emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, 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 …

30th December, 2010, Thursday                                 eMedinewS Presents Audio News of the Day

2nd eMedinewS – revisiting 2010 at http://www.docconnect.com on 9th January 2011

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

Top Ten Advances in Cardiovascular Research in 2010 (AHA) (Part II)

  1. Hopeful new procedure for infants with congenital heart disease
    The Pediatric Heart Network’s randomized trial of Norwood shunt types in infants with single–ventricle lesions showed that the type of shunt used makes a difference in outcomes. Better transplantation–free survival at 12 months is a possibility with this new understanding of the better shunt choice for these patients. This was the first large–scale randomized trial in congenital heart surgery, offering an approach that should provide answers to other questions in the future. (Pediatric Heart Network Investigators – N Engl J Med 2010 May 27;362:1980–1992)
  2. Finding the right anti–clotting (anti–platelet) therapy
    Selecting the right type of anti–clotting drug and the right dosage can be tricky, and risky. New research from the PLATO investigators has found that ticagrelor may improve outcomes and reduce adverse events better than the current standard, clopidogrel. The CURRENT–OASIS 7 Trial is exploring the optimal dosing of clopidogrel and aspirin in patient undergoing invasive surgery. These studies will help providers better understand the situations where new choices and dosages may improve results for the patient. (PLATO Investigators – Lancet 2010 Jan. 14;375:283–93; CURRENT–OASIS 7 Investigators – N Engl J Med 2010 Sept 2;363:930–42; Lancet 2010 Sept. 1;376:1233–43)
  3. Basic science findings offer insight into future progress
    Several studies this year brought the future of medicine closer to the present with new insight into emerging technologies. Findings from stem cell therapy have shown improved quality of life and survival in several early studies of patients with chronic heart failure and support the development of future cell–based therapeutics. A large animal study defined the basic mechanisms for heart muscle regeneration initiated by specific types of stem cells. The results demonstrated that these stem cells repair scarred myocardium through promotion of the generation of new heart muscle and blood vessel). A second study supported the notion that the heart has the capacity to regenerate large numbers of heart muscle cells several times during its lifetime. Being able to directly reprogram stem cells into working heart muscle is a big step toward use in therapeutic settings. The STaR–Heart Study showed that injecting the patient’s own bone marrow stem cells into the heart improved hemodynamics and long–term survival in the treatment of chronic heart failure. (Hatzistergos, et al – Circ Res 2010 July 29;107(7):913–22; Kajstura et al – Circ Res 2010 June 3;107(2):305–15; The STAR–heart study – European Journal of Heart Failure; doi:10.1093/eurjhf/hfq095).
  4. Using science to support healthy lifestyle behaviors
    New science examining lifestyle behaviors in adults and children, with particular emphasis on physical activity and consumption pattern, show that such conditions as obesity and hypertension are positively influenced by a change in diet with decreasing sodium levels. Results from the school setting suggest that the earlier one starts to adopt healthy behaviors the better the effect on health outcomes. Furthermore, physical activity is an important lifestyle factor in improving cardio–metabolic factors, especially in those trying to reduce weight. Although most people don’t associate poor diet quality and physical inactivity with heart disease, the American Heart Association has created a national goal to improve seven health factors and lifestyle behaviors in support of raising awareness and helping all Americans move closer to optimal heart health over the next decade. (Bibbins–Domingo et al – N Engl J Med 2010 Jan 20;362:590–9; The HEALTHY Study Group – N Engl J Med 2010 July 20, 10.1056; Franks et al – N Engl J Med 2010 Feb 11;362(6):485–93; Goodpaster, et al – JAMA 2010 Oct 9;304(16):1795–1802).
  5. Get with the Guidelines participation eliminates disparity gaps in care
    Racial and ethnic disparities have been found in the quality of care delivered to patients with cardiovascular disease and achieving equity and addressing disparities has implications for quality, cost, risk management, and community benefit. Eliminating these disparities is a top priority for the American Heart Association. These findings are the first to show that participating in a quality improvement program, such as Get With The Guidelines–Coronary Artery Disease, can eliminate racial and ethnic disparities of care while increasing the overall use of evidence–based care for heart attack patients. (Cohen et al – Circulation 2010 June 1;121(21):2294–301)
Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
  eMedinewS Audio PostCard

  Topic: eMedinewS Top 10 Health Stories of 2010

  New Pill for HIV Prevention

Audio PostCard
 
  Quote of the Day

(By Dr Chandresh Jardosh)

"Books are the quietest and most constant of friends; they are the most accessible and wisest of counselors, and the most patient of teachers."

Charles W. Eliot

 
    Photo Feature (from the HCFI Photo Gallery)

eMedinewS Revisiting 2009

Dr Shikha Sharma, a well known nutritionist was felicitated at the 1st eMedinewS Revisiting 2009 organized on January 10, 2010.

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

eMedinewS Revisiting 2010 to have a live webcast

eMedinewS Revisiting 2010 will have a live webcast on www.docconnect.com on 9th January, 2010. Those who will not be able to attend the conference can watch the proceedings live on the website. The webcast was a great success last year. The conference will have eminent speakers. Look out for the program details in the forthcoming editions of eMedinewS. We expect 1000 doctors to attend conference live and 1000 doctors to see it through the website.

MCI agrees to restore forensic faculty

In a late night development today, the Medical Council of India Board of Governors agreed in principle to roll back their earlier decision of reducing the faculty of forensic medicine in medical colleges across India and also double the number of teaching hours at the undergraduate level. These had earlier been slashed by half. The decision came within days of The Tribune highlighting the dangerous ramifications of dilution of a discipline that’s crucial to the maintenance of law and order in the society and critical to justice in criminal investigations and jurisprudence. Following The Tribune reports on the matter, the MCI had agreed to meet representatives of the Indian Academy of Forensic Medicine today and discuss a way out. The meeting ended with the MCIs positive assurance to five representatives of the Academy led by its general secretary Dr Adarsh Kumar, a medico–legal expert attached with the National Human Rights Commission and a faculty of forensic medicine and toxicology in AIIMS.
At the heart of the agitation was a recent MCI notification which abolished one post each of MD (Forensic Medicine) in the faculty of medical colleges across the five slabs of student intake (50, 100, 150, 200 and 250) and would have resulted in a loss of more than 300 teaching positions in around 300 medical colleges of India. The move would have hit the crucial discipline and discouraged students from joining it because forensic experts have only the government option of jobs in India where private autopsies are not allowed. Today, the MCI headed by the BOG chairperson Dr S.K. Sarin agreed to work to roll back the notification after the forensic experts cited various court judgments that lamented the poor quality of medico–legal reports and how these defeated the purpose of justice by weakening the case of investigators. The main points which the MCI has agreed to consider include – restoration of forensic faculty, increasing teaching hours of forensic medicine from 100 to 200 hours; making one–month internship in forensic medicine compulsory for MBBS interns (hitherto the option is elective and a student may or may not opt to intern in forensic medicine); increasing from 100 to 200 the weightage of forensic medicine in the professional evaluation of students and working on ways to see how district level medico–legal experts can be posted across India to strengthen criminal investigations.
India is currently short of about 5000 medico–legal experts. "Our meeting was very fruitful. The Board has accepted our memorandum and promised to consider all our major demands," Dr Kumar told The Tribune. He was accompanied at the meeting by forensic experts who had come from across India — Dr Mukesh Yadav , Editor, IAFM; Prof SK Verma, Prof. D.R. Yadav from Rohtak; Dr Rajesh Dere from Mumbai and Dr Amit Bhardwaj from Meerut. (Source: The Tribune, December 28, 2010)

IGNOU to train counsellors

Indira Gandhi National Open University has introduced a new programme called the Academic Counsellor’s Training–Online for training counsellors. "It is one of the capacity development programmes of the Staff Training and Research Institute of Distance Education of the university," IGNOU Vice–Chancellor Prof. V. N. Rajasekharan Pillai has said in the upcoming Open Letter, a monthly publication of the university. This programme is for those engaged in or wish to be engaged in the task of providing tutoring/counselling and other technology–mediated support to distance learners. (Source: The Hindu, Dec 27, 2010)

Health Ministry set to introduce CET for MBBS

Armed with the Supreme Court order allowing the Medical Council of India (MCI) to hold Common Entrance Test (CET) for all medical colleges, including private and Government, the Health Ministry is all set to go ahead with its plans to introduce the examination at the earliest. Buoyed by the court’s permission, it has decided to reach out afresh to the States, particularly those like Tamil Nadu and Andhra Pradesh which have been opposing it, with an aim to bring them on board over the issue. In fact, it has preponed its proposed meeting with them by a fortnight from January 30–31 as scheduled earlier. "We are relieved that the apex court has not given any adverse order against the MCI proposal for holding CET for all India medical examination. This will strengthen our case at the meeting tentatively scheduled for January 12–13 in Hyderabad with the States to favour the move," a senior Health official said. The aim to hold the meeting is to ensure consensus among the States which have been vehemently opposing the move. Tamil Nadu has claimed that once the CET for medical courses is introduced, the State would not be able to implement the quota for financially– and socially–disadvantaged students. Besides discussion on CET, the meeting will also deliberate on rural health services, infant morality issues and planning and policy related matters in the States. (Source: The Pioneer, December 28, 2010)

 
    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

Study shows email has significant impact on increasing healthier lifestyle and exercise adherence

A recently published study has found that email communication has a significant positive effect on a person’s health and fitness. According to the study published in the June issue of the American Journal of Preventive Medicine, using email to regularly prompt people to follow a healthier lifestyle resulted in measurable improvement in the person’s health and exercise regimen. The study, conducted by Kaiser Permanente and NutritionQuest and funded in part by the Centers for Disease Control and Prevention, measured the impact of a program devised by a public–health professor at the University of California, Berkeley that delivered brief, regular emails to a group of individuals. The emails consisted of simple suggestions for healthier eating or improving exercise habits. Compared to a control group, those in the email program showed a significant increase in exercise adherence and healthier living. These findings are consistent with a medical review published by the Center for a Livable Future at Johns Hopkins Bloomberg School of Public Health. Published in May 2010, the review (Periodic Prompts and Reminders in Health Promotion and Health Behavior Interventions: Systematic Review), found 11 studies conducted since 2006 that showed that periodic communication with participants resulted in a positive impact on a person’s health and fitness.

(Dr Monica and Brahm Vasudev)

Children, adults with kidney disease caused by lupus may face increased mortality risk

According to a study published online and in the January 2011 print issue of Pediatric Nephrology, children and adults with kidney disease caused by the autoimmune disease lupus have a higher risk of death than those with other types of kidney disease.

Test for Cystatin C may identify patients at highest risk for complications from CKD

A blood test for the kidney function marker cystatin C may identify patients at highest risk for complications from chronic kidney disease (CKD), according to a study published online in the Journal of the American Society of Nephrology.

High hemoglobin concentrations may not boost mortality risk in dialysis patients

According to a study published online in the Journal of the American Society of Nephrology, dialysis patients who have naturally high hemoglobin levels do not appear to be in danger.

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

How do you know that a lady has an ovarian problem?

An ovarian problem can be due to many factors. In a polycystic ovarian syndrome (PCOS), the lady is usually overweight and has delayed periods. She has numerous maturing eggs; due to hormonal imbalance they are unable to mature regularly. In endometriosis, though the exact cause is not known, it has been postulated that some of the blood flow is slow and damages the tube and ovarian tissue. This leads to cyst formation and egg damage. The lady would present with pain, abdominal pain during periods, and pain during intercourse or irregular menstrual period. Ovarian pain may be due to lack of good quantity of eggs. A girl is born with a fixed number of eggs and by the time she reaches menopause, there are no eggs remaining on her reserve. About 10–15 years before menopause, she enters a phase called reduced ovarian reserve, where though she is menstruating regularly, the quantity of the eggs is poor with less or no chance of conception. Some time this happens many years prior to menopause, it is then called premature ovarian failure.

For queries contact: banerjee.kaberi@gmail.com

 
    Hepatology Update

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

What are the common causes of acute liver failure in adults?

The common causes of ALF in adults in India are viral hepatitis (Hepatitis E Hepatitis A, Hepatitis B), drug–induced, Wilson’s disease, autoimmune hepatitis, acute fatty liver of pregnancy/HELLP ( Hemolysis, Elevated Liver Enzymes, Low Platelets) syndrome, Budd–Chiari syndrome and malignant infiltration.

 
    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What is World Medical Association Declaration on Principle-Undergraduate Medical Education & faculty?

The goal of medical education is to educate physicians who are entitled and consistent with their training to practice the profession without limitation. Medical Education leading to the first professional degree must be conducted by an organized faculty and the faculty must possess the appropriate academic qualifications that can only be achieved through formal training and experience.

  • The first professional degree should represent completion of a curriculum that qualifies the student for a spectrum of career choices, including patient care, public health, clinical or basic research or medical education. Each career choice will require additional education beyond that required for the first professional degree.
  • The research to advance medical knowledge and the provision of the highest quality of care must occur in academic settings to demonstrate the highest medical standards.
  • The content, format and evaluation of the educational experience provided are the responsibility of the faculty with participation of National Medical Associations.
  • The faculty is responsible for providing its own obligatory basic curriculum in an academic environment of freedom in which learning and inquiry can thrive in a maximal way.
  • Frequent reviews of the curriculum, allowing for the needs of the community and for input from practicing physicians should be conducted by the faculty,
  • The proper administrative structure and academic records must be maintained. When the necessary elements are available the clinical education of practitioner and specialist can be sponsored by either a university or a hospital.

(Adopted by the 39th World Medical Assembly Madrid Spain, October 1987)

 
    Men’s health: Preventing your top 10 threats (Mayo Clinic)

Flu

  • Influenza is a common viral infection. While a case of the flu is not usually serious for otherwise healthy adults, complications of the flu can be deadly, especially for those who have weak immune systems or chronic illnesses.
  • To protect yourself from the flu, get an annual flu vaccine.
 
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Q. What is the solution to the problem of too much load on medical college FMT faculty as regards autopsy work, especially in view of the recent trend to reduce faculty strength consequent upon the revised/diluted faculty strength guidelines issueds by the MCI/BOG?

A: Besides other approaches, including PIL, here is a novel approach:

  • If the work load is too much, send a proper information/objection to the college authorities, also intimating to them the cost incurred per autopsy.
  • The college authorities should send an official note to the government requesting them to:
    • Limit the number of autopsies referred to the college to a specified maximum;
    • Increase the number of faculty posted/sanctioned in the department;
    • Approve and implement a policy of paying to the college/department of FMT a certain amount per autopsy toward service charges for the service provided, with an inbuilt proposal to give a percentage of the service charges to the faculty performing the autopsy.
 
    Medilaw – Medicolegal Judgement

(Dr KK Aggarwal)

What is the difference between implied, express, real and informed consent?

Consent in the context of a doctor–patient relationship, means the grant of permission by the patient for an act to be carried out by the doctor, such as a diagnostic, surgical or therapeutic procedure. Consent can be implied in some circumstances from the action of the patient. For example, when a patient enters a Dentist’s clinic and sits in the Dental chair, his consent is implied for examination, diagnosis and consultation. Except where consent can be clearly and obviously implied, there should be express consent. There is, however, a significant difference in the nature of express consent of the patient, known as ‘Real consent’ in UK and as ‘Informed consent’ in America. (Supreme Court of India: Samira Kohli Vs. Dr. Prabha Manchanda. Ref: 2008 vol2 SCC @pg1)

 
    Ethical earning

What is reimbursable to a doctor?

While doing a dressing, one can charge separately for dressing material.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Liver function tests (LFTs)

  • To screen for, detect, evaluate, and monitor for liver inflammation and damage.
  • Periodically to evaluate liver function; whenever you are at risk for liver injury; when you have a liver disease; when you have symptoms such as jaundice.
 
ijcpgroup
ijcpgroup
ijcpgroup
nuspera
IJCP
Docconnect
Docconnect
Docconnect
Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
    Medi Finance Update

(By CA Arun Kishore, Arun Kishore & Co., Chartered Accountants)

Can I claim without medical expense bill? If with bill, falls under which rule?

As per sub clause V of proviso to Sec. 17(2) of the Income Tax Act 1961 for medical treatment of an employee and for treatment of any member of his family, any expenditure actually incurred by the employee and reimbursed by the employer upto a maximum of 15000/– in one year is not to be included as part of taxable perquisite. Thus exemption up to Rs.15000 for medical reimbursement shall not be allowable if it is not supported with bills for medical expenses. The language of the section is clear and explicit that the deduction is allowable only for expenditure actually incurred.

 
    Drug Update

List of Approved drugs from 01.01.2010 TO 30.4.2010

Drug Name
Indication
DCI-Approval Date
Sodium chloride 6.80gm + Potassium chloride 0.30 gm + Calcium chloride dihydrate 0.37gm + Magnesium chloride hexahydrate 0.20gm + Sodium acetate trihydrate 3.27gm + L–malic acid 0.67gm in 1000ml solution for infusion Replacement of extracellular fluid losses in case of isotonic dehydration, especially if acidosis is being imminent or present 11–Feb–10
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Improved Monitoring During Pediatric Interfacility Transport trial

The Improved Monitoring During Pediatric Interfacility Transport trial concluded that improved monitoring during pediatric transport has the potential to improve outcomes of critically ill children. This trial was the first randomized controlled trial in the out–of–hospital pediatric transport environment. It was designed to determine the impact of improved blood pressure monitoring during pediatric interfacility transport and the effect on clinical outcomes in patients with systemic inflammatory response syndrome and moderate–to–severe head trauma.

(Ref: Stroud MH, et al. Enhanced monitoring improves pediatric transport outcomes: a randomized controlled trial. Pediatrics 2010 Dec 20. Epub ahead of print)

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with inflammatory bowel disease came for deworming prescription.
Dr. Bad: Take it every three months.
Dr. Good: There is no need.
Lesson: Worms in the intestines have protective action against inflammatory bowel diseases.

Make Sure

Situation: A patient presents with recurrent scaling and itching of the scalp not responding to antikeratolytic agents.
Reaction: Oh my God! I forgot to prescribe antifungal agents.
Lesson: Make sure that patients with dandruff and seborrhoeic dermatitis are prescribed antifungal medications. Recent studies implicate pityrosporium yeast infection as the underlying cause.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

Bear and the Two Travelers

Two men were traveling together, when a Bear suddenly met them on their path. One of them climbed up quickly into a tree and concealed himself in the branches. The other, seeing that he must be attacked, fell flat on the ground, and when the Bear came up and felt him with his snout, and smelt him all over, he held his breath, and feigned the appearance of death as much as he could. The Bear soon left him, for it is said he will not touch a dead body.

When he was quite gone, the other Traveler descended from the tree, and jocularly inquired of his friend what it was the Bear had whispered in his ear. "He gave me this advice," his companion replied. "Never travel with a friend who deserts you at the approach of danger."

………………………………

Mind Teaser

Read this…………………

tree ri_ge tree  

Yesterday’s Mind Teaser: "legal legal"
Answer for Yesterday’s Mind Teaser:
Paralegals

Correct answers received from: Dr K Raju, Dr Meera Rekhari, Dr T Samraj

Answer for 28th December Mind Teaser: ageless story
Correct answers received from: Dr U Gaur, Dr Uday L Nagarseker, Dr Sudipto Samaddar, Dr S Upadhyaya, Dr Rajiv Kohli, Dr KV Sarma, Dr K P Rajalakshmi, Dr Rajshree Aggarwal, Dr T Samraj

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Contributed by Dr GM Singh)

Grandpa was always going on about the good old days, and the lower cost of living, in particular…

"When I was a kid, my mom could send me to the store, and I’d get a salami, two pints of milk, 6 oranges, 2 loaves o’ bread, and a magazine, some new blue jeans… all for a dollar!! Then Grandpa said sadly …"You can’t DO that any more…they got those darn video cameras everywhere you look…

 
    Readers Responses
  1. Dear Sir, thank you so much for publishing very interesting and useful information about backache a few days ago. As mentioned therein, one of my patients gets low backache whenever he does backward/forward bending exercises or yogasanas. It gradually subsides with a couple of days of NSAIDs and a few days rest to the back. An orthopedic consultation and an X–ray of LS spine have revealed no abnormality. Should he avoid such exercises altogether or is there any other solution? Kindly enlighten. From: Dr Manjesha, Manjesh Hospital, Kalluvathukkal, Kerala.
 
    Public Forum

(Press Release for use by the newspapers)

Don’t ignore women’ health

Women are not diagnosed or treated as aggressively as men. Even though more women than men die of heart disease each year, women undergo 33 percent of all angioplasties, stents and bypass surgeries; 28 percent of implantable defibrillators and 36 percent of open–heart surgeries, according to the National Coalition for Women with Heart Disease.

Although the traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — have a detrimental impact on men and women, certain factors play a bigger role in the development of heart disease in women, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

  1. Metabolic syndrome, a combination of increased blood pressure, elevated blood glucose and triglycerides has a greater impact on women than men.
  2. Mental stress and depression affect women’s hearts more than men’s.
  3. Smoking is much worse for women than men.
  4. A low level of estrogen before menopause is a significant risk factor for developing microvascular disease.
  5. Though women will often have some chest pain or discomfort, it may not be the most prominent symptom. Diffuse plaques buildup and diseased smaller arteries are two reasons why symptoms can be different in women.
  6. In addition to chest pain, pressure or discomfort, signs and symptoms of heart attack in women include: Neck, shoulder, upper back or abdominal discomfort, shortness of breath, nausea or vomiting, sweating, lightheadedness or dizziness and unusual fatigue.
  7. Endothelial dysfunction is more common in women. This means that the lining of the artery does not expand (dilate) properly to boost blood flow during activity and increases the risk of coronary artery spasm and sudden death.
  8. WISE study results suggest that the commonly used treatments for coronary artery disease — angioplasty and stenting — are not the best options for women with more diffuse plaques.
  9. Typical tests for coronary artery disease — angiogram, treadmill testing and others — are not reliable in the women.
  10. The WISE study showed that in some women, plaques accumulate as an evenly spread layer along artery walls, which is not visible using traditional testing methods.
 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

eMedinewS Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 9th 2011.

The one–day conference will revisit and cover all the new advances in the year 2010. There will also be a webcast of the event. The eminent speakers will be Padma Bhushan Dr Naresh Trehan (Cardiac Surgery); Padma Shri Dr KK Aggarwal (Revisiting 2010); Dr Neelam Mohan (Liver Transplant); Dr N K Bhatia (Transfusion Medicine); Dr Ambrish Mithal (Diabetes); Dr Anoop Gupta (Male Infertility); Dr Kaberi Banerjee (Female Infertility) and many more.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

2nd eMedinewS Doctor of the Year Award

Dear Colleague, The Second eMedinews Doctor of the Year Award function will be held on 9th January, 2011 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2010, send his/her biodata: Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee.

IMSA Workshop on Rheumatoid Arthritis

Date: Sunday 16th January; Venue: Moolchand Medicity; Time: 10–12 Noon

Speakers:

  1. Understanding Biologics: Dr Rohini Handa, Former Head Rheumatology, AIIMS
  2. All what a practitioner should know about rheumatoid arthritis: Dr Harvinder S Luthra, Chief of Rheumatology, Mayo Clinic, Rochester USA

No fee. Register emedinews@gmail.com or sms 9899974439

Share eMedinewS

If you like eMedinewS you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.