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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

  Editorial …

19th May 2011,Thursday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Both PPI and Surgery Good for GERD Long Term

With contemporary treatments for gastroesophageal reflux disease (GERD) -- either medical with esomeprazole or surgical with a laparoscopic antireflux procedure -- most patients remain in remission for five years, an exploratory randomized trial found.

In the LOTUS (Long-Term Usage of Esomeprazole vs Surgery for Treatment of Chronic GERD) study, remission rates at five years were 92% (95% CI 89 to 96) for patients on esomeprazole and 85% (95% CI 81 to 90, P=0.048) for those who had laparoscopic antireflux surgery, according to Jean-Paul Galmiche, MD, of Nantes University in France, and colleagues. There were 19 treatment failures in the medical treatment group and 33 failures in the surgical group, the investigators reported in the May 18 Journal of the American Medical Association. Few data are available comparing optimal proton pump inhibitor therapy with laparoscopic surgery for GERD. To address this gap, Galmiche and co-investigators enrolled 554 patients from 11 European academic centers, randomizing them to esomeprazole, 20 to 40 mg per day, or laparoscopic surgery by experts using standardized surgical techniques. All patients initially had a three-month trial of esomeprazole, and only responders were randomized. Starting dose for
patients in the esomeprazole group was 20 mg per day. This could be increased to 40 mg and then to 20 mg twice daily if symptoms persisted, and if response still was inadequate the patient was deemed a treatment failure. Patients who underwent the surgery were classified as failures if they still required acid-suppressing medication or had symptoms requiring other medical treatment. They also were considered failures if they required more than one dilatation for esophageal stenosis, experienced dysphagia, or died.

At the conclusion of the study, there were no differences between the groups in epigastric pain, diarrhea, or severity of heartburn. Similar levels of heartburn and regurgitation were reported by the esomeprazole group through the five years, while these symptoms decreased in the surgery group. Mean scores on health-related quality of life scales improved in both groups, approaching scores reported for healthy individuals.Throughout the study, serious adverse events were seen in 24.1% of the esomeprazole group and 28.6% of the surgical group.

(Source: Medpage Today).

Dr KK Aggarwal
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    Changing Practice – Resource which has changed practice in last one year

Growth charts for infants and children under two years of age

For children in the United States, recommended growth charts are based upon WHO data for children younger than two years of age, and on CDC data for those older than two years.

  eMedinewS Audio PostCard

Diabetes Update

Dr Vinod Sanghi Speaks on

‘‘The UKPDS Trial’

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2011 observed

The winning students of the Yoga competition with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal at a function held at DPS Public School, Mathura Road on 21st April.

Dr K K Aggarwal
    National News

Mumbai: Girl secures 96% with paralysed body, gritty mind

Mumbai: For a girl who could not even hold a pencil, Priyanka D’Souza, 15, has done remarkably well to score 95.8% in her Std X ICSE exam. The student of Villa Theresa School in Breach Candy was suffering from paralysis and could not attend classes for over two hours for the past few years. Priyanka suffers from Guillain–Barre syndrome, which produces muscle weakness that leads to paralysis. She lost control over 50 per cent of her body after she was diagnosed with the disorder in 2005. She could not open her eyes after going through three bouts of malaria at the time. What made matters worse was that Priyanka had pneumonia some weeks before her exam. But the Haji Ali resident battled every adversity. D’Souza said "I studied hard, but only as much as I could." (Source: May 18, 2011,

AIIMS acquires latest MRI machine

NEW DELHI: The All India Institute of Medical Sciences (AIIMS) has acquired a multi–crore rupee technology which, doctors claim, would help in improving the outcome of brain surgeries and ensuring speedy recovery to patients. Doctors will be able to watch live multiple 3D–scans of the area of the brain even as they operate with the new intra–operative MRI machine also known as ‘brain suites’. Those suffering from brain tumour, epilepsy, Parkinson’s disease and neuro–psychiatric disorders will benefit the most, said a doctor. Said Dr Ashish Suri, Associate Professor Neurosurgery at AIIMS, said that till now, neurosurgeries at AIIMS were done on the basis of MRI scans taken outside the operation theatre and during the operation doctors had to rely on what they saw after the skull was opened up. "Sometimes, when a portion of a tumour is removed, its position may shift a bit as the spinal fluid is drained. The intra–operative MRI technique is designed to guide doctors through such situations during surgery." (Source: TOI, May 17, 2011)

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

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

Americans confused about effects of wine, sea salt on health, survey

Most Americans think wine is good for the heart but don’t realize there are recommended limits for alcohol consumption, and they also mistakenly believe sea salt is a low sodium alternative to table salt, according to a recent survey by the American Heart Association (AHA) who concluded not enough is being done to educate the public about the heart-health risks of over–consuming these products. Many studies have shown that limited wine consumption can be good for the heart and pointed out the risks of a high salt intake. So the AHA asked a representative sample of 1,000 American adults a series of questions to assess their awareness and beliefs about how consumption of wine and salt affects the heart.

(Dr Monica and Brahm Vasudev)

Anemia drug may not reduce cardiac damage after heart attack

According to a study funded by a grant from the US National Institute on Aging and published in the Journal of the American Medical Association, the anemia drug erythropoietin alfa may not reduce heart damage in patients who'd experienced heart attacks and may increase the chances of recurrence or death.

Having blue eyes, fair skin may raise risk for type 1 diabetes

Having blue eyes, and to a lesser extent fair skin, increases a person’s risk of having type 1 diabetes, according to a study published online in the journal Diabetes/Metabolism: Research and Reviews.

Allergic reactions under anesthesia may be more common than previously suggested

A review of two national databases by French researchers, conducted between 1997 and 2004, found that there were around 100 allergic reactions for every million anesthesia procedures performed. Researchers from the University Hospital Center of Nancy, France, said that the rate is somewhat higher than earlier estimates derived from a pair of studies conducted in the 1990s. Those studies put the rate at 100 reactions for every 1.3 million anesthesia procedures performed. The research was published in the Journal of Allergy and Clinical Immunology.

    Twitter of the Day

@DrKKAggarwal: Elevated cardiac troponin levels after elective percutaneous coronary intervention are associated with worse long–term outcomes.

@sanjivChopra: Health Tip. Lead poisoning an important chronic environmental illness in kids under 6 yrs. Sx: irritability, abdominal pain, anorexia

    Spiritual Update

Hanuman Chalisa

Tumharo Mantro Bibhishan Maana
Lankeshwar Bhaye Sab Jag Jaana

Meaning: By following your advice, Vibhishana became the king of Lanka. This is known all over the universe.

Spiritual Significance: By adopting regular Pranayama and acquiring the powers of Hanumana even the enemies become your friends. This is what Hanumana did to Vibhishana and made him a friend of Rama. In terms of allopathic Ramayana, Kumbhkarana is Tamas, Meghnath is Rajas, Ravana is Ego and Vibhishana is Satwa. By breath control, one separates Satwa from the control of Rajas and Tamas and makes Satwa the leader of the lower chakras and not the ego.

    An Inspirational Story

(Dr Prabha Sanghi)

Think about this for a minute…

If you happened to show up on my door step crying, I would care!

If you called me and asked me to pick you up because something happened, I would come!

If you had one day left to live your life, I would want to be part of that last day!

If you needed a shoulder to cry on, I would give you mine!

This is a test to see who your real friends are or if you are just someone to talk when they are bored.

Do you know what the relationship is between your two eyes? They blink together, they move together, they cry together, they see things together, and they sleep together, but they never see each other…that’s what friendship is.

    Pediatric Update

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

What is the recommendation for post exposure prophylaxis for contact following needle prick from a known HBsAg negative case?

For a patient who is exposed to a known HBsAg–negative source

  • Administer Hepatitis B vaccine series, if unvaccinated
  • No treatment otherwise needed
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

What are the characteristics to be chosen while selecting a donor?

There are several methods for matching the male partner with the donor. The characteristics can be a particular race and/or ethnic group, height, body build, complexion, eye color, and hair color and texture. Consideration should be given to blood type and Rh factor, particularly for Rh–negative recipients.

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with FUO.
Dr. Bad: Get X–ray chest done.
Dr. Good: Get full FUO evaluation done.
Lesson: The minimum diagnostic evaluation includes blood cultures, ESR, CRP, CDH, HIV, rheumatoid factor, CPK, ANF, serum creatinine, electrophoresis, CT abdomen, CT chest and heterophite antibody test.

Make Sure

Situation: A patient on binasal oxygen developed nasal mucosal damage.
Reaction: Oh my God! Why was oxygen given at 4 liter per minute?
Lesson: Make sure that oxygen via nasal catheter, is not given at a rate of more than 3 liter per minute.

    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Why should obesity be treated?

Weight loss in obese persons improves health. Weight losses of 10 to 20 pounds have been shown to lower blood pressure, blood cholesterol, and blood glucose (in persons with type 2 diabetes), and to improve other health problems. An obese person does not have to lose 50 or 100 pounds to realize health benefits, however, for even modest losses of weight can lead to major health benefits.

    Medicolegal Update

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

Disinternment is digging up a corpse

  • Many early groups placed the corpse in the ground and exhumed it at a later date for religious rituals, a practice still undertaken by some traditional societies.
  • In fourteenth–century France, "it became common procedure to dig up the more or less dried–out bones in the older graves in order to make room for new ones"
  • The high death rate from the European plague coupled with a desire to be buried in the already–full church cemeteries led to old bones being exhumed so that new bodies could be placed in the graves.
  • In the past, on rare occasions, prior to embalming, the body was removed from the ground. This happened when burial professionals or the authorities suspected that the person might have been buried alive.
  • The French philosopher and death expert Philippe discussed necrophiliacs who disinterred dead bodies for sexual purposes and scientists who dug up corpses to conduct scientific experiments.
  • It is common knowledge that for centuries until cadavers were legally provided, medical schools exhumed dead bodies for teaching purposes. One of the reasons the use of the wake was enacted in many societies was to deter those who might steal corpses.
  • To test methods for preventing or slowing down the process of postmortem decay U. Mobus and colleagues describe an usual case of exhumation, in which a young person "exhumed" a child’s body involved in a road accident because he wanted to test methods for preventing or slowing down the process of postmortem decay.
    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: The parvocellular pathway from lateral geniculate nucleus to visual cortex is most sensitive for the stimulus of:
1. Color contrast
2. Luminance contrast
3. Temporal frequency
4. Saccadic eye movements

Answer for Yesterday’s Mind Teaser: 1. Color contrast

Correct answers received from: Dr D Chatterjee, Dr K Raju, Dr Chandresh Jardosh, Dr Shreysh,
Dr Minakshi, Dr Prema, Dr Faizal.

Answer for 16th May Mind Teaser
: Take from the rich, give to the poor.
Correct answers received from: Dr Rajiv Dhir, Dr Sudipto Samaddar, Dr Anupam, Dr Prachi.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Ploughing the Land

A husband and wife were driving down a country lane on their way to visit some friends. They came to a muddy patch in the road and the car became bogged. After a few minutes of trying to get the car out by themselves, they saw a young farmer coming down the lane, driving some oxen before him. The farmer stopped when he saw the couple in trouble and offered to pull the car out of the mud for $50. The husband accepted and minutes later the car was free. The farmer turned to the husband and said, "You know, you’re the tenth car I’ve helped out of the mud today."

The husband looks around at the fields incredulously and asks the farmer, "When do you have time to plough your land? At night?"

"No," the young farmer replied seriously, "Night is when I put the water in the hole."

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Hypophosphatemia can be seen in a variety of biochemical derangements, including acute alcohol intoxication, sepsis, hypokalemia, malabsorption syndromes, hyperinsulinism, hyperparathyroidism, and as result of drugs, e.g., acetazolamide, aluminum–containing antacids, anesthetic agents, anticonvulsants, and estrogens (incl. oral contraceptives). Citrates, mannitol, oxalate, tartrate, and phenothiazines may produce spuriously low phosphorous by interference with the assay.

    Medi Finance Update

(Dr GM Singh)

Money Market Funds

Money market funds invest primarily in short–term (less than one year) government Treasury Bills (also called T–Bills) and corporate notes which pay a fixed rate of interest.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Hydroxyzine Hydrochloride SR Tablets 25/50/75mg
For management of pruritus due to allergic conditions such as chronic urticaria and atopic contact dermatoses, and in histamine-mediated pruritus..
    IMSA Update

International Medical Science Academy (IMSA) Update

Nocturnal leg cramps

A systematic review of prospective trials identified limited data to support the use of several agents, including calcium channel blockers and vitamin B complex, in the treatment of nocturnal leg cramps.

(Ref: Katzberg HD, et al. Assessment: Symptomatic treatment for muscle cramps (an evidence–based review): Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2010;74:691).

  Thought of the Day

(Dr GM Singh)

The fragrance of flowers spreads only in the direction of the wind, but the goodness of a person spreads in all directions.

    Readers Responses
  1. Sir, The story of "Stonecutter" should really be appreciated. Thanks to Dr Prachi Garg for sending it to emedinews. The story also clearly shows that one should strive in his or her own field to make the best of the given situation. One should not compare to other peers nor should run merely after money thinking that higher paying specialties would make one happy (even if one doesn’t have aptitude for those specialities.) Regards and best wishes: Dr Jitendra Ingole, MD
    Public Forum

(Press Release for use by the newspapers)

Heart disease survivors can resume sexual activity

Heart patients and paralysis survivors can resume usual sexual activity as soon as they feel ready to do it, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India.

After recovery, heart patients and stroke survivors may feel depressed, which is normal, and in 85% of cases this goes away within three months. If a person can walk 1 kilometre or climb two flights of stairs without any discomfort in the chest or breathlessness, he or she can indulge in normal marital activity without any cardiac risk.

It is very rare for patients with heart disease to die while having sexual activity.

However, Dr. Aggarwal cautioned that extra marital affairs are dangerous to heart patients as they are done in unfamiliar situations, time and places and with younger partners.

He further said that first–onset erectile dysfunction after the age of 40 may also be an indication of underlying coronary blockages as blockages in the male organ goes hand in hand with blockages in the channels supplying blood to the heart.

Viagra–like drugs are a boon for heart patients as they can improve blood circulation to the male organ and make them perform better. However, these patients should not be on nitrates as the combination of nitrates and Viagra can cause deadly lowering of blood pressure.

People with heart blockages, who are unstable and who have not had a relationship with their partner for years, should not indulge into a marital activity using Viagra–like drugs without medical supervision. Any unaccustomed exercise, in patients with underlying coronary blockages, which may be silent, can precipitate heart attack and sudden cardiac death.

    eMedinewS Special

1. eMedinewS audio PPT (This may take a few minutes to download)

2. eMedinewS audio lectures (This may take a few minutes to open)

3. eMedinewS ebooks (This may take a few minutes to open)

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

    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.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com


Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at


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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 Naveen Dang, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta