Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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


Live Web Cast of 3rd eMedinewS – Revisiting 2011, on January 22, 2012

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eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

  Editorial …

6th January 2012, Friday

January is Glaucoma Awareness Month

Glaucoma is a group of diseases that is one of the leading causes of blindness and visual impairment. What these diseases have in common is that they damage the eye’s optic nerve.

Damage to the optic nerve can initially cause blind spots at the outer edges of the field of vision, called the peripheral or side vision. Sometimes patients will complain of some eye discomfort. But the scary thing about glaucoma is that often the disease is asymptomatic. Damage to the optic nerve leads to vision loss, so early detection through screening is needed.

Patients and people should visit an eye care doctor every one to two years for a dilated eye exam. It’s important just not to focus on the eye pressure. You can have glaucoma with normal eye pressures. So the eye care doctor has to do a dilated eye exam and carefully look at the optic nerve for signs of glaucoma as well as asses the side vision or visual field in that patient.

Certain ethnic groups are at higher risk for glaucoma. African–Americans are particularly at higher risk for developing blindness from glaucoma, also patients who are 40–years or older and everyone over age 60. People with a family history of glaucoma also are at higher risk. Also, if you are either profoundly far–sighted or near–sighted you also may be at risk for developing glaucoma.

Early detection of glaucoma is especially important in helping older adults retain their vision and independence.

Glaucoma can be a challenging disease to manage. And the reason is it is often quite insidious—it causes very slow vision loss that is very difficult to perceive especially in its early stages. And the therapies that we often use sometimes have some side effects so its important for the patient to establish a very close relationship with their eye care provider so that they understand what the potential for their vision loss could be and they understand all the therapies that would help them keep their vision.

(Source NIH)

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

January is Glaucoma Awareness Month

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

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

Nurse is a person who is Noble, Understanding, Response, Simple and Efficient. In the Mela Nurses from various Colleges took active part in the Competitions.

Dr K K Aggarwal
    National News

India in fray to create elusive HIV vaccine

NEW DELHI: Could an antibody from the blood of an Indian HIV patient help create the elusive HIV vaccine? (Antibody is an infection–fighting protein produced by our immune system when it detects harmful substances). The hunt has begun to identify 100 volunteers belonging to a rare group of HIV infected patients who stay healthy for years without requiring life–saving antiretroviral treatment (ART). These antibodies in their blood are the ones that bars HIV from entering their blood cells and replicating, thereby progressing to AIDS. Scientists say these antibodies would ultimately reveal the Achilles heel of the virus and help create the elusive vaccine. This is part of International Aids Vaccine Initiative’s (IAVI) programme called Protocol G, a global hunt for such antibodies launched in 2006. Just a few weeks ago, department of biotechnology (DBT) cleared the proposal to roll out Protocol G in the country. It is being implemented by IAVI and YRG Care from Chennai – the same organization that isolated the first HIV case in India in 1986. The blood samples collected from the 100 volunteers will be tested at Translational Health Sciences and Technology Institute (THSTI), which is being built in Gurgaon. (Source: Jan 5, 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

American College of Physicians issues new ethics manual

The sixth edition of the American College of Physicians’ (ACP’s) Ethics Manual addresses ethical decisions in clinical practice, teaching, and medical research, as well as the underlying principles and the physician’s role in society and with colleagues. The updated manual, approved by ACP’s Board of Regents in July 2011, is published in the January 3, 2012, issue of the Annals of Internal Medicine. Similar to previous editions, the current update of the ACP’s manual covers surrogate decision–making and end–of–life care, use of complementary and alternative medicine, physician–assisted suicide, relationship between physicians and industry, genetic testing, and research ethics. While exploring these topics in greater depth, the new edition also highlights the patient–physician relationship during health catastrophes, culturally sensitive care, research use of human biologic materials, social media and online professionalism, and industry–sponsored research. Another topic covered for the first time in the updated manual is the challenges associated with offering care to "very important persons" experiencing unusual fame or prestige. (Source: Medscape Medical News)

For comments and archives

CSF biomarkers point to diagnosis of dementia

Amyloid beta 42, total tau (t–tau), and phosphorylated tau (p–tau) in the cerebrospinal fluid can be use useful for making a differential diagnosis in dementia, according to the a study from the Netherlands. (Source: Medpage Today)

For comments and archives

Physical activity may improve kids’ academic performance

Concerned that physical activity times in schools might be cut back to make room for more academic study to improve test scores, researchers in the Netherlands conducted a systematic review of published studies and found that moderate to vigorous physical activity may actually improve academic performance in children and adolescents. (Source: Medscape Medical News)

For comments and archives

   Twitter of the Day

@DrKKAggarwal: Padma Shri Awardee Dr KK Aggarwal on Going for a marriage reception gi… http://www.youtube.com/watch?v=fL8xu_zu4Gs&feature=share via @youtube

@DeepakChopra: The soul which is the core of your true self is the place where you will locate insight, creativity, imagination and profound intelligence.

    Spiritual Update

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

The Science behind Sankalpa

Sankalp is repeated encounters with any stimuli with any of the five senses which can end with long lasting memory. Once re–conditioned, the same can become embedded in to one’s consciousness and get incorporated in one’s daily life at a subconscious level.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is the difference between a surrogate and a gestational carrier?

A surrogate is a woman who agrees to become pregnant using your partner’s sperm and her own egg. The child will be genetically related to the surrogate and your partner, and the surrogate will give you and your partner the baby at birth.

For comments and archives

   An Inspirational Story

(Ms Ritu Sinha)

Trust Your Relationship

When you've seen a couple fighting or having a pithy argument, what is the first thing that comes in your mind? Probably you think that you will never allow arguments to set in your relationship (especially when you get married), or will never think to start one, but arguments seem to come naturally.

You argue about the brand of coffee, or what to eat at lunch, who will do the dishes, etc. Sometimes, more than that, but regardless of your reasons for the argument (or fight), patching up a troubled relationship and having a solution is very important.

Second to God, our partners are a believer’s most valuable asset. Companions provide a listening ear for our troubles, support for our dreams, and a safety net when we fall. They give us love, even when we are unlovable. They are and must be our friends. Inevitably, though, sometimes we go through troubled periods and a solution should be sought through the following steps:

  1. Address the situation. Acknowledge to your partner that something is amiss and needs to be fixed.
  2. Determine the problem. Together, discuss where the relationship veered off course and what wrongs may have been spoken or committed. Be honest and let your honesty be in its proper place. Remember, you are talking to your partner, another half of yourself.
  3. Apologize. As believers we accept responsibility for our actions and seek forgiveness.
  4. Refuse to blame. In addition, we must avoid defending ourselves. There could be a temptation to argue over who did what; however, the goal is not proving who is right but saving the relationship.
  5. Begin repairs. Ask, "What can I do to rebuild our closeness?" The key here is to do willingly whatever is requested.
  6. Commit to rebuilding. Immediately start investing your time, energy, and love in restoring the relationship.
  7. In order to have the blessing of a good relationship, with a partner who accepts and loves us, we must be willing to pay the high price of patching things up. Walking away might seem easier, but in the long run, we would lose a valuable treasure. God bless you both.

For comments and archives

   Cardiology eMedinewS

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

AHA Heart Disease and Stroke Statistics–2012 Update

Read More

Stress Echo: Where Does It Stand & How To Make It Win The Race

Read More

Pulmonary HT: Is ECHO Evaluation Sufficient For Diagnosis?

Read More

    Fitness Update

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

Walk faster to outwit the grim reaper

The Grim Reaper is a famous mythological and literary figure personifying death. According to a study published in the Christmas issue on bmj.com, men of 70 years and older can elude the Grim Reaper by walking at speeds of at least 3 miles (or 5 km) an hour. Researchers say that for the first time, they have estimated the usual walking speed of the Grim Reaper at 1.8 miles per hour, saying he never walked faster than 3 miles per hour.

A team of researchers based at Concord Hospital in Sydney, Australia, decided to examine the association between mortality and walking speed. Between January 2005 to June 2007, they recruited 1,705 men aged 70 years and older, who lived in the inner city and suburbs of Sydney and who participated in The Concord Health and Ageing in Men Project (CHAMP). The study included a high proportion of immigrants, only 50% of the participants were born Australians, 20% were born Italians with remainder of the participants originating from Great Britain, Greece and China. Participants’ walking speeds were evaluated at baseline and survival assessed over the five–year study period. The researchers noted a total of 266 deaths during the follow–up. The findings reveal that the average walking speed of the deceased was 0.88 meters per second (m/s), and that none of the men with walking speeds of 1.36 m/s or 3 miles (5km) per hour or more had contact with the Grim Reaper.

For comments and archives

    Legal Question of the Day

(Dr MC Gupta, Advocate & Medico–legal Consultant)

Q. A GP in a remote area seeks, on his own, the professional opinion of a specialist by phone or by e–mail etc. and treats the patient accordingly. What legal implications will lie upon the specialist?


  1. No legal liability will fall upon the specialist if the patient files a suit or complaint against him. As per the data given, even if the patient lists the specialist as a respondent, the latter is likely to argue successfully that there was no contract between him and the patient and hence there could not have been a breach of contract.
  2. If there are sufficient grounds, the GP can file a complaint with the medical council which may hold the specialist guilty if the situation so warrants.
  3. However, in case the specialist has charged fee for his opinion and the fee has been paid by the patient, he can sue the specialist.
  4. If the specialist has charged fee for his opinion and the fee has been paid by the GP and not by the patient, the latter may still be able to sue the specialist on the plea that he was paying fee to the GP and the specialist’s fee paid by the GP may be deemed to be paid by the patient.
  5. The specialist would be well advised to documentedly inform the GP on the following lines—"I have provided my expert opinion to you as a professional courtesy only. (To be added if applicable—The nominal fee charged from you is only to cover the secretarial/incidental expenses involved and does not count towards a consideration or contract). You may use the opinion provided only at your own responsibility and discretion because no proper opinion regarding a patient can be given without examining the patient. In the circumstances, no legal liability will lie upon me."

For comments and archives

    Healthy Driving

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

Can a patient who snores drive?

Patients with sleep apnea (abnormal snorers) have poorer performance on driving simulators.

    Medicine Update

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

Chronic Pancreatitis: Imaging Studies

Computerized Tomography

CT should be the first test in the evaluation of possible chronic pancreatitis because it is noninvasive, widely available, and has relatively good sensitivity for diagnosing moderate to severe chronic pancreatitis. Pancreatitis is diagnosed on CT with the identification of pathognomonic calcification within the pancreatic ducts or parenchyma and/or dilated main pancreatic ducts combined with parenchymal atrophy. A helical CT scan is preferred. In early chronic pancreatitis, the role of CT is limited.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A female with diabetic kidney disease wanted to know whether she could take OCP (Oral contraceptive pills).
Dr Bad: You can.
Dr Good: You cannot.
Lesson: There is a link between OCP and diabetic kidney disease.

For comments and archives

Make Sure

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Spectacular achievement is always preceded by spectacular preparation. Robert H. Schuller

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


To determine lithium levels in the blood in order to maintain a therapeutic level or to detect lithium toxicity.

    Mind Teaser

Read this…………………

Efavirenz given during the first trimester causes:

a. Cardiac defects
b. Neural tube defects
c. Cleft lip
d. Skeletal defect

Yesterday’s Mind Teaser: All are risk factors for MTCT (mother to child transmission) of HIV except:

a. Chorioamnionitis
b. Placental abruption
c. Prematurity
d. Increased acidity of infant GI mucosa

Answer for yesterday’s Mind Teaser: d. Increased acidity of infant GI mucosa

Correct answers received from: Gopal Shinde, Dr Ragavan Sivaramakrishnan Moudgalya, Dr A Rama Devi, Dr Prabha Sanghi, Dr Neeraj Sharma, Dr Satyanarayana Akupatni, Dr KV Sarma, Raju Kuppusamy,
Dr Chandresh Jardosh, Dr Pramod M Kulkarni, Muthumperumal Thirumalpillai,
Dr Jainendra Upadhyay, Dr NeelamNath.

Answer for 3rd January Mind Teaser: Inside information
Correct answers received from: Venkata Ganesh, Dr Sumit Mehndiratta.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Medical terms

  • Dilate: To live long
  • Enema: Not a friend
  • Fibula: A small lie
  • Grippe: Suitcase
  • Impotent: Distinguished, well known
  • Labor pain: Got hurt at work
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emedinews revisiting 2011
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    Medicolegal Update

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

What is exhumation?

  • Exhumation is the removal of a corpse from the earth. The grave must be identified by relatives and the official in charge of the graveyard.
  • The word exhumation literally means ‘out of ground.’ The word ‘exhumation’ comes from Latin words ‘ex’ meaning ‘out of’, and ‘humus’, meaning ‘ground’ The dead body can only be exhumed when there is a written order from executive magistrate or Higher Court of Law of the land.
  • Exhumation is necessary, when the first post–mortem was inadequate, and it is thought that a second postmortem may bring some more facts to light means exhumation combined with doing a second meticulous postmortem. After exhumation, the postmortem examination must be done in a well–equipped morgue only and preferably in presence of first team of doctors who have already examined the body.
  • In case of exhumation the concerned police official should approach the appropriate government hospital in writing along with the order of exhumation to constitute a medical board of at least three qualified and experienced doctors with written clarity of objectives of postmortem examination. Material found in exhumation/spot and further examination should be done as per law.
  • Resting places and the norm of many cultures is that the dead should not be disturbed. However, for a variety of reasons, they are disturbed through the process of exhumation.

(Reference Anil Aggrawal’s Internet Journal of Forensic Medicine and Toxicology Volume 2, Number 2, July–December 2001)

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)

Have Leg Artery Blockages: Walk on a Treadmill

A planned program of walking is good for people with the blockage of leg blood–vessel called peripheral arterial disease (PAD) said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Normally when there is pain in the calf muscles in the leg on walking the general tendency is to rest and not walk. A study published in JAMA of 156 people with PAD showed that regular six–minute walks on a treadmill improved their endurance and quality of life.

Walking is a standard recommendation for people with PAD. A study looked at both patients with symptoms and without symptoms.

Over the six months of the study, the participants who did their regular six–minute treadmill walks increased their walking distance by about 69 feet, while those who did not walk regularly saw a decrease of 49 feet.

There is the potential for greater oxygen extraction from the blood under maximum exercise conditions. The muscles can make better use of blood flow and the oxygen release that comes from it.

Such exercise leads to improvement in "collateral circulation" –– growth in the number of blood vessels supplying the legs. Clinicians should urge all PAD patients, whether or not they have symptoms, to engage in a regular, supervised exercise program.

A recommended regimen is a 40–minute walk three times a week for at least six months.

Persistent leg pain is an indication that help is needed. In the absence of that symptom, physicians can test for PAD by measuring the difference in blood pressure between an ankle and an arm.

For comments and archives

    Readers Responses
  1. Wonderful idea, wonderful implementation helping the fraternity to keep in touch with the latest in medicine. The inspiration stories are very useful, making one to stop and think. GOOD WORK, HATS OFF TO THE TEAM. Ravuri Sreenivas.
    Forthcoming Events

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. All delegates to get registration kit, Attractive gifts, Conference Newsletter, certificates, Morning Snacks, 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/ rekhapapola@gmail.com/drpawangupta2006@yahoo.com

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 know of any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

3rd eMedinewS Revisiting 2011

Dr K K Aggarwal – Revisiting the Year 2011, M K Doogar – Health Insurance, What’s New, Central Bank of India – Financial Health Update, LIC – Schemes, Dr N K Bhatia – What ís New in Transfusion Medicine, Dr Praveen Chandra – Antiplatelets in Cardiology, Dr Ambrish Mithal – Obesity as a Precursor for Diabetes, Dr Ajay Kriplani – Surgery in Diabetes, Dr Kaberi Banerjee – Infertility Update, Dr Kailash Singla – Gastro Update, Dr Surjit Jha – Diabetes Update, Dr Sheh Rawat – What’s New in Radiation Oncology, Dr Amit Bhargava – Cancer Update, Dr Sanjay Chaudhary – Automation in Cataract Surgery with Femto–second laser, Dr Neelam Mohan – Liver Transplant Update, Dr Vikram Sanghi – Imaging Update, Dr Surender Kumar – Diabetes in 2012, Dr S K Khanna – Cardiac Surgery in 2012

For Complete Details Click


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 multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit 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.

Early Registration till 30th Dec 2011

    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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  Playing Cards

  Dadi Ma ke Nuskhe

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  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