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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

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

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  Editorial …

9th May 2013, Thursday

And now womb transplant

In January 2014, the world may see a child born to a woman who has undergone the first ever successful womb transplant. The breakthrough procedure was carried out last year by Turkish surgeons on 21-year-old Derya Sert, who was born without a uterus.

Dr J Richard Smith, a British gynecologist from Queen Charlotte's & Chelsea Hospital in London, is leading efforts in the UK to start a womb transplant programme.

One in every 5,000 women in the UK is born without a womb. Besides, around 1,000 UK women from the 15-24 age group have hysterectomies every year, a commonly performed procedure for treating cervical cancer.

The British charity says the only two options available for these women are adoption and surrogacy, both acceptable options but fraught with moral, ethical and financial difficulties.

The majority of the research, published in the 1960s to the 1980s, involved transplantation of the entire female genital tract (ovaries, womb, cervix and upper vagina) in a range of different mammals.

In 2000, the world's first womb transplant was performed on a 26-year-old woman in Saudi Arabia. Although this attempt was unsuccessful, much was learned and it was the stimulation for extensive research to continue around the world.

In December 2010, doctors in Sweden were able to report a pregnancy as a result of a womb transplant on a rat.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

DVT risk starts early, stays long after acute stroke

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2013

Heart Care Foundation of India and World Fellowship of Religions in association with Ministry of Earth Sciences Govt. of India and Delhi Public School Mathura Road observed World Earth Day 2013.

Dr K K Aggarwal
    National News

Statistics of organ transplants in India

No. of Transplants done in 2011

For Comments and archives…

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

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

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Be Human Stop Child Abuse (Team IMA for CMAAO)


What is trafficking?

Trafficking is the moving, selling or buying of woman and children for prostitution within and outside a country for monetary or other consideration with or without the consent of the person subjected to trafficking. (SAARC Convention on Preventing and Combating Trafficking in Woman and Children for Prostitution)

For Comments and archives…

    Valvular Heart Disease Update

Valvular heart disease and CKD

Valvular heart disease is common in patients undergoing maintenance dialysis. Predisposing factors include secondary hyperparathyroidism, an elevated calcium-phosphorus product, vascular calcification, hypercalcemia, uremic milieu and hyperphosphatemia.

(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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Alzheimer's disease: IVIG fails in trial

Another promising treatment for Alzheimer's disease appears to have fallen by the wayside, as intravenous immunoglobulin (IVIG) failed to stop disease progress in a closely watched phase III trial.

For Comments and archives…

CDC urges second test to catch hepatitis C infection

Patients who test positive for hepatitis C virus (HCV) antibodies need a follow-up blood test to determine whether they are still infected with the leading cause of liver cancer, the Centers for Disease Control and Prevention (CDC) announced. (Source: Medscape)

For Comments and archives…

Index predicts PCI survival

A single-center study reports that a novel scoring system helped predict worse outcomes associated with untreated coronary lesions in high-risk stenting patients. Patients with multivessel and left main stem disease who had a residual SYNTAX (rSYNTAX) score of 0 were three times more likely to survive after PCI than those with higher scores. (Source: Medpage Today)

For Comments and archives…

Females better protected against ASD risk factors

Females carry almost twice as many mutations that confer risk for autism spectrum disorder (ASD) than males, yet they are less likely to develop the disorder, new research shows. (Source: Medscape)

For Comments and archives…

Quality of life greatly affected by hypoglycemia

Whether a person has type 1 diabetes or type 2, hypoglycemia has a serious impact on health-related quality of life, researchers reported here at the annual meeting of the American Association of Clinical Endocrinologists (AACE). (Source: Medpage Today)

For Comments and archives…

ACCP issues new guidelines for lung cancer screening

New guidelines from the American College of Chest Physicians (ACCP) recommend that patients at a high risk for lung cancer due to age and smoking history be offered screening with low-dose, computed tomography (LDCT) scanning. (Source: Medscape)

For Comments and archives…

    Twitter of the Day

@DrKKAggarwal: Why can the body be revived even after hours of death in hypothermia? Dr. K K Aggarwal It is well known (cont) http://tl.gd/n_1rk40os

@DrKKAggarwal: Replication is consciousness recycling itself. A mind independent reality is impossible to prove practically & theoretically @mtpollack

    Spiritual Update

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

Is there any evidence in the ancient Indian scriptures that life can be revived after 10 minutes of death?

As per Chandogya Upanishad (6.15.1) at the time of death, the motor senses Karmendriyas (Vak Vriti) merges with sensory senses (Manovriti - Gnanaindriyas) along with mind intellect, memory and ego and this merges with Pranavritti (Pran Vayu and Udan Vayu) and finally this Pranavritti merges with Tej (Tejas) in the body and leaves the body to merge with Sat in the atmosphere.

For Comments and archives…

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

Do you have your uterus even after the endometrial ablation?

Endometrial ablation only removes the lining of your uterus. You still have a uterus. This means that if you do not want to become pregnant, you still need to use birth control. If you have gone through menopause and are taking hormone therapy, your hormone therapy must include a progestogen (also called progesterone or progestin). Progestogens reduce the risk of developing cancer in your uterus.

    An Inspirational Story

Unique Human Flaws

An elderly Asian woman had two large pots, each hung on the end of a pole, which she carried across her neck. One of the pots had a crack in it while the other pot was perfect and always delivered a full portion of water. At the end of the long walk from the stream to the house, the cracked pot arrived only half full.

For two years, this went on daily with the woman bringing home only one and a half pots of water. The perfect pot was proud of its accomplishments. The poor cracked pot was ashamed of its own imperfection and miserable that it could only do half of what it had been made to do.

After 2 years of what it perceived to be bitter failure, it spoke to the woman: “I am ashamed of myself because this crack in my side causes water to leak out all the way to your house.” The old woman smiled, “Did you notice that there are flowers on your side of the path, but not on the other pot’s side?”

“That’s because I have always known about your flaw so I planted flower seeds on your side of the path, and every day while we walk back, you water them. For two years I have been able to pick these beautiful flowers to decorate the table. Without you being just the way you are, there would not be this beauty to grace the house.”

Moral: Like the pots, we all have our own unique flaws. But it’s the cracks and flaws we each have that make our lives together so very interesting and rewarding.

For comments and archives

   Cardiology eMedinewS

Young adults struggle with diabetes care Read More

   Pedia News

Guidelines on minimum requirements for healthy home birth 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)

What are the common side effects of intra-dermal rabies vaccination?

Cell culture vaccines have proved to be remarkably safe and free of significant adverse events. However, mild symptoms of pain, erythema, irritation or swelling at the intradermal injection sites occur in 3-92% of patients. The most frequent symptom is local irritation in 7-64% of vaccines. Generalized symptoms reported by 3-14% of recipients include headache, fever and influenza-like illness. Transient macular, papular and urticarial rashes are occasionally seen. All these adverse effects are mild, transient and self limiting and rarely call for the use of antihistamines and analgesics.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with Chikungunya was found to have high ESR.
Dr. Bad: It may not be Chikungunya.
Dr. Good: This is Chikungunya.
Lesson: High ESR is seen in Chikungunya.

Make Sure

Situation: A patient died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that each time a patient is given penicillin injection, anti anaphylaxis measures are available.

  Quote of the Day (Dr GM Singh)

Heart tells the eyes "See less, because you see and I suffer lot".
Eyes replied, "Feel less because you feel and I cry a lot".

    Mind Teaser

Read this…………………

Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a female client’s uremia. Which finding signals a significant problem during this procedure?

a. Potassium level of 3.5 mEq/L
b. Hematocrit (HCT) of 35%
c. Blood glucose level of 200 mg/dL
d. White blood cell (WBC) count of 20,000/mm3

Yesterday’s Mind Teaser: For a male client in the oliguric phase of acute renal failure (ARF), which nursing intervention is most important?

a. Encouraging coughing and deep breathing
b. Promoting carbohydrate intake
c. Limiting fluid intake
d. Providing pain-relief measures

Answer for Yesterday’s Mind Teaser: c. Limiting fluid intake

Correct answers received from: Dr K Raju, Dr Bharat Bhushan Aggarwal,
Dr Alok Rai, Dr (Brig) C H Gidvani, Dr PC Das, Dr Santha Kumari, Dr Ayyavoo,
Dr Thakor Hitendrsinh G, Dr (Maj. Gen.) Anil Bairaria, Dr KV Sarma, Dr Arpan Gandhi, Dr Jainendra Upadhyay, Dr Jayashree Sen & Dr Bitaan Sen,
Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan,
Dr kanta jain, Dr PC Das & Dr Mrs. S Das, Tukaram Pagad, Dr Jayashree Sen & Dr Bitaan Sen.

Answer for 6th May Mind Teaser: d. Metabolic alkalosis secondary to retention of hydrogen ions.

Correct answers received from: Dr Jainendra Upadhyay, Dr PC Das &
Dr Mrs. S Das, Dr Jayashree Sen & Dr Bitaan Sen.

Send your answer to ijcp12@gmail.com

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

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    Lab Test (DR ARPAN GANDHI, Senior Consultant Lab Medicine)

NAT Testing for Blood Banks

The primary benefit of NAT is the ability to reduce residual risk of infectious window period (WP) donations.

The estimated reduction of the window period utilizing NAT for HCV is 70 to 12 days, HIV from 22 to 11 days and HBV from 59 to 25-30 days3. The NAT screening available ensures 99.99% blood safety. NAT is one of the best available technologies in which polymerase chain reaction (PCR) is used.

    Laugh a While (Dr GM Singh)

Priceless definitions

Dust: Mud with the juice squeezed out.

  Medicolegal Update

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

Contravention of PNDT Act may lead to Imprisonment up to 3 years

  • The name of the registered medical practitioner who has been convicted by the court under sub–section (1), shall be reported by the Appropriate Authority to the respective State Medical Council for taking necessary action including the removal of his name from the register of the Council for a period of two years for the first offence and permanently for the subsequent offence.
  • Any person who seeks the aid of a genetic counseling center or genetic laboratory or genetic clinic or of a medical geneticist, medical gynecologist or registered medical practitioner for conducting prenatal diagnostic techniques on any pregnant woman (including the woman unless she was compelled to undergo such diagnostic technique) for purposes other than those specified in clause(2) of section 4, shall be punishable with imprisonment for a term which may extend to 3 years and with a fine which may extend up to ten thousand rupees and on any subsequent conviction with imprisonment which may extend to five years and with fine which may extend up to fifty thousand rupees.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Can diabetes be prevented?

Adhering to a Mediterranean diet, rich in fruits and vegetables and low in animal products, may protect one against developing type 2 diabetes, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA. The diet emphasizes olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and deemphasizes meat and dairy products. It is a healthy eating plan that seems to help in the prevention of heart disease.

In a study published in the British Medical Journal, researchers tracked the diets of 13,380 Spanish university graduates with no history of diabetes. Participants filled out a 136-item food questionnaire, which measured their entire diet (including their intake of fats), their cooking methods and their use of dietary supplements. During an average of 4.4 years of follow-up, the team found that people who adhered to a Mediterranean diet had a lower risk of developing type 2 diabetes. In fact, those who stuck very closely to the diet reduced their risk by 83 percent.

Moreover, the people who tended to stick closest to the diet were those with factors that put them at the highest risk for developing diabetes, such as being older, having a family history of diabetes and being an ex-smoker. These people were expected to have a higher rate of diabetes, but when they adhered to the Mediterranean diet this was not the case.

Type 2 diabetes is typically brought on by poor eating habits, too much weight and too little exercise.

One key factor that might be responsible for the protective effect of the Mediterranean diet is its emphasis on olive oil for cooking, frying, putting on bread and mixing in salad dressings.

Tips to prevent diabetes

  1. Eat less
  2. Omit refined carbohydrates (white sugar, white rice and white maida)
  3. Use olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and reduce meat and dairy products.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 47982 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

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