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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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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Workshop on Stress Management and How to be Happy and Healthy

  Editorial …

21st May 2012, Monday

FDA panel recommends first drug for HIV prevention

The US FDA has strongly backed approval of the first–ever drug for the prevention of sexually acquired HIV–1 infection. The panel recommended approval of a supplemental indication for Truvada (emtricitabine/tenofovir disoproxil fumarate) for preexposure prophylaxis (PrEP) in:

  • HIV–uninfected men who have sex with men,
  • HIV–uninfected partners in serodiscordant couples, and
  • Other individuals (such as sex workers) who are at risk of acquiring HIV through sexual activity.

However, there is concern that healthy people taking Truvada for HIV prevention will be harmed if they become infected with HIV and do not change from single–drug PrEP prophylaxis to a 3–drug combination antiretroviral treatment regimen, that continuing single–drug Truvada after HIV infection will lead to development of Truvada–resistant viral strains, and that taking the PrEP regimen increases the risk for adverse effects, particularly kidney damage.

Men who have sex with men (MSM) represent 2% of the population older than 13 years and account for from 56% to 61% of new HIV infections annually.

Data from the Preexposure Prophylaxis Initiative (iPrEx) trial found that MSM participants who took Truvada daily had a 44% reduction in HIV incidence over the course of 1.2 years of follow–up compared with placebo. Results of the iPrEx study were published online November 23, 2010, in the New England Journal of Medicine.

Truvada is already being seen as a "medical condom" (in the words of AIDS Healthcare Foundation’s Whitney Engeran–Cordova) and might be taken intermittently or as a "party drug," leading to rapid development of Truvada–resistant HIV.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

FDA panel recommends first drug for HIV prevention

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

First Working Group meeting to "Create Awareness about valvular heart diseases" held

Heart Care Foundation of India has announced a new initiative "Creating Awareness about valvular heart diseases". The meeting was moderated by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

Dr K K Aggarwal
    National News

Lack of nutrition kills women

MYSORE: Around 235 million tonnes of foodgrains are produced every year but due to lack of storage facilities around 10 to 15% of foodgrains are being spoiled, said former President Abdul Kalam at the Defence Food Research Laboratory (DFRL). He was delivering the golden jubilee oration of DFRL on Friday. Appreciating DFRL’s works in the field of food processing and storage, he suggested that DFRL should start post graduation courses in food research. He also advised them to start a food processing park in the city for preservation of local foods and provide a platform for local farmers. Stressing on the problems related to malnutrition, he said, "Agricultural scientist and food processing scientists should work jointly to produce nutrient foods and crops." Expressing his concern over rural areas he said as a result of lack of nutritious food, pregnant women are dying in rural areas. Mortality rate can be controlled if research works conducted by DFRL reaches rural areas. By 2020, India can become the number one country in all sectors, if it excels in food, education and health industries. (Source: TOI, May 19, 2012)

For comments and archives

Centre coming up to protect vultures

LUCKNOW: Wildlife experts and foresters are working with the Uttar Pradesh government to set up a conservation centre for vultures, whose population has drastically fallen in India. The state forest department, the Bombay Natural History Society and the Katerniaghat Foundation are working out details of the project, Vulture Safe Zone. The project in the Terai region will be funded by the Royal Society for the Protection of Birds, an official said Wednesday. Speaking at a seminar here, foresters said their aim was to restore the vulture population to ensure that ecological balance was maintained. They called vultures a vital part of the animal kingdom. Vultures were once one of the most commonly sighted birds in India and neighbouring countries. Their numbers have been falling dangerously since the 1990s in India. Experts mainly blame pesticide poisoning for this. According to published accounts, the fall in vulture population in 2000–07 was about 44 per cent. (Source: TOI, May 17, 2012)

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

(Contributed by Dr Monica and Brahm Vasudev)

Next–generation transcatheter aortic valve looks good in 30–day registry data

Early data from the SOURCE XT registry on high–risk patients treated with the Sapien XT (Edwards Lifesciences) transcatheter aortic valve show that this next-generation TAVI device is safe with either the transapical– or transfemoral–access approach. (Source: Medscape)

For comments and archives

Social networking sites may trigger drug relapse

Use of online social networking sites may trigger relapse in adolescents in substance abuse treatment programs, new research suggests. A study presented here at the American Psychiatric Association’s (APA’s) 2012 Annual Meeting showed that almost 90% of the youth receiving treatment for drug addiction reported using social networking sites, such as Facebook and Twitter. The majority also reported that exposure to "drug cues" posted on these sites made them want to use drugs themselves. (Source: Medscape)

For comments and archives

Endocrine group calls for vitamin D trials

Large randomized trials are needed to determine whether vitamin D can prevent or treat cancer, diabetes, cardiovascular disease, and other nonskeletal disorders, an Endocrine Society task force concluded. The task force, which examined more than 300 studies of vitamin D’s role in tissues other than bone, published their report as an official "scientific statement" in the June issue of Endocrine Reviews. (Source: Medpage Today)

For comments and archives

Apixaban cuts stroke risk in all types of AF, says ARISTOTLE

The primary conclusion of the ARISTOTLE trial, that the direct factor Xa inhibitor apixaban (Eliquis, Pfizer/Bristol–Myers Squibb) is better than warfarin at preventing stroke or systemic embolism in patients with atrial fibrillation (AF), applies regardless of whether AF is paroxysmal or either permanent or persistent. That’s from a prospectively planned secondary analysis of the trial that also shows that apixaban lowers the risk of bleeding complications better than the older anticoagulant in both types of AF. It was presented here last week at the Heart Rhythm Society 2012 Scientific Sessions by Dr Sana Al–Khatib (Duke Clinical Research Institute, Duke University, Durham, NC). Entry into ARISTOTLE called for AF plus at least one other stroke/embolism risk factor. (Source: Medscape)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Sachin’s Entry into Rajya Sabha Vedic science teaches us the concept of non–violent communication in making one…http://fb.me/1KQVgb948

@DrKKAggarwal: Life brings challenges, but step back for a moment and ask the deeper question. Why is life so difficult?

    Spiritual Update

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

Should a doctor pray with or for his patient?

While there is no dispute that if a doctor is spiritual, he or she often prays for the recovery of the patient, but very often a request is made by the patient to pray with him.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Which is the most common reasons to have genetic screening performed?

One of the most common reasons to have genetic screening performed is the mother’s age, since the risk of having a child with a chromosomal abnormality increases as a woman ages. Additionally, if both parents are carriers for a genetic condition, prenatal testing can determine if the unborn child is affected with the disease.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Frozen Pooled Plasma

Description: Plasma from many donors pooled before freeze–drying

Infection risk: No virus inactivation step so the risk of transmitting infection is therefore multiplied many times. This is an obsolete product that should not be used.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The stone soup story

Many years ago three soldiers, hungry and weary of battle, came upon a small village. The villagers, suffering a meager harvest and the many years of war, quickly hid what little they had to eat and met the three at the village square, wringing their hands and bemoaning the lack of anything to eat.

The soldiers spoke quietly among themselves and the first soldier then turned to the village elders. "Your tired fields have left you nothing to share, so we will share what little we have: the secret of how to make soup from stones."

Naturally the villagers were intrigued and soon a fire was put to the town’s greatest kettle as the soldiers dropped in three smooth stones. "Now this will be a fine soup", said the second soldier; "but a pinch of salt and some parsley would make it wonderful!" Up jumped a villager, crying "What luck! I’ve just remembered where some been left!" And off she ran, returning with an apron full of parsley and a turnip. As the kettle boiled on, the memory of the village improved: soon barley, carrots, beef and cream had found their way into the great pot, and a cask of wine was rolled into the square as all sat down to feast.

They ate and danced and sang well into the night, refreshed by the feast and their new–found friends. In the morning the three soldiers awoke to find the entire village standing before them. At their feet lay a satchel of the village’s best breads and cheese. "You have given us the greatest of gifts: the secret of how to make soup from stones", said an elder, "and we shall never forget." The third soldier turned to the crowd, and said: "There is no secret, but this is certain: it is only by sharing that we may make a feast". And off the soldiers wandered, down the road.

For comments and archives

  Cardiology eMedinewS

Heart Revival Centre In Chennai Read More

Everyone Above 50 Must Take Statins Regularly Read More

  Pediatric eMedinewS

Sumatriptan-Naproxen Combo Effective For Adolescent Migraine
Read More

High FIO2 Harms Therapeutically Cooled Neonates Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient had LDL–C of 100 mg/dL and HDL–C 61 mg/dL.
Dr Bad: Start statins.
Dr Good: No treatment is required yet.
Lesson: HDL–C ≥60 mg/dL counts as a "negative" risk factor; its presence removes one risk factor from the total count.

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia after taking a light breakfast.
Reaction: Oh my God! Why was the insulin dose not reduced?
Lesson: Make sure that insulin dose is correct. The formula is 500/total daily dose. The value will be the amount of sugar fluctuation with ten grams of carbohydrates.

For comments and archives

  Legal Question of the day

(Prof. M C Gupta Advocate & Medico–legal Consultant)

Q. I have my own practice in the form of a single doctor clinic. Can I start a small pharmacy/drug store inside my clinic to sell/dispense medicines I prescribe? Do I need a drug license for the same?


  1. In terms of MCI Regulations, 2002 and the Drugs and Cosmetics Act, 1940, you are allowed to dispense medicines to your own patients and to store necessary medicines for that purpose in reasonable quantity. You do not need a licence for the same.
  2. Please note that the words used by you are tricky and you should avoid using them. A wrong word or term used can invite unnecessary trouble. You should never talk about "starting a pharmacy/drug store to sell/ dispense medicines". Medicines kept by a general physician for his own use (for dispensing to his patients) do not constitute a pharmacy or drug store. When you dispense medicine to your patients, you don’t sell them. Selling involves a concept of contract (offer; acceptance of offer; consideration) and involves issue of a bill/receipt for goods sold and potentially exposes you to a charge of deficiency of goods as regards goods sold.
  3. In view of above, it is better to have a proper concept and to frame your question as follows— "Can I keep in my clinic the drugs which I need for the purpose of dispensing to my own patients?"

For comments and archives

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  Quote of the Day

(Dr GM Singh)

Teaching is the greatest act of optimism. Colleen Wilcox

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Cervical cancer is the only cancer suggested by WHO for routine screening.

    Mind Teaser

Read this…………………

From which animal do we get catgut?

Yesterday’s Mind Teaser: Which country makes Panama hats?

Answer for Yesterday’s  Mind Teaser: Ecuador

Correct answers received from: Yogindra Vasavada, Mannalal Bhansali Dr. Thakor Hitendrsinh G, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai.

Answer for 19th May Mind Teaser: a. Dairy products
Correct answers received from: DrVlluri Ramarao

Send your answer to ijcp12@gmail.com

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(Dr GM Singh)

Law of Bag/Box Occupancy

All bags and boxes in a given room must contain a cat within the earliest possible nanosecond.

    Medicolegal Update

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

Grievous Hurt as per IPC (Contd. from yesterday)

As per Section 320 Indian Penal Code (IPC), the following kinds of hurt are designated as "grievous";

  • Permanent disfiguration of the head or face: The word ‘disfigure’ means to cause some external injuries which detracts from his personal appearance but does not weaken him.
  • Fracture or dislocation of a bone or tooth: It is not necessary that a bone should be cut through and through, the cut should be up to the medulla. If there is a break by cutting or splintering of the bone or there is a rupture or fissure in it, it would amount to a fracture but the doctor must document the dimension of fracture and duration/age correlation with age of injury. Dislocation means displacement. Mere looseness of teeth will not amount to dislocation. It has to be proven that the tooth was originally not loose and that there was fracture or dislocation by the injury.
  • Any hurt which endangers life or which causes the victim to be in severe bodily pain or unable to follow his ordinary pursuits for a period of 20 days: A wound may cause intense pain, prolonged disease or long lasting body injury but does not fall under any of the seven clauses. A body injury/beating may not mutilate the sufferer or fracture his bones but may be so harsh and painful may cause even death. The eighth clause provides for such hurts. Under this, three different clauses of hurt are included. These are:
  • Any hurt which endangers life
  • Any hurt which causes the victim to be in severe bodily pain for a period of 20 days
  • Any hurt which prevents the victim from following his ordinary pursuits for a period of 20 days

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    Public Forum

(Press Release for use by the newspapers)

Seminar on contrast echocardiography held

The Board of Medical Education, Moolchand Medicity, organised a Medical Education Programme for the doctors on ‘Contrast Echocardiography’.

In 30% of the echocardiography studies, imaging information is not procured by routine conventional echocardiogram, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal and Board of Medical Education Moolchand Medcity.

Using right and left heart contrast, it is possible to pacify the cavities of the left and the right heart, which can show the presence or absence of tumours or clots.

Demonstrating to a gathering of 150 doctors, experts said that it is possible to rule out future heart attacks by combining contrast study with treadmill. Contrast studies with colour Doppler are also useful in accurately defining the severity of the valvular leakage and wall motion defects.

    Readers Response
  1. Dear Sir, Emedinews is a must for us. Regards: Priya
    Forthcoming Events
Dr K K Aggarwal


All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

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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, Dr Usha K Baveja