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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


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Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

  Editorial …

29th November 2011, Tuesday

LOAD H. pylori with new four–drug regimen

A novel regimen using three antibiotics and a proton pump inhibitor (PPI) is highly active against Helicobacter pylori in treatment–naive patients, researchers reported in a paper online October 11 in the American Journal of Gastroenterology.

This quadruple drug regimen (LOAD) for 10 days comprised

  • Levofloxacin
  • Omeprazole
  • Nitazoxanide
  • Doxycycline

This regimen has a very high eradication rate and virtually negligible side effects.

Resistance to standard treatment regimens has led to PPI, amoxicillin, and clarithromycin triple–therapy cure rates consistently falling below 80%. Other regimens such as those containing metronidazole have also been used, but resistance to that agent has reportedly been as high as 66%.

LOAD is better than LAC (lansoprazole, amoxicillin, and clarithromycin) therapy for 10 days.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Proceeding of 26th annual CSI Meet,
Delhi Chapter

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Another Feather in the Cap

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, Chairman, Heart Care Foundation of India, was awarded with the Social Award.

Dr K K Aggarwal
    National News

Polio, India’s latest cross–border threat

Stamping out a disease from the face of the earth may not sound as spectacular as, say, Mars landing, but the sheer cussedness and the budget needed to get the job done are comparable. With infections down to 536 this year from last year’s 1,352, the world is closer to eradicating polio, a crippling viral disease that affects the nervous system and causes total paralysis within hours. It affects children under 5 years, causing symptoms of fever, fatigue, headache, vomiting, and pain in the arms and legs. One in 200 infections causes irreversible paralysis and, sometimes, death. India has reported just one polio case this year – on January 13 in the Howrah district in West Bengal — bringing the country the closest ever to eradication. The fact that the number has stubbornly stayed at one despite infection usually peaking from October through December is causing understandable glee among public health experts worldwide. And, unlike, the pernicious superbug NDM–1 that keeps cropping up everywhere in India, wild poliovirus has not even been found even in sewage water this year. What worked for India is the blanket–bombing of all children under 5 years with the polio vaccine, and switching from the milder, old vaccine that worked against all three strains of polio virus, to a new double–strain vaccine that induces stronger immunity against the two remaining serotypes (type 1 & 3 poliovirus). No Type 3 poliovirus has been reported in over one year. (Source: Hindustan Times, November 26, 2011)

For comments and archives

Kindly visit Facebook for CSI News. It will cover minute to minute happenings of the 63rd CSI conference at Mumbai 8–11th December

Facebook Page for CSI News

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

Medical ozone and steroids for lumbar disk herniation

Combined intradiscal and periganglionic injection of medical ozone plus a periganglionic injection of steroids can address both the mechanical and the inflammatory components of pain caused by lumbar disk herniation. (RSNA 2011)

For comments and archives

Human error common in breast imaging

More than one quarter of breast cancers missed on mammography are the result of interpretive error, as are more than one fifth of those missed on ultrasound. (RSNA 2011)

For comments and archives

Vitamin D and CVD risk

A prospective, randomized, placebo–controlled trial, led by Dr Adam Gepner (University of Wisconsin School of Medicine and Public Health) has cast real doubt on the alleged cardioprotective benefits of vitamin D. They found that treatment with vitamin D for four months had no significant effect on endothelial function, vascular stiffness, or inflammation in healthy postmenopausal women.

For comments and archives

    Twitter of the Day

@DrKKAggarwal: The world is moving so fast these days that the man who says it can’t be done is generally interrupted by someone doing it. Elbert Hubbard

@DeepakChopra: Please take a look at my most recent Health Tips I have been writing for the Huffington Post!http://www.deepakchopra.com/blog/category/9/health

    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

Post Wedding Rituals

The Arrival at the Groom’s House, and the Bou Bhat Ceremony On arrival at the groom’s house, women pour water on the ground under the vehicle in which they have traveled and the couple then exits the vehicle.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Bird Feeder

Last fall, I hung outside my window a bird feeder. Now not knowing the first thing about wild birds, I assumed that as soon as I hung this bird feeder outside, a multitude of beautiful birds would be swooping to my new addition. Days, weeks and months went by; NO BIRDS.

I asked so many people what to do? What was I doing wrong? "Nothing" most of them replied. "Just wait." So I waited and waited and waited trying everything possible, to attract these birds.

I cleaned off the deck, I changed the feed, I washed the feeders, I even made the cat go out the other door! But nothing seemed to work. So……I waited, "with patience and hope."

Two months later, on a Saturday afternoon, I FROZE! What to my eyes had appeared on the bird feeder but the most beautiful bird I have ever seen in my life! All of a sudden HUNDREDS UPON HUNDREDS OF BIRDS WERE APPEARING FROM EVERYWHERE!

What a beautiful lesson I learned from this little creature. "Patience and hope" and "things" will attract the beautiful things in life. I never realized how much patience I really do have and how much I do rely upon "hope" to sort out the questions in my heart.

So I keep hoping and waiting, waiting and hoping. I will try to use this "little lesson" with so many other things in my life. I guess "patience is a virtue" after all.

For comments and archives

   Cardiology eMedinewS

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

Recommendations on Follow–up care of patients with prosthetic valves.

For comments and archives

MS with MR and TR the most common RHD lesion

For comments and archives

26th Annual CSI Delhi Proceedings

For comments and archives

Proceedings of 26th Annual CSI Meet day 2

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    Fitness Update

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

Women who are active have a lower risk of colon disease

New research from Sweden shows that physical activity may lower the risk of diverticular disease – a form of colon disease – while obesity and inactivity make people more susceptible to the condition. The study, published in the American Journal of Gastroenterology is the largest to assess the relationship of weight and lifestyle with colon disease.

Researchers administered a comprehensive survey to a group of over 36,000 Swedish women in 1997, and then followed the group of women for 12 years. The questions in the survey asked about exercise, diet, television watching, smoking, and other lifestyle choices. Researchers also measured their body mass index (BMI) and asked questions about their health history at the beginning of the study. Over the course of the study, cases of diverticular disease were identified, and the researchers paid close attention to those cases requiring hospitalization. They found that overweight and obese women were 29 and 33 percent more likely to be hospitalized, respectively, than women who had normal BMIs. Similarly, women who were inactive (which researchers defined as exercising less than 30 minutes per day) had a much greater risk of being hospitalized and suffering complications related to diverticular disease.

For comments and archives

    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Should old patients drive?

Drugs like β–blockers may reduce performance anxiety and tremor, thereby strengthening vehicle control in some older people.

    Medicine Update

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

Is gene therapy available for glycogen storage disease (GSD)?

Not as yet, but is in advanced stages of trials for type I and III glycogen storage diseases.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient on pacemaker needed to undergo a brain scan.
Dr Bad: Get an MRI brain done.
Dr Good: Get a CT scan done.
Lesson: The magnetic field of MRI process can disturb the pacemaker’s electrical circuit and hence CT scan is the preferred procedure in such cases.

For comments and archives

Make Sure

Situation: A 10–day–old neonate developed purulent conjunctival discharge. On history, it was found that mother had had repeated episodes of PID.
Reaction: Oh my God! You should have treated the mother with azithromycin for Chlamydia trachomatis infection.
Lesson: Make sure to remember that C. trachomatis infection is effectively treated with single dose of 1 g azithromycin.

For comments and archives

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emedinews revisiting 2011
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eMedinewS Apps
  Quote of the Day

(Dr GM Singh)

You have succeeded in life when all you really want is only what you really need. Vernon Howard

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

HLA–B27 antigen

  • To determine whether you have human leukocyte antigen B27 (HLA–B27) on the surface of your cells.
  • To help assess the likelihood that you have an autoimmune disorder associated with the presence of HLA–B27.

The most common of these disorders is ankylosing spondylitis (AS); 90% of patients with AS are positive for HLA–B27. Other disorders that have an association with the presence of HLA–B27 include: Juvenile rheumatoid arthritis (JRA), Reiter’s syndrome, isolated acute anterior uveitis, and in patients with inflammatory bowel disease etc.

    Mind Teaser

Read this…………………

Which of the following is not true for ectopic pancreas?

a) Stomach and duodenum are the most common sites.
b) Ectopic pancreas appears as a submucosal irregular nodule in the wall.
c) Islet tissue is present in all the organs where ectopic pancreas is present.
d) Ulceration, bleeding and obstruction are the most common symptoms.

Yesterday’s Mind Teaser:      r
                                      g rosey i

Answer for Yesterday’s Mind Teaser: Ring around the rosey

Correct answers received from: Dr Neelam Nath, Dr KV Sarma, yogindra vasavada, Muthumperumal Thirumalpillai, Dr Shabina, Dr KV Sarma, Dr PC Das, Dr Ragavan Moudgalya.

Answer for 26th November Mind Teaser: a) Interleukin–10
Correct answers received from: Dr Sukla Das, Dr Sukanta Sen, Dr PC Das, Dr Ragavan Moudgalya,
Dr Neelam Nath, Dr Thakor Hitendrasinh G, Gopal Shinde, Dr Prabodh Kumar Gupta, Dr Chandresh Jardosh, Dr Ravi, Raju Kuppusamy.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

The woman just had a baby. Her visitor admired the baby especially when she noted the flaming red hair on the kid. "I see that you have raven black hair", she said to the new mother, "What color is the fathers' hair?". "I don’t know", answered the mommy, "He was wearing a hat".

  Medicolegal Update

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

WMA non–therapeutic Biomedical Research guidelines Involving Human Subjects

The WMA standards have been drafted only as a guide to Doctors/physicians all over the world. Doctors are not relieved from criminal, civil and ethical responsibilities under the laws of land applicable to them.

  • All precautions should be taken to respect the privacy of the subject and to minimize the impact of the study on the subject’s physical and mental integrity/health.
  • In the purely scientific application of medical research carried out on a human being, it is the duty of the doctor to remain the protector of the life and health of that person on whom biomedical research is being carried out.
  • The subjects should be volunteers, either healthy persons or patients for whom the experimental design is not related to the patient’s illness.
  • The investigator or the investigating team should discontinue the research if in his/her or their judgment it may, if continued, be harmful to the individual.
  • In research on man, the interest of science and society should never take precedence over considerations related to the wellbeing of the subject.

(Ref: 18th World Medical Assembly, Helsinki, Finland, 1964 and revised by the 29th World Medical Assembly, Tokyo, Japan, 1975)

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    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Keep 3 car distances away from a truck carrying live chickens

While driving long distances do not get too close to trucks if they are carrying a load of live chickens warns Heart Care Foundation of India. It’s a perfect breeding place for the transmission of germs from the chickens to humans, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

These germs may be resistant to many antibiotics, as per researchers from the Johns Hopkins Bloomberg School of Public Health and published in the Journal of Infection and Public Health.

The Virginia study reported increased levels of pathogenic bacteria on surfaces and in the air inside cars driving with windows open at two to three car lengths and traveling behind trucks carrying broiler chickens.

Typically, broiler chickens –– scientifically called "intensively raised poultry" –– are transported in open crates on the back of flatbed trucks. These crates are contaminated with feces and bacteria.

Air samples from the cars showed increased concentrations of bacteria (including antibiotic–resistant strains) that could be inhaled. The same bacteria were also found in a soda can inside a car and on an outside.

For comments and archives

    Readers Response
  1. As usual the issue of emedinews was a very much informative and usuful in practical sense. But icing on the cake was highlights from the CSI Delhi chapter. Thank you very much indeed, sir! Dr Jainendra Upadhyay
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai , Ajay Mahajan , G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande , Sushil Kumbhat , Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta , M. J. Gandhi , G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

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

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

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  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

  How to Use

  Pesticides Safely

    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 Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta