HCFIe-Medinews A Service of IJCP Publications Pvt. Ltd.WFR
Address: 39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



 emedinews is now available online on www.emedinews.in

11th December Friday

Dear Colleague,

     Emedinews, a new feather in the IJCP cap now on the web www.emedinews.in

Changes in clinical practice are occurring rapidly in all specialties and subspecialties and as a result, it becomes important for every clinician to keep pace with these developments. These changes may be in the form of new guidelines, amendments to existing practice guidelines, new drug launches and new techniques including latest research happening around the world. It is in this scenario that continuing medical education (CME) assumes a significant role in improving quality of healthcare. Most doctors rely on textbooks or journals to access information. But they may not have access to latest editions and hence may remain ignorant of updates.

For the past two decades, the IJCP Group has led the way in providing education to practicing doctors, hospitals, medical institutions, nursing and other paramedical staff through its various publications.

This is the era of the Internet and more and more physicians are using it to find out latest information in medicine. Realizing the potential of the Internet and the manner in which it has revolutionized communication, the IJCP Group has launched emedinews, 1st National daily medical newspaper of India. Emedinews offers you the latest news, views, new drug launches, controversies, breakthroughs in medicine, humor and much more….

A pioneering initiative, emedinews is an educational experience that helps physicians, medical students and other health professionals keep up with advances in medicine and also give you the freedom to read anywhere anytime...even during your vacation.

emedinews: revisiting 2009, a day long conference is organized by IJCP Group on second Suday of every January ( this year January 10, 2010 at Maulana Azad Medical College Auditorium) as part of its commitment in providing top quality CMEs.

Top experts discuss various topics related to happenings of the previous year. The CME is followed by lively cultural evening, emedinews doctors' of the year award, dance and dinner. (emedinews@gmail.com

Dr KK Aggarwal 



 Humor (krishan13629@yahoo.co.in)
Teacher: Which is the oldest animal in world?
Santa: ZEBRA
Teacher: How?
Santa: Bcoz it is Black & White

Radiological Society of North America meeting abstracts.
1.  Having an annual MRI or ultrasound in addition to mammography is beneficial for women with dense breasts who are at an elevated risk for breast cancer. In a large multicenter trial, these more sensitive technologies increased cancer detection in this group (Wendie A. Berg, MD, PhD, of Johns Hopkins University)

2. Decompressing a herniated disc via a minimally invasive needle procedure may keep pain at bay longer than standard treatment with medication and physiotherapy. Patients who had percutaneous disc decompression had significantly lower (P=0.01) pain scores after two years than did patients who were managed conservatively (Dr  Alexios Kelekis, of the University of Athens in Greece).

3.  Using ultrasound to examine lumps and suspicious areas of the breast may be an effective alternative to biopsy for women under 40. In two analyses, targeted ultrasound correctly distinguished between cancerous and benign lesions in the majority of cases (Constance Lehman, MD, of the University of Washington)

4. Radiologists here have rejected revised mammography guidelines from the U.S. Preventive Services Task Force (USPSTF), arguing that they are not backed by scientific evidence and will lead to unnecessary deaths. Under the revised guidelines, screening will begin too late and its effects will be too little, said Dr Stephen A. Feig, of the University of California Irvine and president elect of the American Society of Breast Disease. We will save money but lose lives.

5.  A fifth of patients who have narrowing of the leg arteries also have narrowing of the arteries in the heart, but they don't know it. In a randomized controlled trial in the Netherlands, 19% of patients with peripheral arterial disease also had coronary artery disease. (Dr Rozemarijn Vliegenthart Proenca, of the University Medical Center Groningen in the Netherlands).

6. Some women already at high risk of breast cancer should be cautious about having mammography or chest x rays before the age of 30 because the imaging may increase the risk of developing the disease. Five or more x rays, or any exposure to ionizing radiation before age 20, increased the likelihood of breast cancer two and a half times in this high risk group (Marijke C. Jansen van der Weide, PhD, of the University Medical Center Groningen in the Netherlands).

7. More than half of patients who have abdominal computed tomography (CT) scans may be getting extra series of tests that aren't necessary and that lead to increased radiation exposure. In a retrospective analysis, 52.2% of patients had an unindicated series of scans    most often delayed phase imaging, which involves a contrast agent diffusing through blood, tissues, and subsequently organs. (Dr Kristie Guite, of the University of Wisconsin in Madison).

8.  Adding elastography to breast ultrasound may help distinguish between cancerous and benign results, potentially decreasing the need for biopsies. The imaging test, which looks at the stiffness of tissue, correctly identified 98% of cancerous lesions and 78% of those that weren't cancerous in a trial of about 200 patients. ( Dr Stamatia V. Destounis of Elizabeth Wende Breast Care in Rochester)

9. Pop top tabs are supposed to stay on soda cans, but they may still end up in children's stomachs.  So called stay tabs were introduced in the 1970s as an alternative to pop tops that completely severed from aluminum cans. But researchers at the Radiological Society of North America meeting say the prevalence of swallowed stay tabs may be more common than previously thought because they're harder to spot on radiographs than other objects that kids ingest    such as pennies.

10.  For years, the pager and cell phone have summoned on call radiologists to the emergency room. Now this leap in technology: an iPhone App that lets radiologists diagnose a patient remotely, wherever they may be.  Using an iPhone application radiologists made correct diagnoses of appendicitis in 124 of 125 computed tomography (CT) scans. (Dr Asim Choudhri, of Johns Hopkins University in Baltimore). 

Evidence BASED Practice
All dog bites carry a risk of infection, but immediate and thorough wound washing can significantly decrease that risk. Am. Fam. Physician 2001 Apr.; 15;63(8):1567 1572.

Funny clinical notes (Dr. Minakshi)
Patient has left white blood cells at another hospital.

Make Sure
Mistake: A 40 year old mild hypertensive complained of ED after a beta blocker
Reaction: Oh my god! What was the need of starting the drug so early?
Make sure that all mild hypertensives are first advised lifestyle modifications like exercise, low salt diet, high fiber diet, decreasing stress, etc. before advising anti hypertensive medications.

Dr Good Dr Bad
Situation: an elderly came with low back pain after a minor trauma
Dr Bad:  Take this pain killer
Dr Good:  Get x ray spine done
Lesson:   A history of even minor trauma in an elderly patient presenting with back pain raises the red flag of suspicion for fracture and is sufficient reason to order plain radiograph of the spine.

£500 million spent on Tamiflu but experts say it doesn't work
Tamiflu does not work on healthy patients who get swine flu, experts have claimed. An investigation by the British Medical Journal has found no robust data to prove the anti viral medication prevents swine flu from becoming a serious condition. The research, published in the BMJ online, reviewed a number of studies looking at how well Tamiflu works in otherwise healthy patients. Dr Vivek Chhabra, 9899 79 8737

Our Journal
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emedinews is now available online on www.emedinews.in

 Advertising in emedinews

emedinews is the first daily emedical newspaper of the country. One can advertise with a singe insertion or 30 insertions in a month. Contact drkk@ijcp.com.

medinews: revisiting 2009

IJCP Group is organizing emedinews: Revisiting 2009, a day long conference on 10th Jan  2010 at Maulana Azad Auditorium. It will be attended by over 1500 doctors. Topics will be happenings in the year 2009. There is no registration fee however advanced registration is required.  Top experts will deliver lectures. CME will be followed by lively cultural evening, doctors of the year award, dance and dinner. For regiatration mail  emedinews@gmail.com. We have crossed 1200 registrations.

You can gift emedinews to some one just write to emedinews@gmail.com  

Also if you like emedinews you can FORWARD it to your email addresses

Letters to the editor
1. Hello DR KK Aggarwal, I am Dr Sarita Narang basically belong to new Delhi, presently working in KK hospital, Singapore  in Department of urogynae. Why not just add a column completely dedicated to women’s health in emedinews.it will add to the value of the paper plus will increase the awareness among doctors regarding recent updates. Sarita 
Emedinews comments: Good idea. Will some one help in completing it.


 2. Respected sir ADAAB, thank you very much for your emedinews online delivery. Sir, its truly fantastic that you are doing for us doctors especially RMO's like me. This kind of latest information is really required in our field Sir, keep doing all your good work for the doctor community and the mankind .May ALLAH give you courage and all the holy blessings for it.


3. Thanks a lot. This is a great idea. Rachna wadhwa

4. Dear Dr. Aggarwal, in response to the article stating "An investigational compound that combines an NSAID and a proton pump inhibitor in an enteric coated pill significantly reduced the rate of gastrointestinal ulcers in high risk patients with arthritis " I would like to state that the combination of NSAID+ gastro protective Misoprostol as Arthrotec is already available & has been shown to do the same i.e reduced the incidence of GI Ulcers in high risk arthritic patients. 2)also, regarding CURB scoring for Pneumonia:  it is actually CURB 65; in addition to Confusion,B.Urea,Tachypnea,Hypotension; Age>65Yrs is also an indication for hospitalization. Warm Regards, delhiboy1000@yahoo.com

5. Dear sir, correction in the e news dated 3/12/2009. How to treat at birth? A: Birth: give single dose of Nevirapine within 72 hours + Ziduvidine 200 mg per hour for 7 days. It should have been  "...single dose of Nevirapine within 72 hrs + Ziduvidine 200 mg per 6 hr...". Dr Vishnu

6. Dear Dr Aggarwal, Thanks.  Your very prompt and positive response is greatly appreciated. The Indo Australasian Psychiatry Association (IAPA) are organising a conference in Invercargill, on 10 May 2010 - 11 May 2010 at the picturesque Ascot Park Hotel, Invercargill, New Zealand.  The conference is, open to all. A galaxy of internationally known experts, including Prof Rajiv Tandon (Michigan), Dr R Thara (Director SCARF, Chennai, India), Prof Vikram Patel (LSHTM) and Prof M Keshavan (Harvard) will constitute the panel of invited speakers.  The President of the UK Royal College of Psychiatrists, Prof Dinesh Bhugra will inaugurate the conference, while Prof Mohan K Isaac (University of Western Australia) will deliver the key-note address.  Dr D S Goel Convenor



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