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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 & 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 …

13th January 2013, Sunday

Tweet of the day @drkkaggarwal

  1. One can book direct flights to any domestic destination on Spice Jet @ 2013 for travel between 1st February and 30th April 2013.
  2. Erectile dysfunction has 44% increased risk of cardiovascular disease & 25% increased risk of death. (January, Circulation)
  3. Erectile dysfunction is associated with a significant 62% increased risk of heart attack and a 39% increased risk of paralysis. (January, Circulation)
  4. Consuming fructose appears to cause changes in the brain that may lead to overeating, a new study suggests in Jan issue of JAMA.
  5. The new ADA guidelines raise the target for systolic upper blood pressure from <130 mmHg to <140 mmHg in diabetics.
  6. FDA has issued another safety communication about QTc prolongation and potentially fatal cardiac arrhythmias in patients treated with ondansetron.
  7. Prolongation of the QT interval and torsades de pointes is associated with macrolide antibiotics, such as erythromycin, clarithromycin and azithromycin
  8. Revisiting 2012: Major change in the previously-issued HIV treatment guidelines; antiretroviral therapy is now recommended in all HIV-infected patients, regardless of CD4 cell counts.
  9. Revisiting 2012: Start ARV in every HIV patient as more potent agents with less toxicity are available
  10. Revisiting 2012: Start ARV in every HIV patient as untreated HIV is associated with increased morbidity & mortality due to heart, kidney & liver disease & malignancy
  11. Aspirin plus clopidogrel is no better than aspirin alone for preventing recurrent stroke.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

What role does imaging play in evaluating an elderly patient with constipation?

There is limited data to support the role of imaging in the evaluation of constipation in the older adult.

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

FDA OKs first drug-eluting stents for use in MI

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Dr KK with Shalini Bhardwaj from news express TV on mobile radiations are harmful for male infertility.

Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

(Contributed by Dr. Harkanwaljit Singh Saini. Hoshiarpur.)

No. N 24026/52/2008 PNDT
Government of India
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Dated, the 16 August, 2012


The Principle Secretary
Health and Family Welfare
(All States/UTs)
Subject: Registration of Ultrasound Clinic by Gynaecologist-reg


Ministry of Health and Family Welfare has received a number of representations seeking clarification whether Gynaecologists are qualified under the PC & PNDT Act to conduct ultrasound procedures. In this regard, it is clarified that a medical practitioner with post graduation in Gynaecology and Obstetrics is qualified as per the PC & PNDT Act and the Rules framed therein to conduct Ultrasound in a Genetic Clinic/Ultrasound Clinic/Imaging Centre.

You are requested to disseminate the clarification above to the concerned Appropriate Authorities under the PC & PNDT Act at State/district level.

Your faithfully

(Manoj Jhalani)
Joint Secretary

Copy to:

  1. Mission Director, NRHM (All States/Uts)
  2. State Appropriate Authority
  3. President, The Federation of Obstetrics and Gynecological Societies of India (FOGSI), Mumbai

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

Congenital left ventricular outflow obstructive lesions can occur at valvular, sub valvular and supravalvular levels. The most common lesion is 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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Narrow retinal vessels raise risk for open-angle glaucoma

Epidemiologists have found another nugget of gold in data from the population-based Blue Mountains Eye Study: a strong association between narrowed retinal arterioles and an elevated risk of developing primary open-angle glaucoma (OAG) within 10 years. (Source: Medscape)

More evidence linking spontaneous coronary dissection and FMD

Another case series has confirmed the connection between spontaneous coronary artery dissection (SCAD) and fibromuscular dysplasia (FMD) and once again shows that the seemingly linked condition occurs predominantly in women. (Source: Medscape)

Levonorgestrel system eases effects of menorrhagia

A levonorgestrel-releasing intrauterine system was more effective than usual medical treatments in alleviating the adverse effects of menorrhagia on women's lives, a 2-year primary care–based study has found. (Source: Medscape)

Gastric phytobezoars: Coca-cola an effective treatment

Drinking Coca-Cola appears to be an effective treatment for gastric phytobezoar in 50% of cases, and combining the soda with additional endoscopic methods may lead to resolution of as many as 91.3% of phytobezoars, according to a newly published review. (Source: Medscape)

    Twitter of the Day

@DrKKAggarwal: Aspirin plus clopidogrel is no better than aspirin alone for preventing recurrent paralysis

@DeepakChopra: Our most natural state is joy. It is the foundation for love, compassion, healing, and the desire to alleviate suffering.

    Spiritual Update

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

If you hate somebody it means you have a lot of time to waste

If you hate somebody, it only means that you have lot of meaningless time to spare. If you are busy and live in the present, you cannot think of the past or the future.

For comments and archives

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

How PCOS are diagnosed?

Early diagnosis: If you are diagnosed with PCOS and you have female children, you should watch them for symptoms and inform them that they are at risk, since there is a genetic tendency to inherit the syndrome. Early treatment of PCOS may decrease the development of acne and hirsutism.

Long–term considerations: Women with PCOS, particularly those with insulin resistance, may be at an increased risk for diabetes, heart disease, cholesterol abnormalities and endometrial cancer.

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

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

What is the composition of blood?

Blood mainly contains fluid called plasma and in this are suspended cellular elements. Three types of cells namely red blood cells or RBCs, white blood cells or WBCs and tiny platelets form the cellular element.

For comments and archives

    An Inspirational Story (Dr Prabha Arora)

She was a student; she was 23, Her fault some people say because she boarded the wrong bus And oh yeah, SHE WAS A GIRL, Six men raped her one by one and then used an iron rod to tear her vagina Small intestine and large intestine came out, They left her to die on the road, Naked, Wounded, Exposed, Devastated, What’s more is that no one even turned to look at her?

No one even bothered to throw a shawl on the ill-clad, Ill-fated girl, She can never live a normal married life again She went into coma five times since 16th December She was unconscious Critical and hasn't been able to stop crying,

But don’t worry, She wasn't your wife, She wasn't your sister, She wasn't your daughter, But she could be.
The brutality has to stop right here guys, these people deserve capital punishment for their heinous

Perverted act, She died on Saturday 28th December 2012, Rest in Peace? and I pray that her killers get the WORST punishment possible, this doesn't only happen in India.

But in every country around the world, Is this how we treat our mother s wife daughters’ sisters? It makes me ashamed to even live on this planet today, If her death touches you and you against RAPE, "Write RIP" and forward this to others, If u Support RAPE, "IGNORE"

For comments and archives

    Cardiology eMedinewS

The heart has both the plumbing pipes and the electrical wires Read More

NSAID, BP med combo tied to kidney risk Read More

    Pediatric eMedinewS

Mothers may be key source of LOD Strep in neonates Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with non–responding cough.
Dr. Bad: It may be TB.
Dr. Good: Rule out acidity.
Lesson: Chronic cough along with dysphonia/hoarseness, globus pharyngeus, mild dysphagia, chronic cough and nonproductive throat clearing are often important otolaryngologic manifestations of occult or silent GERD (Laryngoscope 1991;101:1).

Make Sure

Situation: A 28–year old male presents with increased frequency and occasional blood in urine. Examination of urine shows sterile pyuria.
Reaction: Oh my God! Why didn’t you check for TB?
Lesson: Make Sure to rule out TB in patients with frequency, dysuria and hematuria. Sterile pyuria is the first clue to diagnosis.

    Legal Question of the Day (Dr MC Gupta)

Q. I am an Assistant professor of FMT. I think "conviction rates" for sexual offences and subsequent “punishment” need emergent change in existing legal system. In my opinion, punishment for rape should be “LEGAL BOBBITTISATION”, especially for those committing repeated sexual offences. I request "Indian Academy of Forensic Medicine" to conduct nation wide "Workshops" to train the Medical Officers, Nurses and Specialist Doctors for the same. What are your comments?

Ans. My comments are as follows:

  1. Training how to “bobbitise” is not a part of FMT scope, education or training. Imparting training for surgical removal of the penis need not be an area of concern for the FMT specialists. They would do well to devote their energies to develop their own specialty rather than that of a surgeon’s.
  2. Every citizen is free to have his own notions of law. When an FMT faculty member does so, he is expected to display notions compatible with the basic tenets of law and the Constitution.
  3. Your suggestion has to be countered with the following facts:
    • Even Sharia law does not seem to have such a provision.
    • The WHO is against female circumcision.
    • There is a rising protest in Israel against male circumcision.
    • Probably no country in the world has legalised bobbitisation.
  4. It will be interesting to note the response of the "Indian Academy of Forensic Medicine”.

For comments and archives

    Quote of the Day (Dr GM Singh)

Whatever is at the center of our life will be the source of our security, guidance, wisdom, and power. ~ Stephen Covey

    Mind Teaser

Read this…………………

Helen, a client with myasthenia gravis, begins to experience increased difficulty in swallowing. To prevent aspiration of food, the nursing action that would be most effective would be to:

A. Change her diet order from soft foods to clear liquids
B. Place an emergency tracheostomy set in her room
C. Assess her respiratory status before and after meals
D. Coordinate her meal schedule with the peak effect of her medication, Mestinon

Yesterday’s Mind Teaser: Metabolic acidosis is best treated with:

a. Calcium gluconate via IV push
b. Normal saline via bolus IV
c. Oxygen
d. Sodium bicarbonate via IV push

Answer for Yesterday’s Mind Teaser: Sodium bicarbonate via IV push.

Correct answers received from: Dr KV Sarma, Dr (Maj. Gen.) Anil Bairaria,
Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr KP Chandra, Dr BK Agarwal, Dr Rajendra Khatavkar.

Answer for 11th January Mind Teaser: B. Ambulate.

Correct answers received from: Dr Avtar Krishan, Dr KP Chandra, Dr BK Agarwal.

Send your answer to ijcp12@gmail.com

   Laugh a While (Dr GM Singh)

TEACHER: George, go to the map and find North America.
GEORGE: Here it is!
TEACHER: Correct. Now, class, who discovered America?
CLASS: George!

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    Medicolegal Update

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

Legal medicine: Doctor in witness box under oath

When a doctor is called in witness box of Court of Law, Oath has to be administered before he tenders his evidence.

A doctor as witness while administered the oath has to repeat, while standing… ‘the evidences which I shall give to the honorable court shall be the truth, the whole truth and nothing but the truth, so help me the almighty God".

If a Doctor wishes to give his evidences on solemn affirmation, he has to say that I solemnly affirm that the evidences which I shall give to the honorable court shall be the truth, the whole truth and nothing but the truth. The main objective of the oath is to find truthful statement and if any doctor/witness speaks a lie after administration of oath he is liable for punishment of perjury a criminal offence in our country as well as abroad. The Medical opinion of the doctor must be supported by reason/science and it is the reasons and not ipse dixit which is of importance in assessing the merit of the doctor’s opinion in the court of law.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Most uncontrolled asthmatics think they are controlled

Two-thirds of patients with uncontrolled asthma think their disease is well under control, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & Vice President Elect IMA.

Asthmatics on proper medicines can not only lead a normal life but also reduce their future complications. Drugs include those medicines that keep the disease at bay as well as those that are used when a flare-up occurs. Uncontrolled asthmatics will invariably end up with right heart complications due to persistent lack of oxygenation in the blood.

Most asthmatics fail to perceive their level of disease control and with an uncontrolled state they often feel that their asthma is under control.

Dr. Eric van Ganse, of University of Lyon, France, in a study published in the Annals of Allergy, Asthma, and Immunology, examined 1,048 subjects with inadequate asthma control. When asked how they would rate their asthma control over the past 14 days, nearly 69 percent considered themselves to be completely or well controlled. Failure to perceive inadequate asthma control was more likely to be found in patients between the ages of 41 and 50 years.

In severe asthma, low blood oxygen levels might impair a person's ability to assess their own breathing difficulty.

Another reason is that the notion of asthma control seems poorly understood by asthmatic patients. Also, mild to moderate asthma limits the activities of a person and they over a period of time take that as their normal limits.

    Readers Responses
  1. The recommendations to Justice Verma are well thought out & timely. I adore you for your service-minded and pro-active actions in the spirit of a karm-yogi. Warmest regards, Madanmohan Trakroo
    Forthcoming Events

4th eMedinews Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013 (8 AM to 8 PM).

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Eminent Faculty:

Dr Praveen Chandra (Cardiology)
Dr NK Bhatia (Transfusion Medicine)
Dr Ambrish Mithal (Diabetes)
Dr Kaberi Banerjee (Infertility)
Dr Yougal Mishra, Dr Manju Gupta, Dr Somesh Juneja, Dr Deepak Khurana (Valve Surgery)
Dr Rajnish Malhotra (Cardiology)
Dr Vivek Bhatia (GI)
Dr Ashish Jain (Ortho)
Dr Kailash Singla (GI)
Dr IM Chugh (Pulmonoagy)
Dr AK Dhar (Hemato oncology)
Dr Neeraj Jain (Pain Management)

Register at: www.emedinews.in/


Dr Pawan Gupta, Past President IMA Haryana, Organizing Secretary

4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

4th eMedinewS Revisiting 2012
Dr KK Aggarwal Revisiting 2012
Dr Ashish Jain eMedinewS Oration Orthopedics in 2012
Dr Vivek Bhatia eMedinews Distinguished Lecture GI in 2012
Mr B N S Ratnakar IJCP Oration Financial Health
Dr N K Bhatia Dr Col K L Chopra eMedinewS Oration Transfusion Medicine 2012
Dr Ambrish Mithal AJD Oration Diabetes 2012
LIC India eMedinews Distinguished Lecture Life Insurance Schemes
Dr Praveen Bhatia G L Sanghi eMedinewS Oration Surgery in diabetes
Dr Kaberi Banerjee AJOG Oration Infertility Update
Dr Yugal Mishra, Dr Manju Gupta, Dr Saurabh Juneja,
Dr Deepak Khurana
AJCC Oration 2012 Valve Update
Dr Rajnish Malhotra Dr J J Sood eMedinewS Oration Cardiac Surgery 2012
Rajiv Gandhi Cancer Institute Dr K B Sharma eMedinewS Oration Oncology Update
Dr Ganesh Mani eMedinews Distinguished Lecture Valve in 2012
Dr Brig A K Dhar eMedinews Distinguished Lecture Hematooncology Update
Dr I M Chugh eMedinews Distinguished Lecture Chest Update
Dr Kailash Singla eMedinews Distinguished Lecture Gastro Update
Dr Neeraj Jain eMedinews Distinguished Lecture Pain Management
Dr S K Parashar eMedinews Distinguished Lecture Echo 2012
Dr K K Aggarwal Take Home messages
Cultural Evenning and Doctor of the Year Award
    eMedinewS Special

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    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