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eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 …

16th July 2011, Saturday

Use painkillers with caution in the elderly

Painkillers can cause stroke via irregular heart rhythm. Non selective non–steroidal anti–inflammatory drugs (NSAIDs) and new generation selective COX–2 inhibitors commonly used to treat inflammation are now linked to an increased risk of irregular heart rhythm called atrial fibrillation (AF), as per a Danish Research of 32602 patients led by Professor Henrik Toft Sørensen at Aarhus University Hospital in Denmark.

These drugs are already linked to increased risk of heart attacks and strokes. And now through AF, the risk gets intensified for stroke and new risk added of heart failure and death.

In the study compared with non users, new users (first drug within 60 days of diagnosis) showed 40% increased risk of AF with non–selective NSAIDS and 70% increased risk with COX–2 inhibitors. This means four extra cases of AF per year per 1000 new users of non–selective NSAIDS and seven extra cases of AF per 1000 new users of COX–2 inhibitors.

The risk was highest in the elderly, patients with chronic kidney disease or rheumatoid arthritis especially on COX–2 inhibitors. NSAIDs should be used very cautiously in older patients with a history of hypertension or heart failure.

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

Use painkillers with caution in the elderly

    Photo Feature (from the HCFI Photo Gallery)

National Conference on Insight on
Medico Legal Issues

Dr N K Bhatia was felicitated at the National Conference on Insight on Medico legal issues.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter


Scientists report breakthrough in reducing risk of acquiring HIV infection

New Delhi: A single tablet, taken daily by people who do not have HIV infection, can reduce their risk of acquiring HIV by up to 73%. In a major breakthrough, scientists reported on Wednesday after two studies in three African countries that anti–retroviral pills tenofovir and tenofovir/emtricitabine taken as a prophylactic ....more

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

(Dr Monica and Brahm Vasudev)

FDA Panel endorses novel drug for lymphoma

An FDA advisory panel has voted unanimously to recommend accelerated approval for brentuximab vedotin (Adcetris) to treat Hodgkin lymphoma in patients who have already had a stem cell transplant, and for patients with relapsed or resistant systemic anaplastic large cell lymphoma. Brentuximab vedotin, which Seattle ....more

Untreated HIV patients have new drug option

The recently approved anti–HIV drug rilpivirine (Edurant) is a new option for people starting treatment for the virus, according to investigators on two randomized controlled trials. The drug was noninferior to efavirenz (Sustiva), the preferred option for initial treatment of HIV infection, in suppressing viral replication, the ....more

Coffee and tea drinkers less likely to carry MRSA

People who drink hot tea or coffee are less likely to carry methicillin–resistantStaphylococcus aureus (MRSA) in their noses, researchers found. Drinking either beverage was associated with about a 50% relative reduction in the odds of nasal MRSA carriage, and drinking both was ....more

  Fitness Update

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

Healthy lifestyle lowers the risk of sudden cardiac death in women

A research study that appeared in the June 6 issue of JAMA states that healthy lifestyle lowers the risk of sudden cardiac death in women. Healthy lifestyle includes regular exercise, controlling obesity, healthy diet and no smoking. The authors of this research study state that current mortality due to sudden cardiac death (SCD) in the United States ranges .....more

  Twitter of the Day

@DrKKAggarwal: FDA Beefs Up Transvaginal Mesh Warning: Transvaginal placement of surgical mesh to treat pelvic organ prolapse…http://fb.me/17ruKYe1g

@DeepakChopra: Wow!RT @RudyTanzi: Paradox and contradiction lead to change and the brain thrives on change – the driver of new synapses and nerve cells.

    Spiritual Update

Not getting sleep? Read Vidura Niti

In mythology the best description of the causes and treatment of insomnia comes from Vidura Niti, a dialogue between Vidura and Dhritarashtra. In the text, King Dhritarashtra said: "O Vidura, Sanjaya has come back. He has gone away after rebuking me. Tomorrow he will deliver, in the midst of the c .....more

    An Inspirational Story

(Dr. Anupam Sethi Malhotra)

Faith and belief

There was a tightrope walker, who was so good that he could walk between two 20–storied building on a tight rope with a balancing pole. Thousands of people would watch him perform his breathtaking feat. After he walked across the building he would have his assistant sit on his shoulder and he would proceed to walk across the building. ……more

    Ask a Question

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

Can statins cause hair loss?

Hair loss can occur in 1% of people taking statins. If no other cause of hair loss is found, one can consider stopping the statin for a month and see whether the hair loss is due to statin or not.

    Liver Update

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

Can ondansetron be used for gastroenteritis in children?

A large retrospective study from two pediatric emergency departments showed the use of oral ondansetron to reduce vomiting in children with presumed gastroenteritis. It does not increase the risk of missing other serious alternate causes of vomiting. Alternate diagnoses included appendicitis, intussusception, bacteremia,.……more

  Did You Know

(Dr Uday Kakroo)

If you get into the bottom of a well or a tall chimney and look up, you can see stars, even in the middle of the day.

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Insulin–like growth factor–1 (IGF–1) test

Also known as: Somatomedin C

The insulin–like growth factor–1 (IGF–1) test is an indirect measure of the average amount of growth hormone (GH). Excess GH and IGF–1 can cause abnormal growth of the……more

  Contrary Proverbs

(Mr Vipin Sanghi)

You’re never too old to learn. BUT You can’t teach an old dog new tricks.

    IJCP Special

Dr Good Dr Bad

Situation: An elderly male was found to have gram-negative bacteremia. ……more

Make Sure

Situation: A smoker developed post operative wound infection. ……more

  SMS of the Day

(Ritu Sinha)

You’re alive. Do something. The directive in life, the moral imperative was so uncomplicated. It could be expressed in single words, not complete sentences. It sounded like this: Look. Listen. Choose. Act. Barbara Hall

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    Medicolegal Update

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

Doctor is neither a detective nor a curtain between injured/sick, alleged criminal and police or judiciary

  • The primary and absolutely transparent duty of a doctor/hospital is to provide medical services to the sick and injured, even though the patient may be an alleged criminal, to save his health/limb and life without any discrimination when the medical care is required. For judicial/police investigation, the records becomes medicolegal in nature and the same may be required to testify under oath in the court of law by treating doctor.
  • The doctor should acquire the habit of making a careful note of all the facts observed by him with exact time and date. Doctor should examine the facts which come to his knowledge in his special capacity as a medical man and draw his conclusions logically and correctly after a detailed consideration of the pros and cons of the case, and elaborate in the Court that interpretation, along with the medical grounds on which it is based.
  • Presumption is not proof, and conjecture is not evidence. The Court has no special medical knowledge. It relies on medical witness for an opinion and expects him to assist it with his special knowledge and experience in perusal of truth.
  • Presumption, assumption hypothesis, and mere conclusion on self defined interpretation is not a proof, and conjecture is not evidence.
    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: siinformationde

Answer for Yesterday’s Mind Teaser: Inside information

Correct answers received from: Dr K Raju, Dr Sudipto Samaddar, Dr Deepalichatterjee, Dr Pramod M Kulkarni, Dr Muthumperumal Thirumalpillai, Dr Rashmi Chhibber, Dr neelam Nath, Dr Anil Bairaria,
Dr Shashi Saini, Dr Vijay Kansal.

Answer for 14th July June Mind Teaser: I’ll be there in a minute.
Correct answers received from: Dr Prashant Bharadwaj, Dr SK Bansal, Dr Indu Sharma, Dr Anupam Sethi Malhotra, Dr Prabha Sanghi, Dr Deepali Chatterjee, Dr KV Sarma, Dr Vijay Kansal.

Send your answer to ijcp12@gmail.com

    Medi Finance Update

(Dr. GM Singh)

What are call and put options?

A call gives the holder the right to buy (but not the obligation) an asset at a certain price within a specific period of time. Calls are similar to having a long position on a stock. Buyers of calls hope that the stock will increase substantially before the option expires.

    Laugh a While

(Dr. Anupam Sethi Malhotra)

Emergency Room

I am five feet, three inches tall and pleasingly plump. After I had a minor accident, my mother accompanied me to the emergency room. The ER nurse asked for my height and weight, and I blurted out, "Five–foot–eight, 125 pounds." While the nurse pondered over this information, my mother leaned over to me.

"Sweetheart," she gently chided, "this is not the Internet."

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name


DCI Approval Date

Moxifloxacin HCl BP 0.5% w/v + Bromfenac Sodium 0.09% w/v Eye drop

For the reduction of post operative inflammatory conditions of the eye


    Public Forum

(Press Release for use by the newspapers)

Get your Press release online (English/Hindi/Audio/Video/Photo)

Oranges and lemon good for high BP

Increasing levels of potassium in the diet can lower the risk of developing high blood pressure. It can also decrease the degree of blood pressure in people with hypertension said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India.


    Readers Response
  1. Dear DR K K Aggrawal, Namaskar, What are OTC drugs? Please name these drugs. Is there any statutory body in India which decides that a drug should come under OTC category or are FDA regulations are followed here? What about the promotion of Crocin and Gelusil MPS (an aluminum containing drug) by pharma companies through electronic and print media directly to common people? Dr S K Verma, New Delhi
    Dr KK Aggarwal responds: OTC drugs are available over the counter, so no prescription is required. They can be advertised. Examples are Crocin, antacids, etc as declared by DCI in India.
    Forthcoming Events

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.



Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011
(Screening of films October 14–17, Jury Screening at Jamia Hamdard University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi



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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 Naveen Dang, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Pawan Gupta (drpawangupta2006@yahoo.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta