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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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  Editorial …

30th September 2011, Friday

Make beetroot a part of any pre workout diet

Eating beetroot before any workout helps. Baked beetle root in one of the study at St. Louis University Chicago gave runners a modest edge in speed during a 5K run when they were close to the finish line. With the beetroot, they were 41 seconds faster at the finish.

A study from the UK also had shown that exercisers could work out longer if they drank beetroot juice. Other research has found that beetroot juice can help reduce blood pressure. Beetle root is rich in nitrates. Nitrates are converted into nitric oxide by the body. The nitric oxide dilates blood vessels. That results in improved oxygen delivery.

The study included whole vegetable rather than the juice. In the study of 11 men and women, average age 25, each ate 200 grams of beetroot (500 milligrams of nitrates). After the beetroot, exercisers had overall times that were 3% faster compared to their times after eating cranberry relish, and 5% faster during the last mile, she found.

In the study 200 grams of beetle nut was baked at 350 degrees for 90 minutes. The skin was peeled and rest added with a tablespoon of lemon juice, 1/8 teaspoon of cinnamon, and 1/8 teaspoon of nutmeg to make it more palatable. It was consumed about 45 minutes before they jogged or can be eaten two and a half hours before an event.

Make beetroot a part of any pre workout diet; beetroot juice can help reduce blood pressure.

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 on

Make beetroot a part of any pre workout diet

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

Harmony - An Inter School Health Festival at Perfect Health Mela 2010

Education of school children should include health issues. Competitions like slogan writing is an important part of the event.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook – Twitter


5% global rabies deaths occur in S–E Asia

NEW DELHI: More than 1.4 billion people are potentially at risk of rabies in South–east Asia, which has also reported more deaths due to it than anywhere else, thanks to deadly combination of large human and dog population in congested habitable areas coupled with rampant poverty. The World Health Organization (WHO) says, children in the 5–15 age group represents 40% of people exposed to dog bites in SE Asia. Dog bites are the primary source of human infection in all rabies–endemic countries in the region, and account for 96% of human rabies cases. (Source: TOI, Sep 28, 2011)

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

(Dr Monica and Brahm Vasudev)

Tight control no help for cognitive loss in diabetes

Tight glucose control won't mitigate the cognitive effects of type 2 diabetes, an ACCORD subanalysis found. Intensive treatment aiming for hemoglobin A1c under 6% did reduce brain atrophy over 40 months compared with standard management (P=0.0007), Lenore J. Launer, PhD, of the National Institute on Aging in Bethesda, Md., and colleagues found. But cognitive scores over 40 months showed no advantage over treatment to the conventional 7% to 7.9% goal (P=0.2997), they reported online in Lancet Neurology. (Source: Medpage Today)

For comments and archives

‘Clear’ arteries no MI shield for women

Plaque disruption is a common cause of myocardial infarction in women who do not have obstructive coronary artery disease on angiography, an imaging study showed. Intravascular ultrasound performed shortly after symptom onset revealed that 38% of such patients had either a plaque rupture or ulceration, according to Harmony Reynolds, MD, of the NYU Cardiovascular Clinical Research Center in New York City, and colleagues. Most of the women also underwent cardiac magnetic resonance imaging, which revealed other possible mechanisms for MI, the researchers reported online in Circulation: Journal of the American Heart Association. Together, the two imaging modalities uncovered abnormalities in 70% of the patients. (Source: Medpage Today)

For comments and archives

Australian scientists develop ‘needle–free’ vaccination

Good news for the needle–phobic. Australian scientists have developed a cheap and painless’ needle–free’ vaccination device that can be self–administered. A team of 20 researchers led by Professor Mark Kendall, from the Australian Institute for Bioengineering and Nanotechnology at The University of Queensland, have developed the Nanopatch, a stamp–sized vaccine delivery device that could make vaccination programmes globally simpler and cheaper. The Nanopatch, having 20,000 micro projections per square centimeter, is designed to directly place vaccine into the human skin, which is rich in immune cells. And unlike the needle and syringe, which places vaccine into the muscle – which has very few immune cells – the Nanopatch puts it to our immune sweet spot. "And by doing that we make vaccines work a lot better," Kendall told PTI.
(Source: http://www.thehindu.com/health/medicine–and–research/article2493365.ece, September 28, 2011)

For comments and archives

   Twitter of the Day

@DrKKAggarwal: #AJD Obese people may spend extra years dealing with diabetes An obese man can expect to live almost six more… fb.me/Lqr4Dtuk

@DeepakChopra: RT @charityfocus Israelis–Palestinians have intentionally decided to live together in a village called Oasis of Peace http://ow.ly/6DvqJ

    Dr KK Answers

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

Ventilator–induced Diaphragmatic atrophy

Controlled mechanical ventilation can lead to a very rapid type of disuse atrophy involving the diaphragmatic muscle fibers. An observational study found that diaphragmatic strength decreased progressively during mechanical ventilation and that long–term (>24 hours) mechanical ventilation was associated with diaphragmatic muscle injury, atrophy, and proteolysis compared to short–term mechanical ventilation (2–3 hours).

Source: Am J Respir Crit Care Med 2011;183:364.

For comments and archives

    Spiritual Update

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

Navratra:Time to eat buckwheat flour

Navratra is the time to omit wheat flour from the diet and substitute it with buckwheat flour or kuttu ka aata. It’s not a cereal but is classified under a fruit and hence is a good substitute for Navratra fasts where cereals are prohibited.

For comments and archives

   An Inspirational Story

(Ms Ritu Sinha)

Inspiring Tears

Unfortunately when people think of teenagers, good thoughts are not always the first to come to mind. I know I avoid going into my teenage daughter’s high school at the end of their day because I don’t want to be shoved and pushed in the hallways. I feel like I am running the gauntlet sometimes! I know they are just kids in a hurry to get out and blow off steam.

Fortunately I also get an opportunity to see teenagers at their best. Watching my daughter and her high school band’s camaraderie is always a joy. For instance, when a fellow band member's music folder fell on the pavement everyone ran to help gather the music before it was scattered by the wind. They are a great group of kids.

But I witnessed an event yesterday that really warmed my heart.

My daughter had a band competition at a nearby high school. Her band was the last one to play and before they could play their last selection, the lights in the auditorium flickered and then went out.

The atmosphere in the large, dark space was pensive. The band, sensing this, started singing some of the familiar songs that they sing in the stands during football season. The audience started clapping and singing along. It was quite the experience, sitting in total darkness singing and clapping with dozens of people like it was an everyday occurrence.

I was so lucky to be able to experience this firsthand. My daughter is a senior and so this was one of her last concerts in high school. It was a moving inspirational experience I will never forget.

For comments and archives

    Fitness Update

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

Wide waists trim lifespan for women

Ever since the mid–1970s when Harvard initiated what is now known as "The Nurses Study" we’ve been told that white women with waists over 40 inches, raised their risk of early death by 40% vs. their slimmer sisters who maintained waists in the 26 to 27 inch measure. However, significant new data just published in the New England Journal of Medicine (Sept. 8) lead by Dr. Julie Palmer, shows that black women are equally at risk.

"There is really no surprise here. Cardiovascular disease, diabetes and the countless other deadly ills directly related to obesity are color–blind. For the record, they are sex–blind as well," say boomer generation health experts Dian Griesel, Ph.D. and Tom Griesel and authors of the new book, TurboCharged: Accelerate Your Fat Burning Metabolism, Get Lean Fast and Leave Diet and Exercise Rules in the Dust (April 2011, BSH).

Pounds add up. Studies are showing that obesity is starting earlier than ever. Our children ages 12–18 are reported as 18% being obese and baby boomers the 81 million born between 1946–1964–are polled at a whopping 66%+ being either obese or overweight.

"Obesity is a medical time bomb. It threatens our lives, livelihoods, financial stability, families and our society at large," say the Griesels. "A look around tells us that the status quo of dieting is simply not working. Apparently, we all still believe we need to clear our plate which wouldn’t be a bad idea if it was filled with fruits and vegetables, which sadly, too often is not the case."

For comments and archives

    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Should the blood bank in a postgraduate medical college be independently under the charge of a blood bank officer or under an academic department? In the latter case, which department? What are the legal implications?


  1. The functions of a blood bank include carrying out and reporting various types of blood tests and giving the reports of such blood tests and collecting blood from donors and issuing blood for patients based upon such blood reports. Reporting on body tissues/fluids amounts to practice of pathology and hence it is appropriate that the blood bank should be under the department of pathology.
  2. However, if there is a department of transfusion medicine in the medical college, the blood bank may be placed under such department.
  3. The blood bank should not be an independent entity apart from the academic departments because high quality standards must be maintained as regards service, teaching/training and research. Such high standards can be maintained only when the blood bank is under a professor and an interdisciplinary environment is maintained.
  4. I believe the Blood Bank is under the Department of Pathology in the AIIMS.

For comments and archives

    Malaria Update

AC Dhariwal, Hitendrasinh G Thakor, Directorate of NVBDCP, New Delhi

How is malaria diagnosed?

In practice, the ascertainment of an "obvious cause" can only be expected from well–trained and experienced healthcare provider. All healthcare providers working in a high–risk area should consider any fever case, in the absence of specified symptoms (as above), a case of ‘suspected malaria’. All ‘suspected malaria’ cases should be investigated immediately by microscopy and/or Rapid Diagnostic Test (RDT). Delay in confirming a malaria diagnosis can have grave consequences. All efforts should be made to make diagnosis with microscopy within 24 hours.

For comments and archives

    Medicine Update

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

What are the types of febrile seizures?

There are two types of febrile seizures:

  • Simple (Typical) febrile seizures
  • Complex (Atypical) febrile seizures

For comments and archives

    Infertility Update

(Dr. Kaberi Banerjee, Infertility and IVF Specialist)

Under the aegis on AOGD

Infertility is still an enigma to us. The most advanced technique gives a pregnancy rate of at best 50–60% per attempt. Definitely there is lot more to be understood. We are hosting a Conference on 8th–9th of October at Le’ Meridian, New Delhi on Current Practices and Recent Advances in ART (CUPART 2011). We have invited a very respectable panel of International and National faculty whose experiences will be a wealth of knowledge to us.

Under the aegis on AOGD

Organizing Chairperson–Dr Kaberi Banerjee

Day–1 Interesting Highlights

Panel Discussion 1–Obstetric Outcome in ART Pregnancies

This interesting panel discussion will cover all aspects relevant to ART pregnancies. This would include miscarriages, multiple pregnancies, congenital malformations, fetal reductions and preterm deliveries.

Panelists: Anita Kaul, New Delhi; Sudarshan Ghosh Dastidar, Kolkata; Nandita Dimri, New Delhi; Ashutosh Gupta, New Delhi; Jaishree Sundar, New Delhi; Kiran Guleria, New Delhi.

Inauguration & Welcome Address by Chief ICMR New Delhi at 7.00pm followed by Shaan–e-Hindustan–Sufi Night with Adil Hussaini, Hyderabad & Fellowship Dinner

For Registration Please Contact: E–23 Ayurvigyan Nagar New Delhi–110049

For details contact +91 9871250235

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    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Allergy testing

Allergies are hypersensitivities, overreactions of the immune system to substances that do not cause reactions in most people. Immunoassay and Line Blot Tests are used to screen for type I allergen–specific IgE antibodies.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady developed amniotic fluid embolism syndrome (AFES).
Dr Bad: It’s a self–limiting disease.
Dr Good: Give symptomatic treatment.
Lesson: There is no specific treatment for AFES. The goal of therapy is to correct hypoxemia and hypotension, so that ischemic consequences (eg, hypoxic brain injury, acute kidney injury) in the mother are prevented and adequate oxygen delivery to the fetus is ensured. This may require mechanical ventilation, vasopressors, inotropes, intravenous fluids, and blood products.

For comments and archives

Make Sure

Situation: A patient with hiatus hernia developed severe symptoms after eating a ‘Paan’.
Reaction: Oh my God! Why was he given a peppermint?
Lesson: Make sure patients with reflex esophagus are not given any food which can relax GI sphincter.

For comments and archives

  Quote of the Day

(Dr GM Singh)

One of the basic differences between GOD and human is that, GOD gives and forgives. Humans get, get and forget. Be thankful in life.


Make no bones about: To state a fact so there are no doubts or objections.

  Sri Chanakya Niti-Sastra: The Political Ethics of Chanakya Pandit

(Dr Anupam Sethi Malhotra)

Test a servant while in the discharge of his duty, a relative in difficulty, a friend in adversity, and a wife in misfortune.

    Mind Teaser

Read this…………………

Involvement of which of the following organ is likely to be associated with poor outcome in primary amyloidosis

a. Cardiac
b. Renal
c. Skin
d. Liver

Yesterday’s Mind Teaser: Which of the following statements is correct regarding treatment of early stage breast cancer?

1. Mastectomy has shown a better survival compared with breast conservative surgery and radiation therapy.
2. Adjuvant hormone therapy in ER/PR negative breast cancer reduces the risk of recurrence.
3. Axillary lymph node assessment is important to guide adjuvant therapy.
4. Adjuvant trastuzumab reduces breast cancer mortality irrespective of tumor HER2 protein status.

Answer for yesterday’s Mind Teaser: 3. Axillary lymph node assessment is important to guide adjuvant therapy.

Correct answers received from: Dr K Raju, Dr HL Kapoor, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Kiran, Dr Jaideep, Dr Shashank.

Answer for 28th September Mind Teaser: b.6,11,16,18
Correct answers received from: Dr Bharat Bhushan Aggarwal, Dr Anil Kumar Jain, Dr Neelam Nath,
Dr Jainendra Upadhyay, Anil Bairaria, Dr Tabassum Vali, Dinesh Yadav, Rahela Mohsin Noble, Dr Surya P Sethi, Dr Gita Arora.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Veena Aggarwal)

Murphy’s Laws for Humour

The road to success??? Is always under construction.

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
DCI Approval Date
Silodosin Capsules2mg/4mg/8mg
For the treatment of signs and symptoms of benign prostatic hyperplasia (BPH) in adults only.
    Public Forum

(Press Release for use by the newspapers)

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Depression linked to paralysis

Patients with depression are more likely to have paralysis (stroke) than mentally healthy people and their strokes are more likely to be fatal, according to a study published in the Journal of the American Medical Association, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and MTNL Perfect Health Mela.

The researchers looked at data from 28 studies of more than 300,000 people. Over a follow–up period that ranged for two to 29 years, there were 8,478 strokes. Depression was associated with a 45 percent increased risk for stroke and a 55 percent raised risk for fatal stroke. Depression was linked to a 25 percent higher risk for ischemic stroke.

About 3.9% of stroke cases in the US could be attributable to depression.

For comments and archives

    Readers Responses
  1. Dear KK, Wonderful work, T K Malik. Ex Head, Surgery MAMC
    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals

Dr K K Aggarwal

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    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