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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


Live Web Cast of 3rd eMedinewS – Revisiting 2011, on January 22, 2012

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  Editorial …

23rd January 2012, Monday

Pillow Talk: First AHA Advice on Sex and CVD

  1. Sexual activity is safe for the majority of heart disease patients, as per new first–ever American Heart Association (AHA) scientific statement published in Circulation by lead author Dr Glenn N Levine (Baylor College of Medicine, Houston, TX).
  2. Physicians, patients, and partners are reluctant to talk about sexual activity, but it is something "that is important to quality of life for most people, and we would not want to see patients refraining from sex out of undue concern about precipitating a heart attack or sudden death,"
  3. The only patients who should refrain from sex are those with unstable heart disease or severe symptoms; they should be assessed and stabilized with appropriate treatment before engaging in sexual activity.
  4. Drugs that can improve cardiovascular symptoms or survival should not be withheld due to concerns that they may have an impact on sexual function.
  5. While use of phosphodiesterase–5 (PDE–5) inhibitor erectile–dysfunction drugs, such as sildenafil are generally safe for men who have stable cardiovascular disease, these agents are absolutely contraindicated in patients receiving nitrate therapy, either long–acting preparations or sublingual ones.
  6. The risk of heart attack with sexual activity is only extremely modestly increased during sexual activity and represents only a miniscule amount of a person’s overall risk.
  7. Another important consideration raised in the AHA statement––which is also endorsed by the American Urological Association, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association of Cardiovascular and Pulmonary Rehabilitation, International Society of Sexual Medicine, American College of Cardiology Foundation, Heart Rhythm Society, and Heart Failure Society of America––is that cardiac rehabilitation and regular physical activity can reduce the risk of cardiovascular complications in people with heart disease.
  8. Exercise testing can also provide additional information as to the safety of sexual activity in patients with indeterminate or unclear risk, the authors note.

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

Dr Ajay Saraf on 49th Annual PEDICON

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

The day long conference was inaugurated in the auditorium of Maulana Azad Medical College on 22nd January 2011. Inaugurating the conference Dr. A.K. Agarwal, President Delhi Medical Council, Chief Guest for the function, Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, Acharya Sadhvi Sadhna Ji Maharaj and Guest of Honour  for the function Mr. B.S. Ratnakar, General Manager, Central Bank of India

Dr K K Aggarwal
    National News

Samples of Many Wrestlers Test Positive for Banned Substances at 57th National School Games

The National Anti Doping Agency (NADA) has revealed that around 10 percent of the blood and urine samples of wrestlers that it has tested during the 57th National School Games, held between December 28 and January 3, has come back positive for using banned substances.

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

Angle closure glaucoma more common in Asians

Glaucoma is a group of progressive eye conditions that lead to irreversible damage to the optic nerve and is divided into open–angle and narrow–angle glaucoma.

Open–angle glaucoma is far more prevalent in the United States, affecting 70%–80% of cases of glaucoma. Narrow–angle or angle–closure glaucoma is more prevalent in the Asian population, said Dr A K Grover Padmashri Awardee and Sr. Consultant eye care at Ganga Ram Hospital. Open–angle glaucoma is usually accompanied by increased intraocular pressure. Pressure can be normal in more than 25% of cases.

A patient should be referred to an ophthalmologist for suspicion of glaucoma if:

  • Family history of glaucoma exists;
  • History of chronic steroid use exists;
  • Uveitis is found;
  • History of ocular trauma exists;
  • Symptoms of intermittent angle closure exist (ie, redness, pain, blurry vision or halos, headaches, nausea, or vomiting); or
  • A pediatric patient has corneal haze, tearing, photophobia, or enlarged corneal diameters or asymmetry in eye size.

Patients older than 40 years should have an eye examination every 5 years. Patients at higher risk for ocular disease should be seen more frequently.

For comments and archives

MTX monotherapy still the treatment of choice in RA

Methotrexate (MTX) is currently the cornerstone in the treatment of rheumatoid arthritis (RA) and recommended as first–line therapy.

Both the treatment recommendations from the European League Against Rheumatism (EULAR) and recently published recommendations for the use of MTX in rheumatic diseases advocate MTX monotherapy as the first choice rather than combinations of MTX with other synthetic disease–modifying antirheumatic drugs (sDMARDs)

However the American College of Rheumatology recommends MTX or other DMARDs as monotherapy or MTX in combination with other DMARDs, depending on the disease duration and level of disease activity.

The efficacy of adding a tumour necrosis factor a inhibitor (TNFi) to MTX in patients who are MTX inadequate responders (IR) is well established. It is currently required that two or more sDMARDs must have failed before initiation of TNFi therapy or moderate to high disease activity level and inadequate response to MTX in patients with RA.

For Comments and archives

Transcutaneous bilirubin testing in the outpatient setting

Transcutaneous bilirubin (TcB) measurement devices are commonly used to estimate serum or plasma bilirubin in neonates in the inpatient setting, thus avoiding blood sampling. In a prospective study, TcB measurement also appeared to be a reliable screening tool to identify outpatient infants with hyperbilirubinemia (J Perinatol 2011;31:621).

TcB less than 12 mg/dL (205 micromol/L) reliably predicted a TB less than 15 mg/dL (257 micromol/L). TcB values between 13 and 14 mg/dL (222 to 239 micromol/L) similarly predicted a TB <17 micromol/L (291 mmol/L).

For comments and archives

  Twitter of the Day

@DrKKAggarwal: #AJOG What is fertilization and embryo culture? After the eggs are retrieved, they are examined in the laboratory… fb.me/Xb72Q4Xi

@DrKKAggarwal: Instead of looking for a true friend become a true friend.

    Spiritual Update

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

ShatTila Ekadashi – Also Known As Tilda Ekadashi (Til Means Sesame And Da Means Donation)

All the festivals in the month of Magh are linked directly or indirectly to the use of sesame seeds in some form or the other. Medically sesame is rich in calcium. It has three times the calcium compared to the milk. For its proper absorption, one needs ultraviolet B waves from the sun.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Does Laproscopy a risky procedure to retrieve eggs?

Laparoscopy carries the risks of any surgery that requires anesthesia. Removing eggs through an aspirating needle entails a slight risk of bleeding, infection, and damage to the bowel, bladder, or a blood vessel. This is true whether the physician uses laparoscopy or ultrasound to guide the needle. Less than one patient in 1,000 will require major surgery to repair damage from complications of the egg retrieval procedure.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Yellow Paper Clips

Georgia, a friend of my wife, was recently divorced and trying to raise her two sons when the Gulf War broke out. She heard about soldiers in the service who had no family and needed pen pals. Letters addressed to "Any Soldier" were distributed by commanding officers who noticed any soldiers getting little or no mail. Georgia wrote to 25 such soldiers almost daily, most of them men.

Keeping up with 25 pen pals on a daily basis almost consumed Georgia’s time and talents. She sent poems, little stories, and words of hope and encouragement. When there were time constraints, she would write one letter and copy it for everyone. Greetings were sent whenever she knew about a special event, like a birthday.

One day, Georgia received a letter from a soldier that was depressed and discouraged. She pondered as to how she could help lift his spirits. It was then that she noticed that at work there were paper clips of various colors. Georgia took one of the yellow paper clips and photo copied it in the palm of her hand. She sent this picture with the paper clip with the following message: "This yellow paper clip that you see in my hand represents a hug that I am sending to you. You can carry this paper clip in a pocket or anywhere, and whenever you feel down, you can just touch and hold it and know that somebody cares about you, and would give you a hug if she were there." Georgia sent a copy of this picture along with a paper clip and the message to each of her other correspondents.

After the war ended, Georgia received one of the pictures of her hand holding the yellow paper clip, and on the back were over 150 signatures of people that had been given her "hug".

During the years, Georgia named other paper clips. Pink came to mean a kiss, green was for good luck, and so on.

Years later, Georgia was giving a class as part of a seminar for positive thinking. She shared with the members of the class her paper clip symbolism, and made a bracelet of multi–colored paper clips for each of them. One of the women exclaimed "So you’re the one!" The class member told Georgia that she was visiting her brother and needed something to hold papers together. She had noticed a yellow paper clip on the refrigerator held there with a magnet. She borrowed the paper clip for her papers. When the brother saw it, he grabbed it and scolded her, and told her never to touch the yellow paper clip again. Now she knew why.

No one will never know how far her message has spread, nor how many lives have been touched by a simple yellow paper clip.

For comments and archives

  Cardiology eMedinewS

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

Complex Patients Benefit from Team Approach

Read More

Vitamin D: Too Much May Erase Heart Benefit

Read More

Higher LDL Level Linked to Lower Incidence of Afib

Read More

How to Handle Agitated Relations After The Death Of A Patient?

Read More

  Pediatric eMedinewS

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

TB Or Not TB An update on the diagnosis of childhood TB: Dr Nigel Curtis

Read More

Dr S Gopalan, Pediatric Gastroenterologist & Hepatologist, Delhi & NCR

Read More

Jaundice in a child – when to worry?: Dr Neelam Mohan

Read More

Blood In Stool – Common Thoughts: Dr Sutapa Ganguly

Read More

Pitfalls In Diagnosis Of Acute Pancreatitis: Dr Lalit Bharadia

Read More

Asymptomatic Gall Stones In Children: Dr Naresh Shanmugam

Read More


Read More

Kola vari – Why the girl child?

Sex selection – issues & concerns: Dr MKC Nair

Read More

Post birth discrimination with girl child & declining child sex ratio: Dr Manohar Agnani

Read More

    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Distance vision can also be affected by the state of your windscreen and glasses. These should be kept clean and free of dust and scratches, which can greatly reduce vision on bright days and at night.

    IJCP Special

Dr Good Dr Bad

Situation: A diabetic A1C status worsened in winter.
Dr Bad: It has nothing to do with winter.
Dr Good: Diabetes may worsen in winter.
Lesson: A prospective study of glycemic control during holiday time in type 2 diabetic patients demonstrated an influence of winter holidays on the glycemic control of these. The poor glycemic control might not be reversed during the summer and autumn months. Therefore, the cumulative effects of the yearly A1C gain during the winter holidays are likely to contribute to the substantial increase in A1C that occurs every year among type 2 diabetic individuals. (Source: Diabetes Care 2004;27(2):326–30.)

For comments and archives

Make Sure

Situation: A neonate in an ICU being administered IV calcium exhibits signs of inflammation and necrosis at injection site.
Reaction: Oh my God! Why didn’t you observe the IV site carefully.
Make Sure that all hypocalcemic neonates are put on a cardiac monitor while receiving calcium infusions and the IV site is closely observed, because extravasation of calcium can produce severe interstitial necrosis.

For comments and archives

  Quote of the Day

(Dr GM Singh)

We have to pray with our eyes on God, not on the difficulties. (Oswald Chambers)

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    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Levels of total cholesterol, LDL and apolipoprotein B, increase significantly in women at the time of menopause thus increasing the risk factors for coronary heart disease.

    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser:  ababaaabbbaaaabbbb ababaabbaaabbb

Answer for Yesterday’s  Mind Teaser: long time no "c"

Correct answers received from: Dr Rajiv, Dr K Raju, Dr Emille, Dr Ravi, Dr Shishir, Dr DM Singh, Dr Shobhit, Dr Shagun,

Answer for 21st January Mind Teaser: Crossbow
Correct answers received from: Dr Simirit, Dr Piyush, Dr Kiran, Dr Kopal, Dr Fizza, Dr Kaushal, Dr GS Rana

Send your answer to ijcp12@gmail.com

    Laugh a While

(Ms Ritu Sinha)

The well behaved son

Lady 1: My son is very well behaved.

Lady 2: How can you say that? Wasn’t he arrested and imprisoned for 5 years.

Lady 1: Yes, but he got out after 2 years for good behavior inside the jail.

    Medicolegal Update

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

Medical Testimony of Doctor in the Court of Law (Contd)

Do not misrepresent documents/medical literature in the Court of Law

When evidence is read into the record of a trial, only that portion of the document which validates the information being discussed needs to be read aloud. One paragraph or even one part of a paragraph may be all that is necessary to substantiate the point you are making. Documents must be presented in the words of the author. When you paraphrase evidence, you argue in a circle. Reading the remainder of the document, even if it establishes a context for the evidence, is unnecessary and time–consuming. When a document is cut in a manner which lends the quoted passage a meaning other than what would be derived from a more complete reading, you are misrepresenting the document. This does not mean, however, that you are responsible for drawing the same conclusions from information as the author of the document.

Drawing a contrary conclusion from passages accurately interpreted does not constitute misrepresentation. The fact that the author of the document reached a different conclusion from the information argues perhaps persuasively against your conclusion. However, you have not misused the evidence.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Communication the best answer in improving patient doctor relationship

Inaugurating a daylong conference eMedinewS Revisiting 2011, Dr. A.K. Agarwal, President Delhi Medical Council, Chief Guest for the function, said that as per the proposed National Commission for Human Resources for Health Bill 2011, both the Central and the State Governments will have power to impose the monitory penalty not exceeding Rs. 10 lakh for professional misconduct.

Dr. Agarwal said that all doctors should improve their communication with the patients so that unnecessary litigations are avoided.

Guest of Honour for the function Mr. B.S. Ratnakar, General Manager, Central Bank of India, said that time has come for people to plan their health budget. He advised the general public to get compulsory medical insurance done so as to get best of the medical facilities.

Dr. KK Aggarwal, Padmashri & Dr. B.C. Roy Awardee, President of the Conference, said that Medical Ethics’ definition needs to be changed in view of medical profession coming under the Consumer Protection Act. Under the Consumer Protection Act, a medical clinic is a shop and patients a consumer. In that sense, medical advertisements should be allowed to the doctor. Under the Medical Ethics, the same is not allowed.

Guest of Honour, Dr. Girish Tyagi, Registrar, Delhi Medical Council, said that most of the medical errors are preventable and are linked to prescription writing.

Late Dr. K.B. Sharma was awarded with eMedinewS Lifetime Achievement Award. eMedinewS Medical Statesman of the Year Award was given to Dr. Alka Kriplani. Various doctors were also awarded eMedinewS Doctor of the Year Award which included the following: Dr. Praveer Aggarwal, Dr. Chandresh Jardosh, Dr. T. Samraj, Dr. Balraj Singh Yadav, Dr. Ravikant Singh, Dr. Sujay Shad, Dr Kusumchandra, Prof Manoj Sharma and Dr J N Banvalikar.

eMedinewS Popular Science Award was given to Mr. Gurmit Singh and Punita Sharma Arora for developing the first indigenous cardiac stents in the country.

Dr K K Aggarwal, Dr G K Mani, Mr M K Doogar, Mr B N S Ratnakar, Dr Dinesh Bhurani, Dr Kailash Singla, Dr Pramod Kumar, Dr N K Bhatia, Dr Praveen Chandra, Dr Ambrish Mithal, Dr Ajay Kriplani, Dr Kaberi Banerjee, Dr I M Chugh, Dr Rajneesh Kapoor, U Kaul, Dr Sujit Jha, Dr Sudhir Kumar Rawal, Dr Amit Bhargava, Dr Sanjay Chaudhary, Dr Surender Kumar, Dr S N Khanna, Dr Ravi Kasliwal and Dr Neelam Mohan delivered lectures on various topics during the conference.

    Readers Response
  1. Dear Sir, eMedinewS Revisiting 2011 waa really very informative. Regards: Dr Prisha
    Forthcoming Events


The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund Faridabad. It is multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

    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)

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

    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