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 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

 

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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of 1st Mega Ajmer Health Camp 2012

 
  Editorial …

27th March 2012, Tuesday

White rice as risky as white bread in causing diabetes

Eating more white rice increases the risk of type 2 diabetes, especially for Asian populations.

Qi Sun, PhD, of Harvard, and colleagues, reported in BMJ that patients who ate the greatest amounts of the grain had a 27% greater risk of developing the disease than those who ate the least, and the relative risk was higher among Asian patients.

The glycemic index of white rice is higher than that of other whole grains, largely due to processing.

Sun and colleagues conducted a meta–analysis of four prospective cohort analyses in Asian and Western populations, totaling 352,384 patients with follow–up ranging from 4 to 22 years. During that time, there were 13,284 incident cases of type 2 diabetes. Asians generally had a higher level of white rice consumption than Western populations.

They also found a dose–response effect –– with each increase in rice serving per day, risk of type 2 diabetes rose by 11% (95% CI 1.08 to 1.14, P<0.001).

For Comments and archives…

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

School Health Education

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Yadien, the musical concert was organized in the memory of Legendary Ghazal Maestro Shri Jagjit Singh Ji. The evening was organized by Heart Care Foundation of India, Humkhayal and eMedinewS. In the Phot: Poet, lyricist and scriptwriter, Mr Javed Akhtar and Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

 
Dr K K Aggarwal
 
    National News

Herpes virus kills four black bucks in Kamla Nehru zoo

INDORE: In what is claimed as the first instance in the country, Herpes virus left four blackbucks dead and fully impacted the vision of 20 others in the Indore’s Kamla Nehru Zoo. Zoo in–charge Dr Uttam Yadav said virus ‘Herpes’ has emerged as the reason during the course of primary investigation of the Mhow Veterinary College. Since it was the first time in the country when the virus hit black bucks, its impact was not yet known, he said. Dr Yadav said experts are working to minimize the impact of the virus, it is too early to comment on anything. Asked how virus affected the zoo and animals, he declined to comment on the issue. (Source: TOI, March 25, 2012)

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

Society for Surgical Oncology Calls for End to Indoor Tanning

While the dangers of indoor tanning beds and melanoma risk are strongly buttressed by scientific data, public recognition of the danger remains low. The Society of Surgical Oncology (SSO) is the latest organization to advocate for an end to cosmetic use of tanning beds. (Source: Medscape)

For Comments and archives…

More evidence that ARBs have cognitive benefits

Results of a small study provide more evidence that antihypertensive therapy with angiotensin-receptor blockers (ARBs) has benefits on cognitive function in older adults with early cognitive impairment. The researchers say the study is the first to their knowledge to show a benefit of ARB therapy specifically on executive function. Ihab Hajjar, MD, MS, from University of Southern California, Los Angeles, and colleagues reported their study in the March 12 issue of Archives of Internal Medicine. (Source: Medscape)

For Comments and archives…

Adiponectin levels in women may predict asthma risk

Middle–aged women who have low blood levels of the hormone adiponectin, and particularly those who are smokers, may be at an increased risk of developing asthma in the future, according to a study published online March 23 in the American Journal of Respiratory and Critical Care Medicine. (Source: Medscape)

For Comments and archives…

NCCN melanoma guidelines: New drugs, less testing

Information on 2 new systemic therapies for metastatic disease and a reduced emphasis on testing for metastases in early–stage disease headline the changes to the melanoma guidelines from the National Comprehensive Cancer Network (NCCN). The guidelines were discussed at the NCCN 17th Annual Conference. Last year during the NCCN annual meeting, ipilimumab was on the cusp of being reviewed by the US Food and Drug Administration (FDA). Upon its approval, it was integrated into the NCCN guidelines. More recently, a footnote was added to the section in the guidelines on metastatic disease concerning the use of ipilimumab in patients who fail after an initial response to the therapy. "Reinduction with ipilimumab may be considered for select patients who experienced no significant toxicity during (previous) ipilimumab therapy and who relapse after initial clinical response or progress after stable disease (for more than) 3 months," reads the new guidance. (Source: Medscape)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Chaitra Navratri Diet: Singhara
Flourhttp://blog.kkaggarwal.com/2012/03/24/chaitra–navratri–diet–singhara–flour/

@DeepakChopra: Healing is the return to wholeness

 
    Spiritual Update

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

3rd Chaitra Navratri: Chandraghanta (Controlling your negative energies)

"Spiritual summary on the 3rd Navratri: One should continuously (beaded rosary) control the fire (solar plexus) within by using our sharp intelligence (sword) and balancing the mind (Trishul) by focusing on one point (arrow and bow), practicing detached attachment (lotus), accepting things as they are (Kamandalu) and killing the negative energies by using gada (power) when needed. This can be assisted by chanting RAM focusing on 3rd celiac solar plexus chakra".

For Comments and archives…

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is gamete donation?

When a couple is unable to get pregnant on their own, sometimes they use a donor’s egg or sperm. This is called "gamete donation". When a child is conceived this way, the parents must decide whether to tell their child or keep this information private.

For Comments and archives…

 
    Tat Tvam Asi………and the Life Continues……

(Dr. Sujay Shad, Senior Consultant Cardiac Surgeon and Director of Heart–Lung Transplantation, SGRH)

Heart: Failure, Therapies & Transplantation

"Who Requires a Heart Transplant?" "An otherwise well person, whose heart can no longer keep him (or her) alive and healthy."

A profound statement in itself but it does explain the very essence of cardiac transplantation. The heart must be dysfunctional enough that it seriously impairs the quality of life and is also a threat to life itself. For a patient who is unlikely to live a year without a transplant, it is perfectly reasonable that a transplant is considered and offered.

We have predictive models that can accurately classify if a particular patient should or should not be considered for a transplant. One of these is the Heart Failure Severity score (HFSS).

The heart failure patient, being considered for a transplant should be otherwise well; the other organ systems should be healthy enough such that other organ dysfunction or any intercurrent infection should not lead to early demise after a successful transplant.

Tat Tvam Asi in association with eMedinewS and HCFI hopes to help change the circumstances around organ transplantation. Please join in the effort by reading along……

For Comments and archives…

 
  Celiac Disease Update

(Dr Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation, Medanta – The Medicity Hospital, Gurgaon)

What are the symptoms of Celiac disease?

Celiac disease usually affects the digestive system and can present as:

  • Abdominal bloating and pain
  • Chronic diarrhea
  • Vomiting
  • Constipation
  • Pale, foul-smelling, or fatty stools
  • Weight loss

Irritability is another common symptom in children. Malabsorption of nutrients can result in failure to thrive in infants, delayed growth and short stature, delayed puberty and dental enamel defects of the permanent teeth.

For comments and archives

 
  Medi Finance Update

(Tarun Kumar, Chartered Accountant)

Budget Overview

  • Unexplained amounts/credits in the books of accounts are deemed to be income of the assessee and are now chargeable to income tax @ 30% without any deductions/exemptions.
  • Residents having assets (including financial interest in any entity) located outside India are required to furnish tax returns mandatorily from financial year 2011–12 onwards. This would be irrespective of whether they have income chargeable to tax in India or otherwise.
  • Senior citizens (individuals aged 60 years and above), not having income from business or profession are not required to pay advance tax.
  • Exemption of Rs. 10,000/– is available for interest earned on deposits in savings bank account, co–operative banks and post office.
  • Deduction of Rs.15,000/– under Section 80D has been broadened to include expenditure on preventive health check–up up to Rs. 5,000/–.
  • Cash donation of more than Rs.10,000/– not eligible for tax deduction u/s 80–G.
  • Premium on life insurance policies with annual premium less than 10% (earlier 20%) of sum assured will be eligible for deduction u/s 80 C and exemption on maturity.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

I knew you would come

There were two childhood buddies who went through school and college and even joined the army together. War broke out and they were fighting in the same unit. One night they were ambushed. Bullets were flying all over and out of the darkness came a voice, "Harry, please come and help me." Harry immediately recognized the voice of his childhood buddy, Bill.

He asked the captain if he could go. The captain said, "No, I can’t let you go, I am already short–handed and I cannot afford to lose one more person. Besides, the way Bill sounds he is not going to make it." Harry kept quiet. Again the voice came, "Harry, please come and help me." Harry sat quietly because the captain had refused earlier.

Again and again the voice came. Harry couldn’t contain himself any longer and told the captain, "Captain, this is my childhood buddy. I have to go and help." The captain reluctantly let him go. Harry crawled through the darkness and dragged Bill back into the trench. They found that Bill was dead. Now the captain got angry and shouted at Harry, "Didn’t I tell you he was not going to make it? He is dead, you could have been killed and I could have lost a hand. That was a mistake." Harry replied, "Captain, I did the right thing. When I reached Bill he was still alive and his last words were "Harry, I knew you would come."

Good relationships are hard to find and once developed should be nurtured. We are often told: Live your dream. But you cannot live your dream at the expense of others. People who do so are unscrupulous. We need to make personal sacrifices for our family, friends, and those we care about and who depend on us.

For Comments and archives…

 
   Cardiology eMedinewS

Cells May Signal Impending Heart Attack Read More

Should We Continue Giving Epinephrine For Out–Of–Hospital Cardiac Arrest? Read More

No Benefit Of Vitamin E in Heart Failure Read More

TNKase Tops Activase For Ischemic Stroke Read More

 
   Pediatric eMedinewS

‘Meth Babies’ Show More Behavior Problems Read More

Rare Birth Defects Linked To Prenatal Pain Medication Use Read More

Low Vitamin D Linked To High IgE, Need for Steroids In Asthma Read More

 
  Microbial World: The Good and the Bad they do

(Dr Sunil Sharma, Senior Consultant Microbiology, Medanta The Medicity)

Mechanism of antibiotic resistance

How do bacteria save themselves from the action of antibiotics? Over many millennia, bacteria have adapted themselves to the changing environment. They have survived extremes of temperature and harsh environment (like absence of oxygen or presence of hydrogen sulfide etc). So it is no wonder they figured out how to deal with antibiotics. You may recall that in a previous column I have described how Staphylococcus co–habits penicillin–forming Trichophyton. There are four major mechanisms by which they fight antibiotics:

  1. Drug inactivation or modification
  2. Reduced drug accumulation
  3. Alteration of target site
  4. Alteration of metabolic pathway

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic elderly came with low HDL levels.
Dr Bad: It carries no significance in the elderly.
Dr Good: It is an important risk factor.
Lesson: Lower HDL cholesterol is an important risk factor for not only IHD but also CVD, especially in diabetic elderly individuals (Diabetes Care 2009;32(7):1221–3)

For comments and archives

Make Sure

Situation: A 28–year–old male presents with increased frequency and occasional blood in urine. Examination of urine shows sterile pyuria.
Reaction: Oh my God! Why didn’t you check for TB?
Lesson: Make Sure to rule out TB in patients with frequency, dysuria, hematuria. Sterile pyuria is the first clue to diagnosis.

For comments and archives

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  Quote of the Day

(Dr GM Singh)

The will to win means nothing if you haven’t the will to prepare. Juma Ikangaa

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

ADH

Also known as: Antidiuretic Hormone

  • To help detect, diagnose and determine the cause of antidiuretic hormone (ADH) deficiency or excess
  • To investigate low blood sodium levels (hyponatremia)
  • To distinguish between the two types of diabetes insipidus
 
    Mind Teaser

Read this…………………

Which of the following is not a treatment modality for radiation proctitis?

a) Steroid enema
b) Argon beam coagulation
c) Formalin instillation
d) Hyperbaric oxygen

Yesterday’s Mind Teaser: Treatment of biliary stricture following pancreatitis

a) Surgery
b) Endoscopic stenting
c) No treatment required

Answer for Yesterday’s Mind Teaser: a) Surgery

Correct answers received from: Dr Mrs S Das, Dr PC Das, Dr Jainendra Upadhyay, Raju Kuppusamy.

Answer for 25th March Mind Teaser: It is a partial shunt

Correct answers received from: Dr KV Sarma, Dr Mrs S Das, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Daytime Television

A newspaper reporter was writing a feature story about prison life and was interviewing one of the prisoners. "Do you watch much television here?" "Only the daytime shows," the inmate said. "At night we’re locked in our cells and don’t see any television."

"That’s too bad," the reporter said, "But I do think it is nice that the warden lets you watch it in the daytime."

"What do you mean, nice?" the inmate said. "That’s part of the punishment."

 
  Medicolegal Update

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

Summon from court of law

The medical professional must keep in mind that the Criminal Courts have priority over Civil Courts. If a witness is summoned by two Courts on the same day, one of which is criminal and other civil, he should attend the Criminal Court and inform the Civil Court of his inability to attend, giving his reasons. Higher Courts have priority over the lower.

If he is summoned from two Courts of same status, he must attend the Court from where he received the summons first, informing the other Court about it. He can attend the second Court after finishing his evidence in the first Court.

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)

Do not get unnecessary CT scans

If you have a chronic problem such as passing kidney stones, and each time you show up at the emergency department every six months, you undergo another CT scan rather than doing ultrasound you are being mis–served, and CT is being overused.

Cumulative exposure to radiation from CT scans can increase the risk for cancer by as much as 12 percent, said Dr. K.K. Aggarwal, Padma Shri and Dr B C Roy National Awardee and President, Heart Care Foundation of India. A CT provides detailed images of organs, allowing more accurate diagnoses of conditions such as cancer. But CT involves a higher radiation dose than most other imaging tests. But, this does not mean that people should lie awake at night wondering when they are going to get their cancer –– after one or two or five or six CT scans –– if they needed to have them done, he added.

A Harvard University research published in the April issue of Radiology has shown that over 6.9 crore CT scans are done in the United States every year.

The study looked at the medical records of 31,462 people who had undergone a total of 190,712 CT scans over 22 years. About 33 percent had five or more scans, 5 percent had more than 22 and 1 percent had more than 38.

15 percent of the people in the study had received cumulative radiation doses of more than 100 millisieverts (mSv), the same level of radiation as 1,000 chest X–rays. Four percent had received more than 250 mSv, and 1 percent had gotten more than 399 mSv.

For about 7 percent of the study participants, their cumulative radiation exposure increased their cancer risk by 1 percent above the U.S. cancer risk rate. For the 315 people who had received the most radiation, their risk of cancer increased 12 percent.

Every time a CT is ordered, one should ask

  • Do I really need this test?
  • Have you considered the risk of radiation weighed against the benefit of the diagnostic acumen of the study?
 
    Readers Response
  1. Dear Sir,thanks for providing the spiritual updates. Regards: MG Sharma
 
    Forthcoming Events
Dr K K Aggarwal

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    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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  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  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