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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 9 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 December 2012, Wednesday

Biggest Cardiology Stories of 2012 from Heart Wire


  • The most important study of 2012, the Dal-OUTCOMES study, was unfortunately a failure.
  • This is now the second failure of a drug in this class, but possibly for two different reasons. This sets up a major drama for the development of anacetrapib and evacetrapib, both of which are in or entering very large-scale clinical-outcomes studies. It also calls into further question the broad issue of HDL raising in general, which together with the clinical data and the newest genetic data (Mendelian randomization studies) are changing very long-held beliefs in this field
  • For 2013, HPS-2 THRIVE (Heart Protection Study 2-Treatment of HDL to Reduce the Incidence of Vascular Events) may be positive.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

A diagnosis of dyssynergic defecation should not be made unless at least two of the following studies are positive: anorectal manometry, anal sphincter EMG, defecography and impaired balloon expulsion from the rectum.

Dr K K Aggarwal
    eMedinewS Audio PostCard

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

Vegetable and fruits lower chances of
getting some cancers

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela 2012

Large number of Nursing students took active participation in the 19th MTNL Perfect Health Mela

Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Indian MBA students world’s most academically distinguished: Survey

BANGALORE: It is students from IIM-Bangalore, not from Harvard or Stanford or even MIT, who excel at GMAT, the entrance test for the creme de la creme of B-schools across the world. According to the QS Global 200 Business Schools report, Indian MBA candidates are the world's most academically distinguished, with students of the IIM-B, scoring the highest average of 780. IIM-B students are ahead of the leading US institution Stanford and INSEAD in Europe, the survey said. While the average GMAT score of Stanford is 730, INSEAD lies at 704. Second to IIM-B students in GMAT score are their counterparts from IIM, Ahmedabad with 767. The survey says, "IIM Ahmedabad is notable for the extraordinarily high average GMAT scores of its students, with its figure of 767 exceeded only by fellow Indian institution, IIM Bangalore (780). This places the two ahead of any North American or European school for the academic quality of their student intake. The fact that students enrolled at both schools have an average of just two years of professional experience underlines the tendency for academically gifted students to move quickly on to the MBA qualification at the outset of their careers, rather than using it to up-skill at mid career, as is more common in Europe and North America." IIM-B also appears in the survey as one of the emerging global business schools across the world, overtaking Melbourne Business School. "It is the testimony to high quality talent that our country has. It is no surprise that Indian students have outscored others from across the globe. What is needed now is the establishment of premier institutes like Harvard and Stanford in India as well, so that these young minds could express their intelligence in best possible manner. This is possible only when full autonomy is provided to the universities," said T V Mohandas Pai, chairman, Manipal Global Education Services. (Source: TOI, Dec 25, 2012)

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

Progressive fibrocalcific stenosis requiring surgery eventually occurs in over 75 percent of patients with bicuspid aortic valve.

(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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Rintatolimod for chronic fatigue gets FDA panel's 'No' vote

A federal advisory panel voted 8 to 5 against the approval of rintatolimod for the treatment of chronic fatigue syndrome. The Arthritis Advisory Committee split 4 to 9 against the adequacy of the data supporting efficacy and also 4 to 9 against the adequacy of the safety data. However, the panel reversed 8 to 5 in favor of the drug's safety profile overall, given the severity of the illness and what some panel members felt was the absence of a serious safety signal. (Source: Medscape)

For comments and archives

'Remain vigilant' for unrecognized spinal infections: CDC

US health authorities alerted clinicians that some patients who received spinal or paraspinal injections with contaminated methylprednisolone acetate (MPA) from the New England Compounding Center (NECC) in Framingham, Massachusetts, may currently have an unrecognized, localized spinal or paraspinal infection. New information from diagnostic MRI of patients exposed to implicated MPA "demonstrates the need for assertive clinical evaluation of these patients for the possibility of an unrecognized, localized spinal or paraspinal infection," the Centers for Disease Control and Prevention (CDC) said in a Health Alert Network (HAN) advisory. (Source: Medscape)

For comments and archives

New guidelines on screening for cognitive impairment

The Alzheimer's Association has released new recommendations to help clinicians detect cognitive impairment during Medicare Annual Wellness Visits. Based on the findings of an expert workgroup convened by the association, the recommendations aim to provide comprehensive guidance on how to assess for cognitive impairment in the primary care setting. "While physicians are required to include detection of cognitive impairment as part of the Medicare Annual Wellness Visit, until today there has been no comprehensive guidance to physicians on how to accomplish that," notes a release from the Alzheimer's Association. (Source: Medscape)

For comments and archives

Single-shot skin antibiotic passes hurdle

An investigational antibiotic did as well as vancomycin (Vancocin) in treating acute bacterial skin and skin structure infections, including those caused by methicillin-resistant Staphylococcus aureus (MRSA), the drug's maker said. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Reduce weight first if facing infertility problem Both obese men and women can face fertility problems unless... http://fb.me/zAVIMonr

@DrKKAggarwal: How does meditation affect your brain? Find out from my conversation with Rudy Tazi http://tinyurl.com/akgngy7

    Spiritual Update

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

The six months of Uttarayana

  1. As per Vedic knowledge, there are two seasons in the country Uttarayana and Dakshinayana.
  2. Uttarayana is from mid January to mid July.
  3. Dakshinayana is from mid July to mid January.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How will my doctor diagnose hydrosalpinx?

There are three ways that your doctor can check if you have hydrosalpinx.

  • X–ray procedure: The doctor will inject a special liquid into your uterus and then take an x–ray (called a hysterosalpingogram or HSG) to see where the liquid goes. If your fallopian tubes are open, the liquid will flow out of the ends of the tube. If the tubes are blocked, the liquid will be trapped and your doctor will be able to tell that you have a hydrosalpinx.
  • Surgery: Your doctor will make a small opening in your belly and insert a special telescope or laparoscope. During this surgery, the doctor can look at your fallopian tubes to see if they are blocked. Usually the doctor inserts a dye through the vagina into the uterus and fallopian tubes to confirm that the dye passes through the ends of the tubes.
  • Ultrasound: Your doctor may do an ultrasound to look at your fallopian tubes.

For comments and archives

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

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

Organ transplantation

Organ donors may be living, or brain dead. Tissue may be recovered from donors who are cardiac dead – up to 24 hours past the cessation of heartbeat. Unlike organs, most tissues (with the exception of corneas) can be preserved and stored for up to five years, meaning they can be "banked". Transplantation raises a number of bioethical issues, including the definition of death, when and how consent should be given for an organ to be transplanted and payment for organs for transplantation. Other ethical issues include transplantation tourism and more broadly the socio-economic context in which organ harvesting or transplantation may occur.

A particular problem is organ trafficking. Some organs, such as the brain, cannot yet be transplanted in humans.

In the United States of America, tissue transplants are regulated by the U.S. Food and Drug Administration (FDA) which sets strict regulations on the safety of the transplants, primarily aimed at the prevention of the spread of communicable disease. Regulations include criteria for donor screening and testing as well as strict regulations on the processing and distribution of tissue grafts. Organ transplants are not regulated by the FDA.

Transplantation medicine is one of the most challenging and complex areas of modern medicine. Some of the key areas for medical management are the problems of transplant rejection, during which the body has an immune response to the transplanted organ, possibly leading to transplant failure and the need to immediately remove the organ from the recipient. When possible, transplant rejection can be reduced through serotyping to determine the most appropriate donor-recipient match and through the use of immunosuppressant drugs.

For comments and archives

    An Inspirational Story

Grandmother's vase

One day I was lying on the bed, reading, when my mother came into the room. She held out a vase - a rather ugly vase.

She asked, "Would you like to have this vase?" I replied quickly, "No, I don't want it."

As she turned to walk away, I picked up something that said to me, Wait a minute, don't shut this off yet. So I asked, "Where did you get it?" She said, "Oh, I got it when I filled an order." Filled an order? I thought - no communication here. So I asked, "What do you mean, filled an order?"

"Well," she said, "when I was a little girl, the Smith Company mailed catalogs to people. I would take the catalog around the neighborhood, and I'd get people to order from it. When I filled an order and sent it in, they gave me a prize. One time, I got a porch swing for my family."

"Now you have to understand," said Hensley, "that my mother is 81 years old. She is one of six children in a family that her father deserted when she was quite young. Money was real hard to come by. My grandmother managed to keep the family together through the years, although I don't know how. For my mother to win a luxury like a porch swing was a significant accomplishment. Although she no longer had the swing, she had the vase - a vase full of meaning - which she offered to me. Instantly I said, "Mom, I want the vase." Now it sits in a prominent place in my living room. It symbolizes a precious meaning which my mother and I share: Unless you and I are sensitive to the other person and hear meaning, we may well have a communication problem."

"Seek to be sensitive," said Hensley, "seek to get inside of the other person's frame of reference, seek to understand the meaning out of which that person receives and responds to your message, seek genuine interaction." - The Executive Speaker

For comments and archives

    Cardiology eMedinewS

Heart failure associated with increased risk of cancer Read More

Perceived stress may be real risk for heart Read More

    Pediatric eMedinewS

Cancer in older parents may up risk in kids Read More

FDA approves Varizig to reduce chickenpox symptoms Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient developed tetany after he was given metoclopramide.
Dr Bad: Give calcium.
Dr Good: Stop metoclopramide. Give inj promethazine.
Lesson: Metoclopramide can cause extrapyramidal symptoms.

Make Sure

Situation: A patient with angina and abnormal endothelial functions was put on atenolol.
Reaction: Oh my God! Why you did not consider nebivolol?
Lesson: Make sure that nebivolol is used as the beta blocker of choice in patients with proven endothelial dysfunction (Kardiologiia 2004;44(2):15–18).

  Quote of the Day (Dr GM Singh)

Love is playing every game as if it's your last. Michael Jordan

    Legal Question of the Day (M C Gupta)

Q. There are differences in the policies regarding nursing homes in different parts of Punjab. What legal remedies do you suggest for bringing about uniformity?


Your question is not clear. However, my response is as follows:

  1. The state can have only one policy, not several policies, regarding nursing homes in Punjab. As a matter of fact, I do not think the state of Punjab has any declared policy regarding nursing homes.
  2. The state is free to formulate and implement a policy. Courts do not deny the state the right to have their own policy as they deem fit. However, the policy or its implementation or the orders or notifications etc. issued under it will be struck down by courts if there is violation of the Constitution or legislation.
  3. Probably what you are saying is that different municipal committees in Punjab have their own rules regarding nursing homes with special focus on issues like: Building plans; Location in residential versus commercial areas; Payment of taxes; and, Registration under any particular provisions. Such rules, even if they differ in different municipalities, cannot be challenged unless there is some illegality attached to them.
  4. In short, the question of a legal remedy arises only if there is an illegality. Whether there is an illegality or not has to be studied legally with respect to facts and circumstances of each case vis-à-vis the laws applicable.
    Mind Teaser

Read this…………………

When a post-thyroidectomy client returns from surgery the nurse assesses her for unilateral injury of the laryngeal nerve every 30 to 60 minutes by:

A. Observing for signs of tetany
B. Checking her throat for swelling
C. Asking her to state her name out loud
D. Palpating the side of her neck for blood seepage

Yesterday’s Mind Teaser: Kenneth who has diagnosed with uremic syndrome has the potential to develop complications. Which among the following complications should the nurse anticipate:

a. Flapping hand tremors
b. An elevated hematocrit level
c. Hypotension
d. Hypokalemia

Answer for yesterday’s Mind Teaser: a. Flapping hand tremors

Correct answers received from: Dr Aji, Muthumperumal Thirumalpillai,
Dr Chetna Bansal, Dr KP Chandra, Dr Pankaj Agarwal, Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Ajay Gandhi, Dr Avtar Krishan, Dr U Gaur.

Answer for 24th December Mind Teaser: b. Distention of the lower abdomen

Correct answers received from: Dr (Maj. Gen.) Anil Bairaria, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Kamlesh.

Send your answer to ijcp12@gmail.com

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

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    Laugh a While (Dr GM Singh)

Daytime television

A newspaper reporter was writing a feature story about prison life and was interviewing one of the prisoners. "Do you watch much television here?" "Only the daytime shows," the inmate said. "At night we’re locked in our cells and don’t see any television."

"That’s too bad," the reporter said, "But I do think it is nice that the warden lets you watch it in the daytime."

"What do you mean, nice?" the inmate said. "That’s part of the punishment."

    Medicolegal Update

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

Exposure to a poison leads to illness

The very old, very young or those in poor health suffer greater damage

When people are in contact with a poison they are said to be exposed to it. The effect of exposure depends partly on how long the contact lasts and how much poison enters into the body, and partly on how much poison the body can get rid of during this time. Exposure may happen only once or many times.

  • Acute exposure is a single contact that lasts for seconds, minutes or hours, or several exposures over about a day or less.
  • Chronic exposure is contact that lasts for many days, months or years. It may be continuous or broken by periods when there is no contact. Exposure that happens only at work, for example, is not continuous. Chronic exposure to small amounts of poison may not cause any signs or symptoms of poisoning at first. It may be many days or months before there is enough chemical inside the body to cause poisoning. For example, a person may use pesticide every day. Each day the person is exposed to only a small amount of pesticide, but the amount of pesticide in the body gradually builds up, until eventually, after many days, it adds up to a poisonous dose. Only then does the person begin to feel unwell.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Don’t ignore women’ health

Women are not diagnosed or treated as aggressively as men. Even though more women than men die of heart disease each year, women receive only 33% of all angioplasties, stents and bypass surgeries; 28% of implantable defibrillators and 36% of open-heart surgeries, according to the National Coalition for Women with Heart Disease.

Although the traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — have a detrimental impact in men and women, certain factors play a bigger role in the development of heart disease in women, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

  1. Metabolic syndrome — a combination of increased blood pressure, elevated blood glucose and triglycerides — has a greater impact on women than men.
  2. Mental stress and depression affect women's hearts more than they do men's.
  3. Smoking is much worse for women than men.
  4. A low level of estrogen before menopause is a significant risk factor for developing microvascular disease.
  5. Though women will often have some chest pain or discomfort, it may not be the most prominent symptom. Diffuse plaques build-up and diseased smaller arteries are two reasons why symptoms can be different in women.
  6. In addition to chest pain, pressure or discomfort, signs and symptoms of heart attack in women include: Neck, shoulder, upper back or abdominal discomfort, Shortness of breath, Nausea or vomiting, Sweating, Light-headedness or dizziness and unusual fatigue.
  7. Endothelial dysfunction is more common in women. In this the lining of the artery does not expand (dilate) properly to boost blood flow during activity, which increases the risk of coronary artery spasm and sudden death.
  8. WISE study results suggest that the commonly used treatments for coronary artery disease — angioplasty and stenting — are not the best option for women with more diffuse plaques.
  9. Typical tests for coronary artery disease — angiogram, treadmill testing and others — are not reliable in women.
  10. The WISE study showed that in some women, plaques accumulate as an evenly spread layer along artery walls, which is not visible using traditional testing methods.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 22315 people since 1st November 2012.
The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

    Readers Responses
  1. Dear Sir, Reading emedinews is really a matter of great knowledge. Regards: Dr Pawan
    Forthcoming Events

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi


Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/


4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.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)

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  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