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; 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 …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

24th November 2012, Saturday

Stem Cell Finding Could Advance Immunotherapy for Lung Cancer

A University of Cincinnati (UC) Cancer Institute lung cancer research team reports that lung cancer stem cells can be isolated -- and then grown -- in a preclinical model, offering a new avenue for investigating immunotherapy treatment options that specifically target stem cells. John C. Morris, MD, and his colleagues report their findings in the Nov. 13, 2012, issue of PLoS One, a peer-reviewed online publication.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Laxative usage in the older adults should be individualized based on the patient's history, comorbidities, drug interactions and side effects.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Deepak Chopra Endorses Hands only CPR10

Heart Care Foundation of India completed practical training of 10500 members of the general public. Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and Dr Deepak Chopra, New Age Guru, an internationally acclaimed author, chief guest for the function demonstrating the technique of CPR 10 - hands-only cardio pulmonary resuscitation.

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Govt OK's drug pricing policy NPPA

The government has cleared the National Pharmaceutical Pricing Policy that will bring 348 essential drugs under price control, leading to reduction in prices, reports financial express. At present, the government through the National Pharmaceutical Pricing Authority (NPPA) controls prices of 74 bulk drugs and their formulations. Last month, the Supreme Court had set a deadline of November 27 for the government to finalise the policy while asking it not to alter the existing mechanism of cost-based drug pricing. Earlier, a group of ministers, headed by Agriculture Minister Sharad Pawar proposed to fix prices based on weighted average of brands which have more than 1 per cent market share. The GoM had met yesterday after the Cabinet had deferred a decision on it following objections from the Finance Ministry. The policy, that aims to bring 348 essential drugs under price control, was earlier approved by the GoM on September 27 and was subsequently sent to the Cabinet. (Source: The Financial Express, Nov 22, 2012)

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

 
    Valvular Heart Disease Update

Prosthetic Valve update

For patients with bioprosthetic valves start aspirin 75 to 100 mg/day (except in patients with an indication for warfarin who are unable to take warfarin, in which case the dose is 75 to 325 mg/day).

(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)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Study: 1.3 million overdiagnosed breast cancers in 30 years

In the past 30 years, an estimated 1.3 million American women had breast cancers that were "overdiagnosed," which means their screening-detected tumors would never have led to clinical symptoms, according to a study published in the November 22 issue of the New England Journal of Medicine. (Source: Medscape)

Aortic aneurysm 12-gene test panel in development

At least 20% of cases of syndromic thoracic aortic aneurysm are familial, and at least a dozen genes are implicated. Identifying causative mutations in the diagnostic workup may optimize treatment, according to 2 presentations here at the American Society of Human Genetics (ASHG) 62nd Annual Meeting. (Source: Medscape)

Desk job can give you ‘office knee’ ailment

LONDON: Rise of the internet and desk based jobs have been blamed for the latest in a line of joint ailments dubbed as 'office knee', a UK study has found. Researchers found that more than a quarter of workers in UK are suffering from painful knee joints and doctors have attributed this to rising levels of obesity and deskbased jobs across all age groups. Those over the age of 55 suffer the most, with one in ten questioned claiming they are in constant pain, the 'Daily Mail' reported. (Source: TOI, Nov 22, 2012)

Patients forget how to use EpiPen after 3 months

Patients with a history of anaphylaxis who have been prescribed epinephrine auto-injectors forget how to use them after approximately 3 months and need frequent retraining, researchers reported in an oral session here at the American College of Allergy, Asthma & Immunology 2012 Annual Scientific Meeting. (Source: Medscape)

 
  Twitter of the Day

@DrKKAggarwal: Living Alone After Heart Attack Risky http://bit.ly/UYtQVF #Health

@DeepakChopra: The healthiest response to life is joy.

 
    Spiritual Update

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

Why do we close our eyes for meditation?

Whenever we pray, think of God, undertake an internal healing procedure, make love, kiss someone, or meditate, we automatically close our eyes.

It is a common Vedic saying that the soul resides in the heart and all the feelings are felt at the level of heart.

For comments and archives

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

What are the risks of ovarian drilling?

This surgery could cause injury to your intestines, bladder, blood vessels and ureter. You could also have bleeding, an infection, or a reaction to anesthesia. If there is too much damage to the ovary, you may run out of eggs at a younger age and go through menopause (which is when you stop getting your period). After the surgery, adhesions or scar tissue can form between the ovaries and the fallopian tube, which carries the egg out of the ovary into the uterus. If you develop adhesions, it may be more difficult for you to get pregnant.

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

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

ABO system and pregnancy

There is a 20% chance of ABO incompatibility of mother and fetus.

 
    An Inspirational Story

One Step

Foolish people with all their other thoughts, have this one too: They are always getting ready to live, but never living.

Your success will start when you begin to pursue it. To reach your goal or to attain success, you don’t need to know all of the answers in advance. You just need to have a clear idea of what your goal is.

Don’t procrastinate when faced with difficult problems. Break your problems into parts, and handle one part at a time.

Develop tendencies toward taking action. You can make something happen right now. Divide your big plan into small steps and take that first step right away.

Everyone who ever got where they are had to begin where they were. Your big opportunity is where you are right now.

A journey of a thousand miles begins with one step. Take it.

For comments and archives

 
  Cardiology eMedinewS

Type II diabetes cure may soon be available through stem cell therapy, reveals PGI study Read More

European approval for rivaroxaban for PE/DVT Read More

 
  Pediatric eMedinewS

Cardiometabolic improvement from lifestyle change seen in kids
Read More

Neurologic deficits persist after childhood brain tumors Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient of dengue hemorrhagic fever with minor GI bleed came for evaluation.
Dr Bad: Sister, admit him for platelet transfusion.
Dr Good: Sister, admit him for observation.
Lesson: Minor bleeds do not require platelet transfusion unless the bleeding is profuse and hematocrit is high. No blood transfusion is needed.

Make Sure

Situation: A patient with asymptomatic second degree Mobitz 1 block after PPI developed lead infection.
Reaction: Oh my God! Why was PPI (Permanent pace maker implantation) done?
Lesson: Make sure that PPI is not implanted in patients with asymptomatic second–degree Mobitz I (Wenckebach) AV block.

 
    Legal Question of the Day (Dr M C Gupta)

Q. Are lawyers liable under the CPA?

Ans.

  • The logical answer would be—yes. Like any other professional, lawyers render service for fee.
  • In a recent case, the State Commission, Delhi, held that services rendered by a Lawyer would not come within the ambit of s. 2(1)(o) of the Consumer Protection Act, 1986. Apparently, this judgment was based upon the following points:
    • Because the lawyer merely acts on behalf of the client who executes a power of attorney in his favour authorizing him to do certain acts on his behalf.
    • Because there is no term of contract as to the liability of the lawyer in case he fails to do any such act. The State Commission held that the so called agreement between a lawyer and his client is a unilateral contract executed by the client giving authority to the lawyer to appear and represent the matter on his behalf without any specific assurance or undertaking.
  • An appeal was filed against the above judgment in the National Consumer Commission which reversed the finding of the State Commission and held that lawyers are rendering a service. They are charging fees. It is not a contract of personal service and that there was no reason to hold that they are not covered by the provisions of the Consumer Protection Act, 1986. The NC held that though a Lawyer may not be responsible for the favourable outcome of a case as the result/outcome does not depend upon only on lawyers’ work, but, if there was deficiency in rendering services promised, for which consideration in the form of fee is received by him, then the lawyers can be proceeded against under the Consumer Protection Act.
  • The NC order was challenged in the SC by way of an SLP (Special Leave Petition) no. 3052/2008 titled as Bar of Indian Lawyers Vs. Respondent: D.K. Gandhi and Anr., which came up for hearing on 13.04.2009. The SC admitted the petition and granted stay on the NC order during the pendency of the appeal.
 
  Quote of the Day (Dr GM Singh)

One resolution I have made, and try always to keep, is this: To rise above the little things. John Burroughs

 
    Mind Teaser

Read this…………………

Which act created drug scheduling? A) CAA B) CAS C) CSA D) CSS

Yesterday’s Mind Teaser: Which of the following activities might increase the risk of developing schizophrenia?

a) Smoking cigarettes
b) Smoking marijuana
c) Drinking caffeinated beverages
d) All of the above
e) None of the above

Answer for Yesterday’s Mind Teaser: d) All of the above

Correct answers received from: Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr Kavita.

Answer for 22nd November Mind Teaser: 6

Correct answers received from: Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Kanta jain, Dr U Gaur, Renu Garg.

Send your answer to ijcp12@gmail.com

 
    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."

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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

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    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.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Alcohol: Benefits vs risk

There is consensus that non drinkers should not start and the ones who drink can continue provided they do so in moderation and in the absence of contraindications, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

  • Persons who have been lifelong abstainers cannot be easily compared with moderate or even rare drinkers. Recommending alcohol intake to them even if they would agree to drink is not justified.
  • The diseases that moderate alcohol use prevents (such as coronary heart disease, ischemic stroke, and diabetes) are most prevalent in the elderly, men, and people with coronary heart disease risk factors. For these groups, moderate alcohol use is associated with a substantial mortality benefit relative to abstention or rare drinking.
  • For young to middle-aged adults, especially women, moderate alcohol use increases the risk of the most common causes of death (such as trauma and breast cancer).
  • Women who drink alcohol should take supplemental folate to help decrease the risk of breast cancer.
  • Men under the age of 45 may also experience more harm than benefit from alcohol consumption. In this age group, moderate alcohol use is unlikely to provide any mortality benefit, but consumption of less than one drink daily appears to be safe if temporally removed from operation of dangerous equipment. For individuals with established contraindications to alcohol use, even this level of alcohol use is dangerous.
  • Men can tolerate more alcohol than women. The ideal therapeutic dose of alcohol is around 6 gms per day. Medically safe limits are 10 gms in one hour, 20 gms in a day and 70 gms in a week (50% for the women).
 
    Readers Response
  1. Dear Sir, We like reading emedinews: Regards: Dr Krishna
 
    Forthcoming Events
Dr K K Aggarwal

Seminar on "Mind and Body in Health and Harmony in Asian Systems of Medicine"

Date: December 11-13, 2012
Venue: India International Centre, New Delhi
Themes of the Workshop: Anatomy, Philosophy, Diagnostics and imbalances, Therapeutics and treatments, Understanding Mind-Body relationships and Preventive and Promotive aspects in the traditional systems of medicine

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi

8am-8pm

Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    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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  DIET BOOK

  HCFI

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  Dadi Ma ke Nuskhe

  Personal Cleanliness

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  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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