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 15 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 …

28th January 2013, Monday

Even a handicapped person can do CPR

On Tuesday, 22nd January, 2013, I conducted a CPR 10 camp in Janakpuri in the Mount Everest Convent School. I was teaching the students how to revive a person after death.

It is based on the principle that if the heart can be revived within 10 minutes of death, then the person can be revived as the brain does not die in the first 10 minutes of the death.

I was touched when a 16-year-old handicapped child came and said that he also wanted to learn. He was totally physically challenged and could not perform CPR.

For physically challenged people, if they cannot use their hands, they can do the CPR either with one hand, with elbow and/or with feet. But he tried his level best but could not learn anyone of them.

Then he said that he wanted to learn the CPR mantra and said at least he can pass on this mantra to someone who can attempt CPR if there is a need. His vigor and his interest in learning CPR touched me a lot.

Kindly watch the video……For this child’s sake, do not stop here. Let us appreciate his concern in the video and share this video amongst your social media friends. Only people like him make India great.............. http://www.youtube.com/watch?v=uE7oqTgrk2k

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Irritable bowel syndrome with predominant constipation (IBS-C) is characterized by abdominal pain with altered bowel habits. These patients may or may not have slow colonic transit or dyssynergia, and many have visceral hypersensitivity. Abdominal pain in IBS can vary but should NOT be associated with weight loss, rectal bleeding, anemia, and should not be nocturnal or progressive. Patients may note diarrhea, constipation, or both.

 
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)

4th eMedinewS Revisiting 2013

A daylong conference, eMedinewS Revisiting 2012, was organized by eMedinewS, Heart Care Foundation of India and World Fellowship of Religions. Dr Praveen Chandra received Heart Care Foundation of India Oration in the conference.

 
Dr K K Aggarwal
 
    Invite

Heart Care Foundation of India will be organizing a Hands Only CPR 10 Camp on

1. 28th January, 2013 at St. Froebel Public School, A-3, Paschim Vihar. Over 1100 school children, teachers and parents will be trained on how to survive a person within ten minutes of death.

2. 31st January, 2013 at Lady Reading Nursing Institute, Near Delhi Gate. Over 150 nurses will be trained on how to survive a person within ten minutes of death.

 
    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Sexual abuse occurs primarily in pre-diagnostic children more often in girls. Perpetrators are usually males who are known to the victims.

For comments and archives

 
    National News

Survey finds 6 tobacco-free villages

Ahmedabad: Researchers from the Indian Institute of Public Health-Gandhinagar (IIPHG) said they have identified four villages in Banaskantha and two in Kheda where various tobacco products are neither sold nor consumed. These villages are Jasara, Gamadi and Bodel in Deesa taluka and Chibadha in Deodhar taluka of Banaskantha, and Gundela and Jamiyatpura villages in Kheda’s Balasinor taluka. “No tobacco products were found at two villages in Kheda, while four villages from Banaskantha are free of smokeless tobacco products,” said Dr Hardik Solanki, a research associate and community medicine expert from IIPHG who was part of the survey team. IIPHG is working with the government to implement anti-tobacco legislation in various districts. (Source: http://www.expressindia.com/latest-news/survey-finds-6-tobaccofree-villages/1064694/)

Verma Committee: 10 new rights for sexual offence victims.

• Right against marital rape even if the wife is above 15 years of age. Currently, marital rape is punishable only when it is committed against an underage wife below 15. Proposed caveat: "Consent will not be presumed in the event of an existing marital relationship between the complainant and the accused."
• Right of private defence, to the point of killing a man if there is reasonable cause for apprehending grievous hurt from an acid attack. This is in addition to the existing right to kill somebody involved in an assault with the intention of committing rape or gratifying unnatural lust.
• Right against voyeurism: She can seek prosecution of somebody who, without her consent, watches her engage in a private act where her "genitals, buttocks or breasts are exposed or covered only in underwear" or she is "using a lavatory" or she is "doing a sexual act that is not of a kind ordinarily done in public". Such an offender may be punished with imprisonment up to three year for the first conviction and up to seven years for a subsequent conviction.
• Right against stalking: She can lodge a case against somebody who follows and contacts her "despite a clear indication of disinterest" by her. Such an offender may be thrown behind bars for one to three years.
• Right to call it a rape even if she did not offer "actual physical resistance to the act of penetration". The victim cannot for this reason alone be regarded as consenting to the sexual activity as there might be other reasons for non-resistance, according to a clarification sought to be introduced in the rape provision.
• Right to call it a rape even if there was no penile-vaginal penetration. A wide range of sexual acts involving "penetration of the vagina or anus or urethra to any extent" by any part of the man's body or any object manipulated by him are proposed to be brought under the definition of rape.
• Right to silence over her "character" or "her previous sexual experience with any person". Evidence related to either of these personal issues "shall not be relevant" to determining the defence of consent in the entire gamut of rape, molestation or sexual harassment cases.
• Right to seek prosecution of the police officer who does not register an FIR on a complaint of rape, molestation or sexual harassment (eve-teasing). Such an errant officer will be liable to imprisonment up to five years.
• Right of exemption from government's sanction to seek prosecution of a member of the armed forces for a sexual offence, in disturbed areas governed by the controversial Armed Forces Special Powers Act ( AFSPA). Normally no public servant can be prosecuted for any offence without the previous sanction of the government.
• Right to invoke the principle of command responsibility under which senior officers of the police or armed forces are proposed to be held accountable for sexual offences committed by their subordinates. (TOI)

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

In older adults with a bicuspid valve, the risk of sudden death is related to the presence of severe aortic stenosis.

(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)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Gene profile predicts response in pancreatic Ca

A gene-expression profile for circulating pancreatic cancer cells showed potential for distinguishing susceptible versus resistant tumors to guide chemotherapy, a preliminary study showed. (Source: Medpage Today)

Low vitamin D tied to poor sepsis outcomes

Patients who are deficient in vitamin D had a greater risk of developing sepsis and an increased mortality risk if they do develop it, two studies showed. (Source: Medpage Today)

Shortfalls in radiotherapy in many European countries

Although radiotherapy is more cost effective than surgery and chemotherapy for treating cancer, and is used in about half of all cancer patients, its provision is inadequate in many European countries, according to an analysis published online today in the Lancet Oncology. (Source: Medscape)

ER visits common after hospital stay

Nearly one-fifth of hospital patients returned for acute care within 30 days of discharge, with emergency room (ER) visits accounting for 40% of those encounters, a large multistate study found. (Source: Medpage Today)

Topline Phase 4 results for SNRI released

Pfizer has announced positive topline results from a phase 4 efficacy study of the selective serotonin and norepinephrine reuptake inhibitor (SNRI) desvenlafaxine (Pristiq) extended-release tablets for the treatment of major depressive disorder (MDD) in adults. (Source: Medscape)

 
  Twitter of the Day

@DrKKAggarwal: You can smoke Ten Years of your Life Expectancy Two studies on smoking and mortality published this week in the (cont) http://tl.gd/kqdfah

@DrKKAggarwal: Experience body-mind healing to overcome your struggles to addiction in our Vancouver Treatment Center http://bit.ly/CTC_Prog

 
    Spiritual Update

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

The link between Om Shanti Om and 3 Idiots

Both the movies talked about the main importance of life. While 3 Idiots tells that one should listen from the heart.

For comments and archives

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

What are the symptoms of hydrosalpinx?

Some women with hydrosalpinx may have constant or frequent pain in their lower belly or abdomen. A vaginal discharge can also be associated with this condition.

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

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

How much liver is to be left behind with the donor?

At least 35% of the liver is left behind with the donor. For this volume calculation CT volumetry is very important.

For comments and archives

 
    An Inspirational Story

Death of an innocent

I went to a party, Mom, I remembered what you said. You told me not to drink, Mom, so I drank soda instead. I really felt proud inside, Mom, the way you said I would. I didn't drink and drive, Mom, even though the others said I should. I know I did the right thing, Mom, I know you are always right.

Now the party is finally ending, Mom, as everyone is driving out of sight. As I got into my car, Mom, I knew I'd get home in one piece. Because of the way you raised me, so responsible and sweet. I started to drive away, Mom, but as I pulled out into the road, the other car didn't see me, Mom, and hit me like a load.

As I lay there on the pavement, Mom, I hear the policeman say the other guy is drunk, Mom, and now I'm the one who will pay. I'm lying here dying, Mom.... I wish you'd get here soon. How could this happen to me, Mom? My life just burst like a balloon. There is blood all around me, Mom, and most of it is mine.

I hear the medic say, Mom, I'll die in a short time. I just wanted to tell you, Mom, I swear I didn't drink. It was the others, Mom. The others didn't think. He was probably at the same party as I. The only difference is, he drank and I will die. Why do people drink, Mom? It can ruin your whole life. I'm feeling sharp pains now. Pains just like a knife. The guy who hit me is walking, Mom, and I don't think it's fair. I'm lying here dying and all he can do is stare.

Tell my brother not to cry, Mom. Tell Daddy to be brave. And when I go to heaven, Mom, put "Daddy's Baby" on my grave. Someone should have told him, Mom, not to drink and drive. If only they had told him, Mom, I would still be alive. My breath is getting shorter, Mom. I'm becoming very scared.

Please don't cry for me, Mom. When I needed you, you were always there. I have one last question, Mom, before I say good-bye, "I didn't drink and drive, so why am I the one to die?" This is the end Mom. I wish I could look you in the eye, to say these final words: "I LOVE YOU AND...GOODBYE"

For comments and archives

 
  Cardiology eMedinewS

South India worst hit by diabetes Read More

ARDS numbers after trauma may be on the wane Read More

 
  Pediatric eMedinewS

Don't wait on treating constipation in kids with LUTS, say guidelines
Read More

Kids' hospital readmissions vary widely Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A mitral stenosis patient from a remote village came for surgery.
Dr. Bad: A mechanical valve will suffice.
Dr. Good: You need bioprosthetic valve.
Lesson: Bioprosthetic valves are recommended for any patient who cannot or will not take oral anticlotting drugs or when there is a clear contraindication to them.

Make Sure

Situation: A patient with Chikungunya had persistent joint pain.
Reaction: Oh my God! Why was hydroxychloroquine not given?
Lesson: Make sure that all patients with post Chikungunya arthritis are treated with hydroxychloroquine to reduce chances of death.

 
  Quote of the Day (Dr GM Singh)

Humor is a rubber sword – it allows you to make a point without drawing blood. Mary Hirsch

 
    Legal Question of the Day (Dr M C Gupta)

Q. Why should service tax be payable by those providing medical services? Why should doctors have to shell it out from their pockets?

Ans.

  1. Service tax is nothing new. Malaysia has a Service Tax Act, 1975. Service Tax was introduced in India through Finance Act, 1994. “Health services undertaken by Hospitals or Medical establishments” were brought under service tax w.e.f. 1-7-2010 as per http://www.servicetax.gov.in/st-proc-home.htm
  2. The origin of service tax appears to be related to expenditure tax which has often been suggested but never imposed because of apparent practical difficulties. The demand for expenditure tax originated from the well-known fact that non-salaried persons making tons of unaccounted money through business and other transactions did not pay any income tax and lived lavishly while the law abiding salaried class had to pay income tax even on their meager salaries. As a result of service tax, those spending crores on marriage functions etc. could be made to pay tax on consumption. (Service Tax was levied on services provided by the service provider who, in turn, charged it from the recipient of services. Thus, in simple terms, the person who paid for services paid tax also on such service. The service provider merely acted as the collecting agent).
  3. The above scheme is quite rational and ingenious. It is very much within the provisions of law. If it were illegal, the concept of service tax would have been challenged in the courts.
  4. Service tax, payable by the service provider, and recoverable from the service recipient at the option of the provider, serves dual purpose:
    1. It meets the demand for expenditure tax in an indirect manner.
    2. It provides a data base to IT officials about those who spend lakhs and crores on BMWs and 5 star hotel banquets and frequent air travel etc. Such people can be checked to see if they are concealing income.
  5. If a person spends 5 lakh on treatment in a corporate hospital, there is no reason why such payment should not be subject to service tax.
  6. It is wrong to say that doctors paying service tax would have to "shell it out from their pockets". They can add it to the patient's bill.
 
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    Mind Teaser

Read this…………………

An adult is receiving Total Parenteral Nutrition (TPN). Which of the following assessment is essential?

A. Evaluation of the peripheral IV site
B. Confirmation that the tube is in the stomach
C. Assess the bowel sound
D. Fluid and electrolyte monitoring

Yesterday’s Mind Teaser: If a client has severe bums on the upper torso, which item would be a primary concern?

A. Debriding and covering the wounds
B. Administering antibiotics
C. Frequently observing for hoarseness, stridor, and dyspnea
D. Establishing a patent IV line for fluid replacement

Answer for Yesterday’s  Mind Teaser: C. Frequently observing for hoarseness, stridor, and dyspnea

Correct answers received from:: Dr Ajay Gandhi, Rajiv Kohli, Dr. Vishal D Wahane, Dr. P. C. Das, Dr Shagufta Moin, Dr Kanta Jain, Dr. Bharat Bhushan Aggarwal, Dr.(Maj. Gen.) Anil Bairaria, Dr Chandresh Jardosh,

Answer for 26th January Mind Teaser: (A) Sit upright for at least 30 minutes after meals

Correct answers received from: Anil Bairaria, Dr Chandresh Jardosh,

Send your answer to ijcp12@gmail.com

 
    Laugh a While

Model Stools

I was in Target the other day, shopping with a young lady friend. We were walking past the furniture section where there were several different models of bar stools on display. Next to them there was a sign that read: "All models in stock now!"

So I paused next to the display and said, "Do you know what these are?" "What?" she asked.

I said, "Stool samples."

 
    Medicolegal Update

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

What is the nature of bullet wounds of the head?

In most cases of these injuries, the bullet passes completely through the skull. As it enters the skull, it produces a clean cut hole in the outer table and a larger hole in the inner table. At the exit point, these conditions are reversed and the hole in the outer table is larger than the hole in the inner table. These facts are often of importance in determining the direction of fire in bullet injuries of the head. The track of a bullet through the brain tissues varies greatly, depending on the range and stability of the bullet. On the other hand, if it remains high velocity at the time of impact with the skull, there may be considerable damage from the cavitation effect within the skull.

  • Fissured fractures often radiate through the vault and base of the skull from the bullet entrance and exit holes.
  • In certain bullet injuries of the head, the bullet may fail to emerge from the skull and in these cases an area of bony comminuting is often found at the site of lodgment.
  • When a bullet strikes the head at a tangent, penetration of the skull may fail to occur, but the force of the bullet may be sufficient to fragment the inner table at the site of impact. Delayed pressure effects and cranial edema may be produced as a result of this.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Can’t avoid anger: Take aspirin

Emotionally stressful events, and more specifically, anger, immediately precede and appear to trigger the onset of acute heart attack.

Episodes of anger are capable of triggering the onset of acute heart attack and aspirin can reduce this risk, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & National Vice President Elect IMA.

Angry people who can not control their anger should ask their doctors to consider taking aspirin.

Quoting a Harvard study Dr Aggarwal said that doctors at the Deaconess Hospital, Harvard Medical School, Boston, interviewed 1623 patients (501 women) an average of 4 days after a heart attack.

The onset anger scale identified 39 patients with episodes of anger in the 2 hours before the onset of heart attack. The relative risk of heart attack in the 2 hours after an episode of anger was 23.

Regular users of aspirin had a significantly lower relative risk (1.4) than nonusers (2.9).

Anger in response to stress is also of particular importance for the development of premature heart attack in young men. An episode of anger may also trigger an acute heart attack in the next 2 hours.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands-only CPR” of 25057 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

 
    Readers Response
  1. Dear Doctors of eMedinewS and IMA, Thank you for your greetings & support !! I stand humbled by the kindness of the Govt selectors who adjudged me worthy of this Honor of bestowing PADMASHRI to me in 2013.. Sincere Regards : Dr Ganesh Mani
 
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