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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 …

5th December 2011, Monday

Four drugs linked to most ER elderly admissions

Blood thinners and diabetes drugs cause most emergency hospital visits for drug reactions among people over 65 according to a study published in the New England Journal of Medicine.

Just four drugs used alone or together were responsible for two–thirds of emergency hospitalizations among older Americans.

46% of hospitalizations involved medicines used to prevent blood clots. Warfarin alone was responsible for one–third of hospitalizations. Another 25 percent involved insulin or oral anti diabetic drugs.

Unintentional overdose of medication was the most common reason, accounting for nearly two–thirds of hospitalizations.

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

Four drugs linked to most ER elderly admissions

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011

Eco Fest – An Inter School Eco Club’s Health Festival. Purpose of this competition is not only to have a competition but to learn preventive strategies so that the children in future can become healthy adults.

Dr K K Aggarwal
    National News

Father donates skin to help save infant daughter

AHMEDABAD: A baby girl miraculously survived 60% burns sustained when she was just 11 days old. While her father gave his skin to save his flesh and blood, doctors say this is the first documented case of an infant having battled such intense burns at such a young age in the country and probably the world. Senior paediatrician Dr Nanavaty and Dr Bhatia worked together on the case. "The child survived the critical period by balancing fluids, infection control, maintenance of vital parameters and good nursing care. It was a challenging case", said Dr Nanavaty. The final challenge came when a part her wound did not heal and human skin was required. "Since the mother was burnt herself, her father offered his skin. We put the father’s skin and the child has recovered well, In my career I have seen most parents giving up treatment mid–way when it is a girl child, but the father’s love and dedication for the girl child was impressive," said Dr Bhatia. He said that the case is being medically documented and would be put in the medical domain as this is the first little infant to survive such a big burns ordeal. (Source: TOI, Dec 3, 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

Noncardiac chest pain has CV risk for psych patients

Chest pain without a cardiac cause can portend a rapid demise for patients with severe mental illness, according to a population–based study from Scotland. (Source: Medpage Today)

For comments and archives

Cardiologists, Surgeons team for TAVI Registry

The American College of Cardiology and the Society of Thoracic Surgeons have joined forces to launch a registry to monitor the safety and efficacy of transcatheter aortic valve implantation (TAVI). "The TVT Registry will capture and house patient demographics, procedure details, and facility and physician information," said Michael J. Mack, MD, president of STS, in a statement. "This standardized, evidence–based data source will offer much insight into clinical practice patterns and patient outcomes. I believe this coordinated effort optimizes patient safety and ensures the appropriate use of TAVI therapy." (Source: Medpage Today)

For Comments and archives

15 eggs magic number for best results in IVF

The odds of achieving a live birth after in vitro fertilization (IVF) increased steadily with the number of eggs retrieved after ovarian stimulation, topping out at about 15, data from a large IVF registry showed. The estimated live birth rate reached 40% after retrieval of 15 eggs from women ages 18 to 34, as reported online in Human Reproduction. (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: The measure of your enlightenment is the degree to which you are comfortable with paradox, contradiction and ambiguity.

    Spiritual Update

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

Understanding the Cycle of Universe

The existence of universe has been described in the Vedic literature by three different philosophies, dualism, non–dualism and modified dualism. Dualism or dwait considers soul in the human body separate from spirit, non dualism or adwait considers soul in the human body a part and parcel of the spirit and modified dualism of Ramanuj considers human body.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Choice

A woman came out of her house and saw three old men with long white beards sitting in her front yard. She did not recognize them.

She said, "I don’t think I know you, but you must be hungry. Please come in and have something to eat." "Is the man of the house home?" they asked. "No," she said, "he’s out." "Then we cannot come in," they replied.

In the evening when her husband came home, she told him what had happened. "Go tell them I am home and invite them in!" The woman went out and invited the men in.

"We do not go into a house together," they replied. "Why is that?" she wanted to know. One of the old men explained, "His name is Wealth," said pointing to one of his friends, and said, pointing to another one, "He is Success, and I am Love." Then he added, "Now go in and discuss with your husband which one of us you want in your home."

The woman went in and told her husband what was said. Her husband was overjoyed. "How nice!" he said. "Since that is the case, let us invite Wealth. Let him come in and fill our home with wealth!" His wife disagreed.

"My dear, why don’t we invite Success?" Their daughter–in–law was listening from another corner of the house. She jumped in with her own suggestion: "Would it not be better to invite Love? Our home will then be filled with love!"

"Let us heed our daughter–in–law’s advice," said the husband to his wife. "Go out and invite Love to be our guest." The woman went out and asked the three old men, "Which one of you is Love? Please come in and be our guest."

Love got up and started walking toward the house. The other two also got up and followed him. Surprised, the woman asked Wealth and Success: "I only invited Love, why are you coming in?" The old men replied together:

"If you had invited Wealth or Success, the other two of us would have stayed out, but since you invited Love, wherever he goes, we go with him. Wherever there is Love, there is Wealth and Success!!!"

"Where there is pain, we wish you peace and mercy. Where there is self–doubting, we wish you a renewed confidence in your ability to work through it. Where there is tiredness, or exhaustion, we wish you understanding, patience, and renewed strength. Where there is fear, we wish you love, and courage."

For comments and archives

  Cardiology eMedinewS

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

Meet Your International Faculty: Jagat Narula, MD

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Women Going Red: Ischemic Heart Disease in Women?

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Circulating CRP and cardiac Troponin I levels at admission predict outcomes of IV thrombolysis and primary PCI outcomes in patients with STEMI

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Cilostazol has antidepressant activity

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  Fitness Update

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

Healthier people create a healthier economy

Can poor health and lack of exercise make the recession worse? Absolutely! That is, according to a new report from the Trust for America's Health, a non–profit, non–partisan organization that is dedicated to promoting community health and disease prevention. The report details specific case studies and interviews with business executives, elected officials and public health leaders in a variety of different U.S. states, including Minnesota, Texas, Tennessee, Indiana, California and Mississippi. In these states, over half the inhabitants live with one or more chronic disease, including heart disease, stroke, diabetes and cancer, which are oftentimes preventable. The report presents data that exemplify how chronic health conditions affect worker productivity and increase healthcare costs. For instance, obesity alone cost Texas businesses an extra $9.5 billion in 2009, including more than $4 billion for health care, $5 billion for lost productivity and absenteeism and $321 million for disability. However, they go even further to make the case that in order to attract new business, a city must be prosperous and healthy.

For comments and archives

    Healthy Driving

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

Restrictions in neck, shoulder and wrist movement, often caused by rheumatologic conditions, can restrict the field of view in traffic situations, as well as the ability to control the steering wheel.

    Medicine Update

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

10 Steps to Improving Self–Esteem

  1. Try to stop thinking negative thoughts about yourself. If you’re used to focusing on your shortcomings, start thinking about positive aspects of yourself that outweigh them. When you catch yourself being too critical, counter it by saying something positive about yourself. Each day, write down three things about yourself that make you happy.
  2. Aim for accomplishments rather than perfection. Some people become paralyzed by perfection. Instead of holding yourself back with thoughts like, "I won’t audition for the play until I lose 10 pounds," think about what you’re good at and what you enjoy, and go for it.
  3. View mistakes as learning opportunities. Accept that you will make mistakes because they are part of learning. Remind yourself that a person’s talents are constantly developing, and everyone excels at different things — it’s what makes people interesting.
  4. Try new things. Experiment with different activities that will help you get in touch with your talents. Then take pride in new skills you develop.
  5. Recognize what you can change and what you can’t. If you realize that youre unhappy with something about yourself that you can change, then start today. If its something you cant change (like your height), then start to work toward loving yourself the way you are.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with chronic kidney disease but no history of heart disease came for lipid–lowering treatment.
Dr Bad: There is no need.
Dr Good: Go ahead with it.
Lesson: Treatment with a combo pill – simvastatin/ezetimibe is associated with a 17% reduction in major atherosclerotic events and a 15% reduction in the risk of major vascular events, both compared with placebo, according to findings from the Study of Heart And Renal Protection (SHARP) trial.

For comments and archives

Make Sure

Situation: A patient with Chikungunya had persistent joint pains.
Reaction: Oh my God! Why was a trial of HCQS not given?
Lesson: Make sure that all patients of Chikungunya fever with persistent joint pains are given a trial of hydroxychloroquinine.

For comments and archives

  Quote of the Day

(Dr GM Singh)

The best doctors anywhere and no one denies it are sunshine, water, rest, air, exercise and diet. These 6 will gladly attend you, if only you are willing. Your mind they’ll ease; your will they’ll mend and charge you not a rupee.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Allergy testing

Allergies are hypersensitivities, overreactions of the immune system to substances that do not cause reactions in most people.

Allergen specific IgE testing: Immunoassay and line blot tests are blood tests used to screen for type I allergen–specific IgE antibodies.

    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser:  DOX

Answer for Yesterday’s  Mind Teaser: Pair o’ DOX (paradox)

Correct answers received from: Dr.NeelamNath, Dr. Yogindra Vasavada, Sudipto Samaddar, Raju Kuppusamy, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr.S.Ramnathan Iyer,

Answer for 3rd December Mind Teaser: c) Respiratory failure
Correct answers received from: Dr Krishna, Dr Eisha, Deepak, Kavish, Dev, Dr Rajat, Dr Heena

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Anuj Goyal)


A doctor was addressing a large audience in Oxford…

"The material we put into our stomachs should have killed most of us sitting here, years ago. Red meat is full of steroids and dye. Soft drinks corrode your stomach lining. Chinese food is loaded with MSG. High transfat diets can be disastrous and none of us realizes the long-term harm caused by the germs in our drinking water. But, there is one thing that is the most dangerous of all and most of us have, or will eat it. Can anyone here tell me what food it is that causes the most grief and suffering for years after eating it?"

After several seconds of quiet, a 70–year–old man in the front row raised his hand, and softly said,

"Wedding Cake."

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    Medicolegal Update

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

Medical Negligence

Government of India/Medical Council of India should give Statutory Rules or Executive Instructions on medical negligence – Supreme Court of India

  • The Honorable Apex Court said that so long as it is not done we propose to lay down certain guidelines for the future which should govern the prosecution of doctors for offences of which criminal rashness or criminal negligence is an ingredient.
  • A private complaint may not be entertained unless the complainant has produced prima facie evidence before the Court in the form of a credible opinion given by another competent doctor to support the charge of rashness or negligence on the part of the accused doctor.
  • The investigating officer should, before proceeding against the doctor accused of rash or negligent act or omission, obtain an independent and competent medical opinion preferably from a doctor in government service qualified in that branch of medical practice That doctor can normally be expected to give an impartial and unbiased opinion applying Bolam’s test to the facts collected in the investigation.
  • A doctor accused of rashness or negligence, may not be arrested in a routine manner simply because a charge has been leveled against him
  • The doctor should never be arrested in case of medical negligence since the basic rule of mens rea means any criminality to harm the patient always remain absent
  • The exceptional ground and necessity of arrest of doctor is required to be deliberated must be transparent/well justified before the police if unavoidable for furthering the investigation or for collecting the evidence or unless the investigation officer feels satisfied that the doctor proceeded against would not make him available to face the prosecution unless arrested, the arrest may be withheld.

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    Public Forum

(Press Release for use by the newspapers)

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

Heart Attack Symptoms in Women and elderly are Different

Winter is the month for heart attacks and the symptoms in women and the elderly may be different, warns Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India

  • Chest pain is still the most common sign of a heart attack for most women but women are more likely than men to have symptoms other than chest pain or discomfort when experiencing a heart pain. In a study published in Archives of Internal Medicine researchers examined 35 years of research that yielded 69 studies and found that, between 30 and 37 percent of women did not have chest discomfort during a heart attack. In contrast, 17 to 27 percent of men did not experience chest discomfort.
  • Older people are also more likely to have heart attack without chest discomfort. Absence of chest discomfort is a strong predictor for missed diagnosis and treatment delays.
  • Women are also more likely than men to experience other forms of cardiac chest pain syndromes, such as unstable angina, and they appear to report a wider range of symptoms associated with acute coronary syndrome (ACS). They are more likely to report pain in the middle or upper back, neck, or jaw; shortness of breath; nausea or vomiting; indigestion; loss of appetite; weakness or fatigue; cough; dizziness; and palpitations.
  • Women are, on an average, nearly a decade older than men at the time of their initial heart attack. Coronary heart disease is the leading cause of death among U.S. women, and affects one in 10 women over the age of 18.

For comments and archives

    Readers Response
  1. Dear Sir, The spiritual updates are really eye openers. Pls guide us with more spiritual messages. Regards. Sunil
    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)

Activities eBooks


  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