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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; 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

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  Editorial …

19th February 2013, Tuesday

Doctors are often blamed that they do not go to rural areas

I have the following points to make:

  • Open medical college/s, only in rural areas so that a budding doctor does his internship and three years PG in the same area.
  • Many young doctors go to Saudi Arabia to earn a tax-free income so that they can start their own clinic or medical setup. These doctors can be convinced to work in rural areas, if they are given income tax-free salary for serving in rural areas for two years.
  • All doctors who document 10% of free service should be given incentives that are normally given to any trust or society, which includes income tax rebate, non-commercial rates for house tax etc.
  • Every citizen in India should be insured. When driving without insurance is an offence then how come the costliest machinery in the world human body is allowed to walk out of the house without insurance. Government should make insurance compulsory and those who cannot afford, the government should pay for their insurance. Once everybody is insured, hospitals across the country will be automatically established in rural areas.

About the author: Dr K K Aggarwal is Padma Shri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA (blog.kkaggarwal.com)

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

   Constipation Update

What are the causes of primary constipation?

Primary causes of constipation can be grouped into three:

  • Normal transit or functional constipation, which occurs most commonly. The stool passes in the colon at a normal rate.
  • Slow transit constipation, colonic inertia, is a colonic motor disorder characterized by progressive delay in the passage of stool through the colon.
  • Pelvic floor dysfunction is inefficient coordination of the pelvic muscles in the emptying of stool from the rectum. The causes for pelvic floor dysfunction are not clear; a multifactorial etiology has been proposed.
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Red flag arthritis

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Dr K K Aggarwal was awarded the Most Popular Consultant of the Year Award by Moolchand Medcity, New Delhi.

Dr K K Aggarwal
    National News

New health policy to be announced on April 7

The government will announce a revised, comprehensive health policy on the occasion of World Health Day on April 7, Health Minister V S Sivakumar said here on Sunday. The new health policy will incorporate the latest trends in the health sector and will be in tune with the policies of the World Health Organisation and various national health programmes, Sivakumar said while inaugurating a seminar organised by the Indian Medical Association’s research department. Steps are being taken to declare the health policy on April 7 and a committee chaired by former Director of Medical Education Dr Balaraman Nair has been tasked with framing it. IMA members, academic institutions and health experts are also helping frame the policy, Sivakumar said. Renowned health expert and Director of Path International, Washington, Dr S S Lal, who spoke at the seminar, said the government, instead of imposing curbs on private health institutions, should ensure that health facilities there are made available to the common man. IMA Research Department chairman Dr Sreejith N Shankar, KIMS Hospital director Dr M I Sahadulla and other health experts spoke at the seminar. (Source: Express News Service, 18th February 2013)

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)


Manifestations of child neglect

  • Non-organic failure to thrive
  • Developmental delay
  • Starvation or dehydration
  • Poor hygiene of child’s body, cloths or dyper
  • Severe untreated dental cavities
  • School truancy
  • Injuries caused by lack of supervision like ingestions, bathtub near drowning or other accidental injuries.
  • Child neglect involves both actual and potential harm

For comments and archives

    Valvular Heart Disease Update

What is severe aortic stenosis?

Severe AS is generally defined as an aortic valve area <1.0 cm2. The aortic jet velocity is generally over 4.0 m/sec and the mean transvalvular gradient usually exceeds 40 mmHg. Many patients do not develop symptoms until even more severe valve obstruction is present, while some patients become symptomatic when the stenosis is less severe, particularly if there is coexisting aortic regurgitation.

(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)

Watchful waiting appropriate Tx for some renal tumors

Surveillance may be a feasible option for patients with small renal masses who are not acceptable candidates for surgery. According to the findings of a new study, surveillance with imaging, such as MRI, ultrasound, and CT scan, does not appear to adversely affect renal cancer-specific survival. (Source: Medscape)

Thoracic outlet syndrome: Minimally invasive surgery works

Minimally invasive surgery can help selected patients with disabling neurogenic thoracic outlet syndrome (NTOS), according to results from a new study published online February 4 in the Journal of Vascular Surgery. In a second study, published in the January issue of the journal, the same investigators showed that NTOS surgery is especially helpful to adolescents compared with adults. (Source: Medscape)

Biomarkers point to dementia progression

A biomarker model of the progression of Alzheimer's disease is supported by a clinical study of people with mild cognitive impairment (MCI), researchers reported. (Source: Medpage Today)

Vitamin D supplements found to vary widely in potency

Potency of vitamin D supplements often varies widely from what is listed on the label, according to results from a study of pills from 12 different manufacturers. (Source: Medscape)

    Twitter of the Day

@DrKKAggarwal: His and Her Heart Disease by Dr k k aggarwal http://bit.ly/YhuN6U #Health

@DrKKAggarwal: Deepak Chopra's 10 Keys To Happiness: http://ow.ly/hoYDD

    Spiritual Update

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

Love in Ayurveda

Euphoria, reaction, adjustment and liking are the four fundamental phases of any relationship. When a person gets engaged to a girl, both goes through a phase of euphoria where they can talk to each other for hours. This phase lasts for six months to three years.

For Comments and archives…

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

What are the psychological effects of the multiple pregnancy on a family?

Many women with a multiple pregnancy do well; their families may experience significant stress. Even if medical problems are overcome and the infants survive without disability, the effect of multiple births on family life is profound and life–altering. The impact of a multiple birth clearly affects the parents, but also the babies, other siblings, and the extended family. Financial stresses may be overwhelming. Obvious additional costs include feeding, clothing, housing, and caring for multiple children.

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Q: What are the various types of blood donations?

A. There are three types of blood donors:

  • Professional donors: Individuals who sell their blood for money. Under no circumstances, should professional donors be allowed to give blood. They sell their blood, which is of very poor quality and can transmit very dangerous diseases to the recipient. It is illegal to take blood from any professional donor.
  • Replacement donation: The healthy relatives and friends of the patient give their blood of any groups in the blood bank. However, from the stocks available in the blood bank, the required number of units of the same blood group as that of the patient is given. This is called replacement donation.
  • Voluntary donation: Here, a donor donates his blood voluntarily. His blood can be used for any patient even without revealing his identity. This is the BEST TYPE of blood donation where a motivated human being gives his/her blood in an act of high human selfless service or Nishkama Seva.

For Comments and archives…

    An Inspirational Story

Don't be afraid to fail

You've failed many times, although you may not remember. You fell down the first time you tried to walk. You almost drowned the first time you tried to swim, didn't you? Did you hit the ball the first time you swung a bat? Heavy hitters, the ones who hit the most home runs, also strike out a lot.

R.H. Macy failed seven times before his store in New York caught on. English novelist John Creasey got 753 rejection slips before he published 564 books. Babe Ruth struck out 1,330 times, but he also hit 714 home runs.

Don't worry about failure. Worry about the chances you miss when you don't even try.

For comments and archives

   Cardiology eMedinewS

Silent Afib may be behind unexplained stroke Read More

'Time is brain' also applies to endovascular Tx Read More

   Pedia News

Cesarean delivery no safer for twins Read More

Are first-borns at higher risk of diabetes and hypertension? 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)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient was found to have high ESR and elevated CRP.
Dr Bad: You are suffering from an inflammatory disease.
Dr Good: This may be a part of diabetes.
Lesson: In diabetes, both ESR and CRP can be high at the same time and this can be due to IL–6 secretion by adipose tissue.

Make Sure

Situation: A patient on dialysis and on oral antacid developed aluminum toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis.

  Quote of the Day (Dr GM Singh)

Men are like steel. When they lose their temper, they lose their worth. Chuck Norris

    Mind Teaser

Read this…………………

When should most women have their first mammogram?

A. At age 30.
B. At age 35.
C. At age 40.
D. At age 45.
E. At age 50.

Yesterday’s Mind Teaser: How often should you have a Pap smear?

A. Once a year after puberty.
B. Once a year after either turning 21 or having sexual intercourse for the first time.
C. Once a year after age 21 and every two years after 30.
D. Once a year if you’re not in a monogamous relationship.
E. Once a year unless you’ve been vaccinated against the human papillomavirus (HPV). Then the screening is not necessary.

Answer for Yesterday’s Mind Teaser: C. Once a year after age 21 and every two years after 30.

Correct answers received from: Dr. Deepali chatterjee, Bharat Bhushan Aggarwal, Dr. P. C. Das, Dr.K.V.Sarma, Yamini Alsi, drjella, Dr.AK PANDEY, DR Arpan Gandhi, Dr Jainendra Upadhyay, DR Chandresh Jardosh, Dr. Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, DR P K SAHU, Dr.Jayashree Sen & Dr.Bitaan Sen

Answer for 17th February Mind Teaser: Unilaterally

Correct answers received from: Dr. PC Das, Dr Pankaj Agarwal, Anil kela, Dr. Bharat Bhushan Aggarwal

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

When will they meet?

A mathematician, a physicist and an engineer were each given the following problem to solve.

A school dance floor included a straight line down the middle dividing the floor in two equal halves. Boys were lined up against one wall and girls against the opposite wall, each facing the centre line. They were instructed to advance in stages towards the centre line every 10 seconds, where the distance from the person to the centre line at each stage is equal to one–half the distance at the past stage i.e.: If the starting distance from the wall to centre line was D, the progressive series of distances at t = 0, 10 seconds, 20 seconds…10n seconds to the centre line is (D, D/2, D/4, D/8, ……D/2n). The question was when will they meet at the middle?

The mathematician said that they would never meet.

The physicist said they would meet when time equals infinity.

The engineer said that in one minute they would be close enough for all practical purposes.

  Medicolegal Update

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

What is the 8th clause of Section 320 Indian Penal Code for doctors?

The eighth clause of Indian Penal Code 320 defines grievous hurts as "Any hurt which endangers life or which causes the sufferer to be during the space of twenty days in severe bodily pain, or unable to follow his ordinary pursuits."

  • Ordinary pursuits means the patient is unable to visit the toilet, to bathe or brush his teeth, eat himself, walk or carry on such daily pursuits and requires mandatory help of other person for 20 days
  • The length of time during which an injured person is in pain, disease or is not able to pursue his ordinary daily routine work must be meticulously and satisfactorily observed by the doctor himself before certifying the injury as a grievous injury.
  • It is employed not only in cases where violence has been used but also in cases where hurt has been caused without any assault, e.g., by administration of drugs, setting of traps etc. The extent of hurt and the intention of the offender are considered for giving punishment.
  • It is difficult for a doctor to prove that an injured person was in severe bodily pain for 20 days but it is easier to prove that he was unable to follow his ordinary profession/pursuits due to the hurt.
  • A mere stay of 20 days in the hospital doesn’t make injury grievous. The certifying doctor must rule out and document the feigned illness in medicolegal report.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Growing young is feasible

Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA said that it is possible to grow young.

Dr. Aggarwal said that human body is not just a physical body; it is also at the level of mind, intellect, ego and soul. While only the physical body grows old, the other parts of human body get more mature with age. One also gets more humility with age. The end result is growing young and not growing old.

He further said that one should look at biological and intellect age and not the physical age. Chronologically, you may be 70 but biologically, you may be at 60. In medical science today, most of the drugs are given keeping biological age into consideration and not the chronological age.

Most of our Vedic rituals teach us how to live young. The new epidemic of today’s era like iron deficiency, calcium and vitamin D deficiency related to osteoporosis and refined carbohydrate related heart diseases could not have entered into the society if the traditional rituals of eating gur-chana once a week, worshipping sun in the Magh month and/or not eating carbohydrates once a week was observed by the society. These were rituals meant to prevent such diseases.

Dr. KK Aggarwal said that relaxation, pranayam and meditation also take one from growing old to growing young. Staying in parasympathetic mode most of the times in the day can make the difference.

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 29741 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. Dear Sir, emedinews is providing very useful informations. pls keep us updated. Regards: Dr Asha
    Forthcoming Events


Sri Aurobindo Ashram – Delhi Branch will organize the 6th Study Camp on ‘Mind-Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from June 8-14, 2013. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind-body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of the Mind-Body Medicine Clinic at AIIMS, and the author of Back to Health through Yoga, Eating Wisely and Well and Essays on Yoga. For more details, send an e-mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

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