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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

  Editorial …

7th February, 2011, Monday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Women with PCOS may have four times the prevalence of type 2 diabetes

According to a review and meta–analysis published online in the journal Human Reproduction Update, women with polycystic ovary syndrome (PCOS) have a four–fold increased prevalence of type 2 diabetes, independent of body mass index (BMI).

After including 35 studies in the systematic review and 30 in the meta–analysis, the study found that women with PCOS had a 4.48–, 2.48–, and 2.88–fold increased prevalence of type 2 diabetes, impaired glucose tolerance (IGT), and the metabolic syndrome, respectively, compared with controls. And, in BMI–matched studies, the corresponding prevalence’s were increased a respective 4.00–, 2.54–, and 2.20–fold.

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

  2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal
Heightened awareness of Concussion

Audio PostCard
  Quote of the Day

(Dr GM Singh)

Six essential qualities that are the key to success: Sincerity, personal integrity, humility, courtesy, wisdom, charity. William Menninger

    Photo Feature (from the HCFI Photo Gallery)


2nd eMedinewS Revisiting 2010

Dr Sudesh Ratan recieving eMedinewS Medical Statesman of the year 2010 Award in the 2nd eMedinewS revisiting 2010 on 9th January 2011 at Maulana Azad Medical College


Dr K K Aggarwal
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Display cell emission levels: Govt

Mobile companies will now have to list out the Specific Absorption Rate (SAR) levels of different handsets to the buyers. The department of telecommunications is going to issue orders, after due consultations with mobile handset manufacturers, to prominently display the SAR levels – which is a measure of the amount of radio frequency energy absorbed by the body when using a handset – on the packing, minister of state for telecommunications and information technology, Sachin Pilot, said on Thursday. He said the government is also going to launch a nationwide crackdown on companies which have been flouting its guidelines on electromagnetic emissions from mobile towers and have failed to self–certify the mobile towers. Such companies will be fined Rs 5 lakh for each non–compliant base station. (Source: The Times of India, Feb 4, 2011)

    International News

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

Insulin resistance increases risk of heart disease

Much research points to the fact that diabetes is related to coronary heart disease, but it is unclear what causes this link. Therefore, a group of researchers set out to determine whether heart disease in those with diabetes is caused by increased insulin resistance, changes in metabolic factors, or other symptoms of diabetes. The researchers used a tool called the Archimedes model to estimate the proportion of heart attacks that could be prevented by keeping insulin at healthy levels versus keeping other metabolic functions at healthy levels. They found that approximately 42 percent of heart attacks would be prevented if insulin resistance levels were normal. This led researchers to conclude that the link between heart disease and diabetes is primarily insulin resistance.

(Dr Monica and Brahm Vasudev)

Dog sniffs out colorectal cancer, findings may help develop volatile organic compounds–based tests

According to a study in the journal Gut, a Labrador retriever was at least 95 percent as accurate as colonoscopy when smelling breath samples, and 98 percent accurate when sniffing stool samples. The dog’s sense of smell was especially effective in early–stage cancer; and the canine could discern polyps from malignancies, which colonoscopy can’t.

Surgery may reduce EDS associated with obstructive sleep apnea

Excessive daytime sleepiness in people with obstructive sleep apnea, improves greatly after surgery for the disorder, according to findings presented at a recent Triological Society meeting in Arizona.

Women with PAD may experience faster decline in function, mobility compared with men

Among patients with peripheral arterial disease (PAD), women appear to experience a faster decline in function and mobility compared with men, according to a study published in the Journal of the American College of Cardiology.

LVADs may help certain patients recover heart function.

WebMD (1/31, Goodman) reported that an implantable pump that assists with the work of a weakened heart may, in rare cases, help some people recover a significant amount of heart function, according to research published the Journal of the American College of Cardiology. The study summarizes international research on recipients of left ventricular assist devices, or LVADs, including1,092 LVAD patients enrolled in a government–funded registry.

    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

What advice do you have for young women to prevent possible future fertility problems?

Sexually transmitted diseases (STDs) can be a major cause of future infertility, so young women should ALWAYS have protected sex. Also, women should consult with their Ob/Gyn if they have irregular menstrual cycles or have painful periods or ovulation. If your doctor is dismissive and does not offer to find a cause and solution to your problems, find a physician who will. Unfortunately, many couples' biggest barrier to conception is an Ob/Gyn who is unfamiliar with the latest technology to treat the causes’ of infertility even though the woman may not presently be trying to conceive.

For queries contact: banerjee.kaberi@gmail.com

    Pediatric Update

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

What are the effects of CMV infection in newborn?

Of the severely infected infants, up to 30% die, and approximately 80% of the survivors have serious sequelae The principal clinical manifestations of severe congenital CMV infection include

  • Hepatosplenomegaly
  • Thrombocytopenia with resultant petechiae
  • Intracranial calcifications
  • Intrauterine growth restriction
  • Hepatitis
  • Jaundice,
  • Microcephaly,
  • Chorioretinitis
  • Hearing loss,
  • Mental retardation
  • Seizures.

Eighty–five to 95% of these infected infants are asymptomatic at birth. Ten to 15% of the initially asymptomatic children subsequently develop sequelae

  • Neurologic
  • Auditory
  • Visual
  • Dental defects

Which become evident as they enter school.

    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What is Touch DNA?

Locard’s Exchange Principle states that with contact between two items, there will always be an exchange. So, when a crime is committed, if the perpetrator deposits a sufficient number of skin cells on an item at the scene, and that item is collected as possible evidence.

  • It is the DNA in skin cells that is left at a crime scene and may be sampled from a variety of items including gun grips, steering wheels, eating utensils, luggage handles, and clothing.
  • Humans shed tens of thousands of skin cells each day, and these cells are transferred to every surface with which human skin comes into contact.
  • Touch DNA is not Low Copy Number DNA (LCN DNA).
  • LCN DNA profiling allows a very small amount of DNA to be analyzed, from as little as 10 to 30 cells.
  • Touch DNA samples are processed exactly the same way as blood, semen, saliva etc, and can stand up to scrutiny in court much better than LCN DNA.
  • Touch DNA analysis may be able to link the perpetrator to the crime scene, by collecting the skin cells and analyzing them.
    ENT Update

Dr. Aru Handa MS, DNB (Department Co–coordinator and Senior Consultant Deptt. Of ENT Moolchand Medcity)

What happens if allergy of nose is not treated?

Nasal allergy leads to localized edema of the mucosa, which can block the opening of the sinus osteum thus leading to retained secretions in the sinuses which get secondarily infected thus causing sinusitis. Some cases of allergic rhinitis may progress to develop allergic nasal polyposis. Rinitis and asthma are also closely linked i.e about 75% of asthmatics have associated rhinitis. Patients of rhinitis who are asymptomatic for asthma have some inflammation of lower airway which can later on develop into asthma. Treatment of allergic rhinitis reduces the risk of asthma and lowers the dose of medication required to treat asthma.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Protein C

Formal name: Protein C Functional or Antigen; Protein S Free (Functional) or Antigen (Total).

Tests for Protein C and Protein S are usually ordered to help diagnose the cause of a venous thromboembolism (VTE). Functional tests for Protein C and free Protein S are usually ordered, along with other tests for hypercoagulability, to screen for sufficient, normal, factor activity.

  • High Protein C and Protein S levels are not usually associated with medical problems. Low levels of Protein C or Protein S can result in excessive formation of blood clots.
  • Low concentrations of Protein C and Protein S may be seen with vitamin K deficiency, liver disease, severe infections (inflammatory conditions), renal disease, cancers, disseminated intravascular coagulation (DIC), HIV, during pregnancy, immediately following a thrombotic episode, and with warfarin or heparin anticoagulant therapy.
    Medi Finance Update

Investing a significant portion of your portfolio in one industry can be risky, especially if that industry falls on hard times. However, the upside can be equally as good if the industry performs well. (We have seen this in the technology sector.) However, if you have a diversified portfolio you may be able to reap some incremental returns by investing in an industry–specific fund.

    Drug Update

LIST OF APPROVED DRUG FROM 01.01.2010 TO 31.8.2010

Drug Name
DCI Approval Date
Spironolactone 25mg + Furosemide 20mg tablets
For treatment of resistant oedema associated with secondary hyperaldosteronism; resistant hypertension, chronic cardiac failure and hepatic cirrhosis
    IMSA Update

International Medical Science Academy (IMSA) Update

Treatment of co–occurring depression and alcohol dependence

A randomized trial of outpatients with alcohol dependence and major depression found that combined treatment with naltrexone and sertraline reduced relapse and increased time to heavy drinking compared to either drug individually and to placebo.

Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady developed hypotension with repiratory distress immediately after delivery.
Dr Bad: This is an internal bleed.
Dr Good: It looks like AFES.
Lesson: Amniotic fluid embolism syndrome (AFES) is a catastrophic condition that occurs during pregnancy or shortly after delivery. It is characterized by the abrupt and fulminant onset of hypotension due to cardiogenic shock, hypoxemia, respiratory failure, and disseminated intravascular coagulation. Clinicians should suspect AFES whenever shock or respiratory compromise develops during labor and delivery, or immediately postpartum. Other causes of sudden intrapartum or postpartum cardiorespiratory failure must be excluded.

Make Sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

Socrates on Marriage

When Socrates reached his 50s, he went into marriage and took a wife, Xanthippe. She was known to be very hot tempered and nag. He was no ideal husband. He would leave home every morning without fail and return home sometimes quite late. At the end of every month, there was not any pay check. Story had it that once he was discussing ideas and thoughts in his house with his friends. They were discussing non stop the whole day until his wife, Xanthippe was so fed up and scolded them. She even chases them out of the house. Once outside the house, they continue discussing until the middle of the night. Xanthippe finally could not take it. She took a pail of water and poured it unto them.

The philosopher, soaking wet said "You know my friend, after the thunder, there will always come the rain."

Many people rush into relationships and into marriage for many reasons. One of the reasons is loneliness. Loneliness can occur even if you have a partner. There are many people who have many friends but are still lonely inside. Do not go into marriage unless you are very sure.

Even if you are married, the philosopher has one word for you.

By all means, marry. If you get a good wife, you'll become happy; if you get a bad one, you’ll become a philosopher.


Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: you the past
Answer for yesterday’s Mind Teaser: Put ‘the past’ behind ‘you’

Correct answers received from: Dr.Neena Sablok, Dr Anil Bairaria,Dr Rakesh Bhasin, Dr Neelam Nath, Dr Sudipto Samaddar, Mr karani vishanji, Dr. H.L. Kapoor, Dr.K.Raju

Answer for 5th February Mind Teaser: Stuck up
Correct answers received from: Dr.K.Raju , Dr Muthumperumal Thirumalpillai, Dr Meera Rekhari, Dr Rakesh Bhasin, Dr Shashi Chhabra

Send your answer to ijcp12@gmail.com


Laugh a While
(Contributed by Dr Narendra Kumar)

A housewife goes to an optometrist and says: Lately I’m seeing grocery items smaller than they appeared till recently. I think I need a change of my eyeglasses.

The optometrist after examining her eyes for refraction and finding no change in dioptric values observes: Manufacturers of grocery items, rather than increasing the prices, have made the packings smaller; and there’s no need for you to change your eyewear.


Knowledge is amusing

QUEUE comes from ‘Queen’s Quest’. Long back a long row of people as waiting to see the Queen. Someone made the comment Queen’s Quest.

    Readers Responses
  1. NEWS PAPER refer to all 4 directions N E W S Present And Past Events Report. Dr Purushottam
    Public Forum

(Press Release for use by the newspapers)

Free Heart Checkup camp in East Delhi

Moolchand Medcity and Heart Care Foundation of India jointly organized a free heart checkup camp with Morning Walkers’ Association in East Delhi near Taneja Hospital.

The campaign was inaugurated by Member of Parliament Shri Sandeep Dixit. Free check-up facilities included ECG, echocardiography where indicated and clinical cardiac examination.

Giving the details, Senior Consultant Moolchand Medcity Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee, said that heart attack is more common in patients with blockages of less than 50% and angina is more common in person with more than 70% blockages. Presence of blockages of less than 50% does not rule out future heart attack or sudden death.

Lifestyle should be changed to reverse thickness of neck artery and reduce chances of heart attacks. Dr. Aggarwal said that neck artery wall thickness is the new test which should be done by a patient to know chances of future heart attacks.

Dr. Aggarwal said that in women with chest pain, a normal neck artery morphology may practically rule out need for coronary angiography and carotid thickness of less than 0.55mm and thoracic aorta thickness of less than 3 mm practically rules out heart blockages. In asymptomatic patients, a mean neck artery thickness of more than 1.15 mm correlates to 94% chances of having heart blockages.

    eMedinewS Events

eMedinewS Events: Register at emedinews@gmail.com

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: Dr KK Aggarwal

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