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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; 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 …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

19th August 2012, Sunday

An Aspirin a day Lowers Cancer Mortality, New Data Confirm

As per Eric J. Jacobs, MD, from the American Cancer Society in Atlanta, Georgia, a recent analysis pooling results from existing randomized trials of daily aspirin for the prevention of vascular events found an estimated 37% reduction in cancer mortality among those using aspirin for 5 years or more.

The study was published online August 10 in the Journal of the National Cancer Institute.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Avoid these foods for a healthier heart

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Seminar was organized jointly by Heart Care Foundation of India and Bharatiya Vidya Bhawan.

Dr K K Aggarwal
    National News

Indian female smokers outpuff males

NEW DELHI: Smoking is eight times more prevalent among Indian men than women. However, an average Indian female smoker puffs more cigarettes a day (7) than male (6.1). Over one in five (21%) Indian male tobacco users smoke daily as against only 3% of women. Nearly half of Indian men (47.9%) aged 15 years and above consume tobacco. Nearly 206 million Indians use smokeless form of tobacco (loose-leaf chewing tobacco and snuff). Smokeless tobacco use is high among Indian men at 32.9%. One in every five female tobacco users in India uses the smokeless form as against one in 10 who smoke. Also, an average Indian woman is taking up smoking at 17.5 years as against 18.8 years among men. These are the new estimates of global tobacco use, published in the medical journal the Lancet on Friday. An average Indian smoker smokes two cigarettes a day. For men, smoking of bidis was common at 16.1%. The percentage of men who used both smoked and smokeless products was second highest in India at 9.3% Overall, the number of tobacco users was highest in China (300.8 million), followed by India (274.9 million).

India also had the most smokeless tobacco users (205.9 million). The quit rate was low in India with less than 20% of adults who had ever smoked saying they had given up. China, Egypt, Bangladesh and Russia, too, have poor quit rates. Quit ratios were found to be highest in the UK, the US, Brazil and Uruguay — with over 35% of smokers saying they had stopped. Dr K Srinath Reddy, president of Public Health Foundation of India, said, "While tobacco use among men has dipped from 51% to 48%, it has actually doubled among women from 10% to 20%. Women and girls are the new target of tobacco companies. Increase of tobacco use among women is alarming." The new estimates illustrate the epidemic of tobacco use for over half of the world's population (representing more than three billion adults living in the UK, USA and 14 developing countries, including India), with around 852 million tobacco consumers. (Source: TOI, Aug 17, 2012)

My Profession My Concern

A doctor faces death sentence for ordering an unrequired scan

As reported in Medscape on August 16, 2012, a family practitioner in Oxford, Mississippi, USA has been sentenced to death by lethal injection for ordering an MRI on a patient with uncomplicated low back pain. Dr. Philip Bird had earlier been found guilty of prescribing unnecessary scans twice, when he ordered a CT scan for a patient who presented with pregnancy-related tension headache and a bone scan for a patient with localized prostate cancer. This is assumed to be the first such sentence under the state's new "get tough" 3-strikes law. Though she sympathized with Dr Bird, Honorable Marsha Williams, the presiding judge, said that the law gave her no discretion.

According to the Prosecuting attorney, Luke O'Neill, justice had been done. He said that Dr Bird had an option and was aware of the outcomes of that option.

The "3 strikes" law had been introduced by the State senator Grant Douglas, Jr., a former hospital administrator hoped that the medical community would take caution in view of this case. He said, “We've tried everything to bring down the rate of unnecessary scans. We've done studies, presented evidence, written guidelines -- hell, I've even gone down on my hands and knees and begged -- but nothing doing. Scratch your ear in front of a doctor and next thing you know you'll be shoved into a CT machine. Really, they left us no choice but to threaten them with death.”

Dr. Josephine Watkins, a medical economist, expressed reservations that this sentence would have an influence of medical practice. She said, “The economic and malpractice incentives to scan are so extreme that even the possibility of years in a windowless cell followed by a botched execution is unlikely to be a deterrent.”

In a statement released by his attorney, Dr Bird stated that Senator Douglas “needed his head examined” and that either CT or functional MRI should be considered.

( Medscape Humour )

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

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Bone health improved even by a little physical activity

As little as 120 minutes of walking or other exercise was associated with biomarkers of bone strength in premenopausal women, according to the results of a cross-sectional study. An 8-week physical activity intervention program significantly increased biomarkers of bone strength compared with sedentary control patients. Mohammed-Salleh M. Ardawi, PhD, FRCPath, from King Abdulaziz University Hospital in Jeddah, Saudi Arabia, and colleagues report their results in an article published online August 3 in the Journal of Clinical Endocrinology and Metabolism. (Source: Medscape)

Gene loss may ID resistance in ovarian cancer

Acquired chemotherapy resistance in ovarian cancer had a significant association with genetic alterations involving a lipid transporter gene, Australian investigators found. (Source: Medpage Today)

CDC says all baby boomers should be tested for HCV

All people born between 1945 and 1965 should be screened at least once for hepatitis C virus (HCV) infection, according to new guidelines from the Centers for Disease Control and Prevention (CDC). Bryce D. Smith, PhD, from the CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention at the CDC's National Center for Environmental Health, Atlanta, Georgia, and colleagues published the new guidelines in the August 17 issue of the Morbidity and Mortality Weekly Report. "CDC estimates that although persons born during 1945–1965 comprise an estimated 27% of the population, they account for approximately three fourths of all HCV infections in the United States, 73% of HCV-associated mortality, and are at greatest risk for hepatocellular carcinoma and other HCV-related liver disease," Dr. Smith and colleagues write. (Source: Medscape)

Antibiotic often used in ESRD may not be optimal

The antibiotic most commonly prescribed for some bloodstream infections in dialysis patients may not be the best choice, researchers reported. (Source: Medpage Today)

Walnuts may boost semen quality

Young, healthy men who added a daily dose of walnuts to their usual diet had improved semen parameters, a randomized trial showed. (Source: Medpage Today)

    Twitter of the Day

@DrKKAggarwal: Even Nuts Can Cause Severe Allergyhttp://blog.kkaggarwal.com/2012/08/even-nuts-can-cause-severe-allergy/

@DeepakChopra: The people in your life reflect aspects of yourself.

    Spiritual Update

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

Desire, Hatred and Ignorance

According to Buddhism, the three negative emotions that cause a disease are ignorance, hatred and desire and accordingly physical sickness are classified into three main types. Disorders of desire (Ayurvedic equivalent of Vata imbalance): These are due to disharmony of the wind or energy. The seed of these disorders are located in the lower part of the body. It has cold

For comments and archives

    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you mean by third party reproduction?

The phrase “third party reproduction” refers to the use of eggs, sperm, or embryos that have been donated by a third person (donor) to enable an infertile individual or couple (intended recipient) to become parents. Donors may be known or anonymous to the intended recipient. “Third party reproduction” also includes traditional surrogacy and gestational carrier arrangements. Traditional surrogacy refers to a treatment in which a woman is inseminated with sperm for the purpose of conceiving for an intended recipient. The surrogate has a genetic and biological link to the pregnancy she might carry. In contrast, a gestational surrogate (also called a gestational carrier or uterine carrier) is an individual in which embryos created by the intended parents are transferred into the surrogate’s uterus, which has been prepared hormonally to carry a pregnancy.

For comments and archives

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

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

Receiving and transportation of blood/components from blood bank

  • Designated person will collect blood/blood component from the blood bank and take it to the patient area in conditions suggested by blood bank.
  • It is the duty of the blood bank to issue requested blood/blood component:
    • After satisfactorily identifying the intended recipient
    • After visual inspection.
    • After ensuring the right transportation conditions (including maintenance of cold chain).

For comments and archives

    An Inspirational Story (Ms Ritu Sinha)

The power of encouragement

A really nice story reminding us not to give up too early…

Dante Gabriel Rossetti, the famous 19th-century poet and artist, was once approached by an elderly man. The old fellow had some sketches and drawings that he wanted Rossetti to look at and tell him if they were any good, or if they at least showed potential talent.

Rossetti looked over them carefully. After the first few, he knew that they were worthless but Rossetti was a kind man, he told the elderly man as gently as possible that the pictures were without much value and showed little talent. He was sorry, but he could not lie to the man. The man was disappointed, but seemed to expect Rossetti’s judgment.

The old man then apologized for taking up Rossetti’s time, but asked him to look at a few more drawings. Rossetti looked over the second batch of sketches and immediately became enthusiastic over the talent they revealed. “These,” he said, “Oh, these are good.”

“This young student has a great talent. He should be given every help and encouragement. He has a great future.” Rossetti could see that the old fellow was deeply moved.

“Who is this fine young artist?” he asked. ”Your son?” “No,” said the old man sadly.

“It is me - 40 years ago. If only I had heard your praise then! For you see, I got discouraged and gave up – too soon.”

For comments and archives

    Cardiology eMedinewS

In Afib, bad kidneys raise stroke risk Read More

FDA: X-ray patients who have Riata ICD leads Read More

    Pediatric eMedinewS

P4P improves pediatric drug abuse therapy Read More

Multivitamin supplements not sufficient for infants with biliary atresia
Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with Chikungunya was found to have high ESR.
Dr. Bad: It may not be Chikungunya.
Dr. Good: This is Chikungunya.
Lesson: High ESR is seen in Chikungunya.

For comments and archives

Make Sure

Situation: A patient died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that anti-anaphylaxis measures are available each time a patient is given penicillin injection.

For comments and archives

    Quote of the Day (Mr Vivek Kumar)

Making steel may be compared to making a chappati. To make a good chappati, even a golden pin will not work unless the dough is good. JRD Tata

    Legal Question of the Day (Dr M C Gupta)

Q. Under which section of IPC is incest punishable?


  • Indian law does not regard incest as a separate crime under the IPC or any other law. As a matter of fact, in 2008, a Mumbai court let off a father who raped his daughter for years because the alleged offence — incest — was not recognized as a punishable offence. In contrast, many developed countries recognize incest as a serious offence. For example, it is punishable with a prison term of 14 years in Britain.
  • The reason for not treating incest as a crime might be:
    • The society prefers to deny the existence of incest and to conceal it. If incest is made a crime, it would presuppose that incest exists. It seems that we don’t want to interfere with our family values and prefer to keep quiet about incest. In a way, this amounts to sacrificing the interest of the child for the greater interest of the family.
    • Some experts believe that incest should be seen as individual perversion rather than a social malaise. It is even doubted whether punishment would cause the incidence of incest to decline.
    • It is difficult to define incest. Every society has its own definition of incest. “When the Romans ruled Egypt, sibling incest was common. It’s even believed that Cleopatra was the product of an incestuous relationship. Closer home, particularly south of the Vindhyas, it’s common for a girl to marry her mother’s older brother. Mohammad Abdul Kalam, professor of Anthropology at the University of Madras, argues that what may be right for one particular society may not work for another. While amongst most South Indians, an uncle-niece marriage may not amount to incest, in north India it is frowned upon.”

For comments and archives

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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)


  • Markedly increased triglycerides (>500 mg/dL) usually indicate a nonfasting patient (i.e., one having consumed any calories within 12–14 hour period prior to specimen collection).
  • If patient is fasting, hypertriglyceridemia is seen in hyperlipoproteinemia types I, IIb, III, IV, and V.
  • Exact classification theoretically requires lipoprotein electrophoresis, but this is not usually necessary to assess a patient’s risk to atherosclerosis.
  • Cholestyramine, corticosteroids, estrogens, ethanol, miconazole (intravenous), oral contraceptives, spironolactone, stress, and high carbohydrate intake are known to increase triglycerides.
  • Decreased serum triglycerides are seen in abetalipoproteinemia, chronic obstructive pulmonary disease, hyperthyroidism, malnutrition and malabsorption states.
    Mind Teaser

Read this…………………

What can you hold in your right hand, but not in your left?

Yesterday’s Mind Teaser: The 60th and 62nd British Prime Ministers of the UK had the same mother and father, but were not brothers. How do you account for this?

Answer for Yesterday’s Mind Teaser: Churchill was Prime Minister twice, from 1940 to 45 and from 1951 to 55

Correct answers received from: Dr Sushma Chawla, Dr PC Das, Dr Thakor Hitendrsinh G, Dr Kanta jain, Dr KV Sarma, YJ Vasavada, Dr Chandresh Jardosh, Dr Jainendra Upadhyay.

Answer for 17th August Mind Teaser: D. “I will include more fresh fruits and vegetables in my diet.”
Correct answers received from: Pawan Raja, Dr Sushma Chawla, Avula Ramadevi, Dr B Rajammal,
Dr PC Das, Satya Bhooshan Sood, Dr Prabha Sanghi, Bina Sawhney.

Send your answer to ijcp12@gmail.com

   Laugh a While (Dr GM Singh)

Traffic policeman: "Didn’t you hear my whistle, madam?"
Woman driver: "Yes, but I don’t like flirting while I'm driving."

    Medicolegal Update

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

Contravention of PNDT Act may lead to imprisonment up to 3 years

  • The name of the registered medical practitioner who has been convicted by the court under sub–section (1), shall be reported by the Appropriate Authority to the respective State Medical Council for taking necessary action including the removal of his name from the register of the Council for a period of two years for the first offence and permanently for the subsequent offence.
  • Any person who seeks the aid of a genetic counseling center or genetic laboratory or genetic clinic or of a medical geneticist, medical gynecologist or registered medical practitioner for conducting pre–natal diagnostic techniques on any pregnant woman (including the woman unless she was compelled to undergo such diagnostic technique) for purposes other than those specified in clause(2) of section 4, shall be punishable with imprisonment for a term which may extend to 3years and with a fine which may extend up to ten thousand rupees and on any subsequent conviction with imprisonment which may extend to five years and with fine which may extend up to fifty thousand rupees.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Diabetics should take pneumonia vaccine

Diabetes is associated with a 25–75% increase in the relative risk of hospitalization due to pneumonia, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal.

Quoting a study published in the journal Diabetes Care, Dr Aggarwal said that it is important to give flu and pneumococcal vaccine to diabetics, especially those patients who have had diabetes for a longer duration. It is equally important to control diabetes adequately to prevent pneumonia-related hospitalization among diabetic patients.

In the study Dr. Jette B. Kornum from Aarhus University Hospital, Aalborg and colleagues identified 34,239 individuals with a pneumonia–related hospital admission and 342,390 individuals from the general population who served as a control group. The study showed that individuals with diabetes had a 26% higher risk of pneumonia–related hospitalization compared with those without diabetes.

The risk of pneumonia–related hospitalization was increased by 4.4–fold in subjects with type 1 diabetes and by 1.2–fold in those with type 2 diabetes.

The maximum risk was related to longer duration of diabetes (more than 9 years) with poor glycemic control (A1c > 9%). The risk was 37% higher in diabetics of over 9 years duration and 60% higher when the A1c was over 9% as compared to 22% higher risk when the A1c was lower than 7%.

A1c is the measure of average blood sugar of the last three months and should be kept lower than 7%.

    Readers Responses
  1. Dear Sir, Really very nice information: Regards: Dr Shreya
    Forthcoming Events
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Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions

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