28th January 2012, Saturday

Eggs, more than one per week, raises the risk of diabetes

The advertisement in Indian TV "Sunday ho ya Monday, Roj Khao Ande" needs a revision as it is not based on scientific facts.

A new study has shown that people who eat eggs every day may substantially increase their risk of type 2 diabetes. India is already the diabetic capital of the world and continuing promotion of eating eggs every day will add to the burden.

In the study, men with the highest level of egg consumption, seven or more per week, were 58% more likely to develop type 2 diabetes than those who did not eat eggs, and women were 77% more likely to become diabetic if they ate at least an egg a day. The study done by Dr Luc Djoussé of Brigham and Women’s Hospital and Harvard is published in the Journal Diabetes Care.

Other salient features of the study were:

• Levels of egg intake above one a week incrementally increased diabetes risk in both men and women.
• Eggs are a major source of dietary cholesterol (about 200 mg per egg).
• Eggs add about 1.5 g of saturated fat each to the diet
• Eggs may influence glucose metabolism primarily through their effect on cholesterol.
• Each egg also contributes about 0.7 g of polyunsaturated fat, which neutralize the risk to some extent only.
• The average one–egg–a–week consumption was not associated with increased diabetes risk.
• The study included 20,703 male doctors without baseline diabetes from the Physicians’ Health Study I (1982–2007) and 36,295 similarly diabetes–free female health professionals from the Women’s Health Study (1992–2007). Over a mean follow–up of 20.0 years in men and 11.7 years in women, 1,921 men and 2,112 women developed type 2 diabetes. Diabetes was more common in men and women who reported eating more than the average one egg a week.

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Dr KK Aggarwal
Group Editor in Chief

732 sickle cell patients found in Yavatmal district

At least 732 patients suffering from sickle cell were found in the district during the period starting December 2010 in a special drive under the National Rural Health Mission (NRHM). District sickle cell coordinator Sulakshna Raikwar said that the scheme was launched at 63 public health centres and 17 rural sub–district hospitals in all the 16 tehsils of Yavatmal with the help of volunteers and taluka supervisors of NGOs Janvikas Sanstha of Ralegaon headed by Arun Ganmude and Saiprem Gramin Vikas Sanstha of Yavatmal headed by Ramesh Bhandve. (Source: TOI, Jan 25, 2012)

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Highlights of 2nd National Heart Valve Summit 2012

Echo screening for rheumatic fever: the prevalence is 2%: Dr K Sarat Chandra

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Asymptomatic Severe MR – Dr Robecca T Hahn

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Prevention Of Rheumatic Fever – Dr S C Manchanda

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Exercise Testing In Valvular Hear Disease – Dr Aasha Gopal

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RHD Still A Big Problem – Dr Anita Saxena

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Echo Screening For Rheumatic Fever: The Prevalence Is 2% – Dr K Sarat Chandra

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Surgery In Heart Failure – Dr David H Adams

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Severity of Mitral Stenosis – Dr R Alagesan

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

Enzymes show early heart damage in diabetes

A highly sensitive troponin test revealed evidence of subclinical heart damage in patients with hyperglycemia but no known coronary artery disease or heart failure, with particularly high enzyme levels in those with diabetes, according to a community–based population study. (Source: Medpage Today)

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Extended lymph node excision feasible in gastric cancer

In patients with gastric cancer, laparoscopic gastrectomy that includes removal of regional lymph nodes outside the immediate area around the stomach –– D2 nodes –– offered "excellent" margin status and node retrieval, researchers reported here. (Source: Medpage Today)

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Infant brains are primed with ‘intuitive physics’

The brains of infants come primed with "intuitive physics," inspite of their seeming helplessness and rounds of eating, crying and sleeping. "We believe that infants are born with expectations about the objects around them, even though that knowledge is a skill that’s never been taught," said Kristy vanMarle, assistant professor of psychological sciences at the Missouri University’s College of Arts and Science. "Intuitive physics include skills that adults use all the time. For example, when a glass of milk falls off the table, a person might try to catch the cup, but they are not likely to try to catch the milk that spills out, said vanMarle, who co–authored the study, the journal Cognitive Science reports. "As the child develops, this knowledge is refined and eventually leads to the abilities we use as adults," added vanMarle, who co–authored the study, according to a Missouri statement. (Source: Hindustan Times, January 25, 2012)

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@DrKKAggarwal: Padma Shri Awardee Dr KK Aggarwal on Shedding weight improves the relaxa…: http://youtu.be/K68ahsO0FO8 via @youtube

@DeepakChopra: The past is gone, the future is not yet. Now I am free of both––Course in Miracles

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

Why do we place our hands over the flame?

Flame is the "flame" of true knowledge. At the end of any aarati, we place our hands over the flame and then touch our eyes and the top of the head. It means – "May the light that illuminated the Lord light up my vision; May my vision be divine and my thoughts noble and beautiful"

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(Dr Kaberi Banerjee, IVF expert, New Delhi)

How does one select an ART program?

When selecting an ART program, there are some important points that should be taken into consideration. These include the qualifications and experience of personnel, types of patients being treated, support services available, cost, convenience, live birth rates per ART cycle started and multiple pregnancy rates.

When to end an ART treatment?

According to western studies, the chance for pregnancy in consecutive IVF cycles remains similar in up to four cycles. Many other factors should be considered when determining the appropriate endpoint in therapy, including financial and psychological reserves. Members of the IVF team can help couples decide when to stop treatment and discuss other options such as egg and/or sperm donation or adoption, if appropriate.

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(Dr AK Gupta, Author of Rabies the Worst Death)

Is washing of the animal bite wound (s) essential?

By mere washing of wounds and application of antiseptics, the risk of rabies will reduce by about 50%
The maximum benefit of the wound washing is obtained when fresh wound is cleaned immediately. It is important to remove saliva containing the rabies virus at the site of bite by physical or chemical means. This can be done by prompt and gentle thorough washing with ordinary soap or detergent (soaps are viricidal) and flushing the wound with running tap water for at least 15 minutes.

Washing of the wound must be done as long as the wound is raw; irrespective of the time elapsed since the exposure. Care must be taken not to disturb the scab, if formed.

After washing with water and soap, disinfectants like povidone iodine or surgical spirit (viricidal) must be applied.

In extraneous circumstances, other alcoholic (>40%) preparations like Rum, Whisky or after–shave lotion may be applied on the wound. If soap or antiviral agent is not available, the wound should be thoroughly washed with water.

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Dr Good Dr Bad

Situation: A CAD patient was on low–dose aspirin and came with joint pains.
Dr Bad: Take any painkiller.
Dr Good: Take only paracetamol.
Lesson: The beneficial effects of aspirin are attenuated by prior or ongoing administration of a nonselective NSAID, such as ibuprofen or naproxen. Thus, regular NSAID use should be avoided, if possible, in patients taking low–dose aspirin for cardiovascular protection.

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Make Sure

Situation: A patient with prosthetic heart valves (bioprosthetic) developed infective endocarditis.
Reaction: Oh my God! Why was he not given infective endocarditis prophylaxis?
Lesson: Make sure that all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis.

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(Dr GM Singh)

Patience and silence are powerful energies. Patience makes you mentally strong and silence makes you emotionally strong.

(Dr Arpan Gandhi and Dr Navin Dang)

Lab Tests for infertility for women

Luteinizing hormone (LH), follicle–stimulating hormone (FSH), prolactin, estradiol, progesterone and estrogen. The changes in pituitary or thyroid function can also affect the menstrual cycle and ovulation. TSH and/or T4 and steroids (testosterone and DHEA–S) are also informative.

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Tinnitus can be an associated symptom in which of these causes of vertigo?

a. Acute labyrinthitis
b. Acoustic neuroma
c. Meniere's disease
d. All of the above

Yesterday’s Mind Teaser: Which of these drugs has been shown to improve labyrinthine blood flow and to re–equilibrate central vestibular imbalance, it is considered useful in treatment of patients with vascular disease of the vestibular system?

a. Propranolol
b. Amitriptyline
c. Cinnarizine
d. None of above

Answer for Yesterday’s Mind Teaser: a. Acute labyrinthitis

Correct answers received from: Dr Eisha, Dr R S Singh, Dr YS Sharma, Dr Priti, Dr Tapan, Dr Kishore, Dr Surendar, Dr Sujoy.

Answer for 26th January Mind Teaser: Broken Level
Correct answers received from: Dr Mrs S Das, Rizwan, Dr SP Mishra, Dr Sudhir, Dr Tripti, Dr Firoz,
Dr Alka, Dr Kamlesh, Dr Gagandeep.

Send your answer to ijcp12@gmail.com

(Dr GM Singh)

Internet v/s God

1. God knows everything. Internet knows everything.
2. God can’t be seen, only its effect can be. Internet can’t be seen, only its effect can be.
3. God is everywhere. Nowadays Internet is also everywhere.
4. Pursuit of God needs time/money/dedication. Same with Internet.

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

The Therapeutic privilege of a doctor

• When two or more persons agree upon the same thing in the same sense, it is a valid consent as per the definition of the consent given in Section 13 of the Indian Contract Act. The Doctor who performs an intervention without the patient’s consent commits an offence for which he is liable as per law. Consent may be express or implied.
• Express consent in an oral or written authority by the patient to render the proposed medical/surgical treatment. Consent may be implied to conduct medical examination from the conduct of the patient who voluntarily submits to treatment under circumstances which would indicate awareness of the planned treatment impliedly authorizes the treatment, even without express consent.
• The patient has a legitimate right to determine what medical/surgical, diagnostic or therapeutic intervention has to be done on his/her own body and the doctor has to obtain a valid consent after giving full information of medical procedure to be done to the patient.
• A patient who presents himself or herself at the doctor’s clinic/hospital after appointment/purchasing OPD Card/paying doctors fee for consultation/routine medical procedure/examination by way of palpation/auscultation implies his/her consent to treatment by the doctor/hospital.
• It is now recognized that the patient has the right to full information in patient as consumer terms, concerning his diagnosis, treatment and prognosis. He/she should also be informed about the alternative treatments/methods and its possible complications. Informed means the consent of a patient to the performance of the health care services provided by a registered medical practitioner, that prior to the consent having been given, the doctor/team of/hospital authority has informed the patient of the nature of the purposed procedure or treatment of those risks and alternative treatment or diagnosis that a reasonable patient would consider material to the decision whether or not to undergo treatment or diagnosis.
• In standard ethical/prudent practice of medicine, the doctor has a duty to disclose the information/complete information. There are two exceptions: No disclosure is required, if the patient indicates a preference not to be informed or if the physician or surgeon believes in the exercise of sound medical judgment, that the patient’s personality is so anxiety–prone or disturbed that the information would not be processed rationally or that it would probably cause significant psychological harm or is not in the interest of his/her mental and physical health or it will cause adverse effect on good prognosis of health of the patient.
• This exception to the legal duty of full disclosure to patient as informed consent in medical care delivery is called the ‘therapeutic privilege’ of a doctor. The consultation/share the information with legal heirs another physician familiar with the patient/family doctor, with a close relative or friend of patient, or all is advisable for a treating doctor in good faith and must be documented as an extended informed consent under heading of therapeutic privilege

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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)

Negative stress may lead to heart disease

Marital disharmony and job dissatisfaction are the two main mental risk factors for the causation of heart attack. Many studies in the past have linked that there is a strong correlation between a nagging wife and early heart attacks in men. Similarly, literature has shown that work–related stress is related to early onset of high blood pressure, diabetes, stroke and heart attacks. This was stated by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

A study from University College, London has shown that chronically stressed workers have a 68% of higher risk of developing heart disease, especially in people under the age of 50.

Whether stress–related chemical changes or stress–related behavior is linked to heart disease, is yet to be answered. Stress–related lifestyle involves eating unhealthy food, smoking, drinking and skipping exercises.
Chemical changes related to chronic stress are increased levels of cortisol, epinephrine and norepinephrine.
Amongst stress, negative stress is more dangerous than positive stress and amongst negative stress it is jealousy, anger and cynicism which are associated with heart attack.

The answer lies in managing stress by acting on a personal situation and not reacting to it. In children the same type of stress, especially during exam days, can end up with anxiety, insomnia and suicidal attempts.

1. Dear Sir, I really appreciate your kind gesture and cooperation at the conference. I am really looking forward for a continuous association on the academic front as well as for medical education. Regards: Dr Inder Mohan Chugh, MD, DNB, DCH, Sr Consultant Respiratory & Sleep Medicine.

Ajmer Health Fair: Ajmer’s Largest Ever Super Specialty Health Camp

Date: February 11 and 12, 2012
Venue: Patel Stadium, Ajmer
Organizer: Heart Care Foundation of India

IMSOCN2012

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.

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