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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 November 2012, Thursday

Even Children Can Have Acidity

Children who have continuing recurrence of cough and croup could be suffering from stomach acid reflux problems.

Croup or ‘Kali Khansi’ as it is called in local parlance is recognized by a loud cough that often sounds like the barking of a seal. It can cause rapid or difficult breathing, and sometimes wheezing. Croup is thought to be caused by a virus, but reflux acidity has been suggested as a possible trigger.

In gastroesophageal reflux disease, stomach acid causes swelling and inflammation of the larynx, which narrows the airway. It can trigger more swelling with any kind of viral or respiratory infection.

Identifying children with gastroesophageal reflux disease could help treat and improve recurring croup. It is unusual for a child to have three or more bouts of croup over a short period of time. These children need to be evaluated.

The same is true for adults also. Patients with non responding asthma should be investigated for underlying acidity as the cause of acute asthma.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Constipation Sutra: Panel Discussion (Dr KK Aggarwal, Dr Ajay Kumar, Dr Rajiv Khosla, Dr A K Jhinghan, Dr Kailash Siungla)

IBS may have both pain and constipation

Chronic abdominal pain and altered bowel habits remain the nonspecific yet primary characteristics of IBS (Malone MA. Irritable bowel syndrome. Prim Care 2011;38(3):433-47; viii). IBS can be classified as follows according to the predominant bowel habit. (Spiller R, Aziz Q, Creed F, et al. Guidelines on the irritable bowel syndrome: mechanisms and practical management. Gut 2007;56:1770–98).

  • IBS with constipation (IBS-C): Patients with hard stools more than 25% of the time and loose stools less than 25% of the time
  • IBS with diarrhea (IBS-D): Patients have loose stools more than 25% of the time and hard stools less than 25% of the time.
  • IBS-mixed (IBS-M): About one third to one half of IBS patients describe both hard and soft stools more than 25% of the time
  • Alternators: Patients whose bowel habit changes from one subtype to another during follow up over months and years .

The predominant symptom of constipation-predominant irritable bowel syndrome is severe discomfort or pain. (Foxx-Orenstein AE, McNally MA, Odunsi ST. Update on constipation: one treatment does not fit all. Cleve Clin J Med 2008 Nov;75(11):813-24).

For Comments and archives…

Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Trimetazidine for heart failure

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

CPR with the Hon’ble Chief Minister

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal demonstrating the technique of CPR 10 – compression only CPR to the the Hon’ble Chief Minister Smt Sheila Dikshit and Shri Haroon Yusuf, Minister, Power, Development, Food & Civil Supplies Dept. Govt. of Delhi at the Heart Care Foundation of India stall in IITF.

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

Fight against obesity gains momentum

THIRUVANANTHAPURAM: With obesity fast becoming a major cause of concern among children, especially during adolescence, the National Rural Health Mission (NRHM) has decided to expand its school health programme to include nearly 8,000 schools. According to experts, obesity is more found in the children studying in high school. A study conducted two years back among high school students of the state capital had found that 18.3% of the students were either overweight (12%) or obese (6.3%). The study associated the phenomenon with fast food consumption, lack of physical activity and inadequate exercise. The school health programme initiated by NRHM, which began in 2009, provides health education to school students. "Preventive measures are always better than cure. The adolescent age is the best period to start the process,'' said Dr K R Rani, state nodal officer, school health programme. Till now the school health programme has been initiated in 3,300 schools in the state. From Wednesday, the aim is to expand it to 8,000 more schools. "The main idea is to create awareness among students on the need for a healthy living. We are giving training to two teachers each from these schools for providing necessary health education to students. Apart from this, one junior public health nurse and a junior health inspector will regularly visit these schools to provide training for students,'' said Dr Rani. The health education programme will be made compulsory for schools which will devote one class every week for the subject. Moreover, specialty clinics and medical check-ups will be organised in these schools at regular intervals. As part of the programme, the NRHM had launched a full-fledged clinic with the service of a full-time doctor at Cotton Hill Girls Higher Secondary School here in 2009. (Source: TOI, Nov 14, 2012)

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

Based upon a variety of hemodynamic and natural history data, clinicians generally grade the severity of stenosis as mild, moderate, severe, or criticalSymptoms of aortic stenosis include dizziness or syncope, chest pain that may be typical angina, and dyspnea due to heart failure.

(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)

Vitamin D gene changes may drive disease

Variations in the vitamin D receptor gene may influence the clinical effects of low vitamin D levels in some chronic diseases, researchers found. (Source: Medpage Today)

For comments and archives

Migraine linked to brain lesions in women

Compared with women without migraine, those who suffer these headaches have more deep white matter brain hyperintensities, indicative of lesions, a new study shows. (Source: Medscape)

For comments and archives

Soccer players show signs of brain damage

Repetitive hits on the head that are below the threshold for causing a concussion may still result in changes in the brain's white matter, a small study of soccer players suggested. (Source: Medpage Today)

For comments and archives

Noncompliance with schizophrenia therapy usually persists

When patients with schizophrenia discontinue oral antipsychotic therapy soon after initiation, as is common, chances are not good that they will become adherent to the therapy later in their illness, new research shows. (Source: Medscape)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Diwali Alcohol And Gambling http://blog.kkaggarwal.com/2012/11/diwali-alcohol-and-gambling-2/ …

@DeepakChopra: DEVELOPING YOUR GREATEST GIFT - The Super Brain Credo explains, how the mind relates to the brain. http://tinyurl.com/br4p3kj

    Spiritual Update

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

What is the importance of Govardhan Pooja?

The mistake of the Intellect is responsible for the disturbed state of mind. Even if the mind is under control the intellect can disturb the mind. It is the discriminative faculty of the mind and can be very destructive. It is the main cause of ignorance. External desires and the uncontrolled five senses are responsible for it. Kama, Krodha, Lobha and Moha are the causative factors.

For comments and archives

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

What are the chances of pregnancy after ovarian drilling?

The chances of pregnancy are good as long as your menstrual cycles become more regular and no other problems make it hard for you to conceive. You are less likely to get pregnant with twins or triplets after ovarian drilling than if you are taking fertility drugs. However, your cycles may become irregular again as time goes by.

For comments and archives

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

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

IH Routine tests

  • Antigen typing
  • Antibody screening
    • Indirect antiglobulin test
    • Direct antiglobulin test
    • Antibody Identification
  • Crossmatch

For comments and archives

    An Inspirational Story

How are you building your life?

An elderly carpenter was ready to retire. He told his employer-contractor of his plans to leave the house building business and live a more leisurely life with his wife enjoying his extended family. He would miss the paycheck, but he needed to retire. They could get by.

The contractor was sorry to see his good worker go and asked if he could build just one more house as a personal favor. The carpenter said yes, but in time it was easy to see that his heart was not in his work. He resorted to shoddy workmanship and used inferior materials. It was an unfortunate way to end his career.

When the carpenter finished his work and the builder came to inspect the house, the contractor handed the front-door key to the carpenter. “This is your house,” he said, “my gift to you.” What a shock! What a shame! If he had only known he was building his own house, he would have done it all so differently. Now he had to live in the home he had built none too well. So it is with us. We build our lives in a distracted way, reacting rather than acting, willing to put up less than the best. At important points we do not give the job our best effort.

Then with a shock we look at the situation we have created and find that we are now living in the house we have built. If we had realized, we would have done it differently. Think of yourself as the carpenter. Think about your house. Each day you hammer a nail, place a board, or erect a wall. Build wisely. It is the only life you will ever build. Even if you live it for only one day more, that day deserves to be lived graciously and with dignity. The plaque on the wall says, “Life is a do-it-yourself project.” Who could say it more clearly? Your life today is the result of your attitudes and choices in the past. Your life tomorrow will be the result of your attitudes and the choices you make today.

For comments and archives

    Cardiology eMedinewS

Fluid delivery set may cause embolism Read More

Biomarker pinpoints risk for lupus flare Read More

    Pediatric eMedinewS

Excessive clean homes can cause peanut allergies in kids Read More

New dry nasal spray safe and effective in kids with SAR Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with COPD needed oxygen.
Dr. Bad: Use binasal cannula.
Dr. Good: Use Venturi mask.
Lesson: Venturi mask helps to wash out carbon dioxide.

For comments and archives

Make Sure

Situation: A patient intolerant to penicillin was denied rheumatic prophylaxis.
Reaction: Oh my God! Why was he not put on sulfa?
Lesson: Make sure that patients who cannot tolerate penicillin are put on sulfadiazine or sulfisoxazole. This antibiotic class is effective for preventing group A streptococcal (GAS) infection although it cannot be used to achieve eradication.

For comments and archives

    Legal Question of the Day (Dr MC Gupta)

Q. A senior ortho-surgeon was recently blamed in a court of not possessing adequate qualification to perform knee ligament surgery. I know every qualified and progressive orthopedic surgeon keeps on updating his knowledge and skills through CMEs. It is not possible to get university degree for each subject like arthroscopy, spine surgery, foot surgery etc. What are your comments?


  1. A mere allegation in a court does not matter. What matters is whether the allegation is proven and upheld by the court.
  2. Courts decide a case as per facts, law, expert opinion and arguments. It is for the concerned ortho-surgeon to establish his credentials, if questioned, by the above means.
  3. The principle in medical negligence is that the onus to prove the allegation of medical negligence lies upon the complainant. It is not for the doctor to prove his diligence.
  4. As long as the ortho-surgeon has a postgraduate degree in orthopedics, he is competent to undertake knee ligament surgery unless proven otherwise. The court is not concerned with whether he has any proof of special competence in performing such surgery. What the court is concerned about is the issue whether he has committed some negligence in treatment.
  5. In the circumstances, your apprehension is premature and without basis.
  Quote of the Day (Dr GM Singh)

The love that is defined by a relationship is limited. Dive deep in a love that is beyond relationships. Sri Sri Ravi Shankar

    Mind Teaser

Read this…………………

The nurse would know that dietary teaching had been effective for a client with colostomy when he states that he will eat:

A. Food low in fiber so that there is less stool
B. Everything he ate before the operation but will avoid those foods that cause gas
C. Bland foods so that his intestines do not become irritated
D. Soft foods that are more easily digested and absorbed by the large intestines

Yesterday’s Mind Teaser: B,C,D,E,G,P
What is the next letter in the sequence?

Answer for Yesterday’s Mind Teaser: T - they all rhyme.

Correct answers received from: Dr BB Aggarwal, Dr PC Das, Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Dr Kanta Jain.

Answer for 13th November Mind Teaser: The maid. Mail isn't delivered on Sunday

Correct answers received from:
Dr BB Aggarwal, Abid Ahmed.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Will you marry me?

A man really loved a woman, but he was just too shy to propose to her. Now he was up in his years and neither of them had ever been married. Of course, they dated about once a week for the past six years, but he was so timid he just never got around to suggesting marriage much less living together.

But one day, he became determined to ask her the question. So he calls her on the phone, "June."

"Yes, this is June."

"Will you marry me?"

"Of course I will! Who's this?"

    Medicolegal Update

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

WMA guidelines for clinical research combined with professional care

The mission of medical doctor is to safeguard the health of the people. The Declaration of Geneva of the World Medical Association (WMA) binds the doctor with the words, "The health of my patient will be my first consideration." In the treatment of the sick person, the doctor must be free to use a new diagnostic and therapeutic measure, if in his/her judgment it offers hope of saving life, re–establishing health or alleviating suffering

  • The potential benefits, hazards and discomfort of a new method should be weighed against the advantages of the best current diagnostic and therapeutic methods.
  • In any medical study, every patient including those of a control group, if any, should be assured of the best proven diagnostic and therapeutic method.
  • The refusal of the patient to participate in a study must never interfere with the doctor–patient relationship.
  • If the doctor considers it essential not to obtain informed consent, the specific reasons for this proposal should be stated in the experimental protocol for transmission to the independent committee.
  • The doctor can combine medical research with professional care, the objective being the acquisition of new medical knowledge, only to the extent that medical research is justified by its potential diagnostic or therapeutic value for the patient.

(Ref: 18th World Medical Assembly, Helsinki, Finland, 1964 and revised by the 29th World Medical Assembly, Tokyo, Japan, 1975).

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Learn CPR 10 … Smt. Sheila Dikshit demonstrating CPR 10 in Heart Care Foundation of India stall at IITF 2012

On the inaugural day of the India International Trade Fair 2012 at Pragati Maidan, New Delhi today, Smt. Sheila Dikshit, Hon’ble Chief Minister of Delhi and Shri Haroon Yusuf, Minister, Power, Development, Food & Civil Supplies Dept. Govt. of Delhi visited the Heart Care Foundation of India stall.

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India demonstrated the technique of CPR 10 – compression only cardiopulmonary resuscitation to Smt. Sheila Dikshit and Shri Haroon Yusuf, who actively participated in learning the CPR 10 technique.

Dr. KK Aggarwal said that everybody should remember the CPR 10 Mantra, which is “Within 10 minutes of cardiac arrest (earlier the better) for the next 10 minutes at least, compress the centre of the chest with a speed of 100 compressions per minute (10x10)”. CPR 10 is easy to learn and easy to do and one does not need to be a doctor or be certified in this technique to do CPR.

He further said that so far the Foundation has trained 9000 people in CPR 10 technique.

    Readers Responses
  1. Respected Sir, I wish you a happy Deepawali with a sound health. May you have a calm and peaceful mind with a sound and perfect body of five elements. As you are a perfect role model for some of us so you should give a message which will make us not only a good doctor but a better human being who can serve the society to uplift the progress of society. Thanks again for a patience hearing: Vishnu.
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