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 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 …

31st July 2012, Tuesday

Keeping blood pressure in the safe zone

Keeping your BP below 120/80 is the ideal goal to avoid a host of afflictions, including heart disease, kidney failure and erectile dysfunction.

When lifestyle changes fail to fix the problem, doctors tend to reach for the prescription pad and add medication.

  • Reduce sodium intake. DASH diet keeps sodium to 2,300 milligrams per day (about one teaspoon of salt). Cutting it to 1,500—not easy, but doable—works even better. The DASH diet can lower your systolic pressure (upper number) by 10 points or more.
  • Monitor your pressure at home. This can give you instant feedback on the benefits of diet and exercise and give you and your doctor a more accurate picture of your blood pressure. This is valuable, because some people experience "white coat hypertension," in which blood pressure spikes higher than normal when measured at the doctor’s office.
  • Limit your alcohol intake. For men, the suggested limit is one to two alcoholic drinks per day, defined as 1.5 ounces (1 shot glass) of 80–proof spirits, a 5–ounce serving of wine, or a 12–ounce serving of beer. (For women it’s no more than one drink a day.)
  • Take more meds if you need to—but take the right ones.

(Healthbeat)

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Smoking and obesity do not go together

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, New Delhi

 
Dr K K Aggarwal
 
    National News

Hepatitis more lethal than HIV, malaria & dengue

NEW DELHI: Hepatitis, which causes inflammation of liver, kills more people in India than HIV/AIDS, malaria and dengue combined, WHO representative to India Nata Menabde said on Saturday, which was World Hepatitis Day. She said mass awareness, universal guidelines for immunization and hygienic handling of food and water can reduce the liver disease burden substantially. Menabde was speaking at the inauguration of the 'Health Liver' campaign by Institute of Liver and Biliary Sciences (ILBS), India’s first NABH accredited super specialty institute. Delhi health minister AK Walia and K Srinath Reddy, director of the Public Health Foundation of India (PHFI), among others, were present on the occasion. Menabde said there are five main hepatitis viruses, types A, B, C, D and E, of which B and C are most lethal as they can lead to liver cirrhosis and cancer. She added, "About six lakh people die every year due to the acute or chronic consequences of hepatitis B, nearly 100 times more than HIV/AIDS."

Walia said that both hepatitis B and C spread through contact with the blood of an infected person. It can be through transfusion of infected blood, sharing of contaminated needles or injection material. Hepatitis B can also be transmitted from mother to child. He added that Delhi is among the first few states to have introduced vaccination for hepatitis B in the universal immunization programme. Hepatitis A and E, the commonest forms of viral hepatitis, spread mainly through contaminated food or water. The state health minister said that they are taking all measures to ensure clean drinking water facility to all citizens. The Delhi government is also planning to provide increased financial assistance to poor patients undergoing liver transplant, kidney transplant and other super–specialty procedures — Rs 3 lakh for those undergoing treatment at private hospitals and Rs 5 lakh for those being treated by government hospitals.

According to Dr Shiv Sarin, director, ILBS, hepatitis rarely presents symptoms until very late. "For example, a person infected with hepatitis C virus may carry the virus for as long as 10 years or even 20 years without presenting any obvious symptom. Regular health check-up is advised for people above 40 years of age," he said. (Source: TOI, Jul 29, 2012)

For comments and archives

My Profession My Concern

British physiotherapists get new powers to prescribe drugs

AS per British Government, physiotherapists will be allowed to prescribe drugs without a doctor's authorization. This will happen after they receive appropriate training. Health minister Lord Howe said that advanced practice physiotherapists will be able to independently prescribe medicines, as well as mixing medicines prior to administration.

Apart from prescribing painkillers and anti-inflammatory medicines, they will be allowed to hand out other drugs relevant to their practice, including those for respiratory diseases, neurological disorders and women's health issues.

Podiatrists will also be given similar independent prescribing powers.

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)

Chemo for recurrent small–cell lung cancer is often futile

Salvage chemotherapy may be futile in recurrent small–cell lung cancer (SCLC), depending how the patient responded to the first line of chemo, researchers say. (Source: Medscape)

For Comments and archives…

Epidural analgesia showed no effect on maternal temperature

Temperature increase during induced labor is associated both with longer time from rupture of membranes to delivery (P = .0077) and with higher body mass index (P = .0067), according to a new study by Michael A. Frölich, MD, from the Department of Anesthesiology at the University of Alabama at Birmingham, and colleagues, published in the August issue of Anesthesiology. (Source: Medscape)

For Comments and archives…

Early HIV treatment is benefit ‘Trifecta’

Early treatment of HIV before there is sustained damage to the immune system is a "triple winner," a researcher said at the International AIDS Conference. A landmark trial has already shown that effective early treatment almost completely prevents HIV transmission in heterosexuals, according to Rochelle Walensky, MD, of Harvard Medical School. But a new analysis of the same trial, dubbed HPTN 052, also shows that early treatment reduces the risk of both AIDS–defining and non–AIDS clinical events for the treated partner, Walensky said. (Source: Medpage Today)

For Comments and archives…

Basal cell carcinoma: Prior history biggest risk

The most important risk factor for the development of basal cell carcinoma (BCC) is a prior history of the disease, according to an analysis of data from a study of more than 1100 people at high risk for the disease. In addition, for the first time, a history of eczema has been linked to the disease. Martin Weinstock, MD, professor of dermatology at Brown University and a clinician at the Veterans Affairs Medical Center in Providence, Rhode Island, and colleagues authored the study, which was published online July 19 in the Journal of Investigative Dermatology. (Source: Medscape)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: 20 Minutes Of Sunlight And A Glass Of Milk Can Keep Osteoporosis At Bay

@DeepakChopra: Meditate on one’s own body as the universe & as having the nature of awareness (Vignananbhairava tantra)

 
    Spiritual Update

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

Ganesha, the Stress Management Guru

If Lord Krishna was the first counselor who taught the principles of counseling, Lord Ganesha taught us the principles of stress management.

We should worship Lord Ganesha and become like him whenever we face any difficulty or are stressed out.

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 happens after the egg retrieval?

Two days after the egg retrieval, the fertilized egg divides to become a 2– to 4–cell embryo. By the third day, a normally developing embryo will contain approximately 6 to 10 cells. By the fifth day, a fluid cavity forms in the embryo, and the placenta and fetal tissues begin to separate. An embryo at this stage is called a blastocyst. Embryos may be transferred to the uterus at any time between one and six days after the egg retrieval. If successful development continues in the uterus, the embryo hatches from the surrounding zona pellucida and implants into the lining of the uterus approximately 6 to 10 days after the egg retrieval.

For Comments and archives…

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

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

ABO Blood Group

          Type           Antigen (RBC)           Antibody (Serum)

  • A                     A                             anti–B
  • B                     B                             anti–A
  • O                  none                     anti–A & anti–B
  • AB                A & B                           none

Test Reagents for ABO Typing

Forward

  • Anti–A
  • Anti–B
  • Anti–D

Reverse

  • Reagent red blood cell A1 and B
  • A1; A2; B and O cells

For Comments and archives…

 
    An Inspirational Story

(Ms Ritu Sinha)

The black dot

A small town chamber of commerce invited a speaker to address its annual dinner. The community’s economy was bad, people were discouraged, and they wanted this motivational speaker to give them a boost.

During her presentation, the speaker took a large piece of white paper and made a small black dot in the centre of it with a marking pen. Then she held the paper up before the group and asked them what they saw.

One person quickly replied, "I see a black dot."

"Okay, what else do you see?" Others joined in agreement: "A black dot."

"Don’t you see anything besides the dot?" she asked. A resounding "No" came from the audience.

"What about the sheet of paper?" asked the speaker? "I am sure you have all seen it", she said, "But you have chosen to overlook it."

"In life, we also tend to overlook and take for granted many wonderful things that we have or happen around us and focus our attention and energy on small, dot like failures and disappointments. The so called ‘problems’ that we have are usually like the black dot on the paper. They are small and insignificant if we can widen our horizon and look at the whole picture."

Are you one of the people who focus your attention and energy on dot–like problems?

For comments and archives

 
   Cardiology eMedinewS

FDA panel says OK to new use for Lucentis Read More

Yoga steadies stroke victims Read More

 
   Pediatric eMedinewS

Infantile hemangiomas grow fastest in early weeks after birth Read More

Mom’s nut consumption tied to less allergy in kids Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: An elderly obese diabetic was started on metformin therapy.
Dr. Bad: It cannot be prescribed to elderly.
Dr. Good: Continue it.
Lesson: For elderly patients who do not have contraindication to metformin (severe renal impairment or heart failure), one should initiate therapy with metformin (American Geriatric Society, American Diabetes Association, European Diabetes working Party for Older People Guidelines).

For comments and archives

Make Sure

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

For comments and archives

 
  Legal Question of the Day

(Dr MC Gupta)

Q. What action can be taken against wrong or false advertisements?

Ans.

  • For wrong or false or misleading advertisements in general:
    • Action against newspapers—Complaint under the: Press Council Act 1978 Press Council (Procedure for Inquiry) (Amendment) Regulations, 2006.
    • Action against broadcasts––

      Any person aggrieved by any breach by a Member or an Associate Member of the News Broadcasters Association ("NBA") of the Code of Ethics & Broadcasting Standards ("Code") laid down by the NBA in relation to any programme broadcast by such Member/Associate Member, has a right to file a complaint in that regard before the News Broadcasting Standards Authority ("Authority"). Before a complaint is made to the Authority however, it is compulsory for the person aggrieved to first make a formal complaint to the concerned broadcaster; and if not satisfied with the broadcaster’s response, a complaint may be made before the Authority. http://www.nbanewdelhi.com/pdf/final/NBA_Viewers-and-Complaints_Guide_English.pdf
    • Consumer Protection Act, 1986, which has provisions against false information to consumers.
  • Action in medical matters:
    • Action against the doctor, dentist, physiotherapist, pharmacist etc. concerned under the Act under which he is registered by complaining against him to the professional or paraprofessional council concerned.
    • Criminal action by filing a complaint with the police for violation of concerned provisions of IPC as well as the provisions of the Drugs and Cosmetics Act, 1940, and the concerned Rules; and Drugs and Magic Remedies (Objectionable advertisements) Act, 1954, and the concerned Rules.
  • Through NGOs—Complaint can be made with––
    http://www.grahakseva.com/category/misleading–information

For comments and archives

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  Quote of the Day

(Dr GM Singh)

It is easy to dodge our responsibilities, but we cannot dodge the consequences of dodging our responsibilities. Sir Josiah Stampr

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum iron

  • Iron may be increased in hemolytic, megaloblastic, and aplastic anemias, hemochromatosis, acute leukemia, lead poisoning, pyridoxine deficiency, thalassemia, excessive iron therapy, and after repeated transfusions. Drugs that increase serum iron include chloramphenicol, cisplatin, estrogens (including oral contraceptives), ethanol, iron dextran and methotrexate.
  • Iron can be decreased in iron–deficiency anemia, acute and chronic infections, carcinoma, nephrotic syndrome, hypothyroidism, in protein–calorie malnutrition and after surgery.
 
    Mind Teaser

Read this…………………

timertimer

Yesterday’s Mind Teaser: During the first 24 hours after thyroid surgery, the nurse should include in her care:

A. Checking the back and sides of the operative dressing
B. Supporting the head during mild range of motion exercise
C. Encouraging the client to ventilate her feelings about the surgery
D. Advising the client that she can resume her normal activities immediately

Answer for Yesterday’s Mind Teaser: A. Checking the back and sides of the operative dressing

Correct answers received from: Dr Thakor Hitendrsinh G, Dr KV Sarma, Dr Valluri Ramarao, Dr PC Das, Dr Kanta Jain, Dr Avtar Krishan, Dr Pankaj Agarwal, Dr Sushma Chawla, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Anita M Thakar, Dr Jainendra Upadhyay.

Answer for 29th July Mind Teaser: Short notice
Correct answers received from: YJ Vasavada, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr Prabha Sanghi)

Priceless definitions

Committee

A body that keeps minutes and wastes hours.

 
  Medicolegal Update

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

What is the delusion of grandeur?

It is also termed as delusion of exaltation

  • This is a delusion of pleasant belief or feeling. The sufferer remains in a state of feeling of greatness, power and wealth. He may be extravagant in his thinking and action and may commit some crime in such a state of mind or may ruin his money or property.
  • Erotomania is a type of delusion of grandeur, where the sufferer believes that a person of very high rank or social status loves him/her.
  • The sufferer also believes that the imaginary person communicates his love in some manner or other, by posture or by communication in a secret or symbolic way.
  • When a person suffering from delusion of grandeur, believes that he will be killed by another person for the huge property he possesses and if as remedial step he kills that person then he will have diminished responsibility for the commission of the act because though in this case there are elements of fear and apprehension about his own life and to safeguard his life he has killed the person, yet he is not fully absolved from the act he has committed because in such a case he could have tried lawful protective steps for his life i.e., he could have sought for the help of the police…

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Low BP may be normal

There is nothing like low blood pressure. If it is low keep it low, which is good for the heart said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Low blood pressure, medically termed as hypotension, however can be a medical problem if there has been an acute or chronic fall of blood pressure from a baseline blood pressure value.

Any fall of upper blood pressure of more than 30 mm Hg will be called as an acute low blood pressure and cause symptoms and reduced flow to vital organs.

An acute fall in blood pressure can occur in heart failure, acute heart attack, and reactions to some drugs, acute allergic reaction, dehydration, blood infection or irregular heart rhythms.

Blood pressure may become permanently low in heart valve stenosis, chronic heart failure and some cardiac drugs.

Some individuals routinely may have blood pressures of 90/50 with no symptoms and therefore do not have low blood pressure. However, others who normally have higher blood pressures may develop symptoms of low blood pressure if their blood pressure drops to 80/60 or a fall of 30 in the above reading.

The arbitrary criteria for low blood pressure are: upper BP lower than 90 or lower BP lower than 60 or an acute fall of more than 30 mm Hg in upper blood pressure.

If there is an acute fall in blood pressure, there is the risk of kidney shutdown. If the patient does not pass urine in the next 8 hours, the patient can end up with acute kidney failure.

 
    Readers Response
  1. Dear Sir, thanks for providing the useful information. Regards:Dr Trishna
 
    Forthcoming Events
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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  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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