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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


eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

  Editorial …

3rd December 2011, Saturday

Knee hygiene

  • Lifestyle changes can help stave off arthritis.
  • Protecting the knees when one is younger may help prevent serious problems such as arthritis and the need for knee replacement when one is older.
  • Nearly half of adults develop arthritis in at least one knee by age 85, and the risk is even greater for obese people.
  • Extra pounds increase the strain on knee joints.
  • Eachy time one takes a step, one applies three times the body weight to the knee. While running, it’s five times; while jumping, it’s seven times.
  • Seventy percent weight loss is done by diet and 30 percent by exercise.
  • One cannot eat the same and exercise the pounds. It’s a myth.
  • Low–impact activities such as swimming and cycling are better for the knees than high–impact workouts such as running or aerobics.
  • Good core strength (abs, back and pelvis) also helps protect the knees.
  • The knees can be subjected to abnormal stress if the shoes don’t give a stable base as one walks. Many patients experience dramatic reductions in knee pain after getting orthotics or shoes specifically made to fit their feet.
  • If the knee pain lasts more than two weeks, one needs to see a doctor because there might be something mechanically wrong with the knee.

(Methodist Center for Sports Medicine, news release, Aug. 2, 2010)

For More editorials…

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

Knee hygiene

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011
Divya Jyoti–An Inter Nursing School + College Health Festival

Nurse is a person who is Noble, Understanding, Response, Simple and Efficient.In the recently concluded 18th MTNL Perfect Health Mela Nurses from various colleges took active part in competitions.

Dr K K Aggarwal
    National News

Use Aadhaar numbers to create health database: Nandan Nilekani

NEW DELHI: UIDAI chief Nandan Nilekani today urged the healthcare sector to make use of Aadhaar ID numbers to create a database of patients with a view to improving services and expediting settlement of insurance claims. "The medical industry can also build up a database using ‘Aadhaar’ as base for seamless use by various health chains. That could also be used for insurance claims", Unique Identification Authority of India (UIDAI) Chairman Nilekani said at a Health Summit organised by CII. Regretting that there is no national record of immunisation, he said, "Aadhaar number could be used to create a single immunisation record countrywide. (Source: The Economic Times, 1 Dec, 2011)

For comments and archives

Kindly visit Facebook for CSI News. It will cover minute to minute happenings of the 63rd CSI conference at Mumbai 8–11th December

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

Hope for future, fear of failure on World AIDS day

A curious emotional amalgam marked this year’s World AIDS Day. On one hand, there is increasing confidence that many of the tools needed to halt the devastating pandemic are either available or will soon be ready. On the other, there is growing fear that the political and financial will to use those tools is failing. "The science is beginning to tell us we can end the epidemic," said Mitchell Warren of the New York–based advocacy group AVAC. "Things are falling in to place." But Warren and others said that global economic uncertainty could mean that the opportunity will be missed. (Source: Medscape Medical News)

For comments and archives

Women on bisphosphonate therapy may need screening radiography

Women on long–term bisphosphonate therapy might benefit from screening radiographs to detect incomplete atypical femoral fractures (AFF). Focal cortical hypertrophy suggests risk for AFF, and a transverse fracture pattern in one femur would suggest that the other femur is at risk. (Source: Medscape Medical News)

For Comments and archives

No advantage for new hip implants over traditional ones

New types of hip implants, using metal–on–metal or ceramic–on–ceramic bearings, appear to have no significant advantage over traditional implants, according to a systematic review of clinical trials, observational studies, and national registries published online November 29 in the British Medical Journal. (Source: Medscape Medical News)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on First cigarette of the day most har… http://www.youtube.com/watch?v=P–T9FCQHXqs&feature=share via @youtube

@DeepakChopra: #CosmicConsciousness Every description of the physical universe is in reality a description of a mode of human perception.

    Spiritual Update

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

Science behind understanding soul

In today’s era, human body can also be understood by equating it to information technology in terms of computer science.

The human body can be compared to the hardware of a computer. In computer hardware is the only part that has dimensions, boundary and weight. Similarly, in human body, only the physical body has dimensions, boundaries and weight.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Cocoon

A man found a cocoon of a butterfly, and he brought it home. One day, a small opening appeared in the cocoon. The man sat and watched the cocoon for several hours as the butterfly struggled to force its body through that little hole. Then it seemed to stop making progress. It appeared as if the butterfly had gotten as far as it could, and it could go no farther.

The man decided to help the butterfly in its struggle. He took a pair of scissors and snipped off the remaining bit of the cocoon and the butterfly emerged easily.

As the butterfly emerged, the man was surprised. It had a swollen body and small, shriveled wings. He continued to watch the butterfly expecting that, at any moment, the wings would dry out, enlarge, and expand to support the swollen body. He knew that in time the body would contract, and the butterfly would be able to fly but neither happened!

In fact, the butterfly spends the rest of its life crawling around with a swollen body and shriveled wings. What the man, in his kindness and haste, did not understand was that the restricting cocoon and the struggle were required for the butterfly to be able to fly.

The butterfly must push its way through the tiny opening to force the fluid from its body and wings. Only by struggling through the opening can the butterfly’s wings be ready for flight once it emerges from the cocoon.

Sometimes struggles are exactly what we need in our life. If our Higher Power allowed us to go through life without any obstacles, it would cripple us. We would not be as strong as what we could have been and we could never fly!

Spread your wings and prepare to fly, for you have become a butterfly…

Fly abandonedly into the sun!

For comments and archives

  Cardiology eMedinewS

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

Know Your International Faculty: Professor Robert Storey

For comments and archives

Prosthetic Heart Valves: Follow–up as Important as Surgery Itself

For comments and archives

Drug Eluting Balloon in Stent Restenosis

For comments and archives

Intra Aortic Balloon Counterpulsation (AIBC) in Acute MI

For comments and archives

  Fitness Update

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

Exercise improves cognitive function in overweight children

Many studies have confirmed that exercise improves cognitive function in adults and can delay the onset of diseases such as Alzheimer’s. Studies also show that children who are more active get better grades in school, but the relationship between exercise and cognition is not well understood in children. A study recently published in the journal Health Psychology, a journal of the American Psychological Association, was conducted to test the hypothesis that exercise would improve executive function in children.
The study results showed that exercise has an effect on executive function and mathematics achievement. Those children who engaged in the most exercise performed better on certain cognitive tasks and showed increased activity in certain areas of the brain. This study helps us better understand how exercise affects brain activity in overweight children, and shows yet another benefit of exercise.

For comments and archives

    Healthy Driving

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

Ageing precipitates changes in muscle strength, reaction time and mobility, particularly of the neck, shoulder and wrist.

    Medicine Update

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

What are the common organisms causing liver abscess in children?

Most of the liver abscesses in children are pyogenic in nature with amebic liver abscesses constituting 21–30% of cases. Common bacteria causing pyogenic liver abscesses are

  • Staphylococcus is the leading cause.
  • Microaerophilic streptococci
  • Gram–negative rods like E. coli
  • Klebsiella
  • Enterobacter species
  • Unusual micro–organisms like fungal hepatic microabscesses
  • Tubercular liver abscesses (rare)

For comments and archives

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    IJCP Special

Dr Good Dr Bad

Situation: An elderly diabetic patient came with a BP of 160/80 mmHg.
Dr Bad: You need more intensive treatment.
Dr Good: This level is ok.
Lesson: BP is a marker for mortality in elderly type 2 diabetes mellitus patients, but has an inverse relationship. In a prospective observational cohort study of more than 800 patients aged 60 years and older, a decrease of 10 mmHg in systolic BP, diastolic BP and pulse pressure led to a mortality increase of 22%, 30% and 22%, respectively.

For comments and archives

Make Sure

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time?
Lesson: Make sure to diagnose all foreigners as suffering from Traveler’s diarrhea even if there is one single loose motion.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Without love, we are birds with broken wings. Albom, Mitch

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Cholinesterase test

  • To determine if you have been exposed to and/or poisoned by certain organophosphate chemicals found in pesticides
  • To monitor cholinesterase levels if you work with pesticides
  • Sometimes to identify individuals with inherited pseudocholinesterase deficiency before they are given anesthesia with the muscle relaxant succinylcholine.
  • To help determine the cause of prolonged apnea after surgical anesthesia
    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: Gun Jr.

Answer for Yesterday’s Mind Teaser: Son of a gun!

Correct answers received from: Sudipto Samaddar, Dr Joginder Pal Manocha, Prabha Sanghi,
Dr Rakesh Bhasin, Yogindra Vasavada, Dr Chandresh Jardosh, Dr HL Kapoor, Muthumperumal Thirumalpillai, Raju Kuppusamy, Anil Bairaria, Dr Neelam Nath, Dr KV Sarma.

Answer for 1st December Mind Teaser: An afterthought
Correct answers received from: Dr HL Kapoor, Raju Kuppusamy, Anil Bairaria, Dr Neelam Nath,
Dr KV Sarma, Dr Sukla Das, Dr PC Das.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Doctor, Doctor! I keep getting pains in the eye when I drink coffee!
Doc: Have you ever tried taking the spoon out FIRST?

    Medicolegal Update

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

Does hanging cause cerebral ischemia?

  • Pressure on the neck may arise from manual strangulation, ligature strangulation, hanging, direct blows, arm–locks and a variety of accidental lesions, such as entanglement with cords or falling onto the neck.
  • The occlusion of carotid arteries is less common as the higher internal pressure of the carotid arteries resists occlusion and also they are situated much more deeply.
  • The carotids are largely obscured by the sternomastoid muscles.
  • If bilateral occlusion of the carotids occurs, almost immediate unconsciousness will ensue, as the supply of arterial blood to the brain by the vertebral circulation is insufficient to maintain cortical function, which depends mainly upon the anterior and middle cerebral arteries that arise from the carotid supply.
  • Occlusion of the vertebral arteries by neck compression seems virtually impossible
  • Vagal reflex has profound implications in relation to pressure or blows on the neck. Sometimes called ‘vagal inhibition’, ‘vasovagal shock’ or ‘reflex cardiac arrest’, the rapid onset of heart stoppage may antedate any evidence of congestive or ‘asphyxial’ signs, causing death immediately or within seconds, or at any time thereafter.

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)

Winter Asthma

Any breathlessness after the age of 40, appearing for the first time in winter, is cardiac asthma unless proved otherwise. Such patients should immediately get their blood pressure check–up done and if high, it needs immediate medical attention. First–onset breathlessness can also be an indication of angina or heart attack said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

However, the more common is winter asthma or acute exacerbation of winter COPD (chronic bronchitis).

Asthma is reversible airway obstruction and COPD is irreversible airway obstruction. Sudden exposure to cold, humidity, pollution at lower levels in atmosphere can precipitate asthma in susceptible individuals. Winter is the time to increase the dose of asthma medicines.

If a person can speak a full sentence, the asthma attack is mild; if a person speaks broken sentences the asthma attack is moderate and if the person is able to speak only words then the asthma attack is severe. Severe attack of asthma needs immediate hospitalization.

An attack of asthma is due to inflammation, narrowing and collection of fluid in the wind pipe and needs medicines to widen the wind pipe and reduce the inflammation.

The need of asthma medicines can be intermittent and/or permanent. The Formula of 2 becomes handy in such situations. A person who consumes more than two canisters of inhalers in a year or consumes asthma medicines more than twice in the night time in a month or more than twice in a day in a week, he or she needs continuous asthma and anti inflammatory medicines. Inhalers are the best choices.

For comments and archives

    Readers Response
  1. Dear Sir. It is wonderful communication, please keep it up., Dr SPS Grover
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in.

Over 400 registrations already done…

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: 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)

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  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