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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 & 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 …

27th October 2012, Saturday

Legumes May Aid Glycemic Control, Cut Lipids

Eating more beans and chickpeas help improve glycemic control and lower total cholesterol and triglycerides in patients with type 2 diabetes. In a randomized controlled trial, patients who ate at least an additional cup of legumes per day had a greater reduction in HbA1c than patients who increased their insoluble fiber consumption for 3 months as per David Jenkins, MD, PhD, of the University of Toronto in the Archives of Internal Medicine. The diet significantly lowered mean total cholesterol and triglycerides, without any changes in HDL cholesterol levels.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Carnitine Update

A large number of high-quality randomized, controlled trials show that polyethylene glycol (PEG) significantly improves constipation-related complaints such as stool frequency, stool consistency and straining when compared with placebo or lactulose [Am J Gastroenterol 2005;100:S1-S4].

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

A soda a day raises heart disease risk by 20%

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela to focus on revival after sudden death

The forthcoming 19th MTNL Perfect Health Mela being organized by Heart Care Foundation of India jointly with Health Department, Government of NCT Delhi will focus on revival of a person after clinical death. In the photo: Hon'ble Dr. A.K. Walia, Minister of Health and Family Welfare, Government of NCT Delhi, and Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and MTNL perfect Health Mela addressing a press conference

Dr K K Aggarwal
    National News

Urban health initiative ready for Cabinet clearance: Azad

NEW DELHI: The proposal for an urban health initiative with focus on primary health care for the urban poor has been cleared by the Expenditure Finance Committee (EFC) and will soon be placed before the Cabinet. This was announced by Union Health and Family Welfare Minister Ghulam Nabi Azad during a meeting of the Mission Steering Group of the National Rural Health Mission (NRHM) here on Tuesday.

There has been an on-going tussle between the Health Ministry and the Planning Commission, with the latter approving a National Health Mission which would subsume the NRHM under it, while the former has been pushing for a separate urban health mission for the urban poor. The Ministry had agreed that the two would be combined subsequently, but the 12th Plan has approved the National Health Mission. Tuesday’s meeting had been convened to take a policy call on several issues of crucial importance in the 12th Plan. Mr. Azad said the Plan document approved by the Cabinet provided for a substantial jump in the plan outlay giving a central position to health.

Considering that public expenditure on health in India is one of the lowest in the world and disease burden is the highest, the increase in Plan outlay is a timely and welcome beginning, he said. The Minister said another important step in the 12th Plan was the move to simplify and rationalise funding to States and to provide them with the much needed flexibility to prioritise and devise strategies that meet their needs. It was planned to provide the same flexibility under the Disease Control Programmes as existed in the Reproductive and Child Health Flexi-pool and Mission Flexi-pool. According to Mr. Azad, a great distance has been covered during the 11th Plan period, resulting in tremendous addition of infrastructure, as well as human resources, but there still remain several areas of concern.

Under the NRHM, the Minister said, several thrust areas had been identified for implementation in the 12th Plan. These included strengthening Health Sub Centres to develop them as first ports of call for health care, strengthening District Hospitals to provide advanced level of secondary health care within the district itself and developing District Hospitals as knowledge centres. “The government is also moving towards Universal Health Care. We have launched Janani Shishu Suraksha Karyakram to provide free care to pregnant women and neonates. Now, we intend to provide free essential medicines in all public health facilities and universal screening of children for disease, disability and deficiency with free follow-up treatments, including those in tertiary public health facilities,” he added. (Source: The Hindu, October 24, 2012)

For comments and archives

My Profession My Concern

Lesson to learn from death of a celebrity

"Bhatti was sitting in the rear seat of the car and received serious head injuries"

It is normal in India not to wear seat belts when sitting on rear seats as there is no law to suggest the same which is not the case in the developed world where it is compulsory for all passengers of the vehicle to wear seat belts.

In simulation experiments of accidents by keeping dummies in the car it has been proven time and again that the rear seat passengers of a vehicle are at equal or at higher risk to self and the driver of the car as their unrestrained bodies act as missile / projectile to hit the belted front seat passengers during sudden brakes or impact in case of accident in views of laws of inertia - simple basic physics.

I request policy makers to utilize this knowledge and not let the death of Mr Bhatti go waste and introduce and implement the law for compulsory seat belts for rear passengers and baby seats for children in India to prevent further mishaps.

Those who wish evidence of research to be convinced with my words still here it is:

Unbelted occupants of RTC, become projectile within the vehicle which increases the risk of injury to other belted occupants. This effect will reduce the benefit of seatbelts in prevention of injury in belted patients as they become fixed targets for the projectile unbelted patients. To maximize the benefit of seatbelts, drivers, front seat passengers and back seat passengers should be all belted (so: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3121590/)

I pray for peace to departed soul and strength to the family in this difficult time and request all responsible people and IMA Punjab to take a step to help in bring legislation regarding seat belts and national IMA to organise education to masses via posters of benefit of seat belt in clinics of all doctors - to help patients read while waiting for their turn to be seen.

People have only impairments; it’s the society which makes them disabled

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

Mitral stenosis in the elderly

Percutaneous balloon valvotomy is not indicated in patients with mitral obstruction due to mitral annular calcification.

(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)

ACIP: Pertussis shots for all pregnant women

Pregnant women should be immunized against whooping cough at each pregnancy to protect their newborns from the disease, the CDC's Advisory Committee for Immunization Practices has recommended. The Tdap shot against pertussis, tetanus, and diphtheria should be given in the third or late second trimester, the committee agreed by a 14-0 vote, with one abstention. (Source: Medpage Today)

For comments and archives

Drug helps in two types of pulmonary hypertension

Treatment with a first-in-class drug called riociguat was effective against two types of pulmonary hypertension, according to phase III study results presented at the American College of Chest Physicians (ACCP) meeting. (Source: Medpage Today)

For comments and archives

Four main risk factors for PAD

Four risk factors--hypertension, diabetes, smoking, and high cholesterol--account for the vast majority of cases of peripheral arterial disease (PAD), a new study shows. The study, published in the October 24/31, 2012 issue of the Journal of the American Medical Association, was conducted by a team led by Dr Michel Joosten (Beth Israel Deaconess Medical Center, Boston, MA). (Source: Medscape)

For comments and archives

Lung-shrinking coils show promise in COPD

Metal coils that grab and compress diseased portions of the lung in emphysema patients produced significant functional improvements in a mid-stage trial, a researcher reported at the American College of Chest Physicians (ACCP) meeting. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: MTNL Perfect Health Mela 2012-Press Conference, Civic Centre,MCD South D...: http://youtu.be/1kehqeWGgog via @youtube

@DeepakChopra: Have you heard about orgasmic meditation? Watch the live demo in the latest episode of 30 DAYS OF INTENT http://tinyurl.com/9fqmtuz

    Spiritual Update

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

Top Characters of Mahabharata

To be in harmony with the body (five elements represented by Draupadi), one must acquire five qualities or in other terms live a focused life, full of strength and not getting disturbed with loss or gain and finally working for the welfare of the society without having any partiality towards anyone.

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)

What is sexual dysfunction?

Doctors divide normal sexual function into 3 phases: desire (you want to have sex), arousal (your body undergoes the physical changes that allow you to have sex), and orgasm. Sexual dysfunction occurs when your health, your relationship, or your ideas about sex cause problems in any of these phases. This is true for men and women.

For comments and archives

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

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

What is hemoglobin?

Hemoglobin is a substance present in the red cells. It helps to carry oxygen and carbon dioxide. On an average, in a healthy male it should be between 14 - 16 gm % and in a female it should be about 12 - 14 gm %. Hb is also synthesized daily and new one replaces the old stock.

For comments and archives

    An Inspirational Story

What did you do today?

One afternoon a man came home from work to find total mayhem in his house. His three children were outside, still in their pajamas playing in the mud, with empty food boxes and wrappers strewn all round the front yard. The door of his wife's car was open, as was the front door to the house.

Proceeding into the entry, he found an even bigger mess. A lamp had been knocked over, and the throw rug was wadded against one wall.

In the front room the TV was loudly blaring a cartoon channel, and the family room was strewn with toys and various items of clothing. In the kitchen, dishes filled the sink, breakfast food was spilled on the counter, dog food was spilled on the floor, a broken glass lay under the table, and a small pile of sand was spread by the back door.

He quickly headed up the stairs, stepping over toys and more piles of clothes, looking for his wife. He was worried she may be ill, or that something serious had happened. He found her lounging in the bedroom, still curled in the bed in her pajamas, reading a novel.

She looked up at him, smiled, and asked how his day went. He looked at her bewildered and asked, "What happened here today?"

She again smiled and answered, "You know every day when you come home from work and ask me what in the world I did today?"

"Yes," was his incredulous reply.

She answered, "Well, today I didn't do it."

For comments and archives

  Cardiology eMedinewS

New approach improves the safety of angioplasty in patients with coronary bypass graft disease Read More

The importance of vitamin and mineral supplementation after bariatric surgery Read More

  Pediatric eMedinewS

ICU coadmission increases death risk for mothers, infants Read More

Pediatric bone mass tracks partially into adulthood Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient was found to have waist-to-height ratio (WHtR) of more than 0.5.
Dr. Bad: It has no significance
Dr. Good: This is central obesity.
Lesson: Results of a cross-sectional study of Taiwanese adults concluded that a waist-to-height ratio (WHtR) greater than 0.5 is a simple, yet effective indicator of centralized obesity and associated cardiometabolic risk, even among individuals deemed 'healthy' according to body mass index (BMI), waist circumference. Eur J Nutr 2011 Dec 11 Epub ahead of print.

For comments and archives

Make Sure

Situation: A patient with dengue died.
Reaction: Oh my God, why was he not given adequate fluids?
Lesson: Make sure that all patients with dengue are given fluids to correct intravascular dehydration.

For comments and archives

    Legal Question of the Day (Dr M C Gupta)

Q. Can the appropriate authority seal the ultrasound machine without suspension of PC&PNDT registration?

Ans. Yes.

The scheme of law is as follows:

  1. Inspection along with seizure/sealing can be done under Rule 12.
  2. This is followed by suspension of registration under section 20.
    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Electrolytes (Sodium, Potassium, Chloride and Carbon dioxide)

To help detect and evaluate the severity of an existing electrolyte imbalance and to monitor the effectiveness of treatment. Electrolytes may be affected by many conditions; with Addison’s disease the sodium, chloride, and carbon dioxide levels are often low, while the potassium level may be very high.

  Quote of the Day (Dr GM Singh)

Never be bullied into silence. Never allow yourself to be made a victim. Accept no one's definition of your life, but define yourself. Harvey S. Firestone.

    Mind Teaser

Read this…………………

A man is traveling with a fox and two chickens, if he leaves the fox alone with the chickens the fox will eat the chickens. He comes to a river and needs to cross it, he finds a small boat that can carry only him and one animal, how does he get himself, the fox and two chickens across the river safely?

Yesterday’s Mind Teaser: You have a lighter and two fuses that take exactly one hour to burn, but they don't burn at a steady rate. For example, one fuse could take 59 minutes to burn the first inch and then burn the rest of the fuse in the last minute. How would you use these two fuses to measure 45 minutes?

Answer for Yesterday’s Mind Teaser: Light the first fuse on both ends and the second fuse at only one end. When the first fuse burns out you know 30 minutes have passed. Light the other end of the second fuse and when it burns out, 45 minutes have passed.

Correct answers received from: Dr PC Das, Dr K Raju, Dr Kanta Jain,
Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr Avtar Krishan.

Answer for 24th October Mind Teaser: The boat is floating on the water, so as the tide rises, so does the ladder.
Correct answers received from: Dr KV Sarma.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

A husband and wife were golfing when suddenly the woman asked, “Honey, if I died would you get married again?” The man said, “No dear.” The woman said, “I’m sure you would.” So the man said, “Okay, I would” Then the woman asked, “Would you let her sleep in our bed?” And the man replied, “Ya, I guess so.” Then the woman asked, “Would you let her use my golf clubs?” And the man replied, “No, she’s left handed.”

    Medicolegal Update

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

What is the August 5, 2005 Supreme Court judgment on medical negligence?

Recently, cases of doctors being subjected to criminal prosecution are on an increase. Sometimes such prosecutions are filed by private complainants and sometimes by police on an FIR being lodged and cognizance taken.

  • The investigating officer and the private complainant cannot always be supposed to have knowledge of medical science so as to determine whether the act of the accused medical professional amounts to rash or negligent act within the domain of criminal law under Section 304–A of IPC.
  • The criminal process once initiated subjects the medical professional to serious embarrassment and sometimes harassment.
  • He has to seek bail to escape arrest, which may or may not be granted to him.
  • At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.
  • We may not be understood as holding that doctors can never be prosecuted for an offence of which rashness or negligence is an essential ingredient.
  • All that we are doing is emphasizing the need for care and caution in the interest of society; for, the service which the medical profession renders to human beings is probably the noblest of all, and hence there is a need for protecting doctors from frivolous or unjust prosecutions.
  • Many a complainant prefer recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

MTNL Perfect Health Mela to focus on revival after sudden death

New Delhi: Friday, 26 October 2012: The forthcoming 19th MTNL Perfect Health Mela being organized by Heart Care Foundation of India jointly with Health Department, Government of NCT Delhi will focus on revival of a person after clinical death.

Over 10,000 persons will be trained in Compression Only Cardiopulmonary Resuscitation technique. Various Mela related activities will be held from 1st to 11th November, 2012 and the main Mela will be held from 7th to 11th November, 2012 at the Constitution Club of India, New Delhi

Addressing a press conference, Hon'ble Dr. A.K. Walia, Minister of Health and Family Welfare, Government of NCT Delhi, said that one percent of the population of Delhi should be trained in Compression-only Cardiopulmonary Resuscitation as the incidence of heart disease and diabetes is maximum in India in the world. Sudden death is common in both conditions.

Sudden death can only revived in the first 10 minutes and the revival technique can be attempted by bystanders.

More than 25 lakhs people die of sudden death in the country in a year and 80% of them can be revived if bystanders try to resuscitate them timely with compression only CPR.

CO-CPR is not for done for a heart attack. The first aid for a heart attack is to chew a tablet of 300 mg water-soluble aspirin at the onset of chest pain.

Formula of 10 for preventing sudden deaths

Co-addressing the press conference, Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India said that the CO-CPR Mantra is “Within 10 minutes of death of a person for the next 10 minutes, one should compress the centre of the chest of the victim with a speed of 10x10 = 100 per minute.” In absence of electric shock machine, two thumps should be given with the fist in the centre of the chest before starting CO-CPR.

To be covered in Limca Book of Records

The Mela will be launched with a CO-CPR camp at Birla Vidya Niketan where 1000 school teachers and students will be trained on 200 dummies. The event will find its place in Limca Book of Records.

Focus on all systems of medicine

One of the attractions of this year’s Mela will be workshops on Homeopathy, Ayurveda, Naturopathy, Veterinary Medicine with focus on Zoonotic diseases and Yoga, Pranayama cum Meditation. A special seminar will also be organized in collaboration with AIR with specialists from all pathies under one roof. A special conference will also be organised with Ministry of Earth Sciences on Women Health & Climate Change.

Programs on health

Dilli Aaj Tak will air five special lifestyle programs every day in the evening with eminent faculties. The topics will be life style, high blood pressure, diabetes and obesity.

Artificial intelligence

For the first time, there will also be a conference on physics of consciousness and artificial intelligence. Scholars from physics and other fields will participate.

Nursing home problems

Delhi Medical Association will also organize a workshop on nursing home problems. The event will be coordinated by Dr Harish Gupta President DMA.

Exhibition on food adulteration

The Mela will also have practical workshops on food adulteration, its identification and prevention. It will also focus on permissible and non permissible food additives.

Exhibition on science behind miracles

Dept. of Science & Technology will also be placing special exhibitions on science behind miracles.

Over 500 children, 2000 nurses and 1000 college students to take part

Interschool competitions will be coordinated by Birla Vidya Niketan and Ryan Global School. Over 5000 school children will participate in various health and environment competitions. Over 2000 nurses and 1000 medical doctors and young students will be participating in various health related competitions.

Seminar on ‘All Pathy Consensus’

A seminar on ‘All Pathy Consensus’ on obesity and on spiritual gurus white paper on prayer and health will also be held. Bharatiya Vidya Bhavan will coordinate the spiritual gurus’ workshop.

Poonam Jhawar for awareness on road traffic accidents

Cine actress Ms Poonam Jhawar from the movie (OMG - Oh My God).who plays the character of Gopi Maiyya, star attraction of the press meet, said that stars live a stressful life and should learn to relax and do pranayama and meditation. She said that a special exhibition that will be organised at the Mela on road safety will be dedicated to Mr. Jaspal Bhatti. A special booklet will also be released by the Dept. of Transport, Govt. of Delhi.

Mela, a bhagidari project for people from sectors of the society

Mr. Rajesh Kumar from LIC, Mr K J Kumar(DGM) from Indian Oil Limited, Ms Renu from Prohibition Department, Delhi Govt. , Dr N K Yadav from MCD South, Dr P K Sharma of NDMC, Mr Deepak Chanduka (GM MTNL- Corporate Office) and Mr A K Srivastav (GM Mktg-MTNL Delhi), Dr ABP Mishra (DST) also addressed the press.

Teleconsults by MTNL

MTNL will focus on telemedicine and teleconsultations. Both MCD and NDMC will have special focus on dengue menace in the city. The awareness will focus on how to prevent deaths from dengue.

White paper on preventing deaths from dengue

The Mela will also come out with a white paper on dengue and suggestion to the government for prize control policies when facing any epidemic situation and the right treatment guidelines. It has been seen that non serious patients often occupy the beds and the serious patients end up in getting no beds. The policy should define clinical situations where beds should not be denied in dengue.

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  1. Dear Sir, we like your concept of spreading information. Regards: Dr Jaya
    Forthcoming Events

19th MTNL Perfect Health Mela 2012 Programme

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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