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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 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

 
  Editorial …

24th January, 2011, Monday                 eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Nominations for Padma Awardees 2011 (Medicine)

Around 238 doctors have been nominated for  the padma awardees this year. How many gets will be known on the 25th morning and will apppaer in our 26th edition. Here is a list of doctors who have been nominated this year for various padma awardees

  1. Prof. (Dr.) Amar Agarwal, Ophthalmology, Tamil Nadu
  2. Dr. Yatish Agarwal, Medicine, Health, Delhi Education
  3. Shri Sushil Agrawala, Veterinary, Ayurveda, Uttar Pradesh
  4. Dr. Gian Swarup Ahuja, Aviation Ophthalmology, Delhi
  5. Dr.Sundara Nadar Arulrhaj, Medicine, Tamil Nadu
  6. Dr. Sundarararnan Ashok, Surgery, Tamil Nadu
  7. Prof. (Dr.) Sudhir Babhulkar, Orthopaedics, Maharashtra
  8. Dr.Pukhraj Bafna, Padeatrics, Chhattisgarh
  9. Dr. Sanjeev Bagai, Paediatric - Nephrology, Delhi
  10. Dr. Govindaswamy Bakthavathsalam, Medicine - Socio, Tamil Nadu
  11. Dr. Mukesh Batra, Homeopathy, Maharashtra
  12. Prof. (Dr.) Digainbar Behera, Respiratory Diseases
  13. Dr. Sanat Natwarlal Bhagwati, Neurosurgery, Maharashtra
  14. Dr. Parulkar Gurukumar Bhalchandra, Medicine - Cardiovascular Surgery, Maharashtra
  15. Prof. (Dr.) Krishna Dutt Bhardwaj, Cardiology, Uttar Pradesh
  16. Dr. Balram Bhargava Medicine - Cardiology, Uttar Pradesh
  17. Dr. Prahlad Kumar Bilwani Gujarat, Surgery
  18. Dr. Rajinderpal Singh Boparai, Medicine -  Orthopaedics & AIDS, Punjab
  19. Dr. Thoguluva Seshadri Chandrasekar, Medicine - Gastroenterology, Tamil Nadu
  20. Dr. Ram Jeevan Chaube, Cardio Vascular Surgery, Chhattisgarh
  21. Dr. Vijay Singh Chauhan, Medicine - Orthopaedics, Uttar Pradesh
  22. Dr. Tej Pal Singh Chawla, Medicine - Community, Chandigarh
  23. Dr. Hirday K Chopra Medicine – Cardiology, Delhi
  24. Dr. Gourdas Choudhuri, Medicine - Gastroenterology, Uttar Pradesh
  25. Prof. Dr. Bhabani Shankar Das, Neurology, Orissa
  26. Dr. Tarakanta Das, Medicine - Homoeopathy, Orissa
  27. Prof. (Dr.) Pradeep Kumar Dave, Orthopaedician, Delhi
  28. DL K,V. Devadiga, Neuro Surgery, Karnataka
  29. Prof. (Dr.) T.V. Devatajan, Medicine, Tamil Nadu
  30. Prof. (Dr.) Ashok Garg, Medicine - Ophthalmology, Haryana
  31. Prof. (Dr.). Saroj Chooramani Gopal, Medicine – Pediatric Surgery, Uttar Pradesh
  32. Dr. Alampur Saibaba Goud, Opthalmology, Andhra Pradesh
  33. Dr. M.S. Goud, Medicine - Dental Surgery, Andhra Pradesh
  34. Dr. Keki Byramjee Grant, Cardiology, Maharashtra
  35. Dr. Amod Gupta, Haryana, Ophthalmology
  36. Dr. Puneet Gupta, Medicine - Oncology, Delhi
  37. Dr. Subash Gupta Surgery, Liver
  38. Prof. Mahdi Hasan, Medicine - Anatomy, Uttar Pradesh
  39. Prof. Mansoor Hasan, Uttar Pradesh
  40. Prof Satish Jain, Neurology, Delhi
  41. Dr. Harsha Jauhari, Medicine - Renal Transplant Surgery, Uttar Pradesh
  42. Dr. Subramaniam Jayachandran, Medicine, Tamil Nadu
  43. Dr. Baikunth Bihari Jha, Medicine - Paediatrics, Bihar
  44. Dr. Ashok Jhingan, Medicine - Diabetes, Delhi
  45. Prof (Dr.) Hariram Jhunjhunwala, Orthopaedics, Maharashtra
  46. Dr Gursharan Singh Johal, Homeopathy, Delhi
  47. Dr. Ashok Kumar Navratnamal Johari, Ortho, Maharashtra
  48. Dr. R.N. Kalra, Medicine - Cardiology, Delhi
  49. Dr. Shanmugam Kameswaran, Medicine - ENT Surgery, Tamil Nadu
  50. Dr. Prerriashis Kar, Medicine - Gastroenterology, Delhi
  51. Dr. Binay Karak, Medicine - Neurology, Bihar
  52. Prof. (Dr.) Upendra Kaul Medicine, Cardiology, Delhi
  53. Dr. Gulshan Rai Khatri Medicine - Chest, Delhi
  54. Dr. Milind Vasant Kirtane, Ophthalmology, Maharashtra
  55. Prof. (Dr.) Chandrakant Kokate, Pharmacy, Karnataka
  56. Dr. Ajay Kothari, Medicine -  Ophthalmology,  Maharashtra
  57. Dr. A Kumar, Gastro, Delhi
  58. Dr. Lalit Kumar, Medicine - Oncology, Delhi
  59. Dr. Raj Kumar, Medicine - Neurosurgery, UP
  60. Dr. M. K. Moosa Kunhi, Medicine - Cardio Thoracic Surgery, Kerala
  61. Dr. Mahesh Kuriyal, Medicine - Neurosurgery, Uttarakhand
  62. Dr. Sharad Lakhotia, Eye, Delhi
  63. Prof. (Dr.) Nandkishore Shamra Laud, Ortho, Maharashtra
  64. Dr. Tek Singh Mahant, Cardiology, HP
  65. Prof. Ashok Kumar Mahapatra, Neurosurgery, Delhi
  66. Prof. (Dr.) Anand N. Malaviya, Rheumatology, Delhi
  67. Dr Shyama Prasad Mandal, Orthopaedic, Delhi
  68. Dr. Ganesh Kumar Mani, Thoracic & Vascular Surgery, Delhi
  69. Dr. Sanjiv K.S Marya, Orthopaedic surgery, Delhi
  70. Dr. K.K. Mathew, Medicine - Socio, Kerala
  71. Dr. Alok Mathur,  Medicine, Delhi
  72. Dr. Atul Mathur, Interventional Cardiology, Delhi
  73. Dr. L S Meharwal Medicine, Cardio Vascular Surgery, Delhi
  74. Dr. Ashwin B. Mehta, Medicine - Cardiology, Maharashtra
  75. Dr. Kuldeep Swaroop Mishra, Ortho, MP
  76. Prof. (Dr.) Madan Mohan, Ophthalmology, Delhi
  77. Dr. Neelam Mohan, Hepatology & Liver, Delhi
  78. Dr. V Mohan, Diabetes, Tamil Nadu
  79. Prof. (Dr.) K C. Mohanty, Respiratory diseases, Maharashtra
  80. Dr. Sundar Shyam Moudgil, Medicine - Socio, Haryana
  81. Dr Singaravelu Nagendran, Tamil Nadu
  82. Dr. J. Hareendran Nair, Medicine - Ayurveda, Kerala
  83. Shri Vaidyamadham Chariya Namboodiri Narayanan, Medicine - Ayurveda, Kerala
  84. Sundaram Natarajan, Eye, Maharashatra
  85. Dr. Nabeen Chandra Nayak, Medical Education, Delhi
  86. Dr. Bhagwan Mahadeo Nene, Socio, Maharashatra
  87. P D Nigam, Cardio, Delhi
  88. Dr. Valiya Kollery Padmanabhan, Chest TB, Paudichery
  89. Dr. P. Ranganadham Paidi, Neuro Surgry, AP
  90. Dr. (Smt.) Anita Panda, Eye, Delhi
  91. Dr. J N Pande, Chest, Delhi
  92. Dr. Narendra Jivanlal Pandya, Plastic Surgery, Maharashatra
  93. Dr. Devendra Dahyabhai Patel, Onco, Gujrat
  94. Dr. Tejas M. Patel, Cardio, Gujrat
  95. Prof Dr Krishna Mohan Pahi, Ortho, Orissa
  96. Dr Raghu Ram Pillarisetti, Breast Surgery, Orissa
  97. Dr. Sujit Kumar Nandi Purkayastha, Ortho, Assam
  98. Dr. Abdul Qayyum Unani, Delhi
  99. Dr. Toppil Inchore Radhakrishnan, Ayurveda, Kerala
  100. Late Dr Jaikrishan Raijada, Eye, MP
  101. Dr. D, Rajakannan, Eye. TN
  102. Prof. (Dr.) S.K Rajan, Medicine, TN
  103. Dr. Ashok Rajgopal, Ortho, Delhi
  104. Dr. Janavikula Sankaran Rajkumar, Surgery, TN
  105. Prof. (Dr.) Jagat Ram, Eye, Chandigarh
  106. Prof. (Dr.) Kombupalayam Komarappagounder Ramalingam, ENT
  107. Dr. P: Mohan Rao, Socio, Karnataka
  108. Dr. Goura Kishor Rath, Onco, Delhi
  109. Dr. Sudhir Rawal, Urology, Delhi
  110. Prof.Chillakuru Muddu KrishnaReddy, Lapro Surgery, TN
  111. Dr. Indla Ral11asubba Reddy, Psychiatry, AP
  112. Dr. Middollu Ramakrishna Reddy, Gynae, Karnataka
  113. Dr P N Ranjen Neuro, Delhi
  114. Dr. Jaidev Singh Retola, Socio, HP
  115. Shri Ramkishor Sah, Optometry, Delhi
  116. Dr. Mohammed Illias.Sahadulla, Medicine, Kerala
  117. Prof. (Dr.) P. S. Saharia, ENT, Delhi
  118. Dr. Gurmukh Sainani, Cardio, Maharashatra
  119. Dr. Kantilal H. Sancheti, Ortho, Maharashatra
  120. Dr.Virender Singh Sangwan, Eye, AP
  121. Prof. (Dr.) Bhupendra Kumar Singh Sanjay, Ortho, Uttarakhand
  122. Dr. Punit Sarpal, Homeo, UP
  123. Dr. J.P.S. Sawhney, Cardio, Delhi
  124. Dr H P Saxena, Homeo, UP
  125. Prof. Virendra N. Sehgal, Derma, Delhi
  126. Dr. Vijaykumar S Shah, Socio Maharashatra
  127. Dr. Vikram Shah, Ortho, Gujrat
  128. Prof.(Dr.) Dhananjaya Sharna, Gastro Surgery, MP
  129. Dr. K.S.V. Sharma, Ayuveda, TN
  130. Dr. Om Prakash Sharma, Geriatics, Delhi
  131. Dr. Parmanand Sharma, Ortho, Delhi
  132. Prof. (Dr.) Raj Kumar Sharma, Nephro, UP
  133. Dr. K. Bhujang Shetty, Eye, Karnataka
  134. Dr. Shilin Nandubhai Shukla, Onco, Gujrat
  135. Dr.Hari Krishna Singh, Endo, Bihar
  136. Shri Laishram Naba kishore Singh, Socio, Manipur
  137. Prof (Dr.) Manoj Kumar Singh, Pathology, Delhi
  138. Prof. RanaGopal Singh, Nephro, UP
  139. Dr. Sahajanand Prasad Singh, Surgeon, Karnataka
  140. Dr. Satya Prakash Singh, Eye, UP
  141. Dr. Ajit Sinha, Eye, Bihar
  142. Dr. K.N.Srivastava, Surgery, Delhi
  143. Dr. Rakesh Prasad Srivastava, Surgery, Jharkhand
  144. Dr. Vijay Gajanan Surase, Cardio, Maharashatra
  145. Dr. D. Susheela, Gynae, AP
  146. Dr. Rajinder Singh Tonk, Socio, Delhi
  147. Dr. Sudhir Narendrarai Vaishllav, Cardio, Maharashatra
  148. Dr. .Amitabh Varma, Neuro, Delhi
  149. Dr. M Venkaiah, Socio, AP
  150. Dr Mahesh Verma, Dental, Delhi
  151. Dr. Tangaturi YellaViswarupachari, Surgery, AP
  152. Dr Sivapatham Vittal, Endocrie, TN
  153. Dr. Jaykumar Tansukhram Vyas, Socio, Maharashatra
  154. Dr. Pradyut Waghray, Chest, AP
  155. Dr. Harinandan Yadav, Eye, Bihar
  156. Prof. (Dr.) Surender Singh Yadav, Ortho, Delhi
  157. Dr Ragu, Medicine
  158. Prof. Granville Austin, Medicine
  159. Shri T. Raghavan Thirumalpad K, Ayurveda
  160. Sh D S. Handa, Medicine - Ayurveda
  161. Prof Dhananjay Sharma, Medicine
  162. Prof K Mohandas, Medicine
  163. Dr. Kalpalatha KGuntupalli, Chest, USA
  164. Dr Navin C Nanda, Cardio, USA
  165. Dr. Dattatreyudu Nori, Neuro, USA
  166. Dr Venkat S Ram, Cardio, USA
  167. Dr. Samin K. Sharma, Cardio, USA
  168. Dr. Keshav Singhal, Socio, UK
  169. Dr. Ashutosh Tewari, Uro, USA
  170. Dr. Suresh H. Advani, Medicine -Oncology, Maharashtra
  171. Dr. Ghanshyam Das Agarwal, Dental, MP
  172. Dr Shekhar Agarwal, Othopaedic
  173. Prof. (Dr.) Madanur Ahmed Ali, Gastroenterology, TN
  174. Dr. Nitya Anand, Medicine Drugs Research, UP
  175. Dr. Rayapu Ramesh Babu, Medico, AP
  176. Dr V K Bahl, Medicine – Cardiology, Delhi
  177. Dr. V. Velayudhan Bashi, Cardiothoracic, TN
  178. Dr. Narendra Singh Bhandari, Medicine - Pediatrics, MP
  179. Dr. Chapal Kumar Chatterjee, Medicine - Physician, WestBengal
  180. Late Pandit Shiv Karan Sharma Chhangani, Ayurveda, Maharashtra 
  181. Dr K S Chugh, Nephrology, Chandigarh
  182. Dr. Jaykumar Dixit, Accupuncture, Maharashtra
  183. Dr. Vadavattathu Padmanabhan Gangadharan, Oncoloy, Kerala
  184. Dr. Deveridra Kumar Gupta, Paediatric Surgery, Delhi
  185. Dr. Vivek Gupta, Cardiology, Delhi
  186. Dr. SukhdevSwami Handa, Pharmacognosy, Haryana
  187. Dr. Pratap Singh Hardia, Eye, MP
  188. Dr. Indira Hinduja, Gynaecology, Maharashtra
  189. Dr. Pramod Kumar Jain, Medicine, UP
  190. Dr. Mahipati Madhwacharya Joshi, Medicine - Eye, Karnataka
  191. Dr. Harshindar Kaur, Socio, Punjab
  192. Dr Vinaya Kumar E C, ENT, AP
  193. Dr. Thirumalaiah VenkaMariappa, Ortho, Karnataka
  194. Dr. M. Thomas Mathew, Nephro, Kerala
  195. Dr. Ghanashyama Mishra, Socio, Orrisa
  196. Dr. Yugual K Mishra, Cardio, Delhi
  197. Prof K Mohan Das, Kerala, Anaesthesia
  198. Dr. N.P.P. Namboothiri, Ayurveda, Kerala
  199. Dr. N.P.P. Namboothiri, Ortho, Karnataka
  200. Dr. Hrishikesh D.Pai , Medicine, Karnataka
  201. Dr. K A. Ashok Pai, Medicine Karnataka
  202. Dr. Chinnusamy Palanivelu, Lapro surgery, TN
  203. Dr L M Pant, Surgery, MP
  204. Dr. Vishwanathapura Parames, Cardio, Karnataka
  205. Dr P. K. B. Patnaik, Socio, Orrissa
  206. Dr. Nabin Kumar Pattnaik, Eye, Delhi
  207. Dr. Vinod Kumar Paul, Paedatrics, Delhi
  208. Dr. Jose Chacko Periappuram, Cardio Thoracic SurgeyKerala
  209. Prof. (Dr) A. Marthanda Pillai, Neuro Surgery, Kerala
  210. Prof. (Dr) Shaji Prabhakaran, Neuro Kerala
  211. Dr Sunil Pradhan, Neuro, UP
  212. Dr K P R Pramod, Onco, Karnataka
  213. Dr Rajendra Prasad, Chest, UP
  214. Dr Ajit S Puri, Medicine, Punjab
  215. Dr. K. Rajagopalan, Medicine, Kerala
  216. Dr. Damera Seshagiri Rao, Cardio, Karnataka
  217. Prof. (Dr.) PatnamSiva Rama Krishna Rao, Medicine, AP
  218. Dr. Sahtosh Rath, Ortho, Orissa
  219. Dr Rajesh Sagar, Psychiatry, Delhi
  220. Dr Hira Lal Saha, Socio, Jharkhand
  221. Dr D S Saksena, Cardiothoracic Surgery, Maharashatra
  222. Dr. Immaneni Sathyamurthy, Cardio, TN
  223. Dr. Gururaj B. Sattur, Cardio, Karnataka
  224. Dr. SureshNarain Saxena, Socio, Haryana
  225. Dr Ashok Seth, Cardio, Delhi
  226. Shri Anant Darshan Shankar, Medicinal Plants, Karnataka
  227. Dr.  Patil Siddalingappa Shankar, MedicineKarenataka
  228. Prof. (Dr.) ShitishS Sheth, Medicine, Maharashatra
  229. Dr Jitendra Kumar Singh, Onco, Bihar
  230. Dr Rajiv Singh, Homeopathy UP
  231. Prof. (Dr) LakhanLal Sinha, Chest, Bihar
  232. Dr. Kailash Prasad Srivastava, Socio, UP
  233. Prof. (Dr.) Sampath Subash GI, TN
  234. Dr. (Smt.) Kasimalla Suhasinee, Socio, AP
  235. Dr. Ashish Suri, Neurosurgery, Delhi
  236. Shri K. Raghavan Thirumulpad, Ayurveda, Kerala
  237. Dr. Sarvada Chandra Tiwari, Psychiatry, UP
  238. Dr Abhay Bang, Social, Maharashatra
Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
  eMedinewS Audio PostCard

  2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal
"6 Ways to earn extra income from medical activities"

Audio PostCard
 
  SMS of the Day

(By Dr GM Singh)

Stress is when you wake up screaming and you realize you haven't fallen asleep yet.

 
    Photo Feature (from the HCFI Photo Gallery)

2nd eMedinewS Revisiting 2010

Dr Praveen Chandra recieving eMedinewS Medical Statesman of the year 2010 Award in the 2nd eMedinewS revisiting 2010 on 9th January 2011 at Maulana Azad Medical College.

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Telemedicine link between SGPGI, Nepal

With the launch of telemedicine network between Patan Hospital, Kathmandu and the SGPGI, Lucknow, on Friday, now the patients from Nepal, from their own country, will be able to consult the doctors from the SGPGI. The facility was inaugurated at the SGPGI by Dr RK Sharma, the director of the institute. In Kathmandu, the connectivity was inaugurated by Nepal Prime Minister Madhav Kumar Nepal. The project, started by the Ministry of External Affairs, the Government of India, will also help the two countries in sharing medicine and treatment knowledge. As part of an initiative to connect healthcare facilities among SAARC countries, the SGPGI department is already connected to various health centers in Bhutan and Afghanistan. (Source: Indian Express, Jan 22 2011)

 
    International News

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

Baby fat may predict early obesity

Chubbiness in babies may be a sign of good health, but it may also be a warning sign of obesity in early childhood, reports WebMD. In a newly published study, babies who weighed the most at the age of 9 months tended to be among the heaviest when they reached age 2. The study is among the first to track the weight of a nationally representative sample of very young children; researchers say it suggests that even babies are not exempt from the obesity epidemic. "We are certainly not saying that overweight babies are doomed to be obese adults," study researcher Brian Moss, PhD, of Detroit’s Wayne State University tells WebMD. "But we did find some evidence that being overweight at 9 months of age is a predictor of being overweight or obese later in childhood."

(Dr Monica and Brahm Vasudev)

Ultrasonographically guided needle aspiration

A minimally invasive treatment for uncomplicated superficial skin abscesses has a failure rate of almost three in four. In a randomized trial of 101 patients, an older method of treating abscesses –– incision and drainage –– had only one in five treatment failures, according to Romolo Gaspari, MD, PhD, of the University of Massachusetts Memorial Medical Center in Worcester, Mass., and colleagues. Regardless of which treatment method was used, the presence of community–acquired methicillin–resistant Staphylococcus aureus (CA–MRSA) reduced the success rate, Gaspari and colleagues reported online in Annals of Emergency Medicine.

Celiac patients can eat hydrolyzed wheat flour: Study

Baked goods made from hydrolyzed wheat flour are not toxic to celiac disease patients, according to a new study in Clinical Gastroenterology and Hepatology, the official journal of the American Gastroenterological Association (AGA) Institute.

Novel antibiotic combinations fight resistance genes

The combination the antibiotic ceftazidime plus the compound NXL104 is active against bacterial pathogens containing genes that confer resistance to multiple carbapenems, according to two papers published in the January 2011 issue of the journal Antimicrobial Agents and Chemotherapy.

Possible new treatment for severe 2009 H1N1 infection

Convalescent plasma therapy, using plasma from patients who have recovered from an infection to treat those with the same infection, has been used to treat multiple diseases. However, the efficacy of this treatment in patients with severe 2009 H1N1 influenza is unknown. A study published in the February 15 issue of Clinical Infectious Diseases suggests that convalescent plasma may reduce the death rate in patients severely ill with this type of influenza.

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

Do we need to get admitted in the IVF process?

A patient undergoing IVF does not require admission. However, one should visit the center 3–5 times during monitoring cycle. On the day of egg collection, the patient would need to fast for 6 hours and come to clinic (the procedure takes about half an hour). Patients can go home after the effect of anaesthesia weans off which takes about 2–3 hours. The next scheduled visit is after 2–3 days for the embryo transfer, which again takes about half an hour and patients are free to go home after resting for one hour.

For queries contact: banerjee.kaberi@gmail.com

 
    Medicine Update

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

What are the adverse effects of passive smoking?

Passive smoking can have immediate adverse effects on your blood and blood vessels, potentially increasing the risk of a heart attack. Breathing smoke passively interferes with the normal functioning of the heart, blood, and vascular systems in ways that increase the risk of heart attack. For some of these negative effects the immediate impact of even short exposures to secondhand smoke appears to be almost as large as that observed in active smokers. Even a short time in a smoky room can cause your blood platelets to become stickier and damage the lining of the blood vessels. Non–smokers who are exposed to passive smoking are 20–30% more likely to develop lung cancer. Women married to a smoker have a 91 percent greater risk of heart disease.

 
    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What are the medicolegal issues in criminal abortion?

  • The doctor should maintain a detailed record about the symptoms, general condition and signs present in the genitalia. He should not disclose the information about the woman having undergone criminal abortion. He should urge her to make a statement which may be taken as evidence against a person who has performed the operation. If the death is imminent he should arrange for a dying declaration.
  • The investigating police officer should visit the scene/place of criminal abortion.
  • The police officer investigating a case of criminal abortion, should see that in such type of cases there are certain duties of a doctor, attending and treating a patient suffering from the effects of a criminal abortion induced by another qualified/unqualified person.
  • The statement of the patient, their relatives, attendants etc. should be recorded.
  • Linen on which the patient is lying, the undergarments and other clothing of the patient should be keenly watched for blood stains or for smell of any other disinfectant.
  • A detailed clinical examination should be carried out to assess the physical and the mental state of the patient to find out whether the history given earlier is contradictory or not.
  • The place should be thoroughly searched for any instruments used to procure abortion or any discarded swabs or any abortifacient drugs or prescription of medicines etc.

Section 312 IPC: causing miscarriage; Section 313 IPC: causing miscarriage without woman’s consent; Section 314 IPC: death caused by act done with intent to cause miscarriage; Section 315 IPC: act done with intent to prevent child being born alive or to cause it to die after birth; Section 316: causing death of quick unborn child by act amounting to culpable homicide.

 
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Q. I am a pathologist. A doctor referred a patient to me for HIV testing. I refused to give the report directly to the patient since I understand that counselling is a must. The treating doctor said I could do the counselling myself. Is it permissible?

A.

The reply below is based on general principles of law and not upon any specific legislative provision or guideline.

  • It is generally agreed that it is best for a patient is not to treat himself, especially for serious conditions. Treatment includes lab investigations.
  • If a doctor refers a patient to another (including to a pathologist for a lab investigation), it is the norm that the referred doctor should send his opinion/test result to the referring doctor.
  • In the case cited, the protocol demands that you should send the report to the referring doctor and he should give it to the patient along with necessary counselling.
  • However, if the report and the counselling are given by you directly to the patient in a documented manner, I do not find any legal problem in this.
 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Red blood cell count

The RBC count is most useful as raw data for calculation of the erythrocyte indices MCV and MCH.

  • Decreased RBC is usually seen in anemia of any cause with the possible exception of thalassemia minor, where a mild or borderline anemia is seen with a high or borderline–high RBC.
  • Increased RBC is seen in erythrocytotic states, whether absolute (polycythemia vera, erythrocytosis of chronic hypoxia) or relative (dehydration, stress polycthemia), and in thalassemia minor.
 
    Medi Finance Update

If some jewelry is gifted to a minor child and the jewelry is sold at a profit, in whose account will it be taxable?

If some jewelry is gifted to minor child and the jewelry is sold at a profit, then such income shall be clubbed in the accounts of parents, whose income is higher.

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  Docconnect Dr Veena Aggarwal
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  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
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    Drug Update

LIST OF APPROVED DRUG FROM 01.01.2010 TO 31.8.2010

Drug Name
Indication
DCI Approval Date
Soybean oil 60gm + Triglycerides (medium chain) 50gm + olive oil purified fish oil 30gm + dl–alpha-tocopherol 163–225mg + glycerol (anhydrous) 25gm + Egg lecithin 12gm + sodium hydroxide (to approx pH 8) + sodium pleate 0.3mg emulsion for infusion in 100ml.
Total parenteral nutrition following major abdominal, major thoracic or major urological surgery
19/01/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Rotavirus vaccine

Vaccine–acquired rotavirus disease within one month of the first or second dose of pentavalent human–bovine reassortant rotavirus vaccine (RV5) has been reported in three infants who subsequently were diagnosed with severe combined immunodeficiency (SCID).

 
    IJCP Special

Dr Good Dr Bad

Situation: A 65–year–old male needed pneumonia vaccination.
Dr. Bad: Take it every five years.
Dr. Good: Take it once for life.
Lesson: After the age of 65, pneumonia vaccination is given only once for life.

Make Sure

Situation: An asthmatic patient worsened after receiving a painkiller.
Reaction: Oh my God! Why was he not put on leukotriene antagonist?
Lesson: Make sure that a patient with asthma is put on leukotriene antagonist (zafirlukast or montelukast) and not given aspirin.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

Lesson learned: things are not always black or white

When I was in elementary school, I got into a major argument with a boy in my class. I have forgotten what the argument was about, but I have never forgotten the lesson learned that day. I was convinced that "I" was right and "he" was wrong – and he was just as convinced that "I" was wrong and "he" was right. The teacher decided to teach us a very important lesson. She brought us up to the front of the class and placed him on one side of her desk and me on the other.

In the middle of her desk was a large, round object. I could clearly see that it was black. She asked the boy what color the object was. "White," he answered. I couldn’t believe he said the object was white, when it was obviously black! Another argument started between my classmate and me, this time about the color of the object. The teacher told me to go stand where the boy was standing and told him to come stand where I had been. We changed places, and now she asked me what the color of the object was. I had to answer, "White." It was an object with two differently colored sides, and from his viewpoint it was white. Only from my side was it black.

My teacher taught me a very important lesson learned that day: You must stand in the other person’s shoes and look at the situation through their eyes in order to truly understand their perspective.

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Mind Teaser

Read this…………………

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a
v
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Yesterday’s Mind Teaser: right=right
Answer for yesterday’s Mind Teaser: Equal rights

Correct answers received from: Dr. Manjesha, Dr Rakesh Bhasin, Rakesh Bhasin, Dr Sudipto Samaddar, Dr. Rajiv Dhir, Dr. Rohini Vaswani, Dr.K.Raju,

Answer for 22nd January Mind Teaser: black coat
Correct answers received from: Dr. A. P. Rao, Dr. Suman Kumar Sinha, Dr Vijay Kansal, Dr Anil Kumat, Dr Shashi Chabra.  

Send your answer to ijcp12@gmail.com

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Laugh a While
(Contributed by Dr G.M.Singh)

Teacher: "Tell me, Johnny, which is the best time to pick pears? Spring, summer, autumn or winter?"
Johnny: "The best time to pick pears is when the farmer is not at home and there's no dog on the farm."

 
    Readers Responses
  1. Thanks Dr KK Aggrawal, for managing this multispecialty emedinews in medicos interest in large. Regards: Dr Anupam.
 
    Public Forum

(Press Release for use by the newspapers)

Deep frying of potato can cause cancer but soaking potatos in water before frying can nullify these effects

A study has shown that soaking potatoes in water before frying cuts down on the formation of the suspected carcinogen acrylamide, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Acrylamide is formed when starch–rich foods are cooked at high temperatures, (120 degrees Centigrade) such as frying, baking, grilling, broiling or roasting. Raw or even boiled potatoes test negative for the chemical. Boiling and microwaving appear less likely to form acrylamide as the cooking does not involve very high temperatures. Longer cooking time increases the amount of acrylamide produced when the temperature is high enough.

Potato chips and French fries contain high levels of acrylamide compared to other foods, with lower levels also present in bread and cereals.

In a study published in Journal of the Science of Food and Agriculture, it has been found that simply soaking potatoes before frying can significantly reduce the formation of acrylamide. The researchers tried three different approaches. They washed raw French fries, soaked them for 30 minutes, and soaked them for two hours. This reduced acrylamide levels by up to 23 percent, 38 percent and 48 percent, respectively, but only if the fries were cooked to a light color. It’s not clear whether the same reductions could be achieved if French fries are cooked to a deep, dark brown.

The cooking and re–cooking of fried foods in the same fry pan or broiler is the main cause. Even the thoroughly washed iron skillet can continue to contain submerged carcinogens collected from previous use. Most restaurants uses the same rancid cooking oil for days or even weeks and even reusing it after washing the pot.

Traditional Ayurveda has been advocating against deep frying and has been advocating low temperature cooking for centuries.

However, occasional consumption of these products is not likely to be a health concern. Apart from foods, cigarette smoking is the other source of acrylamide.

 
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Conference Column

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: : Dr KK Aggarwal

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