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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 October 2010, Tuesday

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

People living under flight paths may face increased heart attack risk

Living under a flight path increases the chances of a fatal heart attack. Noisy planes can raise stress levels, disrupt sleep, and trigger high blood pressure.

A research conducted in Switzerland included 4.6 million individuals which identified 15,532 heart attack deaths among the population between late 2000 and the end of 2005 as part of an ongoing mortality study called the Swiss National Cohort and discovered that people exposed to a daily average of at least 60 decibels of noise had a 30 % greater risk of dying from a heart attack, compared with those exposed to less than 45 decibels. Among those exposed to the higher decibel levels for 15 or more years, the risk was actually 50 % higher. The study is published in the journal Epidemiology.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
  Chikungunya Update

(RP Vashist, Consultant and Head Public Health, Govt. of Delhi)

Common clinical manifestations of Chikungunya

  • Fever (100%)
  • Arthralgia (78–100%)
  • Severe, incapacitating, persistent Headache (50–70%)
  • Myalgia (50–60%)
  • Rash (39–50%)

Important features of Arthralgia

  • Small joints of the lower and upper limbs
  • Migratory polyarthralgia – not much effusions
  • Larger joints may also be affected (knee, ankle)
  • Pain worse in the morning – less by evening
  • Joints may be swollen & painful to the touch
  • Some patients have incapacitating joint pains
  • Arthritis may last for weeks or months
  Photo Feature (from the HCFI Photo Gallery)

Doctor's Day

On the occasion of Doctors’ Day, eminent doctors of Delhi were felicitated by Heart Care Foundation and in recognition of their endless efforts towards meeting the healthcare needs of the public.
In the photo: Padma Bhushan Dr Naresh Trehan, Nisha Kothari (Film actress) and Padma Shri & Dr BC Roy National Awardee Dr KK Aggarwal, president HCFI

Dr K K Aggarwal
  IMSA Update

International Medical Science Academy (IMSA) Update

Exercise blood pressure and cardiovascular outcome

A study of over 4800 asymptomatic normotensive individuals found that a hypertensive response to treadmill testing was associated with an increased risk for cardiovascular death.

(Ref: Weiss SA. Exercise blood pressure and future cardiovascular death in asymptomatic individuals. Circulation. 2010 May 18;121(19):2109–16).

  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 (IMA). 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.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Dengue costs India almost $30m every year, says WHO

Two "neglected diseases" -- dengue and cysticercosis -- are costing India nearly $45 million between them every year. According to WHO, around 1 billion of the world's poorest people suffer from such neglected tropical diseases, mostly in urban slums. The global health watchdog said in its latest report the societal monetary cost of cysticercosis -- an infectious disease caused by the pork tapeworm Taenia solium -- is estimated to be $15.27 million while the economic burden of vector-borne dengue is estimated at $29.3 million. According to WHO's first-ever report on neglected diseases, these diseases kill an estimated 534,000 people each year. India also has a huge disease burden of rabies, caused by dog bites. In India, 20,000 rabies deaths (that is about 2/100,000 population) are estimated to occur annually. Asia and Africa account for the vast majority of rabies fatalities. In Asia, 31,000 deaths are estimated to occur annually (1.2/100,000 population). WHO identified 17 such diseases present in 149 countries and found that more than one-third of the 2.7 billion people living on less than $2 a day were affected. WHO said the number of cases of dengue, which recently caused havoc in India, saw a jump of 18% in 2007 compared with 2006 in Southeast Asia. (Source: The Times of India)

  International News

(Dr Monica and Brahm Vasudev)

Marathon runners may not be at greater risk for developing arthritis.

The idea that distance–running inevitably leads to arthritis is deeply entrenched, despite the publication of a number of recent studies that have found otherwise.

Trained dogs alert diabetes patients when blood sugar level runs low

Dogs are being employed to alert diabetes patients their blood sugar level is running low. Non–profit Dogs 4 Diabetics is one of a handful of facilities that train such dogs, which signal patients several minutes before any symptoms or the blood tests tell them they are "entering the danger zone." D4D puts its dogs through months of special scent–detection training.

Enzyme in saliva shapes how we sense food texture

A new study from the Monell Center reports that individuals’ perception of starch texture is shaped by variability in the activity of an oral enzyme known as salivary amylase.

Factors make predicting hospital readmission easy

A quick return to the hospital after discharge can be predicted by simple clinical and demographic factors, according to two separate studies by Nazima Allaudeen, MD, of the VA Healthcare System in Palo Alto, Calif., and Alison M. Mudge, MBBS, of the Royal Brisbane and Women’s Hospital in Herston, Australia and colleagues. Chronic conditions were a top predictor in both studies, which appeared together online in the Journal of Hospital Medicine. In multivariate analysis, factors associated with readmission within 30 days included:

  • Black race, with an odds ratio of 1.43 (95% confidence interval 1.24 to 1.65)
  • Inpatient use of narcotics, with an odds ratio of 1.33 (95% CI 1.16 to 1.53)
  • Inpatient use of corticosteroids, with an odds ratio of 1.24 (95% CI 1.09 to 1.42)
  • Cancer with metastasis (OR 1.61, 95% CI 1.33 to 1.95) or without (OR 1.95, 95% CI 1.54 to 2.47)
  • Renal failure, with an odds ratio of 1.19 (95% CI 1.05 to 1.36)
  • Congestive heart failure, with an odds ratio of 1.30 (95% CI 1.09 to 1.56)
  • Weight loss, with an odds ratio of 1.26 (95% CI 1.09 to 1.47)

Walking 6 to 9 miles a week may help save memory

Walking about six miles a week appears to protect against brain shrinkage in old age, which in turn helps stem the onset of memory problems and cognitive decline.

Many obese people see no need to lose weight

Dr. Tiffany M. Powell of the University of Texas Southwestern Medical Center in Dallas and her colleagues have found that a substantial proportion of obese people don’t think they’re too fat. Among more than 2,000 obese Dallas County residents surveyed in 2000-2002, 14 % of African Americans and 11 % of Hispanics, but just 2 % of whites believed that they needed to lose weight.

  Hepatology Update

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

What is the treatment of biliary atresia?

The most successful treatment for biliary atresia to date is a type of surgery which creates drainage of bile from the liver when the ducts have become completely obstructed. This operation is called the Kasai procedure (hepatoportoenterostomy) after Dr. Morio Kasai, the Japanese surgeon who developed it.

In the Kasai procedure, the surgeon removes the damaged ducts outside of the liver (extrahepatic) and replaces them with a length of the baby’s own intestine, which acts as a new duct. The aim of the Kasai procedure is to allow excretion of bile from the liver into the intestine via the new duct. The operation accomplishes this about 50% of the time. In those who respond well, jaundice usually disappears after several weeks.

In the remaining 50% of cases where the Kasai procedure does not work, the problem often lies in the fact that obstructed bile ducts are "intrahepatic" or inside the liver, as well as outside. No procedure has yet been developed to correct this problem except for transplantation.
  Infertility Update

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

How many people are affected by infertility?

Estimates are that one in six couples are affected by some degree of infertility. However, this number may be very misleading. Many couples choose to lead child–free lives rather than seek treatment for their infertility; such couples are rarely included in infertility estimates. Others suffer recurrent pregnancy losses which are, in a way, a form of infertility and are not technically considered "infertile" because they are able to conceive. INCIID (InterNational Council on Infertility Information Dissemination) is in the process of creating a survey designed to provide new insights about who is infertile, what kinds of infertility they are experiencing, what kinds of treatments have been successful for specific diagnoses, and much more. This survey will be conducted online, and is expected to be a source of important clinical information for practitioners as well as consumers.

  Interesting Medical Website

Dr. Jitendra Ingole, MD Internal Medicine, Asst Professor (Medicine), SKN Medical College, Pune 


Single website where you can get abstracts and important articles with comments from over 180 medical journals. A great time-saver indeed.

  Medicolegal Update

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

What are causes of food poisoning?

Food or drink can be contaminated by poison from microscopic organisms such as bacteria, viruses, or mould, or by chemical poisons. Some plants, mushrooms, animals or sea–creatures contain poisonous chemicals. Poisons made by plants, animals or microorganisms are called toxins.

  • Food may be contaminated by bacteria before or after cooking, during preparation or storage, by contact with hands that have not been thoroughly washed, or with contaminated surfaces, containers or kitchen utensils. It may also be contaminated by animals or insects, particularly flies. Heating food thoroughly destroys most – but not all – bacteria and bacterial toxins. However, if cooked food is kept warm or at room temperature for any length of time, bacteria present in the food will multiply and may cause disease.
  • Moulds grow on foods that are damp or damaged by insects, and some moulds produce poisons. Moulds growing on nuts or grain that has been gathered and stored before it is dry may cause serious poisoning. Some ways of drying and preserving food do not stop moulds growing on the food.
  Medi Finance Update


  • No investment in equity shares is safe.
  • A real estate investment is always viable. However, it is tough and one should be able to judge the right locality and the cash involved.
  • One should not have an Abhimanyu approach in investing, i.e. know how to enter, but don’t know how to get out of it.
  Drug Update

List of drugs prohibited for manufacture and sale through gazette notifications under Section 26a of Drugs & Cosmetics Act 1940 by the Ministry of Health and Family Welfare

Drugs prohibited from the date of notification


  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Antidiuretic Hormone

Also known as: Vasopressin; Arginine Vasopressin; AVP

  • To help detect, diagnose, and determine the cause of antidiuretic hormone (ADH) deficiency or excess
  • To investigate low blood sodium levels (hyponatremia)
  • To distinguish between the two types of diabetes insipidus
  IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient was found unconscious.
Dr Bad: He has suffered a stroke.
Dr Good: First rule out hypoglycemia.
Lesson: In diabetics, sudden loss of consciousness is hypoglycemia unless proved otherwise.

Make Sure

Situation: A patient with pygenic meningitis developed complications.
Reaction: Oh My God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

Quote of the Day (Dr Paramjit Singh Chadha)

"Prayer is not a "spare wheel" that you pull out when in trouble, but it is a "steering wheel" that directs the right path throughout.

  Mind Teaser

Read this…………………


Answer for yesterday’s eQuiz: "Tally–ho!"

Correct answers received from: Dr Anurag Jain, Dr. K.P. Rajalakshmi

Answer for 17th October Mind Teaser is: "A home away from home"
Correct answers received from: Dr Sudipto Samaddar, Dr Neelam Nath, Dr Sukanta Sen, Dr Kalpana Mohan, Dr. Prabha Sanghi.

Send your answer to ijcp12@gmail.com

  Humor Section

Joke (Dr G M Singh)

Interesting 911 Calls

Dispatcher: Nine–one–one… What is the nature of your emergency?
Caller: I’m trying to reach nine eleven but my phone doesn’t have an eleven on it.

An Inspirational Story

The Emperor and the Seed

Once there was an emperor in the Far East who was growing old and knew it was coming time to choose his successor. Instead of choosing one of his assistants or one of his own children, he decided to do something different. He called all the young people in the kingdom together one day. He said, "Time has come for me to step down and to choose the next emperor. I have decided to choose one of you." The kids were shocked! But the emperor continued. "I am going to give each one of you a seed today one seed. It is a very special seed. I want you to go home, plant the seed, water it and come back here one year from today with what you have grown from this one seed. I will then judge the plants that you bring to me, and the one I choose will be the next emperor of the kingdom!"
There was one boy named Ling who was there that day and he, like the others, received a seed. He went home and excitedly told his mother the whole story. She helped him get a pot and some planting soil, and he planted the seed and watered it carefully. Every day he would water it and watch to see if it had grown. After about three weeks, some of the other youths began to talk about their seeds and the plants that were beginning to grow. Ling kept going home and checking his seed, but nothing ever grew. Three weeks, four weeks, five weeks went by… still nothing. By now others were talking about their plants but Ling didn’t have a plant, and he felt like a failure. Six months went by, still nothing in Ling’s pot. He just knew he had killed his seed. Everyone else had trees and tall plants, but he had nothing. Ling didn’t say anything to his friends, however. He just kept waiting for his seed to grow.
A year finally went by and all the youths of the kingdom brought their plants to the emperor for inspection. Ling told his mother that he wasn’t going to take an empty pot. But she encouraged him to go, and to take his pot, and to be honest about what happened. Ling felt sick to his stomach, but he knew his mother was right. He took his empty pot to the palace. When Ling arrived, he was amazed at the variety of plants grown by all the other youths. They were beautiful, in all shapes and sizes. Ling put his empty pot on the floor and many of the other kinds laughed at him. A few felt sorry for him and just said, "Hey nice try." 
When the emperor arrived, he surveyed the room and greeted the young people. Ling just tried to hide in the back. "My, what great plants, trees and flowers you have grown," said the emperor. "Today, one of you will be appointed the next emperor!" All of a sudden, the emperor spotted Ling at the back of the room with his empty pot. He ordered his guards to bring him to the front. Ling was terrified. "The emperor knows I’m a failure! Maybe he will have me killed!" When Ling got to the front, the Emperor asked his name. "My name is Ling," he replied. All the kids were laughing and making fun of him. The emperor asked everyone to quiet down. He looked at Ling, and then announced to the crowd, "Behold your new emperor! His name is Ling!" Ling couldn’t believe it. Ling couldn’t even grow his seed. How could he be the new emperor? 

Then the emperor said, "One year ago today, I gave everyone here a seed. I told you to take the seed, plant it, water it, and bring it back to me today. But I gave you all boiled seeds which would not grow. All of you, except Ling, have brought me trees and plants and flowers. When you found that the seed would not grow, you substituted another seed for the one I gave you. Ling was the only one with the courage and honesty to bring me a pot with my seed in it. Therefore, he is the one who will be the new emperor!"

  Readers Responses
  1. Dear Sir, emedinews is very informative newsletter. Thanks a lot for providing such useful information. Dr Prachi.
  Public Forum

(Press Release for use by the newspapers)

Community should reduce salt intake

High blood pressure, heart attacks, heart failure and heart deaths can be reduced in the community if families reduce their salt intake, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela. This would also cut down on healthcare costs, he further added.

The 17th Perfect Health Mela, being held from 23rd to 31st October at NDMC Grounds Laxmi Bai Nagar, New Delhi, would provide facilities for free consultation for Nutritionists to assess dietary intake and identify areas which need to be modified. In addition, the Mela would be a perfect opportunity to avail free consultation, with senior Cardiologists, who will be available at the mela at the free OPD.

Reducing community salt consumption can result in healthcare savings due to lower incidence of hypertension and can also bring quality-of-life improvements, according to a study published in an issue of the American Journal of Health Promotion.
Kartika Palar and Roland Sturm, Ph.D., of RAND in Santa Monica, Calif., studied a model based on population-level data from the National Health and Nutrition Examination Survey for 1999 to 2004 on blood pressure, use of antihypertensive medication and sodium intake, combined with data on the effects of sodium, disease outcomes, costs and impact on quality of life.

They reported that if average population intake of salt is reduced to less than 2.3 grams per day there would be 1.1 crores less cases of hypertension in the society. The benefits would be even greater if salt intake was reduced to below this level.

  Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

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
22nd National Endoscopic Sinus Surgery Course on 11th & 12th November, 2010 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. E–mail:drvpsood@gmail.com,vpsood@drsoodnasalfoundation.com
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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