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 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 …

26th March, 2011, Saturday                                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

Obesity gastric bands may cause more complications than weight loss

Almost half of patients undergoing gastric banding for obesity needed to have the device removed, according to an online–first study published in the Archives of Surgery.

About 60 percent of the 82 patients with the device, Allergan Inc.‘s Lap–Band, followed over 12 years or more needed additional operations. The minimally invasive surgery led to weight loss in roughly 18 percent of the patients. About 40% of the 82 patients had major complications. Another 22 percent experienced relatively minor complications, and almost 50 percent had to have the bands entirely removed. In all but a few cases, inadequate weight loss or device breakdown was the reason for band removal. The mean reduction in body mass index was 7.8 points.

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

  Rheumatoid arthritis Update

Dr Harvinder S Luthra Speaks on
‘Pathology of rheumatoid arthritis’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Parampara, 8th World Fellowship of Religion to be held on April 3, 2011

To earmark World Health Day, "Parampara," 8th World Fellowship of Religion, a unique day-long event will be held on Sunday, 3rd April, 2011 at Maulana Azad Medical College, New Delhi. This was announced at a Press Conference. In the Photo: Amit Mishra, Cricketer, Dr KK Aggarwal Padma Shri and Dr BC Roy National Awardee and Mr Sanjay Bhardwaj, Cricket Coach.

 
Dr K K Aggarwal
 
    National News

Swine flu is back, one dead in Punjab

New Delhi: The deadly swine flu is back with Punjab reporting the season’s first fatality due to the disease. Punjab reported the maximum number of eight cases this week while Delhi reported two and Rajasthan one, Health Ministry officials said. (Source: The Hindu, Mar 24, 2011)

TB control programme being further revised

NEW DELHI: Having achieved the global objectives of a new 70 per cent in case–detection and a treatment success rate of 85 per cent for the last three consecutive years, the Revised National Tuberculosis Control Programme (RNTCP) is being further revised with the objective of universal access to quality TB care for all patients. Under the universal Access, all TB patients, including vulnerable and marginalised persons, will have access to early quality diagnosis and treatment. The intermediate target is to detect 90 per cent of all cases and successfully treat 90 per cent of them by 2015. The new initiative of universal access will also be marked by the launch of a new DOTS logo that will be in use from World TB Day on Thursday. The new slogan — "DOTS: Pura Course, Pakka Ilaaj" — (complete DOTS course, total cure) signifies a response to the emerging challenges regarding tuberculosis and its manifestations in the form of multi–drug resistant TB (MDR–TB) and co–infection with HIV. The RNTCP is being implemented following the WHO–recommended Directly Observed Treatment Short Course (DOTS) strategy that provides a sure cure for tuberculosis with 6–8 months course and is available free of cost in the entire country. India’s DOTS programme is the largest in the world in terms of patients initiated on treatment, placing on an average of more than 1, 25,000 patients on treatment every month. (Source: The Hindu, March 24, 2011)

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

(Rajat Bhatnagar, International Sports & Fitness Distribution, LLC )

Walk this way

Dogs are a man’s best friend – they are loyal, kind and protective. However, did you know that they also encourage their owners to be healthier and more active? A new study published in the Journal of Physical Activity and Health shows that people who own dogs are about 34 percent more likely to get 150 minutes of moderate to vigorous exercise a week, which is the current recommended amount by the federal government and the American Council on Exercise. Researchers tracked the exercise patterns of over 5,000 Michigan residents, 2,170 of whom were dog owners. Not only were dog owners found to be more active, but also they were much less likely to lead a sedentary lifestyle–dog owners are 69 percent more likely to get any leisure physical activity than non–dog owners. The next time you need some motivation, remember this study and consider adopting a dog! However, becoming a dog owner is a serious commitment so make sure you are ready and willing to love and care for it, which includes walking it (and walking yourself) every day.

(Dr Monica and Brahm Vasudev)

FDA to block some Japanese food imports

The FDA has announced that it will detain all dairy products, fruits, and vegetables originating in the vicinity of Japan’s damaged atomic energy complex that was heavily damaged in the March 11 earthquake and tsunami.

Intense exercise, sex may increase heart attack risk for inactive individuals

People who don’t exercise on a regular basis, and then have episodes of intense exercise or sex are more likely to experience a heart attack or die suddenly than those who are more active, according to research published in the Journal of the American Medical Association. The risk for a heart attack dropped 45 percent and the risk of dying from a heart attack dropped by about 30 percent for each time each week someone got just a little exercise. Most of the patients in the studies were in their late 50s and early 60s, but the findings are a cautionary tale for people in any age group who are slowing down.

High–fiber diet may reduce lifetime risk of cardiovascular disease

A high–fiber diet appears to reduce your lifetime risk of cardiovascular disease, especially if you are consuming lots of fiber when you are young and middle–aged, according to a study presented this week at the American Heart Association conference. People who are in the top 25% of dietary fiber intake –– that is, they consume more than 22 grams of dietary fiber a day –– are more likely to have a lower lifetime risk for cardiovascular disease.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient developed asthma within a year of menopause.
Dr. Bad: It is not asthma.
Dr. Good: It is associated with menopause.
Lesson: The onset of asthma within a year of menopause is a separate asthma phenotype.

Make Sure

Situation: A patient with chest pain with normal ECG died half an hour later.
Reaction: Oh my God! Why was acute MI not suspected?
Lesson: Make sure all patients of chest pain are observed for 12 hours. ECG can be normal in acute heart attack for up to six hours.

 
    An Inspirational Story

(Dr S. L. Jain)

The story of Two Seas (Dead Sea and Sea of Galilee) reminds me of the story of Warren Buffet no 3 in the global rich list who has pledged to give 99% of his wealth to charity. His giving pledge says –"The reaction of my family and me to our extraordinary good fortune is not guilt, but rather gratitude. Were we to use more than 1% of my claim checks on ourselves, neither our happiness nor our well–being would be enhanced. In contrast, that remaining 99% can have a huge effect on the health and welfare of others." Warren Buffet and Bill Gates are together worth $ 106 billion, but they don’t want that wealth, not for themselves, not for their children. From wealth creators they are now wealth givers.

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

How does a woman know that there is a problem in her fallopian tubes?

Tubal problem in the form of blockage is usually due to infection. Infection may be symptomatic or silent. The symptoms can be in the form of fever, lower abdominal pain, irregular bleeding, and watery discharge per vagina. Tubal problem can then be confirmed by hysterosalpingography or laparoscopy. However, at times tubal problems may be completely silent because it can damage the inner lining of the tube which has fine hair called cilia.

 
    Hepatology Update

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

How is a case of Hepatitis C diagnosed?

  • A screening antibody test such as an Enzyme immuno–assay (EIA) or other immunoassay is initially performed and RT–PCR for RNA is used to confirm active infection. In HIV+ patients with a low CD4 count (<200 cells/mm3), the EIA may occasionally be negative and an RT–PCR may be needed for definitive diagnosis.
  • An antibody test may not become positive for three or more months after acute HCV infection but a test for HCV–RNA will be positive after only two weeks.
  • Chronic infection is confirmed if an HCV–RNA assay is positive six months after the first positive test. Patients with low–level viremia may require HCV–RNA levels testing on two or more occasions to confirm infection.
  • All patients being considered for therapy should have a viral RNA test to confirm viremia and be genotyped. A positive antibody test with persistently negative RNA test indicates resolved infection.
 
    Medicolegal Update

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

What is Dissociative identity disorder?

Dissociative identity occurs due to chronic mental trauma or stress. The affected person fails to integrate the various aspects of his personality. As a result, he has a different self–identity at different time, place and situation, which he again forgets in another place or time or situation where he presents with another identity. In the course of such shifting of personality, there are concurrent vague complaints of disease or trauma due to assault.

 
ijcpgroup
ijcpgroup
ijcpgroup
Docconnect
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Obesity and pregnancy: complications

Maternal Morbidity – Hypertensive disorders

Hypertensive disorders are significantly more prevalent in obese pregnant women than in their lean counterparts. Even when overweight is moderate, the occurrence of hypertension and preeclampsia is significantly higher by comparison with control patients. In obese women, the incidence of hypertension is 2.2–21.4 times higher than in control subjects, and preeclampsia occurs 1.22–9.7 times more often.

 
    Mind Teaser

Read this…………………

OturnedUT

Yesterday’s Mind Teaser: le
                                      vel

Answer for Yesterday’s Mind Teaser: Split level

Correct answers received from: Dr Sudipto Samaddar, Dr Manjesha, Dr Sandeep Thadani, Dr S. Upadhyaya, Dr T. Samraj, Dr Sandeep Thadani, Dr Chandresh Jardosh, Dr K Raju, Dr Rakesh Malhotra, Dr Rashmi Chhibber, Dr Anil Bairaria, Dr Neelam Nath, Dr Muthumperumal Thirumalpillai, Dr Rajiv Dhir

Answer for 24th March Mind Teaser: Two peas in a pod
Correct answers received from: Dr Muthumperumal Thirumalpillai, Dr KP Rajalakshmi, Dr Chandresh Jardosh, Dr Sudipto Samaddar, Dr K Raju, Dr Manjesha

Send your answer to ijcp12@gmail.com

 
    Lighter Side of Reading

Laugh a While
(Dr G M Singh)

Law of Physical Surfaces: The chances of an open–faced jelly sandwich landing face down on a floor are directly correlated to the newness and cost of the carpet or rug.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Chloride

  • Increase in serum chloride is seen in dehydration, renal tubular acidosis, acute renal failure, diabetes insipidus, prolonged diarrhea, salicylate toxicity, respiratory alkalosis, hypothalamic lesions, and adrenocortical hyperfunction.
  • Decrease in serum chloride is seen in excessive sweating, prolonged vomiting, salt–losing nephropathy, adrenocortical deficiency, various acid base disturbances, conditions characterized by expansion of extracellular fluid volume, acute intermittent porphyria, SIADH, etc.
 
    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.

 
    Drug Update

List of Approved Drug From 01.01.2010 TO 31.8.2010

Drug Name

Indication

DCI Approval Date

Thiocholchicoside SR Tablet 16 mg

As an adjuvant treatment in painful spasms associated with degenerative vertebral disorders and vertebral static problems, torticollis dorsal pain, low back pain, traumatological and neurological disorders.

31/04/2010

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Outcomes of surgery for severe obesity

In a randomized trial of 50 obese adolescents during the two year follow–up period, the patients in the AGB group (compared adjustable gastric banding) lost 34.6 kg, as compared with 3.0 kg in the supervised lifestyle group. Almost 30% of the patients undergoing AGB required revisional procedures.

 
  Quote of the Day

(Dr Vasant Shenoy)

A good way to change someone's attitude is to change your own. Because, the same sun that melts butter, also hardens clay! Life is as we think, so think beautifully.

 
    Readers Response

Dear Dr KK Aggarwal, Your comments on media report on Expert committee recommendations are logical, thoughtful and well taken. The other nice write up is on Lessons from JAPAN. A good work… emedinews is going great guns. Keep it up. Your team deserves a great pat and warm hug. Dr B K Singh, Airports Authority of India.

 
    Public Forum

(Press Release for use by the newspapers)

"Parampara", a unique event being organized on 3rd April, 2011

To earmark World Health Day, World Fellowship of Religions, Heart Care Foundation of India and Deptt. of Health, Delhi Govt. is organizing "Parampara, 8th World Fellowship of Religion," a unique day–long event on Sunday, 3rd April, 2011 at Maulana Azad Medical College from 9am to 2pm jointly with many likeminded public, governmental, nongovernmental and private organizations. The previous seven Fellowships organised under the leadership of Acharya Sushil Muni Ji had focused on peace and environment.

Addressing a press conference here, Padma Shri & Dr. B.C. Roy National Awardee, Dr. K K Aggarwal, President, Heart Care Foundation of India and Acharya Dr. Sadhvi Sadhna Ji Maharaj, Chairperson, World Fellowship of Religions in a joint statement said that for the first time representatives from all Dharma, religions and pathies will collect under one roof and deliberate on the subjects of ‘Global Warming, Ethnic Crisis and Medical Science Behind Rituals’. Over 1000 members of the public including doctors, nurses, Dharma gurus, students, teachers etc will be attending the conference.

Mr. Amit Mishra, Famous Indian Cricketer, Captain of the Haryana Team said that by regular weight–bearing exercises and walking one can enhance the amount of oxygen consumed and thus improve one’s health. Regular exercises may benefit to a healthy living. Cricket Coach Mr Sanjay Bhardwaj said that for sports–oriented training, one should slowly increase the time and intensity of exercises and not push too hard too soon.

Various religious gurus will also be deliberating on the above subjects. The conference will also have a keynote address on Islam & Family Planning and HIV AIDS, by Chief Election Commissioner of India Dr. S.Y. Qureshi. Mr Pawan Kumar Bansal Union Minister for Parliamentary Affairs, Science & Technology and Earth Sciences will be the Chief Guest.

Other guests who will be talk on the subject will include Brahmkumaris B K Shanti, Dr. A K Merchant (Bahai), Mr. E I Malekar (Yahudi), Lama Lob Jang (Buddhism), Maha Mantra Das (ISKCON), Arch Bishop Vincent (Christianity), Sant Avtar Singh ji (Sikhism), Mr. G S Grover (Ruhani Mission), Mr. Dadi Mistry (Parsi) etc. Also, Dr. S K Mishra, Dr. Devender Triguna, Dr. S P Tripathi, Dr. Shashi Bala from Ayurveda, Dr. Dewan from Homeopathy, Dr. Ramesh Babu from Central Council of Research in Ayurveda, Dr S N Yadav from Naturopathy and Dr S C Manchanda from Allopathy will also be deliberating on various issues.

Describing further Dr. Aggarwal said that "Parampara" will also have a special session on Science behind Rituals. He said that diseases like iron deficiency anemia, pot belly obesity, metabolic syndrome occur when we disobey the laws of nature and stop following our traditional rituals. The ritual of Santoshi Mata Ka Vrat to eat gur–chana every week was to prevent iron deficiency anemia, the ritual of sunbath in the month of Magh was to prevent Vitamin D deficiency and restricting eating less cereals on weekly fast was to prevent diabetes and metabolic syndromes. All the rituals will be discussed in greater details with their scientific facts.

The other participating organizations are National Spiritual Assembly of the Bahais of India, National Human Rights Commission, All India Imam Organisation, International Society for Krishna Consciousness (ISKCON), Brahmkumaris, Shahi Imam, Sarva Dharam Sansad Maharishi Bhrigu Foundation, Archbishop of Delhi, Ashoka Mission, Delhi Parsi Anjuman, Shri Ram Krishna Sadhna Kendra, Basava Mantapa Mata Ashram, Bharatiya Ekta Andolan, Sawan Kripal Ruhani Mission, Shulha Kul Satsang Mandal, World Association of Value Education, Global Warming Reduction Centre, Sanskaram, Vishwa Ahimsa Sangh, Acharya Sushil Muni Foundation, International Arhat Jain Sangh, Acharya Sushil Muni Memorial Trust, Dr. Sadhna International Women Rights Protection Trust, International Mahavir Jain Mission and, Shri Mahavir Vishwa Vidya Peeth.

 
  eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. eMedinewS ebooks (This may take a few minutes to open)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein
 
    Situation Vacant

Vacancy for a post of Consultant in Pediatric ICU at Medanta – The Medicity Hospital, Sector –38, Gurgaon.
Interested candidates may please contact: drneelam@yahoo.com/9811043475.
*Eligibility: Post M /DNB/ DCH

 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

March 26–27, 2011, CME on Pediatric Hepatology – 2011 In association with Gastroenterology Chapter of IAP
Auditorium, Medanta – The Medicity, Gurgaon; Organizing Chairperson Dr Neelam Mohan, Director, Department of Pediatric Gastroenterology. No registration fee. Prior registration is must. For More information please contact: 09971018789/ 09717840850/ 09999669415/ 09899996682. Click

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Sunday 3rd April, 2011, World Fellowships of Religions and Perfect Health Parade First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof on Global Warming, Ethnic Crises, How to be Healthy
Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM.
Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.
Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm. Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com

………………………………………………………………

April 16–17, 2011, National Conference on Gynae–Endocrinology–2011 under aegis of FOGSI, ICOG and AOGD , Focus on newer advances in management of endocrinal problems in gynaecology with emphasis on PCOS, hyperprolactinemia, amenorrhoea, hormonal contraception. Gyne– endocrinology is a topic of high importance especially for practitioner. Detailed programme http://www.aiims.edu and http://www.aiims.ac.in
For details please contact: Prof Alka Kriplani, Organizing Chairperson, 9810828717 kriplanialka@gmail.com/Dr Nutan Agarwal, organizing Secretary, 9810107464/9868397310 nutan.agarwal1@gmail.com

………………………………………………………………

May 7–8, 2011, National Seminar On Stress Prevention
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
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: Saturday 7th May (2 pm onwards) and Sunday 8th May (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: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com

………………………………………………………………

September 30 – October 02, 2011;XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Highlights of Pre – Conference CME: Case based learning experience & audience interaction, Maximum 250 delegates for CME will be accepted, who will be divided in 5 batches and will rotate to different halls every 90 minutes. The topics are:(A) Right heart pressures & functions (From basics to newer methods (RV anatomy, echo views, echo assessment of RV function, prognostic impact of RV function) (B) Carotid Doppler: How do I assess and interpret in my daily practice.: Technical tips (Anatomy of the vessel, views of ultrasound scanning, Normal & abnormal Doppler hemodynamics, how to measure IMT) (C) Valvular stenosis: Assessment, limitations and their solution: (Anatomy of the valves, 2–D findings of stenotic lesions, quantitation of lesion, limitations) (D) How do I assess and report ventricular dyssynchrony in my lab. (What is ventricular dyssynchrony, what are the types of dyssynchrony, in whom, when & why do we assess it, various echo methods to assess it ) (E) Live 3–D Echo: Protocol for acquisition. How to slice and get full information. Aim is that by end of the day, every participant is well conversant with all the topics.
Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231/Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246
worldcon2011@in.kyoni.com, www.worldcon2011.org

………………………………………………………………

ICC Cricket World Cup 2011
http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

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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 Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta