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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 …

1st May 2012, Tuesday

Statins prior to CABG reduce the risk of postop AF

Statins administered prior to cardiac surgery significantly reduced the risk of postoperative atrial fibrillation and resulted in a significantly shortened length of stay in the intensive care unit (ICU), according to the results of a new meta–analysis. Preoperative statin therapy had no effect on short–term mortality and postoperative stroke rates, however.

(Dr Oliver J Liakopoulos at University of Cologne, Germany in a new review published online April 18, 2012 in the Cochrane Database of Systematic Reviews)

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

Weight loss may improve sexual health of obese diabetes

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2012

World Earth Day was celebrated by Heart Care Foundation of India jointly with Delhi Public School, Mathura Road and Ministry of Earth and Sciences

Dr K K Aggarwal
    National News

Hot topic: 4°C rise in temperature by 2020 in Rajasthan

NEW DELHI: The mean temperature in India rose by 0.2 degree Celsius every decade between 1971–2007 with minimum temperatures rising more than maximum temperatures, which increased 1.02 degree Celsius in 100 years. While the trends show evidence of warming, there is, however, no conclusive proof that these are linked to human–induced climate change. The most alarming findings in the report are the predictions it makes based on scenarios that greenhouse gas emissions would continue to rise unchecked over the coming decades. Projections show that total monsoon rainfall could rise between 9–16% by the end of 21st century. By that time, annual mean temperatures could rise by 3.5–4.3 degree Celsius with 1.7–2 degree rise taking place as early as 2030s. The report says the number of rainy days could decrease but rain could become more intense – thereby causing more damage – almost all across the country. Both the minimum and maximum temperatures recorded in a day will rise, according to the findings. Areas in Rajasthan and Kutch could see more than a 4–degree rise in maximum temperatures by as early as 2020s. A similar rise could take place in more than half the country by 2080. Night temperatures are projected to rise by 4.5 degrees across a large part of the country by 2050 and the jump could spread to almost the entire country by 2080 Separate studies have been conducted to measure the impact of increasing GHG gases on water availability in river basins and on agricultural productivity. The government assessment notes, "Water scarcity levels will be crossed in Cauvery, Mahi, Sabarmati and west–flowing rivers of Kuch, Sau and Luni, while Ganga, Tapi and Narmada basins will hit water stress limits."

The report says, "Ganga downstream, Brahmaputra and Surma–Imphal show high vulnerability to climate change in the northern and eastern basins." Ganga upstream and Mahanadi will also become vulnerable by 2070, it says. The impacts of unchecked emissions on agriculture are also worrisome. The worst hit could be one of the two major grain crops – wheat. (Source: TOI, Apr 28, 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

FDA panel gives nod to novel LVAD

An FDA advisory committee has voted 9–2 to recommend approval of an experimental left ventricular assist device (LVAD) used as a bridge to transplant in very sick heart failure patients. The FDA’s Circulatory System Devices panel voted Wednesday that the benefits of HeartWare’s ventricular assist system outweigh its risks, despite pointing to missing data and concern over how the company managed its clinical trial. (Source: Medpage Today)

For Comments and archives…

Robotic surgery dominant in prostate cancer

Fueled in part by fewer complications, robotic–assisted radical prostatectomy (RARP) has surpassed open surgery as the predominant surgical approach to localized prostate cancer, analysis of a national database showed. (Source: Medpage Today)

For Comments and archives…

Global approach needed to stem risky teen behavior

Worldwide, concerted efforts using a scientific, evidence–based approach are needed to implement programs to prevent problem behaviors among adolescents, researchers argued. "Prevention science is based on a framework that identifies empirically verifiable precursors that affect the likelihood of undesired health outcomes," Richard F. Catalano, PhD, of the University of Washington in Seattle, and colleagues explained online in the Lancet. (Source: Medpage Today)

For Comments and archives…

Cardiac implants linked to lethal infections

Infective endocarditis related to implanted cardiac devices carries a high mortality risk, researchers found. Among adults hospitalized with cardiac device infective endocarditis, 14.7% died before discharge and 23.2% died within 1 year, according to Andrew Wang, MD, of Duke University Medical Center in Durham, N.C., and colleagues.

For Comments and archives…

Diabetes/statin link probed in EFFECT cohort

Controversy over the risk of diabetes associated with high–dose statins has prompted investigators across a wide range of studies to delve back into their data sets to look for a diabetes signal. In the case of the EFFECT study investigators, who presented results from their analysis at last week’s World Congress of Cardiology 2012, a careful chart review through their 7746–patient study turned up no signal of increased diabetes risk for high–dose vs low–/moderate–dose statins. (Source: Medscape)

For Comments and archives…

    Twitter of the Day

@DrKKAggarwal: Which Vaccines Should Be Provided To Healthcare Workers?

@DeepakChopra: Secret of long life: Take it easy.

    Spiritual Update

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

The Science Of Power

Power is the ability to influence others to get a work done the way you want it.

We have seen evolution in the way power works. There was an era when Brahmins ruled using the power of knowledge, then came an era of Kshatriyas, who ruled by using physical power. This was followed by the era of Vaishyas ruling the world with the power of money and a time will come when Shudras will rule with the power of their work.

For Comments and archives…

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Which medical therapy is used for infertility?

Medical therapy is effective for relieving pain associated with endometriosis, there is no evidence that medical treatment of endometriosis by birth control pills, progestins, GnRH analogs, or danazol improve fertility. Furthermore, surgery combined with medical therapy has not been shown to enhance fertility. These treatments are effective in reducing pelvic pain and painful intercourse associated with endometriosis. Therefore, hormonal suppression may improve comfort and sexual activity in infertile women with endometriosis and pelvic pain, thereby improving fertility after the completion of the treatment.

For Comments and archives…

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

(Dr. Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation, Medanta – The Medicity Hospital, Gurgaon)

How much liver is minimum required for the recipient?

The recipient needs at least a liver volume of 0.7 –0.8% of his body weight.

For Comments and archives…

    An Inspirational Story

(Ms Ritu Sinha)

Creating opportunity

An enterprising person is one who comes across a pile of scrap metal and sees the making of a wonderful sculpture. An enterprising person is one who drives through an old decrepit part of town and sees a new housing development. An enterprising person is one who sees opportunity in all areas of life.

To be enterprising is to keep your eyes open and your mind active. It’s to be skilled enough, confident enough, creative enough and disciplined enough to seize opportunities that present themselves… regardless of the economy.

A person with an enterprising attitude says, "Find out what you can before action is taken." Do your homework. Do the research. Be prepared. Be resourceful. Do all you can in preparation of what’s to come.

Enterprising people always see the future in the present. Enterprising people always find a way to take advantage of a situation, not be burdened by it. And enterprising people aren’t lazy. They don’t wait for opportunities to come to them, they go after the opportunities. Enterprise means always finding a way to keep yourself actively working toward your ambition.

Enterprise is two things. The first is creativity. You need creativity to see what’s out there and to shape it to your advantage. You need creativity to look at the world a little differently. You need creativity to take a different approach, to be different.

What goes hand–in–hand with the creativity of enterprise is the second requirement: the courage to be creative. You need courage to see things differently, courage to go against the crowd, courage to take a different approach, courage to stand alone if you have to, courage to choose activity over inactivity.

And lastly, being enterprising doesn’t just relate to the ability to make money. Being enterprising also means feeling good enough about yourself, having enough self worth to want to seek advantages and opportunities that will make a difference in your future. And by doing so you will increase your confidence, your courage, your creativity and your self–worth, your enterprising nature.

For Comments and archives…

   Cardiology eMedinewS

Cardiovascular Risk Assessment In Women Read More

Genetic And Molecular Links Of Chromogranin A With Cardiovascular Disease States Read More

Pharmacogenetics In Cardiovascular Disorders Read More

   Pediatric eMedinewS

Nursing Key to NICU Outcomes Read More

Kids Today Really Are Different Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with diastolic dysfunction of the heart was advised omega–3 supplements.
Dr. Bad: Take them for six months.
Dr. Good: There is no data to suggest that it improves diastolic function.
Lesson: A study presented at the Experimental Biology 2012 Meeting has shown that omega 3 supplements do not reverse diastolic dysfunction.

For comments and archives

Make Sure

Situation: A patient with suspected pneumonia and normal x–ray died 12 hours after admission.
Reaction: Oh my God! Why were antibiotics not started?
Lesson: Make sure that all patients with suspected pneumonia are given antibiotic at the first suspicion as x–ray can be normal in the first 24 hours.

For comments and archives

  Legal Question of the day

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

Q. What are your views about the strike by Kerala medical college students against the Compulsory Rural Service (CRS) and bond system implemented by the state government?


  • You are apparently referring to the notice of indefinite strike to the medical college principals concerned as given by the Kerala Medicos Joint Action Council (KMJAC). Around 8,000 medical students, including house surgeons, junior and senior resident doctors, are expected to join the strike starting 23 April 2012. http://expressbuzz.com/states/kerala/medicos–to–go–ahead–with-strike/384600.html
  • The strike is against the Kerala government order no. "G.O.(MS) No.533/2008/H&FWD Dated 07.10.2008. This order and the proforma of the bond issued in pursuance of the order state as follows:
    • Medical education is costly. Private medical colleges charge heavy fees. Government medical colleges charge very low fees.
    • Those who are given admission to government medical colleges do so under a bond to serve the government for one year after completing the education. The service would be in rural areas.
    • Those who choose not to serve the government can do so after fulfilling the terms laid down in the bond and agreed by them in advance, whereby the students have agreed "to pay to the Government on demand the total amount of salary/stipend drawn during the period of study and the amount spend by government for their studies with interest as fixed by Government and 5,00,000 in addition to the towards liquidated damages for violation of the conditions GO(MS)533/08/H&FWD dated 07.10.2008. In the matter of deciding what monies are to be paid by the Bounden and the sureties and decision of the Government shall be final and legally binding on the bounden and sureties and upon the payment of such sum the above written obligation shall be void and of no effect otherwise this shall be remain in full force and effect. These include payment of Rs. 5 lakh and the cost of education."
  • The students/doctors need to be honest and fulfill their promise. The terms of the bond are reasonable. They entered into the bond voluntarily. The service rendered in rural areas is not free. It carries monthly emoluments of Rs.15,000/– to Rs. 25000/– (depending on the qualifications) Rupees plus rural/difficult area allowance as per norms fixed by Government/NRHM from time to time.
  • If the strikers feel that any or all conditions laid down in the bond are unjust, they should challenge the same in the High Court. Their strike is without a cause and they should withdraw it.
  • The government should deal with the strike in the following manner:
    • Let the MBBS students miss their classes for as long as they want. Let all of them be detained as per rules if they do not complete the necessary attendance. Let them fail in the exams if their performance is found to be poor.
    • Let the residents remain on strike as long as they want. Let no salary be paid to them for the days not worked. Let them suffer the necessary legal consequences including those applicable to MBBS students.
    • Let there be no forcible evacuation from hostels etc. unless they are in arrears of hostel rent etc.
    • Let all of them be issued notices, as per law, that their studentship/residency will stand terminated after the notice period after which they would be forcibly evacuated.
    • Let the government close OPD services in the hospitals during the pendency of the strike and, if necessary, transfer the indoor patients to other government or private hospitals with necessary payment to private hospitals for the services provided.
    • Let a PIL be filed in Kerala HC against the strikers with appropriate prayer to the Court.

For comments and archives

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  Quote of the Day

(Dr Anil Kumar Jain)

The most painful thing in life is losing yourself in the process of valuing someone too much and forgetting that you are special too……… !!!

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Beta–2 microglobulin

  • To evaluate the severity and prognosis of multiple myeloma, leukemia, or lymphoma
  • To distinguish between kidney disorders and to detest kidney damage
  Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Water–based exercise programs for people with Parkinson’s disease

Parkinson’s disease is a degenerative brain disease that causes shaking, tremors and difficulty with movement and coordination. It usually develops after age 50 and is one of the most common nervous system diseases in elderly people. A recent pilot study, published in the journal Archives of Physical Medicine and Rehabilitation, looked at the effectiveness of two aquatic exercise programs in improving Parkinson's symptoms and quality of life. During the study, 21 participants, who had Parkinson’s disease, engaged in one hour twice a week of either a low intensity water exercise group or a muscular resistance water exercise group for 12 weeks. At the end of the program, participants in both programs saw significant improvements in quality of life, although only the muscular resistance group saw improved motor function and motor symptoms.

Aqua aerobics has gained popularity among older adults in recent years, and evidence from this research shows that participation by people suffering from Parkinson’s disease may help improve symptoms and quality of life. Many health clubs offer pool facilities and aquatics programs, and this is a great opportunity for clubs to include a new population of client who may benefit from this resource.

For comments and archives

    Mind Teaser

Read this…………………

Which of the following is not a good approach to managing stress?

A. Talking directly to the person who is causing the stress.
B. Giving yourself a treat, like comfort food or a cocktail.
C. Accepting that there are things beyond your control.
D. Trying cognitive–behavioral therapy to learn new coping skills.
E. Working out regularly.

Yesterday’s Mind Teaser: Which of the following may cause your hair to fall out by the fistful?

A. A medical condition like lupus, a thyroid disorder, or a recent high fever or case of the flu.
B. A fungal infection on the scalp.
C. Tight hairstyles (braids, extensions, cornrows, ponytails).
D. Hormonal shifts caused by pregnancy, changes in birth–control–pill use, or menopause.
E. All of the above and more.

Answer for Yesterday’s Mind Teaser: E. All of the above and more.

Correct answers received from: Dr Sanghi Prabha, Dr BB Aggarwal, Sudipto Samaddar, Dr Ragavan Sivaramakrishnan Moudgalya, S Jha, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Anil Bairaria.

Answer for 28th April Mind Teaser: B. no, skin–cancer rates and skin–cancer deaths are on the upswing.
Correct answers received from: Shikha, Sneha, Swapnil, Dr Kaushik.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

A Walking Economy

This guy is walking with his friend, who happens to be a psychologist. He says to this friend, "I’m a walking economy."

The friend asks, "How so?"

"My hairline is in recession, my stomach is a victim of inflation, and both of these together are putting me into a deep depression!"

  Medicolegal Update

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

Immediate first aid may stop serious poisoning and may save life

If breathing and the heart stop, the person will die within a few minutes unless first aid is administered at once. Here is an action list. Start with the first step and follow each step in the order given. Act as quickly as you can, but stay calm.

  • Check if the patient is conscious. Try to keep the patient awake. Shout "Are you all right?" and gently shake the shoulders, but take care not to make any injuries worse. Pinch the skin on the neck and watch the face. A patient who is just sleeping will wake up, but an unconscious patient will not.
  • Open the airway. The airway is the tube through which air passes from the mouth and nose to the lungs. If it is blocked the patient cannot breathe and air cannot get into or out of the lungs. A patient who cannot breathe will die within 4 minutes. In an unconscious patient, the tongue may block the throat and the airway.
  • Make sure the airway is open and air can get down the throat. Place the patient on his/her back. Tilt the head back and lift the chin up with the finger and thumb of one hand on the bony part of the chin, while pressing the forehead back with the other hand. This will open the airway and stop the tongue blocking the throat.
  • Check whether the patient is breathing after opening the airway; quickly check whether the patient is breathing. Look for the belly or the chest moving up and down. Feel the chest moving up and down. Feel the patient’s breathe on your cheek. Listen for breath sounds. Put your ear close to the patient’s mouth. Use all four checks. Remember that the chest may move up and down even when the throat is completely blocked and air cannot get to the lungs.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Eating junk food: It’s in the brain

When it comes to eating junk food, one can blame the brain said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, who is also President of Heart Care Foundation of India. Addiction is a disease and the same has been proved by a study.

Two areas of the brain have to work together to give the self–control to reject unhealthy foods. California Institute of Technology researchers used MRI to scan the brains of volunteers as they looked at photos of dozens of types of foods and decided which ones they’d like to eat. They found significant differences in the brain activity between people who had self–control in terms of making food choices and those with no self–control.

An area of the brain called the ventromedial prefrontal cortex is involved in all value–based decisions. When ventromedial prefrontal cortex activity decreases, a person will probably reject an item, whereas increased activity means they’ll probably choose it.

The study published in the journal Science found that in people with no self–control, the ventromedial prefrontal cortex seemed to take into consideration only the taste of a food.

In people with good self–control, another area of the brain called dorsolateral prefrontal cortex (DLPFC) becomes active and modulates the basic value signals so that the self–controllers also incorporate health considerations into their decisions.

The study showed that ventromedial prefrontal cortex is active during every decision and that the DLPFC is more active when a person is using self–control.

    Readers Response
  1. Dear Editor, It a wonderful work which you are doing and specially the addition of spirituality along with a medical and legal opinion makes this paper a like a complete meal. thanks for you efforts. sudhir chaudhary
    Forthcoming Events
Dr K K Aggarwal

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

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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