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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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Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

  Editorial …

17th December 2011, Saturday

AHA/ACS update

  1. Women were nine times more likely (4.6 times) to develop takotsubo cardiomyopathy or "broken heart syndrome," than men, and older women more likely than younger (Dr Abhishek Deshmukh, at the University of Arkansas in Little Rock).
  2. Cholesterol checks should be part of periodic well–child visits for all children, according to new guidelines from the American Academy of Pediatrics. Screening cholesterol at least once between the ages of 9 and 11 and again at 17 to 21 was recommended in the comprehensive guide that addresses all the major cardiovascular risk factors.
  3. Optimal treatment with potent statin drugs significantly regresses coronary plaque as evidenced by intravascular ultrasound procedures. Stephen Nicholls, MBBS, PhD, medical director of intravascular ultrasound at the Cleveland Clinic, reported that in patients treated with high–dose (40 mg) rosuvastatin plaque burden decreased 1.22% (P<0.001) from baseline.
  4. Women who regularly drink sugary beverages may be increasing their cardiovascular risk. A longitudinal study showed that those who reported drinking at least two sugar–sweetened beverages every day were more likely to gain weight, increase waist size, and develop impaired glucose tolerance (Christina Shay, PhD, of the University of Oklahoma in Oklahoma City).
  5. Vitamin D deficiency may have damaging vascular effects in children with a high cardiovascular risk. Children and teens with serum 25–hydroxyvitamin D3 level less than 20 ng/mL had a significant reduction in carotid artery distensibility (Dr Getha Raghuveer, of Children's Mercy Hospitals and Clinics in Kansas City, Mo).
  6. Tripling the standard dose of clopidogrel was able to overcome genetic resistance to the drug. With a maintenance dose of 225 mg daily, patients who had one copy of an allele that confers resistance to clopidogrel were able to achieve levels of platelet reactivity similar to those of patients who responded to the standard 75–mg dose, according to Jessica Mega, MD, of Brigham and Women’s Hospital in Boston. Patients who had two copies of the loss–of–function allele, however, continued to have a poor response to clopidogrel, even at a dose of 300 mg daily.
  7. Short–term elective angioplasty and stenting appears similarly safe at experienced centers whether they have onsite cardiac surgery backup or not (Dr Thomas Aversano, of Johns Hopkins School of Medicine in Baltimore)
  8. Intra coronary glycoprotein IIb/IIIa inhibitor abciximab directly into the heart during percutaneous coronary intervention doesn’t boost the agent’s benefits. (Dr Holger Thiele, of the University of Leipzig Heart Center in Leipzig, Germany).
  9. Drug–eluting balloons can be used in place of stenting in patients at high risk of bleeding. They are particularly useful for patients on warfarin.
  10. Infective endocarditis outcomes are better when patients head straight to surgery rather than waiting to see if antibiotics will resolve the infection. (Dr Duk–Hyun Kang, of Asan Medical Center in Seoul, South Korea)

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

AHA/ACS update

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011
Heritage – An Inter Dance Festival

Bharatnatayam was organized as dance competition (Group) in the 18th MTNL Perfect Health Mela 2010. Students of various Dancing Schools from Delhi and NCR participated in large numbers in the competition.

Dr K K Aggarwal
    National News

Cabinet nod for NRI doctors to practice, teach in India

NEW DELHI: NRI doctors are a step closer to be able to practice or teach medicine in India. The Cabinet on Tuesday cleared the National Council of Human Resources in Health (NCHRH) Bill that allows doctors who hold the Overseas Citizens of India (OCI) status to work in India. They can also join medical college as faculty. The move has been initiated primarily to reduce the country’s acute doctor shortage. India has one doctor for 1,953 people, or a density of 0.5 doctors per 1,000. The Planning Commission says the country is short of six lakh doctors, 10 lakh nurses and two lakh dental surgeons. (Source: TOI, Dec 14, 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

Prepregnancy BMI, pregnancy weight gain affect birth weight

Women with a high prepregnancy body mass index (BMI) or who gain large amounts of weight during pregnancy tend to have heavier babies, according to a study published online November 14 in Acta Obstetricia et gynecologica Scandinavica. (Source: Medscape Medical News)

For comments and archives

FDA Okays hand–held scanner to spot clots in brain

The FDA has cleared the first hand–held device for the detection of intracranial hematoma. The Infrascanner Model 1000 uses near–infrared light to detect hematomas through differences in light, which are transmitted wirelessly to a display on a hand–held computer, an FDA press release said. Blood in a hematoma absorbs the light differently than in other areas of the brain, the statement said. (Source: Medpage Today)

For Comments and archives

Now, simple test to help diagnose deadly cancers

Researchers have developed a simple online calculator that could offer family GPs a powerful new tool to tackle two of the most deadly forms of cancer. Academics from The University of Nottingham and ClinRisk Ltd have created two new QCancer algorithms, which cross–reference symptoms and risk factors of patients to red flag those most likely to have pancreatic and bowel cancer. (Source: http://news.bioscholar.com/2011/12/now–simple–test–to–help–diagnose–deadly–cancers.html)

For comments and archives

  Cardiology eMedinewS

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

2011 Game Changers in Cardiology

Read More

Heart Failure with Preserved Ejection Fraction: Dr K Venugopalan

Read More

Optimal Treatment with Potent Statin Drugs Significantly Regresses Coronary Plaque

Read More

Highly Refined and Processed Grains and Carbohydrates

Read More

Cardiac Calculators

Read More

  Twitter of the Day

@DrKKAggarwal: Heart Patients Warned To Stay More Cautious During Xmas Time http://blog.kkaggarwal.com/2011/12/15/heart–patients–

@DeepakChopra: In contracted awareness problems appear. In expanded awareness solutions appear. In pure awareness creative opportunities appear.

    Spiritual Update

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

Indian Culture and the Will

In a seminar organized at the Acharya Sushil Muni ashram at Defence Colony a question came up as to what we give to our children at death.

Three different answers came from the audience

  1. Earned land transfer.
  2. Earned money transfer.
  3. Sanskars, values and customs earned in life.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Never Ending Night

A man walked all through the night, searching for himself. He looked up to the sky asking the Lord, "What should I do?" The Lord replied, "My beautiful child, it is not me you need to find, it is yourself".

This frustrated the man; he looked to the ground and kept walking. His feet were sore and swollen and he was very tired, but he walked on. He came upon a huge canyon he wanted to cross, but there was no bridge.
He looked to the sky again, asking the Lord, "How am I supposed to cross this canyon?" The Lord replied, "My dear, dear son; I know your feet are sore. I also know you’re tired. But if you want to cross this canyon, you will have to walk to the bottom and up the other side."

This really frustrated the man. He cursed the Lord for not helping him. The Lord replied, "Son, it is men like you that have no courage or will to walk. You expect me to carry you. Well, my son, I will walk with you not carry you. I will guide you, not take you, for it is you who has to find yourself, so take my hand and walk on."
The man walked all through the night with no strength at all, but now he had courage. The man looked to the Lord and said, "Lord, it has been many nights, but I now see the sun. It is now that I am at peace with myself." The Lord replied, "My beautiful child, you have faced many challenges on your journey and overcame each of them. You have found what you are looking for; be free and sound, stay within yourself."

For comments and archives

  Fitness Update

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

"Just Chill?" relaxing can make you fatter

Conventional wisdom says that exercise is a key to weight loss – a no–brainer. But now, Tel Aviv University researchers are revealing that life as a couch potato, stretched out in front of the TV, can actually be "active inactivity" – and cause you to pack on the pounds. Such inactivity actually encourages the body to create new fat in fat cells, says Prof. Amit Gefen of TAU’s Department of Biomedical Engineering. Along with his Ph.D. student Naama Shoham, Prof. Gefen has shown that preadipocyte cells – the precursors to fat cells – turn into fat cells faster and produce even more fat when subject to prolonged periods of "mechanical stretching loads" – the kind of weight we put on our body tissues when we sit or lie down.

The research, which has been published in the American Journal of Physiology – Cell Physiology, demonstrates another damaging effect of a modern, sedentary lifestyle, Prof. Gefen notes. "Obesity is more than just an imbalance of calories. Cells themselves are also responsive to their mechanical environment. Fat cells produce more triglycerides, and at a faster rate, when exposed to static stretching."

For comments and archives

    Healthy Driving

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

Distance visual acuity can be evaluated with the Snellen chart.

    Medicine Update

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

5 ways to fight depression

If you feel depressed, it’s best to do something about it – depression doesn’t just go away on its own. In addition to getting help from a doctor or therapist, here are 5 things you can do to feel better.

  • Exercise. Take a 15– to 30–minute brisk walk every day — or dance, jog, or bike if you prefer. In addition, some yoga poses can help relieve feelings of depression. Try downward–facing dog or legs–up–the–wall pose. Two other aspects of yoga — breathing exercises and meditation — can also help.
  • Nurture yourself with good nutrition. Depression can affect appetite. So eat plenty of fruits and vegetables and get regular meals (even if you don’t feel hungry, try to eat something light, like a piece of fruit, to keep you going).
  • Identify troubles, but don’t dwell on them. Try to identify any situations that have contributed to your depression. When you know what’s got you feeling blue and why, talk about it with a caring friend. Once you air out these thoughts and feelings, turn your attention to something positive. Take action to solve problems. Ask for help. Feeling connected to friends and family can help relieve depression. (It may also help them feel there’s something they can do instead of just watching you hurt.)
  • Express yourself. With depression, a person’s creativity and sense of fun may seem blocked. Exercise your imagination (painting, drawing, doodling, sewing, writing, dancing, composing music, etc.) and you not only get those creative juices flowing, you also loosen up some positive emotions. Take time to play with a friend or a pet, or do something fun for yourself. Find something to laugh about — a funny movie, perhaps. Laughter helps lighten your mood.
  • Look on the bright side. Depression affects a person’s thoughts, making everything seem dismal, negative, and hopeless. If depression has you noticing only the negative, make an effort to notice the good things in life. Try to notice one thing, then try to think of one more. Consider your strengths, gifts, or blessings. Most of all, don't forget to be patient with yourself. Depression takes time to heal.

For comments and archives

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emedinews revisiting 2011
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    IJCP Special

Dr Good Dr Bad

Situation: A re–sterilized defibrillator was re–implanted in a patient.
Dr Bad: This is unethical.
Dr Good: With consent its ok.
Lesson: Defibrillators that still have significant battery life can be successfully removed from patients who no longer need them and reimplanted in other patients. A total of 21 implantable cardioverter defibrillators (ICDs) and 19 cardiac resynchronization therapy defibrillators (CRT–Ds) were removed from US patients and re–implanted in Indian patients, resulting in a 35% successful shock rate and no instances of infectious complication (Pavru BB, et al. Preliminary experience regarding re–use of explanted, resterilized defibrilators Abstract 18350 presented at the American Heart Association Meeting 2010)

For comments and archives

Make Sure

Situation: A patient with ejection fraction of 20% dies a sudden cardiac death.
Reaction: Oh my God! Why was an ICD not put?
Lesson: Make sure all patients with ejection fraction less than 35% are put on ICD unless contraindicated.

For comments and archives

  Rabies Update

Dr. AK Gupta, APCRI, Author of "RABIES – the worst death"

Can Human ARVs viz. NTV or TCVs (PCEC,PVRV, HDCV) be given to animals?

Though human ARVs may not be harmful to animal, there is no dose–weight correlation of immune response nor their efficacy known in animals. Besides the incubation period of rabies in animals is long. Hence, it is advisable to reserve.

  Quote of the Day

(Dr GM Singh)

Don’t ask what the world needs. Ask what makes you come alive, and go do it. Because what the world needs is people who have come alive. Howard Thurman

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum Albumin

  • To screen for liver or kidney disease
  • To evaluate nutritional status, especially in hospitalized patients
    Mind Teaser

Read this…………………

1234 US

Yesterday’s Mind Teaser: 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

Answer for Yesterday’s Mind Teaser: c. Hepatitis B e antigen

Correct answers received from: Dr Prabha Sanghi, yogindra vasavada, Dr Rakesh Bhasin, Dr Thakor Hitendrasinh G, Dr KV Sarma, Dr Anil Barkul, Dr Neeraj Sharma, Raju Kuppusamy, Dr Sukla Das, Dr PC Das, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Valluri Ramarao.

Answer for 14th December Mind Teaser: d. Titubation
Correct answers received from: Dr Valluri Ramarao, Anil Bairaria, Dr Jainendra Upadhyay,
Dr NeelamNath, Dr Ajay Gandhi.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Quit Smoking

A young woman confides to a friend that she wants to quit smoking, but nothing she does seems to work.
"Have you tried the patch?" her friend asks. "No, that’s one thing I haven’t tried," the woman says, "because I’m not sure it works."

Says her friend, "I’m sure it would if you put it over your mouth."

    Medicolegal Update

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

Law and Injury in medico legal cases

Injury, assault and hurt are terms invariable used by doctors in hospital practice, often as synonyms. But all these three words have different meaning in law. They have been defined by the Indian Penal Code as below.

  • Injury Section, 44 IPC defines injury– Any harm whatever illegally caused to any person in body, mind, reputation or property
  • Assault Section 351 IPC defines assault as an offer or threat or attempt to apply force on body of another in a hostile manner. It may be a common/simple assault or an intention to murder.
  • Hurt: Section 319 IPC defines hurt as Whoever causes bodily pain, disease or infirmity to any person is said to cause hurt.

The cases of Hurt/body injury that we as doctors we deal with mean bodily pain, wound, disease or infirmity voluntarily caused to any person in medicolegal cases. This would include abrasions, contusions, lacerations, stab wounds, electric shock, fire arm or ligatures etc resulting in human body injury. The doctor who is certifying an injury report should keep in mind the Penal provision, which is required by police to book the case e.g. Simple Injury: Section 323 IPC, Simple injury caused by dangerous weapons: Section 324 IPC, Grievous Injury: Section 325 IPC, Grievous injury caused by dangerous weapons: Section 326 IPC, Dangerous Injury: Section 307 IPC, Injury likely to cause death: Section 304 IPC, Injury sufficient to cause death: Section 302 IPC and causing hurt by means of poison: Section 328 IPC

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)

Fluctuating blood pressure more harmful

In the elderly persons with high blood pressure further fluctuations and spikes in blood pressure readings can affect their ability to think clearly and other cognitive functions, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

As per a North Carolina State University study, people in whom the systolic blood pressure is 130 mm Hg or above, the cognitive functions gets impaired on days when their blood pressure spikes and fluctuates. On the other hand in people with normal blood pressure, the cognitive functions do not get impaired if their blood pressure spikes or fluctuates. The carry home message is that if you have blood pressure that wildly fluctuates and you also have underlying high blood pressure, you might be in double trouble for poorer cognitive functioning.

Several studies in the past have found a link between high blood pressure and dementia, which is marked by a loss of memory and other cognitive abilities, including the ability to speak, identify objects or think abstractly. In another study it was found that treating high blood pressure in the very elderly may help reduce their risk of developing dementia.

For comments and archives

    Readers Response
  1. Excellent job Sir. Its really full of scientific contents, updates and most importantly spiritual material, which is much needed by all of us in this stressful life. Thanks to you & your team. Dr. Suresh Arora
    DR. K.K. Study Circle

CME class on 18th Dec. 2011 . Sun 9am to 10 am. Family Picnic has been postponed. Please note.
DR. Pawan Gupta DR. Dinesh Negi

    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

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

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)

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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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  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  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