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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 …

6th November 2011, Sunday

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 had also 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; this 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.

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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 the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011– Dandiya Night

A Cultural Dandia Night was organised as a part of MTNL Perfect Health Mela on 16th October 2011 at Garden of Five Senses, Said–ul–ajaib

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


23 new cases of dengue reported on Thursday

With 23 new cases reported from the city on Thursday, the total number of people affected with dengue fever this year has touched 820. Five people, including a one–and–a–half–year–old boy, have succumbed to the disease so far this season, the latest being on October 14 when a 28–year–old woman died due to dengue hemorrhagic fever at Sir Ganga Ram Hospital. Though the authorities had anticipated the dengue figures to cross 800 this year, what has come as a surprise for them is the spurt in the number of chikungunya cases. With 10 more cases of the mosquito–borne disease reported on Thursday, the total number of people affected with the disease has reached 54 so far this year. Last year, 33 people had tested positive for the disease. (Source: Hindustan Times, November 04, 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)

India interrupted wild poliovirus spread

India is the only country that is on track to interrupt wild poliovirus transmission in 2011, U.S. health officials say. A report published in the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report said the absence of wild poliovirus during the high–transmission season strongly indicates India has interrupted wild poliovirus transmission. "Ideally, lessons learned in India will be applied elsewhere –– Pakistan, Afghanistan and Nigeria –– to further progress toward polio eradication," the report said. "During 2010/2011, India has made substantial progress toward polio eradication. In 2010, only 42 wild poliovirus cases were reported in India of the total of 232 in endemic countries. In 2011, India has reported only one wild poliovirus case and nine months have passed since this case." (Source: http://www.upi.com/Health_News/2011/11/03/India–interrupted–wild–poliovirus–
spread/UPI–38711320367560/?spt=hs&or=hn, Nov 3, 2011)

For comments and archives

Adding radiation boosts prostate cancer survival

The addition of radiation to hormonal therapy for locally advanced or otherwise high–risk prostate cancer improves survival, a randomized trial determined. The combination boosted seven–year overall survival by 23%, an absolute eight percentage points, compared with androgen deprivation therapy alone (P=0.033), Padraig Warde, MB, of Princess Margaret Hospital in Toronto, and colleagues found. Radiation plus hormone treatment also raised cancer–specific survival by an absolute 10 percentage points, or 46% in relative terms (P=0.0001), the group reported online in The Lancet. (Source: Medpage Today)

For comments and archives

Carotid plaque shows up early in RA patients

Subclinical carotid atherosclerosis was already present and progressing in patients with rheumatoid arthritis (RA) who did not have known cardiovascular disease, a single–center, prospective study showed. Among a cohort of 158 patients with RA, the maximal intima–media thickness (IMT) of the common carotid artery increased in 82% by a median of 16 µm per year (P<0.001), according to Jon T. Giles, MD, of Columbia University in New York City, and colleagues. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: One can never speak enough of the virtues, the dangers, the power of shared laughter.

@DeepakChopra: "The New Universe and the Human Future" by deepakchopra on #BlogTalkRadiohttp://www.blogtalkradio.com/deepakchopra/2011/10/27/the–new–universe–and–the-human–future

    Spiritual Update

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

Science behind Awala Navmi

Most of the festivals in Chaturmas relates to rituals which increases fertility starting form Shiva Puja on 16 Mondays in Shravan month.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The travelling monks at the river

Two traveling monks reached a river where they met a young woman. Wary of the current, she asked if they could carry her across. One of the monks hesitated, but the other quickly picked her up onto his shoulders, transported her across the water and put her down on the other bank. She thanked him and departed. As the monks continued on their way, the one was brooding and preoccupied. Unable to hold his silence, he spoke out. "Brother, our spiritual training teaches us to avoid any contact with women, but you picked that one up on your shoulders and carried her!" "Brother," the second monk replied, "I set her down on the other side, while you are still carrying her."

Lesson: The practice of one's belief is more important than rigid adherence to a belief in one’s practice.

For comments and archives

    Fitness Update

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

Aerobic exercise is the most effective way to reduce abdominal fat

Much research points to the fact that abdominal fat, or fat stored in the stomach area, can increase the risk for heart and metabolic disease. A recent study in the American Journal of Physiology identified the most effective form of exercise to get rid of fat in the abdominal area. Researchers at Duke University Medical Center conducted a study that involved following a group of over two hundred overweight adults for eight months.

Participants were divided into one of three groups: an aerobic training exercise regimen, a resistance training exercise regimen, or a combination of the two regimens. The aerobic group performed exercises that amounted to 12 miles of jogging per week at a high intensity (80 percent of maximum heart rate). The resistance group performed three sets of 8 to 12 repetitions of various strength exercises, three times per week. The results showed that although both forms of exercise were effective at reducing body fat, aerobic exercise reduced abdominal fat more than weight training alone did. To date, no other research has shown these findings.

For comments and archives

    Healthy Driving

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

If you do need to use a cellular phone urgently, take the following precautions:

Always assess traffic conditions before calling.

For comments and archives

    Medicine Update

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

How do we diagnose galactosemia?

Diagnosis is made by demonstration of reduced or absent activity of the enzyme galactose–1–phosphate uridyl transferase (GAL–1–PUT) which is central to galactose metabolism. This test is invalid if the child has received a blood transfusion within previous 2 months. Parents’ samples should be sent instead for carrier testing.

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Uric acid

  • Increased levels: Idiopathic, renal failure, disseminated neoplasms, toxemia of pregnancy, liver disease, ethanol consumption, etc.
  • Decreased levels: May not be of clinical significance; Wilson’s disease, Fanconi’s syndrome, xanthinuria, and (paradoxically) in some neoplasms, including Hodgkin’s disease, myeloma, and bronchogenic carcinoma.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady died.
Dr Bad: Declare her dead.
Dr Good: Deliver the infant within 5 minutes.
Lesson: Five–minute rule: The best outcome with regards to neonatal neurological outcome is most likely when delivery occurs within five minutes of maternal cardiac arrest.

For comments and archives

Make Sure

Situation: A rape victim became pregnant.
Reaction: Oh my God! Why was emergency contraceptive not given to her?
Lesson: Make sure that all victims of rape are given an emergency contraceptive.

For comments and archives

    Quote of the Day

(Dr GM Singh)

Everything that is done in the world is done by hope. Dr. Martin Luther King Jr.

    Mind Teaser

Read this…………………

Which of the following is the most common cause of death in Crohn’s disease of small intestine?

a) Malignancy
b) Sepsis
c) Electrolyte disorders
d) Thromboembolic phenomenon

Yesterday’s Mind Teaser: A 36–year–old primigravida woman at 8 weeks’ gestation comes to the physician for an initial prenatal visit. She is very concerned about this pregnancy because several years ago she aborted a pregnancy in the second trimester because of an unknown chromosomal abnormality discovered on amniocentesis after a routine 18–week ultrasound. An ultrasound report from the previous pregnancy showed:

  • Bilateral shortened femur
  • Thickened nuchal fold
  • Major endocardial cushion defect

She does not know the details from the autopsy performed on the previous fetus, however she was told that the "colored part" of her baby’s eye had dots like the "spokes of a wheel" and that the palms of the hands did not have the normal pattern of creases. Which of the following triple screen patterns is consistent with the patient’s previous pregnancy?

(A) hCG decreased, AFP increased, estriol increased
(B) hCG increased, AFP decreased, estriol increased
(C) hCG increased, AFP decreased, estriol decreased
(D) hCG decreased, AFP decreased, estriol increased
(E) hCG decreased, AFP decreased, estriol decreased

Answer for Yesterday’s Mind Teaser: (C) hCG increased, AFP decreased, estriol decreased

Correct answers received from: Dr Thakor Hitendrasinh G, Dr Alexander Daniel Sunad, Dr Ragavan Sivaramakrishnan, Dr Jainendra Upadhyay, Raju Kuppusamy, Selva Pandian, Shagun Aggarwal, Anil Bairaria, Dr Surendra Bahadur Mathur, Muthumperumal Thirumalpillai, Dr Ajay Gandhi

Answer for 4th November Mind Teaser: c) It is associated with APC mutation.
Correct answers received from: Dr Valluri Ramarao, Dr Sukla Das, Dinesh Yadav, Dr PC Das, Dr Shabina Ahmed, Dr Surendra Bahadur Mathur, Dr Ajay Gandhi, Raju Kuppusamy.

Send your answer to ijcp12@gmail.com

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emedinews revisiting 2011
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   Laugh a While

(Dr S Ramnathan Iyer)

Examiner to student: What is purine?
Student: Sir, I think it is pure urine.

    Medicolegal Update

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

The majority of fatal stab wounds are on the chest

Death due to sharp force violence is the most common cause of homicide in India including many other parts of Europe, as well as in Africa and Asia. It also accounts for 30% of fatal and non–fatal family assaults in the USA.

  • In the year 2010, I conducted medicolegal postmortems on 29 cases (from south Delhi) of death due to stab wounds.
  • A stab wound is produced as a result of penetration of long narrow instruments with blunt or pointed ends such as knife, dagger, nail, needle, spear, arrow, screwdriver etc. into the depths of the body, penetrating the skin and the underlying tissues that is deeper than its length and width on skin.
  • It can be caused by driving the object into the body or from the body’s pressing or falling against the object. The object penetrates into the body due to its momentum.
  • The wound is called punctured wound when it enters a body cavity only one way. But, when the weapon enters the body on one side and comes out through the other side, it is called a perforating wound.
  • The wound of entry is larger and the wound of exit is smaller due to tapering of the blade in stab wound which is contrary to firearm missile entry and exit wounds.
  • The doctor conducting the postmortem examination must keep in mind that the shape and size of the wound suggests the width and type of weapon whether it is single edged or otherwise, the depth of the wound will indicate the length of weapon, the directions and dimensions of the wound indicate the relative position of the assailant and the victim, and the position, direction and number of wound may indicate manner of production, i.e., suicide, accident or homicide
  • The doctor must preserve a broken fragment of weapon, if found, for the police. It may help to identify the weapon or connect the accused person with the crime.

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    Public Forum

(Press Release for use by the newspapers)

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

Diabetes is Preventable: November is Diabetes Awareness Month

Diabetes can be prevented, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India.

Type 2 diabetes is due to a faulty lifestyle due to insulin resistance and the same can be prevented by change in diet and regular exercise.

With proper risk factor management it is possible to get rid of both insulin and drugs in type 2 diabetes.

Tips to prevent diabetes

Do not eat white refined carbohydrates.

  • Eat less at a time.
  • Work out at least 30 minutes a day.
  • Eat green bitter vegetables in plenty
  • Eat a high fiber diet
  • Do not eat trans fats in food.
  • Eat jamun and kaith fruits when available

For comments and archives

    Readers Responses
  1. Dear Sir…Thanks a lot for the fantastic informations. Regards Dr Anupam
    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)

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  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