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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 (07–08c); 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

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  Editorial …

28h December 2011, Wednesday

Texting and checking email in OT while work can be dangerous

There is a growing problem in operating rooms. Distracted doctors and surgical staff are often texting or surfing the web while performing patient procedures. It's led to medical errors and lawsuits.

A patient in Colorado who was left partly paralyzed, allegedly by a distracted doctor. The neurosurgeon made at least 10 personal calls on his cell phone during the operation. The law suit was solved under out of court settlement.

Medical professionals are expected to multitask but distracted doctors can lead to dangerous errors. Doctors, nurses and technicians text, SMS, update on Facebook and do internet shopping. Half of heart-monitor technicians text during surgery, according to a survey in Perfusion, a heart-surgery journal.

Distracted doctors could be sued for medical mistakes caused by inattentiveness. Such cases usually require expert testimony to prove the surgeon failed to properly care for the patient. Hospitals that employ distracted doctors could also face lawsuits under the legal theory of "respondent superior," which holds an employer liable for employees' negligence. Dr. Trevor Smith’s peer-reviewed survey of 439 medical staff was published this year in Perfusion, a medical journal about cardiopulmonary bypass surgery.

  • 55% of staff who monitor heart bypass machines acknowledged to researchers that they had talked on cell phones during heart surgery.
  • 50% said they had texted while in surgery.
  • Perfusionists studied reported that, while in the middle of cardiopulmonary bypass surgery, they had: accessed e-mail (21%); used the internet (15.1%) and checked/posted on social networking sites (3.1%).

In operating room, long cases allow anesthesiologists, circulating nurses, as well as perfusionists to access their cell phones. Checking email, sending texts, and surfing the net, can be potential hazards to patients, when personnel need to be focused on patient monitoring. Boredom drives staff to check their phones and messaging devices.

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Dr KK Aggarwal
Group Editor in Chief

    eMedinewS Audio PostCard

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

Dr KK Aggarwal in conversation with Dr S Mathew

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Public Lecture by Professor Trinh X. Thuan

A lecture on “Stars, Galaxies and the Universe” was organized by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt. of India on 27th December 2011 at Nehru Planetarium, Chanakyapuri, New Delhi. The function was graced by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal

In the photo: Professor Trinh X. Thuan, Professor of Astronomy at University of Virginia, USA and UNESCO Kalinga Awardee for Popularization of Science delivering the lecture

Dr K K Aggarwal
    National News

BHU finalises draft for appropriate use of ayurvedic medicines

VARANASI: With an aim to spread consumer awareness about ayurvedic medicine, the department of rasa shastra, under the faculty of ayurveda at Banaras Hindu University (BHU), has made a draft for 'development of consumer guidelines for appropriate use of ayurvedic medicines'. The final draft has been made under the WHO appraisal project work (APW), a part of WHO-government of India programme. It aims at propagating consumer medical information (CMI) to dispel misconceptions and myths associated with age-old traditional medicine system. (Source: Dec 23, 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

Don't rely on IgE test for pediatric allergies

The mere detection of sensitization to an allergen on allergen-specific immunoglobulin E (IgE) tests is not always equivalent to a clinical diagnosis, cautioned a clinical report from the American Academy of Pediatrics (AAP). (Source: Medpage Today)

For comments and archives

FDA Okays BP Drug Combo

The FDA has approved the combination of azilsartan medoxomil and chlorthalidone (Edarbyclor) for hypertension treatment in adult patients. The tablet is the first single-tablet, once-daily, fixed-dose treatment to combine an angiotensin II receptor blocker (azilsartan medoxomil, Edarbi) and a diuretic (chlorthalidone), according to a statement from maker Takeda Pharmaceuticals. (Source: Medpage Today)

For comments and archives

Female-only HPV vaccination most effective

Increasing vaccination for the human papillomavirus (HPV) among pre-adolescent girls is more effective than extending existing programs to include boys, according to a range of transmission models. (Source: Medpage Today)

For comments and archives

    Cardiology eMedinewS

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

Sometimes a Needle or Screw will Break Leaving a Fragment behind. Is this a Reviewable Sentinel Event?

Read More

Thrombolysis for DVT

Read More

Improving BP in Middle Age Pays Off Later

Read More

    Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on Reduce weight first if facing infer... http://www.youtube.com/watch?v=jBfHNrhHjxc&feature=share via @youtube

@DeepakChopra: Manhattan-20111226-00602.jpg Good Morning from NY

    Spiritual Update

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

The Science behind Sachin’s Nervous Nineties

One more four and a world record of hundred centuries. Oops….. he is out and no record. This is what Sachin Tendulkar is facing.

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    An Inspirational Story

(Dr Anupam Sethi Malhotra)

A woman baked bread for members of her family and an extra one for a hungry passerby. She kept the extra bread on the window-sill, for whosoever would take it away. Every day, a hunchback came and took away the bread. Instead of expressing gratitude, he muttered the following words as he went his way:

"The evil you do remains with you: The good you do, comes back to you!"

This went on, day after day. Every day, the hunchback came, picked up the bread and uttered the words: "The evil you do, remains with you: The good you do, comes back to you!" The woman felt irritated. "Not a word of gratitude," she said to herself...

"Everyday this hunch-back utters this jingle! What does he mean?

"One day, out of desperation, she decided to do away with him. "I shall get rid of this hunchback," she said. And what did she do? She added poison to the bread she prepared for him! As she was about to place it on the window sill, her hands trembled. "What is this I am doing?" she said.

Immediately she threw the bread into the fire, prepared another one and kept it on the window-sill. As usual, the hunch-back came, picked up the bread and muttered the words:

"The evil you do, remains with you: The good you do, comes back to you!"

The hunchback proceeded on his way, blissfully unaware of the war raging in the mind of the woman. everyday, as the woman placed the bread on the windowsill, she offered a prayer for her son who had gone to a distant place to seek his fortune. For many months, she had no news of him.. She prayed for his safe return.

That evening, there was a knock on the door. As she opened it, she was surprised to find her son standing in the doorway.. He had grown thin and lean. His garments were tattered and torn. He was hungry, starved and weak. As he saw his mother, he said, "Mom, it's a miracle I'm here. While I was but a mile away, I was so hungry that I collapsed. I would have died, but just then an old hunchback passed by. I begged of him for a small part of his food, and he was kind enough to give me whole bread. "As he gave it to me, he said, "This is what I eat everyday: today, I shall give it to you, for your need is greater than mine!"

"As the mother heard those words, her face turned pale and red. She leaned against the door for support. She remembered the poisoned bread that she had made that morning. Had she not burnt it in the fire, it would have been eaten by her own son, and he would have lost his life! It was then that she realized the significance of the words: "The evil you do remains with you: The good you do, comes back to you!"

Do good and Don't ever stop doing good, even if it's not appreciated at that time.

For comments and archives

    Fitness Update

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

Healthier people create a healthier economy

Can poor health and lack of exercise make the recession worse? Absolutely! That is, according to a new report from the Trust for America's Health, a non-profit, non-partisan organization that is dedicated to promoting community health and disease prevention. The report digs deep to investigate and explain how the health of a population is tied to that population's economic productivity. It also examines how health affects the ability of states, cities and towns to attract and retain employees and employers, and how workplace and community wellness programs help improve productivity and reduce health spending.

The report details specific case studies and interviews with business executives, elected officials and public health leaders in a variety of different U.S. states, including Minnesota, Texas, Tennessee, Indiana, California and Mississippi. In these states, over half the inhabitants live with one or more chronic disease, including heart disease, stroke, diabetes and cancer, which are oftentimes preventable. The report presents data that exemplify how chronic health conditions affect worker productivity and increase healthcare costs. For instance, obesity alone cost Texas businesses an extra $9.5 billion in 2009, including more than $4 billion for health care, $5 billion for lost productivity and absenteeism and $321 million for disability. However, they go even further to make the case that in order to attract new business, a city must be prosperous and healthy.

For comments and archives

    Legal Question of the Day

(Dr MC Gupta, Advocate & Medico-legal Consultant)

Q. It is clearly mentioned in the certificate of registration issued by the Karnataka Medical Council as follows: "All persons Registered under this Act are legally qualified to practice Modern scientific Medicine, Surgery and midwifery". Does it not mean that an MBBS doctor is legally qualified to practice surgery, orthopedics etc.?

Ans. No. It does not mean that.

  1. Whether an MBBS doctor is legally qualified to practice surgery, orthopedics etc. is to be decided under the Indian Medical Council Act, 1956, by the medical council concerned.
  2. If a patient complains to the Karnataka Medical Council that an MBBS carried out an orthopedic or general surgery (such as gallbladder surgery) on him and the outcome of surgery was not proper, the Council is likely to punish the MBBS doctor for undertaking a treatment in a specialty in which he was not qualified. On appeal, the MCI is likely to uphold the decision of the State Medical Council. If the doctor files a writ petition in the HC, against the MCI, the HC is likely to reject it.
  3. Based upon the finding of the medical council, the patient is likely to succeed against the MBBS doctor in complaints filed before the police/magistrate (which may result in imprisonment) and the consumer courts (which may award monetary compensation).
  4. In view of the above, it will be in the interest of an MBBS doctor not to exceed his brief and invite serious consequences as a result.

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emedinews revisiting 2011
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    Healthy Driving

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

Epilepsy and driving

Epilepsy is uncontrolled when there have been seizures in the last 12 months or the treatment has changed in the last 3-6 months.

    Medicine Update

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

What are the features of physical examination of chronic liver disease in children?

  • Firm to hard hepatomegaly
  • Moderate to massive splenomegaly
  • Growth failure
  • Significant ascites, pedal edema, prominent abdominal veins, clubbing, muscles wasting, signs of CLD

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How do you know that you are pregnant?

During your reproductive years, your ovaries ovulate (release) an egg each month. If the egg is fertilized and implants in the lining of your uterus (endometrium), you become pregnant. If you do not become pregnant, the endometrial lining that thickened with blood in preparation for a pregnancy is shed in the form of the menstrual flow, and the cycle begins again.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A diabetic HIV patient came with A1c report of 6.5.
Dr Bad: It’s perfect.
Dr Good: It is not 100 percent reliable for your situation.
Lesson: A1c may not be accurate for assessing glycemia among HIV–infected patients on NRTI–based therapy, especially those with macrocytosis or those on abacavir. In a prospective study evaluating the accuracy of A1c in HIV–infected patients with diabetes, glucose levels were significantly higher than anticipated by A1c levels when compared with HIV–uninfected control subjects and established reference values. Relative to the control subjects, A1c underestimated glucose by 29 ± 4 in the HIV–infected subjects (Diabetes Care 2009;32(9):1591–3).

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Make Sure

Situation: A 28–year–old male presented with increased frequency and occasional blood in urine. Urine examination shows sterile pyuria.
Reaction: Oh my God! Why didn’t you check for TB?
Lesson: Make Sure to rule out TB in patients with frequency, dysuria, hematuria. A sterile pyuria is the first clue to diagnosis.

For comments and archives

  Quote of the Day

(Dr GM Singh)

The purpose of life is not to be happy. It is to be useful, to be honorable, to be compassionate, to have it make some difference that you have lived and lived well. Ralph Waldo Emerson

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum Amylase

Serum amylase is the most common blood test to diagnose and monitor acute or chronic pancreatitis.

  • Acute pancreatitis: Amylase increases from 2 to 12 hours after the beginning of symptoms and peaks at 12 to 72 hours. It may rise to 5 to 10 times the normal level and will usually return to normal within a week.
  • Chronic pancreatitis: Amylase is often moderately elevated but gradually decreases with progressive damage of the pancreas.
    Mind Teaser

Read this…………………

Enlarged corneal nerves may be seen in all of the following except:

1. Keratoconus
2. Herpes simplex keratitis
3. Leprosy
4. Neurofibromatosis

Yesterday’s Mind Teaser: The frequency of NVP (Nevirapine) resistance with single dose is:

a. 60 - 70%
b. 20 - 30%
c. 50 - 50%
d. 3 - 40%

Answer for yesterday’s Mind Teaser: d. 3 - 40%

Correct answers received from: Dr Prabha Sanghi, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay.

Answer for 26th December Mind Teaser: Paradise
Correct answers received from: Dr BB Aggarwal, Dr Shwetal, Dr Kiran, Dr MP Sukhla, Dr Firoz,
Dr Harish, Jai Parakas.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

One afternoon, a woman was in her back yard hanging the laundry when an old, tired-looking dog wandered into the yard. The woman could tell from the dog's collar and well-fed belly that he had a home. But when she walked into the house, the dog followed her, sauntered down the hall and fell asleep in a corner. An hour later, he went to the door, and the woman let him out.

The next day the dog was back. He resumed his position in the hallway and slept for an hour. This continued for several weeks. Curious, the woman pinned a note to his collar: "Every afternoon, your dog comes to my house for a nap."

The next day he arrived with a different note pinned to his collar: "We have 10 children. He's trying to catch up on his sleep.

    Medicolegal Update

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

The name Morphine is originated from the Morpheus - the Greek God of dreams

  • Morphine is an alkaloid of opium. It appears as white, shining crystals, has a bitter taste and alkaline reaction.
  • It is very sparingly soluble in cold water but soluble in boiling water.
  • Morphine hydrochloride and morphine sulphate are medicinal preparations and morphine acetate is a non-official preparation, the dose of each being 8 to 20 mg. These salts are bitter in taste, neutral in reaction and are 5 to 8 times more powerful than opium.
  • Morphine has a depressant action on the cortex; the respiratory and cough centers in the medulla are depressed but the vagus and vomiting centers are stimulated.
  • The spinal cord is also stimulated. Its most outstanding effect is relief of pain, partly due to depression of the cerebral area of pain perception and partly due to its euphoric effect.

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    Public Forum

(Press Release for use by the newspapers)

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

Public Lecture by Professor Trinh X. Thuan

Professor Trinh X. Thuan, Professor of Astronomy at University of Virginia, USA and UNESCO Kalinga Awardee for Popularization of Science delivered a lecture on “Stars, Galaxies and the Universe” was organized yesterday at Nehru Planetarium, Chanakyapuri, New Delhi.

In the photo: Professor Trinh X. Thuan, Professor of Astronomy at University of Virginia, USA and UNESCO Kalinga Awardee for Popularization of Science delivering the lecture This lecture was organized by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt. of India.

Another lecture will be organized today in collaboration with and at National Science Centre, National Council of Science Museums, Ministry of Culture, Govt. of India.

The function was graced by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India, Ms Ratna Sree, Director, Nehru Planetarium and Ms Shashi Ahuja, Director, NCSTC, Department of Science & Technology, Govt. of India. Dr D. Rama Sarma, Director, National Science Centre was the special guest.

Moderator of the program Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India said that astronomy is a fascinating subject. The more we know, the more we want to know.

Professor Trinh X. Thuan is a renowned writer of popular texts on cosmology, science, and philosophical/religious issues related to science, particularly within the French-speaking world. The Kalinga Prize was created by UNESCO in 1952 following a donation from Late Shri Biju Patnaik, Founder and President of the Kalinga Foundation Trust in India. The purpose of the Prize is to reward the efforts of a person who has had a distinguished career as a writer, editor, lecturer, radio/television program director or film producer, which has enabled him/her to help to interpret science, research and technology to the public.

Professor Trinh X. Thuan said that the universe is full of deep mysteries that astronomers are far from understood. A number of thought-provoking topics were covered in his talk, including the beginning and end of the universe, black holes, extraterrestrial life dark matter, and dark energy.

Meant primarily for students who are non-science majors, Prof Trinh X said that every school should have an independent laboratory class, where students work individually or in small groups on observational projects. Binoculars, 6-inch through 10-inch telescopes, and photographic equipment should be and are extensively used at the department’s student observatory. In addition, some projects use computers to simulate observations taken with much larger telescopes. The various projects focus on the study of constellations, planets, stars, nebulae and galaxies. Class work is done mostly at night.

This lecture will help people understand the limitations of our knowledge and why finding solutions to these mysteries are so difficult said Dr KK Aggarwal.

More than 700 people attended the Lecture.

For comments and archives

    Readers Responses
  1. Dear Sir, Very nice coverage of Medical Status Update. Regards: Dr Nisha
    Forthcoming Events

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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

3rd eMedinewS Revisiting 2011

Dr Ajay Kriplani (Surgical management of diabetes); Dr N K Bhatia ( What’s new in transfusion medicine); Dr Kaberi Banerjee (Fertility update); Dr Amit Bahrgava (Cancer update 2011), Onco Radiation update (Rajiv Gandhi Cancer Institute); Dr Ambrish Mithal (Vitamin D update), Dr Praveen Chandra (Interventional Cardiology update); Revisting 2011 (Dr K K Aggarwal), Portfolio management (Central Bank of India); Insurance update (LIC India); General Insurance (Doogar Associates)


The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund Faridabad. It is multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

Early Registration till 30th Dec 2011

    eMedinewS Special

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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