HCFIe-Medinews A Service of IJCP Publications Pvt. Ltd.WFR
Address: 39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



You can download previous issues at www.emedinews.in

30th December Wednesday

Dear Colleague, 

Emedinews-Revisiting 2009 now DMC accredited

Emedinews-Revisiting 2009, a daylong medical conference covering all aspects of medical happenings in 2009 being organized on 10th January, 2010 at Maulana Azad Medical College Auditorium has Delhi Medical Council  Accreditation for 9 CME hours.

 Already Medical Council of India  has announced that it will be necessary for all doctors to earn 30 CME credit hours through respective State Councils on an early basis for re-registration of their license to practice in India.

The conference starting at 8 am will have important sessions where experts will deliberate, discuss and teach latest advances in the field of medicine. The conference will be followed by Doctors of the Year awards and cultural evening where, apart from professional singers, medical professionals will also give live singing performances. For the benefit of the medical professionals, no fees has been kept for the conference. People can register by emailing their request at emedinews@gmail.com.

Delhi Medical Council finally to have its President on 5th January 2010

Delhi Medical Council finally has been constituted and 20 members of the newly constituted council will elect its President and Vice President on 5th January. Following are the Delhi Medical Council members:

1. Dr. K.K. Aggarwal (Moolchand Hospital)
2. Dr. Ashok Seth (Escorts Heart Institute)
3. Dr. Navin Dang (Pathologist)
4. Dr. Purushottam Lal (Metro Group of  Hospitals)
5. Dr. Vinay Aggarwal (Pushpanjali Hospital)
6. Dr. Chander Prakash (Sunder lal Jain Hospital)
7. Dr. Anil Goel (Goel Hospital East Delhi)
8. Dr. Ajay Gambhir (Saroj Hospital)
9. Dr. Anil Bansal (NDMC)
10.Dr. Praveen Bhatia (Bhatia Global Hospital)
11.Dr. N.P. Singh (Maulana Azad Medical College)
12.Dr. Bhattacharjee (DHS)

13. Dr Kiran Mishra (Dean University)
14.Dr. B. Gupta (Safdarjung Hospital)
15.Dr. A.K. Aggarwal (Maulana Azad Medical College)
16.Dr. Arvind Chopra
17.Dr. Vinay Rai (Army Hospital)
18.Dr. G.K. Sharma (Lady Harding Medical College)
19.Dr. O.P. Kalra (UCMSl)
20.Dr. Manoj  Singh (AIIMS)

Dr KK Aggarwal




Sodium Meta Silicate,an Isomer of Silicic Acid is Known to Strengthen the Bones , Cartilage, Tendons and the Muscles. It Increases the Bone Mineral Mass Density by Mobilising Calcium Influx. Thus it helps Improve the Joint Mobility and Impart a feeling of Well Being. It also provides relief in Backache and other Joint Pains, especially in Young Females.
Sodium Meta Silicate is a Clinically proven Nutritional Supplement and is Recommended to be used in Adjunct with Sodium Phosphate and Ammonium Chloride, as these Ingredients Compliment each other to provide a Complete and well Balanced Health Supplement formula. 

 MCI News: The rural medicsl school courses to be started by MCI in India will not be called MBBS but "BRMS" Bachlor of Rural Medicine and Surgery. It wil be a condensed 3 and a half year coursre. Each medical school will be attached to a district hospital. Number of students in each batch will be 25 and 100 such schools will be started in the next 2 years. There will be no capitation fee. BRMS " doctors" will not be entitled for post graduation and will not be recognised by any foreign university. Thye will be allowed to practice only in notofied rural areas only. They will study medicine in an integrated approach with clinical posting on day 1. They may not be taught high tech medicine at all (may be only exposed to them). (Source Dr Ketan Desai President MCI) 

Take home messages from the Medicine Update 2009, MAMC (Dr K Dutta, Dr N P Singh)

Lupus Nephritis:
1. Try to detect early and treat appropriately. The prognosis of properly treated lupus nephritis has improved a lot.
2. Mycophenolate mofetil is the preferred agent for maintenance. If MMF is unaffordable prefer Azathioprine over Cyclophosphamide. Continue maintenance therapy for at least 2 to 2.5 years after remission. Keep vigil after stopping immunosupression.
3. Role of repeated kidney biopsy during episodes of flair up is debated.
4. DsDNA level, urine examination, etc. can be conveniently used for follow up. 

News and views
1. Diabetes may lower the heart protective benefits of HDL good cholesterol, but giving diabetics niacin, a drug that raises HDL levels, might restore the benefit. (Circulation, Researchers at the University Hospital Zurich and the Medical School of Hannover in Germany)

2. Air bags save lives in car crashes. But now researchers report that the lifesaving quality makes no exception for pregnant women and the babies they are carrying.  Pregnant occupants of motor vehicles with air bags are not at increased risk for pregnancy complications such as cesarean delivery, fetal distress and low birth weight (Dr. Melissa A. Schiff, Dec. 21 in Obstetrics & Gynecology).

3.  Air pollution may double the risk that an elderly person will be hospitalized for pneumonia. (Michael Jerrett, of the University of California, Berkeley)

4. Several flu like viruses are more common than usual flu. Kansas City, Missouri based ViraCor Laboratories found that only 6 percent of the samples it was sent tested positive for influenza A virus. Tests by the U.S. Centers for Disease Control and Prevention show virtually all influenza now circulating is H1N1 swine flu. The rest include a range of flu like viruses, each caused by a distinct germ but all causing similar symptoms. By far the most common is rhinovirus, one of the so called common cold viruses.

5. Calcium supplements do not help men cut cholesterol or trim fat, but they could help those who do not get enough calcium in their diet to keep their blood pressure under control. (Dr. Ian R. Reid and colleagues from the University of Auckland in New Zealand note in the American Journal of Clinical Nutrition).

6.  New research suggests that patients who go to hospitals that admit 118 or more people with pancreatitis each year experience shorter stays and lower death rates than patients who go to hospitals that admit fewer than 118 people with pancreatitis each year. The findings, which appear in the journal Gastroenterology, are based on a review of more than 416,000 cases of acute pancreatitis treated in US hospitals from 1998 2006.

7. A genetic study proves that high blood levels of the fat carrying molecule called lipoprotein(a) can cause heart disease. (Martin Farrall, at the University of Oxford in England, in Dec. 24 issue of the New England Journal of Medicine).

Patient to eye doctor: I am very worried about the outcome of this operation, doctor. What are the chances?
Eye doctor to patient: Do not  worry; you won't be able to see the difference.

If tennis players get tennis elbow, and squash players get squash knees, what do gynecologists get?
Tunnel Vision!

Dr Good Dr Bad
Situation: a female with breast cancer wanted to know weather she could take wine
Dr Good: You can not have it
Dr Bad:  You can have it
Lesson: Even a few glasses of wine or cocktails a week may increase risk of recurrence for breast cancer survivors.

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emedinews: revisiting 2009
medinews: revisiting 2009, day long conference, being held on 10th Jan 2010 at Maulana Azad Auditorium  is now Delhi Medical Council Accredited. for 9 CME credit hours. Being organized by IJCP Group, Heart care Foundation of India and World Fellowships of Religions the conference will have lectures by Eminent Medical Faculty (Dr KK Aggarwal (revisiting 2009), Dr Naresh Trehan (what is new in cardiac surgery), Dr Anupam Sibal (a Decade of Successful Liver Transplants in India), Dr Ajay Kriplani (Current Trends in the Management of Morbid Obesity), Dr Praveen Chandra (The Indications of Interventional Treatment in Cardiology), Dr Kaberi Banerjee (IVF  Where We Stand Today?), Dr N K Bhatia (TTI infections), Dr V Raina ( molecular genetics), Dr Ajit Saxena (ED and male infertility), Dr S C Tewari (Nephroprotection), Dr. Ambrish Mithal (Diabetes), Dr Vanita Arora (ECG arrhythmias), Dr N Subramanium (Current concept in Male infertility ), Dr Neelam Mohan (Coeliac Disease), Dr. Sanjay Chaudhary (Eye Update), Dr Harish Parashar (aluminum toxicity) and Dr Praveen Khillani (Whats new in field of critical care in past decade?).There is no registration fee however advanced information is required.

CME will be followed by lively cultural evening guest performances by Shabani Kashyap, Vipin Aneja and perfomances by medical professional singers Dr Praveen Khillani, Dr Lalita and Dr N Subramanium, Dr Lata Tandon, Dr Arti Pathak, Dr Sudipto Pakrasi, Dr Harjeet Kaur, Dr Ramni Narsimhan, Dr Sanjay Chugh (on the drum), Dr Yash Gulati (Anchor) Dr Reshma Aggarwal (Anchor), doctors of the year award, dance and dinner. For registration mail at
emedinews@gmail.com. We have crossed 1200 registrations.

Letters to the editor
1.Respected Dr. Aggarwal:  I on behalf of our Organisation extend our thanks and regards for doing such a tremondous job. e medinews has become a part of our daily routine. May coming NEW YEAR bless you with extra strength to do more and more for the society.  Our best wishes to you and your staff on the occasion of coming NEW YEAR-2010. with regards. Dr. S.S.Ahuja

2. Dear Dr KK Aggarwal: The idea of Medical Council of India of producing "Rural Doctors" of 3 year course is not correct. The 3 year qualified ones will after 5 year practice get relief from Indian Courts sooner or later for enrolment in Indian medical register, then what will be their status? Will they not be quacks?  [Sanjay Dewal sanjaydewal79@rediffmail.com]

3. Dear Dr KK, Hello: I want to inform some further valuable variables which influence CD4+ count. In a particular  patient CD4+ count should be done at a particular hour of the day on each subsequent visit as CD4+ has lot of diurnal variations; Many of us are getting this count done from reference private laboratories, arrangement should be made so that samples reaches that particular lab in less than 24 hours; this may not be an issue while practicing at big metropolis but it matters once you are 100 to 300 KM away from the reference lab. Clinical condition of the patient should be adequately assessed before taking samples for CD4+ as even a short febrile illness causes lot of fluctuation in CD4+ count.with regards. Dr Satish Chugh.



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