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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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  Editorial …

16th December 2011, Friday

Avoid these foods for a healthier heart

  • Processed meats: Eat none or less than 2 servings ( 2–3 ounces) per week. Processed meats are those preserved using salts, nitrites, or other preservatives. They include hot dogs, bacon, sausage, salami, and other deli meats, including deli ham, turkey, bologna, and chicken. Long–term observational studies have found that the worst types of meats for the heart are those that are processed.
  • Highly refined and processed grains and carbohydrates: Eat none or at most 7 servings (one ounce) per week. Studies have linked whole grain intake — in place of starches (like potatoes) and refined carbohydrates (like white bread, white rice, and low–fiber breakfast cereals) — to a lower risk of heart disease, diabetes, and possibly stroke. Whole grains are also linked to lower weight gain over time. Whole grains lower blood pressure and cholesterol, and may improve blood vessel function and reduce hunger.

    Refined or processed foods include white bread, white rice, low–fiber breakfast cereals, sweets and sugars, and other refined or processed carbohydrates.
    High levels of processing remove many of the most healthful components in whole grains, such as dietary fiber, minerals, phytochemicals, and fatty acids. High levels of processing destroy the food’s natural structure. For example, eating a food made of finely milled oats (e.g., Cheerios) or grains (e.g., typically finely milled whole–grain bread) produces much higher spikes in blood sugar than less–processed versions such as steel–cut oats or stone–ground bread.

    Processing often adds many ingredients that are less healthy, particularly trans fats, sodium, and sugars. Fourth, some research shows that fructose is metabolized differently than other sugars, in a way that increases the liver’s production of new fat. Fructose represents about half of the sugar in sweeteners like high–fructose corn syrup or sucrose (found in cane sugar and beet sugar). That’s not to suggest that you never eat a slice of pie or white bread — just make them an occasional treat rather than a regular part of your diet.
  • Soft drinks and other sugary drinks: Drink none at most seven 8–ounce servings per week (one 8–ounce serving per day). The examples are sodas, sweetened fruit drinks, and sports drinks. A 12–ounce can of soda contains the equivalent of 10 teaspoons of table sugar. Diet sodas are sugar–free or low in calories, but have no nutrients.

    Sugary drinks have all the same ill effects on the heart as highly refined and processed carbohydrates. The body does not compute the calories you ingest in liquid form in the same way as it does the calories you take in from solid foods. So if you add a soda to your meal, you are likely to eat about the same amount of calories from the rest of your food as if you drank water instead. The soda calories are just "added on." In addition to the other harms of highly refined and processed carbohydrates, sugary drinks also increase your chances of weight gain. (Source Harvard HEALTHbeat)

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

Dr J C Mohan on Hgic infacts on echo

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011
Medico Masti – An Inter College Health Festival at Perfect Health Mela

Infotainment is a new concept of creating health education where education is inter linked with entertainment.

Dr K K Aggarwal
    National News

150 of AMRI saviours face serious health problems

Much in the manner of cholera following floods, slum–dwellers who had risked their lives to save people trapped in the fire–ravaged AMRI Hospital on Friday early morning are in danger of contracting serious diseases such as pneumonia. A team of 11 doctors checked about 350 residents of the slum at a camp on December 10 and 11, and around 150 were found to be severe cases. "The rescuers spent hours inside the building without gas masks, and this exposed them to serious ailments. Many still stayed inside and carried on with their mission. Carbon monoxide fumes and carbon dust accumulated in their lungs, stomach and blood," said Mridul Sarkar, a medical officer practising at the Park Clinic Hospital in south Kolkata. "We found their lungs blocked, and the oxygen content in their blood low. There is a strong possibility that in this weather their weak lungs would easily contract pneumonia," Sarkar added. The doctors highlighted the case of Samar Mondal, 33, who has a severe headache, respiratory problems and body ache. He has been diagnosed with chemical gastroenteritis and chemical pneumonitis.

Dinesh Mohanto, 32, has developed symptoms similar to Mondal, in addition to vomiting. (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

PCI with no surgeon on standby appears safe

Percutaneous coronary intervention (PCI) without surgical backup did not increase the risk of in–hospital mortality or need for emergency bypass surgery, according to a systematic review of published literature. (Source: Medpage Today)

For comments and archives

Brain atrophy tied to cognition loss in Parkinson’s

Brain atrophy in Parkinson’s disease correlates with cognitive decline, which worsens with the degree of tissue shrinkage, investigators reported. (Source: Medpage Today)

For comments and archives

FDA panel recommends approval of inhaled antipsychotic

A US Food and Drug Administration (FDA) Psychopharmacologic Drugs Advisory Committee (PDAC) has recommended approval of inhaled loxapine (Adasuve, Alexza Pharmaceuticals), as the first inhaled antipsychotic for agitation associated with schizophrenia and bipolar disorder (BD). The handheld, single–dose inhaler enables rapid drug delivery with greater comfort and convenience for patients who typically must be physically restrained and treated by injection. (Source: Medscape Medical News)

For comments and archives

   Cardiology eMedinewS

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

Cardiologist Arrested For Negligence

Read More

Exercise test in prognostication of heart failure

Read More

AHA Update 2011

Read More

Avoid this food for a healthier heart

Read More

Higher CHADS2 score linked with increased stroke as well as bleeding risk in AF patients

Read More

   Twitter of the Day

@DrKKAggarwal: I uploaded a @YouTube video http://youtu.be/yM–meZDtxLU?aPadma Shri Awardee Dr KK Aggarwal on Women above 65 to take

@DeepakChopra: #CosmicConsciousness Our life is a time line of choices.

    Spiritual Update

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

Persistence (Dridhta, dhuna, hatta, jidda)

In the business world, one of the key principles is the Principle of Persistence, which teaches us to persist with the marketing efforts until one clinches a deal or loses the order. This attitude works on the belief that there is nothing like a ‘NO’ in marketing. "NO" is to be dealt as a temporary state of affairs and refers to a particular moment of time only. It does not mean a "No" forever.

For comments and archives

   An Inspirational Story

(Ms Ritu Sinha)

The Lesson of the Homeless

It was a cold winter’s day that Sunday. The parking lot to the church was filling up quickly. I noticed as I got out of my car fellow church members were whispering among themselves as they walked in the church.

As I got closer I saw a man leaned up against the wall outside the church. He was almost lying down as if he was asleep. He had on a long trench coat that was almost in shreds and a hat topped his head, pulled down so you could not see his face. He wore shoes that looked 30 years old, too small for his feet, with holes all over them, his toes stuck out.

I assumed this man was homeless, and asleep, so I walked on by through the doors of the church. We all fellowshipped for a few minutes, and someone brought up the man lying outside. People snickered and gossiped but no one bothered to ask him to come in, including me.
A few moments later church began. We all waited for the Preacher to take his place and to give us the Word, when the doors to the church opened.

In came the homeless man walking down the aisle with his head down. People gasped and whispered and made faces. He made his way down the aisle and up onto the pulpit where he took off his hat and coat. My heart sank.

There stood our preacher…he was the "homeless man." No one said a word. The preacher took his Bible and laid it on his stand.

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)

Near vision testing

The most effective measures for detecting significant age–related eye problems are history, visual acuity testing and funduscopy. The specific visual history should include a family history of eye disease and the presence of current visual symptoms.

    Medicine Update

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

What is the recommendation for post exposure prophylaxis for contacts following needle prick from a known HBsAg negative case?

For a patient who is exposed to a known HBsAg–negative source

  • Administer Hepatitis B vaccine series, if unvaccinated
  • No treatment otherwise needed

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with diabetes wanted to know if he could do aerobic exercise.
Dr. Bad: You cannot do it.
Dr. Good: You can do it.
Lesson: People with type 2 diabetes should get 150 minutes of aerobics exercise every week.

For comments and archives

Make Sure

Situation: A patient on binasal oxygen developed nasal mucosal damage.
Reaction: Oh my God! Why was the oxygen given at 4 liter per minute?
Lesson: Make sure that oxygen via nasal catheter, is not given at a rate of more than 3 liter per minute.

For comments and archives

  Quote of the Day

(Dr GM Singh)

A person is never happy except at the price of some ignorance. Anatole France

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Hypophosphatemia can be seen in a variety of biochemical derangements, including acute alcohol intoxication, sepsis, hypokalemia, malabsorption syndromes, hyperinsulinism, hyperparathyroidism, and as result of drugs, e.g., acetazolamide, aluminum–containing antacids, anesthetic agents, anticonvulsants, and estrogens (incl. oral contraceptives). Citrates, mannitol, oxalate, tartrate, and phenothiazines may produce spuriously low phosphorous by interference with the assay.

    Mind Teaser

Read this…………………

A young man develops acute hepatitis B. Four months after his presentation he asks for a test that would predict the likelihood of developing long term disease. Which agent would be most helpful in estimating the likelihood of developing chronic active hepatitis in this patient?

a. Hepatitis B immune globulin (HBIG)
b. Hepatitis B virus DNA
c. Hepatitis B e antigen
d. Hepatitis B surface antigen

Yesterday’s Mind Teaser: Body tremor when standing or walking is the clinical sign most commonly associated with

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

Answer for yesterday’s Mind Teaser: d. Titubation

Correct answers received from: Dr Prabha Sanghi, Dr Rakesh Bhasin, yogindra vasavada, Dr Neeraj Sharma, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Sukla Das, Dr PC Das, Raju Kuppusamy, Anil Bairaria, Rakesh Bhasin.

Answer for 14th December Mind Teaser: Ice cube
Correct answers received from: Dr Chandresh Jardosh, Dr Sukla Das, Dr PC Das, Raju Kuppusamy, Anil Bairaria, Rakesh Bhasin.

Send your answer to ijcp12@gmail.com

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emedinews revisiting 2011
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    Laugh a While

(Dr GM Singh)

Signing Checks

Mr. Schwartz was the oldest of 7 children, so he had to quit school and work to help support his younger brothers and sisters. He never learned to read, so when he married and started a checking account, he signed his checks simply "XX". Eventually he started his own business, which immediately prospered. He soon was a very rich man. One day, he got a call from his bank. "Mr. Schwartz," said the banker, "I need to ask you about this check. We weren’t sure you had really signed it. All these years you’ve been signing your checks ‘XX’, but we just got one that was signed with three XXX’s…"

Mr. Schwartz answered, "No problem, my friend. It’s just that since I’ve become so wealthy, my wife thought I ought to have a middle name."

    Medicolegal Update

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

Taking someone else’s medicine is also a kind of misuse

  • People who take someone else’s medicine may be harmed if they take the wrong dose or take a medicine that is not meant for treating their condition.
  • Women who take medicine to try to end a pregnancy are misusing the medicine, and may poison themselves.
  • Poisoning accidents can occur when safety warnings are ignored and chemicals are used in the wrong way. For example, there is usually a warning on a bleach container that bleach should not be mixed with any other cleaner. If people ignore the warning and use bleach with another household cleaner, they may be poisoned by the gases emitted.
  • Another example of misuse of a product is when insecticides that are meant to be used on plants or buildings are used to kill insects living on people, in their hair or on their bodies.
  • Sometimes people poison themselves by misusing medicines. They may take more than the doctor prescribed because they think, wrongly, that a larger dose will make them better more quickly.
  • Taking someone else's medicine is also a kind of misuse.

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)

Heart rate of >80 per minute predisposes one for obesity and diabetes?

A high pulse rate in early adulthood is a warning sign for increased risk of cardiovascular problems decades later on, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

A study published in the American Journal of Hypertension showed that a resting heart rate greater than 80 beats a minute during first examination predicts the development of future obesity and diabetes.

A fast heart rate is a signal from the sympathetic nervous system, a part of the autonomic nervous system, which is the body’s automatic pilot that governs instinctive responses. If someone has a consistently fast heart rate, it is because of increased input from the sympathetic part of the nervous system because the body is preparing to respond to stress and indicated a chronic stress process.

There is an increase in levels of blood glucose – essentially because the body is storing energy to prepare for fight or flight, so that predisposes to diabetes.

For comments and archives

    Readers Responses
  1. Thanks very much for updating my knowledge a little everyday, do enjoy reading it. Great work. Dr Girija.
    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

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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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  Dil Ki Batein

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    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