Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
Dr KK Aggarwal

From the Desk of Editor in Chief
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 September, 2010, Sunday

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

Doctors more likely to accept industry gifts
if they feel a sense of entitlement because of sacrifices made

Researchers at Carnegie Mellon University found that physicians rationalize such gifts as payback for all the sacrifices they made to get their education, even though they may not realize they’re doing it. Reminding doctors of the burdens of their training more than doubled their willingness to accept gifts from pharmaceutical makers, according to a study published Sept. 15 in the Journal of the American Medical Association. After surveying a total of 301 family practice and pediatric medicine residents, the two study authors found that the reminder increased their willingness to accept gifts to 47.5 percent from 21.7 percent, and that suggesting the rationalization increased the number of willing physicians to 60.3 percent. The questions touched upon the sacrifices doctors had made (sleep lost, hours worked, debt amassed) while pursuing a career. Physicians are more likely to accept gifts from industry if they feel a sense of entitlement because of the sacrifices they’ve made.
Current medical education generally does not teach students how to manage such conflicts, whether regarding ethical principles about personal economic behavior, the ethics of patient care (e.g., beneficence versus autonomy), or multifaceted loyalties (e.g., to patients, institutions, society, or third–party payers).

Dr KK Aggarwal
Editor in Chief
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  Photo Feature (from the HCFI Photo Gallery)

Confluence 2K

Confluence 2K was organized by the Interact Club of Bharatiya Vidya Niketan on September 4, 2000. The event included a variety of interschool competitions judged by eminent personalities. 
In the photo: Mr Omar Abdullah, Politician; Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President HCFI.

Dr K K Aggarwal
  IMSA Update

International Medical Science Academy (IMSA) Update

Association of CAP with antipsychotic drugs

In a case–control study, current use of atypical or typical antipsychotics was associated with a dose–dependent increased risk for community–acquired pneumonia (CAP) compared with past use.

(Reference: Trifiro G, et al. Association of community–acquired pneumonia with antipsychotic drug use in elderly patients: a nested case–control study. Ann Intern Med 2010;152:418).

  National News

IMA Election (for a CHANGE)

Emedinews requests all its readers to support our editor Dr. K.K. Aggarwal, Padma Shri and Dr. B C Roy National Awardee who is contesting for the post of Vice President of the National Indian Medical Association. Members of Central Council of IMA, Working Committee Members, Presidents and Secretaries of IMA in addition to all office bearers are the voters in this election. Dr. Aggarwal is well-known for his work in the field of academics. 

Health advisory issued for Games visitors

India on Friday issued a health advisory on A-H1N1 and dengue for participants and visitors of the Commonwealth Games beginning in a fortnight from now. The advisory, issued by the Ministry of Health and Family Welfare, has recommended A-H1N1 vaccination and carrying full-sleeved clothes and mosquito-repellent creams, mats and coil before leaving for India. They have been asked not to shake hands or hug in greeting to prevent the spread of H1N1, and use commercially available repellent, and not to leave the doors and windows open during day time to prevent mosquitoes from entering the rooms
Help desks for assistance: If suffering from fever while on flight, the visitors and participants can contact the help desks for assistance on arrival at the Delhi International Airport. Anyone contracting pandemic flu or dengue will be given access to free consultation, diagnosis and treatment in health facilities notified by the government.

According to the advisory, though the A-H1N1 had moved into the post-pandemic period and ceased to be a public health emergency as per the World Health Organisation (WHO), localised outbreaks of various magnitudes are likely to continue. Though A-H1N1 activity was showing a declining trend, taking preventive measures would be helpful. It says that dengue was endemic in 26 States and Union Territories, including Delhi. The seasonal trend indicates that transmission could continue till November.

Seek advice: The participants and visitors, if suspected of having H1N1 or dengue, can consult the medical officer in their respective contingents or seek immediate advice from the medical facility at the polyclinics, competition and training venues and hotels. If the advice of the doctor is to stay in the Commonwealth Games Village, use triple layer surgical mask (which would be provided by the medical unit). Avoid close contact with others for seven days or until you have been symptom-free for 24 hours, the advisory said. (Source:  The Hindu) 

68 new cases of dengue across Delhi

The Capital remained firmly in the grip of dengue, with 68 more patients testing positive for the vector-borne disease on Friday. With this, the total number of cases has touched 2,153. Delhi has reported five dengue deaths this season. During the same period last year, the number of cases of the vector-borne disease in the city was only 18, while it was 294 and 52 in the corresponding periods of 2008 and 2007. Civic bodies are attributing the rapid increase in dengue cases this season to the prolonged monsoon and stagnation of water at Games construction site. (Source: Indian Express)

World ozone day observed in city

Allahabad: To mark the World Ozone Day on Wednesday, an awareness rally was taken out by students of various schools and colleges in the city. Students were carrying banners and posters in their hands, displaying the reason behind observing the world ozone day. The celebration of this day is made to pay our homage to the ozone layer, that saves our earth from the harmful ultra–voilet radiation of the Sun. Experts meanwhile said that 14% of the energy, which comes in the form of ultra violet radiation gets absorbed by the ozone layer, thus saving the earth from the harmful effects like over warming of the earth or deadly diseases. (Source: The Times of India)

  International News

(Dr Monica and Brahm vasudev)

FDA to decide if Meridia should stay on the market

The FDA will take a decision on Meridia, the controversial sibutramine diet pill. Meridia ranks second in the list of prescription diet drugs. That decision may be influenced by a newly published editorial appearing in the New England Journal of Medicine which says the drug should be pulled from the market after a new study showed an increased risk in heart attacks in some patients.

Mild cognitive impairment more common in older men than older women

A study in Neurology reports that elderly male are more at risk of early development of mild cognitive impairment (MCI), often a precursor to Alzheimer’s disease, than older women.

NIH study shows how insulin stimulates fat cells to take in glucose

A new research from NIH reported in the Sept. 8 issue of the journal Cell Metabolism has shown how insulin prompts fat cells to take in glucose in a rat model with the help of high–resolution microscopy.

Stressed women may have reduced chance of becoming pregnant

Stress and time to conception may have an association and not just in couples with infertility, states a new study in the current issue of the journal Fertility and Sterility. According to the researchers, finding ways to relax may increase the odds of becoming pregnant, but choosing tobacco or alcohol as options to relax are not the answer as they decrease the changes of pregnancy.

  Nutrition Update

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

Complimentary feeding practices between 6 and 24 months

  • Practice good hygiene and proper food handling
  • Wash caregivers’ and children’s hands before food preparation and eating.
  • Store foods safely and serve foods immediately after preparation.
  • Use clean utensils to prepare and serve food.
  • Serve children using clean cups and bowls, and never use feeding bottles.


  1. Brown KH, Dewey KG, Allen LH. Complementary Feeding of Young Children in Developing Countries: A Review Of Current Scientific Knowledge. WHO/ UNICEF, 1998.
  2. Dewey KG. Guiding principles for complementary feeding of the breastfed child. PAHO/ WHO, 2003.
  3. WHO. Complementary feeding: family foods for breastfed children. Geneva: World Health Organization, 2000.
  Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director Precious Baby Foundation

How many embryos are usually transferred?

This is a technical decision depending on the quality of embryos. Usually 2–3 embryos are transferred. Embryo freezing is the option for storing the remaining good quality embryos.

When do I know that I am pregnant after a IVF treatment?

The earliest one can know that the lady is pregnant after IVF is usually 14 days after embryo transfer.

  ENT Update: Question of the Day

What if a child does not want spectacles and wants do undergo laser surgery? (Dr Quresh Maskati)

It is the parents’ attitude, which often governs the child’s like or dislike of wearing glasses. The parents should use all their persuasive power to and keep patience to convince the child to wear the prescribed glasses. Let the child get used to them gradually i.e. wear for 10 minutes on the first day, half an hour on the second day and so on, instead of insisting that the child wears it during all waking hours from day one. Excimer laser surgery to correct spectacle number is not recommended till the child is at least 18 years of age and the number has stabilized i.e. it has not increased in the past one year.

  Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

Michigan’s Foran’s laboratory has devised methods to extract and isolate mitochondrial DNA. His laboratory specializes in ancient and forensic DNA evidence, often working with human remains that are thousands of years old. The nearly 100–year–old microscope slide, sent to Michigan State from the Royal London Hospital Archives and Museum, is the same one the pathologist Bernard Spilsbury used to help hang Crippen in 1910. At that time forensic medicine/ pathology was more primitive; Spilsbury’s testimony, identifying what he claimed was an abdominal scar consistent with Cora’s medical history, convinced the jury that these were Cora’s remains. Crippen went to the gallows insisting he was innocent. The present–day challenge: getting past the pine sap that sealed the slide and the formaldehyde used to preserve the tissue in order to examine the mitochondrial DNA that could identify Cora Crippen based on the genetic history of her maternal relatives.

  Medi Finance Update

Taxation Tips

If your business/professional income is high, never buy a car or property. Always get them leased from your own family member. You can buy it in your wife’s name and let her lease it to you. You can avail a 700 lease exemption and she can claim the depreciation.

  Drug Update

Drugs prohibited for manufacture, sale and distribution from subsequent date

Drug Formulation

Effective date


Fixed dose combination of Cyproheptadine with Lysine or Peptone.

Jan 1, 2003

GSR 170(E)

  Lab Update

Prostate specific antigen (PSA)

Acute urinary retention may elevate PSA levels, but the levels may decrease by 50 % within 1 to 2 days following resolution. A screening PSA test should not be performed for at least two weeks following an episode of acute urinary retention.

  IJCP Special

Dr Good Dr Bad

Situation: A female diabetic patient with BP of 135/ 85 mmHg came for evaluation.
Dr Bad: Continue only the antidiabetic treatment, your BP is perfect.
Dr Good: You also need to take care of your BP. It is towards higher side.
Lesson: The threshold for initiating anti hypertensive therapy is lower (BP of at least 1130/80mnn Hg) in women with NIDDM than it is in non diabetic patients.

Make Sure

Situation: A patient of pulmonary Koch’s taking ATT complains of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lasson: Make sure that in patients talking ATT (including INH) B-complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

Quote of the Day

"Facts are many, but the truth is one." Rabindranath Tagore

Hypertension Alert

  • Follow–up is directed towards evaluation for symptoms of either hypertension or hypotension, and attainment of the initial blood pressure goal of ≤160/100 mmHg.
  • In reliable patients who can monitor their BP at home, close phone follow-up may substitute for direct physician visits.
  Mind Teaser

Read this…………………


The answer for yesterday’s Mind Teaser: "Princes/Princess"

Correct answers received from: Dr Neelam Nath, Dr Satish Gunawant, Dr. K. P. Rajalakshmi, Dr Deepti Katyal Uppal, Dr Anurag Jain, Dr Aruna Tyagi. 

Answer for 17th September Mind Teaser: 'Defencelessness'
Correct answers received from: DR. GITANJALI ARORA, Dr Dinesh Kumar

Send your answer to ijcp12@gmail.com

  Humor Section

Interesting aspect of mathematical calculation in human life

Propensity to change
A woman marries a man expecting he will change, but he doesn’t. A man marries a woman expecting that she won’t change, and she does.
(Contributed by Dewat Ram Nakipuria)

Important Laws Which Great Newton Forgot to State……… 

LAW OF QUEUE: If you change queues, the one you have left will start to move faster than the one you are in now.
(Contributed by Dr. Chandresh Jardosh)

  An Inspirational Story

Life, it goes on

In three words I can sum up everything that I learned about life, "It goes on." When the going gets tough, make yourself realize that no matter what your problem is, someone is and always will be fighting a harder battle.

Tears don’t help problems and whining won’t make things better. Have faith but understand that faith makes things possible, not easier. Have hope but understand without doing anything nothing gets done.

Be there when people need you, because in order to have friends you must first be one. Make the impossible, possible. Never give up! You only fail when you fail to try. Keep an open mind; you never know what you may learn.

Never compromise your standards for anyone, do it for you. Remember that laughter makes the world go round.

Beware of the person who has nothing to lose, see through the problem to find the solution. Don’t make promises that you can’t keep. Keep in mind, those who gossip to you will gossip about you. Say only what you mean, and don’t believe everything that you hear because some day the story will be about you.

Everyday is a gift, even if it sucks. Count your blessings, not your troubles. Never waste an opportunity to tell someone that you love them, because you never know what tomorrow has in store for you. Give people a second chance, because no one is perfect. Love all that you can, give all that you have, smile away your days, and dream away your nights.

Life, what a wonderful thing!

  Readers Responses
  1. Dear Dr. KK Aggarwal, I admire your zeal and incessant efforts to share knowledge amongst us all. Wish you the best always. With Warmest Regards: Dr GM Singh
  2. Dear Dr Aggarwal, Congratulation for sustaining your endeavours to keep everybody informed with the developments in the health sciences. i would request you to kindly cover national guidelines for treatment of dengue patients available on www.nvbdcp.gov.in in your emedinews.
    May also appeal to all practitioners to report any unusual presentation and occurrences in their day to day practice to Govt. of Delhi, MCD or NVBDCP. With kind regards: (Dr A.C.Dhariwal), Director, NVBDCP, Dte. GHS, Ministry of Health & FW, Govt. of India, 22-Sham Nath Marg, Delhi- 110054, Telefax No. +91-11-23918576, Mobile 09968070427
  Public Forum

(Press Release for use by the newspapers)

HCFI Alert

Beware of paints

Seventy–three percent of consumer paint brands tested from 12 countries in one study has shown that the brand surpasses the U.S. standard of 600 parts per million (ppm) for lead in paint, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India, BSNL Dil Ka Darbar & MTNL Perfect Health Mela.

Here are some Tips.

  • Enamel paints have higher concentration of lead with most of them showing a concentration of more than 1000 ppm.
  • Painters who scrap paints may end up with acute lead poisoning with abdominal pains.
  • Some paints may have Volatile Organic Compounds (VOCs) causing asthma and cough. VOCs are organic chemical compounds that vaporize and enter the atmosphere. VOCs include aldehydes, ketones, and hydrocarbons and may be either organic compounds or mixtures of varied composition.
  • ‘Chuna’ (limestone) used to whitewash houses is safer to use than the high end paints available in the market.
  • Lead exposure may lead to weakness in fingers, abnormal blood pressure, anemia and severe damage to brain and kidneys.
  • Dry hacking cough can occur due to exposure to toluene diisocyanate (TDI), a well–known sensitizing agent, and one of the chemical components in the car paint sprays.
  • Many of the toxic effects of lead are reversible if lead poisoning is identified early.
  • Asthmatics should avoid entering a freshly painted room
  Conference Calendar

Workshop on Computational Imaging Biomarkers for Tumors

Date: 20 – 24 September 2010
Venue: China National Convention Center (CNCC), Beijing, China

  Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

26th September: Sunday–BSNL Dil ka Darbar A daylong interaction with top cardiologists of the city. 8 AM  5 PM at MAMC Auditorium, Delhi Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi 24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to
10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

Dr. Sood Nasal Research Foundation Announces

Rhinology Update 11th to 15th November, 2010, at Dr. Shroff’s Eye & ENT Hospital, New Delhi.
22nd National Endoscopic Sinus Surgery Course on 11th & 12th November, 2010 at Dr. Shroff’s Eye & ENT Hospital, New Delhi.
Cadaveric Sessions on 13th November, 2010 at Lady Hardinge Medical College.
33rd All India Rhinoplasty Course, on 14th & 15th November, 2010, at Metro Hospital, Preet Vihar, Vikas Marg, New Delhi.

For information contact: Dr. V P Sood, Course Chairman, Ear, Nose & Throat Center, 212, Aditya Arcade, 30, Community Center, Preet Vihar, Vikas Marg, Delhi–110092 (India). Tel: 011-22440011, 42420429.
Website: www.drsoodnasalfoundation.com

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

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