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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 and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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 of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

  Editorial …

14th November 2011, Monday

Today is World Diabetes Day

  • Renal hyperfiltration is associated with a greater risk of stroke, especially in patients with the metabolic syndrome or type 2 diabetes. In a single–center study, 22% of patients with either condition who also had renal hyperfiltration had a stroke, Harold Pretorius, MD, PhD, of the Cincinnati Cognitive Collaborative in Ohio, and colleagues reported at the World Congress on Insulin Resistance, Diabetes, and Cardiovascular Disease (WCIR). The study concluded that "If you divert blood flow away from the brain, adverse events like stroke are inevitable.
  • About 25% of healthy people who opted into a free screening at one hospital in Israel were found to have either dysglycemia or undiagnosed type 2 diabetes, Mona Boaz, PhD, of E. Wolfson Medical Center in Holon, and colleagues, reported at the World Congress on Insulin Resistance, Diabetes, and Cardiovascular Disease meeting. More than 20% of people screened had impaired glucose tolerance, and that another 4% had (type 2) diabetes but they didn’t know it.
  • In vitro and murine studies of the compound, XMetA, have shown that it selectively targets an allosteric insulin receptor –– offering all the glucoregulatory benefits, but none of the mitogenic effects, according to Yehuda Handelsman, MD, president and organizer of the World Congress on Insulin Resistance, Diabetes, and Cardiovascular Disease.

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 on

Today is World Diabetes Day

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011- Divya Jyoti - An Inter Nursing School + College Health Festival

Stage exposure for a nurse is very important to become a good communicator in life.

Dr K K Aggarwal
    National News

Uterine fibroids can now be burnt, no surgery needed

NEW DELHI: One in five women suffers from uterine fibroids – the growth of non–cancerous tumour in the womb. And a majority has to undergo surgery. But doctors say there are new techniques like MRI–guided high–intensity ultrasound beam used to burn the fibroids, which can treat the ailment without any surgery. The procedure does not require hospital stay and it does not even leave any scar. "The treatment procedure takes two to three hours only and after that the patient can go home. Normally, such patients require up to three days of hospitalization for surgery. Many women delay treatment because they do not want to undergo surgery which aggravates the problem. In many cases, the uterus has to be removed," said Dr Prathap C Reddy, chairman, Apollo Hospitals. The hospital launched the new technology for treatment of uterine fibroids on Tuesday. According to Dr Harsh Rastogi, radiologist, the traditional treatment modalities for treatment of fibroids includes uterus removal and laparoscopic removal of the fibroids. "In both cases, 2-3 days of hospitalization is required and the patient is advised rest for a longer period. The MRI HIFU technique, on the other hand, can be done in two hours and the patient can go home," he said. He added that the risks include burn in focus area. "But that can be controlled," said Rastogi. (Source: TOI, Nov 9, 2011)

For comments and archives

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology: Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    International News

Today is World Diabetes Day 2011

Started by the International Diabetes Federation (IDF) and WHO, World Diabetes Day is celebrated on 14 November to mark the birthday of Frederick Banting who, along with Charles Best, was instrumental in the discovery of insulin in 1922, a life–saving treatment for diabetes patients. The World Diabetes Day 2011 campaign marks the third year of the International Diabetes Federation’s five–year focus on "Diabetes education and prevention," the theme chosen for the period 2009–2013. The slogan chosen for this year’s campaign is: Act on Diabetes. Now.

Five key messages have been developed to inform the outputs and deliverables of the 2011 campaign:

  • Diabetes kills: 1 person every 8 seconds, 4 million people a year
  • Diabetes doesn’t discriminate: all ages, rich and poor, all countries
  • Diabetes can no longer be ignored: 4 million lives lost a year,1 million amputations a year, millions lost in income and productivity
  • Life–saving care, a right not a privilege: education, medicines, technologies
  • Choose Health: demand healthy food and environments, keep active, eat well. You can make a difference.

For comments and archives

ACR: Drug brings relief long–term in fibromyalgia

Patients diagnosed with fibromyalgia who remain on therapy can achieve long–term pain relief –– to at least three years –– from treatment with the selective serotonin and norepinephrine reuptake inhibitor milnacipran (Savella), researchers said here. (Source: Medpage Today)

For Comments and archives

ASN: Diabetes plus dialysis equals glycemic control dilemma

There is a sweet spot for glycemic control among patients with end–stage renal disease, such that treatment that is either too intensive or too lax is associated with higher mortality, two studies showed. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Watch MTNL Perfect Health Mela 2011 Presents DRUM JAM SHOW http://www.youtube.com/watch?v=n5OTfPgRMEU&feature=share via @youtube

@DeepakChopra: Obesity, diabetes and high blood pressure get a lot of attention. They lead to CKD, which gets little attention.

    Spiritual Update

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

What are the 64 Qualities to be seen in a Bride?

Sometimes back, I participated in a group discussion where the panelists included a mix of Allopathy and Ayurveda doctors. The subject was the current epidemic of Polycystic Ovarian Disease in India

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Remember the small things

Some of my sisters work in Australia. On a reservation, among the Aborigines, there was an elderly man. I can assure you that you have never seen a situation as difficult as that of the poor old man. He was completely ignored by everyone. His home was disordered and dirty. I told him, "Please, let me clean your house, wash your clothes, and make your bed."

He answered, "I’m okay like this. Let it be." I said again, "You will be still better if you allow me to do it."

He finally agreed. So I was able to clean his house and wash his clothes. I discovered a beautiful lamp, covered with dust. Only God knows how many years had passed since he last lit it. I said to him, "Don’t you light your lamp? Don’t you ever use it?" He answered, "No. No one comes to see me. I have no need to light it. Who would I light it for?"

I asked, "Would you light it every night if the sisters came?" He replied, "Of course."

From that day on the sisters committed themselves to visiting him every evening. We cleaned the lamp and the sisters would light it every evening. Two years passed. I had completely forgotten that man. He sent this message: "Tell my friend that the light she lit in my life continues to shine still."

I thought it was a very small thing. We often neglect small things.

For comments and archives

  Cardiology eMedinewS

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


Post intervention pseudo aneurysm can be treated conservatively

For comments and archives

CSI Abstracts

Heart rate more than 100 at admission a high mortality indicator in AMI

For comments and archives

TCT update:Longitudinal Stent Compression Rare but Not Deadly

For comments and archives

Facts and figures in cardiology

ASD comprises 6-10% of all congenital cardiac defects. Ostiumsecundum ASD accounts for 50-70 % of total patients with ASD?s

  Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Body Weight: Diet may be risk factors for non–Hodgkin lymphoma

In previous analyses of the Nurses’ Health Study at 14 years of follow–up, lead researcher Doctor Shumin Zhang and colleagues reported positive associations with NHL for trans fat intake and inverse associations for vegetable intake. To expand those findings, Bertrand and colleagues evaluated the association of obesity, specific types of dietary fats and fruits and vegetables with risk for NHL.

Researchers analysed questionnaire responses from 47,541 men followed for 22 years in the Health Professionals’ Follow–Up Study and 91,227 women followed for 28 years in the Nurses’ Health Study. Among the women, researchers confirmed 966 incident diagnoses of NHL through 2008, and among the men, they confirmed 566 cases through 2006. "In analyses that controlled for age, race and other factors, we found that obesity in young adulthood (ages 18 to 21 years) was associated with risk for NHL later in life," Bertrand said. "Men who were obese (body mass index (BMI) equal to or greater than 30) (in young adulthood) had a 64 per cent higher risk for NHL compared with men who were lean, while obese women had a 19 per cent higher risk." Current BMI was also associated with risk for NHL in men but not in women. Although total and specific dietary fats were not associated with NHL risk, findings also suggested that women who consumed the highest amounts of trans fat in their diets had a no statistically significant increased risk for NHL overall. "We observed that women who consumed at least four servings of vegetables per day, compared with those who consumed fewer than two servings per day, had a 16 per cent lower risk for developing NHL," Bertrand said. "The results from this study, if confirmed in other studies, suggest that body weight and dietary choices may be potentially modifiable risk factors for NHL," she said.

For comments and archives

    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Vehicle speed

Approximate Feet vehicle will travel in 1 second


2 m.p.h.

7 ft.

7 ft. back


2 ft.

10 ft. back


66 ft.

1 2 ft. back


81 ft.

162 ft. back

For comments and archives

    Medicine Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

What are the features of appendicitis in an infant?

In the first 9 to 12 months of life, the cecum is tapered and the appendix is funnel–shaped making it less prone to obstruction. This anatomic characteristic, a soft–food diet, and less prominent lymphoid tissue are believed to account for the lower incidence of appendicitis in infants.

  • The most common symptoms in children 2 years or younger are vomiting (85% to 90%), pain (35% to 77%), diarrhea (18% to 46%), and fever (40% to 60%).
  • Temperature > 37°C (98.6°F) (87% to 100%) and diffuse abdominal tenderness (55% to 92%) occur in most infants, whereas localized right lower quadrant tenderness is noted in less than 50%.

For comments and archives

    Legal Question of the Day

(Dr. M C Gupta)

Can the hospital advertise about a doctor who has newly joined the hospital and also announce his specialty and publish his photograph? How should a doctor owning a nursing home proceed in this regard?

  • Let it be clear that the MCI 2002 regulations apply only to individual physicians and not to hospitals. The latter are regulated by other acts as applicable, such as the CEA or the Companies Act.
  • A hospital can advertise any number of times about its staff and facilities along with their photographs. A private hospital is in business for profit like any other company and no restrictions can be placed on it unless mandated by law.
  • A physician/RMP is covered by MCI regulations whether he is in practice or in service in the government or private sector. He should not advertise himself against the MCI regulations.
  • Whether a doctor is individually responsible for the advertisement in the context of violating the MCI Regulations will be determined by the fact regarding who has advertised—the hospital as a company or the doctor as an individual. In case of doubt, it may be a material fact as to who has paid for it. However, if the advertisement appears as an individual promotion effort on the part of a particular doctor, even if paid for by the hospital, it can be held against him.

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

TB Skin Test

  • Also known as: Purified Protein Derivative; PPD; Mantoux; Latent tuberculosis infection test
  • To help determine whether or not you may have been exposed to and become infected with the Mycobacterium tuberculosis bacteria.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient of typhoid was not responding to ciprofloxacin.
Dr Bad: Start ofloxacin.
Dr Good: Add cefuroxime.
Lesson: The current trend has shown that in many areas typhoid fever is resistant to all quinolones.

For comments and archives

Make Sure

Situation: A patient with asymptomatic sinus bradycardia after PPI developed lead infection.
Reaction: Oh my God! Why was PPI (Permanent pace maker implantation) done?
Lesson: Make sure that PPI is not done in patients with sinus bradycardia without significant symptoms; sinoatrial block or sinus arrest without significant symptoms; asymptomatic prolonged RR intervals with atrial fibrillation or other causes of transient ventricular pause and asymptomatic bradycardia during sleep.

For comments and archives

  Quote of the Day

(Dr GM Singh)

The most important thing a father can do for his children is to love their mother. Theodore Hesburgh

    Mind Teaser

Read this…………………

Which of the following structures does not form the portal triad in liver

a) Portal vein
b) Hepatic vein
c) Hepatic artery
d) Bile duct

Yesterday’s Mind Teaser:  LANG4UAGE

Answer for Yesterday’s  Mind Teaser: Foreign Language

Correct answers received from: Dr.Anil Kumar Jain, Dr. Sukla Das, Dr. P. C. Das, Dr. Rakesh Bhasin, Dr. H.L. Kapoor,Raju Kuppusamy, Muthumperumal Thirumalpillai, Anil Bairaria, Dr.NeelamNath

Answer for 13th November Mind Teaser: d. Carotene
Correct answers received from: Dr Valluri Ramarao, Muthumperumal Thirumalpillai, Anil Bairaria, Dr.NeelamNath, Rameshwar Prasad, Dr. Sukla Das, Dr.A.K.Kela

Send your answer to ijcp12@gmail.com

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    Laugh a While

(Dr GM Singh)

Patient: Doctor, Doctor! I keep thinking I’m a dog.
Doctor: Sit on the couch and we will talk about it.
Patient: But I’m not allowed up on the couch!

    Medicolegal Update

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

Reasons for false negative chemical analysis report of viscera

If the doctor conducting the autopsy has formed a conclusive opinion that the death is due to poisoning based on clinical evidence and after excluding other causes, he has all the authority to inform the investigating officer and mention his conclusive opinion in the postmortem report even if he is preserving the viscera for chemical analysis. A false negative test report may be due to:

  • Delay in chemical analysis
  • Improper preservation
  • Use of wrong analytical technique
  • Early disintegration of poison
  • Complete metabolism
  • Lack of suitable test for certain poison

In accordance with a judicial pronouncement, the doctor who has conducted the postmortem examination can give his opinion as to the cause of death (due to poisoning) despite negative viscera report.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Diabetics Should Avoid Late Nights

World Diabetes Day on 14th November

Young adults who do not get enough deep sleep may be increasing their risk of type 2 diabetes, according to a study published in the Proceedings of the National Academy of Sciences, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Failing to sleep deeply for just three nights has the same negative effect on the body’s ability to manage insulin as gaining 20 to 30 pounds.

Three nights of interrupted sleep effectively gives people in their 20s the glucose and insulin metabolisms of people three times their age.

Improving the quality of sleep, especially for people as they age or if they are obese, can be an important step in preventing the onset of type 2 diabetes.

For comments and archives

    Readers Response

Dear Sir, Thanks a lot for providing the useful information. Regards: Dr Arun

    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

    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