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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; 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 9 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 November 2012, Wednesday

Breast cancer risk and alcohol

In the largest cohort study examining the relationship between alcohol and breast cancer, over 100,000 women in the Nurses’ Health Study were followed from 1980 until 2008.

The study analyzed the small increased risk of breast cancer for women who had alcohol consumption as low as three to six drinks per week, compared to abstainers. There was a 10% increase in risk associated with each 10 g per day of alcohol intake, and breast cancer risk was linearly correlated with cumulative lifetime alcohol intake (JAMA 2011;306:1884).

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Stool softeners, suppositories (glycerin or bisacodyl) and enemas have limited clinical efficacy and should only be used in specific clinical scenarios.

For comments and archives

 
Dr K K Aggarwal
    eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Breast cancer risk and alcohol

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Large number of Nursing students took active participation in the 19th MTNL Perfect Health Mela

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Why children remain at risk

As the 2015 target for achieving millennium development goals adopted in 1990 approaches, the time has come to take stock of various countries’ performances and identify areas that need more attention. The UNICEF recently released a report which categorically stated that India will not be able to achieve the goal of an under-five mortality rate (U5MR) of 42 by 2015. The report further stated that only six of the 29 states — Kerala, Tamil Nadu, Maharashtra, Punjab, Himachal Pradesh and West Bengal — are likely to attain the goals of an infant mortality rate (IMR) of 26 per 1,000 live births and U5MR of 42 by 2015. The report has been greeted with despair, evident in the discussions on why India is not poised to achieve these goals. One of the millennium goals set for India is to reduce the U5MR by two-thirds between 1990 and 2015, that is, from 109 in 1990 to 42 by 2015. According to the sample registration system (SRS) estimates available for 2010, the figure is 61, suggesting a decline of about 44 per cent in 20 years. With five years to go from 2010, unless the pace of decline accelerates substantially, India would be a long way from the goal. It is important to put the situation in perspective. In 1990, both IMR and U5MR in the six states set to meet the goals were significantly lower than the national average. So for these states to reach the national goal was relatively easy. If the millennium goal for the U5MR is accepted, then Maharashtra, Punjab and Himachal Pradesh are nowhere near their individual goals of a two-thirds decline in child mortality. Kerala is a historical exception in the league of Indian states, with an IMR and child mortality similar to that of many developed countries. The declines in Tamil Nadu and West Bengal are impressive; the rest of India could learn from them when it comes to providing healthcare for the young. States such as Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh and Orissa, with child mortality rates exceeding 125 in 1990, have a long way to go before they reach the targeted 42. The initial high levels, combined with sluggish improvement in infant and child mortality, has meant that these states are nowhere near their individual goals of a two-thirds decline. These states need to put health care measures in place and make them accessible to all in order to lower infant and child mortality. It is important to note that besides the six states, urban areas across the country have met the millennium development goals for infant and child mortality. According to the 2010 SRS estimates, the U5MR in urban India had already come down to 32. So the good news is that for nearly 50 per cent of India’s population, the millennium goal of U5MR of 42 has been achieved. But who are the remaining children, where do they live and what ailments do they die of? (Source: Indian Express, Nov 23 2012)

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

 
    Valvular Heart Disease Update

What is severe aortic stenosis?

Severe AS is generally defined as an aortic valve area <1.0 cm2. The aortic jet velocity is generally over 4.0 m/sec and the mean transvalvular gradient usually exceeds 40 mmHg. Many patients do not develop symptoms until even more severe valve obstruction is present, while some patients become symptomatic when the stenosis is less severe, particularly if there is coexisting aortic regurgitation.

(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)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Low serum magnesium linked with AF

Low levels of serum magnesium are associated with an increased risk of developing AF, a new analysis of the Framingham Offspring Study suggests. The researchers observed a nonlinear association between serum magnesium and AF, with the excess risk of AF appearing mainly in those in the lowest quartile of serum magnesium. (Source: Medscape)

New biomarker found to predict concussion outcomes

A potential biomarker of the brain's neuroplasticity may predict improvements in symptoms and quality of life after a concussion, researchers said at the Radiological Society of North America meeting. In a single-center, case-control study, patients with mild traumatic brain injury (TBI) who had more abnormally high fractional anisotropy (FA) had fewer concussive symptoms and better quality of life a year after their injury than those who had less of the biomarker, according to Michael Lipton, MD, PhD, of the Albert Einstein College of Medicine in Bronx, N.Y., and colleagues. (Source: Medpage Today)

Hepatitis C responds better to triple antiviral therapy

Sustained virological response (SVR) rates for the most common chronic hepatitis C virus (HCV) infection may be "substantially higher" if newer triple-therapy regimens are administered compared with the standard dual-therapy approaches, according to a study published online November 26 in the Annals of Internal Medicine. (Source: Medscape)

Afib linked to sudden cardiac death, too

Atrial fibrillation may raise the risk of sudden cardiac death, according to findings from two large population-based cohorts. Source: Medpage Today)

Rapid TB test could improve treatment, reduce deaths

A rapid tuberculosis (TB) test could significantly improve treatment and reduce the number of deaths in Southern Africa, according to a study published online November 20 in PLOS Medicine. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: Soul Does Not depart the Body Immediately after the
Deathhttp://blog.kkaggarwal.com/2012/11/soul-does-not-depart-the-body-immediately-after-the-death/ …

@DeepakChopra: How does meditation affect your brain? Find out from my conversation with Rudy Tazi http://tinyurl.com/akgngy7

 
    Spiritual Update

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

Why do we prostrate before parents and seniors?

Most of us are taught to prostrate before our parents, elders, teachers and noble souls by touching their feet. The elders in turn bless us by placing their hands on or over our heads.

For comments and archives

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

What do you understand by the Reproductive Aging process in women?

Our reproductive system ages faster than you may realize. Some women, after completing college, settling into a career, or waiting for the right partner, ?nd that they have problems getting pregnant due to age-related infertility. Other women are surprised when they begin developing symptoms of menopause, such as hot ?ashes, while they still feel young and healthy. A better understanding of the reproductive aging process is as below:

  • Reproductive years: Your ?rst menstrual period occurs around age 12. Your periods (cycles) may be irregular at ?rst but should become regular over the next few years. You will need contraception if you are sexually active and don’t want to become pregnant. Your fertility peaks from your late teens through your late 20s and then begins to decline. In your 30s, your chance of miscarriage begins to increase.
  • Menopausal transition: Usually in your 40s, you’ll begin the transition from your reproductive years to menopause. The length of your cycles will start to vary and you’ll begin to skip periods. You may experience hot ?ashes due to decreased estrogen production by your ovaries and may have difficulty sleeping. Pregnancy is rare but not impossible.
  • Postmenopause: After menopause, pregnancy is no longer possible and you will not need contraception. Your ovaries will produce very little estrogen, which results in vaginal dryness and bone loss. Hot ?ashes will intensify and then begin to subside. Hormone therapy or other treatments may be appropriate for short-term use.
 
    Tat Tvam Asi………and the Life Continues……

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

There is 5% chance of developing hemolytic disease, only in type A and B infants of type O mothers, that too only of milder forms.

 
    An Inspirational Story

The greatest gift is love

A woman came out of her house and saw three old men with long white beards sitting in her front yard. She did not recognize them. She said, “I don’t think I know you, but you must be hungry. Please come in and have something to eat.”

“Is the man of the house home?” they asked. “No”, she said. “He’s out.”

“Then we cannot come in”, they replied. In the evening when her husband came home, she told him what had happened.
“Go tell them I am home and invite them in!” The woman went out and invited the men in. “We do not go into a House together,” they replied.

“Why is that?” she wanted to know. One of the old men explained: “His name is Wealth,” he said pointing to one of his friends, and said pointing to another one, “He is Success, and I am Love.” Then he added, “Now go in and discuss with your husband which one of us you want in your home.”

The woman went in and told her husband what was said. Her husband was overjoyed. “How nice!!” he said. “Since that is the case, let us invite Wealth. Let him come and fill our home with wealth!” His wife disagreed. “My dear, why don’t we invite Success?”

Their daughter-in-law was listening from the other corner of the house. She jumped in with her own suggestion: “Would it not be better to invite Love? Our home will then be filled with love!” “Let us heed our daughter-in-law’s advice,” said the husband to his wife. “Go out and invite Love to be our guest.”

The woman went out and asked the three old men, “Which one of you is Love? Please come in and be our guest.” Love got up and started walking toward the house. The other two also got up and followed him. Surprised, the lady asked Wealth and Success: “I only invited Love, Why are you coming in?”

The old men replied together: “If you had invited Wealth or Success, the other two of us would’ve stayed out, but since you invited Love, wherever He goes, we go with him. Wherever there is Love, there is also Wealth and Success!”

For comments and archives

 
    Cardiology eMedinewS

Worse outcomes seen in resistant hypertension Read More

Walk test on par with exercise in heart failure Read More

 
    Pediatric eMedinewS

Peds come out against pesticides Read More

Pediatricians, obstetricians clash over prenatal counseling Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A female with past history of DVT needed a prescription for oral contraceptives.
Dr Bad: Start OC patch (transdermal).
Dr Good: You cannot be on OCs.
Lesson: There is a possibility of an increased risk of venous thromboembolism in oral contraceptive patch users.

Make Sure

Situation: A patient of pulmonary Koch on ATT complained of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure that in patients talking ATT (including INH) B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

 
  Legal Question of the Day (Dr MC Gupta)

Q. Are path labs in nursing homes running without pathologist legal or illegal? Can a non-pathologist run a path lab or sign path lab reports legally?

Ans.

  1. As per law, running a path lab or signing path lab reports amounts to practicing pathology, which is a specialty and can be legally practiced only by a person having a recognised specialist qualification in pathology.
  2. There is no special exemption in favor of path labs situated within the premises of or functioning under the control of or in collaboration with nursing homes.
  3. The above facts are not known to public in general. It is suggested that the associations of pathologists should start a public awareness campaign to inform the public about the rights of patients and the duties of nursing homes/path labs.
  4. They should even suggest, as a part of such campaign, that when patients file complaints in the consumer court alleging negligence, they should also allege in the complaint that the hospital provided substandard or deficient path lab services which should have come from a pathologist.
 
  Quote of the Day (Dr GM Singh)

A wise physician said …

I have been practicing medicine for 30 years and I have prescribed many things but in the long run I have learned that the best medicine for the human creature is LOVE!

Someone asked, if it doesn’t work? He smiled and answered, "Increase the dose!!"

 
    Mind Teaser

Read this…………………

Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an adequate amount of high-biologic-value protein when the food the client selected from the menu was:

a. Raw carrots
b. Apple juice
c. Whole wheat bread
d. Cottage cheese

Yesterday’s Mind Teaser: Dennis receives a blood transfusion and develops flank pain, chills, fever and hematuria. The nurse recognizes that Dennis is probably experiencing:

A. An anaphylactic transfusion reaction
B. An allergic transfusion reaction
C. A hemolytic transfusion reaction
D. A pyrogenic transfusion reaction

Answer for yesterday’s Mind Teaser: (C) A hemolytic transfusion reaction

Correct answers received from: Dr Shagufta Moin, Dr BB Aggarwal, Rajiv Kohli, Dr Prabodh Kumar Gupta, Dr PC Das, Dr K Raju, Dr (Maj. Gen.) Anil Bairaria, Dr Thakor Hitendrsinh G, Dr. Sachin srivastava Dr BB Aggarwal,
Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Anupam Sethi Malhotra.

Answer for 26th November Mind Teaser: B) 0.10%

Correct answers received from: Dr. Sachin Srivastava, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

In a mathematics class the teacher told the student that minus * (times) minus –*– = + and also NO + NO = Yes. So, a boy was pressed to go to toilet. He then asked the teacher, "Excuse me, sir, can I use the toilet?" The teacher said, "No." The student asked again, "Excuse me, sir, can I use the toilet?" The teacher said, "NO."

Immediately student stood up to go to the toilet, the teacher was surprised and said, "Where are you going?" He said, "Toilet." The teacher asked him, "Why?" He said, "NO + NO = yes, so since you said NO two times I know you mean yes." So the class burst into laughter.

 
    Medicolegal Update

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

What is a coup lesion of brain?

  • The flax cerebri and tentorium divide the cranial cavity into three communicating compartments and have a partly restraining effect on brain movements.
  • Injuries like contusion and lacerations of the brain seen in vehicular accidents and falls from heights are caused by the application of violence to the head and may occur with or without external injury to the scalp and fracture of the skull.
  • Injuries may be seen superficially anywhere on the surface of the brain, though the commonest site is the outer surface of the parietal and temporal lobes or deep within the brain substance and are associated with hemorrhages limited in small areas or multiple hemorrhages diffused largely within the brain tissues. They are also associated with disturbances of cerebrospinal fluid circulation.
  • These injuries, also known as coup lesions, are commonly found under the site of application of the blow, but are also sometimes found particularly during autopsy on the surface of the brain diagonally opposite the site of impact, and are called countercoup injuries.
  • Coup injuries are most commonly found on the frontal lobes and near the tips of the temporal and frontal poles, rarely on the occipital poles. They are usually severe injuries.

(Ref: Modi’s Medical Jurisprudence 25th Edition)

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Asthma patients should check with their doctor before going for holiday

People with chronic obstructive lung disease, emphysema and other serious lung diseases can safely travel by airplane, but they should be evaluated by their doctor before travel, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

In a study of 500 lung disease patients surveyed after a planned flight, British researchers reported in the European Respiratory Journal that 18 percent travelers suffered some type of respiratory symptom on the plane, most commonly shortness of breath, coughing and chest pain. However, the symptoms were typically moderate, and there were no serious incidents requiring an emergency landing.

 
    Readers Responses
  1. This is to thank you for your guidance. Harshita Gupta, XI Standard, Sec – E, Birla Vidya Niketan, Pushp Vihar
 
    Forthcoming Events

Seminar on "Mind and Body in Health and Harmony in Asian Systems of Medicine"

Date: December 11-13, 2012
Venue: India International Centre, New Delhi
Themes of the Workshop: Anatomy, Philosophy, Diagnostics and imbalances, Therapeutics and treatments, Understanding Mind-Body relationships and Preventive and Promotive aspects in the traditional systems of medicine

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi

8am-8pm

Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    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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  DIET BOOK

  HCFI

  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