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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 November 2010, Sunday

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

 All Foreign National/NRI to take prior permission
from MCI for attending any CME

As per MCI circular 202( l)(Gen.)/Regn.-2010/39212 dated 13/11/2010 issued to all the Principal/Deans Medical Colleges/Institutions in India; Secretary All Medical Associations and all the Hospitals in India on the subject: Prior permission/registration of Foreign National/NRI desires to participate in CME programmes/Workshop/Post Graduate course holding in India the MCI has directed all to ensure that all the Foreign National/NRI faculty will have to take prior permission from the Medical Council of India for attending any CME programmes/workshop/ Postgraduate courses conducted by Medical Colleges/Hospitals/Medical Associations and other medical organizations in India. As per MCI it is mandatory and suo-moto action would be initiated by MCI against the erring medical college/institutions.

This is in clarification to section 14(1) of the Indian Medical Council Act, 1956 which reads as under: -

  1. The Central Government after consultation with the Council, may, by notification in the Official Gazette, direct that medical qualifications granted by medical institutions in any country outside India in respect of which a scheme of reciprocity for the recognition of medical qualifications is not in force, shall be recognized medical qualification for the purposes of this Act or shall be so only when granted after a specified date: Provided that medical practice by persons possessing such qualifications: -
    a. shall be permitted only if such persons are enrolled as medical practitioners in accordance with   the law regulating the registration of medical practitioners for the time being in force in that country,
    b. shall be limited to the institution to which they are attached for the time being for the purposes of teaching,  research or charitable work ; and
    c.  shall   be   limited  to   the  period  specified   in   this behalf by  the  Central Government by general or special order. 
Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
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  Quote of the Day

(By Dr. GM Singh)

"Sin is not so sinful as hypocrisy.”  Francoise d'Aubigne de Maintenon

    Photo Feature (from the HCFI Photo Gallery)

Medico Masti 2010

A fashion show was organized as part of Medico Masti, an Inter Medical College and College Festival in the 17th MTNL Perfect Health Mela 2010

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

India made significant improvement in tackling HIV

India has made remarkable progress in combating HIV/AIDS over the last ten years by reducing the overall exposure to this killer disease by 50 per cent, says a global report issued by a U.N. agency on the epidemic. "India reduced HIV/AIDS by 50 per cent while its pharmaceutical companies played a major role in care and treatment by supplying 86 per cent of the first line drugs to the poorest countries," said Mr Michel Sidibe, UNAIDS’ executive director. In India, the total expenditure for HIV/AIDS from both international and domestic is to the tune of USD 1.4 billion last year as against USD 1.5 billion in 2008. (Source: The Hindu, November 23, 2010)

    International News

(Dr Monica and Brahm Vasudev)

AHA Update

N–acetylcysteine does not reduce risk of contrast–induced nephropathy

After randomizing 2,308 patients undergoing an angiographic procedure to 1,200 mg of n–acetylcysteine, given orally twice daily, with two doses given before the procedure and two doses after the procedure, or to placebo, the study observed no difference in the primary end point of contrast–induced nephropathy and no difference in the secondary end point of serum creatinine elevations in patients treated with N–acetylcysteine.

Association between diabetes, depression in women may be bidirectional

Diabetics have a higher risk for developing depression and those who are depressed are more likely to develop type 2 diabetes, according to a study in the November 22 issue of Archives of Internal Medicine. The study followed 55,000 female nurses for 10 years and found among the more than 7,400 nurses who became depressed, there was a 17 percent greater risk of developing diabetes. Those who were taking antidepressant medicines were at a 25 percent increased risk. Women with diabetes were 29% more likely to develop depression. Those women who took insulin for their diabetes were 53% more likely to develop depression during the 10–year study.

Patients with kidney disease may benefit from diet high in fruits, vegetables

Consumption of fruits and vegetables may have positive effects on kidney disease. In a study patients were given a 30–day diet that added fruits and vegetables, such as potatoes, raisins, grapes, apples, and other foods while avoiding some fruits and vegetables that were high in potassium. At the end of the 30–day period, all patients showed reduced excretion of three key indicators of kidney injury: albumin, transforming growth factor β, and N–acetyl–β–D–glucosaminidase.

Pfizer, UCSF to collaborate on drug research

The Wall Street Journal reports Pfizer Inc. plans to announce on Tuesday that it is collaborating with University of California–San Francisco on new medicine research. The collaboration is expected to tackle an especially difficult stage of drug development, turning early stage research and development into marketable treatments. Jeffrey Bluestone, UCSF’s executive vice chancellor, commented, "The idea is to shrink the divide between the science and the drug, to shrink the divide between academic and industry expertise, to make it more effective to transition from an idea to its application in patients."

    Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director Precious Baby Foundation

Q: What are the sociocultural issues of infertility treatment?

A. Generally, the pressure to achieve a pregnancy soon after marriage is stronger in our society. The couple therefore gets stressed if pregnancy is not achieved within 3–4 months of marriage. They soon go and seek help either sometimes medical or more often astrological or visit their family priest. Many go to quacks who ‘treat’ them for months and sometimes years, with no avail. Some go to astrologers and pandits who ‘treat’ them by asking them to wear expensive rings, eat certain food items, etc. Not only do these patients lose money, they also lose precious time. This is so because as the lady grows older, the number and quality of her eggs goes down and chances of conception even with the technologically advanced techniques like IVF fail.

For queries contact: banerjee.kaberi@gmail.com

   Pediatric Update

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

What do I do if my child has a febrile seizure?

In some children, fevers can trigger seizures. A febrile seizure usually happens during the first few hours of a fever. The child may look strange for a few moments, then stiffen, twitch, and roll his eyes. He will be unresponsive for a short time, his breathing will be disturbed, and his skin may appear a little darker than usual. After the seizure, the child quickly returns to normal. Seizures usually last less than 1 minute but, although uncommon, can last for up to 15 minutes.

If the child has a febrile seizure, act immediately to prevent injury.

  • Place her on the floor or bed away from any hard or sharp objects.
  • Turn her head to the side so that any saliva or vomit can drain from her mouth. Do not put anything into her mouth; she will not swallow her tongue.

Pediatrician will want to examine the child in order to determine the cause of your child’s fever. It is more important to determine and treat the cause of the fever rather than the seizure. A spinal tap may be done to be sure that the child does not have serious infection like meningitis, especially if the child is younger than 1 year of age.

    Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

What is the WMA statement on IVF & Research?

The World Medical Association (WMA) recommends that physicians refrain from intervening in the reproduction process for the purpose of making a choice as to the fetus’ sex, unless it is to avoid the transmission of serious sex–linked disease.

The technique of in vitro fertilization (IVF) and embryo transplantation can also be useful in research directed towards a better understanding of how genital defects arise and are transmitted, and how they might be prevented or treated. Profound moral and ethical implications may arise for both the physician and the patient. The physician should not violate his personally held moral principles and must be sensitive to, and respect, the moral and ethical principles held by patients. The physician has a greater responsibility to communicate fully with the patients who will participate in the research effort and the informed consent of those patients must meet the requirements of law as ‘well as the special level professional responsibility dictated by ethical standards.

The principles of the World Medical Associations’ Declaration of Helsinki will apply to all clinical research in respect to in–vitro fertilization and embryo transplantation, as well as all problems that arise out of such clinical research.

(Adopted by the 39th World Medical Assembly Madrid, Spain, October 1987)

    Nutritional Update: Question of the Day

(Contributed by Dr. Soni Verma)

Is yogurt good for health?

Then answer is yes. According to American Journal of Clinical Nutrition, yogurt contains two kinds of live cultured Lactobacillus delbrueckii subsp. bulgaricus and Streptococcus salivarius subsp. thermophilus bacteria. A nutritious food with unique health benefits, it is rich in protein, calcium, riboflavin, vitamin B6 and vitamin B 12. It helps in alleviating constipation, diarrhea, colon cancel inflammatory bowel disease and even infection by peptic ulcer causing bacteria H. pylori, which may eventually lead to stomach cancer. It boosts immunity, prevents vaginal infections and reduces serum cholesterol.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum Angiotensin Converting Enzyme; ACE

  • To help diagnose and monitor sarcoidosis
  • To help differentiate this systemiccondition from other disorders causing similar symptoms
    Medi Finance Update

Personal Accident Individual


  • Cost of spectacles, contact lenses, and hearing aids.
  • Any dental treatment or surgery which is a corrective, cosmetic or aesthetic procedure, including wear and tear, unless arising from disease or injury and which requires hospitalization
    Drug Update

List of Drugs Prohibited for Manufacture and Sale through Gazette Notifications under Section 26a of Drugs & Cosmetics Act 1940 by the Ministry of Health and Family Welfare

List of drugs prohibited for import

Methapyrilene and its salts

    IMSA Update

International Medical Science Academy (IMSA) Update

Topical therapy for infantile hemangiomas

Application of topical beta–blockers (timolol 0.5% gel) may be useful for the treatment of infantile hemangiomas. In a pilot study of six patients, treatment with topical timolol 0.5% gel led to a statistically significant reduction in lesion size.

(Ref: Pope E, Chakkittakandiyil, A. Topical timolol gel for infantile hemangiomas: a pilot study. Arch Dermatol 2010;146:564)

    IJCP Special

Dr Good Dr Bad

Situation: A patient of dialysis was on pomegranate juice.
Dr Bad: Stop it.
Dr Good: Continue, it may help.
Lesson: Data from a placebo–controlled clinical trial showed that dialysis patients had significantly fewer infection–related hospitalizations during a year of regular consumption of pomegranate juice. The rate of first hospitalization declined by 40% and second hospitalization by 80% in patients who consumed 100 cc of pomegranate juice three times a week (Ref: Kristal B, et al. One year of pomegranate juice consumption decreases oxidative stress, inflammation, and infections in hemodialysis patients. American Society of Nephrology Meeting 2010; Abstract TH–FC059)

Make Sure

Situation: A patient with first–onset LBBB in ECG died six hours later.
Reaction: Oh my God! Why was acute MI not suspected?
Lesson: Make sure to rule out acute MI in all patients with LBBB of first onset.

    Lighter Side of Reading

An Inspirational Story

(Contributed by Major V V Narayanan)

How much should we provide for our heirs?

Ask yourself ‘are we taking away from them the gift of work?’ – A source of happiness!

The answer is given by Warren Buffett: "Leave your kids enough to do anything, but not enough to do nothing!" Let us learn the Art of Giving, and quoting Saint Kabir: "When the wealth in the house increases, when water fills a boat… Throw them out with both hands!"


Mind Teaser

Read this…………………


Yesterday's Mind Teaser: Y Y guy guy
Answer for yesterday's Mind Teaser: Wise guys 

Correct answers received from: Deepti Katyal Uppal, Dr Aashish Chaudhry

Answer for 26th November Mind Teaser: "Count on us "
Correct answers received from: Dr Rashmi Chhibber, Dr Sudipto Samaddar, Dr Dr.K.Raju

Send your answer to ijcp12@gmail.com


Laugh a While
(Contributed by Dr G M Singh)

State Capitals

Well, there was this blonde who just got sick and tired of all the blonde jokes. So one evening she went home and memorized all the state capitals. Back in the office the next day, some guy started telling a dumb blonde joke. She interrupted him with a shrill announcement, "I’ve had it up to here with these blonde jokes. I want you to know that this blonde went home last night and did something probably none of you could do … I memorize all the state capitals."

One of the guys, of course, said "I don’t believe you. What is the capital of Nevada?""N", she answered.

    Readers Responses
  1. Dear Sir, emedinews has become very addicting. I begin my day by reading it. This is very important to keep ourselves up to date. So, I thank you for the initiation you have taken to enlighten the medical fraternity. Regards:  Dr Prachi
    Public Forum

(Press Release for use by the newspapers)

Daily dialysis is better than bi-weekly dialysis

Daily dialysis is better than 3 dialyses a week and 3 dialyses are better than 2 dialyses a week said panel of experts in a symposium on Kidney Transplant organized at Moolchand Medicity by IMSA Delhi Chapter, IMA New Delhi Branch, IMA Janak Puri Branch, Moolchand Board of Medical Education and e–Medinews.

The panelists included Dr. Brahm Vasudev and Dr. Monika Vasudev from USA, Dr. Ramesh Hotchandani and Padma Shri Awardee & Dr BC Roy National Awardee Dr. K. K. Aggarwal, Dr Archna Virmani from Moolchand Medicity, Dr. Sandeep Guleria from AIIMS, Dr. S. C. Tiwari from Fortis Hospital, Dr. Kamlesh Chopra from IMSA, Dr. Sanjay Sood from IMA NDB and Dr. A. K. Kansal, IMA Janak Puri Branch.

Following public health messages regarding renal transplants were released:

  • Kidney transplant is the best for patients of chronic kidney failure.
  • The patient after kidney transplant can live comfortably without dialysis for upto 25 years.
  • Uncontrolled diabetes and hypertension are the two most common causes of kidney failure in India.
  • The earliest sign of kidney failure is appearance of proteins in micro amounts in urine.
  • All kidney patients should keep their cholesterol, blood pressure and blood sugar under control.
  • Diabetic patient with kidney failure can have both pancreas and kidney transplant together.
  • Anybody can safely donate kidney to his or her relatives with no risk to the donor.
  • For shortage of kidney donor cadaveric transplant is another alternative.
  • People who have brain dead situation should offer donation of their kidneys.
  • Urine infection should not be ignored and treated timely.
  • All kidney patients should be offered preventive vaccinations.
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

Workshop on Kidney Transplant

International Medical Science Academy, eMedinewS, Moolchand Medcity Board of Medical Education, IMA New Delhi Branch and IMA Janak Puri Branch

Date: Sunday 28th November 2010
Venue: Moolchand Medcity Auditorium, 9 – 12 noon

Chairperson: Dr (Prof) S C Tiwari, Director Fortis Institute of Renal Sciences & Kidney Transplant Moderators: Dr KK Aggarwal, Dr Kamlesh Chopra, Dr Sanjay Sood, Dr A K Kansal, Dr Archna Virmani
9.00 – 9.30 AM: Kidney Transplant: What every one should know: Dr Ramesh Hotchandani, Senior Nephrologist, Moolchand Medicity
9.30 – 10.00 AM: Kidney transplant scenario in India: Dr Sandeep Guleria, Transplant Surgeon, AIIMS
10.00 – 10.30 AM: Transplant immunobiology and immunosuppression. Dr Monica Vasudev, Assistant Professor Division of Allergy and Clinical Immunology, Medical College of Wisconsin, Milwaukee
10.30 – 11.00 AM: Kidney Transplant: managing difficult cases. Dr Brahm Vasudev, Assistant Professor of Medicine, Division of Nephrology, Director, Nephrology Fellowship Program, Medical College of Wisconsin
11.00 – 12.00 AM: Panel discussion

1. Dr. (Prof.) S C Tiwari
2. Dr. K K Aggarwal
3. Dr. S V Kotwal
4 .Dr. Ambar Khaira
5. Dr. Saurabh Misra
6 All Speakers

12.00 Noon: Lunch

(Registration free: email to emedinews@gmail.com

eMedinewS Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 08–09, 2011.

January 08, 2011, Saturday, 6 PM – 9 PM – Opening Ceremony, Cultural Hungama and eMedinewS Doctor of the Year Awards. For registration contact – emedinews@gmail.com

January 09, 2011, Sunday, 8 AM – 6 PM – 2nd eMedinewS revisiting 2010, A Medical Update

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