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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 (07–08); 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 of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR


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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of 1st Mega Ajmer Health Camp 2012

  Editorial …

9th April 2012, Monday

Are dark chocolates good for the heart?

The medicinal use of chocolate has a long history in North America dating back to the 16th century. From Mesoamerican Codices and European Treatises, scholars have determined that for hundreds of years the beverage called chocolate was administered to the sick and prescribed homeopathically to prevent illness.

Cocoa and particularly dark chocolate are rich in flavonoids and it lowers the blood pressure.

A Harvard study published in 2011 in Clinical Nutrition by Diousse L and group from Brigham and Women’s Hospital has shown that dark chocolate consumption is inversely associated with prevalence of coronary heart disease. That dark chocolate improves endothelial functions and the platelet function was shown by Hermann F and group in 2006 in the Journal Heart.

Franco and coauthors from Erasmus MC University Medical Centre Rotterdam, Netherlands in 2004 wrote in British Medical Journal that the polymeal concept is a more natural, safer, and probably tastier than the Polypill strategy to reduce cardiovascular disease by more than 75%. The evidence–based recipe included wine, fish, dark chocolate, fruits, vegetables, garlic and almonds.

Another study published in 2007 in the Journal Heart has shown that small dietary changes yield big blood pressure benefits. One should limit sodium, eat more veggies and add modest amounts of soy nuts and dark chocolate to improve the heart health.

In 2009, Sirtori CR and group from University of Milano, Italy wrote in Nutr Res Rev journal that dark chocolate is gaining much attention as a functional food for its multifunctional activities, useful both for the prevention of dyslipidemia as well as hypertension.

Loffredo L and group from I Clinica Medica, Viale del Policlinico Italy have shown in the Journal Heart in 2011 that the acute effects of dark chocolate in smokers are due to nitrite/nitrate (NOX2)–mediated arterial dysfunction. Cocoa enhances artery dilatation by lowering of NOX2 activation as assessed by blood levels of soluble NOX2 derived peptide.

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

Embolization shows success in benign prostatic hyperplasia

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

First Mega Ajmer Health Camp – Valedictory Function

Valedictory Function of the Health Camp was attended by both bureaucratic and political dignitaries of Rajasthan and Ajmer.

Dr K K Aggarwal
    National News

Delhi tops in sleepless executives, says survey

Delhi has the highest number of corporate employees afflicted with insomnia due to high stress levels and demanding schedules in offices, a survey has revealed. The city is followed by Mumbai, Ahmedabad, Chandigarh, Hyderabad, Pune, and Chennai. The survey was conducted by ASSOCHAM on the occasion of World Health Day. It found that nearly 78 per cent of the corporate employees sleep less than six hours a day resulting in sleep disorders. "Loss of sleep has wide ranging effects including daytime fatigue, physical discomfort, psychological stress, performance deterioration, low–pain threshold and increased absenteeism," said D S Rawat, secretary general of ASSOCHAM.
The survey also shows that women experience more sleeping problems than men.
Nearly 36 per cent of the sample population suffer from obesity while 21 per cent suffer from depression. High blood pressure and diabetes were found in 12 per cent and eight per cent of the sample population. In terms of the physical fitness, it was found that around 47 per cent of the corporate employees do not exercise and merely seven per cent stay fit by exercising for more than six hours a week. The survey also revealed high levels of absenteeism owing to illnesses of various kinds. (Source: Deccan Herald, Apr 6, 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

Medical societies list 45 dubious tests, therapies

A man sees a physician after a simple fainting spell — should he receive a brain imaging scan when there is no evidence of seizures or other neurological signs and symptoms?

The answer is no, according to a compendium of 45 clinical "don’ts" assembled by 9 medical societies for the sake of eliminating commonly ordered but often unnecessary tests and procedures. Such services, which are not rooted in evidence–based medicine, contribute to the high cost of healthcare and sometimes harm a patient’s health, as in excessive radiation exposure in the course of diagnostic imaging or complications of a surgery after a false–positive test result.

The lists of questionable services (5 for each specialty) are part of a campaign organized by the American Board of Internal Medicine (ABIM) called Choosing Wisely. It builds on a similar ABIM project last year that identified 5 dubious tests and procedures for 3 specialties: internal medicine, family medicine, and pediatrics. The 9 medical societies participating in Choosing Wisely are the American Academy of Allergy, Asthma, and Immunology (AAAAI); the American Academy of Family Physicians; the American College of Cardiology; the American College of Physicians (ACP); the American College of Radiology; the American Gastroenterological Association; the American Society of Clinical Oncology (ASCO); the American Society of Nephrology (ASN); and the American Society of Nuclear Cardiology. (Source: Medscape) Check out the website: http://choosingwisely.org/

For comments and archives

Mental activity best hope against late cognitive decline

The rate of cognitive decline appears to sharply increase, and the differences between cognitive abilities tend to disappear in the 2 to 3 years before death, a new study shows. (Source: Medscape)

For comments and archives

Antibiotics may be enough for appendicitis

For uncomplicated appendicitis, using antibiotics first may preclude the need to remove the appendix and reduce complications, a meta–analysis suggested. (Source: Medpage Today)

For comments and archives

Drug–resistant malaria spreading faster and wider

NEW DELHI: Malaria that is resistant to the drug of choice – Artemisinin, has now emerged along the Thailand–Myanmar border – 800km westward from where it was first confirmed in Cambodia in 2006. Artemisinin Combination Therapies (ACT) kills malaria parasite in a human bloodstream within 24 to 36 hours. With the drug-resistant strain, ACT needs up to 120 hours to kill the parasite. Since artemisinin–resistant malaria was confirmed in Cambodia, there has been a concerted international effort to control P falciparum malaria to prevent resistance spreading. (Source: TOI, Apr 6, 2012)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Paracetamol can cause fatal liver damage

@DrKKAggarwal: When you blame and criticize others, you are avoiding some truth about yourself.

    Spiritual Update

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

Understanding Vastu: The Scientific Aspects

The Vedas are said to be apourusheya. This means they cannot be dated. However we can safely give them a time period of at least 5000 years. Vastu comes from the Vedas and are attributed to the Atharvaveda. Vastu is also referred to as Sthapathya Veda.

There are five basic elements of nature called Pancha Mahabhootas (space, air, fire, water and earth) which also reflects in Vastu. There are eight directions North, South, East, West, North East, Northwest, Southeast and Southwest.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is the vanishing twin syndrome?

Sometimes, very early in a twin pregnancy, one of the fetuses "disappears." This is referred to as "vanishing twin syndrome." Even after ultrasound has shown heart movement in twins, spontaneous loss of one of the fetuses occurs in up to 20% of twin pregnancies. Spontaneous losses are even higher in triplet and quadruplet pregnancies. A fetal loss rate of 40% may occur in pregnancies with triplets or more. When a fetus is lost in the first trimester, the remaining fetus or fetuses generally continue to develop normally, although vaginal bleeding may occur.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

What are the various types of blood donations?

There are three types of blood donors:–

  • Professional donors: People who sell their blood for money. Under no circumstances should professional donors be allowed to give blood. They sell their blood, which is of very poor quality and can transmit very dangerous diseases to the recipient. It is illegal to take blood from any professional donor.
  • Replacement donation: The healthy relatives and friends of the patient donate their blood of any groups and the same blood group as that of the patient is given. This is called as Replacement Donation.
  • Voluntary donation: Here, a donor donates his blood voluntarily. His blood can be used for any patient even without revealing his identity. This is the best type of blood donation where motivated individuals donate their blood in an act of high human selfless service i.e. Nishkama Seva.

For comments and archives

    Medi Finance Update

(Tarun Kumar, Chartered Accountant)

Judicial precedents reversed by retrospective amendments

Condition to avail benefits under the tax treaty

Residency Certificate mandatory for claiming benefit under the tax treaty.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Successful people don’t do great things, they only do small things in a great way

One day a partially deaf four year old kid came home with a note in his pocket from his teacher, "Your Tommy is too stupid to learn, get him out of the school." His mother read the note and answered, "My Tommy is not stupid to learn, I will teach him myself." And that Tommy grew up to be the great Thomas Edison. Thomas Edison had only three months of formal schooling and he was partially deaf.

Henry Ford forgot to put the reverse gear in the first car he made.

Do you consider these people failures? They succeeded in spite of problems, not in the absence of them. But to the outside world, it appears as though they just got lucky.

All success stories are stories of great failures. The only difference is that every time they failed, they bounced back. This is called failing forward, rather than backward. You learn and move forward. Learn from your failure and keep moving.

Below are more examples of the failures of successful people:

  • Thomas Edison failed approximately 10,000 times while he was working on the light bulb.
  • Henry Ford was broke at the age of 40.
  • Lee Iacocca was fired by Henry Ford II at the age of 54.
  • Young Beethoven was told that he had no talent for music, but he gave some of the best music to the world.

Source: http://great–motivational–stories.blogspot.in/2008/03/every–success–story–is-also–story–of.html

For comments and archives

    Microbial World: The Good and the Bad They Do

(Dr Sunil Sharma, Senior Consultant Microbiology, Medanta The Medicity)

Infection control/antibiotics

So far, in our earlier columns, we have learnt how antibiotic resistance occurs and transfers between bacteria. Now we need to understand how it spreads in the community.

One important reason is misuse or inappropriate use of antibiotics. According to WHO figures, over 50% antibiotics given are either inappropriate or unnecessary. Many people take antibiotics for the common cold and one study showed that common cold is the most common reason for prescribing antibiotics. Common cold is caused by viruses and antibacterial antibiotics do not act on viruses.

Over–the–counter antibiotics are available in most cities in India. People do not even consult a doctor and take antibiotics based on their own previous experience or on the advice of ‘friends/relatives’.

A large percentage (22%) of people does not complete the course of an antibiotic. Partial treatment or even a single dose leads to a greater risk of developing resistant organisms. In India, one reason for the rise in resistant strains of TB bacilli could be because of patients taking partial treatment.

  Cardiology eMedinewS

Cardiac Transplantation: State Of The Art 2012 Read More

Translational Elements From Ayurveda For Preventive Cardiology
Read More

A Review Of Clinical Research In Ayurvedic Cardiology And The Way Forward Read More

Genomics Of Human Heart Failure: Putative Therapeutic Targets
Read More

  Pediatric eMedinewS

The Case For Empiric Antifungal Therapy For Invasive Candidiasis In Preemies Read More

Rehospitalization Not Uncommon After Pediatric Lithotripsy Read More

Balloon Dilatation Effective For Treatment Of Megaureter Read More

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    IJCP Special

Dr Good Dr Bad

Situation: A 50–year–male was found to have 40% carotid artery stenosis.
Dr Bad: Stenosis should be opened surgically.
Dr Good: Surgery will not help.
Lesson: Surgery is of no benefit when the carotid artery stenosis is <50%.

For comments and archives

Make Sure

Situation: A 60–year–old male with H/O recent MI complained of non–productive cough, fever and minimal findings on chest auscultation.
Reaction: Oh my God! Why was he not immediately put on macrolide?
Lesson: Make sure to remember that in patients with recent MI, macrolide antibiotics (either erythromycin or azithromycin) reduce subsequent untoward cardiac events.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Success seems to be connected with action. Successful people keep moving. They make mistakes, but they don’t quit. Conrad Hilton

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

BRCA–1 and BRCA–2

Also known as: BRCA; Breast Cancer Susceptibility Genes 1 and 2

To assess the risk of developing breast or ovarian cancer associated with inheriting mutations in the BRCA–1 or BRCA–2 genes

    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: JUS 144 TICE

Answer for Yesterday’s  Mind Teaser: Gross injustice

Correct answers received from: Answer for Yesterday’s Mind Teaser: Gross injustice

Correct answers received from: Dr Shipra, Eishan, Jaymol, Dr Krishna, Dr TK Mishra, Dr Raju, RP Tripathi, Sujoy, AP Khanna, Dr Abhay

Answer for 7th April Mind Teaser: a. Propranolol 
Correct answers received from: Dr Ishmit, 
Dr R.K Sahoo, Dr Gopal Shinde, Dr Valluri Ramarao.

 Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Feline Physics

Law of Cat Magnetism

All blue blazers and black sweaters attract cat hair in direct proportion to the darkness of the fabric.

    Medicolegal Update

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

Antiquity of Indian medicine & medical education: Charak Samhita

Acharya Charak has been crowned as the Father of Medicine. His renowned work, the "Charak Samhita" is considered as an encyclopedia of Ayurveda. His principles, diagnoses and cures retain their potency and truth even after a couple of millennia. In Europe, when the science of anatomy was confused with different theories, Acharya Charak revealed through his innate genius and enquiries, the facts on human anatomy, embryology, pharmacology, blood circulation and diseases like diabetes, tuberculosis, heart disease, etc. In the "Charak Samhita" he has described the medicinal qualities and functions of 100,000 herbal plants. He has proved the correlation of spirituality and physical health and contributed greatly to diagnostic and curative medical sciences. He enumerated the ethical charter for medical practitioners two centuries prior to the Hippocratic Oath.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Treatment of Summer Diarrhea

One loose motion is equal to one glass of ORS. Most summer diarrhea is watery, effortless and painless with no mucous or blood. They need no antibiotics. The only treatment is oral rehydration solution, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

One loose motion is equivalent to loss of one glass of fluid. Explaining this, Dr. Aggarwal said that if a patient has passed 10 loose motions, he needs 12 glasses of ORS apart from normal requirement of fluids and one glass for every loose motion passed again.

For upto 12 loose motions, a patient can be managed as an outpatient but if the loose motions are more than 12 he needs observation and if the numbers of loose motions are more than 40, he needs intensive treatment.

The main complication is renal shut down, which will happen if the blood pressure remains low for more than few hours. During loose motions, one should make sure that he or she passes urine every 6–8 hours. If no urine is passed for eight hours, this may indicate an impending renal failure.

    Readers Response
  1. Dear Sir, Thank you so very much for providing recent updates in medicine. With warm regards: Eden.
    Forthcoming Events
Dr K K Aggarwal

Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

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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, Dr Usha K Baveja