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 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 …

30th October 2012, Tuesday

Vitamin D Facts

  1. Vitamin D is an indispensable assistant to calcium in building bone, calcium has:
  2. Vitamin D helps the body absorb calcium.
  3. Increasing vitamin D can help prevent osteoporosis.
  4. A small amount of sun exposure can help the body manufacture its own vitamin D.
  5. Five to 30 minutes of sunlight between 10 a.m. and 3 p.m. twice a week to your face, arms, legs, or back without sunscreen will enable you to make enough of the vitamin.
  6. People with fair skin that burns easily should protect themselves from skin cancer by limiting sun exposure to 10 minutes or less.
  7. Food and sun exposure should suffice, but if not, get 2,000 IU of vitamin D daily from a supplement.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

   Constipation Update

Osmotic laxatives create an osmotic load in the intestinal and colonic lumen, causing more water to enter the intestines. They increase stool bulk intestinal fluid volume, which stimulates intestinal movement (peristalsis). Examples are polyethylene glycol, lactulose and magnesium salts. The greatest amount of evidence exists for PEG.

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

One can predict acute lung injury

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela to focus on revival after sudden death

The forthcoming 19th MTNL Perfect Health Mela being organized by Heart Care Foundation of India jointly with Health Department, Government of NCT Delhi.

 
Dr K K Aggarwal
    National News

19th MTNL Perfect Health Mela

Heart Care Foundation of India and Depts. of Health & Family Welfare, Govt. of Delhi in association with World Fellowship of Religions, NDMC, MCD are organizing 19th MTNL Perfect Health Mela at Constitution Club of India Rafi Marg, New Delhi from 7th-11th November 2012 (8am-8pm). The focus this year will be Prevention of Non Communicable Diseases.

For comments and archives

My Profession My Concern

MCI: Pay salary at least at par with government scales

The Board of Governors considered their observations regarding payment of salary by Private Medical Colleges/Institutions to their faculty members and recalled that in some of the institutions it was noted that the Assistant Professor and/ or Associate Professor were paid more salary than Professor. In some of the cases the salary paid to faculty members was not as per the salary paid by the respective State Government. Due to which it was difficult to the Board of Governors to consider the faculty members with super-speciality qualifications as regular faculty of such college/ institution.

After detailed deliberation on this issue the Board of Governors decided that in Teachers Eligibility Qualification Regulations, the following may be added to:

“All private medical colleges/institutions are required to pay salary to teachers working in various departments at least equal to the salary paid by the respective State Government where college is located. However, the management of private medical colleges/institutions is free to pay salary higher than paid by the State Government where college(s)/institution(s) is located.”

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

 
    Valvular Heart Disease Update

Mitral stenosis in the elderly

The preferred surgical treatment for severe mitral stenosis is repair (commissurotomy) but mitral valve replacement is often necessary since the valvular morphology in elderly adults is usually unfavorable (extensive calcification, rigidity, and retraction of all of the valve components), making the valve unamenable to commissurotomy.

(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)

Women who quit smoking do live longer

Life expectancy was dramatically improved among participants in Great Britain's Million Women Study who quit smoking compared with continuous smokers, confirming the previously uncertain benefits of smoking cessation in women, researchers said. (Source: Medpage Today)

For Comments and archives…

TCT: Add fluid, float dye-related problems away

Renal complications caused by radiographic contrast dye can be dramatically reduced in at-risk patients by using a sliding scale of fluid volume expansion in individuals undergoing percutaneous interventions, researchers said at the Transcatheter Cardiovascular Therapeutics meeting. (Source: Medpage Today)

For Comments and archives…

Asymptomatic microhematuria guidelines released by AUA

In a revision of its previous "best practice" document, the American Urological Association (AUA) has released new guidelines for diagnosing, evaluating, imaging, and following up asymptomatic microhematuria in adults. These guidelines were presented by Rodney Davis, MD, from Vanderbilt University Hospital in Nashville, Tennessee, and colleagues in an article published online October 23 and in the December print issue of the Journal of Urology. In the guideline, asymptomatic microhematuria is defined as 3 or more red blood cells per high-powered field "on a properly collected urine specimen in the absence of an obvious benign cause." Diagnosis of asymptomatic microhematuria is not based on dipstick results. (Source: Medscape)

For Comments and archives…

TCT: Ischemic conditioning flops in PCI

Easing the heart out of ischemia in an acute myocardial infarction gradually doesn't help stenting outcomes, a clinical trial showed. (Source: Medpage Today)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Padma Shri Dr KK Aggarwal on Health PART 1 at DPS Mathura Road ..http://youtu.be/5kigTTOulLM

@DeepakChopra: Addictionguy that is an addiction too RT @addictionguy: I absolutely dislike @DeepakChopra

 
    Spiritual Update

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

Laugh your way to happiness

If you wait to be happy, you will wait forever. If you are happy now, you will be happy forever”.
Persons who remain serious have more chances of getting heart attacks. And on the other hand people full of humor die young in old age. Humor in general and laughter in particular are the best medicines. You are incomplete in your dress if you are not wearing a smile on your face.

For Comments and archives…

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

What are adhesions in endometriosis?

Endometriosis may irritate surrounding tissue and produce internal scar tissue called adhesions. These adhesions can bind the pelvic organs together, cover them entirely, or involve nearby intestines. The adhesions may keep the fallopian tube from picking up the egg from the ovary during ovulation.

For Comments and archives…

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

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

What about Rh - positive and Rh - negative?

A patient with Rh-negative blood cannot be given Rh-positive blood as the antigen-antibody reactions will result in severe consequences.

Females who are Rh negative, with their husbands being Rh positive, their first child with Rh positivity may be normal; subsequently she may not conceive or may have repeated abortions. There may be intrauterine fetal death. If the child born is alive, it will suffer from a fatal disease called "Erythroblastosis Fetalis.” Now mothers can be given an injection of anti-D within 24 hours of the delivery of a Rh-positive child and thus protect the next baby from this catastrophe.

For Comments and archives…

 
    An Inspirational Story (Ms Ritu Sinha)

Growing deep and strong!

One day, my mother and I were working together in the garden where we were transplanting plants for the third time. Grown from seed in a small container, the plants had been transferred to a larger container; then transplanted into the garden. Now, because I was moving, we were transplanting them once again.

Inexperienced as a gardener, I turned to my green-thumbed mother. “Isn’t this bad for them?” I asked, as we dug them up and shook the dirt from the roots. “Won’t it hurt these plants, being uprooted and transplanted so many times?”

“Oh” my mother replied. “Transplanting doesn’t hurt them. In fact, it’s good for the ones that survive. That’s how their roots grow strong. Their roots will grow deep, and they will make strong plants”.

Often, I’ve felt like those small plants – uprooted and turned upside. Sometimes I’ve endured the change willingly, sometimes reluctantly, but usually my reaction has been a combination. Won’t this be hard on me? I ask. Wouldn’t things be better if things remained the same? That’s when I remember my mother’s words: That’s how the roots grow deep and strong.

Source: http://academictips.org/blogs/growing-deep-and-strong/

For comments and archives

 
   Cardiology eMedinewS

PFO closure with investigational device does not decrease ischemic and bleeding events compared to medical therapy Read More

Muscle cells on outside of blood vessels wrongly accused for instigating lung disease Read More

 
   Pediatric eMedinewS

ACIP gives nod to meningitis vaccine for high-risk infants Read More

Neonatal anesthesia linked to childhood neurotoxicity? Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A post MI patient with diabetes had ventricular arrhythmia wanted to know whether he can take low-dose supplementation of n-3 fatty acids.
Dr. Bad: They are harmful.
Dr. Good: They are useful.
Lesson: Low-dose supplementation of n-3 fatty acids exerts a protective effect against ventricular arrhythmia-related events in post-MI patients with diabetes (Diabetes Care 2011 Dec;34(12):2515-20).

For comments and archives

Make Sure

Situation: A patient with asymptomatic sinus bradycardia after permanent pacemaker implantation developed lead infection.
Reaction: Oh my God! Why was PPI (Permanent pacemaker implantation) done?
Lesson: Make sure that PPI is not implanted in patients with sinus bradycardia without significant symptoms, Sinoatrial block or sinus arrest without significant symptoms, Asymptomatic prolonged RR intervals with atrial fibrillation or other causes of transient ventricular pause and asymptomatic bradycardia during sleep.

For comments and archives

 
  Legal Question of the Day (Dr MC Gupta)

Q. Offences under the PC&PNDT are cognizable. That being so, is it open to the police to arrest a doctor on the ground that there was some inaccuracy in the F form that was filled?

Ans.

  1. The police are not competent to take cognizance of an offence under the PC&PNDT Act. Hence the police cannot arrest on their own.
  2. Cognizance of offences under the Act is explained in section 28, whereby it is made clear that only a court can take cognizance.
 
  Lab Update (Dr Arpan Gandhi and Dr Navin Dang)

Vitamin E

Vitamin E is a fat–soluble vitamin. Its deficiency is usually characterized by neurological problems associated with nerve degeneration in hands and feet. It can be due to:

  • Problems related with inability to absorb fat: Crohn’s disease and cystic fibrosis
  • Metabolic inherited problems ataxia and vitamin E deficiency

Blood levels of vitamin E may also be decreased with zinc deficiency.

 
  Quote of the Day (Dr GM Singh)

Life is a gift, the wrap is the mind. Just open it to enjoy the present. If you can unite your mind to your heart you'll be a good person, if you can unite your heart to your mind will be enlightened.

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

Photos of Doctor’s Day Celebration

 
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    Mind Teaser

Read this…………………

An early finding in the EKG of a client with an infarcted myocardium would be:

A. Disappearance of Q waves
B. Elevated ST segments
C. Absence of P wave
D. Flattened T waves

Yesterday’s Mind Teaser: My daughter has as many sisters as she has brothers. Each of her brothers has twice as many sisters as brothers. How many sons and daughters do I have?

Answer for Yesterday’s Mind Teaser: Four daughters and three sons. Each daughter has 3 sisters and 3 brothers, and each brother has 2 brothers and 4 sisters.
To figure it out mathematically, you could use the following two equations where G = the number of girls and B = the number of boys:
G - 1 = B
2(B - 1) = G
Solving for G gives you 4 and plugging that in to G - 1 = B gives you a B of 3.

Correct answers received from: Dr BB Aggarwal, Prabha Sanghi, Dr PC Das, Dr Kanta Jain, Dr BB Aggarwal, Dr K Raju, Dr Jainendra Upadhyay, Dr KV Sarma, Dr Pankaj Agarwal, Dr Chandresh jardosh,
Dr Thakor Hitendrsinh G, Dr Avtar Krishan.

Answer for 28th October Mind Teaser: (B) Relieves pain and decreases level of anxiety
Morphine is a specific central nervous system depressant used to relieve the pain associated with myocardial infarction. It also decreases anxiety and apprehension and prevents cardiogenic shock by decreasing myocardial oxygen demand.
Correct answers received from: Dr Avtar Krishan, Kanika Sharma, Muthumperumal Thirumalpillai,
Dr PC Das, Dr KV Sarma, Dr Rakesh Goel.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Mass Hysteria

A professor of clinical psychology at Victoria University in Wellington, New Zealand, included a lecture on crowd psychology in his annual course. To illustrate mass hysteria, he regularly showed TV news footage of teenage crowds greeting the Beatles at the local airport in the 1960's.

One year, when he ran the footage, he heard squeals and bursts of laughter from his students. When the film ended he asked what had caused the hilarity.

Replied one student, "We recognized some of our mothers!"

 
  Medicolegal Update

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

Postmortem examination: Ideal containers/preservative for viscera

For preservation of viscera, clean, wide-mouthed glass bottles fitted with glass stoppers of one liter capacity should be used. Rubber inserts under caps should preferably not be used.

  • 20–30 ml of blood taken from femoral artery or vein by skin puncture should be collected in 60ml screw–capped bottles or in plastic capped tubes/10 mg of sodium or potassium fluoride per ml of blood should be added in blood for preserving blood.
  • 20–30 ml of urine is obtained from direct puncture of the bladder during the postmortem examination with a syringe and needle and should be collected in 60 ml screw–capped bottles or in plastic capped tubes and 20–30mg of thymol blue or boric acid or acetic acid should be added as preservative.
  • Saturated sodium chloride solution (common salt) for all the visceral samples for chemical/toxicological examination.
  • If there is an associated history of death due to acid intoxication then all the samples should be preserved in rectified spirit.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

National workshop on homeopathy in cardiology in the forthcoming Perfect Health Mela

For the first time, a national workshop will be organised on Homeopathy in Cardiology in the forthcoming MTNL Perfect Health Mela being organised in the city from 7th to 11th November, 2012 at Constitution Club of India. The workshop will be held on Saturday, 10th November, 2012 at the Mela venue. Over 500 homeopaths and Allopaths with interest in cardiology will be deliberating on various issues related to preventive and diagnostic cardiology.

Giving the details, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that Crataegus is a drug used in homeopathy and has features similar to angiotensin-converting enzyme inhibitors (ACEIs) in Allopathy. All heart patients on homeopathic drugs invariably received this homeopathic tincture. Both homeopaths and allopathic doctors should be familiar each other’s drugs. If homeopathic Crataegus is combined with allopathic ACEIs, a drug overdose may result.

Similarly, there are homeopathic tinctures equivalent to allopathic beta blockers, aspirin, statins etc.

Both homeopathic and allopathic drugs can be combined in certain individuals and for this homeopathic and allopathic cardiologists should work together.

 
    Readers Response
  1. Dear Sir, Thanks for providing useful information. Regards:Dr TP Ghosh
 
    Forthcoming Events


19th MTNL Perfect Health Mela 2012 Programme

Dr K K Aggarwal
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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