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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; 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 …

10th April 2013, Wednesday

Role of folate or folic acid in cancer prevention

The role of folic acid in cancer prevention is uncertain.

Large observational studies have suggested a decrease in risk of colorectal and other cancers with dietary folate but others randomized trials have raised the possibility of harm.

In the largest meta-analysis of individual patient data from randomized trials of folic acid for the prevention of cardiovascular disease and colorectal adenoma during an average of 5.2 years of treatment, there was no significant difference in overall cancer incidence for patients assigned to folic acid or placebo.

Vollset SE, Clarke R, Lewington S, et al. Effects of folic acid supplementation on overall and site-specific cancer incidence during the randomised trials: meta-analyses of data on 50?000 individuals. Lancet 2013.

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

FDA panel recommends first drug for HIV prevention

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

WHO Day Celebrated

Over 11459 people trained in Hands Only Cardiopulmonary Resuscitation (CPR 10) in one day

Dr K K Aggarwal
    National News

Haryana districts implement NPCDCS

Chandigarh, Apr 7 (PTI) The National Program on Prevention and Control of Cancer, Diabetes, Cardiovascular and Stroke (NPCDCS) has been implemented in some districts of the state, Haryana government said today. NPCDCS has been implemented in Mewat, Ambala, Yamuna Nagar and Kurukshetra districts under which, free check-up of blood pressure and glucose level of people above 30 years of age is done, Haryana Health Minister Rao Narinder Singh said on the occasion of World Health Day.

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Father and other relatives are responsible for 21% and 19% of sexual abuse victims respectively.

    Valvular Heart Disease Update

In young adults Bicuspid valve presents with aortic regurgitation more than aortic stenosis.

(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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Mindfulness therapy reduces depressive symptoms in TBI

Mindfulness-based cognitive therapy (MBCT) reduces symptoms of depression in individuals with traumatic brain injury (TBI), new research suggests. (Source: Medscape)

New culprits found in red meat's effect on heart

The carnitine in red meat -- and the action of gut bacteria on it -- may be more of a threat to heart health than the saturated fat and cholesterol, a combination human and preclinical study suggests. (Source: Medpage Today)

Guidance statement from ACP nixes routine PSA testing

For most men, the benefits of screening with the prostate-specific antigen (PSA) test are outweighed by the harms, according to new recommendations from the American College of Physicians (ACP). (Source: Medscape)

Attention to guidelines key in diabetes with CKD

Medicare-age patients with diabetes and advanced-stage chronic kidney disease are more likely to achieve glycemic control if they are concordant with guidelines in taking their medications, researchers reported here. (Source: Medpage Today)

Dengue virus: 390 million infected in 2012

Infection with the dengue virus may be more widespread than previously estimated by the World Health Organization, particularly in the tropics, according to the findings of a retrospective study. Most of the infections were asymptomatic or produced only mild ambulatory symptoms. (Source: Medscape)

    Twitter of the Day

@DrKKAggarwal: FDA has approved leeches as a medical device http://bit.ly/16KS1HC #Health

@DrKKAggarwal: We all take the physical world for granted. Please read my article published by SF Gate http://tinyurl.com/cdwbc7x

    Spiritual Update

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

What is the significance of Satvik food?

W e follow a ritual of offering ‘bhog’ to the deity we worship. The ritual also involves sprinkling water all around the place where we sit down to eat food. The sprinkling of water prevents ants and insects from approaching the food, says one school of thought. But in spiritual terms, there is a deeper meaning .

For comments and archives

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

How is PCOS treated?

Some patients may be concerned primarily with fertility, while others are more concerned about menstrual cycle regulation, hirsutism, or acne. PCOS should be treated because of the long–term health risks such as heart disease and endometrial cancer.

  • Weight loss: Obesity is commonly associated with PCOS. Fatty tissues produce excess estrogen, which in turn contributes to insufficient FSH secretion by the pituitary gland. Weight loss improves the hormonal condition of many PCOS patients. If you are overweight, ask your physician to recommend a weight control plan or clinic. Area hospitals and support groups are also helpful. Increasing physical activity is an important step in any weight reduction program.
  • Hormonal treatment: Hormonal treatment is frequently successful in temporarily correcting the problems associated with PCOS. If treatment is stopped, however, symptoms usually reappear. If you are not trying to conceive, birth control pills may be your best hormonal treatment. Birth control pills decrease ovarian hormone production and help reverse the effects of excessive androgen levels. However, birth control pills are not recommended if you smoke and are over age 35.
  • Ovulation induction: If fertility is your immediate goal, ovulation may be induced with clomiphene citrate. Clomiphene is simple to use, relatively inexpensive, and works well to induce ovulation in many patients. Clomiphene causes the pituitary gland to increase FSH secretion. Sometimes increasing the dosage or the length of treatment is necessary. PCOS patients who are insulin resistant may ovulate when treated with metformin, which increase the body’s sensitivity to insulin.
    Tat Tvam Asi………and the Life Continues……

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

What is meant by corneal transplantation?

Corneal transplantation is a surgical procedure whereby an impaired cornea of the patient is replaced by a healthy cornea from a donor to regain the lost vision.

For comments and archives

    An Inspirational Story

Each Person Shines His Own Way

A samurai who was known for his nobility and honesty, went to visit a Zen monk to ask him for his advice.

When the monk had finished his prayers, the Samurai asked, “Why do I feel so inferior? I have faced death many times, have defended those who are weak. Nevertheless, upon seeing you meditating, I felt that my life had absolutely no importance whatsoever.” “Wait. Once I have attended to all those who come to see me today, I shall answer you.” – replied the monk.

The samurai spent the whole day sitting in the temple gardens, watching the people go in and out in search of advice. He saw how the monk received them all with the same patience and the same illuminated smile on his face.

At nightfall, when everyone had gone, he demanded: “Now can you teach me?”

The master invited him in and lead him to his room. The full moon shone in the sky, and the atmosphere was one of profound tranquility.

“Do you see the moon, how beautiful it is? It will cross the entire firmament, and tomorrow the sun will shine once again.”

“But sunlight is much brighter, and can show the details of the landscape around us: trees, mountains, clouds.”

“I have contemplated the two for years, and have never heard the moon say: why do I not shine like the sun? Is it because I am inferior?”

“Of course not” – answered the samurai. “The moon and the sun are different things; each has its own beauty. You cannot compare the two.”

“So you know the answer. We are two different people, each fighting in his own way for that which he believes, and making it possible to make the world a better place; the rest are mere appearances.”

For comments and archives

    Cardiology eMedinewS

New medical schools aim to double primary care graduates Read More

Plastic waste time bomb ticking for India, SC says Read More

    Pediatric eMedinewS

More meals equal thinner kids? Read More

Isotonic fluids helpful in diabetic ketoacidosis in kids: Study 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)

Can “major surgery” be conducted after the dog bite?

There is no contraindication for any surgery along with anti-rabies vaccination and a full course of anti-rabies immunization should be given, irrespective of the surgery or other procedures.

    IJCP Special

Dr Good Dr Bad

Situation: A patient had a strong family history of cancer.
Dr. Bad: Just get regular check ups.
Dr. Good: Take low dose aspirin.
Lesson: A new observational analysis published online in the Lancet reports that long–term daily aspirin may prevent cancer deaths (Lancet 2011 Jan 1;377(9759):31–41).

Make Sure

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

  Quote of the Day (Dr GM Singh)

A blind person asked Swami Vivekanand: "Can there be anything worse than losing eyesight?" He replied: "Yes, losing your vision!"

    Mind Teaser

Read this…………………

Nurse Rose is caring for a neonate with congenital clubfoot. The child has a cast to correct the defect. Before discharge, what should the nurse tell the parents?

a. The cast will be removed in 6 weeks
b. A new cast is needed every 1 to 2 weeks
c. A short leg cast is applied when the baby is ready to walk
d. The cast will be removed when the baby begins to crawl

Yesterday’s Mind Teaser: Nurse Ted is administering I.V. fluids to an infant. Infants receiving I.V. therapy are particularly vulnerable to:

a. Hypotension
b. Fluid overload
c. Cardiac arrhythmias
d. Pulmonary emboli

Answer for yesterday’s Mind Teaser: b. Fluid overload

Correct answers received from: Dr B K Agarwal, Dr. Bharat Bhushan Aggarwal, Prabha Sanghi, Dr. P. C. Das, Dr. B.B. Gupta, drjella, Dr. Sushma Chawla, Dr.Suresh Arora, Dr. Thakor Hitendrsinh G, Dr.(Maj. Gen.) Anil Bairaria, Dr.K.V.Sarma, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Dr Valluri Ramarao, Muthumperumal Thirumalpillai, Dr pawan Mehta, Dr Kanta jain, Dr Avtar Krishan

Answer for 8th April Mind Teaser: Location, quality, and onset

Correct answers received from: Dr.Chandresh Jardosh, Dr Valluri Ramarao, Muthumperumal Thirumalpillai, Dr pawan Mehta, Dr Kanta jain, Dr Avtar Krishan,

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Law of Random Comfort Seeking

A cat will always seek, and usually take over, the most comfortable spot in any given room.

    Medicolegal Update

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

Grievous Hurt as per IPC

As per Section 320 Indian Penal Code (IPC), the following kinds of hurt are designated as "grievous";

  • Permanent disfiguration of the head or face: The word ‘disfigure’ means to cause some external injuries which detracts from his personal appearance but does not weaken him.
  • Fracture or dislocation of a bone or tooth: It is not necessary that a bone should be cut through and through, the cut should be up to the medulla. If there is a break by cutting or splintering of the bone or there is a rupture or fissure in it, it would amount to a fracture but the doctor must document the dimension of fracture and duration/age correlation with age of injury. Dislocation means displacement. Mere looseness of teeth will not amount to dislocation. It has to be proven that the tooth was originally not loose and that there was fracture or dislocation by the injury.
  • Any hurt which endangers life or which causes the victim to be in severe bodily pain or unable to follow his ordinary pursuits for a period of 20 days: A wound may cause intense pain, prolonged disease or long lasting body injury but does not fall under any of the seven clauses. A body injury/beating may not mutilate the sufferer or fracture his bones but may be so harsh and painful may cause even death. The eighth clause provides for such hurts. Under this, three different clauses of hurt are included. These are:
  • Any hurt which endangers life
  • Any hurt which causes the victim to be in severe bodily pain for a period of 20 days
  • Any hurt which prevents the victim from following his ordinary pursuits for a period of 20 days

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Navratre: Time to eat buckwheat flour

Navratra is the time when wheat flour is omitted from the diet and substituted it with buckwheat flour or kuttu ka aata, said Padamshri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

Buckwheat is not a cereal grain, instead it is a fruit and hence is a good substitute for Navratra fasts where cereals are prohibited.

  1. The flour is extremely high in protein and is a wonderful substitute for those who are allergic to gluten (found in wheat).
  2. Its good for patients with celiac disease as it is gluten-free.
  3. It contains phytonutrient rutin, which lowers cholesterol and blood pressure.
  4. It is rich in magnesium, vitamin B, iron, calcium, folate, zinc, copper, manganese and phosphorus.
  5. As the buckwheat hulls are hard to chew, traditionally they are soaked for about six hours and then cooked to make them softer and easily digestible.
  6. It also contains alpha linolenic acid, which enhances HDL cholesterol ("good" cholesterol) and controls LDL cholesterol ("bad" cholesterol).
  7. It is a good source of insoluble fiber and prevents occurrences of gallbladder stones. According to the American Journal of Gastroenterology, a 5 % increase in the insoluble fiber intake results in a 10% reduced risk of gall-bladder stones.
  8. Kuttu is 75% of complex carbohydrates and 25% of high quality protein, which makes it an ideal food for weight loss.
  9. As the flour is gluten-free, a potato is used to bind the flour together.
  10. The flour tastes different.
  11. Pooris made of this flour are crunchier than the normal wheat flour pooris.
  12. One should not make pooris with hydrogenated oils or vanaspati as it will take away all the medical benefits of buckwheat flour.
  13. Buckwheat flour however is subjected to adulteration.
  14. Mixtures of rye flour, Indian corn flour, wheat flour, and other ground cereals are often used as a substitute for buckwheat.
  15. Being high in fiber and with low glycemic index it is good substitute for diabetic patients. The glycemic Index for buck wheat is 47 (Low GI foods have a GI value less than 55; medium GI foods have a GI value between 55 and 69 and high GI foods have GI value greater than 70).
  16. The chiro-inositol present in the buckwheat has been identified as the diabetes preventing component.
  17. Asthma symptoms can occur in sensitized children when food allergens such as buckwheat are cooked in a confined area. Both acute and late-phase respiratory symptoms are seen.
  18. Instead of poori or pakodas (fried items) made from kuttu atta (buckwheat flour), eat kuttu ki roti.
  19. One can also prepare idli from the kuttu atta (buckwheat flour) and dosa from the samak rice
  20. Food poisoning may occur if flour left over from the previous year is reused.
    Readers Responses
  1. Dear Sir, Nice editorial. Regards: Dr Shelja
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