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


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 …

6th July 2011,Wednesday

Prevention of HIV transmission with ART through breastfeeding or replacement feeding: India vs Bharat

  1. For HIV–infected breastfeeding mothers in resource–limited settings, one should start postnatal antiretroviral drugs for the mother or infant during the breastfeeding period, rather than no drug intervention.
  2. Replacement feeding rather than breastfeeding is recommended for HIV–infected mothers in the United States and other developed countries.
  3. Breastfeeding is the preferred option in resource–limited developing countries, where replacement feeding is associated with increased infant morbidity and mortality from diarrheal and other infectious illnesses.
  4. Our country today has both population groups: ‘Bharat’ (poor rural uneducated population) with resource-limited settings and 'India' (urban rich educated population) with no resource limitation.
  5. An excess risk of HIV transmission occurs if antiretroviral drugs are discontinued during the breastfeeding period. Antiretroviral drugs significantly decrease the risk of mother–to–child transmission of HIV during the antepartum, intrapartum, and early postpartum periods.
  6. Administration of antiretroviral drugs to the mother or infant during the postpartum period reduce rates of HIV transmission to the breastfeeding infant to less than 3 percent.

Dr K K Aggarwal
Group Editor in Chief
Blogs.kkaggarwal.com Dr K K Aggarwal on blogs
drkkaggarwal.blogspot.comDr K K Aggarwal on blogs

Dr KK Aggarwal on iTimes
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

    Changing Practice – Resource which has changed practice in last one year

Timing of treatment for relapsed ovarian cancer

For most women, second–line treatment for relapsed ovarian cancer be initiated at the time when signs or symptoms of a disease recurrence are detected, rather than on the basis of an asymptomatic elevation in the CA–125 level. However, this decision should be individualized and based upon an active discussion between physicians and patients of the risks and benefits of early versus delayed treatment. (October 8, 2010)

    eMedinewS Audio PostCard

Stay Tune with Padma Shri and Dr BC Roy National Awardee
Dr K K Aggarwal

Medical News of the Day

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Heart Care Foundation of India Awareness Campaign

Hon’ble President of India, Smt Pratibha Devisingh Patil, released messages of public interest at Rashtrapati Bhawan, an awareness campaign initiated by the Youth Wing of Heart Care Foundation of India.

Dr K K Aggarwal
    National News

Dr robot: Virtual surgery performed in city hospital

HYDERABAD: In a rare feat, robotic endoscopy, wherein a robotic arm controlled by a surgeon operates upon a patient, was performed at the Asian Institute of Gastroenterology, Somajiguda in collaboration with Nanyang Technological University, Singapore and National University Hospital, Singapore. This treatment can now be used in gastric cancers and stomach tumours cases. The first such surgery was performed on Veerabhadra, 45, of Warangal on Sunday. The technology can be used to perform complex surgeries on patients from a long distance - with the patient being at one place and the endoscopic surgeon in another. (Source: TOI, Jul 4, 2011)

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

(Dr Monica and Brahm Vasudev)

Baked milk may help build tolerance in children milk allergy

Taking increasing amount of baked milk by children who have milk allergies can help a majority of them outgrow their allergies, according to a study conducted at Mount Sinai School of Medicine’s Jaffe Food Allergy Institute and published in May 23 issue of the Journal of Allergy and Clinical Immunology. The high temperatures used in baking cause the proteins in milk to break down, reducing the allergenicity.

E–Prescriptions just as error–prone as paper scripts

Government and the healthcare industry have placed big bets on digital technology, and electronic prescribing in particular, for the sake of patient safety, but a new study reports that the error rate with computer–generated prescriptions in physician offices roughly matches that for paper scripts: about 1 in 10. However, results from the study, published online June 29 in the Journal of the American Medical Informatics Association, are not as damning as they may initially appear. Error rates varied widely depending on the type of e–prescribing software used, with some programs outperforming pen and paper. In addition, software improvements could eliminate more than 80% of the mistakes, most of them involving omitted information. (Source: Medscape)

Rivaroxaban wins FDA approval for DVT prevention

The FDA has approved rivaroxaban (Xarelto), an oral, once–daily, factor Xa inhibitor, for prevention of deep vein thrombosis in patients undergoing knee or hip replacement surgery, according to an announcement by Janssen Pharmaceuticals. The drug is approved for use at a 10 mg dose, once a day for 35 days following hip replacement and for 12 days following knee replacement. Rivaroxaban, which is also being developed for prevention of recurrent DVT and for prevention of stroke in patients with atrial fibrillation, is the second oral anticoagulant approved by the FDA within the last nine months. (Source: Medpage Today)

Metformin may prevent or delay polycystic ovary syndrome

Metformin may prevent or delay the development of polycystic ovary syndrome (PCOS) in adolescence, according to the results of a randomized, open–label study published online June 1 in the Journal of Clinical Endocrinology & Metabolism. (Source: Medscape)

    Fitness Update

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

Children’s physical activity decreases as they age

Though many reports claim that childhood obesity rates have leveled off, childhood physical activity is still at a critical low. New research published in the journal Pediatric Exercise Science shows that a very low number of children engage in the recommended amount of exercise and/or active play. Further, the study shows that children’s activity decreases as they get older. The study included 291 children ages 5 to 6 years old and 919 children ages 10 to 12 years old, as well as their parents. Parents completed questionnaires about their children’s physical activity patterns, and all children wore an accelerometer for eight days. The accelerometer data showed that younger children engaged in approximately four hours of moderate– to vigorous–intensity physical activity per day, whereas older children only accumulated two hours per day. Fewer than three–quarters of 10– to 12–year–old boys and less than half of 10– to 12–year–old girls recorded 120 minutes of activity per day. The study findings show that activities that are appealing to older children–particularly older girls-should be considered in the creation of physical activity promotion strategies.

    Twitter of the Day

@DrKKAggarwal: Padma Shri Dr KK Aggarwal on Add ECG When Screening School Children in Hindi…http://t.co/AzDxezx via @youtube

@DeepakChopra: The shadow is primitive but also primal. It is unblemished by the veneer of civility or hypocrisy & can be a teacher

    Spiritual Update

Science behind Hanuman Chalisa

Nava Nidhi

Parkaya Pravesh: Parkaya Pravesh means one’s soul entering into the body of some other person. Through this knowledge even a dead body can be brought to life.

    An Inspirational Story

(Ritu Sinha)

The disaster of negative thinking

The greatest scientists in the world are just beginning to scratch the surface when it comes to understanding what our minds are really capable of. The mind is so unbelievably powerful in ways we could never imagine. You and I don’t need to understand exactly how it works, we just need to take care of our minds and let the magic happen.

Our subconscious mind takes orders from our conscious mind. The subconscious mind doesn’t ask questions, it doesn’t differentiate between empowering thoughts and demoralizing thoughts. It just acts upon the thoughts that we think. All outcomes and experiences in our lives are a direct result of our dominant mental thoughts. What we think, we become because our subconscious minds translate into reality our thought impulses.

When we ask ourselves a demoralizing question like "Why does this always happen to me?" our subconscious minds go to work whether we realize it or not. How do you think it responds to a demoralizing question like that? You are brilliant; it answers it with a bunch of demoralizing answers. It’s just like the computer you are reading. A computer’s output is based on its input. When a computer hacker tries to commit a cyber crime or steal someone’s identity, the computer doesn’t say it can’t do that because that’s illegal. It just performs what its user instructed it to do whether it's legal or illegal.

Our subconscious minds act the same exact way a computer does. Its output is based on its input whether it’s a positive input or a negative input. Its not rocket science, if you want to change your output, you must change its input. The quality of your life is going to depend on the quality of your thoughts. The more empowering questions you ask your subconscious mind, the more empowered you will be. You must understand that the dominate thoughts of your mind will eventually manifest into the real world.

Buddha said, "We are shaped by our thoughts. We become what we think."
All that we are arises with our thoughts. With our thoughts, we make the world. The next time you want to let a negative thought or a demoralizing question enter your precious mind, be careful what you ask for because you are eventually going to get it.

Use incredible thoughts to manifest an incredible life. Your life will follow your thoughts. If you think it and believe it, your subconscious mind will make you achieve it. Take your passion and make it happen.

    Pediatric Update

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

What is the clinical definition of pneumonia?

Pneumonia kills more children globally than AIDS, malaria, and measles combined, yet little attention is given to pneumonia. The clinical definition of pneumonia is –

  • Symptoms: Fever (>38.5 axilla) and cough or difficult breathing; and,
  • Signs: Breathing >50/min for infants age 2 months up to one year; breathing >40/min for children age 1 to 5 years.
  eMedinewS Apps

eMedinewS Archives: Search past issues of eMedinewS by date.

eMedinewS BMI Calculator: Calculate your BMI. Select either standard or metric units to enter your weight and height. Then click on compute. You will get your BMI result in the box below.

eMedinewS Lab Unit Converter: Use this feature to convert between different systems of measurement. Click on any lab test, then enter the value and select the conversion. The result will appear below.

eMedinewS Email–id & Phone Number Extractor: You can use this application to extract all email ids or phone numbers (Mobile/Landline). It removes all duplicate data. You can copy your data in the box ‘Enter text’ or select a file from ‘Browse’ option given below to extract your data.

Post your comments here: Click here. This will take you to my Blog. Then click on ‘Comment’ and write your views on the topic discussed in the Editorial.

Post your comments here: Click here to write your views on eMedinewS or any relevant issue as a reader.

Useful Links: eMedinewS has compiled a list of websites which we think may of use to you. This application takes you to the list of links.

eMedinewS Advanced Search: Select a more detailed search option in eMedinewS, from ‘Any Time’ to ‘Past 2 Years’, to get more relevant search results.

Get eMedinewS Alerts: Go to Google Alerts. In the box Search terms, write emedinews.in; select the option ‘Everything’ in ‘Type’ next, select the option ‘As–it–happens’ in ‘How often.’ Enter your email address in the box ‘Deliver to.’ Then click on the box ‘Create Alert’ below. You will get regular eMedinewS updates through alerts.

Our Social
Network sites
… Stay Connected

  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

  > Dr K K Aggarwal
  > eMedinewS
  > HCFIindia
  > IJCP Group

  > Dr K K Aggarwal
  > eMedinewS
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

eMedinewS Apps
  Did You Know

(Dr Uday Kakroo)

Airports at higher altitudes require a longer airstrip due to lower air density.

  Contrary Proverbs

(Mr Vipin Sanghi)

The best things in life are free. BUT there's no such thing as a free lunch.

    Legal Question of the Day

(Dr MC Gupta, Advocate)

Q. I have a degree in Ayurveda and am registered under the Maharashtra Medical Practitioners’Act, 1961; I claim Firstly, that the government has declared me to be a Registered Medical Practitioner; Secondly, that I am a practitioner of integrated medicine; Thirdly, that the Indian Medicine Central Council Act, under which I am registered, entitles me to practice modern medicine; and, FOURTHLY, that I have a right to practice any system of medicine. How can anybody deny my claim and right?


  1. Your first claim is right to the extent that you have been declared to be a registered Medical Practitioner under Rule 2(ee) of the Drugs and Cosmetics Rules, 1945. You must remember that you are not registered under the Maharashtra Medical Council Act, 1965, or the Indian Medical Council Act, 1956. The Supreme Court has clearly differentiated between the two in Dr. Mukhtiar Chand & Ors. Vs. State Of Punjab & Ors., Date of Judgment:08/10/1998, K. T. Thomas, Syed Shah Mohammed Quadri, AIR 1999, SC 468, (1998 (7) SCC 579).

    The court stated as follows: "A harmonious reading of Section 15 of 1956 Act and Section 17 of 1970 Act leads to the conclusion that there is no scope for a person enrolled on the State Register of Indian Medicine or Central Register of Indian Medicine to practise modern scientific medicine in any of its branches unless that person is also enrolled on a State Medical Register within the meaning of 1956 Act. The right to practise modern scientific medicine or Indian system of medicine cannot be based on the provisions of the Drugs Rules and declaration made thereunder by State Governments".
  2. Your claim that you are a practitioner of integrated medicine is wrong. You are simply a qualified Vaid.

    A. There is nothing like integrated medicine or an integrated medicine practitioner.
    B. The Maharashtra Medical Practitioners’ Act, 1961, under which you are registered, does not have any words or term like integrated medicine. You cannot invent and assume your own terms and designations. The Act defines the term Indian Medicine as follows: "2(1)(e) "Indian Medicine" means the system of Indian medicine commonly known as Ashtang Ayurveda, Siddha or Unani Tibb whether supplemented or not by such modern advances as the Central Council may declare by notification from time to time."
    C. It has been claimed that by virtue of the words "whether supplemented or not by such modern advances", in the above definition, Indian Medicine is inclusive of Modern Medicine. This has been held as incorrect by the SC in the Mukhtiar Chand judgment in the following words:
    <"However, the claim of those who have been notified by State Governments under clause (iii) of rule 2(ee) of the Drugs Rules and those who possess degrees in integrated courses to practice allopathic medicine is sought to be supported from the definition of the Indian Medicine in Section 2(e) of 1970 Act, referred to above, meaning the system of Indian medicine commonly known as Ashtang Ayurveda, Siddha or Unani Tibb whether supplemented or not by such modern advances as the Central Council may declare by notification from time to time. Lot of emphasis is laid on the words underlined to show that they indicate modern scientific medicine as under integrated systems various branches of modern scientific medicine have been included in the syllabi. A degree holder in integrated courses is imparted not only the theoretical knowledge of modern scientific medicine but also training thereunder, is the claim. We shall examine the notifications issued by the Central Council to ascertain the import of those words. In its resolution dated March 11, 1987, the Central Council elucidated the concept of "modern advances" as follows:
    "This meeting of the Central Council hereby unanimously resolved that in Clause (e) of Sub–section 2(1) of 1970 Act of the IMCC Act, ‘the modern advances’, the drug has advanced made under the various branches of modern scientific system of medicine, clinical, non–clinical, biosciences, also technological innovations made from time to time and declare that the courses and curriculum conducted and recognised by the CCIM are supplemented by such modern advances."
    On October 30, 1996, a clarificatory notification was issued, which reads as under:
    "As per provision under Section 2(1) of the Indian Medicine Central Council Act, 1970, hereby Central Council of Indian Medicine notifies that 'institutionally qualified practitioners of Indian system of medicine (Ayurveda, Siddha and Unani) are eligible to practise Indian system of medicine and modern medicine including Surgery, Gynecology and Obstetrics based on their training and teaching which are included in the syllabi of courses of ISM prescribed by Central Council of Indian Medicine after approval of the Government of India. The meaning of the word 'modern medicine’ (Advances) means advances made in various branches of Modern scientific medicine, clinical, non–clinical bio–sciences also technological innovations made from time to time and notify that the courses and curriculum conducted and recognised by the Central Council of Indian Medicine are supplemented by such modern advances."
    Based on those clarifications, the arguments proceed that persons who registered under the 1970 Act and have done integrated courses, are entitled to practise allopathic medicine. In our view, all that the definition of ‘Indian Medicine’ and the clarifications issued by the Central Council enable such practitioners of Indian medicine is to make use of the modern advances in various sciences such as Radiology Report, (x–ray),complete blood picture report, lipids report, E.C.G., etc. for purposes of practising in their own system. However, if any State Act recognized the qualification of integrated course as sufficient qualification for registration in the State Medical Register of that State, the prohibition of Section 15(2)(b) will not be attracted. A harmonious reading of Section 15 of 1956 Act and Section 17 of 1970 Act leads to the conclusion that there is no scope for a person enrolled on the State Register of Indian Medicine or Central Register of Indian Medicine to practise modern scientific medicine in any of its branches unless that person is also enrolled on a State Medical Register within the meaning of 1956 Act. The right to practise modern scientific medicine or Indian system of medicine cannot be based on the provisions of the Drugs Rules and declaration made thereunder by State Governments".

    D. That there is nothing like "integrated medicine" is also clear from the 2005–06 annual report of the Department of AYUSH––renamed in November 2003 from the earlier name Department of Indian Systems of Medicines and Homoeopathy (ISM & H)–– mentions only the following within its ambit–"Ayurveda; Yoga & Naturopathy; Unani; Siddha; and, Homoeopathy". It speaks nothing about "integrated medicine". The report can be viewed at:

    E. It is clear that the term "integrated medicine" has been coined falsely and mischievously and with ulterior motives in order to cheat the general public. Some people have even got registered an association known as NIMA (National Integrated Medical Association). Legal action needs to be taken against this association for spreading falsehood and promoting quackery.
  3. Your third claim that you are authorised under the CIMC Act, 1970, to practice modern medicine is wrong. The Act says nothing of the sort. The meaning of the words "modern advances" has been made clear by the SC in Mukhtiar Chand above. It does not mean modern medicine.
  4. Your fourth claim that you are authorised to practice any system of medicine is wrong, as has been amply emphasised by the SC in Mukhtiar Chand case. You have a right to practice only Ayurveda, in which you hold a degree and are registered on the basis of that degree. Your name appears on the Indian medicine Register and not on the State Medical Register or the IMR. .
  5. Please remember that if you practice modern medicine/allopathy, you can be punished as per Indian Medical Council Act, 1956, as follows: "15(3) Any person who acts in contravention of any provision of sub–section (2) shall be punished with imprisonment for a term which may extend to one year or with fine which may extend to one thousand rupees, or with both".
  6. . You are also liable under the Consumer Protection Act, 1986..
  7. In addition, you would also be liable under the Clinical Establishment Act. You are advised to confine your practice as a Vaid and to stop your illegal activities.
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with an eGFR value of 25.
Dr. Bad: You need immediate dialysis.
Dr. Good: Hold on till proper investigations are done.
Lesson: According to a study published in the Canadian Medical Association Journal, a higher glomerular filtration rate at initiation of dialysis is associated with an increased risk of death (CMA 2011 Jan 11;183(1):47–53).

Make Sure

Situation: A rape victim developed HIV infection.
Reaction: Oh my God! Why was she not given post exposure ART prophylaxis?
Lesson: Make sure all rape victims are counseled for HIV post exposure ART prophylaxis.

  SMS of the Day

(Dr GM Singh)

"Speak tenderly to them. Let there be kindness in your face, in your eyes, in your smile, in the warmth of your greeting. Always have a cheerful smile. Don’t only give your care, but give your heart as well." Mother Teresa

  GP Pearls

(Dr Pawan Gupta)

Ipratropium bromide added to beta2–agonist therapy improves air flow obstruction better than beta–agonists alone in the emergency treatment of adults with acute asthma exacerbation (Ann Emerg Med 1999;34(1):8–18).

    Medicolegal Update

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

What is marijuana?

Marijuana is frequently used in rave parties and is also known as Cannabis, Indian hemp, hashish, ganja, pot, dope and grass. It is made from the Indian hemp plant (Cannabis sativa). Cannabis is often abused and, in some countries it is used almost as much as alcohol or tobacco and considered as aphrodisiac agent.

  • Marijuana relaxes and makes colors and sounds seem brighter and louder. The dried plant is made into cigarettes or put in a pipe and smoked. The signs and symptoms start within 10 minutes of smoking the drug and last for about 2–3 hours. When the drug is ingested, the effects start within 30–60 minutes and last for 2–5 hours.
  • The main effects are a feeling of well–being, happiness and sleepiness, but high doses may cause fear, panic and confusion, the person cannot balance when standing up, hallucinations, drowsiness, slurred speech, coughing if the drug is breathed in, as when smoking cigarettes.
  • If the drug is injected, it may cause more serious problems such as severe headache, dizziness, irregular breathing, fever, low blood pressure and unconsciousness.
  • If the person is unconscious or drowsy, place him or her on their side in the recovery position. Check breathing every 10 minutes. A patient who is anxious or confused should be kept in a quiet, warm room. If cannabis was swallowed, there is no need to make the patient vomit.
  • If the patient is fully awake, breathing normally, and not vomiting, give activated charcoal and water to drink. If the patient is hallucinating or violent, give chlorpromazine 50–100 mg intramuscularly.
  • If cannabis has been injected, monitor breathing, pulse, blood pressure, temperature.
  • Supportive care, including oxygen and mechanical ventilation, should be given as needed: Low blood pressure should be treated by keeping the patient lying with the feet higher than the head; intravenous fluids can be given.
    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: The most common site of leak in CSF rhinorrhea is:

1. Sphenoid sinus
2. Frontal sinus
3. Cribriform plate
4. Tegmen tympani

Answer for yesterday’s Mind Teaser: 3. Cribriform plate

Correct answers received from: Dr Priyanka Sharma, Dr JP Goyal, Dr Rakesh Bhasin, Dr (Maj. Gen.) Anil Bairaria, Dr Surendra Bahadur Mathur, Dr. Neelam Ohri, Dr Prabodh Kumar Gupta, Dr Shikha Jain, Dr K Raju, Dr BB Aggarwal, Dr Madhu Sinha, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr TO P Singh, Dr U Gaur.

Answer for 4th July June Mind Teaser: A rainbow!
Correct answers received from:Dr Sumit Mehndiratta, Dr BV Sai Chandran.

Send your answer to ijcp12@gmail.com

    Medi Finance Update

(Dr GM Singh)

It is noteworthy that being risk averse is well appreciated by us. But if your age, income, ability to take risk and financial goals, permit you to take equity exposure one should not ignore the same.

    Laugh a While

(Dr. GM Singh)

Filling in for Saint Peter

A famous professor of surgery died and went to heaven. At the pearly gate he was asked by the gatekeeper: ‘Have you ever committed a sin you truly regret?’ ‘Yes,’ the professor answered. ‘When I was a young candidate at the hospital of Saint Lucas, we played soccer against at team from the Community Hospital, and I scored a goal, which was off–side. But the referee did not see it so, and the goal won us the match. I regret that now.’

‘Well,’ said the gatekeeper. ‘That is a very minor sin. You may enter.’ ‘Thank you very much, Saint Peter,’ the professor answered.

‘I am not Saint Peter,’ said the gatekeeper. ‘He is having his lunchbreak. I am Saint Lucas.’

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name


DCI Approval Date

Eltrombopag (as Olamine) Tablets 25mg/50mg

For the treatment of thrombocytopenia in patients with chronic immune (idiopathic) thrombocytopenic purpura who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. (It should be used only in patients with ITP whose degree of thrombocytopenia and clinical condition increase the risk for bleeding. It should not be used in an attempt to normalize platelet counts).


    Public Forum

(Press Release for use by the newspapers)

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

If you are at risk of heart attack ask your doctor for a statin

Patients with heart artery blockages or those at risk of heart blockages who can tolerate anti cholesterol drug statin should be started on a moderate dose of a statin drug independent of the baseline bad LDL cholesterol levels, said Padma Shri and Dr B C Roy National Awardee Dr K K AggarwalPresident, heart Care Foundation of India.

This is true even for patients with baseline bad cholesterol levels below goal or close to goal. Knowing very well that starting statins in these patients will reduce the bad LDL cholesterol levels well below the recommended goals a moderate statin dose should be started in these patients.

The at–risk patients are:

  • Type 2 diabetic men older than 40 years or diabetic women older than 45 years with one more heart blockage risk factor.
  • Type 2 diabetic men older than 50 or diabetic women older than 55 years.
  • Men or women of any age with over 20 year duration diabetes (type 1 or type 2) with one more heart block risk factor.
  • Men or women of any age with over 25 year duration diabetes (type 1 or type 2)
  • Patients with symptomatic blockage in the neck carotid artery supplying blood to the brain
  • Patients with blockages in the leg arteries
  • Patients with aneurysm (abnormal enlargement) of the abdominal aorta.
  • Patients with multiple heart blockages risk factors and 10-year heart attack risk of over 20%
  • Patients with chronic kidney disease with kidney functioning (eGFR) of less than 60
    Readers Responses
  1. Dear Dr Aggarwal, Your newsletter continues to be fascinating even to a non medical person. The addition of ‘Apps’ is very innovative and also very useful. With best wishes, Yours sincerely: Er Anuj Sinha.
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme Details

Programme Schedule 10th July MEDICO LEGAL CONFERENCE
Time Session Chairperson Moderator Speaker Topic
8 Am–8:30 Am Ethical Issues in Medical Research   Dr KK Aggarwal
Dr Girish Tyagi
8 am–8.10 am       Ajay Agrawal Rights of a patient in medical trial
8.10–8.20 am       Dr Ranjit Roy Chaudhury Ethical Issues in a medical trial
8:20–8.30 am       Priya Hingorani Statutory permits required for conducting trials
8.30–9.10 am Medical ethics and organ donations Dr N V Kamat Dr KK Aggarwal    
8.30 am–8.40 am       Dr Anoop Gupta Ethical issues in IVF practice
8.40 am–8.50 am       Dr N K Bhatia 100% voluntary blood donation
8.50 am–9.00 am       Dr Rajesh Chawla Need for do not resuscitate laws in India
9.00 am–9.10 am       Dr Neelam Mohan Ethical issues in organ transplantation
9.10 am–9.30 am Handling cases of death Mr S K Saggar
Dr Arvind Chopra
Dr KK Aggarwal
Dr Girish Tyagi
9.10 am–9.20 am       Dr S C Tewari Spiritual considerations in a dying patient
9.20 am–9.30 am       Dr G.K. Sharma Medico legal and ethical issues in post mortem
9.30 am–9.50 am Medical Insurance Mr Vibhu Talwar
Dr H K Chopra
Dr Vinod Khetrapal
Dr KK Aggarwal    
9.30 am–9.40 am       Meenakshi Lekhi Engaging a lawyer
9.40 am–9.50 am       Maninder Acharya Understanding various court procedures
9.50 am–10.20 am How to handle medico legal cases? Dr Anil Goyal
Dr Rajiv Ahuja
Ajay Agrawal
Dr Girish Tyagi
9.50 am–10.00 am       Dr M C Gupta When to do the MLC?
10.00 am–10.10 am       Dr Sudhir Gupta Checklist of MLC case
10.10 am –10.20 am       Siddarth Luthra Medico legal record keeping
10.20–10.50 am Medical Consent Dr Vinay Aggarwal
Dr P K Dave
Dr KK Aggarwal
Dr Girish Tyagi
10.20 am–10.30 am       Indu Malhotra Types of consent
10.30 am–10.40 am       Dr Manoj Singh Ideal consent
10.40 am–10.50 am       Dr N P Singh Extended consent
10.50 am–11.20 am Fallacies in acts applicable to medical profession Dr Anup Sarya
Dr Sanjiv Malik
10.50 am–11.00 am       Dr Kaberi Banerjee MTP, PNDT Act
11.00 am–11.10 am   Dr Anupam Sibal   Dr Sandeep Guleria Organ Transplant Act
11.10 am to 12.00 noon Inauguration

Justice A K Sikri, Delhi High Court

Justice Vipin Sanghi, Delhi High Court

Dr HS Risam, Board of Director, MCI

Dr P Lal, Board of Director, MCI

Dr A K Agarwal, President DMCl
12.00 noon–1.00 PM Professional misconduct and professional ethics Dr A K Agarwal
Dr. D S Rana
Dr H S Rissam
Dr KK Aggarwal
Dr Girish Tyagi
12.00–12.10 pm       Dr Sanjiv Malik Doctor-pharma relationship
12.10 pm–12.20 pm       Dr M C Gupta Advertisement and medical practice
12.20 pm –12.30 pm       Dr Navin Dang Rights of a patient
12.30 pm–12.40 pm       Dr Ajay Gambhir Rights of a doctor
12.40 pm– 12.50 pm       Dr Ashok Seth Kickbacks, touts and commercialization in medical practice
1.00 pm to 2.00 pm When it is not a negligence? Dr Prem Kakkar
Dr S K Sama
Dr O P Kalra
Dr KK Aggarwal
Dr Girish Tyagi
  Complaints of a doctor against doctor
1.00 pm–1.10 pm       Dr Girish Tyagi What is medical negligence?
1.10 pm–1.20 pm       Dr Vijay Aggarwal Medical accidents
1.20 pm–1.30 pm       Mukul Rohatgi Professional Misconduct
1.30 pm–1.40 pm       Dr K K Aggarwal How to defend a complaint?


September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com


Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at


Share eMedinewS

If you like eMedinewS you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.

   Dr K K Aggarwal on blogs    Dr K K Aggarwal on blogs     Dr K K Aggarwal
on Twitter    Dr k k Aggarwal on Facebook    You Tube
    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 Naveen Dang, Dr Pawan Gupta, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta