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

8th December 2012, Saturday

Formula of 80 to Prevent Heart Attack upto the Age of 80

I teach my patients that 80% of heart attacks upto the age of 80 can be prevented by learning the Formula of 80 as below.

  • Keep your lower blood pressure, fasting sugar, abdominal circumference, resting heart rate and LDL o cholesterol levels all below 80.
  • Walk 80 minutes each day; brisk walk 80 minutes a week with a speed of 80 steps per minute. o Eat less, not more than 80 gm/80 ml of caloric food in one meal.
  • Do not eat carbohydrate-based refined cereals 80 days in a year to reduce chances of heart attack.
  • Take vitamin D through sunlight 80 days in a year.
  • Do not drink alcohol and if you drink, take less than 80 ml of whiskey in a day or less than 80 gm o of whiskey in a week.
  • Do not smoke or be ready for placement of stent costing ` 80,000/-.
  • Give 80 minutes to yourself in a day. o When clapping, clap 80 times.
  • If you are a heart patient, ask you doctor to give 80 mg of aspirin and 80 mg of atorvastatin.
  • Donate blood 80 times in a lifetime to reduce chances of heart attack.
  • Avoid an atmosphere of more than 80 db of noise pollution.
  • While on treadmill, try to reach 80% of your heart rate.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Osmotic laxatives create an osmotic load in the intestinal and colonic lumen, causing more water to enter the intestines. They increase stool bulk intestinal fluid volume, which stimulates intestinal movement (peristalsis). Examples are polyethylene glycol, lactulose and magnesium salts. The greatest amount of evidence exists for PEG.

Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Vegatable and fuits lower chances of getting some cancers

Audio PostCard
    Photo Feature

64th annual conference of CSI and SAARC Cardiac Congress 2012

Dr S Padmawati receiving Lifetime Achievement Award in the ongoing 64th annual conference of CSI and SAARC Cardiac Congress 2012

Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

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

    Valvular Heart Disease Update

Infective endocarditis, arrhythmias, conduction abnormalities, and thromboembolism are significant issues in dialysis patients with valvular abnormalities.

(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)

Optimizing diagnosis & treatment of diastolic heart failure in presence of AF: Dr JC Mohan

  • AF acts both as a substrate and as a trigger.
  • No specific disease modifying drugs.
  • Treat the underlying cause.
  • OAC based upon CHADS2/VSSC score.
  • Rate control with digoxin is contraindicated.
  • Rhythm control with antiarrhythmics routinely not recommended.

Early gains and late loss of ADHF: Dr Mrinal Kanti Das

  • ADHF, also known as vasculorenalcardiac syndrome.
  • Prognosis of ADHF: Time is money.
  • Treatment options: Diuretics, aquaretics, ultrafiltration; vasodilators; inotropes; natriuretic peptides
  • Novel drugs: Milrinone, nesiritide, ularitide, levosimendan
  • Renal denervation is a new tool.
  • Emerging new treatments have definitely contributed to short-term alleviation of the problem. But long-term results are still not satisfactory.

When statin is not enough: Dr RJ Manjuran

  • Statins alone are not enough. They address only 30%, the remaining 70% still remains unaddressed.
  • Statin monotherapy is not enough in: Combined dyslipidemia, higher doses associated with side effects, optimal dose does not bring down LDLC to target level
  • Patient with DM, TGs >200, ?HDL <35, combination of statin and fenofibrate may be beneficial.
    Twitter of the Day

@DrKKAggarwal: Prof. Kiran Walia endorses hands only CPR In a special programme today, Prof. Kiran Walia, Minister of Educati http://twitpic.com/bjhk9f

@DeepakChopra: Be close with people who have a healthy lifestyle--habits are contagious. #SuperBrain

    Spiritual Update

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

I am also a Sardar

Recently in the marriage of the daughter of my friend Dr H K Chopra, I was made to wear a Sikh pagri at the time of marriage. This happened as the boy Vikram to whom Karishma married is a Sikh.

For comments and archives

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

How is the surgery done?

Surgery will route blood away from the dilated vein to normal veins. The surgeon will make a small surgical opening in the area of the groin. Then, the doctor ties off the dilated veins. Most men prefer to have general anesthesia, but the surgery can also be done under local anesthesia with intravenous sedation. Usually, you can go home the same day. Most men are able to go back to work within 3 or 4 days after surgery and resume full activity within 7 to 10 days.

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

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

The loci of ABO & H are not genetically linked

    An Inspirational Story (Dr GM Singh)


Once upon a time there was a child ready to be born. So one day he asked God: “How am I going to live on earth being so small and helpless?” God replied, “Among the many angels, I chose one for you. She will be waiting for you and will take care of you.”

“But tell me, here in Heaven, I don’t do anything else but sing and smile, that’s enough for me to be happy.” “Your angel will sing for you and will also smile for you every day. And you will feel your angel’s love and be happy.”

“And how am I going to be able to understand when people talk to me, if I don’t know the language that men talk?” “Your angel will tell you the most beautiful and sweet words you will ever hear, and with much patience and care, your angel will teach you how to speak.”

“And what am I going to do when I want to talk to you?” “Your angel will place your hands together and will teach you how to pray.”

“I’ve heard that on earth there are bad men. Who will protect me?” “Your angel will defend you even if it means risking its life.”

“But I will always be sad because I will not see you anymore.” “Your angel will always talk to you about me and will teach you the way for you to come back to me, even though I will always be next to you.”

At that moment there was much peace in Heaven, but voices from earth could already be heard, and the child in a hurry asked softly: “Oh God, if I am about to leave now, please tell me my angel’s name.”

“Your angel’s name is of no importance, you will call your angel: Mommy.”

For comments and archives

    Cardiology eMedinewS

Make Delhi A Happy Heart State: 64th CSI Conference Inaugurated
Read More

Obesity paradox: Is weight loss indicated for patients with known CVDs? (Dr Dharmendar Jain) Read More

    Pediatric eMedinewS

Mobile Phones Behind Hearing Loss In Young? Read More

Respiratory Viruses Differ In Inner-City, Suburban Infants Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure came for cardiac evaluation.
Dr. Bad:
Go for Echo test.
Dr. Good:
Go for Tissue Doppler Echo test.
A patient with heart failure must go for Tissue Doppler Echo Test for evaluation of diastolic functions.

Make Sure

Situation: A patient on ACE inhibitor developed angioneurotic edema. Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

    Legal Question of the Day

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

Is there a difference in motor vehicle accident claims and medical negligence claims?

QUESTION— Is there some difference in the nature of claims made in case of death or injury incurred because of vehicle accident or because of medical treatment?


Yes. There are many differences.

  1. A claim arising out of medical treatment compensates the claimamt for medical negligence that caused the death or injury. A claim arising out of a vehicle accident compensates the claimamt for the loss due to the death or injury.
  2. A claim of medical negligence concerns professional negligence which is of such a character that cannot be decided by a non-professional person and for determination and punishment of which statutory professional councils in the nature of medical councils have been established whose opinion (or opinion of other professional experts) is almost a must in medical negligence cases except when the nature of negligence is such that it is palpably visible even to a layman.

    A claim in vehicular accident cases is decided by laymen because it is not a matter of professional negligence. Driving is not a profession and there is no professional Driving Council like the Dental, Medical, Nursing or Bar Councils.
  3. Payment in a medical negligence case is made only if medical negligence is established. Payment in a motor vehicle accident case is made if injury is established, irrespective of the fact whether there was negligence on the part of the driver or not. Even if there is no negligence whatsoever, payment is made from the solatium fund established under the Motor Vehicles Act, 1988.
  4. Payment in a motor accident case is made by the insurance company concerned, it being illegal to ply a vehicle which is not insured. Payment in a medical negligence case is primarily payable by the medical person concerned except when a part or whole is payable by an insurance company from which the doctor might have optionally bought insurance.
  Quote of the Day (Dr GM Singh)

In Life, in every moment, something new happens; something that you never expected, something that you were waiting from a long while to happen and something you were expecting to happen.

    Mind Teaser

Read this…………………

Included in the plan of care for the immediate post-gastroscopy period will be:

A. Maintain NGT to intermittent suction
B. Assess gag reflex prior to administration of fluids
C. Assess for pain and medicate as ordered
D. Measure abdominal girth every 4 hours

Yesterday’s Mind Teaser: Which of the following would be inappropriate to include in a diabetic teaching plan?

A. Change position hourly to increase circulation
B. Inspect feet and legs daily for any changes
C. Keep legs elevated on 2 pillows while sleeping
D. Keep the insulin not in use in the refrigerator

Answer for Yesterday’s Mind Teaser: C. Keep legs elevated on 2 pillows while sleeping

Correct answers received from: Dr Jella, Dr K P Chandra, Dr. P. C. Das, Dr. Bharat Bhushan Aggarwal, Dr. Thakor Hitendrsinh G, Dr.(Maj. Gen.) Anil Bairaria, Dr Jainendra Upadhyay, DR Chandresh Jardosh, Dr U Gaur, Muthumperumal Thirumalpillai, Dr.K.V.Sarma, Dr Avtar Krishan, DR ARPAN.GANDHI, Archna Parwani

Answer for 6th December Mind Teaser: A. Checking the back and sides of the operative dressing

Correct answers received from: Muthumperumal Thirumalpillai, Dr.K.V.Sarma, Dr Avtar Krishan, Archna Parwani

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr.Chandresh Jardosh)

Teacher: This is the fifth time this week that i have had punish you What do you have to say?.

Student: "Thank God Saturday and Sunday are holidays, Sir!"

    Medicolegal Update

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

World Medical Association (WMA) guidelines for medical doctors in biomedical research involving human subjects

  • Doctors should abstain from engaging in research projects involving human subjects unless they are satisfied that the hazards involved are believed to be predictable. Doctors should cease any investigation if the hazards are found to outweigh the potential benefits.
  • In publication of the results of his or research, the doctor is obliged to preserve the accuracy of the results. Reports of experimentation not in accordance with the principles laid down in this Declaration should not be accepted for publication.
  • In any research on human beings, each potential subject must be adequately informed of the aims, methods, anticipated benefits and potential hazards of the study and the discomfort, it may entail. He or she should be informed that he or she is at liberty to abstain from participation in the study and that he or she is free to withdraw his or her consent to participation at any time. The doctor should then obtain the subject’s freely given informed consent, preferably in writing.
  • When obtaining informed consent for the research project the doctor should be particularly cautious if the subject is in a dependent relationship to him or her or may consent under duress. In that case the informed consent should be obtained by a doctor who is not engaged in the investigation and who is completely independent of this official relationship.
  • In case of legal incompetence, informed consent should be obtained from the legal guardian in accordance with national legislation. Where physical or mental incapacity makes it impossible to obtain informed consent, or when the subject is a minor, permission from the responsible relative replaces that of the subject in accordance with national legislation.
  • The research protocol should always contain a statement of the ethical consideration involved and should indicate that the principles enunciated in the present Declaration are complied with.

(Ref: 18th World Medical Assembly, Helsinki, Finland, 1964 and revised by the 29th World Medical Assembly, Tokyo, Japan, 1975).

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

White sugar as addicting as heroin and cocaine

White sugar is addictive and number one cause of heart disease said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

The sweetener prompt the same chemical changes in the brain seen in people who abuse drugs such as cocaine and heroin.

Quoting a study presented at the American College of Neuro-psychopharmacology's annual meeting, Dr Aggarwal said that evidence from an animal model suggests that bingeing (drinking large amounts of sugar water) when hungry can cause behavioral changes and even neurochemical changes in the brain which resemble changes that are produced when animals or people take substances of abuse. These animals show signs of withdrawal and even long-lasting effects that might resemble craving.

A "sugar addiction" may even act as a "gateway" to later abuse of drugs such as alcohol. The stages of addiction, as defined by the American Psychiatric Association, include bingeing, withdrawal and craving.

In the study rats were denied food for 12 hours a day, and then were given access to food and sugar (25 percent glucose and 10 percent sucrose) for 12 hours a day, for three to four weeks. The chemical involved in the addiction on the body is dopamine.

White sugar, white rice, and white maida, the triad of refined carbohydrates are all addicting and related to insulin resistance, obesity and heart disease.

    Readers Responses
  1. Dear Dr. Agarwal, By giving Medinews daily you are doing a wonderful work. I go through them fdaily .Thanks for the same. Dr.B.R.Bhatnagar
    Forthcoming Events
Dr K K Aggarwal

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi


Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/


4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

    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