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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 Doctor’s Day Celebration

    Health Videos …

Nobility of medical profession: Aamir Khan Controversy (Video 1 to Video 9)
Health and Religion: Bharatiya Vidya Bhavan and Heart Care Foundation of India(Video 1 to Video 7)
Take Care Holistically, DD India health series, Anchor Dr KK Aggarwal (Video 1–3)
Chat with Dr KK On life Style Disorders

Health Update (Video 1 to 15)

  Editorial …

4th August 2012, Saturday

Coffee Consumption Reduces Mortality

The largest prospective cohort study evaluated the impact of coffee consumption on all-cause mortality and involved 229,000 men and 173,000 women, who were followed for up to 13 years.

After adjustment for smoking status and other potential confounders, associations between coffee consumption (either caffeinated or decaffeinated) and reduced all-cause mortality were evident at relatively low levels of consumption (2 to 3 cups/day).

Compared to non–coffee drinkers, the risk of all-cause mortality among men and women who consumed 2 to 3 cups of coffee daily was 0.90 and 0.87.

The apparent benefit of coffee was similar for individuals with high levels of coffee consumption, including those who drank six or more cups of coffee per day. [UpToDate]

(Ref: Freedman ND, Park Y, Abnet CC, et al. Association of coffee drinking with total and cause-specific mortality. N Engl J Med 2012; 366:1891).

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

Coffee Consumption Reduces Mortality

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

4th Dil Ka Darbar on 23rd September, 2012

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, announces the date for 4th Dil Ka Darbar will be held on Sunday, 23rd September, 2012 at Talkatora Stadium.

Dr K K Aggarwal
    National News

4th August National Bone and Joint Day

Indian Orthopedics/Bone and Joint Disease Association have declared 4th August as national Bone and Joint Day.

5% Indians suffering from sleep disorders: Study

NEW DELHI: Indians aren't getting good enough sleep, even in rural areas. The first ever pan-African and Asian analysis of sleep problems say nearly 5% Indians — aged 50 years and above — are suffering from sleep disorders. Indian women (6.5%) outnumber men (4.3%), when it comes to disturbed sleep. And, majority of them suffer from psychiatric conditions like depression and anxiety. Around 4% Indian men who reported severe/extreme nocturnal sleep problems suffered from severe depression, while 3% reported severe anxiety. Similar was the count with women (3.79% reporting severe depression and 2.8% suffering from severe anxiety). Researchers from the Warwick Medical School looked at the sleep quality of 24,434 women and 19,501 men — aged 50 years and above — in eight rural global locations like Ghana, Tanzania, South Africa, India, Bangladesh, Vietnam and Indonesia and Kenya. Researchers found 16.6% of the population suffered from insomnia and other severe sleep disturbances in the countries surveyed, and about 20% found in the general adult population in the West. The findings suggest that sleeplessness epidemic affects an estimated 150 million in developing world. By 2030, the number of older adults in these settings is projected to rise to 1.578 million, corresponding to more than 260 million people possibly experiencing sleep problems. "Therefore, these estimates suggest that sleep disturbances may represent a significant and unrecognized problem among older people in low-income settings. These findings further emphasize the global dimension of sleep problems as an emerging public health issue," said the study. (Source: TOI, 3 Aug 2012)

For comments and archives

My profession my concern

Heart Transplantation Day

August 3rd marks an important milestone in Indian medical history. A team of doctors led by senior cardiac surgeon P. Venugopal of the All India Institute of Medical Sciences (AIIMS), Delhi, performed India's first successful heart transplant on a 42 years old patient on 3rd August 1994. Every year since then the day is celebrated as "Heart Transplantation Day" in India. Till now, over 100 heart transplants have been done in India.

Dr. AGK Gokhale did the first successful heart transplantation in the state of Andhra Pradesh on 6th February 2004 at Global Hospitals, Hyderabad.

Heart transplantation or Cardiac transplantation is recommended by doctors in cases of heart failure, when heart disease is advanced and medications no longer improve the patient’s condition and the patient requires frequent hospitalisation. Heart transplant removes a damaged or diseased heart and replaces it with a healthy one. The healthy heart comes from a donor who has died.

It is recommended by doctors in patients who suffer from coronary artery disease (decreased blood supply to heart) or due to advanced valve problems or related to birth defect which were not treated in time or due to cardiomyopathy (a condition where heart muscle fails to work and the causes are not known).Then for some patients the only alternative is a “heart transplant”. The patient's own heart is either removed (orthotopic procedure) or less commonly, left in place to support the donor heart (heterotopic procedure). Post-operation survival periods average 15 years informs Dr. Gokhale. Survival of cardiac transplant recipients has improved due to improvements in treatments suppressing the immune systems and infection prevention.

The world's first human heart transplant was performed by Dr. Christian Barnard on a man called Louis Washkansky in 1967. Today, more than 3500 cardiac transplants are performed annually world over. It is the last resort for people with heart failure when all other treatments have failed. Heart transplants are now the third most common organ transplant operation in the U.S.

In USA, about 800,000 people have severe heart failure, many of them ending in waiting lists for heart transplantation. This disparity spurred research into the transplantation of non-human hearts into humans after 1993. Xenografts (heart taken from species other than human beings) from other species and man-made artificial hearts are two less successful alternatives to allografts (heart from same species-human beings).

The patient who underwent the first heart transplant in human beings in South Africa by Dr. Christian Barnard survived the operation and lived 18 days. The world's longest living heart transplant recipient is Tony Huesman who survived 31 years; he received a heart in 1978 at the age of 20 after viral pneumonia severely weakened his heart. Huesman died on August 10, 2009 of cancer. He was operated at Stanford University under heart transplant pioneer Dr. Norman Shumway. Most of the research that led to successful heart transplantation took place in the United States at Stanford University under the leadership of Dr. Norman Shumway.

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

(Contributed by Dr Monica and Brahm Vasudev)

Lithotripsy more effective with slower shockwave rate

In line with other studies, a Hong Kong group reports that shockwave lithotripsy clears kidney stones more effectively with a slower shock rate, without increasing pain. The slower wave delivery "also appeared to cause a statistically significant increase in acute renal injury markers, although the clinical implication was uncertain," Dr. Chi-Fai Ng, at the Chinese University of Hong Kong, and colleagues reported online July 20th in the Journal of Urology. (Source: Medscape)

For comments and archives

Mental distress can be killer

Even at low levels, psychological distress was significantly associated with an increased risk of mortality from several causes, researchers found. (Source: Medpage Today)

For comments and archives

Safety plan cuts infections in colon surgery

Surgical site infections (SSIs) after colorectal surgery decreased by a third after implementation of a surgery- and unit-based safety program, investigators reported. The incidence of SSIs declined from 27.3% in the 12 months prior to initiation of the safety program to 18.2% in the 12 months afterward, as reported online in the Journal of the American College of Surgeons. (Source: Medpage Today)

For comments and archives

Synchronizing ovarian stimulation with follicle wave emergence doesn't boost pregnancy rates

Timing ovarian stimulation to match follicle wave emergence does not improve pregnancy outcomes in women who've already had suboptimal responses to advanced reproductive techniques, researchers say. (Source: Medscape)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: The Significance of Ramadanhttp://blog.kkaggarwal.com/2012/08/the-significance-of-ramadan/`

@DeepakChopra: If you have your full attention in the moment, you will see only love.

    Spiritual Update

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

What is Ramadan?

  • Ninth month of the Hijri calendar (Lunar calendar)
  • Ramadan is an Arabic word; its root “Ar-Ramad” means “dryness/heat.”

For comments and archives

    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is a hysterosalpingogram?

A hysterosalpingogram or HSG is an x-ray procedure performed to determine whether the fallopian tubes are open and to see if the shape of the uterine cavity is normal. It is usually done after menses have ended, but before ovulation to prevent interference with an early pregnancy.

For comments and archives

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

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Serum problem - additional antibody









4 +



A +

1 +





  • Antibody to minor blood group
  • Abnormal proteins or drugs causing rouleaux
  • Anti-A1 or Anti-H
  • Passively acquired isoagglutinins


  • Patient history
  • Use Auto-control
  • Antibody screen by IAT
  • Use of Lectins
  • Saline replacement

For comments and archives

    An Inspirational Story

(Dr Brahm Vasudev)

The art of listening

This communication is based on a very interesting blog in the online version of the Harvard Business Review, written by business author and leadership advisor Ram Charan. Titled ‘he Discipline of Listening’ the article offered noteworthy counsel about how to become a better listener – and, in the process, a better leader and team member.

The subject of the blog is timely because among the most common themes coming out of our recent faculty and staff engagement surveys was to “emulate best practices in communications.” There is no doubt that listening skills are an essential component of effective communication. We may hear well, but we often don’t listen fully.

Therefore, I would like to share some of Ram Charan’s words of wisdom for becoming a disciplined and truly empathetic listener – advice that I, too, am taking to heart.

  • Sift for the nuggets in a conversation. Then let the other person know that he/she was understood by probing, clarifying or further shaping those thoughts.
  • Consider the source. When working with peers, in and across teams, work to understand each person’s frame of reference. Active listening energizes groups, encourages them to reach consensus, and helps them arrive at new and better solutions.
  • Slow down. It may be faster to make a decision based on information already at hand, but by doing so we often miss important considerations and opportunities to connect.
  • Keep yourself honest. Make a habit of asking yourself after interactions whether you understood the essence of what was said to you, the person's point of view, his/her context and emotion. Also ask yourself whether that person knows that he/she was heard and understood.

Listening is a central competence for success. Listening opens the door to truly connecting and is the gateway to building relationships and capability.

(Source: Joseph E. Kerschner, MD, Dean of the Medical School and Executive Vice President)

For comments and archives

  Cardiology eMedinewS

Squeezing a guide to resynch targets out of CT and ECG data Read More

Curcumin capsules found to curb diabetes risk Read More

  Pediatric eMedinewS

Children's toe walking not a sign of bigger problems Read More

Delayed umbilical cord clamping advantageous in preemies, study confirms Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient wanted to know if a gel was available for use along with a condom for a high–risk sex.
Dr Bad: There is no such gel.
Dr Good: There is one such gel.
Lesson: In July 2010, the Centre for the AIDS Programme of Research in South Africa (CAPRISA) reported that a vaginal gel containing the antiretroviral drug tenofovir reduced the risk of male–to–female sexual transmission of HIV by approximately 40%. NIH funding provided the training and research infrastructure for this study.

For comments and archives

Make Sure

Situation: A 7–month–old infant presented with grunting respiration, fever, anorexia and irritability. On chest x–ray, pneumatoceles were present. Reaction: Oh my God! Why did you not start erythromycin immediately? Lesson: Make sure to remember that erythromycin is an effective drug for Staphylococcal acquired pneumonia.

For comments and archives

  Quote of the Day

(Dr GM Singh)

A baby mosquito came back after flying for the first time.

His mom asked him "How do you feel?"

He replied "It was wonderful, everyone was clapping for me!"

Now that's what a Positive Attitude is.

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    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Serum osteocalcin

Alternative name: Bone g1a protein measurement

Osteocalcin is a major protein found in bone. Small amounts of this protein are found in the bloodstream. This analysis is normally used

  • To help evaluate bone formation disorders
  • When a secondary malignant neoplasm of the bone is suspected
  • To monitor postmenopausal women who are at risk for osteoporosis

High Osteocalcin levels in blood are found in:

  • Adolescent growth spurts (40–80 mcg/L in boys)
  • Chronic renal failure
  • Hyperthyroidism

Low Osteocalcin levels in blood are found in:

  • Pregnancy
  • Cirrhosis
    Mind Teaser

Read this…………………

On discharge, the nurse teaches the patient to observe for signs of surgically induced hypothyroidism. The nurse would know that the patient understands the teaching when she states she should notify the MD if she develops:

A. Intolerance to heat
B. Dry skin and fatigue
C. Progressive weight gain
D. Insomnia and excitability

Yesterday’s Mind Teaser: Which of the following would be inappropriate to include in a diabetic teaching plan?

A. Change position hourly to increase circulation
B. Inspect feet and legs daily for any changes
C. Keep legs elevated on 2 pillows while sleeping
D. Keep the insulin not in use in the refrigerator

Answer for Yesterday’s Mind Teaser: C. Keep legs elevated on 2 pillows while sleeping

Correct answers received from: Dr Gopal M Shinde, Dr PC Das, Dr (Maj. Gen.) Anil Bairaria, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr K Raju, Dr Thakor Hitendrsinh G, Dr shashi saini, Dr Mohit Sharma, Dr Sushma Chawla, Dr PC Das, Dr KV Sarma, Dr Kanta Jain.

Answer for 2nd August Mind Teaser: C. Progressive weight gain
Correct answers received from: Dr Shashi Saini, Dr Mohit Sharma, Dr Sushma Chawla, Dr PC Das,
Dr KV Sarma, Dr Kanta Jain.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Prabha Sanghi)

Priceless definitions


An insect that makes you like flies better.

    Medicolegal Update

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

What should be experience of doctors for MTP?

For the purpose of Clause (d) of Section 2, a registered medical practitioner shall have one or more of the following experience or training in gynaecology and obstetrics, namely:

  • In the case of a medical practitioner who was registered in a state Medical Register immediately before the commencement of the act, experience in the practice of gynecology and obstetrics for a period of not less than three years;
  • In the case of a medical practitioner who was registered in a state Medical Register on or after the date of the commencement:
    • if he has completed six months of house surgency in gynaecology and obstetrics;
    • where he has not done any house surgency, if he had experience at a hospital for a period of not less than one year in the practice of in the case of a medical practitioner who was registered in a state Medical Register; or
  • If he has assisted a registered medical practitioner in the performance of twenty five cases of medical termination of pregnancy in a hospital established or maintained, or a training institute provided for this purpose, by the government.
  • In the case of a medical practitioner who was registered in a state Medical Register and who holds a post–graduate degree or diploma in gynaecology and obstetrics, the experience or training gained during the course of such degree or diploma.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

4th Dil Ka Darbar on 23rd September, 2012

A non-stop Dil Ka Darbar will be held on Sunday, 23rd September, 2012 at Talkatora Stadium. The event will have non-stop question answer session between top cardiologists of the city and heart patients.

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that in many heart patients, a second opinion is required. Elaborating on this, Dr Aggarwal said that in one-third of situations, it is very clear that a patient needs either a bypass or angioplasty and in another one-third too it is equally clear that a patient needs only medical treatment. It is the remainder one-third of cases, wherein there is a debate. In such situations, it is always better that a person takes a ‘joint opinion’ instead of multiple opinions.

The Darbar will provide opportunities to patients for such opinions. Surgeons, interventional cardiologists, clinical cardiologists and preventive cardiologists, diagnostic cardiologists will sit together under one forum and answer the queries of the people who need a second opinion during the Darbar.

A second opinion is also required as to when to intervene in patients with congenital and valvular heart disease. Situations may also emerge where one needs to decide whether to go for angioplasty or bypass surgery. Replacement of aortic valve often requires a team opinion than a single opinion. Whether a patient needs a bare metal stent or a drug eluting stent also can sometimes be a matter of debate. The answer is - when in doubt go for a joint opinion and not for multiple opinions.

The conference was co-addressed by Dr G K Mani, Senior Cardiothoracic Surgeon and Dr N N Khanna, Interventional Cardiologist from Indraprastha Apollo Hospitals. Under this facility, Apollo counter will conduct free heart checkup camp (ECG, BP) to the patients and whosoever would need specialist consultation, would be connected to their cardiologist available for counselling at their hospitals in the country. This will be first time that such a facility has been created at the Dil Ka Darbar.

The event will also have facilities of telecardiology provided by Apollo Group of Hospitals. The darbar will also have practical telecardiology setups in which one will be able to translate the ECG and other parameters of a person right to the mobile phones of the doctors sitting anywhere in the Darbar or the city.

    Readers Response
  1. eMedinewS is the only excellent news bulletin we are receiving so far, kindly continue to send the same as before. All of you deserve high appreciation and thanks for the wonderful service rendered by the team. Regards: Dr N. Sarmah.
    Forthcoming Events
Dr K K Aggarwal

Dr K K Aggarwal

Dr K K Aggarwal


All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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

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)

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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