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

 

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 …

26h December 2011, Monday

Delhi Govt plans big in the 12th 5–year plan 2012–17 (Part III)

  1. Delhi is going to adopt Clinical Establishments Act 2010 and will cover GPs and diagnostic centres. (The DMA/IMA did not oppose it)
  2. Delhi will soon start de–worming school children (including MCD and anganwari children) project from mid February. The de–worming will be done every six months.
  3. 50% of Delhi Government hospitals will be accredited by NABH in the next plan.
  4. Government is thinking of starting HBV, Hib vaccine as compulsory. Vaccine for cervical carcinoma is under debate. The govt is also thinking of providing flu vaccine to the elderly.
  5. Biomedical waste management will be associated with four operations (presently there are two).
  6. Delhi Arogya Kosh will provide free treatment for the poor. Rs. 100 crores are being deposited as a corpus and the interest will look after poor patients. An assistance of 2.5 lakh for transplant and 1.5 lakh for other life–threatening diseases is planned for. Transplant patients will also get 1.5 lakh additional per year for follow up treatments. The amount is still under debate.
  7. The definition of BPL for central government is family earning less than Rs. 24000 per annum (for Delhi Govt. it is less than Rs. 36000 per annum). Under Delhi Arogya Kosh, it will be less than one lakh per year.
  8. Delhi will have 150 new ambulances under Public Private Partnership Initiative.
  9. Delhi Government is coming up with 70 acre medicine plant garden at Chaudhary Brahm Prakash Ayurvedic Charak Sansthan Khera Dabur.
  10. Delhi will also have many hospices for terminal care patients.
  11. Delhi will have more satellite dental centres under Public Private Partnership Initiative. For poor, government will pay and for the rest, price will be fixed.
  12. Delhi Govt will be implementing Food Safety and Standard Act 2006.
  13. Delhi Govt will be buying all equipments under 5–year warranty and five years additional AMC.
  14. Delhi will have more places reserved for health services and proposes to increase the FAR.
  15. Patient safety will be the priority.
  16. Hospital acquired infection control program will start.
  17. Disease surveillance will be set up at every level.
  18. For JE, 8 centers are being set up,
  19. Under organ transplant, NOC will be given to the donor as well as the recipient.

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

Delhi Govt plans big in the 12th 5–year plan
2012–17 (Part III)

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011
Harmony–An Inter School Health Festival at Perfect Health Mela

Competitions like debate, model display, slogan writing, role play, dance, yoga etc was organized on the spot.

 
Dr K K Aggarwal
 
    National News

Norms to open medical colleges to be eased

NEW DELHI: The Union health ministry will soon relax norms to open medical colleges. Union health minister Ghulam Nabi Azad on Friday asked the Medical Council of India (MCI) to prepare a series of medical reforms within a month. One of the crucial reforms is regarding land required to start medical colleges. Now, the ministry allows a medical college to start on a 10–acre plot in nine cities – Mumbai, Chennai, Kolkata, Delhi, Bangalore, Hyderabad, Ahmedabad, Kanpur and Pune. It is planning to expand this list and include state capitals of Orissa, Uttar Pradesh, Bihar, Jharkhand, Chhattisgarh and Rajasthan, which are not only facing acute shortage of human resources, but also have poor health indicators. (Source: TOI, Dec 24, 2011)

For comments and archives

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

Case Report: Gastric band migrates

Serious respiratory problems, including lung damage, can result from malfunction of adjustable gastric bands implanted in obese patients, said British doctors in a case report. (Source: Medpage Today)

For comments and archives

Study ties lethal sepsis to immune suppression

Patients who succumbed to sepsis had multiple immunologic abnormalities consistent with immune suppression in the phase of disease that follows the initial overwhelming inflammatory response, postmortem analyses suggested. (Source: Medpage Today)

For Comments and archives

MRI Bests CT for heart disease diagnosis

Cardiac MRI is more accurate at confirming or ruling out coronary heart disease than stress myocardial perfusion imaging with single–photon emission CT (SPECT), researchers found in a prospective real–world trial. (Source: Medpage Today)

For comments and archives

 
  Cardiology eMedinewS

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

30 TAVI procedures needed to become an expert in TAVI

Read More

Echocardiography for GPs

Read More

Can a cardiologist treat a patient without his or her consent?

Read More

 
  Twitter of the Day

@DrKKAggarwal: #AJCCare Level of Diastolic function predicts death The presence of moderate or severe diastolic dysfunction in… fb.me/Z291g4Er

@DrKKAggarwal: Do value who you are. Enjoy your uniqueness. Don’t compare yourself with others and put yourself down.

 
    Spiritual Update

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

Anna effect: the 100th Monkey Phenomenon

Any campaigning involves principles of advertising mainly the principle of collective consciousness which is based on the critical mass above, which the generated message spreads like fire.

The recent Anna movement with mass hysteria can be explained by this critical mass phenomenon.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Live and Work

Father was a hardworking man who delivered bread as a living to support his wife and three children. He spent all his evenings after work attending classes, hoping to improve himself so that he could one day find a better paying job. Except for Sundays, Father hardly ate a meal together with his family. He worked and studied very hard because he wanted to provide his family with the best money could buy.

Whenever the family complained that he was not spending enough time with them, he reasoned that he was doing all this for them. But he often yearned to spend more time with his family. The day came when the examination results were announced. To his joy, Father passed, and with distinctions too! Soon after, he was offered a good job as a senior supervisor which paid handsomely.

Like a dream come true, Father could now afford to provide his family with life’s little luxuries like nice clothing, fine food and vacation abroad. However, the family still did not get to see father for most of the week. He continued to work very hard, hoping to be promoted to the position of manager. In fact, to make himself a worthily candidate for the promotion, he enrolled for another course in the open university.

Again, whenever the family complained that he was not spending enough time with them, he reasoned that he was doing all this for them. But he often yearned to spend more time with his family. Father’s hard work paid off and he was promoted. Jubilantly, he decided to hire a maid to relieve his wife from her domestic tasks. He also felt that their three–room flat was no longer big enough, it would be nice for his family to be able to enjoy the facilities and comfort of a condominium. Having experienced the rewards of his hard work many times before, Father resolved to further his studies and work at being promoted again. The family still did not get to see much of him. In fact, sometimes Father had to work on Sundays entertaining clients. Again, whenever the family complained that he was not spending enough time with them, he reasoned that he was doing all this for them. But he often yearned to spend more time with his family.

As expected, Father’s hard work paid off again and he bought a beautiful condominium overlooking the coast of Singapore. On the first Sunday evening at their new home, Father declared to his family that he decided not to take anymore courses or pursue any more promotions. From now on he was going to devote more time to his family.

Father did not wake up the next day.

For comments and archives

 
  Fitness Update

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

How to train for barefoot running

Imagine stepping out for a run without any shoes on–it’s called barefoot running, and it’s an emerging trend in the running and fitness industries. For most people, running barefoot goes against conventional wisdom. Besides the "freeing" feeling of kicking off your shoes, what’s so compelling about running barefoot? It turns out that despite advances in shoe technology meant to make running safer and more efficient, running injuries remain high. Avid barefoot runners claim that the answer to cutting down on injury and revving up running efficiency may not involve shoes at all.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta, Advocate & Medico–legal Consultant)

Q. What are your views about the NEET? Should it be opposed?

Ans.

  1. NEET stands for National Eligibility cum Entrance Test which is meant to be a single examination for MBBS and dental undergraduate seats in all medical colleges in the country. The proposal for the NEET was apparently initiated by the central government (Ministry of Health) and the MCI. The issue had come before the Supreme Court and the court gave go ahead for the test. The MCI announced the date as 13th May, 2012. Some state governments, including West Bengal, objected to it. The Centre wanted to defer to the wishes of states, particularly WB ruled by Trinamool Congress, and approached the SC for permission to delay the test by one year. On 16–12–2011, at the instance of the SC, the UOI and the MCI withdrew their pleas for deferment of the test by one year.
  2. A single test is desirable for the following reasons:
    1. It will remove or curtail the countrywide disparities in the merit of students admitted to and completing the MBBS course. Such disparity is injurious to the quality of medical education.
    2. It will make the process of seeking admission to MBBS easy for students. It will drastically reduce the number of tests, which a candidate has to apply for with a resultant decrease in the cost and stress of multiple applications, application fees, visiting examination centres (which involves expenses for travel and stay, especially for young girls who have to be accompanied by parents) etc.
    3. It will bring in a sense of national integration.
    4. It will reduce the menace of private medical colleges selling seats for illegal capitation fees.
    5. It will help in grading the quality of medical colleges. The best colleges may be deemed to be those which are most sought after by the qualifying candidates.
  3. Such a test should ideally be held in the languages in which the students study at 10+2 level. NEET should be given in regional languages in addition to English.
  4. The syllabus at 10+2 level in various states should be such that it conforms to the requirements of NEET.
  5. Improvements in NEET will be needed from year to year on the basis of experience gained. However, such improvement is a continuous and never-ending process and the existence of a fool–proof plan for NEET should not be insisted upon or agreed upon.
  6. In the circumstances, it is on the right lines that the SC has seen to it that the central government and the MCI withdraw their last moment objections to their own plans, which were apparently for extraneous reasons. There is no need to oppose the NEET.

For comments and archives

 
    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Can a patient with epilepsy drive?

An epileptic can drive as long as the seizures are well–controlled.

 
    Medicine Update

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

Hematuria: Red color of the urine

Presence of red blood cells (erythrocytes) in the urine. Hemoglobinuria is used synonymously, although more precisely it refers only to hemoglobin in the urine.

Blood that you can see is called gross hematuria. Urinary blood that is visible only under a microscope is known as microscopic hematuria.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How many eggs will be left by the time one reach puberty?

You can have over a million eggs in your ovaries at birth, but you only have about 300,000 eggs left by the time you reach puberty. Of the eggs remaining at puberty, only about 300 will be ovulated during your entire reproductive years and the rest will undergo atresia.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A 65–year–old patient on levofloxacin developed tendon rupture.
Dr Bad: They are not related.
Dr Good: The two have an association.
Lesson: A federal court jury ordered Johnson & Johnson to pay damages of $1.8 million in the case of an 82–year–old man who sued over claims the antibiotic levofloxacin caused him severe tendon injuries. In 2008, the US FDA required makers of related drugs in the class fluoroquinolones to include warnings on the risk of tendon ruptures. The risk is higher in patients older than 60, those taking steroids, and recipients of kidney, heart or lung transplants.

For comments and archives

Make Sure

Situation: A patient missed his second dose of Hepatitis B vaccine and developed Hepatitis B.
Reaction: Oh my God! Why was the vaccine not given between 1–2 months?
Lesson: Make sure that all patients who missed their second dose of vaccine at one month are given the same up to second month (1–2 months).

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

When in doubt, tell the truth. Mark Twain

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum gastrin

  • To detect an overproduction of gastrin
  • To help diagnose Zollinger–Ellison syndrome
  • To monitor for recurrence of a gastrin–producing tumor (gastrinoma)
 
    Mind Teaser

Read this…………………

dice dice

Yesterday’s Mind Teaser:  revirdtaes

Answer for Yesterday’s  Mind Teaser: Back seat driver

Correct answers received from: Dr. Amit Kochar, Dr. Satyanarayana Akupatni, Dr Avtar Krishan, Sudipto Samaddar, Dr. Thakor Hitendrasinh G, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, Yogindra Vasavada, Anil Bairaria, Dr.Neelam Nath.

Answer for 23rd December Mind Teaser: c. Gamma interferon tests work on the same principle as the skin test.
Correct answers received from: Dr Avtar Krishan, Dr. Rajiv Dhir

Send your answer to ijcp12@gmail.com

 
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    Laugh a While

(Dr GM Singh)

You might have seen the Dev Anand mega hit film, ‘Guide’. A famous song of this film is "Gata Rahe Mere Dil."

In this song, Waheeda Rehman wears a pink saree and throughout the song wears the same dress. So when we have a trend of heroines changing clothes every sequence, the big question is why does Waheeda Rehman not change her saree throughout the entire song? The answer is pretty simple. Coz in the first stanza of the song, Dev Anand sings –– Oh Mere Humrahi Meri Bah Thamen Chalna, Badle Duniya "Saree" Tum Na Badalna

 
    Medicolegal Update

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

What is an autopsy?

An autopsy, which is also known as a post-mortem examination, means the examination of the body of a dead person and is performed primarily to determine the cause of death, to identify or characterize the extent of disease states that the person may have had, or to determine whether a particular medical or surgical treatment had been effective. The postmortem examination includes external and internal cavity and viscus organ examination.

  • The word autopsy is derived from the Greek word autopsia: "to see with one's own eyes."
  • The doctor who conducts autopsy is an eye witness as well as an expert medical witness.
  • Forensic autopsies are autopsies with legal implications and are performed to determine if death was an accident, homicide, suicide, or a natural event on inquest and request of law enforcement agency by a designated center and notified doctor.
  • The Police and magistrate are empowered to order an autopsy under section 174 CrPc and 176 CrPc respectively.
  • As per law, the forensic/legal autopsies are performed in India by medical doctors (minimum an MBBS); however, legal autopsy should only be conducted by a pathologist/forensic medicine expert, who has received specialty training in the diagnosis of diseases by the examination of body fluids and tissues.
  • The doctor conducting autopsy in any dilemma must consult a doctor who has specialized in forensic medicine or an experienced doctor before finalizing medicolegal opinion.
  • In academic institutions/hospitals, sometimes autopsies are also requested for teaching and research purposes, which is called pathological autopsy.
  • Pathological autopsy is only conducted after obtaining valid informed consent of the legal heirs of deceased
  • Doctor–patient confidentiality applies to autopsy examinations as to medical records of living patients. This means that doctors are not allowed to reveal the results of an autopsy examination to third parties without the permission of the legal heirs of the deceased.
  • In many medical centers, the autopsy report is first submitted to the physician who treated the patient; the treating physician then shares the findings with the family.
  • The legal heirs are always entitled to receive a copy of the autopsy report.
  • The hospital is not allowed to give out any information about an autopsy or to respond to inquiries about an autopsy from any third parties.
  • The family may choose to share the information with anyone they wish, but they must give written permission for the hospital to release autopsy records, just as with any medical records

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

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

Beware of Alcoholic Drinks during New Year

Just because there are few studies indicating that moderate alcohol consumption is good for heart should not be a reason for non drinkers to start drinking said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Indulging into alcohol for the first time is common at New Year’s Eve. Once started it invariably leads to a habit. Along with that, during New Year people also indulge into smoking and drugs as experimentation, he further added.

Consuming four drinks in one sitting in men (180 ml of 80 proof whisky) and in women (90 ml of 80 proof whisky) is considered health hazard and can precipitate dangerous rise in blood pressure, uncontrolled diabetes leading to sudden cardiac death in susceptible individuals. For those who drink, the safest limit of alcohol is 6 gm per day. However, the current recommendation, in the absence of contraindication, is that one can take 10 gm of alcohol in one hour, 20 gm in a day and 70 gm in a week.

10 gm of alcohol is present in 30 ml of whisky, 50 ml of wine and one bottle of beer. One peg stays in the body for one hour, therefore, it is safe to drive only one hour after taking a peg. The rough formula is number of pegs taken should be equal to number of hours after which a person can drive. Alcohol and smoking together are more harmful.

Women should be careful of rape date drugs, which can be given to them in the drinks. Nobody should take any drinks offered by strangers. Date rape drugs are odorless and colorless drugs which if added to drinks can cause a state of mind where the person cooperates for everything but develops complete amnesia after the effect of the drug has gone for the period the person was drunk.

For comments and archives

 
    Readers Response
  1. Dear Sir, Very important information. Dr.G.Sampath
 
    Forthcoming Events

Lecture on Buddism and Astronomy

By Prof. Trinh X. Thuan

UNESCO Kalinga Awardee, 2009; Prof. of Astronomy, University of Virginia, USA; UNESCO Kalinga Awardee for Popularisation of Science by UNESCO, Kalinga Chair awardee by Department of Science & Technology, Government of India.

Organised by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt.of India

At Nehru Planetarium Chankyapuri New Delhi on 27th Dec 2011 at 10.30 am

No fee, to register email to drkakroo@gmail.com, 9810301261

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

3rd eMedinewS Revisiting 2011

Dr Ajay Kriplani (Surgical management of diabetes); Dr N K Bhatia ( What’s new in transfusion medicine); Dr Kaberi Banerjee (Fertility update); Dr Amit Bahrgava (Cancer update 2011), Onco Radiation update (Rajiv Gandhi Cancer Institute); Dr Ambrish Mithal (Vitamin D update), Dr Praveen Chandra (Interventional Cardiology update); Revisting 2011 (Dr K K Aggarwal), Portfolio management (Central Bank of India); Insurance update (LIC India); General Insurance (Doogar Associates)

IMSOCN2012

The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund Faridabad. It is multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

Early Registration till 30th Dec 2011

 
    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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  Perfect Health Mela

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  Towards Well Being

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  Dil Ki Batein

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  Pesticides Safely

 
    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