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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 and 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 of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR


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eMedinewS Presents Audio News of the Day

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

Photos of Workshop on Stress Management and How to be Happy and Healthy

  Editorial …

22nd May 2012, Tuesday

Moderate coffee intake protects against stroke

A new meta–analysis has found that moderate intake may help protect against ischemic stroke. Presenting the study at European Society of Hypertension Meeting on Hypertension 2012, Dr Lanfranco D’Elia from Federico II University of Naples, Italy said that coffee intake is not associated with a higher risk of stroke and low to moderate intake––one to three cups of coffee per day––was associated with lower risk of stroke in the general population, across a wide range of countries, including some in Europe, the US, and Japan. However, these results apply to the general population only and that findings with regard to coffee intake and risk in those with cardiovascular disease have been conflicting. Nevertheless, he believes that "one coffee a day is not dangerous for people with heart disease."

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

Moderate coffee intake protects against stroke

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Bimaare Ek Ilaj Anek

All pathy consensus organized by Heart Care Foundation of India in association with All India Radio

Dr K K Aggarwal
    National News

Now, yoga, sports part of MBBS curriculum

CHENNAI: When MBBS students go to medical college this year they’ll have to carry yoga mats, bats and rackets along with their white coats and stethoscopes. The Medical Council of India, the statutory body regulating medical education, has made yoga and sports a part of the undergraduate medical education curriculum. The Regulations on Graduate Medical Education, 2012 released by the MCI allot nearly 4% of the total teaching hours in the first two years of MBBS to sports and extracurricular activities including yoga. "Our medicos will no longer be dull boys. They will be able to unwind on the playground. We will teach students how they can stay healthy and fit by practising yoga and participating in sports," said a senior member of MCI. At the MCI’s national summit in September 2011, vice–chancellors from medical universities from across the country were informed that certain alterations would be made to the MBBS course with a focus on students. The MCI made it mandatory for students to undergo a two–month foundation course, which will include yoga and sports, at the beginning of the academic year. Though most medical colleges have cultural programmes and sports, the MCI has now made sports part of the academic curriculum. Under the new regulations, 78 of the total of 1,880 academic hours in the first two years will be allotted to sports, extracurricular activities and yoga. (Source: TOI, May 21, 2012)

For comments and archives

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)

CDC: Test all ‘boomers’ for hepatitis C infection

With "baby boomers" believed to account for 75% of the hepatitis C infected population in the U.S. –– the CDC is recommending that everyone ages 47 to 67 be tested for infection. The CDC estimates that some two million Americans born from 1945 to 1965 are infected with HCV –– that’s about 3% of the boomer generation. But because many years usually elapse before noticeable symptoms develop, most don’t know they are infected. (Source: Medpage Today)

For Comments and archives…

Ablating nerves in patients with CKD improves blood pressure

Ablating nerves in the kidneys of patients with moderate to severe kidney disease improves blood pressure control and is safe in the short–term, according to a pilot study published online May 17 in the Journal of the American Society of Nephrology. (Source: Medscape)

For Comments and archives…

Glitazones take new hit for bladder Ca risk

British patients followed after starting on glitazone drugs for type 2 diabetes were significantly more likely to develop bladder cancer than those taking sulfonylurea agents, researchers found. (Source: Medpage Today)

For Comments and archives…

Prevalence of GERD is 4 times higher among people with IBS

The prevalence of gastroesophageal reflux disease (GERD) is 4 times greater in people with irritable bowel syndrome (IBS) than in those without IBS, according to a meta–analysis presented by Rebecca M. Lovell, MD, from Leeds Gastroenterology Institute in the United Kingdom, here at Digestive Disease Week 2012. (Source: Medscape)

For Comments and archives…

(Contributed by Dr SK Verma, Consultant Ophthalmologist)

Frequent changing of presbyopic glasses

Frequent changing of presbyopic glasses below the interval of two years may be suggestive of primary open angle glaucoma. Presbyopia is a refractive condition of the eyes in middle–aged persons due to diminution in the resiliency of the natural transparent lens of the eye leading to receding of the near vision of the affected person. In early stage the person corrects it by putting the near vision object further away from the eyes. This is treated by specs with positive lenses. Primary open angle glaucoma is a debilitating disease of the eye leading to permanent and irrecoverable loss of vision of the affected person. A research paper by Dr Saibend Kumar Lahiri et al of R G Kar Medical College, Kolkata showed that among primary open angle glaucoma cases the time of changing spectacles at < 2 years was 4.55 times more than that among control group. Therefore the person getting frequent presbyopic glass changes should be investigated for Primary Open Angle Glaucoma (J Indian Med Assoc April 2012;110: 33–41).

    Twitter of the Day

@DrKKAggarwal: Take It Easy Versus Make It Easy The two approaches make all the difference. The successful people are the ones……http://fb.me/1LKdJ20W2

@DeepakChopra: God is the formless potential for all forms

    Spiritual Update

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

Take it easy versus make it easy

The two approaches make all the difference.

The successful people are the ones who make things easy. Take it easy is a route of escapism and follows the approach of chalta hai. When you take this approach, you do not live in the present and miss signals of the nature and opportunities of converting adversities into opportunities.

For Comments and archives…

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How is multifetal pregnancy reduction done?

Multifetal pregnancy reduction usually takes place early in the pregnancy, within the first 12 weeks. At 12 weeks in the pregnancy, the fetus is enclosed in a fluid–filled pouch, called a gestational sac. The specialist will inject a needle filled with a liquid, frequently potassium chloride, into the gestational sac of the target fetus. The liquid will stop fetal heart motion.

For Comments and archives…

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

(Dr. Sujay Shad, Senior Consultant Cardiac Surgeon and Director of Heart–Lung Transplantation, drsujayshad.com)

A year after miracle heart transplant Sunita is going stronger

Sunita is celebrating her First Anniversary after a miracle heart transplant surgery at the premier Sir Ganga Ram Hospital. Now a year from 17th of May 2011, the day that changed her life, she feels the difference. She is able to go for a walk in the park, walk about on all floors of her house, go to the kitchen and cook for her family–things she loved to do.

According to DS Rana Chairman BOM; Sir Ganga Ram Hospital (SGRH), "About 10,000 heart failure patients require heart transplant but only few undergo this surgery because of scarcity of brain dead organ donors. We at SGRH have all the facilities for heart transplant, and if we have more cadavers we can perform more such heart transplants. I am very proud of this medical accomplishment and congratulate our heart transplant team consisting of cardiologists, cardiac surgeons, cardiac anesthetists, nurses and paramedical staff who accomplished this difficult task. We are very happy that an initiative of eMedinewS and IJCP is spearheading a campaign for spreading awareness about organ donation"

"Sunita suffered from breathing difficulty due to dilated cardiomyopathy. Over the years her symptoms worsened despite regular treatment and lately she required repeated admission to the hospital to treat advanced heart failure. This is end stage heart failure where patients are refractory to medical treatment and are left with no other option than heart transplant." said Dr J.P.S. Sawhney, Chairperson, Dept. of Cardiology, SGRH.

According to Dr Ashwani Mehta, Sr. Consultant Cardiologist, SGRH, "There is an unmet need for cardiac transplants in India. By doing this first cardiac transplant in North India in private sector, we have given hope to large number of patients in this part of the world."

Dr Rajiv Passey, Sr. Consultant Cardiologist, SGRH, the primary cardiologist who looked after her prior to transplant said, "Sunita had multiple admissions in last 4 years with repeated heart congestive heart failure. Finally we decided that she should undergo heart transplant. Today one year post heart transplant, Sunita is perfectly fine, she has a good heart function and a perfectly healthy endomyocardial biopsy."

According to Dr Sujay Shad , Senior Consultant Cardiac Surgeon and Director of Heart Transplantation, SGRH, "The heart was donated by the family of an unfortunate brain–dead beating–heart donor, the donor didn’t live but the angel’s heart lives on in Sunita’s chest. There are so many more similar patients who are desperate for another shot at life. A heart transplant can help many of them," Dr Shad added.

"We know that the first year after transplantation is beset with episodes of rejection and infection. However, now that the critical period is behind her, Sunita is enjoying a good, healthy and productive life" said Dr Shad.

She knows nothing of what happened before she woke up, but that was when a team of over 140 trained doctors, nurses and technicians worked tirelessly to save her life. She came to hospital today with a cake and a candle to thank the wonderful team of super men and women that saved her life.

Dr K K Aggarwal

Heart Transplant Recipient Sunita with Heart Transplant Team celebrating her First Anniversary

For Comments and archives…

    An Inspirational Story

(Dr GM Singh)

The crime is the same!

A worried woman went to her gynecologist and said, "Doctor, I have a serious problem and desperately need your help! My baby is not even 1 year old and I’m pregnant again. I don’t want kids so close together." So the Doctor said, "OK and what do you want me to do?"

She replied, "I want you to end my pregnancy, and I’m counting on your help with this." The Doctor thought and after some silence he said to the lady, "I think I have a better solution for your problem. It’s less dangerous for you too."

She smiled, thinking that the doctor was going to accept her request.

Then he continued, "You see, in order for you not to have to take care of 2 babies at same time, let’s kill the one in your arms. This way, you could rest some before the other one is born. If we’re going to kill one of them, it doesn’t matter which one it is. There would be no risk for your body if you chose the one in your arms." The lady was horrified and said, “No Doctor! How terrible! It’s a crime to kill a child!"

"I agree", the Doctor replied, "But you seemed to be OK with it, so I thought maybe that was the best solution."

The doctor smiled, realizing that he had made his point, He convinced the mom that there is no difference in killing a child that’s already been born and one that’s still in the womb.

The crime is the same!

For Comments and archives…

   Cardiology eMedinewS

Novel Stent Safer in MI Read More

Waist–Hip Ratio Excels at SCD Risk Prediction in ARIC Cohort Read More

Why Cox–2 Painkillers May Boost Heart Risks Read More

   Pediatric eMedinewS

ALK–Driven Pediatric Cancers Respond To Crizotinib Read More

Skin Prick Test Predicts Course Of Cow’s Milk Allergy Read More

Milk Challenge May Help Define GERD In Allergic Children Read More

    IJCP Special

Dr Good Dr Bad

Situation: A smoker wanted to know his risk of lung cancer.
Dr Bad: It’s not that high.
Dr Good: You are at a very high risk.
Lesson: The primary risk factor for lung cancer is cigarette smoking and accounts for 90% of all lung cancers. The risk of lung cancer for a current smoker of one pack per day for 40 years is 20 times that of someone who has never smoked. Factors include the extent of smoking and exposure to asbestos.

For comments and archives

Make Sure

Situation: A patient’s blood pressure was not responding on Arkamin.
Reaction: Oh my God! Why was the patient given Artamin?
Lesson: Make sure that prescription is clearly written.

For comments and archives

  Legal Question of the day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Can MBBS doctors perform endoscopies?

There can be only two situations when an MBBS doctor performs endoscopies:

  • When he is an employee and is asked to do so by the employer. Here the liability, if any, will have to lie with or be shared with the employer.
  • When he is in his own private practice and the patient/consumer requests his service. Here there will be no liability unless the act is done illegally or negligently.
  • The MBBS doctor would be within legal rights to offer endoscopy services if he has been trained in endoscopy and has reasonable knowledge, experience and confidence. However, he should not do so under misrepresentation. He should clearly state that he is just an MBBS and should not claim to be a gastroenterologist etc. He must perform the endoscopy after due written consent where the qualifications etc. of the doctor should be clearly mentioned.

For comments and archives

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  Quote of the Day

(Dr GM Singh)

Expecting the world to treat you fairly because you are nice is like expecting the lion not to attack you because you are vegetarian.

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Multiple myeloma (MM)

MM may first be detected during routine wellness testing, showing up as an abnormal total protein level, an elevated calcium level, a low white or red blood cell count and/or moderate to large amounts of protein in the urine.

Tests used as a follow–up to abnormal routine tests and to help diagnose the disease may include one or more of the following: Protein and Immunofixation Electrophoresis. These tests are used to diagnose and monitor multiple myeloma.

Bence Jones protein (free light chains) can be detected in the urine of some patients with multiple myeloma. The sample tested is usually a 24–hour urine because the total amount of Bence Jones protein in 24 hours is related to the amount of tumor that is present. Either the kappa or lambda light chains (but not both in the same patient) may be measured to help diagnose multiple myeloma and monitor the effectiveness of treatment.

Other tests include serum free light chains (FLC), Quantitative Immunoglobulins. The multiple myeloma protein will be an IgG, IgA or, rarely, an IgD or IgE immunoglobulin.

    Mind Teaser

Read this…………………

What is the peak age range of developing acute lymphocytic leukemia (ALL)?

a. 4 to 12 years
b. 20 to 30 years
c. 40 to 50 years
d. 60 to 70 years

Yesterday’s Mind Teaser: From which animal do we get cat gut?

Answer for Yesterday’s Mind Teaser: Sheep and Horses

Correct answers received from: Shirish Singhal, Yogindra Vasavada, Dr Sandeep Sabharwal, Prabha Sanghi, neerja chandel, Dr PC Das, Prof Chetana Vaishnavi, Dr shashi saini, BB Gupta, Dr Thakor Hitendrsinh G, Dr Kanta Jain, Raju Kuppusamy, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr LC dhoka, Dr U Gaur, Anil Bairaria, Dr Amol Hartalkar.

Answer for 20th April Mind Teaser: Ecuador
Correct answers received from: Raju Kuppusamy, Sudipto Samaddar, Prof Chetana Vaishnavi, Dr PC Das.

Send your answer to ijcp12@gmail.com

  Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

Vaccine preventable diseases and vaccinations

Let us continue with the prevention and protection issues from communicable diseases. Some of the communicable diseases can be prevented through preventive immunization using specific vaccines. These diseases are "Vaccine Preventable Diseases".

India, like other countries has a Universal Immunization Program (UIP) for infants/children and immunizations for adults (as required). We all know about the Universal Immunization Program of India, which covers 7 diseases. These are BCG (tuberculosis), DPT (diphtheria, pertussis and tetanus), polio, Hepatitis B and measles. Other vaccines that are used but are not covered under UIP are Haemophilus influenza type b (Hib), Human Papillomavirus (HPV), Influenza, Japanese encephalitis, Meningococcus, Pneumococcus, Rotavirus, Respiratory syncytial virus, Shigellosis and enterotoxigenic E. coli, and others. Some of the vaccines are well studied and have been in use for many years, are safe. Some of the vaccines are relatively recent but safe and FDA approved e.g. the HPV vaccine, and others are undergoing trials and some are still in the developmental stage.

For comments and archives

    Laugh a While

(Dr GM Singh)

College Student

A college student at a recent college football game challenged a senior citizen sitting next to him, saying it was impossible for their generation to understand this:

"You grew up in a different world," the student said, loud enough for the whole crowd to hear. "Today we have television, jet planes, space travel, man has walked on the Moon, our spaceships have visited Mars, we even have nuclear energy, electric and hydrogen cars, computers with light–speed processing …and uh……"

Taking advantage of a pause in the student’s litany, the senior citizen said, "You’re right. We didn’t have those things when we were young; so we invented them, you little twit! What are you doing for the next generation???"

  Medicolegal Update

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

What is narcoanalysis?

Narcoanalysis is a controlled administration of intravenous hypnotic medications called truth drugs (barbiturates or other drugs like suxametanium/thiopentone/sodimamytal/scopolamine called truth drugs/serum), which induce a sleeplike state in the person. Under the influence of the drug, the accused has garbled speech and tends to talk about fantasies, and labors under delusions. Their state resembles that of a person in delirium, so these tests cannot be treated accurate. This technique is often used by investigating agencies in criminal cases, as an interrogation technique. The scientific validity of the test has been questioned by medical professionals, ethics forum and the legal validity has also been debated in several international and national cases.

  • The truth serum or sodium pentothal is the same substance that in larger dosages is used to induce a deep coma–like state for executions by lethal injection in USA. A large dose of the drug is lethal; a test could result in coma or even death. It can be difficult to determine the correct dose of the drug.
  • In the United States of America, the New Jersey Supreme Court banned the use of narcoanalysis in Pitts. V. State for lack of scientific reliability. In India as well, the use of narcoanalysis has been questioned in courts.
  • The main argument against Narcoanalysis is that it is infringement of the fundamental right under Article 20(3) of the Constitution, which provides for a privilege against self-incrimination. It can also be construed as violating human rights of privacy, and the right to health. At the same time, narcoanalysis is an invaluable tool for investigators. Since the results of the test cannot solely be used to prove the guilt of the accused, advocates of narcoanalysis point out that it is not violative of the right against self–incrimination. Statements made under the test have to be corroborated by further evidence.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Why is My Nose Bleeding?

Nosebleeds is a common problem, occurring in up to 60 percent of the general population and is often because of a respiratory illness or dry conditions. Nasal drying is common in the hot summer months because of the extreme temperature and dry air due to use of airconditioners, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

Here are some typical reasons for nosebleeds:

  • Nasal allergies
  • Blowing your nose too hard or trying to remove something from inside the nose
  • A result of "popping" the ear
  • Nasal exposure to chemicals
  • Frequent sneezing or having an upper respiratory infection
  • Use of nasal spray or a blood–thinning drug, such as aspirin
  • Inhaling air that is extremely dry or cold
  • Having recent surgery on the nose or elsewhere on the face
  • Breaking the nose or a similar injury
  • Uncontrolled blood pressure

Bleeding can be controlled by direct pressure i.e. compression of the nostrils rasping the alae distally so all mucosal surfaces are opposed. Direct pressure should be applied continuously for at least five minutes, and for up to 20 minutes. The patient should be encouraged not to check for active bleeding. Patients who are properly instructed may control their bleeding while the evaluation gets underway.

Other maneuvers include bending forward at the waist while sitting up (to avoid swallowing blood), placing a plug of cotton wool or gauze into the bleeding nostril (sometimes coated with antibiotic ointment), expectorating out blood that accumulates in the pharynx and a cold compress applied to the bridge of the nose.

These maneuvers also should be taught to high–risk patients for use at home. Many ENT specialists recommend initial treatment with two puffs of oxymetazoline to hasten hemostasis.

    Readers Response
  1. I think we have more important issues to discus rather than Aishwarya Rai Bachchan’s weight. It is a personal matter, let her tackle it. She has already given us lots and lots of pleasure and solace through her movies. Thank you Ash. Take good care of yourself and your baby. Dr. Vivek Kumar, Varanasi.
    Forthcoming Events
Dr K K Aggarwal


All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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 mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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  Dil Ki Batein

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta