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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

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    Health Videos …
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  Editorial …

8th June 2013, Saturday

Preventing suicides in film industry

Jiah Khan’s death has sparked a debate on “how suicides in film fraternity can be prevented?

Our survey has shown that at the same level of stress, suicides are more common in film industry compared to the equally glamorous IPL.

Similarly, there are more suicides in the medical profession than in the nursing profession.

In every high risk profession, one should look for people who are depressed and risk factors for suicides. They are

  • Presence of depression
  • Presence of hopelessness
  • Prior suicidal attempts
  • Prior suicidal threats
  • High impulsivity
  • Indulgence in alcohol
  • Indulgence in smoking
  • Indulgence in substance abuse
  • Presence of suicidal ideation and intent

Hopelessness is 1.3 times more important than depression in suicidal ideation. It may mediate relationship between low self esteem, mental illness, interpersonal loss and suicides.

Impulsivity, particularly amongst adolescents and younger adults is also associated with suicidal thoughts and combination of hopelessness, impulsivity and disinhibition due to substance abuse are the main culprits.

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

Proton–pump inhibitors to carry warning about C

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Excessive use of mobile phone can be injurious to your health

A press conference was organised by Heart Care Foundation of India on the occasion of World Environment Day.

Dr K K Aggarwal
    National News

Maharashtra infant gets polio from vaccine, third such case in the country

AURANGABAD/PUNE: An 11-month-old boy from Maharashtra's Beed district has been found infected with the vaccine derived polio virus (VDPV), reports TOI. This is the first such case in the state and the third in the country since March 2012. Health officials said the boy's stool sample tested positive for VDPV on June 1. "The child has been ill for prolonged periods, indicating the possibility of immunodeficiency," an official said. The discovery does not threaten the polio-free status that India was recently awarded. Detecting VDPV is part of the surveillance system, but it does not get enumerated when putting together a country's polio numbers. Only infections caused by wild polio virus strains like P1 and P3 get counted, not P2 strain that causes VDPV infection. "Detailed follow-up investigations are being carried out. The child had high grade fever. He suffered paralysis in all four limbs thereafter and a bout of convulsion," said H V Wadgave, district reproductive and child health officer. "Such a case of VDPV is found if the immunity of the child is low, it suffers from chronic illnesses of the heart or kidney or if it is severely malnourished. In such cases, the P2 virus mutates and can cause paralysis.''

Oral polio vaccines (OPVs) contain a weakened version of poliovirus, activating an immune response in the body. A vaccinated person transmits the weakened virus to others, who also develop antibodies to polio, ultimately stopping transmission of poliovirus in a community. Experts say that in very rare instances, the virus in the vaccine can mutate into a form that can cause paralysis, as in the Beed infant's case.

Stool samples of the children and neighbours residing nearby will be sent to the National Institute of Virology, Pune, to rule out spread of the virus. "Around 45 samples from different age groups have been collected. Eight samples each from age groups 0-5 years, 5-10 years, 10-15 years and above 15 will be sent along with the samples of family members," Wadgave said. A survey of the immunization coverage in the village is also being conducted.

Circulating VDPVs in the past have been rapidly stopped with 2-3 rounds of high-quality immunization campaigns. The solution is the same for all polio outbreaks: immunize every child several times with the oral vaccine to stop polio transmission, regardless of the origin of the virus.

The infant is presently being treated at Latur's government medical college. World Health Organisation doctors have been stationed at his village for the last two days. (Source: TOI, Jun 7, 2013)

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, every Thursday 4:30 PM in DD India

    Valvular Heart Disease Update

Transcatheter aortic value replacement is a potential option for patient with severe symptomatic aortic stenosis who are otherwise not fit for surgery.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

    Be Human Stop Child Abuse (Team IMA for CMAAO)


The differential diagnosis includes other types of genital injury, infection, dermatologic conditions, congenital conditions affecting the perineum, and conditions affecting the urethra or anus.

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Cataract surgeons warming up to intracameral antibiotics

American cataract surgeons have begun to accept intracameral antibiotic injection as effective prophylaxis for endophthalmitis, but the practical details still need sorting out, new research suggests. (Source: Medscape)

Pain from heart surgery disrupts sleep long-term

Heart surgery patients reported persistent pain for at least 4 weeks after the procedure, and that pain appeared to manifest as shortened total sleep time, researchers reported at the annual meeting of the Associated Professional Sleep Societies. (Source: Medpage Today)

For node-positive breast cancer, axillary radiation is best

Radiotherapy is a better option than surgical dissection for women with breast cancer and a positive sentinel lymph node, according to an international multicenter phase 3 trial. In fact, axillary lymph node dissection (ALND) was associated with twice the rate of lymphedema as axillary radiotherapy, with no better locoregional control and fewer adverse effects, in the European Organization for Research and Treatment of Cancer (EORTC) AMAROS (After Mapping of the Axilla: Radiotherapy or Surgery?) trial. (Source: Medscape)

Single-session group CBT effective for insomnia

A single session of cognitive-behavioral therapy for insomnia (CBT-I) delivered in groups of 20 is proving to be an effective and efficient way to treat patients with chronic insomnia, say researchers at Kaiser Permanente Fontana Medical Center in California. (Source: Medscape)

Close eye on blood sugar aids glycemic control

Using an intensely structured system of self-monitoring blood glucose (SMBG) improved glycemic control even in patients with type 2 diabetes who were well-controlled, researchers reported. (Source: Medpage Today)

  Twitter of the Day

@DrKKAggarwal: Lifestyle counseling can reduce heart disease An intensive effort to change lifestyle in people at high risk of... http://fb.me/C9rf9Zak

@DeepakChopra: Meaningful coincidences are synchronistic events orchestrated by subtle intention when awareness is established in being

    Spiritual Update

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

There is a ritual and tradition of offering food to God before eating

This is a Vedic reminder to oneself that one should eat only those foods that are offered to God. Each time you offer food to God, this reminder makes you change your decision and choices. For example, alcohol, tobacco, onion, garlic, radish, etc. are not offered to God. If they are part of your food, there are chances that you will not consume these food items, if you observe this ritual.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you mean by barrier contraception?

Barrier contraceptives prevent sperm from entering the uterus and fallopian tubes. The barrier may be chemical (spermicide) or physical (male and female condoms, diaphragm, cervical cap, Lea’s shield, contraceptive sponge). According to western figures, couples using a barrier method of contraception can notice a failure rate (number of failures per 100 women who use the method) that ranges from 15% (male condom) to 20% (diaphragm, cervical cap) to 32% (cervical cap or sponge) of the time. When two barrier methods are used together (like a diaphragm and a condom), they become highly effective (up to 95%). If the barrier method breaks or falls out during sex, a woman may consider taking emergency contraception (the "morning–after" pill).

    An Inspirational Story

Burned biscuits

When I was a little child, my mom liked to make breakfast food for dinner every now and then. And I remember one night in particular when she had made breakfast after a long, hard day at work.

On that evening so long ago, my mom placed a plate of eggs, sausage and extremely burned biscuits in front of my dad. I remember waiting to see if anyone noticed! Yet all my dad did was reach for his biscuit, smile at my mom and ask me how my day was at school. I don’t remember what I told him that night, but I do remember watching him smear butter and jelly on that biscuit and eat every bite!

When I got up from the table that evening, I remember hearing my mom apologize to my dad for burning the biscuits. And I’ll never forget what he said: “Baby, I love burned biscuits.”

Later that night, I went to kiss Daddy good night and I asked him if he really liked his biscuits burned. He wrapped me in his arms and said, “Your Momma put in a hard day at work today and she’s real tired. And besides – a little burned biscuit never hurt anyone!”

You know, life is full of imperfect things… and imperfect people. I’m not the best housekeeper or cook. What I’ve learned over the years is that learning to accept each other’s faults – and choosing to celebrate each other’s differences – is one of the most important keys to creating a healthy, growing, and lasting relationship. And that’s my prayer for you today!

For comments and archives

  Cardiology eMedinewS

CPAP improves blood pressure in heart patients Read More

  Pediatric eMedinewS

Childhood BP linked to adult atherosclerosis, but reversing BP may help
Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

If the skin test is positive to ERIG, what should be done?

If skin test is positive, it is better to switch over to HRIG.

    IJCP Special

Dr Good Dr Bad

Situation: A lady who became pregnant while on Leflunomide came for Detox.
Dr Bad: No Detox is required.
Dr. Good: Start Cholestyramine Protocol.
Lesson: Elimination of leflunomide can be accelerated in pregnancy through the administration of cholestyramine (8 g orally three times daily for 11 days) and confirmed by measurement of drug levels less than 0.02 mg/L on two tests performed two weeks apart. Additional cholestyramine treatment is indicated if plasma levels remain greater than 0.02 mg/L (Arthritis Res Ther 2006;8:209).

Make Sure

Situation: A patient died after receiving IV isoprin stat.
Reaction: Oh my God! The order was for IV Isoptin.
Lesson: Make sure while ordering the drug to spell out the name of the medicine correctly and clearly.

  Quote of the Day (Dr GM Singh)

A successful man is one who can lay a firm foundation with the bricks others have thrown at him. David Brinkley

    Mind Teaser

Read this…………………

A distinguishing feature of a cluster headache is that it occurs:

a. Bilaterally
b. Globally
c. Occipitally
d. Unilaterally

Yesterday’s Mind Teaser: A 45-year-old male patient reports pain in his foot that moves up along his calf. The patient states, "My right foot feels like it is on fire." The patient further describes that he has no previous history of injuries or falls, and that his pain started yesterday. Which components of pain assessment has the patient reported?

1. Aggravating and alleviating factors
2. Exacerbation, and associated signs and symptoms
3. Intensity, temporal characteristics, and functional impact
4. Location, quality, and onset

Answer for Yesterday’s Mind Teaser: Location, quality, and onset

Correct answers received from: Tukaram Pagad, Dr.Bitaan Sen & Dr.Jayashree Sen, mittun sudhakar, Dr. B.B. Gupta, Dr. Bharat Bhushan Aggarwal, Dr. Thakor Hitendrsinh G, Dr kanta jian, Dr.K.V.Sarma, Dr.RAGHAVENDRA JAYESH, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr Avtar Krishan, DR. DEEPALI CHATTERJEE, Yamini Alsi, Dr.Chandresh Jardosh, Dr Kanta jain

Answer for 6th June Mind Teaser: Alcohol

Correct answers received from:DR. DEEPALI CHATTERJEE, Yamini Alsi, Dr.Chandresh Jardosh, Dr Kanta jain

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Wife or Mistress?

An architect, an artist and an engineer were discussing whether it was better to spend time with the wife or a mistress.

The architect said he enjoyed time with his wife, building a solid foundation for an enduring relationship.

The artist said he enjoyed time with his mistress, because of the passion and mystery he found there.

The engineer said, "I like both."


Engineer: "Yeah. If you have a wife and a mistress, they will each assume you are spending time with the other woman, and you can go to the lab and get some work done."

    Medicolegal Update

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

Is Touch DNA test different from a DNA test?

Human being shed tens of thousands of skin cells each day, and these cells are transferred to every surface with which human skin comes into contact.

  • Both are the same. But, a DNA test is done using visible biological samples like blood, saliva, semen etc. While, samples for touch DNA are usually not visible and since they are often deposited in smaller amounts than the DNA found in bloodstains or other body fluids, it is more difficult to obtain DNA profiles from these samples. This means that low copy DNA profiling allows a very small amount of DNA to be analyzed, from as little as 10 to 30 cells. DNA in skin cells that are left at a crime scene may be sampled from a variety of items including gun grips, steering wheels, eating utensils, luggage handles, and clothing
  • Touch DNA samples are also processed exactly the same way as blood, semen, and saliva etc. Touch DNA analysis may be able to link the perpetrator to the crime scene, by collecting the skin cells and analyzing them.
  • The key to obtaining successful Touch DNA results depends on recognizing items which may be suitable for Touch DNA analysis and using the sampling technique or collection method that will recover the highest number of skin cells.
  • Locard 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.
  • The techniques used are:
    • Swabbing: The surface of the item is rubbed with a cotton swab to collect possible cells. This method is preferred for hard items such as glass or plastic.
    • Cutting: May be used for soft items, such as clothing, in which fabric from areas of interest is cut to collect possible cells.
    • In addition to the commonly used swabbing and cutting methods, the latest technologies has recently started using the "Scraping" and "Tape Lift" methods, in which the surface of soft items such as clothing are either scraped with a blade, or sampled with a small piece of tape, to collect possible cells.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Guidelines on Health

In the light of the increasing incidence of various ailments, Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India has released a few guidelines.

  • Keep your blood cholesterol less than 160 mg%. Even 1% reduction in cholesterol reduces the chances of heart attack by 2%.
  • Uncontrolled diabetes and blood pressure can precipitate a heart attack. Keep these under check.
  • Eat less, walk more.
  • Regular exercise is good for health. The best exercise is 'walking' which is a brisker than brisk walking.
  • Soya products are good for health. These should form an essential ingredient of the diet.
  • Fruits are better than juices.
  • Brown rice is better than polished rice and jaggery is better than white sugar.
  • Eat high fiber diet.
  • Driving and drinking do not go together.
  • Pregnant women must not drink. It harms the baby in the womb.
  • Get your health check-up done at least once in a year.
  • Salt intake should be restricted.
  • Avoid APC where A stands for achar, P for papad and C for chutney.
    Readers Response
  1. Dear Sir, wonderful updation and coverage on Smart Phone Use.Regards: Dr Saroj
    Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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