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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 of All Pathy Consensus on Obesity - Ek Shaam Sehat Ke Naam

    Dr KK Aggarwal with Aamir Khan …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Aamir Khan Workshop with kids on dangerous areas Watch Video
DR KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video

  Editorial …

30th June 2012, Saturday

Sodium phosphate enemas in the elderly should be avoided

Sodium phosphate enemas are used in the treatment of constipation and for preparation for flexible sigmoidoscopy. Sodium phosphate enema use in older adults (mean age 80 years, range 61 to 89 years) is associated with hypotension, volume depletion, hyperphosphatemia, hypo– or hyperkalemia, metabolic acidosis, severe hypocalcemia, renal failure and EKG changes (prolonged QT interval). In patients over the age of 70 years use warm water enemas rather than sodium phosphate enemas.

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

Strenuous exercise may increaes risk of cardiac disorder

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Ek Shaam Sehat Ke Naam

The session was organized by Heart Care Foundation of India in association with All India Radio and India Habitat Centre. The session was organized to mark the occasion of Doctor’s Day on July 1, 2012

Dr K K Aggarwal
    National News

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
2. Scene/s where medical care and approach has been depicted incorrectly, or
3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to re build the image of the medical profession.

Blood sugar test for Rs 2, in 10 seconds

NEW DELHI: India is all set to unveil a path–breaking test for diabetes that will save both money and blood. The Indian Council of Medical Research (ICMR) is almost ready with a new digital finger–pricking blood sugar machine that will not require repeated use of testing strips. Significantly, it will cost less than Rs 2 per blood sample and require 1,000 times lesser blood than what glucose meters use now. Even better, it will take only 10 seconds to know your blood glucose count. Being developed by professor of biological sciences at BITS–Pilani, Dr Suman Kapur, the test will undergo final evaluation by July 15 and is expected to be ready for mass production by December. This low–cost rapid test will be a boon for India which plans to test five crore people for diabetes by the end of this year. India plans to screen all adult males above 30 years of age and pregnant women of all age groups for diabetes and hypertension in 100 districts across 21 states. Now, India is home to over 61 million diabetics — an increase from 50.8 million last year. By 2030, India’s diabetes burden is expected to cross the 100 million mark. The country is also the largest contributor to regional mortality with 983,000 deaths attributable to the disease last year. (Source: TOI, Jun 297, 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

(Contributed by Dr Monica and Brahm Vasudev)

Brain aneurysm characteristics predict rupture

Size, location, and shape of cerebral aneurysms can help predict whether rupture is likely to occur, a Japanese study found. Compared with aneurysms 3 to 4 mm in size, 7–to–9–mm lesions had a hazard ratio for rupture of 3.35 (95% CI 1.87 to 6, P<0.001), according to Akio Morita, MD, PhD, of the University of Tokyo, and colleagues. And compared with lesions in the middle cerebral arteries, the hazard ratios were 2.02 (95% CI 1.13 to 3.58, P=0.02) for those in the anterior communicating artery and 1.90 (95% CI 1.12 to 3.21, P=0.02) for those in the internal carotid–posterior communicating artery, the researchers reported in the June 28 issue of the New England Journal of Medicine. (Source: Medpage Today)

For comments and archives

Not all calories are the same, new research finds

A small mechanistic study comparing three different eating patterns––a low–fat diet, a low–glycemic–index diet, and a low–carbohydrate diet––has found that participants used up the most energy with the last, but there were metabolic disadvantages to this approach. The findings reinforce the message that a low–glycemic–index diet is best for weight loss and cardiovascular disease prevention and illustrate a novel concept––that not all calories are alike from a metabolic perspective, say Dr Cara B Ebbeling (New Balance Foundation, Obesity Prevention Center, Children’s Hospital, Boston, MA) and colleagues in their paper published in the June 27, 2012 issue of the Journal of the Medical Association. (Source: Medscape)

For comments and archives

No weight gain with linagliptin in diabetes

The DPP–4 inhibitor linagliptin (Tradjenta) may control type 2 diabetes with less hypoglycemia or weight gain than glimepiride (Amaryl) when used as second-line treatment with metformin, a trial showed. (Source: Medpage Today)

For comments and archives

Excess weight is second most important risk factor for cancer

More than 4 out of 10 cancers could be prevented by lifestyle changes, concludes a new report from Cancer Research UK, titled "Cancer Prevention: Stacking the Odds in Your Favour." "Many people believe cancer is down to fate or ‘in the genes’ and that it is the luck of the draw whether they get it. But there is clear evidence that around 40% of all cancers are caused by things people mostly have the power to change," the report notes. "While leading a healthy life doesn’t guarantee that a person won’t get cancer, healthy habits can stack the odds in their favor," it concludes. "Smoking is by far the most important preventable cause of cancer and is linked to at least 14 different types of the disease," comments Harpal Kumal, PhD, chief executive of Cancer Research UK. "Alcohol also increases cancer risk, and the combination of both smoking and drinking heavily increases the risk considerably more." However, after smoking, excess weight is one of the biggest causes of cancer, he points out in the introduction to the new report. (Source: Medscape)

For comments and archives

FDA approves quick ID test for sepsis

The US Food and Drug Administration (FDA) has approved the first nucleic acid test capable of quickly detecting sepsis and identifying markers of microbial resistance. In less than 2.5 hours, the Gram–Positive Blood Culture Nucleic Acid Test (BC–GP; Nanosphere Inc) detects the presence of 12 gram–positive bacteria in blood samples, including methicillin–resistant Staphylococcus aureus, vancomycin–resistant Enterococci, and Listeria. It also simultaneously identifies crucial markers of antimicrobial resistance, including the mecA, vanA, and vanB genes that confer resistance to methicillin/oxacillin and vancomycin. Traditional blood culture methods often require 2 to 4 days to achieve these results, delaying patient treatment. (Source: Medscape)

For comments and archives

  Twitter of the Day


@DeepakChopra: A spiritual solution comes from increased awareness

    Spiritual Update

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

Basic Plots in a movie

There are only seven plots around which movie rotates.

1. Overcoming the monster

A hero learns of a great evil overshadowing the land (sometimes not his own land). He gets special equipment and/or weapons, heads out, defeats the evil and frees the land.

For comments and archives

    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Describe some variations of IVF?

Gamete intrafallopian transfer (GIFT): This technique is similar to IVF, but the gametes (egg and sperm) are transferred to the woman’s fallopian tubes rather than her uterus, and fertilization takes place in the tubes rather than in the lab. GIFT is an option only for women who have normal fallopian tubes. One limitation of GIFT is that fertilization cannot be confirmed as with IVF.

Zygote Intrafallopian Transfer (ZIFT): This technique differs from GIFT in that fertilization takes place in the lab rather than the fallopian tube, but is similar in that the fertilized egg is transferred to the tube rather than the uterus.

For comments and archives

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

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

How will the donated eyes be used?

A. After the cornea is removed from the whole eye, it is evaluated and then supplied to the eye surgeon for use in a patient.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Follow your dream

Once upon a time, there was a large mountainside, where an eagle’s nest rested. The eagle’s nest contained four large eagle eggs. One day an earthquake rocked the mountain causing one of the eggs to roll down the mountain, to a chicken farm, located in the valley below.

The chickens knew that they must protect and care for the eagle’s egg, so an old hen volunteered to nurture and raise the large egg. One day, the egg hatched and a beautiful eagle was born. Sadly, however, the eagle was raised to be a chicken. Soon, the eagle believed he was nothing more than a chicken.

The eagle loved his home and family, but his spirit cried out for more. While playing a game on the farm one day, the eagle looked to the skies above and noticed a group of mighty eagles soaring in the skies. "Oh," the eagle cried, "I wish I could soar like those birds." The chickens roared with laughter, "You cannot soar with those birds. You are a chicken and chickens do not soar."

The eagle continued staring, at his real family up above, dreaming that he could be with them. Each time the eagle would let his dreams be known, he was told it couldn't be done. That is what the eagle learned to believe. The eagle, after time, stopped dreaming and continued to live his life like a chicken. Finally, after a long life as a chicken, the eagle passed away.

The moral of the story: You become what you believe you are. So if you ever dream to become an eagle follow your dreams, not the words of a chicken.

For comments and archives

  Cardiology eMedinewS

Scar tissue becomes heart muscle in mice Read More

FDA approves new weight–loss drug Read More

  Pediatric eMedinewS

M pneumoniae common in asymptomatic children Read More

Early intervention reduces obesity risk in children Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with heat stroke had fever > 106°F.
Dr Bad: Give Inj paracetamol.
Dr Good: Do cold sponging.
Lesson: Paracetamol is not effective in heart stroke till the fever is brought down to < 103°F.

For comments and archives

Make Sure

Situation: A foreigner with 2 loose motions developed sepsis.
Reaction: Oh my God! Why was antibiotic not started early?
Lesson: Make sure that all cases of travelers’ diarrhea (in foreigners) are treated with antibiotics.

For comments and archives

    Health News Bulletin

Trivitron Healthcare to invest Rs 100 crore this year

The Hindu Business Line, Swetha Kannan

Chennai: Medical–equipment maker Trivitron Healthcare plans to invest Rs 100 crore this year in expanding manufacturing capacity and acquisitions, as it looks to step up indigenous production. The company, which received finance from a couple of private–equity funds in 2008, may also look at a second round of funding towards year-end. The Rs 350–crore Trivitron owns a 25-acre medical–technology park at Irungattukottai, near Chennai, which began operations last year. It can house 10 facilities. The park currently operates one factory for manufacturing ultrasound and colour Doppler machines (under a joint venture with Hitachi Aloka).

  Quote of the Day

(Dr GM Singh)

Great minds have purposes; others have wishes. Washington Irving

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    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Laboratory tests for lung diseases

  • ABG (arterial blood gases)
  • CBC for anemia
  • Cystic fibrosis tests (CF Gene Mutation Testing, Alpha–1 antitrypsin – to determine if patient has AAT deficiency)
  • Sputum culture
  • AFB smear and culture
  • Blood cultures
  • Blood influenza tests
  • Lung biopsy and sputum cytology
    Mind Teaser

Read this…………………

Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the creation of an ileal conduit in the morning. He is wringing his hands and pacing the floor when the nurse enters his room. What is the best approach?

A. "Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?"
B. "Mr., Pablo, you must be so worried, I’ll leave you alone with your thoughts.
C. "Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate."
D. "Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"

Yesterday’s Mind Teaser: Ana’s postoperative vital signs are a blood pressure of 80/50 mm Hg, a pulse of 140 and respirations of 32. Suspecting shock, which of the following orders would the nurse question?

A. Put the client in modified Trendelenberg’s position.
B. Administer oxygen at 100%.
C. Monitor urine output every hour.
D. Administer Demerol 50mg IM q4h

Answer for Yesterday’s Mind Teaser: D. Administer Demerol 50mg IM q4h

Correct answers received from: Dr Sarita Badlani, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Avtar Krishan, Anil Bairaria.

Answer for 28th June Mind Teaser: C. This is normal side–effect of AtSO4
Correct answers received from: Yogindra Vasavada, Dr Asha Gandhi, Niraj Gupta.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Having Right Vision In Any Endeavour Always Leads To A Glorious Conclusion…

    Medicolegal Update

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

Medical testimony of doctor in the Court of law

The doctor should acquire the habit of making a careful note of all the facts observed by him. Vagueness and theory have no place in legal medicine. He should examine the facts which come to his knowledge in his special capacity, draw his conclusions logically and correctly after a detailed consideration of the pros and cons of the case, and indicate to the Court that interpretation, along with the grounds on which it is based. Presumption is not proof, and conjecture is not evidence. The Court has no special medical knowledge. It relies on medical witness for an opinion and expects him to assist it with his special knowledge and experience in perusal of truth.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Pumpkin extract beneficial for diabetic patients

Pumpkin extract has insulin–like effects. It can help people with diabetes keep their blood sugar under control said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Quoting Chinese researchers, Dr Aggarwal said that animals with drug–induced diabetes treated with pumpkin extract had lower blood glucose levels, greater insulin secretion, and more insulin–producing beta cells than diabetic rats that weren’t given the extract. This action may be due to the presence of both antioxidants and D–chiro–inositol, a molecule that mediates insulin activity.

Pumpkin extract is potentially a very good product for pre–diabetic persons, as well as those who have already developed diabetes.

Pumpkin is frequently used to treat diabetes and high blood glucose in Asia. The results of an animal study have shown that rats with diabetes had 41 percent less insulin in their blood than normal rates; giving them pumpkin extract for 30 days boosted levels of the blood sugar–regulating hormone by 36 percent. And after 30 days of being fed pumpkin extract, diabetic rats had blood glucose levels similar to those of non–diabetic rats.

    Readers Response
  1. Dear Sir, we enjoy reading emedinews. Regards: Dr Shiva
    Forthcoming Events
Dr K K Aggarwal

Dr K K Aggarwal


All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

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

    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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  Dadi Ma ke Nuskhe

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  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