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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

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  Editorial …

11th April 2013, Thursday

Is there a role of diet in IBD?

Food antigens can trigger an immunologic response resulting in the development of IBD. However, specific pathogenic antigens are not known.

Western diet (processed, fried, and sugary foods) is associated with an increased risk of developing Crohn's disease, and possibly ulcerative colitis.

Hypersensitivity to cow's milk protein in infancy has been postulated as a cause of ulcerative colitis (1).

Refined sugar intake has been linked to the development of Crohn’s disease (2-4).

Decreased vegetable and fiber intake has been associated with the development of ulcerative colitis and Crohn’s disease (3).

Increased dietary intake of total fat, animal fat, polyunsaturated fatty acids and milk protein is correlated with an increased incidence of ulcerative colitis and Crohn’s disease (4-6) and relapse in ulcerative colitis (7).

Higher intake of omega-3 fatty acids and a lower intake of omega-6 fatty acids are associated with a lower risk of Crohn’s disease (5).


  1. Glassman MS, Newman LJ, Berezin S, Gryboski JD. Cow's milk protein sensitivity during infancy in patients with inflammatory bowel disease. Am J Gastroenterol 1990;85(7):838-40.
  2. Tragnone A, Valpiani D, Miglio F, et al. Dietary habits as risk factors for inflammatory bowel disease. Eur J Gastroenterol Hepatol 1995;7(1):47-51.
  3. Persson PG, Ahlbom A, Hellers G. Diet and inflammatory bowel disease: a case-control study. Epidemiology 1992;3(1):47-52.
  4. Sakamoto N, Kono S, Wakai K, et al. Dietary risk factors for inflammatory bowel disease: a multicenter case-control study in Japan. Inflamm Bowel Dis 2005;11(2):154-63.
  5. Amre DK, D'Souza S, Morgan K, et al. Imbalances in dietary consumption of fatty acids, vegetables, and fruits are associated with risk for Crohn's disease in children. Am J Gastroenterol 2007;102(9):2016-25.
  6. Geerling BJ, Dagnelie PC, Badart-Smook A, et al. Diet as a risk factor for the development of ulcerative colitis. Am J Gastroenterol 2000;95(4):1008-13.
  7. Jowett SL, Seal CJ, Pearce MS, et al. Influence of dietary factors on the clinical course of ulcerative colitis: a prospective cohort study. Gut 2004;53(10):1479-84.

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

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

WHO Day Celebrated

Over 11459 people trained in Hands Only Cardiopulmonary Resuscitation (CPR 10) in one day

Dr K K Aggarwal
    National News

Yuvraj Singh's physiotherapist to be booked for medical fraud

Mail Today: Jatin Chaudhary, who claimed to be physiotherapist of cricketer Yuvraj Singh and other sportspersons, will finally be booked by the Delhi Police for his allegedly fraudulent activities.

A city court has directed the Mukherjee Nagar Police station to register a complaint against Chaudhary, filed by the Delhi Medical Council (DMC). The medical regulatory authority had to move court as the Police had failed to proceed against Chaudhary, despite repeated requests by the council during the past one year. Chaudhary's activities were highlighted in Mail Today in the edition dated February 16, 2012.

The DMC and the Delhi Medical Association had written to the Police about Chaudhary, pointing out that he was using the prefix 'Dr' on his letterhead and website despite being only a physiotherapist, and was also prescribing allopathic drugs. The police were given necessary proof including prescriptions written by him, but he was given a clean chit by them.

After this, the council approached the court.

The council, in its complaint, contended that anyone practicing allopathic system of medicine should possess necessary qualifications and needs to be registered with it.

"From the contents of complaint, prima facie cognizable offences are made out. The police is directed to register an FIR and investigate as per law", the court order said.

"It is a case of quackery and should be dealt with as per provisions of the criminal code," an official of the council said.

Gynaecology doctors' body to help strengthen healthcare in N-E

With delivery of healthcare services relatively poor in the northeastern region, the Federation of Obstetric and Gynaecological Societies of India (FOGSI), the apex body of obstetricians and gynecologists in the country, has come forward to help strengthen them in the seven states. The organisation has rolled out a programme called 'YUVA - Towards Tomorrow (YTT)' - which would be aimed at strengthening the delivery system by providing superior technical training to young gynaecologists from all the seven northeastern states on various aspects of women's health. Addressing a press conference in Guwahati, Dr Hema Divakar, president of FOGSI said: "YTT will be the beacon light for improving effective healthcare delivery for pregnant women in northeastern states. The YTT series of programmes will enhance technical skill development and prepare young doctors for future challenges. Young people need models, not critics. I urge the senior members to contribute to the learning process of the youth leaders of tomorrow." As a first step in this direction, the FOGSI has organised a three-day conclave in Guwahati, from April 05 to April 07, to provide technical training and technologically update young gynaecologists on ultrasonography, laparoscopic surgery, infertility, preventive oncology, and other important aspects of obstetrics and gynaecology.

India registers 27 million deliveries every year, however, the number of gynaecologists in the country is just 30,000. In addition, only 500 young gynaecologists are added to the talent pool each year. "It is not necessary that every delivery has to be assisted by gynaecologists, as the frontline health-workers, staff nurses and medical officers should be capable of handling the situation. But intervention by specialists is mandated only in times of complications. Our objective is to update the obstetricians and gynaecologists on preventive measures, early recognition of complications and swift protocol based action at the time of crisis. The deliberations at this Congress would ensure that they are well-prepared with the basics and would handle the complicated situations," Dr Divakar said. Through a nationwide initiative, the FOGSI chose to launch the YTT program from Guwahati because the health indicators in the northeastern region are poor. Compared to the rest of the country, the health care delivery is not up to the mark in all the seven northeastern states because of various reasons, such as, geographical terrain, inadequate access to health care systems and other local inherent problems. "We have identified such gaps in health care delivery in the northeastern region. The FOGSI is contributing its part to strengthen the system with the active support of the local associations of obstetricians and gynaecologists. Going forward, we will set up FOGSI SKILL GURUKOOL at the Medical College in Guwahati," Dr Divakar added. (Business Standard, April 8, 2013)

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)


A total of 63 infanticide case were reported in India in the year 2011

The incidence decreased in the year 2011 (63 cases) from 100 cases in the year 2010. A total of 132 cases of feticide were reported in the country in the year 2011 as compared total 111 cases in the year 2010. 0.222% children presenting in emergency care are victims of child abuse.
In United States alone, upto 2500 children die of inflicted injuries annual with children under one year of age affected disproportionately. Higher rates of child abuse are reported from minority children

For comments and archives

    Valvular Heart Disease Update

Bicuspid aortic valve can be associated with ventricular or atrial septal defect, hypoplastic left heart syndrome, patent ductus arteriosus, bicuspid pulmonic valve, and Ebstein’s anomaly.

(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)

Angina? Heartache is same in men and women

Contrary to widespread belief, symptoms of obstructive coronary artery disease are generally similar in men and women, researchers found. (Source: Medpage Today)

Stress incontinence surgery not helped by urodynamic testing

For women with uncomplicated stress urinary incontinence (SUI), an immediate midurethral sling operation was not inferior to specific treatment based on urodynamic test results, according to findings of a randomized controlled trial published online April 5 in Obstetrics and Gynecology. (Source: Medscape)

All types of elder abuse hike hospitalization risk

Maltreatment of older adults -- including financial exploitation and psychological abuse -- independently raised their likelihood of ending up in the hospital, a population-based study showed. (Source: Medpage Today)

Bleeding after IUD placement not eliminated with medication

Neither tranexamic acid (500 mg/day) nor mefenamic acid (500 mg/day) were able to alleviate "nuisance" bleeding or spotting during the first 90 days after levonorgestrel-releasing intrauterine system placement. (Source: Medscape)

Hypertension in lung vessels often mishandled

A third of the patients referred to a tertiary center with a diagnosis of pulmonary hypertension had been misdiagnosed, a cross-sectional study showed. (Source: Medpage Today)

    Twitter of the Day

@DrKKAggarwal: Pediatric eMedinews Isotonic fluids helpful in diabetic ketoacidosis in kids:... http://fb.me/2qFtxvOXf

@Dr Deepak Chopra: What is the source of the universe ? My conversation with physicist Professor Menas Kafatos http://www.youtube.com/watch?v=5-hQF1of6HY&feature=youtu.be … #CosmicConsciousness

    Spiritual Update

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

The Infinite Powers of the Spirit

Om Poornamadah,“Om Poornamadah Poornamidam,Poornaat Poornamudachyate,

Poornasya Poornamaadaaya,Poornameva Avasihyate”

‘The whole is whole; if you take away the whole away from the whole the whole will still remain.’ (That is infinite, this is infinite, from the infinite, the infinite has come out. Having taken the infinite out of the infinite, the infinite alone remains).

For comments and archives

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

What is surrogacy?

Surrogacy is both a medically and emotionally complex process that involves careful evaluation by medical professionals, mental health professionals, and legal professionals to ensure that the procedure is successful for both the surrogate as well as the intended parents. A surrogate is a woman who carries a pregnancy for another couple or woman. There are two types of surrogacy arrangements: traditional surrogacy in which the surrogate is inseminated with sperm from the male partner of the intended parent couple (donor sperm may be used as well) and gestational surrogacy in which the surrogate carries a pregnancy created by transferring an embryo created with the sperm and egg of the intended parents (donor sperm or donor eggs may be used as well).

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

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

What is the importance of knowledge of blood groups?

For all practical and routine purposes, it is ideal to transfuse to the patient the same group of blood, which he belongs to. It is only under very dire emergency that we take O Group as universal donor and AB Groups as universal recipient. Under no circumstances O group can get any other blood except O. Similarly, A Group patient cannot be given B group blood and vice versa.

For comments and archives

    An Inspirational Story

There's always another way to the Problem

A Mother was reading a magazine and her cute little daughter every now and then distracted her.

To keep her busy, she tore one page on which was printed the map of the world.

She tore it into pieces and asked her to go to her room and put them together to make the map again.

She was sure her daughter would take a lot more time and probably whole of day to get it done.

But the little one came back within minutes with perfect map.

When she asked how she could do it so quickly, she said,
"Oh Mom, there is a man's face on the other side of the paper. I made the face perfect to get the map right." she ran outside to play leaving the mother surprised.

Moral: Perhaps there is always the other side to whatever you experience in this world.

This story indirectly teaches a lesson.That is:
Whenever we come across a challenge or a puzzling situation, Look at the other side...
Will be surprised to see an easy way to tackle the problem or an acute difficulty

For comments and archives

    Cardiology eMedinewS

New culprits found in red meat's effect on heart Read More

T cell treatment promising in blood cancers Read More

    Pediatric eMedinewS

Nerve blocks in children may destroy future molars Read More

Being engrossed by TV may boost teens' BMI 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)

Can rabies vaccine be given to a patient with jaundice?

Rabies vaccine can be given to a patient with jaundice.

    IJCP Special

Dr Good Dr Bad

Situation: A middle–aged patient was found to have central obesity.
Dr Bad: This is usual with advancing age.
Dr Good: Rule out diabetes.
Lesson: As per results of a prospective cohort study (1989–2007) of 4,193 men and women 65 years of age and older in the Cardiovascular Health Study, among older adults, overall and central adiposity and weight gain during middle age and after the age of 65 years were associated with risk of diabetes.

Make Sure

Situation: An 18–year–old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin (macrolide) 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

  Quote of the Day (Dr GM Singh)

A total commitment is paramount to reaching the ultimate in performance Tom Flores

    Mind Teaser

Read this…………………

A 35-year-old male patient with testicular cancer is joking and playing cards with his roommate. When assessed by the pain management nurse, the patient rates his pain as a 7 on a numeric pain rating scale of 0 to 10. The nurse concludes that the patient's behavior:

a. is an emotional reaction to the anticipated pain.
b. is in anticipation of future pain.
c. is more indicative of the need for pain medication than the pain rating.
d. may be in conflict with the pain rating, and accepts the report of pain.

Yesterday’s Mind Teaser: Nurse Rose is caring for a neonate with congenital clubfoot. The child has a cast to correct the defect. Before discharge, what should the nurse tell the parents?

a. The cast will be removed in 6 weeks
b. A new cast is needed every 1 to 2 weeks
c. A short leg cast is applied when the baby is ready to walk
d. The cast will be removed when the baby begins to crawl

Answer for Yesterday’s Mind Teaser: b. A new cast is needed every 1 to 2 weeks

Correct answers: Dr BB Gupta, Dr Thakor Hitendrsinh G, Dr (Maj. Gen.) Anil Bairaria, Dr Suresh Arora, Dr Jainendra Upadhyay, Dr Arpan Gandhi, Dr Avtar Krishan, Dr Pawan Mehta, Dr Chandresh Jardosh, Bal Kishan Agarwal, Dr Valluri Ramarao, Dr HS Oberoi, Dr Deepali Chatterjee, Dr K Raju, Dr Shashi Saini.

Answer for 9th April Mind Teaser: b. Fluid overload

Correct answers received from: Dr Arpan Gandhi.

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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    Laugh a While (Dr GM Singh)

Teacher: Can u tell the name of 3 great kings who have brought happiness & peace into people’s lives?
Student: Smo–king, Drin–king, I am forgetting the third.

    Medicolegal Update

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

What is delusion?

  • Delusion is a false belief in something without any basis and the belief cannot be removed from the mind of the sufferer. It is rather persistent, even after the falsity of the belief is clearly demonstrated or explained with possible arguments. It reduces the power of reasoning and understanding capacity which leads a person to commit some act/crime.
  • When a person does some act due to the direct effect of delusion he suffers from, then he will not be held responsible for that act.
  • In an insane person, the false belief is persistent and cannot be removed in any way. Also, in delusional beliefs, mass or a section of people is not involved.
  • Delusion indicates some sort of mental abnormality which is more commonly found in some severe mental illness like schizophrenia, manic depressive psychosis, paranoid psychosis etc.
  • Some false beliefs and understandings are not unusual in normal healthy persons. For a sane person there must become reasonable basis for that and after reasonable arguments, explanations and demonstration he can be convinced about the falsity of his belief.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Beware of food poisoning in Navratre

Its Navratra time again when people eat food made from kuttu and singhara flours. However, if the flour left over from last year is used, it can cause food poisoning, said Padamshri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

Food poisoning is common. One in five episodes of diarrhoea is likely to be due to a food poisoning. Each person, on an average has diarrhoea once or twice per year. An average person will have a food poisoning once every 3 to 4 years.

Always consider a food-borne illness when a patient presents with a mixture of gastrointestinal symptoms: nausea, vomiting, abdominal pain, diarrhoea and fever.

Botulism and some types of shellfish poisoning can present with paralysis; ciguatera fish poisoning or scombroid with headaches and tingling; amnesic shellfish poisoning with amnesia, hepatitis A or E and Listeria monocytogenes with meningitis or spontaneous abortion.

More than 200 known agents are capable of food poisoning (microbial causes, chemicals and other agents). Five organisms account for 90 percent of the deaths, most notably Salmonella spp. About 1.2% persons have complications such as intestinal perforation or invasive illness. Listeriosis, Shiga toxin producing E. coli and non typhoidal Salmonella are particularly associated with severe morbidity.

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 43339 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.”

    Readers Responses
  1. Dear Friends, Strong determination and sustained desire to do purposeful for the society coupled with investing the most precious time are the hallmark of grand achievement of Dr. K.K. Aggarwal. He has set the world record of training 11,459 persons in a single day & has trained a total of 35,000+ persons in the method of giving CPR to persons who are assumed to be just dead.


    This is what CPR is all about.After making the person lie down on his back on a hard surface---- give two strong blows in the centre of the chest and then start compressing the chest in the middle so that the chest goes down by one inch.Don't worry if even rib is broken priority is to revive the person.

    Compress the chest at 100 times a min. for at least 10 min.All of us should congratulate DR K.K.AGGARWAL for his untiring efforts and achievements.(emedinews@gmail.com)

    Thanks, DR. PAWAN GUPTA (ex- President IMA Haryana)
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