Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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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eMedinewS Presents Audio News of the Day

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

Photos of Doctor’s Day Celebration

    Dr KK Aggarwal with AAmir Khan …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Aamir Khan Workshop with kids on dangerous areas Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video
Justice A P Shah on Doctor’s Day Celebration Part 1 Watch Videos
Justice A P Shah on Doctor’s Day Celebration Part 2 Watch Videos
Panel Discussion Part 1 on Doctor’s Day Celebration on 1st July 2012 Watch Videos

  Editorial …

9th July 2012, Monday

Echo for Long–Term Risk After Stroke

A simple risk prediction model may help identify ischemic stroke patients at a higher risk of future adverse outcomes. Age, chronic renal failure, and the amount of calcification around the aortic root were predictive of death at about 4 years after nonhemorrhagic stroke said Dr Avinash Murthy at Albany Medical Center in Albany, N.Y at the annual meeting of the American Society of Echocardiography (ASE).

The doctors assigned 2 points for each decade over 40 years, 11 points for renal failure, and 3 points for aortic root sclerosis. The high–risk group –– more than 11 points –– had a mean survival estimate of 39 months, compared with 49 months for the moderate–risk group (5–10 points) and 62 months for the low–risk group (0–5 points). Most stroke patients undergo an echocardiography exam at the index admission to look for patent foramen ovale, shunt, or embolus and data about aortic root sclerosis is already available.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Why BP should be kept < 120:80 mm Hg

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

A seminar on Health and Happiness was organised jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan at Bharatiya Vidya Bhavan on 5th July 2012.

Dr K K Aggarwal
    National News

GH To Get ICU in Geriatrics Ward

The geriatrics department of Rajiv Gandhi Government General Hospital will soon have a full–fledged eight–bed intensive medical care unit (IMCU). The IMCU will be fully air conditioned and will have exclusive ventilators and defibrillators for its patients.

The funds for developing the IMCU have been provided by the Central government under the XI Five Year Plan to upgrade geriatric services across the country. The GH was chosen as it was the first in the country to launch geriatric services 40 years ago. Setting up an IMCU is just the next logical step, said B. Krishnaswami, head of the department.

The department received permission for the project from the State government and space has been identified for the unit in the geriatric ward itself, said GH dean V. Kanagasabai.

In April the department received Rs. 2 crore as the initial part of the sanctioned Rs. 5 crore to construct a building for the Geriatrics Department. The plan is to develop the department as a regional geriatric centre which will include specialty clinics for fall prevention, incontinence, memory and geriatric health promotion where patients would be taught yoga and meditation techniques.

The funds are part of a larger project to improve geriatric care in eight centres across the country. While other centres will concentrate on setting up a dedicated ward for the elderly, the GH already has a full–fledged department, including surgical care. The department has also received sanction for appointing three doctors, eight nurses besides paramedical staff, according to a senior health official.

"There is equipment to test patients at risk of a fall. Sophisticated machines like tilt tables are available to assess the balance of a patient. Such equipment will help us choose people prone to falling and train them for better health.

For comments and archives

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 re build 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

    International News

(Contributed by Dr Monica and Brahm Vasudev)

IFN Combo May Improve Healing Of Corneal Intraepithelial Neoplasia

Conjunctival and corneal intraepithelial neoplasia may resolve faster with retinoic acid plus topical interferon alfa–2b than with interferon alone, Australian researchers suggest. Their retrospective study appeared online June 13th in Ophthalmology. (Source: Medscape)

For comments and archives

Root Cause Of Inflammatory Diseases Discovered

A ‘constant cloud’ of potent inflammatory molecules surrounding the cells responsible for diseases such as thickening of the arteries and rheumatoid arthritis, has been discovered.
The findings by the scientists at the University of East Anglia (UEA) could eventually lead to new treatments for chronic inflammatory diseases. Cardiovascular disease arising from atherosclerosis (thickening of the arteries) kills around 17 million people worldwide each year, including 120,000 people in England and Wales, while rheumatoid arthritis affects around 400,000 people in the UK. The team studied a type of white blood cell called monocytes.
Monocytes play an important role in the human immune system and help protect our bodies against infection. But they can also invade tissue, triggering the early stages of common inflammatory diseases. The researchers detected for the first time that monocytes were surrounded by a constant cloud. This cloud was found to be made up of potent inflammatory molecules called adenosine triphosphate, or ATP. Further study showed that the ATP molecules were being propelled through the cell wall by the actions of lysosomes. (Source: TOI, Jul 5, 2012)

For comments and archives

Delirium Signals Cognitive Risk after Heart Surgery

Patients who develop postoperative delirium after cardiac surgery are at risk for an overall decline in cognitive function and a prolonged period of impairment during the following year, according to a study published online July 4 in the New England Journal of Medicine. (Source: Family Practice News)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Too much salt damages blood vessels and cause high BP

@DrKKAggarwal: You are here for a reason. Enjoy the journey.

    Spiritual Update

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

Religion and Health

(Health and happiness, seminar on 5th July at Bharatiya Vidya Bhavan by Heart Care Foundation of India and BVB) There are nine recognized religions in India. They are known for their key messages and they are:

1. Hinduism: Ananda or bliss

For comments and archives

    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you mean by assisted hatching?

Assisted hatching is a procedure that is done in the laboratory three days after fertilization. During assisted hatching, the outer shell of the embryo is artificially weakened by making a small hole in the shell. This is done just before the embryo is put into the uterus.

For comments and archives

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

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

Myth – Eyes of aged donors are not acceptable.
Fact – All donor eyes are acceptable irrespective of the donor’s age, including eyes of premature/still–born babies.

For comments and archives

    An Inspirational Story

(Dr GM Singh)

Don’t let Fear Hold you Back

A man once went to a fortune teller, curious to know what she would say about his future. The fortune teller looked into her magic ball and then her facial expression said it all. The man would die, she said, involved in a bus accident. This would happen within two to three months time, but she couldn’t say exactly when. The man went home, depressed and worried telling himself how he never really believed in fortune tellers. Why should he now?

When two months passed, he had thought about what she said, day in and day out. Now he decided to lock himself in his house where he wouldn’t come close to any buses for the next month.

Another 3 weeks went by when the man came down the stairs from his bedroom to make some coffee. His little son had left his toys on the floor of which one was a little toy bus. The man stepped on the bus, after his last step down the stairs, slipped and knocked his head against the stairway railing and died instantly.

Moral of the story: "Live life on the edge, don’t lock yourself away."

For comments and archives

  Cardiology eMedinewS

Heart Biopsy May Mean Trouble for Tricuspid Valve Read More

Statins May Cut Cancer Risk Post-Heart Transplant Read More

  Pediatric eMedinewS

1 In 12 Teens Prone To Anger Disorder Read More

FDA Recalls Baby Breathing Device) Read More

    IJCP Special

Dr Good Dr Bad

Situation: A diabetic came with A1c 7.5%.
Dr Bad: This is ok.
Dr Good: You need better control.
Lesson: The A1c goal is <7% for most patients.

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is correct. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

For comments and archives

    Health News Bulletin

Self-injury may start early in some children: study

Deccan Herald

New Delhi: As early as third grade, some children are hitting, cutting or otherwise hurting themselves, according to new research. Studies have suggested about one–fifth of teens and young adults engage in self–injury at some point to relieve negative emotions or reach out for help, for example. But this report is the first to ask the question of kids as young as seven. Researchers found one in 12 of the third–, sixth– and ninth–graders they interviewed had self–injured at least once without the intention of killing themselves. "A lot of people tend to think that school–aged children, they’re happy, they don’t have a lot to worry about," said Benjamin Hankin, a psychologist from the University of Denver who worked on the study. "Clearly a lot more kids are doing this than people have known." Hankin and his colleagues spoke with 665 youth about their thoughts and behaviors related to self-harm. They found close to eight percent of third graders, four percent of sixth graders and 13 percent of ninth graders ad hit, cut, burned or otherwise purposefully injured themselves atleast once. In younger kids hitting was the most common form of self–injury, whereas high schoolers were most likely to cut or carve their skin.

  Quote of the Day

(Dr GM Singh)

It is wonderful when people believe in their leader. It is more wonderful when the leader believes in the people.

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    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Epstein–Barr virus (EBV) antibodies

These antibodies are used to help diagnose Mono if you are symptomatic but have a negative Mono test. The Centers for Disease Control and Prevention (CDC) recommends:

  • Viral capsid antigen (VCA)–IgM, VCA–IgG and D early antigen (EA–D): To detect a current or recent infection
  • VCA–IgG and Epstein Barr nuclear antigen (EBNA): To detect a previous infection

In pregnant women with symptoms of a viral illness, one or more of these EBV antibodies may be ordered along with tests for CMV, toxoplasmosis, and other infections (sometimes as part of a TORCH screen) to help distinguish between EBV and conditions that may cause similar symptoms. Occasionally, a VCA–IgG or other EBV antibody may be repeated 2–4 weeks after the first test, either to see if a test changes from negative to positive or to measure changes in antibody concentrations to see if they rise or fall.

A VCA–IgG test, and sometimes an EBNA test, may be done in case of an asymptomatic patient to see if that person has been previously exposed to EBV or is susceptible to a primary EBV infection. This is not routinely done, but it may be ordered when a patient, such as an adolescent or an immune compromised patient, has been in close contact with a person who has Mono.

    Mind Teaser

Read this…………………

Which of the Following Movies Features a Character Suffering from Schizophrenia?

a) A Beautiful Mind
b) The Three Faces of Eve
c) Me, Myself & Irene
d) Sybil
e) All of the above
f) None of the above

Yesterday’s Mind Teaser: Elective casarean section at 38 weeks of pregnancy before the onset of labour or rupture of membrane decreades transmission by

a. 50–80%

Answer for Yesterday’s  Mind Teaser: a. 50–80%

Correct answers received from: Dr Kanta Jain, Dr. Thakor Hitendrsinh G, Dr Pankaj Agarwal, Dr Avtar Krishan, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Anil Bairaria, Yogindra Vasavada

Answer for 7th July Mind Teaser: D. May engage in contact sports
Correct answers received from: Muthumperumal Thirumalpillai, Anil Bairaria

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

The trouble with being punctual is that no one is there to appreciate it

    Medicolegal Update

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

Medicolegal cases & injury, assault and hurt in Indian law

The words injury, assault and hurt are invariably used by doctor in hospital practice and are used as synonymous. But all three have a different meaning as per law. It is defined by the Indian Penal Code as below:

  • Injury: Section 44 of IPC defines injury as any harm whatever illegally caused to any person in body, mind, reputation or property.
  • Assault: Section 351 of IPC defines assault as an offer or threat or attempt to apply force on body of another in a hostile manner. It may be a common/simple assault or an intention to murder.
  • Hurt: Section 319 of IPC defines hurt as whoever causes bodily pain, disease or infirmity to any person is said to cause hurt.

When we as doctors deal with cases of Hurt/body injury, it means bodily pain, wound, disease or infirmity voluntarily caused to any person in medicolegal cases. These would include abrasions, contusions, lacerations, stab wounds, electric shock, firearm or ligatures etc resulting in human body injury. The doctor who is certifying an injury report should keep in mind the Penal provisions required by police to book the case i.e.

  • Simple injury: IPC Section 323
  • Simple injury caused by dangerous weapons: IPC Section 324
  • Grievous injury: IPC Section 325
  • Grievous injury caused by dangerous weapons: IPC Section 326
  • Dangerous injury: IPC Section 307
  • Injury likely to cause death: IPC Section 304
  • Injury sufficient to cause death: IPC Section 302
  • Causing hurt by means of poison: IPC Section 328

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Diabetics should not smoke

The health hazards of cigarette smoking in the general population are well known. In patients with diabetes mellitus, smoking considerably increases the risk for both macrovascular (cholesterol deposition) and microvascular (eye, kidney involvement) disease, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Smoking is an independent risk factor for all-cause mortality, largely due to cardiovascular disease.

There is a dose–response relationship between current smoking status and risk of coronary disease in women with diabetes. The risk is 1.7 and 2.68 for 1 to 14 and >15 cigarettes per day, respectively. The risk returns to baseline in those who had stopped smoking for more than 10 years.

The risk of mortality in diabetic women also increases with the number of cigarettes smoked per day. The risk is 1.4 and 2.1 for 1–14 and >35 cigarettes/day, respectively. The risk decreases substantially 10 years after quitting smoking.

Smoking is associated with increases in the serum concentrations of total cholesterol and very–low–density lipoprotein cholesterol, a decrease in serum high–density–lipoprotein cholesterol levels, and a greater degree of insulin resistance. Smokers, via an uncertain mechanism, have poorer glycemic control.

In patients with type 1 diabetes, smoking is independently associated with an increase in urinary albumin excretion and nonproliferative retinopathy. The degree of albuminuria falls to the level of nonsmokers if smoking is discontinued.

Smokers with either type 1 or type 2 diabetes are at increased risk for neuropathy, an effect that persists even after adjusting for glycemic control.

Smoking is associated with an increased risk of end–stage renal disease and with decreased survival once dialysis is commenced.

    Readers Response
  1. Dear Dr KK

    The editorial Doctors are God later and human beings first was the best ever piece you have written and balance overview of the true facts and limitations on the ground I will strongly urge to get same published in all newspapers and different languages to help maximum citizens including policy makers to common man to understand and realise because knowledge and acknowledgement is the first step towards correction of a problem. Vivek
    Forthcoming Events
Dr K K Aggarwal


All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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

    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)

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  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, Dr Usha K Baveja