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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

  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 …

15th January 2012, Tuesday

Should National And State Languages Be Made Compulsory?

There are three languages a person should know in any country: A language which everybody in the world can understand, a language which everybody in the country can understand and, finally, a language which everybody in his State can understand.

I was recently in Kanyakumari where I took over as the National Vice-President (Elect) of Indian Medical Association. I met there a lot of local doctor friends. Most of them could not understand, read or speak Hindi. They were speaking either English or Tamil.

I wonder as to how people who do not know English can communicate with them. They do not know Hindi and people in north India may not know Tamil.

It is, therefore, important that Government of India should come out with a uniform policy of a national language and a state language. It should be compulsory for every person to know both national as well as sate language.

Obviously with no exception national language can only be Hindi as it is recognized as the National language by the Government of India. English cannot be our national language but it should be learnt by everybody if you want to compete globally as practically every country has accepted English as a common language when it comes to international relations.

There is no denial that regional languages should be permitted and continued but it should not look like that you are living in a country with multiple small countries within.

Will the so called law makers or policy makers think about it or again someday some of the Supreme Court judges will have to force the Government to make uniform policy?

Dr K K Aggarwal is Padmashri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA (blog.kkaggarwal.com)

For Comments and archives…

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 BC 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 Anchoring a TV show for DD India with Dr Suneeta Mittal and Dr A C Ammni on the subject Menarche and Menopause. Show telecasts every Thursday.

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

Global polio watchdog warns against migration from endemic nations

NEW DELHI: The global independent monitoring board (IMB) on polio has recommended that no country should allow a citizen from any endemic polio state to cross its border without a valid vaccination certificate. According to the IMB, every time a child or adult travels abroad from Afghanistan, Nigeria or Pakistan, they risk carrying the polio virus with them. The IMB, set up at the request of the World Health Assembly to monitor and guide the progress of the global polio eradication initiative's 2010-12 strategic plan, said, "The International Health Regulations Expert Review Committee should urgently issue a standing recommendation by May 2013 that will introduce pre-travel vaccination or vaccination checks in each of these endemic countries until national transmission is stopped." In a major milestone, India completes two years without a single new polio case on January 13. According to the World Health Organization, the process is already underway to declare India and the whole region polio free by 2014 if no case is reported till then. IMB said, "Arrangements are underway to certify the South East Asian region as polio-free in 2014. Regional certification will be a landmark to celebrate, but will have no tangible impact on risk. If the polio virus is re-imported into India, the swiftest possible response would be needed to stop re-establishment of transmission." Experts say that India remains at great risk of importation of the virus from its closest neighbours. Recent attacks in the provinces of Sindh and Khyber Pakhtunkhwa in Pakistan that killed six polio workers in the past 24 hours have become a cause of serious worry. Unvaccinated children in Pakistan could easily spread the virus to India. China reported reintroduction of the virus after a decade. Genetic studies showed the virus originated from Pakistan.
The IMB, therefore, has recommended that India should immediately plan for a simulation exercise to test the readiness of its emergency response plans. "We recommend that the exercise in India should begin, on an unannounced date in mid-2013, by selecting a sample of districts at random and carrying out real-time simulation-based scrutiny of their emergency response capability," it said. Since the start of 2010, there have been 19 polio outbreaks in countries previously rid of the virus. India was struck off the polio endemic countries' list on February 25, 2012 after completing a year without any polio case. The year 2012 ended with fewest wild polio cases ever. Around 218 wild polio cases have been reported so far for 2012 — a greater than 60% reduction from 2011 and also against 350,000 cases of 1988. Over the year, more than 2 billion doses of vaccine were distributed to 429 million children around the world. The remaining polio virus now sits on just 0.2% of the earth's landmass. According to IMB, the low season over the next six months is a crucial time. (Source: TOI, Jan 11, 2013)

For Comments and archives…

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

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)

For Comments and archives…

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Parkinson's disease not linked to impulse control disorders

Parkinson's disease (PD) itself does not increase the risk for compulsive gambling, shopping addictions, or other impulse control disorder (ICD) symptoms that have been seen in patients taking certain drugs for PD, a new study shows. (Source: Medscape)

Few cases of minor hematuria need workup

Older age and a recent history of gross hematuria were the strongest predictors of urinary tract malignancy in patients with asymptomatic microscopic hematuria, a prospective cohort study found. (Source: Medpage Today)

Bayer gets FDA nod for new IUD

A new intrauterine device containing 13.5 mg of levonorgestrel called Skyla has received FDA approval for preventing pregnancy for up to 3 years, maker Bayer Healthcare announced Wednesday. The company said it was the first new IUD to win FDA approval in more than 10 years. Made of plastic and shaped like a T, Skyla measures 28 mm by 30 mm (1.10" x 1.18") and is inserted with a placement tube that's 3.8 mm in diameter. (Source: Medpage Today)

    Twitter of the Day

@DrKKAggarwal: Maha kumbh: Period of Holy Baths ( Makr Sankranti to Maha Shivaratri) The ancient sage knew that Indians are (cont) http://tl.gd/kmuohj

@DrKKAggarwal: How do we maximize the use of our time? Please watch my#askdeepak video reply http://tinyurl.com/bbyjf4m

    Spiritual Update

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

Makar Sankranti: Uttarayana: The Medical Importance

An extremely auspicious day, Lohri marks the sun’s entry in to the ‘Makar Rashi’. The next day after lohri is Makar Sankranti. One can remember lohri as the last day of winter and maker sankranti as the first day of summer.

The word Sankranti menas “change of direction” and the sun change its direction north words on the day of maker sankranti.

For Comments and archives…

   Be Human Stop Child Abuse

(Team IMA for CMAAO)

The child abusing involves a child under the age of 18. Child maltreatment is defined as unintentional harm or threat or harm to a child by a person who is acting in the role of caretaker.

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

What is hydrosalpinx?

The embryo travels through the tube into the uterus .When it reaches the uterus, it can implant into the uterine wall and develop into a baby. However, an old infection can cause the tubes to fill with fluid and enlarge (dilate). When this happens, the tube is called a hydrosalpinx.

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

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

How long can the blood be stored?

The whole blood can be stored up to 35 days, in CPDA anti coagulant solution in refrigerated conditions at 4° – 6° C. But, in reality, the demand is so much that blood hardly remains stored for such a long period and is used much before expiry.

For Comments and archives…

    An Inspirational Story

Today's Lesson

One day a farmer's donkey fell down into a well. The animal cried piteously for hours as the farmer tried to figure out what to do. Finally, he decided the animal was old, and the well needed to be covered up anyway; it just wasn't worth it to retrieve the donkey.

He invited all his neighbors to come over and help him. They all grabbed a shovel and began to shovel dirt into the well.

At first, the donkey realized what was happening and cried horribly. Then, to everyone's amazement he quieted down. A few shovel loads later, the farmer finally looked down the well.

He was astonished at what he saw. with each shovel of dirt that hit his back, the donkey was doing something amazing.

He would shake it off and take a step up.As the farmer's neighbors continued to shovel dirt on top of the animal, he would shake it off and take a step up. Pretty soon, everyone was amazed as the donkey stepped up over the edge of the well and happily trotted off!

Life is going to shovel dirt on you, all kinds of dirt. The trick to getting out of the well is to shake it off and take a step up. Each of our troubles is a stepping stone. We can get out of the deepest wells just by not stopping, never giving up!

Shake it off and take a step up.

Remember the five simple rules to be happy: Free your heart from hatred - Forgive.Free your mind from worries - Most never happen.

Live simply and appreciate what you have.

Give more.

Expect less

NOW .................................Enough of that rubbish... The donkey later came back, and bit the farmer who had tried to bury him.

The gash from the bite got infected and the farmer eventually died in agony from septic shock.

MORAL FROM TODAY'S LESSON:When you do something wrong, and try to cover it up, it always comes back to bite you.

For comments and archives

   Cardiology eMedinewS

More evidence linking spontaneous coronary dissection and FMD Read More

Erectile dysfunction linked with increased risk of CV events Read More

   Pedia News

Acetaminophen Postoperation Can Decrease Morphine Use in Infants Read More

    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady was suspected to have DVT.
Dr. Bad: Go for MRI.
Dr. Good: Go for complete Doppler sonography test.
Lesson: A study published in BMJ from France has shown that a single negative complete Doppler sonography can conclusively rule out deep vein thrombosis in pregnancy.

Make Sure

Situation: A patient died after consuming six pegs of alcohol.
Reaction: Oh my God! Why was he allowed to consume six pegs?
Lesson: Make sure that no patient is allowed binge alcohol i.e. consuming more than six pegs in a day or five pegs at a time.

  Quote of the Day (Dr GM Singh)

Keep your dreams alive. Understand to achieve anything requires faith and belief in yourself, vision, hard work, determination, and dedication. Remember all things are possible for those who believe. Gail Devers

    Mind Teaser

Read this…………………

On discharge, the nurse teaches the patient to observe for signs of surgically induced hypothyroidism. The nurse would know that the patient understands the teaching when she states she should notify the MD if she develops:

A. Intolerance to heat
B. Dry skin and fatigue
C. Progressive weight gain
D. Insomnia and excitability

Yesterday’s Mind Teaser: During the first 24 hours after thyroid surgery, the nurse should include in her care:

A. Checking the back and sides of the operative dressing
B. Supporting the head during mild range of motion exercise
C. Encouraging the client to ventilate her feelings about the surgery
D. Advising the client that she can resume her normal activities immediately

Answer for Yesterday’s Mind Teaser: A. Checking the back and sides of the operative dressing

Correct answers received from: Dr Jella, Dr (Maj. Gen.) Anil Bairaria,
Dr Bharat Bhushan Aggarwal, Dr Pankaj Agarwal, Dr PC Das, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr U Gaur, Dr Kanta Jain, Dr KP Chandra, Dr Kanta Jain, Dr KV Sarma, Dr PC Das, Dr Suresh Arora, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay.

Answer for 13th January Mind Teaser: D. Coordinate her meal schedule with the peak effect of her medication, Mestinon

Correct answers received from: Dr U Gaur, Dr Kanta Jain, Dr KP Chandra,
Dr kanta Jain, Dr KV Sarma, Dr PC Das, Dr (Maj. Gen.) Anil Bairaria, Dr Vishal D Wahane, Dr Jainendra Upadhyay, Dr KP Chandra, Dr Avtar Krishan, Dr BK Agarwal, Dr Bharat Bhushan Aggarwal, Dr PC Das.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

A woman came home to find her husband in the kitchen shaking frantically, almost in a dancing frenzy, with some kind of wire running from his waist towards the electric kettle. Intending to jolt him away from the deadly current, she whacked him with a handy plank of wood, breaking his arm in two places.

Up to that moment, he had been happily listening to his Walkman.

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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

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  Medicolegal Update

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

What are resuscitative injuries?

Doctor should always document in detail the resuscitative injury in case of death

The injuries produced in human body during resuscitation pose difficulty in interpretation of injuries noted at postmortem examination or in inquest paper by the investigating law enforcement agency. Before proceeding to make an interpretation, the doctor conducting the autopsy should know if there has been an attempt for resuscitation and who did it and for how long. He should also know about the methods used in a particular case and whether all these have been documented in the clinical sheets or not. Resuscitative attempts may lead to skeletal, cardiac and abdominal viscera injuries. The investigating police officer should make a note on the basis of statements taken from the relative and doctors who attended the deceased and the same should be enclosed in inquest paper before handing them over to the autopsy surgeons.

The method generally used for life saving attempts by non–medical persons who are near the critical patient is mouth–to–mouth respiration and manual chest massage may causes contusions.

Resuscitation in hospitals includes bag and mask intubations, endotracheal tube, obdurate airways used for respiratory ventilation.

Mechanical methods like Thumper, active compression–decompression device, and defibrillators are used in resuscitation. Closed chest cardiac massage along or with interspersed abdominal compression is also used for resuscitation.

The injections and closed–chest cardiac massage and other resuscitation procedures to the patients may result in the fracture of a chest vertebra, serial fractures of ribs resulting in an unstable thorax, bilateral hemothorax, tension pneumothorax, rupture of kidney and of spleen.

Fractures of ribs and/or sternum were found in 40% of cases, the frequency increasing with age. The number of fractured ribs ranged up to 16, mainly 3–8 ribs was fractured. Fractures of the 1st and 8th to 12th ribs were very rare.

The common site of rib fractures after heavy blunt thoracic injuries was found in the dorsal region.

The injuries which are received/inflicted on body prior to death are called mortem injuries and may or may not be a contributing factor in causing the death or they may have occurred due to much other reason like resuscitation/transport of sick/ill person for medical care called artifacts.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Economy-class syndrome

All doctors should diagnose and treat venous thromboembolisms, which include deep-vein thrombosis and pulmonary embolism, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India & Vice President Elect IMA. These are potentially fatal conditions that occur when a blood clot that's formed at one point of the venous circulatory system detaches and travels to the lungs.

A pulmonary embolism occurs when this kind of clot, which usually forms in the veins of the leg, obstructs the pulmonary artery in the lungs or one of its branches. This can cause acute right heart failure or sudden death.

The problem of deep-vein thrombosis gained notoriety when passengers on long-haul flights develop deep vein thrombosis and lung embolism now called as "economy-class syndrome." It results from long hours of minimal movement for example airline passengers sitting in their seats for hours and not being able to move. Treating the condition at an early stage can help save lives and prevent complications such as pulmonary embolism or recurrent deep vein thrombosis. Deep vein thrombosis claims the life of at least one airline passenger a month at Heathrow. Precautions

  • Get up and walk about at least once an hour.
  • While seated, flex your ankles and move your feet around to stimulate blood circulation.
  • Remain hydrated.
  • Consider wearing support stockings or elastic wraps to keep blood from settling in the veins in your legs.
  • A simple aspirin tablet taken a few hours before take-off thins the blood during long periods of inactivity. The number of victims would fall significantly if more passengers followed this advice.
  • Severe risk for thrombosis should be given injections with low molecular weight heparin (LMWH), a form of prophylaxis already in common use in hospital patient.
  • One should abstain from alcoholic beverages and caffeine.
    Readers Response
  1. Dear Sir, emedinews is very informative. Regards: Dr Ravi
    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 Sanjay Chaudhary eMedinews Distinguished Lecture Bladeless Femtosecond for Cataract Surgery
Dr K K Aggarwal Take Home messages
Cultural Evenning and Doctor of the Year Award
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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