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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 …

26th February 2012, Sunday

India starts TAVI Programme (transcatheter aortic valve implantation)

India was ultimately granted permission to start the TAVI program informed CSI president Dr Ashok Seth during India Live 2012. He said that Escorts Heart Institute has done three successful cases this week.

India is the last country to have been granted permission by its government. Commenting on this Dr Kirti Punamiya said that it was unfortunate that India was denied permission for this for so long as India will miss the opportunity to compete with the World in expertise with this procedure as the learning period in this technology is long.

Dr Seth also said that permission given by the government is conditional and from case to case on compassion basis.

Dr Kirti said because of this delay the center of excellence in India on TAVI may never come.

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

SCI describes Never events

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A 5 mm reduction in diastolic lower blood pressure can reduce heart disease risk by 21%.

A Health Message was released on 23rd February at a press conference to announce the date of "Yadein", a cultural evening in remembrance of Mr Jagjit Singh.

In the Photo: Noted Gazal Singer Mr Ghulam Ali putting his signature to the message

Dr K K Aggarwal
    National News

India, Slovenia scientists collaborate to study Hepatitis E virus

JAIPUR: The scientists of India and Slovenia are working together to study how dangerous is the Hepatitis E virus (HEV) and how to diagnose it as its symptoms are quite similar to other liver ailments. It is a three–year collaborative research which started this month in a laboratory in Kaladera near Jaipur. The scientists will collect samples from across the country. The Indian and Slovenian governments have jointly funded the Indo–Slovenian Bilateral Exchange Programme of Cooperation in Science and Technology. In the study, the experts are making use of swine liver, as swine is the reservoir of the virus. (Source: TOI, Feb 23, 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

Anticholinergic works in COPD, FDA staff says

The anticholinergic drug aclidinium bromide appears to be effective in treating chronic obstructive pulmonary disease (COPD), but a small patient database and cardiovascular events raise concerns, an FDA staff review found. (Source: Medpage Today)

For comments and archives

Hepatitis C bigger killer than HIV

More Americans now die from hepatitis C infection than from HIV, researchers from the Centers for Disease Control and Prevention reported. The rate of HIV deaths has been falling while the rate for hepatitis C has been rising and the two curves crossed each other in 2007, according to Kathleen Ly, MPH, and colleagues. (Source: Medpage Today)

For comments and archives

Now, a vest that alerts you of heart attack

LONDON: Scientists have developed a new cardiac vest that can diagnose heart attacks as soon as they happen, a feat they say could lead to new ways of treating heart patients. The electrocardiograph (ECG) technology, which has been around for the past 60 years, has its limitations and patients have to face delays of up to 12 hours for blood test results, during which continuing damage may be done. But the new cardiac vest, developed by a British company, can give doctors detailed information within minutes about whether a patient is suffering an attack and where within the heart the problem is situated. The UK’s Bradford Royal Infirmary will be the first hospital in the world to use the revolutionary cardiac vest, which contains 80 sensors attached to a patient’s chest and back. If trials of the new "Heartscape" device are successful, sufferers could be diagnosed up to 12 hours earlier than usual, the researchers said. (Source: TOI, Feb 24, 2012)

For comments and archives

Hepatitis C study drug fails; most patients relapse

The majority of genotype 1 null responder patients with hepatitis C virus (HCV) infection have undergone relapse after treatment with the promising uridine nucleotide analog polymerase inhibitor GS–7977 (Gilead Sciences, Inc). (Source: Medscape)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Press Conference 23rd February

@DeepakChopra: The 4 most important qualities of a great leader are to inspire hope, trust, stability, compassion, and live up to them.

    Spiritual Update

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

Why do we regard trees and plants as sacred?

The upper part of the plants, the leaves, flowers and fruits are worshipped as sacred and offered to pooja and GOD. As said by Bhagwad Gita, they have satvik properties. Roots of any plant are tamasik and not offered in pooja or eaten during pooja days. The same is true for the stem of the plants which have rajasik properties.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the causes of hirsutism?

  • Polycystic ovarian syndrome or PCOS is a form of hyperandrogenism in which hormonal imbalances cause the ovaries to overproduce androgens. It is a common cause of hirsutism and is frequently associated with irregular or absent ovulation and infertility. Multiple small cysts develop in the ovaries, hence the term "polycystic. These small cysts are actually immature ovarian follicles that failed to mature and ovulate. Menstrual periods may become irregular or cease due to lack of ovulation.
  • Unexplained hirsutism: Some women have hair follicles that are abnormally sensitive to androgens. Androgen levels are normal and menstrual periods occur regularly in these patients. This tendency to develop hirsutism is genetic but the cause is not known.
  • Non–classic adrenal hyperplasia: The most common abnormality of the adrenal glands that can result in hirsutism is an inherited disorder called non–classic adrenal hyperplasia (NCAH), which causes the adrenal glands to overproduce androgens. Like PCOS, NCAH is associated with irregular menstrual cycles. NCAH is a genetic disorder most commonly seen in certain ethnic groups including Ashkenazi Jews, Eskimos, and French–Canadians. Elevation of the hormone 17a–hydroxyprogesterone is characteristic of NCAH.
  • HAIR–AN syndrome (Hyperandrogenism, Insulin Resistance, Acanthosis Nigricans): Some women are born with insulin resistance, a severe defect in the ability of insulin to control blood sugar levels. To compensate, the pancreas produce ovulation. Insulin resistance may lead to diabetes mellitus, high blood pressure, heart disease, and excessive growth and darkening of the skin (acanthosis nigricans), which generally occurs around the neck and crease areas of the skin.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Is the Cross you wear too heavy to bear?

Complainingly I told myself, "This cross is too heavy to wear"

And I wondered discontentedly why God gave it to me to bear. And I looked with envy at others whose crosses seemed lighter than mine and wished that I could change my cross for one of a lighter design.

And then, in a dream, I beheld the cross I impulsively wanted to wear, It was fashioned of pearls and diamonds and gems that were precious and rare.

And when I hung it around my neck the weight of the jewels and the gold was much too heavy and cumbersome for my small, slender neck to hold So I tossed it aside and before my eyes was a cross of rose–red flowers And I said with delight as I put it on, "this cross I can wear for hours" For it was so dainty and fragile, so lovely and light and thin, But I had forgotten about the thorns that started to pierce my skin And then in my dream I saw "my cross," rugged and old and plain, that clumsy old cross I had looked upon with discontented disdain.

And at last I knew that God had made this "special cross for me," For God in His great wisdom knew what I before could not see, that often the loveliest crosses are the heaviest crosses to bear. For only God is wise enough to choose the cross we can wear. So never complain about Your Cross, for your cross has been blest, God made it Just For You to wear and remember, God knows best!!!!

For comments and archives

    Fitness Update

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

Exercise and emotions: an update

It’s well–known that exercise produces endorphins, naturally–occurring brain chemicals that lead to improved mood, decreased stress and enhanced feelings of joy. Now, researchers from Penn State University have an update on the positive feeling experienced as a result of exercise. Their research, published in the latest issue of the Journal of Sport and Exercise Psychology, reports that these positive feelings are a function of individual bursts of exercise, whereas it was previously thought that these effects were the cumulative result of regular exercise sessions.

The researchers asked 190 college students to keep daily diaries of their lives, including vigorous exercise, free–time physical activity, sleep and mental and emotional states (including stress and other emotions). Participants only recorded physical activity that lasted at least 15 minutes and indicated whether it was mild, moderate or vigorous. Participants kept these diaries for a total of eight days. The researchers concluded that exercise had a direct and significant impact on ‘pleasant–activated’ emotions, which are defined as feelings of enthusiasm and joy, accompanied by excitement. Exercise did not have a large impact on ‘pleasant–deactivated’ emotions, which were feelings of happiness accompanied by relaxation.

This research also shows that intense bouts of vigorous activity that are more intense produce equally intense feelings of excitement, euphoria and joy. Therefore, individual bouts of exercise produce individual periods of enhanced mood. These accumulate over time when exercise is performed regularly, so it’s important to stay active daily.

For comments and archives

    Cardiology eMedinewS

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

India Live 2012

FFR Based Stenting And Bypass Surgery – Dr U Kaul

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Calcified Coronaries – Dr S Mathew

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Chronic Total Occlusion – Dr Uedoi Kinzo

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LMCA – Dr B Chavalier

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Focus of Future Stents – Dr Adnan Kastrati (Germany)

Read More

Balloon Mitral Valvotomy – Dr C N Manjunath

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    Pediatric eMedinewS

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

Pneumonia Tx Guideline Shifts Scrips For Kids

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Fish Oil May Fix Heart Risk Tiny Babies Face

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Clot Busters Look Safe In Pediatric Stroke

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    IJCP Special

Dr Good Dr Bad

Situation: A patient with CKD wanted a cardiology reference.
Dr Bad: It’s not needed.
Dr Good: You should get it done.
Lesson: Chronic renal dysfunction alone is an independent risk factor for the development of coronary artery disease, and for more severe coronary heart disease.

For comments and archives

Make Sure

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time?
Lesson: Make sure that all foreigners are diagnosed to be suffering from Travelers’ diarrhea even if there is one single loose motion.

For comments and archives

    Quote of the Day

(Dr GM Singh)

The will to win means nothing if you haven’t the will to prepare. Juma Ikangaa

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

HPV is the primary cause of cervical cancer and almost all the cervical cancers are caused by HPV.

    Mind Teaser

Read this…………………

ha ir
ha ir

Yesterday’s Mind Teaser: The most common cystic disease of the spleen is

a) Hydatid cyst of spleen
b) Pseudocyst of the spleen
c) Columnar lined cyst of spleen
d) Cystic lymphangioma

Answer for Yesterday’s Mind Teaser: b) Pseudocyst of the spleen

Correct answers received from: Dr Mrs S Das, Dr PC Das, YJ Vasavada, Dr KV Sarma, Dr Thakor Hitendrasinh G, Raju Kuppusamy, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Anil Bairaria, Pradeep Kaur, Dr Mrs S Das, Dr PC Das.

Answer for 24th February 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: Muthumperumal Thirumalpillai, Anil Bairaria, Pradeep Kaur, Dr Mrs S Das, Dr PC Das.

Send your answer to ijcp12@gmail.com

   Laugh a While

(Dr GM Singh)

Teacher: George, go to the map and find North America.
George: Here it is!
Teacher: Correct. Now, class, who discovered America?
Class: George!

    Medicolegal Update

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

Doctor and care of the terminally ill

The duty of the physician is to heal and, where possible, relieve suffering and act to protect the best interests of his patients. There shall be no exception to this principle even in the case of incurable disease or malformation. This principle does not preclude application of the following rules:

  • The physician may relieve suffering of a terminally ill patient by withholding treatment with the consent of the patient or his immediate family if unable to express his will.
  • Withholding of treatment does not free the physician from his obligation to assist the dying person and give him the necessary medicaments to mitigate the terminal phase of his illness.
  • The physician shall refrain from employing any extraordinary means, which would prove of no benefit for the patient.
  • The physician may, when the patient cannot reverse the final process of cessation of vital functions, apply such artificial means as are necessary to keep organs active for transplantation provided he acts in accordance with the laws of the country or by virtue of a formal consent given by the responsible person and provided the certification of death or the irreversibility of vital activity had been made by physicians unconnected with the transplantation and the patient receiving treatment.
  • These artificial means shall not be paid for by the donor or his relatives. Physicians treating the donor shall be totally independent of those treating the recipient and of the recipient himself.

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)

Drinking Coffee Prevents Parkinson’s disease

Nicotine present in the tobacco has been used for its medicinal value for quite sometime for diseases like Parkinson’s disease and ulcerative colitis. A study from University of Miami School of Medicine, USA, has shown that people from families prone to Parkinson’s disease are less likely to develop the disease if they drink coffee on a regular basis.

Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India, commenting on the study said that both coffee and nicotine have a link with dopamine in the brain. Dopamine is a chemical that decreases in patients with Parkinson’s disease.

It is possible that people who are going to have Parkinson’s disease have lower levels of dopamine. Those with low levels of dopamine may be more likely to enjoy caffeine.

Parkinson’s disease is caused when brain cells that produce dopamine die. The disease is progressive, affecting about one percent of people older than 65.

Symptoms start out with shaking and can progress to paralysis. There is no cure, although a number of drugs can make symptoms better for a time.

    Readers Responses
  1. Dear Sir, Thanks for providing the spiritual information. Regrds: Dr Prachi
    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

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    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