Address: 39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



emedinews is now available online on www.emedinews.in and www.emedinews.org

8th January 2010 Friday  

Dear Colleague,

 emedinews-revisiting update: those who have not registrered kindly watch  the proceedings of the conference live at www.docconnect.com. Healthhiway (www.healthhiway.com) is our official heakth IT partner of the conference.

Breaking news: Patients with type 2 diabetes with high inflammatory markers may have reduced cognition.

According to a study in the journal Diabetes, type 2 diabetics with elevated circulating levels of inflammatory markers have reduced cognitive ability compared with those with normal levels.

The study conducetd a cross sectional analysis of 1,066 men and women, aged 60 to 75 years with type 2 diabetes and measured  inflammatory markers C- reactive protein (CRP), interleukin (IL)- 6, and tumor necrosis factor (TNF)- a. Elevated levels of IL-6 and TNF-a were linked to significantly poorer scores for cognitive ability. The take home message is that we should do CRP in all diabetics and if high treat them with statins to keep the levels lower than 1.  

Dr KK Aggarwal

Chief Editor




Conference News: American College of Rheumatology: Philadelphia, PA • October 16 - 21, 2009 

1. Weight loss reduces hyperuricemia: Yanyan Zhu, MSc, of Boston University, and colleagues found that individuals who lost weight, as little as 5 kg (11 lb), significantly decreased the rate of hyperuricemia, defined as serum urate of 6 mg/dL or more. Those losing at least 10 kg (22 lb) cut their risk of hyperuricemia by more than hal. The study examined more than 12,000 participants in the Multiple Risk Factor Intervention Trial, a randomized study that began in the mid-1970s. The interventions included dietary modifications and other measures intended to reduce body weight and blood pressure. The researchers found a clear relationship between weight loss or gain and the risk of hyperuricemia at follow-up. Overall, each 1-kg change in weight was associated with a 5% change in the risk of hyperuricemia (P<0.0001).

2. Two standard markers can identify early-stage rheumatoid arthritis patients whose disease is unlikely to respond to methotrexate alone. After 12 weeks of methotrexate treatment, levels of C reactive peptide (CRP) and swollen joint counts predict with moderately good accuracy those who will have major disease progression if they stay on the drug as monotherapy (Dr Michael Weinblatt, of Brigham and Women's Hospital in Boston). Researchers identified two populations at the highest risk for major progression: those with 11 or more swollen joints at week 12 and CRP levels of 0.67 mg/dL or less; and those with higher CRP levels and at least two swollen joints.

3. Low-dose colchicine appears to be as effective as high doses of the drug in reducing the pain of gout with fewer adverse side effects, a researcher said here. Overall the adverse event rates were similar for low-dose colchicine, about 36.5%, and placebo, about 27.1%, while this rate was higher for the high dose group (Dr Robert Terkeltaub, MD, of the Veterans Affairs Medical Center, San Diego, and professor of medicine at the University of California San Diego).

4.Drinking fat-free milk may reduce men's risk of gout. A crossover study indicated that all forms of fat-free milk reduced serum uric acid levels which, when at an elevated level, increase the risk of gout. This study has shown that skim milk can significantly reduce the serum uric acid concentration in the short term (Dr Nicola Dalbeth, of the University of Auckland in New Zealand)

5.Drinking a half-gallon of water a day may keep gout attacks away. Participants in an online survey who said they drank more than eight 8ounce glasses of water a day experienced a 48% reduction in gout attacks, compared with individuals who reported drinking one glass of water or less a day (Dr. Tuhina Neogi, assistant professor of medicine at Boston University School of Medicine). Drinking water might be a simple, safe, and effective way of preventing recurrent gout attacks.

6.Losing weight can prevent osteoarthritis of the knee or improve function for those who already have it. Individuals who lost weight in a long term observational study were at nearly 30% lower risk of developing knee osteoarthritis. (Abbate, at the University of North Carolina in Chapel Hill)

7. Women who frequently sprayed their homes with insecticides over a period of years may have put themselves at risk for autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus. Among women who sprayed at least six times a year, the risk of autoimmune disease was more than twice that of women who didn't use insecticides.

Medi Finance: Can a person pay or take a cash loan of more than Rs. 20,000/-.
A: No one cannot take or give a cash loan of more than Rs. 20,000 from or to a person. Even a husband cannot give a loan of more than Rs. 20,000 to his wife in cash. The penalty is 100-300%. The classical example is when a person has to pay cash on Saturday evening as part of the hospital bill. If the amount exceeds more than Rs. 20,000 then one need to take loan from two different entries.

Dr Good Dr Bad
Situation: a diabetic developed callous formation in the foot
Dr Bad: It's normal
Dr Good: It's a sign of diabetic foot
Lesson: In Diabetic foot earliest feature is callous formation


Formula to Practice:
Pulse pressure= Systolic BP - diastolic BP, Normal value = 30-50 mmHg.

Mnemonic to Know
Treat MI with MONA
M = morphine
O = oxygen
N = nitrates
A = aspirin

Mile Stone:
Arvid Carlsson is a Swedish scientist who is best known for his work with the neurotransmitter dopamine and its effects in Parkinson's disease. Carlsson won the Nobel Prize in Physiology or Medicine in 2000 along with co-recipients Eric Kandel and Paul Greengard.

Laughter the best medicine
Prisoner: "Look here, doctor! You've already removed my spleen, tonsils, adenoids and one of my kidneys. I only came to see if you could get me out of this place!"

Intensivist: "I am, bit by bit."

Make Sure
A patient was brought to the ICU in cardiogenic shock.
Oh My God! Why didn’t you take him for emergency angiography and subsequent PTCA
Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI-2, an ongoing trial suggest that this intervention is much better than thrombolytic therapy in such patients.

What is the role of consent in negligence?
A medical practitioner may also be legally liable if a patient does not give "informed consent" to a medical procedure that results in harm to the patient, even if the procedure is performed properly. For example, if a doctor does not tell a patient that a surgical procedure has a 50% chance of causing paralysis, the patient does not have the necessary information to make an informed choice to either have or refuse the operation. If the patient has the operation, and is paralyzed as a result, the doctor may be liable even if the operation was performed flawlessly, as the patient might have refused the surgery.

That which is static and repetitive is boring. That which is dynamic and random is confusing. In between lies art.
(John A. Locke)

Tip from other systems of medicine: Eliciting deep breaths in children
Most children are familiar with the fairy tale about the three little pigs and the big, bad wolf. Have your pediatric patients play the part of the huffing and puffing wolf when eliciting deep inspirations for auscultation.

Punjab & Sind
Coca cola 
 Central Bank of India


emedinews: revisiting 2009
IJCP Group, Heart care Foundation of India and World Fellowships of Religions are  is organizing emedinews: revisiting 2009, day long conference on the top health happenings in the year 2009 on 10th Jan 2010 at Maulana Azad Auditorium. There is no registration fee however advanced information is required. 

CME will be followed by lively cultural evening guest performances by Shabani Kashyap, Vipin Aneja and perfomances by medical professional singers Dr Praveen Khilnani, Dr Lalita and Dr N Subramanium, Dr Lata Tandon, Dr Arti Pathak, Dr Sudipto Pakrasi, Dr Harjeet Kaur, Dr Ramni Narsimhan, Dr Sanjay Chugh (on the drum), Dr Yash Gulati (Anchor) Dr Reshma Aggarwal (Anchor), doctors of the year award, dance and dinner.  We have crossed 1200 registrations.

1. PSB & Aviva is proud to be associated with Emedinews: Revisiting 2009. To know more about us, please visit our stall on day of the conference. http://avivaindia.com

2. Kindly enjoy not stop tea and coffe at NESTLE counter

3. Refresh yourself with mineral water, coke, soda and other  drinks from COKE counter.

4.  Silicic Acid is available as Sodium Meta Silicate in U.S.A and is being Launched in India During the  IJCP  Emedinews revisiting 2009 Conference at New Delhi on January 10th,2010.

Update about the conference
1. The conference starts at 8am at MAMC. Kindly collect your registration kit before that. The kit has pen, pad, folder, key chain, watch, lunch and dinner coupons.
2. Enjoy the soft drinks at the COKE counter round the clock and tea coffee at the NESTLE counter.
3. There will be no lunch time. Rice Kari, Puri Aloo will be available 9-5pm non stop, eat any time and attend the seminar.
4. Dinner will be cocktails, soft drinks, snacks and chhat party 5-9pm
5. Cultural hangama will be non stop 5-9pm
6. We have over booked the registrations. Facility for webcast and plasma TV out side the auditorium will be available.
7. The CME will be accredited for 9 DMC credit hours.
8. The program details are available at www.emedinews.org or www. emedinews.in
9. Onyx Herbal Pvt. Ltd. in association with Perfect Healthcare Pvt. Ltd. will be launching  herbal non ayurvedic drugs for various diseases. Inquinal is being introduced for diabetes, obesity, metabolic syndrome and hyper insulin state. Two oils – Dermitone for general skin diseases and psoraheal for psoriasis will be available for dispensing through doctors. Apart, two herbal Viagra like preparations Vitox 69 and Vitox 99 will also be available. Kindly do not forget to visit the Onyx-Perfect Healthcare stall.

emedinews-revisiting 2009 Program (see final program in tomorrow's edition)

8.00   AM  -  8.30 PM   Dr KK Aggarwal  Revisiting the year 2009
8.30   AM  -  8.45 AM   Dr Neelam Mohan, Advances in Paedatric Diseases ( Non Liver)
8.45   AM  -  9.00 AM   Dr S C Tewari, Nephroprotection
9.00   AM  -  9.15 AM   B.N.S Ratnakar (GM CBI), Presentation
9.15   AM  -  9.45 AM   Dr Ambrish Mithal, Newer treatments in diabetes
9.45   AM  -  10.00AM   Dr Harish Parashar, Aluminium Toxicity
10.00 AM  -  10.30AM   Dr N K Bhatia, Screening for TTI
10.30 AM  -  10.40AM   Anshu Gupta, Probiotics Update
10.40 AM -   11.10AM   Dr Praveen Chandra, Indications of Cardiac Interventions            11.10 AM -   11.25AM   Dr Sanjay Chaudhary, What's new in Lasik
11.25 AM -   11.55AM   Dr Naresh Trehan, What's New in Cardiac Surgery
11.55 AM -   12.10PM   PSB-AVIVA, Presentation
12.10 PM -   12.40PM   Dr Anupam Sibal, A Decade of Succesful Liver Tansplant in India
12.40 PM -   1.10 PM    Dr Ajay Kriplani, Current Trends in the Management of Morbid Obesity
1.10   PM -   1.40 PM    DR Vanita Arora, Common Arrhythmias
1.40   PM -   2.10 PM    Dr N Subramanium, Current Concept in Male Infertility
2.10   PM -   2.40 PM    Dr V Raina, Molecular Genetics
2.40   PM -   3.10 PM    Dr Kaberi Banerjee, IVF: Where We Stand Today?
3.10.  PM -   3.25 PM   
3.25   PM -   3.40 PM    Dr Praveen Khilnani, Whats New in Critical Care in Past Decade?
3.40   PM -   4.10 PM    Dr Ajit Saxena, Erectile Dysfunction and Male Infertility
4.10  PM  -   4.20 PM    Dr Ajay Kumar, Whats New in Gastroenterology
4.20  PM -    4.30 PM    Dr Rohini Handa, Whats New in Rheumatology
4.30  PM -    4.40 PM    Dr P K Julka, Whats New in Oncology
5.00  PM Onwards Cultural hangama and awards

 PSB offers special offers to emedinews readers

PUNJAB & SIND BANK is offering special package of loans for Medical Practitioners for their Business, Housing and Vehicle needs on their loan availment up to 31.03.2010.
1. Loan up to Rs.25 lacs for medical students for doing their Post graduation.

2. For setting up/acquiring/renovation/ expansion of clinics, hospitals/pathological/clinical labs, scan/diagnostic centres, nursing homes, sanatorium etc. and for purchase of vehicles, ambulances, computers etc the bank is offering no collateral requirement for loan up to Rs.25 lacs, if covered under CGTMSE.

3. Concessional interest rate @ 10.50% up to Rs.25 lacs (11% for 25lac-1crore) with no processing fees.

4. Under Housing scheme the bank is offering fixed interest rate for 5 years with no processing fees and prepayment penalty. There will be low margin requirement of 10% up to Rs.5 lacs and 15% for loans 5-20 lacs.

5. Under Vehicle loan category concessional interest rate @ 10% (no collaterals) and 9.50% for collateral linked vehicle loan.

 Did you know  (Adv)     

      1. you could save up to Rs. 43260 on tax every year? T&C apply. To find out this and more SMS PSB to 5676737.

      2.       Punjab & Sind Bank offers the best rates for loans for Doctors. T&C apply. SMS       PSB to 5676737 or Visit your nearest  PSB branch to know more.

.       3. Financial Planning is never complete without adequate health cover. AVIVA HEALTH PLUS provides protection and savings both. To know more, sms PSB to 5676737.T&C apply

 4. Aviva Freedom Life Plan allows you to choose the proportion of savings and protection and change it. To know more, sms PSB to 5676737.T&C apply

5.Aviva Health Plus is a health cum savings plan that covers you against death and ill health. To know more, sms PSB to 5676737.T&C apply

6.Aviva Freedom Life Plan gives you an option to reduce premium and increase / decrease Life Cover. To know more, sms PSB to 5676737.T&C apply


Sodium Meta Silicate , an Isomer of Silicic Acid will now be Available in India as ZENIMMUNE from Nuspera International Inc. a Company based in Salt Lake City UTAH State. U.S.A

ZENIMMUNE POWER has a Proven Value in Reducing Absorption of Aluminium through Digestive tract and Enhancing Elimination through Renal Excretion and thus relieving  the Effects of Aluminium Toxicity on our Body.
ZENIMMUNE POWER is of added Value in Alzeimer,s Disease, in Improving the Memory Loss in Old age, especially after Stroke , In Improving the Study Concentration and Preventing Nocturnal Enuresis in School going Children apart from helping in Improving the Body Immunity.
Nuspera International Inc. Presents a Complete Range of ZenImmune Health Supplements Scheduled to be Launched at the Emedinews "Revisiting 2009" IJCP Conference in New Delhi India .

 Advertising in emedinews

emedinews is the first daily emedical newspaper of the country. One can advertise with a singe insertion or 30 insertions in a month. Contact drkk@ijcp.com. emedinews@gmail.com   

Also if you like emedinews you can FORWARD it to your email addresses 

Letter to the editor
Respected Dr. Aggarwal: I am surprised by the Govt's initiative to start BRMS course. It reflects that funds are always available for new projects but not for the strengthening of previous projects. I think one needs to look in depth into the reasons why doctors are not keen to serve in the rural areas, no need to blame doctors, i suppose. If Doctors are provided with basic facilities/infrastructure required to raise a family, including good monetary support, I believe there would be plenty of doctors available to work in rural area. This would also require reinforcement with CME's and recent medical updates for them. If one is, really, interested to boost the health sector, then the available resources and manpower should be used judiciously rather than looking for alternatives which might prove a failure. And the exodus of doctors from rural to metro areas and then to overseas would continue, if  appropriate measures are not taken timely, and it would cost a heavy toll on future of health sector in India. Dr. Neeraj Gupta.

DocConnect, a community portal exclusively for medical professionals.

DocConnect offers advanced tools for clinic management and with this interactive portal, Doctors can stay connected with each other and with their patient community at large. It also provides the members Customized Personal Web pages which highlight the Doctor's experience, his practice information and also enables online appointment requests for the patients.

HealthHiway (www.healthhiway.com) is the services infrastructure for the healthcare ecosystem to facilitate better collaboration and seamless information sharing between Providers, Insurance companies, Doctor Practices and other service organizations, for safer and enhanced patient care.