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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 …

29th March, 2011, Tuesday                                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

Breast mammograms may also predict future risk for heart disease, stroke

Routine mammograms for breast cancer may also predict the risk for future development of heart disease, according to a study published in Obstetrics & Gynecology. Researchers reviewed data on 1,454 women who received mammograms in 2004. They found that after five years, 20.8% who tested positive for breast arterial calcifications had developed heart disease, compared with 5.4% who showed no signs of the granular deposits, and the risk for heart disease was 6.3% compared with 2.3%, respectively. Moreover, 58.3% of the women with arterial calcification developed stroke compared with 13.5% who tested negative.

Study suggests beta-agonist, corticosteroid combination safe for children with asthma

Children with asthma who take long-acting beta agonists with inhaled corticosteroids do not appear to be at an increased risk of life-threatening events, according to findings presented at the American Academy of Allergy, Asthma and Immunology meeting.

ECG screening in healthy children may help detect hidden heart risks

Screening healthy children with electrocardiography (ECG) and echocardiography could detect previously undiagnosed conditions that might lead to sudden cardiac arrest, a pilot study suggested. The research, conducted among 400 healthy children, identified previously undiagnosed cardiac conditions in 5.8% of the kids. The study was published online in the American Heart Journal.

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

Treating Diabetes Post 2010

Dr Ambrish Mithal Speaks on
‘Overall safety & tolerability of gliptins’

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

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

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal answers queries from the audience during the recently concluded Medifinance Conference organized at Auditorium, Delhi TB Association, Lodhi Road, New Delhi on 13th March 2011.

Dr K K Aggarwal
    National News

The 2nd Delhi Knee Course was held at Sitaram Bhartia Institute of Science & Research on March 25-27. It was attended by over 100 delegates from Delhi and around. The faculty consisted of knee surgeons from abroad: Dr. Staubli from Switzerland, Dr. Benedetto from Austria, Dr. SJ Yeo from Singapore and Dr. Sanjiv Mehta from USA. There was also a galaxy of talented knee surgeons form India. Recent advances in knee surgery were discussed, particularly ‘knee preservation techniques’ such as High Tibial Osteotomy (HTO). Recent advances in knee replacement surgery such as computer navigation in knee replacement and partial knee replacement were introduced to the delegates. Operations related to some of these topics were demonstrated live. The course was DMC accredited. Audience response system (ARS) was used to involve delegates, and make the meeting interactive. Dr. J Maheshwari of Knee & Shoulder Clinic was the Course Director, and moderated the course.

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

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

For some, exercise frequency is key

A recent study showed that cardiovascular disease causes 44 percent of on-duty deaths in firefighters, and that the vast majority of deaths occurred after an intense bout of cardiovascular exercise. This staggering statistic prompted a group of researchers from the Harvard School of Public Health and the Boston University School of Medicine to investigate the relationship between cardiovascular disease, aerobic exercise, and bouts of intense activity. They conducted a study to find out how to best combat these sudden cardiac events and found (not surprisingly) that more regular exercise is the answer. Researchers studied a group of 527 firefighters from the Midwest, measuring their cardiorespiratory fitness, blood pressure, BMI and body composition. Not surprisingly, researchers found that subjects who reported higher frequency, duration and intensity had significantly higher average cardiorespiratory fitness scores and were less likely to have a heart attack or other cardiac event while on the job. Interestingly, study results showed that firefighters that exercised more frequently were at the lowest risk for cardiovascular disease or having an adverse reaction to an intense bout of activity. Therefore, researchers encourage people who work in jobs that require bouts of intense activity to engage in aerobic exercise, emphasizing that frequency of exercise is even more important than intensity and duration.

(Dr Monica and Brahm Vasudev)

Exercise may diminish negative impact of high-salt diet on blood pressure

Physical activity may diminish the negative impact of a high-salt diet on blood pressure, according to a study presented at the American Heart Association's conference. Researchers examined data on some 1,900 men and women, all of whom consumed 3,000 mg of sodium a day in their diet; for another week and then were placed on a high-sodium diet -- 18,000 mg per day. They found that the more physical activity a person got, the less likely they were to be sensitive to salt. Study participants in the group that got the most physical activity had a 38% lower risk of being salt sensitive compared to those who got the least amount of physical activity.

Pioglitazone may reduce chance of developing type 2 diabetes in high-risk patients

Taking pioglitazone every day reduced the chance of developing type 2 diabetes by two-thirds in people whose obesity, ethnicity, family history and other factors put them at high risk of developing the disease, according to a study published March 24 in the New England Journal of Medicine.

Co-existing hypertension may account for significant excess CV risk in patients with diabetes

According to a study published online March 14 in the journal Hypertension, co-existing hypertension may explain a significant amount of the excess cardiovascular risk experienced by patients with diabetes.

    IJCP Special

Dr Good Dr Bad

Situation: A patient had a strong family history of cancer.
Dr Bad: Just get regular check ups.
Dr Good: Take low dose aspirin.
Lesson: A new observational analysis published online in the Lancet reports that long–term daily aspirin may prevent cancer deaths. (Ref: Rothwell PM, et al. Effect of daily aspirin on long–term risk of death due to cancer: analysis of individual patient data from randomised trials. Lancet 2011 Jan 1;377(9759):31-41)

Make Sure

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make Sure, to prescribe nimesulide as it is safe in acid peptic disease.

    An Inspirational Story

(Dr Prachi Garg)

The Trouble Tree

I hired a carpenter to help me restore an old farmhouse, and after he had just finished a rough first day on the job...a flat tire made him lose an hour of work, his electric saw quit...and now his ancient pickup truck refused to start. While I drove him home, he sat in stony silence. On arriving, he invited me in to meet his family. As we walked toward the front door, he paused briefly at a small tree, touching tips of the branches with his hands.

When opening the door, he underwent an amazing transformation. His tanned face was wreathed in smiles and he hugged his two small children and gave his wife a kiss. Afterward he walked me to the car. We passed the tree and my curiosity got the better of me. I asked him about what I had seen him do earlier. "Oh, that's my trouble tree," he replied.

"I know I can't help having troubles on the job and in my life, but one thing's for sure, troubles don't belong in the house with my wife and the children. So I just hang them up on the tree every night when I come home. Then in the morning I pick them up again." "Funny thing is," he smiled, "When I come out in the morning to pick 'em up, there aren't nearly as many as I remember hanging up the night before."

    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 be tried?

IUI is a simple OPD procedure. In this procedure, washed capacitated sperms are put 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.

    Hepatology Update

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

What are the presentations of Hepatitis C infection?

Chronic HCV infection

In most cases, the only abnormality to be found will be mildly abnormal aminotransferase levels (usually <100 IU/l). In one-third of patients, the liver function tests (LFT) will be normal.

    Medicolegal Update

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

What is lucid interval?

  • Lucid interval is the period during which the mentally unsound person behaves very much like a normal person. During this period all the signs and symptoms of insanity are absent.
  • The person is responsible for all his acts performed during the period of lucid interval.
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Infants of overweight mothers

Congenital abnormalities

Maternal obesity is also a risk factor for congenital abnormalities. An analysis from the National Institute of Neurological and Communicative Disorders and Stroke showed an increase in the incidence of major congenital malformations of 35% when mothers were overweight and of 37.5% when they were obese. The odds ratios for neural tube defects in the offspring ranged from 1.8 to 3 according to the degree of maternal overweight. Obesity is also a risk factor for cryptorchidism in male infants.

    Head Injury Update

Dr Shameem Ahmed, Dr Atanu Borthakur, Dr Sajida Sultana, Dr Shabbir Khan. Dept. of Trauma and Neurosurgery, Hayat Hospital, Guwahati, Assam.

No head injury is too minor to be neglected or too severe to be given up.

Traumatic brain injury is the leading cause of death and most of them are due to road traffic accidents (RTAs). By 2020, head injury will be the 3rd largest killer in the developing world as per WHO speculations. On Indian roads, one person dies every 6 mins and 70% deaths are due to head and spinal injuries.

    Mind Teaser

Read this………………… 


Yesterday’s Mind Teaser: or clock c k

Answer for Yesterday’s Mind Teaser: Rock around the clock

Correct answers received from: Dr Sudipto Samaddar, Dr Jyoti Vijaykumar, Dr Vishanji Karani, Dr Manjesha, Dr K Raju, Dr S Upadhyaya, Dr Chandresh Jardosh, Dr Anil Joshi, Dr YJ Vasavada, Dr KP Rajalakshmi, Dr Rashmi Chhibber, Dr Neelam Nath, Dr Shirish Singhal.

Answer for 27th March Mind Teaser: Frank Sinatra
Correct answers received from:Dr KP Rajalakshmi, Dr K Raju

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Veena Aggarwal)

The Leave Application

An employee applied for leave as follows: “Since I have to go to my village to sell my land along with my wife, please sanction me one-week leave.”

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

BUN:Creatinine ratio

BUN:Creatinine ratio The BUN:creatinine ratio is usually >20:1 in prerenal and postrenal azotemia, and <12:1 in acute tubular necrosis. Other intrinsic renal disease characteristically produces a ratio between these values.

    Medi Finance Update

(Dr GM Singh)

I have made some deposits with a bank, annual interest on which is around Rs.15000/-. My income is below taxable limit. The banker wants to deduct tax. What do I do?

You can file a self-declaration to the banker in Form 15H stating that your income is below taxable limit. The form is available with your banker, the local Income-Tax office and can also be downloaded from the website http://www.incometaxindia.gov.in/. This form should be filed before the interest on the income begin to accrue in the fixed deposit account, since the declaration has no retrospective effect i.e., prior to the date from which the bank is required to deduct taxes from interest income accruing to you.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Temozolomide lyophilised powder 100mg / vial
For the treatment of: "Adult patients with newly-diagnosed glioblastoma multiforme concomitantly with radiotherapy (RT) and subsequently as monotherapy treatment."

Children from the age of three years, adolescents and adult patients with malignant glioma, such as glioblastoma multiforme or anaplastic astrocytoma, showing recurrence or progression after standard therapy. .
  Thought of the Day

(Dr GM Singh)

Take chances, make mistakes. That's how you grow. Pain nourishes your courage. You have to fail in order to practice being brave.

    IMSA Update

International Medical Science Academy (IMSA) Update

Ankylosing spondylitis and interleukins

The increased serum IL–17 and IL–23 levels in ankylosing spondylitis (AS) patients found in a preliminary suggest that these two cytokines may play critical roles in the pathogenesis of AS.

    Readers Responses

The use of alternative medicine is justified when you know about it, its good and bad effects and it is properly researched. Body is too precious for any experimentation. I think binding them in rule and laws when they are used to relieve some ailment or betterment of human sufferings is sheer waste of time. Dr Vivek Kumar, Varanasi.

    Public Forum

(Press Release for use by the newspapers)

Every arthritis is not same

Every arthritis is not the same. While osteoarthritis also called as green arthritis may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis if not treated aggressively and early can end up with serious deforming complications, said Dr. KK Aggarwal Padma Shri and Dr BC Roy National Awardee and President, Heart Care Foundation of India.

Any arthritis in young women of childbearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet counts on blood examination. These patients require aggressive treatment with disease modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1-2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of age 50+ and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight-bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. Another form of joint disorder is due to gout which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and is very unusual in children and young adults.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing postures and movements that worsen the disease.

The typical wear and tear of osteoarthritis is caused by sitting cross-legged, doing padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs doing push ups, going up and down the stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

    eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. eMedinewS ebooks (This may take a few minutes to open)

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein
    Situation Vacant

Vacancy for a post of Consultant in Pediatric ICU at Medanta – The Medicity Hospital, Sector –38, Gurgaon.
Interested candidates may please contact: drneelam@yahoo.com/9811043475.
*Eligibility: Post MD/DNB/DCH

    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

Sunday 3rd April, 2011, 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 on Global Warming, Ethnic Crises, How to be Healthy
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 Bahadur 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


April 16–17, 2011, National Conference on Gynae–Endocrinology–2011 under aegis of FOGSI, ICOG and AOGD , Focus on newer advances in management of endocrinal problems in gynaecology with emphasis on PCOS, hyperprolactinemia, amenorrhoea, hormonal contraception. Gyne– endocrinology is a topic of high importance especially for practitioner. Detailed programme http://www.aiims.edu and http://www.aiims.ac.in
For details please contact: Prof Alka Kriplani, Organizing Chairperson, 9810828717 kriplanialka@gmail.com/Dr Nutan Agarwal, organizing Secretary, 9810107464/9868397310 nutan.agarwal1@gmail.com


May 7–8, 2011, National Seminar On Stress Prevention
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com


September 30 – October 02, 2011;XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Highlights of Pre – Conference CME: Case based learning experience & audience interaction, Maximum 250 delegates for CME will be accepted, who will be divided in 5 batches and will rotate to different halls every 90 minutes. The topics are:(A) Right heart pressures & functions (From basics to newer methods (RV anatomy, echo views, echo assessment of RV function, prognostic impact of RV function) (B) Carotid Doppler: How do I assess and interpret in my daily practice.: Technical tips (Anatomy of the vessel, views of ultrasound scanning, Normal & abnormal Doppler hemodynamics, how to measure IMT) (C) Valvular stenosis: Assessment, limitations and their solution: (Anatomy of the valves, 2–D findings of stenotic lesions, quantitation of lesion, limitations) (D) How do I assess and report ventricular dyssynchrony in my lab. (What is ventricular dyssynchrony, what are the types of dyssynchrony, in whom, when & why do we assess it, various echo methods to assess it ) (E) Live 3–D Echo: Protocol for acquisition. How to slice and get full information. Aim is that by end of the day, every participant is well conversant with all the topics.
Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231/Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246
worldcon2011@in.kyoni.com, www.worldcon2011.org


ICC Cricket World Cup 2011

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    Our Contributors

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 Naveen Dang, Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta