emedinews
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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 (March 10-13); 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 …

eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

28th April 2013, Sunday

Medical vrat

Ever since people have stopped observing weekly fasts, the incidence on high blood pressure, diabetes and heart attack has increased.

Scientifically, it is now known that eating carbohydrates everyday increases the chances of heart attack. Here are some ways we can observe weekly medical vrata:

  • Choose a fixed day in a week to observe fast. Eat only once that day (light meal). You can have water, jiggery water, mint water etc for the rest of the day.
  • If one cannot fast, then one can have fruits and fruit juices.
  • Single vrata meals can be either lunch or dinner and they should not contain carbohydrates or wheat cereals.
  • Wheat cereals can be replaced by Besan ki roti or Samak Rice (fruit), singhare ki roti (fruit), kuttu ki roti (fruit) or sabu dana.
  • Do not take any item prepared in vanaspati ghee on the day of fast.
  • If this fast falls on Ekadashi, restrict the intake of liquid to prevent water retention on the day of full moon.
  • The fast should also be observed along with other sensual fast i.e. one should live a satvik lifestyle on that day.
  • Anything which pleasures the senses should be avoided like aromas, erotic smell, reading and watching aggressive and tamsik literature or movies on the day of fast.
  • One should observe non-violence on the day of fast and this non-violence should be in action, speech and thought. On this day, one should not gossip, criticize, condemn or complaint about others and should not indulge in judgments unless they are a must. A classical example is, if someone abuses you on that day, you should say “kal dekhunga”.
  • Sexual vrata is also a part and parcel of traditional medical vrata.
  • On the day of vrata, reduce the intake of blood pressure and diabetes medicines. Insulin requirement may also reduce by 40% on the day of fast.
  • Read spiritual scriptures, as much as possible, on the day of fast and avoid the company of bad people.

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

Weight loss may improve sexual health of obese diabetes

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

10th National Summit on Stress Management

Inaugurating a 2-day 10th national summit on Stress Management and a workshop on “How to be Healthy and Happy”. The seminar was organized by Heart Care Foundation of India jointly with Prajapati Brahmkumaris Aishwarya Vidyalaya, eMedinewS and World Fellowship of Religions at Om Shanti Retreat Centre, Pataudi Road, Manesar, Gurgaon

 
Dr K K Aggarwal
    National News

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

DMA dialogue with Arvind Kejriwal: A U-turn of stands

Dr K K Aggarwal

Yesterday I attended the DMA interaction with Arvind Kejriwal on problems faced by medical professionals. It was disappointing to attend and saw a U turn of many ideologies.

  • Kejriwal accepted over 12 garlands from different doctors and leaders typical of any politician and unlike of any one who is trying to make a change.
  • DMA stand so far has been non-political and to support any candidate doctor or non-doctor, irrespective of the party, who fights for the medical causes. DMA office bearers were busy in announcing support to Kejriwal party deviating from the normal DMA stand. Any change in stand should have had approval of AGM.
  • Kejriwal said that his party is going to choose good candidates, then post their names on website for scrutiny by the public. From the honest scrutinized persons, the local people would finalize their candidature. Will good and honest people be ready for such scrutiny? I have my doubts.
  • Kejriwal did not give any answer to the medical problems and the only stand he had was that public should change the political system and bring his party in to power to find solutions.
  • He also was short sighted for future and was firm in his statement that if he does not win this time he will never win in for future. About national politics he had big hope on the results of Delhi elections. He said once we win Delhi elections public will automatically make us win the national elections.

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)

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

Medical Record

A medical record is a medicolegal document. The statements of caretakers, detailed description and sketches or photographs of all of the child's injuries, emotional status of all family members must be carefully documented. It is important to document ad verbatim everything the child says that is relevant to the diagnosis. Records are required for legal purposes and to refresh the memory in the event of court testimony, which may be required months or years later. Documentation in the medical record should also include

  • History of previous injuries or accidents
  • Developmental history
  • Procedures performed (skeletal survey, dilated fundus exam)
  • Diagnosis (suspected child abuse, probable child abuse), followed by a descriptive summary of findings (multiple bruises of various ages)
  • Whether a child abuse/neglect report was made
  • The final disposition of the child

For comments and archives

    Valvular Heart Disease Update

Concurrent tricuspid valve surgery with chronic MR surgery

Concurrent tricuspid annuloplasty in patients undergoing mitral repair without mitral valve prolapse who have mild to moderate TR and tricuspid annular dilatation or pulmonary hypertension

(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)

Damaged medical bed covers pose infection risk, FDA warns

Damaged or worn covers on medical bed mattresses pose a risk for contamination and infection, the US Food and Drug Administration (FDA) warned today in a safety communication. (Source: Medscape)

Global alliance will target CVD prevention

A global alliance for cardiovascular disease prevention is in the works to tackle the World Health Organization's (WHO) goal of a 25% reduction in premature, noncommunicable disease deaths by 2025, national and international society leaders announced. The proposed organization would focus on clinical practice rather than advocacy, and act somewhat like a house of representatives for the various cardiovascular professional societies, Stephan Gielen, MD, president of the European Association for Cardiovascular Prevention and Rehabilitation (EAPCR) explained. (Source: Medpage Today)

Antibiotic combos don't improve survival in P aeruginosa bacteremia

An empirical combination of antibiotics is no better than monotherapy for Pseudomonas aeruginosa bloodstream infection, Spanish researchers report. (Source: Medscape)

Excess alcohol tied to diabetes precursor

Prediabetes in younger patients with early-stage hypertension may be one more risk to add to the list for heavy drinking, a study showed. (Source: Medpage Today)

'Shaking' the heart enhances stem-cell therapy in chronic HF: CELLWAVE

In a study of patients with chronic postinfarction heart failure, a procedure that involved pretreating the heart with shock waves before administering autologous bone-marrow–derived mononuclear cells (BMCs) led to modestly improved LVEF at four months. These findings from CELLWAVE, a phase 1/2 randomized clinical trial, are published in the April 17, 2013 issue of the Journal of the American Medical Association. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: Fecal Microbial Transplantation for Ulcerative Colitis http://bit.ly/14O9Xpo #Health

@DeepakChopra: Insight is an impulse of love dissolving some old imprint. Insights bring truth, which is love in action.

 
    Spiritual Update

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

Why is a group of people required for a wedding function or for a religious event like Satsang?

A S atsang is a meeting of a group of people with the common objective of attaining inner happiness or peace through bhajans or devotional songs.

For comments and archives

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

What percentage IVF cycles gets cancelled prior to egg retrieval and why?

According to western figures 20% of cycles may be cancelled prior to egg retrieval. IVF cycles may be cancelled for a variety of reasons, usually due to an inadequate number of follicles developing.
Cancellation rates due to low response to the ovulation drugs increase with a woman’s age, especially after age 35. A cycle may be cancelled to reduce the risk of ovarian hyperstimulation syndrome (OHSS). Treatment with a GnRH agonist or antagonist reduces the possibility of premature LH surges from the pituitary gland and thereby reduces the risk of premature ovulation.

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

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Blood group antibodies

These are plasma proteins which are produced by the body as defense mechanism in response to exposure to a foreign antigen.

  • Primary response
    • the first time a person is exposed to a red cell antigen
    • slow response which takes 2 - 6 month
  • Secondary response
    • the second time a person is exposed to a red cell antigen
    • rapid response with large amount of antibody
    • binds to the corresponding antigens on red blood cells, which may cause destruction of the RBCs.
    • can only be recognized by their interaction with antigens
    • appear “naturally” e.g. anti-A and anti-B.
    • appear after exposure to incompatible blood e.g. anti-D and anti-K

For comments and archives

 
    An Inspirational Story

A sweet lesson on patience

A NYC Taxi driver wrote:

I arrived at the address and honked the horn. After waiting a few minutes I honked again. Since this was going to be my last ride of my shift I thought about just driving away, but instead I put the car in park and walked up to the door and knocked..

'Just a minute', answered a frail, elderly voice. I could hear something being dragged across the floor.

After a long pause, the door opened. A small woman in her 90s stood before me. She was wearing a print dress and a pillbox hat with a veil pinned on it, like somebody out of a 1940s movie. By her side was a small nylon suitcase. The apartment looked as if no one had lived in it for years. All the furniture was covered with sheets. There were no clocks on the walls, no knickknacks or utensils on the counters. In the corner was a cardboard box filled with photos and glassware.

'Would you carry my bag out to the car?' she said. I took the suitcase to the cab, and then returned to assist the woman.

She took my arm and we walked slowly toward the curb.

She kept thanking me for my kindness. 'It's nothing', I told her. 'I just try to treat my passengers the way I would want my mother to be treated.'

'Oh, you're such a good boy, she said. When we got in the cab, she gave me an address and then asked, 'Could you drive through downtown?'

'It's not the shortest way,' I answered quickly.

'Oh, I don't mind,' she said. 'I'm in no hurry. I'm on my way to a hospice.

I looked in the rear-view mirror. Her eyes were glistening. 'I don't have any family left,' she continued in a soft voice. ‘The doctor says I don't have very long.' I quietly reached over and shut off the meter.

'What route would you like me to take?' I asked.

For the next two hours, we drove through the city. She showed me the building where she had once worked as an elevator operator.

We drove through the neighborhood where she and her husband had lived when they were newlyweds. She had me pull up in front of a furniture warehouse that had once been a ballroom where she had gone dancing as a girl.

Sometimes she'd ask me to slow in front of a particular building or corner and would sit staring into the darkness, saying nothing.

As the first hint of sun was creasing the horizon, she suddenly said, 'I'm tired. Let's go now'.

We drove in silence to the address she had given me. It was a low building, like a small convalescent home, with a driveway that passed under a portico.

Two orderlies came out to the cab as soon as we pulled up. They were solicitous and intent, watching her every move. They must have been expecting her.

I opened the trunk and took the small suitcase to the door. The woman was already seated in a wheelchair.

'How much do I owe you?' She asked, reaching into her purse. 'Nothing,' I said

'You have to make a living,' she answered. 'There are other passengers,' I responded.

Almost without thinking, I bent and gave her a hug. She held onto me tightly.

'You gave an old woman a little moment of joy,' she said. 'Thank you.'

I squeezed her hand, and then walked into the dim morning light. Behind me, a door shut. It was the sound of the closing of a life.

I didn't pick up any more passengers that shift. I drove aimlessly lost in thought. For the rest of that day, I could hardly talk. What if that woman had gotten an angry driver, or one who was impatient to end his shift? What if I had refused to take the run, or had honked once, then driven away?

On a quick review, I don't think that I have done anything more important in my life.

We're conditioned to think that our lives revolve around great moments.

But great moments often catch us unaware-beautifully wrapped in what others may consider a small one.

For comments and archives

 
    Cardiology eMedinewS

Lifestyle advice at school not enough for CVD prevention Read More

 
    Pediatric eMedinewS

Brain patterns distinguish autism with striking accuracy Read More

 
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    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

There are different strains of rabies viruses in different parts of the worlds. Are all anti-rabies vaccines effective against all these strains of viruses?

All anti-rabies vaccines are considered protective against different strains of rabies viruses in different parts of the world.

 
    IJCP Special

Dr Good Dr Bad

Situation: An adolescent came with pre pubertal gynecomastia of more than six months duration.
Dr Bad: It’s normal.
Dr Good: This is persistent prepubertal gynecomastia.
Lesson: If the patient is an adolescent and has a normal general physical and genital examination, then it is quite likely that he has pubertal gynecomastia (seen in 25% cases). Re–evaluation at 6–monthly intervals will show whether the condition is persistent or not; improvement supports the initial impression of a pubertal cause.

Make Sure

Situation: An adult undergoing bronchoscopic biopsy developed infective endocarditis.
Reaction: Oh my God! Why was IE prophylaxis not given?
Lesson: Make sure, that all procedures of the respiratory tract that involve incision or biopsy of the respiratory mucosa include IE prophylaxis.

 
    Quote of the Day (Dr GM Singh)

Adapt yourself to the life you have been given; and truly love the people with whom destiny has surrounded you. Marcus Aurelius

 
   Mind Teaser

Read this…………………

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?

a. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.
b. The most common treatment is metronidazole, which should eradicate the problem within 7 to 10 days.
c. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
d. The human papillomavirus (HPV), which causes condylomata acuminata, can’t be transmitted during oral sex.

Yesterday’s Mind Teaser: When a female client with an indwelling urinary (Foley) catheter insists on walking to the hospital lobby to visit with family members, Nurse Rose teaches how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information?

a. The client sets the drainage bag on the floor while sitting down.
b. The client keeps the drainage bag below the bladder at all times.
c. The client clamps the catheter drainage tubing while visiting with the family.
d. The client loops the drainage tubing below its point of entry into the drainage bag.

Answer for Yesterday’s  Mind Teaser: b. The client keeps the drainage bag below the bladder at all times.

Correct answers received from: Deepali Chatterjee, Tukaram Pagad, Dr B K Agarwal, Dr B K Agarwal, Dr.Jayashree Sen & Dr. Bitaan Sen, Dr. B.B. Gupta, Dr.Suresh Arora, dr prabha, Anil Bairaria, Dr(Brig) C H Gidvani, drjella, Dr.K.V.Sarma, Dr. Thakor Hitendrsinh G, Dr. U Gaur, DR SANTHAKUMARI, DR AYYAVOO, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr.Chandresh Jardosh, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Avtar Krishan, dr Kanta jain

Answer for 26th April Mind Teaser: b. The presence of a boggy mass

Correct answers received from: Dr.Suresh Arora, Dr.Jayashree Sen & Dr.Bitaan Sen

Send your answer to ijcp12@gmail.com

 
   Laugh a While (Dr GM Singh)

A Large family

The mother of a large family was explaining why she dressed her children alike, right down to the youngest baby. "When we had just four children, I dressed them alike so we wouldn’t lose any of them." "Now," she added, looking around at her brood of nine, "I dress them alike so we won’t pick up any that don’t belong to us."

 
    Medicolegal Update

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

A Doctor is neither a detective nor a curtain between injured/sick alleged criminal and police or judiciary

  • The primary and absolutely transparent duty of a doctor/hospital is to provide medical services to sick and injured patient even if he may be an alleged criminal to save his health/limb and life without any discrimination.
  • When medical care records are required for judicial/police investigation, they become medico–legal in nature and the same may be required to testify under oath in the court of law by treating doctor.
  • The doctor should acquire the habit of making a careful note of all the facts observed by him with exact time and date.
  • The doctor should examine the facts which come to his knowledge in his special capacity, draw his conclusions logically and correctly after a detailed consideration of the pros and cons of the case, and elaborate in the Court that interpretation, along with the medical grounds on which it is based.
  • Presumption, assumption hypothesis, and mere conclusion on self defined interpretation is not a proof and conjecture is not evidence. The Court has no special medical knowledge. It relies on the medical witness for an opinion and expects him to assist it with his special knowledge and experience in perusal of truth.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

10th National Summit on Stress Management

Inaugurating a 2-day 10th national summit on Stress Management and a workshop on “How to be Healthy and Happy”, Mr. Rakesh Mehta, Election Commissioner of Delhi said that meditation should be taught as a part of our school curriculum. Yoga, pranayama and meditation, if taught early, can take care of rising problems of diabetes, heart attack and blood pressure in the society.

Speaking on the occasion, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Vice-Chairman, World Fellowship of Religions, said that by learning the Vedic lifestyle, one acquires the strength to bear any illness. Spiritual people develop disease but learn not to suffer from it. Ninety percent of happiness lies in our hands. One can choose to be happy and healthy either by making informed choices or re-experiencing the past experiences.

The seminar was organized by Heart Care Foundation of India jointly with Prajapati Brahmkumaris Aishwarya Vidyalaya, eMedinewS and World Fellowship of Religions at Om Shanti Retreat Centre, Pataudi Road, Manesar, Gurgaon.

BK Brij Mohan said that meditation and not medication is the answer for most of the lifestyle disorders. Rajyoga meditation is the answer for today’s stressful environment.

BK Asha said that even observing silence for 20 to 30 minutes a day can help one achieve inner happiness. BK Sapna present on the occasion said that meditation under a pyramid is much more powerful than under the sky.

Dr. Anil Goyal, President (Elect), Delhi Medical Association said that even doctors need to de-stress. The incidence of heart attack in doctors is no less than that in the general public. Doctors should practice what they preach.

Others who spoke on the occasion were Dr. Ramesh Hotchandani, President IMA New Delhi Branch; Dr. NK Gupta, Past Vice President, IMA South Delhi Branch; Dr. Pawan Gupta, Past President, IMA Haryana; Dr. AK Kansal, Past President, IMA, Janakpuri Branch.

 
    Readers Responses
  1. Dear Sir, Emedinews is very informative. Regards: Dr SP Shah
 
    Forthcoming Events
Dr K K Aggarwal

10th National Summit on Stress Management and
Workshop on How to be Happy and Healthy

TENTATIVE PROGRAMME

28th April 2013

7.00am–8.30am                                      : Meditation Session
8.30am–9.00am                                      : BREAKFAST
9.00am–11.00am                                    : Dr. K.K.Aggarwal
11.00am–11.30am                                   : TEA BREAK
11.30am–1.00pm                                    : Brahma Kumaris
1.00pm–1.30pm                                      : Prasad and Blessings
1.30pm–2.00pm                                      : LUNCH Farewell for a New Beginning

Dr K K Aggarwal
 
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