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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

  Editorial …

8th February 2012, Wednesday

Yuvi’s illness: Mediastinal Seminoma

According to sources, Yuvraj Singh had earlier been diagnosed as Non Hodgkin’s Lymphoma and later confirmed to be a case of mediastinal seminoma.

  • Mediastinal seminomas constitute 33% of malignant mediastinal germ cell tumors (GCTs) and 2 to 4 percent of mediastinal masses.
  • They occur predominantly in men between the ages of 20 and 40
  • It is uncommon for testicular seminoma to metastasize to the mediastinum in the absence of retroperitoneal lymph node involvement. But the same should be ruled out in all cases. Testes are removed if that is the case.
  • Primary mediastinal seminomas are typically slow growing and can be very bulky by the time they cause discomfort.
  • 75% are symptomatic at the time of diagnosis.
  • Symptoms include chest pain (39%), dyspnea (29%), cough (22%), weight loss (19%), superior vena cava syndrome (12%), fever (6%) and nausea (6%).
  • Serum beta–hCG is elevated in approximately one-third of patients.
  • These tumors do not secrete AFP.
  • Majority of mediastinal seminomas have metastasized by the time they are detected, most often to the lymph nodes and less commonly to lungs, bone, and/or liver.
  • Presence of nonpulmonary visceral metastases is associated with a poorer prognosis.
  • Seminomas are exquisitely sensitive to both cisplatin-based chemotherapy and RT, regardless of location.
  • Mediastinal seminomas are classified as good–risk GCTs by the International Germ Cell Consensus Classification unless nonpulmonary visceral metastases are present.
  • They have a five–year survival rate of greater than 90%.
  • Most prefer chemotherapy to RT for patients with mediastinal seminoma.
  • Recommended chemotherapy regimen for patients with mediastinal seminomas and no nonpulmonary visceral metastases is three cycles of cisplatin, etoposide, plus bleomycin (BEP) chemotherapy or four cycles of etoposide plus cisplatin.
  • Following chemotherapy, many patients are left with a residual mass. (Source Uptodate.com)

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Dr KK Aggarwal
Group Editor in Chief

    eMedinewS Audio PostCard

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

Yuvi’s illness: Mediastinal Seminoma

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

Dr Neeraj Gupta received 3rd eMedidnewS Revisiting Award in the 3rd eMedinewS Revisiting 2011 Conference at Maulana Azad Medical College

Dr K K Aggarwal
    National News

DRDO cochlear implant to cost only Rs 1 lakh

The Defence Research and Development Organisation (DRDO) has developed an affordable cochlear implant, which will cost around Rs1 lakh. This is much cheaper than similar imported device which costs about Rs 8 lakhs. India is now the fifth country besides US, Austria, Australia and France in the world to produce such a complex device. The Naval Science and Technological Laboratory (NSTL), based at Visakhapatnam, a unit of DRDO has developed cochlear implant which is also known as bionic ear. It is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing due to loss of sensory hair cells in their cochlea. In India, there are nearly one million people who need cochlear implants and every year nearly 10,000 children are born with this impairment. The indigenously developed device will bring great relief as it is much cheaper as compared to the imported device and the DRDO device will go for clinical trials within next four months, Dr V Bhujanga Rao, Chief Controller (Research and Development) DRDO said here on Sunday. (Source: The Pioneer, 05 February 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

US vaccination coverage remained low in 2010

Adult vaccination coverage remains low in the United States, with little improvement in rates from 2009 to 2010, researchers at the US Centers for Disease Control and Prevention reported in an article published in the February 3 issue of the Morbidity and Mortality Weekly Report. (Source: Medscape Medical News)

For comments and archives

Bone drug slows mets in aggressive prostate Ca

Denosumab (Xgeva) delays the onset of bone metastases for even the highest risk prostate cancer patients, researchers found. (Source: Medpage Today)

For comments and archives

Measles cases decreasing worldwide, but challenges remain

A 10–year effort by the World Health Organization and the United Nations Children’s Fund to increase the proportion of children worldwide who receive 2 doses of measles–containing vaccine (MCV) is paying off. However, the rate of progress has been uneven, and challenges remain, according to a report published by Robert T. Perry, MD, from the Department of Immunization, Vaccines, and Biologicals, World Health Organization, Geneva, Switzerland, and the Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, and colleagues in the February 3 issue of Morbidity and Mortality Weekly Report. (Source: Medscape Medical News)

For comments and archives

Minorities with Afib at greater risk for brain bleeds

Among patients with atrial fibrillation, being Asian or black, as well as having high blood pressure or low creatinine clearance, were among the risk factors associated with having an intracranial hemorrhage, a substudy of the ROCKET–AF trial found. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: #AJENT Surgery of the nasal tip remains one of the most challenging aspects of esthetic nasal surgery.U Raghavan…fb.me/1vaxtntZo

@DeepakChopra: Today every word I utter will be chosen consciously. I will refrain from complaints, condemnation, and criticism.

    Spiritual Update

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

The Vedic Aspects of Reservation

Lord Krishna while performing the charioteer’s duty for Arjuna in the Kurukshetra war, in the Bhagwad Gita (chapter 4.13) discourse to Arjuna stated that the "four Varnas (Brahmana, Kshatriya, Vaishya, Shudra) are created by ‘me’ in accordance with the mental make–up of and the specific duties required to be performed by people". These are called varnashrama.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Does this infection can be transmitted sexually also?

The infections may be, but aren't always, sexually transmitted. Two common sexually transmitted infections are chlamydia and gonorrhea.

    An Inspirational Story

(Dr GM Singh)

Do good; Don’t ever stop doing good, even if it’s not appreciated at that time

A woman baked bread for members of her family and an extra one for a hungry passerby. She kept the extra bread on the Window–sill, for whosoever would take it away. Every day, a hunch–back came and took away the bread. Instead of expressing gratitude, he muttered the following words as he went his way:

"The evil you do remains with you: The good you do, comes back to you!" This went on, day after day. Every day, the hunch–back came, picked up the bread and uttered the words: "The evil you do, remains with you: The good you do, comes back to you!" The woman felt irritated. "Not a word of gratitude," she said to herself." Everyday this hunch–back utters this jingle! What does he mean? "One day, out of desperation, she decided to do away with him." I shall get rid of this hunch–back," she said. And what did she do? She added poison to the bread she prepared for him! As she was about to place it on the window sill, her hands trembled. "What is this I am doing?" she said.

Immediately she threw the bread into the fire, prepared another one and kept it on the window–sill. As usual, the hunch–back came, picked up the bread and muttered the words:" The evil you do, remains with you: The good you do, comes back to you!"

The hunch-back proceeded on his way, blissfully unaware of the war raging in the mind of the woman. Everyday, as the woman placed the bread on the window–sill, she offered a prayer for her son who had gone to a distant place to seek his fortune. For many months, she had no news of him. She prayed for his safe return.

That evening, there was a knock on the door. As she opened it, she was surprised to find her son standing in the doorway. He had grown thin and lean. His garments were tattered and torn. He was hungry, starved and weak. As he saw his mother, he said, "Mom, it’s a miracle I’m here. While I was but a mile away, I was so hungry that I collapsed. I would have died, but just then an old hunch–back passed by. I begged of him for a small part of his food, and he was kind enough to give me whole bread. "As he gave it to me, he said, "This is what I eat everyday: today, I shall give it to you, for your need is greater than mine!"

"As the mother heard those words, her face turned pale and red. She leaned against the door for support. She remembered the poisoned bread that she had made that morning. Had she not burnt it in the fire, it would have been eaten by her own son, and he would have lost his life!

It was then that she realized the significance of the words: "The evil you do remains with you: The good you do, comes back to you!"

For comments and archives

    Fitness Update

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

Study shows health plans benefit from covering gym memberships for seniors

More and more health plans are paying for health club memberships for seniors, and with good reason, according to a new study published in the New England Journal of Medicine. The research conducted at Brown University and supported by the National Institute on Aging, shows that more health plans are both promoting health and recruiting healthier members by offering fitness club memberships as a covered benefit.

The study authors used statistical comparisons to evaluate thousands of patients in 22 different Medicare Advantage plans, including 11 plans that included health and fitness club memberships and 11 similar health plans that did not. They assessed when each member enrolled, when health plans started offering the benefit, and different health opinions and outcomes (as evaluated by a national survey administered in 2006 to 2008). More seniors who belonged to plans that covered gym memberships described themselves as "in excellent or good health" and reported far less physical limitations as compared to their less fit counterparts.

While strict laws prohibit health plans from allowing healthier people to join and turning away people with more serious health conditions, researchers say that offering gym memberships is a smart way to enhance the health of their members and attract healthier people. Promoting healthy lifestyle behavior inevitably leads to significant savings, they conclude.

For comments and archives

    Cardiology eMedinewS

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

PCI Upgraded in ‘Appropriate Use’ Updates

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Sleep apnea and stroke link

Read More

E cigarettes not safe

Read More

What is the difference between dobutamine and adenosine stress test?

Read More

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    Pediatric eMedinewS

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

Kids who get parental living donor liver transplant may discontinue immunosuppression

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Junk food in middle schools not linked to obesity

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Cheerleader at home helps obese kids lose weight

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    Healthy Driving

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

How does a Head Injury affect Driving?

A head injury may affect people in different ways. Some of the consequences of a head injury could affect driving. Certain medications can affect co–ordination and reaction times while driving.

    Legal Question of the Day

(Dr MC Gupta, Advocate and Medico legal Consultant)

Q. I am an MBBS having my name on the IMR. I have a PG degree (MD Medicine) from abroad but it is not recognised by the MCI. I hope to soon get my DNB (Family Medicine). After that, can I write my name on my visiting card etc. as follows:


MBBS. MD (Medicine), DNB (Family Medicine)
Reg. no xyz


  1. It would be better and legally safer to write as follows:

    Dr. ABC
    MD (Medicine), ……University
    DNB (Family Medicine)
    Reg. no xyz (……Medical Council)
  2. If you do as above, nobody can blame you of misrepresenting your MD as being from a university recognised by the MCI.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with right heart failure.
Dr Bad: Continue with your normal fluid intake.
Dr Good: Restrict your fluid intake.
Lesson: Fluids should be restricted in right heart failure.

For comments and archives

Make Sure

Situation: A patient missed her last dose of hepatitis B vaccine as she was out of station at 6th month.
Reaction: Oh my God! Why was the vaccine not given between 4–6 months?
Lesson: Make sure that all patients are given the complete vaccine regimen. The correct regimen is 0, 1–2 months and 4–months.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Use what talents you possess: the woods would be very silent if no birds sang there except those that sang best. Henry Van Dyke

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

MRSA Screening

  • Methicillin–resistant Staphylococcus aureus screening
  • Sample required: Nose swab, occasionally swab of wound infection site or skin lesion
    Mind Teaser

Read this…………………

Which of these properties of cinnarizine make it an efficacious agent for gastric vertigo?

a. Inhibits vasoconstriction
b. Inhibits vascular spasm
c. Cerebral irrigation
d. All of the above

Yesterday’s Mind Teaser: Which of the following statements about schizophrenia is false?

a) Schizophrenia cannot be cured.
b) There are many very effective treatments for schizophrenia.
c) People cannot live normal, productive lives while having hallucinations or delusions.
d) All of the above.
e) None of the above.

Answer for yesterday’s Mind Teaser: c) People cannot live normal, productive lives while having hallucinations or delusions.

Correct answers received from: Muthumperumal Thirumalpillai, Dr Prabha Sanghi, Rajiv Kohli, Yogindra Vasavada, Dr T S Daral, Dr Chandresh Jardosh, Dr Avtar Krishan, Raju Kuppusamy, Anil Bairaria, Dr Avtar Krishan, Raju Kuppusamy, Dr shashi saini.

Answer for 6th February Mind Teaser: d) All of the above
Correct answers received from: Dr shashi saini.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

As a drunk guy staggers out of the bar one Friday evening, a fire engine races past, siren wailing and lights flashing.

Immediately, the drunk starts chasing the engine, running as fast as he can until eventually he collapses, gasping for breath.

In a last act of desperation he shouts after the fire engine, "If that’s the way you want it, you can keep your bloody ice creams!"

    Medicolegal Update

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

Doctor must record dying declaration in dying patient

  • under section S.32 of Indian Evidence Act a written or oral statement of an injured/sick dying person is called dying declaration, it must be recorded by the doctor attending an injured/sick person/patient who is dying/ under medical expectation of death as a result of some unlawful act, relating to the material facts of cause of his death or bearing on the circumstances The dying declarations/statement carries legal importance to identify the offender or to clear innocent persons
  • If there is time the doctor should call the area Magistrate to record the statement/declaration., the doctor should certify that the person is conscious and his mental faculties are normal at the time of recording the statement. If the victim is very serious, and there is no time to call a Magistrate, the doctor should take the declaration in the presence of two witnesses particularly any attendant of other admitted patient and as far as possible taking nurses and paramedics as witness should be avoided to maintain the legal credibility of declaration. While recording the dying declaration, oath is not administered, because of the belief that the dying person tells the truth. The statement should be recorded in the man’s own words, without any alteration of terms or phrases. Leading questions should not be put.
  • The declarant should be permitted to give his statement without any undue influence, outside prompting or assistance. If a point is not clear, question may be asked to make it clear, but the actual question and the answer received should be recorded. It should then be read over to the declarant, and his signature or thumb impression is taken.
  • The statement made must be of fact and not opinion. If the declaration is made in the form of an opinion or conclusion, questions should be asked by the recorder to bring out the facts that are the basis for the conclusion. While recording the statement, if the declarant becomes unconscious, the doctor recording it must record as much information as he has obtained and sign it. If the dying person is unable to speak, but is able to make signs in answer to questions put to him his can be recorded and it is considered as a "verbal statement".
  • The doctor and the witness should also sign the declaration. If the statement is written by the declarant himself, it should be signed by him, the doctor and the witnesses. The declaration is admissible not only against an accused that killed the declarant, but also against all other persons involved in the same incident which resulted in his death.
  • The declaration is sent to the Magistrate in a sealed cover. It is produced at the trial and accepted as evidence in case of death of the victim in all criminal and civil cases, where the cause of death is under enquiry. The person recording the declaration will have to give evidence in the Court of law under oath to prove it. If the declarant survives, the declaration is not admitted but has corroborative value, and the person is called to give oral evidence under oath.
  • In India, if the declarant is in a sound state of mind at the time of making the declaration, it is admissible in Court as evidence, even if the declarant was not under expectation of death at that time.

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)

Caffeine-Alcohol combination in paralysis

Caffeinol, a drug containing caffeine and alcohol may help stroke patients recover, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

In a small study at Texas Health Science Center in Houston, 60% of stroke patients who were given the drug, had no or minimal disability when they were discharged from the hospital. In contrast, only 26% of stroke survivors given standard therapy with tissue plasminogen activator, or tPA, fared that well.

Caffeinol contains about as much caffeine as five to seven cups of good, strong New Orleans coffee and the equivalent of two shots of alcohol.

The study involved 100 people who had suffered an ischemic stroke. All received intravenous tPA; 10 also were given an infusion of caffeinol.

Caffeinol allows cells to tolerate reduced blood flow longer, thereby giving tPA a longer opportunity to do its action.

Will these findings be applicable to heart attack the time will tell as the heart attack treatment is also done with tPA.

    Readers Responses
  1. Rural posting during MBBS course and later on should be planned and useful. It is more of picnic and fun posting right now, it needs infrastructural development in rural area so that something constructive is done during rural posting. IMA Banaras Branch
    Forthcoming Events

Ajmer Health Fair: Ajmer’s Largest Ever Super Specialty Health Camp

Date: February 11 and 12, 2012
Venue: Patel Stadium, Ajmer
Organizer: Heart Care Foundation of India


The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund, Faridabad. It is a multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of the British Menopause Society and South Asian Federation of Menopause Societies and is an opportunity to hear international faculties.

For information contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048
Download forms at: http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

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

    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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  Playing Cards

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  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

    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