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emedinews is now available online on www.emedinews.in or www.emedinews.org
Dr KK Aggarwal

From the Desk of Editor in Chief
Padmashri 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; Member 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

Dear Colleague

28th February 2010, Sunday

Court orders action against quackery

The Madras High Court verdict has said that the Indian Medical Association (IMA) may furnish the names of all those who are prescribing allopathic medicine without a valid licence, and using the prefix Dr to their names, to the Deputy Superintendent of Police and the District Medical Officer (DMO) concerned. The news was published in the Chennai edition of The Hindu, Wednesday, February 24, 2010.

On behalf of the government, the court was assured that the authorities concerned would take necessary steps.

The First Bench, consisting of Chief Justice H L, Gokhale and Justice K K Sasidharan, passed the order while disposing of a writ petition by the IMA, represented by K Prakasam, Chairman, IMA Quackery Eradication Committee, Tamil Nadu State Branch.

The petitioner sought a direction to the official authorities to consider the representations sent last year and initiate criminal prosecution against paramedical technicians, paramedical practitioners and physiotherapists who are prescribing allopathic medicine and administering allopathic treatment and using ‘Dr.’ before their names in prescriptions and advertisements.

In its order, the Bench said when a similar matter came up before the High Court and it disposed off the petition on January 5, directing the petitioner to furnish to the authorities the names of those who were allegedly practising medicine without a valid licence.

The authorities were directed to take action against such persons on receiving the information.

Similarly, the IMA may also furnish the names of such persons to the police and the DMO concerned.

Dr KK Aggarwal
Chief Editor

News and Views

FDA denies approval of drug to treat restless leg syndrome

Gabapentin encarbil, was denied approval for treatment of restless leg syndrome, a condition that causes sufferers to have an urgent need to move their legs

Sex after angioplasty

You can have sex after your angioplasty as soon as you feel you are ready. You may feel anxious, but sex doesn’t put any more strain on the heart than climbing a couple of flights of stairs.

Second hand smoke harmful

New research by the Oklahoma Tobacco Research Center (OTRC) shows that concentrations of secondhand tobacco smoke inhaled in smoking rooms of restaurants and bars are exceptionally high and hazardous to health.

Obesity: mild or severe, raises kidney stone risk

Obesity in general nearly doubles the risk of developing kidney stones, but the degree of obesity does not appear to increase or decrease the risk one way or the other, a new study from Johns Hopkins shows.

eGFR and proteinuria bad signs

Patients with high levels of proteinuria in addition to reduecd eGFR had an associated increased risk of all–cause death, heart attack or progression to kidney failure, according to a study in the February 3 issue of JAMA. Patients with heavy proteinuria but without overtly abnormal eGFR appeared to have worse clinical outcomes than those with moderately reduced eGFR but without proteinuria.

Frying on a gas stove instead of an electric one may be more hazardous to a chef’s health

Doing so resulted in higher concentrations of polycyclic aromatic hydrocarbons, aldehydes, and particulate matter in the air (Ann Kristin Sjaastad, Norwegian University of Science and Technology, Trondheim, Norway, in Occupational and Environmental Medicine).

Regular use of ibuprofen has a neuroprotective effect against Parkinson’s disease

In an observational study, use of ibuprofen at least twice a week was associated with a 38% lower risk of new–onset Parkinson’s disease over six years compared with taking the painkiller less than twice a week (P=0.02) [Dr Xiang Gao, of the Harvard School of Public Health]

Conference Calendar

8th National Conference of Obesity Surgery Society of India
Date: March 5–7, 2010
Venue: Hotel Clarks Amer, Jaipur

Quote of the Day

Prayer gives a man the opportunity of getting to know a gentleman he hardly ever meets. I do not mean his maker, but himself. (William Inge)

Diabetes Fact

Long term use of metformin can cause B12 deficiency.

Public Forum (Press Release)

Say No to Alcohol During Holi

Consumption of alcohol during Holi can be dangerous. It makes one prone to accidents and drinkers may end up with quarrel unnecessarily, said Dr. K K Aggarwal, President, Heart Care Foundation of India and Editor eMedinewS. There is no evidence that non drinkers should start drinking and one should restrict the intake to less than 70 grams per week in case of social drinking.

Alcohol impairs intellect, which in turn impairs the power to judge individuals and discriminate between the opposites. Impairment in judgment can also lead to errors while driving, which may end up in fatal accidents.

Three to four drinks are sufficient to raise blood pressure to dangerously high levels in susceptible individuals. In patients who are prone to heart attacks, this dangerous rise in blood pressure can precipitate heart attack, paralysis and brain hemorrhage. The incidence of paralytic attacks is found to be high within 24 hours of heavy drinking.

Binge drinking (more than 5 pegs in one hour) is also associated with irregular heart beats and increased incidence of sudden death. Heart and high blood pressure patients are therefore specifically cautioned not to indulge in heavy drinking. Drinking one peg of alcohol (one ounce) in one hour can still be regarded as safe (social drinking) as this amount of alcohol can be totally metabolized by the liver during one hour.

Consuming six tablets of paracetamol with alcohol, which is a common practice to reduce hangover especially by women, can produce fatal liver damage. Also, taking aspirin, to reduce hangover can produce fatal hemorrhage in the stomach and hence should be avoided.

The festival of Holi is to share happiness with each other while forgetting all the differences. The practice of consuming bhang, which can cause impairment in judgment and brain functioning, should also be avoided.

Those who cannot restrict should only take red wine as it contains antioxidants, polyphenols that slow cell deterioration. They also prevent plaque build up and inhibit platelet formation. Natural sources of polyphenols are grape seeds, grape skin, aloe vera, green tea, chocolate and cocoa. The types of polyphenols in cocoa are flavonoids and flavanols, and it contains catechins, epicatechins, and procyandins.

Question of the day

What are the pulmonary complications of sulfasalazine?

Pneumonitis, with fever and rash, is a recognized complication of sulfasalazine therapy. Most of these patients present with the clinical syndrome of pulmonary infiltrates with eosinophilia.
Other disorders which can occur, include interstitial lung disease, bronchiolitis obliterans with organizing pneumonia and granulomatous lung disease.1

A pulmonary picture consistent with Wegener’s granulomatosis has also been attributed to sulfasalazine.2

But pulmonary toxicity attributable to 5–ASA (5–aminosalicylic acid) is less common. Some affected patients have diffuse or basilar infiltrates, sometimes with eosinophilia or may develop bronchiolitis obliterans.


  1. Hamadeh M, Atkinson J, Smith LJ. Sulfasalazine–induced pulmonary disease. Chest 1992; 01:1033–7.
  2. Salerno SM, Ormseth EJ, Roth BJ, et al. Sulfasalazine pulmonary toxicity in ulcerative colitis mimicking clinical features of Wegener’s granulomatosis. Chest 1996;110: 556–9.

eMedinewS Try this it Works

Augmented Valsalva’s maneuver terminates tachycardia

The efficacy of Valsalva’s maneuver, efficacy can be increased by applying firm pressure to the right side of the hypochondrium during the expiration phase at the end of the maneuver. This increases the venous return to the right side of the heart and augments the effect on cardiac stretch receptors, thereby increasing the chance of successful arrhythmia termination.

Dr Good Dr Bad

Situation: A diabetic patient, who was recently hospitalized, came for a vaccine consult.
Dr Bad: No further vaccine is needed.
Dr Good: You need a repeat of pneumonia vaccine.
Lesson: Individuals with diabetes who are or have been recently hospitalized and other immuno–compromised states, such as after transplantation are candidates for repeat pneumococcal vaccination. (Source: ADA Standards of Care 2009)

Punjab & Sind Bank
Central Bank of India

Make Sure

Situation: A patient with diabetes shows deteriorating kidney function.
Rection: Oh my God! His HbAIC is very high?
Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

Laughter the best medicine

The patient was examined at the hospital and declared OK, so the casualty officer sent a note to the GP involved saying "Dear doctor, Heart present".

Formulae in Critical Care

Vital capacity (VC)
Formula: VC = TV + IRV + ERV
TV = Tidal volume, IRV = Inspiratory reserve volume, ERV = Expiratory reserve volume.

Milestones in Neurology

Donald Brian Calne (1936), is a Canadian neurologist who is a leading Parkinson’s disease researcher. He was the first researcher who used synthetic dopamine to treat Parkinson’s disease. He has shown that latent damage occurs in the brain even before the symptoms of Parkinson’s disease appears

Mistakes in Clinical Practice

Use generic names when possible; beware of sound–alike brand names. Isoprin or isoptin are sound alike drugs.

1–7 April Prostate Disease Awareness Week: Prostate SMS of the Day (Dr Anil Goyal)

Enlargement of prostate is a significant cause of morbidity in elderly men.

Lab test (Dr Navin Dang)

A Positive blood culture for salmonella is the conclusive test for typhoid fever.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name Indication Approval Date
Each ml contains Calamine 15% w/v + Zinc oxide 5% w/v + Bentonite 3% w/v+ Glycerin 5%w/v + Sodium citrate 0.05 % w/v lotion
For the treatment of pruritus and prickly heat

(Advertorial section)



Advertising in eMedinewS

eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month. Contact: drkk@ijcp.com. emedinews@gmail.com

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

Stress Management Workshop (April 17–18)

A stress management workshop with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized on April 17–18, 2010.

Organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, in association with IMA New Delhi Branch and IMA Janak Puri Branch

Venue: Om Shanti Retreat Center, National Highway 8, Bilaspur Chowk Pataudi Road, Near Manesar.

Timings: On Saturday (2pm onwards) and Sunday (7am–4pm). There will be no registration charges, limited rooms, kindly book in advance, stay and food (satvik) will be provided. For booking e–mail to emedinews@gmail.com or sms to Dr KK Aggarwal 9811090206/ BK Sapna 9811796962

Stroke Update Workshop for GPs

Indian stroke association and International Stroke Conference is organizing a Stroke Update Workshop on March 13–14, 2010 at AIIMS Auditorium. eMedinewS has tied up with the conference for free registration for first 200 GPs of NCR. Organizer: Dr Padma, Prof of Neurology, AIIMS, New Delhi. SMS for free registration to 9717298178 or email to isacon2010@gmail.com

Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.

Readers Responses

  1. Dear Dr. Aggarwal, Please accept my heartiest congratulations for "Padma Shri" conferred on you. We are very delighted that Government of India has recognized your sterling contribution in the field of Healthcare. You have been well known for proving an excellent treatment to your patients. Our associations goes back to 1980 having been your patient when you joined late Dr.(Col.) K. L. Chopra. We are sure you would attain greater heights in your field of healthcare and medicine. My best wishes for your long and fruitful life. Warm regards: D. P. Dhawan, Former Finance Director, Glaxo Smith Kline Consumer H. Care Ltd.

  2. Congratulations for having been chosen for this prestigious award: Ranjana & Rajesh Mudgil

  3. Congratulations, Krishan. I am proud of you: Dr. H C Tiwari

  4. Dear Dr. Aggarwal, My heartiest congratulations for highly deserved honour. Wish you continued success. Regards: V K Parashar


Alternate sunday workshop with Dr KK Aggarwal at Moolchand Medcity. 8-10am Practical, question answer format of use to practice. do not miss. 

Join DR.K.K.AGGARWAL CME’s STUDY GROUP FREE CLASSES, It includes a step–by–step approach to clinical management. Next class Sunday 28th Feb. Subject Diabetes [DR.G.M.SINGH]