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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos…
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 7 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

26th September 2012, Wednesday

Tips for Boosting Memory

  1. Follow routines, such as leaving your car keys, glasses, and cell phone in the same place every day so that finding them becomes a "no brainer."
  2. Slow down and pay attention to what you are doing to give your brain’s memory systems enough time to create an enduring memory.
  3. Avoid distracting or noisy environments and multitasking — the major memory busters in today’s fast–paced society.
  4. Get enough sleep, reduce stress, and check with your doctor to see if any of your medications affect memory — all potential memory spoilers.

(Harvard Medical School)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

When should enemas be used in a patient with constipation?

Enemas (tap water, sodium phosphate, soapsuds) should be used only as needed for constipation in the older adult, i.e., after several days of constipation in order to prevent fecal impaction. Adverse effects can include fluid and electrolyte abnormalities with phosphate enemas and rectal mucosal damage with soapsuds enemas. In elderly patients, sodium phosphate enemas should not be used for the treatment of constipation as they may lead to severe metabolic disorders associated with a high mortality and morbidity (Ori Y, et al. Fatalities and severe metabolic disorders associated with the use of sodium phosphate enemas: a single center’s experience. Arch Intern Med 2012 Feb 13;172(3):263–5).

For Comments and archives…

Dr K K Aggarwal
    eMedinewS Audio PostCard

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

To Err is Human

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

4th Dil Ka Darbar

The Darbar was organized by Heart Care Foundation of India in association with Indian Oil, Central Bank of India Department of AYUSH and various Departments under Health Ministry, Government of Delhi on Sunday 23rd September 2012 at Talkatora Stadium.

Dr K K Aggarwal
    National News

Child nutrition programme gets a three–fold budget hike

Three years after Prime Minister Manmohan Singh announced his government’s decision to revamp one of the country’s oldest child nutrition programme, that had failed to address India’s abysmal maternal and child health track record, the cabinet Monday approved a nearly three–fold increase in the scheme’s budget. The cabinet also cleared the proposal of the women & child development (WCD) ministry to convert the Integrated Child Development Services (ICDS) into mission mode and approved Rs. 1,23,580 crore for the scheme during the 12th Plan (2012–17) period. In the 11th plan period, Rs. 44,400 crore was allocated for the scheme.

ICDS launched in 1975 to address nutritional concerns of children in the 0–6 age group, pregnant and lactating mothers has failed miserably. India continues to have one of the highest – 42% – of malnourished children in the world. Even the Prime Minister, in January, described it as a "national shame." Poor infrastructure, lack of resources, overburdened staff, lax monitoring leading to pilferage and poor enforcement has reduced the efficacy of this child intervention program. "The restructured ICDS will focus mainly on early childhood development. It will target 200 high burden districts – which have the highest prevalence of malnourished children – each year till 2017," WCD minister Krishna Tirath told HT.

Besides, the staff strength at child care centres (anganwadis) will be increased. The working time of these centres is also being increased from four to six hours. Special centres would be set up periodically to monitor growth of severely malnourished children. As part of strengthening and restructuring of ICDS scheme, the WCD ministry has set a target to prevent and reduce young child under–nutrition by 10 percentage points in 0–3 years, enhance early development and learning outcomes in all children below six years of age and improve care and nutrition of girls and women and reduce anaemia prevalence in young children, girls and women by one-fifth during the plan period.

A look at ICDS

  • ICDS badly managed ever since its inception in 1975.
  • Poor infrastructure, lack of resources, overburdened staff, lax monitoring leading to pilferage reduced its efficacy.
  • At present 74% of the 11 lakh functional centres run from buildings, either of its own or rented.
  • Of these only 57% have drinking facilities, 46% have toilets and 25% have separate kitchen. (Source: Hindustan Times, September 24, 2012)

For comments and archives

My Profession My Concern

Include this in your practice

Pazopanib for advanced soft tissue sarcoma

For patients with advanced or metastatic soft tissue sarcoma (other than liposarcoma or gastrointestinal stromal tumor (GIST)) who progress after an anthracycline–containing regimen one should start pazopanib. In April 2012, pazopanib was approved by the US Food and Drug Administration for treatment of advanced soft tissue sarcoma in patients who have received prior anthracycline–containing chemotherapy.

van der Graaf WT, Blay JY, Chawla SP, et al. Pazopanib for metastatic soft–tissue sarcoma (PALETTE): a randomised, double–blind, placebo–controlled phase 3 trial. Lancet 2012;379:1879.

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Valvular Heart Disease Update

What are the complications of artificial heart valves?

Thromboembolic and anticoagulation-related problems are the most frequent complications of mechanical valves. In contrast, structural failure is relatively rare with these prostheses compared to bioprosthetic valves. Other major complications of prosthetic heart valves include endocarditis, paravalvular leak, and hemolysis.

(Experts: Dr Ganesh K Mani, Dr. Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Post–surgery death rate has gone down by 88%, says study

NEW DELHI: Survival rate within 48 hours of surgery has improved drastically worldwide over the past 50 years. A paper by the British medical journal, Lancet, on Friday shows that the likelihood of dying after a general anesthetic has dropped by roughly 90% from an estimated 357 per million before the 1970s to 34 per million in the 1990s and 2000s. During the same period, the risk of dying from any cause within 48 hours of surgery has decreased by about 88% from an estimated 10,603 per million before 1970s to 1176 per million in the 1990s and 2000s. The paper uses data from 87 studies spanning more than six decades to analyse trends in death due to anesthesia and soon after surgery involving more than 21.4 million anesthetics given in countries around the world. (Source: TOI)

For comments and archives

Myopia may protect against diabetic retinopathy

A review sifting through 52 years of published research has strengthened the belief that myopia’s structural effect on the ocular anatomy affords protection against diabetic retinopathy (DR). The medical literature is inconsistent and difficult to interpret, but Ryan Man, BSc, from the Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, Australia, and colleagues uncovered enough evidence to conclude that an elongation of the axial length of the eye provides at least a partial explanation for why myopic patients with diabetes may be up to 60% less likely to develop DR than patients without myopia. "Axial length is actually protective for both the risk and development of DR," Man told Medscape Medical News. The review was published online September 7 in Clinical and Experimental Ophthalmology. (Source: Medscape)

For comments and archives

In perineal tear, overlapping or end–to–end repair yields similar anal continence

Long after a perineal tear, anal continence is similar whether repair used an overlapping or end–to–end approach –– but certain short–term results do differ, Canadian researchers say. In their three–year follow–up study, women who had overlapping repair of a third or fourth degree obstetric anal sphincter tear had more flatal incontinence rates at one year, Dr. Scott A. Farrell told Reuters Health by email. "It also confirmed what has been found by a number of well designed studies, that there is no significant difference in fecal incontinence rates between the two procedures," he added. In a September 5th online paper in Obstetrics and Gynecology, Dr. Farrell of Dalhousie University Halifax and colleagues note that if the external anal sphincter must be repaired after an obstetric perineal laceration, anal incontinence often ensues, for at least a while. (Source: Medscape)

For comments and archives

Second-hand smoke tied to memory problems: Study

Smokers and people who regularly breathe others’ cigarette fumes are worse at remembering things on their to–do lists than are people with no tobacco exposure, a small study says. Problems with so–called prospective memory may not only lead to embarrassment if a person forgets to meet with their friends –– it can also have more-serious consequences such as forgetting to take one’s medication, British researchers wrote in a paper online August 23rd in Addiction. The study doesn’t prove that smoke damages memory, but is nonetheless a cause for concern, the researchers say. (Source: Medscape)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Control you anger – divert your thoughts, reverse counting, go for a walk, shout, sing a song, or dance – these… http://fb.me/1oOmDfLfd

@DeepakChopra: Where #God is, the ego cannot be. http://amzn.to/SOKiAH #GOD

    Spiritual Update

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

Symposium on Diet, Health & Religion – Shri J Jolly on Sikhism

A symposium on Diet, Health & Religion, second in a series was held at Bharatiya Vidya Bhavan on 5th September, 2012. The Chief Guest was Shri J Veeraraghavan, Chairman, Bhavan’s KM

For comments and archives

    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

Does obesity affect the chance of getting pregnant with treatment and having a healthy baby?

In obese women, there is an increasing amount of evidence that many complications of pregnancy for the mother (gestational diabetes, preeclampsia,) and her baby (birth defects) are increased. In addition, obese women have an increased chance of a cesarean section for delivery.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Do any diseases debar a donor from giving blood?

Yes, if the donor has suffered from any of the undermentioned diseases.

  • Fever: He should not have suffered from fever for the past 15 days.
  • Jaundice: A donor must not have his blood–tested positive for Australia antigen.
  • Blood transmitted diseases like syphilis, malaria, filaria etc., debar a donor from donating blood till he is treated and is free from them.
  • Drug: If a donor is taking drugs like aspirin, anti–hypertensive, anti–diabetics, hormones, corticosteroids etc., he is unfit to donate blood.
  • AIDS. No person who is HIV–positive can be allowed to donate blood.

For comments and archives

    Liver Abscess Update

(Dr Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation Medanta – The Medicity Hospital)

What are the predisposing factors for liver abscess?

  • Children with major debilitating diseases
  • Granulocyte dysfunction
  • Sickle cell disease
  • Immunosuppression
  • Helminthic infections
  • Congenital anomalies of biliary tract
  • Biliary strictures
  • Papillon–Leferve syndrome
  • Chronic granulomatous disease

For comments and archives

    An Inspirational Story (Ms Ritu Sinha)

The horse that wanted more beauty

A cosmic god had a horse. The horse was beautiful and also it had many good qualities. But it wanted to be more perfect in every way. It especially wanted to become beauty unparalleled.

One day the horse said to the cosmic God, "O Lord, you have given me beauty. You have given me other good qualities. I am so grateful to you. But how I wish you could make me more beautiful. I would be extremely, extremely grateful if you could make me more beautiful."

The cosmic God said, "I am more than ready to make you more beautiful. Tell me in what way you want to be changed."

The horse said, "It seems to me that I am not well proportioned. My neck is too short. If you can make my neck a little longer, my upper body will be infinitely more beautiful. And if you can make my legs much longer and thinner, then I will look infinitely more beautiful in my lower body." The cosmic God said, "Amen!" Then immediately he made a camel appear in place of the horse. The horse was so disheartened that it started to cry, "O Lord, I wanted to become more beautiful. In what way is this kind of outer form more beautiful?" The cosmic God said, "This is exactly what you asked for. You have become a camel."

The horse cried, "Oh no, I do not want to become a camel I wish to remain a horse. As a horse, everybody appreciated my good qualities. Nobody will appreciate me as a camel."

The cosmic God said, "Never try to achieve or receive more than I have given you. If you want to lead a desire–life, then at every moment you will want more and more. But you have no idea what the outcome will be. If you cry for a longer neck and legs, this is what will happen. Each thing in my creation has its own good qualities. The camel is not as beautiful as you are, but it carries heavy loads and has a tremendous sense of responsibility.


For comments and archives

    Cardiology eMedinewS

Now, one–third of patients with cardiac problems are under 40 Read More

Exercise may trim genetic obesity risk Read More

    Pediatric eMedinewS

High–dose ICE (ifosfamide, carboplatin, etoposide) helps in neuroblastoma salvage Read More

Emotional neglect in childhood may up stroke risk in old age Read More

    IJCP Special

Dr Good Dr Bad

Situation: A smoker was found to have abnormal lung density on CT chest.
Dr. Bad: It is not related to smoking.
Dr. Good: It is related to smoking.
Lesson: In a study published in the NEJM, it has been shown that 10% of smokers have abnormal lung densities in CT chest suggestive of interstitial lung disease

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is calculated correctly. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

For comments and archives

  Quote of the Day (Dr GM Singh)

Whether you believe you can do a thing or believe you can’t, you are right. Henry Ford

  Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

CA15–3 Cancer Antigen

  • This test is done during or after treatment for breast cancer to monitor advanced breast cancer and response to treatment. CA 15–3 is not a blood test that screens for breast cancer. In general, the higher the CA 15–3 level, the more advanced the breast cancer and the larger the tumor burden. In metastatic breast cancer, the highest levels of CA 15–3 are seen when the cancer has spread to the bones and/or the liver.
  • Mild to moderate levels of CA 15–3 also are seen in a variety of conditions, including liver and pancreatic cancer, cirrhosis, and benign breast disorders as well as in a certain percentage of apparently healthy individuals.
  • Pregnancy and lactation also increase levels of CA 15–3.
  • Several noncancerous conditions (benign breast or ovarian disease, endometriosis, pelvic inflammatory disease and hepatitis) can raise levels of CA 15–3.
  Rabies Update (Dr. A. K. Gupta, Author of "RABIES – the worst death")

What does humanizing your dog means?

  1. Talking to your dog like he/she is a person.
  2. Treating your dog like he/she is a person.
  3. Allowing dogs to do what they want because it will hurt their "feelings."
  4. Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

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

central bank

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

Photos of Doctor’s Day Celebration

eMedinewS Apps
    Mind Teaser

Read this…………………

An emergency treatment for an acute asthmatic attack is Adrenaline 1:1000 given hypodermically. This is given to:

A. Increase BP
B. Decrease mucosal swelling
C. Relax the bronchial smooth muscle
D. Decrease bronchial secretions

Yesterday’s Mind Teaser: John, 16 years old, is brought to the ER after a vehicular accident. He is pronounced dead on arrival. When his parents arrive at the hospital, the nurse should:

A. Ask them to stay in the waiting area until she can spend time alone with them
B. Speak to both parents together and encourage them to support each other and express their emotions freely
C. Speak to one parent at a time so that each can ventilate feelings of loss without upsetting the other
D. Ask the MD to medicate the parents so they can stay calm to deal with their son’s death.

Answer for yesterday’s Mind Teaser: B. Speak to both parents together and encourage them to support each other and express their emotions freely

Correct answers received from: Rajiv Kohli, YJ Vasavada, Dr BB Aggarwal, Dr Jainendra Upadhyay,
Dr Pankaj Agarwal, Dr K Raju, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr R Anburajan,
Dr Arvind Khanijo, Dr Thakor Hitendrsinh G.

Answer for 23rd September Mind Teaser: Business before pleasure

Correct answers received from: Dr K Raju, Dr Chandresh Jardosh.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)


A college physics professor was explaining a particularly complicated concept to his class when a pre–med student interrupted him.

"Why do we have to learn this stuff?" one young man blurted out.

"To save lives," the professor responded before continuing the lecture.

A few minutes later the student spoke up again. "So how does physics save lives?"

The professor stared at the student for a long time without saying a word. Finally the professor continued.

"Physics saves lives," he said, "because it keeps certain people out of medical school."

    Medicolegal Update

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

UK Clinical negligence law – Bolam – v – Friern Hospital Management Committee 1957

Sir Liam Donaldson – "Patients deserve to receive quality healthcare"

  • UK Clinical negligence law defines negligence as any act or omission which falls short of a standard to be expected of "the reasonable man."
  • It is necessary to show that whatever the Doctor did or did not do fell below the standard of a reasonably competent Doctor in that field of medicine.
  • In the leading case of "Bolam – v – Friern Hospital Management Committee 1957" it was stated that a doctor must act in accordance with a practice which is accepted as proper by a responsible body of men
  • There are several acceptable ways of doing something and this may mean that there is no negligence if an alternative method is chosen.
  • The fact that another person would not have done things in the same way does not automatically mean that there was clinical negligence.
  • The Doctor will be able to defend the compensation claim successfully, if it can shown that a responsible body of reputable Doctors in the relevant field would have acted in a similar manner.
  • This means that a judge will hear evidence from experts and decide whether the actions taken were appropriate.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

A second attack of dengue is more dangerous

If you have suffered from dengue last year, you need to be more careful as the second attack of dengue may be more dangerous than the first attack, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Elaborating on this, Dr. Aggarwal said that there are four different types of dengue and one can, therefore, suffer with dengue four times in his or her lifetime. The second or subsequent dengue infections tend to be more serious.

Dr. Aggarwal said that a person with dengue can also simultaneously suffer from malaria. Malaria and dengue together can lower platelet counts to a dangerous level leading to complications.

In a dengue season, nobody should take aspirin for fever as it can precipitate bleeding, he added.

In dengue most complications occur within two days of the fever subsiding and most people are casual during this period. Any type of abdominal pain, giddiness or weakness after the fever has subsided should be attended to, by a doctor. Dengue complications during this period are due to shift of blood volume and patient requires rapid infusion of oral or intravenous fluids in large quantity.

Dr. Aggarwal said that platelet transfusion is not required even if the count is as low as 10000 unless there is an associated bleeding.

    Readers Responses
  1. Dear Sir, We like Dil Ka Darbar a lot. Regards: Dr Shreya
    Forthcoming Events
Dr K K Aggarwal
Dr K K Aggarwal
    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