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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 November 2011, Wednesday

FDA Safety Communication on Fenofibrate

The US FDA has issued a safety communication on cholesterol–lowering agent fenofibric acid, stating that the drug may not lower the risk of major cardiovascular events based on ACCORD Lipid trial, in which the combination of fenofibrate plus simvastatin was compared with simvastatin alone in patients with type 2 diabetes mellitus.

There was no significant difference in the risk of experiencing a major adverse cardiac event between the fenofibrate/simvastatin group and the simvastatin–alone group in the trial.

A subgroup analysis showed that relative to treatment in men, there was an increase in the risk for major adverse cardiac events in women receiving the combination therapy vs simvastatin alone.

FDA advisory panel meeting earlier this year also recommended that a new trial was needed of fenofibrate in diabetic patients who have met their LDL–cholesterol goal on a statin but still have high triglycerides and low HDL cholesterol.

Fenofibrate was approved in 2008 to be used with a statin to reduce triglycerides and increase HDL cholesterol in diabetic patients with mixed dyslipidemia and coronary disease.

At 5 years of follow–up in ACCORD, the composite of fatal cardiovascular events, nonfatal MI, and nonfatal stroke was around 11% in both patients randomized to simvastatin plus fenofibrate and patients randomized to simvastatin plus placebo.

However, there was a strong trend toward fewer cardiac events in patients with high triglycerides and low HDL cholesterol treated with fenofibrate.

(Source: Medscape, Medpage, FDA)

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

FDA Safety Communication on Fenofibrate

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011– Anmol – A Health Festival for Children with Special Needs

Special event for the Children with Special Needs was orgnised in the premises of Balwant Rai Mehta School. Children took active participation in the posater making competition

Dr K K Aggarwal
    National News

Workshop on Antimicrobial Resistance

Dr Abhay Chaudhry, Director, Haffkines Institute, Mumbai with support from Microbiology societies of USA and EU organized an excellent three day workshop on Antimicrobial Resistance between 11 and 13th Nov 2011. To honour the memory of one of India’s best and most loved microbiologist, the exhibition complex was named Dr KB Sharma Pavilion.

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

CT colonography improves participation in cancer screening

Participation in colorectal cancer screening is significantly improved with computed tomographic (CT) colonography compared with traditional colonoscopy and has a similar diagnostic yield for advanced neoplasia, according to a study published online November 15 in The Lancet Oncology. (Source: Medscape Medical News)

For comments and archives

Recurrent PID linked to infertility, chronic pelvic pain

Recurrent pelvic inflammatory disease (PID) is associated with an increased risk for infertility and chronic pelvic pain (CPP), according to a study published in the September issue of Sexually Transmitted Diseases. (Source: Medscape Medical News)

For comments and archives

AHA: Primary care scores victory in obesity war

A brief, but intense, primary care-based weight loss intervention that included meal replacements or prescription diet drugs helped about a third of obese adults lose at least 5% of their baseline weight and maintain that loss for two years, researchers reported (American Heart Association meeting). (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on Winter Asthma Alert in Hindi http://www.youtube.com/watch?v=TxTCkT0AVOc&feature=share via @youtube

@DeepakChopra: #CosmicConsciousness At all times remember your cosmic identity a luminous stardust self aware being.

    Spiritual Update

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

Why Get Married at All: Hierarchy of Needs

Deepak Chopra, in his book the Soul of leadership classifies the Hierarchy of Needs under seven levels and said that every hierarchy of needs is linked to hierarchy of behaviors.

For comments and archives

    An Inspirational Story

(Dr Anupam Sethi Malhotra)

Self Motivation

My profession is running a dance school for the past 17 years. In doing so, I have learned many things about children; one being that self motivation is really not an inherited character. It is a learned behavior.

In the corporate world that we live in now where it’s a race to keep up, some of our children are losing their battle before it ever begins. At times, I feel like my job requires more than just a dance instructor. I encounter children who cannot even fathom the thought of self motivation.

Why? Because their parents are probably too busy in their own corporate climb up the ladder that they’ve forgotten to notice their own offspring. They’ve forgotten that it’s just as necessary to teach their own children how to be successful and to succeed –– how to be creative and to create.

In my own effort to be successful at what I do, there is one point I push every day that I walk into my studio: "You only get what you give". It may not look like much right off the bat, but if you look at the words really careful and read between the lines, it really says a lot. I have one other quote that I use in teaching expression: "You are like a paint brush on canvas. You "the dancer" are the paint brush and your canvas is the stage."

For comments and archives

    Cardiology eMedinewS

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


Myocardial Viability – Is Multimodality Imaging the Answer?

For comments and archives

CSI Abstracts

Stress Alleviating Intervention improves hypertension in Haitian population affected by the earthquake.

For comments and archives

CSI News

TCT Update: Radial route now practical

For comments and archives

AHA update: Rivaroxaban Saves Lives in Secondary Prevention

For comments and archives

Facts and figures in cardiology

CAD is rampant in Indians and that its prevalence is several folds higher than in industrialized nations.

    Fitness Update

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

Simple 5–step guide to form your habit

Make an Appointment

Every day or every other day make an appointment with yourself, preferably at the same time. This is time for you to exercise, it goes in the diary and nothing gets in its way. You could schedule your appointment first thing in the morning (my favorite because then it’s done for the day), during lunchtime, or straight after work. Whatever you choose, add it to your diary and never double book, this is a special time for you and your habit forming workout.

For comments and archives

    Healthy Driving

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

Driving and Drinking

Always count the hours and plan ahead.

For comments and archives

    Medicine Update

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

What are the features of chronic liver disease in children?


  • History of GI bleed/arthritis/ascites
  • Past history of jaundice/abdominal lump/failure to thrive
  • History of consanguinity
  • Family history of liver disease/death due to liver disease

For comments and archives

  Legal Question of the Day

(Dr M C Gupta)

Is the term "emasculation" in the context of section 320, IPC, male–specific? Can a female be emasculated?

  1. Emasculation is defined in P Ramanatha Aiyar’s "Law Lexicon" (published by Wadhwa & Co.) as—"The action of depriving of virility".
  2. As per the Merriam– Webster Dictionary, virility is defined as—" the quality or state of being virile/manhood/manly vigour/masculinity".
  3. As per http://www.thefreedictionary.com/emasculation the term "emasculate" means "1. To castrate. 2. To deprive of strength or vigour; weaken."
  4. It is thus clear that the term "emasculation" as used in section 320, IPC, is gender–specific and is not applicable to females.

For comments and archives

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emedinews revisiting 2011
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  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Liver function tests (LFTs)

  • To screen for, detect, evaluate, and monitor for liver inflammation and damage
  • Periodically to evaluate liver function; whenever you are at risk for liver injury; when you have a liver disease; when you have symptoms such as jaundice.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient, diagnosed as a case of Falciparum malaria came for prescription.
Dr Bad: Take quinine plus tetracycline.
Dr Good: Take artesunate.
Lesson: Artesunate (to be given in combination) is preferred over quinine plus tetracycline in patients with uncomplicated falciparum malaria as it is more effective, better tolerated and more cost effective.

For comments and archives

Make Sure

Situation: A 20–year–old college student complained of dysuria, frequency and pyuria.
Reaction: Oh my God! Why did you not advise macrolide?
Lesson: Make sure to remember that macrolide are very effective against E. coli, S. saprophyticus and C. trachomatis infection.

For comments and archives

  Quote of the Day

(Dr GM Singh)

I always knew I would look back on my tears and laugh, but I never knew I would look back at my laughter and cry.

    Mind Teaser

Read this…………………

Which is not a paraneoplastic syndrome for hepatocellular carcinoma?

a) Hypercalcemia
b) Hypoglycemia
c) Erythrocytosis
d) Hyperglycemia

Yesterday’s Mind Teaser: Which of the following has the weakest association with hepatocellular carcinoma (HCC)?

a) Hepatitis B
b) Hepatitis C
c) Oral contraceptives
d) Smoking

Answer for yesterday’s Mind Teaser: c) Oral contraceptives

Correct answers received from: Dr AK Kela, Dr Sukla Das, Dr Thakor HItendrasinh G, Dr PC Das,
Dr Ragavan Moudgalya, Dr Fakhruddin Johar, Dr Chandresh Jardosh, Shikha Jain, Muthumperumal Thirumalpillai, Raju Kuppusamy, yogindra vasavada, Dr Jainendra Upadhyay, Dr Ashok Tiwari, Dr Neelam Nath, Dr Sukanta Sen.

Answer for 14th November Mind Teaser: b) Hepatic vein
Correct answers received from: Dr Mohit Sharma, Dinesh Yadav, Dr Amol Hartalkar, Dr BB Aggarwal, Dr Alexander Daniel, Dr Abhijit R C, yogindra vasavada.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Mutual Attraction

In the middle of an argument a man said to his wife, "I don’t know how you can be so stupid and so beautiful all at the same time!" The wife responded calmly, "Allow me to explain…the good Lord made me beautiful so you would be attracted to me; and he made me stupid so I would be attracted to you!"

    Medicolegal Update

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

Most notorious and famous murder case in British history

  • Dr. Hawley Crippen was hanged in London in one of the most notorious and famous murder cases in British history for murdering his wife Cora Crippen in 1910 on the basis of forensic evidence.
  • Now forensic science at Michigan State University is producing evidence that his execution was a mistake.

David Foran, a forensic expert and director of MSU’s forensic science program, partnering with clinical and forensic toxicologist John Harris Trestrail the managing director of the regional poison center in Grand Rapids, is combining state–of–the–art DNA analysis with solid sleuthing to show the remains buried in Crippen’s basement couldn’t have been his wife. For nearly a century, Crippen, a doctor, was thought to have poisoned his wife with an obscure toxin, and buried. Crippen was labeled "one of the most dangerous and remarkable men who have lived in this century."Michigan’sForan’s laboratory has devised methods to extract and isolate mitochondrial DNA.Foran’s laboratory specializes in ancient and forensic DNA evidence, often working with human remains that are thousands of years old. The nearly 100–year–old microscope slide, sent to Michigan State from the Royal London Hospital Archives and Museum, is the same one the pathologist Bernard Spilsbury used to help hang Crippen in 1910. At that time forensic medicine/pathology was more primitive; Spilsbury’s testimony, identifying what he claimed was an abdominal scar consistent with Cora’s medical history, convinced the jury that these were Cora’s remains.

  • Crippen went to the gallows insisting he was innocent.
  • The present–day challenge: getting past the pine sap that sealed the slide and the formaldehyde used to preserve the tissue in order to examine the mitochondrial DNA that could identify Cora Crippen based on the genetic history of her maternal relatives.
  • Mitochondrial DNA is the genetic blueprint that is passed down in the egg from mother to daughter. Unlike regular DNA, which comes from the cell’s nucleus,
  • Foran explained that mitochondrial DNA remains more stable in aged tissue and is easier to retrieve. Also, mitochondrial DNA remains relatively undiluted through generations, offering a reliable familial match.
  • Crippen was not convicted just of murder – but the murder of Cora Crippen,Body was not of Cora proving after 100 years?
  • Foran’s laboratory has devised methods to extract and isolate mitochondrial DNA. Unable to break through the sap seal, he chipped away at the slide’s glass cover slip to get at the tissue sample. One of his graduate students recently studied ways to work around formaldehyde fixation to isolate DNA.
  • The goal: compare the mitochondrial DNA in the slide that convicted Crippen with Wills’ assignment – finding a maternal relative of Cora Crippen.

If Hawley Crippen indeed killed his wife and buried some of her remains in the cellar, those remains would share specific DNA characteristics with Cora Crippen’s current day relatives. To paraphrase the famed attorney in the O.J. Simpson murder trial, Johnnie Cochran, if the DNA doesn’t fit, you can’t convict. Wills spent some seven years pouring through genealogical records and taking on the somewhat nontraditional task of finding living female relatives of Cora Crippen’s mother. Usually, in genealogy, you work backwards, but in this case, we went forward," she said. As she traced through the family line, she found elderly relatives who remembered talk of a family scandal, one where a woman had been murdered by her husband in London. She ultimately located three grandnieces. "We took a lot of precautions when doing this testing," Foran said. "We just didn’t stop. We went back and started from scratch and tested it again. The DNA in the sample is different from the known relatives of Cora Crippen." "Crippen was not convicted just of murder – but the murder of Cora Crippen," Trestrail said that body is not of Cora?

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)

Near fatal asthma is preventable

Assessing patient risk for fatal asthma exacerbation is important because many, if not most, asthma–related deaths are preventable if risk factors are recognized and addressed early, said Padma Shri & Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President, Heart Care Foundation of India…

Major risk factors

  1. Recent history of poorly–controlled asthma (increases in dyspnea and wheezing, frequency of night time awakenings, use of asthma inhalers and increased day night variability in peak expiratory flow rate)
  2. Prior history of near–fatal asthma requiring ventilator or ICU admission

Minor risk factors

  1. Pet–related allergens
  2. Aspirin–induced asthma
  3. Exercise–induced asthma
  4. Cocaine and heroin induced asthma
  5. Asthma linked to menstruation
  6. Respiratory viruses–related asthma.
  7. Current smokes
  8. Long duration of asthma
  9. Systemic steroid dependence
  10. Non–adherence to therapy
  11. Poor asthma control
  12. Psychosocial problems and less adaptive personality
  13. Delay in obtaining medical care
  14. Older age
  15. Allergy history in the family

For comments and archives

    Readers Responses
  1. Dear Sir, I like your emedinews very much. It is full of information and covers every section. Regards Dr Naveen.
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

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

    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)

Activities eBooks


  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