Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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

21st December 2012, Friday

Biggest Cardiology Stories of 2012 from Heart Wire

Heart failure

  • The recent penalties against US hospitals for a higher-than-expected 30-day readmission rate for heart failure is the start of a remarkable and troubling shift of responsibility to acute care hospitals and health systems.
  • The approval of the HeartWare Ventricular Assist System (HeartWare, Framingham, MA) for bridge to transplant will change the landscape for (ventricular-assist-device) VAD programs, providing more choice and competition in that space.
  • The Riata lead recall and concern over the Durata lead serve to remind cardiologists of ongoing risks associated with implants.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Do not ignore chronic constipation

A study presented at the American College of Gastroenterology's (ACG) 77th Annual Scientific meeting in Las Vegas in October has observed that patients with chronic constipation may be at increased risk of developing colorectal cancer and benign neoplasms. The risk of developing colorectal cancer was found to be 1.78 times higher for patients with chronic constipation and the risk of developing benign neoplasms was 2.70 times higher.

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Rhinitis medicamentosa

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

90-year-old learns CPR 10, hands-only cardiopulmonary resuscitation

Heart Care Foundation of India today trained 984 students at S D Public School, Pitampura in CPR 10, the hands-only cardiopulmonary resuscitation technique.

In the Photo: 90-year-old retired Joint Director from the Directorate of Education, Shri S N Sharma, learned hands-only CPR 10 from Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

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

Dr K K Aggarwal

HIV cases, infant death rate down, says Azad

Union health minister Ghulam Nabi Azad on Tuesday announced that cases of the deadly HIV infection in India have come down by more than 50%, referring to the latest health indices. "There have been significant falls in MMR (Measles, Mumps and Rubella), IMR (Infant Mortality rates) and total fertility rate as well as reduction in new HIV cases by as much as 57%," Azad said, while addressing the India Health Summit organised by Confederation of Indian Industries (CII). The minister said India has been free of polio for the second successive year, which is the longest polio-free period since the eradication efforts were launched. “We have stepped up efforts to meet public health challenges such as influenza A, H1N1 pandemic and the credit goes to ICMR and our Indian manufacturers, who have domestically developed testing regents and vaccines to combat H1N1," he said. Development of indigenous reagents for testing Japanese encephalitis and dengue are also underway. He said ICMR is currently working on 75 leads of potential public health importance for development and evaluation of affordable diagnostics, including indigenously developed test for diabetes, TB and cancer. Azad said his ministry, in the last three years, has focused on reforming policies related to medical and paramedical education in order to meet the acute shortage of human resources in the health sector. "For these several policy decisions the availability of MBBS seats and PG seats will increase by 40 and 80% respectively. I am sure that by next year the increase in MBBS and PG seats will touch 50% and 100% respectively," he added. (Source: Hindustan Times, December 18, 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

Echocardiographic screening of first degree relatives of patients with bicuspid aortic valve and a positive family history and in those with a dilated aorta is recommended.

(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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

CDC links Norovirus to most gastroenteritis outbreaks

Norovirus caused most acute gastroenteritis (AGE) outbreaks resulting from person-to-person contact during 2009 to 2010, the majority of which occurred in long-term care facilities, according to an article published online December 14 in the Morbidity and Mortality Weekly Report. (Source: Medscape)

GSK wins FDA OK for first quad flu vaccine

The FDA has given the nod to the first influenza vaccine intended to protect against four strains of the virus, according to the drug's maker. The vaccine – dubbed Fluarix Quadrivalent – will be available for the 2013-2014 flu season, according to a release from GlaxoSmithKline (GSK), of London, England. Unlike current trivalent vaccines, it will include two strains of influenza B, as well as the standard two strains of influenza A. (Source: Medpage Today)

Amoxicillin provides little benefit for coughing patients

Amoxicillin offers little benefit compared with placebo for patients with lower respiratory tract infections who are not suspected of having pneumonia, according to a study published online December 19 in the Lancet Infectious Diseases. (Source: Medscape)

FDA approves Signifor for Cushing's disease

The FDA approved pasireotide (Signifor) to treat patients with Cushing's disease who are ineligible for or have failed surgical treatment, the agency announced Monday. The decision follows a unanimous advisory committee endorsement early last month. The FDA is not obliged to follow such votes but it usually does. "Although surgery tends to be first line therapy to treat Cushing's disease, Signifor is a new treatment option for patients when surgery hasn't worked or isn't an option," said Mary Parks, MD, director of the Division of Metabolism and Endocrinology Products in the FDA's Center for Drug Evaluation and Research, in a statement. (Source: Medpage Today)

Early menopause linked with type 2 diabetes risk

Early menopause was associated with an increased risk of developing type 2 diabetes, according to results from a large, prospective study. The results were published online December 10 in Diabetes Care by Judith S. Brand, MSc, from the Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands, and colleagues. (Source: Medscape)

   Twitter of the Day

@DrKKAggarwal: Fast food is good for children Distributing prizes for the baby show held at winter carnival organi http://tl.gd/kc9600 via @DrKKAggarwal

@DeepakChopra: Please read "Why Bad Science Is Like Bad Religion" written by my friend Rupert Sheldrake http://tinyurl.com/a26nbqf

    Spiritual Update

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

How to eat less and stay healthy?

Vedic science, Ayurveda, Homeopathy, Naturopathy, Allopathy all talk about eating less to stay healthy. Following are the ways to eat less:

For comments and archives

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

What are the symptoms of ectopic pregnancy?

Delayed or abnormal menstruation can be an early sign of an ectopic pregnancy. If pregnancy is confirmed, early abnormal levels of human chorionic gonadotropin (hCG), pelvic pain, and/or irregular bleeding in the first weeks of pregnancy can indicate an ectopic pregnancy. Until recently, ectopic pregnancies were often not diagnosed until 6 to 8 weeks into the pregnancy, when the patient was experiencing pelvic pain, irregular vaginal bleeding, possible internal bleeding, and a tender feeling in the pelvis. Under these circumstances, this represented a life–threatening emergency, and major surgery (laparotomy) was required to remove the pregnancy and control bleeding.

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

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

Dietary recommendations in anemia

  • Improve food choice to increase amount of total dietary iron
  • Include a source of vitamin C at every meal
  • Include (meat, fish, poultry) at every meal if possible
  • Avoid drinking large amounts of tea or coffee with meals (both contain tannin)

Note: A high protein diet (1.5g/kg body weight) is desirable both for liver function and blood regeneration.

    Stem Cell Update (Dr S K Verma, Consultant Ophthalmologist, New Delhi)
  • Did you know that your skin has invisible lines called Blaschko's lines or lines of Blaschko that are invisible under normal conditions but become apparent in certain skin diseases when they manifest themselves according to these patterns? These lines are believed to trace the migration of embryonic cells.
  • Are you aware of a structure called Spemann-Mangold organizers in embryos? It is these organizers, which organize the different parts of the embryo and when an organizer is transplanted from one embryo to the another, it will organize or induce secondary embryonic primordia regardless of its location in the second embryo.
    (Courtesy: Journal of Stem Cell & Regenerative Medicine 2012;3(17)
   An Inspirational Story

The Here and Now

The critical time for accomplishing anything is in the here and now. Every day is a day to dare to do my best. Each day provides opportunity for self–improvement/self–renewal. Today’s accomplishments, not yesterday’s or tomorrows, produce the most satisfaction as what I accomplish today can give me an immediate feeling of self confidence and direction.

The critical time for accomplishing anything is in the here and now, today. The most important ingredient in future performance is present performance. The most difficult tasks are consummated, not by a single explosive burst of energy or effort, but by consistent daily application of the best I have within me.

Practice is an opportunity to improve my skills. Approach each practice with enthusiasm, as nothing great has ever been accomplished without it. Challenge myself mentally as well as physically and I will start to enjoy the price of success rather than pay for it. Desire… the "want to" is the extra which enables an athlete to take whatever ability he/she has and utilize it to the maximum. Total effort gives an athlete a special kind of victory… victory over himself/herself. I will make this the best day and the best practice ever.

For comments and archives

   Cardiology eMedinewS

Simple sit test predicts long life Read More

Good PAD treatment cuts poor vascular outcomes Read More

   Pediatric eMedinewS

Drain cleaners still pose risk to kids Read More

Kids' diet: Two cup limit for milk Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with laryngopharyngeal reflux was not responding.
Dr. Bad: Increase the drugs.
Dr. Good: What diet do you take?
Lesson: Foods and beverages containing caffeine (coffee, tea, sodas, etc), alcohol, chocolate and peppermints weaken the protective esophageal sphincters that normally hold stomach contents in the stomach and esophagus.

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh by God! Why was additional insulin given?
Lesson: Make sure that the insulin dose is correctly calculated. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

    Legal Question of the Day (M C Gupta)

There is much confusion regarding the authorised signatory for signing clinical laboratory reports. MCI says they can be can be signed only by persons having a qualification in pathology. National Accreditation Board for Testing & Calibration Laboratories (NABL) says they can be signed even by non-medical persons. What is the correct picture? What action can be taken against the NABL? How can the confusion be cleared?


  1. It is correct that High Court judgments have, relying upon the MCI’s stand, held that Clinical laboratory Reports can be signed only by persons having a qualification in pathology. Ref: Gujarat HC judgment in Association of Pathologist Of Bhavnagar & Ors Versus Secretary Health Department & Ors, Gujarat High Court, 17 September, 2010 http://indiankanoon.org/doc/1170686/
  2. NABL is a voluntary organisation and is free to follow its own rules and standards but they cannot be binding on others and cannot operate against law. It is true that as per the NABL document 112 Issue No. 03, Amendment date 16.10.2012 (Paragraph Table 1), Clinical laboratory Reports can be signed even by non-medical persons having certain specified qualifications. However, the same document also states that the laboratories concerned have to follow the provisions of law.
  3. The correct picture is that law has to prevail. Legislations and court judgments cannot be negated by some private organisation’s rules.
  4. No action can be taken against NABL because it clearly states that the laboratories concerned have to follow the provisions of law.
  5. The confusion can be cleared by filing court cases against laboratories recognised by the NABL whose reports are not signed by pathologists. The NABL should be made a party in such a case. The courts are likely to hold the laboratories guilty of violating law.

For comments and archives

  Quote of the Day (Dr GM Singh)

Don't read success stories....you will only get a message; read failure stories...you will get some ideas to get success. Dr. APJ Abdul Kalam

    Mind Teaser

Read this…………………

Following prostate surgery, the retention catheter is secured to the client’s leg causing slight traction of the inflatable balloon against the prostatic fossa. This is done to:

A. Limit discomfort
B. Provide hemostasis
C. Reduce bladder spasms
D. Promote urinary drainage

Yesterday’s Mind Teaser: Contractures are among the most serious long-term complications of severe burns. If a burn is located on the upper torso, which nursing measure would be least effective to help prevent contractures?

A. Changing the location of the bed or the TV set, or both, daily
B. Encouraging the client to chew gum and blow up balloons
C. Avoiding the use of a pillow for sleep, or placing the head in a position of hyperextension
D. Helping the client to rest in the position of maximal comfort

Answer for yesterday’s Mind Teaser: D. Helping the client to rest in the position of maximal comfort

Correct answers received from: Dr Ajay Gandhi, Dr Arpan Gandhi, Dr Arpan Gandhi, Dr PC Das, Dr KV Sarma, Dr Pankaj Agarwal, Dr Jainendra Upadhyay,
Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Dr B K Agarwal, Sakthi Sugam.

Answer for 19th December Mind Teaser: B. Ambulate.

Correct answers received from: Dr K P Chandra, Dr Rachna Malhotra.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Murphy’s Law

Whenever I find the key to success, someone changes the lock.

    Medicolegal Update

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

Medicine and law have been interrelated from the earliest times as per Gradwohl’s Legal Medicine. The role of the doctor and the police is nothing but like a solitary person, sage, Qazi and priest. They are an intermediary between God and man. The purpose of medicine is to maintain the patient in the best health, to overcome his diseases, injury and to lengthen his healthy life. The purpose of law is to maintain peace and order in the society, respect of humans through human rights and to provide equality of opportunity. To achieve these purposes medicine emerges from the laboratory by the scientific process and law emerges from the society by the process of experience.

"People follow medicine and Law follows people".

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

90-year-old learns CPR 10, hands-only cardiopulmonary resuscitation

Heart Care Foundation of India today trained 984 students at S D Public School, Pitampura in CPR 10, the hands-only cardiopulmonary resuscitation technique.

Elaborating on this, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that for the first time a 90-year-old retired Joint Director from the Directorate of Education, Shri S N Sharma, learned hands-only CPR 10.

The campaign was inaugurated by Chairman of S D Public School Dr Sushil Gupta, Vice Chairman Sh. Kanwar Bhan Goel. Others who participated were Ms Anita Sharma, Principal & Ms Rekha Gupta. Mr. Gupta said that learning and passing on knowledge about CPR 10 is the best gift one can give to others.

Dr. Aggarwal also said that one should learn and educate at least 10 people about CPR 10. He further cautioned that CPR practical training should be done only on dummies and not on each other. The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.

So far the foundation has trained 21845 people.

CPR 10 has been endorsed by many distinguished celebrities: Dr. Deepak Chopra, the New age Guru and noted author; Mr. Sushil Shinde, Union Home Minister; Smt. Sheila Dikshit, Chief Minister of Delhi; Shri A K Walia, Health Minister of Delhi; Prof. Kiran Walia, Education Minister of Delhi; noted poet Ashok Chakradhar; noted dancers Nalini, Kamalini, Uma Sharma; film star Poonam Jhawar and most top cardiologists of India.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 20815 people since 1st November 2012.

Hands only CPR Training is based on the following CPR Mantra: Quote” Within 10 minutes of death, earlier the better, at least for the next 10 minutes, longer the better, compress the center of the chest of the dead person effectively and continuously with a speed of 10x10 (100 per minutes).” Unquote

(Press Release for use by the newspapers)

Dr. KK Aggarwal awarded ISWA Honorary Fellowship

Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India was awarded Dr. RD Sharma ISWA Honorary Fellowship in appreciation and recognition of contribution in the field of science, writing and communication.

In its citation the fellowship said, “A man of many talents, he is dedicated to cause of a healthy and hearty society. Through excellence in medical sciences, devotion to social well-being and innovation in reach and approach, Dr. Aggarwal has scaled many frontiers in the public communication of health sciences too”.

The fellowship was awarded by Indian Science Writers Association.

Mr. LS Rathore, Head of the Meteorological Society gave away the fellowship and Dr. Manoj K Patariya, President, Indian Science Writers’ Association conducted the ceremony.

After receiving the fellowship, Dr. Aggarwal dedicated his fellowship to the learning and teaching of Hands-only CPR 10, a life-saving technique to revive people within 10 minutes of death.

    Readers Response
  1. Dear Sir, emedinews is really very informative. Regards: Dr JP Singh
    Forthcoming Events
Dr K K Aggarwal

4th eMedinews Revisiting 2012

(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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    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