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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 …

3rd September 2011, Saturday

DVT risk starts early, stays long after acute stroke

The risk for deep vein thrombosis (DVT) among patients immobilized by a stroke starts soon after the event and stays for a month.

Most clots forms in the first week after stroke onset and are detected in 11.4% of patients screened with compression duplex ultrasound as per Dr Martin Dennis, of the University of Edinburgh, Scotland, and colleagues who reported their data in the Journal of Thrombosis and Haemostasis. In the study another 3.1% of patients developed DVT by one month in the pooled analysis of the CLOTS 1 and 2 trials.

The conclusion is that prophylaxis should be started early and continued for at least four weeks.

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

Science Behind Hanuman Chalisa chopia 31-40

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela to Focus on Science behind Rituals

Addressing a press conference on this year’s Mela Theme "science behind mythology.". Dr. K K Aggarwal, Padma Shri & Dr. B.C. Roy Awardee, President, Heart Care Foundation of India and MTNL Perfect Health Mela. In the Photo: Member of Parliament and Former International Cricketer Sh. Kirti Azad and eminent Kavi Sh. Gajendra Solanki

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


Air pollution back as big health threat in Delhi

NEW DELHI: Ten years after the city’s public transport switched to CNG, air pollution has again become a major threat to public health in Delhi, say environmentalists. With 69 lakh vehicles plying on city roads, a growth of about 60 lakh in 20 years, experts say oxides of nitrogen (NOx) and particulate matter (PM) are now at critically high levels. NOx and PM are known to cause cancer and asthma. Medical experts say signs of deteriorating health are already manifest. The Delhi cancer registry maintained by AIIMS shows a 2–3% rise in lung cancer cases every year. The Centre for Science and Environment says vehicular pollution has returned as a big threat in Delhi. "About 55% of Delhites stay within a 500m distance from main roads where vehicular pollution is at an all–time high. After public transport was converted to CNG, pollution has become invisible but is still on the rise," said Anumita Roychowdhury, associate director, CSE. "In the 1990s, when the issue of air pollution was first raised, only particulate matter was being monitored. Now there is also a red alert on NOx and PM. AIIMS has been tracking hospital admissions and has found that they have been rising in winter months when pollution levels rise," Roychowdhury said. (Source: TOI, Sep 1, 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)

Interventions fail to improve cardiac arrest outcomes

Neither the timing of cardiopulmonary resuscitation (CPR) before rhythm analysis nor a device meant to boost blood circulation during CPR affected survival among patients suffering out–of–hospital cardiac arrest, a pair of interrelated randomized trials found. (Source: Medpage Today)

For comments and archives

Bird flu back again, U.N. Agency warns

A new vaccine–resistant strain of avian H5N1 influenza has begun circulating in poultry flocks in Vietnam and China, posing "unpredictable risks to human health," the Food and Agriculture Organization (FAO) warned on Monday. "In Vietnam, which suspended its springtime poultry vaccination campaign this year, most of the northern and central parts of the country –– where H5N1 is endemic –– have been invaded by the new virus strain, known as H5N1–," the FAO said in a statement. No cases of human infection with the novel strain have yet reported by the FAO or its sister group, the World Health Organization. Vietnam has remained free of human infections with any avian H5N1 strains this year, according to WHO. (Source: Medpage Today)

For Comments and archives

Bedtime blood pressure best CVD risk factor

Sleep–time blood pressure topped awake–time pressure as a predictor of cardiovascular risk in patients with and without hypertension, according to data from a large, prospective, cohort study. Every 5–mm decrease in sleep–time systolic blood pressure was associated with a 17% reduction in cardiovascular risk during a median follow up of 5.6 years. (Source: Medpage Today)

For comments and archives

Wait for an hour after dinner before you go to sleep

A new study suggests that waiting at least an hour after dinner before going to sleep reduces your risk of stroke by about two–thirds (European Society of Cardiology meeting). For every 20 minutes more that you wait, stroke risk drops another 10%.

For comments and archives

  Fitness Update

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

Exercise can prevent migraines

Researchers have found that music enhances exercise, and this study summarized all the relevant research on the benefits of listening to music during exercise.

The authors of the article reviewed a total of 20 previous studies that examined the effects of adding music to exercise in different populations, and the results were clear: music benefits exercisers. Among the most prominent benefits of listening to music were increased motivation to exercise as well as improvement in exercise capacity and intensity. Some studies found that music was exceptionally helpful for patients undergoing cardiovascular or pulmonary rehabilitation or treatment for diseases such as Alzheimer’s and Parkinson’s. Other studies found that adding music to exercise increased elderly exercisers’ confidence and life satisfaction. The study concluded that music is most effective when it coincided with people’s own personal preferences.

Now, you have a great excuse to buy some new music for your mp3 player!

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Addressing a press conference and releasing Mela LOGO and this year’s Mela Theme, science behind mythology. Dr. Khttp://twitpic.com/6eetf9

@DeepakChopra: #CosmicConsciousness If you take away infinity from infinity what remains is infinity. The Absolute remains infinite even in the finite.

    Dr KK Answers

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

What is the exposure in a cardiac cath and EP study?

A typical X ray procedure results in a total effective dose of 8.3 mSv per hour of fluoroscopy. The mean cardiac fluoroscopy time in managing paroxysmal atrial fibrillation is 57 minutes, atrial flutter is 20 minutes, ablation is 22 minutes and Pulmonary Vein isolation is 39 minutes.

For comments and archives

    Spiritual Update

Buddha Description of Disease: Desire, Hatred & Ignorance

According to Buddhism, the three negative emotions that cause a disease are "desire, hatred and Ignorance".

Accordingly physical sickness is classified into three main types.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Appreciate Life’s Annoying Little Things

Lessons from 9/11, the annoying little things:

  • As you might know, the head of a major company survived the tragedy of "9/11" in New York because his son started kindergarten.
  • Another fellow was alive because it was his turn to bring doughnuts.
  • One woman was late because her alarm clock didn’t go off in time.
  • One was late because of being stuck on the NJ Turnpike because of an auto accident.
  • One of them missed his bus.
  • One spilled food on her clothes and had to take time to change.
  • One’s car wouldn’t start.
  • One went back to answer the telephone.
  • One had a child that dawdled and didn’t get ready as soon as he should have.
  • One couldn’t get a taxi.
  • The one that struck me was the man who put on a new pair of shoes that morning, took the various means to get to work but before he got there, he developed a blister on his foot. He stopped at a drugstore to buy a Band–Aid. That is why he is alive today.

Now when I am stuck in traffic…Miss an elevator…Turn back to answer a ringing telephone…All the little things that annoy me…I think to myself…

This is exactly where God wants me to be at this very moment.

The next time your morning seems to be going wrong, the children are slow getting dressed, you can’t seem to find the car keys, you hit every traffic light…Don’t get mad or frustrated; God is at work watching over you.

May God continue to bless you with all those annoying little things – and may you remember and appreciate their possible purpose.

For comments and archives

    Gastro Update

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

Can ondansetron be used for gastroenteritis in children?

A large retrospective study from two pediatric emergency departments showed the use of oral ondansetron to reduce vomiting in children with presumed gastroenteritis. It does not increase the risk of missing other serious alternate causes of vomiting. Alternate diagnoses included appendicitis, intussusception, bacteremia, pyelonephritis, small bowel obstruction, and intracranial tumor. This study also confirmed previous observations that ondansetron therapy reduced the rate of hospital admissions for gastroenteritis (3.7 versus 6.4%).

(Ref: Sturm, JJ, Hirsh, DA, Schweickert, A, et al. Ondansetron use in the pediatric emergency department and effects on hospitalization and return rates: are we masking alternative diagnoses?. Ann Emerg Med 2010;55:415).

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


This test is primarily used to help detect and rule out pheochromocytoma in symptomatic patients. It may also be ordered to help monitor the effectiveness of treatment when a pheochromocytoma is discovered and removed and to monitor for recurrence.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient with migraine was put on the herb, Butterbur.
Dr. Bad: It is a drug of choice for preventing migraine.
Dr. Good: It benefits still remain unproven.
Lesson: Herbal therapies like the Butterbur and Feverfew have been evaluated for the treatment of migraine headaches. Of these, Feverfew has been the most widely studied. Some studies have found it to be effective for migraine prevention, although most experts agree that the benefits are still unproven. Neither treatment is recommended.

For comments and archives

Make Sure

Situation: A patient of suspected MI died after receiving sublingual nitrate.
Reaction: Oh my God! Why was a history of intake of Viagra drug was not taken?
Lesson: Make sure to take a history of Viagra drug intake before giving nitrates, because the two drugs when co–administered can cause fatal fall in blood pressure.

For comments and archives

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  Quote of the Day

(Dr Chandresh Jardosh)

Life does not obey our expectations. Life obeys our intentions, in ways we may not expect. Lloyd Strom


Between a rock and a hard place: Stuck between two very bad options.

  G P Pearls

(Dr Pawan Gupta)

Treatment of hypertension: Monotherapy is inadequate for most of cases of HT in initial phase. Better start with ARB with CCB with or without thiazide (Lancet 2011;377:278–9).

    Medicolegal Update

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


  • The name Morphine originates from Morpheus – the Greek God of dreams.
  • Morphine is an alkaloid of opium – white crystals, has bitter taste and alkaline reaction. It is very sparingly soluble in cold water but soluble in boiling water.
  • Morphine hydrochloride and morphine sulfate are medicinal preparations and morphine acetate is a non–official preparation, the dose of each being 8 to 20 mg. These salts are bitter in taste, neutral in reaction and are 5 to 8 times more powerful than opium.
  • Morphine has a depressant action on the cortex, the respiratory and cough centers in the medulla are depressed but the vagus and vomiting centers are stimulated.
  • The spinal cord is also stimulated. Its most outstanding effect is pain relief, partly due to depression of the pain perception in cerebral area and partly due to its euphoric effect.

For comments and archives

    Mind Teaser

Read this…………………

The most common pathogens responsible for nosocomial pneumonias in the ICU are:

1. Gram positive organisms
2. Gram negative organisms
3. Mycoplasma
4. Virus infections

Yesterday’s Mind Teaser: The most common presentation of a child with Wilm’s tumor is:

1. An asymptomatic abdominal mass
2. Hematuria
3. Hypertension
4. Hemoptysis due to pulmonary secondaries

Answer for Yesterday’s Mind Teaser: 1. An asymptomatic abdominal mass

Correct answers received from: Dr Priyanka Sharma, Dr YJ Vasavada, Dr US Murty, Dr Chandresh Jardosh, Dr Muthumperumal Thirumalpillai, Dr Surendra Bahadur Mathur, Dr Jainendra Upadhyay,
Dr Neelam Nath, Dr Prabodh Kumar Gupta, Dr Anil Bairaria, Dr Sukanta Sen, Dr Surendra Bahadur Mathur, Dr Vishwanath, Dr Bina Sawhney, Dr Pallipalayam Sivarmakrishnan.

Answer for 1st September Mind Teaser: 4. In a patient with a large tumor in the oral cavity
Correct answers received from:Dr Priyanka Sharma, Dr Sukanta Sen, Dr Surendra Bahadur Mathur,
Dr YJ Vasavada.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr. GM Singh)

"Doctor Doctor – I feel like a pair of curtains!"
"Pull yourself together man!"

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name


DCI Approval Date

Dextromethorphan Extended Release Oral Suspension 30 mg per 5 ml

For the relief of persistent dry irritating cough in adult patients only.


    Public Forum

(Press Release for use by the newspapers)

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Debunking Diabetes Myths

If you’ve just been diagnosed with diabetes, it may be difficult to separate fact from fiction, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela. Heart Care Foundation of India debunks some popular myths about diabetes.

  • Diabetes is not contagious and one cannot get diabetes from some one else.
  • Diabetics can eat desserts with caution. While eating too many sugary foods is a bad idea, one can have an occasional dessert, especially if one exercises and otherwise eats healthy.
  • Eating too much sugar cannot "cause" diabetes. The disease stems from genetic and lifestyle factors. But consuming too much white sugar can cause insulin resistance and future diabetes. The healthy sugar is brown sugar or jaggery.
  • Diabetics are not more susceptible to colds and other illnesses but may have more complications of flu.
  • Taking insulin does not cause hardening of the arteries or high blood pressure.
  • Fruit, while healthy, cannot be consumed in huge amounts, since it contains carbohydrates.

For comments and archives

    Readers Response
  1. Respected Sir, I was going through some of your Audio & Video Presentations especially the ones on CKD & Dengue. Sir, i must say, you actually make medicine so simple & interesting. You really put it across in a very simplified way that it makes things really simple. I am really grateful to you for making this immense contribution to the medical fraternity by the means of your e medinews. Heartfelt wishes for long long life of yours & of the emedinews. Thank you so much for the enrichment.Dr. Mayank Mawar
    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals


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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