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FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA

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  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 January, 2011, Wednesday                                 eMedinewS Present Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

eMedinewS Wishes all its readers a Happy Republic Day

eMedinewS Congratulates all Padma Awardees
Padma Awards Announced

The President of India has approved the conferment of Padma Awards-2010. This year the President has approved 128 awards including one duo case (counted as one) and 12 in the category of Foreigners/ NRIs/ PIOs/ Posthumous. These comprise 13 Padma Vibhushan, 31 Padma Bhushan and 84 Padma Shri Awards. There are 31 ladies among the awardees..

Doctors who receive Padma Awards are

Padma Bhushan

  1. Late Shri K. Raghavan Thirumulpad     Medicine - Ayurveda.     Kerala*
  2. Late Dr. Keki Byramjee Grant     Medicine - Cardiology        Maharashtra*

Padma Shri 

  1. Dr. Pukhraj Bafna     Medicine - Padeatrics     Chhattisgarh
  2. Prof. Mansoor Hasan    Medicine- Cardiology    Uttar Pradesh
  3. Dr. Shyama Prasad Mandal     Medicine - Orthopaedic     Delhi
  4. Prof. (Dr.) Sivapatham Vittal     Medicine - Endocrinology     Tamil Nadu
  5. Prof. (Dr.) Madanur Ahmed Ali     Medicine - Gastroenterology     Tamil Nadu
  6. Dr. Indira Hinduja     Medicine - Obstetrics and Gynaecology.     Maharashtra
  7. Dr. Jose Chacko Periappuram     Medicine - Cardio-Thoracic Surgery.     Kerala
  8. Prof. (Dr.) A. Marthanda Pillai    Medicine - Neurosurgery    Kerala

Non-Doctors who receive Padma Awards are

Padma Vibhushan

  1. Dr. (Smt.) Kapila Vatsyayan     Art - Art Administration and Promotion.     Delhi
  2. Mrs. Homai Vyarawalla     Art - Photography     Gujarat
  3. Shri A Nageshwara Rao    Art- Cinema    Andhra Pradesh
  4. Shri Parasaran Kesava Iyengar     Public Affairs     Delhi
  5. Dr. Akhlaq-ur-Rehman Kidwai     Public Affairs     Delhi
  6. Shri Vijay Kelkar    Public Affairs    Delhi
  7. Shri Montek Singh Ahluwalia    Public Affairs    Delhi
  8. Shri Palle Rama Rao    Science and Engineering      Andhra Pradesh
  9. Shri Azim Premji     Trade and Industry     Karnataka
  10. Shri Brajesh Mishra    Civil Services    Madhya Pradesh
  11. Prof. (Dr.) Ottaplakkal Neelakandan Velu Kurup     Literature and Education     Kerala
  12. Dr. Sitakant Mahapatra     Literature and Education     Orissa
  13. Late Shri L. C. Jain    Public Affairs     Delhi *

Padma Bhushan

  1. Shri Satyadev Dubey     Art - Theatre     Maharashtra
  2. Shri Mohammed Zahur Khayyam Hashmi alias Khayyam     Art - Cinema - Music     Maharashtra
  3. Shri Shashi Kapoor     Art - Cinema     Maharashtra
  4. Shri Krishen Khanna     Art - Painting     Haryana
  5. Shri Madavur Vasudevan Nair     Art - Dance - Kathakali     Kerala
  6. Ms. Waheeda Rehman     Art - Cinema     Maharashtra
  7. Shri Rudrapatna Krishna Shastry Srikantan     Art - Music-Vocal     Karnataka
  8. Ms. Arpita Singh     Art - Painting     Delhi
  9. Dr. Sripathi Panditharadhyula Balasubrahmanyam     Art - Playback Singing, Music Direction & acting     Tamil Nadu
  10. Shri C.V. Chandrasekhar     Art - Classical Dance-Bharatanatyam     Tamil Nadu
  11. Shri Dwijen Mukherjee    Art    West Bengal
  12. Smt. Rajashree Birla     Social work    Maharashtra
  13. Mrs. Shobhana Ranade     Social work     Maharashtra
  14. Dr. Suryanarayanan Ramachandran     Science and Engineering      Tamil Nadu
  15. Shri S.(Kris) Gopalakrishnan     Trade and Industry     Karnataka
  16. Shri Yogesh Chander Deveshwar     Trade and Industry     West Bengal
  17. Ms. Chanda Kochhar     Trade and Industry     Maharashtra
  18. Dr. K. Anji Reddy     Trade and Industry- Pharmacy     Andhra Pradesh
  19. Shri Analjit Singh     Trade and Industry     Delhi
  20. Shri Rajendra Singh Pawar     Trade and Industry    Haryana
  21. Dr. Gunapati Venkata Krishna Reddy     Trade and Industry     Andhra Pradesh
  22. Shri Ajai Chowdhary    Trade and Industry    Delhi
  23. Shri Surendra Singh    Civil Services    Delhi
  24. Shri M. N .Buch    Civil Services    Madhya Pradesh
  25. Shri Shyam Saran    Civil Services    Delhi
  26. Shri Thayil Jacob Sony George     Literature and Education     Karnataka
  27. Dr. Ramdas Madhava Pai     Literature and Education     Karnataka
  28. Shri Sankha Ghosh     Literature and Education     West Bengal
  29. Late Shri Dashrath Patel    Art    Gujarat *

Padma Shri

  1. Ms. Neelam Mansingh Chowdhry     Art - Theatre     Chandigarh
  2. Shri Makar Dhwaja Darogha    Art- Chhau Dance    Jharkhand
  3. Shri Shaji Neelakantan Karun     Art – Film Direction     Kerala
  4. Shri Girish Kasaravalli     Art - Film making     Karnataka
  5. Ms. Tabassum Hashmi Khan alias Tabu     Art - Cinema     Maharashtra
  6. Shri Jivya Soma Mase     Art - Warli Painting     Maharashtra
  7. Guru (Ms.) M.K. Saroja     Art - Dance- Bharatnatyam     Tamil Nadu
  8. Shri Jayaram Subramaniam     Art - Cinema     Tamil Nadu
  9. Pandit Ajoy Chakraborty     Art - Music-Indian Classical Vocal     West Bengal
  10. Smt. Mahasundari Devi     Art - Mithilia/ Madhubani Painting.     Bihar
  11. Shri Gajam Govardhana     Art - Handloom Weaving     Andhra Pradesh
  12. Ms. Sunayana Hazarilal     Art - Dance - Kathak     Maharashtra
  13. Shri S.R. Janakiraman     Art - Carnatic Vocal Music     Tamil Nadu
  14. Shri Peruvanam Kuttan Marar    Art - Chenda Melam- Drum concert    Kerala
  15. Smt. Kalamandalam Kshemavathy Pavithran     Art - Dance - Mohiniattam     Kerala
  16. Shri Dadi Dorab Pudumjee     Art - Puppetry     Delhi
  17. Shri Khangembam Mangi Singh     Art - Traditional Music of Manipur (Pena)     Manipur
  18. Shri Prahlad Singh Tipaniya     Art - Folk Music     Madhya Pradesh
  19. Smt. Usha Uthup     Art - Music.     West Bengal
  20. Smt. Kajol    Art- Cinema    Maharashtra
  21. Shri Irfan Khan     Art- Cinema    Maharashtra
  22. Shri Mamraj Agrawal    Social work    West Bengal
  23. Shri Jockin Arputham     Social work    Maharashtra
  24. Ms. Nomita Chandy     Social work    Karnataka
  25. Ms. Sheela Patel     Social work     Maharashtra
  26. Ms. Anita Reddy     Social work     Karnataka
  27. Shri Kanubhai Hasmukhbhai Tailor    Social work    Gujarat
  28. Shri Anant Darshan Shankar     Public Affairs     Karnataka
  29. Prof. M. Annamalai     Science and Engineering     Karnataka
  30. Dr. Mahesh Haribhai Mehta     Science and Engineering - Agricultural Science     Gujarat
  31. Shri Coimbatore Narayana Rao Raghavendran     Science and Engineering     Tamil Nadu
  32. Dr. (Mrs.) Suman Sahai     Science and Engineering    Delhi
  33. Prof.(Dr.) E.A. Siddiq     Science and Engineering - Agricultural Science     Andhra Pradesh
  34. Shri Gopalan Nair Shankar     Science and Engineering - Architecture     Kerala
  35. Shri Mecca Rafeeque Ahmed     Trade and Industry     Tamil Nadu
  36. Shri Kailasam Raghavendra Rao     Trade and Industry     Tamil Nadu
  37. Shri Narayan Singh Bhati Civil Services    Andhra Pradesh
  38. Shri P K Sen    Civil Services    Bihar
  39. Ms. Shital Mahajan     Sports - Adventure Sports- Para Jumping     Maharashtra
  40. Ms. Nameirakpam Kunjarani Devi     Sports - Weightlifting     Manipur
  41. Shri Sushil Kumar     Sports - Wrestling    Delhi
  42. Shri Vangipurapu Venkata Sai Laxman     Sports - Cricket     Andhra Pradesh
  43. Shri Gagan Narang     Sports - Shooting     Andhra Pradesh
  44. Smt. Krishna Poonia     Sports - Discus Throw     Rajasthan
  45. Shri Harbhajan Singh     Sports - Mountaineering     Punjab
  46. Shri Mahim Bora     Literature and Education     Assam
  47. Prof. (Dr.) Pullella Srirama Chandrudu     Literature and Education- Sanskrit     Andhra Pradesh
  48. Dr. Pravin Darji    Literature and Education    Gujarat
  49. Dr. Chandra Prakash Deval     Literature and Education     Rajasthan
  50. Shri Balraj Komal     Literature and Education     Delhi
  51. Mrs. Rajni Kumar     Literature and Education     Delhi
  52. Dr. Devanooru Mahadeva     Literature and Education     Karnataka
  53. Shri Barun Mazumder     Literature and Education     West Bengal
  54. Dr. Avvai Natarajan     Literature and Education     Tamil Nadu
  55. Shri Bhalchandra Nemade     Literature and Education     Himachal Pradesh
  56. Prof. Riyaz Punjabi     Literature and Education     Jammu and Kashmir
  57. Prof. Koneru Ramakrishna Rao     Literature and Education     Andhra Pradesh
  58. Ms. Buangi Sailo     Literature and Education     Mizoram
  59. Prof. Devi Dutt Sharma     Literature and Education     Uttarakhand
  60. Shri Nilamber Dev Sharma     Literature and Education     Jammu and Kashmir
  61. Ms. Urvashi Butalia #  Ms. Ritu Menon #    Literature and Education     Delhi
  62. Prof. Krishna Kumar    Literature and Education     Delhi
  63. Shri Deviprasad Dwivedi    Literature and Education     Uttar Pradesh
  64. Ms. Mamang Dai    Literature and Education     Arunachal Pradesh
  65. Dr. Om Prakash Agrawal     Others - Heritage Conservation     Uttar Pradesh
  66. Prof. Madhukar Keshav Dhavalikar     Others - Archeology     Maharashtra
  67. Ms. Shanti Teresa Lakra    Others-Nursing    Andaman & Nicobar
  68. Smt. Gulshan Nanda    Others - Handicrafts promotion    Delhi
  69. Dr. Azad Moopen     Social work    UAE *
  70. Prof. Upendra Baxi     Public Affairs -Legal Affairs     United Kingdom*
  71. Dr. Mani Lal Bhaumik     Science and Engineering    USA *
  72. Dr. Subra Suresh     Science and Engineering      USA *
  73. Prof. Karl Harrington Potter     Literature and Education     USA *
  74. Prof. Martha Chen    Social work    USA *
  75. Shri Satpal Khattar    Trade and Industry    Singapore *
  76. Shri Granville Austin    Literature and Education     USA *

* indicates awardees in the category of Foreigners / NRIs/ PIOs/ Posthumous.

# indicates duo case.


Padma Awards, the country’s highest civilian awards, are conferred in three categories, namely, Padma Vibhushan, Padma Bhushan and Padma Shri. The Awards are given in all disciplines/ fields of activities, viz. art, social work, public affairs, science and engineering, trade and industry, medicine, literature and education, sports, civil service, etc. ‘Padma Vibhushan’ is awarded for exceptional and distinguished service; ‘Padma Bhushan’ for distinguished service of high order and ‘Padma Shri’ for distinguished service in any field. The awards are announced on the occasion of Republic Day every year. The awards are conferred by the President of India at a function held at Rashtrapati Bhawan sometime around March/ April.

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

2nd eMedinewS revisiting 2010

Revisiting the year 2010 with Dr KK Aggarwal
‘New Tests’

Audio PostCard
 
  SMS of the Day

(By Dr GM Singh)

Stress is when you wake up screaming and you realize you haven’t fallen asleep yet.

 
    Photo Feature

Kerala State Dharna at Trivandrum

All 14 Districts of Kerala staged Dharna in front of 14 collectorates on 22nd January of Kerala and submitted memorandum.

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

MCI okayed geriatrics course, govt tells HC

BANGALORE: Geriatrics course in medical colleges could soon become a reality. The government on Monday told the high court that Medical Council of India has given its nod for the course and that an appropriate application will be filed seeking the course’s inclusion at the PG level for academic year 2012–13 in 10 government–run medical colleges. The government told the court that there’ll be 10–bed, separate geriatric wards at all 17 district hospitals in the state by March 31, 2012. "At present, six district hospitals have this facility. Among these, work at Madikeri district hospital is on", the government advocate said. (Source: The Times of India, Jan 25, 2011)

 
    International News

(Contributed by Nilesh Aggarwal)

Region’s first dedicated health channel launched

Charisma Group awarded media management contract for new Arabic TV channel – programming to focus on consumer health and wellness issues

"Considering the unhealthy lifestyles and poor diets throughout the region, we are aggravating the prevalence of diabetes and cardiovascular diseases. Consequently, it is no surprise that 22% of viewers in the MENA region specially chose to watch health related programmes according to a 2009 TGI regional survey," said Ayman Al Zyoud, CEO and founder of Charisma Group.

New healthcare facility design standards for the emirate of abu dhabi

The Health Authority – Abu Dhabi (HAAD), the regulator of the health care sector in the Emirate of Abu Dhabi, launched on 25th Jan 2011, the new "Healthcare Facility Design Standards" for the Emirate of Abu Dhabi.

The new standards set the requirements for health facility design and construction as well as the prequalification of healthcare design consultants.

The standards aim at improving medical outcomes and minimising errors caused by inappropriate healthcare facility design, and is a step towards improving the knowledge base for the health care industry.

Adeeb Al Zaabi, Manager of Health Facility Licensing at HAAD, said: "All Healthcare design consultants who wish to design and submit projects for licensing applications will need to be pre–qualified in accordance with the standards. Owners and operators of Healthcare facilities will need to be familiar with the new standards as they engage consultants and embark on new projects.

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

Healthy living reduces health care costs

USA Today reported on the outcome of the efforts of Oakland County Michigan to reduce healthcare costs for 3,500 county employees. Four years ago, county officials allocated $400,000 a year to make its employees healthier. Before the program began, the county estimated that health care costs would hit $50 million in 2010. However, due to the investment in wellness, the county only paid $38 million. The core of the wellness program is a voluntary confidential annual health survey and risk assessment. Employees are paid $100 to take the assessment. The program also includes blood pressure screening, glucose tests, and nutrition and exercise classes

(Dr GM Singh)

How to treat mosquito bites?

Bitten by one of those pesky little bloodsuckers? Instead of scratching, try applying hydrocortisone cream (0.5 or 1%), calamine lotion or a baking soda paste (3 parts baking soda to 1 part water) to bites several times a day until your symptoms subside. For stronger reactions, try taking an antihistamine such as diphenhydramine (Benadryl). The bump, itching and redness should go away in a few days.

(Dr Monica and Brahm Vasudev)

A new antidepressant gets FDA nod

Vilazodone (Viibryd) has been accorded FDA approval for treatment of major depression. Vilazodone is an oral serotonin reuptake inhibitor and also a partial agonist at the 1A serotonin receptor subtype, similar to the established antidepressant trazodone (Desyrel).

High intake of fruit and vegetables again linked to reduced heart disease risk

Results from the European Prospective Investigation into Cancer and Nutrition (EPIC)–Heart study have further reaffirmed the link between high intake of fruit and vegetables and a reduced risk of ischemic heart disease. In the study, individuals who consumed at least eight portions of fruit and vegetables daily had a 22% lower risk of dying from heart disease as compared to those who took fewer than three portions a day. A portion weighed 80 g, equal to a small banana, a medium apple, or a small carrot. The results are published online January 19, 2011 in the European Heart Journal.

Pneumonia guideline compliance associated with increased mortality

New research has shown that patients at risk for multidrug–resistant pathogens whose physicians followed guidelines from the American Thoracic Society and the Infectious Diseases Society of America to manage pneumonias with empirical antibiotic regimens had increased mortality compared with those patients receiving noncompliant therapy. The findings are published online in the Lancet Infectious Diseases.

Methotrexate and embolization helpful in cervical ectopic pregnancy

According to a study reported online paper in Jan 12 Fertility and Sterility, uterine artery embolization in conjunction with methotrexate is an effective conservative treatment of cervical ectopic pregnancy.

 
    Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director Precious Baby Foundation

Q. What are the precautions one should take after an IVF procedure?

A. The procedure demands no special precautions, but strenuous activity should be avoided. We advise the patients to be mentally and physically relaxed as much as possible. You can return to work if you wish, but first prefer to have a few days rest.

For queries contact: banerjee.kaberi@gmail.com

 
    Pediatric Update

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

What is nalidixic acid resistant-S. typhi (NARST)?

A: Although advances in public health and hygiene have led to the virtual disappearance of enteric fever from much of the developed world, the disease remains endemic in many developing countries. Since the 1990s, Salmonella typhi has developed resistance simultaneously to all the drugs used in first line treatment (chloramphenicol, cotrimoxazole and ampicillin) and are known as Multi Drug Resistant typhoid fever (MDRTF). Fluoroquinolones are widely regarded as the most effective drug for the treatment of typhoid fever. But unfortunately, some strains of S. typhi have shown reduced susceptibility to fluoroquinolones.

On routine disc testing with the recommended break points, organisms showing suspectibility to fluoroquinolones show poor clinical response to actual treatment. These organisms when tested by disc testing with nalidixic acid show resistance. So in other words resistance to nalidixic acid is a surrogate marker, which predicts fluoroquinolone failure and can be used to guide antibiotic therapy. Unregulated access and indiscriminate use of fluoroquinolones have obviously promoted this debacle. Isolates with reduced susceptibility to ciprofloxacin are fast becoming a major problem in South and South-East Asia. In India, currently, as high as 70 to 80% of isolates in hospital-based studies are NARST and 20 to 50% of isolates are MDR-ST.

 
    "e–patient" … The Impatient Patient

Dr. Parveen Bhatia: MS, FRCS (Eng.), FICS, FIAGES (Hon.), FMAS, FIMSA, Chairman, Institute of Minimal Access, Metabolic & Bariatric Surgery, Sir Ganga Ram Hospital, Consultant Laparoscopic & Bariatric Surgeon & Medical Director, Global Hospital & Endosurgery Institute, New Delhi

Dr. Pulkit Nandwani: MD, DMAS (WALS), DMAS (CICE, France), Associate Consultant Gynaecologist and Laparoscopic surgeon, Bhatia Global Hospital & Endosurgery Institute, New Delhi

Advantages of "e–patients"

Most of the doctors have underestimated the benefits and overestimated the risks of online health resources for patients. The many benefits of internet savvy patients are routinely overlooked. Patients who use the Internet to look for health information are more likely to ask more specific and informed questions of their doctors. They comply with prescribed treatment plans also in a better way. Doctors have found that it may take less time to explain complex medical information to Internet users than to non–users. An informed patient is obviously an intelligent patient and wants to play a much more active part in the management of his condition.

A study conducted in USA found that the effect of a patient taking information from the internet into a consultation was likely to be positive, if the physician had adequate communication skills. But the delicate relationship deteriorated if the doctor felt or acted challenged on being questioned.

 
    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What are Rubber Bullets?

Rubber bullets were introduced in the US to quell anti–war and civil rights demonstrators in the 1960s. They were reintroduced in the late 1980s. Rubber bullets describe about 75 types of "less than lethal devices" that are designed to deliver a stinging blow that incapacitates but do not kill or penetrate flesh as regular metal bullets.

  • The first less–than–lethal bullets appeared in the 1880s when Singapore police shot sawed–off broom handles at rioters. By the 1960s, riot control police in Singapore, Malaysia, and Hong Kong were using wooden bullets. The Wooden bullets still in use today are called "knee–knockers.
  • British colonists replaced the wood, which could shatter and possibly penetrate, with rubber. By the 1980s, they switched to more accurate plastic bullets, solid polyvinyl chloride cylinders about 4 inches long and 1.5 1/2 inches wide.

They are most often used by individual police officers to subdue armed, mentally ill people. The bullets are supposed to be shot at the lower half of the body; but have also accidently killed people. Numerous groups from the European Parliament to Human Rights Watch have called for a ban on plastic bullets.

 
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Q. Doctors registered under the PNDT Act have to keep record of pregnant and nonpregnant women separately. If they can’t perform sonography on non pregnant then what is the idea of having a separate register for non pregnant patients?

Ans.

  • A doctor registered under the PNDT Act is not barred from performing ultrasonography on non–pregnant women or on men if he is competent to do so by virtue of his qualifications, such as MD in Radiology/Radiodiagnosis.
  • The PNDT authorities are concerned only with ultrasounds done on pregnant women and not with other ultrasounds. That may be the reason why doctors registered under the PNDT Act have to keep record of pregnant and nonpregnant women separately.
 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Inorganic phosphorus

Hyperphosphatemia may occur in myeloma, Paget's disease of bone, osseous metastases, Addison’s disease, leukemia, sarcoidosis, milk–alkali syndrome, vitamin D excess, healing fractures, renal failure, hypoparathyroidism, diabetic ketoacidosis, acromegaly, and malignant hyperpyrexia.

Drugs causing serum phosphorous elevation include androgens, furosemide, growth hormone, hydrochlorthiazide, oral contraceptives, parathormone, and phosphates.

 
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  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
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  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
 
    Medi Finance Update

Can any deductions be claimed if one is building a hospital?

Yes, deduction can be claimed against the income of such hospitals.

 
    Drug Update

LIST OF APPROVED DRUG FROM 01.01.2010 TO 31.8.2010

Drug Name
Indication
DCI Approval Date
Rivaroxaban film coated Tablets 10mg
For the prevention of venous thromboembolism in patients (VTE) in adult patients undergoing hip or knee replacement surgery.
30/01/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Preoperative skin cleansing with chlorhexidine–alcohol is superior to providone–iodine

In a trial of 849 patients undergoing clean–contaminated surgery, the overall rate of surgical site infection was significantly lower in the chlorhexidine–alcohol group than in the povidone–iodine group (9.5 vs 16%).

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with low BMD wanted to know if he could take potassium citrate.
Dr. Bad: There is no role.
Dr. Good: Take it.
Lesson: Daily supplementation with potassium citrate significantly increases BMD in the elderly. With daily supplementation of 60 mmol potassium citrate, BMD increases significantly.

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 only moderately tap ascitic fluid as overenthusiastic tapping can be life–threatening.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

The Monk and the Baby

Once there was a monk who lived in a village. One day a young village girl became pregnant and was unmarried. She did not want to expose her boyfriend. Out of fear when her parents asked her who is responsible, she pointed her finger to that monk. Her parents were infuriated. The next day, the whole village turned up to blame the him. "How could you?" "You dirty old man!" "You are a disgrace!" "Get out of our village, you hypocrite!" Some villagers even threaten the his life.

After listening to all the accusations, what he said was "Is that so?" and went back to meditate. Months went by; the young girl gave birth to a baby. The parents of the young girl were forced to find a father for the child. The parents and the villagers went up to approach him saying "You are responsible for this baby; therefore you should bring up the baby!" Once again, he said "Is that so?" He took the young baby in his arms and went back.

By this time he had lost his reputation but it did not trouble him. He took very good care for this baby and he managed to obtain milk and everything the child needed from his neighbors.

After a year, the young girl felt ashamed and guilty and wanted to see her baby. She finally told the real story to her parents. When all the villagers came to know the truth, they all felt ashamed of having wrong him. So all of them gathered and went to the monk asking for forgiveness. Once again, after listening to them said "Is that so?" He handed the baby back to the young girl.

When you are right, one thousand angels swearing that you are wrong does not matter. But when you are wrong, ten thousand angels swearing that you are right will not make any difference.

………………………………

Mind Teaser

Read this…………………

DOX
DOX

Yesterday’s Mind Teaser: What goes up and down, but doesn’t move?
Answer for Yesterday’s Mind Teaser: The temperature

Correct answers received from: Dr Sudipto Samaddar, Dr Rakesh Bhasin, Dr Anil Bairaria, Dr Arundhati Dasgupta, Dr A. P. Rao. Dr(LtCol)Gopal Agarwal

Answer for 23rd January Mind Teaser: "eaves dropping"
Correct answers received from: Dr Rakesh Bhasin

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Contributed by Dr. G.M.Singh)

Violin Practice

Little Harold was practicing the violin in the living room while his father was trying to read in the den.
The family dog was lying in the den, and as the screeching sounds of little Harold’s violin reached his ears, he began to howl loudly. The father listened to the dog and the violin as long as he could. Then he jumped up, slammed his paper to the floor and yelled above the noise, "For pity’s sake, can’t you play something the dog doesn’t know?"

 
    Readers Responses
  1. Every emedinews reader lives in a social context. They live in context of friends’ circle and implicit social contexts based on topics they like and the people who are influential on these topics are an extension of that social circle. Dr GM Singh
 
    Public Forum

(Press Release for use by the newspapers)

Exercise impact on the knee

Different exercises produce different impacts on the knee joints. The best and safest exercises causing minimum impact on the knee for patients post knee replacement or knee arthritis are walking, biking, hiking, riding an exercise bike, riding an elliptical trainer and walking on the treadmill. In sports one can play doubles tennis and not singles. One can also participate in downhill or cross–country skiing, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

The maximum stress–producing exercises are jogging and golf swings.

Impact

  • Biking generates the least force, producing impact of about 1.3 times the person’s body weight.
  • Treadmill walking was next best, producing forces of 2.05 times the body weight.
  • Walking on level ground generated forces of 2.6 times the body weight.
  • A game of Tennis produces forces of 3.1 to 3.8 times the body weight; serving produces the highest impact.
  • Jogging produced forces of 4.3 times body weight.
  • Golf swings produces forces of 4.5 times body weight on the forward knee and 3.2 times body weight in the opposite knee.
 
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Conference Column

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: : Dr KK Aggarwal

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