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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); 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

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  Editorial …

4thJune 2013, Tuesday

All About Calcium Carbide

  • Under PFA Section 44AA, the use of calcium carbide for artificial ripening of mangoes, apple, plum, banana is prohibited and can attract both imprisonment and fine.
  • Calcium carbide powder is usually kept wrapped in paper between the fruits (unripe mangoes) in a basket or box.
  • Once the basket of mango is closed from the top, calcium carbide absorbs moisture and produces acetylene gas, which accelerates the ripening process of fruits.
  • The health hazards are related to the gastrointestinal tract, kidney, heart, liver and brain and in long run cancer.
  • Calcium carbide 1kg is available for Rs. 25/- and is sufficient to ripe 10 tons of fruit.
  • How do we know that the fruit has been artificially ripened with calcium carbide?
    • It will be less tasty.
    • The aroma will be different
    • It is uniform in color.
    • The color of the mango changes from green to dark yellow.
    • It will have a less shelf life.
    • It will be overtly soft.
    • There may be black patches on the mango skin.
    • There may be multi color patches on the skin of the mango (Red, yellow, green patches)
  • How should artificially ripened fruits be handled?
    • Never eat off-season fruits, especially before time
    • Rinse all fruits in running tap water for few minutes before use.

For Comments and archives…

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

A soda a day raises heart disease risk by 20%

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Heart Care Foundation of India organized a CPR 10 camp at EPFO (Employees Provident Fund Organization), Wazirpur on 30th May 2013

Dr K K Aggarwal
    National News

Tobacco responsible for rise in head, neck cancer cases: GCRI

Ahmedabad: An estimated 35 per cent of the 45,000 new cancer cases registered in Gujarat every year are that of the head and neck due to high tobacco consumption, according to Gujarat Cancer Research Institute (GCRI), as reported in The Pioneer. "An estimated 30-35 per cent of cancer cases recorded in the state every year are that of head and neck cancer. More than 50 per cent of the men in state show symptoms of this cancer because of high tobacco consumption," Associate Professor, Department of Community Oncology, GCRI, Dr Parimal Jivrajani said. In Ahmedabad district, more rural women are prone to head and neck cancer cases than urban women, according to Ahmedabad Cancer Registry (ACR), maintained by the GCRI. "While 18 per cent women in urban areas of Ahmedabad are prone to head and neck cancer cases, in rural areas, the figure goes up to 20 per cent," Dr Jivrajani said. Jivrajani said 55 per cent men in urban and rural areas of Ahmedabad district were affected by head and neck cancer cases. Senior consultant and director at Health Care Global (HCG) Cancer Centre, Dr Rajendra Toprani said that with young people getting addicted to tobacco these days at a very early age, there has also been a rise in young population showing symptoms of head and neck cancer cases. Overall, 90 per cent of head and neck cancer cases are tobacco-related, caused by chewing of smokeless tobacco, inhaling nicotine, among others, head and neck cancer surgeon of Apollo Hospital in Gandhinagar Dr Vishal Choksi said. In Gujarat, close to 60 per cent of men are tobacco-addicted while the percentage of women addicted to tobacco is 8.40, Dr Jivrajani said. The symptoms of this type of cancer vary from ulcers in mouth, lump in neck, change of voice to eating difficulties, among others. Head and neck cancer refers to cancer of mouth and neck region that start in the lip, oral cavity (mouth), nasal cavity (inside the nose) and paranasal sinuses. Ruing the fact that doctors here get patients at advanced stages, Dr Toprani said, "Seventy per cent patients that doctors receive in India are generally in advanced stage, while in western countries, doctors receive patients at very early stage." Stressing that surgery, radiotherapy and chemotherapy can cure this type of cancer, Dr Toprani said if doctors receive patients here in early stages, the treatment success percentage here can significantly improve. (Source: The Pioneer, 03 June 2013)

For Comments and archives…

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

    Valvular Heart Disease Update

Assessment of aortic regurgitation (AR) requires an integrative approach including the width of the vena contracta, the rate of decay of the continuous wave diastolic velocity (pressure half-time), the density of the continuous wave jet, the degree of reverse flow in the descending aorta, as well as the presence of LV enlargement and hypertrophy

(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)

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Child neglect is most prevalent form of child abuse accounting for more than 50% of cases and is defined as failure to provide for a child’s basic, physical, emotional, educational and medical needs.

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Too much work proves tiring despite good sleep

Workers with a heavier cognitive workload experience fatigue and sleepiness regardless of how much rest they actually get, researchers reported at the annual meeting of the Associated Professional Sleep Societies. (Source: Medpage Today)

For Comments and archives…

Blood products tracking device gets FDA nod

US blood centers have a new tool to help further ensure the safety of their blood products. On Wednesday, the US Food and Drug Administration (FDA) cleared the iTrace for Blood Centers (SysLogic Inc), the first-ever radiofrequency identification (RFID)-enabled blood products tracking system. (Source: Medscape)

For Comments and archives…

Statins tame plaque inflammation

More intense statin therapy is associated with greater reductions in atherosclerotic plaque inflammation, which may or may not explain the drugs' effects on cardiovascular events, an imaging study showed. (Source: Medpage Today)

For Comments and archives…

INTERACT2: Intensive blood pressure lowering benefits ICH

Early intensive blood pressure lowering in patients with intracerebral hemorrhage (ICH) appears to be related to less long-term disability, according to the results of the INTERACT2 (Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial 2) trial. The results were presented today at the European Stroke Conference in London, United Kingdom, and simultaneously published online May 29 in the New England Journal of Medicine. (Source: Medscape)

For Comments and archives…

FDA limits magnesium to prevent preterm labor

The FDA today advised clinicians not to give pregnant women magnesium sulfate to prevent preterm labor for more than 5 to 7 days because it may harm developing fetal bones. Longer off-label administration of magnesium for tocolysis, which is approved only for the prevention of seizures in preeclampsia, can lead to low calcium levels and osteopenia or fractures in the baby, the agency explained. (Source: Medpage Today)

For Comments and archives…

    Twitter of the Day

@DrKKAggarwal: New colonoscope offers 330-degree view of the colon A new colonoscope that provides a sweeping view of the... http://fb.me/2FHBj29qj

@DrKKAggarwal: Empty space contains not only virtual particles but also the intelligence to organize them into the universe

    Spiritual Update

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

Why should we eat seasonal fruits and vegetables?

God will grow only those fruits and vegetables, which are necessary in that season in that particular location. For example, during summer, the body requires more liquids and regular flushing of the kidney because of extreme heat so that dehydration does not damage kidney. To prevent this, nature produces vegetables and fruits in this season that are juicier and increase urination.

For Comments and archives…

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What causes hyperprolactinemia?

Prolactin levels increase as a result of:

  • Certain medications, including commonly prescribed antidepressants, antipsychotics, and blood pressure medications
  • Herbs, including fenugreek, fennel seeds and red clover
  • Chest wall irritation (from surgical scars, shingles)
  • Stress
  • Certain foods
  • Exercise
  • Sleep (prolactin levels are highest at night)
  • Nipple stimulation
  • Hypothyroidism, or underactive thyroid, pituitary tumors. These are usually very tiny, but account for about 30% of all cases of hyperprolactinemia.
    An Inspirational Story

Burned biscuits

When I was a little child, my mom liked to make breakfast food for dinner every now and then. And I remember one night in particular when she had made breakfast after a long, hard day at work.

On that evening so long ago, my mom placed a plate of eggs, sausage and extremely burned biscuits in front of my dad. I remember waiting to see if anyone noticed! Yet all my dad did was reach for his biscuit, smile at my mom and ask me how my day was at school. I don’t remember what I told him that night, but I do remember watching him smear butter and jelly on that biscuit and eat every bite!

When I got up from the table that evening, I remember hearing my mom apologize to my dad for burning the biscuits. And I’ll never forget what he said: “Baby, I love burned biscuits.”

Later that night, I went to kiss Daddy good night and I asked him if he really liked his biscuits burned. He wrapped me in his arms and said, “Your Momma put in a hard day at work today and she’s real tired. And besides – a little burned biscuit never hurt anyone!”

You know, life is full of imperfect things… and imperfect people. I’m not the best housekeeper or cook. What I’ve learned over the years is that learning to accept each other’s faults – and choosing to celebrate each other’s differences – is one of the most important keys to creating a healthy, growing, and lasting relationship. And that’s my prayer for you today!

For comments and archives

   Cardiology eMedinewS

Is type 2 diabetes a misnomer? Read More

   Pedia News

Well-child visit gaps may predict hospitalization Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

Is it essential to perform skin sensitivity test prior to the administration of ERIG?

Majority of reactions to ERIG result from complement activation and are not IgE mediated and will not be predicted by skin testing.

The recent WHO recommendation states that there are no scientific grounds for performing a skin test prior to the administration of ERIG, because testing does not predict reactions and ERIG should be given whatever the result of the test.

However, skin test is mandatory to avoid any possible litigation under Consumer Protection Act (COPRA) in India.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure came for cardiac evaluation.
Dr. Bad: Go for Echo test.
Dr. Good: Go for Tissue Doppler Echo test.
Lesson: A patient with heart failure must go for Tissue Doppler Echo Test for evaluation of diastolic functions.

Make Sure

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

  Quote of the Day (Dr GM Singh)

It is wise to direct your anger towards problems – not people; to focus your energies on answers – not excuses. William Ward

    Mind Teaser

Read this…………………

A patient received spinal anesthesia 4 hours ago during surgery. The patient has been in the unit for ½ hour and now reports severe incisional pain. The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99°F (37.2°C), and respirations are 30 breaths/min. The patient's skin is pale and the dressing is dry and intact. The most appropriate nursing intervention is to:

A. Call the physician and report the findings.
B. Medicate the patient for pain.
C. Place the patient in a high Fowler position and administer oxygen.
D. Place the patient in a reverse Trendelenburg position and open the IV line.

Yesterday’s Mind Teaser: Which action will best help reduce anxiety in a 64-year-old patient who has been hospitalized for suspected peptic ulcer disease?

1. Ask all members of the team to reassure the patient about the quality of care provided in the hospital
2. Assign the patient to a room with a talkative, optimistic roommate
3. Explain to the patient what will happen during the hospitalization
4. Visit the patient frequently and get the patient to talk about pleasant future plans

Answer for Yesterday’s Mind Teaser: 3. Explain to the patient what will happen during the hospitalization

Correct answers received from: Dr Deepali Chatterjee, Sadai V Appan, Daivadheenam, Dr PK Sahu, Dr Vishal D Wahane, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr KP Chandra, Dr Valluri Ramarao, Dr Bitaan Sen & Dr Jayashree Sen, Dr TA Sudhahar.

Answer for 2nd June Mind Teaser: Sodium and water retention

Correct answers received from: Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr PC Das & Dr Mrs. S Das, DR KP Chandra.

Send your answer to ijcp12@gmail.com

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

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    Laugh a While (Dr GM Singh)

Never ask a woman her age

Nurse to Patient: How old are you, Mrs. Smith?

Patient: None of your business.

Nurse: But the doctor must know your age for his records.

Patient: Well, first, multiply 20 by 2, then add 10. Got that?

Nurse: Yes. Fifty.

Patient: All Right, now subtract 50, and tell me, what do you get?

Nurse: Zero.

Patient: And that's exactly the chance of me telling you my age.

  Medicolegal Update

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

Facilitate cadaver organ retrieval for transplantation

In India, certain amendments to the Human Organ Transplant Act 1994 are required to enhance cadaver organ retrieval and transplantation to bridge the huge demand–supply gap. The pool of donors, including increasing the supply of organs by widening the definition of ‘near relatives’ by allowing organ swaps among needy families, as well as, simplifying cadaver transplant procedures. The paired matching should be permitted i.e. if patient A’s donor does not match A, and likewise for patient B, then donor switch should be allowed, if it results in a match. Swaps or exchanges between families unable to fulfill the need of their family member in need of a transplant.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Fasting good for health

Fasting has been identified as a preventive measure for various physical and mental diseases, according to Heart Care Foundation of India. A regular weekly fast would act as a safety valve against ill health. This was stated by Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA..

He said that denying the system its usual food intake for a day every week would induce growth hormones and promote metabolism. But fasting should not be a casual affair to be observed only on certain religious occasions; it should rather be a weekly discipline, undertaken regularly on a particular day during every week.

Spiritual benefits apart, the fast tends to create immunity in the system against diseases. The day's rest to the digestive system as a result of the fast would cause release of certain chemicals in the body which would keep ailments away. Fasting also ushers quietitude of mind. Pollution of the physical and mental environment hatred, anger, jealousy and all negative thoughts which enhance the chances of damage to health are taken care of by the resting digestive system.

However, people should not precede and/or proceed the fast with heavy meals. The fast would lose its health benefits if the stomach is loaded with heavy food before or after the fast. While one chapatti contains 40 calories, most sweets have 200-300 calories per 40 grams. The higher caloric content of sweets and the ‘puri-kachori’ also raise cholesterol in the blood, increasing the chances of a heart attack.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 54572 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

    Readers Response
  1. Funniest part of these health insurance companies in small town is that they force you to go to certain specific hospitals which are mostly hi fi. In small towns, a good number of doctors are doing solo practice and they don't want this jhamela of health insurance. Something should be worked out so that patient can choose his doctor in small towns and can get the best. Vivek Kumar, Varanasi
    Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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