Address: 39 Daryacha, Hauz Khas Village, 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

CME webcast at www.docconnect.com, 8am-8pm 10th Jan

9th January 2010 Saturday  

Dear Colleague,

 emedinews-revisiting 09

The scenario of medical education is changing. The medical council of India is making CME compulsory and every doctor will have to attend 30 hours of CME credit hours for continuation of his or her name in the IMR. The only way over 700,000 doctors in the country can attend medical educational programs will be through the web/net.

The state councils will have to come forward and recognize some such centers s that credible education information can be passed on to the doctors independent of the industry.

Emedinews revisiting 09 is one such attempt by us and is being organised in the format of one day cricket match. You can attend it live or watch it at home at www.docconnect.com and see the replay later at www.emedinews.org. Web casting is a newer concept in medical education and will replace most of the conferences in future.

I hope all the readers of medinews will be able to enjoy tomorrow's conference.

Dr KK Aggarwal

Chief Editor


DMC Update: From the desk of President and Vice President

1.Dr A K Aggarwal, Dean MAMC as the president for the second term
2.Dr. Vinay Aggarwal, Past General Secretary and Senior Vice-president Indian Medical Association, on the Statutory Committees of ESI corporation and Vice President Delhi Medical Council

Our priority should be to look into the issue of re-registration and revalidation of membership and the fees attached to it. We will also like that we should make registration so simple that every doctor practicing in Delhi would be able to register in Delhi Medical Council. Continuing medical education will be our main concern whether it is via  technological advances like telemedicine, distant learning or by way of helping in organisation of conference and seminars. We will also like our members updated with the latest technology.

Another main issue is quackery. We have not been able to resolve this issue. We will also very actively pursue this issue to ensure that non qualified doctors practicing in the capital are banned and disciplinary action is taken against them. At Delhi Medical Council, we will also like to make a proper office/building of our own.

Simultaneously, we will like to improve patient-doctor relationship and being a statutory body build the confidence of the public in medical council. We will make protocols for our members. We will also work for accreditation of hospitals.

These are the main issues for which we will work and develop a very very successful medical council. We have very talented council members. We will utilize their expertise in all aspects.                                                                                  

News and views from Kidney Daily (Dr Brahm vasudeva)
Quitting smoking may increase risk for developing type 2 diabetes.

Former smokers have a greater risk of developing diabetes than smokers or nonsmokers. Johns Hopkins University doctors published a study in the Jan. 5 issue of Annals of Internal Medicine enrolling 10,892 middle aged adults.  The study determined their risk of atherosclerosis for an average of about nine years, during which time 1,254 developed type 2 diabetes. The team found that the 380 people who quit smoking were as much as 80 percent more likely to develop diabetes than those who never took up the habit.The increased risk may be related to the weight smokers add while quitting. This risk is highest in the first three years after quitting.

Childhood factors may predict future likelihood of type 2 diabetes.
According to a study published in the Jan. issue of the Archives of Pediatrics & Adolescent Medicine, body measurements and laboratory tests may predict the likelihood that a child will develop type 2 diabetes later in life.Participants were more likely to have diabetes at the age of 39 if they had high childhood levels of blood pressure, body-mass index, glucose, and triglycerides,or at age 19 if they had parents with diabetes and higher levels of systolic blood pressure and insulin concentration. Conversely, if childhood BMI, systolic blood pressure, and diastolic blood pressure were all lower than the 75th percentile, the chance of having type 2 diabetes at age 19 was only 0.2 percent (Source MedPage Today)

n-3 PUFA levels associated with increased insulin sensitivity in type 2 diabetes.
According to a study published online in the journal Molecular Nutrition & Food Research, increased plasma levels of n-3 polyunsaturated fatty acids (PUFAs) are associated with improved insulin sensitivity.Among diabetics both insulin resistance and blood glucose levels were negatively correlated with total n-3 and ratios of 20:5n-3 and n-3:n6 PUFAs, and positively correlated with n-6 PUFAs and saturated fatty acids.

Physically active CVD patients less likely to develop type 2 diabetes.
According to a study published online Jan. 4 in Diabetes Research and Clinical Practice, patients with cardiovascular disease (CVD) who are physically active have a significantly reduced risk for developing type 2 diabetes, compared with those who are inactive. Those "who were sufficiently physically active were 45 percent less likely to develop type 2 diabetes over the study period than those who were inactive.

Expert recommends treating people over 80 less aggressively for hypertension.
According to an editorial published in BMJ Clinical Evidence, people over 80 years of age should be treated less aggressively fo hypertension than the target blood pressure of <140/90 mmHg that is currently recommended.
A lack of difference in total mortality between groups could still suggest that aggressive treatment leads to an increase in other fatal events, with the magnitude of harm similar to that of the benefit.

 Dr Good Dr Bad:

Situation: A 34-year-old male was found to have a BP of 122/84 mmHg.

Dr Bad: It is normal

Dr Good: You need to bring it to <120/80 mmHg

Lesson: In general, epidemiologic studies of treated and untreated patients reveal that there is a gradually increasing incidence of both coronary disease and stroke as the blood pressure rises above 110/75 mmHg.  (JAMA 2003;289:2560)


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.


Make Sure:

Situation: A terminally ill patient, who develops bed sores, is given systemic antibiotics only.

Reaction: Oh My God! Please change the position of the patient frequently and keep the skin clean and dry.

Make sure good nursing care and maintenance of skin hygiene should be advised first to patients with bed sores, along with topical antibiotics.


Mile Stone: John Hopps

John Hopps, a Canadian, invented the first cardiac pacemaker, in 1950. His device was far too large to be implanted inside of the human body. It was an external pacemaker.


Laughter the best medicine

The doctor was off teaching a class, so one of his new students answered the phone in his office. The call was from the school's football coach.

"Doc, it's Sonu, he is in extreme pain" said the coach, "He broke his arm in the fourth quarter."

"I see," said the aspiring doctor. "Exactly what part of the arm is that?"


Formula to Practice:

Family history of diabetes  (i.e., parents or siblings with diabetes)

Obesity  (> 20% over desired body weight or BMI >27 kg/m2)

Race/ethnicity (e.g., African-Americans, Hispanic-Americans, Native

Americans, Asian-Americans, and Pacific Islanders)

Previously identified IFG or IGT

Hypertension (> 140/90 mmHg in adults)

HDL cholesterol < 40 mg/dl and/or triglyceride level 250 mg/dl

History of GDM or delivery of a baby weighing >9 lbs

Age >45 years old

CAD, Cerebro Vascular Disease, Peripheral Vascular Disease


Mnemonic to Know: Basic management of acute heart attack: BOOMAR

Bed rest





Reduce clot size


Quote: There is no monument dedicated to the memory of a committee.  [Lester J. Pourciau]



Tip from other systems of medicine: Cholesterol content in food

Quite often patients ask which food to avoid reducing their cholesterol. There is a simple formula. Food of plant in origin contains no cholesterol


Finance Tip: Can one pay cash expense of more than Rs. 20,000 in a day.


A:  Cash expenses of more than Rs. 20,000 to one party in one day are not allowed in income tax. It can be 19900/- but not 20,000.


Letter to the editor

Dear Dr. K K, It is good to hear that emedinews: revisiting 2009 will be available live on the net on www.docconnect.com for those doctors who cannot make it to the live conference on 10th Jan. I would also request you to make it available as a downloadable format on either www.docconnect.com or www.emedinews.in for users who would wish to access it on a later date. Its probably safe to say that this (Video CME on-the-net) is truly a unique initiative on your part & maybe the first one of its kind in India; atleast to my knowledge! Dr. Kapil Aggarwal


Dr. Praveen Chandra (emedinews revisiting 09)
Treatment of Coronary Artery disease has changed  and has been evolving in the last several years. Earlier, the treatment of multiple vessel disease and left main disease was done with the help of bypass surgery only, but now, with the advent of drug eluting stents, about 30-40% of such patients can be treated by stent implantation which is a far simpler procedure both for the patients and the treating physician. This has been proven by recent trials, especially, the SYNTAX trials.

The treatment of heart failure patients was limited to digoxin and diuretics with a high degree of mortality and morbidity, but now, with the new studies showing the benefits of beta blockers and Ace-inhibitors, the survival of such patients has improved. Further improvement has been shown in such patients with the use of cardiac re-synchronization therapy, commonly also known as Biventricular pacing. 

Punjab & Sind

Punjab & Sind
Coca cola 
 Central Bank of India

 (Advitorial Section)

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.  

PSB & Aviva is proud to be associated with Emedinews: Revisiting 2009. To know more about us, please visit PSB-AVIVA stall. http://avivaindia.com (Advt)


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,  tea coffee at the NESTLE counter and hot milk at Zydus 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 time will have 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. The conference can also be attended live at www.docconnect.com

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 

 Onyx Herbal Pvt. Ltd. is 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 stall. (Advt)

 PSB offers special offers to emedinews readers (Advt)

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.

 DocConnect, a community portal exclusively for medical professionals (Advt)

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. (Advt)

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 

Did you know  (Adv)     

 1.       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

2.       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

3.       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

4.       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

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

     6.   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

Nuspera International Inc. Presents a Range of ZENIMMUNE HEALTH SUPPLEMENTS at the  Conference in New Delhi. The Products are Supported by Extensive Clinical Trials in the U.S.A and also by a Double Blind Trial Study Conducted over the Patients from Different Specialities of Medicine.
  ZENIMMUNE Range Consists of
  ZENIMMUNE SHIELD (A Strong Immunity Booster)
  ZENIMMUNE SUPER (For Stronger and Smoother Joints)
  ZENIMMUNE POWER (In Eliminating Aluminium Toxicity)
  ZENIMMUNE SLIM (Look Good Feel Good)
  ZENIMMUNE PLUS (Helps in Preventing Complications of Diabetes Type II)
  ZENIMMUNE BEAUTY (Exudes a Vibrant Beauty in Nails Hairs and Skin)
  ZENIMMUNE  XP (EXXTRA Energy for EXXTRA Pleasure)
  ZENIMMUNE GOLD (A Complete Revitalizer for Women)

 emedinews-revisiting 2009 Program

Dr KK Aggarwal  
Revisiting the year 2009
Dr Awadhesh Pandey
Nuclear Medicine in Modern Practice
Ms. Anshu Gupta
Probiotics Update
Dr Shikha Sharma
Dr Ambrish Mithal
Newer treatments in diabetes
Dr A K Jhinghan
Dr Harish Parashar
Aluminium Toxicity
Dr. K K Aggarwal
Dr N K Bhatia
Screening for TTI
Dr B B Rewari
Mr. Himanshu Gupta
Dr KK Aggarwal
Dr Praveen Chandra
The Indications of Interventional Treatment in Cardiology
Dr. O P Yadava & Dr H K Chopra
Dr Sanjay Chaudhary
What is New in Lasik
Dr A K Grover
Dr Rohini Handa
What is New in Rheumatology
Dr N P Singh
Dr P K Julka
What is New in Oncology
Dr Harit Chaturvedi
11.45 - 11.55 AM 
Dr SC Tewari
Dr NP Singh
11.55 -12.10 PM
PSB-AVIVA   Presentation
Dr KK Aggarwal
12.10 -12.40 PM
Dr Anupam Sibal
A Decade of Successful Liver Transplant
Dr Subhash Gupta
12.40 -1.10 PM
Dr Ajay Kriplani   
Current Trends in the Management of Morbid Obesity
Dr BML Kapoor
1.10 -1.40 PM
Dr Vanita Arora
Common Arrhythmias
Dr Deepak Natrajan
1.40 - 2.10 PM
Dr N Subramaniam
Current Concept in Male Infertility 
Dr Kaberi Banerjee
2.10 - 2.40 PM
Dr V Raina
Molecular Genetics
Dr Kaberi Banerjee
2.40 - 3.10 PM
Dr Kaberi Banerjee 
IVF: Where We Stand Today?
Dr Anoop Gupta
3.10 - 3.25 PM
Dr Neelam Mohan 
Advances in Pediatric Diseases (Non Liver)
Dr KK Aggarwal
3.25 - 3.40 PM 
Dr Praveen Khilnani  
What’s New in the Field of Critical Care in Past Decade? 
Dr Pradeep Poswal
3.40 - 4.10 PM
Dr Ajit Saxena
Micro-Nutrients in ED and Male Infertility
Dr KK Aggarwal  
4.10 - 4.20 PM
Dr Ajay Kumar
What’s New in Gastroenterology?
Dr Rajiv Khosla
4.20 - 4.50 PM
Dr Naresh Trehan
What’s New in Cardiac Surgery 
Dr KK Aggarwal
5.00 PM onwards
Cultural Hungama and Awards



To unsubscribe click here.