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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

  Editorial …

3rd February, 2011, Thursday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

9 ways to banish dry skin (Harvard Newsletter)

  1. Use a humidifier in the winter. Set it to around 60%, a level that should be sufficient to replenish the top layer of the skin.
  2. Limit yourself to one 5– to 10–minute bath or shower daily. If you bathe more than that, you may strip away much of the skin’s oily layer and cause it to lose moisture. Use lukewarm rather than hot water, which can wash away natural oils.
  3. Minimize your use of soaps; if necessary, choose moisturizing preparations or consider soap–free cleansers. Steer clear of deodorant soaps, perfumed soaps, and alcohol products, which can strip away natural oils.
  4. To avoid damaging the skin, stay away from bath sponges, scrub brushes, and washcloths. If you don’t want to give them up altogether, be sure to use a light touch. For the same reason, pat or blot (don’t rub) the skin when toweling dry.
  5. Apply moisturizer immediately after bathing or washing your hands. This helps plug the spaces between your skin cells and seal in moisture while your skin is still damp.
  6. To reduce the greasy feel of petroleum jelly and thick creams, rub a small amount into your hands and then rub it over the affected areas until neither your hands nor the affected areas feel greasy.
  7. Never, ever scratch. Most of the time, a moisturizer can control the itch. You can also use a cold pack or compress to relieve itchy spots.
  8. Use fragrance–free laundry detergents and avoid fabric softeners.
  9. Avoid wearing wool and other fabrics that can irritate the skin.
Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
  eMedinewS Audio PostCard

 2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal New MCI regulations – Medical research


Audio PostCard
  Quote of the Day

(By Dr GM Singh)

"Violence is the last refuge of the incompetent."

Isaac Asimov

    Photo Feature (from the HCFI Photo Gallery)

2nd eMedinewS Revisiting 2010

Doctors braved the chilly morning to register for the Conference on 9th January 2011 at Maulana Azad Medical College.

Dr K K Aggarwal
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

‘Rising to Dignity’ awards presented on Anti–Leprosy Day

Recognising the hard work and commitment of leprosy–affected people on the occasion of the country’s Anti–Leprosy Day, "Rising to Dignity" awards were presented here on Sunday. The Sasakawa India Leprosy Foundation (SILF), a non–government organisation working towards ending the stigma against leprosy and ensuring that leprosy cured people are integrated into mainstream society, instituted the "Rising to Dignity" awards from this year. The guest of honour at the event was Union Minister for Water Resources and Minority Affairs Salman Khurshid. The award winners included Hanuman Nagar Kushth Vasahath’s dairy farming project from Kalyan (Maharashtra); Swami Vivekananda Kushth Ashram’s battery renting project from Bareilly (Uttar Pradesh) and Sheetalamata Kushth Dham Sewa Samiti's silver ornament project from Ratlam (Madhya Pradesh). Each winner was awarded a trophy and a cash prize of Rs. 1 lakh for their respective projects. (Source: The Hindu, Jan 31, 2011)

    International News

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

Canada unveils new physical activity guidelines

Canada has released a new set of physical activity guidelines redesigned to reflect the most current research demonstrating that more vigorous activity and strengthening exercises yield the greatest health benefits. "There’s enough evidence in the literature now to say… to derive significant health benefits, you need moderate to vigorous physical activity daily," says Mark Tremblay, chair of the Canadian Society for Exercise Physiology’s (CSEP) committee on physical activity guidelines, the organization responsible for the development of the new guidelines, in an interview with CityNews Toronto. "We didn’t have evidence for that in around 2000 when evidence was being assessed for the existing guidelines." The new guidelines suggest 150 minutes (or 2.5 hours) of moderate– to vigorous–intensity physical activity a week for adults 18 and over and 60 minutes a day for children and youth, ages 5 to 17, to achieve measurable health benefits.

(Dr Monica and Brahm Vasudev)

New guidelines do not recommend routine screening for carotid stenosis

New practice guidelines from the American Stroke Association/American Heart Association, the American College of Cardiology and other professional groups does not recommend routine screening for carotid artery stenosis in asymptomatic patients who have no signs of or risk factors for atherosclerosis. According to the guidelines, in asymptomatic patients with peripheral arterial disease, coronary artery disease, or an atherosclerotic aortic aneurysm, or for those who have at least two risk factors for stroke, Duplex ultrasonography might be considered. The guidelines have been published at the same time in the Journal of the American College of Cardiology, Circulation and Stroke.

Viibryd gets FDA approval for depression treatment in adults

Viibryd (vilazodone) was accorded FDA approval on January 24, 2011 for the treatment of adults with major depressive disorder (MDD). Vilazodone is a selective serotonin–reuptake inhibitor and 5HT1A–receptor partial agonist.

PAD worsens faster in women than men, says study

Results of a longitudinal study show that women with peripheral arterial disease (PAD) undergo a more rapid decline in function and mobility compared with men. The study noted that women were more likely to become unable to walk continuously for six minutes (HR 2.30) and to develop a mobility disability (HR 1.79). The walking speed also slowed faster in women; they also showed a greater decrease in the distance covered during the 6–minute walk test. The study findings are reported in the Feb. 8 issue of the Journal of the American College of Cardiology.

Standard Clopidogrel loading dose good for Asian STEMI patients undergoing PCI

According to a study reported in the January 18 online issue of the American Heart Journal, a high loading dose of clopidogrel (600 mg) is unnecessary in Asian patients with ST–segment elevation myocardial infarction (STEMI) who are undergoing primary percutaneous intervention (PCI). The standard 300–mg dose is just as safe and effective for these patients.

    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

Q: What is ICSI? How safe is it?

A. ICSI is Intracytoplasmic Sperm Injection and is indicated for couples with very low sperm count. It is a safe procedure. However, in men who have a genetic defect, there is a small risk of transmission to the male offspring.

For queries contact: banerjee.kaberi@gmail.com

    Pediatric Update

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

What is the recommendation for post exposure prophylaxis for contacts following needle prick from a known HBsAg negative case?

For a patient who is exposed to a known HBsAg–negative source

  • Administer Hepatitis B vaccine series, if unvaccinated
  • No treatment otherwise needed
    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What is Sec 314 of the IPC?

Death caused by act done with intent to cause miscarriage

Sec. 314 IPC provides that whoever, with intent to cause the miscarriage of the woman with child, does any act that causes the death of such woman, shall be punished with imprisonment of either description of a term which may extend to ten years or shall also be liable to fine. If the act is done without the consent of the woman, shall be punished with imprisonment for life or with punishment above mentioned.

  • The explanation to this section says that it is not essential to this offence that the offender should know that the act is likely to cause death.
  • A person who attempted to cause miscarriage of a pregnant woman but was unsuccessful in the process and when pregnant girl died several weeks later having developed septicemia without it having been established that the person was responsible for septicemia, the person cannot be held guilty under Sec 314 of IPC.

(Ref: Vatchalabai Maruti Kgar v. State of Maharashtra, 1993 Cri LJ 702 (Bom)

    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Q. A hospital treated a patient for injury. Later, an FIR was lodged in relation to the injury. The police ask the hospital to provide a copy of the medical records. Treatment records of a patient are confidential.

a. Should the patient’s consent be a pre–requirement before the hospital gives the records to the police?

b. If the accused manages to get the records from the police and sues the hospital for giving his medical record to others without his consent, how will the hospital defend itself?


  • If the police asks a party, including a hospital or anybody else, for information necessary for investigation of crime, the party concerned is bound in law to provide the information, including medical records.
  • The suit/complaint filed by the patient will fail because the hospital gave the medical records to the police in compliance of legal requirements.
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Hypophosphatemia can be seen in a variety of biochemical derangements, including acute alcohol intoxication, sepsis, hypokalemia, malabsorption syndromes, hyperinsulinism, hyperparathyroidism, and as result of drugs, e.g., acetazolamide, aluminum–containing antacids, anesthetic agents, anticonvulsants, and estrogens (incl. oral contraceptives). Citrates, mannitol, oxalate, tartrate, and phenothiazines may produce spuriously low phosphorous by interference with the assay.

    Medi Finance Update

(Contributed by Dr GM Singh)

Money Market Funds

Money market funds invest primarily in short–term (less than one year) government Treasury Bills (also called T–Bills) and corporate notes which pay a fixed rate of interest.

    Drug Update

LIST OF APPROVED DRUG FROM 01.01.2010 TO 31.8.2010

Drug Name
DCI Approval Date
Chemically Modified Sodium Hyaluronate and Caboxymethylcellulose Absorbable Adhesion Barrier.
As an adjunct in abdominal or pelvic surgery for reducing the incidence, extent and severity of postoperative adhesions at the site of placement.
    IMSA Update

International Medical Science Academy (IMSA) Update

Nocturnal leg cramps

A systematic review of prospective trials identified limited data to support the use of several agents, including calcium channel blockers and vitamin B complex, in the treatment of nocturnal leg cramps.

(Ref: Katzberg HD, et al. Assessment: Symptomatic treatment for muscle cramps (an evidence–based review): Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2010;74:691).

Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
    IJCP Special

Dr Good Dr Bad

Situation: A patient with diabetes wanted to know if he could do aerobic exercise.
Dr. Bad: You cannot do it
Dr. Good: You can do it.
Lesson: People with type 2 diabetes should get 150 minutes of aerobics exercise every week.

Make Sure

Situation: A patient on binasal oxygen developed nasal mucosal damage.
Reaction: Oh my God! Why was the oxygen given at 4 liter per minute?
Lesson: Make sure that oxygen via nasal catheter, is not given at a rate of more than 3 liter per minute.

    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

After an anger outburst, the scar remains with the victim. Especially if it is a woman, woman generally remember what you have said for a long time. Be careful when dealing with your anger. There was a little boy with a bad temper. His father gave him a bag of nails and told him that every time he lost his temper, to hammer a nail in the back fence. The first day the boy had driven 37 nails into the fence.

Then it gradually dwindled down. He discovered it was easier to hold his temper than to drive those nails into the fence. Finally the day came when the boy didn't lose his temper at all. He told his father about it and the father suggested that the boy now pull out one nail for each day that he was able to hold his temper. The days passed and the young boy was finally able to tell his father that all the nails were gone. The father took his son by the hand and led him to the fence.

He said, "You have done well, my son, but look at the holes in the fence. The fence will never be the same. When you say things in anger, they leave a scar just like this one. You can put a knife in a man and draw it out.

It won’t matter how many times you say ‘I’m sorry’, the wound is still there."


Mind Teaser

Read this…………………


Yesterday’s eQuiz: A 54–year–old male presents to your office with complaints of intermittent pain and discoloration of his fingers during the months of December/January. He has had regurgitation of food for years. Patient has no other significant past medical history and is a non–smoker. He sometimes takes Ibuprofen for the pain with no relief. His physical examination is unremarkable. Appropriate rheumatological workup is ordered.

Q. Which of the following is the most likely diagnosis and appropriate treatment option for this patient?

A. Primary Raynaud, oral prednisone therapy
B. Secondary Raynaud, stay warm and wear gloves in cold weather
C. Systemic Scleroderma, amlodipine
D. Limited Cutaneous Scleroderma, topical nitrate therapy

Answer for Yesterday’s eQuiz: The correct answer is B.

This patient is most likely to have secondary Raynaud’s phenomenon. The facts that the patient is over the age of 40 and male as also the symptoms or reflux/regurgitation make secondary Raynaud more likely. The reflux and Raynaud may be pointers towards what used to be called the CREST syndrome (calcinosis, Raynaud, esophageal dysmotility, sclerodactly and telengiectasia). Autoimmune workup is appropriate. Amlodipine is often used as first–line therapy for Raynaud phenomenon as it has been shown to reduce both frequency and severity of attacks. But this intervention is more appropriate for those who do not have relief from staying warm and keeping fingers gloved in cold weather. Topical nitrates are second–line therapy for those who fail amlodipine.

Correct answers received from: Dr Meera Rekhari, Dr K.Raju, Dr K.V.Sarma, Dr Muthumperumal Thirumalpillai, Dr Anil Bairaria, Dr Vijay Kansal, Dr Manjesha.

Answer for 1st February Mind Teaser: H to O (H2O, or water)

Correct answers received from: Dr Joginder Pal Manocha, Dr Sudipto Samaddar, Dr Sanket Kumar Gupta

Send your answer to ijcp12@gmail.com


Laugh a While

Signing Checks

Mr. Schwartz was the oldest of 7 children, so he had to quit school and work to help support his younger brothers and sisters. He never learned to read, so when he married and started a checking account, he signed his checks simply "XX". Eventually he started his own business, which immediately prospered. He soon was a very rich man. One day, he got a call from his bank. "Mr. Schwartz," said the banker, "I need to ask you about this check. We weren’t sure you had really signed it. All these years you’ve been signing your checks ‘XX’, but we just got one that was signed with three XXX’s…"

Mr. Schwartz answered, "No problem, my friend. It’s just that since I’ve become so wealthy, my wife thought I ought to have a middle name."

Knowledge is amusing

BUS is the short term for ‘Omnibus’ that means everybody.

    Readers Responses
  1. Dear Sir, Dr. Aggrawal, thanks for restoring my faith in compassion, truth, charity, hardwork–based merit…through the write up of talk on crime against women at Rohini. Courts take ages to punish the culprit who is a habitual woman hater, has power to take law in his own hands and feels he is also above God, as in our society we have not heard of societal boycott…everyone may be too busy or too selfish, at least DMA can help the party if approached with proofs of sex determination tests, to boycott/punish. Regards for the good job of bringing out emedinews, everyday and enlightening thousands of doctors around the world about the latest in medical science all around, everywhere. Thanks to your team: Dr. Neelam Nath, New Delhi.
    Public Forum

(Press Release for use by the newspapers)

Campaign for detecting heart disease before symptoms

Rise in blood pressure during mental stress is a strong predictor of plaque progression.

Rise in blood pressure during mental stress is a strong predictor of plaque (heart early blockages) progression said Senior Consultant Moolchand Medcity and President Heart Care Foundation of India Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee.

Therefore, mental stress test should be done in every patient with neck artery plaques and if positive, these patients should be put on plaque stabilizing drugs. If the plaque is stabilized, one can reduce the chances of heart attack and paralysis.

Presence of plaque in the neck artery in an asymptomatic person is highly indicative of a future heart attack or paralysis. Plaque can be measured by using high resolution ultrasound in any echocardiography laboratory. Plaques progress along the neck artery 2.4 times more than its thickness.

Moolchand Medcity is running a month-long campaign on detecting heart disease before the symptoms arise.

    Forthcoming Events

Maulana Azad Medical College SPIC-MACAY chapter is organizing a festival of music & dance

Date: 2nd to 5th February, 2011. 
All are invited


2nd February, Wednesday   3:00 pm– 4:00 pm    Panchavadyam by Vidwans – Auditorium Inauguration – Dr Sonal Mansingh (Odissi Dance) Pandit Hariprasad Chaurasia (Flute)
3rd February, Thursday, 10:00 am – Madhubani Painting Workshop – by Smt. Shanti Devi – Old Girl’s Hostel
4th February, Friday, 4:00 pm – Qawwalli by Qadir Niazi and troupe– Auditorium
5th February, Saturday, 9:00 am – Heritage walk by Dr. Ramji Narayan  –(Ferozshah Kotla)
Meeting point college fountain

We look forward to having you with us during this festival.

*Please be seated 15 minutes before the event,
*We request you to switch off your cellphones during the programmes.
*No flash photography and videography allowed during the programme.

Maulana Azad Medical College has been organizing such programmes for students, staff, faculty and doctors. The aim being to experience the beauty of our culture and enrich lives with beautiful moments.  The programmes are extremely relaxing for all. Such programmes are important as they help decrease stress, something which all doctors experience in routine.

eMedinewS Events: Register at emedinews@gmail.com

Conference Column

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: Dr KK Aggarwal

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