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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 …

24th December 2012, Monday

Biggest Cardiology Stories of 2012 from Heart Wire

Implantable cardiac devices

  1. The BLOCK-HF study will prove to be pivotal.
  2. It won't get published until 2013.
  3. It's important because it should change the way we treat patients with AV block who need pacemakers.
  4. CRTs, ICDs, CRT-Ds: The evidence is convincing for efficacy across the spectrum of heart-failure patients with left bundle branch block, but physicians increasingly find that they have to consider limited resources. The indications are clear, but unlike drugs, most eligible patients will not receive evidence-based device therapy. The potential patient population is huge. The challenge is to try to implant devices in the patient population most likely to substantially benefit, and many of these patients are managed by primary-care physicians and never evaluated. And there are major outstanding issues that complicate clinical practice. Should we implant a CRT-P (biventricular pacemakers that do not offer defibrillation) or CRT-D (defibrillating cardiac resynchronization therapy devices)? What about the vigorous elderly patients, the patients requiring upgrades, and patients with atrial fibrillation? And the role of imaging in detecting mechanical dyssynchrony needs to be defined. There is also debate concerning who should be implanting. Should it always be EP physicians, or should heart-failure docs be performing the procedure? The "boring but important" follow-up of these patients is the key to success but requires a unique multidisciplinary effort.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

How do stimulant laxatives help in constipation?

Stimulant laxatives affect electrolyte transport across the intestinal mucosa and stimulate intestinal fluid accumulation and colonic motor activity. The currently available stimulant laxatives include senna and bisacodyl. Stimulant laxatives should not be used in patients with suspected intestinal obstruction. In a trial of 77 elderly nursing home residents, the senna-fiber combination was significantly more effective than lactulose in improving stool frequency and consistency at a lower cost (Passmore AP, Wilson–Davies K, Stoker C, et al. Chronic constipation in long stay elderly patients: a comparison of lactulose and a senna–fibre combination. BMJ. 1993;307:769–71).

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

White rice linked to diabetes in Asians

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

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

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 to see decline in malaria cases

India, the country most affected by malaria in the South East Asian region, is projected to see a decrease of 50-75 per cent in malaria case incidence by 2015, a report by the World Health Organisation said. The WHO's World Malaria Report 2012 said a concerted effort by endemic countries, donors and global malaria partners during the past decade has led to strengthened malaria control around the world. It however warned that a significant slowdown in global funding of anti-malaria campaigns threatens to roll back the gains made against the preventable mosquito-borne disease over the last 10 years. In the south-east Asia Region, Bhutan, Korea, Nepal, Sri Lanka and Thailand have registered decreases of 75 per cent or more in the incidence of microscopically confirmed malaria incidence rates between 2000 and 2011. "India, the country with the highest number of cases in the region, is projected to achieve decreases of 50-75 per cent in malaria case incidence by 2015," it said. India, Nepal and Thailand could also potentially move from the "control" to the "pre-elimination" phase by continuing their progress, assuring that "all malaria cases are laboratory confirmed and including the private sector in the health reporting system." India has been taking measures like providing insecticide-treated mosquito nets (ITNs) and long-lasting insecticidal nets in affected areas. The number of patients tested by microscopic examination increased to a peak of 171 million in 2011, with India accounting for over 108 million blood slide examinations. (Source: TOI, Dec 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

Preventing valvular endocarditis

Which antibiotic — The choice of antibiotic is patient- and procedure-specific.

For patients undergoing a dental procedure the preferred regimen is oral amoxicillin 2 grams given 30-60 minutes before the procedure.

(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)

Smoking, more lethal than HIV

Smoking kills. And among people with well-controlled HIV, that old slogan is even more true, researchers reported. In a large case-control study, smokers with HIV had substantially higher rates of all-cause and non-AIDS mortality than HIV-positive nonsmokers, according to Marie Helleberg, MD, of Copenhagen University Hospital, and colleagues. Also, HIV-infected smokers lost more life-years to smoking than to HIV-related causes, Helleberg and colleagues reported online in Clinical Infectious Diseases. (Source: Medpage Today)

Early clopidogrel before PCI may be beneficial

Among patients scheduled to undergo cardiac catheterization or percutaneous coronary intervention (PCI), pretreatment with clopidogrel did not reduce mortality risk but did lower the risk of major coronary events, a meta-analysis showed. (Source: Medpage Today)

Fear may spur unneeded ovarian cancer tests

Many women who received indeterminate BRCA test results chose to have additional ovarian cancer screening and risk-reducing procedures, according to survey results. (Source: Medpage Today)

Rudolph's red nose resolved

An investigation into the origin of Rudolph the Reindeer's red nose has ended the generations-old debate by uncovering an elusive but long-hypothesized scientific explanation: A snootful of red cells. Detailed evaluation of adult reindeer's nasal microcirculation revealed similarities with human nasal microvasculature, but also striking differences. Reindeer nasal microcirculation exhibited a highly vascularized nasal mucosa, a red cell-rich nasal septal mucosa, and a microvessel density 25% greater than that of humans. The architecturally distinct nasal microvasculature confers on Rudolph a nose that "is red and well adapted to carrying out his duties in extreme temperatures," as reported online in BMJ. (Source: Medpage Today)

  Twitter of the Day

@DrKKAggarwal: I uploaded a @YouTube video http://youtu.be/O8f24rQ3lAQ?a Hands only CPR 10 with Ryan Global School, Gurgaon.mp4

@DrKKAggarwal: Can yoga lower blood pressure? Find out from this episode of URBAN YOGIS http://tinyurl.com/bu2gkmo

    Spiritual Update

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

What is the Difference between the Era of Lord Ram, Lord Krishna And Lord Buddha?

Lord Ram taught us to fight for personal rights. When his wife was abducted by Ravana, he fought to bring his wife back.

For comments and archives

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

What is the duration of multiple pregnancies?

The duration of a normal singleton pregnancy ranges from 37 weeks to 42 weeks from the time of the last menstrual period. Twin pregnancies occasionally progress to 40 weeks but almost always deliver early. As the number of fetuses increases, the expected duration of the pregnancy decreases. The average duration is 35 weeks for twins, 33 weeks for triplets and 29 weeks for quadruplets.

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

(Dr Sanjay Chaudhury, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

Q. What is an Eye Bank?

A. It is the link between donor and recipient/eye surgeon. An Eye Bank is an organization recognized by the government to collect and distribute human eyes to those requiring corneal transplantation.

    An Inspirational Story

Smoke signal

The only survivor of a shipwreck was washed up on a small uninhabited island. He prayed feverishly for God to rescue him. Every day he scanned the horizon for help, but none seemed forthcoming.

Exhausted, he eventually managed to build a little hut out of driftwood to protect himself from the elements, and to store his few possessions. One day, after scavenging for food, he arrived home to find his little hut in flames, with smoke rolling up to the sky. He felt the worst had happened, and everything was lost. He was stunned with disbelief, grief, and anger. He cried out, ‘God! How could you do this to me?’

Early the next day, he was awakened by the sound of a ship approaching the island! It had come to rescue him!

‘How did you know I was here?’ asked the weary man of his rescuers. ‘We saw your smoke signal,’ they replied.

Moral of the story: It’s easy to get discouraged when things are going bad, but we shouldn’t lose heart, because God is at work in our lives, even in the midst of our pain and suffering.

Remember this the next time your little hut seems to be burning to the ground… it just may be a smoke signal that summons the Grace of God.

For comments and archives

  Cardiology eMedinewS

Mumbai hospitals make beeline for dissolving stent Read More

New Diabetes Guidelines Ease Systolic Blood Pressure Target Read More

  Pediatric eMedinewS

Family dinners promote healthier eating Read More

2 Cups Of Milk A Day Is Best For Kids Read More

    IJCP Special

Dr Good Dr Bad

Situation: A middle–aged patient was found to have central obesity.
Dr Bad: It is normal.
Dr Good: Rule out diabetes.
Lesson: As per results of a prospective cohort study (1989–2007) of 4,193 men and women aged 65 years and older in the Cardiovascular Health Study, among older adults, overall and central adiposity and weight gain during middle age and after the age of 65 years were associated with risk of diabetes.

Make Sure

Situation: An 18–year–old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin (macrolide) 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

  Quote of the Day (Dr GM Singh)

For success, attitude is equally as important as ability. Harry F. Banks

    Legal Question of the Day (Dr MC Gupta)

What actions can I take against pathlabs issuing lab reports under signatures of non-pathologists?

Q. I want to proceed against private pathlabs issuing lab reports under signatures of non-pathologists. What actions can I take?


  • You can take the following actions:
    • Complaint to medical council for quackery—Running a pathlab and issuing a lab report amounts to practice of medicine/pathology and anybody practicing medicine without being registered with the medical council is a quack).
    • Complaints to the concerned council (Bharatiya Chikitsa Council; Homeopathy council; paramedical council etc.) if the person concerned is an AYUSH practitioner.
    • Complaint to consumer court for deficiency and negligence in service, invoking quackery;
    • Complaint to police for quackery.
    • Complaint under Clinical Establishment Act, if applicable in the state.
    • Direct complaint to the DM or SDM under Section 133 (1)(b), CrPC. (An example is the complaint dated 11-1-2010 made to SDM Jalgaon, Maharashtra, u/s 133 (1)(b), CrPC, who, in consequence, ordered immediate sealing of the the illegal followed by a final order dated 13-5-2011 ordering their closure. Similar complaints u/s 133 (1)(b), CrPC can be made at other places.
  • The above actions can, in general, proceed simultaneously. Itwould be better to engage an advocate.
  • You can take action on the above lines even in case of lab reports that are signed for name sake by pathologists without them being really associated with the functioning of the lab by actual daily visits to the lab for at least 2-3 hours. This aspect has been dealt by the courts.
    Mind Teaser

Read this…………………

A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be:

a. Flank pain radiating in the groin
b. Distention of the lower abdomen
c. Perineal edema
d. Urethral discharge

Yesterday’s Mind Teaser: Lucy undergoes Subtotal Thyroidectomy for Grave’s Disease. In planning for the client’s return from the OR, the nurse would consider that in a subtotal thyroidectomy:

A. The entire thyroid gland is removed
B. A small part of the gland is left intact
C. One parathyroid gland is also removed
D. A portion of the thyroid and four parathyroids are removed

Answer for Yesterday’s  Mind Teaser: B. A small part of the gland is left intact

Correct answers received from: Dr.K. V.Sarma, Dr. B. B. Aggarwal, Dr. Thakor Hitendrsinh G, Dr prabha, Dr. P. C. Das, Dr Pankaj Agarwal, Dr.(Maj. Gen.) Anil Bairaria, Dr K P Chandra, DR ARPAN GANDHI, Dr Jainendra Upadhyay, DR Chandresh Jardosh, Muthumperumal Thirumalpillai,

Answer for 22nd December Mind Teaser: C. Weight loss, exophthalmos and restlessness

Correct answers received from: Dr Ashok Barat, Archna parwani, Dr prabha, Dr. P. C. Das

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Water in Carburetor

"The car won't start," said a wife to her husband. "I think there's water in the carburetor."

"How do you know?" said the husband scornfully. "You don't even know what the carburetor is."

"I'm telling you," repeated the wife, "I'm sure there's water in the carburetor."

"We'll see," mocked the husband. "Let me check it out. Where's the car?" "In the swimming pool."

    Medicolegal Update

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

What is the patient autonomy?

The process of understanding the risks and benefits of treatment is known as informed consent however patient/legal heir must have the capacity to make the decision and understand the benefits and risks of medical care and voluntarily grant consent, without coercion or duress based on the moral and legal premise of patient autonomy.

  • The patient has the right to make decisions about his/her own health and medical conditions and must give voluntary informed consent for treatment, medical tests and procedures.
  • The doctor should give information about a particular treatment or test to the patient in order to decide whether or not he wishes to undergo such treatment or test. This is based on the moral and legal premise of patient autonomy.
  • The legal term for failing to obtain informed consent before performing a test or procedure on a patient is a form of assault a criminal offence in India.
  • For many interactions like a physical exam with the doctor, implied consent is assumed. For more invasive tests or for those tests or treatments with significant risks or alternatives, you will be asked to give explicit written consent.
  • Under certain circumstances there are exceptions to the informed consent rule. The most common exceptions are an emergency in which medical care is needed immediately to prevent serious or irreversible harm and incompetence in which someone is unable to give or refuse permission for testing or treatment.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

The "Ideal Dose" of Alcohol Prescription

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 in pregnancy or 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 drinks 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.

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

    Readers Response
  1. Respected Sir, reading emedinews is joy for ever. Regards... Dr S N Mishra
    Forthcoming Events

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)

Activities eBooks



  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Dr Usha K Baveja