emedinews
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FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & 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 7 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 …

9th October 2012, Tuesday

Food Fighters: Yogurt, Cranberries, Rice/Bran Oil Lower BP

Including foods such as low-fat yogurt, sesame/rice-bran oils, and low-calorie cranberry juice in the diet can help keep blood pressure under control, according to three new studies presented as posters at the American Heart Association High Blood Pressure Research 2012 Scientific Sessions. And the rice/bran oil also helped lower LDL cholesterol and triglycerides and increased levels of HDL cholesterol. These results, very much reinforce the DASH diet--which the AHA supports--as an effective dietary intervention to lower blood pressure and a heart-healthy way to eat. DASH recommends 2 to 3 servings of fat-free or low-fat milk and milk products per day, four to five servings of fruit a day, and two to three servings of "healthy" fats and oils, "and certainly sesame/rice-bran oil, which contains polyunsaturated fatty acids and is rich in antioxidants, would be classified as a healthy fat," reports Medscape Cardiology.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

    Carnitine Update

Carnitine in Cardiomyopathy

Facts

  • Deficiencies in thiamine, selenium and L-carnitine have been reported to produce heart failure and replacement therapy results in improvement in cardiac function.
  • Carnitine deficiency impairs the oxidation of fatty acids, resulting in lipid accumulation in the myocyte cytoplasm. This problem is reversed with L-carnitine replacement.

At what age does dilated cardiomyopathy present?

Dilated cardiomyopathy most often presents between the ages of 20 and 60, but it can also occur in children and older adults.

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 on

Strenuous exercise may increase risk of
cardiac disorder

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela to train 10.000 people in compression only CPR Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Mr Sandeep Marwah, Director of Asian Academy of Film & Television, said that focus of the Mela this year will be “Prevention of Non-Communicable Diseases” and “Revival of Heart After Death.”

 
Dr K K Aggarwal
    National News

Private hospitals will have to display treatment costs

NEW DELHI: In a major move aimed at checking unnecessary medical tests and procedures, the health ministry on Sunday said it was working on a plan to make it mandatory for all private hospitals to declare and display the treatment costs of different diseases. Jagdish Prasad, director general of health services (DGHS), told TOI that the ministry's plan would check overbilling and bring in transparency in the healthcare sector. "Our aim is to notify standard costs for various medical procedures such as angioplasty, coronary bypass surgery etc. We also plan to categorize hospitals based on quality of services offered and develop standard treatment costs for each category," DGHS Prasad said. He said suggestions are being sought from all stakeholders, including the corporate-run hospitals, on how the new system can be rolled out. "We will initially ask each hospital to give their treatment charges, which would help us slot these hospitals into categories," Prasad said. A standard guideline for treating conditions like heart attack, stroke, diabetes, osteoporosis and cancer, is also on the anvil, the senior ministry official said. Prasad said the guidelines will be introduced under the Clinical Establishment (Registration and Regulation) Act 2010, which was notified recently. The planned guidelines would also give a boost to evidence-based approach to treatment, said Dr Kameshwar Prasad, head of the clinical epidemiology unit of AIIMS. (Source: TOI, Oct 8, 2012)

For comments and archives

My Profession My Concern

Quality Control

What is multidrug resistance?

Multidrug resistance in gram-negative bacilli, which are an important cause of hospital-acquired (or nosocomial) pneumonia (HAP), ventilator-associated pneumonia (VAP), and healthcare-associated pneumonia (HCAP) is variably defined as resistance to at least two, three, four, or eight of the antibiotics typically used to treat infections with these organisms.

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

Symptoms of aortic stenosis include dizziness or syncope, chest pain that may be typical angina and dyspnea due to heart failure. The onset of these symptoms is associated with a poor prognosis; as a result, intervention is recommended for symptomatic aortic stenosis.

(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)

2012 Nobel Prize for medicine

The 2012 Nobel Prize for medicine was awarded to Britain's Sir John Gurdon, presently at Gurdon Institute in Cambridge and Shinya Yamanaka at Kyoto University, Japan. According to the prize committee at Stockholm's Karolinska Institute, the two researchers won the award "for the discovery that mature cells can be reprogrammed to become pluripotent."

For Comments and archives…

Transvaginal mesh surgery successful for most patients

The risk for complications from transvaginal mesh (TVM) surgery appears to be minor in large-volume urogynecology practices, according to a new study presented at the American Urogynecologic Society (AUGS) 33rd Annual Scientific Meeting. (Source: Medscape)

For Comments and archives…

Improved bowel function with robotic sacrocolpopexy for pelvic organ prolapse

Robotic sacrocolpopexy for symptomatic pelvic organ prolapse (POP) results in most patients reporting "improved" or "unchanged" bowel function, according to a new study. Christa M. Lewis, DO, of Atlantic Health System, Morristown, New Jersey, presented the results of her single-center prospective study in a poster session at the American Urogynecologic Society (AUGS) 33rd Annual Scientific Meeting. (Source: Medscape)

For Comments and archives…

Two risks may speed onset of pancreatic cancer

Adults who smoke and drink may develop pancreatic cancer at an earlier age than those who do not, according to a study published online August 28 in the American Journal of Gastroenterology. (Source: Medscape)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: B12 deficiency can present with recent memory loss

@DeepakChopra: Compassion is the feeling of shared suffering. When you feel someone else's suffering, there is the birth of understanding. Interoman.

 
    Spiritual Update

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

There is no free lunch

This is an old saying and I totally agree with it. In the early 1980s, I was a part of social camps, the so-called free health checkup camps and one day Dr Mansoor Hassan from Lucknow, who was recently awarded the Padma Shri, came to Delhi for one of our conferences and asked me what do I do? I politely answered that I do a lot of free work. He started smiling. The smile was mysterious and I asked him why did he smile? He said that there is no free lunch.

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 is hirsutism?

Hirsutism, which is the excessive growth of coarse dark hair on the face, chest, lower abdomen, back, upper arms, or upper legs of women, is a symptom of a medical disorder associated with the hormones called androgens. Polycystic ovarian syndrome (PCOS), in which the ovaries produce excessive amounts of androgens, is the most common cause of hirsutism.

For Comments and archives…

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

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

Blood Donation - Gift of Liquid Love

Blood-transmitted diseases

Blood is a double-edged weapon. On one hand, it is life saving; on the other hand, it is endowed with the dangers of transmitting deadly diseases. Fortunately more and more awareness is coming into the public regarding this danger.

For Comments and archives…

 
    Liver Abscess Update

(Dr Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation Medanta – The Medicity Hospital)

When should the percutaneous catheter be removed?

Catheters should be withdrawn once there is negligible pus (<10 ml) or <5 ml/kg drain per day and the patient is apyrexic.

 
    An Inspirational Story

The wooden bowl

A frail old man went to live with his son, daughter-in-law and a four-year old grandson. The old man’s hands trembled, his eyesight was blurred, and his step faltered.

The family ate together every night at the dinner table. But the elderly grandfather’s shaky hands and failing sight made eating rather difficult. Peas rolled off his spoon onto the floor. When he grasped the glass often milk spilled on the tablecloth.

The son and daughter-in-law became irritated with the mess. “We must do something about grandfather,” said the son. I’ve had enough of his spilled milk, noisy eating, and food on the floor. So the husband and wife set a small table in the corner. There, grandfather ate alone while the rest of the family enjoyed dinner at the dinner table. Since grandfather had broken a dish or two, his food was served in a wooden bowl. Sometimes when the family glanced in grandfather’s direction, he had a tear in his eye as he ate alone. Still, the only words the couple had for him were sharp admonitions when he dropped a fork or spilled food. The four-year-old watched it all in silence.

One evening before supper, the father noticed his son playing with wood scraps on the floor. He asked the child sweetly, “What are you making?” Just as sweetly, the boy responded, “Oh, I am making the bowl for you and mama to eat.” The four-year-old smiled and went back to work. The words so struck the parents that they were speechless. Then tears started to stream down their cheeks. Though no word was spoken, both knew what must be done. That evening the husband took grandfather’s hand and gently led him back to the family table. For the remainder of his days he ate every meal with the family. And for some reason, neither husband nor wife seemed to care any longer when a fork was dropped, milk spilled, or the tablecloth soiled.

Children are remarkably perceptive. Their eyes ever observe, their ears ever listen, and their minds ever process the messages they absorb. If they see us patiently provide a happy home atmosphere for family members, they will imitate that attitude for the rest of their lives. The wise parent realizes that every day those building blocks are being laid for the child’s future. Let us all be wise builders and role models. Take care of yourself, and those you love, today, and every day!

Source: http://academictips.org/blogs/the-wooden-bowl/

For comments and archives

 
   Cardiology eMedinewS

Low birth weight ups heart disease risk Read More

Multiple risk factors for late-life dementia identified Read More

 
   Pediatric eMedinewS

FDA approves liquid, extended-release ADHD med Read More

Mom's hypertension affects cognition in offspring Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 45–year–old male came with chest pain and normal ECG.
Dr Bad: Take antacids.
Dr Good: It can be a cardiac pain.
Lesson: ECG can be normal in the first six hours of acute heart attack.

For comments and archives

Make Sure

Situation: The patient missed her last dose of hepatitis B vaccine as she was out of station at 6th month.
Reaction: Oh my God! Why was the vaccine not given between 4–6 months?
Lesson: Make sure that all patients are given the complete vaccine regimen. The correct regimen is 0, 1–2 months and 4–months.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

Sometimes in the winds of change we find our true direction.

 
  Lab Update (Dr Arpan Gandhi and Dr Navin Dang)

Mycoplasma pneumoniae IgG and IgM

Blood tests for antibody to M. pneumoniae are done:

  • To determine if M. pneumoniae is the cause of a respiratory tract infection.
  • To help diagnose a systemic infection that is thought to be due to mycoplasma.
 
    Mind Teaser

Read this…………………

What would be the MOST therapeutic nursing action when a client’s expressive aphasia is severe?

A. Anticipate the client wishes so she will not need to talk
B. Communicate by means of questions that can be answered by the client shaking the head
C. Keep us a steady flow rank to minimize silence
D. Encourage the client to speak at every possible opportunity.

Yesterday’s Mind Teaser: ch poorri

Answer for Yesterday’s Mind Teaser: Take from the rich, give to the poor.

Correct answers received from: Rajiv Kohli, Dr Prabha Sanghi, Dr PC Das, Dr Kanta Jain, Dr (Maj. Gen.) Anil Bairaria, Dr Sudipto Samaddar, Dr K Raju,
Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai.

Answer for 8th October Mind Teaser: Inside information
Correct answers received from: Muthumperumal Thirumalpillai, Dr Sudipto Samaddar.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Ouststanding

A man is driving down a country road, when he spots Santu standing in the middle of a huge field of grass.

He pulls the car over to the side of the road and notices that Santu is just standing there, doing nothing, looking at nothing.

The man gets out of the car, walks all the way out to our Santu and asks him, "Ah excuse me sir, but what are you doing?"

Santu replies, "I'm trying to win a Nobel Prize."

"How?" asks the man, puzzled.

"Well I heard they give the Nobel Prize to people who are outstanding in their field."

 
  Medicolegal Update

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

Immediate first aid may stop serious poisoning and may save life

If breathing and the heart stop, the person will die within a few minutes unless first aid is administered at once. Here is an action list. Each step is explained in more detail below the list. Start with the first step and follow each step in the order given. Act as quickly as you can, but stay calm.

  • Check if the patient is conscious try to make the patient wake up. Shout "Are you all right?" and gently shake the shoulders, but take care not to make any injuries worse. Pinch the skin on the neck and watch the face. A patient who is just sleeping will wake up, but an unconscious patient will not.
  • Open the airway. The airway is the tube through which air passes from the mouth and nose to the lungs. If it is blocked the patient cannot breathe and air cannot get into or out of the lungs. A patient who cannot breathe will die within 4 minutes. In an unconscious patient, the tongue may block the throat and the airway.
  • Make sure the airway is open and air can get down the throat. Place the patient on his/her back. Tilt the head back and lift the chin up with the finger and thumb of one hand on the bony part of the chin, while pressing the forehead back with the other hand. This will open the airway and stop the tongue blocking the throat.
  • Check whether the patient is breathing after opening the airway; quickly check whether the patient is breathing. Look for the belly or the chest moving up and down. Feel the chest moving up and down. Feel the patient's breathe on your cheek. Listen for breath sounds. Put your ear close to the patient's mouth. Use all four checks. Remember that the chest may move up and down even when the throat is completely blocked and air cannot get to the lungs.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

19th MTNL Perfect Health Mela to train 10.000 people in compression only CPR

The 19th MTNL Perfect Health Mela is being organised by Heart Care Foundation of India jointly with Department of Health, Delhi Government from 7th to 11th November, 2012 at Constitution Club of India. A week before the event, various activities will be organised at multiple locations.

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Mr Sandeep Marwah, Director of Asian Academy of Film & Television, said that focus of the Mela this year will be “Prevention of Non-Communicable Diseases” and “Revival of Heart After Death.”

The Mela will provide a unique opportunity for people from all walks of life to get preventive awareness about the non-communicable diseases incorporating all pathies and by using the medium of exhibition, checkups, competitions, workshops under one roof.

Over 10,000 members of the public will be certified in compression only CPR. Two hundred special dummies will be located at the Mela venue. Life is reversible in the first 10 minutes of death through the compression only CPR module. The mantra is within 10 minutes of the death for the next 10 minutes, compress effectively and continuously the centre of the chest of the deceased with a speed of 100 per minute (10x10). The entry to the Mela is free. General public can also avail training at the Mela venue.

Special arrangements are being made and special counters are being made for the residents of Noida and Ghaziabad.

For the first time to promote health campaign advertising, two competitions will also be held in association with Asian Academy of Film and TV for the best 30 seconds health campaign. The themes are “Death is Reversible in the First 10 Minutes” and “Health Myths in Bollywood Movies”.

 
    Readers Response
  1. Dear Sir, emedinews is providing good information: Regards: Dr Sneh
 
    Forthcoming Events
Dr K K Aggarwal

19th MTNL Perfect Health Mela

Heart Care Foundation of India and Depts. of Health & Family Welfare, Govt. of Delhi in association with World Fellowship of Religions, NDMC, MCD are organizing 19th MTNL Perfect Health Mela at Constitution Club of India Rafi Marg, New Delhi from 7th-11th November 2012 (8am-8pm). The focus this year will be Prevention of Non Communicable Diseases.

 
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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