Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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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

  Editorial …

3rd February 2012, Saturday

Donating blood reduces chances of heart attack

One should donate blood at least once in a year. Donating blood regularly has been shown in many reports to reduce chances of future heart attacks. Blood donation is also one of the best charities that one can do as it can save multiple lives through various components taken out of a single blood transfusion.

All those who are going for elective surgery should donate their blood well in advance and the same should be used at the time of surgery.

In the current medical tourism scenario, many Christian patients from Jehovah’s Witnesses refuse blood transfusion on religious grounds. They do not accept transfusion of whole blood or any of the four major components (blood cells, platelets, plasma and white cells). They are prepared to die rather than receive the blood. They also do not accept transfusion of stored blood including their own due to the belief that blood should not be taken out of the body and stored for any length of time. In such cases, every effort should be made to reduce blood loss, conserve blood and give drugs that can enhance hemoglobin formation.

A new concept called Bloodless Medicine has now become a reality where treatment, surgery and even emergency surgery can be done without using any blood.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri Awardee Dr KK Aggarwal on

Donating blood reduces chances of heart attack

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

Dr Ambrish Mithal awarded with the prestigious Dr KB Sharma Memorial eMedinewS Oration Award in the recently concluded eMedinewS Revisiting 2011 CME on 22nd January 2011

Dr K K Aggarwal
    National News

ICMR to set up 234 labs in three years

PUNE: A network of 234 laboratories will be set up in the next three years across the country to fight diseases, said V M Katoch, director general of Indian Council of Medical Research (ICMR) at the diamond jubilee celebration of National Institute of Virology (NIV). The move is aimed at bridging the shortage of laboratories dedicated to early detection and diagnosis of diseases. "Of the total number of proposed labs, 20 are already ready and have started rendering services," Katoch said. He exhorted scientists and students of virology to choose researches on diseases that need to be conquered and dedicate themselves to the work. "On one side we are excelling in sciences, but on the other, we are losing many lives to common fever and infections," he said. (Source: TOI, Feb 3, 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

Lumpectomy often not end of story

Almost a quarter of breast cancer lumpectomies are followed by revision surgery, although that rate varies widely across surgeons and centers. (Source: Medpage Today)

For comments and archives

GERD drugs raise hip fracture risk

Postmenopausal women who use proton pump inhibitors (PPIs) regularly are at increased risk for hip fracture, particularly if they have ever smoked, a prospective cohort study has confirmed. (Source: Medpage Today)

For comments and archives

Direct aortic access for TAVI shows promise

A minimally invasive surgical approach to transcatheter aortic valve implantation (TAVI) that goes directly through the aorta is associated with low rates of mortality and complications, according to two late–breaking clinical trial presentations here. (Source: Medpage Today)

For comments and archives

Malaria toll 46 times govt count: Study

NEW DELHI: Malaria deaths in India could be more than 40 times higher that what is presently estimated. New research published in the Lancet shows that malaria kills 1.2 million people worldwide each year – twice as high as the figure in the World Malaria Report, 2011. In India, the study estimates that "4800 malaria deaths in children younger than 5 years and 42000 malaria deaths in those aged 5 years or older," for the year 2010 as against" 19, 000 malaria deaths in children younger than five years and 87,000 malaria deaths in those aged five years or older in 2002." This means malaria killed an estimated 46,800 Indians in 2010. However, the National Vector Borne Disease Control Programme estimates that 1,023 people died of malaria infection in 2010. (Source: TOI, Feb 3, 2012)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: #AJCCare No Gain with Intensive Glucose Control in ICU There’s no need to use intensive insulin therapy to… fb.me/tKTlJXC7

@DeepakChopra: Spiritual support adds to your sense of being free, loving, and aware. Be open to those feelings, it’s the first step to transformation.

    Spiritual Update

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

What are the various satwik offerings in Vedic literature?

Food offerings: Panchashasha (grains of five types – brown rice, mung or whole green gram, til or sesame, mashkalai (white urad dal) or any variety of whole black leguminous seed, jowar or millet)

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How do multiple pregnancies affect the mother and the babies?

Multiple gestation is risky for the babies. Because there are too many babies in the womb, you may have a miscarriage. Or you could have a premature delivery when the babies may be born too early (but after 20 weeks of pregnancy) and have problems with lungs, stomach, or intestinal tract. They may have bleeding in the brain, which can cause problems with the baby’s brain, nervous system, and hamper its development. One of the more common problems is cerebral palsy, a condition that affects movement. The mother might have health problems, too. Your blood pressure may get too high (called pre–eclampsia, pregnancy induced hypertension, or toxemia) and you may develop diabetes (high blood sugar).

For comments and archives

    An Inspirational Story

(Dr GM Singh)

Daddy, how much do you make an hour?

With a timid voice and idolizing eyes, the little boy greeted his Father as he returned from work, "Daddy, how much do you make an hour?" Greatly surprised, but giving his boy a glaring look, the Father said: "Look, son, not even your mother knows that. Don't bother me now, I’m tired." "But Daddy, just tell me please!? How much do you make an hour," the boy insisted.

The Father finally giving up replied: "Twenty dollars per hour." "Okay, Daddy? Could you loan me ten dollars?" the boy asked. Showing restlessness and positively disturbed, the Father yelled: "So that was the reason you asked how much I earn, right?? Go to sleep and don't bother me anymore!"

It was already dark and the Father was meditating on what he had said and was feeling guilty. Maybe he thought, his son wanted to buy something. Finally, trying to ease his mind, the Father went to his son’s room.

"Are you asleep son?" asked the Father. "No, Daddy. Why?" replied the boy partially asleep. "Here’s the money you asked for earlier," the Father said. "Thanks, Daddy!" rejoiced the son, while putting his hand under his pillow and removing some money. "Now I have enough! I have twenty dollars!" the boy said to his Father.

The Father sat there, gazing at his son, confused at what his son just said. "Now Daddy could you sell me one hour of your time?"

For comments and archives

    Fitness Update

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

Do you have a "horrible boss"? Exercise can help

A new British study published in the Journal of Business and Psychology reports that stress is the primary cause of worker and employee tensions, and is the first study ever to publish the finding that exercise can help resolve problems in the workplace. Specifically, the study address why managers and supervisors should exercise regularly.

Researchers set out to determine whether exercise could serve as a buffer for stress in the workplace, and hypothesized that supervisors who exercised more would be less "abusive" toward their employees. To test their theory, researchers used 98 pairs of employees and their direct managers as subjects for this study. They measured stress levels amongst supervisors and correlated that data with perceived employee dissatisfaction toward their managers. The study found that the two were strongly linked, and that when supervisors engaged in a moderate physical activity program, they were rated as less "abusive" by their subordinates.
If your workplace has a health club or a workplace wellness program, congratulations! You're part of a growing number of companies that encourage fitness during the workday. If not, speak with your human resources representative or put in a request for an incentive program for employees and managers to exercise.

For comments and archives

  Cardiology eMedinewS

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

PARTNER CAP: Transapical outcomes improve with practice

Read More

The NIH urges women to protect their heart health

Read More

National Wear Red Day: Friday, Feb. 3

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  Pediatric eMedinewS

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

Picture A Carrot, Eat A Carrot

Read More

Acute Infection May Trigger Stroke In A Few Children

Read More

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    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?

Drivers with hypertrophic cardiomyopathy are allowed to drive. But those with persisting symptoms are not allowed. If asymptomatic (re–) licensing may be recommended for those with no family history of sudden cardiomyopathic death, no ventricular tachycardia on ambulatory ECG and no hypotension on exercise testing.

    Legal Question of the Day

(Dr MC Gupta)

Q. Most of the small and medium–sized hospitals employ nursing staff who are not qualified, sometimes not even SSC, but who have some experience. What are the legal requirements in this regard?


  1. The Law expects all modern medicine hospitals to employ only properly qualified staff. In Spring Meadow Hospital case, where more than Rs. 15 lakhs were awarded against the hospital, the basic fault was of the nurse who was not qualified.
  2. Exact requirements as per law may be given in the rules under CEA, 2010, which are yet to be framed. WB CE Rules, 2003, made under WB CEA, 1951, require vide Rule 25 that the nursing home should disclose the name, qualifications and registration no. of the nursing staff.
  3. If a nursing home does not have qualified nursing staff, it can be either because it does not want to employ such staff or because such staff is not available. No authorities will take any action if it is proven that staff was not available in spite of efforts. The nursing home should advertise the posts and keep a record of applications received. If the record shows that attempts were made to recruit qualified staff but the same was not available, the nursing home can successfully plead this fact.
  4. If qualified nursing staff is not available, the nursing home should employ staff that has adequate training and proof and record of such training. Initial training should be followed by periodic refresher training. Detailed record of such training should be maintained. This will help in putting up proper defence in case of litigation.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with burns came with severe pain.
Dr Bad: It is bad sign.
Dr Good: It is a good sign.
Lesson: Pain indicates that the nerves are intact.

For comments and archives

Make Sure

Situation: A patient with rheumatic arthritis was not given penicillin prophylaxis, and subsequently developed another attack.
Reaction: Oh my God! Why was the prophylaxis not started?
Lesson: Make sure that one administers secondary prophylaxis in the setting of suspected post streptococcal reactive arthritis for up to one year after the onset of symptoms. Evidence of valvular disease after one year should prompt continued prophylaxis; otherwise, antibiotic prophylaxis may be discontinued.

For comments and archives

  Quote of the Day

(Dr GM Singh)

The weak can never forgive. Forgiveness is the attribute of the strong. Mahatma Gandhi

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Prothrombin time (PT)

PT is indicated in a person with hepatitis or suspected hepatitis. Proteins used in the formation of a blood clot (coagulation factors) are mostly produced by the liver.
Prolonged PT may indicate the severity of liver damage.

    Mind Teaser

Read this…………………

Which of these symptoms can be signs of both depression and the early stages of schizophrenia?

a) Seeing or hearing things that aren’t there
b) Talking or laughing to yourself
c) Spending more time alone and losing interest in things you used to enjoy
d) Believing other people are conspiring against you
e) All of the above
f) None of the above

Yesterday’s Mind Teaser: Which of the following historical figures was believed to have schizophrenia?

a) President Abraham Lincoln
b) Artist Vincent Van Gogh
c) Ballet dancer Vaslav Nijinsky
d) Author Virginia Woolf
e) All of the above
f) None of the above

Answer for Yesterday’s Mind Teaser: c) Ballet dancer Vaslav Nijinsky

Correct answers received from: Nishkarsh Saxena, Yogindra Vasavada, Dr Valluri Ramarao.

Answer for 2nd February Mind Teaser: NOON
Correct answers received from: Dr Krishna, Dr Nimisha, Dr Parteek, Dr Kanjuun, Dr Priyashu.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

The Bathtub Test

It doesn’t hurt to take a hard look at yourself from time to time, and this should help get you started.
During a visit to the mental asylum, a visitor asked the Director what the criterion was which defined whether or not a patient should be institutionalized. "Well," said the Director, "we fill up a bathtub, then we offer a teaspoon, a teacup and a bucket to the patient and ask him or her to empty the bathtub."

"Oh, I understand," said the visitor. "A normal person would use the bucket because it’s bigger than the spoon or the teacup."

"No." said the Director, "A normal person would pull the plug.

"Do you want a bed near the window" ?

    Medicolegal Update

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

Autopsies is important for further improvement in medical practice

  • A systematic review of studies calculated that in about 25% of autopsies a major diagnostic error would be revealed. However, this rate has decreased over time and the study projects that in a contemporary US institution, 8.4% to 24.4% of autopsies will detect major diagnostic errors.
  • An analysis has suggested that approximately one–third of death certificates are incorrect and that half of the autopsies performed produced findings that were not suspected before the person died. Also, it is thought that over one–fifth of unexpected findings can only be diagnosed histological, i.e. by biopsy or autopsy, and that approximately one-quarter of unexpected findings, or 5% of all findings, are major and can similarly only be diagnosed from tissue.
  • According to another study, autopsies revealed 171 missed diagnoses, including 21 cancers, 12 strokes, 11 myocardial infarctions, 10 pulmonary emboli, and 9 endocarditic, among others.
  • Focusing on intubated patients, one study found that abdominal pathologic conditions–abscesses, bowel perforations, or infarction – were as frequent as pulmonary emboli as a cause of class I errors. While patients with abdominal pathologic conditions generally complained of abdominal pain, results of examination of the abdomen were considered unremarkable in most patients, and the symptom was not pursued.

(Ref: Changes in rates of autopsy–detected diagnostic errors over time: a systematic review. JAMA 2003;289(21):2849–56)

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Is 24×7 actually 24×7 in hospitals

24 × 7 actually doesn’t work in the emergency services. Many studies now have established that heart patients suffering cardiac arrest at night or on the weekend are less likely to survive than those who have a heart attack during weekdays or weekday evenings. The above findings were true even for paralysis treated on the weekend and found it to be deadlier than those that are treated on a weekday.

The same is true for India said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India. During most holidays and at night, efficient staff and doctors may not be available. He said that weekends, holidays, especially Diwali, Holi, Xmas and New Year eve, all nights, early morning period, full moon period and winter are a bad time to get admitted in the hospitals.

As per a study in Journal of the American Medical Association hospitals simply don't work the same at night as they do during the day. The poor survival on nights and weekends is due to a delay getting critical procedures or a delay in diagnosing the cardiac arrest in the first place. At night even a difference in seconds, makes a significant impact.

Up to 98,000 preventable in–hospital deaths occur every year in the United States, and the rate of medical errors is higher at night.

The study analyzed survival rates for 86,748 adults who had suffered cardiac arrest events in one of 507 hospitals participating in the American Heart Association’s National Registry of Cardiopulmonary Resuscitation. Survival was divided into hourly time segments, with day/evening specified as 7 a.m. to 10:59 p.m., night as 11 p.m. to 6:59 a.m., and weekends as 11 p.m. Friday to 6:59 a.m. Monday. Overall survival was 14.7 percent for nights/weekends, and 19.8 percent for weekdays.

    Readers Response
  1. Dear sir, the CME was very informative. It should be organized twice a year. CME credits should also be for Nurses. Ritu Kaushik
    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

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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  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