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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


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  Editorial …

20th July 2011, Wednesday

A New helpline policy from MOH

Yesterday I was interviewed by Zee TV on the upcoming MOH policy of bringing a helpline for the patients wherein they can text a message to a particular number and the return message would give the prices of five brands of the drug salt prescribed to the patient. If this is the policy that the government is planning, it is clearly wrong.

  1. If the intention is that doctor should write cheaper brands of drugs, then why are expensive brands given license to be sold?
  2. Doctors only prescribe a brand that has been approved by the Drug Controller of India (DCI).
  3. If a particular brand is approved by DCI then why discourage the doctors to not write those brands.
  4. If the intention is to provide cheaper brands in India then are why so many brands approved. Only one brand can be permitted like in the United States and that can be put under price control.
  5. If this would be the policy, then the Chemists/Pharmacists will become the ‘Doctors’ and decision makers as they may inform the patient they have brands that are still cheaper than the brand written in the prescription.
  6. Will the brand chosen by the patient be given by the chemist without prescription?
  7. Will the chemist be allowed to switch brands, which is against the law?
  8. Will the patient not switch brands every now and then, which can change the bioavailability of the drug?

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

A New helpline policy from MOH

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

National Conference on Insight on
Medico Legal Issue

Dr Vinod Khetarpal, President Delhi Medical Association, was felicitated at the National Conference on Insight on Medico legal issues.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter


Gene therapy hope for ovary cancer patients

Kolkata: A research underway in the city holds out hope for thousands of ovarian cancer patients in the country. It reveals that a drug–resistant form of the disease can be treated through gene therapy and help to extend the lifespan of patients. Even though the experiment is still at a preliminary stage, researchers believe there is enough indication to suggest that they are about a year away from hitting upon a drug that could prevent a relapse in ‘platinum resistant’ ovarian cancer patients. About 20% of the 60,000 who contract ovarian cancer in India every year happen to be platinum–resistant. Cellular therapy or conventional drugs and chemotherapy can’t prevent a relapse. "Usually, patients suffer a relapse within six months. Repeated chemotherapy can’t keep the patient alive for more than two years. The only way is to target the gene that leads to the disease and block it to prevent a recurrence. We have identified the gene in question and are working on methods to retard it," said Ashish Mukhopadhyay, director of the Netaji Subhas Cancer Research Institute (NSCRI). (Source: TOI, Kolkata edition July 16, 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

(Dr Monica and Brahm Vasudev)

Now, a H1N1 breath test that can tackle vaccine shortages

Scientists have developed a new breath test for swine flu which they say could help prevent wastage of H1N1 vaccine by identifying those who already have the strain. The "fast acting, non–invasive" test, devised by a team from Cleveland Clinic in the US and Syft Technologies in New Zealand, measures bio molecules that accumulate in the body in response to H1N1. Although the vaccine is not harmful, administering it to those who were already infected with H1N1 virus is a waste of precious stockpiles, the researchers said. But, the new breath test, they said, could stop this occurring, the Daily Mail reported. The test would monitor exhaled nitric oxide (NO) –– a bio molecule whose production has previously been linked to influenza and viral infection. It’s believed to play a beneficial role in viral clearance and is thought that the level of the gas in the breath could indicate whether or not swine flu has been contracted. "This study adds to the growing evidence for the utility of breath analysis in medical diagnostics," said study co–author Professor Raed Dweik, director of the pulmonary vascular programme at the Cleveland Clinic.
(Source: http://www.thehindu.com/health/rx/article2230245.ece, Jul 15. 2011)

For comments and archives

How the brain generates empathy for someone else’s pain

A study has mapped out the way the brain generates empathy, even for those who differ physically from themselves. USC researcher Lisa Aziz–Zadeh found that empathy for someone to whom one can directly relate, for example, because they are experiencing pain in a limb that one possesses, is mostly generated by the intuitive, sensory–motor parts of the brain. However, empathy for someone to whom one cannot directly relate relies more on the rationalizing part of the brain. Aziz–Zadeh, assistant professor at USC’s Division of Occupational Science and Occupational Therapy, said though they are engaged to differing degrees depending on the circumstance, it appears that both the intuitive and rationalizing parts of the brain work in tandem to create the sensation of empathy. "People do it automatically," she said. (Source: Indian Express, Jul 16 2011) For comments and archives

ICAD: High amyloid burden linked to falls

Cognitively normal seniors were substantially more likely to suffer falls when brain scans showed large deposits of beta–amyloid plaques in a small study, a researcher reported here. (Source: Medpage Today) For comments and archives

    Fitness Update

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

Fitness and frailty in adults linked to health outcomes

The prevalence of frailty, which is linked to earlier death, increases throughout adulthood as people age and not just after age 65, found an article in CMAJ (Canadian Medical Association Journal). Relatively good fitness levels at all ages were predictive of lower mortality and less reliance on health care services. Frailty in medical terms refers to a person’s health status and the risk of adverse events related to various health conditions. It is usually associated with older adults.

The researchers sought to understand the impact of age on fitness and frailty, the profile of relatively fit people aged 15 to 102 compared with frail adults and the impact of fitness and frailty related to age and sex on mortality. Most participants (7,183) reported fairly high relative fitness at the start of the study compared with 1019 who were frail. These relatively fit people generally stayed healthy and those who were frail at the start were most likely to die. As participants aged, their frailty level increased. "We found that the prevalence of frailty increased exponentially with age throughout the adult life span and not just after age 65, where the sharpest inflection of the curve occurred," explained research scientists from Dalhousie University, and the Centre for Health Care of the Elderly, Halifax, Nova Scotia, "At all ages, relatively fit people had a lower mortality and used fewer health care services." People with higher frailty levels used more health care services and the risk of institutionalization increased for the frailest. For comments and archives

    Twitter of the Day

@DrKKAggarwal: #DNBindia: Question of the day what is the difference between "dis" and "dys" Dr K K Aggarwal (Dean BME)

@DeepakChopra: #CosmicConsciousness Karma or choices in the past create the situations of the present. How we choose now is a function of free will

    Dr KK Answers

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

For patients with atrial fibrillation which is the drug of choice?

Many patients with atrial fibrillation (irregular heart rhythms of the smaller atrial chamber) who are started on long-term anticoagulation (blood thinners) with warfarin or acitrom are unable to continue due to difficulty with regular monitoring. Dabigatran is an approved alternative anticoagulant for these patients.

(N Engl J Med 2011; 364:806) For comments and archives

    Spiritual Update

Four ways of combating negative thoughts

Darkness is absence of light so are negative thoughts which are absence of positive thoughts. As per Deepak Chopra, negative thoughts can only be removed by inculcating positive thoughts. Vedanta has described various modalities regarding the same. 1. Adi Shankarya in his book Bhag Govindam describe… more For comments and archives

    An Inspirational Story

(Dr Prachi)

Bad by name; bad by nature?

During Nelson Mandela’s 19 years imprisoned on Robben Island, one particular commanding officer was the most brutal of them all:

"A few days before Badenhorst’s departure, I was called to the main office. General Steyn was visiting the island and wanted to know if we had any complaints. Badenhorst was there as I went through a list of demands. When I had finished, Badenhorst spoke to me directly. He told me he would be leaving the island and added: ‘I just want to wish you people good luck’. I do not know if I looked dumbfounded, but I was amazed. He spoke these words like a human being and showed a side of himself we had never seen before. I thanked him for his good wishes and wished him luck in his endeavours. I thought about this moment for a long time afterwards. Badenhorst had perhaps been the most callous and barbaric commanding officer we had had on Robben Island. But that day in the office, he had revealed that that there was another side to his nature, a side that had been obscured but still existed.

It was a useful reminder that all men, even the most seemingly cold–blooded, have a core of decency and that, if their hearts are touched, they are capable of changing. Ultimately, Badenhorst was not evil; his inhumanity had been foisted upon him by an inhuman system. He behaved like a brute because he was rewarded for brutish behaviour."

(Source: "Long Walk To Freedom" by Nelson Mandela)


(Ritu Sinha)

A picture paints a thousand words: A visual presentation is far more descriptive than words. For comments and archives

    Pediatric Update

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

What is hereditary fructose intolerance?

A 1. Hereditary fructose intolerance is a disorder in which a person lacks the protein needed to break down fructose. Fructose is a fruit sugar that naturally occurs in the body. Man–made fructose is used as a sweetener in many foods, including baby food and drinks. For comments and archives

  Did You Know

(Dr Uday Kakroo)

Avocados have the highest calories of any fruit at 167 calories per hundred grams.

  Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)


It detects various compounds that are eliminated in the urine, as well as cells, including bacteria, and cellular fragments. Urine is generally yellow and relatively clear, but color, quantity, concentration, and content of the urine can be slightly different because of varying constituents.

A complete urinalysis consists of:

  1. Physical examination: Color, clarity, and concentration
  2. Chemical examination: Tests for chemicals in urine that provide valuable information about health and disease
  3. Microscopic examination: Searches for and counts the type of cells, casts, crystals, and other components (bacteria, mucus) that may be present in urine

Many disorders like metabolic and kidney disorders, urinary test infections, can be diagnosed in their early stages by detecting abnormalities in the urine.

For comments and archives

  Contrary Proverbs

(Mr Vipin Sanghi)

Hold fast to the words of your ancestors. BUT Wise men make proverbs and fools repeat them.

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    IJCP Special

Dr Good Dr Bad

Situation: A febrile patient without chills was diagnosed with gram–negative sepsis.
Dr. Bad: Diagnosis is wrong.
Dr. Good: You need intensive treatment.
Lesson: Patient with gram negative sepsis may have fever with or without chills.

For comments and archives

Make Sure

Situation: An asthmatic with respiratory rate of 37 developed respiratory arrest.
Reaction: Oh my God!! Why was he not put on ventilator early?
Lesson: Make sure to remember that a respiratory rate of more than 35 is taken as a warning signal to start ventilation therapy. For comments and archives

  Quote of the Day

(Dr GM Singh)

The true measure of a man is not how he behaves in moments of comfort and convenience but how he stands at times of controversy and challenges. Martin Luther King Jr

    Medicolegal Update

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

Do not misrepresent medical literature in the court of law

One paragraph or even one part of a paragraph may be all that is required to substantiate the point a doctor wants to make in a court room. Reading the remainder of the document, even if it establishes a context for the evidence, is unnecessary and time consuming. The document must potentially be available to any debater researching the topic or lawyer/interested party of cross examination side.

  • The portion of a document read as evidence cannot be taken out of context. When a document is cut in a manner which lends the quoted passage a meaning other than what would be derived from a more complete reading, you are misrepresenting the document. This does not mean, however, that you are responsible for drawing the same conclusions from information as the author of the document.
  • Drawing a contrary conclusion from passages accurately interpreted does not constitute misrepresentation. The fact that the author of the document reached a different conclusion from the information argues – perhaps persuasively – against your conclusion. However, you have not misused the evidence.
  • Read the used evidence literature verbatim in the court of law. Documents must be presented in the words of the author. When you paraphrase evidence, you argue in a circle. A document obviously will seem to support your point if you are allowed to read into the record only what you think it says.
  • The advent of the Internet has created a new form of publication – electronic documents like this e–medinews. Electronic documents are accepted as published if they are accessible by the general public. Thus, electronic files to which other debaters would be denied access are not published. However, files and documents which other debaters may access, even if they have no subscribe to a commercial service to do so, satisfy the publication rule.
    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: house

Answer for yesterday’s Mind Teaser: Little House on the Prairie

Correct answers received from: Dr K Raju, Dr HL Kapoor, Dr Sudipto Samaddar, Dr Neelam Nath,
Dr Saroj, Dr Piyush, Dr Tariq, Dr Anupam.

Answer for 18th July June Mind Teaser: b. More than 103 bacteria per millilitre
Correct answers received from: Dr Anupam Sethi Malhotra, Dr Rakesh Bhasin, Dr Kasturi, Dr Riyaz,
Dr KLalpana, Dr NNidhi, Dr Nitin, Dr Shashank, Dr Vipin, Dr Faizal.

Send your answer to ijcp12@gmail.com

    Medi Finance Update

(Dr GM Singh)

What is short selling?

Actually when an investor goes long on an investment, it means that he or she has bought a stock believing its price will rise in the future. Conversely, when an investor goes short he or she is anticipating a decrease in share price therefore short selling is the selling of a stock that the seller does not own. More specifically, a short selling means the sale of a security or any individual stock that is not owned by the seller at that point of time, but he promises to deliver it at time of delivery is called short selling.

    Laugh a While

(Sudesh Nirwan)

A friend recently explained why he refuses to get married.

He says the wedding ring looks like miniature handcuffs.

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name


DCI Approval Date

Amlodipine Besilate IP Eq. to Amlodipine 5mg + Indapamide USP SR 1.5mg Tablet

For the treatment of mild to moderate hypertension


    Public Forum

(Press Release for use by the newspapers)

Get your Press release online (English/Hindi/Audio/Video/Photo)

Viral Conjunctivitis Update

Eye problems are frequent during the monsoons. Viral conjunctivitis or eye flu is one such common condition, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India, and Dr Satish Mehta Sr Eye Surgeon Moolchand Medcity. In an attempt to educate the people about the problem, the specialists released the following information:

  1. The most common cause of viral conjunctivitis is the Adeno virus, which also causes the common cold.
  2. The symptoms of viral conjunctivitis include: Redness, watery discharge from the eyes, itching in the eyes and foreign body sensation in one or both the eyes. Sticking of the eyelids or morning crusting may occasionally occur.
  3. Usually, the infection occurs in one eye, but the second eye may be involved within 24 to 48 hours
  4. Quite often, viral conjunctivitis occurs along with the common cold. The eye infection may be the only symptom of the disease. Other symptoms include: Fever, sore throat and runny nose due to common cold.
  5. Viral conjunctivitis is a highly contagious infection and spreads by contact with eye secretions or contaminated objects and surfaces.
  6. Viral conjunctivitis is a self–limited disease. Symptoms may last for 2–3 weeks.
  7. Involvement of one eye does not rule out viral eye flu.
  8. Treatment lessens the severity of symptoms but does not change the clinical course of the disease.
  9. There is no specific anti–viral drug for viral conjunctivitis.
  10. Symptoms can be relieved by using eye ointment or eye drops (anti–allergic).
  11. A non–antibiotic lubricating agent should be used. Eye drops should be put only in the affected eye.
  12. Wash your hands frequently to prevent the infection from spreading.
  13. Always wash your hands after touching the eyes, sneezing or coughing.
  14. Avoid sharing your handkerchiefs, tissues, towels, or bed sheets/pillows with uninfected family or friends if you have viral conjunctivitis.

For comments and archives

    Readers Responses
  1. Respected Sir, First of all, wish you a very happy Guru Purnima. Secondly, in today’s eMedinewS Daily, I read in the "Did you know" section that "If you get into the bottom of a well or a tall chimney and look up, you can see stars, even in the middle of the day." But according to what I have read somewhere else, it doesn’t turn out to be true. The reason according to that article was: "The sky is bright and blue because it scatters sunlight. This occurs in the sky, not in the observer’s eyes. So, it makes no difference if the observer is in the sunlight, shade, or a dark room looking out a tiny hole. The sunlight is scattered by molecules in the atmosphere in a process known as Rayleigh scattering (named after Lord Rayleigh). The amount of scattering depends upon the size of the molecules and the wavelength of light. The scattering is strongly dependent upon the diameter of the particle doing the scattering. So, an atmosphere composed of different gases might have different scattering properties. But, the scattering is done high over your head, so when you look at the sky from a deep well, you are still looking through the same part of the sky that was scattering light as someone who is standing next to the well."
    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.



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 Hamdard 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



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