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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
eMediTube (videos), eMedipics, eMediSlide, eMediLaw
  Editorial …

18th April 2013, Saturday

Can echocardiography camp be organized?

As per new PNDT Amendment, echocardiography campaigns are not permitted as the echocardiography machines cannot be moved from one centre to another.

However, special permissions can be sought from the appropriate authorities with a conditional undertaking.

Following is the example of one such permission which was procured by Heart Care Foundation of India.

File No.: 9/1/86/PNDT/DFW/12/9328-36
dated 02.11.2012

Sub: Approval for using echocardiography machine during Perfect Health Mela 2012.

“In reference to your letter dated 03.10.2012, it is to acknowledge that Perfect Health Mela is being organized by Heart Care Foundation of India at Constitution Club of India from 1 to 11 November, 2012. The organization has approached the department for approval to mobilize their portable echocardiography machine from Heart Care Foundation of India to the mela venue for providing cardiac health checkup including free echocardiography and colour Doppler tests to cardiac patients. The undertaking has been submitted that no investigation (ultrasound) will be performed on ante-natal women and that echocardiography will be performed on cardiac patients. Further, the undertaking clearly mentioned that the foundation will comply with all other requirements and guidelines under PC and PNDT Act.

This is to further inform you that no financial, legal or ethical implications will be entailed at level of DFG or Department of Health or any of its district affiliation under Perfect Health Mela and that all due care and precautions will be ensured by the officer, doctor, hospital in-charge for this camp for ensuring that no violation of any PC & PNDT Act is committed by any one individual in the camp.

The Department or the appropriate authority will have the right to monitor the field survey at any stage and if required initiate necessary action if any violation is detected.

This has approval of State Appropriate Authority.”

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)

MTNL Organizes Cardiac Resuscitation Camp for its Employees

Padma Shri & Dr B.C. Roy National Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India conducting a session of CPR 10 at MTNL Office, CGO Complex, New Delhi.

Dr K K Aggarwal
    National News

IJCP Book of Medical Records

IJCP Book of Medical Records is the first and the only credible site with Indian Medical Records. The book covers the first or the maximum records in the field of healthcare.

If you feel that you have created something, which should be certified so that you can put it in your profile, you can submit your claim to us.

Our website is: http://ijcpbookofmedicalrecords.com

The rules for submitting the records are available on our website.

WHO parameters

India should aim for the following:

  1. 25% reduction in CVT mortality
  2. 10% reduction in disease due to alcohol harm
  3. 10% reduction insufficient exercise exposure
  4. 25% reduction in blood pressure
  5. 30% reduction in salt intake
  6. 15-30% reduction in tobacco use
  7. 50% diagnosis of hypertension and diabetes before on treatment
  8. 80% of diagnosis of hypertension and diabetes to be investigated

Source: National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS): TRG 1 meeting on 07.05.2013 at Nirman Bhawan

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, every Thursday 4:30 PM in DD India

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Childhood rape can change genes

Childhood rape or other traumatic events like car accidents or recurrent abuse can change the genetic functioning of the victim as per a study led by Divya Mehta of the Max Planck Institute of Psychiatry in Munich, Germany reports TOI.

    Valvular Heart Disease Update

Congenital left ventricular outflow obstructive lesions can occur at valvular, sub valvular and supravalvular levels. The most common lesion is bicuspid aortic valve.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Fecal transplant: FDA wants regulation

Researchers who have been reporting success with the use of fecal transplant to treat resistant C. difficile are likely to need an OK from the FDA to continue that treatment.

Cardiac readmit still a danger a year out

Heart failure or heart attack patients should be closely watched for at least a year post-discharge because the risk for rehospitalization or death remains elevated during that time, researchers suggested. (Source: Medpage Today)

IUD removal not necessary with sexually transmitted infection

Obstetricians and gynecologists are better than other physicians at following guidelines for the management of intrauterine devices (IUDs) in patients with sexually transmitted infections (STIs). But they too have a lot to learn, researchers report. (Source: Medscape)

ASCO: Fitness at 50 linked to less cancer risk

For middle-age men, good physical fitness reduces the risk of lung and colorectal cancer, a researcher said. (Source: Medpage Today)

Multiple TBIs may boost suicide risk

Multiple traumatic brain injuries (TBIs) have been linked to more severe psychological symptoms and an increased risk for suicide, new research shows. (Source: Medscape)

Workouts in middle age keep hearts healthy

That middle-age bulge can damage the heart, but a sustained improvement in fitness level reduces the risk of heart failure hospitalization over time, researchers found. (Source: Medpage Today)

  Twitter of the Day

@DrKKAggarwal: Morning yoga class pic.twitter.com/wHRL2b8Tey

@DeepakChopra: Always think infinite possibilities!

    Spiritual Update

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

Saade Teen Muhurat

In any Hindu Lunar Calendar year, three and half days (sade teen muhurat) are considered highly auspicious as per traditional Vedic astrology followed in North and western parts of India.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What can one do to reduce my stress?

Talk to your partner.

  • Realize you're not alone. Talk to other people who have infertility, through individual or couple counseling, or support groups.
  • Read books on infertility, which will show you that your feelings are normal and can help you deal with them.
  • Learn stress reduction techniques such as meditation, yoga, or acupuncture.
  • Avoid taking too much caffeine or other stimulants.
  • Exercise regularly to release physical and emotional tension.
  • Have a medical treatment plan with which both you and your partner are comfortable.
  • Learn as much as you can about the cause of your infertility and the treatment options available.
  • Find out as much as you can about your insurance coverage and make financial plans regarding your fertility treatments.
    An Inspirational Story

To Love and To Be Loved

Once upon a time ….

A very poor man lived with his wife. One day, his wife, who had very long hair asked him to buy her a comb for her hair to grow well and to be well-groomed.

The man felt very sorry and said no. He explained that he did not even have enough money to fix the strap of his watch he had just broken. She did not insist on her request.

The man went to work and passed by a watch shop, sold his damaged watch at a low price and went to buy a comb for his wife. He came home in the evening with the comb in his hand ready to give to his wife. He was surprised when he saw his wife with a very short hair cut. She had sold her hair and was holding a new watch band.

Tears flowed simultaneously from their eyes, not for the futility of their actions, but for the reciprocity of their love.

Moral of the story: To love is nothing, to be loved is something but to love and to be loved by the one you love, that is everything.

For comments and archives

  Cardiology eMedinewS

Soda drink can increase diabetes by 20% Read More

  Pediatric eMedinewS

Underweight kids also a concern Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

When should RIG be administered? What should be the time gap between RIG and vaccination?

Rabies immunoglobulins (RIG) are more effective if infiltrated immediately or within 24 hours of animal bite along with first dose of vaccine. If vaccine alone was started, then RIG can be given up to 7 days after starting first dose of vaccine. Ideally, rabies vaccine should precede RIG. However, in exceptional situations, approximately within 1 hour after administering RIG, the vaccine must be given.

    IJCP Special

Dr Good Dr Bad

Situation: A child came with focal convulsions with onset of high–grade fever.
Dr Bad: These are simple febrile convulsion.
Dr Good: These are not simple febrile convulsions.
Lesson: Simple benign febrile convulsions are always generalized.

Make Sure

Situation: In an STD clinic, a 23–year–old heterosexual male presenting with dysuria and uretheral discharge was prescribed azithromycin to cover suspected Chlamydia trachomatis infection.
Reaction: Oh my God! Why didn’t you advise the same treatment to his partner also?
Lesson: Make sure to remember that it is essential to treat both partners in such cases.

  Quote of the Day (Dr GM Singh)

Really great people make you feel that you, too, can become great. Mark Twain

    Legal Question of the Day (Dr MC Gupta)

Q. A professor in a medical college is under suspension for serious corrupt practices as also for illegally indulging in private practice though he is getting NPA. My queries are:

a. Can the medical council, on a complaint against him, suspend his registration during the pendency of investigation by the medical council?
b. If the registration is suspended, can he continue to teach?


  1. Suspension of registration temporarily while inquiry by the SMC is still going on amounts to punishment because the person is deprived from earning. Nobody should be punished unless found guilty. Suspension during inquiry may be justified if the practice of the profession is likely to be injurious to patients (such as a person having poor clinical knowledge or skills or an allegedly fake degree; a heavy drunkard; a drug addict etc.).
  2. Whether he can continue teaching during the period of suspension of registration will be an administrative decision to be taken by the employer. Such decision can vary as per the perceptions of the employer.
    1. If the employer wants to help him, he can continue to employ him and pay salary for teaching work on the ground that teaching does not mean practicing medicine.
    2. If the employer wants to hit him hard, he can ask the professor to sit at home on leave without pay on the ground that registration with the medical council is an essential requirement for the job and he cannot continue in service without valid registration.
    3. If the employer wants to hit him mildly, he can allow the professor to continue teaching work and pay him salary but withhold NPA arguing that if he cannot practice in the absence of registration, there is no question of paying NPA.
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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

Photos of Doctor’s Day Celebration

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    Mind Teaser

Read this…………………

When developing a postoperative plan of care for an infant scheduled for cleft lip repair, Nurse Elaine should assign highest priority to which intervention?

a. Comforting the child as quickly as possible
b. Maintaining the child in a prone position
c. Restraining the child’s arms at all times, using elbow restraints
d. Avoiding disturbing any crusts that form on the suture line

Yesterday’s Mind Teaser: Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, Nurse Ernie detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit?

a. A sunken fontanel
b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity

Answer for Yesterday’s Mind Teaser: a. A sunken fontanel

Correct answers received from: Trupti Pagad, Dr Kanta Jain, Dr Sushma Chawla, Dr Jayashree Sen & Dr Bitaan Sen, Dr Gajveer, Prabha Sanghi, Dr BB Gupta, Dr Shashi Saini, Dr KP Chandra, Dr Anusha, Dr T A Sudhakar, Dr Ayyavoo ERODE, Dr Santhakumari, Anil Bairaria, Dr PC Das & Dr Mrs. S Das, Dr Arpan Gandhi, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Madhu Arora, Saradha Jagan, Saradha Jagan, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Nageswara Rao Patnala, Dr Nageswara Rao Patnala, Dr BK Agarwal, Anju Saumya, Dr VM Kartha, Dr K Vidyashankar.

Answer for 15th May Mind Teaser: c. Mumps

Correct answers received from: Adish Jain, Dr BB Gupta, Yamini Alsi, Muthumperumal Thirumalpillai,
Dr Avtar Krishan Dr Nageswara Rao Patnala, Dr K Vidyashankar, Dr Deepali Chatterjee

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Computer - Male or Female?

A language teacher was explaining to her class that in French, nouns unlike their English counterparts are grammatically designated as masculine or feminine.

"House" in French, is feminine -"la maison," "Pencil" in French, is masculine "le crayon."

One puzzled student asked, "What gender is a computer?" The teacher thought it would be a good exercise to have the students decide what they thought the gender should be.

So she split the class into two groups appropriately enough, by gender and asked them to decide whether "computer" should be a masculine or a feminine noun.

Both groups were required to give four reasons for their recommendation.

The boy's group decided that computer should definitely be of the feminine gender ("la computer"), because

1.No one but their creator understands their internal logic
2.The native language they use to communicate with other computers is incomprehensible to everyone else
3.Even the smallest mistakes are stored in long term memory for possible later review
4.As soon as you make a commitment to one, you constantly find yourself spending more money on accessories for it.

The women's group, however, concluded that computers should be masculine ("le computer") because:

1.In order to do anything with them, you have to turn them on.
2. They have a lot of data but still can't think for themselves.
3. They are supposed to help you solve problems, but half the time they ARE the problem.
4. As soon as you commit to one, you realize that if you had waited a little longer you could have gotten a better model

    Medicolegal Update

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

Phenol poisoning is known as carbolism

  • Poisoning by phenol is known as carbolism because of the carbolic acid.
  • The acid in a concentrated form acts as a corrosive and remotely as a narcotic poison.
  • It coagulates proteins but does not form a firm chemical combination with them. Applied to the skin, it causes a burning sensation followed by tingling, numbness and anesthesia due to its effect on sensory nerve endings.
  • Dangerous symptoms may be caused by 0.3 to 0.42 g of carbolic acid; about 2g is the average fatal dose. A quarter of a teaspoon full dissolved in glycerin killed a six month old child.
  • Carbolic acid is largely used as an antiseptic, as a disinfectant and as a preservative. It is used in the preparation of many disinfecting powders.
  • Carbolic soaps should not be used for enemas. Several cases of accidental and suicidal poisoning by carbolic acid have occurred as it can be easily procured.
  • On account of its powerful odor and taste, it is rarely used for homicidal purposes though it has been sometimes used for murdering children and infants.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Exercise reduces Depression

Quoting a British study published in the American Journal of Epidemiology said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA, said that those who get regular vigorous exercise are less likely to develop depression or an anxiety disorder over time.

In general, men who reported regular vigorous exercise -- such as running or playing soccer -- were about one-quarter less likely than their less active peers to develop depression or anxiety over the next 5 years.

Even Small Amounts of Exercise Are Beneficial

In a study, published in the Journal of the American Medical Association, by Dr Timothy Church of Louisiana State University System it has been shown that even small amounts of physical activity--approximately 75 minutes a week--can improve cardiorespiratory fitness levels of sedentary overweight individuals.

Commenting on the study Dr K K Aggarwal said that while this level of exercise is lower than that currently recommended to produce weight loss, the current findings may be used to encourage those people who don’t exercise at present to start some form of physical activity.

Improvements in fitness are associated with a reduction in the risk of cardiovascular disease and death.

National Institutes of Health Consensus Development Panel recommends at least 30 minutes of moderate-intensity physical activity on most days of the week, the reports suggest that 60 minutes of exercise each day may be necessary to prevent weight gain.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 50457 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

    Readers Response
  1. Respected Sir, Daily eMedinews is a part of our daily routine; rather it is the first mail I open every day. Thanks a lot for the same. Kindly update us about Fenfuro, which is widely advertised for treatment of DM2. Dr SS Ahuja.
    Forthcoming Events
Dr K K Aggarwal

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

    eMedinewS Special

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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