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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 …

15th December 2011, Thursday

And now CPAP rebound

Obstructive sleep apnea (OSA) and its associated complications recurred rapidly after discontinuation of continuous positive airway pressure (CPAP), results of a small randomized trial showed. After two weeks without CPAP, the number of arousal events per hour had more than tripled, and apnea–hypopnea events had increased 17–fold. Both measures remained unchanged in patients who continued CPAP. By the end of the study, endothelial function had decreased significantly, and morning blood pressure, heart rate and urinary catecholamines all increased significantly compared with patients who remained on CPAP.

"We found that CPAP withdrawal was associated with a return of OSA by the first night," Malcolm Kohler, MD, of University Hospital Zurich in Switzerland, and coauthors reported online in the American Journal of Respiratory and Critical Care Medicine. (MedPage)

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

And now CPAP rebound

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011
Divya Jyoti – Nurses festival

Students performing skits from different nursing schools in the Divya Jyoti festival as a part of the 18th MTNL Perfect Health Mela

Dr K K Aggarwal
    National News

Cancer, diabetes screening for all in five years: Azad

Every Indian will be screened for cancer, heart disease, diabetes and stroke over the next five years, union health minister Ghulam Nabi Azad told Rajya Sabha on Tuesday. "India will be the first country in the world to screen the entire population in the next five years," he said. Pilot projects have already been launched in 100 districts and in the slums of 30 cities with populations of more than 10 lakh, 20,000 sub–centres will screen 17–18 crore people. The scheme will be implemented in the remaining period of the 11th five–year plan and in 12th plan, the remaining parts of the country will be taken up. The scheme was started with diabetes and blood pressure screening in Delhi in November 2010. It later travelled to Kolkata, Mumbai, Chennai, Hyderabad and Bangalore. The Centre provides the test kits and equipment while the states provide the logistics. (Source: Hindustan Times, December 13, 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

Abruption among most likely causes of stillbirth

The most common causes of stillbirth were obstetric conditions such as abruption and complications of multiple gestation and by placental abnormalities, researchers found. (Source: Medpage Today)

For comments and archives

Contrast–free MRI identifies cardiac ischemia

A cardiac MR imaging technique that doesn’t use gadolinium contrast shows promise in identifying myocardial ischemia, and eventually may provide a useful imaging alternative, especially for patients with kidney disease, a small study found. (Source: Medpage Today)

For comments and archives

ASH: Lipid storage disease may mask multiple myeloma

Bone complications in Gaucher disease are similar to those seen in multiple myeloma and may result in missed or delayed diagnosis of the cancer, researchers said (American Society of Hematology meeting). (Source: Medpage Today)

For comments and archives

World’s smallest newborns still small, but fine

Case reports on the world’s smallest and third smallest newborns indicate that extremely low birth weight infants may never catch up in height or weight, but can develop normal motor and language skills. Baby Madeleine, now 22, was born at 9.9 ounces when she was born at 26 weeks gestation. Baby Rumaisa, now 7, was born at 25 weeks and weighed just 9.2 ounces –– the lowest ever documented. (Source: Medpage Today)

For comments and archives

    Cardiology eMedinewS

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

Debates In Hypertension

Debates in Hypertension: No, I will choose first line antihypertensive drug as per patient’s profile: Dr Sunil Modi

Read More

J Curve Hypothesis is Irrelevant: Dr Harsh Wardhan, Delhi

Read More

J Curve Hypothesis is Important: Dr Bimit Jain, Delhi

Read More

Cardiology 2020

Cardiology 2020: Coronary Revascularization: Refining Tools to Recruiting Robots? –Ashok Seth, Delhi

Read More

Cardiology 2020: Where is the Imaging Headed?: Dr Jagat Narula, USA

Read More

Cardiology 2020: Will AF be the Biggest Challenge to Cardiologists?: Dr P K Deb, Kolkata

Read More

Cardiology 2020: Will Valves be out of Surgeon’s Purview?: Dr Blasé Carabello, USA

Read More

Cardiology 2020: Coronary Revascularization: Refining Tools to Recruiting Robots? –Ashok Seth, Delhi

Read More

Cardiology 2020: Cardiac Transplantation in End–Stage HF: Xenotransplantation or Mechanical Replacement?:–Mandeep Mehra, USA

Read More

    Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on Bad teeth are related to bad heart… http://www.youtube.com/watch?v=oMhNdOsyvU0&feature=share via @youtube

@DeepakChopra: Spirituality could be part of an expanded science http://youtu.be/Bh–ZpzNDB8o

    Spiritual Update

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

The Road to Spirituality

‘Love’ is what one is born with and ‘fear’ is what one learns. Spiritual journey is nothing but unlearning of fears and prejudices along with return of love back into ones heart……more

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Monkeys and the moon

Once, in the distant past, there was a band of monkeys. They lived in a forest, and in the forest was a well. One night, the leader of the band of monkeys peered into the well, and seeing the reflection of the moon in the water, said: "Look! The moon has fallen into the well; we ought to get it out or our world will be without a moon." The other monkeys looked into the well and saw that it was indeed so. "Yes," they agreed. "We should certainly get the moon out of the well."

So the monkeys formed a chain, each holding onto the tail of the one before, while the monkey at the top of the chain held onto a branch to support them. The branch began to bend under the weight of the monkeys as they lowered themselves into the well, and soon began to crack. The water was disturbed and the reflection of the moon disappeared, the branch broke, and the monkeys tumbled headlong into the well.

When the unwise have an unwise leader they are all led to ruin.

For comments and archives

    Fitness Update

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

Resistance training helps older adults maintain lean body mass: An update

Sarcopenia is the medical term for the loss of muscle mass and strength that typically occurs in aging adults. This loss of lean body mass often leads to lower functionality and lower quality of life. New research published in Medicine & Science in Sports & Exercise, however, reiterates the importance of resistance training to prevent the loss of lean muscle mass. Authors of the study aimed to review all of the recent literature to determine how different training programs affected people of different ages.

Researchers included data from 49 studies, evaluating a total of 1,328 patients over the age of 50, in this meta–analysis. After performing various statistical tests to ensure that results from different studies were compatible, they found that higher volume interventions (resistance training regimens that increased the volume of weight lifted progressively over time) were significantly more effective. Additionally, they found that programs were more effective is started earlier in life, presumably to prevent sarcopenia before it begins.

For comments and archives

    Healthy Driving

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

Glaucoma, colour blindness and cataracts do not mean you cannot drive, provided you meet the standard required.

    Medicine Update

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

How common is Allagille’s?

Allagille’s occurs approximately once in every 100,000 live births with equal incidence between boys and girls. For a couple who already have an affected child, the risk of a further child being affected are 1 in 30 if neither parent has any signs, and 1 in 10 if one of the parents has signs of the syndrome.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with cardiomyopathy.
Dr. Bad: It is primary cardiomyopathy.
Dr. Good: Rule out atherosclerosis.
Lesson: Cardiac atherosclerosis is the most common cause of cardiomyopathy (in 50–70% of patients of heart failure).

For comments and archives

Make Sure

Situation: A patient with 106 degree fever with dry axillae died.
Reaction: Oh my God! Why was aggressive management not given?
Lesson: Make sure that patients with high fever with dry axillae are treated on the lines of heat stroke.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Failure is only the opportunity to begin again more intelligently. Henry Ford

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Anticardiolipin antibodies

Anticardiolipin antibodies are used to help investigate inappropriate blood clot formation, to determine the cause of recurrent miscarriage or as part of an evaluation of antiphospholipid syndromes.

    Mind Teaser

Read this…………………

Body tremor when standing or walking is the clinical sign most commonly associated with

a. Hypometria
b. Dysarthria
c. Dysdiadochokinesia
d. Titubation

Yesterday’s Mind Teaser: (ice) 3

Answer for Yesterday’s Mind Teaser: Ice cube

Correct answers received from: Dr Vijay Kansal, Ramadevi, Dr Jainendra Upadhyay, Dr Neeraj Sharma, Dr Prabha Sanghi, Raju Kuppusamy, BB Gupta,
Dr Thakor Hitendrasinh G, Dr HL Kapoor, Dr Chandresh Jardosh, Dr Sukla Das, Dr Neelam Nath.

Answer for 13th December Mind Teaser
: Take from the rich, give to the poor.
Correct answers received from: Dr Ankita Kanathia, Dr Vijay Kansal, Rameshwar prasad.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

7 and 7 is 11

A woman from Chelm went to the market one day to buy herring and a loaf of bread. "How much is it?" she asked the storekeeper. "14 cents," answered the storekeeper to the lady. "14 cents! For what?" asked the lady.
The storekeeper explained: The herring costs 7 cents, and the loaf of bread costs 7 cents also. So together it comes to 14 cents." "I know different. To the best of my recollection, 7 and 7 is 11."

"What are your saying?" "As far as I know, 7 and 7 is 11…I had already had 4 children when my first husband died. When I married a second time, my second husband also had 4 children from his first wife. After getting married, we had 3 children together. So each of us had 7 children, and together we had 11!

Obviously, 7 and 7 is 11."

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emedinews revisiting 2011
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    Medicolegal Update

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

  • Plasma can be donated much more frequently than whole blood donation even up to twice a week. This is because the red blood cells, which take so much time to replace, are separated from the plasma and injected back into the plasma donor in saline solution.
  • Whole blood refers to blood that contains all its components, including red blood cells, white blood cells, platelets, and so on. "Plasma" can refer either to the yellowish fluid of blood in which the cells are suspended, or to the blood after RBCs have been removed.
  • In cases of Donor and Recipient mismatch, the plasma can be given to a recipient with an incompatible group much more safely than RBCs, since the antibodies in the plasma are quickly diluted when transfused into circulatory system
  • In case of trauma/serious injuries resulting in massive ongoing blood loss, the plasma can be transfused to restore the volume of the recipient's blood and to stop bleeding because of its high concentration of clotting factors. Hemophiliacs, who don't clot well, are frequent recipients of plasma.
  • Whole blood is rarely used and medically required for transfusions. Rare exceptions are for sickle cell disease and heart surgery, in which the blood loss can be several units.
  • RBCs have blood group antigens that cause illness and even death has been known to occur on several occasions when types are mismatched. Plasma contains antibodies for the antigens proteins in red blood cells that trigger an immune response.

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)

White sugar as addicting as heroin and cocaine

White sugar is addictive and the number one cause of heart disease said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

The sweetener prompt the same chemical changes in the brain seen in people who abuse drugs such as cocaine and heroin.

Quoting a study presented at the American College of Neuro–psychopharmacology’s annual meeting, Dr Aggarwal said that evidence from an animal model suggests that bingeing (drinking large amounts of sugar water) when hungry can cause behavioral changes and even neurochemical changes in the brain which resemble changes that are produced when animals or people take substances of abuse. These animals show signs of withdrawal and even long–lasting effects that might resemble craving.
A "sugar addiction" may even act as a "gateway" to later abuse of drugs such as alcohol. The stages of addiction, as defined by the American Psychiatric Association, include bingeing, withdrawal and craving.

In the study rats were denied food for 12 hours a day, then were given access to food and sugar (25 percent glucose and 10 percent sucrose) for 12 hours a day, for three to four weeks. The chemical involved in the addiction on the body is dopamine.

White sugar, white rice, and white maida, the triad of refined carbohydrates are all addicting and related to insulin resistance, obesity and heart disease.

For comments and archives

    Readers Responses

IJCP Group appreciated in 63rd Annual CSI Conference at Mumbai

Dear KK, Beyond friendship, appreciation and admiration for you – let it go on record that your contribution to the success of the Scientific Programme was immense. The CSI–Update and the digital version on the same were universally appreciated. The CSI–Newsletter, and your efforts on the social networking site are commendable. I have seen your team–work and appreciate the zeal and motivation with which your team functions. I hope that we are able to partner you for our future meetings also.With personal regards, Dr. Ashok Seth, Chairman Scientific Committee, President, Cardiological Society of India, FRCP (London), FRCP (Edinburgh), FRCP (Ireland), FACC, FSCAI (USA), FIMSA, D.Sc. (Honoris Causa), Awarded ‘Padma Shri’, Chairman – Cardiovascular Sciences, Chief of Cardiology, Chairman Cardiology Council, Fortis Group of Hospitals

Fortis Escorts Heart Institute, Okhla Road, New Delhi 110025 (India)

    DR. K.K. Study Circle

CME class on 18th Dec. 2011 . Sun 9am to 10 am. Family Picnic has been postponed. Please note.
DR. Pawan Gupta DR. Dinesh Negi

    Forthcoming Events

Lecture on Buddism and Astronomy

By Prof. Trinh X. Thuan

UNESCO Kalinga Awardee, 2009; Prof. of Astronomy, University of Virginia, USA; UNESCO Kalinga Awardee for Popularisation of Science by UNESCO, Kalinga Chair awardee by Department of Science & Technology, Government of India.

Organised by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt.of India

At Nehru Planetarium Chankyapuri New Delhi on 27th Dec 2011 at 10.30 am

No fee, to register email to drkakroo@gmail.com, 9810301261

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

3rd eMedinewS Revisiting 2011

Dr Ajay Kriplani (Surgical management of diabetes); Dr N K Bhatia ( What’s new in transfusion medicine); Dr Kaberi Banerjee (Fertility update); Dr Amit Bahrgava (Cancer update 2011), Onco Radiation update (Rajiv Gandhi Cancer Institute); Dr Ambrish Mithal (Vitamin D update), Dr Praveen Chandra (Interventional Cardiology update); Revisting 2011 (Dr K K Aggarwal), Portfolio management (Central Bank of India); Insurance update (LIC India); General Insurance (Doogar Associates)


The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund Faridabad. It is multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

Early Registration till 30th Dec 2011

    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