Address: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)


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 13th January Wednesday 2010

 Dear Colleague,

                     To feel appreciated is a weakness shared by all   
Creating a positive and productive environment focuses not on what is wrong but explicitly acknowledging what is right. Demonstrating appreciation on a regular basis is a proven way to enhance the work or learning environment and results in getting the best from everyone.
The principles of appreciation are to emphasize success rather than failure; to deliver recognition and reward in an open and public manner; to deliver recognition and reward in a personal and honest manner and to tailor it  to the unique situation and learner receiving it.
The most effective praise is
1. As soon as possible
2. As specific as possible
3. As personal as possible
4. As positive as possible and
5. As practical as possible

The best personal praise is timely, sincere, and specific.
The most effective recognition/reward is given as soon as possible after the particular behavior/achievement. For effective appreciation consider asking the person receiving the appreciation; take a poll of your learners; match the size and scope of appreciation to the size and scope of the achievement and be timely and specific. One should state why learner is being recognized/rewarded.
(with inputs from Dr Monica Vasudeva; Dr  Shonu Das; 1001 Ways to Reward Employees, by Bob Nelson, PhD)

 Dr KK Aggarwal

Chief Editor

 Awards and Laurels
1. It has just been announced by the American College of Cardiology (ACC) that Dr. Navin C. Nanda will receive one of their Distinguished Awards, the 2010 International Service Award.  The Award is given "for outstanding contributions to cardiovascular medicine and science and for significantly enhancing cardiovascular care throughout the world." Dr Alford A. Bove, President of the College, wrote to Dr. Nanda "You have been selected to receive this award...because you have been a true role model for others to follow in your footsteps.  You have made great contribution to the College and to the international cardiovascular community."  The Award, which will be presented to him on Monday, March 15, 2010 at the ACC annual meetings in Atlanta, Georgia, is not given every year. You can congratulate Dr Nanda at
nanda@uab.edu, cchapman@uabmc.edu or lindyc@uab.edu
2.  The Governing Committee of the TP Jhunjhunwala Foundation will be conferring the XXI National Excellence Award on Dr KK Aggarwal for his services in healthcare. The other recipient of the award is Mr. Ravi Singhania, an eminent legal mind in the area of Corporate Law. The previous years' awardees include: 1991-92 Dr. RK Srivastava; 1992-93 Dr. Naresh Trehan and Dr. Yatish Agarwal; 1993-94 Purshottam Das Jalota and Dr. AK Mukherjee; 1994-95 Pandit Birju Maharaj and Dr. Sudershan Aggarwal; 1995-96 Yamini Krishnamurti, Dr. SP Bajaj and Dr. Ganesh K Mani; 1996-97 Dr. Vinay Bharat Ram, Dr. BS Singhal and Dr. SP Aggarwal; 1997-98 Prof. Yash Pal, Dr. PK Dave and Pandit Devbrata Chaudhary; 1998-99 Dr. KK Sethi and Shovana Narayan, 1999-00 Dr. SC Manchanda, Sonal Mansingh and Prof.. Ram Gopal Bajaj; 2000-01 Dr. SM Tuli and Pandit Rajan-Sajan Mishra; 2001-02 Dr. Anil Kumar Singh and Madhavi Mudgal; 2002-03 Dr. Cyrus M. Shroff  and Uma Sharma; 2003-04 Dr. Arun Agarwal and Guru Jitendra Maharaj; 2004-05 Dr. Mathew Verghese and Sumitra Charatram; 2005-06 Dr. LK Malhotra and Nalini-Kamalini; 2006-07 Dr. Upendra Kaul, Raja-Radha Reddy, and N.K Jhajharia; 2007-08 Dr. Kapil Kumar and Geeta Chandran; 2008-09 Dr. Amita Chauhan and Dr Mohan Nair.     
The award function will be held at 6 pm on January 31, 2010 at the Shri Satya Sai Auditorium, Lodhi Road, Delhi. Mr Abhishek Manu Singhvi will preside over the function. Well-known vocalist Smt Suman Devgan will render Sufi Sangeet.

Conference News: American College of Gastroenterology (San Diego, CA October 23 - 28, 2009)
1. Real-time capsule endoscopy demonstrated the potential to identify emergency department patients with suspected acute upper gastrointestinal (GI) bleeding. Seven of 12 patients who underwent capsule endoscopy had positive signs of GI bleeding, which was confirmed in all seven cases by esophago-gastroduodenoscopy. (Dr Albert Shalomov, Weill-Cornell Medical College, New York City)

2. Dual antiplatelet therapy for coronary stent recipients does not markedly increase the risk of gastrointestinal bleeding in patients with no history of bleeding. A history of GI bleeding conferred the greatest risk of subsequent bleeding in patients who received clopidogrel and aspirin to reduce the risk of thrombosis in patients who received coronary stents. Older age also increased the risk of bleeding with dual-antiplatelet therapy, but the association lost its statistical significance in multivariate analysis. The rate of GI bleeding in patients on dual antiplatelet therapy is low. (Dr Oluseun Alli,  Albert Einstein Medical Center, Philadelphia)

3. Chronic acid suppression therapy may predispose otherwise healthy individuals to clinically significant small intestinal bacterial overgrowth. Half of patients on chronic acid suppression had positive lactulose breath tests, compared with about 30% of a control group. Chronic acid suppression was associated with a significantly higher proportion of bacteria that produced mixed hydrogen-methane gas. (Dr Walter Chan, Brigham and Women's Hospital, Boston)

4. New-onset mental health disorders and gastroesophageal reflux disease often occur together after stressful incidents, according to a study of workers from the site of New York's World Trade Center. Prevalence of GERD among the workers was double that of the general population. Individuals with GERD had a higher prevalence of mental health disorders compared with workers who did not have GERD. (Dr Yvette Lam, Stony Brook Medical Center, New York)

5. Clostridium difficile infection has spread from the hospital to the community but has proved manageable thus far. From 1991 to 2005, the incidence of community-acquired C. difficile in Olmsted County, Minn., quadrupled but still remained less common than the hospital-acquired gastrointestinal infection. (Dr Sahil Khanna, The Mayo Clinic, Rochester, Minn)

Laughter the best medicine
Doctor, Doctor, What did the x-ray of my head show?
Absolutely nothing!

Doctor, Doctor, I think I'm a telephone.
Well, take these pills and if they don't work then give me a ring!

Doctor, Doctor, I keep seeing double.
Please sit on the couch.
Which one!

Emedinews try this, It works: Listening for the cause of leg pain
Place the stethoscope over the superficial femoral arteries on the anteromedial surface of the hip. Although bruits are unusual at this site, they are specific for peripheral vascular disease.

Mnemonic to Know: Heart murmurs
hARD: Aortic Regurg = Diastolic
ASS: Aortic Stenosis = Systolic
MRS: Mitral Regurg = Systolic
MSD: Mitral Stenosis = Diastolic

Formula to know: Nitrogen balance (g)
Nitrogen balance = Protein intake in g/6.25 - urine urea nitrogen (g) + 2.5

There is no monument dedicated to the memory of a committee. (Lester J. Pourciau)

Dr Good Dr Bad
Situation: A patient with hypothyroidism was found to have high SGOT and SGPT levels.
Dr Bad: They are unrelated to hypothyroid disease.
Dr Good: They are part of hypothyroid disease.
Lesson: NAFLD (non alcoholic fatty liver disease) is frequently seen in hypothyroid patients.

Make Sure
Situation: A post PTCA stent patient's dental extraction surgery was postponed as he was on aspirin.
Reaction: Oh My God! Why was the surgery postponed.
Make sure: Aspirin need not be stopped for minor dental procedures

Mistake to be avoided
Situation: A patient developed nasal injury after nasal oxygen was given at a speed of 4 l/mt.
Mistake: One should not give more than 2-3 l/mt of oxygen with single or binasal cannulae as it can cause nasal injury.  

Mothers who opt for caesarean risk health
Mothers-to-be should only give birth by caesarean when strictly necessary, according to a new study. Figures suggest caesareans carried out during labour without pressing medical reasons were 14 times more risky than a normal birth. Data from the World Health Organisation's global maternal survey - published in the Lancet medical journal - found pregnant women who had C-sections were more likely to die in childbirth or suffer serious complications, such as needing intensive care treatment, blood transfusion or hysterectomy. (Dr Vivek Chhabra)

TV addicts risk heart disease, study finds
People who spend more than four hours a day watching television are 80 per cent more likely to die from heart disease than those watching for less than two hours. Researchers in Australia monitored 8,800 adults for six years to see what impact watching TV had on their long-term health. They found that each hour spent per day in front of the television increased the risk of death from all causes by 11 per cent. It also raised the risk of dying from cancer by 9 per cent and the risk of heart disease-related death by 18 per cent. [The Independent, Dr Vivek Chhabra]

Punjab & Sind
Punjab & Sind Bank
Coca cola 
 Central Bank of India

(Advertorial section)

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Letter to the editor
1. Respected Dr KK Aggarwal: Congrats, the conference was a great success. We enjoyed ourselves. Dr Asim and Shelley Katyal
2. Dearest Brother Dr. KK: I am still IMBIBING THE NECTOR I received on 10th Jan 2010. You are an APOSTLE OF LOVE AND SERVICE...AN EPITOME OF SACRIFICE AND KNOWLEDGE..AN AURA OF MEDICAL SPLENDOUR AND SPECTRE......Once it was asked "Who is Rama"......everyone tried to explain and miserably failed....but Hanuman said "RAMA is RAMA"....Who can be DR. KK.....ONLY AND ONLY DR. KK....God bless. I am always at SERVICE of Our Fraternity for anything related to Blood Transfusion Services. I am INDEBTED to all Respected and Loving Colleagues who showered so much on LOVE on me...I seek their blessings and wishes ALWAYS...through YOU.... God Bless. Regards, Dr. N. K. Bhatia.
3. Dear Sir, We need not get any gift or sponsorship from medical companies but we should resolve to collect our consultation fees from the medical representatives for the time spared to hear their products as in U.K. Dr. M. Balasubramanian, NWG Member, IMA-RNTCP-GFATM-PPM
4. Emedinews is an extremely informative newsletter. Being a radiologist, I have sort of lost touch with clinical aspects to an extent but with this newsletter I manage to update myself and it has helped me significantly in my practice and brushing up my clinical knowledge.  I have a query regarding registration with state medical councils. I have graduated from MP so I have a registration with Bhopal Medical Council. I am registered with the Delhi Medical Council. Now that I am in Punjab I am being asked to register with Punjab Medical Council too. Are so many registrations really necessary?? Dr Simra

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