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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

30th August, 2010, Monday

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

Krishna Foretells a Healthy Being

The fast evolving hi-tech world has disturbed the body, the mind and the environment beyond comprehension. It seems next to impossible for people, especially the executive class, to allow themselves sometime for introspection. The need for self-analysis, control over thyself, and shedding ignorance to the spiritual principles is the call of the day upon the natural good of self-realization and the perfect health, which satisfied the mental, physical, spiritual, environmental and social facets. “Krishna Avatar is synonymous with self-realization”.
All the required good to the body and the environment can only be done by following the eight spiritual principles defined by the Yoga Sutras of Patanjali. Yama (self control), Niyama (self-discipline), Asanas (bodily postures), Pranayama (control of breath), Pratihara (withdrawl from the outside world), Dharana (one pointed), Dhyana (contemplation) and Samadhi (self realization) are the eight recommended guidelines to a satisfied and a content well-being. “Birth of Krishna (who represents ‘Brahman’ or ‘God consciousness’) in the prison means self-realization born out of ignorance. Self-realization can be acquired only by adhering to the 8 principles of Ashtang-yoga with Tapas (Abhyasa) or hard work. Sri Krishna, born as the eight child of Devki, represents Tapas of 8 limbs of yoga. Self-realization i.e. the eighth step can only occur after the first seven steps are successfully negotiated and the mind is purified in the process”.
The primary need for self-realization, which would keep the necessary evils like anger, greed and lust away from oneself. Meditation is prescribed as the most remarkable medium to have a dialogue with the inner self. Controlling anger, which is the root cause of heart attack; fear, which propagates high blood pressure; and greed, which induces heart failure – are inevitably necessary.
The festival of Janmashtami means more than just a mere ritual festival. It initiates the goodness of Krishna and His existence, which would propagate good health in the long run.

Dr KK Aggarwal
Editor in Chief
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Photo Feature (from HCFI files)

In the photo: Mr Chetan Chauhan, Cricketer and Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President HCFI, Generating Health Awareness has been the main objective of Heart Care Foundation of India. Bioscope was a very popular and eye–catching instrument used to create awareness about HIV/AIDS during a Perfect Health Mela.


K K Aggarwal


Mera Bharat Mahan
US Scientists create liver cells from patients' skin

Scientists from Cambridge University have created liver cells in a lab for the first time using reprogrammed cells from human skin. This technology bypasses the need for using human embryos. The cells created were just as good as from embryonic stem cells. Embryonic stem cells are very powerful and malleable cells but are controversial as they are harvested from few-days-old human embryos.
For the study, the researchers took skin samples from seven patients who were suffering from a variety of inherited liver diseases, and three from healthy people to act as comparisons. They reprogrammed cells from the skin samples into stem cell-induced pluripotent stem (IPS) cells, and then re-programmed them to generate liver cells, which mimicked the broad range of liver diseases in the patients they had come from. They used the same technique to create "healthy" liver cells from the comparison group.
What’s the big deal: Didn’t Parvati made Ganesha out of her skin cells? They have just created a liver, an organ of the body; she created an entire live body. 


International Medical Science Academy (IMSA) Update

Steroids are effective in chronic inflammatory demyelinating polyneuropathy (CIDP)

The PREDICT trial evaluated 40 patients with newly diagnosed, treatment–naive CIDP and found no significant difference in the remission rate at 12 months between treatment with pulsed high–dose oral dexamethasone versus standard oral prednisolone treatment.


van Schaik IN, Eftimov F, van Doorn PA, et al. Pulsed high–dose dexamethasone versus standard prednisolone treatment for chronic inflammatory demyelinating polyradiculoneuropathy (PREDICT study): a double–blind, randomised, controlled trial. Lancet Neurol 2010;9:245–53.


News and Views

International : Dr Brahm and Dr Monica Vasudev

FDA cautions against TimeOut Capsules

The US FDA has warned consumers not to take TimeOut Capsules because they contain an active drug ingredient that can cause blood pressure to fall, which can be life–threatening. It contains hydroxythiohomosildenafil, a chemical similar to sildenafil, the active ingredient in Viagra. Like sildenafil, this chemical may interact with prescription drugs such as nitrates, including nitroglycerin, and cause dangerously low blood pressure. The product is marketed as a dietary supplement for sexual enhancement. TimeOut is labeled as "100% natural" and is distributed on Internet sites and online marketplaces as 2,500 mg capsules.

Pio or Rosi: both are bad

Contrary to earlier reports, the risks of the composite endpoint of heart attack, heart failure, both, or death were the same i.e. about 4% for patients taking the diabetes drugs, rosiglitazone or pioglitazone, according to a study published in the journal Circulation: Cardiovascular Quality and Outcomes.

Statins benefit people at "intermediate risk" of heart disease with elevated hsCRP despite normal cholesterol levels

People at intermediate risk of cardiovascular disease who have high levels of high sensitivity C–reactive protein (hsCRP), a blood marker for inflammation, could benefit from statins (cholesterol–lowering therapy) even if their cholesterol is already at desirable levels. Analysis of data from the JUPITER (Justification for Use of statins in Prevention: an Intervention Trial Evaluating Rosuvastatin) trial showed that people with only a 5 – 20 % risk of having heart disease in the next 10 years, but who have high levels of hsCRP could reduce the risk of heart attack and stroke by more than 40 percent. Men age 50 yrs or older and women age 60 yrs or older were included in the study.

Binge drinking increases death risk in men with high blood pressure

A study from South Korea reports that binge drinking may dramatically raise your risk of stroke or heart–related death, if you have high BP. The risk of cardiovascular death in men with BP of at least 168 /100 mmHg was: 3 times higher overall; 4 times higher if they were binge drinkers, consuming ≥ 6 drinks on one occasion, and t12 times higher if they were heavy binge drinkers, consuming ≥12 drinks on one occasion vs non–drinkers with normal BP. The study is reported in the journal Stroke. The study followed more than 6,100 residents, 55 years and older, of an agricultural community in South Korea for almost 21 years


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

How do you treat Hepatitis C in children? 

Accumulating evidence supports the use of combination therapy with pegylated interferon and ribavirin to treat chronic hepatitis C infection in children. In a multicenter trial, this combination yielded 93 percent sustained viral response in patients with genotype 2 or 3, and 53 percent in those with genotype 1. The decision of whether to treat chronic hepatitis C depends on the child's age, genotype, and liver histopathology.

  1. Wirth S, Ribes-Koninckx, C Calzado MA, et al. High sustained virologic response rates in children with chronic hepatitis C receiving peginterferon alfa-2b plus ribavirin. J Hepatol 2010; 52:501.

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

Q. What is infertility?

A. Infertility is defined as the inability to conceive after one year of unprotected intercourse.

Derma Update: Question of the day: Dr. Sanjiv Kandhari, New Delhi
How effective are chemical peels for melasma?

The response of melasma to chemical peels is unpredictable; there is a tendency for hyperpigmentation (post inflammatory) after peels, especially in a dark skinned individual. All types of chemical peels have been tried: trichloracetic acid (2570%), AHA (Alpha Hydroxy Acid), or Glycolic acid (20–70%). These should be used only in selected cases, especially those who have a fair complexion and have dermal or mixed type of melasma. The use of laser or IPLs also has not been very encouraging; however, they may prove effective with better regimens in future.


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

Who is a surrogate medical decision maker for a patient?

If a patient does not have the mental capacity to take medical decisions, a surrogate decision maker should be identified. If there is a surrogate identified in an advance care document or proxy form, that surrogate has authority. Often, however, surrogates are not formally appointed and relatives are used in the following order (precise order may vary by applicable law*): Spouse; Adult child or a majority of the adult children reasonably available; Parents of the patient; Siblings of the patient; nearest living relative of the patient.

Many have maintained that the incapacitated patient’s family is the most appropriate surrogate decision maker. In the 1980s, many courts affirmed this view, recognizing that when patients had explicit but unrecorded conversations with family, friends, and others about their wishes regarding terminating treatments, these conversations should be used as decision–making guides.

*Beauchamp TL, Childress JF. Principles of Biomedical Ethics, 5th ed, Oxford, New York 2001.


Medi Finance Update

Q. How are persons who are not working as employees and receive contractual emoluments, taxed?

Ans. Payment received under contractual obligations are taxable under the head "Income from Business & Profession". The recipients are liable for income tax irrespective of gross income received under contract as reduced by the expenditure incurred against those receipts.


Drug Update

List of Approved drugs from 01.01.2010 TO 30.4.2010

Drug Name


DCI Approval Date

Lidocaine 7.5mg + Prilocaine 2.5mg per actuation spray

For the treatment of adult male patients with premature ejaculation



Lab Calculator  

Corrected QT interval

QTc Corrected = QT Interval / √ RR Interval

RR Interval = 60 / Heart Rate


IJCP Special

Dr Good Dr Bad

Situation: A patient with egg allergy came for the ‘flu’ shot.
Dr. Bad: Sister! give it.
Dr. Good: It cannot be given.
Lesson: The only contraindication to vaccination is an anaphylactic hypersensitivty to eggs, or other components of the vaccine.

Make Sure

Situation: A patient with unexplained fever developed perforation of the small intestine.
Reaction: Oh my God! Why was typhoid not suspected in this case?
Lesson: Make sure that a diagnosis of typhoid is kept as a possibility in every case of PUO.

Quote of the Day

Liane Cardes: "Continuous effort, not strength or intelligence is the key to unlocking our potential."

Asthma Alert

Common triggers

• Dust (mites)
• Protein–containing foods
• Cockroaches
• Animal hairs
• Humid atmosphere
• Aspirin
• Exercise


Mind Teaser (Vivek Kumar)

Read this………………


The answer for yesterday’s Mind Teaser : "Downstairs"

Correct answers received from: R Anupam Sethi Malhotra, Dr Rohini Dhillon, Dr R S Bajaj, Dr. Shashi Saini, Dr.A. K. Saxena, Dr. Alok Deb, Dr.Satish Gunawant, Dr Simran Singh, Dr Saurabh Yadav, Dr Chandresh Jardosh, DrAshok Kumar,

Correct answers received for 28th August Puzzle from: DR SUKANTA SEN, Dr Muthumperumal Thirumalpillai, Dr.Akshat Bhargava, Dr Gagan Shrivastava

Send your answer to ijcp12@gmail.com


Humor Section

Joke of the day

Why does the Government NOT allow a Man to MARRY 2 Women? Because as per Constitution, you CANNOT BE PUNISHED TWICE for the same Mistake.

(Contributed by Dr Chandresh Jardosh)

Funny One Liner: Dr Maj Prachi Garg

Marriage: It’s an agreement in which a man loses his bachelor degree and a woman gains her masters.


An Inspirational Story

A worried woman went to her Doctor and said: ‘Doctor, I have a serious problem and desperately need your help! My baby is not even a year old and I’m pregnant again. I don’t want kids so close together.’

So the doctor said: ‘Ok and what do you want me to do?’

She said: ‘I want you to perform an abortion, and I'm counting on your help with this.’

The doctor thought for a little, and after some silence he said to the lady: ‘I think I have a better solution for your problem. It’s less dangerous for you too.’

She smiled, thinking that the doctor was going to accept her request.

Then he continued: ‘You see, in order for you not to have to take care of 2 babies at the same time, let’s kill the one in your arms. This way, you could rest some before the other one is born. If we're going to kill one of them, it doesn’t matter which one it is. There would be no risk for your body if you chose the one in your arms.

The lady was horrified and said: ‘No doctor! How terrible! It’s a crime to kill a child!

‘I agree’, the doctor replied. ‘But you seemed to be ok with it, so I thought maybe that was the best solution. The doctor smiled, realizing that he had made his point.

He convinced the mom that there is no difference in killing a child that’s already been born and one that’s still in the womb. The crime is the same!

(Contributed by Dr Chandresh Jardosh)


Readers Responses

  1. Neuropathic pain is a common problem in clinical practice, affecting patients physically, emotionally, financially, and socially. Current treatment includes antidepressants, antiepileptics, and opioid analgesics. Bupropion is a specific inhibitor of neuronal noradrenaline reuptake and a weak inhibitor of dopamine reuptake, which shows some promise in the treatment of neuropathic pain.  Dr.G.M.Singh.
  2. As a regular reader of eMedinews I wish to extend thanks to IJCP GROUP for the mammoth task of preparing the e newsletter everyday and reaching  to  so many readers with  plenty of useful information. The news update about “migraine with auralinked to small increase in heart stroke risks” is very enlightening. Some tips to prevent migraine attacks will be indeed be helpful. Dr Madhu Kant (Faridabad)

Public Forum (Press Release for use by the newspapers)

Diet is linked to the diabetes epidemic

A study in the medical journal Diabetes Care, highlights the importance of the whole diet rather than focusing on certain foods or food groups that might be beneficial, 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.

A diet rich in whole grains, fruits and vegetables (leafy green), nuts, and low–fat dairy may help people lower their risk of type 2 diabetes by 15% over 5 years than those who ate the lowest amounts of these foods.

Also, a diet which contains high amounts of red meat, high–fat dairy and refined grains like white bread may boost the odds of diabetes development by 18%.

In contrast, adults whose diets were high in red meat, high–fat dairy, refined grains like white bread, plus beans and tomatoes, saw their diabetes risk go up by 18 percent as a group.

Type 2 diabetes is closely linked to obesity and it’s well–known that maintaining a healthy weight through diet and exercise reduces the risk of developing the disease. Diet affects diabetes risk independent of a person’s weight.


Conference Calendar

MLCON 2010
3rd National FOGSI Medicolegal Conference

December 17 –19, 2010
Venue: Club Patio, South City 1, Gurgaon, India
Email ID:Secretariat@mlconindia.org/drraginiagrawal@gmail.com
Website: www.gogsindia.com


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.

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