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 …

26th November 2012, Monday

Exercise can improve BMD

A meta-analysis in postmenopausal women has shown a small but significant positive effect of exercise on BMD at the lumbar spine and trochanter. Various exercise types, including resistance training, jogging, jumping, and walking, were effective.

The most effective exercise for BMD of the femoral neck was non-weight bearing high-force exercise (e.g., progressive resistance strength training), whereas a combined program (mixture of more than one exercise type) was most effective for lumbar spine BMD. (Cochrane Database Syst Rev 2011; :CD000333.)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Start with a trial of low-dose polyethylene glycol (PEG). It has been demonstrated to be efficacious and well tolerated in older adults. Lactulose is less effective than low-dose PEG and also had a higher incidence of flatus. Sorbitol has shown to be as efficacious as lactulose, less expensive, and better tolerated.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

Weight loss may improve sexual health of obese diabetes

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Children from various schools participated with great enthusiasm in learning 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

Massive spurt in dengue cases in 2012

NEW DELHI: While cases of malaria and Chikungunya show a dip across India, dengue cases have started to climb steadily. Official records of the Union health ministry reveal that there has been a massive increase of dengue infection in the country this year. India had recorded 15,535 cases and 96 deaths in 2009, but the corresponding figure till November, 2012, stood at over 35,000 cases and 216 fatalities. Tamil Nadu has recorded the highest number of deaths (60), followed by Maharashtra (59), Karnataka (21), Punjab (15), Kerala (13) and West Bengal (9). In the number of confirmed cases, too, Tamil Nadu leads the pack with 9,249 cases, only next to Bengal (6,067 cases). Two other states have breached the 3,000 mark - Kerala (3,674) and Karnataka (3,482). Maharashtra, which has recorded the second highest number of deaths, however, reported fewer dengue cases at 1,464. Delhi has recorded 1,584 cases and four deaths. The number of cases of dengue infection and deaths is higher this year than the previous two years. In 2010, India recorded 28,292 cases and 110 deaths, while it recorded 18,860 cases and 169 deaths last year. In comparison, malaria cases and deaths have decreased from 15 lakh cases and 1,144 deaths in 2009 to 7.36 lakh cases and 309 fatalities this year. In case of Chikungunya, cases have decreased from 73,288 cases in 2009 to 14,227 cases in 2012. Minister of state for health Abu Hasem Khan Choudhury said on Friday, "While there is an increase in the total number of dengue cases and deaths during the current year in various parts of the country, in case of Chikungunya and malaria, the number of reported cases have declined." Choudhury added, "For augmented diagnosis, 347 sentinel surveillance facilities have been established in hospitals across states. They are linked to 14 apex referral laboratories. ELISA-based NSI test kits for detection of cases from the first day of diseases can be procured by state governments under National Rural Health Mission." The World Health Organization (WHO) recently sent out an ominous warning that climate change and global warming will make vector- borne diseases like dengue and malaria more lethal. A landmark report on climate change and health published by WHO says that in the last 100 years, the world has warmed by approximately 0.75 degree Celsius. Over the last 25 years, the rate of global warming has accelerated, at over 0.18 degree Celsius per decade. "Many of the major killers such as diarrhoeal diseases, malnutrition, malaria and dengue are highly climate-sensitive and are expected to worsen as the climate changes," said WHO. (Source: TOI, Nov 24, 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

If the INR is >9 without bleeding, warfarin should be discontinued and 1 to 2.5 mg of oral vitamin K should be administered.

(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)

Cause, Tx found for excessive sleepiness

An abnormal protein in cerebrospinal fluid appears to cause hypersomnia, a form of excessive daytime sleepiness, and an off-the-shelf drug effectively treated it, researchers said. (Source: Medpage Today)

Coffee linked to lower risk for severe liver fibrosis in NAFLD

In a study of patients with nonalcoholic fatty liver disease (NAFLD), coffee consumption was associated with a lower risk for advanced liver fibrosis in people with less insulin resistance, but not in those with more insulin resistance. The potential beneficial effects of coffee for patients with chronic liver disease are becoming more apparent, said Kiran Bambha, MD, assistant professor of medicine in the division of gastroenterology and hepatology at the University of Colorado Denver in Aurora. She presented the results of a cross-sectional study here at The Liver Meeting 2012: American Association for the Study of Liver Diseases 63rd Annual Meeting. (Source: Medscape)

Walking 6000 steps daily can improve women's health in midlife

Washington: Walking 6,000 or more steps a day can decrease the risk of diabetes and cardiovascular disease for women in their midlife, a new study has claimed. The study published in the journal Menopause, found that habitual physical activity - whether it comes from exercising or just activities of daily living - has the power to improve women's health. Walking for 6,000 or more steps daily decreases the risk of diabetes and metabolic syndrome (a diabetes precursor and a risk for cardiovascular disease), the journal reported. (Source: The Financial Express, Nov 23, 2012)

4D scans show foetuses yawn in the womb

Unborn babies not only hiccup, swallow and stretch in the womb, they also yawn, a new study has found. The 4D scans of 15 healthy foetuses, by Durham and Lancaster Universities, also suggest that yawning is a developmental process which could potentially give doctors another index of a foetus' health. While some researchers have suggested that foetuses yawn, others have disagreed and claim it is simple mouth opening. However, the new research clearly distinguished 'yawning' from 'non-yawn mouth opening' based on the duration of mouth opening. The researchers did this by using the 4D video footage to closely examine all events where a mouth stretch occurred in the foetus. Using a newly developed criteria, the research team found that over half of the mouth openings observed in the study were classed as yawns. (Source: The Business Standard, Nov 24, 2012)

Study suggests breast cancer overdiagnosed

As a result of mammographic screening programs, as many 1.3 million women over age 40 were overdiagnosed with breast cancer over three decades, researchers reported. (Source: Medpage Today)

 
  Twitter of the Day

@DrKKAggarwal: Alcohol: Benefits vs risk http://bit.ly/Wn0Hif #Healthcare

@DrKKAggarwal: You can change the structure of your brain http://youtu.be/I1YK3iO36HI

 
    Spiritual Update

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

In Meditative peace, you need an Environment with Practically No Noise.

When I joined my medical college at Sevagram, my first encounter with ‘silence’ was with Acharya Vinoba Bhave who was observing one year silence. During this period, he was participating in all activities but not speaking.

For comments and archives

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

What preparations are needed before ART?

  • Testing for ovarian reserve may be recommended in order to predict how the ovaries will respond to fertility medication. Ovarian reserve may be determined by any of these methods: measuring FSH and estradiol levels on the second or third day of a menstrual cycle, measuring the level of AMH (anti-müllerian hormone), performing a clomiphene citrate challenge test, or counting the number of small follicles in the ovary (antral follicle count)
  • Uterine cavity abnormalities such as fibroids, polyps, or a septum may need to be corrected before IVF or GIFT. A hydrosalpinx (a fluid-filled, blocked fallopian tube) reduces IVF success.
  • Semen is tested before ART. If semen abnormalities are identified, consultation with a specialist in male infertility should determine if there are correctable problems or underlying health concerns. For men who cannot ejaculate, such as those with spinal cord injuries, medical procedures to assist ejaculation are recommended. These procedures include penile vibratory stimulation (PVS) and electroejaculation (EEJ). For men who are able to ejaculate, but who do not produce sperm in their semen, medical procedures are available to retrieve sperm from reproductive tissues. These procedures include microepididymal sperm aspiration (MESA), percutaneous epididymal sperm aspiration (PESA) or testicular sperm extraction (TESE).
 
    Tat Tvam Asi………and the Life Continues……

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

ABO blood typing

  • Principle:
  • Patient/Donor RBC is tested with reagent antisera.
    • Reaction is positive = antigen is present
    • Reaction is negative = antigen is not present
 
    An Inspirational Story

Be content about your life

Wonder if any of you ever had the feeling that life is bad, real bad…and you wish you were in another situation. Do you find that life seems to make things difficult for you, work sucks, life sucks, and everything seems to go wrong….

It was not until yesterday that I totally changed my views about life; after a conversation with one of my friends.

He told me despite taking 2 jobs, and bringing back barely above 1K per month, he is happy as he is. I wonder how he can be as happy as he is now, considering that he has to skimp his life with the low pay to support a pair of old-age parents, in-laws, wife, 2 daughters and the many bills of a household.

He explained that it was through one incident that he saw in India……

That happened a few years ago when he was really feeling low and was touring India after a major setback. He said that right in front of his very eyes, he saw an Indian mother chopped off her child’s right hand with a chopper. The helplessness in the mother’s eyes, the scream of the pain from the innocent 4 years old child haunted him until today. You may ask why did the mother do so, has the child been naughty, was the child’s hand infected??

No, it was done for two simple words — to beg. The desperate mother deliberately caused the child to be handicapped so that the child can go out to the streets to beg. I cannot accept how this could happen, but it really did, just in another part of the world which I don’t see.

Taken aback by the scene, he dropped a small piece of bread he was eating half-way. And almost instantly, flock of 5 or 6 children swamp towards this small piece of bread which was then covered with sand, robbing of bits from one another... the natural reaction of hunger. Stricken by the happenings, he instructed his guide to drive him to the nearest bakery. He arrived at two bakeries and bought every single loaf of bread he found in the bakeries.

The owner is dumbfounded, but willing sold everything. He spent less than $100 to obtain about 400 loaves of bread (this is less than $0.25/per loaf) and spend another $100 to get daily necessities. Off he went in the truck full of bread into the streets. As he distributed the bread and necessities to the children (mostly handicapped) and a few adults, he received cheers and bows from these unfortunate. For the first time in life he wondered how people can give up their dignity for a loaf of bread which cost less than $0.25. He began to ask himself how fortunate he is as a Singaporean. How fortunate he to be able to have a complete body, have a job, have a family, have the chance to complain what food is nice what isn’t, have the chance to be clothed, have the many things that these people in front of him are deprived of…..

Now I begin to think and feel it, too. Was my life really that bad?

Perhaps….no,… it should not be bad at all….

What about you? Maybe the next time you think you are, think about the child who lost one hand to beg on the streets.

Story By Wendy Tan
Story Submitted to AcademicTips.org By Laura

For comments and archives

 
  Cardiology eMedinewS

Apixaban Gets EU Ok For Stroke Prevention In AF Read More

Tamiflu Efficacy, Safety in Doubt: BMJ Read More

 
  Pediatric eMedinewS

Milk Drinking As A Child Linked To Better Balance In Old Age Read More

Late Preterm Infant Care Addressed In New Guidelines Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with diabetic nephropathy was found to have a high homocysteine levels.
Dr Bad: Homocysteine has no correlation with nephropathy.
Dr Good: You should control your homocysteine levels.
Lesson: Results of a nested case–control study suggest that hyperhomocysteinemia has an etiologic role in the pathogenesis of diabetic nephropathy. In the study, baseline plasma homocysteine concentrations and mean HbA1c levels during follow–up were significantly higher in patients who developed microalbuminuria than in those who remained normoalbuminuric. Multivariate logistic regression analysis showed that baseline plasma homocysteine level and mean HbA1c were independent predictors of microalbuminuria in type 2 diabetes (Korean Diabetes J 2010 June; 34(3): 200–206).

Make Sure

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

 
    Legal Question of the Day (Dr MC Gupta)

Q. Is it legally valid to get a blank paper signed from the patient and get the purported consent typed or written on it later on?

Ans.

  1. When a physician treats a patient, he does so, in law, under an agreement.
  2. An agreement has three ingredients—offer, acceptance and consideration. Suppose a doctor offers to treat a patient for a certain consideration (usually, but not necessarily, monetary). The patient accepts the offer. Consideration is agreed upon/paid. The task/treatment/surgery is done. The agreement has been completed.
  3. Before the task is commenced, there is a consent that the task will be done in a certain manner and circumstances laid down in the consent form. Thus the consent form/deed is to be treated in law as an extension of the terms of the agreement. In other words, consent itself is a type of agreement.
  4. An agreement is invalid unless there is a meeting of minds and both parties to the agreement understand and agree with the terms of the agreement. If it is proven or doubtful that there was no meeting of minds, the agreement is no longer a valid agreement.
  5. The act of getting signature over a blank paper on which something is written later to project the paper as a valid document is an illegal act because there was no meeting of minds.
  6. Please note that the reason why time and place have to be specified in an agreement is to ensure that the two parties concerned actually arrived at the agreement at a particular specified place at a particular specified time/date, thereby enabling a meeting of minds.
  7. If the patient sues the doctor and alleges that the consent was never obtained and the purported consent form was a sham document, the legal validity of the document would be questionable.
 
  Quote of the Day (Dr GM Singh)

A happy marriage has in it all the pleasures of a friendship, all the enjoyments of sense and reason, and indeed, all the sweets of life. Joseph Addison

 
    Mind Teaser

Read this…………………

What is the typical legal BAC content? A) 0.12%. B) 0.10%. C) 0.15% D) 0.13%

Yesterday’s Mind Teaser: Which of the following is not used to produce alcohol?
A) Grapes B) Barley C) Potatoes D) Pork

Answer for Yesterday’s  Mind Teaser: D) Pork

Correct answers received from: Dr. P. C. Das, Muthumperumal Thirumalpillai, Dr Sudipto Samaddar, Dr.R.K.Goel, Dr.(Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, Dr Avtar Krishan, Dr Kanta Jain, Dr. Thakor Hitendrsinh G, Dr B K Agarwal, Dr Uma Gaur, Dr. Anupam Sethi Malhotra

Answer for 24th November Mind Teaser: C) CSA

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Kanta Jain, Dr. Thakor Hitendrsinh G, Dr.K.Raju

Send your answer to ijcp12@gmail.com

 
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    Laugh a While (Dr GM Singh)

Men, Fear, and Marriage

The British had an organization that Americans are now considering adopting. It seems that in England, they had a men's club, Bachelors' Anonymous. It was highly successful in making men fear or even hate marriage.

The club provided a unique way to treat the problem of bachelors wanting to marry. They send over a mother-in-law in nightgown, hair curlers, and a mud pack.

 
    Medicolegal Update

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

No two people except identical twins have the same DNA structure

  • Human being has a unique signature that lives within every cell of our body. This signature is commonly known as DNA, testing is done by taking DNA extracts from biological sample putting them into a gel matrix and then using probes to help extract certain markers.
  • We get our DNA from our biological mother and biological father. Each of them contributes 50% of our chromosomes that will make up our DNA, which will stay with us for our entire lives without change. This is the very reason that makes DNA such a great choice for uniquely identifying a person.
  • Questions may arise as to how accurate DNA tests are. After all, in the past blood tests cannot have been as accurate as we might have hoped. They often left a bit of uncertainty or could not be conclusive in many areas. But thanks to the uniqueness of DNA almost all of these doubts can now be taken away.
  • Testing can be done on DNA to help determine parentage, ancestry, presence of genetically–based diseases and to help identify someone who may have been present at a crime scene.
  • Most DNA tests are run at least twice, both independent of each other. This not only builds upon the credibility of the test but also helps ensure that no wrong data or incorrect marker analysis was performed on the first test. If any discrepancies are detected between the two tests then a new sample is used and the entire test is performed again to understand where the discrepancy may lay.
  • Modern testing procedures and rules for DNA analysis mean that with rare exception DNA testing results can be guaranteed to be more than 90% accurate for most paternity, forensic and genetically–based disease analysis.
  • However human error can come into play. A lab may mistakenly switch samples or key in data incorrectly. All of these factors are possible, but are very rare in occurrence. If there is ever any doubt as to the authenticity or correctness of a test it can simply be performed again to confirm accuracy.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Winter Exercise Tips for Asthmatics

Exercise is a common trigger for asthma and may cause symptoms in 80-90% of asthmatics. Cold dry winter air can also make breathing difficult for asthmatics, which may result in shortness of breath, wheezing, cough or chest tightness. The symptoms can occur during, just after or several hours after exercise, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

The Heart Care Foundation of India released few exercise tips for asthmatics during the winter season.

  • Get your asthma fully controlled during winter
  • Cooling and drying of the bronchial airways can trigger an asthma attack.
  • Avoid strenuous exercise in cold dry air.
  • Avoid winter sports, such as skiing, snowboarding, or ice skating.
  • Use the bronchodilator inhalers, 20 minutes prior to exercise.
  • Keep the inhalers warm in order to avoid a cold aerosol spray.
  • "Warm-up" and "cool-down" after strenuous exercise.
  • When exercising in cold air, wear a scarf or facemask over the nose and mouth to warm the air one is breathing.
  • Drink plenty of liquids before and after exercise to prevent drying of the airways.
  • Exercise indoors when outdoor temperatures drop.
 
    Readers Response
  1. Dear Sir, Reading eMedinewS is really very interesting. Regards: Dr S K Sharma
 
    Forthcoming Events

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 2013

(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 2013

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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    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, Dr Usha K Baveja