emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

 
  Editorial …

9th November 2011, Wednesday

Even watching smokers in a movie may stimulate smoking

An international study published in Neuropsychopharmacology has shown that even watching someone smoke is harmful proving further that smoking is contagious.

When smokers anticipate having a cigarette their brain is affected more by the external cues, such as seeing someone else smoking, then by the degree of craving or how long they have gone without a cigarette.

In the study Canadian doctors did the functional MRI scan of the brain of 20 smokers. 10 of them were told that they could smoke immediately after the MRI and the rest 10 were told that they cannot smoke for the next four hours.

While undergoing brain scan they were shown video tapes of people lighting cigarette, smoking or blowing smoke rings. There was a significant difference in the findings in the two groups. Functional MRI of the brain of people who anticipated having a cigarette immediately after the scan were associated with changes in the arousal, attention and cognitive control of the brain. On the other hand, no such changes were noticed in the other group.

The study clearly shows that any external environment can influence and change the chemistry inside the body and if the change coincides with the right atmosphere, the person may end up actually doing the same act. Many studies have shown that not only anger and desires but even their recall can change the physical and mental reactions of the body.

It is a common fact that while watching a movie if the character weeps, we also weep. Same neurochemical changes occur in our body as they occur in the character playing the role, provided we are in a complete phase of relaxation.

The principle of hypnosis is also based on this that in a relaxed body, the state of mind becomes suggestive and changes its biochemistry according to the suggestion in question.

This observation has a therapeutic spiritual significance. Those who want to quit smoking or drinking will have to live in an atmosphere which does not trigger smoking or alcoholism. A no–smoking zone therefore should include non availability of cigarettes and no smoking audiovisual area.

In Vedic literature too this principle has been well described in yoga sutras of Patanjali under eight limbs of yoga, which are Yama, Niyama, Asana, Pranayam, Pratihaara, Dharna, Dhyaan and Samadhi.

Pratihaara, which is in between pranayama and start of meditation process called dharna involves creating spiritual atmosphere, detaching oneself from the outer stimuli and preparing for the inner journey.

In Ramayana, Pratihaara is represented by the killing of Bali by Rama. Sugriva there represents intellect and Bali represents lust. The intellect cannot kill lust from the front. Sugriva could not kill Bali when they fought with each other. Bali was only killed by Rama, the consciousness, from behind and not from the front indicating that one cannot stop smoking or drinking alcohol if the same are kept in front of them.

For de–addiction programmes, therefore, there are two important steps. Firstly, not to have the abusable substance available and secondly, to avoid any direct or indirect environment where we can be influenced by others who are smoking or drinking or indulging into substance abuse.

If both these factors are present it is unlikely that any person will be able to resist from indulging in substance abuse.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
    eMedinewS Audio PostCard

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

Even watching smokers in a movie
may stimulate smoking

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011– Medico Masti, an inter college health festival

MTNL Perfect Health Mela at NDMC Grounds Laxmibai Nagar, New Delhi. The competitions like Fashion Show, Choreography, Rock Band etc. organized on the spot. Over 50 colleges from NCR including medical colleges took part in the event.

 
Dr K K Aggarwal
 
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter

http://blogs.kkaggarwal.com/?p=1134
http://twitter.com/#!/search/medicolegal
https://www.facebook.com/pages/Insight–on–Medicolegal–Issues/247091668637671

48% cancers due to tobacco chewing

CHANDIGARH: On the occasion of National Cancer Awareness Day on Monday, the department of radiotherapy, in collaboration with department of community medicine, PGIMER organized an awareness and early detection camp at Indira Colony, Manimajra. Nearly 600 people visited the camp and exhibition & about 300 people were examined by the faculty of the hospital. PGI receives nearly 6,000 new cancer cases every year and this figure is on a rise. Cancer pattern in India reveals the preponderance of tobacco related cancers because besides smoking, tobacco chewing is also an important risk factor. Almost 48% of cancers are related to tobacco in India. Oral, breast and cervix cancer together constitute 40–50% of the cancer burden in India. (Source: TOI, Nov 8, 2011)

For Comments and archives

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

Eat nuts daily for healthy heart

Eating one ounce of mixed nuts (raw unpeeled walnuts, almonds and hazelnuts) a day may benefit those who are at high risk for heart disease and type 2 diabetes, a new study has suggested. Scientists have for the first time found a link between eating nuts and higher levels of serotonin in the bodies of patients with metabolic syndrome (MetS), who are at high risk for heart disease. (Source: TOI, Nov 3, 2011)

For comments and archives

WCIR: Sleep apnea complicates things in diabetes

Diabetes patients with obstructive sleep apnea may have more autonomic dysfunction and also may be at greater risk of hypoglycemia, researchers said here. (Source: Medpage Today)

For comments and archives

ICD–10 is no laughing matter, duck bites aside

Physicians have gotten a few laughs from the new and voluminous set of diagnostic codes known as ICD–10, which distinguishes between being struck by a duck (W6162XA) and being bitten by a duck (W6161XA). A new study by the healthcare research firm KLAS, however, suggests that physicians and other providers need to take ICD–10, more seriously. Only 9% of providers are more than halfway through the needed preparations to switch from the ICD–9 code set to the new one by the federal deadline of October 1, 2013. The rest, said study author Graham Triggs, are still in the early stage of doing their homework. (Source: Medscape Medical News)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Good luck is often with the man who doesn't include it in his plans. ~ Unknown

@DeepakChopra: #CosmicConsciousness The cosmos is a single, unbroken wholeness in flowing motion––David Bohm

 
    Spiritual Update

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

Kartik: the month prone to depression and suicides

As per astrology, suicides are linked to the moon and sun. In Vaishakha month the sun is of ucch koti and in Kartik of neech koti. Both are linked to depression and suicidal tendencies.

All festivals in Kartik month are community festivals where most worships are done in groups and in the community. A person is not kept alone. The early morning rise, community walks, community river water baths and community sun baths are all linked to removing depression

For comments and archives

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

A university scholar, Mr. John Smith approaches his friend, a software–testing guru, telling him that he has a Bachelor in Programming, and now would like to learn the software testing to complete his knowledge and to find a job as a software tester. After summing him up for a few minutes, the software–testing guru told him, "I seriously doubt that you are ready to study software testing. It’s the serious topic. If you wish however I am willing to examine you in logic, and if you pass the test I will help teach you software testing."

The young man agrees. Software testing guru holds up two fingers "Two men come down a chimney. One comes with a clean face and the other comes out with a dirty face. Which one washes his face? The young man stares at the software–testing guru. "Is that a test in Logic?" software testing guru nods.

"The one with the dirty face washes his face," He answers wearily.

"Wrong. The one with the clean face washes his face. Examine the simple logic. The one with the dirty face looks at the one with the clean face and thinks his face is clean. The one with the clean face looks at the one with the dirty face and thinks his face is dirty. So; the one with the clean face washes his face."

"Very clever" Says Smith. "Give me another test"

The software–testing guru again holds up two fingers "Two men come down a chimney. One comes out with a clean face and the other comes out with a dirty face. Which one washes his face?

"We have already established that. The one with the clean face washes his face"

"Wrong. Each one washes his face. Examine the simple logic. The one with the dirty face looks at the one with the clean face and thinks his face is clean. The one with the clean face looks at the one with the dirty face and thinks his face is dirty. So; the one with the clean face washes his face. When the one with the dirty face sees the one with the clean face washing his face, he also washes his face. So each one washes his face."

"I didn’t think of that!" says Smith." It’s shocking to me that I could make an error in logic. Test me again!."

The software–testing guru holds up two fingers "Two men come down a chimney. One comes out with a clean face and the other comes out with a dirty face. Which one washes his face?

"Each one washes his face."

"Wrong. Neither one washes his face. Examine the simple logic. The one with the dirty face looks at the one with the clean face and thinks his face is clean. The one with the clean face looks at the one with the dirty face and thinks his face is dirty. But when the one with clean face sees that the one with the dirty face doesn't wash his face, he also doesn't wash his face. So neither one washes his face".

Smith is desperate. "I am qualified to study software testing. Please give me one more test" He groans when the software–testing guru lifts his two fingers, "Two men come down a chimney. One comes out with a clean face and the other comes out with a dirty face. Which one washes his face?

"Neither one washes his face"

"Wrong. Do you now see, John, why programming knowledge is an insufficient basis for studying the software testing? Tell me, how is it possible for two men to come down the same chimney, and for one to come out with a clean face and the other with a dirty face? Don’t you see?

Guys!!! Requirements for testers will look the same but expectations from clients will vary every now and then…

For comments and archives

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Weight loss can be maintained

It's likely that you or someone that you know has struggled with weight loss and weight regain. Despite their best efforts, weight maintenance is difficult for many people. However, there is hope. New research presented at the most recent annual meeting of The Obesity Society described the largest study on weight maintenance that has ever been conducted. The research aims to determine what factors influence weight maintenance after weight loss, so that more people can learn to keep the weight off… for good.

Researchers from different universities, including the Albert Einstein College of Medicine, are using a tracking database to follow a group of over 10,000 people who have lost more than 30 pounds and have kept that weight off for at least one year. Each year, these people complete surveys on their various lifestyle habits. The results of the study showed that most people who have maintained their weight loss are college educated. This indicates that education may play a role in weight maintenance, which is a topic that has been researched and is commonly accepted as true. Another result that was not surprising was the fact that people who kept their weight off shared healthy lifestyle habits, such as eating a diet low in sugar and fat, as well as getting regular exercise. They also tended to watch less than 10 hours of television per week. Much research has shown that exercise is negatively associated with television–watching.

For comments and archives

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    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

If you do need to use a cellular phone urgently, take the following precautions:

Ensure phone is within easy reach.

For comments and archives

 
    Medicine Update

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

What is the BMI classification for children?

Body Mass Index (BMI) classification of children and adolescents is as below.

BMI percentile for age

Weight status

<5th percentile

Underweight

5th–84th percentile

Normal weight

85th–94th percentile

At risk for overweight

≥95th percentile

Overweight

For comments and archives

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

What is the complete blood count test?

The complete blood count or CBC is one of the most commonly ordered blood tests. It is the calculation of the cellular elements of blood. These calculations are generally determined by special machines that analyze the different components of blood in less than a minute.

A major portion of the complete blood count is the measure of the concentration of white blood cells, red blood cells, and platelets in the blood. We recommend screening slides for all abnormal CBC parameters.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with A1c of 6.5%.
Dr Bad: Start a combination of Glimepiride and Metformin.
Dr Good: Start Metformin monotherapy.
Lesson: Metformin typically lowers fasting blood glucose concentrations by approximately 20% and A1c by 1.5%, a response similar to that achieved with a sulfonylurea. (Diabetes Care 1992;5:755 and N Engl J Med 1996 334:574)

For comments and archives

Make Sure

Situation: A patient of jaundice with fever developed complications.
Reaction: Oh my God! Why were other causes of jaundice not suspected?
Lesson: Make sure that in a patient with jaundice and fever, causes other than viral hepatitis are looked into. In viral hepatitis, jaundice appears after the fever subsides.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

Life is too complicated, don’t try to find the unnecessary answer…… because the time you find the answer, life changes the questions.

 
    Mind Teaser

Read this…………………

pPPod

Yesterday’s Mind Teaser: Which of the following is not true regarding ERCP in benign injuries of biliary tract?

a) ERCP should be the initial investigation in all cases of injuries to the bile duct to define the extent of injury.
b) ERCP is of value if there is a incomplete stricture.
c) ERCP is helpful if it is a Type A or Type D injury.
d) ERCP is of no use if clinically or radiologically the bile leak has stopped.

Answer for yesterday’s Mind Teaser: a) ERCP should be the initial investigation in all cases of injuries to the bile duct to define the extent of injury

Correct answers received from: Dr Sukla Das, Dr KV Sarma, Dr PC Das, Dr Rajshree Aggarwal,
Dr Chandresh Jardosh, Raju Kuppusamy, Dr Surendra Bahadur Mathur, Muthumperumal Thirumalpillai, Anil Bairaria, Dr Jainendra Upadhyay, Dr Neelam Nath, Dr Thakor Hitendrasinh G.

Answer for 7th November Mind Teaser: D) Phosphorus
Correct answers received from: Dr N Prabakar, Dr KV Sarma, Dr Shashi Saini, Sathyamoorthy V,
Dr Arvind Khanijo, Dr Thakor Hitendrasinh G, Dr Neelam Nath.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

A man, seeking to lose some of his excess weight, visited the local doctor.

Ram: How can I lose 12 kg of ugly fat?

Doctor: Of course! Cut your head off.

 
    Medicolegal Update

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

How can a doctor assess the severity of stab wounds by external examination?

The severity is based exclusively on the location and depth of penetration seen in autopsy.

  • The important medical considerations include the type of weapon used i.e. knife length, shape, straight or serrated, and manner of assault, whether the stabbing is overhand/underhand.
  • The gender of the assailant may have some importance; women tend to stab "overhand." Penetration tends to be deeper with the "underhand" thrust.
  • Stab wounds to the chest should always be considered dangerous and likely to cause death until proven otherwise.
  • Central stab wounds, below the clavicles and to either side of the breastbone can result in penetration of the heart. Chest wounds can result in puncture and rupture of the lung or marked bleeding within the chest cavity causing hemothorax.
  • Stab wounds to the abdomen will often result in an exploratory laparotomy to rule out serious damage. Slow bleeding inside the abdomen is extremely difficult to diagnose, and should be considered a possibility in every case.
  • Stab wounds to the upper back can involve the lung or heart.
  • Stab wounds to the lower and middle back can involve the kidneys and ureters. Evaluation of stab wounds to the back that may have punctured the kidney will require intravenous pyelography for evaluation. The presence of blood in the urinalysis indicates injury to the kidney, bladder, or ureter.
  • An examination for sensation, movement and pulses of the victim should be carefully done and documented in case of stab wounds to the hands/legs that do not lacerate nerves, blood vessels, or tendon structures.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Concentrate with Concentration

Yoga is not just simple Aasans but involves eight limbs of discipline practice incorporating Aasans, Pranayams, withdrawal of senses, intention, concentration and contemplation said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

  • Twenty minutes of deeper relaxation can produce the same benefits which are seen with seven hours of deep sleeping.
  • Don’t drink sodas or coffee. Don’t eat candy bars. After just a few minutes, they cause you to crash and you will feel worse than before.
  • Pranayama in allopathic language can be equated to parasympathetic lifestyle, which reduces the wear and tear of the body and helps in healing.
  • Lifestyle disorders can be regressed. By proper lifestyle management, one can reduce intake of drugs for diabetes and high blood pressure by 40%.

It is possible to regress even coronary blockages over a period of time in patients with stable angina. One should not plan interventional procedure until a meditation or lifestyle management has failed.

For comments and archives

 
    Readers Responses
  1. Dear Sir, I deeply appreciate your medicalnews and the presentations. Pls keep it up.Regards:Dr MV Shantha
 
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: 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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    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