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 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

 
  Editorial …

29th April, 2011, Friday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Drug–eluting versus bare–metal stents

In patients with large coronary arteries, the absolute benefit (a lower rate of restenosis) from drug–eluting stent (DES) compared to bare–metal stents (BMS) is small due to the low rate of restenosis in these vessels. Thus, any difference in safety may be important in choosing one or the other stent type.

The BASKET–PROVE trial randomly assigned 2314 patients needing stents 3.0 mm or greater in diameter to one of two different DES or to BMS. The rate of the primary endpoint (composite of death from cardiac causes or nonfatal myocardial infarction at two years) was lower, but not significantly so, with either of the two DES.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

 
  Changing Practice – Evidence which has changed practice in last one year

Treatment for solid tumor bone metastases

In late 2010, the Advisory Committee on Immunization Practices (ACIP) recommendations for meningococcal vaccination were modified to recommend that adolescents be vaccinated ideally at age 11 or 12, with a booster at age 16. In addition, a two–dose primary series two months apart was recommended in individuals with persistent complement component deficiency or functional or anatomic asplenia, as well as for adolescents with HIV infection.

References

  1. Henry D, et al. A double–blind, randomized study of denosumab versus zoledronic acid for the treatment of bone metastases in patients with advanced cancer (excluding breast and prostate cancer) or multiple myeloma (abstract 20LBA). Data presented at the joint 15th Congress of the European Cancer Organization and the 34th Congress of the European Society for Medical Oncology, Berlin, September 20–24, 2009. Abstract available online at http://ex2.excerptamedica.com/CIW–
    09ecco/index.cfm?fuseaction=CIS2002&hoofdnav=Abstracts&content=abs.details&what
    =AUTHOR&searchtext=Henry&topicselected=*&selection=ABSTRACT&qryStartRow
    Detail=1, accessed April 7, 2010.
  2. Stopeck A, et al. Effect of Denosumab Versus Zoledronic Acid Treatment in Patients with Breast Cancer and Bone Metastases: Results from the Extended Blinded Treatment Phase. Results presented at the 33rd Annual CTRC–AACR San Antonio Breast Cancer Symposium, held December 8–12, 2010. Abstr P6–14–01.
  3. Stopeck AT, et al. Denosumab compared with zoledronic acid for the treatment of bone metastases in patients with advanced breast cancer: a randomized, double–blind study. J Clin Oncol 2010; 28:5132–9.
 
  eMedinewS Audio PostCard

Rheumatoid arthritis Update

Dr Harvinder S Luthra Speaks on
‘Clinical picture of RA’

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

11th Perfect Health Parade

The 11th Perfect Health Parade was organized to mark the World Health Day on 3rd April. In the photo: The parade in the form of Tableaus carrying health messages moving around the city to create awareness about various health aspects.

 
Dr K K Aggarwal
 
    National News

Breaking News

FDA Panel Endorses Boceprevir for Hepatitis C

An FDA advisory committee has voted unanimously to recommend approval of the investigational drug boceprevir in combination with peginterferon and ribavirin, to treat hepatitis C genotype 1.

Stress Management – A New Prospective

Dr K K Aggarwal shall address on the theme “Stress Management – A New Prospective” today at the Lok Kala Manch, 20, Institutional Area, Lodhi Road, New Delhi from 6:30 pm to 7: 45 pm.

Doctors asked to admit errors for unique reference book

In a first–of–its–kind conference in the city on reducing medical errors, the Quality Council of India (QCI), on Sunday, launched its Mumbai chapter and asked city doctors to write anonymous letters to them wherein they admit their medical errors. Their intention: to compile a book of medical errors and help city doctors learn from such errors. The convener of the Mumbai Chapter of QCI, PP Gadgil said that the e–mails or letters sent to its Chembur branch would be strictly confidential. They have assured doctors that their name, the name of their patients and the hospital they work at will be changed to ensure that their identities are not disclosed. "Just because India does not have statistics on medical errors does not mean that they do not occur. We hope to make a reference book for doctors. This is an attempt to reduce medical errors," said Gadgil. The QCI expects to include at least 100 types of bonafide medical errors in their reference book. (Source: The Hindustan Times, Apr 25, 2011)

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

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC )

Exercise is just what the doctor ordered

Many adults turn to their primary care physician for information about the role exercise plays as part of a healthy lifestyle. According to a new online survey by the American Osteopathic Association (AOA), more than 40% of adults who discuss exercise with their primary care physicians meet the U.S. Centers for Disease Control and Prevention’s recommendation of getting a minimum of 150 minutes of moderate–intensity aerobic activity, such as doubles tennis or brisk walking, every week while only 26% of adults who do not discuss exercise with their physician meet these national recommendations. The survey results are being announced in advance of National Osteopathic Medicine Week 2011, being held April 17–23. During this week, osteopathic physicians (DOs) and osteopathic medical students across the nation are reaffirming their commitment to speak with their patients, family and friends about the importance of exercise and how physical activity can help prevent health problems. "Regular exercise plays a vital role in treating and preventing many chronic diseases, including diabetes, heart disease, obesity and hypertension," says AOA President Karen J. Nichols, DO. "Often, simple lifestyle choices, like establishing a regular exercise routine, can help to reduce the risk of chronic illness later in life.

(Dr Monica and Brahm Vasudev)

Study finds girls less likely to be placed on kidney transplant wait lists

Girls are much less likely than boys to be put on the waiting list for a kidney transplant, according to new, large study by researchers from the University of California Davis School of Medicine.

Access type may impact hemodialysis patient survival

Central venous catheters may account for the poorer survival among hemodialysis patients, according to an analysis, which included 40,526 adults, in the Journal of the American Society of Nephrology. Use of a central port for dialysis was associated with 80% elevated one–year mortality risk compared with peritoneal dialysis, the researchers found.

Novel antifibrotic agent may benefit diabetic nephropathy

Diabetic nephropathy may not just slow but may actually improve with the novel antifibrotic agent pirfenidone (Esbriet), according to a preliminary study in the Journal of the American Society of Nephrology.

 
    IJCP Special

Dr Good Dr Bad

Situation: A 6–year–old child with fever needed an antipyretic.
Dr Bad: Take aspirin.
Dr Good: Take paracetamol.
Lesson: Children should not be given aspirin for chickenpox and flu–like symptoms as it can cause Reye’s syndrome.

Make Sure

Situation: A patient with hyperthermia with absent shivering died.
Reaction: Oh my God! Why was intensive management not given?
Lesson: Make sure all patients of hyperthermia with absent shivering are treated aggressively. Absence of shivering is bad prognostic sign.

 
    An Inspirational Story

(Dr Prachi Garg)

Twelve Good Thoughts

  1. Maybe God wants us to meet a few wrong people before meeting the right one so that when we finally meet the right person, we will know how to be grateful for that gift.
  2. Love is when you take away the feeling, the passion, and the romance in a relationship and find out that you still care for that person.
  3. When the door of happiness closes, another opens but often we look so long at the closed door that we don’t see the one which has been opened for us.
  4. The best kind of friend is the kind who can sit with you on a porch and swing, never say a word, and then walk away making you feel like it was the best conversation you’ve ever had.
  5. It’s true that we don’t know what we’ve got until we lose it, but it’s also true that we don’t know what we’ve been missing until it arrives.
  6. There are things you’d love to hear that you would never hear from the person who you would like to hear from, but don’t be so deaf as not to hear it from the one who says it from their heart.
  7. Don’t go for looks, they can deceive. Don’t go for wealth, in the end it fades away. Go for someone who makes you smile because it takes only a smile to make a dark day seem bright.
  8. Dream what you want to dream, go where you want to go, be what you want to be, because you have only one life and one chance to do all the things you want to do.
  9. A careless word may kindle strife, a cruel word may wreck a life, a timely word may level stress, a loving word may heal and bless.
  10. The happiest of people don’t necessarily have the best of everything, they just make the most of everything that comes along their way.
  11. Happiness lies for those who cry, those who hurt, those who have searched and those who have tried, for only they can appreciate the importance of people who have touched their lives.
  12. The brightest future will always be based on a forgotten past, you can't go on well in life until you let go of your past failures and heartaches.
 
    Hepatology Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

Hepatology Tip of the Day

SGOT is more than SGPT in dengue hemorrhagic fever. It can help in differential diagnosis.

 
ijcpgroup
ijcpgroup
Docconnect
 
    Medicolegal Update

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

What is Contributory medical Negligence?

The pregnant woman delivered a child with spina bifida however she failed to attend regularly advised dates for antenatal ultrasounds that would have identified this problem. The patient was found to be 100% at fault."

  • In a medical malpractice/maloccurence case, medical negligence is the foremost ingredient to establish the liability of damage and dereliction in provided medical care. However, it is important to establish the difference between malpractice and contributory negligence when determining liability.
  • Contributory negligence means the patient/legal heirs/parties are partially to blame for the maloccurrence or medical untoward incident. For e.g., a patient is admitted to the emergency room for treatment and they fail to inform the doctor about a pre–existing condition e.g. any allergy to a drug. The patient is guilty of contributing to the negative outcome/damage of the treatment.
  • If the victim is found to be even one percent at fault, they will be unable to recover compensation for their injuries. However, comparative negligence is used to determine degree of liability of the doctor/medical care provider.
  • Contributory negligence will determine who will receive compensation for their losses and how much they may be entitled to receive in compensation for their injuries. Pure comparative negligence means that in case of an aggrieved patient, damages will be calculated and then reduced to reflect his or her contribution to the injury.

In India, the doctors take the defense against malpractice cases when determining how the parties involved are responsible. In US, 4 categories applied in compensation cases in many of its states: Pure Comparative Negligence/Pure Contributory Negligence/ Modified Comparative Negligence—50% Bar Rule and Modified Comparative Negligence—51% Bar Rule. Twenty–one states that recognize the 51% bar rule which means that the party who is less than 51% liable can seek compensation; only 11 US states use the 50% bar rule, which means that if the damaged party is less than 50% responsible, they can collect damages.

 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Diabesity A deadly new cocktail of sugar and fat

Bariatric–or, more appropriately, metabolic–surgical procedures have been shown to provide dramatic improvement in blood glucose levels, blood pressure, and lipid control in obese patients with type 2 diabetes. Targeting recently diagnosed diabetes is likely to be more cost effective because diabetes remission rates achieved are higher in this group than in those with established type 2 diabetes. For this patient group, bariatric surgery generates both cost savings and health benefits. This provides the strongest rationale yet for implementation of this treatment on economic grounds.

For obese patients diagnosed with type 2 diabetes during the two years prior to bariatric surgery, one study found that the upfront costs of surgery would be fully recouped through the prevention of future health care costs to treat type 2 diabetes. This study was undertaken alongside a clinical trial that found that remission of type 2 diabetes was five times greater in surgically treated patients, relative to those receiving conventional therapies.

 
    Mind Teaser

Read this…………………

Which word is the odd one out?

First Second Third Forth Fifth Sixth Seventh Eighth

Yesterday’s Mind Teaser: If an electric train is going 150 miles per hour north and the wind is blowing the same south, which way does the smoke blow?
Answer for yesterday’s Mind Teaser:
It is an electric train there is no smoke!

Correct answers received from: Dr YJ Vasavada, Dr Rakesh Bhasin, Dr Sudipto Samaddar, Dr Pramod M Kulkarni, Dr S Upadhyaya, Dr Chandresh Jardosh, Dr Raisami Sundaram, Dr Neelam Nath, Dr Muthumperumal Thirumalpillai, Dr Anil Bairaria, Dr U Gaur, Dr Sumit Mehndiratta.

Answer for 27th April Mind Teaser: Somewhere over the rainbow
Correct answers received from: Dr Chandresh Jardosh, Dr JB Gogoi.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

There was a competition between a Japanese Samurai and a Chinese Samurai. First they took the Japanese Samurai into a room and told him there is a mosquito flying in this room and he has to hit the mosquito. The Japanese Samurai listens for the buzzing of the mosquito and then suddenly whooshes with his sword. There is silence in the room and sure enough they find the mosquito cut in half on the floor.

Then they ask the Chinese Samurai that there is a mosquito flying in this room and he has to hit the mosquito with his sword. The Chinese man listens for the buzzing from mosquito and then suddenly whooshes with his sword. There is silence in the room for few seconds and then the buzzing sounds start again. The Japanese Samurai jumps up and says he won because the mosquito is still alive. The Chinese man says the mosquito may be alive but no more babies.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Tests to diagnose Hashimoto’s thyroiditis

Anti–thyroid peroxidase antibody (anti–TPO) in addition to thyroid function tests (TSH, T4, T3). Anti–TPO test detects autoantibodies against a protein found in thyroid cells. These antibodies are not normally present, so a high value usually indicates autoimmune damage to the thyroid due to disorders such as Hashimoto’s thyroiditis and Graves’ disease.

 
    Medi Finance Update

(Dr GM Singh)

Settlement Commission

  • Entities on whom search is initiated can file an application before the settlement commission if additional tax payable on disclosed income exceeds INR 50 lakhs.
  • Entities related (to be defined) to a tax payer on whom the search is initiated would be allowed to file an application before the settlement commission if additional tax payable on disclosed income exceeds INR 10 lakhs. Such entities should also be subject to search proceedings.
 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Metoprolol succinate ER 25/50 mg + Telmisartan 20/40mg
For the treatment of essential hypertension
16/07/10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Heart failure due to myocardial iron overload is a major cause of death in patients with thalassemia major.

 
  SMS of the Day

(Dr GM Singh)

When the game is over, the king and the pawn go into the same box. Italian Proverb

 
    Readers Responses
  1. Sai Baba’s death has stirred the whole nation, one thing is definite that this organization has done so much for humanity and common man and best part is no false claim about treating incurable diseases, not criticizing angioplasty stents as cheap springs. Vivek Kumar, Varanasi.
 
    Public Forum

(Press Release for use by the newspapers)

Blood Donation Lowers the Risk of Heart Attack

Government policy should change from replacement blood donor to 100% voluntary donor, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India. He said that it is possible that under the guise of replacement donor, a professional donor will enter into the system. A patient requiring multiple transfusions or patients who are from outstation may find it difficult to get replacement donors under the replacement blood donor system.

He also said that no blood donation is 100% safe. Diseases can be in the window period and get transmitted even if the blood tests are negative. Sophisticated blood tests detecting antigens of the organisms are not done in the country, either the tests are costly or not available in blood banks. They are also not mandatory under the national policy. Donating blood reduces the chances of heart attack. People who regularly donate blood are healthier than people to have never donated blood. Every year one should donate blood either on their birthday or on the Blood Donor’s Day.

He said that blood is a precious gift, which one can give to somebody unknown. It is possible that one unit of donated blood can save multiple lives.

More than 70,000 units of blood are required in Delhi every month. More camps should be organized by non medical associations so that the shortage of blood can be taken care of.

 
    eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. eMedinewS ebooks (This may take a few minutes to open)

HCFI
Activities eBooks

  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

  Towards Well Being

 

 
    Forthcoming Events

May 7–8, 2011, National Seminar On Stress Prevention

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
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: Saturday 7th May (2 pm onwards) and Sunday 8th May (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: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com

………………………………………………………………

CME on Decade of action for road safety

CME on Decade of action for road safety by Society for Prevention of Injuries and Corporal Punishment & 1st conference of Indo Pacific Academy of Forensic Nursing Science will be held on May 11, 2011 at Gian Sagar Medical College by Dept. of Forensic Medicine and Gian Sagar College of Nursing. Dr.R.K.Gorea gorea_r@yahoo.com

………………………………………………………………

September 30 – October 02, 2011; XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques

Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.

Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231
Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, India, Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com

………………………………………………………………

Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011
(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)

Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES and Dept of Health and Family Welfare Govt of NCT of Delhi.

Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).

Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at
medifilmfestinhealthmela@gmail.com

………………………………………………………………

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    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 Naveen Dang, Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta