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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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  Editorial …

2nd September 2011, Friday

The Supreme Court of India ordered private Delhi hospitals to treat poor for free

The Supreme Court of India today has ordered that Delhi private hospitals built on subsidized government land will have to provide free treatment to the poor. A bench of Hon'ble Mr Justice R. V. Raveendran and Hon'ble Mr Justice A.K. Pathak has ordered that these hospitals will have to reserve 25% of their OPD and 10% of their indoor patients for free treatment of the poor. The bench has said that poor patients are not to be charged. There are 37 hospitals which are built on government land at concessional rates out of which 27 have been providing free treatment to the poor patients.

The counsel appearing for the hospitals had pleaded that it was not practical for them to provide free treatment to the poor in all the cases. The bench did not buy that argument.

The hospital pleaded that treatments for diseases like cancer, neuro surgery and plastic surgery are costly and hence hospitals cannot provide free treatment for these conditions. The Supreme Court also did not buy that statement. The Court said that poor patients will have to be provided free admission, bed, drugs, treatment, surgery facility, nursing facility, consumables and non-consumables. The hospitals charging any money from such patients shall be liable to be proceeded against in accordance with the law. Besides, this act will be treated as a contempt of court.

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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 on

DVT risk starts early, stays long after acute stroke

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

18th MTNL Perfect Health Mela to Focus on Science behind Rituals

Addressing a press conference and releasing Mela LOGO and this year’s Mela Theme, Dr. K K Aggarwal, Padma Shri & Dr. B.C. Roy Awardee, President, Heart Care Foundation of India and MTNL Perfect Health Mela, Member of Parliament and Former International Cricketer Sh. Kirti Azad and eminent Kavi Sh. Gajendra Solanki.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook – Twitter


More newborn deaths occurred in India

A new study has found that more than half of all neonatal mortality – deaths in newborns, aged 3 weeks and under – in 2009 occurred in India, Nigeria, Pakistan, China, and the Democratic Republic of Congo.
Furthermore, over the past 20 years, more than 4 per cent of all babies born live in India died during the first month of life. These shocking findings come from a comprehensive and detailed analysis led by Mikkel Z Oestergaard, from the World Health Organization and partners. The authors also estimate that although the global neonatal mortality rate decreased from 33.2 to 23.9 deaths per 1000 live births, neonatal mortality rate actually increased in eight countries, five of which were in Africa. (Source: TOI, Aug 31, 2011)

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

(Dr Monica and Brahm Vasudev)

MR Renography for kidney graft dysfunction

Low–dose MR renography may offer a noninvasive means to differentiate between acute kidney rejection and acute tubular necrosis after kidney transplantation, according to a study published in the September issue of Radiology.

For comments and archives

Blood sugar tests alongside eye tests may help detect diabetes

Opticians should offer blood sugar checks alongside eye tests to help spot patients with undiagnosed diabetes. A study published in the British Journal of General Practice suggested that "a simple finger prick blood test in this setting could identify hundreds of thousands of people with type 2 diabetes.

For comments and archives

Infant UTI guidelines include ultrasound

Updated guidelines from the American Academy of Pediatrics (AAP) recommend urinalysis and culture when a urinary tract infection (UTI) is suspected or when antibiotic treatment will be started empirically in children 2–24 months. In first UTI the new guidelines recommend renal and bladder ultrasound with no voiding cystourethrogram (VCUG) unless the ultrasound is suggestive of anatomic abnormalities, and follow–up but no antimicrobial prophylaxis. The guidelines were published in Pediatrics.

For comments and archives

Wait for an hour after dinner before you go to sleep

A new study suggests that waiting at least an hour after dinner before going to sleep reduces your risk of stroke by about two–thirds (European Society of Cardiology meeting). For every 20 minutes more that you wait, stroke risk drops another 10%.

For comments and archives

   Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Please don’t stop the music

Do you listen to music while you exercise? New research published in the Journal of Clinical Sport Psychology suggests that you should, in order to reap maximum benefits from your workouts. Many researchers have found that music enhances exercise, and this study summarized all the relevant research on the benefits of listening to music during exercise. The authors of the article reviewed a total of 20 previous studies that examined the effects of adding music to exercise in different populations, and the results were clear: music benefits exercisers. Among the most prominent benefits of listening to music were increased motivation to exercise as well as improvement in exercise capacity and intensity. Some studies found that music was exceptionally helpful for patients undergoing cardiovascular or pulmonary rehabilitation or treatment for diseases such as Alzheimer’s and Parkinson’s. Other studies found that adding music to exercise increased elderly exercisers’ confidence and life satisfaction. The study concluded that music is most effective when it coincided with people’s own personal preferences.

Now, you have a great excuse to buy some new music for your mp3 player!

For comments and archives

   Twitter of the Day

@DrKKAggarwal: #CSE ICMR IMA workshop: Dr Jugul Kishore: prevention is more important. Dr K K Aggarwal reports

@DeepakChopra: #CosmicConsciousness Today instead of reacting observe your reaction to react

    Dr KK Answers

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

What is fever associated with hypersensitivity?

Hypersensitivity is the most common cause of drug fever. Fever appears several days to three weeks after the drug has been started, but the lag time can be as long as several years. Fever can arise within hours of a re–challenge.

For comments and archives

    Spiritual Update

Why jaggery & roasted grams are eaten in Santoshi Mata Vrata

Santoshi Mata Vrata is traditionally observed on every Friday. It is customary to eat Gur and Chana (Jaggery and Roasted Grams) on that day. There is a lot of medical significance of this Vrata.

For comments and archives

    An Inspirational Story

(Dr G M Singh)

All for Love and Life

In a strange case, a woman donated her organ twice to save her husband from the jaws of death. In 2005, Surat-based Rameshbahi Patel’s life turned topsy–turvy when doctors at the Global Hospital in Hyderabad found him afflicted with liver cirrhosis. Only a liver transplantation could save him. Getting a donor was tough. But his wife Sharadabhen stepped in and offered a part of her liver. The transplantation was successfully done in November 2005.

But 4 years later, another crisis struck the family when both the kidneys of Ramesbhai failed due to diabetic nephropathy. The worried couple rushed back to Hyderabad from Surat. He was put on dialysis. Sharadhabhan once again stepped in and donated her kidney. The transplantation was done in June end and Ramesbhai is completely recovered. "I am lucky to have a wife who is prepared to sacrifice any thing for me", said Rameshbahi after the operation.

Shardaben said: "Actually I am afraid to take even paracetamol tablet. but for my husband I can do anything." love conquers everything. Sequential liver and kidney transplantation is rare, say nephrologists KS Naik and Dharmesh Kapoor of Global Hospital.

For comments and archives

    Gastro Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

Interesting Tips in Hepatology & Gastroenterology

Chronic Pancreatitis

Aetiological factors associated with chronic pancreatitis (TIGAR–O Classification System Modified from Etemad et al)

Toxic – Metabolic: Hypercalcemia, hyperlipidemia, chronic renal failure, drugs, toxins (alcohol and smoking), recurrent acute pancreatitis, post necrotic, vasculitis, post irradiation

Idiopathic: Early–onset, late–onset, tropical

Obstructive: Pancreas divisum, sphincter of Oddi dysfunction, duct obstruction (e.g. stones, post–inflammatory, posttraumatic)

Genetic: PRSS1 mutations, SPINK1 mutations, ABCC7 (CFTR) mutations

Autoimmune: Isolated autoimmune CP, Syndromic autoimmune CP in association with: Sjogren’s syndrome /IBD/PBC

For comments and archives

    Rabies Update

(Dr. AK Gupta, Author of "RABIES - the worst death" )

What does humanizing your dog mean?

  1. Talking to your dog like he/she is a person.
  2. Treating your dog like he/she is a person.
  3. Allowing dogs to do what they want because it will hurt their "feelings."
  4. My personal favorite – dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs.

Humanizing dogs does more harm than good. Dogs are dogs — not humans!

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


  • This test is done when a person has symptoms of a prolactinoma, such as unexplained headaches, visual impairment, and/or galactorrhea.
  • Testing may be ordered, along with other tests, when a woman is experiencing infertility or irregular menses or when a man has symptoms such as decreased libido, galactorrhea, or infertility.
  • Prolactin levels are also often ordered in men as a follow–up to a low testosterone level.

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    IJCP Special

Dr Good Dr Bad

Situation: A female with rheumatoid arthritis became pregnant while taking leflunomide.
Dr. Bad: Continue it.
Dr. Good: Stop it immediately.
Lesson: In women with rheumatoid arthritis who become pregnant while taking leflunomide, healthy pregnancy outcomes usually occur, if the drug is discontinued at the earliest and a cholestyramine drug elimination procedure is done. (Arthritis Rheum 2010;62:1494)

For comments and archives

Make Sure

Situation: A 40–year–old male developed acute heart attack after playing squash.
Reaction: Oh my God! Why was a cardiac test not done?
Lesson: Make sure that anybody taking up anaerobic games after the age of 40 should first get a cardiac clearance.

For comments and archives

  Quote of the Day

(Dr Chandresh Jardosh)

Apology is a lovely perfume; it can transform the clumsiest moment into a gracious gift.. Margaret Lee Runbeck


Dead Ringer: 100% identical. A duplicate.

    G P Pearls

(Dr Pawan Gupta)

Stool test to detect IBS. Detection of cal–protectin in stool should sound alarm bells for IBS.

    Medicolegal Update

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

Embalming certificate of deceased is required by law in air/rail transportation

Embalming is the process of chemically treating a dead body developed by the ancient Egyptians of preserving a person’s body after death or to delay the decomposition of the body, restore it to an acceptable physical appearance and reduce the presence and growth of bacteria to prevent foul smell as well as perfume or add fragrance to corpse.

  • One of the most famous embalmed corpses today is that of the Russian communist leader Vladimir Lenin, whose embalmed corpse is on display at the Red Square mausoleum in Moscow. The corpse is very well–preserved, and should last for at least another 100 years.
  • The process of embalming has a very long history, dating back to the Egyptian process of mummification. Though their techniques were quite different from those used today, the effect was the same — to preserve an individual’s body after death. In case of the ancient Egyptians, they believed that the spirit would return to the body after death, so it must remain in good condition. To preserve the corpses, they covered bodies in a drying chemical called natron, and then wrapped them in linen sheets.
  • Today, embalming is done by injecting chemicals directly into the bloodstream to preserve the corpse’s appearance. The most commonly used chemicals for embalming are formaldehyde and ethanol. A combination of these two chemicals is sufficient to preserve the body for a short time means up to a week
  • To keep the corpse in good condition for a longer period means up to a month, you would use a solution made up almost entirely of formaldehyde.
  • There are several steps involved in modern embalming. First, the embalming fluid is injected directly into the deceased’s blood vessels, and pushed through the body with a mechanical pump. Next, the internal organs are hollowed of their contents and filled with embalming fluid. The chemicals are then injected beneath the skin wherever necessary, followed by a final surface embalming on injured areas of the body.

For comments and archives

    Mind Teaser

Read this…………………

The most common presentation of a child with Wilm’s tumor is:

1. An asymptomatic abdominal mass
2. Hematuria
3. Hypertension
4. Hemoptysis due to pulmonary secondaries

Yesterday’s Mind Teaser: The laryngeal mask airway used for securing the airway of a patient in all of the following conditions except:

1. In a difficult intubation
2. In cardiopulmonary resuscitation
3. In a child undergoing an elective routine eye surgery
4. In a patient with a large tumor in the oral cavity

Answer for yesterday’s Mind Teaser: 4. In a patient with a large tumor in the oral cavity

Correct answers received from: Dr K Raju, Dr Chandresh Jardosh, Dr Valluri ramarao, Dr Pramod M Kulkarni, Dr Muthumperumal Thirumalpillai, Dr Neelam Nath, Dr Jainendra Upadhyay, Dr Sukanta Sen,
Dr Anil Kumar Jain.

Answer for 31st August Mind Teaser: b) Roux en Y gastrojejunostomy
Correct answers received from: Dr Valluri Ramarao, Dr KV Sarma.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr. GM Singh)

Memory Test
Three elderly men visited the doctor for a memory test. The doctor asked the first one, "What’s three times three?"
"285!" the man replied.
Worried, the doctor turned to the second man. "How about you? What’s three times three?"
"Uh, Monday!" the second man shouted.
Even more concerned, the doctor motioned to the third man. "Well, what do you say? What’s three times three?"
"Nine!" the third man replied.
"Excellent!" the doctor exclaimed. "How did you get that?"
"Oh, it’s pretty simple," the man explained. "You just subtract the 285 from Monday!"

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
DCI Approval Date
Methylcobalamin 500mcg + Folic Acid IP 1.5mg + Zinc Sulphate IP 25mg + Chromium Polynicotinate 200mcg + Selenium as Sodium Selenite USP 65 mcg + Inositol 100mg + Alpha Lipoic Acid 50mg + Streptococcus faecalis 30 Millions (30 lakh) + Clostridium butyricum 2 Million (20 lakh) + Bacillus mesentericus 1 Million (10 lakh) + Lactic acid bacillus 50 Million (500lakh) Capsule
For vitamins and mineral deficiency states in adult patients
    Public Forum

(Press Release for use by the newspapers)

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18th MTNL Perfect Health Mela to Focus on Science behind Rituals

The country’s popular "18th Perfect Health Mela 2011" will be held from 14th to 23rd October 2011 at NDMC Grounds Laxmi Bai Nagar, New Delhi. The Mela is being organised by Heart Care Foundation of India jointly with Department of Health & Family Welfare, Govt. of Delhi, MTNL, NDMC, MCD, LIC, Deptt. of Science & Technology, Govt. of India, Coca Cola India Ltd., World Fellowship of Religions, etc.

The Mela attracts 3–5 lakh members of the public over duration of 10 days and is organised every year between Dusshehra and Diwali. The event creates health awareness about all aspects of health among people from all walks of life and all ages, incorporating all pathies under one roof through the medium of infotainment. The Mela is the right mix of health picnic, exhibition, competition and infotainment.

Addressing a press conference and releasing Mela LOGO and this year’s Mela Theme, Dr. K K Aggarwal, Padma Shri & Dr. B.C. Roy Awardee, President, Heart Care Foundation of India and MTNL Perfect Health Mela said that the main theme this year will be science behind mythology.

Member of Parliament and Former International Cricketer Sh. Kirti Azad and eminent Kavi Sh. Gajendra Solanki said that mela also provides young budding artists an opportunity to test their talent. He also said that these healthy competitions held at the mela bring the best out of these participating children.

Sh. Deepak Chanduka, GM Marketing (Corporate Office), MTNL and other Sr Officers from MTNL, Department of Health & Family Welfare, Govt. of Delhi, MCD, NDMC, LIC, Coca Cola India Ltd., World Fellowship of Religions, etc. also addressed the press conference in a joint statement and said that every person should aim to live up to the age of 100 years and live healthy and active till the last moment of life.

They further said that these events will provide the right opportunities to the public to know how to live healthy up to that age of 100.

One of the highlights of the event will be the Medico Masti where youth from over 30 colleges will participate in events like Rock Band, fashion show, choreography, western dance, Indian dance, classical dance, T–shirt painting; pot painting, poster making, mehendi, slogan writing, and all the events will focus on health directly or indirectly. Other events will be Divya Jyoti (nurses health festival); Harmony and Ecofest (School health festival), Anmol (festival for children with special needs) etc.

The entry to the event will be free.

For comments and archives

    Readers Responses
  1. Mistakes are meant to make, but one should not repeat them. vivek kumar, varanasi

    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals


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