emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.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
Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


YOU CAN DOWNLOAD EMEDINEWS AT www.emedinews.in

Dear Colleague

28th March, 2010 Sunday

Haldi may delay liver damage and cirrhosis

Curcumin, one of the principal components of turmeric, delays the liver damage that eventually causes cirrhosis, suggests preliminary experimental research in the journal Gut. Curcumin, gives turmeric its bright yellow pigment. It has anti–inflammatory and antioxidant properties. The researchers evaluated its effect in delaying the damage caused by progressive inflammatory conditions of the liver including primary sclerosing cholangitis and primary biliary cirrhosis.They analysed tissue and blood samples from mice with chronic liver inflammation before and after adding curcumin to their diet for a period of four and a period of eight weeks.

They showed that the curcumin diet significantly reduced bile duct blockage and curbed liver cell damage and scarring by interfering with several chemical signalling pathways involved in the inflammatory process.These effects were clear at both four and eight weeks. No such effects were seen in mice fed a normal diet.The current treatment for inflammatory liver disease involves ursodeoxycholic acid. The other alternative is a liver transplant.

Dr KK Aggarwal
Chief Editor

News and Views

Hypertension a good sign in chest pain critical care

Chest pain patients admitted to the ICU with a supine systolic blood pressure of 163 mm Hg or higher had an absolute 21.7% lower risk of dying over one year compared with those who presented with an intermediate 128 to 144 mm Hg pressure, according to a report in the March 24/31 issue of JAMA by Swedish researchers led by Dr Fredrik H. Nystrom, of Linkoping University in Linkoping. The lowest blood pressure quartile, BP of less than 128 mm Hg carried a 40.3% higher mortality risk than that intermediate group. The same was true for patients diagnosed with ischemic heart disease and those who eventually developed a heart attack.

Food–allergic kids should be given two epinephrine doses

Children at risk for food–related anaphylaxis should be given two doses of self–injectable epinephrine rather than just one, a large study has suggested. Among patients with anaphylaxis following food exposure, 44% received at least one dose of epinephrine, and 12% of those who received the drug needed more than one dose. [Dr Susan A. Rudders, of the Children's Hospital in Boston].

Most VTEs after gynecologic surgery occur late

Three–fourths of venous thromboembolic (VTE) events associated with gynecologic surgery occurred more than a week after surgery, data on more than 4,000 patients showed. More than a third of the events occurred a month or more after surgery. VTE after gynecologic cancer surgery is time–dependent, reaching 3% at 90 days. [Dr Abraham Peedicayil, of the Mayo Clinic in Rochester].

Moderate alcohol intake may be good for the heart

New research in the Journal of the American College of Cardiology shows that light to moderate alcohol intake is good for the heart. Consuming five to 10 grams of alcohol per day (about one–half to one drink) had the lowest incidence of death from heart disease and all causes of death.

Most babies should take vitamin D supplement 

According to a study published online March 22 in the journal Pediatrics, most babies should take a daily vitamin D supplement.

Conference Calendar

Basic Airway Management (BAM) (Target Audience – All Healthcare Personnel)
Date: March 30, 2010
Venue: V Block, No: 70 (Old No: 89) Fifth Avenue Anna Nagar, Chennai, Tamil Nadu.

What’s New: UV light emitted from tanning devices is carcinogenic

In 2009, the WHO International Agency for Research on Cancer Monograph working group classified ultraviolet–light emitted from tanning devices as carcinogenic to humans. (El Ghissassi F, Baan R, Straif K, et al. A review of human carcinogens––part D: radiation. Lancet Oncol 2009;10:751.)

Public Forum (Press Release)

Diabetics beware of eggs

Consuming more than six eggs a week seems to raise the risk of dying from all causes and diabetics seem to face an even higher mortality risk, said Dr K K Aggarwal, President, Heart Care Foundation of India and Editor eMedinewS.

Diabetics somehow convert dietary cholesterol more readily into blood cholesterol than people without diabetes.

As per a Harvard study published in the The American Journal of Clinical Nutrition by Dr. Luc Djousse, the more eggs diabetic men consumed, the more they increased their risk for death.

They studied more than 21,000 men ranging 40–86 years for twenty years who had participated in a Physician's Health Study.

Consumption of upto six eggs a week was not found to be associated with a higher risk of death from all causes. But eating seven or more eggs a week among healthy study participants was linked to a 23 percent higher risk of death.

The mortality risk was much higher among doctors with diabetes. Consuming seven or more eggs a week doubled their risk of death from all causes, compared with diabetic doctors who ate just one egg each week.

A single egg contains about 200 milligrams of cholesterol. The daily limit advocated is 100 mg.

The American Heart Association and the American Dietetic Association say watch your egg consumption, and try not to consume more than two yolks per week.

Sutra: Eating 7 or more eggs per week leads to 23% higher risk of death. Amongst diabetics it doubles the risk of death from all causes.


Question of the day

What are the indications for microdermabrasion?

Microdermabrasion is indicated for treatment of the following:

  • Superficial acne marks and scars

  • Age spots

  • Fine lines and wrinkles

  • Sun–damaged skin

  • Oily greasy skin, enlarged pores

  • Pigment irregularities

  • Stretch marks

Quote of the Day (Dr Mayur Jain)

People fight for religion, die for religion, but don't follow religion.....Strange but True

SMS of the Day (Dr Ingole, MD)

Success is not permanent and failure is not Fatal

Fall update ( Dr G M Singh)

Falls clinics would insist on any investigations, but the following would be useful:

  • A recent full blood count

  • Biochemistry screen, including bone biochemistry, U & Es and thyroid function

  • An ECG.

eMedinewS Try this it Works

Avoid trauma while removing nasal foreign bodies

For the removal of a foreign body from the nose of a child.

  1. Administer 4 to 5 drops of adult-strength xylometazoline hydrochloride into the affected nostril.

  2. Allow 5 minutes for vasoconstriction of the inferior turbinate and nasal mucosa

  3. Ask the child to take a deep breath through the mouth exhale through the affected nostril while you occlude the contralateral nostril.

  4. This removes the foreign body about 30% of the time and at least moves it more anteriorly––for easier removal with bayonet forceps––in about half of cases.

Dr Good Dr Bad

Situation: A patient with chronic anxiety and diabetes was found to have high A1C.
Dr Bad: They are not related. 
Dr Good: They are related. 
Lesson: Anxious temperament was inversely associated with A1C at both baseline and at 6-month follow–up. Anxious temperament may facilitate early detection but not subsequent behavioral or emotional adjustment to T2DM. (J Psychosom Res 2009;67(4):297–305.)

Make Sure

Situation: A patient of SLE had positive CRP
Reaction: Oh My God! Why was TB not ruled out. 
Make sure to rule out underlying infection if CRP is positive as SLE will never have positive CRP. 

Punjab & Sind Bank
 
action
docconnect
 
Central Bank of India
 
ijcpgroup
 
nuspera
 
Docconnect

Laughter the best medicine

Do you mind telling me why you ran away from the operating room?" the hospital administrator asked the patient.

"Because the nurse said, "Don’t be afraid! An appendectomy is quite simple." "So...."

"So?" exclaimed the man... "She was talking to the doctor!!!!"

Formulae in Critical Care

Age predicted PaO2

Formula: Expected PaO2 – 0.3 (age – 25)

Or

Expected PaO2 = 100 – 1/3 age in years

Example: In 90–year–old patient the expected PaO2
is 100 – 1/3 × 90 = 70 mmHg.

Milestones in Medicine

1950s A.D: Jonas Salk developed the first successful polio vaccine.

Mistakes in Clinical Practice

A very common error is calling the drugs in short forms or half pronunciation of the names of the drugs. It’s due to rapid changing nursing and medical officer on duty staff in the emergency departments. The hospital guidelines should be clear to write full name and not abbreviations or half names. 

Lab Test (Dr Naveen Dang)

Fructosamine level is used to evaluate blood glucose level over the last 2–3 weeks.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name

Indication

Approval Date

Artesunate (25/50/100mg) + Amodiaquine (67.5 mg/135/270mg) bilayerd Tablets

For the treatment of uncomplicated malaria due to plasmodium falciparum strain in various age groups

01.09.2009


(Advertorial section)

ZEN IMMUNE–FACT SHEET

ZENIMMUNE SLIM IS KNOWN TO HELP PREVENTION OF PLAQUE FORMATION IN THE BLOOD VESSELS AND FACILITATE IMPROVED BLOOD CIRCULATION.

Advertising in eMedinewS

eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month. Contact: drkk@ijcp.com or emedinews@gmail.com

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

NATIONAL SEMINAR ON STRESS PREVENTION (17–18 April). Over 400 registrations already done.

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.

Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)

Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.

Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9811090206, emedinews@gmail.com BK Sapna: 9811796962, bksapna@hotmail.com

Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards

Readers Responses

  1. Passive smoking is giving 22,000 children asthma: A report by the Royal College of Physicians has found that more than 22,000 children seek medical help for asthma and wheezing as a result of passive smoking every year. The report calculates that more than 20,000 chest infections, 120,000 bouts of middle-ear disease and 200 cases of meningitis in the young are linked to the effects of second–hand smoke. Of the £23.3 million spent by the NHS every year treating the effects of passive smoking on the young, £9.7 million is due to doctors’ visits and asthma treatments, £13.6 million is spent in hospital admissions and £4 million on asthma drugs for the under 16s. The report’s authors added that stronger action was needed to prevent the promotion of smoking in films watched by the young, with "gratuitous smoking" requiring an 18 certificate. (Dr Vivek Chhabra.)

  2. Dear Dr. K K, Regards: Gone thru ur book 'cardiology lab formulae' grt of u. regarding normal values of PEFR u have mentioned only ht as the criteria whereas it also varies acc to age & sex. Can u pls let me know PEFR values considering ht age sex of the pt. Dr vijay kinra.

    eMedinews response:
    Calculator: Peak Expiratory Flow Prediction PEFFemale = e (0.376&ln (Age))–(0.012*Age)–(58.8/Height)+5.63)
    PEFMale = e (0.544*ln(Age))–(0.0151*Age)–(74.7/Height)+5.48)

Reference

Nunn AJ, Gregg I. New regression equations for predicting peak expiratory flow in adults. BMJ. 1989 Apr 22;298(6680):1068–70. Radeos MS, Camargo CA. Predicted peak expiratory flow: differences across formulae in the literature. Am J Emerg Med. 2004 Nov;22(7):516–21.