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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 …

1st February, 2011, Tuesday                                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

Look or non–celiac gluten intolerance

There may be cases with non–celiac form of gluten intolerance, suggests a small study in the American Journal of Gastroenterology. The study recruited 34 patients with irritable bowel syndrome, in whom celiac disease had been excluded and assigned to either gluten or placebo six-week diets. They found that 13 (68%) patients in the gluten group versus six (40%) in the placebo group reported inadequately controlled IBS symptoms at six weeks. Patients in the gluten group had significantly worse scores after one week for overall symptoms, pain, bloating, satisfaction with stool consistency, and tiredness, compared with those in the placebo group.

Take home message: In every IBS, try a gluten-free diet.

Dr KK Aggarwal
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
  eMedinewS Audio PostCard

  2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal
New SOS drug for premature ejaculation

Audio PostCard
  Quote of the Day

Always put yourself in the other’s shoes. If you feel that it hurts you, it probably hurts the person too.

    Photo Feature

2nd eMedinewS Revisiting 2010

Dr Sanjay Sood recieving eMedinewS Excellence Awards of the year 2010 in the 2nd eMedinewS revisiting 2010 on 9th January 2011 at Maulana Azad Medical College.

Dr K K Aggarwal
    National News

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

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

No. MCI–202(1)(Gen)/Regn.–2010


Subject: Prior permission/registration of Foreign National/NRI desires to participate in CME programmes/Workshop/Post Graduate course holding in India – regarding.

All the Foreign Nationals/NRI faculty will have to take prior permission from the Medical Council of India in the prescribed form No. MCI-07 available on the website, if he/she demonstrates/conducts any procedure, intervention, surgery, drug therapy, application of any new device or any treatment, on a patient in any CME programmes/workshop/Postgraduate courses or any other programme, conducted by Medical Colleges/Hospitals/Medical Associations or any other medical organizations in India.

This is mandatory and suo–moto action would be initiated by Medical Council of India against the erring medical college/institution.


Know heart disease before symptoms campaign at Moolchand Medcity started

Get Neck artery wall thickness examined
It can detect heart blockages much before they are detected in the angiography
TMT cannot pick up blockages unless they are > 70%
Stress echo cannot pick up blockages unless they are > 60%
Angiography cannot pick up blockages unless they are >470%
The only way to know is to measure carotid and femoral intima media thickness
For more details contact www.emedinews@gmail.com

    International News

(Dr Monica and Brahm Vasudev)

Hydrochlorothiazide may lower BP about half as much as other BP drugs

The diuretic hydrochlorothiazide appears to lower blood pressure approximately half as much as ACE inhibitors or beta blocker medications, according to a study published online Jan. 24 in the Journal of the American College of Cardiology.

Deep brain stimulation may be used to ease hard–to–control hypertension

Physicians administering deep brain stimulation to control a patient’s severe pain report that they discovered the treatment consistently lowered the man’s hard–to–control high blood pressure, reports HealthDay

Patients with type 2 diabetes and CAD may have better platelet inhibition on prasugrel

According to a study published online Jan. 20 in the European Heart Journal, patients with type 2 diabetes and coronary artery disease (CAD) have better platelet inhibition and response profiles with standard–dose prasugrel than with double–dose clopidogrel.

Article discusses safe levels of Calcium, Vitamin D

The Institute of Medicine, now recommends 1,000 mgs for children four to eight, women and men 19 to 50, and men 51 to 70; 1,300 mgs for children nine to 18; and 1,200 mgs for women 51 and older and men 71 and older. Therefore, a daily supplement of calcium with D, or even a separate supplement of 1,000 units of D, is likely to keep you well below the institute’s upper safe limit of 4,000 units of vitamin D per day for everyone over the age of nine.

    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

Is infertility a common problem?

Yes. About 10% of women (6.1 million) in the United States aged 15–44 have difficulty getting pregnant or staying pregnant, according to the Centers for Disease Control and Prevention (CDC).

For queries contact: banerjee.kaberi@gmail.com

    Pediatric Update

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

What precautions should be taken after a needle prick from a patient with hepatitis C?

The rate of transmission from a hepatitis C–positive source to a nonimmunized host is 1–10%. We should do Hepatitis C antibody testing at 2 weeks, 4 weeks, and 8 weeks. CDC guidelines acknowledge that there is no active post exposure prophylaxis for HCV.

As there is no vaccine and hepatitis C specific immunoglobulin, the recommendations are intended to achieve early identification of chronic disease and, when detected, referral for evaluation of treatment options. According to the CDC, identification of acute infection with HCV may not necessitate active intervention. If HCV antibody is present at 8–12 weeks it should be confirmed with HCV RNA and I would recommend that if the HCV RNA is present at 12 weeks post exposure the patient should be referred to an expert for further management. However, there is enough evidence that treatment with interferon alfa–2b may be beneficial preventing chronic hepatitis.

    Medicolegal Update

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

What are legal issues in pregnancy?

  • Pregnancy is the condition resulting from the fertilized ovum.
  • The existence of the condition beginning at the time of conception and terminating with the delivery of the child.
  • Extra uterine or ectopic pregnancy is the development of the ovum outside the uterine cavity as in the fallopian tube or the ovaries.
  • Extra uterine pregnancy usually terminates with the rupture of the sac, profuse internal bleeding, and death if not relieved promptly by a surgical operation.
  • Pregnancy is most likely to occur between the age group of 14 to 45 years but has been reported much earlier and later.
  • A plea of pregnancy is a plea which a woman capitally convicted may plead in stay of execution; for this, though it is no stay of judgment, yet operates as a respite of execution until the child is delivered.
  • This position is statutorily recognized by Section 416 of the Code of Criminal Procedure, 1973 which says that if a woman sentenced to death is found pregnant, the High Court shall order the execution of the sentence to be postponed, and commute the sentence to imprisonment of life.
    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Q. In view of the MCI regulation 7.20, what is the legal position regarding the following:

a. Physicians doing Echo, C–Doppler studies
b. Orthopedicians using C–Arm for operative work
c. Urologists using C–Arm for PCNL, Lithotripsy
d. Gynecologist doing ultrasonography in pregnant women.


  • Regulation 7.20 of the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002, is reproduced below:

    "7.20 A Physician shall not claim to be specialist unless he has a special qualification in that branch."

    It is not applicable in the examples cited above. Cardiologists, orthopedicians, urologists and gynaecologists do not claim to be specialists in imaging techniques.
  • The examples above are covered by the decision of the MCI Executive Committee dated 27.4.2009 as follows:

    "The Executive Committee perused the report of the Sub–Committee and decision of the Ethics Committee and decided as under:–

    The Ultrasonography can be undertaken by a specialist who possess postgraduate qualification in the specialty of Radio–Diagnosis. However, specialist doctors in their speciality can also undertake Ultrasonography for the purpose of certification subject to the condition that he/she has undergone orientation training in Ultrasonography in the Dept. of Radiodiagnosis in a recognized medical institution under recognized medical teacher for a minimum period of 6 months wherein he has not only observed the procedure of Ultrasonography but also has undergone hands on training to enable him to practice in the field of Ultrasonography for the diagnostic purposes pertaining to his/her speciality.

    The above decision of the MCI Executive Committee has been quoted in— Bachan Singh v. Punjab Health System Corporation, DF, Ferozepur, 28–12–2009 http://www.lawyersclubindia.com/judiciary/Medical–Negligence/1260/
  • The above position regarding the MCI does not mean that the provisions of the PNDT Act can be violated.
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Categories of Anemia

  • Normochromic/normocytic anemia (normal MCV, normal MCHC) The first step in laboratory workup of this broad class of anemias is a reticulocyte count. Elevated reticulocytes implies a normo–regenerative anemia, while a low or "normal" count implies a hyporegenerative anemia:
  • Normoregenerative normocytic anemias (appropriate reticulocyte response)
    • Immunohemolytic anemia
    • Glucose–6–phosphate dehydrogenase (G6PD) deficiency (common)
    • Hemoglobin S or C
    • Hereditary spherocytosis
    • Microangiopathic hemolytic anemia
    • Paroxysmal hemoglobinuria
    Medi Finance Update


One can invest in mutual funds, debt funds and GILTS (Govt. Securities) funds. Never keep your money in the savings accounts. The yield is only 3% and with an inflation of 5%, you ultimately lose money. There are new generation income funds, look for them.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Olopatadine Hcl Nasal Spray 0.6% w/w (Additional Indication)
For the relief of the symptoms of seasonal allergic rhinitis in patients 6 years of age and older.
    IMSA Update

International Medical Science Academy (IMSA) Update

Exercise blood pressure and cardiovascular outcome

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

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

    IJCP Special

Dr Good Dr Bad

Situation: A 40-year-old male developed dyspnea for the first time in life.
Dr. Bad: It is an attack of asthma.
Dr. Good: Get an ECG done.
Lesson: First onset of breathlessness after the age of 40, unless proved otherwise, is cardiac in nature.

Make Sure

Situation: A patient with acute heart attack died on the way to the hospital.
Reaction: Oh my God! Why was the patient not accompanied by the doctor?
Lesson: Make sure that all heart attack patients are accompanied by the doctor to the hospital so that chest compression (CPR) can be given if the heart stops on the way.

Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

The mustard seed and sorrow

Once there was a woman whose only son had died. In her sorrow she went to ask a wise holy man if there was a way to bring her son back to life. “Fetch me a mustard seed from a home that has never known sorrow. We will use it to bring your son back to life,” he said to her instead of sending her away or try reasoning with her. At once she quickly set off looking for that elusive mustard seed. The first place she came to is a huge mansion. Knocking on the door, she asked "I am looking for a house that has never known suffering. Is this the place? It is very important to me."

"You have come to the wrong place" they told her. They begin to pour out all the tragic things that have befallen upon them. "Who is better to be able to help these poor unfortunate souls than I who has experience sadness and can understand them?" she thought. Therefore she stayed behind and consoled and comforted them before going to another house that has never known sorrow before.

However, wherever she goes, from huts to palaces, there is never one without tales of sadness and misfortunes. In time to come, she became so involved in listening to other people’s sad stories that she forgot about her quest for that elusive mustard seed. By listening to other people, she had actually driven the grieving out of her life.


Mind Teaser

Read this…………………

H ijklmn O

Yesterday’s Mind Teaser: HARM good
Answer for Yesterday’s Mind Teaser: More harm than good

Correct answers received from: Dr Sudipto Samaddar, Dr HL Kapoor, Dr Rakesh Bhasin, Dr K. Raju, Dr Muthumperumal Thirumalpillai, Dr Neelam Nath, Dr C Vaishnavi, Dr Riyazul Qamar Khan, Dr Anupam Sethi Malhotra, Dr KP Rajalakshmi

Answer for 30th January Mind Teaser: Son of a gun!
Correct answers received from: Dr Simrat

Send your answer to ijcp12@gmail.com


Laugh a While
(Contributed by Dr G.M.Singh)

Lost Wife

The man approached the very beautiful woman in the large supermarket and said, "You know I’ve lost my wife here in the supermarket. Can you talk to me for a couple of minutes?" "Why?" asked the woman.

"Because every time I talk to a beautiful woman my wife appears out of nowhere."


Knowledge is amusing

MOPED is the short term for ‘Motorized Pedaling’.

    Readers Responses
  1. eMedinewS is serving as our morning cup of tea. It is as refreshing. Regards Dr Anupam
    Public Forum

(Press Release for use by the newspapers)

 Seminar on Crime Against Women

Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee, while delivering a Guest of Honour address in a seminar on Crime Against Women organized by Sumangalam Club at Tecnia Auditorium, Rohini said that crime against women medically can be in the form of rape, eve teasing, dowry death, dowry torture or female feticide. Most rapes and eve teasing are done by known people who know their victim’s weakness. It is very uncommon for an unknown person indulging into rape.

Dr. Aggarwal said that all women should be aware of drugs which can be given in the form of water, tea or soft drinks and the person may become a victim of rape in the disguise of the effect of the drug. One should not take any drinks from any unknown person or even known person when alone.

Quoting an example from Ramayana, Dr. Aggarwal said that crime against women in the Satyug was more Satwik in nature. Seeta was abducted by Ravana but not touched. In our society filled with Rajas and Tamas behavior and lifestyle, one has to be careful. The time has come for the younger generation to be taught traditional Satwik behavior and lifestyle. This includes going back to Namaskar instead of handshake; wearing Salwar Kameez with Chunni instead of tight jeans; regularly wearing pajeb in the legs; following the rituals of purification as per Ritucharya; saying no to drugs, alcohol and smoking etc.

Talking about Yug, Dr. Aggarwal said that in Satyug, all four components – truthfulness, hardwork, purity of mind, charity and compassion were present. If one of the above components is absent, it is Treta Yug. If first two are absent, it is Dwapar yug and in Kalyug, only charity and compassion are present. Even in the Kalyuga, one can become a Satyogi by following the principles of "May I Help You".

Talking about Valentine’s Day, Dr. Aggarwal said that Vasant Panchami in India is Valentine’s Day and it is a classical example of Satwik Valentine’s Day. The so–called traditional western Valentine’s Day is full of Rajas and Tamas. Every relationship, whether at the level of physical body, mind, ego, intellect or soul, goes through the phase of euphoria reactions, achievements and liking. Most of the relationships will become weaker at the end of several years. Adrenaline chemical–based initial love is more superficial compared to endorphin– based spiritual love.

Dr. Aggarwal said that every effort should be made to tackle female feticide in the society. He said that the Government should consider not allowing abortion by 12 weeks unless medically indicated. Dr. Aggarwal said that "We do not want a child" should not be permitted to be a reason for abortion.

Dr. Aggarwal cautioned against the new surrogacy crime in the society where young call girls in the disguise of being surrogate mothers, initiate pregnancy, charge money and fake medical abortion bills and disappear. HIV–positive women are used as HIV Kanya as Chanakya had used as Vish Kanya.

Dr. Aggarwal further said that a new advancement in HIV prognosis is in the form of pre–exposure prophylaxes where women working as call girls in red light areas can prevent themselves from getting HIV infection by taking preventive pills everyday.

    Forthcoming Events

Maulana Azad Medical College SPIC-MACAY chapter is organizing a festival of music & dance

Date: 2nd to 5th February, 2011. 
All are invited


2nd February, Wednesday   3:00 pm- 4:00 pm    Panchavadyam by Vidwans- Auditorium -Inauguration - Dr Sonal Mansingh (Odissi Dance) Pandit Hariprasad Chaurasia (Flute)
3rd February, Thursday, 10:00 am -Madhubani Painting Workshop  -Old Girl's by Smt. Shanti Devi Hostel
4th February, Friday, 4:00 pm -Qawwalli by Qadir Niazi and troupe- Auditorium
5th February, Saturday, 9:00 am -Heritage walk by Dr. Ramji Narayan  -(Ferozshah Kotla)
Meeting point college fountain

We look forward to having you with us during this festival.

*Please be seated 15 minutes before the event,
*We request you to switch off your cellphones during the programmes.
*No flash photography and videography allowed during the programme.

Maulana Azad Medical College has been organizing such programmes for students, staff, faculty and doctors.  The aim being to experience the beauty of our culture and enrich lives with beautiful moments.  The programmes are extremely relaxing for all. Such programmes are important as they help decrease stress, something which all doctors experience in routine.

eMedinewS Events: Register at emedinews@gmail.com

Conference Column

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: Dr KK Aggarwal

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