Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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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 (07–08c); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR


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eMedinewS Presents Audio News of the Day

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

Photos of 1st Mega Ajmer Health Camp 2012

  Editorial …

7th March 2012, Wednesday

Rapid flu tests more accurate when positive, but negative results require confirmation

Rapid influenza diagnostic tests (RIDTs) were more accurate at diagnosing the flu than ruling it out in a new study, indicating that patients with a negative result would need additional testing. Researchers reviewed 159 published studies to determine the accuracy of RIDTs in diagnosing flu in adults and children presenting with flu–like symptoms. RIDTs were defined as any commercially available assay that identified flu antigens or neuraminidase activity in respiratory specimens through simple immunochromatographic formats. In all studies, RIDTs were tested against one of two accepted reference standards. Results appeared online Feb. 27 at Annals of Internal Medicine. (ACP)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    eMedinewS Audio PostCard

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

Rapid flu tests more accurate when positive, but negative results require confirmation

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

First Mega Ajmer Health Camp – exhibition

Free blood sugar checkups. Over 3000 free blood sugar checkups were done for the public at large.

Dr K K Aggarwal
    National News

Report each TB case to us, says health dept

PUNE: Private practitioners treating tuberculosis patients will now have to report each case to the state health department. The aim is to improve private doctors’ participation as well as to ensure appropriate and effective treatment of the disease. "Private doctors have been working with the state health department in reporting tuberculosis cases, but their number has always been minuscule. We have started senisitising doctors about the tuberculosis treatment and drug regimen on a war footing now. As a result, we could enroll 1,000 doctors in the last month alone. Now, we have sent a circular to all private doctors asking them to join us in fighting the tuberculosis. We hope the number will swell in the next few months," Pradeep Gaikwad, joint director (TB), state health department told TOI on Monday. (Source: TOI, Mar 6, 2012)

For Comments and archives

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

    International News

Screening Pap smears tied to higher cure rate

Women with screen–detected cervical cancer had a 26% absolute increase in cure rate as compared with women who were symptomatic at diagnosis, results of a Swedish study showed. (Source: Medpage Today)

For comments and archives

You need not have chest pain for heart attack

MUMBAI: For long, a sudden chest pain was considered the main symptom of a heart attack, but a comprehensive study conducted by a Florida–based chest pain centre has found that many patients taken to hospitals for heart attacks never had chest pain. Consequently, they were less likely to be treated aggressively, according to a report on the NYT website. The study done at the chest pain centre of Lakeland Regional Medical Center, Florida, showed that of 1.1 million people, 42% of women admitted to hospitals for heart attack never experienced chest pain, while the figure was 30.7% in the case of men. The study, of which the Center’s director John G Canto is an author, was recently published in the Journal of the American Medical Association. According to leading cardiologist Ashwin Mehta, well over 20 to 30% of people admitted to hospitals in India have had painless heart attack. "My observation is that people suffering from hypertension and diabetes may have a painless heart attack. In such cases, the signals of discomfort are vague and weak. As a result, they get less opportunity for treatment," Mehta said. (Source: TOI, Mar 6, 2012)

For comments and archives

Bariatric risks rise with CKD, but still low

Complications after bariatric surgery occurred significantly more often in patients with chronic kidney disease (CKD), but rates remained low, authors of a cohort study concluded. The complication rate increased with CKD severity, from 4.6% in patients with normal kidney function or stage 1 CKD to 9.9% for patients with stage 5 CKD. (Source: Medpage Today)

For comments and archives

Biomarkers gauge kidney injury after heart surgery

Several biomarkers predicted the severity of acute kidney injury (AKI) after cardiac surgery more quickly than did serum creatinine, investigators reported. (Source: Medpage Today)

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    Twitter of the Day

@DrKKAggarwal: #AJCC Bypass plus valve repair improves outcomes Moderate functional ischemic mitral regurgitation (MR) is not… fb.me/1uFR57hNM

@DeepakChopra: The most fascinating mystery anyone can face, standing at the very start of the spiritual quest. Seeking the Self.

    Spiritual Update

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

I am the Best

People who lack self–confidence and self–esteem face recurrent episodes of depression. They suffer from inferiority complex as they continually compare themselves with others.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Which medical therapy is used for Infertility?

Medical therapy is effective for relieving pain associated with endometriosis, there is no evidence that medical treatment of endometriosis by birth control pills, progestins, GnRH analogs, or danazol improves fertility. Furthermore, surgery combined with medical therapy has not been shown to enhance fertility. These treatments are effective in reducing pelvic pain and painful intercourse associated with endometriosis. Therefore, hormonal suppression may improve comfort and sexual activity in infertile women with endometriosis and pelvic pain, thereby improving fertility after the completion of the treatment.

For comments and archives

    Tat Tam Asi………and the Life Continues……

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

Christianity and organ donation

The Christian faith is based upon the revelation of God in the life of Jesus Christ. Throughout his life Jesus taught people to love one another and he proved his love for the world upon the cross. It seems in keeping with this that Christians consider organ donation as a genuine act of love and a way of following Jesus’ example.
This act of love then becomes part of a Christian discipleship or faith journey that is motivated by compassion to help someone else and demonstrates a sense of social responsibility.

Sacrifice and helping others are consistent themes in Christianity, which teaches the principle of seeking for others what you hope others would do for you. Enabling life to be lived as fully as possible is consistent with the teaching of the Son of God, Jesus Christ:

"…freely you have received, freely give"

Matthew, chapter 10:8

Christians should be encouraged to help others in need. Discussing organ donation with family and friends is a responsible and thoughtful act. "I hope that Christian people will seriously and positively consider organ donation. The ready willingness to donate an organ is a clear sign of that sacrificial self–giving for others patterned by Jesus Christ."

V David Ebor: Archbishop of York

"Every organ transplant has its source in a decision of great ethical value…Here lies the nobility of a gesture which is a genuine act of love. There is a need to instill in people’s hearts a genuine and deep love that can find expression in the decision to become an organ donor."

His Holiness Pope John Paul II

"Any act that can save life, such as organ donation, is a great thing and quite acceptable within our faith."

Council of African & Afro–Caribbean Churches (UK)

"The Methodist Church has consistently supported organ donation and transplantation in appropriate circumstances, as a means through which healing and health may be made possible."

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The True Life Partner

Once upon a time, there was a rich merchant who had 4 wives. He loved his fourth wife the most, because she was the most beautiful one amongst his other wives, and gave her a lot of his riches and wealth.

This man was very proud of his third wife and always tried to introduce her to all his friends, though he was always worried if his wife would run away with other guy. He loved his second wife very much, because she was patient and understanding. Whenever he had a problem, he always asked for her opinion; she was the one he could rely on. Through difficult times, the second wife always helped and was always by her husband’s side.

His first wife was a faithful partner. She always brought goodness for the family. She was the one who took care and organized her husband’s business. Unfortunately, the merchant did not love her that much. Although the first wife loved the merchant so much, he did not really care about her.

One day, the merchant was very sick and realized that he was going to die soon; so he called for all his wives. He asked his fourth wife, "You are the one I love the most, I gave you beautiful dresses and jewelries. Would you accompany me?" His wife was stuck shut, then she answered him, "Of course I wouldn’t!" then she left without another word. That answer hurt the merchant’s heart so much. Then, he asked his third wife, "I too love you with all my heart and, this time, my life will be over. Would you go with me?" The wife answered, "Life is so beautiful here, I will marry again if you die." The merchant was very struck with her saying.

Again, he asked his second wife, "I always turned to you every time I have problems and you always helped me. Now, I really need your help. If I die, would you stand beside me?" The wife quietly answered, "Please forgive me," she said, "I cannot help you this time. I can only see to your grave. However, I’ll make a beautiful burial plot for you."

The answer was like a striking lightning. The merchant felt so hopeless. Suddenly, he heard a voice, "I will stay with you. I’ll go wherever you go. I won’t leave you; I’ll be faithful to you." The merchant looked to his side and saw his first wife there. She looked so thin, like a person in starvation. Feeling very sorry, the merchant whispered, "If only I could take care of you while I could, you would not look like this, my wife."

For comments and archives

    Fitness Update

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

Eating frequency higher in weight loss maintainers and normal–weight individuals vs the overweight

Lifestyle modification produces weight loss, but often plateauing and weight regain tends to follow.

In a secondary data analysis drawing from two NIH studies, patients were assessed for physical activity, diet habits, and weight status. Diet was assessed using three separate, random 24–hour recalls performed by trained interviewers. The study looked at eating frequency and weight status, where an "eating occasion" was defined as intake of 50 or more calories of food or drink separated by at least an hour from other eating instances. People with reported energy intakes that were deemed implausible (too high or too low) were excluded.

Eating frequency was higher among people of normal weight or who had maintained weight loss than among overweight people. Reported meal frequency was not dissimilar between the groups, indicating that normal weight people and weight loss maintainers ate more snacks than overweight people, with a common pattern of 3 meals and 2 snacks per day. In addition, physical activity and energy intake were higher among people who ate more snacks, but BMI was lower. This suggests that exercise can allow for greater intake while maintaining a lower body weight. While the mechanism behind higher eating frequency and weight loss/maintenance is still unknown, it is thought that more frequent, smaller meals or snacks boosts metabolism. Thus combining physical activity (which also boosts metabolism) with small, frequent meals may lead to greater success in losing and maintaining weight.

For comments and archives

    Cardiology eMedinewS

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

Anemia In Heart Failure – A Modifiable Risk Factor Or Just A Marker Of Worse Outcomes? Read More

Optimizing Anti–Remodeling Therapy After Myocardial

Infarction By Targeting The Healing Process
Read More

Global Challenge Of Cardiovascular Disease: Research To Action
Read More

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    Pediatric eMedinewS

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

Syphilis Tests Could Save A Million Babies: Experts Read More

Stenting for Aortic Coarctation In Kids Has Few Initial And Long–Term Problems Read More

Kids Beat Egg Allergy With Tolerance Tx Read More

Food Allergy Common In Joint Disorder Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with severe secondary MR with refractory end–stage heart failure.
Dr. Bad: Go for mitral valve repair.
Dr. Good: Try biventricular pacing.
Lesson: As per 2005 ACC/AHA heart failure guidelines, effectiveness of mitral valve repair or replacement for severe secondary mitral regurgitation in refractory end–stage HF is not established (Circulation 2009;119:e391).

For comments and archives

Make Sure

Situation: A 13–year–old girl complained of epigastric pain, fatigue and anorexia. Elevated serum gastric level (900 MIU/l) raised the suspicion of gastrinoma.
Reaction: Oh my God! Why did you not put her on triple therapy for H. pylori infection?
Lesson: Make sure to remember that H. pylori infection is the most important cause of hypergastrinemia other than gastrinoma in childhood.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Insanity: doing the same thing over and over again and expecting different results. Albert Einstein

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Peritoneal Fluid Analysis

To help diagnose the cause of peritonitis and/or peritoneal fluid accumulation (called ascites)

    Mind Teaser

Read this…………………

Minimum number of lymph nodes to be dissected in axillary sampling in breast conservation surgery is:

a) 2
b) 3
c) 4
d) 5

Yesterday’s Mind Teaser: Effective therapy for morbid obesity, in terms of weight loss is:

a) Intensive dieting with behavior modification.
b) A multidrug protocol with fenfluramine, phenylpropanolamine and mazindol.
c) A gastric bypass with a 40–ml pouch, a 10– to 20–cm. Roux–en–Y gastroenterostomy.
d) A gastric bypass with a 15–ml pouch, a 40– to 60–cm. Roux–en–Y gastroenterostomy

Answer for yesterday’s Mind Teaser: d) A gastric bypass with a 15–ml pouch, a 40– to 60–cm. Roux–en–Y gastroenterostomy

Correct answers received from: Dr Mrs S Das, Dr PC Das, YJ Vasavada, Dr Chandresh Jardosh, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay.

Answer for 5th March Mind Teaser: Ground Level
Correct answers received from: Rajiv Kohli

Send your answer to ijcp12@gmail.com

For comments and archives

    Laugh a While

(Dr GM Singh)

Use of I

TEACHER: Ellen, give me a sentence starting with "I".
ELLEN: I is…
TEACHER: No, Ellen. Always say, "I am."
ELLEN: All right… "I am the ninth letter of the alphabet."

    Medicolegal Update

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

A medicolegal case must be informed to the nearest police

Not informing the police by doctor is criminal offence under Sections 177 & 201 IPC

A medicolegal report is prepared for the purpose of litigation – imminent or prospective by the treating doctor. The responsibility to label any case as a medicolegal case (MLC) rests solely with the attending medical practitioner in absence of police or any other legal references. According to the Hon’ble Supreme Court, whenever any MLC comes to the hospital, the government doctor on duty or private doctor attending the case should start the treatment of the patient and if he thinks that the case needs to be reported to the police, he should do so without fail and without any justified delay to the police on duty, giving the name, age, sex of the patient and the place of occurrence of the incident and. It will be the duty of the said Constable/duty officer of police station to inform the nearest concerned police station/ higher police functionaries for further action.

  • Section 177 IPC states that giving false information is punishable criminal offence and if proved the doctor may be punished up to six months.
  • Section 201 IPC deals with causing disappearance of evidence of offence or giving false information to screen the offender. This is a graver offence and imprisonment depends on the gravity of case.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

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

Blue and Green Holi Colors may be Dangerous

Use natural herbal colors or else they can cause serious health hazards said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India. An alternate way is to use ‘chandan ka tika’. The deeper meaning behind the festival is to remove internal dirt from the body by spreading love and affection.

Chemical colors, bhang and the indiscriminate use of alcohol, all can lead to health hazards.

An earlier report from the AIIMS has shown that green/blue–green colors are associated with higher incidence of ocular toxicity.

In fact most "pleasing to eye" colors available in the market are toxic and could cause serious disorders.

Malachite green is extensively used in Holi and can cause severe eye irritation with epithelial defect upon exposure, though it usually does not penetrate through the cornea.

Presence of cheap inorganic chemicals like mica, acids, alkalis, pieces of glass, not only induce skin disorders like abrasion, irritation or itching but can also impair vision, cause respiratory problems and also cancer.

The alkaline base of these colors can cause injuries, the severity of which depends upon the area of contact and the degree of penetration.

Broadly, three categories of colors are available in the market: pastes, dry powders and water colors. The hazard increases when these are mixed with oil and applied to the skin.

Most inorganic dry colors or ‘gulals’ have two components — a colorant which may be toxic and a base, which could be asbestos or silica, both of which are capable of causing health hazards. While silica dries as well as chaps the skin, asbestos that is a known human carcinogen, can result in cancer.

    Readers Responses
  1. Haematuria whether painless or painful should be investigated very seriously, it may be just one episode, routine examination along with cystocopy is must for painless haematuria. Vivek Kumar, Varanasi
    Forthcoming Events
Dr K K Aggarwal

On the occasion of World Kidney Day Delhi Nephrology Society is organising a Pannel discussion On

on 10th March, 2012 at 4–6 PM in PGIMER, RML Hospital.

  1. Topic: Role of Physician in Prevention of CKD, Speaker: Prof. Sham Sunder, PGIMER, RML Hospital
  2. Topic: Option of Treatment for End Stage Renal Disease, Speaker: Dr D Bhawmik Ad. Prof. Nephrology, AIIMS
  3. Topic: Overview of Kidney Transplantation,Speaker: Dr S C Tiwari, Dir. Nephrology, Fortis Hospital
  4. Topic: Status of Deceased Organ Transplant in India, Speaker: Maj. Gen. P P Varma, Head, Dept. Of Nephrology, R & R Hospital
  5. Topic: Role of Transplant co–ordinator/ ICU– sister in Organ Donation, Speaker: Lt. Col. Pradhi, R & R Hospital.

For further details please contact
Dr.Sham Sunder Dr.N.P.Singh
President, DNS Secretary, DNS

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

    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)

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta