose the disease take between three to five months to produce results," Dr D Behera, director of LRS Institute of Tuberculosis and Respiratory Diseases told The Pioneer.

The machine identifies targeted nucleic acid sequences in the TB genome, and provides results from unprocessed sputum samples in 90 minutes and has already been endorsed by the World Health Organisation (WHO) six months ago for use in TB endemic countries by declaring it a major milestone for global TB diagnosis. (Source: The Pioneer, July 18, 2011) 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

(Dr Monica and Brahm Vasudev)

Polio eradication by 2012 ‘at risk’

NEW DELHI: The Independent Monitoring Board (IMB) of the Global Polio Eradication Initiative (GPEI) on Wednesday admitted that the global plan to stop polio transmission by 2012 is "at risk". Though the progress made by India – one of the four main countries still home to the crippling virus was termed as "exciting" — the persistent transmission of polio worldwide is being called a "global health emergency". The warning from IMB is chilling: the disease will resurge, if it is not completely eradicated.

According to IMB, the fight against polio is being hampered by a $590–million funding gap coupled with weak political leadership in some countries and persistent problems in the quality of key polio vaccination campaigns. Though worldwide cases of polio have been brought down by 99% – from 350,000 in 1988 when the GPEI was founded to around 1,000 cases in 2010 – the target to eradicate it by 2012 might be elusive. The IMB said, "India is on track to interrupt polio by end of 2011. While the country is now entering the traditional high season of polio transmission the scale of its response has been immense." The main concerns are two countries – Nigeria, and Pakistan. About Nigeria, it says, "Nigeria made good progress in 2010, cutting polio cases by 95%. However, political commitment waned during this year’s election campaigns, with the result that there were five times as many cases in the first half of 2011 as there were in 2010." The committee said, "Pakistan has seen 54 polio cases so far this year, double the number recorded in the first half of 2011, and risks becoming the last global outpost of this vicious disease." India saw a 94% decline in polio cases in 2010, giving it a real chance to finally eradicate the crippling disease. (Source: TOI, Jul 21, 2011) For comments and archives

Soy, milk protein supplements can lower blood pressure

According to a study published online in Circulation, soy and milk protein supplements are associated with lower blood pressure more than refined carbohydrate supplements in patients with mild hypertension. In the study

  1. Refined carbohydrates have no measurable effect on blood pressure
  2. Soy and milk protein supplements lower systolic blood pressure by about two points
  3. HDL cholesterol level was significantly higher with soy protein than with the other two supplements
  4. While the reduction in blood pressure was small, the benefits could translate to reduced numbers of strokes and other cardiovascular problems in the population as a whole.
  5. Replacing some refined carbohydrates –– such as white bread and white rice –– in the diet with soy or milk protein ‘might be an important component of nutrition intervention strategies for the prevention and treatment of hypertension.

For comments and archives

Tall women are at greater overall risk for cancer than their short counterparts.

As per a large U.K. prospective study by Jane Green, DPhil, of the University of Oxford published in Lancet Oncology for every four–inch increase in height over 5 feet, women had a 16% greater risk of developing cancer. The highest relative risks per four–inch height increase were for malignant melanoma, kidney cancer, and leukemia. For comments and archives

Infliximab in children with ulcerative colitis

An FDA advisory panel has recommended infliximab to include treatment of ulcerative colitis in children.

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Resistance training decreases liver fat in nonalcoholic fatty liver disease

The most common therapy for nonalcoholic fatty liver disease is aerobic exercise and weight loss, which leads to a decrease in liver fat. However, instructions to engage in aerobic exercise are often not adhered to by patients, resulting in progression of the illness. Researchers from the University of Newcastle in the United Kingdom set out to investigate whether a different type of exercise could be effective in treating the disease. They conducted a small study in 20 men with nonalcoholic fatty liver disease. Each subject was assigned to either eight weeks of resistance exercise training or continued normal therapy. They found that after eight weeks, liver fat decreased by an average of 13 percent and improved glucose control and lipid oxidation. This is the first study to show that resistance exercise is potentially more effective than aerobic exercise in decreasing liver fat. However, larger studies should be conducted to explore the relationship between resistance exercise and liver fat.

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: #AJOR Major new exercise guidelines announced New advice has been launched about how people of all ages can… http://fb.me/H5Be7R0z

@DeepakChopra: #CosmicConsciousness Logic and rationality are the language of the scientific mind. Love and wisdom are the poetry of the spiritual soul

 
    Dr KK Answers

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

Dr KK Answers: What is the outcome of AF after acute myocardial infarction (heart attack)?

The development of atrial fibrillation (irregular heart rhythms of the smaller atrial chamber) is a significant predictor of adverse outcomes, particularly in individuals whose duration of atrial fibrillation more than 30 seconds. (Heart Rhythm 2011; 8:342) For comments and archives

 
    Spiritual Update

Science behind Vedic or Spiritual Fasting

Fasting and starvation are two different terms commonly confused with each other. Starvation means not eating or drinking altogether while fasting means control and restrain of five sensory and five motor senses. During fasting one may continue eating or drinking but under a discipline. Vedic fasti

For comments and archives

 
    An Inspirational Story

(Dr Prachi)

Vikramaditya’s Judgement – An old story, with a modern moral !

Once upon a time, there lived a pious old man, renowned for his honesty. One day his neighbor, a rich merchant came to him with a request. The merchant was leaving on a voyage and wanted the old man to safeguard his wealth, until his return. The old man agreed, and with God as his witness promised to protect and safeguard the merchant’s wealth.

The old man then entrusted the safekeep of the merchant’s wealth to his son, from whom he only takes an oath of propriety and honesty. But, slowly the son starts dipping into the merchant’s wealth. People noticed this and warned the old man of his son’s misdeeds. The old man asks his son to explain, and reminds him of his oath on following the right path. The son rubbishes the accusations as rumors and the idle gossip of jealous people, who cannot bear to see his prosperity. The old man accepts the son’s explanation and things go on as before.

The merchant returns and demands his wealth. The old man calls his son, who hands over a quarter of the merchant’s wealth saying that is all there was. The merchant realizing that he has been cheated approaches the King. The King listens to the merchant’s complaint and summons the old man. The old man comes to the court with his son and handing him over to the King, and says "Your majesty, the merchant is right. My son has confessed to the crime. Please punish him !"

The king has the son flogged and imprisoned. He then praises the old man’s honesty and dismisses the case.

But the merchant insists that the old man should be punished, saying, "Your majesty, I have still not received justice. I had entrusted my wealth to the old man, which he swore by God to safeguard. The old man’s integrity is intact, but what about me, I have been robbed of most of my life’s savings, and made a pauper. It was the old man’s decision to entrust my wealth to his son for safe keeping that has caused this loss. As far as I am concerned the old man is the real culprit, and should be punished."

The king is astounded by this demand. The old man, was neither a party to the son’s theft, nor did he benefit from it. In fact, he had sent his son to jail. Yet, the merchant was asking for the old man punishment ?!

The Betal asked Vikramaditya: "What should be the King’s decision?"

Vikramaditya’s replied: "Though the old man is innocent of the actual theft, he is guilty of dereliction of duty. The son’s crime was a straightforward one, the old man’s was a graver crime. He did nothing to protect the merchant’s wealth. Far from being vigilant, he failed to take action even when he was warned of his son’s misdeeds. Because of the old man’s laxity, the trusting merchant is now condemned to a life of penury. So, he should be punished !"

For comments and archives

 
    Idioms

(By Ritu Sinha)

A Slap on the Wrist: A very mild punishment.

 
    Pediatric Update

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

What are the common causes of ALF in a child?

The common causes of ALF in a child in India are infective hepatitis (Hepatitis A is more than hepatitis E), hepatitis B, metabolic causes, Wilson’s disease, autoimmune hepatitis and drug–induced hepatitis (ATT, valproate etc). In newborn period, the common infectious causes of ALF are herpes virus, adenovirus, hepatitis B, Echovirus etc. Metabolic liver diseases are hereditary fructose intolerance, galactosemia, tyrosinemia and neonatal hemochromatosis. For comments and archives

 
  Legal Question of the Day

(Ex) Prof. M C Gupta, MD (Medicine), MPH, LL.M., Advocate & Medico–legal Consultant)

Q. There are a couple of very senior diploma holders in our hospital who are even better than MDs. My questions are:

a. Can they be appointed as head of the department? Is there a law that a diploma holder cannot head a unit or department?

b. Is it mandatory that the person working under them must be an MD?

Ans.

  1. If it is a government hospital, it would have clear cut recruitment and promotion rules etc. It is obvious that you are talking about a private hospital.
  2. Whom to employ with what designation is the sole discretion of the hospital as long as no laws are violated. There is no law that a private hospital cannot appoint a specialist having a diploma as the head of department. There is no law that the doctors working under a diploma holder should be postgraduate degree holders.

For comments and archives

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  Did You Know

(Dr Uday Kakroo)

Soldiers do not march in step when going across bridges because they could set up a vibration which could be sufficient to knock the bridge down.

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Homocysteine

Homocysteine is a product of methionine metabolism. Increased concentrations of homocysteine have been associated with an increased tendency to form inappropriate blood clots. This can lead to heart attack, strokes, and blood vessel blockages.

Homocysteine levels in blood are measured

  • To determine if there is an increased risk of a heart attack or stroke.
  • To determine folate or B12 deficiency.
  • To help diagnose homocystinuria, a rare inherited disorder.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A child presented with focal convulsions with onset of high grade fever.
Dr Bad: These are simple febrile convulsions.
Dr Good: These are not simple febrile convulsions.
Lesson: Simple benign febrile convulsions are always generalized. For comments and archives

Make Sure

Situation: A patient with heart disease developed massive heart attack.
Reaction: Oh my God!! Why did we stop low dose aspirin!
Lesson: Make sure that heart patients are properly counseled not to stop their daily low dose of aspirin. For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Patience is bitter, but its fruit is sweet. Jean–Jacques Rousseau

 
    Medicolegal Update

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

Autopsy and reconstitution of the corpse

An important component of the autopsy is the reconstitution of the body such that it can be viewed, if desired, by relatives of the deceased following the autopsy procedure.

  • After the conduction of postmortem examination, the body has an open and empty chest cavity with chest flaps open on both sides, the top of the skull is missing, and the skull flaps are pulled over the face and neck.
  • All organs and tissue must be returned to the body unless permission is given by the family to retain any tissue for further investigation.
  • Normally the internal body cavity is lined with cotton wool or an appropriate material; the organs are then placed into a plastic bag to prevent leakage and returned to the body cavity.
  • The chest flaps are then closed and sewn back together and the skull cap is sewed back in place.
  • Then the body must be properly sutured and reconstructed by the doctor conducting the autopsy with a cosmetic and parlor touch and then only it should be handed over to the relative of deceased as a regard of human corpse for ritual cremation

For comments and archives

 
    Mind Teaser

Read this…………………

japmadean

Yesterday’s Mind Teaser: The technique employed in radiotherapy to counteract the effect of tumor motion due to breathing is known as:

1. Arc technique
2. Modulation
3. Gating
4. Shunting

Answer for Yesterday’s Mind Teaser: 3. Gating

Correct answers received from: Dr K Raju, Dr H L Kapoor, Dr Surendra Bahadur Mathur, Dr Priyanka Sharma, Dr Muthumperumal Thirumalpillai, Dr Neelam Nath, Dr Jainendra Upadhyay.

Answer for 22nd July June Mind Teaser: c. Increase in plasma volume decreases urinary oligosaccharides
Correct answers received from: Dr Surendra Bahadur Mathur, Dr Anupamam, Dr Shahsi, Dr Ketan,
Dr Purnima, Dr Sumit.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

Is TDS relevant for businessmen?

Yes. Payments in consideration for goods sold or services rendered by you may be made to you after deducting taxes. You can adjust this against your final tax liability.

 
    Laugh a While

(Dr GM Singh)

This is how our children may end up learning the alphabets: If you allow dem play with terry A – Apple – B – Blackberry C – Chatting D – Download E – Email F – Facebook G – Google H – Hotmail I – iTunes J – Java K – Kaspersky L – Laptop M – Microsoft N – Nintendo O – Outlook P – Playstation Q – Quicktime R – RapidShare S – Skype T – Twitter U – USB V – Vista W – Wikipedia X – XP Y – YouTube Z – Zorpia

For comments and archives

 
    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
Indication
DCI Approval Date
Dextromethorphan Extended Release Oral Suspension 30 mg per 5 ml
For the relief of persistent dry irritating cough in adult patients only.
17.01.11
 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online (English/Hindi/Audio/Video/Photo)

High fat diet cancer prone

Diets high in saturated fat increases the risk of prostate cancer said Padma Shri & Dr. B.C. Roy National Awardee Dr. K K Aggarwal and President, Heart Care Foundation of India and MTNL Perfect Health Mela.

As per a report from University of Texas M. D. Anderson Cancer Center in Houston published in the International Journal of Cancer.

  1. Men who consume high saturated animal fat diet are two times more likely to experience disease progression after prostate cancer surgery than men with lower saturated fat intake.
  2. There is also shorter "disease–free" survival time among obese men who eats high saturated fat diet compared with non–obese men consuming diets low in saturated fat.
  3. Men with a high saturated fat intake had the shortest survival time free of prostate cancer (19 months)
  4. Non–obese men with low fat intake survived the longest time free of the disease (46 months).
  5. Non–obese men with high intake and obese men with low intake had "disease–free" survival of 29 and 42 months, respectively.

Take home messages

  1. High saturated fat diet has been linked to cancer of the prostate.
  2. Reducing saturated fat in the diet after prostate cancer surgery can help reduce cancer progression.
  3. Cancer prostate has the same risk factors as that of heart blockages and both are linked to high saturated fat intake.
  4. With the increase in number of heart patients, a corresponding increase in prostate cancer patients is also seen in the society.

For comments and archives

 
    Readers Responses
  1. Thanks for mailing emedinews. You are doing yeoman service to the medical fraternity. Dr DD Choudhury
 
    Forthcoming Events

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & National Icons in the field of Cardiology & Echocardiography will form the teaching faculty.

...more

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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 Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Pawan Gupta (drpawangupta2006@yahoo.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta