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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

  Editorial …

28th February, 2011, Monday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Coffee, Sex, Smog Can All Trigger Heart Attack, Study Finds

Air pollution while stuck in traffic topped the list of potential heart attack triggers, with the researchers pegging 7.4% of heart attacks to roadway smog. Coffee was also linked to 5% of attacks, booze to another 5 percent, and pot smoking to just under 1 percent, the European researchers found. Among everyday activities, exerting yourself physically was linked to 6.2% of heart attacks, indulging in a heavy meal was estimated to trigger 2.7%, and sex was linked to 2.2%.

For example, air pollution is a minor trigger for heart attacks, but since so many people are exposed to smog, it triggers many more heart attacks than other more potent triggers, such as alcohol and cocaine.

The report is published in the Feb. 24 online edition of The Lancet. In terms of risk, the team found that air pollution increased a person’s risk of having a heart attack by just under 5%. In contrast, coffee increased the risk by 1.5 times, alcohol tripled the risk, and cocaine use increased the odds for heart attack 23–fold. However, because only a small number of people in the entire population are exposed to cocaine, while hundreds of millions are exposed to air pollution daily, air pollution was estimated to cause more heart attacks across the population than cocaine.

Even emotional states can sometimes trigger a heart attack, the team found. For example, negative emotions in general were linked to almost 4% of heart attacks while anger, specifically, was linked to just over 3 percent. Even "good" emotional states were tied to 2.4% of heart attacks.
(Source: Medlineplus)

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

 Treating Diabetes Post 2010

Dr Ambrish Mithal speaks on
Adverse effects of current treatments of type 2 diabetes: Glitazones

Audio PostCard
  SMS of the Day

(Dr GM Singh)

The art of teaching is the art of assisting discovery.

    Photo Feature (from the HCFI Photo Gallery)

Dr. Sadhna Women Empowerment Awards Distributed

Dr. Sadhna Women Empowerment Awards were distributed to women of eminence. Mrs. Abheeta Khanna,  Heart Care Foundation of India felicitated with the award.
In the Photo: S. Buta Singh, Former Union Home Minister; Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India; Acharya Dr. Sadhvi Sadhna Ji Maharaj, Chairperson, Dr. Sadhna International Women Rights Protection Trust, Mrs. Mohsina Kidwai, Member of Parliament (Rajya Sabha).

Dr K K Aggarwal
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Mumbai docs chosen for Oscars of medical world

MUMBAI: It's touted as the Oscars of the medical world, complete with a list of various categories, a short-list for each and a starry announcement for each winner. And, one of the highlights of the BMJ Group Awards 2011 to be held in May will be Doctors For You, a group of young doctors from India who braved all odds to carry out relief work in flood-hit Bihar two years ago.
This voluntary doctor's group that came about after stormy discussions in Parel's KEM Hospital is elated with its unexpected selection. "We made it to a shortlist of three in the 'Medical Team in a Crisis Zone' category,'' said Doctors For You member Dr Ravikant Singh of KEM Hospital. What makes their selection even more special are their opponents in the category - international NGOs Medicines Sans Frontiers and Save the Children. "They have budgets that are equal to budgets of small Indian states and here we are with a minimal budget and a small if growing network of young doctors,'' said Singh.
Ever since the British Medical Journal (BMJ) put up the announcement online two days ago, the group is trying hard to gather money to buy five air tickets and seats at the Oscar showing-each ticket costs 228 pound at London's Hilton hotel. "We need quite a huge sum of money before the last day of March 1, but we are hopeful considering the support we got when we went to Bihar with our mission,'' said the doctor.
The Bihar floods occurred on August 18, 2008, with the first team of 45 doctors from Doctors For You reaching on September 15. The Art of Living Foundation gave the young doctors Rs 10 lakh to embark on the mission and other philanthropic organizations followed suit. The young doctors suffered a huge loss when one of their KEM Hospital colleague, Chandrakant Patil, was struck by lightning and died on September 21 2008. "Many of our members were disheartened and wanted to return but an equal number of them like Dr Prashant Ture and Dr Ajit Rai stayed on for three months at a stretch.'' The team managed to get funding to set up a maternal and child health post in Saharsa district. "We continue to go to the six districts of Bihar where we first began to provide healthcare,'' he added.
Singh won the SAARC award for the medical crisis management in April 2010. The group has since helped out during the Andhra Pradesh floods, the Leh landslide and even tried three times to go to Pakistan during the floods. But they failed to get permission to go across the border. "But we now plan to set up a South East Asian humanitarian Relief team that will aim to work across the area,'' said Singh, adding that the group now has over 500 members including doctors from Delhi AIIMS.
(Source: Malathy Iyer, TNN, Feb 26, 2011)

Cashless facility for patients

Moolchand is proud to have been selected by India’s leading insurance companies (National Insurance Company Ltd., United India Insurance Company Ltd., The New India Assurance Company Ltd. and The Oriental Insurance Company Ltd.) to extend cashless facility for patients

    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

February is Heart Health Month

Eating a lot of salt can contribute to high blood pressure, a risk factor for cardiovascular disease. Reducing the amount of salt you add to food at the table or while cooking is good, but much of the salt you eat comes from canned or processed foods, eg: soups and frozen dinners. Eating fresh foods and making your own soups and stews can reduce the amount of salt you eat.

(Dr Monica and Brahm Vasudev)

Obesity alone may increase risk of fatal heart attack

Obesity is a risk factor for fatal heart attacks even for people who do not have the conditions normally associated with cardiovascular disease, such as diabetes and high blood pressure, according to a study published online in the journal Heart.

PPIs may not be necessary for some patients taking daily aspirin

Although some physicians recommend that patients taking an aspirin once–a–day to prevent heart attacks should take a proton pump inhibitor (PPI) to reduce the risk of gastrointestinal bleeding, a study in the Archives of Internal Medicine, suggests that adding a PPI may not be justified for most patients.

New clinical practice guidelines describe NPPV, CPAP use in acute care setting

New clinical practice guidelines describe the use of noninvasive positive–pressure ventilation (NPPV) and noninvasive continuous positive airway pressure (CPAP) in the acute care setting, according to a review in the Canadian Medical Association Journal. The recommendations describe the use of noninvasive ventilation in the postoperative setting, in immunocompromised patients, in patients being weaned from conventional mechanical ventilation, and in patients at high risk for respiratory failure after removal of the breathing tube. Among the recommendations, the guidelines say, NPPV should be the first choice for patients with chronic obstructive pulmonary disease (COPD) or cardiogenic pulmonary edema; and patients with a severe exacerbation of COPD, defined as a pH of less than 7.35 and relative hypercarbia, should have NPPV in addition to usual care.

Heart patients may be more likely to undergo cardiac rehabilitation if given an automatic referral

Heart disease patients are far more likely to undergo cardiac rehabilitation if they are given an automatic referral after discussing the matter with their physician, according to a study published in the Archives of Internal Medicine.

Researchers question whether conducting pelvic exams in healthy women is necessary

In a commentary in the January Journal of Women’s Health, researchers are questioning the need of performing a pelvic exam on healthy patients with no symptoms of disease. Beck notes that the American College of Obstetricians and Gynecologists is re–evaluating its recommendations on routine pelvic exams.

    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

What is IUI? What is the average success rate of IUI? How many cycles of IUI can we try?

IUI or intrauterine insemination is a simple OPD procedure. In this procedure washed capacitated sperms are introduced in the uterus. The ovary is stimulated by giving hormone injections to produce multiple follicles and the procedure is carried out when the eggs are about to be released. We have had a good success rate with this method and recommend it as the first–line of treatment in patients who have patent tubes and a reasonably good semen count. Success rate varies according to the indication but around 15% to 18% can be considered good. Most couples conceive within first three cycles of IUI, in subsequent cycles the positive outcome is less. One can try up to six IUI cycles then probably turn to IVF–ET (In Vitro Fertilization Pre–Embryo Transfer).

For queries contact: banerjee.kaberi@gmail.com

    Hepatology Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity

What are the common organisms causing liver abscess in children?

Most of the liver abscesses in children are pyogenic in nature with amoebic liver abscesses constituting 21–30% of cases. Common bacteria causing pyogenic liver abscesses are

  • Staphylococcus is the leading cause
  • Microaerophilic streptococci
  • Gram negative rods like E. coli
  • Klebsiella
  • Enterobacter species.
  • Unusual micro–organisms like Fungal hepatic microabscesses
  • Tubercular liver abscesses are rare

For queries contact: drneelam@yahoo.com

    Legal Question of the Day

(Dr MC Gupta)

What are the common organisms causing liver abscess in children?

Q. Has the CEA, 2010, been operationalized/notified?


  1. The CEA has been published in the Gazette of India dated 19 August 2010. The question is — "Does such publication amount to notification?"
  2. Section 1(3) of the Clinical Establishments Act, 2010, reads as follows:

    "(3) It shall come into force at once in the States of Arunachal Pradesh, Himachal Pradesh, Mizoram and Sikkim and the Union territories, on such date as the Central Government may, by notification, appoint and in any other State which adopts this Act under clause (1) of article 252 of the Constitution, on the date of such adoption; and any reference in this Act to the commencement of this Act shall, in relation to any State or Union territory, mean the date on which this Act comes into force in such State or Union territory: Provided that different dates may be appointed for different categories of clinical establishments and for different recognised system of medicine."
  3. It is clear from the above that "It shall come into force………… on such date as the Central Government may, by notification, appoint".
  4. There has as yet been no notification by the government giving a specific date from which the Act will come in force. Hence it is clear that the Act has so far not been operationalized/notified. The gazette notification dated 19 August 2010 does not amount to notification.

For queries contact: drneelam@yahoo.com

    Useful Website

(Dr Surendernikhil Gupta)


Monitoring progress towards measles elimination


    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


Increased: hypernatremia, hyperglycemia, water loss (diuretics, diabetes..), alcohol ingestion, ethylene glycol ingestion, mannitol.

Decreased: hyponatremia, diuretics, Addison’s disease, SIADH.

    Medi Finance Update

Global funds: These funds invest in any country around the globe. Foreign equity funds provide an opportunity to diversify across many markets and reduce the risks associated with the health of any one economy and its stock market. These funds do have risks associated with political and market conditions in other countries. In addition, foreign funds are exposed to currency risk. Different accounting practices and securities regulations around the world may affect the fund managers’ ability to value and trade in some securities. Portfolio managers seek to reduce these risks by investing in different countries and industries

    Drug Update

List of approved drug from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Diclofenac sodium SR Tablet 150 mg
For the treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondilytis, gout, painful post perative pain following dental surgery etc.
    IMSA Update

International Medical Science Academy (IMSA) Update

Large randomized trials comparing stenting with endarterectomy for carotid disease showed higher rates of periprocedural stroke with stenting.

    IJCP Special

Dr Good Dr Bad

Situation: An elderly diabetic patient came with a blood pressure (BP) of 160/80 mmHg.
Dr Bad: You need more intensive treatment.
Dr Good: It is ok to have it at this level.
Lesson: BP is a marker for mortality in elderly type 2 diabetes mellitus patients; but, has an inverse relationship. In a prospective observational cohort study of more than 800 patients aged =60 years, a decrease of 10 mmHg in systolic BP, diastolic BP and pulse pressure led to a mortality increase of 22% (95% confidence interval (95% CI): 13–31%), 30% (95% CI: 13–46%) and 22% (95% CI: 11–33%), respectively.

Make Sure

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time.
Lesson: Make sure that all foreigners are diagnosed to be suffering from Travelers diarrhea even if there is one single loose motion.

Five common eye myths dispelled

Myth: Staring at a computer screen all day is bad for the eyes.

Fact: Although using a computer will not harm your eyes, staring at a computer screen all day will contribute to eyestrain or tired eyes. Adjust lighting so that it does not create a glare or harsh reflection on the screen. Also, when you’re working on a computer or doing other close work such as reading or sewing, it’s a good idea to rest your eyes briefly every hour or so to lessen eye fatigue. Finally, people who stare at a computer screen for long periods tend not to blink as often as usual, which can cause the eyes to feel dry and uncomfortable. Make a conscious effort to blink regularly so that the eyes stay well lubricated and do not dry out.

Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Anupam Sethi Malhotra)

Endure What Cannot Be Cured.

This is the best way to turn a disadvantage into an advantage. Every day we face numerous inconveniences, ailments, irritations, and accidents that are beyond our control. If we cannot control them or change them, we must learn to put up with these things. We must learn to endure them cheerfully thinking, "God wills it so, so be it." God’s plan is beyond our comprehension. Believe in it and you will gain in terms of patience, inner strength and will power.


Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: calmstorm
Answer for yesterday’s Mind Teaser: Calm before the storm

Correct answers received from: Dr. Manjesha, Dr.K.V.Sarma, Dr Anuj Sinha, Dr A K Gupta, Dr. T. Samra, Dr. Rajiv Dhir, Dr Rakesh Bhasin, Dr.K.Raju, Dr Chandresh Jardosh, Dr Rashmi Chhibber, Dr Muthumperumal Thirumalpillai, Dr Anil Bairaria, Dr Neelam Nath,

Answer for 26th February Mind Teaser: Let bygones be bygones
Correct answers received from: Dr. Manjesha, Dr. Kavita Srivastava, Dr Rakesh Bhasin, Dr. Parul Chopra Buttan, Dr.K.Raju

Send your answer to ijcp12@gmail.com


Laugh a While
(Contributed by Dr GM Singh)

A Horoscope For The Workplace

ENGINEERING: One of only two signs that actually studied in school, it is said that ninety percent of all personal ads are placed by engineers. You can be happy with yourself: your office is typically full of all the latest "ergodynamic" gadgets.


Knowledge is amusing

STEWARDESSES is the longest word typed with only the left hand.

    Readers Responses
  1. Dr.K.K. Aggarwal and Dr.Bajaj………If only the Honble Judges were to write out their judgements long hand. Regards: J.K.Chaudhry
  2. Dear Dr Aggarwal, Excellent daily newsletter. Please keep it up. Regards: Dr. Kavita Srivastava
    Public Forum

(Press Release for use by the newspapers)

Dr. Sadhna Women Empowerment Awards Distributed

Inaugurating a symposium on Women Empowerment and distributing the 2nd Dr. Sadhna Women Empowerment Awards, Mrs. Mohsina Kidwai, Member of Parliament (Rajya Sabha), said that women in the society should be empowered. They should be given compulsory education and health care facilities.

Dr. Girija Vyas, Chairperson, National Commission for Women said that rape, dowry, child labour, female feticide, all can be eradicated from the country by compulsory education of the women. Dr. Vyas further said that all girls should be taught 64 arts as mentioned in the Vedic literature.

Mr. Jai Prakash Aggarwal, Member of Parlaiment (Lok Sabha), who presided over the function, said that it is a duty of the manhood in the society to see to it that all women are health insured and those who can not afford should get it through the government schemes.

Acharya Dr. Sadhvi Sadhna Ji Maharaj, Chairperson, Dr. Sadhna International Women Rights Protection Trust in her blessings said that female feticide at any cost should be curbed in the society.

S. Buta Singh, Former Union Home Minister and Guest of Honour for the function said that the best gift a husband can give to his wife is to have her medical checkup done.

Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India said that the law should be changed so that medical termination of pregnancy is after 12 weeks is done only in designated hospitals.

Shri H.T. Sangliana, Vice–chairman, National Commission for Minorities and guest of honour for the function said that science behind Indian rituals should be taught to girls in the schools.

Dr. Sadhna Women Empowerment Awards were distributed to women of eminence. The awardees included: Mrs Himna Kohli (Judge Delhi High Court); Mrs. Abheeta Khanna, Director, Heart Care Foundation of India; Mrs. Aarti Upadhyay, Director (Operations), IMCS; Ms. Gauri Karan, Fashion Designer; Mrs. Nainika Karan–Vadhera, Fashion Designer; Dr. Kaberi Banerjee, Director–Precious Baby Foundation and Infertility Specialist; Dr. Veena Jaju, Past President, Women’s Wing, Friends of Tribal Society; Mrs. Shakun Goyal, Social Worker; Mrs. Madhavi Kotwal Samson, Founder Director, ABHAS; Mrs. Trishla Jain, Social Worker; Dr. Monika Rastogi, Spiritual Motivator; Mrs. Rashmi Singh, IAS; Mrs. Ratan Kaul, Vice–President, ICHR; Mrs. Anju Uppal, Principal, Ryan International School; Ms Sarajana Sharma, Zee Network and Mrs. Neeva Konwar, Vice–President, ICSW, Mrs Sarjana Sharma (Zee network), Mrs Vasvi Bharat Ram (Chairperson FLO)

    eMedinewS Special

1. eMedinewS audio lectures

2. eMedinewS ebooks

    Forthcoming Events

ICC Cricket World Cup 2011

World Cup Schedule… very very creative


6th Annual Conference of Indian Academy of Nephrology (IANCON–2011)

Date: March 12–13, 2011
Venue: Taj Deccan, Banjara Hills, Hyderabad–34
Faculty: Dr MS Amarsen, Dr KV Jhony, Dr SC Dash, Dr Kashivishweswaran, Dr V Sakhuja, Dr RK Sharma, Dr Girishnarayan, Dr Anuradha, Dr SK Agarwal, Dr P Sundarajan, Dr P Keshivya, Dr Ravi Raju, Dr Dilip Pahari, Dr LC Sharma, Dr Sanjeev Saxena, Dr Sanjay Gupta, Dr Abhijit Tarapdhar, Dr PP Verma, Dr Harun Rashid, Dr Sampath Kumar, Dr Sanjib Sharma, Dr S Padmanabhan.
Topics: CKD Symposium (From India, Nepal, Bangladesh), Newer concepts in the pathogenesis of hypertension, Fluid and Electrolyte & AKI, RAAS in treatment of Diabetic Nephropathy, Primary Prevention of CKD: Trials & tribulation in Indian condition, Vitamin–D andchronic kidney disease, Mycophenolate Vs Cyclyophosphamide in Lupus nephritis, Individual zinganemia therapy, How to monitor Immunosuppression minimization, Obesity Diabetes epidemic, Life Style changes & therapeutics, BKV and CMV Nephropathy, Leptospira and Acute Kidney Injury, HIV Nephropathy, Hypophosphatemia and Renal Disease, Immunosuppressant and risk of Malignancy, Pregnancy ARF, Expanding Dialysis services in Andhra Pradesh,Making kidney transplant easier for less privileged, Cardiovascular risk reduction in CKD

Organizing Secretary: Dr Sree Bhushan Raju, Associate Professor, Dept of Nephrology, NIMS, Hyderabad
Contact: Mob: 09848492951, sreebhushan@hotmail.com
Website: www.ian2011.in
Note: "Prof SC Dash oration in Nephrology" from this year onwards. Three awards each in oral, poster and imaging in Nephrology sessions

Registration for Delegates Amount
Up to 15th February 2011
Rs. 1500/–
Up to 5th March 2011
Rs. 2000/–
Spot registration
Rs. 2500/–
Rs. 500/–

DD/Cheque in favor of "IANCON– 2011" payable at Hyderabad. Add Rs 100/– for outstation cheque.

eMedinewS Events: Register at emedinews@gmail.com

Medifinance Conference On Portfolio Management for Doctors and update on Budget 2011

Date: 13th March 2011
Time: 10 Am – 5 Pm
Speakers: Top of line from finance sector. The speakers to be chosen from the industry will be experts in each field to be covered in this conference

Separate sessions for portfolio management, insurance, mediclaim, banking sector, investments primary market, secondary market, taxation, loans for setting up hospitals, nursing homes, labs, etc. all under one roof.

No entry fee, the number of participants will be limited to 100 on first cum first serve basis. advance registration by mail to hcfi.1986@gmail.com /drkk@ijcp.com or by phone on 9899974439/9873716235 .

World Fellowships of Religions and Perfect Health Parade

First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011
Venue: Maulana Azad Medical College Auditorium, New Delhi
Time: 8 AM – 4 PM Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.

Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm.

Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com

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