Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 2nd eMedinewS – Revisiting 2010

  Editorial …

31st January 2012, Tuesday

A1c: Points to Remember

  • The A1c test is a blood test that provides information about a person’s average levels of blood glucose, also called blood sugar, over the past 3 months.
  • The A1c test is based on the attachment of glucose to hemoglobin, the protein in red blood cells that carries oxygen. Thus, the A1c test reflects the average of a person’s blood glucose levels over the past 3 months.
  • In 2009, an international expert committee recommended the A1c test be used as one of the tests available to help diagnose type 2 diabetes and pre–diabetes.
  • Because the A1c test does not require fasting and blood can be drawn for the test at any time of day, experts are hoping its convenience will allow more people to get tested thus, decreasing the number of people with undiagnosed diabetes.
  • In the past, the A1c test was not recommended for diagnosis of type 2 diabetes and pre-diabetes because the many different types of A1c tests could give varied results. The accuracy has been improved by the National Glycohemoglobin Standardization Program (NGSP), which developed standards for the A1c tests. Blood samples analyzed in a health care provider’s office, known as point–of–care (POC) tests, are not standardized for use in diagnosing diabetes.
  • The A1c test may be used at the first visit to the health care provider during pregnancy to see if women with risk factors had undiagnosed diabetes before becoming pregnant. After that, the oral glucose tolerance test (OGTT) is used to test for diabetes that develops during pregnancy known as gestational diabetes.
  • The standard blood glucose tests used for diagnosing type 2 diabetes and prediabetes, the fasting plasma glucose (FPG) test and the OGTT, are still recommended. The random plasma glucose test may be used for diagnosing diabetes when symptoms of diabetes are present.
  • The A1c test can be unreliable for diagnosing or monitoring diabetes in people with certain conditions that are known to interfere with the results.
  • The ADA recommends that people with diabetes who are meeting treatment goals and have stable blood glucose levels have the A1c test twice a year.
  • Estimated average glucose (eAG) is calculated from the A1c to help people with diabetes relate their A1c to daily glucose monitoring levels.
  • People will have different A1c targets depending on their diabetes history and their general health.
  • People should discuss their A1c target with their health care provider.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Dr Pramod Kumar,Cardiologist

on Emedinews
Revisiing 2011

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

3rd eMedinewS Revisiting 2011

Dr Balraj Singh Yadav awarded with eMedinewS Doctor of the Year 2011 Award in the 3rd eMedinewS RevisitinG Conference on 22nd January 2011

Dr K K Aggarwal
    National News

10% of kids in India have learning disability: Experts

CHENNAI: At least 10% of children in the country have a learning disability, say experts at Learn 2012, an international conference on inclusive education and vocational options, here on Thursday. Speaking at a pre–conference press meet, organizers said one in 200 people in India have autism, while an estimated 30 million children are known to be dyslexic. The only way to handle the situation is early detection and intervention by which the symptoms of unacceptable language and behaviour can be minimized, they said. The two–day international conference will begin on Friday. (Source: TOI, January 27, 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

Traffic–related asthma costs underestimated

The impact that motor vehicle exhaust has on asthma costs is much bigger than once thought, researchers warned. Analysis of two Southern California communities, Riverside and Long Beach, suggested that the impact on preexisting asthma represents only half of traffic–pollution–attributable costs, Sylvia Brandt, PhD, of the University of Massachusetts in Amherst, and an international group of colleagues reported. The other half comes from new cases of asthma caused by traffic–related pollution, which prior studies haven’t considered, they noted online in the European Respiratory Journal. (Source: Medpage Today)

For comments and archives

New psoriasis guidelines expand treatment options

Newer biologic agents for treating moderate–to–severe plaque psoriasis do not carry the risk of end–organ toxicities found with older, conventional systemic agents and can be considered for first–line use in some cases, according to new psoriasis treatment guidelines from the National Psoriasis Foundation. (Source: Medpage Today)

For comments and archives

Final guideline on neuropathologic assessment of AD

A panel from the United States and Europe charged with updating the 1997 consensus guidelines for the neuropathologic assessment of Alzheimer’s disease (AD) has concluded its work. The revised guidelines from the National Institute on Aging and the Alzheimer’s Association (NIA–AA) for the neuropathologic assessment of AD are published in the January issue of Alzheimer’s & Dementia. "The new guidelines recognize the pre–clinical stage of AD, enhance the assessment of AD to include amyloid accumulation as well as neurofibrillary change and neuritic plaques, establish protocols for the neuropathologic assessment of Lewy body disease, vascular brain injury, hippocampal sclerosis, and TDP–43 inclusions, and recommend standard approaches for the workup of cases and their clinico–pathologic correlation," the report reads. (Source: Medscape Medical News)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: #AJCC Rise and fall in share market can precipitate heart attack Late winter immediate, post full moon and rise… fb.me/1BOGIR9vC

@DeepakChopra: We create our reality through choice. What was the last choice you made that resulted in a big change in your life?

    Spiritual Update

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

Why do we do the ritual of Namaskar or Namaste?

Namaskar is a customary greeting when two people meet. It signifies non-arrogance or negation of ego. Namaskar is made of three words: Namah+Om+ Kar.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Is fertility possible after cancer treatment?

  • In men: If sperm counts are consistently low, insemination, IVF, and ICSI may be effective measures for achieving pregnancy. Testicular biopsy may be a way to obtain sperm if sperm are not found in a semen analysis. If sperm cannot be obtained, pregnancy may be possible by using frozen donor sperm.
  • In women: Many women will be able to conceive naturally or with fertility treatments. If signi?cant damage has occurred to the ovaries or uterus, couples may wish to consider egg or embryo donation, a gestational carrier, or adoption to create a family.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The secret of happiness

A certain shopkeeper sent his son to learn about the secret of happiness from the wisest man in the world. The lad wandered through the desert for 40 days, and finally came upon a beautiful castle, high atop a mountain. It was there that the wise man lived.

Rather than finding a saintly man, though, our hero, on entering the main room of the castle, saw a hive of activity: tradesmen came and went, people were conversing in the corners, a small orchestra was playing soft music, and there was a table covered with platters of the most delicious food in that part of the world. The wise man conversed with everyone, and the boy had to wait for two hours before it was his turn to be given the man’s attention.

The wise man listened attentively to the boy’s explanation of why he had come, but told him that he didn’t have time just then to explain the secret of happiness. He suggested that the boy look around the palace and return in two hours. "Meanwhile, I want to ask you to do something", said the wise man, handing the boy a teaspoon that held two drops of oil. "As you wander around, carry this spoon with you without allowing the oil to spill".

The boy began climbing and descending the many stairways of the palace, keeping his eyes fixed on the spoon. After two hours, he returned to the room where the wise man was. "Well", asked the wise man, "Did you see the Persian tapestries that are hanging in my dining hall? Did you see the garden that it took the master gardener ten years to create? Did you notice the beautiful parchments in my library?" The boy was embarrassed, and confessed that he had observed nothing. His only concern had been not to spill the oil that the wise man had entrusted to him. "Then go back and observe the marvels of my world", said the wise man. "You cannot trust a man if you don’t know his house". Relieved, the boy picked up the spoon and returned to his exploration of the palace, this time observing all of the works of art on the ceilings and the walls. He saw the gardens, the mountains all around him, the beauty of the flowers, and the taste with which everything had been selected. Upon returning to the wise man, he related in detail everything he had seen. "But where are the drops of oil I entrusted to you?" asked the wise man. Looking down at the spoon he held, the boy saw that the oil was gone.

"Well, there is only one piece of advice I can give you", said the wisest of wise men. "The secret of happiness is to see all the marvels of the world and never to forget the drops of oil on the spoon".

For comments and archives

   Cardiology eMedinewS

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

2nd National Heart Valve Summit 2012

On the chair: Dr KK Aggarwal, Dr Arti Lalchandani, Dr Anita Arora, Dr H P Singh, Dr P K Deb, Dr Vijayalakshmi

Dr J C Mohan: Changing trends in infective endocarditis

Read More

Dr Gokhroo on Native valve endocarditis

Read More

Dr R K Bansal on Prosthetic valve endocarditis

Read More

Dr S Mittal on IE prophylaxis

Read More

   Pediatric eMedinewS

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

All About A1C

Read More

Once a Week Injection for Diabetes

Read More

New Psoriasis Guidelines Expand Treatment Options

Read More

Cardiovascular Manifestations Of HIV Infected Children: A Cross Sectional Study

Read More

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    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

How does vision affect drowning?

Night vision: Night vision requires the ability to see in low and variable light conditions as well as to recover quickly from the glare of oncoming headlights. Glare recovery is best in drivers under the age of 30. As night vision can deteriorate after 40 year of age, drivers should compensate to some extent for this decrease in the quality of night vision by driving more slowly. Eyes are much slower to adapt to night-time light levels following exposure to bright light. Being outdoors in the sun for only a few hours can slow dark adaptation process so that normal night vision may not be reached for several hours after dark. Use sunglasses to avoid this. Some people find that they cannot drive safely at night at all. But, it is possible to get a license which allows you to drive in daylight only.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with melena.
Dr Bad: Get colonoscopy done.
Dr Good: Get colonoscopy and lower GI studies done.
Lesson: Melena is a small intestinal disorder.

For comments and archives

Make Sure

Situation: An asthmatic with respiratory rate of 37 developed respiratory arrest.
Reaction: Oh my God! Why was the patient not put on the ventilator in time?
Lesson: Make sure to remember that a respiratory rate of >35 is a warning signal to start ventilation therapy.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Everyone who got where he is has had to begin where he was. Robert Louis Stevenson

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Rheumatoid Factor

To help diagnose rheumatoid arthritis (RA) and Sjögren’s syndrome, when a patient presents with fatigue, joint pain, weakness, or dry eyes or dry mouth.

    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser: Which of the following have been consistently true in the vaccine?

a. Circumcision is protective against HPV infection.
b. Condoms protect against HPV infection.
c. HPV vaccination enhances clearance of previous infections.
d. Vaccination confers protection against vaccine type related cervical neoplasia.

Answer for Yesterday’s Mind Teaser: d. Vaccination confers protection against vaccine type related cervical neoplasia.

Correct answers received from: Dr Mrs S Das, Dr PC Das, Dr KV Sarma, Yamini Sarwal, Dr Ashraf Siddiqui, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Pramod M Kulkarni, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Anil Bairaria, Dr Neelam Nath.

Answer for 29th January Mind Teaser: c. 14 weeks of gestation
Correct answers received from: Niraj Gupta, Rajurajam RR, Dr Mrs S Das, Dr PC Das, Dr Ragavan Sivaramakrsihnan Moudgalya, Surinder Pal Singh Grover.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

The son of a general practitioner had recently qualified in medicine, and his father took him into partnership. A few months later, the old doctor went away on holiday, leaving the youngster to look after the practice. On his return his son informed him smugly that during his absence he had affected a complete cure of the back pains which has troubled an elderly private patient for years. "You did a grand job there, son," smiled his father. "Especially as it was those back pains which put you through medical school."

  Medicolegal Update

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

Immunization death and sampling for toxicological screening

The doctor conducting the autopsy is duty bound to take samples, which should be sent to forensic laboratory for toxicological/chemical examination.

  • The site of injection and the tissues lying below up to 2–3 cms (button size) with dermis and epidermis of the sight of injection should be excised out. It should be preserved in a glass jar which should be filled two–thirds with saturated saline water.
  • The specimens should be sealed, signed, labeled by the doctor/autopsy surgeon and should be handed over to police /investigating officer for further toxicological/chemical examination.
  • The viscera should be preserved for for toxicological/chemical examination i.e. liver (80–100gm), brain (100 gm) with meninges, whole of the stomach with gastric contents. If there are no gastric contents, a section of stomach should be sent. The upper part of small intestine (about 30cm length with its contents), fragments from both adrenal glands, half of transverse section of kidneys, half of spleen, blood (100 ml ideal/minimum 10 ml) and urine (100 ml/ minimum 10 ml).
  • All the visceral specimens should be collected in separate containers or a wide–mouthed bottle as prescribed; saturated saline should be added as preservative. The quantity of the saline should be sufficient to cover all the pieces of specimen viscera in the bottle.
  • The specimens should be sealed, signed, labeled by the doctor/autopsy surgeon and should be handed over to police/investigating officer for further chemical examination in a forensic lab.

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)

Eating fast food can cause liver damage

Quoting a Swedish study by Dr. Fredrik H. Nystrom of University Hospital of Linkoping, published in the medical journal Gut, Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India, said that eating at least two fast foods meals every day and restricting levels of physical activity to no more than 5,000 steps a day can lead to signs of liver damage or gain weight.

At the end of the 4 weeks, the fast food eaters had put on an average of 6.5 kilograms (14.3 pounds). After just one week on the fast food diet, blood tests showed sharp increases in a liver enzyme called SGPT. SGPT levels were more than quadrupled over the 4–week study period. Increased SGPT levels are used to diagnose liver disease before symptoms develop. In 11 fast food dieters, SGPT rose to levels suggestive of liver damage. The SGPT increases were linked to weight gain and higher sugar and Carbohydrate intake.

Sutra: Eating 2 fast food meals a day, walking < 5000 steps a day can cause liver damage or gain weight as per a Swedish study.

    Readers Response
  1. Dear Vivek, the study (Eggs, more than one per week, raises the risk of diabetes) you mention was published in 2009. See http://www.ncbi.nlm.nih.gov/pubmed/19017774, However, since then the same author has published another study in 2010 which did not show such a strong link between egg consumption and risk of type 2 diabetes. See http://www.ncbi.nlm.nih.gov/pubmed/20534749, I guess the jury is still out on this. Cheers: Anjay.
  2. Thanks Anjay, Good to know this further detail and appreciate time taken by you to enlighten back. Vivek.

(These have reference to the editorial ‘Eggs, more than one per week, raises the risk of diabetes’ published on 28.1.12)

    Forthcoming Events

Ajmer Health Fair: Ajmer’s Largest Ever Super Specialty Health Camp

Date: February 11 and 12, 2012
Venue: Patel Stadium, Ajmer
Organizer: Heart Care Foundation of India


The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund, Faridabad. It is a multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of the British Menopause Society and South Asian Federation of Menopause Societies and is an opportunity to hear international faculties.

For information contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048
Download forms at: http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

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  FAQs Good Eating

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  Dil Ki Batein

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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