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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

  Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

6th November 2012, Tuesday

Routine ECG does not help

In populations of older adults, prediction of coronary heart disease (CHD) events through traditional risk factors is less accurate than in middle-aged adults. It has been shown that electrocardiographic (ECG) abnormalities are common in older adults and might be of value for CHD prediction. However, performing routine ECG among asymptomatic adults is not supported by current evidence and is not recommended by the US Preventive Services Task Force and the American College of Cardiology Foundation/American Heart Association.

The aim of this study by Auer and colleagues was to determine whether baseline ECG abnormalities or development of new and persistent ECG abnormalities are associated with increased CHD events.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

   Constipation Update

A double blind, randomized-controlled, multicentre trial concluded that PEG 3350 (0.26 (0.11) g/kg), compared with lactulose (0.66 (0.32) g/kg), provided a higher success rate with fewer side effects in children with functional constipation. PEG 3350 should be the laxative of first choice in childhood constipation (Voskuijl W, de Lorijn F, Verwijs W, et al. PEG 3350 (Transipeg) versus lactulose in the treatment of childhood functional constipation: a double blind, randomised, controlled, multicentre trial. Gut 2004;53(11):1590-4).

For Comments and archives…

Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

White rice linked to diabetes in Asians

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Workshop on adolescence deaddiction for school teachers

170 teachers and principals of MCD south were trained today on adolescent deaddiction by Padma Shri Awardee Dr KK Aggarwal as part of 19th MTNL Perfect Health Mela celebrations. Mr Satish Upadhyay chairman education committee was the chief guest.

Dr K K Aggarwal
    National News

19th MTNL Perfect Health Mela 2012

click for Programme

CPR 10


Lady Hardinge Med College to take more students: Azad

New Delhi, Nov 3 (PTI) More medical students, both at MBBS and PG level, would pass out from the Lady Hardinge Medical College in the national capital once re-development of the hospital is completed, Union Health Minister Ghulam Nabi Azad today said. He said re-development of the Lady Hardinge Medical College (LHMC) and its associated hospitals is a part of the initiative launched by the Ministry to augment healthcare services.

For comments and archives

My Profession My Concern


Medical Officer

The training could take place at the district hospital where 4000 deliveries take place on an average in a year, and where 2 specialists are posted. It was recommended that one month would be appropriate to train the medical officer in the above mentioned skills. UNFPA had already developed a training manual, and had even tested it in the state of Gujarat. This training lasted for two weeks. But it did not include issues like assisted vaginal deliveries and MRP.

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Valvular Heart Disease Update

When to combine bypass surgery with aortic valve replacement?

There are two settings in which aortic valve replacement and coronary artery bypass graft surgery (CABG) intersect:

  • Patients who are candidates for aortic valve replacement in whom coronary angiography demonstrates significant coronary artery disease that could be corrected at the time of valve replacement. The role of coronary angiography prior to surgery and the indications for concurrent CABG at the time of aortic valve replacement issue will be reviewed here.
  • Patients who are candidates for CABG who also have aortic stenosis that might be corrected at the same surgery.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Platelet test no help after stenting

Adjustment of antiplatelet therapy with bedside monitoring of response doesn't improve outcomes in stenting, a clinical trial determined. (Source: Medpage Today)

For Comments and archives…

Hand hygiene reduces multidrug resistance

Hand hygiene in hospitals actually does something beneficial. Whereas many studies have gauged compliance with hand hygiene policies, Yoko Furuya, MD, assistant professor of clinical medicine in the Division of Infectious Diseases at Columbia University Medical Center and Medical Director of Infection Control and Hospital Epidemiology and Director of Antimicrobial Stewardship for New York–Presbyterian Hospital (NYP) in New York City, showed that improvements in hand hygiene can actually reduce the incidence of methicillin-resistant Staphylococcus aureus (MRSA) and other multidrug-resistant organisms (MDROs), such as vancomycin-resistant enterococci (VRE) and carbapenem-resistant Klebsiella pneumoniae (CRKP). (Source: Medscape)

For Comments and archives…

AHA: Bypass a winner over stents in diabetics

Coronary artery bypass grafting (CABG) significantly improves outcomes compared with drug-eluting stents for diabetes patients with multivessel coronary disease. (Source: Medpage Today)

For Comments and archives…

Exercise prevents dementia in some seniors

Older people who are living independently but have signs of cerebral damage may lower their risk of having progressive cognitive impairment or dementia if they remain physically active, researchers found. (Source: Medpage Today) (Contributed by Dr Monica and Brahm Vasudev)

For Comments and archives…

    Twitter of the Day

@DrKKAggarwal: I posted 178 photos on Facebook in the album "A seminar on Chronic Constipation was organized by eMedinewS , IJ" http://fb.me/2vKzdfdiG

@DeepakChopra: What is the relationship between memories and our brain? Please watch my conversation with @RudyTanzi http://tinyurl.com/cum7ck6

    Spiritual Update

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

The Buddha Description of a Disease: Desire, Hatred and Ignorance

According to Buddhism, three negative emotions cause a disease and they are “Ignorance, Hatred and Desire”. The Buddha philosophy classifies physical sicknesses into three main types.

Disorders of the desire (Ayurvedic equivalent Vata Imbalance): These are disharmony of

For Comments and archives…

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How many types of hair does an adult have?

Adults have two types of hair, vellus and terminal. Vellus hair is soft, fine, generally colorless, and usually short. Terminal hair is long, coarse, dark, and sometimes curly. In most women, vellus hair covers the face, chest, and back and gives the impression of “hairless” skin. In most men, terminal hair covers the face and body. Terminal hair grows on the scalp, pubic, and armpit areas in both men and women. A mixture of vellus and terminal hair covers the lower arms and legs in both men and women. If excessive hair growth is present only on your lower legs and forearms, it is not considered hirsutism and will not respond to hormonal therapy.

For Comments and archives…

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Blood group antigens

  • Genetically encoded
  • Defined chemical structures of blood components
    • carbohydrate compounds or protein molecules
  • Present on the red cell surface (membrane)
  • Can elicit an immune response, after their introduction into an immunocompetent organism that does not possess these antigenic determinants and therefore recognizes them as foreign.

For Comments and archives…

    An Inspirational Story

You can rise above reality

Courage is the power to face your difficulties. It comes from the reserves of your mind that are more powerful then any of your outside circumstances.

When you recognize that you are bigger than your problems, You gain the courage necessary to overcome anything.

Your obstacles will look large or small to you According to whether you are large or small. Courage is the capacity to confront what can be imagined.

It gives you the ability to rise above reality.

You are more important than any of your problems.

For comments and archives

   Cardiology eMedinewS

Support vest cuts sternal wound infections by 50% after cardiac surgery Read More

Autoimmune disease tied to preeclampsia Read More

   Pediatric eMedinewS

Smoking can causes asthma in third generation Read More

Patients emit influenza virus aerosols up to 6 feet away Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with metabolic syndrome was found to have impaired kidney functions.
Dr Bad: They are not related.
Dr Good: They are related.
Lesson: People with metabolic syndrome are at 55% increased risk for kidney disease (reduced kidney functions), according to a study to appear in the Clinical Journal of the American Society of Nephrology (Ref: Thomas G, et al. Metabolic syndrome and kidney disease: a systematic review and meta-analysis. Clin J Am Soc Nephrol 2011;6(10):2364-73).

For comments and archives

Make Sure

Situation: A patient with fever and cough develops complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure that a patient with fever and cough is not given antibiotics as presence of cough mostly signifies viral infection.

For comments and archives

  Legal Question of the Day (Dr MC Gupta)

Q. I am an MD in pathology. I want to start my OPD practice in Diabetology after doing a certificate course in Diabetes management held by Apollo hospitals. Will it be against law?


  1. Diabetology is not a well-recognised specialty. A “diabetologist” would be best equated with an endocrinologist, which is a super-specialist area with a qualification like DM (Endocrinology). The second best parallel would be an internist with a qualification like MD (Medicine).
  2. Since you have neither a DM, nor an MD (Medicine), it would be wrong and misleading to label yourself as a diabetologist. If someone makes a complaint to the medical council, the council is likely to hold it against you.
  3. A real specialist/diabetologist cannot confine himself to OPD practice. The intricacies of the art and science of medicine are learnt and practiced only when dealing with serious patients. No real specialist/ diabetologist would ever confine himself to OPD practice. If your diabetes patient, being managed by you at OPD level, develops diabetic coma and gets hospitalised, it would be a peculiar situation if you are not able to continue to attend to him even though you are a “diabetologist”. It would be worse than a surgeon saying that he wants to confine to OPD practice and minor OPD surgery (which, in any case, would be certainly legal).
  4. A certificate course in Diabetes management held by Apollo hospitals is not a qualification recognised by the MCI on the basis of which you may call yourself a specialist in terms of the MCI Regulations, 2002.
  5. However, nothing prevents an MD (Pathology) from starting a general practice OPD. Again, nothing prevents you from holding out as—“Dr. ABC, MD (Pathology), General Practitioner with special interest in Diabetology”.
  Quote of the Day (Dr GM Singh)

We are all travelers in the wilderness of the world, and the best that we can find in our travels is an honest friend. Robert Louis Stevenson

    Mind Teaser

Read this…………………

Health teachings to be given to a client with pernicious anemia regarding her therapeutic regimen concerning vitamin B12 will include:

A. Oral tablets of Vitamin B12 will control her symptoms
B. IM injections are required for daily control
C. IM injections once a month will maintain control
D. Weekly Z-track injections provide needed control

Yesterday’s Mind Teaser: Ana is diagnosed to have Pernicious anemia. The physician orders 0.2 mg of Cyanocobalamin (Vitamin B12) IM. Available is a vial of the drug labeled 1 ml= 100 mcg. The nurse should administer:

A. 0.5 ml
B. 1.0 ml
C. 1.5 ml
D. 2.0 ml

Answer for Yesterday’s Mind Teaser: D. 2.0 ml

Correct answers received from: Dr A K Kela, Dr Mohan, Rajiv Kohli,
Dr Jainendra Upadhyay Prabha Sanghi, Dr BB Aggarwal, Dr Ajay Gandhi,
Dr Suresh Arora, Dr PC Das, Dr Shagufta Moin, Dr Jella, R Chandni, Muthumperumal Thirumalpillai, Dr Dinesh Yadav, Dr Chandresh Jardosh,
Dr Vijay Kansal Dr Avtar Krishan, Dr BB Aggarwal.

Answer for 4th November Mind Teaser: C. Avoid giving him direct information and help him explore his feelings
Correct answers received from: Dr Thakor Hitendrsinh G, Dr K Raju,
Dr TH Saherwala, Archna Parwani, Arvind Khanijo.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Organic vegetables

A wife goes to the local market to buy some organic vegetables for her husbands. She came back rather upset. When her husband asked her what was wrong, she said, "I don't think I like that produce guy. I went and looked around for organic vegetables and I couldn't find any. So I asked him, 'Where the organic vegetables were?' He didn't know what I was talking about so I said, 'These vegetables are for my husband.

Have they been sprayed with any poisonous chemicals? And he said, 'No, ma'am. You'll have to do that yourself'."

  Medicolegal Update

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

Grievous hurt as per IPC

It is very difficult to draw a line between those bodily hurts which are serious and those which are slight. To make out the offence of voluntarily causing grievous hurt, there must be some specific hurt, voluntarily inflicted and coming within the scope of following as per law. As per Section 320 Indian Penal Code (IPC), the following kinds of hurt are designated as "grievous":

  • Emasculation: It means depriving a male of masculine power.
  • Permanent privation of sight of either eye: The gravity lies in the permanency because it deprives a person the use of the organ of sight.
  • Permanent privation of the hearing of either ear: It deprives a man of his sense of hearing. Injury to the tympanum or auditory nerve or by thrusting something into the ear which causes deafness.
  • Privation of any member or joint: The term ‘member’ means an organ or a limb being part of man capable of performing a distinct function. It includes, nose, mouth, hands, feet, phalanges etc.
  • Destruction or permanent impairing of the powers of any member or joint: the use of limbs and joints of body are essential to the discharge of the normal functions of the body. Their deprivation causes lifelong crippling and makes the person defenseless and miserable.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Any pain which can be pinpointed by a finger cannot be heart pain

Any chest pain which lasts less than 30 seconds and/or can be pinpointed by a finger is not cardiac pain, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, Dr. Viveka Kumar, Director, Max Heart Centre and Dr. HK Chopra, Vice-President, CSR in a joint statement. They were participating in a seminar organized at Birla Vidya Niketan, Pushp Vihar as part of 19th MTNL Perfect Health Mela.

The audience-based interaction was attended by over 100 teachers and parents. The doctors said that chewing a tablet of 300 mg water-soluble aspirin at the onset of chest pain can prevent death in 22% of cases.

Even if a person dies, one should be able to revive the person in most cases by compressing the centre of the chest of the deceased within 10 minutes of death for the next 10 minutes with a speed of 100 per minute (10x10).

If a person has normal ECG, a pumping action of heart more than 40%, can climb two flight of stairs, walk 2 km without any chest discomfort, he is not a candidate for future sudden cardiac death.

The main Perfect Health Mela will start on 7th November, 2012 at Constitution Club of India and will have a mix of exhibitions, competitions, workshops, seminars, entertainment incorporating all pathies under one roof. The entry to the Mela will be free. The programme will be telecast live on 7th November, 2012 6pm on Fit Dilli in Dilli Aajtak.

170 teachers and principals of MCD south were trained today on adolescent deaddiction by Padma Shri Awardee Dr KK Aggarwal as part of 19th MTNL Perfect Health Mela celebrations. Mr Satish Upadhyay chairman education committee was the chief guest. Dr Aggarwal said that addiction is a disease and should be treated under medical supervision.

Addiction occurs either due to ignorance or under peer pressure. Non fulfillment if desires and in guilt also ends up with addictions.

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