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 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


eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

  Editorial …

25th October 2011, Tuesday

Do not take painkillers if you are a heart patient

There is no safe duration for use of NSAID painkillers in patients with a history of heart attack according to an analysis of data from more than 83,000 patients and published in Circulation, Journal of the American Heart Association. NSAID use after heart attack increased the relative risk of death or second heart attack by as much as 45%.

NSAID treatment was associated with a statistically significantly increased risk of death at the beginning of the treatment, and the risk persisted throughout the course of treatment. We must limit NSAID use to the absolute minimum in patients with established cardiovascular disease.

  • All NSAIDs increased risk of death or recurrent heart attack by 45% after a week.
  • Naproxen increase the risk of death or recurrent heat attack by 76% after a week but for treatments lasting 30 to 90 days the risk increased risk was 15%
  • Ibuprofen had the lowest initial risk, just a 4% increase for treatments lasting seven days or less

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Characteristics of Good Seeker

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011 – College students enjoy Medicomasti at Health Mela

Over 2500 students of 22 colleges including Medical, Pharmacy, Homeopathy and Business schools participated in Medico Masti, an inter Youth Festival. Events like Choreography (Health is Wealth), Fashion Show (Gandhigiri) were organized as part of the festival.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter


Osteoporosis, the next big health worry for India

It is expected to affect 36 million Indians by 2013 but osteoporosis – a disease associated with brittle bones, fractures and painful recovery – remains one of the most undermined diseases in the country. Going by figures from the Arthritis Foundation of India, it will become the next big health worry. "The number of cases of osteoporosis has almost doubled in the last 10–15 years," Rajeev K. Sharma, senior consultant, orthopaedics, and joint replacement surgeon at Delhi’s Indraprastha Apollo hospital, said. Almost one in three urban Indian women past the age of 45 has osteoporosis. Even men are not immune to it, as doctors say those in their old age do face the problem. "It’s a myth that men are immune to it," says Raju Vaishya, president of the Arthritis Care Foundation. "Average life expectancy, which was around 46 in 1947, has increased to around 70 now. As life expectancy increases, diseases related to old age are also increasing," he says. (Source: TOI, Oct 20, 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

(Dr Monica and Brahm Vasudev)

Cohen holds out hope for potent malaria vaccine in 2015

Molecular biologist Dr Joe Cohen is holding out hope for an effective malaria vaccine by as early as 2015. The 68–year–old bearded soft–spoken Cohen is one of the inventors and original patent–holder of the RTS,S/AS02A malaria vaccine (RTS,S is a scientific name given to this malaria vaccine candidate that represents its composition). This week the first–ever Phase III trial of the vaccine prevented clinical malaria in 56% of five months to 17–month–old babies. It also prevented severe malaria in 47% of the cases after three doses of RTS,S. The trial was conducted at 11 sites in seven countries across sub–Saharan Africa. This is one of the final stages in evaluating the vaccine candidate’s efficacy and safety in infants and young children on a large scale before regulatory file submission. (Source: TOI, Oct 22, 2011)

For comments and archives

Linezolid toxic with Prozac, other SSRIs, FDA warns

The FDA has issued an updated statement on the potential for serious central nervous system toxicity when patients taking serotonergic psychiatric drugs are treated with the antibacterial agent linezolid

For comments and archives

ECTRIMS: Cancer drug wins in early MS trial

A low–dose regimen of the leukemia drug alemtuzumab (Lemtrada) slashed annualized relapse rates in patients with newly diagnosed multiple sclerosis in a head–to–head trial against interferon–beta–1a (Rebif).

For comments and archives

New drug to arrest lung cancer spread

The world may soon be able to slow down or stop progression of lung cancer – the most common malignancy worldwide as far as incidence and mortality are concerned. Scientists say they have found an effective new cancer vaccine TG4010, which when combined with standard chemotherapy, enhances the effect of chemotherapy and slows down the progression of advanced non–small-cell–lung cancer (NSCLC) – the most common type of lung cancer – as compared to chemotherapy. (Source: TOI, Oct 23, 2011)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Perfect Health Darbar October 21, 2011, MTNL Perfect Health Mela… http://fb.me/1ousT889U

@DeepakChopra: Be kind to yourself and others. Come from love every moment you can. Never give up hope.

    Spiritual Update

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

Yogastha Kuru Karmani

"Yogastha kuru karmani sangang tyaktva Dhananjaya 1
Sidhyasidhyoh samo bhutva samatvang yoga uchyate"ll
………2/48 Bhagwad Gita

(Be steady in yoga, Arjuna, and do whatever you must do; give up attachment, be indifferent to failure and success, and this stability is yoga).

The essence of Bhagavad Gita can be summarized in one Shloka (Chapter 2.48) where Krishna says to Arjuna "Yogastha Kuru Karmani" which means ‘concentrate on actions’ (do all actions while remaining in yoga). He further says that one should take success and failure in the same stride. (Yogastha: = steadfast in yoga, Kuru = perform, karmaani = duties or action).

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

My Little Miracle

I had just turned 19 when I was told I could not have children. I was devastated. Ever since I was a small child, I had prayed for a beautiful blonde haired, blue eyed baby girl. I used to pray to God that before He decided to come back for His children, He would allow me to have a baby girl. I was in a serious relationship at the time that I thought would last forever. He told me that he would love nothing more than to have a child to care for and love. I prayed that the doctors were wrong and that maybe if I prayed hard enough, God would prove them wrong.

Every night I would pray, "God, please let me be a mother. Let me have the honor of caring for one of your children." Just three months later, I found out I was pregnant. I had a very hard pregnancy. High blood pressure kept the doctors on alert. I found out I had Strep B, which could be fatal to the baby. I was scared. I didn’t want to lose her. Every day I prayed that she would be OK. At only 33 weeks, she attempted to be born. "No," I prayed. "Not this early. Please. Just one more week at least. She needs to gain more weight." I was immediately hospitalized and put on total bed rest. I was given nothing to eat or drink for three days. On the fourth day, the doctors finally said I could eat and drink, that my body was doing what it was supposed to in preventing the birth.

Just a couple of days later, when I had reached 34 weeks, the doctors decided it was safe enough for me to have her. I was induced, and at 4:57 pm on September 18, 1998, I had the most beautiful blonde haired, blue–eyed baby girl. I named her Jessie–Mae Marie. She is now two–years–old and the best thing to ever happen to me. A real gift from God. No, her father and I are no longer together. He decided being a father was not for him. I am not sad about that. I am sad for him. He is missing out on her growing up and will probably always regret it.

So, if any of you are told there is no chance for you to have children, remember this. God still works miracles. He worked a big one in my life and I will always be grateful for that.

For comments and archives

    Fitness Update

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

Exercise can provide an endorphin boost

For some of us, getting an exercise ‘high’ is par for the course when we work up a sweat, while for others it’s a mythical occurrence that remains frustratingly out of reach. So, can exercise really make you feel significantly better mentally, or is it just a fitness myth?

Take a look at the link between exercise and the production of endorphins.

Endorphins, the body’s own opiate–like chemicals, have long been held responsible for the so–called exercise ‘high’, and experts once thought that we needed to tough it out at a certain intensity, for a given length of time, in order to ‘flick the switch’ and get an endorphin boost. For example, a report in the journal Physician and Sports Medicine concluded that to get an exercise ‘high’, you have to work at 76% of your maximum heart rate, and may need to keep going for two hours or more. But with some exercise fanatics blissing out by doing much less work, and others putting in even greater amounts of effort to no avail, researchers began to realize that the formula wasn’t so simple.

For comments and archives

    Healthy Driving

Healthy Driving – Safe Driving

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

Every driver should have the following skills to ensure that they can safely drive a vehicle:

  • Good vision including peripheral vision
  • Quick reactions and reflexes (to be able to brake or turn to avoid
  • crashes)
  • Good co-ordination between eyes, hands and legs
  • Ability to make judgements and take decisions quickly

For comments and archives

Our Social
Network sites
… Stay Connected

  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

  > Dr K K Aggarwal
  > eMedinewS
  > HCFIindia
  > IJCP Group

  > Dr K K Aggarwal
  > eMedinewS
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

eMedinewS Apps
    Malaria Update

AC Dhariwal, Hitendrasinh G Thakor, Directorate of NVBDCP, New Delhi

What the National Drug Policy of India says

What are the requirements at the hospital for management of complications?

The management of severe malaria requires immediate administration of life–saving drugs. Therefore essential requirements for management of severe malaria are as follows:

  • A person trained in nursing serious/comatose cases
  • Antimalarials, which can be given parenterally: Artesunate, arteether, artemether or quinine
  • Supportive treatment: Antipyretics, anticonvulsants, diuretics, antibiotics, saline/dextrose for intravenous transfusion
  • Intravenous infusion equipment
  • Facilities for blood transfusion
  • Well–equipped laboratory: Blood smear examination and parasite count with result within one hour; routine examination of urine, hemoglobin, blood glucose
  • Oxygen respirator, oxygen

If these items are not available, the patient must be referred without delay to a facility, where such facilities are available.

For comments and archives

    Medicine Update

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

What is the role of chest radiograph in diagnosis of asthma?

A baseline chest X–Ray is advisable in every case to exclude other diagnostic possibilities mimicking asthma e.g. congenital anomalies, foreign body. Repeat radiographs at frequent intervals or with every exacerbation are not required. In most cases, the chest X–Ray is normal between episodes. Evidence of generalized hyperinflation may be present in those with severe symptoms or in poorly–controlled cases. If an asthmatic is not responding to the usual treatment, then a radiograph of chest is important to rule out consolidation, collapse, foreign body or pneumothorax.

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Tests for Adrenal Insufficiency & Addison’s Disease

Adrenocorticotropic hormone (ACTH): A pituitary hormone that signals the adrenal glands to produce cortisol. This test is primarily ordered as a baseline test to evaluate whether or not the pituitary is producing appropriate amounts of ACTH. In a patient with adrenal insufficiency, low ACTH levels indicate secondary adrenal insufficiency, while high levels indicate primary adrenal insufficiency (Addison’s disease). The ACTH test is often ordered along with the ACTH stimulation test.

ACTH stimulation test: This test involves measuring the level of cortisol in a patient’s blood before and after an injection of synthetic ACTH.

    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.

For comments and archives

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.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Forgiveness does not change the past, but it does enlarge the future. Paul Boese


Spitting Image: The exact likeness or kind.

    Mind Teaser

Read this…………………

In California, you cannot take a picture of a man with a wooden leg. Why not?

Yesterday’s Mind Teaser: What is not true about blind loop syndrome?

a) It manifests as diarrhea, weight loss and deficiency of fat–soluble vitamins.
b) Megaloblastic anemia is commonly seen.
c) Surgery is almost always required to correct small bowel syndrome.
d) Broad spectrum antibiotics are the treatment of choice.

Answer for Yesterday’s Mind Teaser: c) Surgery is almost always required to correct small bowel syndrome.

Correct answers received from: Dr Amit, Dr PC Das, Dr Anil Kumar Jain, Dr Sukanta Sen, Dr K Raju, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Anil Bairaria.

Answer for 23rd October Mind Teaser: Incorrectly
Correct answers received from: Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, YJ Vasavada,
Dr T Samraj.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

In a second

A man was wondering in the woods pondering all the things of life, and his own personnel problems. The man couldn’t find the answers so he sought help from God. "God, God, you there God?" he asked. "Yes, what is it my son," God answered. "I have a few questions, mind if I ask?" the man asked. "Go ahead my son, anything."

"God, what is a million years to you?" God answered, "A million years to me is only a second."

The man asked again, "God, what is a million dollars to worth to you?" God replied, "A million dollars to me is worth only a penny."

The man lifted his eyebrows and asked his final question… "God, can I have a penny?" God answered, "Sure, in a second."

  Medicolegal Update

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

The brain injury occurs mainly due to movements of the brain in relation to the skull

The falx cerebri and tentorium divide the cranial cavity into three communicating compartments and have a partly restraining effect on brain movements.

  • Injuries like contusion and lacerations of the brain seen in vehicular accidents and falls from heights are caused by the application of violence to the head and may occur with or without external injury to the scalp and fracture of the skull.
  • Injuries may be seen superficially anywhere on the surface of the brain, though the commonest site is the outer surface of the parietal and temporal lobes or deep within the brain substance, and are associated with hemorrhages limited in small areas or multiple hemorrhages diffused largely within the brain tissues. They are also associated with disturbances of cerebrospinal fluid circulation.
  • These injuries, also known as coup lesions, are commonly found under the site of application of the blow, but are also sometimes found particularly during autopsy on the surface of the brain diagonally opposite the site of impact, and are called countercoup injuries.
  • Coup injuries are most commonly found on the frontal lobes and near the tips of the temporal and frontal poles, rarely on the occipital poles. They are usually severe injuries.

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)

Beware of Diwali Hazards

Diwali a festival of lights can be hazardous to people, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President, Heart Care Foundation of India.


With Diwali approaching, one should be careful of candle pollution. Candles made from beeswax or soy, although more expensive, apparently are safer because they do not release potentially harmful pollutants.

However an occasional paraffin candle and its emissions does not harm but lighting many paraffin candles daily or lighting them frequently in an unventilated bathroom around a tub, may cause problems. Pollutants from burning candles can also cause respiratory irritation and allergy. The candles, which are made from petroleum, are a source of known human carcinogens and indoor pollution.

Diwali sweets:

White sugar in sweets can lead to uncontrolled diabetes and gain weight in individuals. Adulterated khoya can cause GI upset. Artificial colouring in sweets can cause cancer in long run. Eating chocolates can add to calories in blood sugar. The best item for Diwali is fruits and dry fruits.

Diwali Fire Hazards

Diwali should not lead to fire with resulted burns and loss to life. In case of burning the effected part should be put in the running water till burning disappears. Blisters should not be punctured, as they work like a natural dressing.

Eye injury–Particle of crackers can cause eye burn. Continuous water should be poured into the effected eye till the burning is over.

Safe dressing–if medicated bandage is not available, one can use a piece of cloth and iron it. It will work like a medicated bandage.

Alcohol hazards

Diwali is often used as a festival of gambling and alcohol drink. One should not drive after consuming more than 30 ml in one hour. While gambling one should not argue with others as someone under the influence of alcohol may cause harm.

Diwali Pollution

Patients with COPD (Adult Asthma) may worsen in Diwali festival and they should use wet clothes whenever they are exposed to smoke.

Noise Pollution

Excessive noise pollution during Diwali day can cause hearing loss. One should wear ear plugs to avoid noise related ear injury. Noise pollution can also cause high blood pressure and mental irritation.

For comments and archives

    Readers Response
  1. You are doing genuinely a good job, just maintain the good work, may god bless you and your whole team with success. Vivek kumar, Varanasi
    Forthcoming Events

GP CON 2011

National Conference of IMA CGP
Date: October 29th-30th, 2011
Venue: Savera, Chennai
IMA CGP HQ is organizing a two day CME, Group discussion and Workshop pertaining to Family Medicine Concept, Which will be a “Reincarnation” of the traditional Family Doctor Concept in India.
More details Contact Conference Secretariat, Dr TN Ravisankar,
email:imacgp.chennai@yahoo.com; website:imacgpindia.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