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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 & 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 & 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 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

31st August 2012, Friday

CDC: New Recommendations for Treating Gonorrhea

  • The treatment recommendations for gonorrhea have changed substantially during the past 5 years.
  • Because of a high rate of antimicrobial resistance, fluoroquinolones are no longer recommended to treat gonorrhea.
  • To treat a potential coinfection with chlamydia, the treatment regimen for gonorrhea should include either a single dose of azithromycin or 1 week of doxycycline, even if testing for Chlamydia trachomatis is negative at the time of treatment.
  • The mainstays of treatment for gonorrhea have been intramuscular ceftriaxone or oral cefixime.
  • However, there is concern regarding the susceptibility of Neisseria gonorrhoeae to cefixime.
  • The CDC now recommends that gonorrhea be treated with ceftriaxone 250 mg intramuscularly in a single dose, not with cefixime. Ceftriaxone should be combined with azithromycin 1 g once only or doxycycline 100 mg twice daily for 7 days.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Vovel chanting producing aspirin in my body

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

Workshop for Teachers on Proper Hygiene in schools

Heart Care Foundation of India and DAV School, Kailash Hills organized a workshop on health and hygiene for teachers

 
Dr K K Aggarwal
 
    National News

4th Dil Ka Darbar – September 23, 2012, 9:00 AM - 6:00 PM , Tal Katora Indoor Stadium, Connaught Place, New Delhi

Prof. Kiran Walia, Minister of Social Welfare, Women & Child Development and Languages Government of NCT Delhi, said that NGOs and private sector as part of their Corporate Social Responsibility (CSR) activities should concentrate on non-communicable diseases. She also said that in the forthcoming unique Dil Ka Darbar being organised by Heart Care Foundation of India, people can avail facilities like free checkup, telecardiology consultations and non-stop interactions with top cardiologists of the city. Darbar will have not only free cardiology checkup facilities but will also have sessions on ‘How to reduce the cases of cardiac interventions’. A special session on Cardiac First Aid will be organized by the Heart Care Foundation of India in the Darbar in association with MCD South. A special session will be organized on ‘Sex after 65’ and ‘Sex for patients with heart diseases’.

Bill on AIIMS-like institutes introduced in Lok Sabha

New Delhi: A Bill to help the Centre set up AIIMS-like institutes across India by a notification was introduced in the Lok Sabha today. The All-India Institute of Medical Sciences (Amendment) Bill, 2012, will also replace a recent Ordinance which allowed the six AIIMS—like institutes to become operational from September 2012. The Bill will confer powers upon the Centre to establish AIIMS—like institutions by notification in the official gazette. In an effort to correct the imbalance in availability of affordable healthcare, six AIIMS-like medical institutes were announced in Patna, Bhopal, Raipur, Bhubaneshwar, Jodhpur and Rishikesh. “The six States in which the institutes were established had requested the central government to make them operational urgently and to commence the academic session in September, 2012,” the Statement of Objects and Reasons said adding that it made the Centre bring out the Ordinance. The proposed measure will also help the Centre change the status of the six new AIIMS registered under the Societies Registration Act to be an autonomous body corporate on the lines of the existing AIIMS in Delhi. According to the Financial Memorandum, an estimated cost of Rs 4,920 crore — Rs 820 crore per AIIMS — has been approved. (Source: The Hindu Business Line, Aug 27, 2012)

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

What are the risk factors for calcific aortic stenosis in the elderly?

Risk factors associated with calcific aortic stenosis in elderly adults are similar to those for atherosclerosis.

(Experts: Dr Bhabha Nanda Das and Dr Ganesh K Mani, Dr. Yugal Mishra, Dr Deepak Khurana, Dr K S Dagar and Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Anti-epileptic seen to quiet chronic cough

The seizure and pain drug gabapentin may ease a persistent cough unresponsive to other treatments, researchers found. (Source: Medpage Today)

For comments and archives

suPAR levels may be a prognostic indicator in septic patients

An elevation in soluble urokinase-type plasminogen activator receptor (suPAR) levels may predict case fatality and is associated with severe sepsis among patients admitted to the emergency department for suspected infection, according to a new study by R. Uusitalo-Seppälä, MD, from the Department of Infectious Diseases, Satakunta Central Hospital, Pori, Finland. The researchers also found that procalcitonin (PCT), followed by suPAR, was the superior biomarker for prediction of severe septicemia. These findings were published online July 29 and in the September print issue of the Journal of Internal Medicine. (Source: Medscape)

For comments and archives

Mutation linked to rare lymphoma

Newly identified genetic mutations in patients with Waldenstrom's macroglobulinemia may lead to advances in the diagnosis and treatment of this lymphoplasmacytic lymphoma, researchers reported. (Source: Medpage Today)

For comments and archives

Smoking cessation lowers risk of brain bleed

Smokers have nearly triple the likelihood of having a subarachnoid hemorrhage, but the risk for many individuals falls significantly 5 years after kicking the habit, a case-control study demonstrated. (Source: Medpage Today)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: Controlling All Three Cardiac Risk Factors
Difficulthttp://blog.kkaggarwal.com/2012/08/controlling-all-three-cardiac-risk-factors-difficult/

@DeepakChopra: Always think infinite possibilities.

 
    Spiritual Update

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

Heat and Cold Therapy

  1. Cold application with ice packs, malleable chemical gel packs, and vapocoolant sprays may reduce muscle spasm, inflammation, and edema (1-3).
  2. It causes initial vasoconstriction, followed by vasodilation.

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 are the consequences of infertility?

Infertility treatments can be stressful, intrusive, and emotionally demanding. As part of your infertility treatments, you and your partner may need to have sex at certain times, even if you do not feel like it. Some of the medications that you need to take as part of your treatment may make it harder to have sex. Because of the stress caused by the need for a male to "ejaculate on demand," some men may have erectile dysfunction. Both partners may have less sexual desire.

For comments and archives

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

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

Issue of Blood/Blood Components from Blood Bank

  • After completion of all required tests including crossmatching, technician of blood bank will issue the blood component after visual inspection.
  • Blood/component unit will be released along with Compatibility (crossmatching) Certificate.
  • Communication between clinical side and blood bank is very important in issuing blood/blood components in urgent and life-saving emergencies.
    • The blood component should be transfused immediately after receiving at patient site. In any condition it should not be stored in domestic/unmonitored refrigerator.
    • If blood/blood component is not required at the time of sending demand, a “DEMAND NOTE” (having details of patient and blood/blood component required) should be sent at the time of collecting blood/blood component from the blood bank. While issuing details of patient and donor should be crosschecked with this issue slip.

For comments and archives

 
    Fitness Update (Rajat Bhatnagar, MonaVie,www.mymonavie.com/sonraj)

Physical activity and risk of death in people with diabetes

Physical activity is typically a primary component of diabetes treatment; however, little conclusive evidence regarding the benefits of exercise in preventing complications of diabetes is currently available. This month, the Archives of Internal Medicine published a new study analyzing data from the EPIC (European Prospective Investigation Into Cancer and Nutrition) study as well as several other existing studies, looking at the relationship between physical activity and risk for complications and death in people with type 2 diabetes.

The results indicated that, compared to inactive people, those who are moderately active had the lowest risk for heart disease or death. In addition, higher levels of leisure time physical activity was associated with a lower risk of death and walking reduced the overall risk for heart disease. Essentially, people with diabetes who exercise, even if it is only moderate-intensity exercise (like walking), were at a much lower risk for developing heart disease or dying. Health clubs provide a safe place for people to get active, with trained professionals, resources, and a supportive environment.

For comments and archives

 
   An Inspirational Story (Ms Rita Sinha)

Unique human flaws

An elderly Asian woman had two large pots, each hung on the end of a pole, which she carried across her neck.

One of the pots had a crack in it while the other pot was perfect and always delivered a full portion of water. At the end of the long walk from the stream to the house, the cracked pot arrived only half full.

For two years, this went on daily with the woman bringing home only one and a half pots of water. The perfect pot was proud of its accomplishments. The poor cracked pot was ashamed of its own imperfection and miserable that it could only do half of what it had been made to do.

After 2 years of what it perceived to be bitter failure, it spoke to the woman: “I am ashamed of myself because this crack in my side causes water to leak out all the way to your house.

The old woman smiled, “Did you notice that there are flowers on your side of the path, but not on the other pot’s side?”

“That’s because I have always known about your flaw so I planted flower seeds on your side of the path, and every day while we walk back, you water them. For two years I have been able to pick these beautiful flowers to decorate the table. Without you being just the way you are, there would not be this beauty to grace the house.”

Moral: Like the pots, we all have our own unique flaws. But it’s the cracks and flaws we each have that make our lives together so very interesting and rewarding.

For comments and archives

 
   Cardiology eMedinewS

ESC: Prasugrel can't top clopidogrel in ACS Read More

2 beta-blockers similar for CV event risk Read More

 
   Pediatric eMedinewS

Deficits seen after single childhood anesthesia exposure Read More

Fentanyl shows some benefits during painful pediatric procedures
Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with hypertension had non–responding cough.
Dr. Bad: Take an X–ray.
Dr. Good: Stop ACE inhibitors.
Lesson: The commonest cause of cough in a patient with high blood pressure is the intake of ACE inhibitors.

For comments and archives

Make Sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

For many people, an excuse is better than an achievement because an achievement, no matter how great, leaves you having to prove yourself again in the future but an excuse can last for life. Eric Hoffer

 
    Legal Question of the Day (Dr M C Gupta)

How can a DCP avoid litigation on the ground that he is doing histopathology?

Q. I am a DCP doing histopathology. I am concerned that someone may sue me for practicing histopathology while my qualification is in clinical pathology. The fact is that many DCPs are doing what I am doing and nobody has objected so far. The curriculum of DCP includes extensive training in histopathology. There is not much difference between the course content of DCP and MD. What are your comments?

Ans.

  1. If nobody has objected so far, there is no guarantee that there will be no objection in future. Simple common sense would dictate that there is a clear difference between a DCP and MD in pathology. An MD in pathology is a certified degree holder expert in the field of pathology as a whole. A DCP is a certified diploma holder expert in only one field—Clinical pathology.
  2. If what you are saying is true, the logical step would be for the Indian Association of Pathologists to send a representation to the MCI to change the name of the course from DCP to DGP (Diploma in General Pathology).
  3. Before doing that, the Association should issue a general statement that DCP holders are competent to do histopathology. The importance of such a statement is that it will show unanimity in the profession. Otherwise, if there is a difference of opinion among the pathologists themselves, I will be able to get the opinions of 3 professors of pathology against a DCP doing histopathology. This will immensely help the case of my client suing a DCP.
  4. DCPs registered with different state medical councils (SMC) should ask the SMC whether they are permitted to do histopathology. If any one of them replies in the affirmative, that should be sufficient for the purpose. If they decline, appeal/clarification would lie with the MCI. Alternatively, the MCI may be approached directly. Such a query can also be made directly to the MCI by the Indian Association of Pathologists or the Association of DCP pathologists.
  5. Another way would be for a DCP in a state where CEA, 2010, is in force, to get his clinical establishment registered as a histopathology centre. Once it is so registered, its position is secure.

For comments and archives

 
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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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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Serum sodium

Indications

  • To check whether sodium concentration is within normal range
  • To evaluate electrolyte balance and kidney function

Hypernatremia (high sodium levels in blood): Commonly this is due to loss of sodium associated with excessive sweating, diarrhea, diuretics, kidney disease, or Addison’s disease.

Hyponatremia (low sodium levels in blood): This can be due to excessive water intake or fluid retention and typically due to edema.

 
    Mind Teaser

Read this…………………

If a client has severe bums on the upper torso, which item would be a primary concern?

A. Debriding and covering the wounds
B. Administering antibiotics
C. Frequently observing for hoarseness, stridor, and dyspnea
D. Establishing a patent IV line for fluid replacement

Yesterday’s Mind Teaser: Nursing care planning is based on the knowledge that the first 24-48 hours post-burn are characterized by:

A. An increase in the total volume of intracranial plasma
B. Excessive renal perfusion with diuresis
C. Fluid shift from interstitial space
D. Fluid shift from intravascular space to the interstitial space

Answer for yesterday’s Mind Teaser: D. Fluid shift from intravascular space to the interstitial space

Correct answers received from: Dr Sushma Chawla, Dr KV Sarma, Dr (Maj. Gen.) Anil Bairaria, Dr PC Das, Dr Thakor Hitendrsinh G, Dr K Raju, Dr Pankaj Agarwal, Dr kanta Jain, Dr Jainendra Upadhyay.

Answer for 29th August Mind Teaser: C. 31%
Correct answers received from: Dr LC Ddhoka, Dr Avtar Krishan, Dr Thakur Om Prakash Singh,
Dr Ajay Gandhi, Dr Satya Bhooshan Sood, Dr Shashi Saini, Dr Shashisaini.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Patient will live

On a busy Medical/Surgical floor the doctor stops the nurse to brief her on a patient's condition. "This patient is a fellow physician and my favorite golf partner. His injury is serious and I fear he will not be able to play golf again unless you follow my orders exactly." The doctor then began listing orders:

"You must give an injection in a different location every 20 minutes followed by a second injection exactly five minutes after the first. He must take two pills at exactly every hour followed by one pill every 15 minutes for eight hours. He must drink no more and no less than 10 ounces of water every 25 minutes and must void between.

"Soak his arm in warm water for 15 minutes then place ice for 10 minutes and repeat over and over for the rest of the day. Give range of motion every 30 minutes. He requires a back rub and foot rub every hour. Feed him something tasty every hour. Be cheerful and do whatever he asks at all times.

"Chart his condition and vital signs every 20 minutes. You must do these things exactly as I ordered or his injury will not heal properly, and he will not able to play golf well."

The nurse left the doctor and entered the patient's room. She was greeted by anxious family and an equally anxious patient. All asked the nurse what the doctor had said about the patient. The nurse started, "The doctor said that you will live." Then quickly reviewing the orders, the nurse added, "But you will have to learn a new sport."

 
    Medicolegal Update

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

How is a sample for Touch DNA collected?

Touch DNA is usually not visible and since it is often deposited in smaller amounts than the DNA found in bloodstains or other body fluids, it is more difficult to obtain DNA profiles from these samples. The key to obtaining successful Touch DNA results depends on awareness of items, which may be suitable for Touch DNA analysis and using the sampling technique or collection method that will recover the highest number of skin cells.

  • Swabbing: Surface of the item is rubbed with a cotton swab to collect possible cells. This method is preferred for hard items such as glass or plastic.
  • Cutting: May be used for soft items, such as clothing, in which fabric from areas of interest is cut to collect possible cells.
  • In addition to the commonly used swabbing and cutting methods, latest technologies have recently started using the "Scraping" and "Tape Lift" methods, in which the surface of soft items such as clothing are either scraped with a blade, or sampled with a small piece of tape, to collect possible cells.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Lal Thanhawla: lack of exercise and unhealthy food intake the cause of heart disease

In a message to Heart Care Foundation of India, Mr. Lal Thanhawla, Chief Minister of Mizoram said that millions of Indians suffer from heart diseases and related ailments due to lack of exercise and unhealthy food intake. Time has come for the medical fraternity to educate general masses for healthy living.

He also said that the forthcoming Dil Ka Darbar being organised on Sunday, 23rd September, 2012 at Talkatora Stadium, New Delhi by the Heart Care Foundation of India to commemorate its 25 years of existence will help a large number of heart patients. The example set up by the Dil Ka Darbar will inspire other NGOs to come forward and organize similar events across the country.

Giving the details about the Dil Ka Darbar, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that for the first time Dil Ka Darbar will focus on joint opinion for a single patient.

 
    Readers Response
  1. Dear Sir, emedinews provides useful information. Regards: Dr Trishna
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal
Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

TOGETHER WE CAN

RELAX *RECREATE* REJUVENATE

Weekend Retreat for Doctors on
Mind – Body – Medicine

8 (Sat) – 9 (Sun) September 2012 At Brahma Kumaris Om Shanti Retreat Centre NH–8, Bhorakalan, Pataudi Road, Bilaspur Chowk, Distt.-Gurgaon

There is NO REGISTRATION FEE but REGISTRATION is MUST
Visit us at: www.togetherwecan.in
Contact: BK Sister Sapna – M – 9650692204
E–mail: bksapna108@gmail.com

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

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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