emedinews
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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 & 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 …

31st December 2012, Monday

Top Health News of 2012: From zombie attacks to soda-no-more

(By Hope Gillette Voxxi)

  1. New York City’s mayor placed a ban on large sizes of soda and other sugary beverages in an effort to help combat the nation’s growing issue with obesity.
  2. The first ever over-the-counter home HIV test offered a way for early detection and thus earlier treatment, and was an important step in the war against the spread of AIDS.
  3. Obesity was definitely a big fat health news in 2012 and one sure to roll over for the next few years.
  4. Marijuana legalized in some US states
  5. Meningitis outbreak: Contaminated steroid injections led to a number of deaths in the country and sickened thousands with fungal meningitis. In addition to the steroids, a number of other products, including ointments and creams, were recalled.
  6. Energy drinks were linked to deaths
  7. People all around the United States, as well as those in other countries, were made aware of the prevalence of genetically modified organisms in their food supply when a study on Monsanto corn products revealed negative health effects on laboratory rats. The ensuing actions led to the products being banned in certain parts of Europe and created a demand in the U.S. for better food labeling protocols.
  8. Cranberry and UTI: The article touched on both the positives and the negatives of using cranberry juice, and warned of the possibility of interstitial cystitis, which mimics UTI symptoms.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

How is chronic idiopathic constipation defined?

Chronic idiopathic constipation, also known as functional constipation is generally defined as the persistent difficult or seemingly incomplete defecation and/or infrequent bowel movements (once every 3–4 days or less) in the absence of alarm symptoms or secondary causes. The prevalence varies widely and ranges from 4 to 20% of patients.

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Vowel chanting produces aspirin in my body

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Students’ form various schools took active part in the MTNL perfect Health Mela and give educative messages via skits and play

 
Dr K K Aggarwal
    My Profession My Concern

The denial of justice: Some fundamental reforms we need to carry out

A festering sense of injustice invites anarchy. Most importantly, it diminishes fear to vanishing point, and while a 'fearless' society is the acme of true democracy, a society without fear (of authority) is a sure recipe for anarchy. The Indian state - in each of its judicial, executive and legislative organs - has to implement drastic structural changes and realise that the time for cosmetic surgery is long over.

In the Indian criminal justice system, major crimes are likely to remain unreported; if reported, frequently not registered; if registered, the true perpetrator not found; if found, not prosecuted; if prosecuted, not charged; if charged, usually not convicted; if convicted, frequently not adequately punished. At each crucial stage, the system has enough loopholes and inefficiencies to allow the guilty to walk away with impunity.

Where will these judicial additions - fast-track courts for rape cases, special courts for intellectual property right and patent cases, special judges for arbitrations and commercial disputes - come from when at all times since Independence, a minimum of 25% - often 33% - of the country's aggregated judicial strength at high court level has been vacant! That too when that total sanctioned number for a 1.25 billion population is a mere 850?

The lower judiciary - those who decide rape cases and all other serious crimes - fares no better. At least 25% of such posts are always vacant - and the total sanctioned strength for the whole country is only 15,000!

Our psyche is used to delay; it is endemic and entrenched and we all take it for granted. A parliamentary report of 2002 accounted five lakh cases in all high courts as being over 10 years old. Also cited were a Madhya Pradesh high court case of 1950, a 1951 case in Patna, a 1955 case in Kolkata and a 1956 case in Rajasthan. One hopes someone has simply screened and disposed of these cases for the sake of optics and statistics, if nothing else. Unfortunately, it is likely these hopes are misplaced. Would it otherwise be possible for actor Salman Khan's payment of Rs 19 lakh in a drunk driving case - mandated by a court order in 2002 - yet to be disbursed to the dead victims' families?

The solutions (and this is not rape specific) are simple and need no high-powered committees or seminars. Firstly, it needs a prioritisation and a listing of 10 or 15 things which the system, without change, without mid-course correction or interruption, will implement for a minimum of five years. That consistency is vital for results. Secondly, the judiciary must lay down a procedural protocol which initiates the appointment procedure and navigates it through different collegia well in time to result in the official notification of a successor's name at least 30 days before the retirement date of the incumbent.

This protocol must specify specific time limits for each stage of the file movement and must designate a dedicated official to monitor it for the hundreds of such file movements involved. I am inclined to suggest that unless the successor is ready to take over from the incumbent, the latter must be deemed to continue. Thirdly, a similar protocol must be put in place for appointments to the lower judiciary with the involvement of the state government and the relevant high court.

Fourthly, the current judge per million population ratio of approximately 15 must immediately jump to at least 25 (the US has 50 and a 2002 Indian Supreme Court judgment exhorts us to progressively reach that figure; from 1987 to now we have crawled from 10.5 to 14-15!). This needs, fifthly, a quantum leap in planned expenditure for the judiciary. It is amazing that prior to 1993, the judiciary was not even put under planned expenditure. The judiciary has crawled to 0.01% of GNP in the 11th Plan (2007-12), marginally above where it was in the 9th Plan. This is one area crying out for attention, even if increased Plan allocation creates a ''planned deficit''.

Sixthly, the highly underused 'brahmastra' of costs must be used proactively to combat the scourge of adjournments. Not only that, for civil cases, costs must follow the event, i.e. the loser must pay the full actual costs of the winner. This has proved a huge deterrent globally to frivolous and irresponsible litigation.

Finally, all the laws of the country must be standardised to have a maximum of one primary trial and one full appeal on facts and law. Second appeals and revisions, called by whatever name, must be eliminated. Special leave petitions to the apex court will remain anyway, unless eliminated by a constitutional amendment.

I can guarantee that these seven measures alone - along with a host of reforms already under implementation - will make the three or 3.5 crore arrears in cases in India collapse like a house of cards within less than five years of their implementation. Do we have the will, the political consensus and the dynamism to implement them?

Abhishek Singhvi, Times of India, Dec 28, 2012, 12.00AM IST

The writer is MP and former chairman, parliamentary committee, law and justice. Views are personal.

    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Army to start intestine transplant facility soon

In a first for the country, the armed forces are set to have an intestinal transplant facility at a top hospital in the capital as early as next month, a need that was highlighted after the 23-year-old Delhi gangrape victim had to be shifted to Singapore for treatment. A top official of the Armed Forces Medical Services said Friday the complex transplant could soon take place at the Research and Referral hospital in New Delhi and clearances are being sought to start it. “We are already in the process of starting the intestinal transplant facility. No such facility exists in the country at this time,” Director General AFMS, Air Marshal D P Joshi, said. Joshi said that a team from the Health ministry would visit the hospital soon before giving permission to start the facility. “We have already applied to the government to start it in January. The team may come to inspect the R&R and we have adequately trained people who will do the needful,” he said. While armed forces doctors refused to comment on the rape victim’s medical condition, they were all praise for Safdurjung hospital for its handling of the complex case. A top doctor said the severe shortage of doctors was the reason for the absence of such a transplant facility in India. “The main reason why we have not had it so far is the total shortage of doctors... The number of patients who require this treatment is also very small,” said Director General Medical Services (Navy), Surgeon Vice-Admiral A C Anand, a trained intestinal transplant specialist. (Source: Indian Express, Dec 29 2012)

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 is very severe aortic stenosis?

Very severe AS is defined as an aortic valve area of =0.75 cm2 (critical AS) accompanied by a peak aortic jet velocity = 4.5 m/sec or a mean transaortic pressure gradient =50 mmHg.

(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)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Fluoroquinolones first for bacterial keratitis

Fluoroquinolones are a good first empiric treatment for patients with bacterial keratitis, according to a recent systematic review and meta-analysis. Marie-Sophie Hanet, MD, from the Department of Ophthalmology at the University of Louvain, Brussels, and the Scientific Support Unit, CHU Mont-Godinne, Yvoir, Belgium, and colleagues published their findings in the December issue of the Canadian Journal of Ophthalmology. (Source: Medscape)

New focused update for device use in rhythm disorders

The American College of Cardiology Foundation (ACCF), American Heart Association (AHA), and Heart Rhythm Society (HRS) have updated the clinical guidelines for device-based therapy for cardiac rhythm abnormalities and proposed several changes for the use of cardiac resynchronization therapy (CRT). (Source: Medscape)

Steroids, older age worsen lupus damage

Despite significant improvements in treatment during recent decades, patients with systemic lupus erythematosus remain at risk for disease damage, particularly if they are older and use high-dose corticosteroids, a longitudinal study found. (Source: Medpage Today)

MRI may offer noninvasive option for Alzheimer's diagnosis

Magnetic resonance imaging (MRI) may provide a reasonably accurate noninvasive surrogate for cerebrospinal fluid (CSF) biomarkers to discriminate Alzheimer's disease (AD) from frontotemporal lobar degeneration (FTLD), new research suggests. (Source: Medscape)

Elevated CRP linked to depression, psychological distress

Elevated levels of C-reactive protein (CRP), a biomarker commonly used to assess inflammation, may be associated with an increased risk for depression, new research suggests. (Source: Medscape)

 
  Twitter of the Day

@DrKKAggarwal: Heart failure and snoring not a welcome combination http://bit.ly/TkUPbF #Health

@DrKKAggarwal: My daily recipe for a restful alert mind & joyful energetic body is: Good sleep, daily exercise & daily meditation.

 
    Spiritual Update

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

The spiritual meaning of the word ‘Artha’

Dharma Artha Kama and Moksha are the four fundamental principles of our very existence which means earning righteously with a desire to fulfill the inner happiness.

Righteous earning is called ‘Artha’ and mistakenly it is linked to materialistic money. In mythology Artha is synonymous with Lakshmi, Saraswati and Kali where Lakshmi represents righteously earned materialistic wealth, Saraswati represents wealth of knowledge and Kali represents wealth

For comments and archives

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

What about miscarriage in the IVF procedure?

According to western figures, the rate of miscarriage may be as low as 15% for women in their 20s to more than 50% for women in their 40s. There is a 2–4% risk of an ectopic, or tubal, pregnancy if an embryo moves from the uterus into the fallopian tube. If an ectopic pregnancy occurs, you will need medication to end the pregnancy or surgery to remove it. If you are pregnant and experience a sharp, stabbing pain, vaginal spotting or bleeding, dizziness or fainting, low back pain or low blood pressure (from blood loss), call your doctor immediately. These are all signs of a possible ectopic pregnancy.

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

(Dr Sanjay Chaudhury, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

How is the tissue harvested from a donor?

Tissue is retrieved either through enucleation (whole eye ball removal) or corneal excision. Presently many eye banks in the country retrieve cornea by in situ corneal excision. This procedure involves removing just the cornea from the whole eye of the deceased/donor. During corneal excision, the cornea along with the white part of the eye known as the sclera is excised out. A 2–3mm scleral rim is excised 360 degrees. The procedure takes 20 to 30 minutes. The excised cornea is introduced into a preservative medium, the Mc Carey Kaufman medium (MK medium), which is prepared by the Rotary Club of Hyderabad, Cornea Preservation Center and distributed to all eye banks in the country and South East Asian countries. The MK medium allows preservation of the cornea for a period of 4 days.

For comments and archives

 
    An Inspirational Story

Alexander The Great's Last 3 Wishes

Alexander, after conquering many kingdoms, was returning home. On the way, he fell ill and it took him to his death bed. With death staring him in his face, Alexander realized how his conquests, his great army, his sharp sword and all his wealth were of no consequence.

He now longed to reach home to see his mother's face and bid her his last adieu. But, he had to accept the fact that his sinking health would not permit him to reach his distant homeland. So, the mighty conqueror lay prostrate and pale, helplessly waiting to breathe his last. He called his generals and said, "I will depart from this world soon, I have three wishes, please carry them out without fail."

With tears flowing down their cheeks, the generals agreed to abide by their king's last wishes.

1) "My first desire is that", said Alexander, "My physicians alone must carry my coffin."

2) After a pause, he continued, "Secondly, I desire that when my coffin is being carried to the grave, the path leading to the graveyard be strewn with gold, silver and precious stones which I have collected in my treasury".

3) The king felt exhausted after saying this. He took a minute's rest and continued. "My third and last wish is that both my hands be kept dangling out of my coffin".

The people who had gathered there wondered at the king's strange wishes. But no one dared bring the question to their lips. Alexander's favorite general kissed his hand and pressed them to his heart.

"O king, we assure you that all your wishes will be fulfilled. But tell us why do you make such strange wishes?"

At this Alexander took a deep breath and said:

"I would like the world to know of the three lessons I have just learnt.

Lessons to be learnt from last 3 wishes of King Alexander...

  • I want my physicians to carry my coffin because people should realize that no doctor on this earth can really cure any body. They are powerless and cannot save a person from the clutches of death. So let not people take life for granted.
  • The second wish of strewing gold, silver and other riches on the path to the graveyard is to tell people that not even a fraction of gold will come with me. I spent all my life greed of power, earning riches but cannot take anything with me. Let people realize that it is a sheer waste of time to chase wealth.
  • And about my third wish of having my hands dangling out of the coffin, I wish people to know that I came empty handed into this world and empty handed I go out of this world".

With these words, the king closed his eyes.

Soon he let death conquer him and breathed his last. . . .

Lessons to learn: Remember, your Health is in your own hands, look after it. Wealth is only meaningful if you can share and also enjoy while you are still alive, kicking & healthy. What you do for yourself dies with you. But what you do for others will live for ever. Leave the “Legacy” behind.

For comments and archives

 
  Cardiology eMedinewS

Novel Drug May Protect Organs In Acute HF Read More

'Favorable' Five-Year Outcomes with Early TAVI devices Read More

 
  Pediatric eMedinewS

Peg-interferon plus ribavirin safe and effective in children Read More

Obesity declining in low-income preschool-aged kids? Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 30–year–old male with suspected migraine came with runny nose.
Dr. Bad: It cannot be migraine.
Dr. Good: It can be migraine.
Lesson: Migraine can also cause nasal stuffiness and runny nose, or teary eyes in 10–20% of individuals.

Make Sure

Situation: A patient with rheumatoid arthritis developed deformity.
Reaction: Oh my God! why was treatment not started early?
Lesson: Make sure all patients with rheumatoid arthritis are started with specific treatments within 3 months of diagnosis.

 
  Quote of the Day (Dr GM Singh)

When GOD solves your problems, you have faith in HIS abilities; when GOD doesn’t solve your problems HE has faith in your abilities.

 
    Legal Question of the Day (Dr MC Gupta)

Q. What are the pros and cons of death penalty? Which method of execution is best?

Ans.

  • The simple answer is that courts award death sentence because they are obliged to do so by law. Courts have to follow law.
  • As per criminology, there are supposed to be three main reasons for awarding death sentence:
    • Mainly, the death sentence is awarded as retribution for a heinous crime, usually involving killing somebody. This concept is clearly reflected in the “eye for an eye” concept of the medieval days. Gandhi had this to say about it-- “If we follow the axiom an eye for an eye, we would all be blind”.
    • Another reason is that the person is considered to be so dangerous to society that the society will not be safe if he is allowed to live.
    • A third reason is that death sentence given to criminals will act as a deterrent for others in the society.
  • Arguments against death penalty are as follows:
    • Moral argument—There is a reasoned view that when man cannot give life, he has no right to take away life. Man should not interfere in God’s domain.
    • There are often no clear cut guidelines regarding whom to award death sentence. As per Indian law, it has to be given in the rarest of rare cases. In practice, it is not defined what is “rarest of the rare”. Courts act rather arbitrarily in arriving at such decision.
    • Court verdicts are not fool-proof. Innocents may be given death penalty by the courts. Death sentence given by a lower court may be dispended with by a higher court. However, innocence may be discovered after a long time. If the person has already been hanged, he can’t be brought back to life even if proved innocent. There are several examples of this happening. A well- known example is that of Dr Hawley Crippen who was hanged in 1910, after an Old Bailey jury took just 27 minutes to find him guilty of murdering his wife, Cora, who had vanished earlier that year. A hundred years later, DNA studies revealed that the corpse found in his cellar could not have been that of Cora. Dr. Crippen maintained till the end that he was innocent. http://www.guardian.co.uk/uk/2007/oct/17/ukcrime.science
    • The legal defence available to the accused/defendant, especially when he is from a low socio-economic background, is often of poor quality and hence acts against him. It has been said that the competence of the defence attorney "is a better predictor of whether or not someone will be sentenced to death than the facts of the crime themselves". It is well proven by data that the proportion of adult US population in jails, including those condemned to death, is much higher in case of blacks and Hispanics.
    • The individual who is executed may not be himself responsible for his deed. The real culprits are the society and the social circumstances that made a criminal out of him. There might even be genetic factors at work.
    • With increased use of laboratory investigative techniques, punishment is often awarded on the basis of laboratory reports. Such reports may be faulty. Examples are as follows:
      • In West Virginia, a serologist falsified test results in hundreds of cases over a 10-year period, sentencing hundreds of defendants to lengthy prison terms.
      • In Texas, a pathologist faked autopsy results, resulting in as many as 20 death penalty verdicts.
      • A police chemist elsewhere falsified reports and sent hundreds of innocent people away to jail on rape charges.
      • According to one report, 123 people were released from death row between 1973 and 2005 in 25 states of USA when new evidence of their innocence emerged.

        The above aspect has been discussed in— http://www.apsu.edu/oconnort/3210/3210lect01a.htm
        It may be mentioned that the maximum misuse of scientific evidence is pro-prosecution.
    • Laws differ from country to country. They are unreasonably stringent in some countries. The result is that the same person would be given death punishment in one country and not in another even when death penalty is permissible in both.

      Amnesty International has given the example of Singapore whose "Misuse of Drugs Act" contains a series of presumptions which shift the burden of proof from the prosecution to the accused. This is in conflict with the general legal principle that accused should be "presumed innocent until proven guilty".
    • Some countries still retain death penalty. Death penalty is allowed in some states of USA and not in others. A study of crime rates in relation to death penalty does not reveal an association. Crime rates have not increased after abolition of death penalty. Crime rates continue to increase in countries where death penalty is given.
    • Death penalty does not act as deterrent for serious crime as per the following evidence:
      • John J. Donohue III, a law professor at Yale with a doctorate in economics, and Justin Wolfers, an economist at the University of Pennsylvania, published an article in 2005 in the Stanford Law Review regarding the deterrent effect of death penalty. They observed that death penalty is applied so rarely that the number of homicides it can plausibly have caused or deterred cannot reliably be disentangled from the large year-to-year changes in the homicide rates caused by other factors. They concluded that the evidence for death penalty having a deterrent effect was surprisingly fragile.
      • As per the opinion of psychologists regarding whether murderers think about the consequences of their actions before they commit a crime, the general opinion is that most homicides are spur-of-the-moment, spontaneous, emotionally impulsive acts and, in this type of setting, murderers do not weigh their options very carefully. It is very doubtful that killers give much thought to punishment before they kill. On the other hand, the terrorists who kill are already prepared mentally to die ("martyr to the cause") in the course of committing their heinous deeds. In such a situation, death penalty is unlikely to have any deterrent effect on them.
      • The rate of homicide rate per 100,000 population in Canada was 3.09 in 1975. Capital punishment was abolished in 1976 and the homicide rate dropped to 1.8 by 2000. The reasons for the fall were attributed to better policing and social factors.

      For comments and archives

 
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    Mind Teaser

Read this…………………

A female client is admitted with a diagnosis of acute renal failure. She is awake, alert, oriented, and complaining of severe back pain, nausea and vomiting and abdominal cramps. Her vital signs are blood pressure 100/70 mm Hg, pulse 110, respirations 30, and oral temperature 100.4°F (38°C). Her electrolytes are sodium 120 mEq/L, potassium 5.2 mEq/L; her urinary output for the first 8 hours is 50 ml. The client is displaying signs of which electrolyte imbalance?

A. Hyponatremia
B. Hyperkalemia
C. Hyperphosphatemia
D. Hypercalcemia

Yesterday’s Mind Teaser: After Billroth II Surgery, the client developed dumping syndrome. Which of the following should the nurse exclude in the plan of care?

A. Sit upright for at least 30 minutes after meals
B. Take only sips of H2O between bites of solid food
C. Eat small meals every 2-3 hours
D. Reduce the amount of simple carbohydrate in the diet

Answer for Yesterday’s  Mind Teaser: A. Sit upright for at least 30 minutes after meals

Correct answers received from:  Dr (BRIG) C H Gidvani, Dr Suresh Arora,  Dr Prabha, Dr Kanta Jain, Dr (Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal,  Dr Arpan Gandhi, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai,  Dr Avtar Krishan, Dr BK Agarwal, Dr Chandresh Jardosh

Answer for 29th December Mind Teaser: B. Assess gag reflex prior to administration of fluids

Correct answers received from:  Dr Kanta Jain, Dr Pankaj Agarwal, Dr Kanta Jain

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Funny meanings...

Yawn: The only opportunity some married men ever get to open their mouth.

 
    Medicolegal Update

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

What is the right to refuse medical intervention?

Theresa Marie "Terri" Schiavo case of the United States

The consistent refusal to intervene on behalf of Schiavo’s parents’ desire to continue nutrition and hydration is a reaffirmation of the right to refuse medical care even for mentally incapacitated patients and that artificial nutrition and hydration are medical treatments. In theory, the right of patients to refuse medical therapy can be limited by four state interests in: Preservation of life, prevention of suicide, protection of third parties such as children and preserving the integrity of the medical profession. In practice, these interests almost never override the right of competent patients and incompetent terminally ill patients who have left explicit advance directives.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Diabetics should avoid late nights

Young adults who do not get enough deep sleep may be increasing their risk of type 2 diabetes, according to a study published in the Proceedings of the National Academy of Sciences, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Failing to sleep deeply for just three nights running has the same negative effect on the body's ability to manage insulin as gaining 20 to 30 pounds. Three nights of interrupted sleep effectively gave people in their 20s the glucose and insulin metabolisms of people three times their age. These findings demonstrate a clear role for slow-wave sleep in maintaining normal glucose control. A profound decrease in slow-wave sleep had an immediate and significant adverse effect on insulin sensitivity and glucose tolerance. Hence, improving the quality of sleep, especially for people as they age or if they are obese could be an important step in preventing the onset of type 2 diabetes.

The researchers recruited five men and four women, all lean and healthy, who were between the ages of 20 and 31 years. The participants were first observed for two nights of uninterrupted sleep, during which they slept for 8.5 hours, to establish their normal sleep patterns. The same participants were then observed over a three-night study period, during which the researchers deliberately disturbed their sleep when their brain waves indicated the beginning of slow wave sleep. The sounds used to interrupt the sleep patterns were loud enough to move the participants to a different level of sleep but not loud enough to fully wake them. This decrease in slow-wave sleep resembles the changes in sleep patterns caused by 40 years of aging.

Young adults spend 80 to 100 minutes per night in slow-wave sleep, while people over age 60 generally have less than 20 minutes. At the end of each study, the researchers gave intravenous glucose (a sugar solution) to each subject; they then took blood samples every few minutes to measure the levels of glucose and insulin, the hormone that controls glucose uptake. When the researchers analyzed the data they learned that the participants were almost 25 percent less sensitive to insulin after nights of interrupted sleep. As their insulin sensitivity declined, they needed to make more insulin to process the same amount of glucose.

 
    Readers Response
  1. Dear Sir, Emedinews is fabulous. Regards: Dr J P Mishra
 
    Forthcoming Events

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi

8am-8pm

Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

 
    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)

HCFI
Activities eBooks

  DIET BOOK

  HCFI

  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, Dr Usha K Baveja