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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


eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

  Editorial …

19th November 2011, Saturday

WCIR: World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease Meeting (WCIR update, Source: Medpage Today)

Biologics in diabetes

‘Doctors are excited about the prospects for a monoclonal antibody for type 2 diabetes. In vitro and murine studies of the compound, XMetA, have shown that it selectively targets an allosteric insulin receptor –– offering all the glucoregulatory benefits, but none of the mitogenic effects, according to Yehuda Handelsman, MD president WCIR

Diabetics with OSA more at risk

Diabetes patients with obstructive sleep apnea may have more autonomic dysfunction and also may be at greater risk of hypoglycemia. Those with the sleep disorder who also had poor autonomic function had significantly more hypoglycemia than those with more normal function (P<0.05) as per Dr Jennifer Cheng, of Rosalind Franklin University of Medicine and Science in Chicago.

Renal hyperfiltration linked to stroke

Renal hyperfiltration is associated with a greater risk of stroke, especially in patients with the metabolic syndrome or type 2 diabetes. In a single–center study, 22% of patients with either condition who also had renal hyperfiltration had a stroke, Harold Pretorius, MD, PhD, of the Cincinnati Cognitive Collaborative in Ohio.

Hidden diabetes is common

About 25% of healthy people have either dysglycemia or undiagnosed type 2 diabetes as per Mona Boaz, PhD, of E. Wolfson Medical Center in Holon. More than 20% of people screened had impaired glucose tolerance, and that another 4% had (type 2) diabetes but they did not know it.

Weight loss the key for diabetics

In a survey, patients who reported weight loss had significantly greater improvements in several markers of quality of life, especially self–esteem and physical health, than those who gained weight (P<0.001), Kathleen Fox, PhD, of Strategic Healthcare Solutions in Monkton, Md reported.

Monoclonal antibodies for diabetes

A monoclonal antibody selectively stimulated insulin signaling in vitro and improved fasting blood sugar in a mouse model, but its effects on humans remain to be seen. The fully human monoclonal antibody (XMetA) mimicked only the glucoregulatory action of insulin –– not its growth factor pathway –– and improved glycated hemoglobin (HbA1c) after six weeks of treatment in mice, according to John Corbin, PhD, of XOMA in Berkeley, Calif., a developer and manufacturer of therapeutic antibodies.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

WCIR: World Congress on Insulin Resistance,
Diabetes & Cardiovascular Disease Meeting
(WCIR update, Source: Medpage Today)

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011–Heritage–An Inter Dancing School Health Festival

Dancing is good for health and classical dance is a mix of exercise and meditation

Dr K K Aggarwal
    National News

Doctors in 21 states to undergo one–year crash course on oncology

NEW DELHI: Doctors across 21 states in India will soon get a one–year crash course on oncology, especially training them on early detection of cancer symptoms and how to deliver chemotherapy. The Union health ministry’s battle against cancer, which affects 10 lakh new Indians every year and kills four lakhs, has failed to take off. The first ministerial review of the National Programme for Prevention and Control of Cancer–an initiative that was announced in June, 2010 – on Thursday revealed that not a single state has rolled out cancer screening in the general population. Under the programme, 65 tertiary cancer centres (TCCs) that would carry out screening, biopsy and treatment of cancer were to be set up in 21 chosen states. However, only 38 proposals were received by the ministry till October, of which only 15 were complete. The ministry’s standing committee on Tuesday sanctioned Rs 4.8 crore to each of these TCCs. (Source: TOI, Nov 18, 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

Docs get animated about underused trauma Tx

Frustrated with the apparently slow adoption of a drug, tranexamic acid, proven to save trauma victims’ lives, British researchers have turned to cartoon animation and YouTube to raise clinicians’ awareness of the treatment’s effectiveness. Based at the London School of Hygiene and Tropical Medicine, the researchers responsible for the 2010 CRASH–2 trial –– a randomized study showing that tranexamic acid cut the risk of fatal bleeding events in trauma patients by 15% –– has posted a video on YouTube that dramatizes the drug’s benefit. (Source: Medpage Today)

For comments and archives

Heavy kids aren’t doomed to heart disease risks

Being heavy in childhood doesn’t guarantee an increased risk of heart disease in the long run, provided children lose weight as adults, researchers found. In a meta–analysis of four studies, there was no difference in terms of risk of several parameters of cardiovascular disease –– including diabetes, dyslipidemia, and hypertension –– between patients who had been normal weight all their lives and those who were obese or overweight as kids but not as adults, according to Markus Juonala, MD, PhD, of the University of Turku, in Turku, Finland, and colleagues. (Source: Medpage Today)

For Comments and archives

International Diabetes Foundation urges use of Blue Circle

Diabetes initiatives in November are highlighting diabetes symptoms and prevention measures, with the International Diabetes Federation (IDF) using a blue circle logo to promote public awareness and unity among diabetes advocates. (Source: Medscape Medical News)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on The triad of early diagnosis, timel… http://www.youtube.com/watch?v=6_ImEDHmiiE&feature=share via @youtube

@DeepakChopra: An unseen reality is the source of all visible things. Intelligence, creativity, and organizing power are imbedded in the cosmos.

    Spiritual Update

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

What is the Significance of Mehendi (Henna) Ceremony?

"It is said that the husband’s name in the intricate henna motifs is made for the bridegroom who has to find out his name in his bride’s mehendi as an evidence of his sharp eyes and active brain to impress his girl."

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Share Your Time

A man came home from work late again, tired and irritated, to find his 5–year–old son waiting for him at the door. "Daddy, may I ask you a question?"

"Yeah, sure, what is it?" replied the man. "Daddy, how much money do you make an hour?

"That’s none of your business! What makes you ask such a thing?" the man said angrily. "I just want to know. Please tell me, how much do you make an hour?" pleaded the little boy.

"If you must know, I make $20.00 an hour." "Oh," the little boy replied, head bowed. Looking up, he said, "Daddy, may I borrow $10.00 please?"

The father was furious. "If the only reason you wanted to know how much money I make is just so you can borrow some to buy a silly toy or some other nonsense, then you march yourself straight to your room and go to bed. Think about why you're being so selfish. I work long, hard hours every day and don’t have time for such childish games."

The little boy quietly went to his room and shut the door. The man sat down and started to get even madder about the little boy’s questioning. How did he dare to ask such questions only to get some money.

After an hour or so, the man had calmed down, and started to think he may have been a little hard on his son. Maybe there was something he really needed to buy with that $10.00, and he really didn’t ask for money very often. The man went to the door of the little boy’s room and opened the door. "Are you asleep son?" he asked.

"No daddy, I’m awake," replied the boy. "I’ve been thinking, maybe I was too hard on you earlier," said the man. "It’s been a long day and I took my aggravation out on you. Here’s that $10.00 you asked for."

The little boy sat straight up, beaming. "Oh, thank you daddy!" he yelled. Then, reaching under his pillow, he pulled out some more crumpled up bills. The man, seeing that the boy already had money, started to get angry again. The little boy slowly counted out his money, then looked up at the man.

"Why did you want more money if you already had some?" the father grumbled. "Because I didn’t have enough, but now I do," the little boy replied. "Daddy, I have $20.00 now. Can I buy an hour of your time?"

Share some time with those who need you. They need our time more then we will ever know.

For comments and archives

  Cardiology eMedinewS

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

CSI News

CIMT can risk stratify intermediate risk patients

For comments and archives

Troponin I helpful in stratifying patients with cardiomyopathy

For comments and archives

Do not ignore ECG noise

For comments and archives


For comments and archives

Statins may worsen asthma

For comments and archives

Facts and figures in cardiology

CAD manifests almost 10 years earlier on average in Indians compared with the rest of the world. (Circulation 1998,97:596–601)

  Fitness Update

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

Exercise and depression: An update

Many studies show that exercise can remedy anxiety and depression in elderly populations. However, no studies have been conducted over a long period of time, and there is no research showing whether regular exercise is needed to maintain an antidepressant effect. Swedish researchers conducted a study to find out whether change in physical activity is associated with change in depression over time, and their results were published in the journal Health Psychology.

Researchers studied a group of 17,500 elderly people with an average age of 64 years from 11 different European countries. The subjects were followed over a period of two and a half years, so researchers could track changes in their levels of physical activity and depression. People who were active were much less likely to feel depressed, however the results of the study show that regular exercise is key in maintaining mental and emotional well–being. Subjects who were active, but engaged in physical activity less regularly, were also more prone to depressive episodes. Interestingly, the authors also found that, for a small number of subjects, their depressive symptoms stopped people from being active in the first place.

For comments and archives

    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

If you have to drive, the only way to be safe is to drink nothing. Even half a pint affects your reactions.

    Medicine Update

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

What are the treatment options in cystic fibrosis liver disease?

  • In addition to UDCA (ursodeoxycholic acid) treatment, treatment of cystic fibrosis liver disease includes supplementation of fat–soluble vitamins.
  • Treatment of complications of portal hypertension and associated hypersplenism include variceal banding, portosystemic shunting, transjugular portosystemic shunt (TIPS), splenectomy, and liver transplant. Given that respiratory disease is the main contributor to CF mortality; however, liver transplantation is rarely required and is generally not indicated unless there are additional features of liver decompensation.

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emedinews revisiting 2011
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    Legal Question of the Day

(Dr M C Gupta)

Will a non–allopathic medical practitioner be guilty of committing the illegality of "cross pathy" in terms of Poonam Verma Vs. Ashwin Patel and Others, decided by the Supreme Court on 10.05.1996, reported as 4 SCC 332, if he prescribes OTC (Over the counter drugs)?

Ans. Yes. He will be guilty. There is nothing in the judgment to exempt the use of OTC drugs.

For Comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with dengue fever came with platelet count of 20000 cu mm.
Dr. Bad: Start platelet transfusion.
Dr. Good: Take enough liquids.
Lesson: Prophylactic platelet transfusions in patients with severe thrombocytopenia but without active bleeding are generally not recommended. (World Health Organization, Geneva 2009, p. 1).

For comments and archives

Make Sure

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develop (Br J Clin Pharmacol 1999;48(6):861–5).

For comments and archives

  Quote of the Day

(Dr GM Singh)

One can never speak enough of the virtues, the dangers, the power of shared laughter.

    Mind Teaser

Read this…………………

Endoscopic stone extraction from CBD is possible only in:

a) Multiple CBD stones
b) Intrahepatic stones
c) Multiple gallstones
d) Prior gastrectomy

Yesterday’s Mind Teaser: Which is not true regarding hemangioendothelioma of liver?

a) It is a rare tumor.
b) It is highly vascular.
c) It involves both lobes of the liver.
d) It has extrahepatic spread in 50% cases.

Answer for Yesterday’s Mind Teaser: d) It has extrahepatic spread in 50% cases.

Correct answers received from: Dr Prabha Sanghi, Dr Sukla Das, Dr PC Das, Dr ValluriRamarao, Anil bairaria, Dr Fakhruddin Johar, Dr deepali Chatterjee, yogindra vasavada, Dr Alexander Daniel Sunad,
Dr HL Kapoor, shikha jain.

Answer for 17th November Mind Teaser: d. Carotene
Correct answers received from: Dr Chandresh Jardosh, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, jayaraman t p, Dr NeelamNath, Dr Arvind, Dr Ankita Kanathia,
Dr KV Sarma.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

A guy goes to a psychiatrist. He says: "I don’t know why Doc –– but no one listens to me or pays any attention to me". The psychiatrist stares at the guy for a second and says: "NEXT."

    Medicolegal Update

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

Is it necessary for treating hospital to disclose all the information to patient?

The patient has a legitimate right to determine what medical/surgical, diagnostic or therapeutic intervention has to be done with his/her own body and the doctor has to obtain a valid consent after giving full information of medical procedure to be done to the patient. When two or more persons agree upon the same thing in the same sense, it is a valid consent as per the definition of the consent given in section 13 of the Indian Contract Act. The Doctor who performs an intervention without the patient’s consent commits an offence for which he is liable as per law.

Consent may be express or implied.

  • Express consent in an oral or written authority by the patient to render the proposed medical/surgical treatment.
  • Consent may be implied to conduct medical examination from the conduct of the patient who voluntarily submits to treatment under circumstances which would indicate awareness of the planned treatment impliedly authorizes the treatment, even without express consent. A patient who presents himself or herself at the doctor’s clinic/hospital after appointment/purchasing OPD Card/paying doctor’s fee for consultation/routine medical procedure/examination by way of palpation/auscultation implies his/her consent to treatment by the doctor/hospital
  • It is now recognized that the patient has the right to full information in patient as consumer terms, concerning his diagnosis, treatment and prognosis. He/she should also be informed about the alternative treatments/methods and its possible complications.
  • Informed means the consent of a patient to the performance of the health care services provided by a registered medical practitioner, that prior to be the consent having be given, the doctor/team of/hospital authority has informed the patient of the nature of the purposed procedure or treatment of those risks and alternative treatment or diagnosis that a reasonable patient would consider material to the decision whether or not to undergo treatment or diagnosis.
  • In standard ethical/prudent practice of medicine the doctor’s duty to disclose the information/complete information is subject to the two exceptions: No disclosure is required, if the patient indicates a preference not to be informed; or If the physician or surgeon believes in the exercise of sound medical judgment, that the patient personality is so anxiety prone or disturbed that the information would not be processed rationally or that it would probably cause significant psychological harm/not in the interest of his/her mental and physical health or it will cause adverse effect on good prognosis of patient health of the patient.
  • This exception to the legal duty of full disclosure to patient as informed consent in medical care delivery is called the ‘therapeutic privilege’ of a doctor. Consultation or sharing the information with legal heirs by another physician familiar with the patient/family doctor, with a close relative or friend of patient, or all is advisable for a treating doctor in good faith and must be documented as an extended informed consent under heading of therapeutic privilege

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

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

Campaign 100: Just compress it

Gasping, gurgling, moaning or any other noisy breathing increases the chances for survival when someone is suffering sudden cardiac arrest.

Gasping is a sign that there is still blood flow to the brain, and the person can be saved even though the heart has stopped said Padma Shri & Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President, Heart Care Foundation of India.

While giving a demonstration to a group of people at the Heart Care Foundation of India stall in the Ministry of Health and Family Welfare pavilion at the IITF, Pragati Maidan, Dr Aggarwal said that first aid involves starting compressing the chest, 100 times a minute.

A Phoenix study of 1,218 cases published in Circulation has shown better survival when abnormal breathing –– gasping –– was noted. After gasping one may have 4–5 minutes before the breathing stops and these 4–5 minutes are crucial.

Gasping is present in 40% of the cases of sudden cardiac arrest. After timely CPR, as many as 39 percent of the gaspers will survive as compared to 9.4 percent of the non–gaspers. If no CPR is done, 21.1 percent for gaspers and 6.7 percent of non–gaspers survive.

For comments and archives

    Readers Response
  1. Dear Sir, I like reading the emdinews. Regards:Dr Suman
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in.

Over 400 registrations already done…

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

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

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

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

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  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

    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 Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta