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 …

31st January, 2011, Monday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

IVF pregnancies are causing rise in maternal mortality rates

Maternal mortality rates are increasing in according to an editorial in the British Medical Journal. The in vitro fertilization–related pregnancies are an additional risk factor for maternal death.

A study conducted in The Netherlands, found there were 42 deaths per 100,000 IVF pregnancies, compared with six deaths seen among 100,000 pregnancies in the general population.

The major causes of maternal death are rare catastrophes, such as hemorrhage and blood clots but the incidence of these problems is increasing, possibly because more pregnant women today have health problems, such as diabetes, obesity or some other chronic condition or also generally older.

One should track IVF–associated risks including ovarian hyperstimulation syndrome to better understand risks associated with IVF.

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

  2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal
NPCDCS

Audio PostCard
 
  Quote of the Day

"If God did not exist, it would be necessary to invent him."

Voltaire

 
    Photo Feature (from the HCFI Photo Gallery)

eMedinewS Doctor of the Year 2010 Awards

Dr NK Bhatia receiving eMedinewS Distinguished Speaker of the Year 2010 Award in the 2nd eMedinewS revisiting 2010 on 9th January 2011 at Maulana Azad Medical College.

 
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

Indian doctor’s book on cancer in US award shortlist

New York–based physician Siddhartha Mukherjee’s biography of cancer –– "The Emperor of All Maladies" –– has been shortlisted in the non–fiction category for US’ prestigious National Book Critics Circle Award 2010. The National Book Critics Circle Award is an annual award given in six categories –– fiction, non–fiction, autobiography, biography, criticism, and poetry, to promote the finest books and reviews published in English. The winners will be announced on March 10. In "The Emperor of All Maladies", published by HarperCollins India, the researcher and award winning science writer examines cancer with a cellular biologist’s precision, a historian’s perspective, and a biographer’s passion. (Source: The Times of India, Jan 27, 2011)

Urgent Notice

28.12.2010

This is to inform that the last date for the submission of applications for the prestigious Dr. B.C. Roy Award has been extended by six weeks. The applications can be received in Medical Council of India office till 5:00 p.m. by 15th Feb, 2011.

 
    International News

(Dr Monica and Brahm Vasudev)

Smoking may increase women’s breast–cancer risk by 6% or more

Any history of smoking increases a woman’s "chance of breast cancer by 6 percent," according to a study in the Archives of Internal Medicine.

Estrogen–blockers may reduce lung cancer mortalities

Tamoxifen and "other estrogen–blocking drugs may reduce lung cancer deaths while fighting breast cancer recurrence," according to a study in the journal in Cancer.

New York may become first in US to ban e–cigarettes

New York is considering what could be the first ban in the US on electronic cigarettes. The plastic devices called ‘e–cigarettes’ carry no warning labels and are heavily advertised on the Internet.

Donating children’s organs may offer parents "some sense of closure"

Following the untimely death of a child, donating their child’s organs not only gives parents some sense of closure, it also allows them to know that their child is living on in a special way, says George Mazariegos, a pediatric liver and intestine transplant surgeon at Children’s Hospital in Pittsburgh.

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

Does IVF always leave us with twin or triple pregnancies? What is the average number of embryos transferred? Please explain.

The doctor will make the decision after discussing this with you. Generally, two or three embryos will be transferred, but the number may vary slightly depending on the quality of the embryos and the age of the female partner.

How much does IVF cost?

This varies enormously between different clinics in the same country. Generally, it costs between Rs.1 to 1.5 lakh rupees.

For queries contact: banerjee.kaberi@gmail.com

 
    Medicine Update

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

What occupations have increased risk of hepatitis C?

The risk of acquiring hepatitis C from the workplace depends on the amount of exposure to human blood or blood products and needlestick injuries. In general, occupational groups with increased risk include workers such as dentists, nurses, and laboratory personnel who are repeatedly exposed to human blood and who are at risk of needlestick injuries.

 
    Medicolegal Update

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

When can pregnancies be terminated by Registered Medical Practitioners?

A Registered Medical Practitioner shall not be guilty of any offence under that code or under any other law for the time being in force, if any pregnancy is terminated by him in accordance with MTP Act

  • where the length of the pregnancy does not exceed twelve weeks,
  • where the length of the pregnancy exceeds twelve weeks but does not exceed twenty weeks, if not less than two medical practitioners are of the opinion, formed by doctor in good faith that – the continuance of pregnancy would involve a risk to the life of the pregnant woman or of grave injury to her physical or mental health, or there is a substantial risk that the child, if born, would suffer from such physical and mental abnormalities as to be seriously handicapped.
  • Where any pregnancy is alleged by the pregnant woman to have been caused by rape, the anguish caused by such pregnancy shall be presumed to constitute a grave injury to the mental health of the pregnant woman.
  • Where any pregnancy results as a result of failure of any device or method used by any woman or her husband for the purpose of limiting the number of children, the anguish caused by such pregnancy shall be presumed to constitute a grave injury to the mental health of the pregnant woman.
  • In determining whether the continuance of a pregnancy would involve such risk of injury to the health as is mentioned in sub–section (2), account may be taken of the pregnant women’s actual or reasonably foreseeable environment.
  • No pregnancy of a woman, who has not attained the age of 18 years, or, who, having attained the age of 18 years is a mentally ill person (substituted for "lunatic" by Amendment Act, 2002), shall be terminated except with the consent in writing of her guardian.
 
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Can specialists carry out ultrasonographic studies related to their specialty without violating PNDT or MCI Act/regulations?

QUESTION: In view of the MCI regulation 7.20, what is the legal position regarding the following:

a– Physicians doing Echo ,C–Doppler studies
b– Orthopaedicians using
C–Arm for operative work c– Urologists using C–Arm for PCNL., Lithotripsy
d. Gynecologist doing ultrasonography in pregnant women.

ANSWER:

1––Regulation 7.20 of the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002, is reproduced below:

"7.20 A Physician shall not claim to be specialist unless he has a special qualification in that branch." It is not applicable in the examples cited above. Cardiologists, orthopedicians, urologists and gynaecologists do not claim to be specialists in imaging techniques.

2—The examples above are covered by the decision of the MCI Executive Committee dated 27.4.2009 as follows:

"The Executive Committee perused the report of the Sub–Committee and decision of the Ethics Committee and decided as under:–
The Ultrasonography can be undertaken by a specialist who possess postgraduate qualification in the specialty of Radio-Diagnosis. However, specialist doctor in their speciality can also undertake Ultrasonography for the purpose of certification subject to the condition that he/she has undergone orientation training in the ultrasonography in the department of Radio–diagnosis in a recognized medical institution under recognized medical teacher for a minimum period of 6 months wherein he has not only observed the procedure of Ultrasonography but also has undergone hands on training to enable him to practice in the field of Ultrasonography for the diagnostic purposes pertaining to his/her speciality."

The above decision of the MCI Executive Committee has been quoted in—

Bachan Singh v. Punjab Health System Corporation, DF, Ferozepur, 28–12–2009

http://www.lawyersclubindia.com/judiciary/Medical–Negligence/1260/

3—The above position regarding the MCI does not mean that the provisions of the PNDT Act can be violated.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Categories of Anemia

Macrocytic/normochromic anemia (increased MCV, normal MCHC)

  • Folate deficiency (common)
  • B12 deficiency (common)
  • Myelodysplastic syndromes (not uncommon, especially in older individuals)
  • Hypothyroidism (rare)
 
    Medi Finance Update

Company Size

Many funds restrict the types of stocks they buy for the fund based on the size of the company. The size of the company is measured by its market capitalization (market cap – measures the company’s worth by multiplying its stock price by the number of shares outstanding). Generally, small cap funds are more risky than large cap funds as minor changes in a small cap company’s stock price can have a major impact on its market cap. However, if you can take the ups and downs, there can be greater rewards for investors in small cap funds.

ijcpgroup
emedinews
nuspera
IJCP
Docconnect
Docconnect
Docconnect
Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  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
 
    Drug Update

LIST OF APPROVED DRUG FROM 01.01.2010 TO 31.8.2010

Drug Name
Indication
DCI Approval Date
Ketorolac Tromethamine Ophthalmic Solution 0.45%
Indicated for the treatment of pain and inflammation following cataract surgery.
10/02/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Anti–TB treatment and antiretroviral drugs

An open–label randomized trial showed that patients initiated on treatment for HIV during treatment for tuberculosis had lower mortality than patients in whom antiretroviral treatment was delayed until completion of TB treatment.

 
    IJCP Special

Dr Good Dr Bad

Situation: A 50–year–old male came with early morning onset of acidity.
Dr. Bad: Take an antacid.
Dr. Good: Get an ECG done.
Lesson: Onset of acidity after the age of 40 unless proved otherwise is acute coronary event.

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain so much ascitic fluid?
Lesson: Make sure, to evaluate the patient thoroughly and only moderately tap the ascitic fluid since over–enthusiastic tapping can be life threatening.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

Laughter

Many years ago, Norman Cousins was diagnosed as "terminally ill." He was given six months to live. His chance for recovery was one in 500. He could see the worry, depression and anger in his life contributed to, and perhaps helped cause, his disease. He wondered, "If illness can be caused by negativity, can wellness be created by positivity?" He decided to make an experiment of himself.

Laughing was one of the most positive activities he knew. He rented all the funny movies he could find – Keaton, Chaplin, Fields, the Marx Brothers. (This was before VCRs, so he had to rent the actual films.) He read funny stories. He asked his friends to call him whenever they said, heard or did something funny. His pain was so great he could not sleep. Laughing for 10 solid minutes, he found, relieved the pain for several hours so he could sleep. He fully recovered from his illness and lived another 20 happy, healthy and productive years. (His journey is detailed in his book, Anatomy of an Illness.) He credits visualization, the love of his family and friends, and laughing for his recovery.

Some people think laughing is a waste of time. It is a luxury, they say, a frivolity, something to indulge in only every so often. Nothing could be further from the truth. Laughing is essential to our equilibrium, to our well–being, to our aliveness. If we're not well, laughing helps us get well; if we are well, laughing helps us stay that way.

Since Cousins’ ground–breaking subjective work, scientific studies have shown that laughter has a curative effect on the body, the mind and the emotions. So, if you like laughing, consider it sound medical advice to indulge in it as often as you can. If you don’t like laughter, then take your medicine – laugh anyway.

Use whatever makes you laugh – movies, sitcoms, Monty Python, records, books, New Yorker cartoons, jokes, friends. Give yourself permission to laugh – long and loud and out loud – whenever anything strikes you as funny. The people around you may think you're strange, but sooner or later they’ll join in even if they don’t know what you’re laughing about.

Some diseases may be contagious, but none is as contagious as the cure… laughter.

————————————

Mind Teaser

Read this…………………

HARM good

Yesterday’s Mind Teaser: Gun Jr.
Answer for yesterday’s Mind Teaser: Son of a gun!

Correct answers received from: Dr K.P.Rajalakshmi,  Dr Sudipto Samaddar,  Dr C.Vaishnavi,  Dr MK Bhandari,  Dr. H.L. Kapoor, Dr Anil Bairaria

Answer for 29th January Mind Teaser: 49ers
Correct answers received from: Dr.K.P.Rajalakshmi, Dr Sudipto Samaddar, Dr Prabha Sanghi
 
Send your answer to ijcp12@gmail.com

————————————

Laugh a While
(Contributed by Dr G.M.Singh)

Three Vampires Walk into a Bar

Three vampires walk into a bar and sit down at a table. The waitress comes over and asks the first vampire what he would like. The first vampire responds, "I vould like some blood." The waitress turns to the second vampire and asks what he would like. The vampire responds, "I vould like some blood." The waitress turns to the third vampire and asks what he would like. The vampire responds, "I vould like some plasma."

The waitress looks up and says, "Let me see if I have this order correct. You want two bloods and a blood light?"

————————————

Knowledge is amusing

POP MUSIC is ‘Popular Music’ shortened.

 
    Readers Responses
  1. Respected sir, I have become a fan of ur daily web news. Regards Dr Prachi
 
    Public Forum

(Press Release for use by the newspapers)

Refined carbohydrates with animal fat bad for diabetics and heart patients

A low carbohydrate diet high in animal fat and protein does not increase the risk of type 2 diabetes in women as per a study published in American Journal of Clinical Nutrition.

The one diet that shows a protective effect is vegetable–based, low carbohydrate diet with higher amount of vegetable fat and vegetable protein and lower amount of carbohydrates, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

The findings are contrary to the current recommendations of eating a low fat diet to prevent type 2 diabetes.

A diet high in refined carbohydrates has long been said to be linked to diabetes in Ayurvedic texts. Ever since the Indian food culture changed from roti to maida, from gur to sugar and from brown rice to white rice, the incidence of diabetes has increased in our country. Refined carbohydrates when combined with animal fat are not only worse for diabetics but also for heart disease.

 
    Share eMedinewS

eMedinewS Events: Register at emedinews@gmail.com

Conference Column

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: Dr KK Aggarwal

Share eMedinewS

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