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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


eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

  Editorial …

30th November 2011, Wednesday

Staggered overdose of paracetamol may be fatal

Taking even slightly too much paracetamol over a period of several days can lead to an overdose with deadly consequences, according to a study in the British Journal of Clinical Pharmacology. According to the study, 37.3 percent of patients with staggered overdoses died, while 27.8 percent of single overdose patients died.

After analyzing data from 663 patients with paracetamol-induced liver injury, 161 of those patients had suffered a staggered overdose while taking paracetamol.

Compared with people who had taken a single overdose of paracetamol, those with a staggered overdose were more likely to have liver and brain problems, require kidney dialysis or help with breathing, and were at greater risk of dying.

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

Proceeding of 26th annual CSI Meet day 2

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011

Divya Jyoti - An Inter Nursing School + College Health Festival was organised on 21st October, Friday, 2011. Various Nurses from different Nursing Colleges took active partr in competitions and cultural programmes

Dr K K Aggarwal
    National News

Indian Organ Donation Day marked at AIIMS

NEW DELHI: Eleven years have elapsed since she received a heart from a 14-year-old boy, but the memory still brings tears to Priti Unhale's eyes. The charitable act made the difference between life and death, and she thanks the anonymous soul every day. In November 2000, Unhale's condition was diagnosed as dilated cardiomyopathy (a heart condition). She was beset with fear, as a donor was hard to come by. "The doctors told me I had just had six months to find a donor. Every day seemed like a struggle as my family went from one hospital to another. Back then, the systems were not streamlined and I was rather lucky to find a donor," said Unhale. Though things are not the same, the organ donation has vastly improved her quality of life. "Although I'll have to take medicines all my life, my condition is much better now," she added. Unhale is now a counsellor and helps All India Institute of Medical Sciences (AIIMS) in promoting organ donations. She says she is one of the lucky ones to have received the organ she needed. Her thoughts were echoed by the doctors during a public lecture at AIIMS on the Indian Organ Donation Day 2011.

The data presented by doctors showed a yawning gap between the demand and supply of organs. The first heart transplant in India was back in 1994 but the trend has not picked up. To date, only 30 transplants have taken place against a demand of 50,000 a year. Kidney transplant is quite common, but only 20,952 people have received a kidney between 1972 and 2011. "In India, the demand outstrips availability of the organs. This can be attributed to lack of public awareness and difficulty in retrieving the organs," said Dr D Bhowmik, additional professor (nephrology) at AIIMS. "In fact, we occasionally come across patients who refuse to accept organs. This is most common in heart transplantation," added Dr Bhowmik. (Source: TOI, Nov 29, 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

For Facebook Page Click

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

Surge reported in energy drink emergency department visits

The number of emergency department visits associated with nonalcohol energy drinks is surging, according to a report from the US Substance Abuse and Mental Health Services Administration (SAMHSA). In 2005, the agency recorded 1,128 such visits and in 2009 it recorded 13,114 such visits, with the highest number occurring in 2008 (16,055). Data are not yet available for 2010. "Energy drinks used in excess or in combination with alcohol or drugs can pose a serious health risk," said SAMHSA administrator Pamela S. Hyde in a press release. (Source: Medscape Medical News)

For comments and archives

Peds okay with changing vaccine schedules

A survey of pediatricians found that more than half of them are comfortable using alternative childhood immunizations schedules when requested by the patient's parents. Overall, 77% of respondents reported that parents sometimes or frequently request changes in their child's immunization schedules and 61% said they are comfortable accommodating them, Douglas J. Opel, MD, of the University of Washington in Seattle, and colleagues reported in Pediatrics. (Source: Medpage Today)

For comments and archives

Ablation technique shows promise in pediatric hearts

Radiofrequency catheter ablation may be a therapeutic option for the relief of symptomatic left ventricular outflow tract obstruction in children, according to results from a two-center study. The procedure, performed with cool-tip ablative catheters, demonstrated significant improvement in children with hypertrophic cardiomyopathy -- median pre-procedure catheter pullback gradient was 80 mm/Hg and decreased to 34 mm/Hg immediately post-procedure (P<0.01), according to a report in the Dec. 6 issue of the Journal of the American College of Cardiology. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on Keep 3 car distance away from a tru... http://www.youtube.com/watch?v=qC3I6tkvizk&feature=share via @youtube

@DeepakChopra: #CosmicConsciousness If you look at the world without thinking about it , you may actually see it and not merely its symbols.

    Spiritual Update

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

Every one is married?

In one of my morning classes, someone introduced herself that she is not married. Marriage is not only a relationship or commitment between two persons but can be a commitment between a person and the profession. Often I am being introduced to be having married to my profession first than my wife.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Carpenter

Once there was an elderly carpenter who was ready to retire. He told his employer-contractor of his plans. To leave the house building business and live a more leisurely life with his wife enjoying his extended family. He would miss the paycheck, but he needed to retire. They could get by. The contractor was sorry to see his good worker go and asked if he could build just one more house as a personal favor.

The carpenter said yes, but in time it was easy to see that his heart was not in his work. He resorted to shoddy workmanship and used inferior materials. It was an unfortunate way to end his career.

When the carpenter finished his work and the builder came to inspect the house. The contractor handed the front-door key to the carpenter. "This is your house," he said, "my gift for your retirement as a token of my appreciation." What a shock! What a shame! If he had only known he was building his own house. He would have done it all so differently. Now he had to live in the home he had built none too well.

So it is with us. We build our lives in a distracted way, reacting rather than acting, willing to put up less than the best. At important points we do not give the job our best effort.

Then with a shock we look at the situation we have created and find that we are now living in the house we have built. If we had realized that we would have done it differently.

Think of yourself as the carpenter. Think about your house. Each day you hammer a nail, place a board, or erect a wall. Build wisely. It is the only life you will ever build. Even if you live it for only one day more, that day deserves to be lived graciously and with dignity.

The plaque on the wall says, "Life is a do-it-yourself project." Your life tomorrow will be the result of your attitudes and the choices you make today.

For comments and archives

    Cardiology eMedinewS

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

Audio highlights – 26th Annual Conference of Cardiological Society of India, Delhi Chapter

For comments and archives

Catheter Induced Pseudoaneurysm of Femoral Artery-Detection And Treatment.

For comments and archives

Electronic BP instruments underestimate the BP

For comments and archives

TCT 2011: KEY TRIALS: The Transcatheter Cardiovascular Therapeutics

For comments and archives

    Fitness Update

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

Yoga helps with chronic low back pain, study says

Individuals who suffer from chronic low back pain can get relief by doing yoga, according to a study in the Archives of Internal Medicine. However, the relief is no greater than that derived from doing conventional stretching exercises. Small trials had suggested that yoga might improve function and reduce symptoms of chronic low back pain, but this study set out to determine if yoga was more effective than stretching and also more effective than a self-care book that doctors could give their patients that included advice on preventing and managing pain.

For the study, 92 adults with chronic low back pain took 12 weekly yoga classes while 91 patients did conventional stretching exercises and 45 read the self-care book. At the end of the 12 weeks and then again at 26 weeks, the study’s authors measured the back-related functional status and pain level of the participants. The yoga group had less pain and improved function over the group who read the self-care book at both times of measurement. The improvement was similar to those of the group that did conventional stretching exercises. The researchers noted in the article that the results seemed to indicate that the stretching involved in yoga was the reason for the decreased back pain, not the breathing and relaxation components.

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?

An older person receives an average of 17-20 prescription drugs per year. The physiologic changes associated with ageing affect absorption, distribution of the drug and its excretion by the kidneys.

    Medicine Update

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

Fads About Figure

  • Girls today acquire wrong ways to achieve so-called "size zero".
  • Boys too work out in a wrong manner for muscular physique.

For comments and archives

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emedinews revisiting 2011
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    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 two loose motions developed sepsis.
Reaction: Oh my God! Why was antibiotic not started early.
Lesson: Make sure that all cases of travelers' diarrhea (foreigners) are treated with antibiotics.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Patience and silence are powerful energies. Patience makes you mentally strong and silence makes you emotionally strong.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

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…………………

Business :)

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: c) Islet tissue is present in all the organs where ectopic pancreas is present.

Correct answers received from: Dr Sukla Das, Dr Thakor Hitendrasih G, Dr PC Das, Dr Rajat Jhamb, yogindra vasavada, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Ashok Tiwari, Dr Surendra Bahadur Mathur, Dr Deepali Chatterjee, Dr Ravi, Dr Jainendra Upadhyay, Dr NeelamNath, Anil Bairaria.

Answer for 26th November Mind Teaser: Ring around the rosey
Correct answers received from: Arvind Khanijo, Dr Chandresh Jardosh, Shirish Singhal, Raju Kuppusamy.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Little Johnny's aching side

At Sunday School they were teaching how God created everything, including human beings. Little Johnny seemed especially interested when they told him how Eve was created out of one of Adam's ribs.

Later in the week his mother noticed him lying down as though he were ill, and said, "Johnny what is the matter?"

Little Johnny responded, "I have a pain in my side. I think I'm going to have a wife."

    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

(Press Release for use by the newspapers)

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

Avoid unnecessary injections: World AIDS Day

HIV, Hepatitis B and Hepatitis C can all be transmitted through blood and blood products and/or by sexual route. The prevalence of HIV is only 0.3% in the general population the same of hepatitis C is up to 5%.

Getting injections from unqualified health care workers can spread HIV/AIDS, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

More men are HIV-positive than women. Nationally, the prevalence rate for adult females is 0.29 percent, while for males it is 0.43 percent. Prevalence is also high in the 15-49 age group (88.7 percent of all infections), indicating that AIDS still threatens the cream of society, those in the prime of their working life.

While adult HIV prevalence among the general population is 0.36 percent, high-risk groups, inevitably, show higher numbers. Among Injecting Drug Users (IDUs), it is as high as 8.71 percent, while it is 5.69 percent and 5.38 percent among Men who have Sex with Men (MSM) and Female Sex Workers (FSWs), respectively.

In order to pass HIV from one person to another, HIV-infected internal fluid from one person needs to get into the bloodstream of another person. HIV is usually transmitted through: Sharing needles, unprotected anal, vaginal, and sometimes oral sex, and from mother to infant before or during delivery and while breastfeeding.

HIV can spread through unprotected sexual contact with multiple partners, blood products, mother to baby (before or during, or through breast milk) and sexual intercourse (vaginal and anal). In the genitals and the rectum, HIV may infect the mucous membranes directly or enter through cuts and sores caused during intercourse (many of which would be unnoticed). Vaginal and anal intercourse is a high-risk practice.

The mouth is an inhospitable environment for HIV (in semen, vaginal fluid or blood), meaning the risk of HIV transmission through the throat, gums, and oral membranes is lower than through vaginal or anal membranes. There are however, documented cases where HIV was transmitted orally, so we cannot say that getting HIV-infected semen, vaginal fluid or blood in the mouth is without risk. However, oral sex is considered a low risk practice.

An injection needle can pass blood directly from one person's bloodstream to another. It is a very efficient way to transmit a blood-borne virus. Sharing needles is considered a high-risk practice.

It is possible for an HIV-infected mother to pass the virus directly before or during birth, or through breast milk. Breast milk contains HIV, and while small amounts of breast milk do not pose significant threat of infection to adults, it is a viable means of transmission to infants.

The most effective ways to prevent HIV infection:

  • Not having sex – whether vaginal, anal, or oral
  • Sex only between two mutually monogamous, uninfected partners who do not share needles or syringes with anyone.
  • Not injecting non prescribed drugs
  • Not sharing needles or syringes for any reason (when injected illegal drugs, medications, vitamins, or steroid; tattooing; or body piercing)
  • Not engaging in activities that involve exchange of blood, semen, vaginal fluids, or breast milk.

For comments and archives

    Readers Responses
  1. Sir,The dilemma shown by Dr M C Gupta for the practice in metro city is genuine and candid expression of reality. Dr K K Aggarwal’s views and solution (my assumption) are worth debating by all those who are affected by this "metro/corporate syndrome". As a public health practitioner, I totally endorse the views of Dr Aggarwal. It would revolutionalize the health sector in India, if we medical fraternity are honest to the cause of serving to self and others who need us.
    Debate should go on… All the best.With warm regards. Dr A C Dhariwal
    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)

Activities eBooks


  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