emedinews
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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

 

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 …

26th September 2011, Monday

Eating white fleshed fruits can reduce the risk of paralysis

A large Dutch study, published in Stroke, a journal of the American Heart Association, has found that eating apples and pears is associated with a lower risk of paralysis. The study spanned 10 years and included more than 20,000 adults ages 20 to 65. None had cardiovascular disease at the start of the study. The risk of stroke was 52% lower for people who ate a lot of white–fleshed fruits and vegetables. However, that no link was found between stroke incidence and green (dark leafy vegetables, cabbages and lettuces) orange/yellow (mostly citrus fruits) or red/purple fruits and vegetables.

For More editorials...

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

Eating white fleshed fruits can reduce
the risk of paralysis

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

17th MTNL Perfect Health Mela

Releasing Pigeon to spread the message of Health and Awarness is a part of the inaugural ceremony of the MTNL Perfect Health Mela – An Initiative by Heart Care Foundation of India

 
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

Bird flu surveillance stepped up after outbreak in West Bengal

Following the bird flu outbreak in West Bengal, an alert has been sounded by the Maharashtra Animal Husbandry Department to step up surveillance in all districts. With winter about to arrive, the focus of surveillance will also be on migratory birds. Samples of droppings and sera will be collected by teams from birds at six water bodies and sent for examination to the High Security Animal Disease Laboratory (HSADL) in Bhopal. The animal husbandry department has received directives from the government regarding the mutant strain of the bird flu spreading in Asia. Strict instructions are being given at the district level to collect and send samples to the Western Regional Disease Diagnostic Laboratory in Aundh. (Source: Indian Express, Sep 24 2011)

For comments and archives

Moolchand Heart Hospital™ organizes Heart Awareness Week

To commemorate World Heart Day, Moolchand Heart Hospital™ is organizing a Heart Awareness Week. The free offerings at this Heart Awareness Week are: Consultation by senior cardiologist, ECG, ECHO, cholesterol test, blood sugar estimation, height, weight, BMI estimation, blood pressure and second opinion on possible procedure and surgeries. The tests available at the camp with upto 50% discount are: Lipid profile, TMT, Stress ECHO, Holter, Chest x–ray, ECHO colour Doppler and Lab packages. Angiography is being offered at a price of Rs. 6,999 only.

Heart Awareness Week Details

Date: September 26, 2011
Timing: 10:00 am to 12:00 noon, Venue: Acharya Sushil Ashram, C–599, Defence Colony, RWA, New Delhi-110 024

Date: September 29, 2011
Timing: 10:30 am to 03:00 pm, Venue: Dilli Haat, opposite INA Market, Kidwai Nagar, New Delhi 110 024

For more information, please call Program Coordinator at + 91 99589 97293

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)

No benefit, possible harm from routine depression screening

Routine screening for depression in primary care, as recommended by organizations in the United States and Canada, has not been shown to be beneficial, and may even be harmful, according to new research published online September 19 in the Canadian Medical Association Journal. In addition, in this era of fiscal restraint, this screening is a waste of precious healthcare dollars, the authors write. (Source: Medscape Medical News)

For comments and archives

Breast–feeding linked to higher 14–month mental development

Breast–feeding is linked to higher mental development at age 14 months, according to the results of a birth cohort study reported in the September 19 issue of Pediatrics. (Source: Medscape Medical News)

For comments and archives

Cardiac Echo: There is an App for that

Remote interpretation of echocardiograms on a smartphone may help expand the use of such tests to previously inaccessible settings, researchers found. There was relatively little loss of accuracy when electrocardiographic data transmitted from a remote Honduran village by a nonexpert was interpreted in the U.S. using a specially equipped smartphone instead of a full workstation, according to Brian Choi, MD, MBA, of George Washington University in Washington, D.C., and colleagues. (Source: Medpage Today)

For comments and archives

 
    Fitness Update

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

Obesity is a precursor to both heart disease and diabetes

Globally, heart disease is the biggest killer, and diabetes is the fastest–growing chronic condition. Medical evidence has shown that obesity is a precursor to both. "Chronic disease is the leading cause of death and disability globally, representing 60 percent of all deaths. What’s concerning is that many of these diseases are preventable,– said Julien Forder, senior research fellow, the London School of Economics, which published the study. "We know from research that exercise is one of the most effective lifestyle changes you can make to reduce your risk of developing long–term conditions." He said that 30% of cardiovascular disease and 27% of diabetes could be avoided if Americans started to exercise.

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: An organic heart disease(weakness and dilatation of heart, cardiac mucle failure) with severe itching of… http://fb.me/1dcgYgiCV

@DeepakChopra: #CosmicConsciousness No matter how many possibilities turn into reality , an infinite number still remain.

 
    Dr KK Answers

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

What is the risk of acute heart attack after a sexual act?

Sexual act contributes to the onset of acute heart attack in only 0.9 percent of patients.

The relative risk of acute heart attack within two hours after sexual activity is 2.5. There is no increased risk of heart attack beyond this time period.

This risk is reduced in patients who undergo regular exercise. The risk is same irrespective of past history of heart disease.

Source:JAMA 1996;275:1405.

For comments and archives

 
    Spiritual Update

Science behind Navratre

Today the only thing observed in Navratre is food-fast for nine days and most of us either do not eat anything or eat only limited food during these days.

For comments and archives

 
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Which law says that an MBBS doctor can do LSCS only in emergency to save the life? I think even the Consumer Act says that an MBBS can perform surgery if he/she has the experience of doing it.

Ans.

  1. Performing LSCS routinely may be held by the medical council as violative of regulation 7.20 of the MCI Regulations, 2002, reproduced below: "7.20 A Physician shall not claim to be specialist unless he has a special qualification in that branch."
  2. The Consumer Protection Act, 1986, says nothing of the sort mentioned by you. However, if a consumer goes to the Consumer Court/Forum in such a situation, the Court is likely to refer the case to the Medical Council which is likely to hold as above.
  3. The Court/Council may take a different view if an MBBS routinely performs LSCS in a remote place where there is no specialist available for 50–100 km. around and the doctor is providing services to a community that might otherwise remain deprived of much needed medical care.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Heaven and Hell

A holy man was having a conversation with the Lord one day and said, "Lord, I would like to know what Heaven and Hell are like."

The Lord led the holy man to two doors. He opened one of the doors and the holy man looked in. In the middle of the room was a large round table. In the middle of the table was a large pot of stew which smelled delicious and made the holy man’s mouth water.

But the people sitting around the table were thin and sickly. They appeared to be famished. They were holding spoons with very long handles that were strapped to their arms and each found it possible to reach into the pot of stew and take a spoonful, but because the handle was longer than their arms, they could not get the spoons back into their mouths. The holy man shuddered at the sight of their misery and suffering. The Lord said, ‘You have seen Hell.’

They then went to the next room and opened the door. It was exactly the same as the first one. There was the large round table with the large pot of stew which made the holy man’s mouth water. The people were equipped with the same long–handled spoons, but here the people were well nourished and plump, laughing and talking.

The holy man said, "I don’t understand."

"It is simple" said the Lord, "In this place the people have learned to feed one another."

For comments and archives

 
    Gastro Update

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

What is Disimpaction?

Disimpaction means cleaning of retention from the rectum. This can be achieved by two methods: oral or rectal route. The oral route is preferred over rectal route as the latter is invasive and is likely to add fear and discomfort to the child. Polyethylene glycol (PEG) lavage solution in a large dose is given orally (20–30ml/kg/hr for 4 hours, may be repeated on next day or day after if there is inadequate response on first day) or by naso–gastric tube (25ml/kg/hour) until clear fluid is excreted through anus. Adequate disimpaction means both output (stool) and input (lavage solution) should be of same color.

For comments and archives

 
    Infertility Update

(Dr. Kaberi Banerjee, Infertility and IVF Specialist)

Infertility Update: (Dr. Kaberi Banerjee, Infertility and IVF Specialist)

Infertility is still an enigma to us. The most advanced technique gives a pregnancy rate of at best 50–60% per attempt. Definitely there is lot more to be understood. We are hosting a Conference on 8th–9th of October at Le’ Meridian, New Delhi on Current Practices and Recent Advances in ART (CUPART 2011). We have invited a very respectable panel of International and National faculty whose experiences will be a wealth of knowledge to us.

Under the aegis on AOGD

Organizing Chairperson – Dr Kaberi Banerjee

Day – 1 Interesting Highlights

Panel Discussion 1 – Obstetric Outcome in ART Pregnancies


This interesting panel discussion will cover all aspects relevant to ART pregnancies. This would include miscarriages, multiple pregnancies, congenital malformations, fetal reductions and pre term deliveries.

Panelists: Anita Kaul, New Delhi, Sudarshan Ghosh Dastidar, Kolkata, Nandita Dimri, New Delhi, Ashutosh Gupta, New Delhi, Jaishree Sundar, New Delhi, Kiran Guleria, New Delhi

Inauguration & Welcome Address by Chief ICMR New Delhi at 7.00pm followed by Shaan – e– Hindustan – Sufi Night with Adil Hussaini, Hyderabad & Fellowship Dinner

For Registration Please Contact: E –23 Ayurvigyan Nagar New Delhi – 110049

For details contact +91 9871250235

For comments and archives

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    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum calcium

Hypocalcemia (or low serum calcium level) must be interpreted in relation to serum albumin concentration (Some laboratories report a "corrected calcium" or "adjusted calcium" which relate the calcium assay to a normal albumin. The normal albumin, and hence the calculation, varies from lab to lab). True decrease in the physiologically active ionized form of Ca++ occurs in many situations:

  • Hypoparathyroidism
  • Vitamin D deficiency
  • Chronic renal failure
  • Magnesium deficiency
  • Prolonged anticonvulsant therapy
  • Acute pancreatitis
  • Massive transfusion
  • Alcoholism

Drugs producing hypocalcemia include most diuretics, estrogens, fluorides, glucose, insulin, excessive laxatives, magnesium salts, methicillin, and phosphates.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A man who was to be married was found to be HIV–positive.
Dr Bad: Keep the report secret.
Dr Good: I will inform the to–be married girl.
Lesson: Sections 269 and 270 of the Indian Penal Code provide as under: "269. Negligent act likely to spread infection of disease dangerous to life – whoever unlawfully or negligently does not act which is, and which he knows or has reason to believe to be, likely to spread the infection of any disease dangerous to life, shall be punished with imprisonment of either description for a term which may extend to six months, or with fine, or with both.

For comments and archives

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain so much ascitic fluid.
Lesson: Make sure, to evaluate only moderately tap ascitic fluid as overenthusiastic tapping can be life–threatening.

For comments and archives

 
    Quote of the Day

(Dr. GM Singh)

Problems & Difficulties are like Big Cotton Bags, they look Huge, for those who see them. But for those who Handle it, it is Lighter.

 
    IDIOMS

It’s a small world: You frequently see the same people in different places.

 
    Sri Chanakya Niti-Sastra: The Political Ethics of Chanakya Pandit

(Dr Anupam Sethi Malhotra)

Save your wealth against future calamity. Do not say, "What fear has a rich man, of calamity?" When riches begin to forsake one, even the accumulated stock dwindles away.

 
    Medicolegal Update

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

Medical care communication by doctor to patient must be documented

Doctor–patient/doctor–family communication is essential for patient/family satisfaction/approval with provided medical care

  • Including patients in decision–making in health care always prevents malpractice allegations.
  • Medical record documentation is required to record pertinent facts, findings, and observations about an individual’s health history including past and present illnesses, examinations, tests, treatments, and outcomes. A medical record chronologically documents the care of the patient and is an important element contributing to high quality care.
  • An open exchange of information must be encouraged. This is very important to reduce litigation. Details of interactions should be included in the medical record as they both relate to decisions about current care and can potentially help in future care decisions.
  • Key components of this documentation include who participated in the meeting, how they are related to the patient, and the patient’s competency if he/she participates in the discussion along with decisions that were made.
  • Documentation of physician–patient discussions about patient wishes while the patient is still able to express them can help once the patient is no longer mentally competent.
  • Along with medical facts such as physical exam and laboratory values, clinician decision–making and the reasons behind the decisions should be incorporated into the medical record.
  • The medical record facilitates the ability of the physician and other health care professionals to evaluate and plan the patient’s immediate treatment, and to monitor his/her health care over time.

For comments and archives

 
    Mind Teaser

Read this…………………

MAKE – MAKE = ZERO

Yesterday’s Mind Teaser: For children with β–thalassemia, the transplant outcome is likely to be best in which subgroup?

a. Hepatomegaly
b. Liver fibrosis
c. Inadequate iron chelation
d. Absence of above factors

Answer for Yesterday’s Mind Teaser: d. Absence of above factors

Correct answers received from: Dr. Bharat Bhushan Aggarwal, Dr Chandresh  Jardosh, Dr.K.Raju, Dr Surendra Bahadur Mathur, Dr Jainendra Upadhyay, Neelam Nath, Dr Anil Bairaria , Dr Anupam Sethi Malhotra ,  Rameshwar Prasad

Answer for 24th September Mind Teaser: Two in one
Correct answers received from: Dr Surendra Bahadur Mathur, Dr Shirish Singhal, Dr Vijay Kansal, Dr Shashi Saini, Dr. K. Raju

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr GM Singh)

Senior Personal Ads

SERENITY NOW: I am into solitude, long walks, sunrises, the ocean, yoga and meditation. If you are the silent type, let’s get together, take out our hearing aids and enjoy quiet times.

 
    Drug Update

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

Drug Name
Indication
DCI Approval Date
S-Bupivacaine Hydrochloride Injection 2.5mg/5mg/7.5mg per ml
For surgical anaesthesia in adults for epidural (including caesarean section), intrathecal, peripheral nerve block.
28.04.11
 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Nine preventable risk factors are responsible for 90% of heart attacks

One can prevent heart attacks. Nine preventable risk factors are responsible for 90% of heart attacks, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

These are (in order of importance):

  1. Increased LDL/HDL ratios (elevated bad LDL and low good HDL cholesterol levels)
  2. Smoking
  3. Diabetes
  4. Hypertension
  5. Abdominal obesity
  6. Psychosocial (stress or depression)
  7. Failure to eat fruits and vegetables daily
  8. Failure to exercise
  9. Failure to drink any alcohol

One can prevent heart attack by following Dr KK’s Formula of 80.

  1. Keep lower BP, bad cholesterol levels, resting heart rate, fasting sugar and abdominal girth levels all less than 80.
  2. Keep kidney and lung functions more than 80%.
  3. Engage in recommended amounts of physical activity (minimum 80 minutes of moderately strenuous exercise per week). Our recommendation is to walk 80 minutes a day and for 80 minutes per week the speed should be 80 steps per minute
  4. Eat less and not more than 80 gm of ml of caloric food each meal. Follow a healthy diet (high fiber, low saturated fat, zero trans fat, low refined carbohydrate, low salt, high in fruits). Refined carbohydrates are white rice white maida and white rice.
  5. Doing 80 cycles of pranayama a day
  6. Spend 80 minutes with yourself every day (relaxation, meditation, helping others etc)
  7. Do not smoke or be ready to dole out Rs 80,000/– for treatment.
  8. Those who drink, do not want to stop and there is no contraindication, limit alcohol use to no more than 80 ml per day for men (50% for women) or 80 grams per week. 10 grams of alcohol is present in 30 ml or 1 oz of 80 proof liquor.

Diabetes can be prevented by controlling five lifestyle factors. These are:

  1. Follow a healthy diet
  2. Maintain an optimal body weight (less than 23 × height in meters × height in meters)
  3. Engage in recommended amounts of physical activity.
  4. Limiting alcohol to recommended amount.
  5. Not smoking.

When and how to suspect a heart attack?

  1. Chest pain, burning, discomfort, heaviness in the center of the chest lasting for over 30 seconds and not localized to a point.
  2. First onset acidity after the age of 40 first rules out heart attack
  3. First attack of asthma after the age of 40 may be heart asthma
  4. Any symptom which is unusual, and appearing for the first time and cannot be explained: contact your doctors

In heart attack what to do?

  1. Do not panic
  2. Chew a tablet of water–soluble 300 mg aspirin at the onset of chest pain. You will not die.
  3. Call 42000565 or reach Moolchand Medcity within three hours of chest pain for a clot removal procedure. We will not let you die.

If someone dies what to do?

  1. The soul does not leave the body for 10 minutes
  2. Within ten minute of death for the next 10 minutes do effective chest compression with a speed of 100 per minute. 80% people can be revived.

For comments and archives

 
    Readers Responses
  1. Hello Doctor, I cannot write too fancy, but in my words all I can say is I love and appreciate your blogs a lot. All you write is scientifically, spiritually and ethically true. It is also an eye opener for a lot of people. My father and my going to be father in law are heart patients. I will make sure I forward your blogs to them to read.

    Secondly, I want to thankyou, as I am absolutely fine now. Doctor! I wanted to inform you that I have learnt "Spiritual Healing", and have been practicing it for the past one year. Infact, when I was in the hospital, I took distant healing (where a person sitting far heals you) and did self healing too. I know healing made my recovery very fast. You yourself said after seeing my reports that what had to happen in 6 weeks, just got cured in 6 days. timsy kamboj
 
    Forthcoming Events

International Heart Protection Summit (IHPS–2011)

Organized by Ministry of Health & Family Welfare Govt. of India & ASSOCHAM September 28th, 2011 at Hotel Ashok, Chanakyapuri, New Delhi
President: Dr. H.K. Chopra, Intl. President: Dr. Navin C. Nanda, Scientific Chairman: Dr. S.K. Parashar, Org. Secretary: Dr. O.S. Tyagi,
For Registration & Details: Contact – Mob. 9971622546, 8010222883,
E–mail: agnideep.mukherjee@assocham.com; sandeep.kochhar@assocham.com,
Website:www.assocham.org/ihps2011

……………………………………………………………………

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals

…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 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