emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.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
Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


YOU CAN DOWNLOAD EMEDINEWS AT www.emedinews.in

Dear Colleague

26th March 2010, Friday

Skin rejuvenation

Here is a list (by health beat: Harvard Newsletter) of the most common cosmetic skin problems followed by a brief evaluation of available treatments:

Treatments for brown spots

  • Bleaching creams: Inexpensive; require no recovery time; only mildly effective.

  • Retinoid creams: Moderately effective; moderately expensive. Lightens but will not fully remove brown spots. Can cause skin irritation. May be combined with bleaching creams.

  • Chemical peel: Effective; expensive. Recovery time depends on strength of peel solution.

Treatments for brown spots

  • Lotions containing alpha hydroxy acids: or beta hydroxy acids. Moderately effective; inexpensive products are available without prescription.
     
  • Retinoid creams: Moderately effective; lower–strength products available without prescription. More expensive, stronger products available with prescription.

  • Growth factors: Moderately effective; expensive; short recovery time.

  • Chemical peel: Effective; expensive; recovery time depends on strength of peel solution.

Forehead lines

  • Botulinum toxin injections: Very effective; expensive; repeat treatments necessary; short recovery time.

  • Injectable fillers: Very effective; less expensive; short recovery time; can be combined with botulinum toxin.

Hair removal

  • Electrolysis: Effective; expensive; removes both dark and light hair; painful. Can only treat limited areas at one visit and requires many treatments.

  • Intense pulsed light: Very effective; expensive; removes dark hair only; cannot be used on dark or tanned skin.

  • Laser removal: Most effective; expensive; removes dark hair only; painful and takes many treatments.

Dr KK Aggarwal
Chief Editor


News and Views

One in six Americans infected with genital herpes

The latest CDC figures indicate that one in six Americans aged 14 to 49 are infected with genital herpes caused by the herpes simplex 2 virus, making it one of the most common sexually transmitted diseases in the United States.

Pharma & Device Update

Boston Scientific recalls two implantable heart defibrillators Boston Scientific Corp. has announced a recall of its implantable heart defibrillators stating that the company failed to tell regulators about certain manufacturing changes to the devices.

Angiotech announces stent met two goals in clinical trials Angiotech Pharmaceuticals, Inc. announced that the Taxus Element stent, it developed with Boston Scientific Corp. met its goals in a pair of clinical trials.

Salsalate may help type 2 diabetes management

Salsalate, an inexpensive, generic anti–inflammatory drug from the aspirin family, helped patients with type 2 diabetes in a clinical trial manage the disease and lower their blood sugar, adding to evidence that inflammation plays a role in diabetes.

Patients in the randomized clinical trial led by researchers at the Joslin Diabetes Center, improved their blood sugar levels after three months, with those taking the highest dose lowering their hemoglobin A1C scores by 0.5 % on average, as well as lowered their triglycerides.

Higher Lipitor dose may lower heart attack, stroke risk for some patients

A re–analysis of research data found a high dose of popular cholesterol drug atorvastatin lowers risk of heart attack and stroke in some patients with both heart disease and kidney disease. (Annual Meeting of the American College of Cardiology.)

Researchers investigating how thalidomide causes birth defects

The metabolite CPS49, when injected into an embryo started killing developing blood vessels and was shown to cause chicks to fail to develop wings. In a study published in the journal Science, researchers found that a protein known as cereblon latched on tightly to thalidomide.

Conference Calendar

IOA – ICL 2010 (The Adult Hip)
Date: March 27–28, 2010
Venue: Indira Gandhi Medical College, Shimla, Himachal Pradesh.

What’s New: Treat MI with drugs and PTCA

Two randomized trials in patient with STEMI who were treated with fibrinolytic therapy found that transfer for possible percutaneous coronary intervention was superior to ischemia guided treatment in local hospitals.

  1. Bohmer E, Hoffmann P, Abdelnoor M, et al. Efficacy and safety of immediate angioplasty versus ischemia–guided management after thrombolysis in acute myocardial infarction in areas with very long transfer distances results of the NORDISTEMI (NORwegian study on DIstrict treatment of ST–elevation Myocardial Infarction). J Am Coll Cardiol 2010;55(2):102–10.

  2. Cantor WJ, Fitchett D, Borgundvaag B, et al. Routine early angioplasty after fibrinolysis for acute myocardial infarction. N Engl J Med 2009;360:2705.

Diabetes Fact

Glargine is peak–less insulin.

Public Forum (Press Release)

Pregnant ladies should wear seat belts

Pregnant women should wear seat belts, not only to save themselves in the event of a car accident but also to save their unborn baby.

Quoting a Texas study from American Journal of Obstetrics & Gynecology, Dr KK Aggarwal, President, Heart Care Foundation of India and Editor eMedinewS said that over half of all fetal losses in motor–vehicle crashes –– could be saved if pregnant women buckled up properly.

Even if a fetus survives, premature delivery as a result of the crash can lead to low birth weight, respiratory problems and long–term physical or neurological problems.

As per the researchers at the University of Michigan the survival of the fetus was most strongly associated with the severity of the crash and how badly the mother is injured. Fetuses are 4.5 times more likely to survive if the mother is wearing the proper seat belt.

The other notable findings of the study were:

Regular use of seat belts by pregnant women will prevent 84 percent of fetal injuries and deaths as a result of car accidents.

Women in car crashes where the fetus is injured or dies are unbelted 62 percent of the time.

79 percent of pregnant women who properly wore a three–point belt, with or without air bag deployment, had ‘acceptable’ fetal outcomes in less severe crashes.

Air bags do not seem to adversely affect fetal outcomes.

For pregnant women, the lap–belt portion needs to be worn low over the pelvis so if there is a crash, basically, the bony pelvis is what the seat belt is restraining rather than (having the force) transmitted to the uterus or the abdomen.

The shoulder belt should simply come up from the side, go between the woman's breasts, and over the shoulder.

Question of the day

What is microdermabrasion?

Microdermabrasion is a safe nonsurgical, noninvasive procedure, which uses a stream of fine microcrystals to gently and evenly exfoliate the skin to reveal a new, fresh skin beneath. It is one of the most exciting and sought after medical cosmetic procedures today and has been US FDA approved since 1997.

Quote of the Day

Anyone can give up; it’s the easiest thing in the world to do. But to hold it together when everyone else would understand if you fell apart, that’s true strength.

eMedinewS Try this it Works

Cooling the itch

Cooling the skin with a cold compress wrapped in plastic or with a cold can from the refrigerator or freezer is more likely to ease pruritus without worsening the dermatitis.

Dr Good Dr Bad

Situation: A diabetic patient with postprandial hyperglycemia was put on oat bran breakfast.
Dr Bad: It will not work.
Dr Good: It is good for diabetes.
Lesson: Oat bran flour high in beta–glucan had a low glycemic response and acted as an active ingredient decreasing postprandial glycemic response of an oral glucose load in subjects with type 2 diabetes. (Nutr Metab Cardiovasc Dis 2005;15(4):255–61)

Make Sure

Situation: A 28 year old male presents with increased frequency and occasional blood in urine. Examination of urine shows sterile pyuria.
Reaction: Oh My God! Why didn’t you check for TB?
Make Sure to rule out TB in patients with frequency, dysuria, haematuria and sterile pyuria is the first clue to diagnosis.

Punjab & Sind Bank
 
action
docconnect
 
Central Bank of India
 
ijcpgroup
 
nuspera
 
Docconnect

Laughter the best medicine

Patient: Doctor, if I give up wine, women, and song, will I live longer?

Doctor: Not really. It will just seem longer.

Formulae in Critical Care

Venous oxygen content (CvO2)

Formula: CvO2) = (1.34 × SvO2) × Hb) + (0.0031 × PvO2)

SvO2) – percentage saturation of oxygen in venous blood.

Comment: Normal values are 14.5–15.5 ml/100 ml of blood.

Milestones in Orthopedics

Jean Georges Chrétien Frédéric Martin Lobstein (1777 – 1835) was a German–born, French pathologist and surgeon. He is remembered for several contributions made in the field of pathological anatomy. He described a disorder known today as osteogenesis imperfecta type I, which is sometimes called Lobstein’s disease

Mistakes in Clinical Practice

Various trials all over the world have shown that use of intracardiac adrenaline offers no advantage. Rather it has shown to cause injury of the myocardium. It can also lead to cardiac rupture. Hence this step should be clearly avoided during CPR of patients.

Lab Test (Dr Naveen Dang)

Ceruloplasmin level is used to help diagnose Wilson’s disease and sometimes to help identify other conditions associated with copper deficiencies.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name

Indication

Approval Date

Albendazole 400 mg + Ivermectin 6 mg tablet

For the treatment of intestinal helminthiasis and suppression of microfilaraemia especially with bancrofti infections

25.04.2009


(Advertorial section)

ZEN IMMUNE–FACT SHEET

Zen Immune Beauty helps improve the brittleness of nails and increase the hair tensile strength, thus preventing hair loss. It stimulates regeneration of hair roots, helps prevention of comedone formation and post comedone skin scarring in acne vulgaris.

Advertising in eMedinewS

eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month. Contact: drkk@ijcp.com or emedinews@gmail.com

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

NATIONAL SEMINAR ON STRESS PREVENTION (17–18 April). Over 400 registrations already done.

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.

Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)

Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.

Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9811090206, emedinews@gmail.com BK Sapna: 9811796962, bksapna@hotmail.com

Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards

Readers Responses (Dr G M Singh)

  1. Invest at least as much time and effort in reading a new e–medinews as you would in choosing a new refrigerator.

  2. Babies who are breast fed have reduced incident of asthma, allergies and juvenile diabetes.

  3. Sprain suffers, remember the RICE approach: REST, ICE, COMPRESSION and ELEVATION.