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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


eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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  Editorial …

9th September 2011, Friday

One can predict acute lung injury

The lung injury prediction score (LIPS) should be used to predict patients who are unlikely to develop ALI/ARDS.

  • LIPS >4 predicts ALI with a sensitivity and specificity of 69 and 78%, respectively.
  • LIPS <4 has a negative predictive value of 97%.

Score: Sum up the assigned points

  1. Shock (2 points)
  2. Aspiration (2 points)
  3. Sepsis (1 point)
  4. Pneumonia (1.5 points)
  5. Orthopedic spine surgery (1.5 points)
  6. Acute abdominal surgery (2 points)
  7. Cardiac surgery (2.5 points)
  8. Aortic vascular surgery (3.5 points)
  9. Traumatic brain injury (2 points)
  10. Smoke inhalation (2 points)
  11. Near drowning (2 points)
  12. Lung contusion (1.5 points)
  13. Multiple fractures (1.5 points)
  14. Alcohol abuse (1 point)
  15. Obesity (BMI >30, 1 point)
  16. Hypoalbuminemia (1 point)
  17. Chemotherapy (1 point)
  18. Fraction of inspired oxygen >0.35 or >4 L/min (2 points)
  19. Tachypnea >30 breaths/min (1.5 points)
  20. Oxyhemoglobin saturation <95 percent (1 point)
  21. Acidosis (pH <7.35, 1.5 points)
  22. Diabetes mellitus (–1 point)

(Ref: Gajic O, Dabbagh O, Park PK, et al. Early identification of patients at risk of acute lung injury: evaluation of lung injury prediction score in a multicenter cohort study. Am J Respir Crit Care Med 2011;183:462).

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 on

One can predict acute lung injury

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

17th MTNL Perfect Health Mela 2010

Students from various colleges conved health messages via skit in the Medico Masti – An Inter College Youth Festival.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook – Twitter


Hyperactivity disorder in children on rise in cities: study

The occurrence of attention deficit hyperactivity disorder (ADHD) in children with symptoms of absentmindedness and being abnormally active is on a rise in the cities and has been found more in boys than in girls, a study claims. The study showed that ADHD prevalence rate has increased among boys to 11 per cent from six per cent while among girls it rose to 5.5 per cent from two per cent over the past six years among children of age three to 17 years. The survey was conducted by Associated Chambers of Commerce and Industry of India in 10 major cities namely Delhi–NCR, Mumbai, Kolkata, Bangalore, Chennai, Hyderabad, Ahmedabad, Chandigarh, Jaipur and Lucknow. "We interacted with around 1,000 school teachers and doctors. Teachers said that in every single class they have one to three children who are diagnosed with ADHD. 46 per cent of doctors or health care providers found that children at the age of four are more prone to this disease," Dr B K Rao, Chairman, ASSOCHAM Health Council said. (Source: Indian Express, Sep 05 2011)

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

(Dr Monica and Brahm Vasudev)

Sleep disturbance linked to aging eye lens

Sleep disturbance correlated significantly with reduced blue light transmission to the retina resulting from aging and yellowing of the lens, Danish investigators reported. Every 1% increase in blue light lens transmission reduced the odds of sleep disturbance by 5%. The association was similar across age groups and remained significant after controlling for a variety of potential confounders, as reported in the September issue of Sleep. (Source: Medpage Today)

For comments and archives

ESC: SYNTAX score value confirmed, with a twist

Japanese patients with three–vessel disease and moderate to high SYNTAX scores fared better with bypass surgery compared with percutaneous coronary intervention (PCI), reaffirming the original SYNTAX trial results, according to a large registry study. However, unlike the original trial, those with low scores also fared better with surgery, according to results of the study, which were presented here at the European Society of Cardiology meeting. (Source: Medpage Today)

For comments and archives

‘Functional’ SYNTAX score improves anatomic score

A functional SYNTAX score, which incorporates only ischemia–producing lesions as determined by fractional flow reserve (FFR), better predicted clinical outcomes than the classic anatomic–based SYNTAX score, researchers reported. Compared with the classic SYNTAX score, the functional score assessed in 497 patients with multivessel disease resulted in 32% being reclassified to a lower–risk group, reported William F. Fearon, MD, from Stanford University Medical Center in Palo Alto, Calif., and colleagues. (Source: Medpage Today)

For comments and archives

   Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Inactivity could increase risk for Type 2 diabetes

According to the Centers for Disease Control and Prevention, 79 million American adults have prediabetes, meaning they will likely develop diabetes later in life. New research published in the journal Medicine & Science in Sports & Exercise reinforces the notion that physical activity is key to preventing diabetes, and furthermore, it shows that inactivity could even be a risk factor leading to prediabetes or Type 2 diabetes.

In the study, researchers monitored the activity levels and diets of healthy and moderately active young adults (the average age of participants was 29). After three days, participants then reduced their physical activity by half for the next three days. Glucose monitors worn by the participants showed that during the period of inactivity there was a significant increase of sugar in the blood, which is a significant risk factor for developing type 2 diabetes. The authors conclude by stating that daily physical activity is important for preventing diabetes and other illnesses.

For comments and archives

   Twitter of the Day

@DrKKAggarwal: #Mercury is not toxic when taken orally as it is not absorbed. *Mercury or quicksilver is a liquid metal with a… fb.me/ZMmEG6tR

@DeepakChopra: #CosmicConsciousness Both religion and science are cultural mythologies with partial glimpse of reality, one subjective, the other objective

    Dr KK Answers

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

Starting enteral nutrition in a patient on ventilator

#DrKKAnswers: Starting enteral nutrition with a low infusion rate improves tolerability, compared to initiation at the target rate. A randomized study of 200 mechanically ventilated patients showed that enteral feeding (at the target rate or at 10 mL/hr for six days before being incrementally increased to the target rate) showed no differences in mortality, ventilator–free days, or ICU–free days, but the group that began at the target rate had more episodes of elevated gastric residual volumes and a trend toward more diarrhea. (Source: Crit Care Med 2011;39:967).

For comments and archives

    Spiritual Update

Thanks Krishan for not started smoking: Dr K K

This is an open letter from Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India and Senior Physician Cardiologist at Moolchand Medcity to Mr. Krishan Kumar who represents his own past in the Medical College as a medical student.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

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

    Gastro Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

Inflammatory Bowel Disease

What is the epidemiology of IBD?

IBD is one of the most significant chronic diseases to affect adolescents in West. Peak incidence of Crohn’s disease is observed in late adolescence or young adulthood. The highest incidence of ulcerative colitis in children is noted between the ages of 10 and 18 years and the incidence among females exceeds that among males by 20% – 30%. The worldwide distribution of CD and UC are similar. The mean age at diagnosis of IBD in children is approximately 12 years. It affects both the sexes equally. Recently even in India the incidence of IBD in children and adolescent is increasing.

For comments and archives

    Infertility Update

(Dr. Kaberi Banerjee, Infertility and IVF Specialist)

Infertility is still an enigma to us. The most advanced technique gives a pregnancy rate of at best 50–60% per attempt. Definitely there is lot more to be understood. We are hosting a Conference on 8th – 9th of October at Le’ Meridian, New Delhi on Current Practices and Recent Advances in ART (CUPART 2011). We have invited a very respectable panel of International and National faculty whose experiences will be a wealth of knowledge to us.

Under the aegis on AOGD

Organizing Chairperson – Dr Kaberi Banerjee

Day – 1 Interesting Highlights

Session 3 – Common Gynaecological Problems and Infertility – Effective Treatment Options

This session highlights effective treatment options for women suffering from infertility and associated gynaecological disorders like endometriosis, polycystic ovaries, fibroids and tubal factor.

Speakers: Dr Neeta Singh (AIIMS), Dr Abha Majumdar (New Delhi), Dr Yakoub Khalaf (UK), Dr Sohani Verma (New Delhi)

Inauguration & Welcome Address by Chief ICMR New Delhi at 7.00pm followed by Shaan – e – Hindustan – Sufi Night with Adil Hussaini, Hyderabad & Fellowship Dinner

For Registration Please Contact: Address: E –23 Ayurvigyan Nagar New Delhi – 110049

For details contact +91 9871250235

For comments and archives

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    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Hepatitis C test

The test is used to detect and diagnose an infection and/or to monitor the treatment of hepatitis C virus (HCV). Tests are used to detect the condition if a person:

  • Has been exposed to someone with HCV
  • Participates in high risk behaviors such as injecting street drugs
  • Has abnormal liver function tests
  • Has symptoms associated with liver disease, such as jaundice, dark urine, nausea, or unexpected weight gain or loss

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient of CAD developed dengue.
Dr Bad: Start paracetamol.
Dr Good: Start paracetamol and stop low–dose aspirin.
Lesson: In dengue, lose–dose aspirin needs to be stopped.

For comments and archives

Make Sure

Situation: A patient died after receiving 30 ml IV KCL bolus.
Reaction: Oh my God! Why was KCL given as bolus?
Lesson: Make sure that IV KCL is not given at a rate more than 10 mEq per hour.

For comments and archives

  Quote of the Day

(Dr Chandresh Jardosh)

Patience with family is love. Patience with other is respect. Patience with self is confidence. Patience with God is faith.


Have an axe to grind: To have a dispute with someone.

    Medicolegal Update

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

Postmortem examination in a case of pneumothorax

The occurrence of sudden death presents a challenge in legal autopsy

  • In cases of sudden death after pneumothorax, pneumoperitoneum, intravenous infusions, childbirth, operations, or sharp instrument injuries to the neck and thorax, it is important to check for air embolism to the heart.
  • A postmortem chest x–ray should be taken and inspected for larger quantities of air in the heart and great vessels.
  • Postmortem examination accuracy of observation, completeness of detail, and sound conclusions can be obtained only when the postmortem examination is made according to some definite and systematic plan so that regions and organs are successively examined without disturbing the relations and appearances yet to be investigated.
  • Chest radiographs provide the most reliable method for determining the extent of pneumothoraces and whether or not a pneumothorax has resulted in mediastinal shift.
  • Detection of a pneumothorax is easily done by holding the dissected skin and subcutaneous tissues of the chest to form a pocket adjacent to the ribcage in postmortem examination.
  • The pocket is filled with water, and a scalpel is used to incise the thoracic cavity. The presence of air bubbles indicates a pneumothorax.
  • In the cases of neonates and small infants during the autopsy, the thorax may be submerged in a bucket of water.
  • The apparatuses described previously for detection of air emboli work equally well for detecting pneumothoraces

For comments and archives

    Mind Teaser

Read this…………………

Surgical Treatment of bleeding Type I gastric ulcer is

a) Wedge resection of the gastric ulcer
b) Oversewing the vessel at the ulcer base
c) Distal gastrectomy
d) Distal gastrectomy along with truncal vagotomy

Yesterday’s Mind Teaser: The following statements concerning chorda tympani nerve are true except that it:

1. Carries secretomotor fibers to submandibular gland.
2. Joins lingual nerve in infratemporal fossa.
3. Is a branch of facial nerve.
4. Contains postganglionic parasympathetic fibers.

Answer for yesterday’s Mind Teaser: 4. Contains postganglionic parasympathetic fibers.

Correct answers received from: Dr K Raju, Dr Valluri Ramarao, Dr Anil kumar Jain, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Neelam Nath, Dr Anil Bairaria, Dr Anupama, Dr Nitin, Dr Mukesh,
Dr Shivam, Dr Dhawan, Dr YJ Vasavada.

Answer for 7th September Mind Teaser: 4. It is separated from the base of bladder by the peritoneum.
Correct answers received from: Dr KV Sarma, Dr Gunjesh Kumar, Dr Anil Kela.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr. Chandresh Jardosh)

Agar doctor film banate to title kya hota?

  • Kabhi khaasi kabhi dum
  • Kaho na bukhar he
  • TB no 1
  • Hum khoon de chuke sanam
  • Injection liya to darna kya
    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
DCI Approval Date
Iloperidone Tablets 1mg/2mg/4mg/6mg/8mg /10mg/12mg
For the acute treatment of adults with schizophrenia.
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Divya Jyoti – Nurse’s Festival at MTNL Perfect Health Mela

18th Divya Jyoti – An inter nursing school/college health festival will be organized on Friday, 21st October, 2011 at MTNL Perfect Health Mela to be held at NDMC Grounds Laxmibai Nagar, New Delhi. Over 2,000 nurses from 25 nursing school/colleges and hospitals will be participating.

The festival will be organized by Heart Care Foundation of India, Department of Health, Government of Delhi, NDMC, MCD and World Fellowship of Religions as part of the MTNL Perfect Health Mela.

Giving the details, Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal President, Heart Care Foundation of India and MTNL Perfect Health Mela said that competitions like debate, model display, slogan writing, role play etc will be organized on the spot.

The theme this year will be Science Behind Rituals.

Nurses are the backbone of any medical services and need to be educated about all aspects of health. Stage exposure for a nurse is very important to become a good communicator in life, Dr Aggarwal further added.

For comments and archives

    Readers Responses
  1. With the advent of ultrasound and ct scan peritoneal lavage in blunt trauma is too invasive an investigation and has more academic value than practical significance. Mr Vivek Kumar, Varanasi.
    Forthcoming Events

International Heart Protection Summit (IHPS–2011)

Organized by Ministry of Health & Family Welfare Govt. of India & ASSOCHAM September 28th, 2011 at Hotel Ashok, Chanakyapuri, New Delhi
President: Dr. H.K. Chopra, Intl. President: Dr. Navin C. Nanda, Scientific Chairman: Dr. S.K. Parashar, Org. Secretary: Dr. O.S. Tyagi,
For Registration & Details: Contact – Mob. 9971622546, 8010222883,
E–mail: agnideep.mukherjee@assocham.com; sandeep.kochhar@assocham.com,


18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals


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    eMedinewS Special

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4. eMedinewS ebooks (This may take a few minutes to open)

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  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