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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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eMedinewS Presents Audio News of the Day

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

Photos of 1st Mega Ajmer Health Camp 2012

  Editorial …

25th February 2012, Saturday

5 steps for a pain–free back

1. Stay fit

Stretching and strengthening both your back and abdominal muscles is important. A stretching and strengthening regimen should target the back, abdominal, and buttock muscles.

Bicycling (either stationary or regular), swimming, and walking lead the list of low–risk, high–benefit activities for most people’s backs. All are low– or minimal–impact exercises that strengthen muscles which support the back. None involve awkward or stressful actions that are detrimental to back muscles.

Sports and activities such as football, tennis, gymnastics, wrestling, weight lifting, rowing (crew), running, aerobic dance, and ballet involve a relatively high risk for back injury because of the extension, lifting, or impacts involved. Other unnatural motions that could induce pain include back arching (during gymnastics and diving), twisting (while hitting a golf ball, swinging at a baseball, or bowling), vertical jolting (while riding a horse), and stretching your legs strenuously (when hiking or when balancing a sailboat during a race).

2. Maintain a healthy weight

The heavier you are, the greater the load your spine must carry. To make matters worse, if the bulk of your weight comes in the form of abdominal fat, rather than muscle, your center of gravity can shift forward — a condition that puts added pressure on your back.

3. Kick the habit

Nicotine in cigarettes contributes to low back pain in two ways. First, nicotine hampers the flow of blood to the vertebrae and disks. This impairs their function and may trigger a bout of back pain. Second, smokers tend to lose bone faster than nonsmokers, putting them at greater risk for osteoporosis, another common cause of back pain.

4. Lighten your load

A survey by the American Academy of Orthopaedic Surgeons found that nearly 60% of the doctors responding had treated school–age patients complaining of back and shoulder pain caused by heavy backpacks.

1. Use both of the pack’s straps instead of slinging one strap over a shoulder.
2. Carry only the essentials
3. Lighten your load whenever possible.
4. Opt for backpacks that have different–sized compartments to help distribute weight evenly.
5. Look for wide, padded straps and a padded back.
6. When carrying a heavy load, put the heaviest items as close as possible to the center of the back
7. Use the hip strap for support.
8. For very heavy loads, use a backpack with wheels.
9. Bend from your knees when picking up your pack.

5. Develop back–healthy habits

1. While standing to perform ordinary tasks like ironing or folding laundry, keep one foot on a small step stool.
2. Don’t remain sitting or standing in the same position for too long. Stretch, shift your position, or take a short walk when you can.
3. When bending from the waist, always use your hands to support yourself.
4. When sitting, keep your knees a bit higher than your hips and bend them at a 90–degree angle. Sit with your feet comfortably on the floor. If your feet don’t reach the floor, put a book or a small stool under them.
5. Because vacuuming can take a toll on your back, tackle rooms in chunks, spending no more than five to 10 minutes at a time doing this task.

(Source: HealthBeat)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Dr Anupam Sibal

Should I be registered with MCI

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)


A musical concert in memory of Late Jagjit Singh will be organized by Heart Care Foundation of India, Hum Khayal and eMedinewS at Sirifort Auditorium, New Delhi on 13th March 2012. The event is being dedicated to reducing deaths due to preventable brain hemorrhage.

Dr K K Aggarwal
    National News

India closer to eradication of polio

From two lakh cases being reported in a year in the late 80s to no case reported in the last one year, India’s Pulse Polio programme has come a long way. Prime Minister Manmohan Singh will inaugurate a two–day Polio Summit 2012 in the Capital on February 25, organized by the union health ministry and Rotary International to celebrate this achievement and to focus on the risks and way forward for complete eradication of the disease. "We have proved wrong all the predications that said India will be the last country to get rid of polio. In the light of this background, the achievement has been impressive," said Anuradha Gupta, additional secretary, ministry of health. "But the war is not yet over; we need to continue our momentum for the next two years to be declared a polio–free country. The Summit isn’t only to celebrate our achievement but to take stock of the challenges ahead," she added. World Health Organisation certifies a country polio–free after no case of the disease is reported from there for at least three consecutive years. (Source: Hindustan Times, February 24, 2012)

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

Young women with MI most likely to have no chest pain

Women under 55 having an MI are more likely to present without chest pain than older women or men, and they also have the highest risk of death from MI of any group, new data from the US National Registry of Myocardial Infarction (NRMI) suggest. (Source: Medscape)

For comments and archives

CT Pan–scans raise radiation dose without improving results

An Australian study of emergency department imaging practices has raised radiation safety concerns and new arguments about the clinical benefits of whole–body computed tomography (CT) imaging for the initial emergency department evaluation of critically injured patients. (Source: Medscape Medical News)

For comments and archives

Cooling may reduce mortality in sepsis

A trial of external cooling for septic shock failed to meet its primary endpoint, but febrile patients had almost a 50% lower mortality with cooling, French investigators reported. (Source: Medpage Today)

For comments and archives

Six of seven guideline–recommended HF therapies lower mortality at two years

The use of clinical guideline–recommended therapies for heart failure is associated with a reduced risk of mortality at two years, with the largest reduction in mortality risk observed among patients treated with cardiac resynchronization therapy (CRT) and beta blockers. The researchers also observed an incremental reduction in mortality with each successive guideline-recommended treatment, although the benefit appeared to plateau once the patient was treated with four or five heart–failure therapies. (Source: Medscape)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: I posted 7 photos on Facebook in the album "Press Conference to announce about A musical concert in memory of Jagjit Singh"

@DeepakChopra: Self–righteous morality is cunning hypocrisy. The only virtue is reckless love.

    Spiritual Update

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

Four ways of combating negative thoughts

Darkness is absence of light so are negative thoughts which are absence of positive thoughts. As per Deepak Chopra, negative thoughts can only be removed by inculcating positive thoughts. Vedanta has described various modalities regarding the same.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How is hirsutism diagnosed?

Some gynecologists, dermatologists, and general practitioners have also acquired the necessary expertise. During your initial medical consultation, your physician will first try to make a distinction between terminal hairs growing in a masculine pattern indicating hirsutism, and hair growth due to genetic or ethnic predisposition rather than a hormone disorder. If you are diagnosed with hirsutism, your physician may perform blood tests, ultrasound, special x–rays, and hormone suppression or stimulation tests to evaluate the function of your ovaries and adrenal glands. After identifying the causes of hirsutism, your physician can recommend appropriate treatment.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

I Refuse to be Discouraged

I refuse to be discouraged, to be sad, or to cry; I refuse to be downhearted, and here’s the reason why: I have a God Who’s mighty, Who’s sovereign and supreme; I have a God who loves me, and by grace I’m on His team.

He is all–wise and powerful. Jesus is His name; though everything is changeable, My God remains the same. My God knows all that’s happening; Beginning to the end; His presence is my comfort; He is my dearest Friend.

When sickness comes to weaken me, to bring my head down low, I call upon my mighty God; Into His arms I go. When circumstances threaten to rob me of my peace; He draws me close unto His breast, where all my strivings cease.

When my heart melts within me, and weakness takes control; He gathers me into His arms, He soothes my heart and soul. The great "I AM" is with me. My life is in His hand. The "Son of the Lord" is my hope. It’s in His strength I stand.

I refuse to be defeated. My eyes are on my God; He has promised to be with me, as through this life I trod. I’m looking past all my circumstances, To Heaven’s throne above; my prayers have reached the heart of God I’m resting in His love.

I give God thanks in everything. My eyes are on His face; the battle’s His, the victory mine; He’ll help me win the race. I can do all things through Christ who strengthens me!!!!

For comments and archives

    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Physical activity and the role of environment

A review article published in the journal Circulation, the official journal of the American Heart Association, addresses physical inactivity, the barriers to exercise and delivers a powerful message regarding physical activity.

Researchers from the University of California San Diego are in the process of researching how built environments impact societal trends. Most Americans who are inactive, the researchers say, are unable to access healthclubs, parks and other recreational facilities. This lack of access due to the way their environment is built, they argue, thus is the cause of inactivity and the diseases that result from it. The authors suggest that simply giving recommendations to be more active may not be enough for some Americans. The article also highlights some community programs that have been effective.

For comments and archives

  Cardiology eMedinewS

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

Role of Hydrogen Sulfide In Cardioprotection And Alteration Of Metabolic Syndrome In Experimental Animals

Read More

Mitogen–Activated Protein Kinases In The Regulation Of The Cardiac Fibroblast Cell Cycle

Read More

ACP Recommendations On Type 2 Diabetes

Read More

Can I Issue A Certificate of ECG Training To An ECG Attendant Working Under Me?

Read More

  Pediatric eMedinewS

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

Pneumonia Tx Guideline Shifts Scrips For Kids

Read More

Fish Oil May Fix Heart Risk Tiny Babies Face

Read More

Clot Busters Look Safe In Pediatric Stroke

Read More

Global Infant Mortality Ranking Called Compromised

Read More

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    IJCP Special

Dr Good Dr Bad

Situation: A diabetic with cancer came for chemotherapy.
Dr Bad: Diabetics have good response to chemotherapy.
Dr Good: Diabetics have bad response to chemotherapy.
Lesson: Diabetes is associated with an increase in mortality and poor response rates to cancer chemotherapy (Int J Diab Dev Ctries 2007;27:122–8).

For comments and archives

Make Sure

Situation: A patient on gentamicin developed polyuria on 7th day. He developed renal failure on 9th day.
Reaction: Oh my God! Why was gentamicin toxicity not suspected when the urine output increased?
Lesson: Make sure that all patients on gentamicin are examined for toxicity. The first indication is increased output.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Love is like a friendship caught on fire. In the beginning a flame, very pretty, often hot and fierce, but still only light and flickering. As love grows older, our hearts mature and our love becomes as coals, deep–burning and unquenchable. Bruce Lee

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Pediatric Allergy Screen, Serum

Testing for IgE antibodies may be useful to establish the diagnosis of an allergic disease and to define the allergens responsible for eliciting signs and symptoms, to confirm sensitization to particular allergens prior to beginning immunotherapy, and to investigate the specificity of allergic reactions to insect venom allergens, drugs, or chemical allergens.

    Mind Teaser

Read this…………………

The most common cystic disease of the spleen is

a) Hydatic cyst of spleen
b) Pseudo cyst of the spleen
c) Columnar lined cyst of spleen
d) Cystic lymphangioma

Yesterday’s Mind Teaser: Which of the following statements is correct with regard to gastric bypass for obesity?

a) Rapid weight loss following successful gastric bypass for obesity is associated with an increased risk of developing cholelithiasis.
b) Marginal ulcer develops in 25% of gastric bypass patients.
c) Vitamin B12 deficiency is a potential complication of gastric bypass due to gastric mucosal atrophy.
d) Anastomotic leak after gastric bypass surgery (weight loss procedure) is often heralded by bradycardia.

Answer for Yesterday’s Mind Teaser: a) Rapid weight loss following successful gastric bypass for obesity is associated with an increased risk of developing cholelithiasis

Correct answers received from: Deepali Chatterjee, Prabha Sanghi, Dr KV Sarma, Dr Thakor Hitendrasinh G, Raju Kuppusamy, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Anil Bairaria, Dr NeelamNath, Dr Valluri Ramarao, Dr Vijay Kansal, Dr Avtar Krishan, Dr Mrs S Das, Dr PC Das, Dr KV Sarma.

Answer for 22nd February Mind Teaser: c) Bacterial overgrowth in the bypassed segment can be treated with oral vancomycin
Correct answers received from: Dr Vijay Kansal, Dr Avtar Krishan, Dr Mrs S Das, Dr PC Das,
Dr KV Sarma.

Send your answer to ijcp12@gmail.com

    Laugh a While

Did you know?

(Dr S K Verma, Ophthalmologist, New Delhi)

Q. Do you know what is Nomophobia?

Ans. It is fear of life without mobiles. The word is an abbreviation for "no–mobile–phone phobia".

    Medicolegal Update

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

If the cadaver receives a head injury by colliding with blunt object there will be bleeding

After death, the blood stays liquid in the vessels and no longer clots. Careless handling of a cadaver may produce some post-mortem bruising which may need to be distinguished from ante mortem bruising. Blood also tends to pool under gravity after death, causing a bruised appearance in the lower limbs, arms, hands, and feet known as discoloration. Some of the smaller vessels may even hemorrhage under the pressure of this pooled blood. These bruises could be confused with ante–mortem bruising

  • The injuries which are received in the body prior or before death is called the ante mortem injury in medicine. These injuries may be a contributing factor in the death or even its cause however on the other hand, they may have occurred many days/months or years ago too.
  • During the autopsy surgeon assesses the age of ante mortem injuries, as well as distinguishing them from postmortem injuries—that is, injuries occurring after death. Postmortem injury can come from various sources such as deliberate mutilation of a body by a murderer following a homicide, predation by wild animals, or careless handling in the mortuary. Postmortem injuries can cause confusion over the manner and cause of death.
  • One major difference between an ante mortem and a postmortem injury is the presence of signs of bleeding. While the person is still alive, the blood is circulating and any injuries such as cuts or stabs will bleed. After death, the body usually does not bleed. However, there are exceptions. For instance, when a person drowns, their body usually floats face down and these results in the head becoming congested with blood.
  • If the cadaver receives a head injury by colliding with blunt object/force, then there could be some evidence of bleeding. Scalp wounds sustained after death may also leak some blood. It can be especially difficult to distinguish between injuries inflicted in the very last few minutes of life and those caused postmortem. If the person collapses, there may be areas of laceration to the head and scalp which may be very hard to interpret.
  • Recent research has focused on improved techniques for distinguishing between an ante mortem and a postmortem injury by analyzing damaged tissue. Ante mortem injuries show signs of inflammation, while postmortem injuries do not. Some research suggests that tissue from ante mortem injuries contains a chemical involved in inflammation leukotriene B4 (LTB4).
  • Postmortem injuries were found to have no LTB4. This could help the doctor for assessment of the injuries more accurately.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

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

Natural food and not supplements to prevent heart disease

One should take seasonal and locally grown natural foods and vegetables grown out of organic farms. Eat less, dinner lighter then the lunch, eating natural and eating in moderation are few of the mantras. Eating the food supplements can be harmful, said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwa, President, Heart Care Foundation of India.

Supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.

High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all–cause mortality.

Supplementation with vitamin C does not prevent second heart attack. Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

The American Heart Association concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets high in natural antioxidants are associated with lower cardiovascular mortality.

    Readers Response
  1. Dear Sir, You are providing out a good information. Regards: Dr Shipra
    Forthcoming Events
Dr K K Aggarwal

Dr K K Aggarwal

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

    eMedinewS Special

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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