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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


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 …

17th August 2011, Wednesday

Indian spices may be a cure for metabolic syndrome

Adding a combination of various spices, turmeric (haldi), cinnamon (dal chini), rosemary (rusmari), oregano (Ajwain), garlic powder (lassan), and paprika (Deghi Mirch) to a plain meal significantly reduced postprandial insulin and triglyceride levels (P<0.05), according to a study published online Aug. 1 in the Journal of Nutrition. Compared with the plain meal, insulin levels were reduced 21% and triglyceride levels fell 31% after the spicy meal (P<0.05). These effects may be due to high concentration of phenolic antioxidants in spices. Source: MedPage today

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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

Indian spices may be a cure for metabolic syndrome

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

National Conference on
Insight on Medico Legal Issues

Invited Speakers and Chairperson on the dias in the recently concluded 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


2 more dengue deaths in Orissa, toll up to 14

Two more dengue deaths were reported in the state today — at S C B Medical College and Hospital in Cuttack and Kalinga Hospital in Bhubaneswar — taking the toll to 14 so far. According to officials of the health department, 195 of the 541 blood samples sent so far have tested positive for the disease. Though the fever was earlier confined to Angul, Dhenkanal and Sundargarh, it has now spread to 16 districts, including Balasore, Khurda, Cuttack and Kalahandi. The industrial district of Angul has been the worst affected, with 131 cases reported so far. A three–member team visited Angul district to take stock of the situation. (Source: Indian Express, Aug 16 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

(Dr Monica and Brahm Vasudev)

WHO declares end to global swine flu pandemic

"The World Health Organization is declaring an end to the global swine flu pandemic," the Associated Press/Seattle Times reports. WHO Director–General Margaret Chan "said Wednesday the pandemic is considered over by WHO’s emergency committee due to global factors and reports from several nations" and because "the new H1N1 virus has largely run its course," according to the news agency. Chan "said she agrees with the committee but ‘this does not mean that the H1N1 virus has gone away,’ "the AP states. "Chan said she expects swine flu to now act like a seasonal flu virus and continue to circulate for some years to come," according to the article (8/10).

(Source: http://www.news–medical.net/news/20110812/WHO–declares–end–to–global–swine–flu–pandemic.aspx, August 12, 2011)

For comments and archives

PCI for blocked arteries of lasting benefit in diabetes

Long–term outcomes for patients with diabetes were significantly improved following successful percutaneous coronary intervention (PCI) for chronic total occlusions, researchers found. Through a median of three years of follow–up, the mortality rate following a successful procedure was significantly lower than an unsuccessful one (10.4% versus 13%, P<0.05), according to Roxana Mehran, MD, of the Cardiovascular Research Foundation in New York City, and colleagues. There was also a substantial reduction in the need for CABG during follow–up after a successful PCI (2.4% versus 15.7%, P<0.01), the researchers reported online in the American Journal of Cardiology. (Source: Medpage Today)

For comments and archives

    Fitness Update

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

Exercise improves kidney function

Some previous research suggests that physical activity can protect against kidney failure, so researchers from the University of Pittsburgh conducted a study to learn more about whether exercise and total movement impacts kidney function. This study, published in the journal Medicine & Science in Sports & Exercise, is the first to assess kidney function using accelerometer data, a more objective measure of physical activity.

The study included 2,117 people over the age of 18 who were subjects in the NHANES study. Each subject wore an accelerometer for four days, completed a physical activity questionnaire, and underwent a physical exam. During the exam, glomerular filtration rate (GFR) was measured; GER is a measure of the kidney’s ability to clear plasma of nitrogenous wastes over time and is considered the best way to assess kidney function. Overall, researchers found that increased physical activity was significantly associated with better kidney function in women and in men without diabetes.

Authors suggest that increased physical activity may slow the progression of CKD by reducing oxidative stress and inflammation, reducing blood pressure and contributing to weight loss, however more studies are needed to learn how exercise affects kidney function.

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    Twitter of the Day

@DrKKAggarwal: #IJMD The management of patients with traumatic injuries to their dentition is an integral part of general dental… fb.me/ZgrLfk69

@DeepakChopra: #vmdhealthblog Do you know why high–fructose corn syrup is actually not healthy? I explain it in my article: bitly.com/Dpak_Corn

    Dr KK Answers

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

#AskDrKK: What is post prandial hyperglycemia?

#DrKKAnswers: Post prandial state is a contributing factor to the development of atherosclerosis. It is a direct and independent risk factor for cardiovascular disease. The mechanisms through which acute hyperglycemia exerts its effects may be identified in the production of free radicals. Correcting the postprandial hyperglycemia may form part of the strategy for the prevention and management of CVDs in diabetes.

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    Spiritual Update

By thinking differently you can change your destiny

Any thought which arises in the mind is processed by intellect and ego then converted into action; action leads to memory and memory leads to desire and desire leads to action again. Repeated actions make the habits and habits to resultant personality. This trio of action, memory and desire is responsible for the sentence "You are what you think".

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    An Inspirational Story

(Ms Ritu Sinha)

Positive differences in the kids in your life

How much love they receive: This is the most important of all three because children need lots of love, support and encouragement in order to become all they are meant to be.

We all want our children to know we love them. We say it before they go to school and at bedtime. We run them around to all their activities. We provide for their needs. Sometimes though, we get so busy that we forget the best way to let children know we love them is to SHOW them. Give kids plenty of hugs and kind words, and spend quality, one–on–one time with them. Even when discipline is required, don’t withhold love, and children should never be attacked verbally or physically in a moment of anger. Teach the lesson, then give the child a big hug and remind them that the only reason you discipline them is because you love them and want them to grow up to be happy, responsible adults.

For comments and archives

    Gastro Update

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

What are the prevention strategies for cystic fibrosis liver disease?

The potential approaches to preventing cystic fibrosis liver disease include:

  • Optimizing nutritional status
  • Avoiding hepatotoxic medicines
  • Immunization against hepatitis A and B to protect the individual from additional hepatic insults

Although no therapy has been shown to alter the course of progression to cirrhosis in CF, there is evidence that treatment with ursodeoxycholic acid (UDCA) improves serum liver biochemistries, hepatobiliary symptoms, and histology in these patients; it is generally well–tolerated. Potential mechanisms for these observed benefits include improvement in bile flow, displacement of toxic bile acids, cytoprotection, or stimulation of biliary bicarbonate secretion. Despite the lack of conclusive evidence that UDCA alters the course and outcome of CF liver disease, the CF Foundation Hepatobiliary Disease Consensus Group concluded that it is prudent for all CF patients with cholestasis–fibrosis–cirrhosis to receive UDCA therapy

For comments and archives

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Increased: Renal failure, pre–renal azotemia, shock, volume depletion, postrenal (obstruction), GI bleeding, stress, drugs (aminoglycosides, vancomycin etc).

Decreased: Starvation, liver failure, pregnancy, infancy, nephrotic syndrome, overhydration.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure came for cardiac evaluation.
Dr. Bad: Go for Echo test.
Dr. Good: Go for Tissue Doppler Echo test.
Lesson: A patient with heart failure must go for Tissue Doppler Echo Test for evaluation of diastolic function.

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Make Sure

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

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  Quote of the Day

(Dr GM Singh)

Sensex has fallen, so may Gold & Real Estate. It is better to invest in relations and friendship–these investments will keep on multiplying.


(Ms Ritu Sinha)

Drink like a fish: To drink very heavily.

    Medicolegal Update

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

Insect, spider and scorpion stings and bites

The world's most venomous and poisonous insects are fire ants and the harvester ants

Insect venoms are comprised of amino acid peptides and proteins. Venoms may also contain allergenic proteins, which can trigger a potentially lethal immune response in sensitive individuals Biting and stinging are separate actions in ants. Some ants bite and do not sting. Some bite and spray venom on the bitten area. Some bite and inject formic acid with a stinger. Harvester and fireants bite and sting in a two–part process. The ants will grab hold with their mandibles, and then pivot around, repeatedly stinging and injecting venom.

  • Do find out about the poisonous insects, caterpillars, spiders, and scorpions in your area. Learn what they look like and where they live.
  • To protect yourself from bee stings when working among flowers or fruits, wear long trousers, long–sleeved shirts and gloves, and cover your head and face as much as possible. Avoid wearing things that attract bees, such as bright flowery clothing, bright shiny jewelry, buttons or buckles, or using scented perfume, soap or shampoo.
  • Do not walk outdoors in bare feet or open shoes.
  • Do not touch insects, caterpillars, spiders, scorpions, or centipedes.
  • Do not put your hands in leaf litter, rotten tree trunks or holes where insects, caterpillars, spiders, scorpions or centipedes might live.

(Ref: IPCS, the United Nations Environment Programme, ILO and the World Health Organization)

For comments and archives

    Mind Teaser

Read this…………………

Left out Field

Yesterday’s Mind Teaser: Risk factor for cervical cancer include:

a. Smoking
b. Multiple sexual partners
c. HIV infection
d. All of the above

Answer for yesterday’s Mind Teaser: d. All of the above

Correct answers received from: Dr Sudipto Samaddar, Dr Shikha Jain, Dr Chandresh Jardosh,
Dr Muthumperumal Thirumalpillai, Dr Bijan Kumar Dey, Dr Surendra Bahadur Mathur, Dr Prabha Luhadia,
Dr Jainendra Upadhyay, Dr Neelam Nath, Dr Anil Bairaria.

Answer for 15th August Mind Teaser: age before beauty
Correct answers received from: Dr Rajiv Dhir, Dr K Raju, Dr T Samraj, Dr Prabha Sanghi.

Send your answer to ijcp12@gmail.com

    Laugh a While

( Dr.Chandresh Jardosh)

1 medical stdnt ne apni classmet ko khoon se luv letter dekar kha–mujhe iska jawab jarur dena.
Ladki Ans:–Tmhara blood grp O+ hai or khoon me iron ki kami hai.

For Comments and Archives

    Drug Update

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

Drug Name


DCI Approval Date

Paracetamol 325mg + Tramadol Hydrochloride 37.5 mg Tablets

Additional indication. (For Symptomatic Treatment of Moderate to Severe Pain.)


    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Travel more than doubles risk of blood clots

Long distance travelers should periodically move around and stretch their legs, and drink plenty of water to stay hydrated, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Long–distance travel can lead to fatal blood clots in the lungs. Cancer patients, people who have recently had major surgery such as a joint replacement, and women on birth control pills are especially at higher risk.

In general, travel is associated with a nearly three–fold increase in the risk of vein clots. If such a clot dislodges and travels to the lungs, it can cause a potentially fatal condition called pulmonary embolism or a lung attack.
A combination of factors including dehydration and hours of sitting in cramped conditions explains why some people develop blood clots.

A review, published in the Annals of Internal Medicine, analyzed 14 studies involving more than 4,000 cases of venous thromboembolism and found that travelers had a nearly three–fold higher risk of blood clots than non–travelers. The risk climbed along with the duration of the trip, rising 18 percent for every two hours of any type of travel, and by 26 percent for every two hours of air travel.

Symptoms of a blood clot in the leg include pain, warmth, swelling and redness in the limb. If the clot travels to the lungs, it may cause sudden shortness of breath, chest pain or a cough that produces blood.

Some medical conditions and medications increase a person’s risk of developing a blood clot. These conditions are pregnancy, obesity, smoking, heart failure, previous vein clots or clots in the lungs, advanced age, some cancers, nephrotic syndrome and drugs like birth control pills, hormone replacement therapy, erythropoietin, tamoxifen, thalidomide. The risk of a blood clot is further increased in people who use one of these drugs and smoke or are overweight.

Tips to prevent development of leg clots while on board with flights longer than 6 to 8 hours

  1. Stand up and walk around every 1 to 2 hours.
  2. Do not smoke prior to travel.
  3. Wear loose–fitting, comfortable clothing.
  4. Prefer bulkhead or emergency row seating.
  5. Periodically flex and extend the ankles and knees.
  6. Do not cross the legs.
  7. While seated change positions frequently.
  8. Avoid dehydration by drinking plenty of non–alcoholic beverages.
  9. Wear knee–high compression stockings.
  10. Avoid sedatives and sleeping pills and alcohol, which could impair the ability to get up and move around.

For comments and archives

    Readers Responses
  1. Dear Sir, Public Forum is really an eye opener. Dr Muthumperumal Thirumal Pillai
    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.



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