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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 & 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 9 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 November 2012, Wednesday

Hospital Noise Not Health-Friendly

Restless sleep can be health unfriendly according to a study published in the Annals of Internal Medicine.

The research studied two healthy adults as they slept in a hospital lab using sounds that had been recorded in a hospital for two nights.

Patients were easily awakened by electronic sounds such as a blaring IV alert (that signals when someone needs more medicines or fluids) and human conversations.

Even though patients may not remember waking in the night, restless sleepers may experience more agitation, elevated stress and impaired immune function.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Constipation in the older adult may be due to functional chronic constipation or secondary to other etiologic factors.

For comments and archives

Dr K K Aggarwal
    eMedinewS Audio PostCard

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

Hospital Noise Not Health-Friendly

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Medico Masti in the Mela

Over 1000 college youth participated in competitions which included western dance, choreography, fashion show, rock band, poster making, slogan writing and mehendi.

Dr K K Aggarwal
    National News

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

President launches campaign to combat malnutrition

NEW DELHI: President Pranab Mukherjee on Monday said malnutrition figures are a wake-up call for the country to take up a concerted drive to ensure good nutrition and health for children and their mothers. He launched a nationwide mass communication campaign against malnutrition, an initiative of the Women and Child Development (WCD) ministry. Speaking at the launch, Mukherjee said the data of undernutrition was of concern. "Utmost priority must be accorded to prevent undernutrition, as early as possible, across the life cycle, to avert irreversible cumulative growth and development deficits," he said. The campaign will be rolled out in four stages. The first stage will be aimed at creating awareness on symptoms of malnutrition for eight weeks, stage 2, spread over six weeks, gives a clarion call. Stage 3 includes key messages on basic critical practices for maternal and childcare to prevent from malnutrition. Stage 4 will inform the public about acquiring services and Mother Child Protection card. Actor Aamir Khan is the face of the campaign. He will connect with people and spread awareness about malnutrition and simple ways of preventing and reducing it. Messages on infant and young child feeding and caring practices will be sent out through advertisements, including on TV, radio and newspapers, in 18 Indian languages. (Source: Nov 20, 2012)

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

Prosthetic valve update

Systemic embolization (predominantly cerebrovascular events) occurs at a frequency of approximately 0.7 to 1.0 percent per patient per year in patients with mechanical valves who are treated with warfarin. In comparison, the risk is 2.2 percent per patient per year with aspirin and 4.0 percent with no anticoagulation. Patients with mitral valve prostheses are at approximately twice the risk compared to those with aortic valve prostheses.

(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)

Tool IDs risk in stenting ACS patients

A new, easy-to-calculate risk score developed for patients with non-ST-segment elevation acute coronary syndromes (ACS) undergoing percutaneous coronary intervention (PCI) had better prognostic accuracy than other widely used risk scores, researchers found. The ACUITY-PCI risk score includes six variables -- insulin-treated diabetes, renal insufficiency, baseline cardiac biomarker elevation or ST-segment deviation, presence of a bifurcation lesion, small vessel/diffuse coronary artery disease, and extent of coronary artery disease, according to Gregg Stone, MD, of Columbia University Medical Center in New York City, and colleagues. (Source: Medpage Today)

New guidelines emphasize medical therapy for stable ischemic heart disease

Lifestyle changes and medical therapy should be the mainstay for most patients with stable ischemic heart disease (IHD), according to what some say is a long-overdue update to guidelines for this patient group. The primary focus of interventions in these patients, according to the new guidance, should be reducing the risk of premature cardiovascular death and nonfatal MI while maintaining activity levels and a quality of life. (Source: Medscape)

Preeclampsia risk raised by variant of AGT2R gene

A polymorphism in a gene that is part of the renin angiotensin system (RAS) is associated with increased risk for preeclampsia in overweight or obese women, according to a study published online November 5 in Placenta. (Source: Medscape)

Starting BP meds ups risk of hip fracture in elderly

The risk of a hip fracture in people aged 66 and over is increased by almost 50% in the first month and a half after they begin taking medication for high blood pressure, a new study illustrates. (Source: Medscape)

Preventive interventions may reduce preterm births by 58,000

Implementing the 5 most effective preventive interventions will reduce the preterm births in the highest-income countries by just 5% — a relatively small reduction, but one that would prevent 58,000 preterm births and result in a $3 billion total cost savings each year. Hannah H. Chang, MD, PhD, a consultant at Boston Consulting Group in Massachusetts, and colleagues report their findings in an article published online November 16 in the Lancet in anticipation of World Prematurity Day, observed November 17. (Source: Medscape)

    Fitness Update (Contributed by Mr Rajat Bhatnagar)

How fitness protects aging brains

Aging Americans are experiencing cognitive decline in numbers never before seen. Alzheimer’s disease has reached epidemic proportions in the United States. Consider these troubling statistics from the Alzheimer’s Association:

  • 5.4 million Americans are living with Alzheimer’s disease. It’s estimated that up to 16 million will have the disease by 2050.
  • One in eight Americans aged 65 and over has Alzheimer’s. Every 68 seconds, another American develops Alzheimer’s disease.
  • Alzheimer’s disease is the 6th leading cause of death in the U.S. and the 5th leading cause of death for those aged 65 and older.
  • Alzheimer’s deaths increased by 66 percent between 2000 and 2008.
  • One in seven of the estimated 800,000 people with Alzheimer’s lives alone, left to fend for himself/herself.

If you develop Alzheimer’s disease, it’s a far greater problem than just memory loss — it can kill you. And it makes every other medical problem much more difficult to treat. Although many will claim Alzheimer’s is not preventable, there ARE measures you can take that will lower your odds of developing age-related cognitive decline or, worst case scenario, full on dementia.

The aspect of your brain function that typically begins to decline first is connected with your working memory, or your capacity to process information. Researchers have identified five functions that tend to be the first ones to decline with age:

  1. Processes requiring your attention
  2. Working memory capability, or the amount of information you can work with, without losing track
  3. Understanding complex text
  4. Making inferences and drawing conclusions
  5. Putting information into your memory and retrieving it later
    Twitter of the Day

@DrKKAggarwal: In diabetes give vitamin D supplementation as an adjuvant therapy blog.kkaggarwal.com/2012/11/in-dia.........

@DeepakChopra: Practice empathy so that you can experience the world through someone else's eyes. #SuperBrain

    Spiritual Update

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

Meditation may reduce death, heart attack and stroke in heart patients

  • Twice-a-day Transcendental Meditation helped African Americans with heart disease reduce risk of death, heart attack and stroke.
  • Meditation helped patients lower their blood pressure, stress and anger compared with patients who attended a health education class.
  • Regular Transcendental Meditation may improve long-term heart health.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

Primary risks of ART procedure

Ovarian stimulation carries a risk of hyperstimulation, where the ovaries become swollen and painful. Fluid may accumulate in the abdominal cavity and chest, and the woman may feel bloated, nauseated, and experience vomiting or lack of appetite. According to western figures 30% of woman undergoing ovarian stimulation have a mild case of ovarian hyperstimulation syndrome (OHSS) that can be managed with over the-counter painkillers and a reduction in activity. Up to 2% of women develop severe OHSS characterized by excessive weight gain, fluid accumulation in the abdomen and chest, electrolyte abnormalities, overconcentration of the blood, and, in rare cases, the development of blood clots, kidney failure, or death. Women with severe OHSS require hospitalization until the symptoms improve. If pregnancy occurs, OHSS can worsen. Initial reports suggested that women who use fertility drugs have an increased risk for ovarian cancer; numerous recent studies support the conclusion that fertility drugs are not linked to ovarian cancer.

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

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

ABO blood group systems

A1 and A2 genes perform same function but have a different rate constant

    An Inspirational Story

Reflections of a Girl

I am a teenage girl - a Mormon girl.

I stand before the mirror of life and ponder the reflection I see.

For the moment I stand on Life's dividing line.

Behind me, the Yesterday of years without caring; before me, the vague Tomorrow of sharing. Today seems akin to neither.

I am no longer a child, not yet a woman, but the last reluctant bonds of childhood still cling, as I strive to heed the inner urge of womanhood.

Help me understand the image that I see! - The reflection of the child I was - the girl I am - the woman I'll soon be.

I am bewildered, but dare not confess it. I am frightened, but dare not admit my fright. Sometimes I seem lost and must trust in reassurance from above, for no one understands.

I have donned a new mantle of dignity, but I have not yet learned how to wear it.

Help me catch the vision of the woman I'm meant to be, for looking in the mirror of life a girl is all I see.

Somehow I sense that I am a person of importance; I am destined to be part of the Tomorrow that lies before me.

I shall be Tomorrow’s wife; the mother of Tomorrow’s sons and daughters.

I am tomorrow!

I am a teenage girl - a Mormon girl.

I stand before the mirror of life and joy in the reflection I see ---

I am a daughter of deity!

Adapted From The Adolescent Girl (Author Unknown)

For comments and archives

    Cardiology eMedinewS

Diabetic retinopathy screening: Look for changes Read More

Dramatic increase in CVD in young relatives of SCD victims Read More

    Pediatric eMedinewS

Asthma worsens when inhaled corticosteroids are stopped? Read More

SubQ hyaluronidase rehydration effective in pediatric EDs Read More

    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient was found unconscious.
Dr Bad: He has suffered a stroke.
Dr Good: First rule out hypoglycemia.
Lesson: In diabetics, sudden loss of consciousness is hypoglycemia unless proved otherwise.

Make Sure

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh My God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

  Legal Question of the Day (Dr MC Gupta)

Q. What is the legal significance of the following disclaimer at the end of an ultrasound report? “The possibility of false negative study exists with ultrasonography despite thorough evaluation. Hence diagnostic discretion is recommended."


  • Such statement at the end of a report is perfectly legal and in order. In effect, what it is saying is that:
    • The patient has been subjected to a thorough evaluation.
    • Such evaluation may still miss some disease conditions (known as a false negative report).
    • It is just a lab report (from the ultrasound centre/laboratory) and NOT a diagnosis of the patient. The diagnosis of the patient can be arrived at only by the clinician concerned in the background of the presenting complaints, detailed history, past and family history and clinical examination coupled with any other lab reports, etc.
    • The lab report is meant for the treating physician to make a proper diagnosis. It is not purportedly meant for the patient and he is not supposed to indulge in self- diagnosis on the basis of the report.
    • It is recommended that the treating physician should exercise his own discretion while making the diagnosis and should not blindly rely on the report because there are possible instances of false negatives and positives.
  • Such disclaimer would be useful in the court if the doctor/his lawyer argues the case on the above lines.
  • In addition to the above general disclaimer printed on the report form, it is advisable to add a specific disclaimer wherever necessary or indicated. The need for this would be clear from the actual example given below:


    I have currently a case in the NC where the complainant has claimed a few crores from the sonologist on the ground that the report stated there was no abnormality while the baby was born with multiple abnormalities such as absence of arm, kidney etc. The report also states the fact that there was severe oligohydramnios. Had the report contained a remark— “No abnormality found. However, it is possible to miss abnormalities in a large proportion of cases who have oligohydramnios”, the complainant would have had no basis to even initiate the complaint.
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  Quote of the Day (Dr GM Singh)

Prayer is not a "spare wheel" that you pull out when in trouble, but it is a "steering wheel" that directs the right path throughout.

    Mind Teaser

Read this…………………

How can you alter the following equation by a single stroke to make it correct?
5 + 5 + 5 = 550

Yesterday’s Mind Teaser: A chest tube with water seal drainage is inserted to a client following a multiple chest injury. A few hours later, the client’s chest tube seems to be obstructed. The most appropriate nursing action would be to

A. Prepare for chest tube removal
B. Milk the tube toward the collection container as ordered
C. Arrange for a stat Chest x-ray film.
D. Clam the tube immediately

Answer for yesterday’s Mind Teaser: B. Milk the tube toward the collection container as ordered

Correct answers received from: drjella, Dr.B.R.Bhatnagar, Dr. P. C. Das, Dr.Shagufta Moin, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr. Thakor Hitendrsinh G, Dr Avtar Krishan

Answer for 19th November Mind Teaser: C. Assess his response to the equipment

Correct answers received from: Dr.K.Raju, dr. deepali chatterjee, DR KANTA Jain, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr. Thakor Hitendrsinh G, Dr. B. B. Aggarwal

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Interesting 911 Calls

Dispatcher: Nine–one–one… What is the nature of your emergency?
Caller: I’m trying to reach nine eleven but my phone doesn’t have an eleven on it.

    Medicolegal Update

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

What are causes of food poisoning?

Food or drinks can be contaminated by poison from microscopic organisms such as bacteria, viruses, or mould, or by chemical poisons. Some plants, mushrooms, animals or sea–creatures contain poisonous chemicals. Poisons made by plants, animals or microorganisms are called toxins

  • Food may be contaminated by bacteria before or after cooking, during preparation or storage, by contact with hands that have not been thoroughly washed, or with contaminated surfaces, containers or kitchen utensils. It may also be contaminated by animals or insects, particularly flies. Heating food thoroughly destroys most – but not all – bacteria and bacterial toxins. However, if cooked food is kept warm or at room temperature for any length of time, bacteria present in the food will multiply and may cause disease.
  • Moulds grow on foods that are damp or damaged by insects, and some moulds produce poisons. Moulds growing on nuts or grain that has been gathered and stored before it is dry may cause serious poisoning. Some ways of drying and preserving food do not stop moulds growing on the food.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Losing job in last one year ups heart attack risk

Unemployment is a significant risk factor for acute heart attack said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India quoting the results of a large cohort study. The risk fades with joblessness lasting more than a year.

In the Health and Retirement Study, the risk of heart attack for people without work was 1.35 relative to the continuously employed. The risk was especially great among participants with multiple job losses during the nearly 20-year follow-up period. For those with four or more periods of involuntary unemployment, the risk was 1.63.

The study was done by Matthew Dupre, PhD, of Duke University, and published in the journal Archives of Internal Medicine.

    Readers Responses
  1. Dear Sir, Thanks for providing the useful information. Regards: Dr JP Dutta
    Forthcoming Events
Dr K K Aggarwal

Seminar on "Mind and Body in Health and Harmony in Asian Systems of Medicine"

Date: December 11-13, 2012
Venue: India International Centre, New Delhi
Themes of the Workshop: Anatomy, Philosophy, Diagnostics and imbalances, Therapeutics and treatments, Understanding Mind-Body relationships and Preventive and Promotive aspects in the traditional systems of medicine

4th eMedinews Revisiting 2013

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi


Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/


4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: 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)

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  Dadi Ma ke Nuskhe

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  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

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  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