Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
Dr KK Aggarwal

From the Desk of Editor in Chief
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

29th August, 2010, Saturday

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

Biosynthetic cornea: an alternative to cadaver corneas

An experimental synthetic cornea implanted in 10 patients may be a potential alternative to cadaver corneas. The new artificial cornea uses collagen, produced in yeast, as scaffolding that allows cells from the recipient to grow into the graft so that it mimics the original tissue. Two years later, six of the patients had significantly improved vision with glasses and two were no worse. The researchers went one step further and gave contact lenses to the patients. With the lenses in place, they all had improved vision. The study was published in the Aug. 25 issue of Science Translational Medicine.

 More than 10 million people across the world have impaired vision or blindness as a result of corneal damage, but only a small percentage ever receive transplants from cadaver donors.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook  


Photo Feature (from HCFI files)

In the photo: Mr Ashish Nehra, Cricketer being felicitated with tilak by Dr K K Aggarwal, President HCFI

World Health Day was celebrated by Heart Care foundation of India co–organised with Health Fitness Trust on April 7, 2001 along with 2nd Perfect Health Parade and 7th Health Carnival Runs


K K Aggarwal


Mera Bharat Mahan
Grapefruit has anti diabetic action

Naringenin, an antioxidant which gives grapefruit its bitter taste, mimics the action of fenofibrate and rosiglitazone, according to a study published in PLoS One. The substance causes the liver to burn fat instead of storing it, thereby breaking down fatty acids instead of carbohydrates. Naringenin increases two important pharmaceutical targets, PPARa and PPAR, while blocking a third, LXRa. The results are similar to those induced by long periods of fasting. The process of breaking down fat after a meal helps balance insulin levels in the body and thus prevents the development of diabetes.
So what’s new: Ayurveda for thousands of years has been talking about eating grapefruit to prevent diabetes.


International Medical Science Academy (IMSA) Update

Myotonic symptoms in patients with myotonic dystrophy often do not require treatment. In two small seven-week randomized controlled trials involving patients with myotonic dystrophy type 1, treatment with mexiletine was superior to placebo for improvement in grip relaxation time and was well tolerated. However, mexiletine is contraindicated in instances of second and third degree heart block. (Neurology 2010; 74:1441)


News and Views

National News

MCD recommends mosquito nets in all hospitals

Iin-house transmission of dengue is the upcoming issue now. Breeding is rampant in all hospitals/govt bldgs/police stations etc. We should advocate use of mosquitoes nets for in patients so that there is no transmission of disease to other patients/doctors/paramedics.  Dr V K Monga.

International News

Daily coffee limbers up the heart

A recent study has reported that one to two cups of coffee a day correlated with greater aortic distensibility vs rarely consuming coffee (P=0.45) in a study group of men and women 65 and older on the Greek island of Ikaria. But three to five cups a day had no effect on flexibility of the aorta, according to Christina Chrysohoou, MD, PhD, of the University of Athens, and co researchers.

Statins neither cause nor prevent cancer

An international team of researchers report that statins neither cause nor prevent cancer. The finding comes from a meta–analysis of 25 randomized controlled trials of the lipid–lowering medications, according to Jonathan Emberson, PhD, of the University of Oxford, and colleagues in the international Cholesterol Treatment Trialists’ Collaboration.

Some hypertension drugs may actually boost blood pressure in certain patients

According to a recent study published in the American Journal of Hypertension, involving 945 patients, overall, 7.7 of the patients had a clinically significant increase in BP ≥ 10 mmHg, with the highest percentage of these responses 16% occurring in patients with low renin levels who were given a beta–blocker or an ACE inhibitor.

Vitamin D status predict outcome in heart failure

According to a study to be presented next week at the annual congress of the European Society of Cardiology high levels of 25–hydroxy vitamin D were independently associated with a decreased risk for all–cause mortality.


Vaccine Update:  Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation Medanta Medicity

Can MMR and varicella vaccine be given simultaneously?

The risk of febrile seizures one to two weeks after immunization is increased by approximately two–fold in children aged 12 to 23 months who receive the combination measles/mumps/rubella/varicella (MMRV) vaccine compared with children who receive separate injections of MMR and varicella vaccine 1,2. Although the absolute risk of febrile seizures remains low (approximately 1 per 2300 to 2600 vaccinees), the US Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices suggests separate MMR and varicella vaccine for children ages 12 through 47 months, and combined MMRV vaccine for children ≥48 months if the parents do not have a preference 3

  1. Jacobsen SJ, Ackerson, BK Sy LS, et al. Observational safety study of febrile convulsion following first dose MMRV vaccination in a managed care setting. Vaccine 2009;27:4656.
  2. Klein NP, Fireman B, Yih WK, et al. Measles–mumps–rubella–varicella combination vaccine and the risk of febrile seizures. Pediatrics (in press).
  3. Marin M, Broder KR, Temte JL, et al. Use of combination measles, mumps, rubella, and varicella vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2010;59:1.

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

Q. Does one need to get admitted for the IVF process?

A. A patient undergoing IVF does not require admission. However, one should visit the center 3–5 times during monitoring cycle. On the day of egg collection, the patient would need to fast for 6 hours and come to clinic (the procedure takes about half an hour). Patients can go home after the effect of anesthesia weans off which takes about 2–3 hours. The next scheduled visit is after 2 -3 days for the embryo transfer, which again takes about half an hour and patients are free to go home after resting for one hour.

Diabetes Update: Question of the day
What are the risk factors for diabetic foot disease? (Dr Sharad Pendsey Nagpur)
Primary risk factors characteristic of hyperglycemia

  • Significant polyneuropathy with loss of protective sensations.
  • Evidence of ischemia in foot (ABI <0.9).

    Secondary risk factors
  • Foot deformities
  • Inappropriate footwear
  • Callus
  • Impaired vision
  • Previous ulcer
  • Person living alone
  • Previous amputation
  • Low educational status
  • Chronic renal failure
  • Non–compliant patient

Legal Update: Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

What is the right to refuse medical interventions? Nancy Beth Cruzan automobile accident case

Nancy Beth Cruzan was 31–year–old when she was in an automobile accident; this resulted in severe brain damage that placed her in a persistent vegetative state, dependent upon a feeding tube. After four years without improvement in her cognitive function, her family asked to have her artificial feeding and hydration stopped. In its decision, the United States Supreme Court recognized that competent patients have a constitutional right to refuse medical care. Using the Fifth Amendment’s guarantee that no person shall "be deprived of life, liberty, or property, without due process of law" the Supreme Court affirmed patients’ rights to refuse medical treatments. The Court declared that artificial hydration or nutrition is no different from other medical interventions.


Medi Finance Update

Q. What is house rent allowance and how far is it exempted for income tax?

Ans. House rent allowance is an allowance paid by the employer to the employees who are residing in rented premises. House rent allowance is exempt from income tax subject to the following:

Actual HRA received.
40–50% basic salary subject to location of rented property.
Rent paid in excess of 10% of salary. Every employee is required to submit the copies of receipts of rent paid/rent agreement to the employer to claim this deduction.


Drug Update

List of Approved drugs from 01.01.2010 TO 30.4.2010

Drug Name


DCI Approval Date

Doxofylline MR Tablet 650 mg

For the treatment of Bronchial asthma and COPD in Adults



Lab Update

For total cholesterol and HDL cholesterol – fasting is not required.


IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady on Leflunomide came for Detox.
Dr Bad: No Detox is required.
Dr.Good: Start Cholestyramine Protocol.
Lesson: Elimination of leflunomide can be accelerated in pregnancy through the administration of cholestyramine (8 g orally three times daily for 11 days) and confirmed by measurement of drug levels less than 0.02 mg/L on two tests performed two weeks apart. Additional cholestyramine treatment is indicated if plasma levels remain greater than 0.02 mg/L (Arthritis Res Ther 2006;8:209.)

Make Sure

Situation: A patient died after receiving IV isoprin stat.
Reaction: Oh my God! The order was for IV Isoptin.
Lesson: Make sure while ordering the drug to spell out the name of the medicine correctly and clearly.

Quote of the Day

Sam Ewig:
Hard work spotlights the character of people: some turn up their sleeves, some turn up their noses, and some don’t turn up at all.

Asthma Alert

One can only be allergic to a protein and not to a fat or carbohydrate


Mind Teaser (Vivek Kumar)

Read this………………


The answer for yesterday’s Mind Teaser: "one in million"
Correct answers received from:
Dr.ASHOK WASAN, Dr Meera Rekhari, Dr Anurag Jain, Dr Simran Singh,  Dr. Kalpana Mohan, Dr Chandresh Jardosh, Dr.Susheela Gupta, Dr Yogesh Saxena,Dr.A.K.Saxena, Dr. Nagendra Gupta
Correct answers received for 26th August Puzzle from: Dr.Girish Cally, Dr Shashi Chabra, Dr. Suman Kumar Sinha, Dr. AMLENDU YADAV, Dr. Ashok Kumar

Send your answer to ijcp12@gmail.com


Humor Section

Three FASTEST means of Communication:
1. Tele–Phone
2. Tele–Vision
3. Tell a Woman
Need still FASTER – Tell her NOT to tell ANY ONE.
(Contributed by Dr Maj Prachi Garg)

Funny One Liner
Nurse: A person who wakes u up to give you sleeping pills.


An Inspirational Story

Apparently this one is a real Story……This explains as to why our inner ego sometimes misjudges people.

A lady in a faded grey dress and her husband, dressed in a homespun suit walked in timidly without an appointment into the Harvard University President’s outer office. The secretary could tell in a moment that such backwood, country hicks had no business at Harvard and probably didn’t even deserve to be in Harvard.
"We want to see the President "the man said softly." He’ll be busy all day, "the secretary snapped. "We’ll wait" the lady replied.
For hours the secretary ignored them, hoping that the couple would finally become discouraged and go away. They didn’t and the secretary grew frustrated and finally decided to disturb the president.
"Maybe if you see them for a few minutes, they’ll leave" she said to him.
The President, stern faced and with dignity, strutted toward the couple.
The lady told him "We had a son who attended Harvard for one year. He loved Harvard. He was happy here. But about a year ago, he was accidentally killed. My husband and I would like to erect a memorial to him, somewhere on campus.
"The president wasn’t touched…He was shocked. "Madam "he said, gruffly, "we can’t put up a statue for every person who attended Harvard and died. If we did, this place would look like a cemetery."
"Oh, no," the lady explained quickly "We don’t want to erect a statue. We thought we would like to give a building to Harvard.
"The president rolled his eyes. He glanced at the gingham dress and homespun suit, and then exclaimed, "A building! Do you have any earthly idea how much a building costs? We have over seven and a half million dollars in the physical buildings here at Harvard."
For a moment the lady was silent. The president was pleased. May be he could get rid of them now.
The lady turned to her husband and said quietly, "Is that all it costs to start a university ? Why don ‘t we just start our own?" Her husband nodded.
The president’s face wilted in confusion and bewilderment. Mr. and Mrs. Leland Stanford got up and walked away, traveling to Palo Alto, California where they established the University that bears their name. Stanford University, a memorial to a son that Harvard no longer cared about.
Most of the time we judge people by their outer appearance, which can be misleading.. And in this impression, we tend to treat people badly by thinking they can do nothing for us. Thus we tend to lose our potential good friends, employees or customers.
Remember In our Life, we seldom get people with whom we want to share & grow our thought process. But because of our inner EGO we miss them forever.
It is you who have to decide with whom you are getting associated in day to day life.

Small people talk about others, Average people talk about things, Great people talk about ideas
(Contributed by Paramjit Chadha)


Readers Responses

  1. Mobile phone in OT: Very genuine and valid point. Invariably anesthetist is busy with his phone ,he has to be warned when suddenly relaxation is incomplete or oxygen saturation is falling . Then he attends. Why cant all mobile phones in OT may be submitted to an OT staff specially appointed for this purpose who can attend all calls and screen and forward the very urgent one. THE SCENARIO I HAVE DESCRIBED IS OF OT OF A SMALL TOWN AND SMALL HOSPITALS NOT OF A CORPORATE HOSPITAL OR BIGGER ACADEMIC INSTITUTIONS. Vivek kumar. Surgeon, R K mission hospital, Varanasi.
  2. Seeing e-Medinews every day in my email inbox is a great joy. Full of updated topical information, e-medinews keeps me updated on all fronts, not just the CME one. Features on Finance update, Press releases, Forthcoming events, Humor and Legal Update are so engrossing that I tend to read the entire e-medinews and on those days when there is a paucity of time, I just save the e-medinews in a special folder titled:"Medinews" for future reading. It is because of the alerts and news about forthcoming events, that i have been able to attend many a conference. Also, instead of just passing further the "will bring good-luck emails, I have found forwarding e-medinews to my colleagues to be a more useful activity. And I have received many emails thanking me for the same. I wish e-medinews team all the very best. Dr. Mamta Chadha, Sr.DMO, Deptt. of Anaesthesia, Northern Railway Central Hospital, ND
  3. E-medinews has been for a long time now a regular habit for me. I was forwarded a few issues by my colleague and I liked it so much that I started subscribing it. The News section is my favorite followed by the light reading material. Plus the features on other issues such as Legal and Social matters are very enriching. I find e-medinews to be a store house of information. And every issue that i receive is saved with me on my computer. I have even transferred many issued on my pen drive and where ever I am, I can pass my time very well with my e-medinews. I congratulate the IJCP organization for bringing out such a useful e-newsletter. Dr. Praveen Kaur, Sr.DMO, Deptt. of Anaesthesia, Northern Railway Central Hospital, ND

Public Forum (Press Release for use by the newspapers)

Pre–Hypertension Triples the Risk of Heart Attack

A person with pre–hypertension, systolic blood pressure between 120–140 mmHg and diastolic pressure between 80-90 mmHg, is more than three times likely to have a heart attack and 1.7 times more likely to have heart disease than a person whose blood pressure is lower than 120/80 mmHg said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India, BSNL Dil Ka Darbar & MTNL Perfect Health Mela.

Systolic blood pressure is the pressure against the artery wall when the heart beats and diastolic blood pressure is the pressure when the heart is at rest between the heart beats. Normal blood pressure is lower than 120/80 mmHg and hypertension is blood pressure more than 140/90 mmHg or higher.

Dr. Aggarwal said that research has shown that if pre–hypertension is aggressively treated, 45% of all heart attacks can be prevented.

Lifestyle such as weight control, regular physical activity and changes in diet are recommended for people with pre–hypertension. The importance of pre–hypertension has been enlisted as one of the top 10 recent advances in cardiology. Dr. Aggarwal said that every effort should be made to lower the blood pressure below 120/80 mmHg.


Conference Calendar

Hospital Infrastructure India 2010 – India’s Premier International Exhibition on Hospital Infrastructure, Supplies, Planning and Healthcare Development –

Date: December 7 – 9, 2010
Venue: Bombay Exhibition Centre, Mumbai, Maharashtra.


Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

5th September: 3 PM to 5 PM – A dialogue with His Holiness Dalai Lama at C 599 Defence Colony Acharya Sushil Ashram in association with Acharya Sushil Muni Ahimsa Peace Award Trust

26 th September: Sunday- BSNL Dil ka Darbar A day-long interaction with top cardiologists of the city. 8 AM - 5 PM at MAMC Auditorium, Delhi Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to
10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

eMedinews Revisiting 2010

The 2nd 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.

Share eMedinewS

If you like eMedinewS you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.