emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 Doctor’s Day Celebration

 
    Health Videos …

Nobility of medical profession: Aamir Khan Controversy (Video 1 to Video 9)
Health and Religion: Bharatiya Vidya Bhavan and Heart Care Foundation of India(Video 1 to Video 7)
Take Care Holistically, DD India health series, Anchor Dr KK Aggarwal (Video 1–2)

 
  Editorial …

21st July 2012, Saturday

Food choice may affect ability to keep weight off

The mix of carbohydrate, fat and protein in your diet may be a critical factor in maintaining weight loss, a new study reports. The finding suggests that, to the body, not all calories are created equal.

Many people have difficulty keeping weight off once they've lost it. Only 1 in 6 overweight people will maintain at least 10% of their weight loss. Weight regain is often caused by reduced motivation or commitment to diet and exercise. In addition, weight loss slows the body's metabolism, making it more difficult to burn calories.

A research team, led by Drs. Cara Ebbeling and David Ludwig at Boston Children’s Hospital, explored the effects of different diets on the ability to burn calories after weight loss. Their 4–year study was funded in part by NIH’s National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and National Center for Research Resources (NCRR).

The team recruited 21 adults, ages 18 to 40, and placed them on an initial diet to lose 10% to 15% of their body weight. All participants began the study with a body mass index (a ratio of weight to height) of 27 or higher, classifying them as overweight or obese. After their weight loss, the participants followed 3 different diets in random order, each for 4 weeks at a time.

The diets had the same number of calories, but varied in their levels of carbohydrate, fat and protein. One diet was low–fat, with 60% of calories from carbohydrate, 20% from fat and 20% from protein. The second was a low-glycemic index diet (designed to prevent spikes in blood sugar), with 40% of calories from carbohydrate, 40% from fat and 20% from protein. The third was a very–low carbohydrate ("Atkins") diet, with 10% of daily calories from carbohydrate, 60% from fat and 30% from protein. The study was published on June 27, 2012, in the Journal of the American Medical Association.

The scientists measured the participants’ energy expenditure and other aspects of metabolism. They found that the number of calories burned daily differed among the 3 diets. On average, the very–low carbohydrate diet resulted in 3,137 daily calories burned. That was 200 more daily calories burned than the low–glycemic diet (2,937) and 325 more than the low-fat diet (2,812). Hormone levels and other metabolic measures also varied by diet.

Although the very–low carbohydrate diet produced the most improvement in metabolism, the participants had higher levels of known risk factors for diabetes and heart disease, most notably the stress hormone cortisol. The low–glycemic index diet appeared to have benefits similar to the very–low carbohydrate diet with fewer negative effects. The researchers suggest that eating low–glycemic foods like less–processed grains, vegetables and legumes may be the best choice for lasting weight loss and heart disease prevention.

"In addition to the benefits noted in this study, we believe that low–glycemic index diets are easier to stick to on a day–to–day basis compared to low–carb and low–fat diets, which many people find limiting," Ebbeling says. "Unlike low–fat and very–low carbohydrate diets, a low–glycemic index diet doesn’t eliminate entire classes of food, likely making it easier to follow and more sustainable." (Source NIH)

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

Cabergoline can restore normal orgasm new

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Large number of people attended the seminar on Health and Happiness organised jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan at Bharatiya Vidya Bhavan on 5th July 2012

 
Dr K K Aggarwal
 
    National News

My Profession My Concern

Healthcare has always been considered the noblest profession in the world in view of its strong strings of faith between the provider and the recipient which makes the Doctor–patient relationship equivalent to the link between the God and the devotee.

For the past few years, this strong epitome of faith has turned into a strained relationship with the advent of various consumer laws frivolously applied to the medical profession and ratified by various seats of Justice in the absence of clear demarcation under these laws regarding the professions covered.

The negative publicity to some sporadic maligned healthcare professionals, blown out of proportions by the local and national media and local political leaders driven by their ulterior motives, has further caused an irreparable damage to this relationship between the doctor and the patient.

This has been further deteriorated by the introduction of corporate culture in healthcare. The physician is under undue stress due to the pressure of business–oriented corporate bosses. Due to this, Medical Ethics take a backseat at times and the doctor, who is directly in touch with the patient and his relatives, takes the blame and brunt. Such is the level of corrosion in the Doctor–Patient relationship that the patient has started visualizing even the friendly neighborhood ‘Family Physician’ and the corporate hospitals at par with each other.

The physician has further lost his identity with the popularization of medical insurance. The hospital claims credit for the success of the medical treatment while the insurer misleads the patient into crediting him alone for accessibility of the treatment. The healthcare professional, who has treated the patient for the disease through his dedication and expertise is not brought into the picture at all for a successful procedure. However, in case of a failed treatment, it is the poor doctor who is held responsible by everyone and even faces brutal violence at the hands of the aggrieved relatives.

All this makes me sad and concerned about the future and welfare of our dignified profession and the society we live in.

We, the members of the noblest profession in the world, need to introspect and commit ourselves to the Ethics of our profession for which we had taken the Hippocratic Oath at the time of our Graduation. We need to take all attempts to snatch away our high professional values and glorious identity head on and thwart such attempts. There is a strong need for us to restore our identity and dignity by strongly refusing to deviate from the age–old Ethics governing our dignified profession. Dr. D R Rai, Hony. Secretary General, IMA

For comments and archives

It’s official. Gutkha, paan masala banned from today

Mumbai: The ban on sale and consumption of gutkha and paan masala in the state will officially come into effect from Friday, July 20. The state government will issue a notification to this effect on Friday, which will be valid for a year. At the end of the year, the ban will be extended for another 12 months. The Food and Drugs Administration (FDA) minister Manohar Naik confirmed the development. The state cabinet had decided on the ban last week. Figures show that gutkha was one of the major reasons for oral diseases such as cancer. The sale of gutkha in the state is estimated to be around Rs300 crore a month and the government earns more than Rs100 crore in taxes on it every year. The state had attempted to ban gutkha in 2002 and then in 2008, but encountered several legal hurdles. The new Food Safety and Standards Act (FSSA), which was passed last year, will facilitate the ban this time. In 2010, the state banned the sale of gutkha and cigarettes within 100 metres of schools and colleges. The move to ban gutkha gained momentum after deputy chief minister and senior NCP leader Ajit Pawar announced it at a public forum last month. Pawar said the state would lose Rs100 crore in tax from gutkha and paan masala but would not compromise on citizens' health. States such as Kerala, Madhya Pradesh, Goa and Bihar have already banned the sale of gutkha. Maharashtra is one of the highest users of tobacco in the country, with 43% adult men and 19% adult women addicted to it. The findings were published in the Global Adult Tobacco Survey in Maharashtra released last month. (Source: Hindustan Times, July 20, 2012)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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)

Adult lungs can sprout new growth

The lungs may have greater capacity for regeneration in adults than thought, according to a case report of new growth after lung cancer resection. A woman who had her right lung removed at age 33 because of cancer showed progressive growth in the left lung over the next 15 years, Steven J. Mentzer, MD, of Brigham and Women’s Hospital and Harvard, and colleagues found. Not only did the size of the lung increase, but new alveoli developed. She had a 64% increase in the number of these tiny gas exchange units, the group reported in the July 19 issue of the New England Journal of Medicine. (Source: Medpage Today)

For comments and archives

Chronic hepatitis C infection increases all–cause mortality

Individuals who have chronic hepatitis C (HCV) infections, with detectable serum HCV RNA, have a significantly higher risk of dying from liver and non–liver related diseases compared with individuals who are seropositive for HCV but lack detectable serum HCV RNA, according to a study published online July 17 and in the August print issue of the Journal of Infectious Diseases. (Source: Medscape)

For comments and archives

Egg allergy cracked by oral immunotherapy

Ingesting gradually larger amounts of egg protein may wipe out the allergy in children, researchers found. After two years of oral immunotherapy, 28% of children in a randomized controlled trial passed an oral challenge and were able to eat eggs a year later, Wesley Burks, MD, of Duke University Medical Center, and colleagues reported in the July 19 issue of the New England Journal of Medicine. (Source: Medpage Today)

For comments and archives

Women benefit more from TAVI than men

A new Canadian registry study confirms the finding from the PARTNER trial that transcatheter aortic valve implantation/replacement (TAVI/TAVR) is an especially good option for elderly women. (Source: Medscape)

For comments and archives

Watching equals surgery in early prostate cancer

Radical prostatectomy for localized prostate cancer did not significantly reduce mortality compared with observation, results of a randomized clinical trial showed. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Health & Happiness in Hinduism-Heart Care Foundation of India & Bharatiya Vidya Bhavan http://www.youtube.com/watch?v=INRXags–OGw

@DeepakChopra: Existence exists as awareness of existence

 
    Spiritual Update

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

The science behind bhabhuti and ash

Satya Sai Baba was known to give Bhabhuti as prasad to his visitors. In mythology also, the Rishi–Munis gave Bhabhuti to their followers.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What happens in the process of conception?

First, your ovary must release (ovulate) an egg, which must be picked up by the fallopian tube. Sperm must travel through the vagina, into the uterus, and up into the fallopian tube in order to fertilize the egg. Fertilization usually takes place in the fallopian tube. Then, the fertilized egg, or embryo, travels down to the uterus, where it implants in the uterine lining and develops.

For comments and archives

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

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

Blood Grouping systems & Principles, Blood Group Discrepancies & their possible solutions

Antibodies can be detected by:

  • Saline agglutination test (SAT)
  • Tests using cells suspended in colloid media
  • Tests using enzyme-treated cells- Rh & occasional antibodies
  • Indirect antiglobulin (Coomb’s test) - wide spectrum.

Antibodies may be Complete/Incomplete

Dr K K Aggarwal

For comments and archives

 
    An Inspirational Story

(Dr GM Singh)

A new pair of shoes

When I got sober my sponsor told me that I had to be willing to change everything about my life –– everything. So, I wore blue jeans and switched to slacks. I wore western shirts and switched to T–shirts. But the one thing I just couldn’t give up was my cowboy boots.

I went to my sponsor and said, "Surely I won’t get drunk over a silly pair of cowboy boots. I’m willing to change a lot of things, and if needed I could even give up those boots, but it seems so silly."

My sponsor said, "I don’t know how silly it is, or if you’ll get drunk over those cowboy boots, but I can tell that you are not ‘entirely’ willing, though."

"Okay, okay," I said. "I’ll prove it to you. I’ll give up the boots for 30 days just to demonstrate my willingness to God."

So, I bought a pair of tennis shoes, and after 30 days of not wearing my cowboy boots, wearing tennis shoes instead, the strangest thing happened –– my feet stopped hurting.

That’s how it was getting sober and giving up the high life. I never stopped to think that the boots were causing my feet to hurt, or the booze was causing my life to hurt. I got willing to give up the stuff, one day at a time, for 30 days, then 60 days, then 90 days… and my life stopped hurting.

And every day I do something different, some change in some small way. Maybe I just put my socks on different, or drive to work a new way.

Every day, I try to do little things in a big way so that when big things happen I can handle them in a little way.

For comments and archives

 
  Cardiology eMedinewS

Ticagrelor in NSTEMI Read More

NYC trans fat ban does the job Read More

 
  Pediatric eMedinewS

Playing sports helps teens fight fat Read More

Neurally adjusted ventilatory assist may help preterm infants Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A female smoker wanted to know her risk of diabetes.
Dr. Bad: There is no risk.
Dr. Good: You are at high risk.
Lesson: A study published in the journal Diabetes Care has shown that females who smoke more than 20 cigarettes daily have high chances of developing type 2 diabetes.

For comments and archives

Make Sure

Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy. Gingival hyperplasia is a known side effect of amlodipine.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta)

Q. What are the legal aspects of the move for imposing compulsory rural posting by the MCI?

Ans.

  1. You are obviously referring to the news item dated 17 July 2012 published in the Deccan Chronicle and captioned "1–yr rural posting may get MCI nod", reproduced below.

    http://www.deccanchronicle.com/channels/nation/north/1–yr–rural-posting-may–get–mci–nod–273

    "The Medical Council of India (MCI) is considering to shrink the MBBS internship by six months and make one–year rural posting compulsory for the MBBS doctors. The move will extend the duration of the MBBS course to six years instead of the existing five–and–a–half–years.

    Sources in the regulatory body revealed that a committee that was formed to look into the proposal of extending the MBBS course to 6.5 years have given an option to reduce the internship by six months and make rural posting compulsory for one year.

    "The proposal was today discussed with the Union health secretary among other officials in the ministry and the MCI," sources said.

    Earlier this year, Union health minister Ghulam Nabi Azad had approved extending the MBBS course by one year and make rural posting compulsory. However, the proposal received flak from the Indian Medical Association (IMA) and doctors. A similar proposal, to increase the duration of the MBBS course and compulsory rural posting, was earlier too mooted by then Union health minister Anbumani Ramadoss, which also received a stiff resistance from various quarters and could never see the light of the day.

    Sources said, the new proposal of reducing the internship looks doable and is more practical. "An increase of six months in the total MBBS course is likely to be accepted by the doctors so this is another option that has been shared," sources said adding that other logistics like how to deploy this workforce in the rural areas, their perks, housing are still to be worked upon."
  2. Legal aspects cannot be discussed in vacuum. Newspaper reports may not be reliable or complete. One needs to obtain reliable information. RTI may be considered.
  3. Assuming that the news report given above is reliable, the following legal question arises:

    Q. Has the MCI any authority to change the duration of the MBBS course?

    Ans. No. It has no such authority. In terms of section 19A of the IMC Act, 1956, it can only make draft recommendations which have to be sent to the state governments and their replies have to be considered by the MCI. The MCI would then, after considering such replies, and not before expiry of 3 months after sending the draft recommendations to the states, send its recommendations to the central government. It is the central government which is the deciding authority, not the MCI.
  4. The question arises—"Suppose the Central government gives a nod and the MCI announces that the course will be 6 years, not 5 and a half years. Can it be applicable to students already admitted to the existing shorter course"?

    Ans. No. The present students and their parents would immediately go to court against retrospective application.
  5. A question arises—"Suppose the Central government gives a nod and the MCI announces that the course will be 6 years, not 5 and a half years. A particular university continues with the shorter course. What will happen?"

    Ans. Universities are autonomous. They can’t be forced. MCI will refuse recognition to the college/degree. This will be challenged in the courts by the students and their…………
  6. As per existing law, once the internship is satisfactorily completed, a doctor is granted permanent registration. The question that arises is this—"Under what existing law can a person permanently registered with the medical council be forced to join government service"? This can be applicable only to those who have obtained medical education at concessional fee and are under a bond to serve the government for a certain period after graduation.
  7. Another question that arises is this—"Will such doctors on compulsory rural posting be given a regular pay scale identical with the pay given to those in the state health service, such as the regularly appointed PHC medical officers? Will they be given the same emoluments as to first year junior residents at central hospitals such as the AIIMS? Will they be absorbed in the regular state health service if vacancies exist? How will the others, who are not so absorbed, be compensated for being forced to work compulsorily and thereby forego career opportunities elsewhere?
  8. Another question is—"How does the attempt to prolong the duration of MBBS course square up with the attempts to reduce the course by half to produce BRMS/BRHC "doctors" and to allow allopathy practice to AYUSH graduates after a 1 year course in pharmacology"?
  9. IMA; all–India medical students’ association; All India Residents’ Association; and all India medical teachers Association should oppose the reported move.

For comments and archives

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  Fitness Update

(Dr Rajat Bhatnagar, MonaVie www.mymonavie.com/sonraj)

Caloric restriction plus physical activity for longevity

Fruit flies on dietary restriction (DR) need to be physically active in order to get the lifespan extending benefits that come from their Spartan diet. If the same axiom holds true in humans, those practicing caloric restriction in hopes of living longer need to make sure they eat enough to avoid fatigue.

According to research at the Buck Institute, flies on DR shift their metabolism toward increasing fatty acid synthesis and breakdown, specifically in muscle tissue. "Dietary restriction is known to enhance spontaneous movement in a variety of species including primates, however this is the first examination of whether enhanced physical activity is necessary for its beneficial effects," said Buck faculty Pankaj Kapahi, PhD, who runs the lab where the research took place. "This study establishes a link between DR–mediated metabolic activity in muscle, increased movement and the benefits derived from restricting nutrients," he said, adding that flies on DR who could not move or had inhibited fat metabolism in their muscle did not exhibit an extended lifespan. "Our work argues that simply restricting nutrients without physical activity may not be beneficial in humans," said Kapahi. The research is published in the July 3, 2012 edition of Cell Metabolism.

 
  Quote of the Day

(Dr GM Singh)

When Snake is alive, Snake eats Ants. When Snake is dead, Ants eat Snake. Time can turn at any time. Don’t neglect anyone in your life.

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Vitamin B1, Plasma

Thiamine, or thiamin, sometimes called aneurin, is a water–soluble vitamin of the B complex (vitamin B1), whose phosphate derivatives are involved in many cellular processes. Thiamine deficiency can lead to myriad problems including neurodegeneration, wasting and death.

  • A lack of thiamine can be caused by malnutrition, a diet high in thiaminase–rich foods (raw freshwater fish, raw shellfish, ferns) and/or foods high in anti–thiamine factors (tea, coffee, betel nuts) and by grossly impaired nutritional status associated with chronic diseases, such as alcoholism, gastrointestinal diseases, HIV–AIDS, and persistent vomiting.
  • It is thought that many people with diabetes have a deficiency of thiamine and that this may be linked to some of the complications that can occur.
  • Well–known syndromes caused by thiamine deficiency include beriberi and Wernicke–Korsakoff syndrome, diseases also common with chronic alcoholism.
 
    Mind Teaser

Read this…………………

Valsalva maneuver can result in bradycardia. Which of the following activities will not stimulate Valsalva’s maneuver?

A. Use of stool softeners.
B. Enema administration
C. Gagging while toothbrushing.
D. Lifting heavy objects

Yesterday’s Mind Teaser: A client is scheduled for a bronchoscopy. When teaching the client what to expect afterward, the nurse's highest priority of information would be

A. Food and fluids will be withheld for at least 2 hours.
B. Warm saline gargles will be done q 2h.
C. Coughing and deep–breathing exercises will be done q2h.
D. Only ice chips and cold liquids will be allowed initially.

Answer for Yesterday’s Mind Teaser: A. Food and fluids will be withheld for at least 2 hours.

Correct answers received from: Dr Jainendra Upadhyay, Dr PC Das, Dr Kanta Jain, Dr Pankaj Agarwal, Dr AK KELA, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Dr Surjit Singh Kalsi.

Answer for 18th July Mind Teaser: D. Slowly breathe out through the mouth with pursed lips after inhaling the drug
Correct answers received from: Yogindra Vasavada, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

The director advertises that he needs a secretary. Necessary skills: document forming, IT–knowledge and a foreign language.

After a couple of days a dog walks in. "I’m an open minded person," the pale–turned boss stutters, "but I need someone who can form documents…"

The dog sits down behind the computer and compiles a totally decent business letter. "Yes, but the IT–knowledge…" The dog quickly writes a little program.

"Well, but foreign language?" the totally amazed director asks."Meow!" says the dog.

 
    Medicolegal Update

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

What is delirium?

  • In delirium, the consciousness of the person is disturbed with impaired orientation, blunted critical faculties and irrelevant or incoherent thought content.
  • A person may go into the state of delirium in many conditions, such as due to mental unsoundness, acute conditions like high fever, acute poisoning cases, as in dhatura poisoning and head injury
  • Delirium tremens is a condition of delirious state, which occurs in chronic alcoholics due to sudden increase of the dose of alcohol or sudden withdrawal or some diseases and head injury etc. There is incoherency, coarse or violent tremor, hallucination, disorientation etc.
  • During such a mental state the person may commit some unlawful, destructive act for which he is not legally responsible, because delirium is considered as a state of definite mental abnormality.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Unusual or irregular palpitations on exertion: A cause of concern

Unusual or irregular palpitations occurring while exercising, walking or climbing stairs should not be ignored, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

He said that missing of beats at rest and disappearing on exertion may be a normal phenomenon but missing of beats on exertion may indicate underlying blockages.

Any palpitation in a patient with underlying heart disease, in the setting of acute heart attack or which are unusual, unexplained or appearing for the first time also should not be ignored.

Palpitations in the presence of a low functioning heart (lower than 35%) need special investigations as these people have high chances of developing sudden cardiac arrest and death in future.

Patients who have survived a cardiac arrest should undergo more intensive investigations and evaluations to prevent a subsequent event.

Any person who can climb two flights of stairs, walk 2 km without any discomfort or breathlessness usually require no cardiac investigations.

 
    Readers Response
  1. Dear Dr.Aggarwal, I fully agree with the view of Dr.M.C..Gupta about use of generic names in prescriptions. one of my doctor friend, Dr Roy came from U.K & had to seek my help to take drugs as he had prescription of U.K. containing brand names of U.K., use of generic names will help to international visitors also. DR. A.K.KELA, Former H.O.D. Pharmacology, L.H.M.C, N.DELHI
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

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
http://www.heartcarefoundation.org

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

 
    eMedinewS Special

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

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

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  Perfect Health Mela

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  Towards Well Being

  First Aid Basics

  Dil Ki Batein

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  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