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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 7 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

21st October 2012, Sunday

Multivitamins May Lower Cancer Risk in Men

After about 11 years, the daily multivitamin use resulted in an 8% reduction in total cancer incidence in men according to the results of a very large randomized trial by John Michael Gaziano, MD, MPH from Harvard at the Annual American Association for Cancer Research (AACR) Frontiers in Cancer Prevention Research meeting and also published in JAMA. Cancer mortality also went in 12% reduction.

Previous studies have reported conflicting results. As reported by Medscape Medical News, two studies evaluating the association of multivitamins and breast cancer found opposite results — one study found an increased risk while the other found that multivitamins decreased the risk. Another study reported more neutral results, in that multivitamin use had no influence on the risk for common cancers, cardiovascular disease, or overall mortality.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Carnitine Update


  • Deficiencies in thiamine, selenium and L-carnitine have been reported to produce heart failure and replacement therapy results in improvement in cardiac function.
  • Carnitine deficiency impairs the oxidation of fatty acids, resulting in lipid accumulation in the myocyte cytoplasm. This problem is reversed with L-carnitine replacement.

What is cirrhotic cardiomyopathy?

Cirrhosis is associated with myocardial dysfunction independent of alcohol exposure. The condition has been defined as otherwise unexplained chronic cardiac dysfunction in patients with cirrhosis with impaired contractile responsiveness to stress and/or diastolic dysfunction with associated electrophysiologic abnormalities. The left atrium may be dilated but the left ventricular cavity size is generally normal, although dilatation may develop in some cases.

For Comments and archives…

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

AHA - ACS update

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

MCD South Zone To Train Its Teachers On Health And Hygiene At Perfect Health Mela

Addressing a press conference, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Mr. Satish Upadhyay, Chairman Education Committee, MCD South said that MCD South Zone in association with Heart Care Foundation of India will be organizing a training program for its teachers on 7th November, 2012, Wednesday, at Constitution Club of India.

Dr K K Aggarwal
    National News

Multiple infections make dengue treatment tough

CHENNAI: Multiple infections, such as leptospirosis, typhoid and tuberculosis, were recorded in at least six of every 10 dengue deaths in the state, a study by the Public Health Association of India has found. The results of the study were discussed at a two-day conference held in Madurai on Thursday and Friday.

Researchers from the Public Health Association of India collected the case sheets of at least 10 people who died of dengue this season from government and private hospitals. Analysis of the case sheets showed that at least six of them had more than just dengue— three had dengue and typhoid, two others had dengue and rat fever (leptospirosis) and one had TB and dengue, said Dr S Elango, state president, Public Health Association of India and former director of public health. "It is a very serious public health challenge. We must do more research to find out if we should follow the same treatment protocol," he said. The association will forward a proposal to the Indian Council of Medical Research for detailed analysis, he said. A senior doctor from the directorate of public health department said multiple infections were rare. The bigger challenge for them was multiple serotypes, also called secondary dengue. There are four distinct, but closely related serotypes of the virus that causes dengue — DEN-1, DEN-2, DEN-3 and DEN-4. Recovery from infection by one provides lifelong immunity against that particular serotype. However, if the person gets dengue for the second time (with another serotype), it makes treatment difficult. "Dengue does not have any specific drug. Patients will have to be diagnosed early and monitored for fluid loss and platelet count. Though most people with dengue don't need blood transfusions, platelet counts can drop rapidly in people who have been infected with multiple serotypes. The blood does not coagulate. As a result, such people bleed and die of hemorrhagic shock. The challenge is to diagnose patients early and monitor them," he said. The state health department has deputed infectious diseases experts to all the seven high-prevalence areas of the state (central and western district such as Nagapattinam, Tiruchi, Erode and Cuddalore) to train doctors in early diagnosis and treatment. (Source: TOI, Oct 20, 2012)

For comments and archives

My Profession My Concern

Quality measures related to pediatric asthma care

  • Use of reliever medication: The percentage of pediatric patients admitted for inpatient treatment of asthma who received relievers (e.g., albuterol) during hospitalization. US National average performance on this measure is 100 percent.
  • Use of systemic glucocorticoid medication: The percentage of pediatric patients admitted for inpatient treatment of asthma who received systemic glucocorticoids during hospitalization. US National average performance is 100 percent.
  • Home management plan of care: The percentage of pediatric patients admitted for inpatient treatment of asthma for whom there is documentation that a Home Management Plan of Care (HMPC), also known as an Asthma Action Plan, was given to the patient and/or caregiver. US National average performance is 74 percent.

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

    Valvular Heart Disease Update

Aortic regurgitation in the elderly

The most common causes for chronic aortic regurgitation in elderly adults are dilation of the ascending aorta resulting from hypertension or primary aortic disease, calcific aortic sclerosis, and, rarely, a bicuspid aortic valve. Acute aortic regurgitation is most often due to an aortic dissection or endocarditis.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

    International News

(Contributed by Dr Monica and Brahm Vasudev)

ACL Repair: Postprocedure knee brace unnecessary

Knee bracing after anterior cruciate ligament (ACL) reconstruction appears to be largely useless, according to a new systematic review by Lisa M. Kruse, MD, from the Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri, and colleagues. The report, published in the October 3 issue of the Journal of Bone and Joint Surgery, analyzed data on postoperative bracing, accelerated rehabilitation, home-based rehabilitation, proprioception and neuromuscular training, and several modalities tested by single trials. (Source: Medscape)

For comments and archives

High-sensitivity troponin T may predict perioperative MI risk

The new high-sensitive troponin T (hsTnT) assay can predict worse postoperative outcomes in the absence of acute coronary syndrome, Washington University researchers reported at Anesthesiology 2012: American Society of Anesthesiologists (ASA) 2012 Annual Meeting. (Source: Medscape)

For comments and archives

Psoriasis drug eases refractory Crohn's disease

Patients with Crohn's disease who are not helped by treatment with tumor necrosis factor (TNF) inhibitors may respond to a different type of biologic agent currently used for plaque psoriasis, a multicenter phase IIb trial suggested. (Source: Medpage Today)

For comments and archives

Damage from blocked arteries differs by sex

Coronary lesions that appear similarly severe in men and women under x-ray are less likely to be associated with ischemia in women, a subgroup analysis of the FAME trial found. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: B12 Deficiency Can Present With Recent Memory Loss

@DeepakChopra: There are as many perceptual realities as there are living entities with their qualia repertoire. http://tinyurl.com/9onyfgt

    Spiritual Update

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

On the 4th Navratri, be happy in all situations

Kushmanda is worshipped on the fourth day of Navratri. SHE shines brightly with a laughing face. Out of eight hands (Ashtabhuja) in her four arms, she carries weapons like bow, arrow, discus and mace.

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)

Is there any drug treatment for endometriosis?

A number of new drugs are under research and development for endometriosis. Antiprogestins, such as mifespristone and onapristone have had success in small studies. These medications work by modulating the estrogen and progesterone receptors in endometriosis implants and cause atrophy of endometriosis. Selective estrogen receptor modulators (SERMs) may be effective by virtue of their antiestrogen effect. Raloxifene is the SERM that currently shows some promise. In contrast, tamoxifen, another SERM, may cause endometriosis to worsen. Aromatase inhibitors, medications that inhibit aromatase, an enzyme that is required for estrogen synthesis, have had success in small studies and case reports. Anastrazole and letrozole are two examples of aromatase inhibitors undergoing investigation.

For comments and archives

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

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

Blood transfusion

Transfusions of 20 pints of blood to a single patient are now commonplace and 100 pints or more have been given in 24 hours to save a life.

For comments and archives

    An Inspirational Story

No regrets about today

If I knew it would be the last time that I'd see you fall asleep, I would tuck you in more tightly, and pray the Lord, your soul to keep.

If I knew it would be the last time that I see you walk out the door, I would give you a hug and kiss, and call you back for one more.

If I knew it would be the last time I'd hear your voice lifted up in praise, I would video tape each word, so I could play them back day after day.

If I knew it would be the last time, I could spare an extra minute or two to stop and say "I love you," instead of assuming you would KNOW I do.

If I knew it would be the last time, I would be there to share your day, well I'm sure you'll have so many more, so I can let just this one slip away.

For surely there's always tomorrow to make up for an oversight, and we always get a second chance to make everything right.

There will always be another day to say our "I love you," And certainly there's another chance to say our "Anything I can do?"

But just in case I might be wrong, and today is all I get, I'd like to say how much I love you and I hope we never forget.

Tomorrow is not promised to anyone, young or old alike And today may be the last chance you get to hold your loved one tight...

So if you're waiting for tomorrow, why not do it today? For if tomorrow never comes, you'll surely regret the day,

That you didn't take that extra time for a smile, a hug, or a kiss and you were too busy to grant someone, what turned out to be their one last wish.

So hold your loved ones close today, whisper in their ear, Tell them how much you love them and that you'll always hold them dear.

Take time to say "I'm sorry," "please forgive me." "thank you" or "it's okay." And if tomorrow never comes, you'll have no regrets about today. She has been there, and done that.

Source: http://www.inspirationalstories.com/10/1048.html

For comments and archives

    Cardiology eMedinewS

Women coronary blockages less ischemic Read More

Steroids during heart surgery reduces need for blood products Read More

    Pediatric eMedinewS

ADHD issues persist into 40s Read More

AAP urges pediatricians to inform parents about gun safety Read More

    IJCP Special

Dr Good Dr Bad

Situation: An asymptomatic diabetic patient came for a cardiac checkup.
Dr. Bad: No Echo is required.
Dr. Good: Get Echo done for diastolic dysfunction.
Lesson: A case-control prospective study done over one year has shown high incidence of diastolic dysfunction in asymptomatic diabetic subjects and, this finding was correlated with the duration of diabetes, HbA1c levels, obesity indices and diabetic microangiopathies. Early diagnosis and institution of treatment will reduce morbidity and improve the outcomes, and prevent future heart failure (J Cardiovasc Dis Res 2011 Oct;2(4):213-22).

For comments and archives

Make Sure

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

For comments and archives

    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)


Lipase is an enzyme produced by the pancreas to help digest fats, proteins, and carbohydrates.

  • Very high levels in blood can be due to acute pancreatitis.
  • High levels are also found with pancreatic duct obstruction, pancreatic cancer and other pancreatic diseases.
  • Moderately increased lipase values may occur with kidney disease, salivary gland inflammation, a bowel obstruction or peptic ulcer disease.
  • Low levels may indicate permanent damage to the lipase–producing cells in the pancreas.
    Quote of the Day (Dr GM Singh)

Education is the best friend. An educated person is respected everywhere. Education beats the beauty and the youth. Chanakya.

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

Photos of Doctor’s Day Celebration

eMedinewS Apps
    Mind Teaser

Read this…………………

What seven-letter word has hundreds of letters in it?

Yesterday’s Mind Teaser: YYUR

Answer for Yesterday’s Mind Teaser: Too wise you are

Correct answers received from: Dr Kanta Jain, Dr Avtar Krishan, Dr PC Das, Dr K Raju, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr (Maj. Gen.) Anil Bairaria, Dr PC Das, Prabha Sanghi.

Answer for 20th October Mind Teaser: B. Eating habits are altered
Correct answers received from: Prabha Sanghi.

Send your answer to ijcp12@gmail.com

   Laugh a While (Dr GM Singh)

Top Secret Communications Center

When my son was in the Air Force, my wife and I visited quite often. On our first visit, we were allowed inside this top secret Communications Center, but everything in sight was covered up so we could look around everywhere –– Heck, even the toilet paper in the Men’s room was disguised.

Anyway, at the exit, there’s a sign above the door, which reads: "You have been exposed to Top Secret Material. Please destroy yourself before leaving the building."

    Medicolegal Update

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

Delusions of grandeur

Also termed as delusion of exaltation

  • This is a delusion of pleasant belief or feeling. The sufferer remains in a state of feeling of greatness, power and wealth. He may be extravagant in his thinking and action and may commit some crime in such a state of mind or may ruin his money or property.
  • Erotomania is a type of delusion of grandeur, where the sufferer believes that a person of very high rank or social status loves him/her. The sufferer also believes that the imaginary person communicates his love in some manner or other, by posture or by communication in a secret or symbolic way.
  • When a person suffering from delusion of grandeur, believes that he will be killed by another person for the huge property he possesses and if as remedial step he kills that person then he will have diminished responsibility for the commission of the act because though in this case there are elements of fear and apprehension about his own life and to safeguard his life he has killed the person, yet he is not fully absolved from the act he has committed because in such a case he could have tried lawful protective steps for his life i.e., he could have sought for the help of the police…

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Divyajyoti at MTNL Perfect Health Mela

In the forthcoming 19th MTNL Perfect Health Mela being organized at Constitution Club of India from 7th to 11th November, 2012, Heart Care Foundation of India will be organizing Divyajyoti – a festival for nurses.

Giving the details, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that over 1500 nurses from various nursing schools and colleges will participate in the event.

The event will include a health debate on Nurses should spend at least two years abroad and a skit on Patient-Doctor relationship. There will also be poster-cum-slogan writing competition on Natural fast food is good for health and collage making.

Dr. Aggarwal said that nurses are the backbone of the society and the bridge between patient and doctor. A good doctor-patient relationship will also be good in the hospital setting. In India where the time spent by a doctor with a patient is not adequate because of the large number of patients, nurses as counselors can play a major role.

    Readers Responses
  1. Dear Sir, Thanks for providing the useful information through eMedinews. Regards: Dr KS Bhagat
    Forthcoming Events

19th MTNL Perfect Health Mela 2012 Programme

Dr K K Aggarwal
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    eMedinewS Special

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  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Dr Usha K Baveja