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


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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

  Editorial …

6th February 2012, Monday

Blood pressure measurement may detect proneness to heart attack

The ankle-brachial index (ABI), a simple, noninvasive 10-minute test that should be incorporated into a routine physical exam for diagnosing peripheral arterial disease in the middle aged and elderly especially those with heart attack risk factors like smokers, diabetics and the ones with high BP or cholesterol levels.

With the patient in a supine position, the doctor takes blood pressure readings from both arms; he then takes blood pressure readings from both ankles with a sphygmomanometer and Doppler device. ABI value is calculated by dividing the higher systolic pressure in each leg by the higher systolic brachial pressure.

ABI scores should be interpreted as follows:

  • Greater than 0.90: Normal
  • 0.71 – 0.90: Mild obstruction
  • 0.41 – 0.70: Moderate obstruction
  • Less than 0.40: Severe obstruction
  • More than 1.30: Calcification of the vessels

Presence of peripheral arterial disease may indicate associated blockages in the heart and vulnerability to heart attack or paralysis.

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

Padma Shri Awardee Dr KK Aggarwal on fifty percent of happiness in our hand

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

Dr Sanjay Chaudhary presenting a lecture on Automation in Cataract Surgery with Femto–second in the recently concluded 3rd eMedinewS Revisiting 2011

Dr K K Aggarwal
    National News

Delhi men and women most prone to lung and breast cancer

NEW DELHI: Cancer of the lung is the commonest cancer among men in Delhi, while that of the breast is way ahead of all other forms of cancer among women in the national Capital. Indian Council of Medical Research’s (ICMR) latest data on the 10 leading sites of cancer in Delhi shows that prevalence of breast cancer among women in Delhi stands at almost 27%, followed by cervix, whose recurrence is almost half of breast cancer cases at 14.6%. Among men, lung cancer is the most common at 10%, while 7% of all cancers are of the prostate. According to the ICMR data, cancer of the tongue was the third commonest cancer (6.8%) among men, followed by larynx (5.9%). In women, cancer of the ovary (7.6%) has the highest prevalence after breast and cervix, followed by gall bladder (6.9%). As far as "sites of cancer associated with the use of tobacco" is concerned, the prevalence is high among men in Delhi. (Source: TOI, Feb 4, 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

Muscle massage rubs out inflammation

Heavily stressed muscles responded to massage therapy with a variety of biologic changes associated with reduced inflammation, analysis of tissue specimens showed. (Source: Medpage Today)

For comments and archives

Fast memory decline tied to fatal stroke

People who died from stroke had the most severe and rapid memory loss prior to the event compared with stroke–free individuals and those who survived a stroke, a large study found. (Source: Medpage Today)

For Comments and archives

High rate of sleep apnea in patients with silent strokes

Sleep apnea is common in stroke patients, but even more so among those with clinically silent infarcts or chronic microvascular changes, according to emerging research. A new study shows that about 1 in 10 stroke patients has sleep apnea and, further, that apnea is present in more than half of patients with clinically silent infarcts and more than a third of those with chronic microvascular changes. (Source: Medscape Medical News)

For comments and archives

‘Million Hearts’ Initiative Aims at Stroke, Too

The goal of the "Million Hearts" initiative is to reduce the rate of heart attacks and strokes by one million events over the next five years. So said Ralph L. Sacco, MD, immediate past president of the American Heart Association/American Stroke Association (AHA/ASA) in a presidential advisory published online this week in Stroke: Journal of the American Heart Association.

The public/private initiative was rolled out in September by U.S. Health and Human Services Secretary Kathleen Sebelius, who was joined at a press conference by representatives from the Centers for Medicare and Medicaid Services (CMS), the CDC, Walgreens, United Healthcare, YMCA, the American Heart Association, the American College of Cardiology, the American Medical Association, and others. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: #AJOR Obesity linked to lumbar disc degeneration Magnetic resonance imaging (MRI) data show that obesity is…fb.me/1kJCJLnxm

@DrKKAggarwal: Non–judgment quiets the internal dialogue, and this opens once again the doorway to creativity.

    Spiritual Update

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

Satwik Diet For Satwik Mind

Satwik, rajsic and tamsic are the three Vedic mental behaviors present in everybody and a balance of them is required to remain healthy and happy. These are also the properties of nature. Satwa can be compared to purity, rajas to passion and tamas to destruction and renewal. While some degree of rajas and tamas are required in life only a person who knows how to live predominant in satwa can live a happy and healthy life.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How is multifetal pregnancy reduction done?

Multifetal pregnancy reduction is usually done early in the pregnancy, within the first 12 weeks. At 12 weeks in the pregnancy, the fetus is enclosed in a fluid–filled pouch, called a gestational sac. The specialist will inject a needle filled with a liquid, frequently potassium chloride, into the gestational sac of the target fetus. The liquid will stop fetal heart motion.

For comments and archives

    An Inspirational Story

(Dr Anupam Sethi Malhotra)

Dear Alcohol we need to talk,

I thought I’d take a minute to discuss some troubling factors with you.

First and foremost, let me tell you that I am a huge fan of yours. Yes, my friend you always seem to be there when needed: Hidden inside chocolates. you warm us up when we are stuck in the midst of endless family gathering.

Yet lately, I’ve been wondering about your intentions. You see, I want to believe that you have my best interest at heart but I feel that your influence has led me to unwise consequences, briefed below for your review:

1. Phone calls: While I agree that communication is important, I question the fact that any conversation of substance could occur at 3am in the morning. Why would you make me call my ex boyfriends/girlfriends when I know for a fact they do not want to hear from me?

2. Eating: Now you know I love a good meal and though cooking is not my speciality, why do you suggest that I eat grilled steak with chilli sauce, 2 minute noodles, stale simba chips and drink nesquik with a kit Kat in my hand is beyond me. I think sometimes you go a bit too far.

3. Clumsiness: Unless you are trying to tell me that I don’t have any balance, is it necessary to make me fall down the stairs and cause those black and blue marks that I get the next day. Similarly, It should not take me 45 minutes to get the key into the lock of my front door.

Further more these hangovers that you cause need to stop. I’ll do my part, drink water, and take panado and grandpa before I go to sleep but please do your part and don't let your hangover interfere with my daily activities. Especially on Mondays.

Alcohol, I have enjoyed our relationship for some years now and want to make sure that we remain on good terms. You have been my much needed companion when I don’t know what to do with the extra money in my pocket. In order to continue our relationship you must carefully consider my above mentioned grievances and address them immediately. I will look for an answer no later than Thursday 5pm (PRE HAPPY HOUR) on your possible solutions and hopefully we will continue our fruitful partnership.

For comments and archives

    Fitness Update

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

Exercise burns more fat than dieting

A recent study published in the Journal of Applied Physiology and conducted at Saint Louis University shows evidence that although similar amount of weight loss is achieved on either plan, exercise helps lose more fat than dieting alone. The key to this finding, according to the study authors, is building muscle tissue.

For the study, which took place over one year, researchers studied a group of 39 volunteers who were 50–60 years of age, at a normal BMI and were all in good health. Study participants were randomly assigned to one of three groups: an exercise group, a diet group and a control group. Dieticians worked with participants in the diet group and personal trainers coached participants in the exercise group. In the diet group, total calorie consumption was decreased by 16% and in the exercise group, total calorie expenditure was increased by 16%… After three months, this percentage was increased to 20%. The results revealed that study participants who lost weight through exercise nearly doubled their reduction in visceral fat, the type of fat that surrounds the internal organs, as compared to those who lost comparable amount of weight through diet. Researchers noted that participants who lost weight through diet lost muscle mass, while those who exercised gained or maintained muscle mass.

It’s important to note that visceral fat is described by doctors and other health experts as the most dangerous type of fat. This is because it surrounds internal organs, such as the heart and liver, and it can decrease organs’ function and increase the risk for heart disease and other serious medical conditions.

  Cardiology eMedinewS

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

Blood Pressure Measurement May Detect Proneness To Heart Attack

Read More

Study Finds Low Risk for LVAD Exchange

Read More

Clot Busters OK for 'Wake-up' Strokes

Read More

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  Pediatric eMedinewS

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

Support by Mom Raises Kids' Brain Volume

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FDA Says Tamsulosin Safe In Pediatric Patients

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H1N1 Pandemic Flu Vaccine May Protect Kids Across Two Seasons

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    Healthy Driving

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

How does vision affect driving?

How well you can see at a distance (visual acuity) and how well you can see to the sides (peripheral vision or field of vision) are the two eyesight screen checks. It is designed to pick up people who have a blurry or lazy eye or poor side vision.

    IJCP Special

Dr Good Dr Bad

Situation: A patient was found to have high ESR with normal CRP.
Dr. Bad: The lab report is not correct.
Dr. Good: We need to rule out SLE.
Lesson: Though elevated ESR observed together with a normal CRP is often a false positive value for ESR, this can also happen in acute SLE.

Make Sure

Situation: A neonate in an ICU being administered IV calcium exhibits signs of inflammation and necrosis at injection site.
Reaction: Oh my God! Why didn’t you observe the IV site carefully.
Lesson: Make Sure that all hypocalcemic neonates are put on a cardiac monitor while receiving calcium infusions and the IV site is closely observed, because extravasation of calcium can produce severe interstitial necrosis.

  Quote of the Day

(Dr GM Singh)

Assumptions are the termites of relationships. Henry Winkler

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

TB Skin Test

Also identified as: Purified Protein Derivative; PPD; Mantoux; Latent tuberculosis infection test. To help determine whether or not you may have been exposed to and become infected with the Mycobacterium tuberculosis bacteria.

    Mind Teaser

Read this…………………

Which of the following strategies might help someone with schizophrenia?

a) Labeling drawers and cupboards in the home
b) Buying soap and other personal hygiene items
c) Helping dole out medications in a pill dispenser
d) All of the above
e) None of the above

Yesterday’s Mind Teaser:  Which of the following movies features a character suffering from schizophrenia?

a) A Beautiful Mind
b) The Three Faces of Eve
c) Me, Myself & Irene
d) Sybil
e) All of the above
f) None of the above

Answer for Yesterday’s  Mind Teaser: a) A Beautiful Mind

Correct answers received from: Dr Kaushal, Dr Priya, Dr Sharan, Dr Priyanshu, Dr Faizal, Dr Vikas, Dr Tripti, Dr GS Sharma, Dr OP Nath, Dr Hema, Dr Divya

Answer for 4th February Mind Teaser: c) Spending more time alone and losing interest in things you used to enjoy
Correct answers received from: Dr Sujata, Dr Saumya, Dr Rajat, Dr Yamini, Dr Tushar

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr G Singh)

Silence kills

A man and his wife were having some problems at home and were giving each other the silent treatment. The next week the man realized that he would need his wife to wake him at 5.00 am for an early morning business flight to Chicago. Not wanting to be the first to break the silence, he finally wrote on a piece of paper, "Please wake me at 5.00 am." The next morning the man woke up, only to discover it was 9.00am, and that he had missed his flight. Furious, he was about to go and see why his wife hadn’t woken him when he noticed a piece of paper by the bed… it said… "It is 5.00am; wake up."

    Medicolegal Update

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

The Supreme Court of Mississippi on medical negligence

  • The Rankin Country Circuit Court, Mississippi, granted judgment in favor of physician and medical center, in victim mother’s wrongful death action alleging medical negligence in the treatment of her son.
  • The mother alleged that the trial court erred in granting summary judgment to the medical center and also found error with the trial court’s decisions to deny her motions for continuance, prohibit introduction of demonstrative evidence, allow the introduction of undisclosed business records, limit cross–examination of a medical expert, and permit improper closing arguments.
  • The appellate court found that the mother failed to show any negligence on the part of the medical center by appropriate expert medical testimony. Even if the affidavits were allowed, the negligence assigned had already been provisionally diagnosed. There was nothing to substantiate the mother’s claim that she suffered injustice or prejudice from the denial of her motions for continuance.
  • The mother’s claims that she was prejudiced by the trial court’s allowing the physician to sue a log book were not properly before the appellate court. Defendant’s closing argument was not improper as an objection was made and sustained, the statement was rephrased, and counsel took the opportunity to further address the statement during his closing. Short jury deliberations did not automatically evidence bias or prejudice.
  • The judgment was affirmed by the Supreme Court of Mississippi.

(Ref: American college of legal medicine, the medical malpractice survival handbook)

    Public Forum

(Press Release for use by the newspapers)

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

Even cycling can cause erectile dysfunction?

Age, diabetes, hypertension, obesity, high lipids, smoking, drugs, heart disease and upright cycling for more than 3 hours a week can cause erectile dysfunction in males. For those who cycle for more than 3 hours in a week should do so in a reclining position and not upright position, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

A man is considered to have erectile dysfunction when he cannot acquire or sustain an erection of sufficient rigidity for sexual intercourse. Any man may, at one time or another during his life, experience periodic or isolated sexual failures.

The term "impotent" is reserved for those men who experience erectile failure during attempted intercourse more than 75 percent of the time. Heart disease increases the risk for later erectile dysfunction. Erectile dysfunction may be an early warning sign of future heart disease. Men with erectile dysfunction without an obvious cause (e.g., pelvic trauma), and who have no symptoms of heart disease, should be screened for heart disease prior to treatment since there are potential cardiac risks associated with sexual activity in patients with heart disease.

Eight of the 12 most commonly prescribed medications list impotence as a side effect and it is estimated that 25 percent of cases of erectile dysfunction are due to drugs.

Depression, stress, or the drugs used to treat depression can result in erectile dysfunction.

Neurologic causes of erectile dysfunction include stroke, spinal cord or back injury, multiple sclerosis, or dementia. In addition, pelvic trauma, prostate. Surgery or priapism may cause erectile dysfunction.

Bicycling: Less obvious, but of increasing importance, has been the possible association of erectile dysfunction with bicycling.

Anything that places prolonged pressure on the pudendal and cavernosal nerves or compromises blood flow to the penile artery can result in penile numbness and impotence.

Cycling-induced impotence, is primarily a problem of serious cyclists and is reported to occur in Norwegian men competing in a 540 km bicycle race.

The penile numbness is attributed to the pressure on the perineal nerves whereas the erectile dysfunction is thought to be due to a decrease in oxygen pressure in the pudendal arteries.

Recreational cyclists, those who cycle for less than three hours per week and men who cycle in a reclining position avoid the sustained intense pressure on the penile nerve and artery and are less likely to experience sexual side effects. Continued cycling in a seated upright position can reduce the penile oxygen levels lasting ten minutes.

    Readers Response
  1. Respected Sir Dr KK Aggarwal, First of all thank you very much for honoring me with the prestigious eMedinewS Doctor of the year 2011 award. It feels nice to be appreciated for work done. This will encourage me to reach greater heights. The act of receiving the award from you was in itself a great honor and will always inspire me to excel in whatever I do – To be active and To remain active & I assure you to follow it. Sir, the moment of receiving the award was magnificent moment of my life and I will be always be thankful to you for this excellent trophy of Mahatma Gandhiji. Really it will augment the decoration of my clinic and add to my prestige. Dr Chandresh Jardosh
    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

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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