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 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 …

6th November 2012, Thursday

Probiotics for prevention of the common cold

A meta-analysis of 10 randomized trials compared probiotics (strains of lactobacilli, bifidobacterium, and propionibacterium) with placebo for the prevention of upper respiratory tract infections showed that probiotics decreased the rate of acute respiratory infections but they had no significant effect on the duration of symptoms.

Higher-quality trials that include older adults are needed before it can be determined whether probiotics have a role in the prevention of respiratory tract infections in adults. (Cochrane Database Syst Rev 2011; :CD006895.)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Primary colorectal dysfunction consists of three overlapping subtypes: slow transit constipation, dyssynergic defecation, and irritable bowel syndrome with constipation. Secondary causes of constipation should be excluded with a thorough history and physical examination followed by diagnostic testing.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Monitoring LFT in a patient on statins

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Prof. Kiran Walia endorses hands only CPR

In a special programme today, Prof. Kiran Walia, Minister of Education, Government of Delhi participated, learnt and endorsed Hands Only Cardiopulmonary Resuscitation. The training was conducted by Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

 
Dr K K Aggarwal
    National News

Data shows drug resistance for hospital infections

New Delhi: An evaluation of data recorded over a 10-year period by AIIMS shows rising resistance towards antibiotics used to treat infections acquired in hospitals. In case of high-end antibiotics, the resistance among patients admitted in the ICU and wards of AIIMS rose by over 60 per cent. Patients in ICUs, particularly those on ventilators who already have compromised immunity, are prone to infections from organisms present in the hospital. In ventilator associated pneumonia (VAP) cases, carbapenem antibiotics like Meropenem and others like Ciprofloxacin were effective in 80 per cent and 60 per cent of the cases respectively between 2001 and 2003. This dropped to 19 per cent and 0 per cent between 2007 and 2009. While 25 per cent of the patients responded to Amikacin in 2001-03, this had dropped to 9 per cent in 2009. “These were commonly used antibiotics and regarded as standard treatment options for hospital-acquired infections. Our data clearly shows that these have progressively become ineffective,” Dr Randeep Guleria, professor of medicine who heads the Pulmonary Medicine Department at AIIMS, said. Calling the pattern of infections acquired in hospitals “worrying”, he added: “Not only are we seeing growing susceptibility to pathogens, but the nature of pathogens in our ICUs is changing. We are seeing more of gram-negative pathogens that are more potent.” During 2011-2012, common antibiotic responsiveness in the case of gram-negative pathogens like Acinetobacter, Pseudomonas and Klebsiella dropped to below 10 per cent on an average — many patients showed zero sensitivity to the drugs. (Source: The Financial Express, Dec 03 2012)

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

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

The clinical manifestations and treatment of aortic, mitral, pulmonary, and tricuspid stenosis are similar in patients with and without renal failure.

(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)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Direct anti-HCV drugs show good response in routine practice

In a study of veterans infected with hepatitis C virus (HCV) genotype 1, the direct-acting antiviral drugs boceprevir and telaprevir, in combination with pegylated interferon and ribavirin, produced robust antiviral responses at 24 weeks and at the end of therapy. (Source: Medscape)

UTI treatment in men: Shorter may be better

Antimicrobial treatment longer than 7 days for male urinary tract infection (UTI) may not reduce early or late UTI recurrence compared with shorter treatment and may be associated with an increased risk for Clostridium difficile infection (CDI), according to a study published online December 3 in the Archives of Internal Medicine. (Source: Medscape)

Amyloid tracer clinically useful in cognitive impairment

Using positron emission tomography (PET) scans with a recently approved amyloid tracer to identify brain plaques is helpful in the diagnosis and management of patients with progressive cognitive impairment, new research shows. (Source: Medscape)

A baumannii hospital contamination persists after cleaning

A terminal cleaning protocol failed to completely eliminate multidrug-resistant (MDR) Acinetobacter baumannii contamination in a single hospital sample, according to the findings of a recent study. Paula Strassle, BS, from the University of Maryland Baltimore School of Medicine, and colleagues published their findings in the December issue of the American Journal of Infection Control. (Source: Medscape)

Embryo screening for in vitro fertilization improved

A new approach to screening individual blastomeres may reduce the transfer of embryos prone to miscarriage and may soon include an automated tracking algorithm that analyzes blastomeres for cell cycle and fragmentation parameters that are diagnostic of ploidy. The investigators propose that this approach may dramatically improve the experience of infertile couples who use in vitro fertilization (IVF). (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: 85 drugs can interact with Grapefruit (Chakotra) There are now more than 85 drugs that may interact with... http://fb.me/19Jiaa58I

@DeepakChopra: To stop giving away your power, resist the urge to go along. Give yourself a chance for small success every day.

 
    Spiritual Update

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

Five Qualities of Pandavas in Any Person

In mythology, the Pandavas represent the necessary five qualities which one should have. Yudhishthir means one who is balanced in war state of mind or in dilemma (Yudh means war and isthir means balanced). Yudhishthir indicate the quality of being balanced and static during any diversity or facing a problem.

For comments and archives

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

1. What is Varicocele?

The veins in your testes -- like those in your legs – have valves that help blood to flow upward toward your heart. Ifthe valves stop working, blood pools in the veins, which bulge or dilate. This is called a varicocele.

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

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

Antigen Typing

Principle:

Patient/Donor RBC is tested with reagent antisera.

  • Reaction is positive = antigen is present
  • Reaction is negative = antigen is not present

For comments and archives

 
    An Inspirational Story (Dr GM Singh)

A Doctor Entered The Hospital In Hurry After Being Called In For An Urgent Surgery.

He Answered The Call As Soon As Possible, Changed His Clothes & Went Directly To The Surgery Block.

He Found The Boy's Father Pacing In The Hall Waiting For The Doctor.

On Seeing Him, The Dad Yelled:

"Why Did U Take All This Time To Come? Don't U Know That My Son's Life Is In Danger?? Don't You Have Any Sense Of Responsibility??!!"

The Doctor Smiled & Said: "I Am Sorry, I Wasn't In The Hospital & I Came As Fast As I Could After Receiving The Call... And Now, I Wish You'd Calm Down So That I Can Do My Work !!!"

"Calm Down?! What If Your Son Was In This Room Right Now, Would U Calm Down? If Your Own Son Dies Now What Will U Do??" Said The Father Angrily !!!

The Doctor Smiled Again & Replied: "I Will Say What Said In The Holy Book Quran;

"From Dust We Came & To Dust We Return, Blessed Be The Name Of God!!"

Doctors Cannot Prolong Lives... Go And Intercede For Your Son, We Will Do Our Best By God's Grace !!!"

"Giving Advises When We're Not Concerned Is So Easy"

Murmured The Father.. =/

The Surgery Took Some Hours After Which The Doctor Went Out Happy, "Thank Goodness!, Your Son Is Saved!" And Without Waiting For The Father's Reply

He Carried On His Way Running... "If U Have Any Question, Ask The Nurse!!"

"Why Is He So Arrogant? He Couldn't Wait Some Minutes So That I Ask About My Son's State" Commented The Father When Seeing The Nurse Minutes After The Doctor Left.. =|

The Nurse Answered, Tears Coming Down Her Face:

"His Son Died Yesterday In A Road Accident, He Was In The Burial When We Called Him For Your Son's Surgery. And Now That He Saved Your Son's Life, He Left Running To Finish His Son's Burial..." =(

-Moral: Never Judge Anyone... Because You Never Know How Their Life Is, And What They're Going Through!!"

For comments and archives

 
    Cardiology eMedinewS

Preeclampsia Linked To Higher Risk Of Later CV Death, Particularly In Single-Child Mothers. Read More

Perioperative Use of Beta Blockers Examined Read More

 
    Pediatric eMedinewS

Flu Season Gets An Early Start, CDC Says Read More

Childhood UTIs do not Appear To Impair Later Renal Function Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: The mother of an obese boy enquired if he should be tested for vitamin D
Dr Bad: There is no need
Dr Good: Yes, get this test done
Lesson: Vitamin D deficiency is common among obese children and adolescents. Low vitamin D levels in obese individuals may accelerate the development of metabolic syndrome, type 2 diabetes mellitus and cardiovascular disease by further increasing insulin resistance. J Pediatr Endocrinol Metab 2012;25(1-2):83-7.

Make Sure

Situation: A patient with 3 hour of developing chest pain went into acute cardiac arrest.
Reaction: Oh my God! Why was water–soluble aspirin not given at the time of chest pain?
Lesson: Make sure that all patients with suspected MI are given water–soluble aspirin to reduce chances of death.

 
    Legal Question of the Day (Dr MC Gupta)

Must doctors give their mobile no. to patients?

QUESTION-- Are doctors required to or supposed to give their mobile numbers to patients?

ANS

There is no law that a doctor must give his mobile no. to a patient. It all depends upon the discretion of the doctor. Patients were treated even before mobile phones were invented. The only requirement that a doctor must fulfil is that a patient under his treatment is entitled to medical information/aid as long as he is under treatment. There is nothing wrong if such medical information/aid is made available to the patient by means other than the mobile phone.

 
  Quote of the Day (Dr GM Singh)

Sow a thought, reap an act; Sow an act, reap a habit; Sow a habit, reap a character; Sow a character, reap adestiny. ~

 
    Mind Teaser

Read this…………………

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

Yesterday’s Mind Teaser: Mr. Ong, a client with CHF, has been receiving a cardiac glycoside, a diuretic, and a vasodilator drug. His apical pulse rate is 44 and he is on bed rest. The nurse concludes that his pulse rate is most likely the result of the:

A. Diuretic
B. Vasodilator
C. Bed-rest regimen
D. Cardiac glycoside

Answer for Yesterday’s Mind Teaser: D. Cardiac glycoside

Correct answers received from: Dr Shamsher Singh, Dr KP Chandra,
Dr Teena Anne Joy, Dr PC Das, Dr Arpan Gandhi, Dr (Maj. Gen.) Anil Bairaria,
Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay,
Dr BN Gangadhar, Dr Thakor Hitendrsinh G, Dr Jella, Dr Avtar Krishan, Dr U Gaur.

Answer for 4th December Mind Teaser: D. Ascending limb of the loop of Henle

Correct answers received from: Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

 
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    Laugh a While (Dr GM Singh)

HEIGHTS OF FACEBOOKING:

A boy's fb status: I'm Online on Fb during Lecture hahaha...!!

Comment from his professor:"Get out of the Class now"

Principal Liked comment! ;)

Friend commented:"Jaldi aa yaar, cafe mein item hai" :D

Gate keeper's comment:"Saab pehle idhar aa ke apni bike Lock kardein" :p

Mom commented:"Nalayak class nahi karni toh sabzi le ke seedha ghar wapis aa.."

Dad commented:Dekhlo apne bete ki harkatain..:/

GF commented:I Hate U! Mjhse kaha tha Dadi ka acdnt ho gya wo hospital mein hai, Mil nahi sakta.:D

Dadi commented:Manhoos..tu ghar aa batati hu tujhe nalayak.

 
    Medicolegal Update

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

Estimation of blood alcohol

  • About 3–4 ml of blood is drawn as sample.
  • Chemically clean evacuated tubes of 5ml should be used to collect samples.
  • Tubes should be water proof/not be vulnerable to freezing; they should have labels with identification codes.
  • EDTA should be used as anticoagulant. Tubes with liquid EDTA/fluoride reduce the risk of hemolysis leads to altered results
  • 2ml of 5% aqueous solution of sodium citrate containing 0.2% w/v of formaldehyde or 0.5% w/v of formalin solution must be added to prevent decomposition which leads to altered results
  • Plastic vacuum tubes/Plastic vacuum gel tubes are preferred to glass tubes. If vacuum tubes are not available or tubes are opened for freely flowing samples, stoppers which do not react with blood constituents should be available.
  • Special boxes for tube transfer and storage, earmarked refrigerator/freezer must be available in hospital conducting medicolegal cases.
  • About 3–4 ml of blood is taken in a sterile 5ml injection vial (properly sealed and labeled) containing about 2ml of 5% aqueous solution of sodium citrate containing 0.2% w/v of formaldehyde (or 0.5% w/v of formalin solution).
  • Two approximately 1cm × 1cm size blood stains are formed on clean cotton cloth/gauze pieces and, after they are dry, they are transferred to a sterile 10ml injection vial it should be properly dried, before packing to avoid decomposition and then sealed and labeled.
  • Blood stains located on the body of an uninjured person are taken by rubbing with moistened clean cotton cloth pieces, it should be properly dried, before packing to avoid decomposition and then sealed and labeled.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Prof. Kiran Walia endorses hands only CPR

In a special programme today, Prof. Kiran Walia, Minister of Education, Government of Delhi participated, learnt and endorsed Hands Only Cardiopulmonary Resuscitation. The staff in the Minister’s office also learnt the technique.

The training was conducted by Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

Present on the occasion were Mr. Vikram Singh Gautam, Social Activist.

Addressing the gathering Prof. Kiran Walia said that her department will coordinate so that all school children from Government of Delhi both from the Government and the private sector are trained in Hands Only CPR.

Dr. Aggarwal on the occasions said that the CPR Mantra is - “within 10 minutes of cardiac arrest, earlier the better, at least for the next 10 minutes, compress the centre of the chest of the dead person with a speed of 10x10=100 per minute”.

Prof. Walia further said that Heart Care Foundation of India in association with Department of Education will train over 80,000 school children in Hands Only CPR.

 
    Readers Responses
  1. Dear Sir, Your emedinews is very informative. Regars: Dr Sudha
 
    Forthcoming Events
Dr K K Aggarwal

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)

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  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