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Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



emedinews is now available online on www.emedinews.in

25th December Friday

Dear Colleague,

Merry Christmas

                                    WebMD top stories of 2009

Swine Flu Sweeps World

This year's top health news story

Salmonella Peanut Recall
Minnesota health investigators linked mysterious salmonella infections to peanut products. Soon it became clear that all kinds of products, from ice cream to dog food, might carry salmonella-contaminated peanuts.

Michael Jackson Propofol Death
Acute propofol intoxication killed Michael Jackson, age 50. The anesthetic, along with sedatives, allegedly was administered by Jackson's doctor to help him sleep. The death was ruled a homicide; criminal charges have not yet been filed.

Celebrity Cancer Deaths
Actor Farrah Fawcett, died at age 62 of anal cancer. She gained fame in TV's Charlie's Angels and shared her long cancer fight with the public.

Pancreatic cancer took Patrick Swayze in 2009 at age 57; after being diagnosed in 2008 he was able to shoot 13 new episodes of his TV series.

Senator Ted Kennedy died of brain cancer at age 77. He represented Massachusetts for 46 years and appeared for a key vote just a few weeks after surgery.

Mammogram Guidelines Controversy

The U.S. Preventive Services Task Force recommended that routine screening mammograms start at age 50 for women at average risk. It reversed a previous recommendation to start at age 40, explaining that harms such as radiation exposure, false positives, overtreatment, and psychological harm outweigh the benefit.

Paracetamol Trouble
Citing 56,000 emergency room visits each year for overdoses, an FDA panel recommended lowering the approved dose for adults.

Brown Fat for Easy Weight Loss?
You could lose 9 pounds of fat every year, without having to diet or exercise, if the tiny amount of brown fat in your body were activated. Once thought to be nature's way of keeping babies warm, adults weren't believed to have brown fat. Now the race is on to find a way to make brown fat more active.

AIDS Vaccine's Modest Success
In a trial of 16,000 Thai men and women, an HIV vaccine showed only very slight signs of success in protecting against infection with the AIDS virus.

Dr KK Aggarwal




Aluminium is a Trace Mineral present in our Body, But If an Excessive amount is absorbed, it may be dangerous and sometimes fatal. Aluminium is present in Various Plant and Animal Foods, the Aluminium Hydroxide Antacids,the Aluminium Foils and Utensils,deodarants and Baking powder,just to name a few. Studies have shown that Health Supplements containing Silicic acid can prevent increase of aluminium concentration in the brain and other tissues by reducing the aluminium uptake in the digestive system as well as by enhancing the renal excretion of aluminium.

Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. Pregnancy related hematological and biochemical alterations influence the interpretation of diagnostic tests and assessment of severity of AP. As in any other disease associated with pregnancy, AP is associated with greater concerns as it deals with two lives rather than just one as in the non-pregnant population.

7 ways to handle dry skin

1. Skip Hot Baths
2. Soothe Your Scalp
3. The Eyes Have It
4. Don't Leave Your Lips Out to Dry
5. Helping Hands
6. Be Kind to Elbows and Knees
7. Best Feet Forward

News and views  (Dr G M Singh)

According to the American Academy of Pediatrics in the September 2001 issue of Pediatrics, the recommended treatment of acute sinusitis in young children with non severe, persistent symptoms for at least 10 days is antibiotic use. However, a meta-analysis by de Ferranti and colleagues published in the September 5, 1998, issue of the BMJ noted that children with acute sinusitis could improve without antibiotic use. In children, the symptoms of viral rhinosinusitis and acute bacterial sinusitis are similar.

Patients with peripheral artery disease and critical limb ischemia are the main candidates for limb amputations and have a poor life expectancy. Frequently, these patients are not eligible for either surgical or percutaneous interventions aimed at mechanical revascularization. Gene and cell therapy holds great promise for the treatment of peripheral vascular diseases because, in animal models, local delivery of growth factors and endothelial progenitor cells result in new blood vessel formation and regeneration of ischemic tissues.

The recommendations for diagnosis of nephrotic syndrome in adults include urine dipstick, random urine protein to creatinine ratio, serum creatinine, serum albumin, lipid panel, and selective tests to identify secondary causes. Imaging studies are generally not needed. The benefit of renal biopsy is not clear but could include confirmation of underlying disease or identification of corticosteroid responsive idiopathic disease. The recommendations for treatment of nephrotic syndrome in adults include fluid and sodium restriction, diuretics, and ACE inhibitors. Corticosteroid treatment might be useful in some adults. Intravenous albumin, prophylactic antibiotics, and prophylactic anticoagulation are not recommended.

Funny clinical notes (Dr. Minakshi)
She stated that she had been constipated for most of her life, until she got a divorce.

Dr Good Dr Bad
Situation: a 40 year old male with 40 kg weight had a serum creatinine of 1.0 mg%
Dr Bad: Its normal
Dr Good : You have CKD
Lesson: eGFR is 140 minus age multiplied by weight in kg and divided by 72 X serum creatinine. 

Take home messages from the Medicine Update 2009, MAMC: Part 2
Headache: (Dr Koushik Dutta and Dr N P Singh)
1.Headache is a common headache for clinicians, but be level headed in approaching a case of headache. 95% of the headaches are primary type (without any intracranial pathology). Only 5% are sinister and require imaging. A good history is the most important part far ahead of the clinical examination and investigation parts.
2.Vomiting followed by headache is much more sinister (suggestive of ICSOL) than headache followed by vomiting.
3.Onset (sudden/ acute/subacute/ insidious), duration of each episode (ultrashort/ short/ long), type of headache, etc. give vital clues to diagnosis. Location of headache is relatively less important.

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 emedinews: revisiting 2009
IJCP Group, Heart care Foundation of India and World Fellowships of Religions are  is organizing emedinews: revisiting 2009, day long conference on the top health happenings in the year 2009 on 10th Jan 2010 at Maulana Azad Auditorium. There is no registration fee however advanced information is required.  Top experts (Dr KK Aggarwal (revisiting 2009), Dr Naresh Trehan (what's new in cardiac surgery), Dr Ajay Kriplani (Current Trends in the Management of Morbid Obesity), Dr Praveen Chandra (The Indications of Interventional Treatment in Cardiology), Dr Kaberi Banerjee (IVF- Where We Stand Today?), Dr N K Bhatia (TTI infections), Dr V Raina ( molecular genetics), Dr Ajit Saxena (ED and male infertility), Dr S C Tewari (Nephroprotection), Dr. Ambrish Mithal (Diabetes), Dr Vanita Arora (ECG arrhythmias), Dr N Subramanium (Current concept in Male infertility ), Dr Neelam Mohan (Coeliac Disease), Dr. Sanjay Chaudhary (Eye Update), Dr Harish Parashar (aluminum toxicity), Dr Praveen Khillani (Whats new in field of critical care in past decade?), will deliver lectures.

CME will be followed by lively cultural evening guest performances by Shabani Kashyap, Vipin Aneja and perfomances by medical professional singers Dr Praveen Khillani, Dr Lalita and Dr N Subramanium, Dr Lata Tandon, Dr Arti Pathak, Dr Sudipto Pakrasi, Dr Harjeet Kaur, Dr Ramni Narsimhan, Dr Sanjay Chugh (on the drum), Dr Yash Gulati (Anchor) Dr Reshma Aggarwal (Anchor), doctors of the year award, dance and dinner. For registration mail emedinews@gmail.com. We have crossed 1200 registrations. 

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What's the difference between an oral thermometer and a rectal thermometer?
The taste.



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