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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 March 2013, Sunday

HIV can have functional cure

Early and effective HIV therapy can lead to functional cure as per French researchers. In the study, fourteen patients who were treated within the first 2 months of infection were able to stop combination antiretroviral therapy without an HIV rebound. As per Dr Asier Sáez-Cirión, PhD, of the Institute Pasteur in Paris in VISCONTI study, while all 14 still have HIV, it can only be detected with ultrasensitive laboratory tests and is undetectable by standard methods. In all cases, the infection appears to be under control without the use of drugs – the definition of a functional cure. The virus is conventionally regarded as "undetectable" if the plasma viral load is below 50 copies per milliliter.

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

Treating vitamin D deficiency in the country

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. Doctors in large numbers attended the conference.

Dr K K Aggarwal
    National News

Swine flu virus is changing: National Institute of Virology

AHMEDABAD: The devil is in the detail. The recent outbreak of swine flu in Gujarat and neighboring states could be blamed on a "small mutation" in the genetic structure of the H1N1 virus. The National Institute of Virology (NIV) had to say this after they examined a slew of cases that have been pouring into their laboratories for confirmatory tests. However, experts suggest that there is nothing to worry as prompt treatment and patient care are key to faster recovery. Director of NIV D T Mourya told TOI, "It's true there is a small mutation in the genetic structure of H1N1. But current action plan followed by different states is apt for controlling the disease's spread." A senior health department official adds, "We are collecting random samples from some of the affected districts in the state to be sent to NIV. Recently, the experts examined how this year's H1N1 spread is following a specific path, affecting certain districts of some states in the country. This is an interesting trend and would require a fresh tactic to handle its spread." Food and drug commissioner H G Koshia adds, "We have enough Oseltamivir drug for swine flu in the state. It's a restricted drug for now and available only on a prescription as free use among the masses can lead to the virus developing immunity against the drug. Government hospitals have sufficient stock of the medicine. As far as the swine flu vaccine is concerned, they are available in chemists’ shops." (Source: TOI, Mar 15, 2013)

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)


Reasons (demand)

  1. Male migration to urban areas
  2. Demand for commercial sex
  3. Liberal sexual behavior
  4. High risk behavior groups
  5. Adolescents, Truck drivers
  6. Isolated professionals viz. Defence personnel, touring businessmen
  7. Growth of tourism
  8. Myths and misconceptions on sexuality/ STDs and HIV/AIDS
  9. Demand for younger girls
  10. Medical/ psychiatric disorders viz. pedophilia

For comments and archives

    Valvular Heart Disease Update

When should aortic valve replacement be done?

By echocardiography, although a bicuspid aortic valve with a raphe may appear similar to a tricuspid valve during diastole, the systolic opening shape of a bicuspid valve is elliptical rather than the triangular pattern of a tricuspid valve. Echocardiography is also helpful is evaluating the diameter of the aortic root and ascending aorta

(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)

'Latex-free' claims not valid, FDA says

The claim "latex-free" is impossible to guarantee and should not be used on labeling of medical products, according to an FDA guidance. (Source: Medpage Today)

For comments and archives

Group hypnosis improves symptoms and quality of life in IBS

Patients with refractory irritable bowel syndrome (IBS) have improved symptoms and quality of life following gut-directed group hypnosis, researchers from Austria report. (Source: Medscape)

For comments and archives

Ovarian cancer: Asians have survival advantage

Race appears to be a factor in ovarian cancer survival with Asian patients achieving significantly better survival, researchers reported at the meeting of the Society for Gynecologic Oncology. (Source: Medpage Today)

For comments and archives

FDA to examine pancreatic-duct metaplasia with incretins

The US Food and Drug Administration (FDA) is evaluating an increased risk for pancreatitis and precancerous cellular changes called pancreatic-duct metaplasia associated with incretin mimetic drugs used to treat patients with type 2 diabetes. This covers the glucagon-like peptide-1 (GLP-1) agonists and the DPP-4 inhibitors, or "gliptins," both relatively new classes of agent used to treat adults with type 2 diabetes. (Source: Medscape)

For comments and archives

FDA OKs lymph node mapping aid

A radiolabeled drug that highlights tumor-draining lymph nodes so that they can be located in breast cancer and melanoma patients has won FDA approval. Called Lymphoseek, the product consists of tilmanocept, a compound that binds to CD206 receptors in lymph nodes, with a technetium-99 radioactive label. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Chocolate, not tea, good for the heart Regular consumption of polyphenol–rich cocoa products like dark chocolate... http://fb.me/1hN93HFil

@DeepakChopra: Please take a look at the controversial Tedx talk of my friend and our guest author Rupert Sheldrake http://tinyurl.com/a5x7hxw

    Spiritual Update

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

You look people the similar way as you are

Honest people look at everybody as honest and dishonest people look at everybody as dishonest. It all depends on the type of people you interact with. If you do not take bribe, nobody will come and offer bribe to you and you will feel everybody is honest. If you take bribe then everybody will come to you to offer bribe and you will feel that everybody in the society is dishonest.

For comments and archives

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

What is atresia?

Atresia is a degenerative process that occurs regardless of whether you are pregnant, have normal menstrual cycles, use birth control, or are undergoing infertility treatment. Smoking appears to accelerate atresia and is linked to earlier menopause.

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

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

How frequently can a donor donate blood?

It takes about 6 – 8 weeks for the hemoglobin to be synthesized in the body. Three months should be a very safe interval.

For comments and archives

    An Inspirational Story

The little wave

The story is abut a little wave, bobbing along in the ocean, having a grand old time. He’s enjoying the wind and the fresh air – until he notices the other waves in front of him, crashing against the shore. "My God, this terrible", the wave says. "Look what’s going to happen to me!"

Then along comes another wave. It sees the first wave, looking grim, and it says to him: "Why do you look so sad?" The first wave says: "You don’t understand! We’re all going to crash! All of us waves are going to be nothing! Isn't it terrible?"

The second wave says: "No, you don’t understand. You’re not a wave; you’re part of the ocean."

Source: "Tuesdays With Morrie" by Mitch Albom

For comments and archives

    Cardiology eMedinewS

Weight gain in smokers who quit is OK for the heart Read More

ACC: BNP screen may halt heart failure Read More

    Pediatric eMedinewS

Breastfeeding won't ward off obesity in child Read More

Timing of parental suicide influences risk in kids 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)

Does strain of virus used in rabies vaccine play a role in eliciting the required response?

Response to rabies vaccination is a unique mix of specificities to rabies virus antigens. Antibodies develop out of intrinsic host responses and in response to extrinsic factors such as the amount of antigen given, type of antigen, and route of exposure or vaccination. There may be substantial variation in the neutralizing activity and quantity of rabies virus neutralizing antibodies (RVNA) produced. Therefore, the strain of virus used in antirabies vaccine plays a role in eliciting the required response.

    IJCP Special

Dr Good Dr Bad

Situation: A child presented with focal convulsions with onset of high–grade fever.
Dr Bad: These are simple febrile convulsions.
Dr Good: These are not simple febrile convulsions.
Lesson: Simple benign febrile convulsions are always generalized.

Make Sure

Situation: In an STD clinic, a 23–year–old heterosexual male presenting with dysuria and uretheral discharge was prescribed azithromycin to cover a suspected Chlamydia trachomatis infection.
Reaction: Oh my God! Why didn’t you advise the same treatment for his partner also?
Lesson: Make sure to remember that in such cases, it is essential that both the partners are treated.

    Quote of the Day (Dr GM Singh)

Excellence is to do a common thing in an uncommon way. Booker T. Washington

    Legal Question of the Day (Dr MC Gupta, Advocate & Medico-legal Consultant)

Can IMA advise doctors regarding practice of medicine? Is it proper for a private hospital to treat, for fee, spinal cord paraplegia by injecting bone marrow cells by way of stem cell therapy?

QUESTION— Can IMA advise doctors regarding practice of medicine? Is it proper for a private hospital to treat, for fee, spinal cord paraplegia by injecting bone marrow cells by way of stem cell therapy?


  1. The son of the petitioner (Lawyer N. Dinesh) developed paraplegia due to spinal cord injury. A doctor in a private hospital was treating him by stem cell therapy (injecting bone marrow into the spinal cord) which was quite costly. The IMA asked the doctor not to undertake such treatment. The treatment was stopped. The petitioner went to the court against the state government, the IMA and others, with a prayer that the HC may declare that the IMA has no authority under the law to supervise, regulate or prohibit the practice of medicine. Justice P R Ramachandra Menon issued notice to respondents.
  2. As per DBT-ICMR “Guidelines for Stem Cell Research and Therapy”, 2007

    “13.0--USE OF STEM CELLS FOR THERAPEUTIC PURPOSES-- 13.1 As of date, there is no approved indication for stem cell therapy as a part of routine medical practice, other than Bone Marrow Transplantation (BMT). Accordingly all stem cell therapy other than BMT (for accepted indications) shall be treated as experimental. It should be conducted only as clinical trial after approval of the IC- SCRT/IEC and DCGI (for marketable products). All experimental trials shall be registered with the NAC-SCRT.”
  3. It is clear from the above that as per the guidelines developed by central government departments, the treatment in this case is apparently not an approved method of treatment and is, in fact, an experimental trial.
  4. No experimental trial can be undertaken unless it is registered with National Apex Committee for Stem Cell Research and Therapy (NAC-SCRT) . No experimental trial can be done without informed consent. It cannot be done for fee.
  5. In the circumstances, the advice given by the IMA to its member that it should follow the above guidelines was correct. It is very much the responsibility of the IMA to render advice to doctors regarding practice of medicine. That is what a professional association is meant for.
  6. If pleaded properly by the respondents, the WP is likely to be dismissed.
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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

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    Mind Teaser

Read this…………………

Nurse Lea is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

a. Rashes on the palms of the hands and soles of the feet
b. Cauliflower-like warts on the penis
c. Painful red papules on the shaft of the penis
d. Foul-smelling discharge from the penis

Yesterday’s Mind Teaser: Nurse Agnes is reviewing the report of a client’s routine urinalysis. Which value should the nurse consider abnormal?

a. Specific gravity of 1.03
b. Urine pH of 3.0
c. Absence of protein
d. Absence of glucose

Answer for Yesterday’s Mind Teaser: b. Urine pH of 3.0

Correct answers received from: Dr PC Das, Dr Anupam Sethi Malhotra, Dr Thakor Hitendrsinh G,
Dr Suresh Arora, Dr BB Gupta, Dr Raghavendra Jayesh, Dr Arpan Gandhi, Dr Pankaj Agarwal, Dr K Raju,
Dr (Maj. Gen.) Anil Bairaria, Dr Jella, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Kanta Jain, TP JAYARAMAN, Ravi Shanmugavel, Dr Jayashree Sen & Dr Bitaan Sen.

Answer for 15th March Mind Teaser: b. weight loss.

Correct answers received from: Bal Kishan Agarwal.

Send your answer to ijcp12@gmail.com

   Laugh a While (Dr GM Singh)

Graduate Degrees in Action

What does a graduate student with a science degree ask?
"Why does it work?"

What does a grad student with an engineering degree ask?
"How does it work?"

What does a graduate student with an accounting degree ask?
"How much will it cost?"

What does a grad student with a liberal arts degree ask?
"Do you want fries with that?"

    Medicolegal Update

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

Investigation and medical negligence

The investigating police officer and the private/patient complainant cannot always be supposed to have knowledge of medical science so as to determine whether the act of the alleged medical professional/doctor/hospital amounts to rash or negligent act within the domain of criminal law under Section 304–A of IPC said the Supreme Court of India.

The SC says:

  • As we have noticed hereinabove that the cases of doctors being subjected to criminal prosecution are on an increase. Sometimes such prosecutions are filed by private complainants and sometimes by police on an FIR being lodged and cognizance taken.
  • The criminal process once initiated subjects the medical professional to serious embarrassment and sometimes harassment. He has to seek bail to escape arrest, which may or may not be granted to him. At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.
  • We may not be understood as holding that doctors can never be prosecuted for an offence of which rashness or negligence is an essential ingredient.
  • All that we are doing is to emphasize the need for care and caution in the interest of society; for, the service which the medical profession renders to human beings is probably the noblest of all, and hence there is a need for protecting doctors from frivolous or unjust prosecutions.
  • Many a complainant prefers recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Apples during pregnancy and Asthma

Quoting a study published in the Journal Thorax, Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA, said that women who eat apples while pregnant may protect their child from developing asthma.

The study showed that children of moms who munched on more than 4 apples per week were 37 percent less likely to have a history of wheezing and 53 percent less likely to have doctor-confirmed asthma, compared to moms who ate one or no apples per week while pregnant. The effect may be due to apple's phytochemical content, such as flavonoids, which have been shown to have beneficial effects on adult lung function.

The study also found that eating fish during pregnancy may curb the risk of eczema in offspring. Children of mothers who ate fish once per week or more while pregnant had a 43 percent lower risk of eczema compared to children whose mothers avoided fish altogether.

High Fat Diet and Breast Cancer

Quoting another study from the National Cancer Institute in Bethesda, Maryland, Dr. Aggarwal said that in middle-aged women, eating a high-fat diet raises the risk of developing invasive breast cancer. There was 32% increased risk of breast cancer among women with a high level of fats in their diet. The risk was seen for all types of fat (saturated, monounsaturated and polyunsaturated) and seemed to be confined to women who were not using hormone replacement therapy. The higher the fat intake, the higher was the risk for breast cancer.

Eat More Fruits

People who eat a diet high in fruit and low in meat reduce their risk of developing colon cancer said Dr. Aggarwal. A team from University of North Carolina in Chapel Hill observed three groups - people who ate a lot of fruit but little meat, people who ate a lot of vegetables and a moderate amount of meat, and people who simply ate a lot of meat. The people who recalled eating large or moderate amounts of meat were 70 percent more likely to have had a polyp than those who said they ate a lot of fruit but little meat. Just 18 percent of the people who said they ate a lot of fruit but little meat had a polyp, compared to 30 percent of the moderate meat-eaters and 32 percent of people in the high meat-eating group.

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 31135 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, the move of making 16 as age of consent is permitting kids to have sex with immature mind. Where have our senses gone?. This needs to be opposed. Dr. Pawan Gupta.
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