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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 (March 10-13); 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

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eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

14th May 2013, Tuesday

NEET optional

The Supreme Court has lifted the ban on declaring results for MBBS and postgraduate courses for which exams were conducted this academic year. The detailed judgment regarding the validity of NEET exam will be declared only on July 2nd when the Supreme Court vacations are over.

Some of the colleges had conducted the entrance examination but the Supreme Court had stayed the results till the court took a decision on the issue of admissions by NEET.

The NEET examination was hailed by the medical fraternity as it would help in reducing corruption in medical entrance fee. But allowing the private medical colleges to have their own exams (i.e. to allow them to charge capitation fee) will allow corruption to prevail and continue in medical education.

SC clears decks for admission to medical colleges

The Supreme Court has lifted the stay on declaration of results of individual entrance/admission test conducted by private medical colleges for filling up the PG seats.


To know about the TOI iPad app and get it for free, please visit www.toi.in/ipad

For Comments and archives…

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

FDA panel recommends first drug for HIV prevention

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2013

Heart Care Foundation of India and World Fellowship of Religions in association with Ministry of Earth Sciences Govt. of India and Delhi Public School Mathura Road observed World Earth Day 2013.

Dr K K Aggarwal
    National News

Tobacco Statistics

  1. 14.6% youth between the age of 13 & 15 are smokers.
  2. More than 5500 children start smoking everyday.
  3. Average age of starting smoking is 17.8 years.
  4. 25.8% female up to the age of 15 years have experienced smoking.
  5. 7-8 lakhs die every year because of tobacco-related illnesses.
  6. In 2002-03, cancers, COPD and lung-related illnesses due to tobacco led to an expenditure of 30,833 crores.
  7. National Tobacco Control Programme was started in 2007-08 under the 11th Five-year Plan.

Source: National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS): TRG 1 meeting on 07.05.2013 at Nirman Bhawan

For Comments and archives…

India tops cervical cancer deaths: US study

New Delhi: With nearly 73,000 women dying every year, India now tops the world in cervical cancer deaths according to a report released today by a US-based research and advocacy group. India represents 26.4 per cent of all women dying of cervical cancer globally, with China, Bangladesh, Pakistan, Indonesia and Thailand also showing high death incidence, says the "Cervical Cancer Global Crisis Card" released by the Cervical Cancer-Free Coalition. According to the report card, cervical cancer kills an estimated 275,000 women every year and 500,000 new cases reported worldwide. This entirely preventable disease is the second largest cancer killer of women in low and middle-income countries, with most women dying in the prime of life, it said. Using data from the WHO, United Nations, the World Bank and IARC Globocan, the Crisis Card has ranked 50 countries in the descending order of cancer mortality rates. India, China, Brazil, Bangladesh and Nigeria represent more than half of the "global burden of cervical cancer deaths," says the US based body basing its study on global rankings. According to the Crisis Card, Australia has the lowest cervical cancer mortality rate, which is due to the successful rollout of a comprehensive package of HPV vaccines, treatment and prevention. The Crisis Card report also highlighted the startling disparities between women in the developed and developing world personified by cervical cancer.

"A woman in Zambia is 25 times more likely to die from cervical cancer than a woman in Australia and India has 750 times more deaths than Norway. This level of inequity is also reflected across gender indicators with girls less likely to attend school but more likely to be malnourished and married as a child," said the report. Recent data released by India's Health Ministry based on the National Cancer Registry Programme (NCRP) report in 2009 the number of cervical cancer cases were 101938 which has increased to 107690 in 2012. In Uttar Pradesh a total of 17367 cases were reported in 2009 and it increased to 18692 in 2012. After Uttar Pradesh the number of cases of cervical cancer in 2012 which has shown an increasing trend are Maharashtra (9892), Bihar (9824), West Bengal (8396), Andhra Pradesh (7907), Tamil Nadu (7077) and others. "Cervical cancer can happen to anyone. Certain women are at greater risk. These include women who started sexual activity at an early age, had multiple pregnancies, had multiple partners themselves, or their partners have multiple partners," said Dr Neerja Bhatla, Professor, Department of Obstetrics and Gynaecology at All India Institute of Medical Sciences (AIIMS). (Source: The Economic Times, May 10, 2013)

For Comments and archives…

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

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)


Father and other relatives are responsible for 21% and 19% of sexual abuse victims respectively.

    Valvular Heart Disease Update

In young adults, bicuspid valve presents with aortic regurgitation more than aortic stenosis.

(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)

Heparins not recommended in acute stroke

A new analysis of individual-patient data from the 5 largest trials of heparins in acute ischemic stroke has not been able to define a strategy that can reliably select a group of patients who would benefit from heparin treatment. The authors suggest that guidelines recommending routine or selective use of heparins in acute stroke should be changed to reflect these results. (Source: Medscape)

For Comments and archives…

FFR lesion values may need new look

Coronary lesions considered to be so low risk that intervention is deferred may carry a higher risk than expected, according to research from a single-center study. For lesions of intermediate severity, intervention is recommended when fractional flow reserve (FFR) values are 0.80 or lower, indicating that the lesion is functionally significant. Intervention can be deferred when FFR values are greater than 0.80. (Source: Medpage Today)

For Comments and archives…

Stent, then angioplasty, could increase the risk of stroke, suggests CREST analysis

Performing balloon angioplasty following the deployment of a carotid stent reduces the risk of restenosis but also appears to increase the risk of stroke, according to an analysis of the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) presented at the Society for Cardiovascular Angiography and Intervention (SCAI) 2013 Scientific Sessions. (Source: Medscape)

For Comments and archives…

Leadless pacemaker shows promise

A small leadless device implanted via a catheter into the heart appears to be feasible for single-chamber pacing, a first-in-man study showed. (Source: Medpage Today)

For Comments and archives…

Weight loss linked to VBAC success in overweight women

Interpregnancy weight change significantly affects a woman's chance of a successful vaginal birth after cesarean (VBAC) delivery, according to new research presented here at the American Congress of Obstetricians and Gynecologists (ACOG) 61st Annual Clinical Meeting. (Source: Medscape)

For Comments and archives…

    Twitter of the Day

@DrKKAggarwal: Women should quit smoking to lower their risk of heart disease http://bit.ly/10FgfoA #Health

@DrKKAggarwal: How did the universe come into existence? Menas Kafatos and I discuss in this episode of #askdeepak http://tinyurl.com/cqxnekx

    Spiritual Update

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

Understanding Indriyas?

As per ancient Indian literature, we have 10 Indriyas – 5 motor and 5 sensory. The motor Indriyas are called Karmendriyas and the sensory indriyas are called Gyanendriyas. The motor indriyas involves the functions of elimination (anus), procreation (genitals), movement (legs), grasping (hands) and speaking (speech). The five sensory indriyas perform the functions of smell, taste, sight, touch and hearing.

For Comments and archives…

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

What do you understand by normal menstrual function?

The pituitary gland, located at the base of the brain, controls egg and hormone production by releasing two hormones, follicle stimulating hormone (FSH) and luteinizing hormone (LH). As the menstrual period begins, FSH stimulates a follicle in the ovary to begin growing. The follicle produces the hormone estrogen and contains a maturing egg. LH stimulates the cells surrounding the follicle to produce significant amounts of androgens. The enlarging ovarian follicle (not to be confused with a hair follicle) appears as a small cyst on the surface of the ovary that can often be detected by ultrasound. About two weeks before the onset of the next menstrual period, the follicle ruptures and releases (ovulates) the egg.

After ovulation, the egg is picked up by the fallopian tube. If the egg is fertilized, it remains in the fallopian tube for 3 to 4 days and then enters the uterus. The estrogen and progesterone secreted during the luteal phase have caused the lining of the uterus to fill with extra blood in anticipation of receiving a fertilized egg (embryo). If the egg is not fertilized or fails to implant in the uterus, the secretion of estrogen and progesterone declines about two weeks after ovulation and the extra blood in the lining of the uterus is shed. This results in menstruation and the cycle begins again.

    An Inspirational Story

A Young Sad Lady

The old Master instructed the unhappy young lady to put a handful of salt in a glass of water and then to drink it. "How does it taste?" the Master asked. "Very bad", said the lady.

The Master then asked the young lady to take another handful of salt and put it in the lake. The two walked in silence to the nearby lake and when the apprentice swirled his handful of salt into the lake, the old man said, "Now drink from the lake."

As the water dripped down the young lady's chin, the Master asked, "How does it taste?" "Good!" remarked the apprentice. "Do you taste the salt?" asked the Master. "No," said the young lady.

The Master said, "The pain of life is pure salt; no more, no less. The amount of pain in life remains the same, exactly the same. But the amount we taste the 'pain' depends on the container we put it into. So when you are in pain, the only thing you can do is to enlarge your sense of things..... Stop being a glass. Become a lake!"

For comments and archives

   Cardiology eMedinewS

Low-dose anticoagulation appears safe, effective with new-generation heart valve Read More

   Pedia News

'Clean' vessels seen in some young MI patients 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)

Is there a need to alter the dose or schedule of any concomitant medication during IDRV?

There is no need to alter the dose or schedule of any concomitant medication during IDRV.

    IJCP Special

Dr Good Dr Bad

Situation: A 44–year–old male came with painless blood in the urine.
Dr. Bad: Do not worry.
Dr. Good: I need to rule out cancer of the urinary bladder.
Lesson: Cancer of the urinary bladder usually presents with painless blood in the urine.

Make Sure

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/80 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

  Quote of the Day (Dr GM Singh)

The best thing about dreams is that fleeting moment, when you are between asleep and awake, when you don't know the difference between reality and fantasy, when for just that one moment you feel with your entire soul that the dream is reality, and it really happened. Johann Wolfgang von Goethe

    Mind Teaser

Read this…………………

A male client with acute pyelonephritis receives a prescription for co-trimoxazole PO twice-daily for 10 days. Which finding best demonstrates that the client has followed the prescribed regimen?

a. Urine output increases to 2,000 ml/day.
b. Flank and abdominal discomfort decrease.
c. Bacteria are absent on urine culture.
d. The red blood cell (RBC) count is normal.

Yesterday’s Mind Teaser: Which is the most effective method for teaching strengthening exercises to patients with chronic pain?

1. Distributing a local listing of strengthening exercise classes
2. Providing demonstration and return demonstration
3. Providing handouts with pictures
4. Viewing a self-instruction video

Answer for Yesterday’s Mind Teaser: Providing demonstration and return demonstration

Correct answers received from: Dr Kanta Jain, Dr KV Sarma, Dr Bharat Bhushan Aggarwal, Dr Shashi Saini, Dr PC Das & Dr Mrs. S Das, Dr Gaveer, Dr P K Sahu, Dr BB Gupta, Dr (Brig) CH Gidvani, Dr Ayyavoo ERODE, Dr Pankaj Agarwal, Dr Arpan Gandhi, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Thakor Hitendrsinh G.

Answer for 12th May Mind Teaser: d. Cardiac glycosides

Correct answers received from: Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Thakor Hitendrsinh G.

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)

One of the most difficult things in the world is to convince a woman that even a bargain costs money. Edgar Watson Howe

  Medicolegal Update

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

Medicolegal importance of age (up to 14 years)

  • 7 years: In accordance with Section 82 of Indian Penal Code, any act that is done by a child under 7 years of age is not an offence.
  • 7–12 years: In accordance with Section 83 of Indian Penal Code, a child between 7–12 years of age is presumed to be capable of committing an offence, if he attained sufficient maturity of understanding to judge the nature and consequences of his conduct on that occasion. This maturity is presumed in a child of 7–12 years age until the contrary is proved.
  • 10 years: In accordance with Section 369 of Indian Penal Code, kidnapping or abducting a child below 10 years of age with intention to steal from its person is a criminal punishable offence.
  • 14 years: A child below 14 years of age cannot be employed to work in any factory or mine under Indian Factory Act 1948.
  • A person completing 15 and up to 18 years is allowed to work as adolescent employee in a factory if a fitness certificate is issued by a competent registered doctor.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Lifestyle counseling can reduce heart disease

An intensive effort to change lifestyle in people at high risk of heart disease can help them reduce such risk factors as high blood pressure, cholesterol and smoking. This was stated by Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

The Euroaction study published in the journal Lancet compared the results of added counseling on lifestyle issues such as diet, physical activity and smoking to the usual care. It included more than 3,000 people with coronary heart disease and 2,300 at high risk. Half got the counseling from a team of nurses, dietitians, physiotherapists and the treating doctors. The counseling was given to families as well as individuals.

The trial included two groups of patients. One, those who already had developed coronary heart disease; another, those who were asymptomatic but at high risk because of a combination of risk factors that gives a high chance of developing heart disease over 10 years.

  • Fifty-five percent of those getting the counseling reduced their intake of saturated fat, compared to 40 percent of those not getting the advice.
  • Increased consumption of fruits and vegetables was seen in 72 percent of the counseled group, and 17 percent of them also increased their consumption of heart-friendly oily fish, compared to 35 percent and 8 percent in the other group.
  • Similar results were seen for blood pressure, cholesterol and physical activity, but it proved difficult to have people seen in general practice quit smoking.

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 50338 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 Response
  1. Dear Sir, Emedinews is very informative newsletter. Regards: Dr SP Gupta
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