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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 …

24th December 2011, Saturday

Delhi Govt plans big in the 12th 5–year plan 2012–17 (Part I)

  1. The healthcare services should be available, accessible, affordable and of good quality.
  2. Delhi has 1285 dispensaries.
  3. Delhi medical institutions have 42698 beds (23120 government) under 83 set ups.
  4. Delhi has 752 nursing homes with 18214 beds.
  5. Delhi has only 31 hospitals with more than 100 beds and 30 with 51–100 beds.
  6. Delhi has 8 government tertiary care hospitals with 6111 strength and 26 private tertiary care hospitals with 6004 beds.
  7. Delhi has 625 private diagnostic centers
  8. Delhi has government–run 34 allopathic, 2 Ayurveda and 2 homeopathic hospitals.
  9. Delhi has 807 registered medical institutions (676 private and 131 govt/public sector)
  10. Delhi has 1,000 beds in Rajan Babu TB Hospital, which may be merged for use for other services. Similarly, large numbers of beds in maternity homes are being integrated.
  11. Delhi has 50,000 doctors registered in the council and 16300 doctors in government sector.
  12. Delhi has 25,000 nurses in government sector and 5450 in private sector. One nurse is required for every 10 beds in routine care.
  13. The bed–population ratio in Delhi is 2.45 beds/1000 population as against national ratio of 1.03/1000. The ideal ratio is more than 5/1000.
  14. Delhi soon will have 34 new primary health centers and 13 more hospitals which will cater to additional 2800 beds.
  15. All 100–bedded hospitals in Delhi will turn into 200–bedded hospitals so that 5000 (total) extra beds will be created in Delhi in the next five years.
  16. As per a Supreme Court judgment, 40 private hospitals in Delhi are now supposed to provide 10% free admissions and 25% free OPDs.
  17. 30% patients in Delhi come from outside Delhi.
  18. In 2004 there were 2.53 lakh admissions in a year. The rate of hospitalization per lakh population was 1559 for rural and 1683 for urban population. (India it is 2599 for rural and 3482 for urban population). 46% admission from rural and 59% from urban areas were treated in govt hospitals (India the figures are 42% rural and 38% urban respectively). Only 2.61% get free treatments in private hospitals. Admission break ups: 12.4% heart ailments, 9.7% accidents, 9.5% FUO, 8.3% diarrhea. 90% children covered with immunization. Per person expenditure in hospital treatment is 8851 in urban and 5695 in rural area.
  19. Elderly 60 + people: Total 8.3 lakhs comprising of 5.49% of total population in 2004, with 53% males and 47% females, 80% residing in urban and 20% in rural areas. 66% are in age group 60–69 years. 12% are self–employed, 3.28 are salaried/wage earner, 22.38 are pensioners and 3% are in BPL category.

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

Delhi Govt plans big in the 12th 5–year plan
2012–17 (Part I)

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

18th Medico Masti, an inter college health festival was organized on Saturday, 22nd October, 2011 at MTNL Perfect Health Mela at NDMC Grounds Laxmibai Nagar, New Delhi. Over 50 colleges from NCR including medical colleges participated in the event.

Dr K K Aggarwal
    National News

Government to create 2,300 posts at AIIMS

NEW DELHI: Union Health Minister Ghulam Nabi Azad today said more than 2,300 posts, including 150 faculty positions, would be created at the AIIMS for providing additional manpower to the premier medical institute. "More than 2,300 posts, which include 150 faculty positions, are being created to provide additional manpower at the Institute," Azad said while addressing the gathering at the 39th Convocation of the All India Institute of Medical Sciences here. (Source: Economic Times, 21 Dec, 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

CRT may reduce rates of death, rehospitalization among heart failure patients

Cardiac resynchronization therapy reduced rates of death and rehospitalization among heart failure patients, who subsequently reported symptom improvement post–implant, according to a European survey in European Journal of Heart Failure. At one year 10% of the patients who participated in the European CRT survey died while 81% of the survivors self–reported improvement in symptoms.

For comments and archives

GERD on rise with rise in obesity

As the obesity epidemic spreads around the world more people are suffering from acid reflux, likely increasing the number of those who will develop esophageal cancer, according to a study published online Dec. 21 in the journal Gut.

For Comments and archives

Male gender and obesity up risk for postop blindness

Men and heavier patients who have spine surgery may be at a greater risk for postoperative blindness, researchers found. In a case–control study, male sex, obesity, and several other procedural factors were associated with significantly higher risks of ischemic optic neuropathy following spinal fusion surgery, Lori Lee, MD, of the University of Washington, and colleagues reported online in Anesthesiology. (Source: Medpage Today)

For comments and archives

  Cardiology eMedinewS

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

Screening for Peripheral Arterial Disease

Read More

Sodium and Water Retention Lead To The Common Congestive Symptoms

Read More

Congenital Heart Disease

Read More

  Twitter of the Day

@DrKKAggarwal: Heart Rate Of >80 Per Minute Predisposes One For Obesity And Diabetes? http://blog.kkaggarwal.com/2011/12/23/heart–rate–of–80–per–minute–predisposes–one–for–

@DeepakChopra: A true friend loves you even though you aren’t perfect. A true friend inspires you.

    Spiritual Update

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

The Science behind Eating Khichidi in Paush Month

  1. Its wet winter full of fog and smog.
  2. From Ayurveda point of view, Kapha is aggravating, Vata is accumulating and Pitta is at its minimum.
  3. The food intake should therefore contain Kapha–pacifying foods, which are light, easily digestible, hot, warm and also increase Pitta so that they can increase the digestive fire to digest

For comments and archives

    An Inspirational Story

(Dr GM Singh)

Two large water pots–One with a crack in it

A water bearer had two large pots, each hung on the ends of a pole which he carried across his neck.

One of the pots had a crack in it, while the other pot was perfect and always delivered a full portion of water. At the end of the long walk from the stream to the house, the cracked pot arrived only half full. For a full two years this went on daily, with the bearer delivering only one and a half pots full of water to his house. Of course, the perfect pot was proud of its accomplishments, perfect for which it was made. But the poor cracked pot was ashamed of its own imperfection, and miserable that it was able to accomplish only half of what it had been made to do.

After two years of what it perceived to be a bitter failure, it spoke to the water bearer one day by the stream. "I am ashamed of myself, and because this crack in my side causes water to leak out all the way back to your house."

The bearer said to the pot, "Did you notice that there were flowers only on your side of the path, but not on the other pot’s side? That’s because I have always known about your flaw, and I planted flower seeds on your side of the path, and every day while we walk back, you’ve watered them. For two years I have been able to pick these beautiful flowers to decorate the table. Without you being just the way you are, there would not be this beauty to grace the house."

Moral: Each of us has our own unique flaws. We’re all cracked pots. But it’s the cracks and flaws we each have that make our lives together so very interesting and rewarding. You’ve just got to take each person for what they are, and look for the good in them.

For comments and archives

  Fitness Update

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

Exercise: Is regular more?

The good news is that more Americans are exercising regularly. In fact, since the last Behavior Risk Factor Surveillance System (BRFSS) survey in 2001, the number of women reporting regular exercise increased by 8.6% to a total of 46.7%. Men still outpaced women in reporting regular exercise, but made less of an improvement…up 3.5% to 49.7%. The bad news is that while more Americans are exercising, fewer than half are exercising enough to meet the exercise guidelines for healthy adults, according to a CDC survey. Regular exercise was defined as at least 30 minutes a day of moderate–intensity activity on ≥5 days a week, or at least 20 minutes a day of vigorous–intensity activity on ≥3 days a week, or both.

The National Institute on Aging states, "Regular exercise and physical activity are important to the physical and mental health of almost everyone, including older adults. Being physically active can help you continue to do the things you enjoy and stay independent as you age. Regular physical activity over long periods of time can produce long–term health benefits. That's why health experts say that older adults should be active every day to maintain their health."

However, care should be taken when beginning a new exercise regimen, whether you are just starting to exercise or if you have been off a program for any length of time. You could easily experience exercise–induced muscle damage. It can be discomforting and even debilitating.

For comments and archives

    Legal Question of the Day

(Dr MC Gupta, Advocate & Medico–legal Consultant)

Q. Can a firm/corporate entity be prosecuted criminally for defamation?


  1. Liability for defamation can be both civil and criminal. By filing a civil suit the plaintiff demands monetary compensation. By initiating criminal proceedings, the complainant demands that the defendant be punished. When one thinks of punishment in a criminal case, the idea that usually comes to mind is imprisonment. Hence one is likely to think that criminal proceedings cannot be initiated against a non–human person/corporate person because such a person cannot be sentenced.
  2. On somewhat above reasoning, a Delhi trial court dismissed criminal proceedings against two newspapers.
  3. The appellate court reversed the order, saying that—"Even a company/juristic person (non–human entity given the status of person by law) can be prosecuted, as the punishment prescribed for the offence, is not only imprisonment, but also fine".

For comments and archives

    Healthy Driving

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

Can a Patient with Epilepsy Drive?

A single seizure does not mean epilepsy.

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emedinews revisiting 2011
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    Medicine Update

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

What are the common causes of acute liver failure in adults?

The common causes of ALF in adults in India are viral hepatitis (Hepatitis E Hepatitis A, Hepatitis B), drug–induced, Wilson’s disease, autoimmune hepatitis, acute fatty liver of pregnancy/HELLP (Hemolysis, Elevated Liver Enzymes, Low Platelets) syndrome, Budd–Chiari syndrome and malignant infiltration.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Age and Fertility

What percentage of women wait until after age 35 to begin their families and what factors have contributed to this trend?

According to the western figures, 20% of women wait until after age 35 to begin their families. Several factors have contributed to this trend:

  • Contraception is readily available.
  • More women are in the work force.
  • Women are marrying at an older age.
  • The divorce rate remains high.
  • Married couples are delaying pregnancy until they are more financially secure.
  • Many women don’t realize that their fertility begins to decline in their late 20s or early 30s.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with inflammatory bowel disease came for deworming prescription.
Dr. Bad: Take it every three months.
Dr. Good: There is no need.
Lesson: Worms in the intestines have protective action against inflammatory bowel diseases.

For comments and archives

Make Sure

Situation: A patient presents with recurrent scaling and itching of the scalp not responding to antikeratolytic agents.
Reaction: Oh my God! I forgot to prescribe antifungal agents.
Lesson: Make sure that patients with dandruff and seborrheic dermatitis are prescribed antifungal medications. Recent studies implicate pityrosporium yeast infection as the underlying cause.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Growing old is mandatory; growing up is optional.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Liver function tests (LFTs)

  • To screen for, detect, evaluate and monitor for liver inflammation and damage.
  • Periodically to evaluate liver function whenever you are at risk for liver injury, when you have a liver disease or when you have symptoms such as jaundice.
    Mind Teaser

Read this…………………

Which of the following statement is true?

a. Interferon tests should be performed to diagnose HIV–TB co–infection.
b. The gamma interferon tests have shown to be neither sensitive nor specific in HIV–positive individuals.
c. Gamma interferon tests work on the same principle as the skin test.
d. Both the quantiferon gold and ellispot tests are enzyme–linked immunoassays.

Yesterday’s Mind Teaser: u

Answer for Yesterday’s Mind Teaser: upside down

Correct answers received from: Rajiv Kohli, Dr Neelam Nath, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Prabha Sanghi, Dr KV Sarma, Christopher Mathew, Dr BB Aggarwal, Muthumperumal Thirumalpillai,
Dr Thakor Hitendrasinh G, Dr Jainendra Upadhyay, Anil Bairaria, Dr Ragavan Sivaramakrishanan,
Dr Rakesh Bhasin, Prof Chetana Vaishnavi.

Answer for 22nd December Mind Teaser: One step forward, two steps back
Correct answers received from: Prof Chetana Vaishnavi, Dr T Samraj, Dr Indu Sharma, Dr Chandresh Jardosh, Dr BB Aggarwal, Dr Avtar Krishan, Dr HL Kapoor, Dr Vijay Kansal, Sudipto Samaddar.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

COLLEGE = Come on let’s love each girl equally


    Medicolegal Update

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

Section 320 Indian Penal Code – Grievous injury

  1. Emasculation – It means depriving a male of masculine power.
  2. Permanent privation of sight of either eye – The gravity lies in the permanency because it deprives a person the use of the organ of sight.
  3. Permanent privation of the hearing of either ear – It deprives a man of his sense of hearing. Injury to the tympanum or auditory nerve or by thrusting something into the ear which causes deafness.
  4. Privation of any member or joint – The term ‘member’ means an organ or a limb being part of man capable of performing a distinct function. It includes, nose, mouth, hands, feet, phalanges etc.
  5. Destruction or permanent impairing of the powers of any member or joint: The use of limbs and joints of body are essential to the discharge of the normal functions of the body. Their deprivation causes lifelong crippling and makes the person defenseless and miserable.
  6. Permanent disfiguration of the head or face – The word ‘disfigure’ here means to cause some external injuries, which detract from his personal appearance but does not weaken him
  7. Fracture or dislocation of a bone or tooth – It is not necessary that a bone should be cut through and through cut should be up to the medulla. If there is a break by cutting or splintering of the bone or there is a rupture or fissure in it, it would amount to a fracture but the doctor must document the dimension of fracture and duration/age correlation with age of injury. Dislocation means displacement. Mere looseness of teeth will not amount to dislocation. It has to prove that the tooth was originally not loose and that there was fracture or dislocation by the injury.
  8. Any hurt which endangers life or which causes the victim to be in severe bodily pain or unable to follow his ordinary pursuits for a period of 20 days – A wound may cause intense pain, prolonged disease or long lasting body injury but does not fall under any of the seven clauses. A body injury/beating may not mutilate the sufferer or fracture his bones but may be so harsh and painful may cause even death. The eighth clause provides for such hurts. Under this, three different clauses of hurt are included. These are:
    1. Any hurt which endangers life
    2. Any hurt which causes the victim to be in severe bodily pain for a period of 20 days
    3. Any hurt which prevents the victim from following his ordinary pursuits for a period of 20 days

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

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

The "Ideal Dose" of Prescription Alcohol

Keeping in view the Christmas and New Year celebrations, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India, said that no level of alcohol consumption is safe for some people.

Alcohol should not be taken during pregnancy or by people who have strong family history of alcoholism, previous brain hemorrhage, liver or pancreatic disease, and while operating potentially dangerous equipment or machinery.

Alcohol use should also be limited in patients with active gastritis, esophagitis, premalignant GI lesions such as Barrett’s esophagus, or a strong family history of breast cancer.

For people without these conditions, the social limit has been defined.

  1. Men can tolerate more alcohol than women.
  2. The ideal dose of alcohol is 5–7 grams per day (about one drink every other day). In women, the dose is 4 g/day. (About one drink every third day).
  3. 10 to 15 grams of ethanol is found in one glass of wine, one can or bottle of beer, or one mixed drink.

For comments and archives

    Readers Response
  1. Dear Dr KK Aggarwal, I am a regular reader of your emedinews. It is very useful for practitioners at large. You are doing a yeomen service indeed! With regards: Dr VN Acharya.
    Forthcoming Events

Lecture on Buddism and Astronomy

By Prof. Trinh X. Thuan

UNESCO Kalinga Awardee, 2009; Prof. of Astronomy, University of Virginia, USA; UNESCO Kalinga Awardee for Popularisation of Science by UNESCO, Kalinga Chair awardee by Department of Science & Technology, Government of India.

Organised by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt.of India

At Nehru Planetarium Chankyapuri New Delhi on 27th Dec 2011 at 10.30 am

No fee, to register email to drkakroo@gmail.com, 9810301261

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

3rd eMedinewS Revisiting 2011

Dr Ajay Kriplani (Surgical management of diabetes); Dr N K Bhatia ( What’s new in transfusion medicine); Dr Kaberi Banerjee (Fertility update); Dr Amit Bahrgava (Cancer update 2011), Onco Radiation update (Rajiv Gandhi Cancer Institute); Dr Ambrish Mithal (Vitamin D update), Dr Praveen Chandra (Interventional Cardiology update); Revisting 2011 (Dr K K Aggarwal), Portfolio management (Central Bank of India); Insurance update (LIC India); General Insurance (Doogar Associates)


The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund Faridabad. It is multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

Early Registration till 30th Dec 2011

    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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  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