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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 …

17th July 2011, Sunday

15 ways to reduce or stop drinking

If you are dependent on alcohol, or have other medical or mental health problems you should stop drinking completely. If not, try to cut back on your drinking. Reduction of heavy drinking may be a more acceptable goal for some patients who lack readiness to quit drinking.

The frequency of heavy drinking (more than five drinks per day for men and four for women) has the highest correlation with negative life consequences such as impaired driving, interpersonal problems, and injuries.
You need to cut down if in the past one year you have taken one or more times more than 5 drinks in a day (4 drinks for women). This positive response to a single question "How many times in the past year have you had X or more drinks in a day?", where × is 5 for men and 4 for women, is recommended for use by the National Institute on Alcohol Abuse and Alcoholism. The sensitivity and specificity of this question is 81.8 and 79.3 percent, respectively.

The CAGE questionnaire can also be used to screen alcohol dependence.

  1. Have you ever felt the need to Cut down on drinking?
  2. Have you ever felt Annoyed by criticism of your drinking?
  3. Have you ever had Guilty feelings about your drinking?
  4. Do you ever take a morning Eye opener (a drink first thing in the morning to steady your nerves or get rid of a hangover)?

One positive response to any question suggests need for closer assessment; two positive responses are seen in the majority of patients with alcoholism. Two positive responses has a sensitivity of 77 percent and specificity of 80 percent in patients with alcohol dependence. Over 80 percent of nonalcoholic patients have a negative response to all four questions and virtually none has a positive response to more than two questions.

National Institute on Alcohol Abuse and Alcoholism suggests the following to stop or reduce alcohol:

  1. Put the reason in writing why you want to reduce or stop drinking: Write what you wish to achieve, for example will feel healthier; will sleep better, will improve my relationships.
  2. Write confessions: Learn and practice various confession exercises. This will help you take care of inner guilt which may be the precipitating factors.
  3. Set a drinking limit: Those who are cutting back should set a limit as per your health. Most healthy people should limit to less than 40 ml in one hour, 80 ml in one day and less than 240 ml in a week. Women should take less than half of this amount.
  4. Keep a diary of your drinking. For the first 3–4 weeks, keep track of every drink. Note the situations you are most likely to drink. Give each situation rating out of ten. Try avoiding those situations for the next few weeks.
  5. Don’t keep alcohol within your reach. Remove alcohol from your living place. This can help limit drinking.
  6. Eat your drink. Drinking slowly can help. Sip and do not gulp. Sip soda, water, or juice after each drink. This is called Mindfulness drinking. Be aware of your drinking will cut it down. If your mind is not in drinking you will drink more.
  7. Never drink on an empty stomach.
  8. Keep a weekly one or two spiritual fast. This will allow alcohol–free days. Decide not to drink a day or two each week.
  9. Observe spiritual retreats: Observing spiritual retreats (Navaratri by Hindus, Ramazan by Muslims, Easter by Christians) with no drinking can help. Or try abstaining for a week or a month to see your commitment to not drinking.
  10. Become a tortoise: Learn to withdraw yourself from all stimuli which can force you to drink.
  11. Watch for peer pressure. Learn to say no. Do not drink just because others are, and you shouldn’t feel obligated to accept every drink you’re offered. Stay away from people who encourage you to drink.
  12. Keep busy. Take a walk, play sports, go out to eat, or catch a movie. When you’re at home, pick up a new hobby or revisit an old one. Painting, board games, playing a musical instrument, woodworking — these and other activities are great alternatives to drinking.
  13. Ask for support. Let friends and family members know that you need their support.
  14. Guard against triggers. Stay away from people and places that make you want to drink. In Yoga it is called Pratahyara and means staying away from the external stimuli. Lust cannot be removed by staying in a lustful atmosphere.
  15. Be persistent. Most people who successfully cut down or stop drinking altogether do so only after several attempts.

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Dr KK Aggarwal
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  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

15 ways to reduce or stop drinking

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

National Conference on Insight on Medicolegal Issues

Dr HS Rissam, Member Board of Directors MCI was was felicitated at the National Conference on Insight on Medico legal issues. In the Photo: Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, Hon’ble Mr Justice AK Sikri, Judge Delhi High Court; Hon’ble Justice Vipin Sanghi, Judge Delhi High Court.

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


Over 200 women get breast cancer every month in Patna

PATNA: More than 200 women in the city get affected by breast cancer every month. Spreading like an epidemic, this cancer has affected more than 20,000 women in the city in the last 10 years. Breast Cancer Foundation–India, Bihar and Jharkhand chapter, on Thursday organized a breast cancer awareness programme ....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)

Many parents underestimate kids’ asthma symptoms

Parents of kids with asthma don’t always realize when their children’s treatment is inadequate, a new drugmaker–funded survey suggests. While more than 70% of parents interviewed described their child’s asthma as "mild" or "intermittent," the disease was adequately treated in only 60% of the kids. Based on stricter ....more

ThromboView accurately identifies acute pulmonary emboli

A new radiolabeled thrombus–specific imaging agent can accurately diagnose acute pulmonary emboli (PE), phase II trial results show. The agent, called ThromboView, consists of radiolabeled antibody fragments that ....more

World Trade Center dust exposure led to distal airways dysfunction

Many lower Manhattan residents and workers exposed to dust after the 9/11 attack on the World Trade Center (WTC) show signs of regional distal airways dysfunction, according to New York City researchers. Dr. Stephen M. Friedman, an official with the New York City Department of Health and Mental Hygiene and the ....more

    Fitness Update

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

Is organic food really better for your health?

A 2011 English review, based on the analysis of some 10 studies made over 50 years, cast doubt on the nutritional benefits of organic foods and failed to identify a single advantage to eating food produced organically rather than using conventional farming methods. Dr Denis Lairon, a researcher at Inserm who ....more

    Twitter of the Day

@DrKKAggarwal: #IJMD In recent years, there has been a tremendous expansion in the medical and dental research concerned with… http://fb.me/12ZDaYh8C

@DeepakChopra: The invisible and subtle gives rise to the visible and material. At source I create my world.

    Spiritual Update

Guru Purnima: the time to wish your GURU or Teacher

Every year Guru Purnima is observed in the month of Ashad (July) as a respect to the GURU or teacher. Unfortunately the festival got diluted when 5th September was announced as Teacher’s Day by the government. I personally feel there was no need of another day when Guru Purnima was already obse ....more

    An Inspirational Story

(Ritu Sinha)

The Moth Who Fell in Love with A Star.

There once was a moth that fell in love with a star. All his friends and relatives mocked him, told him he was being unrealistic, and urged him to focus his efforts on some local, possible, attainable goal: a streetlamp, a porchlight, a candle or a lantern. Even a chandelier, if he must. ....more

    Pediatric Update

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

What are the risk factors for fungal infections in children ?

Infants and children

• Immunosuppression
• Use of broad–spectrum antibiotics
• Central venous catheters ……more

  Ask a Question

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

Can Ivermectin – cheap anti-worming drug can reduce malaria transmission?

According to a news report published in American Journal of Medicine and Hygiene, the deworming drug Ivermectin can reduce transmission of malaria parasite. ……more

  Did You Know

(Dr Uday Kakroo)

When a person dies, hearing is the last sense to go. The first sense lost is sight.

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Estradiol is a type of hormone called estrogen.
This test can be used for conditions suspected such as amenorrhea, early puberty or hypogonadism.
The following are possible reasons why this test may be done: ……more

  Contrary Proverbs

(Mr Vipin Sanghi)

What’s good for the goose is good for the gander. BUT One man’s meat is another man’s poison.

    IJCP Special

Dr Good Dr Bad

Situation: A patient of dialysis was on Pomegranate Juice ……more

Make Sure

Situation: A patient developed high altitude cerebral edema while traveling to Leh. ……more

  SMS of the Day

(Ritu Sinha)

The first step to getting the things you want out of life is this: Decide what you want. Ben Stein

    Medicolegal Update

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

Vagueness and theory have no place in legal medicine

When a doctor appears as medical witness in the court of law, he must strive to achieve respect, good medical understanding and most importantly, credibility before the honorable judge as well legal counsel of both sides. He must give the appearance of being an independent medical witness of truth based on medical science with neutrality, impartiality and authentic characteristics. Paul CH Brouardel, a French medico legalist advised physicians: "If the law has made you a witness, remain a man of science; you have no victim to avenge, no guilty person to convict, and no innocent person to save. You must bear testimony within the limits of science."

  • The attitude of a medical/clinician/scientific witness should be the same whether he is called by the defense or prosecution. The doctor really testifies neither for nor against the prosecution or the defense. The doctor’s expertise is in the application of science to a legal controversy and the proper interpretation of scientific findings.
  • A doctor’s sole obligation is to present the truth as he sees it, adding nothing, withholding nothing and distorting nothing meaning thereby revealing the whole truth.
  • He should not concern himself with the past character of the accused or with other evidence in the case. He should not be influenced in any way by emotional consideration, such as sympathy or antipathy. The doctor must be honest, honesty gives the confidence with enlightened conscience and the success in the court of law depends upon your confidence.
  • Honest perusal of medical science, confidence and medical ethics are tripods of this noble medical professional.
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    Mind Teaser

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Yesterday’s Mind Teaser: I/8

Answer for Yesterday’s Mind Teaser: I over–ate

Correct answers received from: Dr Chandresh Jardosh, Dr Anil Bairaria, Dr Anupam, Dr Aarushi,
Dr Ratan, Dr Manju, Dr K Raju, Dr KV Sarma.

Answer for 14th July June Mind Teaser: Inside information.
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Send your answer to ijcp12@gmail.com

    Medi Finance Update

(Dr GM Singh)

To bring to your notice our Income Tax Act, 1961 also considers humane side of our life and also gives deduction for contributions made for financing our country’s infrastructure development. So, in case if you pay your medical insurance premium, incur expenditure on the medical treatment of a "dependant" handicapped, donate to specified funds for specified causes, contribute in monetary form to political parties or electoral trusts, take a loan for pursuing higher education or if you are an individual suffering from "specified" diseases, then all this too can help you effectively plan your tax obligations, thus optimally reducing your tax liability. Moreover, take into account the urge to buy your dream home by taking a loan, the Act also extends tax saving benefits to you.

    Laugh a While

(Sudesh Nirwan)

Why are wives more dangerous than the Mafia?

The mafia wants either ur money or life… The wives want both!

    Drug Update

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

Drug Name
DCI Approval Date
Ferrous Ascorbate 100mg + Folic Acid IP 1.5mg + Cyanocobalamin IP 15mcg + Zinc Sulphate Monohydrate Eq. to Elemental Zinc 22.5mg Tablet
For the treatment of iron deficiency anaemia
    Public Forum

(Press Release for use by the newspapers)

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

Take aspirin at bedtime

A daily aspirin can control pre hypertension, but only if it is taken at bedtime.

Quoting a Spanish study presented at American Society of Hypertension annual meeting, held at New Orleans Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India said that an aspirin taken every morning does not lower the blood pressure of pre hypertensive people.


    Readers Responses
  1. What should a doctor do in case the treatment goes on for more than three years such as that in chronic diseases (CHD, hypertension, diabetes, arthritis, psychiatric disorders, asthma etc). Destroy a part of record and keep record of only last three years! What is the guideline in such cases? Should not the record be kept as long as the patient is under treatment or three years after cessation of treatment which ever is later? Suman Sinha.

    eMedinewS Responds: Your legal duty is to keep the records for 3 years. The loop hole is the definition of commencement of treatment.
    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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