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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 …

18th August 2011, Thursday

Time to awaken sleeping "Anna" in each one of us

Buddha represents the "enlightened one". Buddha is a state of mind and not a person. So is Anna today. He represents the corruption–free state of mind. Anna represents the Satvik state of mind in each one of us, which is not under the influence of Tamas or Rajas.

Each one of us is controlled by the duality of mind and instead of taking the right actions we end up by taking the convenient action. The convenient action gives us the immediate gains while the right action is tough and may not give immediate results.

Indulging in corruption is the most convenient way of getting any work done. We tend to buy movie tickets in black, give money to electricians to get the electricity fixed up, buy goods in cash to save sales tax, bribe babus to get petty government works done and so on.

The time has come to waken up the sleeping "Anna" in each one of us. We should pledge that from today we will neither give bribes nor accept bribe from any one. As professionals, we will not give or accept commissions.

Let us become Satyugi living in Kalyuga and not Kalyugi living in Kalyuga. Even though we might be a minority, we as a group of Satyugi can make an impact in Kalyuga.

The awakened ‘Anna’ within us will give us the strength to fight with the corrupt in the society.

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  eMedinewS Audio PostCard

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

Time to awaken sleeping "Anna" in each
one of us

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

National Conference on Insight on
Medico Legal Issue

Dr Ranjit Roy Chaudhury presented his views on Ethical Issues in a medical trial (Clinical–Drug trial) in the recently concluded National Conference on Insight on Medico Legal Issue.

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


AIIMS to build databank of patients; to set up Rs 50cr knowledge hub

NEW DELHI: To encourage clinical research and map the prevalence of diseases across the country, All India Institute of Medical Sciences (AIIMS) is going to build an extensive databank of patients who are treated there. The institute, which is visited by up to 10,000 patients everyday, is going to build a new unit – Convergence Centre – for promoting academic work. The foundation for the Rs 50.85 crore project was laid by Union health minister Ghulam Nabi Azad on Sunday. Institute director Dr R C Deka said, "The Convergence Centre will house the knowledge centre meant for creating database for various research activities, including clinical experiences at AIIMS and also the additional facilities for the departments of anatomy, pathology, physiology, biochemistry, pharmacology and microbiology. It will serve as a knowledge hub." (Source: TOI, Aug 15, 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)

15 mins exercise extends life by 3 years

As little as 15 minutes of exercise everyday can extend your life by as much as three years, a new research has found. Taiwanese researchers examined more than 400,000 study participants in a 12–year period, where patients self–reported their weekly exercise regimen and were then placed in one of five groups: inactive, low, medium, high or very high exercise activity. The study found that people in the low–exercise group, who spent 15 minutes on fitness per day, reduced their risk of dying from cancer by 10 per cent and had a three–year longer life expectancy than the inactive group. "The 30–minute a day for five or more days a week has been the golden rule for the last 15 years, but now we found even half that amount could be very beneficial," ABC News quoted Dr Chi–Pang Wen, lead author of the study, as saying.

(Source: TOI, Aug 16, 2011)

For comments and archives

AAP revises heat safety guidelines in exercising youth

Outdoor sports and physical activity in the heat are safe for most healthy children and adolescents given adequate preparation, modifications, and monitoring, according to a revised policy statement of the American Academy of Pediatrics (AAP) entitled "Climatic Heat Stress and Exercising Children and Adolescents," published online August 8 and will appear in the September 2011 issue of Pediatrics. The new recommendations, which are intended to offer guidance for pediatricians counseling athletes, parents, and coaches involved in conditioning programs for fall sports, describe risk factors for exertional heat illness in youth and possible modifications of sports activities to reduce this risk. Youth sports programs should use comprehensive regimens to prevent health-related illness, including an emergency action plan.

(Source: Medscape Medical News)

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Potential new therapeutic target for ADHD revealed

New research is providing scientists with a better understanding of how a specific dopamine receptor subtype in the brain may increase the risk for attention–deficit/hyperactivity disorder (ADHD). The research, published online August 16 in Molecular Psychiatry, helps explain how stimulants work to calm ADHD symptoms and may point to a potential new target for the development of drugs for ADHD. Dysfunction of the dopamine D4 receptor subtype has been linked to ADHD as well as other disorders characterized by decreased impulse control, including drug abuse.

(Source: Medscape Medical News)

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    Fitness Update

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

Follow the physical activity guidelines to lower heart disease risk

A new study published in Circulation, the journal of the American Heart Association, conducted a study to determine the specific amount of exercise needed to lower the risk of cardiovascular disease. This study is different from previous studies because it took into account the amount of physical activity required for lowered risks of coronary heart disease. Researchers reviewed 33 studies to evaluate the effect of exercise on heart disease risk. People who engaged in 150 minutes of moderate–intensity leisure activity (as recommended by federal physical activity guidelines) had a 14 percent lower risk of coronary heart disease compared to those who reported no exercise or physical activity. It’s important to note that people who got twice as much exercise (300 minutes weekly) had a 20 percent lower risk. While their risk level is significantly lower, it’s not twice as low, so the effect of exercise is not a dose–response effect. Also of importance is the fact that people who engaged in less activity than the minimum recommended amount (150 minutes weekly) had a significantly lower risk than the people who were completely sedentary.

The take–home message from the study is that people should aim to follow the 2008 Physical Activity Guidelines and get 150 minutes of exercise per week. However, additional benefits can be reached if more exercise is achieved. If it’s not possible to engage in 150 minutes per week, it’s still important to be active, because, as the American Heart Association website states, "a little exercise is better than none."

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    Twitter of the Day

@DrKKAggarwal: #AJCCare Snake Venom is a very complex mixture of proteins and toxins. Snakes use their venom to immobilize, and…fb.me/1fr4WGzjD

@DeepakChopra: #CosmicConsciousness Your innermost being is the ultimate and supreme genius. It mirrors the wisdom of the universe.

    Dr KK Answers

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

#AskDrKK: Who is at risk for vein clots during hospitalization?


  1. Congestive failure
  2. Acute exacerbations of chronic pulmonary disease
  3. Stroke with paralysis
  4. Sepsis
  5. Inflammatory bowel disease
  6. Immobility
  7. Age >75 years
  8. Underlying cancer
  9. Previous vein or lung clots

For comments and archives

    Spiritual Update

Lord Krishna the great healer and teacher

Lord Krishna was a great teacher of knowledge as well as healer. He gave perfect counseling to Arjuna when he was in the state of acute anxiety, confusion and indecisiveness or in other words in a state of despondence. His supreme knowledge, skills and understanding of human relationship were responsible for convincing Arjuna that he has to perform his duty, regardless of who his opponents are.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

A tale is told about the Buddha, Gautama (563–483BC), the Indian prince and spiritual leader whose teachings founded Buddhism. This short story illustrates that every one of us has the choice whether or not to take personal offence from another person’s behavior.

It is said that on an occasion when the Buddha was teaching a group of people, he found himself on the receiving end of a fierce outburst of abuse from a bystander, who was for some reason very angry. The Buddha listened patiently while the stranger vented his rage, and then the Buddha said to the group and to the stranger, "If someone gives a gift to another person, who then chooses to decline it, tell me, who would then own the gift? The giver or the person who refuses to accept the gift?" "The giver," said the group after a little thought. "Any fool can see that," added the angry stranger. "Then it follows, does it not," said the Buddha, "Whenever a person tries to abuse us, or to unload their anger on us, we can each choose to decline or to accept the abuse; whether to make it ours or not. By our personal response to the abuse from another, we can choose who owns and keeps the bad feelings."

For comments and archives

    Gastro Update

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

Medical management of neonatal cholestasis

Central acting drugs

  • Ondansetron <12 years 2–4mg BD
  • Naltriaxone 6 –20 mg/day
  • Termaprazine
  • Terfenadine 1–3mg/kg/day
  • Carbamazepine

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Increased: Primary hyperthyroidism, parathyroid hormone secreting tumors, vitamin D excess, metastatic bone tumors, chronic renal failure, milk–alkali syndrome, osteoporosis, thiazide drugs, Paget’s disease, multiple myeloma, sarcoidosis.

Decreased: Hypoparathyroidism, insufficient vitamin D, hypomagnesemia, renal tubular acidosis, hypoalbuminemia, chronic renal failure (phosphate retention), acute pancreatitis.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with CKD wanted a cardiology reference.
Dr Bad: It’s not needed.
Dr Good: You should get it done.
Lesson: Chronic renal dysfunction alone is an independent risk factor for the development of coronary artery disease, and for more severe coronary heart disease.

For comments and archives

Make Sure

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time.
Lesson: Make sure that all foreigners are diagnosed to be suffering from Travelers diarrhea even if there is one single loose motion.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Excellence is to do a common thing in an uncommon way. Booker T Washington

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    Medicolegal Update

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

Foodborne diseases

Food safety is currently one of WHO’s top ten priorities

There are two types of food poisoning: infectious agent and toxic agent. Food infection refers to the presence of bacteria or other microbes which infect the body after consumption. Food intoxication refers to the ingestion of toxins contained within the food, including bacterially produced exotoxins which can happen even when the microbe that produced the toxin is no longer present or able to cause infection.

  • Do keep kitchens clean. Keep tables and other surfaces on which food is prepared clean, and keep kitchen utensils clean.
  • Do protect food by keeping it covered or in boxes or cupboards with wire screens.
  • Do wash your hands well with clean soap and water before touching or preparing food. Cuts or sores on fingers should be covered with a clean dressing.
  • Do boil plates and eating utensils used by sick people before anyone else uses them.
  • Do not keep food for a long time in a warm place. Do not keep left-over cooked food if you cannot keep it cool or keep it in a refrigerator.
  • Do not let flies, other insects, worms, rats or other animals touch or crawl on food. They carry germs and spread disease.
  • Do not let dust get on food or let people touch food.
  • Do not leave food scraps or dirty dishes lying around, as these attract flies and let germs breed.
  • Do not leave clean utensils lying on the ground.
  • Do not eat raw or undercooked meat. Cook it right through.
  • Do not eat food that is old or smells bad.
  • Do not eat food from cans that are swollen or that squirt out when opened. Be especially careful with canned fish.

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

For comments and archives

    Mind Teaser

Read this…………………

Patients of rectovaginal fistula should be initially treated with:

1. Colostomy
2. Primary repair
3. Colporrhaphy
4. Anterior resection

Yesterday’s Mind Teaser: Left out Field

Answer for Yesterday’s Mind Teaser: Out in left field

Correct answers received from: Dr K Raju, Dr Sukanta Sen, Dr Chandresh Jardosh, Dr Neelam Nath,
Dr U Gaur.

Answer for 16th August Mind Teaser
: d. All of the above
Correct answers received from: Dr BB Aggarwal, Dr K Raju, Dr Rajiv Kohli, Dr SK Bansal, Dr Nishi Maghu, Dr Prabha Sanghi, Dr Vineet Banga, Dr valluri Ramarao.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Chandresh Jardosh)

Man: I want a divorce. My wife hasn’t spoken to me in six months.
Lawyer: Better think it over. Wives like that are hard to get!

For comments and archives

    Drug Update

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

Drug Name
DCI Approval Date
Silodosin Capsules2mg/4mg/8mg
For the treatment of signs and symptoms of benign prostatic hyperplasia (BPH) in adults only.


    Public Forum

(Press Release for use by the newspapers)

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

The Science behind Anna Hazare Movement, Satyagraha & Gandhigiri

Gandhigiri always works, whether it was Mahatma Gandhi, the movie "Lage Raho Munnabhai" or the Gandhian Anna. The Gandhian principles were so framed that it always united the common man, said Padmashri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Dr Aggarwal said that four basic principles Gandhi taught are of Satya (truthfulness); Ahimsa (non violence); Sarvodaya (welfare for all) and Satyagraha. The word Dharma means to hold together. All the above four principles can hold people together and hence forms the backbone of dharma.

Yoga–shastras as well as the Yoga Sutras of Patanjali propagate truthfulness as one of the main components for living a disciplined life or to start yoga. Satya means oneness in your thoughts, speech and actions. Bapuji’s three monkeys also had truthfulness represented in one of the monkeys who talked about ‘bura mat bolo’. In fact, Gandhi believed that "there is no religion higher than truth"

Gandhi preached the concept of "experimenting with truth" — a phrase that formed the subtitle to his autobiography. He taught how to learn through trial and error, often admitting to mistakes and changing one’s behaviour accordingly. Non observance of truthfulness is the root cause of any corruption in the society.

Ahimsa is the next principle and teaches us the path of non violence. Again it has to be practiced not only in actions but in thoughts and speech also. It also forms the basis of Jainism and Hinduism as a religion.

Sarvodaya or welfare for all is the third Gandhian teaching. Vedic philosophy also emphasizes on the welfare for all. It talks about "bahujan hitay–bahujan sukhay" (‘the good of the masses, the benefit of the masses). Gandhi found in it a composite concept of social welfare & economic justice. Any action which is aimed and seems to be aimed at the welfare of the people will e accepted by every one in the society.

Satyagraha is the protest based on satya (path of truthfulness) and non violence and includes peaceful demonstrations, prolonged fasts etc. It’s a non violence based civil resistance. Satyagraha is formed by two Sanskrit words Satya (truth) and Agraha (holding firmly to or firmness). Gandhi said "Satyagraha is a weapon of the strong; it admits of no violence under any circumstance whatsoever; and it ever insists upon truth". Gandhi said if you are firm in the truth in the long run you are going to win. It is base on the law of persistence.

The current Satyagraha by Anna Hazare is using all the principles of Gandhigiri and is already in its way to success.

For comments and archives

    Readers Responses
  1. Dear Sir, the body is too precious for any experimentation, practice only tested and documented medicine, good to talk about garlic and ginger but wait for fair and standard trials. It is a fashion to talk about alternative medicines to come in news and get few awards, but when it comes on us as a patient we always take time–tested well–documented treatment. Vivek Kumar, Varanasi.
    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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