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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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  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 Doctor’s Day Celebration

 
    Health Videos …

Nobility of medical profession: Aamir Khan Controversy (Video 1 to Video 9)
Health and Religion: Bharatiya Vidya Bhavan and Heart Care Foundation of India(Video 1 to Video 7)
Take Care Holistically, DD India health series, Anchor Dr KK Aggarwal (Video 1–3)
Chat with Dr KK On life Style Disorders

Health Update (Video 1 to 15)

 
  Editorial …

29th July 2012, Sunday

And now good bye to lead aprons in the cath labs

The US FDA has approved the first robotic–assisted percutaneous coronary intervention system, the CorPath 200 of Corindus Vascular Robotics on the basis of the PRECISE trial. The results were presented at the annual meeting of the Society for Cardiovascular Angiography and Interventions.

Of the 162 procedures performed with the robotic technology in PRECISE, only two cases had to be converted to manual stent implantation, and the fault was not that of the robotic system, said Giora Weisz, MD, of Columbia University Medical Center in New York City.

Advantages

  1. The interventional cardiologist sits at a console away from the fluoroscopy system
  2. Reducing operator radiation exposure
  3. One is not required to wear lead aprons
  4. More precise placement of stents
  5. Reduced procedure time
  6. Reduced contrast media used

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

ACE inhibitors better ARBs in new meta-analysis in hypertensives

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on the Role of God Particle in health

Heart Care Foundation of India in association with International Centre for Spirituality and eMedinewS organized a seminar on "Higgs – Boson, Consciousness and Health", on 24th July 2012 at PHD Chamber

 
Dr K K Aggarwal
 
    National News

Winter migratory birds on a hopping flight through Delhi

NEW DELHI: Rare winter migratory birds like the Cotton Pygmy Goose, the Great White Pelican and the Greater Flamingo can be spotted at the capital’s Okhla Bird Sanctuary. The birds are usually spotted in the sanctuary between October and March. The sanctuary’s forest ranger J M Banerjee says the birds are only passing through. They will not stay on for more than a few days. "These birds normally make stops to feed. They survey the spots for food on their flight and stop by. We had a dried lake that has now filled up and has fish, food for pelicans and flamingoes. In fact, it is very common to find flamingos in Udaipur lakes. They have been visiting that place since the time we had princely states," says Banerjee. By the month of December, says Banerjee, the flamingos usually find their way to Mumbai. Rann of Kutch also falls in their migratory route. The Great White Pelican, which happens to be on the IUCN Red list of threatened birds, scoop out fish from shallow lakes with their bills. The massive bird can weigh up to 10 kg. The Cotton Pygmy Goose looks like a duck and is also known as the Cotton Teal. The Greater Flamingo is the state bird of Gujarat and is fairly common in coastal regions of the subcontinent. While feeding, it filters out water through its bill retaining small fish and even algae. (Source: TOI, Jul 23, 2012)

For comments and archives

Hepatitis E may cause liver failure in pregnancy

NEW DELHI: In one of the widest single–centre studies conducted by the AIIMS, it was found that water–borne Hepatitis E was the basic cause of acute liver failure in nearly 60% of pregnant women. Hepatitis E is transmitted mainly through contaminated drinking water and can lead to death by triggering acute liver failure. Post failure, the liver is not able to remove toxic substances in the blood. The study examined over 1,000 consecutive patients admitted at AIIMS from Jan 1986 to Dec 2006. It compared the progression of Hepatitis E in pregnant women, non–pregnant women and men in the age group 15–45 years. (Source: TOI, Jul 27, 2012)

For comments and archives

My Profession My Concern

Ayush doctors ask for right to prescribe 20 emergency allopathic drugs

TOI Reports: Mangalore: Nearly 25,000 doctors affiliated to Ayush Federation of India’s Karnataka branch threatened to go on an indefinite strike seeking official permission to use allopathic drugs to treat emergency cases.

A list of 20 common emergency allopathic drugs helpful in treating emergency cases and vetted by high powered committee that includes eminent heart surgeon Dr Devi Prasad Shetty has been sent to the government for approval.

Dr Krishnaraj Bhat, the president of Dakshina Kannada branch of the federation told that the Supreme Court had directed all state governments to amend the rules 2(EE) (111) framed under the rules of the Drugs and Cosmetics Act, 1980 to permit AYUSH practitioners to prescribe allopathic drugs based on their education, training and experience. "However, the state government is still dragging its feet on this issue," he added.

Noting that nearly 14 states in the country have already made these changes, he said it is hard to understand the government's reluctance in this regard at a time when they have appointed AYUSH doctors to primary health centres across Karnataka and who are already prescribing allopathic drugs. "Our single point charter of demand for agitation starting from July 20 is for the government to make it legal for AYUSH fraternity to give allopathic drugs," he said. Repeated representations to authorities concerned had not elicited any favourable response so far, he said, adding that there is no equivalent medicine in Ayurveda, Yoga, Unani, Sidda and Homeopathic systems of medicine to treat emergency cases such as high fever or wheezing.

Doctors in states including Chattisgarh, Tamil Nadu, Jammu and Kashmir, Gujarat, Maharashtra, Madhya Pradesh, West Bengal, Bihar, Haryana, Uttar Pradesh, and Rajasthan are allowed to practice.

For comments and archives

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Royal College Initiative (By Vivek Chhabra) 27/07/2012 By: Presswatch

NHS and Health Sector News

The Independent reports that two UK Royal Medical Colleges have become the first in the world to introduce a new way of displaying a patient’s vital signs to compel action which is expected to halve avoidable deaths in hospital, saving at least 6,000 lives a year in the UK. Bryan Williams, professor of medicine at University College, London, who first proposed the innovation in an earlier report in 2007, said there were at least 100 different hospital charts in use throughout the NHS with different scoring systems. The Daily Express reports that all pensioners could be given a shingles jab on the NHS from early next year. The Department of Health confirmed it hopes to vaccinate 4.5 million 70 to 79–year-olds on advice from the advisory panel on immunisation.

For comments and archives

FDA panel says OK to new use for eye drug

An FDA advisory committee voted unanimously on Thursday to recommend approval of a new indication for ranibizumab (Lucentis) for the treatment of diabetic macular edema. The Dermatologic and Ophthalmic Drugs Advisory Committee considered two doses of the drug, which is injected monthly. There was unanimity on the lower 0.3 mg dose; the 0.5 mg dose won members’ assent with an 8–2 vote. (Source: Medpage Today)

For comments and archives

Stent eases limb ischemia

A novel bare–metal stent for blocked leg arteries appears safe and can ease pain, a registry study showed. Among patients treated with the Xpert infrapopliteal stent, 78% were alive without any amputation at 12 months, Krishna J. Rocha–Singh, MD, of Prairie Education and Research Cooperative in Springfield, Ill., and colleagues found. (Source: Medpage Today)

For comments and archives

Laparoscopic colon surgery best for infection control

Surgeons should consider laparoscopic vs open colectomy — and avoid mechanical bowel preparation — to reduce the risk for infection after colon surgery, according to a new meta–analysis published in the journal Surgery. (Source: Medscape)

For comments and archives

Chronic dim light at night may be linked to depression

Sitting in front of a computer or TV screen late into the night, or falling asleep with it on, could increase patients’ risk of depression, a study in animals suggests. (Source: Medscape)

For comments and archives

British Physiotherapists are the first in the world to prescribe medicine
(Dr S K Verma, Consultant Ophthalmologist, New Delhi)

Under the new legislation in UK Physiotherapist will be able to prescribe medicines for ailments such as chronic pain and respiratory diseases like asthma. Health minister Lord Howe said – "Physiotherapists are highly trained clinicians who play a vital role in ensuring patients receive integrated care that help them recover after treatment or manage a long term condition successfully. By introducing these changes, we aim to make the best use of their skill and allow patients to benefit from a faster and more effective service." The new legislation is expected to come into effect in April next year. The Chartered Society of Physiotherapists of UK has welcomed the move. (Courtesy – Daily Mail Online UK 25 July 2012)

 
    Twitter of the Day

@DrKKAggarwal: Echo can differentiate old vs fresh LV clots

@DeepakChopra: Follow your passion. By devoting more energy to any endeavor you increase the reward of understanding that will come to you.

 
    Spiritual Update

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

Best time to sign a deal is at 4PM

As per Ayurveda, the period from 2–6 pm in the evening and 2–6 am in the morning is period of Vata or creativity. Most poets and writers would do their creative work at that time of the day especially 2–6 am in the

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you understand by minimally invasive surgery?

Type of surgery features small or no incisions. Surgeons view your body’s organs with the help of small telescopes and tiny cameras. Surgical repairs are made with tiny instruments.

Common procedures are:

  • Laparoscopy, in which a telescope with a camera (called a laparoscope) is inserted through a small incision in your belly. This allows the surgeon to visually examine your pelvis (lower belly).
  • Hysteroscopy, in which a different type of telescope with a camera (called a hysteroscope) is inserted through your vagina and cervix. It views the inside your uterus (womb).

For comments and archives

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

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

Blood Grouping systems & Principles, Blood Group Discrepancies & their possible solutions

ABO System & Pregnancy

  • Majorities of hemolytic diseases are due to ABO incompatibility
  • The fetus inherits one gene from each parent.

    o O + O = O, O + A= O or A, O + B= O or B, O + AB= A or B.
  • There is a 20% chance of ABO incompatibility of mother and fetus
  • There is only a 5% chance of developing hemolytic disease only in type A & B infants of type O mothers, that too only of milder form
  • In fetus and newborn, the RBCs have a decreased number of H, A and B reactive sites
  • The fetal immunoglobulin production is low, so the plasma contains very little of anti–A and B agglutinins
  • Anti–A and B produced in the mother being natural are IgM molecules and so do not cross placenta.
  • In some type O adults, much of the anti–A and B and anti–AB (a cross reacting antibody, also called anti–C) isoagglutinins are of IgG class.
  • There is no adequate method of antenatal diagnosis.
  • Direct Coomb’s antiglobulin test may be negative in ABO hemolytic disease.
  • ABO hemolytic disease is frequently seen in infants of primigravidae and the chance of recurrence is 87%.
  • The risk of stillbirth is not increased and no antenatal treatment is necessary.
  • Only 67% of affected infants will need any treatment.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

The Triple-Filter Test

Author Unknown

In ancient Greece, Socrates was reputed to hold knowledge in high esteem. One day an acquaintance met the great philosopher and said, "Do you know what I just heard about your friend?"

"Hold on a minute," Socrates replied. "Before you talk to me about my friend, it might be good idea to take a moment and filter what you’re going to say. That’s why I call it the triple filter test. The first filter is Truth. Have you made absolutely sure that what you are about to tell me is true?"

"Well, no," the man said, "actually I just heard about it and…"

"All right," said Socrates. "So you don’t really know if it’s true or not. Now, let’s try the second filter, the filter of Goodness. Is what you are about to tell me about my friend something good?"

"Umm, no, on the contrary…"

"So," Socrates continued, "you want to tell me something bad about my friend, but you’re not certain it’s true. You may still pass the test though, because there’s one filter left—the filter of Usefulness. Is what you want to tell me about my friend going to be useful to me?"

"No, not really."

"Well," concluded Socrates, "if what you want to tell me is neither true, nor good, nor even useful, why tell it to me at all?"

For comments and archives

 
    Cardiology eMedinewS

Engineers turn fat into blood vessels Read More

Coronary CT helps triage chest pain Read More

 
    Pediatric eMedinewS

Immune markers unreliable for kids’ bone pain Read More

Colchicine helpful in familial Mediterranean fever Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A PUO patient was advised CT chest by a GP. He came for a second opinion.
Dr Bad: There is no need.
Dr Good: Go ahead.
Lesson: CT scanning of the chest is invaluable in the identification of small nodules (indicative of fungal, mycobacterial, or nocardial infection or malignancy). The identification of hilar or mediastinal adenopathy may prompt biopsy by mediastinoscopy providing a diagnosis of lymphoma, histoplasmosis, or sarcoidosis.

For comments and archives

Make Sure

Situation: A patient’s blood pressure was not responding on Arkamin (clonidine).
Reaction: Oh my God! Why was the patient given Artamin (D–penicillamine)?
Lesson: Make sure that prescription is written with the drug name spelled clearly.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta)

Q. I am a 60 years old doctor who passed MBBS in 1974 from a well– known medical college and then worked as a resident in gynae there for one year. Later, I spent 22 years in government service where I was given duties to perform various surgeries like caesarean; abdominal and vaginal hysterectomy; Fothergill repairs; and all routine and emergency gynae surgeries. I have certificates to that effect from my employer. I also have a pos graduate diploma in maternal and child health (PG DMCH) from IGNOU. After retirement, I am doing all the above procedures in private practice. I have never had a consumer complaint against me so far. Should I stop because I don’t have a PG qualification in Gynae–obs?

Ans.

  • You need not stop. You are doing no crime.
  • Your qualifications can be called into question only in two situations:
    • When the patient alleges that you, not being a qualified gynecologist, misrepresented yourself as one.
    • When the medical council raises a query.
  • In both the above situations, proper legal reply/argument can save you. However, you should not venture into areas which, as per professional practice and conventions, are reserved for PG qualification holders. If some mishap happens, the adjudicating authority is likely to take a view that you should not have ventured into a specialist area.
  • You must make sure that you do not hold out as a gynecologist. You should write on your prescription pad etc. as follows:

    "Dr. ABC, MBBS, PG Diploma, MCH (IGNOU)
    Special interest and experience in Gynae–Obs
    Reg. No………(……Medical Council)"
  • Your attention is drawn to the guidelines issued by the AP Medical Council, given below: "What Can an MBBS Doctor do:–
    • He can do all the Minor Surgical Procedures for which he is trained in MBBS Course and Houseman Ship.
    • He can do Deliveries and its related procedures as trained.
    • He can do National Programmes like Tubectomies & Vasectomies.
    • In emergencies if a qualified surgeon is not available in the near vicinity as a life savings measures he can do first aid and a Surgical Procedure based on his experience.
    • He should not do Elective Major Surgical procedures and the care should be taken to refer to a nearby Hospital where a Surgeon/Gynecologist available."

      http://imaapstate.blogspot.com/2010/12/can–mbbs–doctor-do–surgery.html
  • In Surinder Kumar (Laddi) and Anr. V. Dr. Santosh Menon and Ors. 2000;(III) CPJ 517, the Punjab State Consumer Commission held that there is no bar against an MBBS performing a Caesarean section merely on the ground that the doctor does not have a qualification in Gynae–Obs.
  • You must make sure to buy a professional indemnity insurance policy.

For comments and archives

 
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    Quote of the Day

(Dr GM Singh)

Study while others are sleeping; work while others are loafing; prepare while others are playing; and dream while others are wishing. William Arthur Ward

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

T3 uptake

This test measures the amount of thyroxine–binding globulin (TBG) in the patient’s serum. When TBG is increased, T3 uptake is decreased, and vice versa. T3 uptake does not measure the level of T3 or T4 in serum.

  • Increased T3 uptake (decreased TBG) in euthyroid patients is seen in chronic liver disease, protein–losing states, and with use of the following drugs: androgens, barbiturates, bis hydroxycoumarin, chlorpropamide, corticosteroids, danazol, d–thyroxine, penicillin, phenylbutazone, valproic acid and androgens. It is also seen in hyperthyroidism.
  • Decreased T3 uptake (increased TBG) may occur due to the effects of exogenous estrogens (including oral contraceptives), pregnancy, acute hepatitis, and in genetically–determined elevations of TBG. Drugs that increase TBG include clofibrate, lithium, methimazole, phenothiazines and propylthiouracil. It may also occur in hypothyroidism.
 
    Mind Teaser

Read this…………………

Notic

Yesterday’s Mind Teaser: An adult, who is newly diagnosed with Graves’s disease, asks the nurse, "Why do I need to take Propanolol?" Based on the nurse’s understanding of the medication and Grave’s disease, the best response would be:

A. "The medication will limit thyroid hormone secretion."
B. "The medication limit synthesis of the thyroid hormones."
C. "The medication will block the cardiovascular symptoms of Grave’s disease."
D. "The medication will increase the synthesis of thyroid hormones."

Answer for Yesterday’s Mind Teaser: C. "The medication will block the cardiovascular symptoms of Grave’s disease."

Correct answers received from: Anil Bairaria, Dr PC Das, Dr Anurag julka, Raju Kuppusamy,
Dr KV Sarma, Dr Pankaj Agarwal, Dr Mehul N Thakar, Dr Kanta Jain, Dr Jainendra Upadhyay, Dr Mehul THAKAR, Muthumperumal Thirumalpillai, Dr AP Bhatia, Dr Thakor Hitendrsinh G, Dr Prabodh Kumar Gupta, Dr Shashi Saini, Dr Avtar Krishan.

Answer for 27th July Mind Teaser: B. "I must take this medicine exactly as my doctor ordered it. I shouldn’t skip doses."
Correct answers received from: Dr Gopal Mahadeo, Dr B cham.

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr Prabha Sanghi)

Priceless definitions

Yawn
An honest opinion openly expressed.

 
    Microbial World: The Good and the Bad They Do

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

Hepatitis A vaccine

Hepatitis, caused by hepatitis A virus (HAV) is an acute, usually self-limiting disease of the liver. In young children, HAV infection is usually asymptomatic whereas symptomatic disease occurs more commonly among adults. Infection with HAV induces lifelong immunity. The virus is excreted in the stools of infected person. The infection is spread through fecal oral route (through contaminated food and water) and close personal contact. An infected person can easily pass the disease to household contacts.

The WHO has estimated that 1.5 million clinical cases of hepatitis A occur each year. In areas of high endemicity and poor sanitation/hygiene, most persons are infected with HAV without symptoms during childhood. This explains why clinical hepatitis A is uncommon in developing countries. In countries of low and intermediate disease endemicity, adult disease is seen more often. Currently, many inactivated vaccines against HAV are internationally available. All vaccines are safe and effective, with long–lasting protection. None of the vaccines are licensed for use in children less than one year of age.

Hepatitis A starts as "flu–like" illness, followed by jaundice. There may be severe pain abdomen and diarrhea. The infection is more serious in adults and if not managed properly, may prove fatal sometimes.

Hepatitis A vaccine can prevent hepatitis caused by HAV. Unfortunately this vaccine is not part of EPI, India. IAP recommends the vaccine after consultation with parents. Parents will have to bear the cost of the vaccine.

 
    Medicolegal Update

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

What was counteraffidavit of Dean, KEM Hospital in Aruna Shaunbag case?

Aruna is clearly not in coma

  • Aruna accepts the food in normal course and responds by facial expressions. She responds to commands intermittently by making sounds. She makes sounds when she has to pass stool and urine which the nursing staff identifies and attends to by leading her to the toilet.
  • Thus, there was some variance between the allegations in the writ petition and the counter affidavit of KEM Hospital. Supreme Court, by order dated 24 January, 2011 appointed a team of three very distinguished doctors of Mumbai to examine Aruna thoroughly and submit a report about her physical and mental condition.
  • The committee after thorough examination gave the opinion that she has evidence of intact auditory, visual, somatic and motor primary neural pathways. However no definitive evidence for awareness of auditory, visual, somatic and motor stimuli was observed during our examinations.
  • On perusal of the report of the committee of three doctors the honorable SC noted that there are many technical terms which have been used therein which a non–medical man would find it difficult to understand. We, therefore, request the doctors to submit a supplementary report by the next date of hearing in which the meaning of these technical terms in the report is also explained.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

20 minutes of sunlight and a glass of milk can keep osteoporosis at bay

Osteoporosis and vitamin D deficiencies are the two epidemic of the society said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Drinking less milk, quitting the sunlight exposure and omitting the traditional aerobic indoor games are few reasons for these new epidemics. Young professionals also stay indoors with practically no sunlight exposure. This is especially true for the medical residents also.

Here are a few tips to prevent osteoporosis and strengthening the bones.

  • Stop smoking as it increases bone loss.
  • Eat a calcium–rich diet: The aim should be to get 1,500 milligrams of calcium daily for postmenopausal woman or a man over age 65. Good dietary sources of calcium include dairy products, tofu and other soy products; orange juice fortified with calcium, canned salmon with the bones and cooked spinach. The alternative is to take calcium supplements.
  • Get enough vitamin D: Vitamin D levels are influenced by how much sunlight one gets. Levels tend to decrease in older adults, especially in winter and in people who are unable to leave their home. One should consider taking a supplement to make sure one gets the recommended daily amount.
  • Get exposure to sunlight of at least 20 minutes per day. At least the exposure should be of 20 minutes every day for a month in a year.
  • Get enough protein in diet: An adequate intake of protein in diet, combined with an adequate intake of calcium helps increase bone density. One should aim for about 12% of calories to come from proteins such as legumes, poultry, seafood, meat, dairy products, nuts and seeds. However, too much protein with too little calcium can be harmful.
  • Weight–bearing exercises: These are activities such as walking, jogging and stair climbing that one should do on the feet, with bones supporting the weight of the body. These exercises work directly on the bones of the legs, hips and lower spine to slow mineral loss.
  • Weight–lifting exercises: These exercises, also called resistance training or strength training, strengthen muscles and bones in the arms, chest and upper spine. They can work directly on the bones to slow mineral loss.
  • Get adequate vitamin K: This vitamin may be helpful in enhancing bone strength. Green leafy vegetables are the best sources of vitamin K. If one is taking a blood thinner he or she should check with the doctor.
  • Avoid excessive alcohol: Women should limit alcohol consumption to less than one ounce a day and men should limit it to less than two ounces.
  • Limit cola drinks: People who have high cola intake often have lower bone density.
 
    Readers Responses
  1. Dear Sir, Inspirational stories inspire, but long ones take lot of time to read. Hence, preferably they should be shorter. Thanking you. Dr. Ashok Gupta.
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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

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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  Perfect Health Mela

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  Towards Well Being

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  Dil Ki Batein

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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