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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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Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

  Editorial …

4th December 2011, Sunday

ICD no use in advanced CKD

Implantable cardioverter–defibrillators do not help in reducing mortality for patients with more advanced chronic kidney disease, according to a single–center study published in Europace.

ICD in advanced CKD boosted mortality risk 48% for each 10 mL/min/1.73 m2 reduction in estimated GFR. The study concluded that in this group, appropriate ICD therapy had no significant effect on mortality.

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

ICD no use in advanced CKD

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011
Anmol – A Health Festival for Children
with Special Needs

This unique event is organized every year as a part of MTNL Perfect Health Mela to spread the message in the community that disabled children are differently able.

Dr K K Aggarwal
    National News

AIDS Day 2011: Time to fight little–known type of HIV, say experts

MUMBAI: With the taming of the predominant HIV–1 type, responsible for a majority of the 2.7 million infection cases in the country, experts say it is time to evaluate the incidence and seriousness of the HIV–2 infection. So far, there is little clinical experience or treatment knowledge about the other type of HIV. In the absence of clear protocols from the National Aids Control Organization (NACO), most clinicians are groping in the dark about the treatment regime to be followed. There is an equal amount of confusion in diagnosis for want of appropriate testing kits. While both HIV–1 and 2 have similar modes of transmission and could cause similar opportunistic infections, the latter takes longer to manifest. Studies abroad have shown how people have lived near normal lives for decades without showing any symptoms of illness. However, mothers infected with pure HIV–2 can pass on the infection to their newborns. "Presently, we have nothing very effective to deal with that," said a Naco official who did not wish to be named. (Source: TOI, Dec 2, 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

RSNA: Risks of atherosclerosis vary by gender

Women who have extensive atherosclerosis may have a greater risk of cardiovascular events than men with similar hardening of the arteries, but type of plaque can alter the equation, researchers said (Radiological Society of North America meeting). (Source: Medpage Today)

For comments and archives

CIBD: Combo ups survival, cuts bone events in myeloma

Myeloma patients had significant improvement in survival when they received thalidomide chemotherapy plus the bisphosphonate zoledronic acid (Zometa) as induction treatment, data from a randomized trial showed (International Conference on Cancer–Induced Bone Disease). (Source: Medpage Today)

For comments and archives

Coronary calcium IDs risk in prehypertension

Assessing the burden of coronary calcium may help stratify the risk of cardiovascular events in patients with prehypertensive blood pressure readings, researchers found. (Source: Medpage Today)

For comments and archives

Diet high in antioxidants may cut stroke risk

The more antioxidants in a woman’s diet the less chance there is she’ll have a stroke, possibly due to the reduced oxidative stress and inflammation, according to the results of a long–term study in Sweden. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on Winter Asthma in English http://www.youtube.com/watch?v=mGuyALZl5_0&feature=share via @youtube

@DeepakChopra: Understand Karma: No debt in the universe goes unpaid.

    Spiritual Update

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

Why only a few seek spiritual knowledge

Suno (hearing), samjho (listening), jaano (knowing) and karo (wisdom) is the basic mantra for any learning.

Most seekers hear a lecture and forget. Some listen but again forget. Some will understand but do not implement the knowledge.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Corner Store

As he staggered down the street, he was so alone; He was desolate, with no one to call his own. The corner store about to close, he had to get there fast; Reason left him long ago, his good life in the past.

Bill stumbled on the step, as he walked inside the door; the liquor counter filled the back, of the corner store. Bill was there to buy his nightly bottle of cheap wine, soon he’d be oblivious, and life would then be fine.

Remembering days gone by were more then he could bear, Bill had been successful, with a family in his care. His son was only sixteen; the day he passed away, Bill started drinking alcohol, to ease his pain that day.

The alcohol possessed him, he couldn’t put it down, and Bill soon became well known, as the drunk of that small town. He couldn’t hold his job and he also lost his wife, He lost all the good things; as alcohol became his life.

Bill left the corner store, brown paper bag in hand, what happened to him next, no one will understand. He went into an alley; he had no place else to go, He silently began to cry, for he had sunk so low.

Next morning in the alley, there gathered a small crowd; everyone was whispering… no one spoke out loud. Empty bottle on the ground, beside a lifeless heap, the grim reaper paid a visit, as Bill lay there fast asleep.

The lesson from this tragedy will shortly be forgot, big bottles of cheap wine will continue to be bought. Bill's battle has been lost, for him there is no more, still…there will be others, heading for the corner store.

For comments and archives

    Cardiology eMedinewS

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

Know Your International Faculty Keith D Dawkins

For comments and archives

Dyslipidemia Management Issues

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50% Obesity in Jaipur

For comments and archives

What is STEMI

For comments and archives

    Fitness Update

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

Exercise improves sleep quality

Results from a new study conducted at Oregon State University show that exercise significantly helps people sleep longer and more soundly. The study included a representative sample of over 2,600 men and women (ages 18–85) who participated in the National Health and Nutrition Examination Survey (NHANES) in 2005 and 2006. Participants underwent an examination where their BMI was measured and they answered questions about their general health, sleep and exercise habits. They also wore an accelerometer for seven days to measure activity. The study authors found that 150 minutes of moderate to vigorous activity a week, which is the amount recommended by national guidelines, resulted in a 65% improvement in sleep quality. Results showed that people achieving recommended amounts of physical activity were able to fall asleep more quickly, sleep through the night, and felt less sleepy during the day, as compared to those who did not exercise enough or at all.

For comments and archives

    Healthy Driving

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

Decreased muscle strength can significantly impact driving ability. Grip strength appears to decline after age 75, although exercise can help to avoid significant loss.

    Medicine Update

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

What do I do if my child has a febrile seizure?

In some children, fevers can trigger seizures. A febrile seizure usually happens during the first few hours of a fever. The child may look strange for a few moments, then stiffen, twitch, and roll his eyes. He will be unresponsive for a short time, his breathing will be disturbed, and his skin may appear a little darker than usual. After the seizure, the child quickly returns to normal. Seizures usually last less than 1 minute but, although uncommon, can last for up to 15 minutes.

If the child has a febrile seizure, act immediately to prevent injury.

  • Place her on the floor or bed away from any hard or sharp objects.
  • Turn her head to the side so that any saliva or vomit can drain from her mouth. Do not put anything into her mouth; she will not swallow her tongue.

Pediatrician will want to examine the child in order to determine the cause of your child’s fever. It is more important to determine and treat the cause of the fever rather than the seizure. A spinal tap may be done to be sure that the child does not have serious infection like meningitis, especially if the child is younger than 1 year of age.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient of dialysis was on pomegranate juice.
Dr Bad: Stop it.
Dr Good: Continue, it may help.
Lesson: Data from a placebo–controlled clinical trial showed that dialysis patients had significantly fewer infection–related hospitalizations during a year of regular consumption of pomegranate juice. The rate of first hospitalization declined by 40% and second hospitalization by 80% in patients who consumed 100 cc of pomegranate juice three times a week (Ref: Kristal B, et al. One year of pomegranate juice consumption decreases oxidative stress, inflammation, and infections in hemodialysis patients. American Society of Nephrology Meeting 2010; Abstract TH–FC059)

For comments and archives

Make Sure

Situation: A patient with first–onset LBBB on ECG died six hours later.
Reaction: Oh my God! Why was acute MI not suspected?
Lesson: Make sure to rule out acute MI in all patients with LBBB of first onset.

For comments and archives

    Quote of the Day

(Dr GM Singh)

A true friend is the most precious of all possessions and the one we take the least thought about acquiring. La Rochefoucauld

    Rabies Update

(Dr AK Gupta, Author of Rabies the Worst Death)

Does treatment of provoked bites differ from unprovoked bites?

Provocation is subjective and relative and specific to each dog/cat. However, obvious gross provocation viz., stamping, hitting, chasing, etc. possibly suggest that the animal may not be rabid. However, the wound treatment of animal bites is the same.

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum Angiotensin–converting Enzyme (ACE)

  • To help diagnose and monitor sarcoidosis
  • To help differentiate this systemic condition from other disorders causing similar symptoms
    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: T T T T RRRRRRRRR

Answer for Yesterday’s Mind Teaser: 49ers

Correct answers received from: Dr KV Sarma, yogindra vasavada, Sudipto Samaddar, Dr Hitendrasinh Thakor, Muthumperumal Thirumalpillai, Raju Kuppusamy, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Neelam Nath, Anil Bairaria.

Answer for 2nd December Mind Teaser: Son of a gun!
Correct answers received from: Dr Sukla Das, Dr PC Das, Raju Kuppusamy, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Neelam Nath, Anil Bairaria.

Send your answer to ijcp12@gmail.com

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   Laugh a While

(Dr GM Singh)


Ek baar do premi suicide karne ki sochte hain. Woh dono suicide point pe chadh jate hain aur promise karte hain ki 3 ki ginti tak dono saath mein kood jayenge.

ladka bolta hai.

  1. .................
  2. .........................
  3. ....................................

Aur kood jata hai.
Par ladki nahi koodti.
Tabhi ladka parachute kholta hai aur kehta hai, "Mujhe pata thha tum nahi kudogi".

    Medicolegal Update

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

The investigating police officer and the private complaint cannot always be supposed to have knowledge of medical science so as to determine whether the act of the alleged medical professional/doctor or hospital amounts to rash or negligent act within the domain of criminal law under Section 304–A of IPC. said the Supreme Court of India.

  • The Supreme Court says, as we have noticed hereinabove that the cases of doctors being subjected to criminal prosecution are on an increase. Sometimes such prosecutions are filed by private complainants and sometimes by the police based on an FIR being lodged and cognizance taken.
  • The criminal process, once initiated, subjects the medical professional to serious embarrassment and sometimes harassment. He has to seek bail to escape arrest, which may or may not be granted to him.
  • At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.
  • We may not be understood as holding that doctors can never be prosecuted for an offence of which rashness or negligence is an essential ingredient.
  • All that we are doing is to emphasize the need for care and caution in the interest of society; for, the service which the medical profession renders to human beings is probably the noblest of all, and hence there is a need for protecting doctors from frivolous or unjust prosecutions.
  • Many a complaint prefers recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.

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 Exercise Tips for Asthmatics

Exercise is a common trigger for asthma and may cause symptoms in 80–90% of asthmatics. The cold dry winter air can also make breathing difficult for asthmatics, which may result in shortness of breath, wheezing, cough or chest tightness. The symptoms can occur during, just after or several hours after exercise, said Padma Shri and Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Heart Care Foundation of India released few exercise tips for asthmatics during the winter season.

  • Get your asthma fully controlled during winter
  • Cooling and drying of the bronchial airways can trigger an asthma attack.
  • Avoid strenuous exercise in cold dry air.
  • Avoid winter sports, such as skiing, snowboarding, or ice skating.
  • Use the bronchodilator inhalers, 20 minutes prior to exercise.
  • Keep the inhalers warm in order to avoid a cold aerosol spray.
  • "Warm–up" and "cool–down" after strenuous exercise.
  • When exercising in cold air, wear a scarf or facemask over the nose and mouth to warm the air one is breathing.
  • Drink plenty of liquids before and after exercise to prevent drying of the airways.
  • Exercise indoors when outdoor temperatures drop.
  • Exercise during those times of the day when your breathing is at its best. If you tend to wake up not being able to breathe, then a pre-work run may not be the best idea for you.
  • Always keep water nearby to stay hydrated. It’s also good to sip in case you start to wheeze or feel a tickle in your throat.
  • Many people who suffer from asthma experience runny noses when exercising, so be sure to keep tissues on hand.

For comments and archives

    Readers Responses
  1. Dear Sir, eMedinews is really very informative. We read it daily. Reagrds: Sudhir
    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

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