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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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Photos and Videos of 2nd eMedinewS – Revisiting 2010

  Editorial …

27th January 2012, Friday

Snoring how boring

When this irritating sound blasts through the quietness of the night it can drive the sanest of people insane – well almost! There are many couples who have divorced on this ground. It’s no joke to be accused to snoring – neither for the snorers nor for the sufferers who have to endure sleepless nights! Even the fair sex is not immune to this malady howsoever they might deny it.

The cause of snoring is air flowing through the open mouth and causing the soft palate (side area around the back of the tongue and the tonsils) to vibrate. This results in the production of sound – the snore!

Medically, snorers are found to be more prone to:

  • Heart attacks
  • Sudden death
  • Arrhythmias – according to MEDINEWS a leading medical journal.

Certain conditions can predispose to snoring. These are:

  • Enlarged tonsils or adenoids
  • Congestion in the nasal sinuses
  • A deviated nasal septum
  • Loose dentures
  • Nasal polyps
  • Sleeping on your back (causes the tongue to fall back and block the windpipe partially)
  • Aging causes the throat muscles to become flabby. This is also caused by alcohol, and certain drugs – tranquilizers, pain killers, or sedatives, all of which depress the brain and cause the muscles to be loose.

Practical remedies for this malady

  • Find the cause and treat it if snoring is due to any of the above conditions. Corrective measures should be undertaken ant it may stop snoring.
  • Sleeping on the side: The tongue does not block, the airway and hence helps to prevent snoring for this purpose a ball is stitched on the back of the night suit shirt to remind the person to sleep on the side.
  • A special anti snoring pillow can be made in which the portion under the neck is higher than the one under the head, hence extending the neck this prevents snoring.
  • Lose weight if you are overweight, especially around the belly.
  • Stop smoking as smoke irritates the nasal mucosa and the throat.
  • Sleep without dentures if you use them.
  • For the sufferers one last line: Stuffing your ears with cotton wool (or your partners mouth) or sleeping in another room may be the best answer to the solution. If nothing helps – just pray to God for endurance.

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

Snoring how boring

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

Dr Kaberi Banerjee was awarded with Dr J J Sood Memorial eMedinewS Oration award in the 3rd eMedinewS Revsiting held on 22nd January 2012

Dr K K Aggarwal
    National News

Soon, ban on blood tests to detect TB

NEW DELHI: India will soon ban blood tests to detect tuberculosis (TB) that are widely available across the country. An expert group set up by the Drug Controller General of India has found that blood tests are mostly inaccurate for TB detection. It has recommended to the Union health ministry to immediately ban them. A ministry official said "The DCGI had set up an eight–member committee to look at whether a proposal by the World Health Organization of banning blood tests for TB was accurate and whether these kits can be trusted. The committee has said it is not advisable to use blood tests and hence should be banned." Experts said not only do these blood tests fail to accurately diagnose TB, they aren’t even cost effective as compared to the standard culture test provided free by the government. DCGI said, blood tests more often test positive when the patient does not have TB (false positive) and test negative when the patient actually has TB (false negative). (Source: TOI, Jan 24, 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

Kids, teens ignore sun risks

Most children and adolescents did not regularly use sunscreen despite reporting high rates of sunburn, data from a prospective cohort study showed. (Source: Medpage Today)

For comments and archives

CDC: Leg, foot amputations declining in adults with diabetes

The US Centers for Disease Control (CDC) reports that hospitalizations for nontraumatic lower–extremity amputation (NLEA) decreased by 65% from 1996 to 2008 among US adults at least 40 years of age who had diagnosed diabetes, according to the results of a national survey study published in the February issue of Diabetes Care. (Source; Medscape Medical News)

For comments and archives

Eating fried food not always bad for the heart

Fried food may not necessarily be hard on the heart or clog the arteries, as long the frying is done in healthier oils, Spanish researchers found. (Source: Medpage Today)

For comments and archives

   Twitter of the Day

@DrKKAggarwal: If needed the doctor must perform CPR even in patients with injury chest When a person is in need of… fb.me/LDWQf0Kc

@DeepakChopra: Spirituality is not a contrived mood or behavior but a simple unaffected humanity.

    Spiritual Update

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

Why do we place our hands over the flame?

Flame is the "flame" of true knowledge. At the end of any aarati, we place our hands over the flame and then touch our eyes and the top of the head. It means – "May the light that illuminated the Lord light up my vision; May my vision be divine and my thoughts noble and beautiful"

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What preparation is needed before ART?

  • Testing for ovarian reserve may be recommended in order to predict how the ovaries will respond to fertility medication.
  • Ovarian reserve may be determined by any of these methods: measuring FSH and estradiol levels on the second or third day of a menstrual cycle, measuring the level of AMH (anti–müllerian hormone), performing a clomiphene citrate challenge test, or counting the number of small follicles in the ovary (antral follicle count)
  • Uterine cavity abnormalities such as fibroids, polyps, or a septum may need to be corrected before IVF or GIFT. A hydrosalpinx, a fluid–filled, blocked fallopian tube, reduces IVF success.
  • Semen is tested before ART. If semen abnormalities are identified, consultation with a specialist in male infertility should determine if there are correctable problems or underlying health concerns e.g. for men who cannot ejaculate, such as those with spinal cord injuries, medical procedures to assist ejaculation are recommended. These procedures include penile vibratory stimulation (PVS) and electroejaculation (EEJ). For men who are able to ejaculate, but who do not produce sperm in their semen, medical procedures are available to retrieve sperm from reproductive tissues. These procedures include microepididymal sperm aspiration (MESA), percutaneous epididymal sperm aspiration (PESA), or testicular sperm extraction (TESE).

For comments and archives

   An Inspirational Story

(Dr Anupam Sethi Malhotra)

The seven C’s of Success by Brian Tracy

Clarity: Eighty percent of success comes from being clear on who you are, what you believe in and what you want.

Competence: You can’t climb to the next rung on the ladder until you are excellent at what you do now.

Constraints: Eighty percent of all obstacles to success come from within. Find out what is constraining in you or your company and deal with it.

Concentration: The ability to focus on one thing single–mindedly and see it through until it’s done takes more character than anything else.

Creativity: Flood your life with ideas from many sources. Creativity needs to be exercised like a muscle; if you don’t use it you’ll lose it.

Courage: Most in demand and least in supply, courage is the willingness to do the things you know are right.

Continuous learning: Read, at the very least, one book a week on business to keep you miles ahead of the competition. And just as you eat and bathe, organize your time so you spend 30 minutes a day exploring email, sending messages, going through websites, because like exercise, it’s the only way you can keep on top of technology. If you get away from it, you’ll lose your edge…

For comments and archives

   Cardiology eMedinewS

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

Pharmacies Can Help Keep Diabetes Patients On Track

Read More

Troponin T correlates with A1C

Read More

Most CAD Patients Are Under Treated

Read More

   Pediatric eMedinewS

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

New guidelines for Down syndrome

Read More

Prolonged bottle use and obesity

Read More

Intravenous dosing of acetaminophen

Read More

    Healthy Driving

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

How does vision affect driving?

The ability to see to both sides is particularly important for the early recognition of cross–traffic, pedestrians and animals at the roadside, without having to look away from the road ahead.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with acute heart attack was not fit for reperfusion therapy
Dr Bad: Start 60 mg prasugrel.
Dr Good: Chew 300 mg aspirin and 300 mg clopidogrel.
Lesson: For patients receiving no reperfusion therapy, start clopidogrel 300 mg as opposed to prasugrel.

For comments and archives

Make Sure

Situation: A 4–year–old girl with rickets is unresponsive to high doses of vitamin D.
Reaction: Oh my God! Why didn’t you advise alfacalcidol?
Lesson: Make sure to advise alfacalcidol in patients unresponsive to calcium/vitamin D therapy. Alfacalcidol, in numerous studies, has been found to be effective in refractory cases of rickets.

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  Quote of the Day

(Dr GM Singh)

If you are going to achieve excellence in big things, you develop the habit in little matters. Excellence is not an exception, it is a prevailing attitude. Colin Powell

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Only tissue diagnosis is conclusive. Where tissue diagnosis is not possible, clinical correlation along with radiology findings is mandatory

    Mind Teaser

Read this…………………

(Contributed by Dr GM Singh)

Which of these drugs has been shown to improve labyrinthine blood flow and to re–equilibrate central vestibular imbalance, it is considered useful in treatment of patients with vascular disease of the vestibular system?

a. Propranolol
b. Amitriptyline
c. Cinnarizine
d. None of above

Yesterday’s Mind Teaser: LE/

Answer for yesterday’s Mind Teaser: Broen Level

Correct answers received from: Dr. P. C. Das, Dr.K.LAKSHMINARAYANAN, Dr Avtar Krishan, Dr Vijay Kansal,yogindra vasavada, Dr. Thakor Hitendrasinh G, Sudipto Samaddar,

Answer for 25th January Mind Teaser: Cross road
Correct answers received from: DR. MANJESHA, Prof. Chetana Vaishnavi, Dr Avtar Krishan, Dr. Mrs. S. Das

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

OPD Note: Patient has two teenaged children, but no other abnormalities.

    Public Forum

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Shedding weight improves the relaxation functions of the heart

Shedding extra weight improves the heart functions whether the weight loss comes from eating less or exercising more, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Moderate weight loss, around 10% of the weight, can restore heart’s elasticity –– making it easier for the heart to relax between contractions and refill with blood.

With age the body tissue accumulates collagen fibers, which causes heart muscle and arteries –– to become stiffer. So over time, the heart starts to take a bit longer to relax between contractions and fill back with blood. Excess weight and obesity in particular adds to this misery by further causing further worsening of the relaxing functions of the heart. The weight can be reduced by diet alone, exercise alone or both. The end result is improvement in the heart functions so long as one looses weight.

    Readers Response
  1. The entire conference was STUPENDOUS, ASTOUNDING, colossal, FABULOUS, fantastic, great, marvelous, mind–blowing, OVERWHELMING, prodigious, SUPERB, terrific, and my vocabulary finishes here. My regards and thanks…Dr. Anupam Sethi Malhotra
    Forthcoming Events


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.

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