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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

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …

eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

17th February 2013, Sunday

Natural foods and not supplements prevent heart disease

One should take seasonal and locally grown natural food and vegetables grown out of organic farms. Eat less, dinner lighter then lunch, eat natural and in moderation- are few of the mantras.

Eating food supplements can be harmful. According to the American Heart Association (AHA), supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.

High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all-cause mortality.

Supplementation with vitamin C does not prevent a second heart attack.

Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

The AHA concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets that are rich in natural antioxidants are associated with lower cardiovascular mortality.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

How can constipation be described?

Constipation is characterized either by unsatisfactory defecation, infrequent stools, or difficulty with stool passage. In older adults, constipation may be associated with fecal impaction and fecal incontinence. Fecal impaction can cause stercoral ulceration, bleeding and anemia.

Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

An orange a day keeps stroke away

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

4th eMedinewS Revisiting 2012

A daylong conference, eMedinewS Revisiting 2012, was organized by eMedinewS, Heart Care Foundation of India and World Fellowship of Religions.

Dr K K Aggarwal
    National News

Harvard doctors give Kumbh health facilities thumbs up

MUMBAI: The first verdict from the international health experts at the Kumbh Mela to record diseases among pilgrims has been positive. The team comprising mainly medical doctors from Harvard University in Massachusetts, USA, is "largely impressed" with the orderliness of the Mela and the lack of any major disease outbreak. However, the caveats follow. "The systems are indeed streamlined. But while there are parts that worked, some didn't," said Dr Satchit Balsari, who led the team of 25-odd doctors from Harvard University's FXB Center for Health and Human Rights to Allahabad. The team found that even though ambulances were in place, their paths were blocked. Smoke from choolahs was the largest cause for respiratory illnesses among the 15,000-odd patients who had visited the various hospitals so far. "Pilgrims use cow dung or firewood to light a fire, resulting in over 23% of patients seeking medication for a cough," said team member Dr Michael Vortmann. In a reflection of modern India's pill-popping habits, powerful analgesics or painkillers were among the main medicines doled out to these patients. A few members from the Harvard team, who travelled to Mumbai for their return flight, said that the Kumbh could be better managed if such "minor" issues were ironed out. The team cited other instances where better management was called for. Dr Dhruv Kazi, a Vile Parle-born cardiologist from San Francisco General Hospital, found a senior citizen collapsing right next to him. "I was glad to locate an advanced life-support ambulance nearby, but the paramedics didn't have the key to the oxygen tank," he said. Moreover, the crowds were unwilling to make way for the ambulance. "It took us 40 minutes to reach a health centre that was less than 5km away," he added. The main objective of the Harvard team, which had the support of the National Disaster Management Authority and the Allahabad Medical College, was to map patterns of diseases, water distribution, sanitation and disaster management plans. The university plans to publish a research paper highlighting public health concerns during mass gatherings and migrations. The Mahakumbh with its massive turnout—thirty million devotees arrived on the "big bath day" of Mauni Amavasya on February 10—made it an ideal study spot. (Source: TOI, Feb 16, 2013)

Country facing acute shortage of psychiatrists

The National Urban Health Mission (NUHM), aimed to cater to urban poor living in towns and cities, mainly migrants, is likely to be launched this year, said Union Minister for Health and Family Welfare Ghulam Nabi Azad. Speaking at the 17th Convocation of National Institute of Mental Health and Neurosciences (Nimhans) in Bangalore on Thursday, the minister said: “The launching of the NUHM, a dedicated public healthcare system, depending on the budgetary allocation, seems imminent in the light of rise in inflation.” Noting the dearth of mental health doctors in the country, Azad said every year only 550 doctors passed out in the discipline. This amounts to a shortage of 87 per cent in the country. At present there is a shortage of 67 per cent of psychiatrists and 96 per cent of psychiatric social workers across the nation. He said Mental Healthcare Act will be enacted to safeguard the rights of people with mental illness. On the country’s failing health scenario, Azad said despite the grave situation plaguing the nation, doctors were reluctant to work in rural areas. “Even as 70 per cent of our population lives in the villages, only 0.0004 per cent of doctors are available to address their health issues. Instead of avoiding to serve in rural areas, graduating medical students should take it up as a challenge to serve in the most remote areas,” he urged. (Source: Deccan Herald, Feb 14, 2013)

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)


Child maltreatment

Child maltreatment is intentional harm or threat of hart to a child by a person who is acting in the role of caretaker

For comments and archives

    Valvular Heart Disease Update

Mitral stenosis in the elderly

Should angiograms be done in all patients with valvular heart disease in the elderly?

Coronary artery disease is common in the elderly patients with valvular heart disease. When valve surgery is indicated in them, coronary angiography is indicated to assess the need for concomitant coronary artery bypass surgery.

(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)

Wide variation in lung cancer survival across countries

After a diagnosis of lung cancer, there is a wide variation in survival, according to the first international population-based study, which involved nearly 60,000 patients. The United Kingdom had the worst survival; Sweden had the best. The other countries for which data were analyzed were Australia, Canada, Denmark, and Norway. (Source: Medscape)

New drug on par with standard for skin infections

Acute bacterial skin infections responded equally well to treatment with linezolid (Zyvox) or a short course of the investigational agent tedizolid, results of a randomized trial showed. (Source: Medpage Today)

New dental X-ray guidelines spell out radiation reduction

Dentists who ignore the new American Dental Association (ADA) and US Food and Drug Administration (FDA) guidelines on radiography may be putting their patients at unnecessary risk, experts told Medscape Medical News this week. (Source: Medscape)

Workouts cut prostate cancer risk in Whites

Another benefit of exercise – at least for Caucasian men – is that it may cut the risk both of developing prostate cancer and having high-grade disease, researchers reported. (Source: Medpage Today)

    Twitter of the Day

@DrKKAggarwal: Can eating potatoes cause Diabetes? The answer has been yes from Ayurveda perspective and now modern medicine... http://fb.me/1wfkjHls3

@DeepakChopra: Our most natural state is joy. It is the foundation for love, compassion, healing, and the desire to alleviate suffering.

    Spiritual Update

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

Four Phases of Relationships and the Seven-Year Itch

1. Euphoria
2. Reaction

For comments and archives

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

What is the impact of cigarette smoking on reproduction in women?

Active smoking by either partner has adverse effects, and the impact of passive cigarette smoke exposure is only slightly smaller than for active smoking. Research indicates that cigarette smoking is harmful to a woman’s ovaries, and the degree of harm is dependent upon the amount and the period of time a woman smokes. Smoking appears to accelerate the loss of eggs and reproductive function and may advance the time of menopause by several years. Smoking is strongly associated with an increased risk of spontaneous miscarriage and possibly ectopic pregnancy as well. Pregnant smokers are more likely to have low birth weight babies and premature birth. The incidence of sudden infant death syndrome (SIDS) also increases in households where someone smokes.

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Q. Do any diseases debar a person from donating blood?

A. Yes, if the donor has suffered from any of the under–mentioned diseases:

  • Fever: He should not have suffered from fever for the past 15 days.
  • Jaundice: A donor must not have his blood–tested positive for Australia antigen.
  • Blood–transmitted diseases such as syphilis, malaria, filaria etc., debar a donor from donating blood till he is treated and is free of the disease.
  • Drug: If a donor is taking drugs like aspirin, anti–hypertensives, anti–diabetics, hormones, corticosteroids etc., he is unfit to donate blood.
  • AIDS. No person who is HIV–positive can be allowed to donate blood.

For comments and archives

    An Inspirational Story

The complaint

"The sea was much better," the traveler complained. "Whenever I got tired it at least had its currents to push me forward on my journey but you," he looked at the vast desert surrounding him, "you are of no help."

He went down on his knees, dead tired. When his breaths restored back to normalcy, a while later, he heard the desert's voice.

"I agree. I am of no help like the sea and thus I often depress people. But do you really think people will remember you for crossing the sea? Never! For the sea doesn't allow you to leave any mark. I, on the contrary, do. Thus, if you cross me, I swear, you will in turn immortalize yourself with the imprints you leave over me!"

The traveler got the essence and got up to walk on. "It's always about the imprints," his heart echoed.

For comments and archives

    Cardiology eMedinewS

BP in pregnancy tied to cardiac health later Read More

SPS3: Lower blood pressure reduces recurrent stroke Read More

    Pediatric eMedinewS

17P fails to prevent preterm birth of twins Read More

Disease burden of new virus similar to flu 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 rabies virus resistant to anything?

Rabies virus is resistant to ether, cold and freeze drying.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure needed a beta-blocker.
Dr. Bad: Start any beta-blocker.
Dr. Good: Start metoprolol succinate.
Lesson: Only carvedilol, bisoprolol and metoprolol succinate are approved for heart failure.

Make Sure

Situation: A patient with suspected pneumonia and normal x–ray died 12 hours after admission.
Reaction: Oh my God! Why were antibiotics not started?
Lesson: Make sure that all patients with suspected pneumonia are given antibiotics at the first suspicion as x–ray can be normal in the first 24 hours.

    Quote of the Day (Dr GM Singh)

Take the attitude of a student, never be too big to ask questions, never know too much to learn something new. Og Mandino.

    Mind Teaser

Read this…………………

A distinguishing feature of a cluster headache is that it occurs:

1. Bilaterally
2. Globally
3. Occipitally
4. Unilaterally

Yesterday’s Mind Teaser: A 45-year-old male patient reports pain in his foot that moves up along his calf. The patient states, "My right foot feels like it is on fire." The patient further describes that he has no previous history of injuries or falls, and that his pain started yesterday. Which components of pain assessment has the patient reported?

1. Aggravating and alleviating factors
2. Exacerbation, and associated signs and symptoms
3. Intensity, temporal characteristics, and functional impact
4. Location, quality, and onset

Answer for Yesterday’s Mind Teaser: Location, quality, and onset

Correct answers received from: Dr PC Das, Dr Shashi Saini, Dr Kanta Jain, Dr K Raju, Dr (Maj. Gen.) Anil Bairaria, Dr Jainendra Upadhyay, Dr KV Sarma, Dr Thakor Hitendrsinh G, Dr ARPAN GANDHI, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Valluri Ramarao, Dr Jella, Dr Avtar Krishan, Tukaram Pagad, Dr AK Kela, Dr Jayashree Sen & Dr Bitaan Sen.

Answer for 15th February Mind Teaser: Alcohol

Correct answers received from: Dr Thakor Hitendrsinh G, Dr ARPAN GANDHI, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Valluri Ramarao, Dr jella.

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)

A lady on phone: "Hello sir, I want to meet and talk to you. you are the father of one of my kids."

Stunned and shocked, the man screamed: "Oh my God! I am married and so careful with modern prevention tactics and how could this happen to you? You can ruin me"

Are you Soni? Lady replied, "No." Then Pramila? No, No. Mita? No, No, No

Rupali? No, No, No, No.

Sunita? No, No, No, No, No.

Kamali? No...........................................................oo.

The lady in confusion scolded the man: “Sir, I am The Class Teacher of your son."

    Medicolegal Update

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

What is the approach to acute ethanol and isopropanol poisoning?

  • Do a full medical examination to exclude other causes of the patient’s condition, such as head injury
  • Correct fluid and electrolyte imbalance.
  • Hypoglycemia should be treated with oral or intravenous glucose.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

His and Her Heart Disease

Medical research is confirming that, even in heart disease, men and women share a lot of the same risk factors, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA. However, there are some important differences as reported in Harvard News Letter.

  1. Smoking: Cigarette smoking tops the list of lifestyle risk factors for men and women alike. But for women who take birth control pills, smoking increases the risk of heart attack and stroke even more.
  2. Cholesterol: Levels of ‘bad’ LDL cholesterol above 130 mg/dL are thought to signal even greater risk for men, while levels of ‘good’ HDL cholesterol below 50 mg/dL are seen as greater warnings for women. High triglyceride levels (over 150 mg/dL) are also a more significant risk factor for women.
  3. High blood pressure: Until age 45, a higher percentage of men than women have high blood pressure. During midlife, women start gaining on them and by age 70, women, on average, have higher blood pressure than men.
  4. Inactivity: Only about 30% of Americans report getting any regular physical activity, but men tend to be more physically active than women, with the greatest disparities in the young (ages 18 to 30) and the old (65 and older).
  5. Excess weight: Being heavy has long been thought to set one on the road to heart disease, but the location of the extra pounds may be more important than their number. Abdominal fat, which releases substances that interfere with insulin activity and promote the production of bad cholesterol, is more toxic than extra padding on the hips. Many health authorities consider a waist measurement of 35 inches or more for women and 40 inches or more for men as a more precise indicator of heart disease risk than body mass index.
  6. Diabetes: Diabetes more than doubles the risk of developing heart disease for both men and women; however, diabetes more than doubles the risk of a cardiac death in women, while raising it to 60% in men.
  7. Metabolic syndrome: Having any three of the five features of metabolic syndrome – abdominal obesity, high blood pressure, high triglycerides, low HDL cholesterol, and high blood sugar or insulin resistance – is riskier for women than for men, tripling the risk of a fatal heart attack and increasing the chance of developing diabetes 10–fold. The combination of a large waist and high triglycerides is especially toxic to women.
  8. Psychosocial risk factors: The depth of the heart–head connection is still being plumbed, but there’s enough evidence to implicate certain factors as contributors to heart disease, such as chronic stress, depression, and lack of social support. Neither sex fares better than the other overall, but research indicates that some factors predominate in men and others in women.
  9. Stress is an equal–opportunity burden. Women are twice as likely to be depressed as men and to suffer more from emotional upheaval. In fact, the reported cases of ‘broken heart syndrome’ – the sudden, but usually reversible, loss of heart function after an intense emotional experience – are almost exclusively in older women. Anger and hostility have long been cited as risk factors in men, but that’s probably because most studies of heart disease excluded women. It’s well documented that men are more likely to lack social support – especially after retirement – than are women.
  10. Inflammation: Chronic inflammation is now thought to set the stage for the deposition of atherosclerotic plaque. Women have much higher rates of conditions that often lead to persistent, low–grade inflammation. For example, lupus more than doubles the risk of heart attack and stroke for women.

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 29219 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, 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 Responses
  1. Dear Sir, Reading emedinews is joy for ever. Regards: Dr Trishna
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