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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; 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

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

10th November 2012, Saturday

Increased fruit, vegetable consumption associated with decreased
type 2 diabetes risk

According to a study published April 3 in the journal Diabetes Care, people who consume the most servings of a wide variety of vegetables and fruit as part of their regular diet may have less risk for developing type 2 diabetes. Researchers arrived at this conclusion after studying 3,704 middle-aged and senior adults in the UK for a period of about 11 years. [Kidney Daily]

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

For chronic constipation give stimulant only if bulk and osmotic purgative fail

Because of their safety and other possible health benefits, it is reasonable to start treatment of chronic constipation with a bulk laxative. A saline or osmotic laxative can be added if the bulk laxative fails. Stimulant laxatives should be reserved for cases in which bulk, saline, and osmotic laxatives are ineffective (Dosh SA. Evaluation and treatment of constipation. J Fam Practice 2002;51(6):555-60).

For Comments and archives…

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Vegatable and fuits lower chances of getting some cancers

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Anmol festival for children with special needs

Anmol, a festival for children with special needs was organized in the Perfect Health Mela. The festival was coordinated by Balwant Rai Mehta Vidya Bhavan. Over 200 children with special needs participated in folk dance, yoga, painting, singing and diya decoration competitions.

Dr K K Aggarwal
    National News

19th MTNL Perfect Health Mela 2012 From 1st November to 11th November 2012

click for Programme

CPR 10

click for Programme

Today in MTNL Perfect Health Mela

Tomorrow in MTNL Perfect Health Mela

National Workshop On Homoeopathy In Cardiology, At Constitution Club, Rafi Marg, New Delhi

Saturday, 10th November, 2012,Time : 9 am to 5 pm

SESSION 1 : Diagnostic Cardiology 9 am to 11.30 am;Dr Sameer srivastava, Dr Biswajit Paul, Dr K K Aggarwal, Dr Praveen Chandra, Dr Awadhesh Pandey
SESSION 2 : Interventions in cardiology : 12.30 to 2 pm;Dr S C Manchanda, Dr Praveer Aggarwal, Dr Yugul Mishra
SESSION 3 : Modern medicine and Homoeopathy : 2.30 to 4.30 pm;Jaswant Patil, Dr L M Khan, Dr Manpreet Singh Bindra
Valedictory session : 4.30 to 5 pm

National Workshop on Naturopathy and Yoga in Cardiology

In Association with National Duniya and Sewakram Naturopathy Centre
Date: 10th November, Saturday 2012
Time : 9 am - 3 pm onwords
Venue: Constitution Club of India, Rafi Marg, New Delhi

National Seminar on Nursing Home Problems

In Association with Delhi Medical Association
Date: 10th November, Saturday 2012
Time : 3 pm - 6 pm
Venue: Constitution Club of India, Rafi Marg, New Delhi

Medico Masti 2012

Date: 10th November, Saturday 2012; 4 pm - 10 pm;
Venue: Constitution Club of India, Rafi Marg, New Delhi
Theme: “Preventing Life Style Diseases; Stage Competitions Western Dance (Solo) , Western Dance (Group), Choreography , Fashion Show, Rock Band , Music can Heal Poster Making , Slogan Mehendi 4:00 pm - 6:00 pm

My Profession My Concern

Reduce the risk of patient harm resulting from falls


  1. Adopt to vitamin D supplementation at a minimum dose of 2000 IU daily for nursing home patients
  2. One should not use bedrails or physical restraints for fall protection in long-term care facilities

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 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

    Valvular Heart Disease Update

Progressive fibrocalcific stenosis requiring surgery eventually occurs in over 75 percent of patients with bicuspid aortic valve.

(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)

For comments and archives

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Treated, untreated BD in pregnancy linked to complications

Treatment with mood-stabilizing drugs is likely not the sole reason for the increased risk for adverse pregnancy and birth outcomes in women with bipolar disorder (BD), new research shows. (Source: Medscape)

For comments and archives

Genetic risk for Alzheimer's manifests early

Patients at genetic risk for Alzheimer's disease developed changes in the brain, as well as blood and cerebrospinal biomarkers, in their 20s -- long before clinical symptoms would have been expected to appear, two imaging studies showed. In a family of SPEN1 E280A mutation carriers, those ages 18 to 26 had elevated levels of beta amyloid in both cerebrospinal fluid (CSF) and blood (P=0.008 and P=0.01, respectively), reported Eric Reiman, MD, of Banner Alzheimer's Institute in Phoenix, and colleagues online in The Lancet Neurology. (Source: Medpage Today)

For comments and archives

Guideline: Use steroids for Bell palsy

Patients with new-onset Bell palsy have a high likelihood of recovering facial nerve function with steroids alone, according to a clinical guideline update from the American Academy of Neurology (AAN). Adding an antiviral agent to steroids has a low probability of improving nerve function over steroids alone. However, clinicians can offer patients antiviral therapy with the understanding that any improvement will likely be modest at best, authors of the clinical update stated in an article published online in Neurology. (Source: Medpage Today)

For comments and archives

FDA panel gives unanimous OK to Cushing's drug

An FDA advisory committee voted 10-0 Wednesday to recommend approval of the injectable drug pasireotide (Signifor) for the treatment of Cushing's disease. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Lifestyle changes should start in childhoodhttp://blog.kkaggarwal.com/2012/11/lifestyle-

@DeepakChopra: DEVELOPING YOUR GREATEST GIFT - The Super Brain Credo explains, how the mind relates to the brain. http://tinyurl.com/br4p3kj

    Spiritual Update

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

Vedic Fasting

Fasting and starvation are two different terms commonly confused with each other. Starvation means not eating or drinking altogether while fasting means control and restrain of five sensory and five motor senses. During fasting one may continue eating or drinking but under a discipline. Vedic fasting or spiritual fasting is mentioned in karam kanda in Yajurveda. Every fasting in our mythology has a scientific basis and rituals are added so that common man even without understanding can follow it.

For comments and archives

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

What is IVF? What are the basic steps in IVF?

IVF is a method of assisted reproduction in which a man’s sperm and a woman’s eggs are combined outside of the body in a laboratory dish. One or more fertilized eggs (embryos) may be transferred into the woman’s uterus, where they may implant in the uterine lining and develop. Excess embryos may be cryopreserved(frozen) for future use. The basic steps in an IVF treatment cycle are ovarian stimulation, egg retrieval, fertilization, embryo culture and embryo transfer.

For comments and archives

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

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

ABO/Rh problems


  • Document all strengths of reactions
  • Do QC before performing tests
  • Label all tubes
  • Record you results immediately
  • Anti-A,B, Anti-A1, and A2 and O cells might be useful
  • Use washed patient cells for front type

For comments and archives

    An Inspirational Story (Ms Ritu Sinha)

Is your hut burning?

The only survivor of a shipwreck was washed up on a small, uninhabited island. He prayed feverishly for God to rescue him, and every day he scanned the horizon for help, but none seemed forthcoming. Exhausted, he eventually managed to build a little hut out of driftwood to protect him from the elements, and to store his few possessions.

But then one day, after scavenging for food, he arrived home to find his little hut in flames, the smoke rolling up to the sky. The worst had happened; everything was lost. He was stunned with grief and anger. "God, how could you do this to me!" he cried.

Early the next day, however, he was awakened by the sound of a ship that was approaching the island. It had come to rescue him. "How did you know I was here?" asked the weary man of his rescuers. "We saw your smoke signal," they replied.

It is easy to get discouraged when things are going bad. But we shouldn't lose heart, because God is at work in our lives, even in the midst of pain and suffering.

Remember, next time your little hut is burning to the ground----it just may be a smoke signal that summons the grace of God.

For comments and archives

  Cardiology eMedinewS

AHA: Winter heart attack not sparked by cold Read More

SCIPIO: Cardiac stem cells reverse heart failure Read More

  Pediatric eMedinewS

Anticonvulsant use for psychiatric illness in children doubles
Read More

Is suicide risk overestimated in children? Read More

    IJCP Special

Dr Good Dr Bad

Situation: A 45–year–old came with first onset diabetes.
Dr Bad: Start pioglitazone.
Dr Good: Start metformin.
Lesson: In the absence of contraindications, metformin is considered the first choice for oral treatment of type 2 diabetes (Diabetes Care 2009;32:193).

For comments and archives

Make Sure

Situation: A patient of suspected MI died after receiving sublingual nitrate.
Reaction: Oh my God! Why was a history of intake of Viagra drug not taken? Lesson: Make sure to take a history of Viagra drug intake before giving nitrates, because the two drugs co-administered can cause a fatal fall in blood pressure.

For comments and archives

    Legal Question of the Day (Dr M C Gupta)

What is the status of a Dentist? Is he an RMP as per the IMC Act?

No. A dentist cannot be registered under the IMC Act. He is not a physician and is not a medical practitioner and hence cannot be an RMP.

  Quote of the Day (Dr GM Singh)

A baby mosquito came back after flying for the first time. His mom asked him "How do you feel?" He replied "It was wonderful, everyone was clapping for me!"

Now this is what a Positive Attitude is.

    Mind Teaser

Read this…………………

When observing an ostomate do a return demonstration of the colostomy irrigation, the nurse notes that he needs more teaching if he:

A. Stops the flow of fluid when he feels uncomfortable
B. Lubricates the tip of the catheter before inserting it into the stoma
C. Hangs the bag on a clothes hook on the bathroom door during fluid insertion
D. Discontinues the insertion of fluid after only 500 ml of fluid has been instilled

Yesterday’s Mind Teaser: There are six glasses in a row. The first three are full of water, and the next three are empty. By moving only one glass how can you make them alternate between full and empty?

Answer for Yesterday’s Mind Teaser: Pour the water from the 2nd glass into the 5th glass

Correct answers received from: Dr. B. B. Aggarwal, Dr Alok Gupta, Dr Kanta Jain, Dr.Shagufta Moin, Dr Arun Aneja, Dr. P. C. Das, Dr.Suresh Arora, Dr.A.P.Bhatia, Dr Manisha Gadre, Dr Pankaj Agarwal , Dr Jainendra Upadhyay, Dr.K.V.Sarma, Dr.K.Raju , kavitavikas, Dr Chandresh jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan

Answer for 8th November Mind Teaser: 2. Vasodilation
Correct answers received from: Dr. B. B. Aggarwal, Dr.K.V.Sarma, Dr.Rohini Dhillon, Dr K P Chandra

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

This lady was talking in to an envelope. I asked her what she was doing, she said ‘sending voice mail’.

    Medicolegal Update

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

What is Hotson v East Berkshire Health Authority case– (1987) 2 All ER 909?

This was a case of alleged medical negligence and compensation where the extent of the hip injuries to a 13 year–old boy was not diagnosed for five days. At the age of 20 years, there was deformity of the hip joint, restricted mobility and permanent disability. The judge found that even if the diagnosis had been made correctly, there was still a 75% risk of the plaintiff's disability developing, but that the medical staff’s breach of duty had turned that risk into inevitability, thereby denying the plaintiff a 25% chance of a good recovery.

Damages included an amount of £11,500 representing 25% of the full value of the damages awardable for the plaintiff's disability. On appeal to the Lords, the question was whether the cause of the injury was the fall or the health authority’s negligence in delaying treatment, since if the fall had caused the injury the negligence of the authority was irrelevant in regard to the plaintiff’s disability. Because the judge had held that on the balance of probabilities, even correct diagnosis and treatment would not have prevented the disability from occurring, it followed that the plaintiff had failed on the issue of causation. It was therefore irrelevant to consider the question of damages.

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    Public Forum

Public Forum (Press Release for use by the newspapers)

Avoid walking till sunlight in smog

Over 1500 nurses participated in Divya Jyoti Nurses’ Festival in the ongoing 19th Perfect Health Mela. Various competitions including health debate, skit/health play, health model display, poster-cum-slogan writing and collage making were organized in the festival. The topics included – Should nurses spend at least two years abroad, the patient-doctor relationship, ideal clinic, natural fast food and slim with taste.

Following are the gist of discussion:

  • Nurses are the backbone of the society and an important conduit between patient care and the doctor.
  • Nurses can play an important role in educating the people about dengue fever as well as the smog menace.
  • Every doctor who practices should hire services of a nurse whose job should be to check blood pressure, pulse of every patient and for about history of smoking, alcoholism, sexual preferences and diet.
  • They should also be doing the job of talking to the patient after the doctor has seen and counseled them about the prescription details.
  • They should also telephonically call the patient at regular intervals to know about their status.

Live workshop on hypertension

A workshop on Hypertension was also organized. The faculty included Dr Vanita Arora from Max Heart Institute and Dr KK Aggarwal.

Facts about hypertension

  • The conclusion of the workshop was that every effort must be made to keep the blood pressure below 120/80.
  • Hypertension affects 15-20% of the society.
  • The first blood pressure should be checked at 4 years of age.
  • Even 5mm reduction in blood pressure reading can reduce the mortality
  • Hypertension is silent killer and if not controlled can damage the eyes, kidney, heart and brain.
  • In hypertension, in addition to controlling the blood pressure reading, it is equally important to control blood sugar and lipid profile.
  • Smoking even one cigarette can increase the blood pressure reading.
  • The harmful changes of high blood pressure can be regressed with lifestyle management.

Anmol festival for children with special needs

Anmol, a festival for children with special needs was organized in the Perfect Health Mela. The festival was coordinated by Balwant Rai Mehta Vidya Bhavan. Over 200 children with special needs participated in folk dance, yoga, painting, singing and diya decoration competitions.

Seminar on Therapeutic Value of Indian Classical Dance

A special seminar on therapeutic value of India Classical Dance was organized in MTNL Perfect Health Mela. Noted dancers Guru Jitendra Maharaj, Saroja Vaidyanathan, Nalini-Kamalini and Kanak Sudhakar participated in the seminar.

Facts about classical dance

  • Classical dance is better than western dance as in addition to exercise, it harmonizes the body’s autonomic nervous system.
  • It comes into category of an aerobic dance.
  • It gives all the advantages of doing pranayama and meditation.
  • People who do classical dance regularly have less chances of developing heart attack.

Qawwali by Urdu Academy

Urdu Academy organized a live performance of Qawwali by Mr. Ghulam Sabir Nizami, famous qawwal of Delhi.

All Pathy Consensus on Exercise

Doctors from all pathies participated in a seminar on exercise organised in association with All India Radio. The faculty included Dr. KK Aggarwal, Dr. V.A. Siddiqui (Homeopathy), Dr. BN Sinha (Ayurveda), Dr. Raisuddin (Unani), Dr. S.N. Yadav (Yoga), Dr. R.K. Tuli (Holistic medicine) and Dr. D.N. Sharma (Naturopathy).

Facts about exercise

  • One should exercise 80 minutes a day and brisk exercise 80 minutes a week.
  • The speed of walking should be at least 80 steps per minute.
  • One should do resistance or weight bearing exercises twice in a week.
  • Avoid doing strenuous exercises for the first time in life after the age of 40.
  • According to Ayurveda, one should exercise to his or her body type.
  • Diabetics who exercise should not exercise if blood sugar is lower than 90.
  • In conditions of smog, avoid walking early in the morning till sunlight appears.

Pakistani stall attracts crowd

For the first time, a Pakistani delegation has set up a stall in the Perfect Health Mela.

Thirty stalls from the Dept. of Handicrafts, Government of India (COHANDS) also have items on display that would be of interest of people who enjoy Diwali shopping.

Vacuum massaging in the Mela

The old traditional ancient vacuum massage therapy workshops are being conducted in the Mela by Mumbai team lead by Suman Srivastava and Anil Jani. The massage is good for the chronic ailments.

About 4571 people including teachers, parents, children, nurses, doctors, journalists and general public have been trained in CPR 10.

Tomorrow’s attractions

Tomorrow, the Mela will hold Medico Masti, youth festival which includes fashion show, western dance and choreography. There will also be a conference on Homeopathy Cardiology, Cardiology in Naturopathy. There will also be a session by Delhi Medical Association on Nursing Home problems.

Over 100 foreigners to be apart of Perfect Health Mela

An all-religion seminar is being organised on the role of prayer in health on Sunday 5pm with Bharatiya Vidya Bhavan. Over 50 foreign nationals from various countries will be participating. This will be for the first time that foreign nationals will be a part of Perfect Health Mela.

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