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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 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 …

22nd November 2012, Thursday

5 of the Best Workouts You Can Ever Do: Harvard Medical School

  1. Swimming: Swimming is good for individuals with arthritis because it's less weight bearing. Swimming can improve your mental state and put you in a better mood. Water aerobics is another option. These classes help you burn calories and tone up.
  2. Tai Chi: It is good for both body and mind. In fact, it's been called "meditation in motion. Tai chi is made up of a series of graceful movements, one transitioning smoothly into the next. Because the classes are offered at various levels, tai chi is accessible, and valuable, for people of all ages and fitness levels. "It's particularly good for older people because balance is an important component of fitness, and balance is something we lose as we get older," Dr. Lee says.
  3. Strength training: Lifting light weights won't bulk up your muscles, but it will keep them strong. If you don't use muscles, they will lose their strength over time. Muscle also helps burn calories. The more muscle you have, the more calories you burn, so it's easier to maintain your weight. Strength training might also help preserve your ability to remember.

    Before starting a weight training program, be sure to learn the proper form. Start light with just one or two pounds. You should be able to lift the weights 10 times with ease. After a couple of weeks, increase that by a pound or two. If you can easily lift the weights through the entire range of motion more than 12 times, move up to slightly heavier weight.
  4. Walking: Walking is simple yet powerful. It can help you stay trim, improve cholesterol levels, strengthen bones, keep blood pressure in check, lift your mood and lower your risk for a number of diseases (diabetes and heart disease for example). A number of studies have shown that walking and other physical activities can improve memory and resist age-related memory loss.

    All you need is a well-fitting and supportive pair of shoes. Start by walking for 10 to 15 minutes at a time. Over time, walk farther and faster until you are walking for 30 to 60 minutes on most days of the week.
  5. Kegel exercises: These exercises won't help you look better, but they do something just as important — strengthen the pelvic floor muscles that support the bladder. Strong pelvic floor muscles can go a long way toward preventing incontinence. While many women are familiar with Kegels, these exercises can benefit men too.

    To do a Kegel exercise correctly, squeeze and release the muscles you would use to stop urination or keep from passing gas. Alternate quick squeezes and releases with longer contractions that you hold for 10 seconds, release, and then relax for 10 seconds. Work up to three 3 sets of 10-15 Kegel exercises each day.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Primary colorectal dysfunction consists of three overlapping subtypes: slow transit constipation, dyssynergic defecation, and irritable bowel syndrome with constipation. Secondary causes of constipation should be excluded with a thorough history and physical examination followed by diagnostic testing.

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

5 of the Best Workouts You Can Ever Do: Harvard Medical School

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Anmol festival for children with special needs

Anmol, a festival for children with special needs was organized in the Perfect Health Mela. The festival was coordinated by Balwant Rai Mehta Vidya Bhavan.

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

India records 25% dip in new HIV infections

NEW DELHI: First the good news: globally there were more than half a million fewer AIDS-related deaths in 2011 than in 2005, with India reporting a 25% dip in the rate of new HIV infections between 2001 and 2011. But even then last year alone, 1.7 million people died from AIDS-related causes worldwide. Globally, 2.5 million people became newly infected with HIV in 2011. Half of all reductions in new HIV infections in the last two years have been among newborn children showing that elimination of new infections in children is possible. In 2011, there were 34 million people living with HIV. In South and south-east Asia, an estimated 4 million people were living with HIV in 2011, compared to 3.7 million in 2001. The same year, new infections in children were 43% lower than in 2003, and 24% lower than 2009. However, 72% of children living with HIV do not have any access to treatment. An estimated 6.8 million people are eligible for treatment, but don't have access. These are the findings of the Global AIDS Epidemic 2012 report released by UNAIDS on Tuesday. The number of people accessing HIV treatment has increased by 63% between 2009 and 2011. In India, however, around 60% people requiring treatment are getting it. "The pace of progress is quickening — what used to take a decade is now being achieved in 24 months," said Michel Sidibe, executive director of UNAIDS. "We are scaling up faster and smarter than ever before. It is the proof that with political will and follow through we can reach our shared goals by 2015," he said. Gains have been made in reducing tuberculosis (TB)-related AIDS deaths in people living with HIV. In the last 24 months, a 13% decrease in TB-related AIDS deaths was observed. This accomplishment is due to record number of people with HIV/TB co-infection accessing antiretroviral treatment, which is recorded at 45%. UNAIDS also estimates that an additional 4 million discordant couples (where one partner is living with HIV) would benefit from HIV treatment to protect their partners from HIV infection. Of the 34 million people living with HIV, about half do not know their HIV status. The report states that if more people knew their status, they could come forward for HIV services. (Source: TOI, Nov 21, 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

For patients with mechanical prosthetic valves one should go for long-term treatment with warfarin (or other vitamin K antagonists). The goal INR varies with valve position and type.

(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)

Total iron, calcium intake linked to glaucoma risk

High intake of total calcium and iron appear to be associated with greater odds of self-reported glaucoma, researchers from the University of California, San Francisco, determined from an analysis of the National Health and Nutrition Examination Survey (NHANES). The findings were reported here at the American Academy of Ophthalmology (AAO) 2012 Annual Meeting by Sophia Y. Wang, a medical student at the university. The senior author was Shan C. Lin, MD. (Source: Medscape)

Alzheimer's gene linked to other dementias

A gene variant thought to play a role in the pathology of Alzheimer's disease is also associated with other forms of dementia, researchers reported. (Source: Medpage Today)

Post-discharge postop problems common, deadly

More than 40% of complications following surgery occurred after hospital discharge and they more than tripled the 30-day mortality risk, analysis of a large surgery database showed. (Source: Medpage Today)

Poverty and diet raise risk for chronic kidney disease

Few urban adults adhere to targets in the Dietary Approaches to Stop Hypertension (DASH) diet, and nutrient intake differed between residents living in poverty and those not living in poverty, researchers reported at Kidney Week 2012: American Society of Nephrology 45th Annual Meeting. (Source: Medscape).

    Twitter of the Day

@DrKKAggarwal: Increasing BMI tracks with hypertension over a lifetime New results from a study tracking... http://fb.me/10voafaob

@DeepakChopra: Don't hold on to negative feelings by justifying why you are right and someone else is wrong

    Spiritual Update

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

Reflexology for Cancer Symptoms

A study led by a Michigan State University researcher offers the strongest evidence yet that reflexology can help cancer patients manage their symptoms and perform daily tasks.

Funded by the National Cancer Institute and published in the latest issue of Oncology Nursing Forum, it is the first large-scale, randomized study of reflexology as a complement to standard cancer treatment, according to lead author Gwen Wyatt, a professor in the College of Nursing.

For comments and archives

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

What are assisted reproductive technologies?

With unexplained infertility, or when traditional treatments have failed, advanced infertility therapies such as superovulation with timed intrauterine insemination (SO/IUI) or in vitro fertilization (IVF) may be suggested. In an SO/IUI cycle, you receive fertility medications to initiate the growth of multiple eggs in your ovaries. When these eggs are ready to ovulate, your physician places your partner’s sperm directly into your uterus. IVF involves removing your eggs and fertilizing them with your partner’s sperm in the lab, and then transferring the resulting embryos to your uterus.

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

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

ABO blood group system

Antibodies of the ABO blood group are present in the serum of almost every person who does not have corresponding antigen


    An Inspirational Story

Life's struggles

A man found a cocoon of an emperor moth. He took it home so that he could watch the moth come out of the cocoon. On the day a small opening appeared, he sat and watched the moth for several hours as the moth struggled to force the body through that little hole.

Then it seemed to stop making any progress. It appeared as if it had gotten as far as it could and it could go no farther. It just seemed to be stuck. Then the man, in his kindness, decided to help the moth, so he took a pair of scissors and snipped off the remaining bit of the cocoon. The moth then emerged easily.

But it had a swollen body and small, shriveled wings. The man continued to watch the moth because he expected that, at any moment, the wings would enlarge and expand to be able to support the body, which would contract in time. Neither happened! In fact, the little moth spent the rest of its life crawling around with a swollen body and shriveled wings. It never was able to fly.

What the man in his kindness and haste did not understand was that the restricting cocoon and the struggle required for the moth to get through the tiny opening was the way of forcing fluid from the body of the moth into its wings so that it would be ready for flight once it achieved its freedom from the cocoon. Freedom and flight would only come after the struggle. By depriving the moth of a struggle, he deprived the moth of health.

Sometimes struggles are exactly what we need in our life. If we were to go through our life without any obstacles, we would be crippled. We would not be as strong as what we could have been. Give every opportunity a chance, leave no room for regrets.

For comments and archives

    Cardiology eMedinewS

Tool Ids risk in stenting ACS patients Read More

New guidelines emphasize medical therapy for stable ischemic heart disease Read More

    Pediatric eMedinewS

Pediatricians, obstetricians clash over prenatal counseling Read More

Triclosan use may be related to allergic sensitization 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. It often happens that an unconscious patient needing urgent life saving surgery is brought to the hospital but there is nobody to give consent. How should the doctors proceed in such a situation?


The procedure should be as follows:

  1. Start immediate life- saving measures.
  2. Try to establish the identity of the patient. If identity is established, inform the relatives etc.
  3. If identity is not established or if it appears to be a road traffic accident or if there is suspicion of foul play, inform the police.
  4. If police has been informed, a medico-legal report should be prepared irrespective of whether the police comes or not.
  5. Arrange for consent. --- In such a case, the “consent” should preferably be in the form of a written and signed statement by a group of three doctors on the following lines:

    “We have examined and reviewed the patient named………….who is suffering from………….. We are of the clear and unanimous opinion that he should be immediately subjected to the surgical procedure named…………….because not doing such surgery is likely to result in avoidable loss of life. The patient is incapable of giving consent because of the following reason:


    The patient is not accompanied by any other person who may give consent on his behalf. In the circumstances, we, the following, together assume the role of his guardians acting in his best interest and, by virtue of that role, do hereby give consent on his behalf for performing the said surgery and, additionally, any other surgical procedure that may be felt, because of circumstances arising during the course of surgery, to be essential for saving life. We also give consent for the anesthesia of the following type named…………………and/or any other type of anesthesia that may be deemed necessary by the anesthetist.

    SIGNED (along with names and medical council registration no. and designations and address)—
  6. Please note that it is important to involve the medical superintendent at the consent stage. It is he who will have to take care of treatment expenses and any legal proceedings.
  7. You must make sure that life saving measures are not ignored while the above actions are being taken.
  Quote of the Day (Dr GM Singh)

A theory can be proved by experiment; but no path leads from experiment to the birth of a theory. Albert Einstein

    Mind Teaser

Read this…………………

Finished files are the result of years of scientific study combined with the experience of years. How many times does the letter F appear?

Yesterday’s Mind Teaser: How can you alter the following equation by a single stroke to make it correct?
5 + 5 + 5 = 550

Answer for Yesterday’s Mind Teaser: Add a diagonal line on the top left of the first plus sign to convert + into a 4 i.e. 5 4 5 + 5 = 550

Correct answers received from: Dr K Raju, Dr KV Sarma, Dr BB Gupta, Dr PC Das, Arun Kumar, Dr Jainendra Upadhyay, Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Kanta jain, Dr U Gaur, Renu Garg.

Answer for 20th November Mind Teaser: B. Milk the tube toward the collection container as ordered

Correct answers received from: Dr U Gaur.

Send your answer to ijcp12@gmail.com

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

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    Laugh a While (Dr GM Singh)

Lil’ Johnny was sitting in front of a party store, with him he had a German Shepherd dog. A man came up and asked Johnny: "Does your dog bite?" Johnny said: "No." So the man went to pet the dog and he bit the man’s arm. The man said: "I thought you said your dog doesn’t bite." "He doesn’t, said Johnny, but this isn’t my dog."

    Medicolegal Update

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

What is the Native American Graves Protection and Repatriation Act 1990?

Doctors and scientists have long sought to understand life in early civilizations through the excavation of burial grounds and exhumation of human remains. In the United States the attempt to understand early cultures led to the exhumation of the remains of Native Americans, many of which ended up in the nation’s museums and archaeology labs. In an attempt to prevent the desecration of Native American graves, the Native American Graves Protection and Repatriation Act was introduced in Congress in July 1990 and subsequently passed into law.

  • The bill states that any human remains and objects found on federal or tribal lands after the date of enactment are to be considered owned or controlled by lineal descendants, the tribe on whose land it was found, the tribe having the closest cultural affiliation, or the tribe which aboriginals occupied the area. Anyone who discovers items covered by the bill must cease his or her activity, notify the federal land manager responsible and the appropriate tribe, and make a reasonable effort to protect the items.
  • Anyone who violates the provisions of the bill may be fined, imprisoned not more than one year, or both. The penalty may increase to five years for a second violation.
  • The act further states that all federal agencies and museums receiving federal funds that have control over any of the items covered in the bill are to, within five years, inventory and identify the items, notify the affected tribes, and make arrangements to return such items if the appropriate tribe made a request. If an item was acquired with the consent of the tribe or if the item was part of a scientific study which was expected to be of major benefit to the country, the request for repatriation (i.e., return) could be denied.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Do not treat mild hypertension with low risk for heart disease

The benefit from antihypertensive therapy is unproven in patients with mild hypertension and no preexisting cardiovascular disease said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President heart Care Foundation of India.

A meta-analysis combined four placebo-controlled trials adding together 8912 patients with mild hypertension and no preexisting cardiovascular disease.

Up to 5 years of follow-up, antihypertensive therapy resulted in lower rates of mortality and stroke but higher rates of heart attacks.

Low-risk patients with mild hypertension and no preexisting cardiovascular disease who fail to reduce their blood pressure with lifestyle modification should receive antihypertensive therapy.

    Readers Responses
  1. Dear Sir, We like reading emedinews: Regards: Dr Richa
    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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  Dil Ki Batein

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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