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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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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of 1st Mega Ajmer Health Camp 2012

  Editorial …

30th March 2012, Friday

ESC says industry funding "essential" for CME

Industry funding toward continuing medical education remains essential, according to a new white paper on the subject from the European Society of Cardiology published in the March 2012 issue of the European Heart Journal.

The balance between producing high–quality unbiased medical education and paying for it with grants from pharmaceutical companies has always been a delicate one.

The paper concludes: "Medical societies need to develop a constructive partnership with industry, in a transparent, productive, and ethical manner. To achieve this, the trust not only of the public but also of healthcare professionals, governments, and regulators must be retained and be respected. If the calls to ban industry support of medical associations were to be heeded before alternatives were in place, opportunities for CME would be severely compromised."

The ESC puts forward the use of "unrestricted educational grants" as its preferred method of industry supporting CME. This is when a company gives an organization funding for a certain program but the company has no input into that program.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

ESC says industry funding "essential" for CME

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

First Mega Ajmer Health Camp 2012

For the first time in the history of India, a camp attracted over 72,000 people, camp was organized by Heart Care Foundation of India.

Dr K K Aggarwal
    National News

Cancer killed 5.5 lakh in India in 2010

NEW DELHI: Tata Memorial Hospital, Lancet, Centre for Global Health Research and University of Toronto jointly releases study findings on cancer mortality in India in 2010. The findings are:

  • There were 5.56 lakh cancer deaths in India in 2010.
  • 71% (3.95 lakhs) of these deaths occurred in people aged 30–69 years (2 lakh men and 1.95 lakh women).
  • Cancer deaths accounted for 6% of deaths across all ages, but among the 30–69 years age group, this rose to 8% of the 2.5 million total male deaths and 12% of the 1.6 million total female deaths.
  • At 30–69 years, the three most common fatal cancers in men were: oral (including lip and pharynx, 45,800 (23%), stomach 25,200 (13%) and lung (including trachea and larynx) 22,900 (11%).
  • For women, the leading causes of cancer death were cervical 33,400 (17%), stomach 27,500 (14%), and breast 19,900 (10%) cancers in women.
  • Tobacco–related cancers represented 42% (84000) of male and 18.3% (35,700) of female cancer deaths at ages 30–69 years.
  • There were twice as many deaths from oral cancers as lung cancers, in part due to common use of chewing tobacco in men and women.
  • The number of oral cancers was more than twice the number of lung cancers in individuals aged 30–69 years, indicating that the range of fatal cancers caused by tobacco in India differs substantially from that in high–income countries.
  • A 30–year old man in northeastern India had the highest chance (11.2%) of dying from cancer before 70 years of age. By contrast, the risk was less than 3% for men in the adjacent states of Bihar, Jharkhand, and Odissa in eastern India. For women, the highest risk (6%) of dying from cancer before 70 years of age was in the northeastern states.
  • Mortality rates were two times higher in the least educated than in the most educated adults: men, illiterate 107 vs most educated 46; and women, illiterate 107 vs most educated 43.
  • Cervical cancer was around 40% less common in Muslim than in Hindu women, probably due to high circumcision rates among Muslim men having a protective effect against human papillomavirus (HPV) infection, a causative agent in cervical cancer.
  • Age–standardised cancer mortality rates per 100 000 were similar in rural areas (men 96, women 97) and urban areas (men 102, and women 91, but varied greatly between the states.
  • Rates of cancer deaths in India are about 40% lower in adult men and 30% lower in women than in men and women in the USA or UK.
  • However, cancer death rates are expected to rise, particularly with increases in age–specific rates of tobacco smoking. (Source: TOI, Mar 28, 2012)

For comments and archives

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

Gene plays key role in severity of flu

A genetic variation may partly explain why some people became extremely ill from the pandemic H1N1 flu, while most infected people had only mild illness, researchers reported. The gene involved is called IFITM3 and it’s from the interferon–inducible transmembrane (IFITM) protein family. The gene is a key part of the body’s defenses against influenza A, according to Abraham Brass, MD, PhD, of Massachusetts General Hospital in Boston, and his U.K. colleagues. (Source: Medpage Today)

For comments and archives

Cervical cancer trial closes on negative note

Patients with locally advanced cervical cancer did not benefit from the addition of a radiation sensitizer to standard chemoradiation, results of a large randomized trial showed. Neither progression–free survival (PFS) nor overall survival improved among patients who received tirapazamine. The randomized trial ended prematurely because of slow patient accrual, owing in part to difficulties obtaining the study drug. Following a negative trial in head and neck cancer, the cervical cancer results could spell the end of clinical evaluation for tirapazamine, Paul A. DiSilvestro, MD, said here at the Society of Gynecologic Oncology meeting. (Source: Medpage Today)

For comments and archives

ACC: Elective PCI safe without surgical backup

Elective percutaneous coronary intervention (PCI) outcomes over the mid term appear similar regardless of a hospital's onsite cardiac surgery capabilities, a trial found. Major adverse cardiac events came out statistically similar at nine months, with rates of 11.2% with and 12.1% without a surgeon on hand (P=0.05 for noninferiority), Thomas Aversano, MD, of Johns Hopkins, and colleagues reported here at the American College of Cardiology meeting and simultaneously online in the New England Journal of Medicine. (Source: Medpage Today)

For comments and archives

Angioplasty may benefit chronic DVT patients

Minimally invasive procedures such as angioplasty and stenting may alleviate symptoms of chronic deep vein thrombosis (DVT), researchers said at the Society of Interventional Radiology meeting. (Source: Medpage Today)

For comments and archives

   Twitter of the Day

@DrKKAggarwal: Five Strategies for a Better Heart http://blog.kkaggarwal.com/2012/03/21/five–strategies–for–a–better–heart/

@DeepakChopra: The true self drives personal evolution. It sends messages through intuition, insight and imagination.

    Spiritual Update

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

6th Chaitra Navratri: Katvayani

"Spiritual summary: AUM chanting is one of the most powerful mantra and should be done concentrating on the Ajna third eye chakra".

Navratri is the detoxification of body, mind and soul. The nine days purification process is observed twice in a year, at the start of summer and winter. Chaitra Navratri is observed at the start of the summer for preparing the body to tolerate summer.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How should you tell your child about Gamete Donation?

You should tell your child at a young age. Later disclosure, when the child is a teenager or adult may make it more difficult for your child to integrate this information into his or her identity. Giving information in a calm, loving manner will set the tone for open family communication later. If you don't know how to begin a conversation about disclosure, there are books that provide scripts to give you some idea.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

What is blood and how much blood does a human body contain?

Blood is the red-colored fluid in a human, flowing continuously in our body in the circulatory system. Each healthy individual has about 1/12 of his body weight as blood. On an average about 5–6 litters of blood is present in every human being.

What is the composition of blood?

Blood mainly contains a fluid called plasma and in this are suspended cellular elements. There are three types of cells namely Red Blood Cells or RBCs, White Blood Cells or WBCs and tiny platelets.

For comments and archives

    Celiac Disease Update

(Dr Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation, Medanta – The Medicity Hospital, Gurgaon)

How is celiac disease diagnosed?

Serological blood tests are the first-line investigations required to make a diagnosis of the disease. IgA antiendomysial antibodies can detect disease with a sensitivity and specificity of 90% and 99%. Serology for anti–tTG antibodies was initially reported to have a high sensitivity (99%) and specificity (>90%) for identifying disease. tTG testing should be done first as it is an easier test to perform. An equivocal result on tTG testing should be followed by antibodies to endomysium. A positive serology patient should undergo endoscopic biopsy of the second part of the duodenum to confirm the diagnosis. The study defined high–risk symptoms as weight loss, or diarrhea (>3 loose stools per day).

For comments and archives

    Medi Finance Update

(Tarun Kumar, Chartered Accountant)


Presently, one of the conditions for claiming credit for dividend distribution tax is that the dividend recipient should not be a subsidiary of any other company. This condition has now been dispensed with.

For comments and archives

   An Inspirational Story

(Dr GM Singh)

Remembering Dad

When I was four years old: my daddy can do anything.

5 years old: My daddy knows a whole lot.

6 years old: My dad is smarter than your dad.

8 years old: my dad doesn’t know exactly everything.

10 years old: In the olden days, when my dad grew up, things were sure different.

12 years old: Oh, well, naturally, Dad doesn’t know anything about that, he is too old to remember his childhood.

14 years old: Don’t pay any attention to my dad, he is so old–fashioned.

21 years old: Him? my Lord, he’s hopelessly out of date.

25 years old: Dad knows about it, but then he should, because he has been around so long.

30 years old: Maybe we should ask Dad what he thinks, after all, he’s had a lot of experience.

35 years old: I’m not doing a single thing until I talk to Dad.

40 years old: I wonder how Dad would have handled it, he was so wise.

50 years old: I’d give anything if Dad were here now so I could talk this over with him.

Too bad I didn’t appreciate how smart he was, I could have learned a lot from him.

For comments and archives

   Cardiology eMedinewS

Protocols for Cath Labs Published Read More

Bypass Surgery Bests Stents in Real–World Survival Read More

Checklist Cuts HF Readmissions Read More

Surgery Bests Drugs for Obese Diabetics Read More

Bariatric Surgery Eyed for Expansion in Diabetes, HF Read More

New AF Blood Thinner Not OK for Ablation Read More

   Pediatric eMedinewS

SIDS Risk Factors Undergo Shift Read More

New AAN Guideline On IVIg In Neuromuscular Disorders Read More

Hepatitis B Vaccinations Increasing For At–Risk Infants Read More

    IJCP Special

Dr Good Dr Bad

Situation: A 25–year–old male with normal body mass index (BMI) came with mild abdominal obesity.
Dr Bad: Do not worry.
Dr Good: Rule out diabetes.
Lesson: Indians are susceptible to diabetes at a younger age and at a relatively lower BMI compared to the white Caucasians. This is partly explained by the fact that the thin–looking Indians are quite adipose (higher body fat percent).

For comments and archives

Make Sure

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

For comments and archives

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  Quote of the Day

(Dr GM Singh)

If you’re not using your smile, you’re like a man with a million dollars in the bank and no checkbook. Les Giblin

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum lithium

To determine lithium levels in the blood in order to maintain a therapeutic level or to detect lithium toxicity.

    Mind Teaser

Read this…………………

The risk of malignancy in adenomatous polyp is related to all except

a) Size
b) Number
c) Histological appearance
d) Dysplasia

Yesterday’s Mind Teaser: The most common complication of Bevacizumab is

a) Hypertension
b) Hyperglycemia
c) Rashes
d) Gastrointestinal perforations

Answer for yesterday’s Mind Teaser: a) Hypertension

Correct answers received from: yj vasavada, Dr PC Das, Dr Thakor Hitendrsinh G, Raju Kuppusamy, Dr Jainendra Upadhyay, Dr Chandresh Jardosh.

Answer for 28th March Mind Teaser: b) Hemolytic anemia
Correct answers received from: Rameshwar Prasad.

Send your answer to ijcp12@gmail.com

    Microbial World: The Good and the Bad they do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity)

Normal Conjunctival Flora

Our eyes are most important and we mostly may feel that conjunctiva is not colonized with microbes. Surprisingly our conjunctiva and eyelids are colonized, mostly with bacteria. However, the local host defense is very strong and limits the flora to a certain level.

The bacteria that are present on conjunctiva and eyelids include the resident flora and transient flora made of bacteria present as a result of contamination. Colonization is the result of a stable, independent, virtually self perpetuating community of microbes. The host defenses keep the proliferation of these microbes in balance. So a stable number of microbes are present on conjunctiva and eyelids all the time. Repeated introduction of microbes from surrounding tissues and hands leads to contamination of conjunctiva and eyelids with different types of microbes.

The microbe factors, which help the microbes to colonize the conjunctiva are adherence mediated by bacterial cell wall surface adhesins and bacterial surface pili, etc. Most common resident bacteria found on adult conjunctiva include coagulase–negative staphylococci and diphtheroids. Sometimes the pathogenic organisms (Pseudomonas, Staph aureus, Haemophilus, etc.) may colonize skin and eyelids. Various host defense mechanisms rapidly get rid of these microbes.

The host factors, which keep the bacterial flora of conjunctiva and eyelids in check include intact epithelium, eyelashes (filter dust and contaminated particles), the blink reflex (prevents access of extraneous objects to ocular surfaces), normal and excessive tears (wash away bacteria and debris, etc.), chemical products produced by conjunctiva, eye lids and lacrimal glands (long chain fatty acids, lysozymes) and proteins like lactoferrins. Tears also contain immunoglobulins and complement. All these host factors keep the resident flora of the conjunctiva and eyelids in check and the resident flora prevents colonization by pathogenic microbes.

For comments and archives

    Laugh a While

(Dr GM Singh)

Leave application from an employee

My wife is suffering from illness and as I am her only husband at home I may be granted leave.

    Medicolegal Update

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

What is the treatment of poisonous bites and stings?

  • Antivenom should only be given in a hospital or medical center where resuscitation can be given, because the patient may develop an allergic reaction. Antivenin should be used, if there are signs of severe systemic envenoming. It should not be used when there are no signs of systemic envenoming. To decide whether venom has been injected, and how serious the poisoning is, look for these signs:
    • Swelling and local tissue injury at the site of the bite
    • Blood that does not clot, causing bleeding from gums, nose, wounds and injection sites
    • Shock caused by circulatory failure
    • Neurotoxic paralysis (ptosis, ophthalmoplegia, dysarthria, peripheral muscle weakness, respiratory distress)
    • Generalized muscle pain and local tissue damage
    • Kidney failure, red or black urine
    • Tender swollen lymph nodes near the bite site
  • To test clotting time of whole blood: Place 2–3 ml of whole venous blood in a clean, dry, glass test–tube and leave undisturbed for 20 minutes at room temperature. Normal blood should have clotted by this time. Tip the tube to see if the blood is still liquid.
  • If the wound becomes infected, treat as for any other local infection. Use antibiotics if needed.
  • If there is local tissue injury, do not cover the wound, instead leave it open.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

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

Reduce liquids to reduce weight

When it comes to losing weight cutting down on liquid calories is equally important said Dr. K.K. Aggarwal, Padma Shri and Dr B C Roy National Awardee and President, Heart Care Foundation of India.

"Weight loss from liquid calories is greater than loss of calorie intake from solid food, as per Dr. Liwei Chen, an assistant professor of epidemiology at the School of Public Health at the LSU Health Science Center in New Orleans, in American Journal of Clinical Nutrition.

Body is able to self–regulate its intake of solid food. If you eat too much solid food at lunch, you’ll tend to eat less at dinner. But the same self–regulation is not there for what you drink. The body does not adjust to liquid calories, so over time, you gain more weight.

Cutting back on calories from sugary drinks – by only one serving per day –can account for nearly two–and–a–half pounds of lost weight over 18 months.

Beverages are categorized into eight categories

  1. Sugar–sweetened beverages (including soft drinks, fruit drinks, fruit punch, or high–calorie beverages sweetened with sugar)
  2. Diet drinks such as diet soda and other diet drinks that are artificially sweetened
  3. Milk (including whole milk, 2 percent milk, 1 percent and skim)
  4. 100 percent fruit and vegetable juice
  5. Coffee and tea with sugar
  6. Coffee and tea without sugar
  7. Alcoholic beverages.
  8. Water with no calories.

The best drinks are water, plain soda and tea coffer with no sugar.

    Readers Response
  1. Dear Sir, eMedinewS is very informative Newspaper. Regards: Dr Smita
    Forthcoming Events
Dr K K Aggarwal

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

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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, Dr Usha K Baveja