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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 …

8th November 2011, Tuesday

What’s new in Rheumatology?

The American Academy of Ophthalmology has issued revised recommendations for screening and prevention of hydroxychloroquine (HCQ) and chloroquine (CQ) retinopathy (1). The usual dose is (400 mg/day) for HCQ and 250 mg/day for CQ. Both require adjustment for ideal body weight in individuals who are short and overweight. In others no adjustment of dose is required. Automated visual field testing should be done at baseline and subsequent screening.

Nonsteroidal antiinflammatory drugs including the COX–2 selective NSAIDs and some nonselective NSAIDs, increase the risk of adverse cardiovascular events. NSAID use in patients with a prior MI is associated with a significantly increased risk of death or recurrent MI, compared with nonuse of NSAIDs, even within one to two weeks of beginning treatment, and risk remained elevated throughout the treatment course (2).

Among the nonselective NSAIDs, risk is greatest for diclofenac, and also increased for ibuprofen; the risk is least with naproxen. The absolute increase in the incidence of death or recurrent MI is one per 5000 person–years.


  1. Marmor MF, Kellner U, Lai TY, et al. Revised recommendations on screening for chloroquine and hydroxychloroquine retinopathy. Ophthalmology 2011;118:415.
  2. Schjerning Olsen AM, Fosbøl EL, Lindhardsen J, et al. Duration of treatment with nonsteroidal anti–inflammatory drugs and impact on risk of death and recurrent myocardial infarction in patients with prior myocardial infarction: A nationwide cohort study. Circulation 2011.

For Comments and archives…

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

What’s new in Rheumatology?

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011– At Home with Ms Rajni Abbi, Hon’ble Mayor Delhi

Padma Shri Awardee Dr KK Aggarwal with the team of MTNL Perfect Health Mela at Home with Ms Rajni Abbi, Hon’ble Mayor Delhi on 20th October 2011 as a part of the 18th MTNL Perfect Health Mela 2011.

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


Working women have unhealthy children

New Delhi: Most of the working mothers have unhealthy children with problems like obesity, while kids whose moms work part time are better off, a lifestyle study by Assocham said. As many as 56 per cent of working women have children with problems such as overweight which may aggravate into lifestyle diseases like cardio–vascular disorder and fatty liver when they grow into adults, it said. The problem was far less with the women who take up part time assignments. Only 28 per cent of these women have kids with unhealthy physical attributes. On the other hand, homemakers’ kids are a lot healthier as they are less into junk foods like pizza, burgers, pasta and aerated drinks, the study done by Assocham Development Foundation said. The study was done on 2,000 students in 25 schools in different cities, including the metropolis Delhi, Mumbai, Pune, Kolkata, Chennai, Hyderabad and Chandigarh. (Source: http://zeenews.india.com/news/health/health–news/working–women–have–unhealthy–
children_14459.html, Nov 6, 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

FDA Okays Xarelto for stroke prevention

The FDA has approved rivaroxaban (Xarelto) for prevention of stroke in patients with nonvalvular atrial fibrillation, making it the first oral direct factor Xa inhibitor win an indication for stroke prevention. The drug had already been approved for prevention of deep vein thrombosis in patients undergoing joint replacement surgery at a dose of 10 mg once a day. (Source: Medpage Today)

For comments and archives

Number of new drug approvals nears record for decade

The FDA announced it has approved 35 new drugs in the past 12 months –– just two shy of a record for the decade –– including two new treatments for hepatitis C, the first new drug for Hodgkin lymphoma in 30 years, and the first new drug for lupus in 50 years. The report comes as the agency is dodging criticism for moving too slowly on new drug approvals. As a result, critics claim, drugs get approved first in foreign countries that have a more lax regulatory climate and drug companies may begin moving overseas. (Source: Medpage Today)

For comments and archives

FDA Panel says ezetimibe–simvastatin combination pill okay for some kidney disease patients

An FDA advisory committee has recommended that the ezetimibe–simvastatin combination pill be approved for prevention of cardiovascular disease in chronic kidney disease patients who are not on dialysis. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Watch Padma Shri Awardee Dr KK Aggarwal on Diabetes is preventable http://www.youtube.com/watch?v=Lds0JFKPBIE&feature=share via @youtube

@DeepakChopra: Manhattan–20111105–00489.jpg Good Morninghttp://twitpic.com/7b2w0u

    Spiritual Update

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

Science behind Tulsi Vivah

The Tulsi plant is worshiped in Hindu Mythology as a sacred plant. Tulsi vivah is celebrated on the next day of Kartik Ekadashi. On this day Tulsi in a ritual is married to Shaligram.

Tulsi is coloured red and decorated as a bride. Sugarcane and branches of tamarind and Amla (Awala) trees

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

A milk vendor used to sell milk on his motor cycle in a town. He was carrying four milk cans, two on each side of his vehicle. One day, while he was calling on a house, two students approached his motor cycle and pushed frogs one each in two cans. The happy frogs started finding themselves in a tight position.

The frog in one of the cans studied the situation. It made a SWOT analysis. His strength was – to swim effectively in any liquid. He recollects from his "WISDOM BANK" that most difficult times come only for a short time and will not last long. He starts swimming and swimming and finds himself sitting on a butter lump formed due to the churning action of his swimming. He is now safe for a while. When the milk vendor opens the cans for his next call, the frog leaps to his freedom.

The frog in other can does not turn on his attitudinal bulb. He blames the student for his misery and started cursing him. He blames God for making him so small that he can neither lift the lid of the can nor he can drill a hole in the can. With all these negative thoughts, he eventually drowns in the milk and dies.

What is the moral of the story? It is about ATTITUDE. While the first frog was an ‘I CAN’ person with a positive mental attitude, the other one was an ‘I CAN’T ‘person.

You can be a "CAN" or ‘CAN’T’ person. The choice is with you alone. No one except yourself can make you a ‘CAN’ or ‘CAN’T’ person. A Winner is NOT one who NEVER FAILS……But one who NEVER QUITS!!!"

Many people spend their whole life in overcoming their weakness… but they forget it is only possible by strengthening there strengths… Let us work on our strengths such that any problem can be converted into opportunity and be a Positive person…If we are positive …then surely we would be able to see +ve energy in others…too……

When Thomas Edison invented the light bulb, he tried over 2000 experiments before he got it to work.
A young reporter asked him how it felt to fail so many times. He said, "I never failed once. I invented the light bulb. It just happened to be a 2000–step process".

For comments and archives

    Fitness Update

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

Exercise physiologists and researchers alike have always questioned the role of diet and nutrition against the role of exercise in weight loss and weight maintenance. Most often, experts agree that both are important factors in weight loss and in living a healthy lifestyle. Now, a new study shows evidence that exercise plays a significant part of the equation. Researchers from the Lawrence Berkeley National Laboratory in Berkeley, California found that exercise (specifically running) protects against weight gain, regardless of diet. The study is published in the most recent issue of the journal Medicine & Science in Sports & Exercise.

For the study, a total of 106,737 participants completed a comprehensive survey. The two–page survey was sent to subscribers of a running magazine and to participants of running events. It asked for demographic characteristics, running history, current average weekly mileage, current weight and height as well as history, and dietary habits, including average weekly consumption of meat, fruits and vegetables. Runners were divided into groups based on the frequency and duration of their runs, and various analyses were performed. The survey data clearly showed that running prevented weight gain, regardless of dietary habits. Although most avid runners were more likely to eat a healthier diet, some ate a significantly higher amount of meat, fat and carbohydrates. Avid runners who ate this unhealthy diet were not affected by weight gain, whereas those who did not run as frequently were much more likely to have an increased weight and/or BMI.

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 precaution:

Place calls when stopped, or have a passenger dial.

For comments and archives

    Medicine Update

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

What are the common causes of acute liver failure in a child?

The common causes of acute liver failure (ALF) in a child in India are infective hepatitis (Hepatitis A is more than Hepatitis E; Hepatitis B), metabolic causes, Wilson’s disease, autoimmune hepatitis and drug–induced (Anti–TB, Valproate etc). In newborn period, the common infectious causes of ALF are herpes virus, adenovirus, hepatitis B, Echovirus etc. Metabolic liver diseases are hereditary fructose intolerance, galactosemia, tyrosinemia and neonatal hemochromatosis.

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emedinews revisiting 2011
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    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum iron

  • Increased in hemolytic, megaloblastic, and aplastic anemias, and in hemochromatosis, acute leukemia, lead poisoning, pyridoxine deficiency, thalassemia, excessive iron therapy, and after repeated transfusions. Drugs that increase serum iron include chloramphenicol, cisplatin, estrogens (including oral contraceptives), ethanol, iron dextran, and methotrexate.
  • Decreased in iron–deficiency anemia, acute and chronic infections, carcinoma, nephrotic syndrome, hypothyroidism, in protein–calorie malnutrition, and after surgery.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: An elderly obese diabetic was started on metformin therapy.
Dr. Bad: It cannot be prescribed to elderly.
Dr. Good: Continue it.
Lesson: For elderly patients who do not have contraindication to metformin (severe renal impairment or heart failure), one should initiate therapy with metformin (American Geriatric Society, American Diabetes Association, European Diabetes working Party for Older People Guidelines).

For comments and archives

Make Sure

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Good luck is often with the man who doesn’t include it in his plans.

    Mind Teaser

Read this…………………

Which of the following is not true regarding ERCP in benign injuries of biliary tract

a) ERCP should be the initial investigation in all cases of injuries to the ble duct to define the extent of injury
b) ERCP is of value if there is a incomplete stricture
c) ERCP is helpful if it is a Type A or Type D injury
d) ERCP is of no use if clinically or radiologically the bile leak has stopped

Yesterday’s Mind Teaser: A body is brought for autopsy with history of poisoning. On postmortem examination, there is dark brown postmortem staining and garlic odor in stomach. In this case the poisoning is most likely due to:

A) Hydrocyanic acid
B) Carbon dioxide
C) Aniline dye
D) Phosphorus

Answer for Yesterday’s Mind Teaser: D) Phosphorus

Correct answers received from: Dr Sukla Das, Dr PC Das, yogindra vasavada, Dr Neelam Nath, Anil Bairaria, Dr BB Aggarwal, Dr Selva Pandian, Dr Anjani, Dr Prabodh Kumar Gupta, Dr Surendra Bahadur Mathur, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Avtar Krishan.

Answer for 6th November Mind Teaser: a) Malignancy
Correct answers received from: Dr HL Kapoor, Raju Kuppusamy, Dr Chandresh Jardosh, Dr John C Mathew, yogindra vasavada.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Satish A K)

Examiner 2 a student:what is particular about the incubator
Student:sir,I have never been inside an incubator

  Medicolegal Update

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

The more vascular area and the healthier the person, the more rapid will be the healing of bruise

  • A bruise or contusion heals by destruction and removal of the extravasated blood.
  • The more vascular the area, the smaller the contusion, and the healthier the individual, the more rapid will be the healing. The red cells disintegrate by hemolysis and the hemoglobin is broken down into hemosiderin, hemotodin and bilirubin by the action of enzymes.
  • The color change is very variable, starts at the periphery and extends inwards to the center. The duration of bruise is determined by its color changes which is fresh: Red Few hours to 3 days: Blue 4th day: Bluish black to brown 5 to 6 days: Greenish, 7 to 12 days: Yellow and it the color becomes normal in approximately 2 weeks. But when the bruising is extensive and deeply situated the color takes a longer time to appear externally.
  • It is difficult to estimate the exact age of a bruise with any degree of certainty. The subconjunctival ecchymosis does not undergo the usual color changes. They are at first bright red and then yellow before disappearing. In old people, healing of bruises is very slow.
  • A bruise sustained at the time of carbon monoxide poisoning is likely to have a bright red color.

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)

Daily dialysis is better than bi-weekly dialysis

Daily dialysis is better than 3 dialyses a week and 3 dialyses are better than 2 dialyses a week said Padma Shri & Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President, Heart Care Foundation of India and Dr Ramesh Hotchandani Dialysis Specialist at Moolchand Hospital.

A new study has shown that three–times–a–week dialysis to cleanse the blood of toxins may not be enough. Deaths, heart attacks and hospitalizations are much higher on the day after the two–day interval between treatments each week.

Kidney patients fare better on an almost–daily hemodialysis regimen than on the standard 3–times–a–week plan.

Facts about chronic kidney diasease

  • Kidney transplant is the best for patients of chronic kidney failure.
  • The patient after kidney transplant can live comfortably without dialysis for upto 25 years.
  • Uncontrolled diabetes and hypertension are the two most common causes of kidney failure in India.
  • The earliest sign of kidney failure is appearance of proteins in micro amounts in urine.
  • All kidney patients should keep their cholesterol, blood pressure and blood sugar under control.
  • Diabetic patient with kidney failure can have both pancreas and kidney transplant together.
  • Anybody can safely donate kidney to his or her relatives with no risk to the donor.
  • For shortage of kidney donor cadaveric transplant is another alternative.
  • People who have brain dead situation should offer donation of their kidneys.
  • Urine infection should not be ignored and treated timely.
  • All kidney patients should be offered preventive vaccinations.

For comments and archives

    Readers Response
  1. Dear sir, Its wonderful you are holding the 3rd eMedinewS – revisiting 2011 conference in 2012 as well. I wish it a grand success. Best wishes Dr. Suman Kumar Sinha
    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