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

 

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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Workshop on Stress Management and How to be Happy and Healthy

 
  Editorial …

29th April 2012, Sunday

Vegetables and fruits lower chances of getting some cancers

Vegetables and fruits help lower your chances of getting head, neck, breast, ovarian and pancreatic cancers. Even one additional serving of vegetables or fruits could help lower the risk of head and neck cancer. The more fruits and vegetables you can consume, the better.

Those who eat six servings of fruits and vegetables per 1,000 calories have a 29% decreased risk relative to those who have 1.5 servings. In the study, after adjusting the data to account for smoking and alcohol use – known head and neck cancer risk factors – the researches found that those who consumed the most fruits and vegetables had the lowest risk for head and neck cancers. Vegetables appeared to offer more cancer prevention than fruits alone did. Adding just one serving of fruit or vegetables per each 1000 calories consumed daily resulted in a 6% reduction of risk.

In another study, broccoli and soy protein were found to protect against the more aggressive breast and ovarian cancers. When consumed together, digesting broccoli and soy forms a compound called di–indolylmethane (DIM). In lab experiments, the researchers found that DIM could affect the motility of breast and ovarian cancer cells, which could help keep cancers from spreading. Soy, acts like estrogen and is a nutritious, healthy food, and should be eaten in moderation.

Yet another study compared intake of flavonols to their risk of pancreatic cancer. Flavonols are protective compounds found in fruits and vegetables, such as onions, apples, berries, kale and broccoli. Those who had the highest consumption of flavonols reduced their risk of pancreatic cancer by 23%. The benefit was even greater for people who smoked. Smokers with high levels of flavonols reduced their risk of pancreatic cancer by 59%.

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

Vegetables and fruits lower chances of getting some cancers

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2012

Students of Delhi Public School presented a beautiful skit on the occasion of the World Earth Day celebrations at DPS Mathura school premises on April 20, 2012. The Event was jointly organized by Heart Care Foundation of India, Delhi Public School and Ministry of Earth Sciences.

 
Dr K K Aggarwal
 
    National News

Bihar set to be leprosy–free

Bihar is on the verge of being declared leprosy–free with hospitals registering one patient per 10,000 people on an average. Addressing the media on Tuesday, Health Secretary Amarjit Sinha said it was heartening to observe that the number of leprosy patients had come down. "In November last year, there were 1.17 patients per 10,000 population, showing decreasing trends over last few years," said Sinha. State Health Committee executive director Sanjay Kumar said though 10 districts averaged more than one leprosy patient per 10,000, overall state average is below one patient. The annual report of the State Health Committee 2011–12 showed the state had successfully treated 15.51 lakh patients since 1996–97 using multi–drug therapy and reconstructive surgery. Between April 2011 and November 2012, the government registered 12,920 patients. In the last financial year, 34 patients successfully underwent reconstructive surgery. Kumar said there were 47 devoted colonies to take care of leprosy patients across 17 districts. A health official has been given charge of each colony. (Source: Indian Express, Apr 25 2012)

For comments and archives

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

Docs may resist PSA screening recommendations

Breaking the habit of prostate cancer screening may take more than a simple recommendation from a task force. Two separate small studies, reported this week in separate journals, suggest that a recent recommendation to discourage screening with prostate–specific antigen (PSA) is likely to face some hurdles. (Source: Medpage Today)

For comments and archives

Cingulotomy gives lasting relief to long–term OCD patients

Cingulotomy appears to be an effective and durable option for many patients who have severe treatment–refractory obsessive–compulsive disorder (OCD). Here at the American Association of Neurological Surgeons (AANS) 80th Annual Meeting, Sameer Sheth, MD, PhD, from the Department of Neurosurgery at Massachusetts General Hospital in Boston, presented data demonstrating that 69% of patients achieved at least a partial response. (Source: Medscape)

For comments and archives

FDG PET/CT can identify infections around implanted device

Combined fluorodeoxyglucose marked by fluorine–18 (18F–FDG) positron–emission tomography (PET) and computed tomography (CT) distinguish between an active infection around a cardiovascular implantable electronic device and normal postoperative inflammation, a new study in the May 1, 2012 issue of the Journal of the American College of Cardiology shows. (Source: Medscape)

For comments and archives

ACE inhibitors better ARBs in new meta–analysis in hypertensives

A new meta–analysis has shown that use of ACE inhibitors is associated with a 10% reduction in all–cause mortality in hypertensive patients, compared with contemporary therapy that included blood–pressure lowering with drugs other than ACE inhibitors or angiotensin–receptor blockers (ARBs). In contrast, ARBs had a neutral effect on deaths, note Dr Laura C van Vark (Erasmus Medical Center, Rotterdam, the Netherlands) and colleagues in their report, published online April 17, 2012 in the European Heart Journal. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: #AJENT Unilateral sensorineural hearing loss and intermittent unilateral watery nasal discharge.

@DeepakChopra: Daily reminder: Make at least one person happy today.

 
    Spiritual Update

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

Merits and demerits of focused living

In mythology, in the epic Mahabharata, Yudhishtir symbolizes a person who has learnt the art of being in balance in loss and gain and the one who practices righteous living.

Arjuna symbolizes the quality to focus and the quality to see only the eyes of a fish when focusing on the fish.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is hydrosalpinx?

The embryo travels through the tube into the uterus .When it reaches the uterus, it can implant into the uterine wall and develop into a baby. However, an old infection can cause the tubes to fill with fluid and enlarge (dilate). When this happens, the tube is called a hydrosalpinx.

For comments and archives

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

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

How long can the blood be stored?

The whole blood can be stored up to 35 days, in CPDA anti coagulant solution in refrigerated conditions at 4° – 6° C. But, in reality, the demand is so much that blood hardly remains stored for such a long period and is used much before expiry.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Just a Mom

A woman, renewing her driver’s license at the County Clerk’s office was asked by the woman recorder to state her occupation. She hesitated, uncertain how to classify herself. "What I mean is," explained the recorder, "do you have a job or are you just a……?"

"Of course I have a job," snapped the woman. "I’m a Mom." "We don’t list ‘Mom’ as an occupation, ‘housewife’ covers it," said the recorder emphatically.

I forgot all about her story until one day I found myself in the same situation, this time at our own Town Hall.

The Clerk was obviously a career woman, poised, efficient and possessed of a high sounding title like, "Official Interrogator" or "Town Registrar." "What is your occupation?" she probed. What made me say it? I do not know. The words simply popped out.

"I’m a Research Associate in the field of Child Development and Human Relations." The clerk paused, ball–point pen frozen in midair and looked up as though she had not heard right. I repeated the title slowly emphasizing the most significant words.

Then I stared with wonder as my pronouncement was written, in bold, black ink on the official questionnaire. "Might I ask," said the clerk with new interest, "just what you do in your field?"

Coolly, without any trace of fluster in my voice, I heard myself reply, "I have a continuing program of research, (what mother doesn’t) in the laboratory and in the field, (normally I would have said indoors and out). I’m working for my Masters (first the Lord and then the whole family) and already have four credits (all daughters). Of course, the job is one of the most demanding in the humanities, (any mother care to disagree?) and I often work 14 hours a day, (24 is more like it).

But the job is more challenging than most run–of–the–mill careers and the rewards are more of a satisfaction rather than just money." There was an increasing note of respect in the clerk’s voice as she completed the form, stood up and personally ushered me to the door.

As I drove into our driveway, buoyed up by my glamorous new career, I was greeted by my lab assistants — ages 13, 7, and 3. Upstairs I could hear our new experimental model, (a 6 month old baby) in the child development program, testing out a new vocal pattern.

I felt I had scored a beat on bureaucracy! And I had gone on the official records as someone more distinguished and indispensable to mankind than "just another Mom." Motherhood!

For comments and archives

 
    Cardiology eMedinewS

Vitamin D Supplementation Might Improve Hypertension Read More

Obese Patients Might Benefit from More Vitamin D Read More

Both Hyper– and Hypothyroidism Linked to CV Events Read More

 
    Pediatric eMedinewS

Rotavirus Vaccine Can Save Millions In Developing World Read More

Race Influences Burden Of Perioperative Pain, Opioid Adverse Events In Children Read More

Nursing Excellence Improves Outcome For High–Risk Infants Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady was suspected to have DVT.
Dr. Bad: Go for MRI.
Dr. Good: Go for complete Doppler sonography test.
Lesson: A study published in BMJ from France has shown that a single negative complete Doppler sonography can conclusively rule out deep vein thrombosis in pregnancy.

For comments and archives

Make Sure

Situation: A patient died after consuming six pegs of alcohol.
Reaction: Oh my God! Why was he allowed to consume six pegs?
Lesson: Make sure that no patient is allowed binge alcohol i.e. consuming more than six pegs in a day or five pegs at a time.

For comments and archives

 
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    Legal Question of the day

(Prof. M C Gupta Advocate & Medico–legal Consultant)

Q. Doctors obtain medical education in government medical colleges at negligible cost and then go to USA . The country is the loser. What is the solution?

Ans.

  • Medical education, which is highly subsidised at present, should be allowed to follow market forces but with a caution that professional and academic standards are not compromised and the meritorious and the deserving are not denied educational opportunities because of poverty. This would mean that the government medical colleges, including the AIIMS, should charge fees at par with the private medical colleges. The result will be that the so called menace of the so called capitation fee will cease to exist. At the same time, the government should ensure that those who cannot pay high fees should, in lieu of subsidised education, be under a bond to serve the government for a specified number of years at specified salary and work conditions which should be in conformity with law. Such bond system already exists in case of MBBS education imparted at AFMC; CMC Vellore; CMC, Ludhiana; and, Kerala (vide Kerala Government’s "G.O.(MS) No.533/2008/H&FWD dated 07.10.2008".
  • The bond scheme should have the following in–built provisions:
    • In case of bonded doctors, the government service and salary must start from the very next day immediately after passing MBBS. If this is not done, the bond should automatically be treated as lapsed/ineffective.
    • If a bond is rendered ineffective in respect of a particular candidate, the bond amount should be recovered from the salaries of government officers responsible for such lapse. (If this is not done, the officers concerned would find it convenient to allow the bond to lapse for ulterior motives).
  • PG medical education should be purely merit based and all reservations at PG level must stop.
  1. It is a fact that many doctors want to go abroad as soon as they pass MBBS. This is particularly true of AIIMS graduates, the majority of whom prefer to go to USA.
  2. It is also a fact that the politicians and the government have been issuing statements that doctors should stay in the country and should serve the poor people in the rural and remote areas.
  3. Both the above facts, though contradictory, cannot be faulted. Doctors commit no illegality by going abroad. They have a right to do so, especially when the government is not able to give them jobs in India and is not able to ensure that the opportunities for postgraduate medical studies will be purely merit–based.
  4. The government has recently proposed that a ban will be enforced on doctors going to USA in such a manner that those going there for higher studies will have to return to India on the completion of the studies. The government would be well advised to enforce the ban in such a manner that no illegality or unconstitutionality is committed. The doctors should be ever ready to challenge such a scheme on legal grounds.
  5. The real and lasting solution to the problem lies in the following approach:

For comments and archives

 
    Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

Prevention of blood–borne infections

All HCWs must follow standard work precautions at all the times while providing health care services; follow the correct protocols for sterilization and disinfection; safe disposal of waste; educate themselves about post exposure management and prophylaxis and take immunization against HBV. On account of the window period in blood–borne viruses (HIV, HBV, HCV and others) the HCWs must consider all the patients and all specimens potentially infectious and practice blood and body fluid precautions at all times while giving care to patients. The standard work precautions include:

  • Hand hygiene, hand hygiene and hand hygiene
  • Use of personal protective equipment (barrier precautions) like use of latex or vinyl gloves, gown/apron, protective eyewear or mask and protective foot cover, as indicated.
  • Take Hepatitis B virus vaccine, be protected.
  • Minimize invasive interventions, oral drugs in place of injection wherever possible.
  • Handle sharps, needle and syringes carefully. Do not bend, break, re–cap used needles.
  • Handle carefully the hollow bore needle to prevent deep injuries.
  • Dispose needles immediately in specified sharp containers containing 1% sodium hypochlorite. Do not leave used needles on table/trolley or bed/use safe autodestruct–auto retract needles.
  • Never pass used sharps from one person to another directly, place the sharp on the surface/trolley to be picked up by the surgeon.
  • Use forceps instead of fingers for guiding sutures.
  • Follow correct protocols of biomedical waste management/disposal and sharps disposal (plastic sharps container made of plastic containing 1% fresh bleach).
 
    Quote of the Day

(Dr GM Singh)

Keep your face always toward the sunshine – and shadows will fall behind you. Walt Whitman

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Platelet count

Thrombocytosis (or high platelet count) is seen in many inflammatory disorders and myeloproliferative states, as well as in acute or chronic blood loss, hemolytic anemias, carcinomatosis, post–splenectomy, post–exercise, etc.

 
    Fitness Update

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

Nut consumption associated with good cholesterol and healthy weight

Nuts often get a bad wrap because they are high in fat and calories. However, new data on over 13,000 adults published in the journal Nutrition Research found that eating nuts is associated with higher levels of HDL, or the "good" cholesterol, lower levels of insulin (higher insulin levels are a risk factor for diabetes and metabolic syndrome) and lower levels of inflammation. Nuts also provide a good source of antioxidants, vitamin E, fiber, potassium and healthy fats.

In addition, a study published last year found that people who ate nuts were less likely to be overweight than those who did not. Most experts think this is because nuts are high in fat and fiber, both of which are known to increase feeling of fullness after eating. So a 1–ounce serving of nuts (or about 28 almonds) contains 170 calories but will make you feel full longer than 170 calories of pretzels or fruit. Nuts make a great portable snack and should be included as part of a balanced diet.

For comments and archives

 
    Mind Teaser

Read this…………………

Since sunscreen-awareness campaigns began, have skin–cancer rates decreased?

A. Yes, fewer people are getting skin cancer.
B. No, skin–cancer rates and deaths from the disease are on the upswing.
C. No, skin cancer is on the rise, but fatalities are down.
D. Skin–cancer rates have been stable over the past decade.
E. Yes, but only among older women.

Yesterday’s Mind Teaser: How much exercise do you really need?

A. 45 minutes twice a week.
B. 30 minutes three or four days a week.
C. 60 minutes at least three or four days a week.
D. 30 minutes at least four or five days a week.
E. It depends on your age and overall physical–fitness level.

Answer for Yesterday’s Mind Teaser: D. 30 minutes of exercise at least four times a week.

Correct answers received from: Dr Ragavan Sivaramakrishnan Moudgalya, Raju Kuppusamy, Kanta Jain, Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan,
Dr Lc Dhoka, Dr Jainendra Upadhyay, Anil Bairaria, Dr Kiran Sood.

Answer for 27th April Mind Teaser: C. About 30 percent of your total calories should be from fat.
Correct answers received from: Dr KV Sarma.

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr GM Singh)

A woman came home to find her husband in the kitchen shaking frantically, almost in a dancing frenzy, with some kind of wire running from his waist towards the electric kettle. Intending to jolt him away from the deadly current, she whacked him with a handy plank of wood, breaking his arm in two places.

Up to that moment, he had been happily listening to his Walkman.

 
    Medicolegal Update

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

What are resuscitative injuries?

Doctor should always document in detail the resuscitative injury in case of death

The injuries produced in human body during resuscitation pose difficulty in interpretation of injuries noted at postmortem examination or in inquest paper by the investigating law enforcement agency. Before proceeding to make an interpretation, the doctor conducting the autopsy should know if there has been an attempt for resuscitation and who did it and for how long. He should also know about the methods used in a particular case and whether all these have been documented in the clinical sheets or not. Resuscitative attempts may lead to skeletal, cardiac and abdominal viscera injuries. The investigating police officer should make a note on the basis of statements taken from the relative and doctors who attended the deceased and the same should be enclosed in inquest paper before handing them over to the autopsy surgeons.

  • The method generally used for life saving attempts by non–medical persons who are near the critical patient is mouth–to–mouth respiration and manual chest massage may causes contusions.
  • Resuscitation in hospitals includes bag and mask intubations, endotracheal tube, obdurate airways used for respiratory ventilation.
  • Mechanical methods like Thumper, active compression–decompression device, and defibrillators are used in resuscitation. Closed chest cardiac massage along or with interspersed abdominal compression is also used for resuscitation.
  • The injections and closed–chest cardiac massage and other resuscitation procedures to the patients may result in the fracture of a chest vertebra, serial fractures of ribs resulting in an unstable thorax, bilateral hemothorax, tension pneumothorax, rupture of kidney and of spleen.
  • Fractures of ribs and/or sternum were found in 40% of cases, the frequency increasing with age. The number of fractured ribs ranged up to 16, mainly 3–8 ribs was fractured. Fractures of the 1st and 8th to 12th ribs were very rare.
  • The common site of rib fractures after heavy blunt thoracic injuries was found in the dorsal region.
  • The injuries which are received/inflicted on body prior to death are called mortem injuries and may or may not be a contributing factor in causing the death or they may have occurred due to much other reason like resuscitation/transport of sick/ill person for medical care called artifacts.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Which vaccines should be provided to healthcare workers?

Heart Care Foundation of India has released guidelines for the immunization of immunocompetent health care workers.

These guidelines are consistent with the one published by the CDC, the Association for Professionals in Infection and Epidemiology, Inc (APIC), the ACIP, and infectious diseases experts, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal who is also President of Heart Care Foundation of India.

The general approach is as follows:

  • All healthcare workers should be immune to measles, mumps, rubella, and varicella.
  • All healthcare workers with potential exposure to blood or body fluids should be immune to hepatitis B.
  • All healthcare workers should be offered annual immunization with influenza vaccine.
  • All healthcare workers should either be offered immunizations that are routinely recommended for adults, such as tetanus, diphtheria, and pneumococcal vaccine, or be referred to their primary care provider.
  • At–risk healthcare workers and laboratory personnel should be offered the following vaccines: polio, meningococcal, BCG, rabies, plague, typhoid and hepatitis A.
 
    Readers Responses
  1. A Lover’s Prayer
    I will always show You that I love you. and give the best of me I can I will always be there to comfort you and try to protect you from all harm with everything who I am

    I will always open up my heart to you and be not only your lover but your best friend I will always be someone who you can talk to and when it is needed just listen as I'll be the one whom you can always depend.

    I will always give you my strength if you ever feel that you are not strong I will always try to do my utmost and support you in every way I know how to right anything that has gone wrong.

    I will always accept you for who are and love you unconditionally I will always try to make you feel good about yourself and make you feel needed and important as someone who means the world to me. Dr G M Singh
 
    Forthcoming Events
Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    eMedinewS Special

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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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  Dil Ki Batein

  How to Use

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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 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, Dr Usha K Baveja