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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

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  Editorial …

6th September 2011, Tuesday

Strenuous exercise may increase risk of cardiac disorders

Strenuous exercise, whether performed by elite athletes or competitive weekend warriors, comes with a risk of developing cardiac disorders, including atrial fibrillation, according to a study presented at the European Society of Cardiology meeting.

Investigators found that among people who exercise four hours or more during the week, there was about a 39% increased risk of developing atrial fibrillation that required medical treatment.

Among elite cross–country endurance skiers, the risk of developing arrhythmias increased by 37% when compared with athletes in the same race that skied at a more moderate pace. (MedPage Today)

For Comments and archives...

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

Strenuous exercise may increase risk of
cardiac disorders

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A Joyous Moment

IJCP and eMedinewS team celebrates the Birthday of Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter


Indian pharma sector in for great growth, says President

HYDERABAD: The Indian pharmaceutical industry has emerged as the third largest producer in the world by volume and is poised to grow to be a $20 billion industry by 2015 from its present turnover of $12 billion, President Pratibha Patil said here on Sunday. Patil also lauded the role played by Indian pharma companies in bringing down the cost of treatment for various diseases globally while delivering her inaugural address at the 71st Congress of the International Pharmaceutical Federation (FIP) that is being held for the first time in India. Urging the Indian pharma industry to step up focus on research and development to combat new diseases, the President said India had the potential to emerge as a force to reckon with in global pharmaceutical research. "With its proven IT sector, demonstrated leadership in biotechnology, a vast pool of trained personnel and cost advantages, India can emerge as a significant player in global pharmaceutical research. Several MNC pharma companies are increasingly making India their R&D hub." "India already has the largest number of US FDA approved plants outside the US and is expected to be among the world's top five innovative hubs with contributions of around 50% to drugs discovered worldwide," Patil added. The President, however, cautioned against the menace of spurious drugs and called upon the Indian pharma industry to ensure that the quality and safety of drugs are not compromised. (Source: TOI, Sep 5, 2011)

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

(Dr Monica and Brahm Vasudev)

Hospital uniforms teeming with germs, study finds

More than 60% of physicians’ coats and nurses’ uniforms sampled in a major Israeli hospital tested positive for disease–causing bacteria, including methicillin–resistant Staphylococcus aureus, researchers said. For 63% of the 60 physicians and 75 nurses at Hebrew University’s Shaare Zedek Medical Center in Jerusalem in the study, at least one spot sampled on their outer clothing carried pathogenic bacteria, according to Yonit Wiener–Well, MD, and colleagues there. These bacteria were isolated from half of the total of 235 samples taken from participants’ coats, uniforms, and scrub suits, the researchers reported in the September issue of the American Journal of Infection Control. (Source: Medpage Today)

For comments and archives

Japan’s high life expectancy may hold lessons for the West

Between the earthquake, the tsunami, and a nuclear power plant disaster, 2011 has been a difficult year for Japan. But the country takes justifiable pride in having the longest life expectancy in the world, partly because of a successful universal healthcare system, according to a special report. In 2007, Japan had the highest healthy life expectancy at birth –– 73 years for men and 78 years for women, wrote Kenji Shibuya, MD, from the University of Tokyo, and colleagues in The Lancet. Two years later, the country set a world record for having the longest overall life expectancy for women: 86 years. (Source: Medpage Today)

For comments and archives

Common signs of aging traced to tiny brain blockages

Blocked blood vessels in the brain, often too small to be seen with current medical imaging technologies, may explain some of the common signs of aging such as diminished walking ability and hand tremors, researchers said. Brain autopsy findings showed microscopic infarcts in 57 individuals out of 418 examined, the presence of which was significantly associated with gait abnormalities similar to those seen in Parkinson’s disease, reported Aron S. Buchman, MD, of Rush University in Chicago, and colleagues. Signs of arteriolosclerosis invisible with standard imaging were also significantly associated with parkinsonian gait, as were macroscopic infarcts that would be picked up with CT or MRI scans, the researchers indicated online in Stroke: Journal of the American Heart Association. (Source: Medpage Today)

For comments and archives

More hypertension seen in ed than in doctor’s office

Elevated blood pressure readings are much more common at emergency department visits than in visits to primary care offices, government researchers said. Over one year, 43.5% of emergency department (ED) patients had either moderately or severely elevated blood pressure, compared with 27% of patients seen in their regular physician’s office, Richard Niska, MD, MPH, of the CDC, reported in a National Center for Health Statistics data brief. (Source: Medpage Today)

For comments and archives

    Fitness Update

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

Undernutrition in childhood, adolescence or young adulthood increases risk of heart disease later

A study of women who were children, teenagers or young adults during the Dutch famine in 1944–45 has shown that undernutrition, particularly in the adolescent years, is associated with an increased risk of coronary heart disease in later life. The research, published online in the European Heart Journal, provides the first direct evidence that acute undernutrition during the time that children are growing up can have an important impact on their future health.

For comments and archives

    Twitter of the Day

@DrKKAggarwal: To err is human

@DeepakChopra: Don’t obsess over risks. Keep your focus on positive outcomes.

    Dr KK Answers

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

How safe is angiography radiation?

The mean duration of fluoroscopy in electrophysiologic cardiac interventional procedures ranges from 15 to 67 minutes. The radiation dose from one hour of fluoroscopy during electrophysiologic ablation procedures can result in 0.7 to 1.4 excess fatal malignancies per 1000 women and 1.0 to 2.6 per 1000 men as per two studies published in American Journal of Cardiology (1998) and Circulation (2004)

For comments and archives

    Spiritual Update

Why we should omit eating cereals atleast once a week

Why is eating cereals prohibited in any Vrata or spiritual fast? Terms like bypass surgery and angioplasty are of recent origin. In Ayurveda literature, we had not heard all these terms.

For comments and archives

    An Inspirational Story

(MS Ritu Sinha)

Determination and Persistence

This is a real life story of engineer John Roebling who built the Brooklyn Bridge in New York, USA back in 1870. The bridge was completed in 1883, after 13 years.

In 1883, a creative engineer named John Roebling was inspired by an idea to build a spectacular bridge connecting New York with the Long Island. However bridge building experts throughout the world thought that this was an impossible feat and told Roebling to forget the idea. It just could not be done. It was not practical. It had never been done before. Roebling could not ignore the vision he had in his mind of this bridge. He thought about it all the time and he knew deep in his heart that it could be done. He just had to share the dream with someone else. After much discussion and persuasion he managed to convince his son Washington, an up and coming engineer, that the bridge in fact could be built.

Working together for the first time, the father and son developed concepts of how it could be accomplished and how the obstacles could be overcome. With great excitement and inspiration, and the headiness of a wild challenge before them, they hired their crew and began to build their dream bridge. The project started well, but when it was only a few months underway a tragic accident on the site took the life of John Roebling. Washington was also injured and left with a certain amount of brain damage, which resulted in him not being able to talk or walk.

"We told them so." "Crazy men and their crazy dreams." "It’s foolish to chase wild visions." Everyone had a negative comment to make and felt that the project should be scrapped since the Roebling’s were the only ones who knew how the bridge could be built.

In spite of his handicap Washington was never discouraged and still had a burning desire to complete the bridge and his mind was still as sharp as ever. He tried to inspire and pass on his enthusiasm to some of his friends, but they were too daunted by the task. As he lay on his bed in his hospital room, with the sunlight streaming through the windows, a gentle breeze blew the flimsy white curtains apart and he was able to see the sky and the tops of the trees outside for just a moment.

It seemed that there was a message for him not to give up. Suddenly an idea hit him. All he could do was move one finger and he decided to make the best use of it. By moving this, he slowly developed a code of communication with his wife. He touched his wife’s arm with that finger, indicating to her that he wanted her to call the engineers again. Then he used the same method of tapping her arm to tell the engineers what to do. It seemed foolish but the project was under way again.

For 13 years Washington tapped out his instructions with his finger on his wife’s arm, until the bridge was finally completed. Today the spectacular Brooklyn Bridge stands in all its glory as a tribute to the triumph of one man’s indomitable spirit and his determination not to be defeated by circumstances. It is also a tribute to the engineers and their team work, and to their faith in a man who was considered mad by half the world. It stands too as a tangible monument to the love and devotion of his wife who for 13 long years patiently decoded the messages of her husband and told the engineers what to do.

Perhaps this is one of the best examples of a never–say–die attitude that overcomes a terrible physical handicap and achieves an impossible goal. Often when we face obstacles in our day–to–day life, our hurdles seem very small in comparison to what many others have to face. The Brooklyn Bridge shows us that dreams that seem impossible can be realized with determination and persistence, no matter what the odds are.

For comments and archives

    Gastro Update

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

What happens after surgery for biliary atresia?

The aim of treatment after surgery is to encourage normal growth and development.

  • If bile flow is good, the child is given a regular diet.
  • If bile flow is reduced, a low fat diet is recommended as bile is required to aid in the absorption of fats and vitamins. Multiple vitamins, vitamin B complex, and vitamins E, D, and K can be given as supplements.

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    Infertility Update

(Dr. Kaberi Banerjee, Infertility and IVF Specialist, Max Hospital)

What happens after surgery for biliary atresia?

Infertility is still an enigma to us. The most advanced technique gives a pregnancy rate of at best 50–60% per attempt. Definitely there is lot more to be understood. We are hosting a Conference on 8th – 9th of October at Le’ Meridian, New Delhi on Current Practices and Recent Advances in ART (CUPART 2011). We have invited a very respectable panel of International and National faculty whose experiences will be a wealth of knowledge to us.

Under the aegis on AOGD

Organizing Chairperson – Dr Kaberi Banerjee

Day – 1 Interesting Highlights

Workshop – Only limited seats, first come first basis

Sperm preparation techniques in IUI, Sperm Preparation Techniques for various sperm samples in IVF and ICSI, Sperm Cryopreservation and Banking, ICSI and the Micromanipulator, Ultrasound – The Stethoscope of the Fertility Expert,Slow Freezing and Vitrification, Embryo Culture Media and Preparation

Faculty: Alok Teotia, Srikanth Yatnale, Shubhangi, Deene Vishnukanth, and many more

Inauguration & Welcome Address by Chief ICMR New Delhi at 7.00pm followed by Shaan – e– Hindustan – Sufi Night with Adil Hussaini, Hyderabad & Fellowship Dinner

For Registration Pls Contact: Address: E –23 Ayurvigyan Nagar New Delhi – 110049

For details contact +91 9871250235

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Aldolase is an enzyme that helps convert glucose into energy. It is found primarily found in high levels in muscle tissue. It is elevated in the bloodstream when a patient has muscle or liver damage or disease.

In the past, the aldolase blood test was ordered to diagnose and monitor certain conditions related to skeletal muscle and/or liver disease. It has largely been replaced by other enzyme tests such as CK (creatine kinase), ALT (alanine aminotransferase), and AST (aspartate aminotransferase), which are more specific indicators of muscle or liver damage.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: An asymptomatic patient with no obvious underlying cardiac disease shows ventricular premature contractions (VPCs).
Dr Bad: Anti–arrhythmics should be given.
Dr Good: No treatment is needed.
Lesson: In the absence of cardiac disease, isolated asymptomatic VPCs regardless of configuration and frequency need no treatment.

For comments and archives

Make Sure

Situation: A patient with fever developed melena.
Reaction: Oh my God! why was platelet count not done?
Lesson: Make sure in all patients with fever platelet counts are done.

For comments and archives

  Quote of the Day

(Dr Chandresh Jardosh)

Life does not obey our expectations. Life obeys our intentions, in ways we may not expect. Lloyd Strom


Get Over It: To move beyond something that is bothering you.

  Medicolegal Update

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

Blood samples in a medicolegal case

Clean the injection site with a saline swab and not a spirit swab if the sample of blood is to be collected for alcohol estimation.

  • About 3–4 ml of blood is drawn as sample in chemically clean evacuated tubes of 5ml.
  • The tubes used should be waterproof and not vulnerable to freezing. Labels with identification codes should be used.
  • EDTA should be used as anticoagulant. Tubes with liquid EDTA/fluoride reduce the risk of hemolysis that may alter results.
  • 2ml of 5% aqueous solution of sodium citrate containing 0.2% w/v of formaldehyde or 0.5% w/v of formalin solution must be added to prevent decomposition, which alters results.
  • Plastic vacuum tubes/Plastic vacuum gel tubes are preferred to glass tubes. If vacuum tubes are not available or tubes are opened for freely flowing samples, stoppers that do not react with blood constituents should be available.
  • Special boxes for tube transfer and storage, earmarked refrigerator/freezer must be available in the hospital conducting medicolegal cases
  • About 3–4 ml of blood is taken in a sterile 5ml injection vial (properly sealed and labeled) containing about 2ml of 5% aqueous solution of sodium citrate containing 0.2% w/v of formaldehyde (or 0.5% w/v of formalin solution).
  • Two blood stains, about 1cm × 1cm size, are formed on clean cotton cloth/gauze piece. After drying, they are transferred to a sterile 10ml injection vial. They should be properly dried, before packing to avoid decomposition and then sealed and labeled.
  • Bloodstains located on the body of an uninjured person are taken by rubbing with moistened clean cotton cloth pieces. The same should be properly dried, before packing to avoid decomposition and then sealed and labeled.

For comments and archives

    Mind Teaser

Read this…………………

Job I’m Job

Yesterday’s Mind Teaser: Which one of the following is true of adrenal suppression due to steroid therapy?

1. It is not associated with atrophy of the adrenal glands.
2. It does not occur in patients receiving inhaled steroids.
3. It should be expected in anyone receiving > 5 mg prednisolone daily.
4. Following cessation, the stress response normalizes after 8 weeks.

Answer for Yesterday’s Mind Teaser: 3. It should be expected in anyone receiving > 5 mg prednisolone daily.

Correct answers received from: Dr AP Bhatia, Dr Bina Sawhney, Dr.Anurag Julka, Priyanka Sharma, Dr Valluri Ramarao, Dr K Raju, Dr shashi Saini, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Anil Bairaria.

Answer for 4th September Mind Teaser: 1. Sevoflurane
Correct answers received from: Dr BR Bhatnagar, Dr Anupama, Dr Keshav, Dr Shreya, Dr Pulkit,
Dr Amit.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr. GM Singh)

50th Wedding Anniversary

A couple goes out to dinner to celebrate their 50th wedding anniversary. On the way home, she notices a tear in his eye and asks if he’s getting sentimental because they’re celebrating 50 wonderful years together. He replies, "No, I was thinking about the time before we got married. Your father threatened me with a shotgun and said he’d have me thrown in jail for 50 years if I didn’t marry you. Tomorrow I would’ve been a free man!"

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
DCI Approval Date
Each bowel preparatory kit contains:

One enteric coated tablet Biscodyl IP 5mg & One sachet of powder for reconstitution contains: Polyethylene glycol 3350NF: 210gm + Sodium Bicarbonate IP 2.86gm + Sodium Chloride IP 5.6gm + Potassium Chloride IP 0.74gm
For bowel cleansing prior to colonoscopy in adult patients only
    Public Forum

(Press Release for use by the newspapers)

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

Eat jaggery and gram (Gur – Chana) once a week in a fasting state

To prevent the current epidemic of anemia in the society, one should resume the traditional weekly eating of Gur and Chana in a fasting state, said Padma Shri and Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

In the past, it was a ritual for a childbearing age woman to observe Santoshi Mata Vrata every Friday where it was compulsory to eat Gur and Chana in a fasting state. That used to prevent anemia in the society?

Gur and Chana are high in iron and folic acid. It is a well–known phenomenon that iron is absorbed better in a fasting state. If eaten with food, absorption of iron is not proper.

By eating Gur and Chana once in a week in a fasting state, it is possible to fight anemia in the society.

Recently, the WHO has also suggested that one should take weekly tablets of iron and folic acid in a fasting state. Traditional eating of gur and chana once in a week in a fasting state is better than consuming iron and folic acid tablets.

For comments and archives

    Birthday Wishes
  1. Dear Dr K K Aggarwalji, Arthat Swamiji V/S Guruji. Many Many Happy Retuns of The Day,jio hazaron sal,sal ke din hon pachas hazar, Dr K P Singh From Medanta The Medicity.
  2. Many Many Happy Returns Of The Day Sir, Saurabh Tehri
  3. Wish you a very Happy Birthday. I pray to God for your long and healthy life. Ajay Gupta
  4. Happy Birthday to you. Wishing you healthy, wealthy & successful life ahead Enjoy this wonderful day of your life :-)Dr. Anil Singhal -
  5. Happy Birthday to you - Homeopathy & Health - Dr. Anil Singhal MD(Homeo)
  6. Happy b'day. Deepak Herald D'Souza
  7. Happy birthday. Mamta Gopal
  8. happy birthday. Vinod Midha
  9. Wish You A Very Happy Birthday. Ramchandra Goyal
  10. HAPPY BIRTHDAY! Jignesh Shah
  11. Many many happy returns of the day,Dr K K Aggarwal.God bless ! Madhurika Agrawal
  12. Happy birthday to u. many many congratulations.. Dr.rohit Dilawari
  13. Happy birthday. DrAnil Upadhyay
  15. Many Happy Returns of the day .May you live for ever and keep doing the good job that you are doing .Future generations will be grateful to you . Krishan Sindhi
  16. Happy Birthday, All The Group Members, Acupuncturist Near U & World News , Wish U Healthy Wealthy & Bright Future Life Bhim Sen Taneja
  17. Ishwar aapko dirghayu de...aur saari manokamnayein poorna karein....janma din ki haardik badhaiiiii. DrPragya Jain
  18. Wish u a very happy bday sir. and a very happy teachers day as well.. it seems evn god wanted u to be such a great teacher.. hence bday on this special date :) Dr Dhaani Godiseverywhere
  19. Many many Happy returns of the day sir...:) have a funtablastic b'day...:):):):)...and happy teacher's day sir....:):):) ÐrRishikesh Majumder
  20. Happy birthday Sir Ji!baar baar din yah aye, baar baar dil yah gaye, aap jiyo hazaro saal yah meri hai arzoo/happy birthday to u, happy birthday to u. Pratibha Rao
  21. Happy birthday sir....and Happy Teachers Day also...thanks for being a great inspirer always!!! Reshma Hingorani
  22. Aap jiyo hazaaron saal, ye hamari hai aarzuuu... (aur har saal ke din hon pachaas hazaar) Tanmoy Basu
  23. Wish u many many happy returns of the day sir & happy teacher's day too..!! :-)Pawan Jain
  24. Many Many Happy Returns of the DAY. Sincere wishes to you and for the family. Have nice day and time. DrVaralakshmi Harave
  26. Live Life Powerfully and Live a Life You Love ... Happy Birthday ...!!!Sumit Goel
  27. Wish you many many happy returns of the day :-) May your birthday be filled with sunshine and smiles, laughter and love... B happy & blessed ever :D DrShakir Kharbe
    Forthcoming Events

International Heart Protection Summit (IHPS–2011)

Organized by Ministry of Health & Family Welfare Govt. of India & ASSOCHAM
September 28th, 2011 at Hotel Ashok, Chankyapuri, New Delhi
President: Dr. H.K. Chopra, Intl. Presdient: Dr. Navin C. Nanda, Scientific Chairman: Dr. S.K. Parashar, Org. Secretary: Dr. O.S. Tyagi,
For Registration & Details: Contact – Mob. 9971622546, 8010222883,
E–mail: agnideep.mukherjee@assocham.com; sandeep.kochhar@assocham.com,


18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals


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  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