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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

  Editorial ...

29th September, 2010, Wednesday

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

No evidence that asthma leads to tooth decay: study

There’s no link between asthma and tooth decay in children. The findings from a new study challenge some previous research suggesting that children with asthma may be more likely to develop cavities. Researchers analyzed 27 studies in papers published between 1976 and March 2010 and found little evidence to suggest that asthma causes tooth decay. In fact, the two largest studies we reviewed found that children with asthma appear to have fewer cavities than others. This may be because their parents are used to taking them to health–care providers, and routinely bring them to the dentist. The study appears in the September issue of the Journal of the American Dental Association.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
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  Photo Feature (from the HCFI Photo Gallery)

Distinguished guests at the 2nd BSNL Dil Ka Darbar

The 2nd BSNL Dil Ka Darbar was held on Sunday 26th September 2010 at MAMC Auditorium, New Delhi to mark the World Heart Day. The event was inaugurated and blessed by Sh K.C.G.K. Pillai Principal General Manager Finance BSNL. In the photo:  Right to left- Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President HCFI; Dr Sanjay Sood; Dr NK Yadav; Sh K.C.G.K. Pillai, Dr Samir Srivastva; Dr HK Chopra; Dr Uday Kakroo; Dr SK Khanna and, Dr Akhilesh Sharma

Dr K K Aggarwal
  IMSA Update

International Medical Science Academy (IMSA) Update

Gout: Lower dose colchicine

A lower dose regimen of colchicine may have similar efficacy and fewer side effects than a traditional, higher dose regimen for patients with acute gouty arthritis. This was supported by the results of a randomized, placebo–controlled trial that compared colchicine given as 1.2 mg followed by one additional dose of 0.6 mg an hour later (total dose 1.8 mg), versus 1.2 mg followed by 0.6 mg every hour for up to six hours (total dose 4.8 mg).

Terkeltaub RA, et al. High versus low dosing of oral colchicine for early acute gout flare: Twenty–four–hour outcome of the first multicenter, randomized, double–blind, placebo–controlled, parallel–group, dose–comparison colchicine study. Arthritis Rheum 2010;62:1060.

  National News

Parole for Dr Ketan Desai

As per sources, Dr Ketan Desai, former President of MCI was granted parole of three days to visit his ailing mother.

IMA Election (for a CHANGE)

Emedinews requests all its readers to support our editor Dr. K.K. Aggarwal, Padma Shri and Dr. B C Roy National Awardee who is contesting for the post of Vice President of the National Indian Medical Association. Members of Central Council of IMA, Working Committee Members, Presidents and Secretaries of IMA in addition to all office bearers are the voters in this election. Dr. Aggarwal is well–known for his work in the field of academics.

97 new dengue cases; count reaches 3,013

Dengue cases crossed the 3,000-mark in the national Capital on Monday.With just five days left for the Commonwealth Games, the Capital continued to struggle with the dengue outbreak as 97 more people tested positive for this vector-borne disease on Monday. With these fresh cases, the total dengue count in the Capital became 3,013. Delhi has also recorded five dengue deaths in this season.  South Delhi has continued to be worst-affected in 2010 recording 410 cases, followed by MCD Civil Lines Zone (392), Rohini (354) and Central Zone (337).
The civic bodies are attributing the rapid increase in dengue cases this season to prolonged monsoon and stagnation of water at Commonwealth Games construction sites. Union Health Minister Ghulam Nabi Azad had said, “Dengue count in the country is still low. The type of vector-borne disease is subtype 3, which is not very dangerous.” He had also said that countries like Sri Lanka and Indonesia have seen a very large number of dengue cases. (Source: The Pioneer)

  International News

(Contributed by Dr Monica and Brahm Vasudev)

Giving aspirin via IV route is safe and effective for severe headache

A new study shows that aspirin, given intravenously may be a safe and effective option for people hospitalized for severe headache or migraine, undergoing medication withdrawal. The study findings will be published in the Sept. 21, 2010, issue of Neurology, the medical journal of the American Academy of Neurology.

Brain consumes energy to stop thinking: study

Mathematicians at Case Western Reserve University say that just as thinking burns energy, stopping thought also burns energy –– like stopping a truck on a downhill slope. Daniela Calvetti, professor of mathematics, and one of the authors of a new brain study, this may be the answer as to why it is so tiring to relax and think about nothing. Their work is published in an advanced online publication of Journal of Cerebral Blood Flow & Metabolism.

Cholesterol drug may have role in treating prostate cancer

According to a study published in the September issue of European Urology, rosuvastatin, an anticholesterol drug, suppressed the growth of transplanted human prostate cancer cells in mice. Dr. Xiao–Yan Wen at St. Michael’s Hospital said that this data provided solid pre–clinical evidence and a strong rationale for clinical trials of statins in the treatment of prostate cancer.

Study links cortisol to higher risk of cardiovascular disease risk

High levels of the stress hormone cortisol are closely linked to death from cardiovascular disease, with those over 65 with the highest levels of cortisol showing a 5–fold risk of death from cardiovascular disease as per a study in the Journal of Clinical Endocrinology and Metabolism.

  Hepatology Update

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

 What are the features of chronic liver disease in children?

  • History of GI bleed/arthritis/ascites
  • Past history of jaundice/abdominal lump/failure to thrive
  • History of consanguinity
  • Family history of liver disease/death due to liver disease
  Infertility Update

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

How do you know that a lady has an ovarian problem?

An ovarian problem can be due to many factors. In a polycystic ovarian syndrome (PCOS), the lady is usually overweight and has delayed periods. She has numerous maturing eggs; due to hormonal imbalance they are unable to mature regularly. In endometriosis, though the exact cause is not known, it has been postulated that some of the blood flow is slow and damages the tube and ovarian tissue. This leads to cyst formation and egg damage. The lady would present with pain, abdominal pain during periods, and pain during intercourse or irregular menstrual period.
Ovarian pain may be due to lack of good quantity of eggs. A girl is born with a fixed number of eggs and by the time she reaches menopause, there are no eggs remaining on her reserve. About 10-15 years before menopause, she enters a phase called reduced ovarian reserve, where though she is menstruating regularly, the quantity of the eggs is poor with less or no chance of conception. Some time this happens many years prior to menopause, it is then called premature ovarian failure.

  ENT Update

Dr. Aru Handa MS, DNB (Department Co–ordinator and Senior Consultant Deptt. Of ENT Moolchand Medcity)

Noise induced hearing loss

Long term exposure to excessive sound levels and some times even a shorter exposure to a very loud sound can damage the sensory hair cells in the ear thus leading to hearing loss. Apart from occupational noise these days there is lot of social and recreational noise exposure. The hearing loss depends on the intensity of noise exposure and its duration. The industrial noise is generally more prolonged but less intense while the military noise can lead to a very high noise exposure over a very short duration. In general, sound level of > 85dB for 8 hours a day and for more than 5 days a week causes ear damage. Doubling the sound intensity, which is equivalent to a 3dB increase, can bring the same effect in half the time. Thus, 88dB is twice as intense as 85dB. Ipods should not be heard above 60% of volume for more than 60 minutes. At full volume even 5 minutes of listening can be damaging to the ear.

Some common sound levels


30 dB

Rain fall

50 dB

Normal conversation

55 dB

TV sound

60 dB


70 dB

Busy traffic noise

80 dB

Hair dryer

90 dB

iPod (full volume)

110–130 dB

Loud car stereo

120 dB

Rock concert

100–130 dB


140 dB

Jet engine at 25metres

140 dB

  Medicolegal Update

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

How does the poison enter into the body?

The way the poison gets into the body is called the route of exposure or the route of absorption. The amount of poison that gets into the blood during a given time depends on the route.
  • Through the mouth by swallowing: This is the most common route of poisoning. Small children often swallow poison accidentally, and adults who want to poison themselves may swallow poison. If people eat, drink or smoke after they have been handling poisons, without first washing their hands, they may accidentally swallow some of the poison. This is a common cause of pesticide poisoning.
  • After ingestion, some poisons can pass through the gut walls and into the blood vessels. This can be stopped by giving activated charcoal (because this binds some poisons so that they cannot pass through the gut walls) or laxatives (to make the poison move through the gut and out of the body) more quickly. ere are two other ways to stop poisons passing from the gut into the blood: (1) give
  • Poisons that do not pass through the gut walls do not get into the blood and so cannot affect other parts of the body. For e.g., mercury metal cannot pass through the gut walls; if mercury from a thermometer is swallowed, it passes out of the body in the feces and does not cause poisoning.
  Medi Finance Update

Stock Basics: What are Stocks?

Plain and simple, stock is a share in the ownership of a company. It represents a claim on the company’s assets and earnings. As you acquire more stock, your ownership stake in the company becomes greater. Whether you say shares, equity, or stock, it all means the same thing.

  Drug Update

Drugs prohibited for manufacture, sale and distribution from subsequent date

Drug Formulation

Effective date


Fixed dose combination of Nitrofurantoin and trimethoprim.

Jan 1, 2002

GSR 170(E) dt.12.3.01

  Lab Update

Liver function tests (LFTs)

  • To screen for, detect, evaluate, and monitor for liver inflammation and damage.
  • Periodically to evaluate liver function; whenever you are at risk for liver injury; when you have a liver disease; when you have symptoms such as jaundice.

(Contributed by Dr Arpan Gandhi and Dr Navin Dang)

  IJCP Special

Dr Good Dr Bad

Situation: A female diabetic patient with BP of 135/ 85 mmHg came for evaluation.
Dr Bad: Continue with antidiabetic treatment only, your BP is perfect.
Dr Good: You also need to control your BP. It is towards higher side.
Lesson: The threshold for initiating anti hypertensive therapy is lower (BP of atleast 130/80 mnmHg) in women with NIDDM than it is in non diabetic patients.

Make Sure

Situation: A 20–year–old college student complained of dysuria, frequency and pyuria.
Reaction: Oh my God! Why did you not advise macrolide?
Lesson: Make sure to remember that macrolide are very effective against E. coli, S. saprophyticus and C. trachomatis infection.

Quote of the Day

"Idleness is an inlet to disorder, and makes way for licentiousness. People that have nothing to do are quickly tired of their own company." Jeremy Collier
(Contributed by Dr.G.M.Singh)

  Mind Teaser

Read this…………………


Answer for yesterday’s Mind Teaser: "Too bad ".

Correct answers received from: Dr Chandresh Jardosh, Dr Kalpana Mohan, Dr. G. Padmanabhan, Dr Sudha Nayyar, Dr. Suman Kumar Sinha, Dr.K.Raju, Dr.Susheela Gupta, Dr. Rohini Vaswani,Dr. Rajiv Dhir, Dr Suparna Khera, Dr.K.P.Rajalakshmi, Dr Muthumperumal Thirumalpillai, Dr Sanket Kumar Gupta, Ms. Deepti Katyal Uppal, Dr Vijay Kansal

Answer for 27th Sept Mind Teaser is: "Platinum".
Correct answers received from: Dr Anurag Jain, Dr Raju Kuppusamy, Dr Rashmi Chhibber, Dr Muthumperumal Thirumalpillai

Send your answer to ijcp12@gmail.com

  Humor Section

Patient: Doctor, can you help me out?
Doctor: Certainly – which way did you come in?
(Contributed by Dr. GM Singh)

Important laws which the great Newton forgot to state
Law of coffee

As soon as you sit down for a cup of hot coffee, your boss will ask you to do something which will last until the coffee is cold.
(Contributed by Dr. Chandresh Jardosh)

Why are Indians easy to Identify
We are like this only so true, so very true……………

Everything you eat is savoured in garlic, onion and tomatoes.
(Contributed by Dr. Anuj Goel)

  An Inspirational Story

The Wise Woman
A wise woman who was traveling in the mountains found a precious stone in a stream. The next day she met another traveler who was hungry, and the wise woman opened her bag to share her food. The hungry traveler saw the precious stone and asked the woman to give it to him. She did so without hesitation.The traveler left, rejoicing in his good fortune. He knew the stone was worth enough to give him security for a lifetime.

But, a few days later, he came back to return the stone to the wise woman. "I’ve been thinking," he said. "I know how valuable this stone is, but I give it back in the hope that you can give me something even more precious. Give me what you have within you that enabled you to give me this stone."

Sometimes it’s not the wealth you have but what’s inside you that others need.

  Readers Responses
  1. Congrats, Dr. Neelam Mohan, for successfully carrying out liver transplant on a 6 month old baby suffering from factor 7 deficiency.....Yes, we are tired of hearing about declining female numbers. Why does the press not shout from rooftop when a woman achiever of this magnitude is out there, or are we taken for granted being doctors? We never needed women’s reservations to get into medical colleges like ‘netas’ today are yelling and fighting for. As far as I am concerned, besides the inspiration stories in emedinews, yours is the real one to look upto. Dr. Neelam Nath.
  Public Forum

(Press Release for use by the newspapers)

Panic and Rumors are contagious

Both rumors and panic reactions are contagious. It just takes one percent of the population to create rumors. Most rumors are not facts. The best way to know whether it's a rumor or not, is to ask, "Who told you". The answer invariably will be ‘someone’. Unless somebody has heard it from the horses' mouth do not believe it. It is a human tendency to add to what one has heard from someone.
This was stated by Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela.
Rumors are scientific and are based on the 100th Monkey Phenomenon. Once the target population is sensitized, the rumor spreads like wild fire. In a gathering of 1000 people only 10 persons are required to spread the rumor, and the resultant panic. In a war-like situation, it is easy to spread rumors as the public is sensitized for the same and living in an unknown fear.
Panic attacks are an unexplained and unprovoked fight or flight response. The body suddenly has the physical reaction of a life-threatening situation. Panic attack is usually mistaken (by the sufferer) as a heart attack and can be very frightening. Anxiety can sometimes lead to panic attacks therefore a lot of people with anxiety disorder tend to unfortunately develop panic attacks.
Talking about anxiety, Dr. Aggarwal said that it is a feeling everyone suffers from at one time or other. It is an emotion most people experience when they feel they are in danger. The heart rate increases, the muscles tense up, one get a rush of adrenaline and one is ready to fight for the life. This is called the "Fight or Flight" reaction and it gives one the extra strength needed to overcome or escape a dangerous situation.
On the other hand, anxiety disorder is when you have the symptoms but the reason for feeling the "Fight or Flight" reaction is unclear.
A panic attack is a sudden surge of overwhelming fear that comes without warning and without any obvious reason. It is far more intense than the feeling of being 'stressed out' that most people experience. Symptoms of a panic attack include:

  • Racing heartbeat
  • Difficulty in breathing, feeling as though you 'can't get enough air'
  • Terror that is almost paralyzing
  • Trembling, sweating, shaking
  • Choking, chest pains
  • Hot flashes or sudden chills
  • Tingling in fingers or toes ('pins and needles').
  • Fear that you're going to go crazy or are about to die
In addition to the above symptoms, a panic attack is marked by the following conditions:
  • It occurs suddenly, without any proportion to the actual situation; often, in fact, it's completely unrelated.
  • It passes off in a few minutes; the body cannot sustain the 'fight or flight' response for longer than that. However, repeated attacks can continue to recur for hours.

A panic attack is not dangerous, but it can be terrifying, largely because it feels 'crazy' and 'out of control'. Panic disorder is frightening because of the panic attacks associated with it, and also because if often leads to other complications such as phobias, depression, substance abuse, medical complications, even suicide. Its effects can range from mild word or social impairment to a total inability to face the outside world.
Tips: Be prepared for emergencies. Always keep the first aid kit and a supply of goods and medicines for 1-2 weeks handy than to panic when they are needed.

  Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

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

Dr. Sood Nasal Research Foundation Announces

Rhinology Update 11th to 15th November
22nd National Endoscopic Sinus Surgery Course on 11th & 12th November, 2010 2010 at Dr. Shroff’s Eye & ENT Hospital, New Delhi
Cadaveric Sessions on 13th November, 2010 at Lady Hardinge Medical College.
33rd All India Rhinoplasty Course, on 14th & 15th November, 2010, at Metro Hospital, Preet Vihar, Vikas Marg, New Delhi.

For information contact: Dr. V P Sood, Course Chairman, Ear, Nose & Throat Center, 212, Aditya Arcade, 30, Community Center, Preet Vihar, Vikas Marg, Delhi–110092 (India). Tel: 011–22440011, 42420429. E–mail:drvpsood@gmail.com,vpsood@drsoodnasalfoundation.com
Website: www.drsoodnasalfoundation.com

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.

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