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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 …

31st March 2013, Sunday

Hepatitis A, E and Typhoid are the hygiene markers of a city

It is diseases such as jaundice with hepatitis A in children and E in adults, typhoid, cholera and gastroenteritis that reflect the hygiene status of a city and not the occurrence of dengue and malaria.

Food and water–borne diseases can be eradicated by the following public awareness formula: When in doubt follow the principle, “heat it, boil it, cook it, peel it or forget it”. In an unhygienic environment, one can eat an orange or a banana but not tomato or apple. Other steps are:

  • Do not take salad that has been left open for more than 2 hours even if it is washed properly.
  • Do not take cooked food that has been left on the table for more than two hours.
  • Vegetables grown under the ground or over the surface of the ground should be washed properly before eating them raw. They may be the biggest source of worm infection in the brain, a condition called neurocysticercosis.
  • Boiled water is the safest water to drink.
  • Ice made from unhygienic water can be the source of most water–borne diseases.
  • It is our duty to keep our home and city as clean as possible. We must regard our city as our extended home, a garden as our farmhouse and roads as our personal walking tracks.

Most food and water-borne diseases are self–inflicted and can be managed by a simple step of washing hands before and after using the toilet and before and after consuming any food.

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

Obesity reduces life expectancy

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A Health Check up and CPR camp was organized by Heart Care Foundation of India in association with Mohan Singh Place Market Association on 29th March 2013

Dr K K Aggarwal
    National News

CME on Neuro Imaging

A CME on Neuro Imaging is being organized by the Dept.of CT and MRI Imaging, Sir Ganga Ram Hospital on April 6-7, 2013 at FICCI Auditorium,Tansen Marg New Delh. Dr Susan Blaser,a renowned Radiologist from Toronto Hospital for Sick Children and Dr. Christopher Hess from UCSF are part of the Faculty

Delayed diagnosis a major challenge in TB control

New Delhi: India may have achieved a success rate of 88 per cent in treatment of tuberculosis — higher than the global treatment success rate of 85 per cent — but HIV-TB co-infection continues to be a cause of major concern, as the percentage of people infected with the twin infection increased substantially between 2010 and 2011. The percentage of TB patients tested for HIV increased nationally from 32 per cent to 45 per cent. It is estimated that there are around 2.4 million HIV patients in India. Recent country- level data show that about 6 per cent of TB patients are HIV-positive. National surveillance has shown that the distribution of HIV among TB patients is highly heterogeneous, and is closely correlated with the distribution of HIV infection. As per estimates of the World Health Organisation, released on the eve of the World TB Day, prevalence and incidence rates of all forms of TB were 249 and 181 per 100000 people respectively in 2011. However, the estimates have not yet been officially approved by the Ministry of Health and Family Welfare. The report puts the multi drug-resistant tuberculosis (MDR-TB) prevalence at 2.1 per cent among new cases and 15 per cent among retreatment cases, which is based on sub-national surveys conducted in three States between 2006 and 2009. Meanwhile, India is planning a national Drug Resistance Survey for 2013. Despite the low MDR-TB prevalence, India ranks first among the 27 MDR-TB high burden countries. The Revised National TB Control Programme (RNTCP) has developed a plan to scale up the services considerably in order to treat at least 40,000 MDR-TB patients annually by 2017, supported by the Global Fund Round Single Stream Funding, Unitaid and domestic funds. (Source: The Hindu, March 24, 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)


All about child sexual abuse

  1. Sexual abuse occurs primarily in preadolescent children.
  2. It’s more often in girls.
  3. Perpetrators are usually males.
  4. They are known to the victims.
  5. Most of the complaints that are possible indicators of sexual abuse are nonspecific.

For comments and archives

    Valvular Heart Disease Update

Mitral stenosis in the elderly

Valvular mitral stenosis is rarely seen in elderly patients. Mitral obstruction may be produced by protuberant mitral annular calcification (MAC). It is present in 6% of the elderly population.

(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)

Heavy smoking may be genetic

Genetic risk may not drive someone to smoke, but it was associated with heavier and more frequent smoking once they started, researchers found. (Source: Medpage Today)

Multidrug-resistant Mycobacteria transmitted among patients

Despite conventional cross-infection measures, multidrug-resistant (MDR) Mycobacterium abscessus often spreads indirectly among patients with cystic fibrosis, according to a retrospective cohort study published online March 29 in the Lancet. The findings raise red flags regarding the adequacy of current infection control measures for hospitalized patients with cystic fibrosis as well as other hospitalized patient groups. (Source: Medscape)

Two hemostasis valves recalled

The FDA has issued class I recalls on two hemostasis valves manufactured by Vascular Solutions because of a risk of air embolism. The Guardian II and Guardian II NC Hemostasis Valves, which are used to reduce blood loss during catheterization procedures, may allow air into the device. That can cause an air embolism and lead to serious adverse events and death, the agency said in a statement Wednesday. (Source: Medpage Today)

Sticking to meds for heart disease pays dividends

Greater adherence to medications for primary and secondary prevention of coronary artery disease appears to improve outcomes and lower costs, a systematic review showed. (Source: Medpage Today)

FDA approves Canagliflozin, a first-in-class diabetes drug

The US Food and Drug Administration (FDA) today approved a novel glucose-lowering agent, canagliflozin (Invokana, Janssen Pharmaceuticals) for the treatment of adults with type 2 diabetes. Canagliflozin is the first in a new class of drug, an oral inhibitor of sodium glucose cotransporter 2 (SGLT2). Inhibition of SGLT2 reduces resorption of glucose in the kidney, resulting in increased urinary glucose excretion, with a consequent lowering of plasma glucose levels as well as weight loss. (Source: Medscape)

    Twitter of the Day

@DrKKAggarwal: Ayurveda totally prohibits taking salt with the milk http://bit.ly/106c7uS #Health

@DeepakChopra: What makes us human? Please read this excerpt from Lothar Schafer's new book Infinite Potential http://tinyurl.com/c3ufhrf

    Spiritual Update

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

What is the significance of Satvik food?

W e follow a ritual of offering ‘bhog’ to the deity we worship. The ritual also involves sprinkling water all around the place where we sit down to eat food. The sprinkling of water prevents ants and insects from approaching the food, says one school of thought. But in spiritual terms, there is a deeper meaning.

For comments and archives

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

What are the success rates of IUI?

The success rates with donor insemination depend on many factors. These include age of the female and the presence of other female fertility factors such as endometriosis, tubal disease, or ovulatory dysfunction. In general, the monthly chance of pregnancy ranges from 8–15%. The risk of birth defects as a result of conceiving with donor insemination is no different than from conceiving naturally, and is in the range of 2–4%.

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

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

What is hemoglobin?

Hemoglobin is a protein present in the red blood cells. It helps to carry oxygen and carbon dioxide. On an average, in a healthy male it should be between 14 – 16 gm/dL and in a female it should be about 12 – 14 gm/dL. Hb is synthesized daily and new Hb is replacing the old store.

For comments and archives

    An Inspirational Story

Why it is so hard to let go

The cheerful girl with bouncy golden curls was almost five. Waiting with her mother at the checkout stand, she saw them: a circle of glistening white pearls in a pink foil box.

"Oh please, Mommy. Can I have them? Please, Mommy, please?" Quickly the mother checked the back of the little foil box and then looked back into the pleading blue eyes of her little girl’s upturned face. "A dollar ninety–five. That’s almost $2.00. If you really want them, I’ll think of some extra chores for you and in no time you can save enough money to buy them for yourself. Your birthday’s only a week away and you might get another crisp dollar bill from Grandma." As soon as Jenny got home, she emptied her penny bank and counted out 17 pennies. After dinner, she did more than her share of chores and she went to the neighbor and asked Mrs. McJames if she could pick dandelions for ten cents.

On her birthday, Grandma did give her another new dollar bill and at last she had enough money to buy the necklace. Jenny had a very loving daddy and every night when she was ready for bed, he would stop whatever he was doing and come upstairs to read her a story. One night when he finished the story, he asked Jenny, "Do you love me?" "Oh yes, Daddy. You know that I love you." "Then give me your pearls." "Oh, Daddy, not my pearls. But you can have Princess – the white horse from my collection. The one with the pink tail. Remember, Daddy? The one you gave me. She’s my favorite." "That’s okay, Honey. Daddy loves you. Good night." And he brushed her cheek with a kiss.

About a week later, after the story time, Jenny’s daddy asked again, "Do you love me?" "Daddy, you know I love you." "Then give me your pearls." "Oh Daddy, not my pearls. But you can have my baby doll. The brand new one I got for my birthday. She is so beautiful and you can have the yellow blanket that matches her sleeper." "That’s okay. Sleep well. God bless you, little one. Daddy loves you" And as always, he brushed her cheek with a gentle kiss.

With tears gathering in his own eyes, Jenny’s kind daddy reached out with one hand to take the dime–store necklace, and with the other hand he reached into his pocket and pulled out a blue velvet case with a strand of genuine pearls and gave them to Jenny. He had them all the time. He was just waiting for her to give up the dime–store stuff so he could give her genuine treasure.

So it is with our Heavenly Father. He is waiting for us to give up the cheap things in our lives so that he can give us beautiful treasure. Isn’t God good?

Are you holding onto things which God wants you to let go of. Are you holding on to harmful or unnecessary partners, relationships, habits and activities which you have come so attached to that it seems impossible to let go? Sometimes it is so hard to see what is in the other hand but do believe this one thing……………

God will never take away something without giving you something better in…

For comments and archives

    Cardiology eMedinewS

EDTA chelation therapy modestly reduces cardiovascular events
Read More

    Pediatric eMedinewS

Clues to kids' asthma focus on genes, wheezing Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with Mediclaim for the last seven years came for executive checkup.
Dr. Bad: You will have to pay from your pocket.
Dr. Good: You can claim it from Mediclaim.
Lesson: In addition to cumulative bonus, the insured shall be entitled for a reimbursement of the cost of medical checkup once at the end of block of every four underwriting years provided there are no claims reported during the block. The cost so reimbursable shall not exceed the amount of 1% of the total amount of the average sum insured during the block of four claim free underwriting years.

Make Sure

Situation: An asthmatic patient became worse after receiving a painkiller.
Reaction: Oh my God! Why was he not put on a leukotriene receptor antagonist?
Lesson: Make sure that a patient with asthma is not given aspirin or he is put on a leukotriene receptor antagonist.

    Quote of the Day (Dr GM Singh)

The only way to get the best of an argument is to avoid it. Dale Carnegie.

    Mind Teaser

Read this…………………

Dr. Marquez prescribes norfloxacin 400 mg P.O. twice daily, for a client with a urinary tract infection (UTI). The client asks the nurse how long to continue taking the drug. For an uncomplicated UTI, the usual duration of norfloxacin therapy is:

a. 3 to 5 days.
b. 7 to 10 days.
c. 12 to 14 days.
d. 10 to 21 days.

Yesterday’s Mind Teaser: A female client with acute renal failure is undergoing dialysis for the first time. The nurse in charge monitors the client closely for dialysis equilibrium syndrome, a complication that is most common during the first few dialysis sessions. Typically, dialysis equilibrium syndrome causes:

a. Confusion, headache, and seizures.
b. Acute bone pain and confusion.
c. Weakness, tingling, and cardiac arrhythmias.
d. Hypotension, tachycardia, and tachypnea.

Answer for Yesterday’s Mind Teaser: a. Confusion, headache, and seizures.

Correct answers received from: Dr Gajveer, Dr KV Sarma, Dr PC Das, Rajiv Kohli, Dr BB Gupta, Dr Arpan Gandhi, Dr (Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Kanta Jain, Dr Bharat Bhushan Aggarwal, Dr Gajveer, Dr KV Sarma, Dr PC Das, Rajiv Kohli, Dr BB Gupta, Dr Arpan Gandhi, Dr (Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal,
Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Kanta Jain, Dr Bharat Bhushan Aggarwal.

Answer for 29th March Mind Teaser: a. Kidney

Correct answers received from: Dr Bharat Bhushan Aggarwal, Dr BB Gupta.

Send your answer to ijcp12@gmail.com

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

Photos of Doctor’s Day Celebration

eMedinewS Apps
   Laugh a While (Dr GM Singh)

Copy Machine Handout

In most offices, the photocopier is out of order every now and then. One copy repairman had answered question after question for the employees. Finally one day, he just smiled and handed them this sheet.

The copier is out of order!
Yes, we have called the service man.
Yes, he will be in today.
No, we cannot fix it.
No, we do not know how long it will take.
No, we do not know what caused it.
No, we do not know who broke it.
Yes, we are keeping it.
No, we do not know what you are going to do now.

    Medicolegal Update

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

Medical Testimony of Doctor in the Court of Law

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

Public Forum (Press Release for use by the newspapers)

Cholesterol tips released

Blood lipid levels may exhibit mild seasonal variation with a drop in the summer and total cholesterol level peaking in the winter. The variation can be up to 5 mg/dL, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

Serum total and HDL-cholesterol can be measured in fasting or non-fasting individuals. There are only small clinically insignificant differences in these values when measured in the fasting or non-fasting state.

The total cholesterol can vary by 4 to 11 percent within an individual due to multiple factors including stress, minor illness and posture. Values may also vary between different laboratories, with data suggesting that a single measurement of serum cholesterol can vary as much as 14 percent. Therefore in an individual with “true” serum cholesterol concentration of 200 mg/dL the range of expected values is 172 to 228 mg/dL.

More than one measurement of total cholesterol should therefore be obtained when treatment considerations demand a precise determination. Measurement of serum HDL-C and triglycerides may demonstrate even greater variability.

A standard serum lipid profile consists of total cholesterol, triglycerides, and HDL-cholesterol. Lipid profile should be performed after 12 to 14 hours of fasting to minimize the influence of postprandial hyperlipidemia. One can use either plasma or serum specimen. The serum cholesterol is approximately 3 percent lower than the plasma value.

    Readers Responses
  1. Dear Sir, Revised MBBS course is the crying need of our times albeit written satirically Burra naa Mano Holi Hai. Dr Harbans Lal Kapoor
    Forthcoming Events
Dr K K Aggarwal

IMA Annual Day Function

Date: 7th April 2013
Time: 8AM – 2 PM
Venue: Apollo Hospital Auditorium, Sarita Vihar, New Delhi.

The IMA –NDB is organizing its Annual Function on Sunday April, 7, 2013

at Inderprastha Apollo Hospital New Delhi. The New Delhi Branch is honored to

Invite you to attend the function

S.No Topic Speaker Chairman Co Chairman Panelist
1 Valvular Heart Diseases Dr K K Aggarwal Dr IPS Kalra

Dr H K Chopra

Dr Mohan Bhargava

Dr Sudesh Ratan

Dr Ish Kathpalia

Dr PPS Sethi

Dr Rajnish Sardana

Dr Sanjay Sood

Dr B S Thind

2 Liver Transplant Dr Manav Wadhawan Dr Sandeep Mukherjee Dr S K Sama

Dr D P S Toor

Dr Tarun Gupta

Dr Asha Ahooja

Dr Geeta Mehta

Dr Anil Saxena

Dr V Gopal

Dr Venkatesh B G

3 Hyperbaric oxygen Dr Tarun Sahni Dr Shubnam singh Dr Pradeep Saxena

Dr Sadhna Mehta

Dr J S Batra

Dr Satish Mehta

Dr P Mukherjee

Dr Ramona Gupta

Dr Neeraj Gupta

4 Kidney update Dr Ramesh Hottchandani Dr Kiran Kumar Dr Usha Sabbarwal

Dr Rajiv Garg

Dr Dinesh Negi

Dr Kusum Chaudhary

Dr Somshekher

Dr P P S Sethi

5 In vitro Fertilization Dr Surveeen Ghumman Sindhu Dr Urmil Sharma

Dr S K Das

Dr Kaberi Banerji

Dr Raj Bokeria

Dr Veena Aggarwal

Dr Anupma Kathpalia

Dr Vandana Chaddha

Dr Shivani Aggarwal

6 Sleep Aponea Dr S S Sindhu Dr Rajiv Garg Dr Neeraj Gupta

Dr D P S Rekhi

Dr Anil Chaudhary


Oration Lectures

Dr K B Sharma

Dr J J Sood


Dr M C Vaidya

Dr S K Das

Hony. Secretary
Dr. Sandeep Sindhu
Dr. Satish K. Mehta
Dr KK Aggarwal

Please send your latest contact details including Mobile No. and mail id to sandeepsindhu@hotmail.com, drsudeshratan@gmail.com, emedinews@gmail.com

    eMedinewS Special

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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, Dr Usha K Baveja