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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 (07–08c); 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

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  Editorial …

21st December 2011, Wednesday

Trimester–specific reference ranges

Because of the changes in thyroid physiology during pregnancy, the Guidelines of the American Thyroid Association (ATA) for the Diagnosis and Management of Thyroid Disease During Pregnancy and Postpartum recommend using trimester–specific reference ranges for TSH and method and trimester–specific reference ranges for serum free T4. If the laboratory does not provide trimester–specific reference ranges for TSH (mU/L), the following reference ranges can be used:

  • First trimester 0.1 to 2.5
  • Second trimester 0.2 to 3.0
  • Third trimester 0.3 to 3.0

Source: Thyroid 2011;21:1081.

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

Trimester–specific reference ranges

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

Infotainment is a new concept of creating health education where education is inter linked with entertainment.

Dr K K Aggarwal
    National News

5 Maharashtra Doctors Suspended Over Sex Tests

MUMBAI: In the first–ever stringent action against medical practitioners carrying out illegal sex determination, the Maharashtra Medical Council (MMC) on Monday suspended the registration of five doctors who had violated the law on this count. The doctors will remain suspended till the pendency of the criminal complaints against them.

Invoking the provisions of the MMC Act and the Pre–Conception And Pre–Natal Diagnostic Techniques (Prohibition of Sex Selection) Act (PCPNDT), disciplinary action was launched against Madhav Trimbakrao Sanap and Sayyad Tarak Ahmad Sayyad from Beed, Bhausaheb Haribhau Katkar and Keertikumar Vasant Argade from Kolhapur and Mohankumar Bandopant Nagane from Pune.

This is the first time since the enactment of the PCPNDT Act in 1994 that such stern action has been taken against erring medical practitioners-in all these years, none of those booked for doing sex determination tests had their licences suspended during the pendency of the court case.

Source: TNN | Dec 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

Vitamin D and Calcium Supplementation Reduces Fracture Risk

Combined supplementation with vitamin D and calcium can reduce the risk for fracture, according to the findings of a meta–analysis published in the December 20 issue of the Annals of Internal Medicine. In this meta–analysis, Mei Chung, PhD, MPH, from Tufts Medical Center in Boston, Massachusetts, and colleagues included 137 studies to address 4 questions regarding the effects of vitamin D supplementation on fracture and cancer risk. Compared with placebo, combined vitamin D and calcium supplementation reduced the risk for fracture, although vitamin D supplementation alone did not reduce this risk). The effect of combined vitamin D and calcium supplementation was significantly stronger in the institutional setting than in the community setting. Despite the findings of this meta–analysis, the authors mention that challenges remain in confirming the benefits of vitamin D supplementation in the general population.

Source: Medscape Medical News, December 19, 2011

For comments and archives

Screen for Anxiety, Mood Disorders in All Women With PCOS: Study

A new systematic review and meta–analysis shows that women with polycystic ovary syndrome (PCOS) are at higher risk for anxiety and depression.Women with PCOS often have low self–esteem, poor body image, and fears about future health problems, including infertility, and perceived lack of effective treatment, all of which may make them anxious, Dr. Dokras and colleagues said in an online report in Fertility and Sterility. They say more studies are needed to clearly define the prevalence of anxiety disorders in adolescents with PCOS, "given the early age of onset and chronic recurring nature of anxiety disorders." Future studies should be aimed at evaluating the association of common PCOS–specific characteristics, such as hyperandrogenism and infertility, with anxiety symptoms and disorders. This will help us to better understand why anxiety is more prevalent in women with PCOS and thereby to individualize therapies."

Source: Reuters Health Information, December 19, 2011

For comments and archives

Maggots Faster Than Scalpel in Wound Debridement

According to a new research published online December 19 in the Archives of Dermatology, maggot debridement therapy (MDT) appears to be more effective for wound debridement compared with conventional therapy, but only at 1 week; after that time, another type of dressing should be used. In the current prospective, randomized controlled, phase 3 clinical trial, Kristina Opletalovà, MD, from the Department of Dermatology, University of Caen, France, and colleagues sought to determine the efficacy of bagged larvae on wound debridement in comparison with conventional treatment. Treatment was administered during a 2–week hospital stay. Conventional treatment consisted of surgical debridement 3 times a week with a scalpel, with use of topical anesthesia. The MDT was administered using an enclosed dressing (Vitapad, BioMonde Laboratories) containing 80 sterile maggots.

Source: Medscape Medical News, December 19, 2011

For comments and archives

    Cardiology eMedinewS

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

Green Tea Lowers LDL But Not Enough to Be Significant Clinically

Read More

Heart Failure Patients Should Be Encouraged To Exercise

Read More

More Than One Sugared Drink a Day as a Cardiac Risk Factor

Read More

Endurance Athletes May Incur Heart Damage

Read More

    Twitter of the Day

@DrKKAggarwal: What is One Peg of

@DeepakChopra: When you see the world in yourself, there are no more outward obstacles to happiness. The inner and outer worlds are mirrors of each other.

    Spiritual Update

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

Mythology and The Science of Pregnancy

Most of the research claims of today by the West scientists are re–searches and not researches as the Vedic era has examples of every possible scientific explanation of all happenings in life. During Rama and Krishna era, there were nuclear weapons, planes and what not.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Special One

A well–known speaker started off his seminar by holding up a $20 bill. In the room of 200, he asked. "Who would like this $20 bill?" Hands started going up. He said: "I am going to give this $20 to one of you – but first, let me do this."

He proceeded to crumple the 20–dollars note up. He then asked. "Who still wants it?" Still the hands were up in the air. "Well," he replied, "what if I do this?" He dropped it on the ground and started to grind it into the floor with his shoe. He picked it up, now crumpled and dirty. "Now, who still wants it?" Still the hands went into the air. "My friends, you have all learned a very valuable lesson. No matter what I did to the money, you still wanted it because it did not decrease in value. It was still worth $20.

Many times in our lives, we are dropped, crumpled, and ground into the dirt, by the decisions we make and the circumstances that come our way. We feel as though we are worthless, but no matter what happened or what will happen. You will never lose your value. Dirty or clean, crumpled or finely creased, you are still priceless to those who love you.

The worth of our lives comes, not in what we do or who we know, but by …WHO WE ARE. YOU ARE SPECIAL – don’t ever forget it."

For comments and archives

    Fitness Update

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

Encourage Physical Activity

Although it may be cold outside, it’s still important for your child to exercise, which also can be a great way to keep them healthy. At least 30 minutes of exercise a day can help boost a child’s immune system and encourage them to live a long, healthy and active life. There are ways to stay active indoors as well. Jumping jacks, running in place, even a quick game of Dance Dance Revolution on the Nintendo Wii system can get the heart pumping.

For comments and archives

    Healthy Driving

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

Whisper test: This test is used as a brief screening tool to determine

whether there is a difference in hearing in each ear and whether referral for formal audiologic examination is necessary. In this test, one ear is occluded and the older patient is asked to repeat the words or numbers whispered softly by the clinician standing 1–2 feet away, usually to the back of the patient. The whispered words or numbers used for the test should be those with equally accented syllables, such as baseball or twenty–two.

    Medicine Update

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

What is the treatment of febrile seizures?

A spinal tap may be done to be sure your child does not have a serious infection like meningitis, especially if your child is younger than 1 year of age.

In general, physicians do not recommend treatment of a simple febrile seizure with preventive medications. Diazepam and Clobazam for intermittent prophylaxis. Anti–fever drugs like acetaminophen and ibuprofen can help lower a fever, as can hydrotherapy but they do not prevent febrile seizures.

If your child has had a febrile seizure, do not fear the worst. These types of seizures are not dangerous to the child and do not cause long–term health problems. If you have concerns about this issue or anything related to the child's health.

Remember: While febrile seizures may be very scary, they are harmless to the child. Febrile seizures do not cause brain damage, nervous system problems, paralysis, mental retardation, or death.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient was put on six per week dialysis program.
Dr Bad: It is unethical.
Dr Good: Go ahead with it.
Lesson: Increasing hemodialysis frequency from three to six sessions a week significantly reduced the risk of mortality and adverse cardiovascular outcomes but increased vascular access problems, according to results of a multicenter clinical trial. More frequent hemodialysis was associated with a 40% reduction in the risk of death or increased left ventricular mass and a 30% decrease in the risk of death or a decrease in physical–health score. Moreover, six weekly sessions resulted in significantly greater urea clearance (Kt/Vurea). However, more frequent hemodialysis was associated with a 71% increase in interventions related to vascular access (The FHN Trial Group. In–center hemodialysis six times per week versus three times per week. N Engl J Med 2010 Nov 20. (Epub ahead of print)

For comments and archives

Make Sure

Situation: A patient with LBBB in ECG developed acute pulmonary edema.
Reaction: Oh my God! Why was underlying low cardiac functions not suspected?
Lesson: Make sure all patients with LBB undergo echo to rule out ejection fraction. This may not be true for RBBB.

For comments and archives

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emedinews revisiting 2011
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  Quote of the Day

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We ourselves feel that what we are doing is just a drop in the ocean. But the ocean would be less because of that missing drop.~ Mother Teresa

    Lab Update

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  • To determine if an overdose has occurred
  • To determine risk of liver damage
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    Mind Teaser

Read this…………………

thought an

Yesterday’s Mind Teaser: step
                                   the rest

Answer for yesterday’s Mind Teaser: Step above the rest

Correct answers received from: Dr T Samraj, Dr KV Sarma, Bina Sawhney, Dr Amit Kochar,
Dr Alexander Daniel Sunad, Sudipto Samaddar, Thakor Hitendrasinh G, Yogindra Vasavada, Raju Kuppusamy, Dr PC Das, Muthumperumal Thirumalpillai, Anil Bairaria, Dr Neelam Nath, Dr Jainendra Upadhyay, Dr BB Aggarwal.

Answer for 19th December Mind Teaser: A step above the rest
Correct answers received from: Thakor Hitendrasinh G, Yogindra Vasavada, Raju Kuppusamy, Dr PC Das, Muthumperumal Thirumalpillai, Anil Bairaria, Dr Neelam Nath, Dr Jainendra Upadhyay, Dr BB Aggarwal.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

A little boy was sitting outside a store eating one snickers candy bar after another, when an older man walked up and said: "You shouldn’t be eating so much candy, it’ll rot your teeth, it’s just bad for you to eat so much candy."

The little boy looked up and said: "My grandfather lived to be 95 years old". The older man asked: "Oh? by eating snickers candy bars?" The little boy said: "No……by minding his own business."

    Medicolegal Update

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

What is WMA Statement on In–Vitro Fertilization and Embryo Transplantation?

The WMA urges physicians to act ethically and with appropriate respect for the health of the prospective mother and for the embryo from the beginning of life. To assist physicians in recognizing and following their ethical obligations, the WMA has promulgated this statement. From the ethical and scientific viewpoint, medical assistance in human reproduction is justified in all cases of infertility which do not respond to classical drug or surgical treatment with specific reference to: Immunological incompatibility, Irreversible obstacle to contact between male and female gametes, Infertility for unknown cause.

  • In all these cases, the physician can only act with the full informed consent of donors and recipients.
  • The physician must always act in the best interest of the child to be born of the procedure.
  • It is the physician’s responsibility to provide the patients, at their own level of comprehension, with sufficient information about the purpose, methods, risks, inconveniences and disappointments of the procedure, and to obtain from the patients their informed consent to the procedure.
  • As in any type of elective procedure, the physician must have adequate specialized training before undertaking the responsibility of performing the procedure.
  • The physician must always comply with all applicable laws and regulations as well as the ethical requirements and the professional standards established by the National Medical Association and other appropriate medical organizations in the community. The patients are entitled to the same confidentiality and privacy as is required with any medical treatment.

When IVF techniques produce excess ova which will not be utilized for the immediate treatment of sterility, their use must be determined in agreement with the donors; excess ova can be:

  • Destroyed
  • Cryopreserved
  • Fertilized and cryopreserved

(Adopted by the 39th World Medical Assembly Madrid, Spain, October 1987)

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(Press Release for use by the newspapers)

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Heart Patients Beware of Eating Cakes

Food of animal in origin and saturated foods contain cholesterol. 1% rise in cholesterol raises the chances of heart attack by 2% said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India. Heart Patients should therefore avoid eating cakes during the Christmas and New Year Season. They should distribute fruits & dry fruits instead of cakes. Beware of the term Low or High Cholesterol on the labels

  1. Cholesterol Free means less than 2 mg cholesterol and 2 grams or less fat.
  2. "Low Cholesterol" means 20 mgs or less cholesterol and 2 grams or less saturated fat.
  3. "Fat Free" means less than ½ gram fat;
  4. "Low Fat" means 3 grams or less fat;
  5. "Reduced Fat" means at least 25% less fat than other brands of same food.

For comments and archives

    Readers Responses
  1. Respected Padma Shri And Dr.B.C.Roy National awardee, Dr.K.K.Aggarwal, I learn lot from your emedinews even after my clinical practice of 45 years.You are taking lots of pain for an exellent
    work, congratulation. Dr.T.H.Saherwala––Godhra
    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

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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

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