Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 (07–08c); 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 2nd eMedinewS – Revisiting 2010

  Editorial …

1st February 2012, Wednesday

Strain echo imaging for cancer chemotherapy toxicity

The American Society of Echocardiography and European Association of Echocardiography are developing guidelines to optimize the use of the echo imaging before and during cancer treatment to minimize cardiac damage. Cancer patients are at risk for cardiovascular disease. The leading cause of death among breast cancer survivors in remission is heart disease as per Dr Juan Carlos Plana, of the Cardio–Oncology Center at the Cleveland Clinic.

Strain echo imaging allows physicians to identify the performance of each segment of the heart. In cancer chemotherapy toxicity is not a global phenomenon, that the entire heart is not compromised. So, a global indicator like ejection fraction could miss specific toxicity. Strain imaging, on the other hand, assesses each segment of the heart separately, even color–coding the segments, which would give physicians a much more accurate indication of cardiotoxicity as a result of cancer therapy.

Strain imaging also can pick up cardiac toxicity damage earlier than measuring ejection fraction can. Strain imaging also can prognosticate a future drop in cardiac function. Strain imaging gives information three months in advance of a drop in ejection fraction.

Every patient should have a baseline echocardiogram. Cardiotoxicity starts at different times for different cancer therapies. The guidelines are expected to be published at the end of the year.

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Dr KK Aggarwal
Group Editor in Chief

    eMedinewS Audio PostCard

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

Strain echo imaging for cancer
chemotherapy toxicity

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

eMedinewS Popular Science Award was given to Gurmeet Singh Chug in the eMedinews Revisiting CME on 22nd January 2012

Dr K K Aggarwal
    National News

TB officer to help city fight disease

MUMBAI: The city’s TB army is soon to get a knight to fight the war against the disease.
To fight the growing TB menace, the Brihanmumbai Municipal Corporation (BMC) will soon appoint a TB officer for the city, along with deputy officers for each of the wards. According to the BMC, one of the civic health officers will be appointed as the TB officer by the end of this week. Apart from this, a total of 24 district TB officers will be chosen and sent to Bangalore for training to combat the disease. The Centre announced the setting up of a pilot programme for TB control in Mumbai two weeks ago. The announcement followed Hinduja Hospital’s research work about 12 patients being diagnosed with ‘totally drug resistant TB’ (TDR–TB); the government consequently said there were no TDR–TB cases and that these cases were to be called extra extensively drug resistant TB (XXDR–TB) instead. Talking about the TB program, Mhaiskar said, "Most of the things on paper have been finalised and the measures have been decided upon, now it’s just the matter of making them functional which will be done in about a week or two’s time." (Source: TOI, Jan 31, 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

Once-weekly diabetes treatment gets FDA OK

The delay is over for diabetes drug Bydureon (exenatide extended–release), with FDA approval making it the first once–weekly treatment for type 2 disease. The announcement from drug makers Amylin and Alkermes came after years of back and forth with the agency over the new formulation of the injectable glucagon–like peptide (GLP–1) receptor agonist. (Source: Medpage Today)

For comments and archives

FDA OKs Axitinib for kidney cancer

Another angiogenesis blocker, axitinib (Inlyta), has won FDA approval as a second–line treatment for advanced kidney cancer, the agency said Friday. A kinase inhibitor targeting the vascular endothelial growth factor (VEGF) pathway, it’s the seventh new drug approved for the condition since 2005, an FDA official said in announcing the decision. (Source: Medpage Today)

For comments and archives

Contaminant in drinking water linked to mental illness

Prenatal and early childhood exposure to the organic solvent tetrachloroethylene (PCE) may raise the risk of certain psychiatric illnesses, particularly bipolar disorder, post–traumatic stress disorder (PTSD), and schizophrenia, later in life, new research shows. The study was published online January 20 in Environmental Health. (Source: Medscape Medical News)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: #AJCC Rise and fall in share market can precipitate heart attack Late winter immediate, post full moon and rise… fb.me/1BOGIR9vC

@DeepakChopra: Love yourself. Love the world. There is no power stronger than love.

    Spiritual Update

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

Why do we offer food to God in every Pooja?

We 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. Many people have advocated that the sprinkling of water is related to preventing ants and insects from approaching the food. But in spiritual language there is a deeper meaning of these rituals.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the psychological and social issues related to multiple pregnancies?

  1. Some multiples, especially newborns, may be hard to tell apart even if they are not identical. You will soon be able to tell them apart by their individual characteristics and personalities.
  2. Parents may bond with multiples differently than with single–born children (singletons). During the first weeks, you may find yourself preferring one infant more than the others. Your "favorite" may vary from week to week as you get to know each one. Each infant will have different needs at different times, requiring differing amounts of attention.
  3. It is physically harder to take care of multiples than singletons. This is especially true when they are infants and toddlers. They may make the parents feel tired and stressed a lot of the time. Make sure to take some time for yourself and your partner as a couple, even if only for a few minutes a day.
  4. Older brothers and sisters may have a hard time getting used to the new babies. They will need you to pay attention to them too. Try to be sensitive to the needs of your older children. Involve them in the pregnancy by taking them with you to doctor visits.
  5. Some parents and schools prefer that multiples be in separate classes. This may help promote individuality. This is true particularly if the children have different abilities. You can also work with your children’s teachers to provide the best environment for your children.
  6. Parents of multiples may feel socially isolated. They may be tired, not have enough personal time, are too busy taking care of the children or are having money troubles. It is easy to become completely consumed in caring for multiples, but don’t abandon all of your hobbies and interests.
  7. Multiples often attract attention. This may have positive or negative consequences depending on the personalities of the parents and children and the nature of the attention.
  8. Help from family and friend is often short–term. Parents of multiples usually need additional help, even if one parent stays at home. Premature infants require smaller, more frequent feedings than full–term infants. It also requires a lot of time to feed them at night and change their diapers. You might need someone to help you at night until the babies have reasonable sleeping habits. If you can’t have someone in your home to help, work out a schedule so that each parent shares the work equally. Lack of sleep may cause fatigue and depression.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Asked From God

I asked God to take away my pain, God said, No. It is not for me to take away, but for you to give it up.

I asked God to make my handicapped child whole. God said, No. His spirit is whole, his body is only temporary.

I asked God to grant me patience. God said, No. Patience is a byproduct of tribulations; it isn't granted, it is learned.

I asked God to give me happiness. God said, No. I give you blessings. Happiness is up to you.

I asked God to spare me pain. God said, No. Suffering draws you apart from worldly cares and brings you closer to me.

I asked God to make my spirit grow. God said, No. You must grow on your own, but I will prune you to make you fruitful.

I asked God for all things that I might enjoy life. God said, No. I will give you life, so that you may enjoy all things.

I ask God to help me LOVE others, as much as He loves me. God said…Ahhhh, finally you have the idea.

This day is yours don’t throw it away.

May God Bless You. To the world you might be one person, but to one person you just might be the world.

For comments and archives

    Cardiology eMedinewS

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

Bedtime dosing of antihypertensive medications

Read More

3D Echo in Mitral Valve: Dr Navin C Nanda

Read More

Once a week injection for diabetes

Read More

What is the difference between professional misconduct, malpractice and medical negligence?

Read More

    Pediatric eMedinewS

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

Awareness of Immunization amongst Thalessemic Patients

Read More

Quantified Behavioral Testing in ADHD – A Newer Diagnostic Modality

Read More

Alternative Risk–Assessment Strategies for Predicting Significant Neonatal Hyperbilrubinemia

Read More

Usefullness of Yale Observation Score In Predicting Illness Severity And Clinical Outcomes

Read More

    Healthy Driving

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

Can patients with heart diseases drive?

All drivers with congenital heart disease are allowed to drive. However, those with complex or severe disorder are not allowed to drive. Minor disorders and those which have been successfully corrected may be (re–) licensed provided that there is no other disqualifying condition.

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    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient on aspirin was to undergo cataract surgery.
Dr Bad: Discontinue aspirin.
Dr Good: Continue aspirin.
Lesson: The 2008 Anticoagulation guidelines from the American College of Chest Physicians (ACCP) recommend that patients on aspirin and who are undergoing cataract removal continue aspirin around the time of the procedure (Chest 2008;133:299S).

For comments and archives

Make Sure

Situation: A patient was denied rheumatic prophylaxis as IM penicillin was under short supply.
Reaction: Oh my God! Why was he not given oral penicillin.
Lesson: Make sure that all such cases are not denied oral penicillin V.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Spectacular achievement is always preceded by spectacular preparation. Robert H. Schuller

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

H. pylori antibody test

Also referred to as H. pylori antigen test; H. pylori breath test; CLO test; Rapid urease test (RUT) for H. pylori is used to diagnose an infection with Helicobacter pylori that causes peptic ulcers.

    Mind Teaser

Read this…………………

I right I

Yesterday’s Mind Teaser: uPLATm

Answer for yesterday’s Mind Teaser: Platinum

Correct answers received from: Sudipto Samaddar, Dr KV Sarma, Dr Amit Kochar, Dr Thakor Hitendrasinh G, Anil Bairaria, Dr Mrs S Das, Dr PC Das, Adarsh Sharma, Dr Indu Sharma, Ritu Sinha,
Dr Alexander Daniel Sunad, Dr Vijay Kansal, Raju Kuppusamy, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, yj vasavada, Dr Neelam Nath.

Answer for 30th January Mind Teaser: d. Vaccination confers protection against vaccine type related cervical neoplasia.
Correct answers received from: Dr Rajammal.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Sudesh Kumar)

Mathematician: How do you write 4 in between 5?
Chinese: Is this a joke?
Japanese: Impossible!
American: The question’s all wrong!
British: It’s not found on the Internet
And the Indian: F(IV)E

    Medicolegal Update

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

Postmortem examination in a case of pneumothorax

  • In cases of sudden death after pneumothorax, pneumoperitoneum, intravenous infusions, childbirth, operations, or sharp instrument injuries to the neck and thorax, it is important to check for air embolism to the heart.
  • A postmortem chest radiograph should be taken and inspected for larger quantities of air in the heart and great vessels.
  • Accuracy of observation, completeness of detail, and sound conclusions can be obtained only when the post–mortem examination is made according to some definite and systematic plan so that regions and organs are successively examined without disturbing the relations and appearances yet to be investigated.
  • Chest radiographs provide the most reliable method for determining the extent of pneumothoraces and whether or not a pneumothorax has resulted in mediastinal shift.
  • Detection of a pneumothorax is easily done by holding the dissected skin and subcutaneous tissues of the chest to form a pocket adjacent to the ribcage in postmortem examination.
  • The pocket is filled with water, and a scalpel is used to incise the thoracic cavity. The presence of air bubbles indicates a pneumothorax.
  • In the cases of neonates and small infants during the autopsy, the thorax may be submerged in a bucket of water.
  • The apparatuses described previously for detection of air emboli work equally well for detecting pneumothoraces
  • The patients for whom death can be considered an expected outcome of a known illness and those for whom death is unexpected. This distinction is important because unexpected death due to unnatural causes, unintentional and intentional, usually falls within the purview of forensic pathology.

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)

All adolescents who can afford should take meningococcal vaccine

Neisseria meningitides is a bacterium that causes serious illnesses, including bacterial meningitis. The bacteria lives on surfaces of the nose and pharynx (wind pipe) and is transmitted from person to person by direct contact with respiratory secretions said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Although meningococcal disease is easily treated in most people, 10 to 14 percent of people die from the infection.

Meningococcal polysaccharide conjugate vaccine (MCV–4, Groups A, C, Y and W–135) is recommended for all patients between 11 and 55 years of age. However, the US FDA has granted licensure to expand the indication for its meningococcal conjugate vaccine, to include children 2 years through 10 years of age.

These recommendations represent a change from the previous guidelines, which targeted specific subgroups. Factors related to the expanded recommendations include the ongoing risk of invasive meningococcal disease in adolescents and young adults, and the possibility that increased vaccine coverage may protect unvaccinated adolescents and their contacts.

Expert groups also recommend the MVC4 vaccine for college freshmen living in dormitories, military recruits, travelers going to areas where meningococcal disease frequently occurs, microbiologists who are exposed to Neisseria meningitidis, people who have had their spleen removed, and people with terminal complement deficiency. The vaccine can be used in adults infected with human immunodeficiency virus (HIV).

MCV4 vaccine is given in one dose. A booster dose is recommended every 3 to 5 years for adults over 55 who are at high risk of meningococcal infection. Vaccination has also been used during outbreaks of meningococcal infection to reduce the number of secondary cases, when there is an appropriate vaccine available for the outbreak serogroup.

Routine vaccination is not recommended for adults between 20 and 55 years of age. The incidence of meningococcal disease is low in this age group and not affected by routine immunization.

    Readers Responses
  1. Dear Sir, very well organised & executed. 2–Time management good for clinical sessions. 3–Food served was excellent in quality & quantity. DR B K AGARWAL
    Forthcoming Events

Ajmer Health Fair: Ajmer’s Largest Ever Super Specialty Health Camp

Date: February 11 and 12, 2012
Venue: Patel Stadium, Ajmer
Organizer: Heart Care Foundation of India


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 a multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of the British Menopause Society and South Asian Federation of Menopause Societies and is an opportunity to hear international faculties.

For information contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048
Download forms at: 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.

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

    eMedinewS Special

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  FAQs Good Eating

  Towards Well Being

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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