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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


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 …

7th December 2011, Wednesday

Pre–exposure prophylaxis and timed intercourse for HIV–discordant couples

Oral pre–exposure HIV prophylaxis (PrEP) is effective to decrease HIV transmission in HIV discordant couples who choose to conceive naturally.

In a case series successful use of timed intercourse was described, combined with two dose pre–exposure tenofovir prophylaxis of the female partner of monogamous males under fully suppressive HIV therapy.

The cumulative pregnancy rate was 75 percent and there were no instances of HIV seroconversion.

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 on

Pre–exposure prophylaxis and timed intercourse
for HIV–discordant couples

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Dr.S. Arul Rhaj Receiving The Life Time Achievement Award

Another pearl to the crown of Dr.S.Arul Rhaj, chairman, common wealth health alliances, U.K. who recently received the life time achievement award from Tamil Nadu DR.MGR Medical University from the governor and health minister. Congratulations sir !

Dr K K Aggarwal
    National News

CMAT: First ever management CET in February 2012

NAGPUR: The All India Council for Technical Education (AICTE) has announced the dates for the first ever common entrance test for management courses in the country. Officially christened as Common Management Admission Test (CMAT), it will be an online test to be held twice daily over a period of nine days. Students can appear for the exam on any day from February 20–28. The registration for the CMAT will start on December 9 and end a month later. Students are required to register online at and create a user ID first, following which a password will be generated. (Source: TOI, Dec 5, 2011)

For Comments and archives

Kindly visit Facebook for CSI News. It will cover minute to minute happenings of the 63rd CSI conference at Mumbai 8–11th December

For Facebook Page Click

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

Depression doubles dementia risk in diabetic patients

Depression coupled with diabetes has been linked to a significantly increased risk of developing dementia compared with diabetes alone. A large study of more than 19,000 adults with type 2 diabetes, showed those with comorbid depression had a 2–fold higher risk of developing dementia over 5 years compared with their counterparts who did not experience depression. (Source: Medscape Medical News)

For comments and archives

FDA: Champion monitor may not be a winner

Although results from the CHAMPION trial of an implanted pulmonary artery monitor for patients with heart failure were hailed as a major breakthrough last year, FDA reviewers are questioning the clinical significance of the study’s endpoint. In briefing documents prepared for an FDA advisory committee meeting slated for Thursday, the FDA reviewers said CardioMEMS Champion HF Monitoring system demonstrated only a scant absolute risk reduction of 0.12 heart failure–related hospitalization events per patient per six months, illustrating how a blockbuster finding can be turned into a ho–hum result when data are reinterpreted. (Source: Medpage Today)

E–Prescribing: Mainstream, but not yet the norm

Electronic prescribing recently passed an important milestone, but it is still far away from its final destination. Surescripts, a pharmacy–industry group that promotes the use of this technology, announced last month that 52% of office–based physicians were electronically transmitting their scripts to pharmacies as of September. That figure compares to roughly 32% of office–based physicians in September 2010. So e–prescribing has crossed a halfway mark, by one measure. (Source: Medscape Medical News)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Every struggle in your life has shaped you into the person you are today. Be thankful for the hard times they can only make you stronger!!

@DeepakChopra: No one knows enough to be an atheist #atheism

    Spiritual Update

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

Ecstasy or Permanent Bliss

Dharma, Artha, Kama and Moksha are the four purposes of life with which all of us are born with. Most of us think that one attains moksha only at the time of death. It is said that a person who achieves moksha goes to heaven and the others take a re–birth and come back.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Gift from God

It was a warm summer day when God placed it in her hands. She trembled with emotion as she saw how fragile it appeared. This was a very special gift that God was entrusting to her. A gift that would one day belong to the world. Until then, He instructed her, she was to be its guardian and protector. The woman said she understood and reverently took it home, determined to live up to the faith God had placed in her.

At first she barely let it out of her sight, protecting it from anything she perceived to be harmful to its well– being; watching with fear in her heart when it was exposed to the environment outside of the sheltered cocoon she had formed around it. But the woman began to realize that she could not shelter it forever. It needed to learn to survive the harsh elements in order to grow strong. So with gentle care she gave it more space to grow…enough to allow it to grow wild and untamed.

One day she became aware of how much the gift had changed. It no longer had a look of vulnerability about it. Now it seemed to glow with strength and steadiness, almost as if it were developing a power within. Month after month she watched as it became stronger and more powerful, and the woman remembered her promise. She knew deep within her heart that her time with the gift was nearing an end.

The inevitable day arrived when God came to take the gift and present it to the world. The woman felt a deep sadness, for she would miss its constant presence in her life. With heartfelt gratitude she thanked God for allowing her the privilege of watching over the precious gift for so many years. Straightening her shoulders, she stood proud, knowing that it was, indeed, a very special gift. One that would add to the beauty and essence of the world around it. And the mother let her child go.

For comments and archives

    Cardiology eMedinewS

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

Meet Your International Faculty: C. Venkata S. Ram

For comments and archives

Aortic Stenosis: Changing Trends of Indications and Treatment

For comments and archives

Interventional cardiology

For comments and archives

Valvular surgery

For comments and archives

    Fitness Update

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

Women with sensitive skin should avoid too many cosmetics. Use minimum makeup such as kajal and gloss on everyday basis.

    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

The elderly and driving

Evaluate balance and gait with the Get Up and Go Test: In this brief and practical test, the older patient is asked to rise from a chair, walk 10 feet, turn around, walk back and then sit–down in the chair. The test is timed and usually takes 15 seconds. The clinician should observe the use of the arms or hands to assist the rise from the chair, the height and length of the steps, use of the arms when walking, balance and ease of the turnaround (the most unstable portion of the gait), and how easily the older patient sits down again. There are no established norms to score the test, but observation of these aspects of the older patient’s performance during the Get Up and Go test can provide important information on the risk for falls and driving problems.

For comments and archives

    Medicine Update

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

Can weight loss surgery be recommended in adolescents with morbid obesity?

Adjustable gastric banding (AGB) is one of two established surgical interventions to address severe obesity in adolescents. A randomized trial of 50 adolescents compared AGB with a supervised lifestyle intervention. During the 2–year follow–up period, the patients in the AGB group lost an average of 34.6 kg, as compared with 3.0 kg in the lifestyle group. Of note, almost 30% of the patients undergoing AGB required revisional procedures.

(Ref: O’Brien PE, et al. Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial. JAMA 2010;303:519).

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: An obese patient came with BMI of more than 40.
Dr Bad: Go for surgery.
Dr Good: First try diet, exercise and drug therapy.
Lesson: Obesity surgery is indicated in patient with BMI more than 40 who have failed diet and exercise with or without drugs.

For comments and archives

Make Sure

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

For comments and archives

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emedinews revisiting 2011
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  Quote of the Day

(Dr GM Singh)

It is one of the blessings of old friends that you can afford to be stupid with them. Ralph Waldo Emerson

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Increased: Diarrhea, renal tubular acidosis, mineralocorticoid deficiency, hyperalimentation, medications (acetazolamide, ammonium chloride).

Decreased: Mineralocorticoid excess, vomiting, diabetes mellitus with ketoacidosis

    Mind Teaser

Read this…………………

When should you have your first cholesterol screening?

A. At age 10.
B. At age 20.
C. At age 35.
D. At age 40.
E. It depends on your risk factors

Yesterday’s Mind Teaser: right=right

Answer for yesterday’s Mind Teaser: Equal rights

Correct answers received from: Satyanarayana Akupatni, Dr KV Sarma, Yogindra Vasavada,
Dr Rakesh Bhasin, Raju Kuppusamy, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Sudipto Samaddar.

Answer for 5th December Mind Teaser: eaves dropping
Correct answers received from: Dr NeelamNath, Anil Bairaria, Sudipto Samaddar, Dr KV Sarma, Rameshwar prasad.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Element name: WOMAN
Symbol: WO
Atomic weight: (don’t even go there)
Physical properties: Generally round in form. Boils at nothing and may freeze at any time. Melts whenever treated properly. Very bitter, if mishandled.
Chemical properties: Very active. Highly unstable. Possesses strong affinity with gold, silver, platinum, and precious stones. Volatile when left alone. Able to absorb great amounts of exotic food. Turns slightly green when placed next to a shinier specimen.
Usage: Highly ornamental. An extremely good catalyst for dispersion of wealth. Probably the most powerful income reducing agent known.
Caution: Highly explosive in inexperienced hands.

    Medicolegal Update

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

What is accidental suffocation?

  • There have been numerous accidental deaths as a result of children putting things into their mouths and swallowing them, which in turn block the airways. This is why it is imperative that small children are never left unattended and are not allowed to put anything in their mouths, which may result in their choking.
  • People also die of suffocation in the instance of a house fire where there is a lack of oxygen and they cannot breathe. The postmortem examination in such cases provides information whether or not the victim was conscious at the time of the fire starting or if indeed they had already been deceased. This process is measured by the amount of carbon dioxide in the deceased’s system at the autopsy stage.
  • Murder is comparatively rare however in some cases the assailant has tried to cover his or her tracks by setting fire to the location at which the deceased is finally found. This could be a house, an office, a workshop, anywhere.
  • The autopsy surgeon must look for the tell tale signs: the bloodshot eyes, the high levels of carbon dioxide in the blood and bruising around the nose and mouth and may even collect trace evidence such as hairs and fibers from around the nose and mouth of the deceased.
  • As accidental suffocation or smothering is relatively common, therefore until proven otherwise by a forensic surgeon/doctor and subsequent inquest, all cases of suffocation or smothering should be treated as potentially suspicious.

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    Public Forum

(Press Release for use by the newspapers)

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

Asthma patients should check with their doctor before going for holiday

People with COPD, emphysema and other serious lung diseases can safely travel by airplane, but they should be evaluated by their doctor before travel, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

In a study of 500 lung disease patients surveyed after a planned flight, British researchers reported in the European Respiratory Journal that 18 percent travelers suffered some type of respiratory symptom on the plane, most commonly shortness of breath, coughing and chest pain. However, the symptoms were typically moderate, and there were no serious incidents requiring an emergency landing.

For comments and archives

    Readers Responses
  1. Dear Sir, Your Spiritual Knowledge is really awesome. Regards:Dr P K Sharma
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

    eMedinewS Special

1. IJCP’s ejournals (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