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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 …

21st November 2011, Monday

COPD patients more likely to develop lung cancer

Lung cancer may be detected at an earlier stage by screening individuals with chronic obstructive pulmonary disease (COPD) early as per a report in Nov 20011 issue of European Respiratory Journal.

COPD is the fourth leading cause of death in the world and lung cancer is the seventh, according to the World Health Organization. These two conditions are associated.

The research has shown that individuals with COPD are more likely to develop lung cancer compared to individuals who currently or previously smoked with normal lung function.

Amongst COPD patients 1% develops lung cancer each year compared to 0.2% of people with normal lung function, a five time increase in the risk of COPD patients developing lung cancer.

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

COPD patients more likely to develop lung cancer

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011–Medico Masti–An Inter College Health Festival at Perfect Health Mela

The competitions like Fashion Show, Choreography, Rock Band etc. organized on the spot and winners were awarded.

Dr K K Aggarwal
    National News

Common Medical entrance on May 13 next year

NEW DELHI: Central Board of Secondary Education (CBSE) will be conducting the first common medical entrance test – National Eligibility cum Entrance Test (NEET) – on May 13 next year. NEET will be a common test for class XII students aspiring to take admission in different medical colleges including the private ones. The Medical Council of India had entrusted CBSE with the responsibility of conducting the test. NEET will consist of one paper containing 180 objective-type questions on physics, chemistry and biology to be answered using ball–point pen on a specially–designed machine–gradable sheet. The duration of the test would be three hours and each question will carry four marks. (TOI, Nov 18, 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

FDA gives nod to new leukemia treatment

The FDA has approved a new compound for the treatment of acute lymphoblastic leukemia (ALL) patients who are allergic to asparaginase derived from Escherichia coli. The agency gave the okay to asparaginase Erwinia chrysanthemi (Erwinaze) as a replacement for E. coli–derived asparaginase or pegylated asparaginase (pegaspargase). (Source: Medpage Today)

For comments and archives

Neurostimulator okayed for chronic pain

The FDA has approved a Medtronic neurostimulation system for treating chronic back and leg pain that incorporates motion–sensor technology that adjusts the timing and level of stimulation according to patients’ body movements, the company said. The implantable product will be sold as the AdaptiveStim with RestoreSensor system. (Source: Medpage Today)

For Comments and archives

Metabolic syndrome markers Post–9/11 predict lung function

Metabolic syndrome biomarkers seen soon after exposure to dust from the World Trade Center (WTC) collapse predicted later decline in lung function, according to a nested case–control study of New York City rescue workers. Biomarkers that significantly increased the odds of having an abnormal forced expiratory volume (FEV1) over the course of the next six years included dyslipidemia (OR 3.03, 95% CI 1.39 to 6.16), heart rate of 66 beats per minute or more (OR 2.20, 95% CI 1.14 to 4.24), and leptin levels of 10,300 pg/mL or higher (OR 3.00, 95% CI 1.35 to 6.66), reported Anna Nolan, MD, of the New York University School of Medicine, and colleagues. Elevated amylin was strongly protective, decreasing the odds of declining lung function by 84% (OR 0.16, 95% CI 0.06 to 0.43), they reported in the American Journal of Respiratory Research and Critical Care Medicine. (Source: Medpage Today)

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  Twitter of the Day

@DrKKAggarwal: #AJPP Brain damage in newborns: enzyme controlling cell death Birth asphyxia can cause irreparable brain damage…fb.me/15bbrONWQ

@DeepakChopra: Take away all your labels and you are the Infinite Being.

    Spiritual Update

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

What are the five essential signs of marital status of a Hindu woman?

Hindu rituals define five essential signs of married woman which are

  1. Mangalsutra ( beaded yellow thread with a gold pendent)
  2. Red Sindoor of Kumkum
  3. Nose Ring
  4. Toe Ring
  5. Red Bangles.

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    An Inspirational Story

(Ms Ritu Sinha)

Sometimes you just have to cry

There are a lot of things about parenthood that could make one cry… the cost of formula, sleepless nights, or diaper messes just to name a few. However, for me the absolute worst had to be – immunization shots.

At about two months into parenthood, I learned the true meaning of the word "heartbreak". There could not have been anything worse than watching helplessly as he received his first round of immunization shots. I would rather have been run over by a truck than have to sit there and watch him go through that. While listening to his screams, I kept thinking that surely medical science could have come up with a better way of doing this by now. As far as any solace from the doctor, all he could say was, "Ah, look at those healthy tears." As we left the office, I whispered into my son’s ear, "Its okay, Sam. Sometimes you just have to cry."

In a way I guess it was only a matter of time before Sam was introduced to pain in his life. I remembered losing my father to a sudden car accident a number of years ago. I tried to remain strong through it all. One day, when a song came on the radio that reminded me of your grandpa, I completely lost it. It was the first time since the funeral that I just let go and cried. It felt good to not hold back anymore.

The earliest memory I have of my father is one of me as a young boy holding his hand by his two last fingers as we walked together. His hands seemed so large that his fingers were all I could actually grip. He always took me with him to basketball games even at my young age. I will never forget that.

As I grew older I remember dad and I listening to high school basketball games together on an old transistor radio. I would make a list of player’s names on a piece of paper and keep track of how many points each would score as the game went on. Too small to stay awake for the whole game, I always fell asleep before the game ended. When I would wake up in the morning I would find the score sheet lying next to me. The score sheet would be filled out with the final score on it completed by my father before he carried me to bed.

I remember the times when my father would stop by the house in the early morning on those cold days when I was home from school over Christmas break. I used to ride on the floor of that bread truck as he delivered the bread to the stores. I don’t know if those old trucks even had heaters but it didn’t matter. The smell and warmth from the bread that had just come from the bakery ovens would make my mouth water and keep me warm both at the same time.

In high school I became very interested in athletics. My father would attend all my games. My senior year our football team qualified to play in the state championship game. It was the first time in the history of our school that any team had advanced that far. The night before the game my father came to me and sadly announced that he would not be able to attend. He had to deliver the bread to the stores and the site of the games was a three hour drive from his route. He vowed to listen to every play on the transistor radio. Consumed with the anticipation of the game, I acknowledged his comments without fully noticing his regret.

The next day as game time approached I couldn't help thinking about my dad. For some reason as I lined up for the second half kickoff I happened to look across the field into the parking lot. There I saw his blue and white bread truck pulling into the stadium. He had delivered the bread and made the long drive in time to at least see part of the game in which we won the state championship.

Years later I had become a teacher and coach. Early one morning I was awakened by the sound of the telephone ringing at 5:30 A.M. As I struggled to answer the phone I'll never forget the sound of the sheriff's voice on the other end telling me that my dad had just been killed in an automobile accident on his way to work. Cattle from a nearby farm had broken through a fence and wandered onto the highway. Being a dark, rainy morning my father never saw them as he came over a ridge. The impact spun the car sideways in the highway before a semi-trailer collided with it. He was killed instantly. As I listened to the story I could hear my heart beat in my ears. I hung up the phone devastated.

For a long time after that things really didn’t matter to me. I went about my life but I really didn’t care. It felt as if my heart had been torn away and in a sense it had. I went to work. I still taught school but I was just going through the motions.

One day I was on the school playground supervising a first grade recess. A little boy walked up to me and grabbed my hand by my last two fingers. Just like I use to do to my dad. In that moment my father came back to me. In that instant I realized that even though my father was gone he had left me something behind. He had left me his smile. He had left me his compassion. He had left me his heart. When that little boy touched my hand I realized that all these wonderful gifts that I had loved so much about my father could be passed on to others.

From that moment on I started. In that moment I understood the meaning of the word heritage. Like his father, there will be times in my son’s life when he will feel pain. When that happens, I hope I am there for him. If I am not, I hope he remembers the words I whispered in his ear that day as we left the doctor's office. "It’s okay, Sam. Sometimes you just have to cry."

For comments and archives

  Cardiology eMedinewS

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

CSI News

Catheter Induced Pseudoaneurysm of Femoral Artery-Detection and Treatment

For comments and archives

BMV safe in Juvenile mitral stenosis

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40% of patients with AMI develop AF in 2 years

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AHA Update: Low vitamin D linked to heart disease in children

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AHA Update: Early surgery for endocarditis

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AHA Update: Ablation for AF

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  Fitness Update

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

Exercise has the power to defy genetics

Researchers have found several genetic factors that make a person predisposed to – or more prone to – developing obesity. Some experts believe that when these genetic factors are present, people are powerless against gaining excess weight. However, a new, exciting study published in the most recent issue of the journal PLoS Medicine shows strong evidence that this view is wrong. The results show that despite having this gene, people who exercise are still able to maintain a healthy weight.

Researchers at the Medical Research Council Epidemiology Unit in Cambridge, United Kingdom, and Harvard Medical School, reviewed data from multiple research studies that, together, included over 218,000 adults. They included studies that measure activity and investigated one specific gene that is frequently associated with increasing the risk for obesity. Adults were defined as being "inactive" when they had a sedentary occupation and/or if they reported less than one hour of moderate–to–vigorous leisure–time or commuting physical activity per week. All other adults in the study were defined as "physically active." The meta–analysis of the data found that adults who exercised regularly and were "physically active" according to the study standards had 33 percent lower odds of being obese compared to non–active adults.

Hopefully, the study authors conclude, their results will encourage more people to become physically active.

For comments and archives

    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

How Long does it take for Safe Driving after Drinking?

It takes about one hour for a healthy person’s liver to get rid of half a pint of beer, lager or cider, one glass of wine or one pub measure of spirits.

12 hours: 6 pints
10 hours: 5 pints
8 hours: 4 pints
6 hours: 3 pints
4 hours: 2 pints
2 hours: 1 pint

So, if you finish drinking your sixth pint at 11 pm, you won’t be totally sober until 11 am the next day.

    Medicine Update

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

Nutrient Needs of Adolescents

Adolescents need extra nutrients to support growth spurt.

  • Girls: Growth spurt begins at 10 to 12 years, peaks at 14 years and stops at 15–16 years
  • Boys: Growth spurt begins at 12–13 years, peaks at 15 years and stops at 19 years.

Rapidly growing athletic body needs 4000 calories/day. An inactive girl requires<2000 calories per day.

For comments and archives

    Legal Question of the Day

(Dr. M C Gupta)

I am a pathologist. I have been appointed as the Ethics counsellor of the CASH (Committee Against Sexual Harassment) of my 250 bedded Hospital. I have the following queries:

a. What are the guidelines for CASH?

b. Is it OK if there is no external neutral member? (There is a tendency to hush up matters here and victims of sexual harassment are discouraged from making written complaints.)

c. There is a doctor against whom many complaints have reached me. What action can be taken against him under such circumstances?

d. What is my role?

e. If any untoward incident occurs in future which is publicised, where do I stand in the court of law?

  1. The origin of the Sexual harassment Committee lies in the Supreme Court judgment titled

    VISHAKA & ORS. Vs.STATE OF RAJASTHAN & ORS. decided by a three judge bench on 13/08/1997. It would be useful to read this judgment at http://www.iiap.res.in/files/VisakaVsRajasthan_1997.pdf
  2. The composition of the CASH as per the judgment is as follows:

    "7. Complaints Committee: The complaint mechanism, referred to in (6) above, should be adequate to provide, where necessary, a Complaints Committee, a special counsellor or other support service, including the maintenance of confidentiality.

    The Complaints Committee should be headed by a woman and not less than half of its member should be women.

    Further, to prevent the possibility of any under pressure or influence from senior levels, such Complaints Committee should involve a third party, either NGO or other body who is familiar with the issue of sexual harassment.

    The Complaints Committee must make an annual report to the government department concerned of the complaints and action taken by them. The employers and person in charge will also report on the compliance with the aforesaid guidelines including on the reports of the Complaints Committee to the Government department."
  3. It is clear that an external member is a must. It is wrong on the part of the management to discourage any employee from making a written complaint. No action can be taken without complaint.
  4. If others are reluctant or are discouraged from making written complaints, nothing prevents you from making a complaint to the authorities on behalf of the victims/sufferers. You ought to do so for the sake of others.
  5. As regards your role as a Counsellor, you appear not to be a part of the CASH. Your role, as per your designation, should be to counsel those suffering from sexual harassment. Taking a literal meaning of the term, you can even counsel them to make written complaints. If you want to be proactive, you can ask them to submit the complaints to you and you can forward the same to the CASH for further action. As Ethics Counsellor, nothing prevents you from counselling even the management and also the chairperson of the CASH to ensure that the committee is constituted as per proper guidelines. Guidelines prevailing in or advised by reputable institutions can be viewed at:

    ––CDS (Centre for Developmental Studies) norms

    ––Tata Institute of Social Sciences
  6. If any If any untoward incident occurs, you will be safe if you have acted as advised above.

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emedinews revisiting 2011
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    IJCP Special

Dr Good Dr Bad

Situation: A child came with focal convulsions with onset of high–grade fever.
Dr Bad: These are simple febrile convulsion.
Dr Good: These are not simple febrile convulsions.
Lesson: Simple benign febrile convulsions are always generalized.

For comments and archives

Make Sure

Situation: In an STD clinic, a 23–year–old heterosexual male presenting with dysuria, and uretheral discharge was prescribed azithromycin to cover suspected Chlamydia trachomatis infection.
Reaction: Oh my God! Why didn’t you advise the same treatment for his partner also?
Lesson: Make sure to remember that in such cases, it is essential that both the partners are treated.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Children's overall development should be nurtured within a safe, well maintained indoor and outdoor environment.

    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser:  The wave length used in narrow band UV B is

a. 308 nm
b. 311 nm
c. 320 nm
d. 316 nm

Answer for Yesterday’s  Mind Teaser: b. 311 nm

Correct answers received from: Dr. H.L. Kapoor, yogindra vasavada, Dr. Thakor Hitendrasinh G, Dr Alexander Daniel Sunad, Dr.Chandresh Jardosh,Muthumperumal Thirumalpillai, Raju Kuppusamy, Dr Jainendra Upadhyay,Anil Balaria, Dr Ravi,

Answer for 19th November Mind Teaser: a) Multiple CBD stones
Correct answers received from: Dr Ajay Pandey, Dr.Ragavan Moudgalya, Dr.K.V.Sarma

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Doctor, Doctor! I keep thinking I’m God!
Doc: When did this start?
Well first I created the sun, then the earth, then the…

    Medicolegal Update

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

Phenol poisoning is known as carbolism

  • Dettol is a chlorinated phenol and it is nontoxic to adults even in higher concentrations; some fatalities have occurred in children.
  • Poisoning by phenol or Dettol is known as carbolism because of the carbolic acid.
  • The acid in a concentrated form acts as a corrosive and remotely as a narcotic poison.
  • It coagulates proteins but does not form a firm chemical combination with them. Applied to the skin, it causes a burning sensation followed by tingling, numbness and anesthesia due to its effect on sensory nerve endings.
  • Dangerous symptoms may be caused by 0.3 to 0.42 g of carbolic acid; about 2g is the average fatal dose. A quarter of a teaspoon full dissolved in glycerin killed a six month old child.
  • Carbolic acid is largely used as an antiseptic, as a disinfectant and as a preservative. It is used in the preparation of many disinfecting powders.
  • Carbolic soaps should not be used for enemas. Being easily procurable several cases of accidental and suicidal poisoning by carbolic acid have occurred.
  • On account of its powerful odor and taste, it is rarely used for homicidal purposes though it has been sometimes used for murdering children and infants.

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    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Do not replace Saturated Fat with Refined Carbohydrates:

White sugar, white rice and white maida may be more harmful

It’s wrong to say eat less fat; the real message should be eat more fresh fruits and vegetables, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

He was interacting with a group of people at the Heart Care Foundation of India stall in the Ministry of Health and Family Welfare pavilion at the IITF, Pragati Maidan.

It is easier for patients to understand advice given in terms of foods e.g. eat more fresh fruit rather than nutrients for e.g. reduce intake of fat to less than 30 percent of your total energy intake.

The message to reduce fat has been translated by food manufacturers and consumers into a potentially harmful set of food choices.

Instead of replacing high–fat foods with naturally low–fat foods such as fruits, vegetables, legumes and whole grain foods, many end up increasing their consumption of low–fat or fat–free varieties of naturally high–fat foods, such as fat–free snack or junk foods.

The result is an increase in refined carbohydrates which lowers good HDL–cholesterol and raises bad LDL cholesterol.

For comments and archives

    Readers Response
Dear Sir, Thanks a lot for providing us such useful informations. Regards: Dr Tripti
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

    eMedinewS Special

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

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

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

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  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