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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


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eMedinewS Presents Audio News of the Day

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

Photos of 1st Mega Ajmer Health Camp 2012

  Editorial …

16th March 2012, Friday

Practical answer for the rural posting of doctors

In a meeting of the advisory working group for the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), Dr Jagdish Prasad DGHS hinted that the government is thinking of suggesting to the MCI for compulsory one year rural posting of the post graduates in the second year.

We also had proposed the same earlier in one of our editorials. But we also have some other suggestions. When I did my MD it was two and a half years. Two years of MD and two house jobs 6 months each. For example, I did my house job in Medicine and Pediatrics. What the MCI can think about is to adapt a similar route and make one 6–month posting in the rural area in second year compulsory. Of course, they should also give them more rural allowance.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with

Women is safe everywhere - Dr N K Bhatia

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

Keep your BP < 120/80 : Javed Akhtar

Inaugurating a musical concert in the memory of Legendary Ghazal Maestro Shri Jagjit Singh, poet, lyricist and scriptwriter, Javed Akhtar and Padma Shri and Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India

Dr K K Aggarwal
    National News

1st National Conference of Men’s Health

International Prostate Cancer Symposium & the 1st National Conference of Men’s Health will be held at Dr. RML Hospital & Sovereign Hall, Le Meridien, New Delhi from April 5–8, 2012.

The conference will address ‘Why Men Die Earlier and Suffer More’.

Renowned Indian and International faculty from Men’s Health Society of India (MHSI) and International Society of Men’s Health (ISMH) will discourse in this forthcoming Men’s Health Congress.

Organizing Chairman: Dr Rajeev Sood, President MHSI

For comments and archives

India’s alarming share of global new leprosy cases

According to the government about 55.5 per cent of new leprosy cases detected world–wide in 2010 were reported in India. Minister of Health and Family Welfare Ghulam Nabi Azad said of the total 2,28,474 new leprosy cases detected world–wide in 2010, India contributed 1,26,800 cases which is about 55.5 per cent of the global disease burden. Based on the information received from states/union territories, there is an overall decrease in reported leprosy cases in 2010–11 as compared to 2009–10, but 14 states/UTs showed an increase in the fresh cases reported, he said. On whether it is possible to eradicate leprosy from the country, Azad said the present strategy is to achieve less than one case per 10,000 population. He said this level was achieved at the national level in 2005 and the Ministry is now concentrating on achieving elimination of leprosy at district level during the 12th Plan (2012–17). (Source: The Hindu, March 15, 2012)

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

FDA Panel says ‘Yes’ to pain drug studies

An FDA advisory committee has voted 21–0 that the investigational anti–nerve growth factor (anti–NGF) drug class should continue to be developed for pain treatment, despite the drug class’s link to joint–related adverse events. (Source: Medpage Today)

For comments and archives

Need to fight TB with multiple weapons

Two large studies in Africa illustrate the difficulty of getting a handle on the continent’s raging tuberculosis (TB) epidemic, researchers said. One study, which looked at a household–based campaign against TB and HIV, found that it prevented TB incidence and transmission, while apparently increasing HIV testing, reported Peter Godfrey–Faussett, MD, of the London School of Hygiene and Tropical Medicine, at the Conference on Retroviruses and Opportunistic Infections (CROI). On the other hand, an intense TB prevention campaign aimed at gold miners found no durable effect, according to Alison Grant, MD, PhD, also of the London School of Hygiene and Tropical Medicine. (Source: Medpage Today)

For comments and archives

Prediabetes cutoff called cost–effective

Using hemoglobin A1c (HbA1c) to catch prediabetes may be cost–effective if the threshold for diagnosis set at 5.7%, according to an analysis led by the CDC. (Source: Medpage Today)

For comments and archives

Uncontrolled HIV linked to decline in lung function

Advanced and uncontrolled HIV disease is associated with a decline in lung function more rapid than that seen in smokers, according to a study presented here at the 19th Conference on Retroviruses and Opportunistic Infections. (Source: Medscape)

For comments and archives

   Twitter of the Day

@DrKKAggarwal: #AJD Metformin Tx prevents plaque in at–risk HIV patients HIV–infected patients who also had metabolic syndrome…

@DeepakChopra: Your life has a unique purpose. That purpose is unfolding continually, becoming richer and deeper #SpiritualSolutions

    Spiritual Update

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

Mahavakyas: The basic teachings of Upanishads

Vedanta unequivocally, uncompromisingly and systematically reveals that there is one non–dual Truth in this universe, and basically everyone and everything is part of that and that alone.

This eternal, timeless truth is of the nature of blissful, self–effulgent existence. It is the very Life principle. This divinity, which is therein called as Brahman, has an inexplicable and indefinable power called Maya because of which, this one truth manifests in different ways.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the symptoms of ectopic pregnancy?

Delayed or abnormal menstruation can be an early sign of an ectopic pregnancy. If pregnancy is confirmed, early abnormal levels of human chorionic gonadotropin (hCG), pelvic pain, and/or irregular bleeding in the first weeks of pregnancy can indicate an ectopic pregnancy. Until recently, ectopic pregnancies were often not diagnosed until six to eight weeks into the pregnancy, when the patient was experiencing pelvic pain, irregular vaginal bleeding, possible internal bleeding, and a tender feeling in the pelvis. Under these circumstances, this represented a life–threatening emergency, and major surgery (laparotomy) was required to remove the pregnancy and control bleeding. Fortunately, most ectopic pregnancies are now identified much earlier, often before the patient is even aware of an acute problem.

For comments and archives

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

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

Organ transplantation: current status

As the rising success rate of transplants and modern immunosuppression make transplants more common, the need for more organs has become critical. Advances in living–related donor transplants have made that increasingly more common. Additionally, there is substantive research into xenotransplantation, or transgenic organs; although these forms of transplant are not yet being used in humans, clinical trials involving the use of specific cell types have been conducted with promising results, such as using porcine islets of Langerhans to treat type 1 diabetes. However, there are still many problems that would need to be solved before they would be feasible options in patients requiring transplants.

Recently, researchers have been looking into means of reducing the general burden of immunosuppression. Common approaches include avoidance of steroids, reduced exposure to calcineurin inhibitors, and other means of weaning drugs based on patient outcome and function. While short–term outcomes appear promising, long–term outcomes are still unknown, and in general, reduced immunosuppression increases the risk of rejection and decreases the risk of infection.

Many other new drugs are under development for transplantation. The emerging field of regenerative medicine promises to solve the problem of organ transplant rejection by regrowing organs in the lab, using the patients’ own cells (stem cells or healthy cells extracted from the donor site.)

For comments and archives

   An Inspirational Story

(Ms Ritu Sinha)

A lesson in heart

My little 10–year–old daughter, Sarah was born with a muscle missing in her foot and wears a brace all the time. She came home one beautiful spring day to tell me she had competed in "field day" – that’s where they have lots of races and other competitive events.

Because of her leg support, my mind raced as I tried to think of encouragement for my Sarah, things I could say to her about not letting this get her down – but before I could say anything, she said, "Daddy, I won two of the races!" I couldn’t believe it! And then Sarah said, "I had an advantage." I knew it. I thought she must have been given a head start…some kind of physical advantage. But again, before I could say anything, she said, "Daddy, I didn’t get a head start…my advantage was I had to try harder!"

For comments and archives

   Cardiology eMedinewS

FDA Warnings for Statins Read More

Duration of Diabetes Raises Stroke Risk Read More

Trans Fats Linked to Stroke in Older Women Read More

Vitamin D May Not Improve Heart Health In People With CKD. Read More

   Pediatric eMedinewS

Chlorophenol Exposure Linked To Allergic Sensitization Read More

Injury Rates From Stairs Tumble But Kids Still At Risk Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with suspected dengue came with severe muscular pain.
Dr. Bad: Take aspirin.
Dr. Good: Take paracetamol.
Lesson: Aspirin or other NSAIDs should general be avoided because of the risk of bleeding complications and in children because of the initial risk of Reye syndrome.

For comments and archives

Make Sure

Situation: A patient who had blood in the urine one month back was found to have large bladder cancer.
Reaction: Oh my God! why was a cystoscopy not done at that time?
Lesson: Make sure that all cases of painless bleeding in the urine are investigated for cancer at the time of first presentation.

For comments and archives

    Microbial World: The Good and the Bad they do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity)

Dental plaque

We all have had or have dental plaques (DP) in our oral cavity. A DP is made of bacteria adhering on to some polymers present in saliva and the extracellular mostly sticky products of bacteria like glucan. The bacteria involved are Streptococcus mutans and Streptococcus sanguis, part of normal oral flora. Bacteria form 60–70% of volume of plaque. The plaque, if not removed daily hardens into tartar, which predisposes to gingivitis and periodontal diseases. Dental plaque is a type of "Biofilm", best example of formation of a "Biofilm" during health. The formation of plaque is also like that of a biofilm. The process involves communication between different communities of bacteria living in mouth called "Quorum sensing" and formation of signaling agents called peptides.

In simple words, the Streptococci attach to glycoproteins of saliva on the surface of teeth forming dental pellicle. Bacteria multiply, reach a certain critical mass of quorum sensing. Then many other types of bacteria start to break down carbohydrates in the diet we have taken and form glycans, the sticky substances. Many more bacteria come to this site and start multiplying and a dental plaque is formed. This plaque is soft, can be removed by daily brushing and flossing and maintaining good oral hygiene. If this is not done then there will be gingivitis and periodontal diseases.

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  Quote of the Day

(Dr GM Singh)

Your chances of success in any undertaking can always be measured by your belief in yourself. Robert Collier

    12 Most Common Technology Hazards (Part 7)

Surgical Fires

There are an estimated 600 surgical fires in the United States each year, almost all avoidable. They can cause fatal airway burns and facial disfigurement. To avoid surgical fires, each member of the surgical team must understand the role played by oxidizers, ignition sources, and fuels in the operating room.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Anti–Saccharomyces cerevisiae antibodies (ASCA), along with perinuclear antineutrophil cytoplasmic antibodies (pANCA), are among the two most useful and often discriminating markers for colitis. ASCA tends to recognize Crohn’s disease more frequently, whereas pANCA tend to recognize ulcerative colitis.

    Mind Teaser

Read this…………………

The risk of malignancy in adenomatous polyp is related to all except:

a) Size
b) Number
c) Histological appearance
d) Dysplasia

Yesterday’s Mind Teaser: Which of the following is false regarding GIST (Gastrointestinal stromal tumor) of stomach?

a) It is the same as leiomyoma and leiomyosarcoma as described previously.
b) The origin is from mucosa from the interstitial cells of Cajal.
c) Associated with C–Kit mutation.
d) Imatinab is a new effective drug for adjuvant therapy.

Answer for yesterday’s Mind Teaser: b) The origin is from mucosa from the interstitial cells of Cajal.

Correct answers received from: Dr Mrs S Das, Dr PC Das, Dr Jainendra Upadhyay.

Answer for 14th March Mind Teaser: d) MALT lymphoma is the commonest variety.
Correct answers received from: Dr Ragavan Sivaramakrishnan Moudgalya, Dr Stella Selina, Dr SP Singh, Jasmeet.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Funny Insults

Height of humiliation plus insult……

A grammar freak girlfriend to her boyfriend

U R as useless as an ‘ay’ in ‘okay’…

    Medicolegal Update

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

The name Morphine originates from the Morpheus – the Greek God of dreams

  • Morphine is an alkaloid of opium – white crystals, with a bitter taste and alkaline reaction. It is very sparingly soluble in cold water but soluble in boiling water.
  • Morphine hydrochloride and morphine sulfate are medicinal preparations and morphine acetate is a non–official preparation, the dose of each being 8 to 20 mg. These salts are bitter in taste, neutral in reaction and are 5 to 8 times more powerful than opium.
  • Morphine has a depressant action on the cortex, the respiratory and cough centers in the medulla are depressed but the vagus and vomiting centers are stimulated.
  • The spinal cord is also stimulated. Its most outstanding effect is relief of pain, partly due to depression of the pain perception in cerebral area and partly due to its euphoric effect.

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)

No reimbursements for medical errors

The Federal Centers for Medicare and Medicaid Services in the US has stopped reimbursing hospitals for the treatment of eight major preventable errors. The hospitals also cannot bill a patient for the cost of fixing these mistakes, said Dr. K.K. Aggarwal, Padma Shri and Dr B C Roy National Awardee and President, Heart Care Foundation of India. These errors are:

  • Falls
  • Mediastinitis, an infection that can develop after heart surgery
  • Urinary tract infections resulting from catheters
  • Bed sores
  • Bloodstream infections resulting from catheters

True "never events"

  • Objects left in the body during surgery
  • Air embolisms
  • Blood incompatibility

From 2004 through 2006, patient safety errors resulted in 238,337 potentially preventable deaths of U.S as per 5th annual Patient Safety in American Hospitals Study. This analysis of 41 million Medicare patient records, found that patients treated at top–performing hospitals were, on average, 43 percent less likely to experience one or more medical errors than patients at the poorest–performing hospitals. The overall medical error rate was about 3 percent for all Medicare patients. Among the other findings were:

  • Patients who experienced a patient safety incident had a 20 percent chance of dying as a result of the incident.
  • Over that time, there were increases in post–operative respiratory failure, pos–operative pulmonary embolism or deep vein thrombosis, post–operative sepsis, and post–operative abdominal wound separation/splitting.
  • The most common types of medical errors were bed sores, failure to rescue, and post–operative respiratory failure. Together, they accounted for 63.4 percent of incidents
    Conference Calendar

Expodent 2012 – Chennai – Focusing New Innovations & Technology in the field of Dentistry – 24 Mar to 25 Mar, Chennai Trade Centre, Chennai, Tamil Nadu.

    Readers Response
  1. Dear Sir, Thanks a lot for giving the information about your workshops. I will attend them all. Regards: Prisha
    Forthcoming Events
Dr K K Aggarwal

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

    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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  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

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  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