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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


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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of 1st Mega Ajmer Health Camp 2012

  Editorial …

8th March 2012, Thursday

eMedinewS wishes all its readers a very Happy & Joyous Holi

Tattoos to warn of medical conditions

An increasing number of Americans are turning to medical tattoos to warn emergency responders about important medical conditions. However, "It’s unclear whether an ambulance crew racing to treat a gravely ill patient could honor a request…based on a "tattoo alone." Moreover, it’s questionable whether medics or doctors would be under any obligation to honor end–of–life instructions in a tattoo, unless they could be sure the patient also had signed legally binding papers. (AMA News)

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

Tattoos to warn of medical conditions

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

First Mega Ajmer Health Camp – Checkups

Both general and specialty consultations were available incorporating all pathies.

Dr K K Aggarwal
    National News

Porngate scandal: 15 MLAs watched porn clip, says panel member

As per the reports CCTV footage showed MLAs of several parties viewing the porn clip. It looks like that the porn clip was being circulated to all and someone out of them also might have forwarded to one of the journalist who then got the whole thing captured on the camera. Will the investigating agency also check this aspect of conspiracy? Without the leak it would have been impossible to catch such a happening in the assembly.


Dr Mahesh Sharma the new MLA from Noida

Dr Mahesh Sharma CMD Kailash Hospital has won the Noida BJP seat. eMedinewS congratulates Dr Sharma on his victory

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

ACP issues guideline on colorectal cancer screening

A new guidance statement developed by ACP offers recommendations on when to screen patients for colorectal cancer.

  • Guidance Statement 1: ACP recommends that clinicians perform individualized assessment of risk for colorectal cancer in all adults.
  • Guidance Statement 2: ACP recommends that clinicians screen for colorectal cancer in average–risk adults starting at the age of 50 years and in high–risk adults starting at the age of 40 years or 10 years younger than the age at which the youngest affected relative was diagnosed with colorectal cancer.
  • Guidance Statement 3: ACP recommends using a stool–based test, flexible sigmoidoscopy, or optical colonoscopy as a screening test in patients who are at average risk. ACP recommends using optical colonoscopy as a screening test in patients who are at high risk. Clinicians should select the test based on the benefits and harms of the screening test, availability of the screening test, and patient preferences.
  • Guidance Statement 4: ACP recommends that clinicians stop screening for colorectal cancer in adults over the age of 75 years or in adults with a life expectancy of less than 10 years.

Screening interval for average–risk patients is 10 years for colonoscopy, five years for other endoscopic and radiologic tests, annually for fecal occult blood tests, and uncertain for stool DNA panels. Computed tomography colonography is another option supported by some guidelines, but the U.S. Preventive Services Task Force found insufficient evidence on its benefits and harms. The guidance statement is published in the March 6 issue of the journal Annals of Internal Medicine

For comments and archives

Cholera incidence 10 times higher than official reports

Cholera rates worldwide are some 10 times higher than official reports indicate, and more of than half of those cases are in children younger than 5 years, according to a report published online January 24 in the Bulletin of the World Health Organization (WHO). (Source: Medscape)

For comments and archives

AHA urges partnership in treating HF patients

The American Heart Association (AHA), in collaboration with other professional societies, has issued a new scientific statement for the management of patients with advanced heart failure. The statement emphasizes "shared decision making" and is designed to help physicians and other health professionals align medical treatment options with the wishes of patients. (Source: Medscape)

For comments and archives

Air pollution exposure tied to allergies

Increased exposure to common air pollutants, such as nitrogen dioxide and fine particulate matter, was associated with sensitivity to both indoor and outdoor allergens, a researcher said at the annual meeting of the American Academy of Allergy, Asthma, and Immunology. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: #IJCP Risk assessment for congestive heart failure in a south Indian population: A clinical Pharmacist’s… fb.me/1A3zQfyaC

@DeepakChopra: To be completely established in pure awareness is enlightenment, a state of unity with everything in existence.

    Spiritual Update

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

Holi The Best Time To Remove Hatred

You cannot hate a stranger. Negative thoughts are absence of positive thoughts and hatred is only withdrawal of love. The very fact you only ‘hate’ someone you loved once it is easy to bring the love back and remove the hatred.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is expectant management?

A "watchful waiting" approach, also called expectant management, may be an option for younger women after surgery for endometriosis. Up to 40% of women may conceive during the first eight to nine months after laparoscopic management of minimal or mild endometriosis. Fertility–enhancing treatments may be offered as an alternative to expectant management, or if pregnancy fails to occur within a reasonable period. Women aged 35 and older have lower fertility potential and higher chances of miscarriage. The decrease in fertility due to endometriosis and age may be additive.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Sikhism and organ donation

Sikh philosophy and teachings place great emphasis on the importance of giving and putting others before oneself.

"Where self exists, there is no God
Where God exists, there is no self."
Guru Nanak, Guru Granth Sahib

The Sikh faith stresses the importance of performing noble deeds. There are many examples of selfless giving and sacrifice in Sikh teachings by the ten Gurus and other Sikhs. Sikhs believe life after death is a continuous cycle of rebirth but the physical body is not needed in this cycle – a person’s soul is their real essence.

"The dead sustain their bond with the living through virtuous deeds."
Guru Nanak, Guru Granth Sahib

"The Sikh religion teaches that life continues after death in the soul, and not the physical body. The last act of giving and helping others through organ donation is both consistent with, and in the spirit of, Sikh teachings."
Dr Indarjit Singh OBE, Director of the Network of Sikh Organisations UK Endorsed by Sikh Authorities in Amritsar, Punjab

"The true servants of God are those who serve Him through helping others."
Guru Nanak, Guru Granth Sahib

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Rescue at the Sea

Several years ago in a small fisherman village of the Netherlands, a young man has taught the world about a reward that a person can get from putting aside one’s own needs.

All of the people in the young man’s village earned a living in fishing industry; therefore, volunteers for rescues were so much needed in emergency situations.

One night, the wind blew strongly, the clouds moved so quickly and a great storm almost drowned a fisherman's boat. In panic and fear, the ship’s crew sent an S.O.S.

The captain of the rescue team sounded the alarm and the villagers gathered looking at the harbor. When the rescue team ran their boat and tried to pass through the wild wave, the villagers waited at the shore while feeling worried, with lanterns on their hands to give light to the way back. An hour later, the rescue boat returned and the villagers cheered happily to welcome them.

As they exhaustedly fell on the sand, the volunteers reported that the rescue boat was not capable of taking more passengers with them and they have left one person back there. If they had taken the person, the rescue boat must have drowned. Even though it was only one person, he could endanger the lives of all of the passengers. The captain asked one more group of volunteers to save the person who was left behind.

Hans, a young man of 16 years of age stepped forward. However, his mother held his arm and begged, "Don’t go. Your father died in a shipwreck 10 years ago and your older brother Paul has been missing in the sea for 3 weeks. Hans, you’re the only one I’ve got."

Hans replied, "Mother, I have to go. What would happen if all people say, I can’t go, let others do it? Mother, this time I’ve to do my duty. When there’s a calling for serving, we all have to join and play our role."

Hans kissed his mother, joined the rescue team, and soon disappeared in the darkness of the night. A few hours have passed, but for Han’s mother it felt like forever. Finally, the rescue team’s boat returned with Hans standing at the edge of it.

Clasping his two palms, the captain shouted, "Have you find the person?"

Not being able to restrain himself, Hans shouted excitedly, "Yes, we’ve found him. Tell my mother he’s my brother Paul!"

Source: http://www.heartnsouls.com/str_compassion.shtml

For comments and archives

    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Increasing serving size of fruits and vegetables at dinner increases intake of both among kids

An observational study of children aged 4–6 years examined the effect of doubled portions on fruit and vegetable intake and energy intake. In the double portion setting, children ate 70% more fruit and 37% more vegetables than in the smaller portion setting, while maintaining similar energy intakes in both settings. The results also showed that increasing the portion of fruit had no effect on vegetable intake and vice versa.

This study indicates that increasing the portion sizes of fruits and vegetables may lower the overall energy density of the meal while increasing children’s intake of fruits and vegetables. It should be noted that there was no effect on intake in children who reported dislike of vegetables. When offering produce to young children, parents should offer vegetables and fruits that are appealing to children. It can take up to 10 times for a child to accept an unfamiliar food, so for children who consistently refuse most vegetables, acceptance can be improved by offering a variety of vegetables often. Parents can also try changing the preparation method.

For comments and archives

    Cardiology eMedinewS

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

Design Of An Improved, Fibrin-Specific Thrombolytic From StreptokinaseRead More

Interactions Between Genes Of Vasoactive Pathways Are Apparent In Essential Hypertension Read More

Functional Genomics Of Blood Cellular Lxr–A Gene In Human Coronary Heart Disease Read More

Genetic And Molecular Links Of Chromogranin A With Cardiovascular Disease States Read More

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    Pediatric eMedinewS

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

Routine Cardiac Screening For Kids Not Quite There Yet Read More

Concussion Symptoms Linger In Kids Read More

Childhood Eczema More Common At Higher Latitudes Read More

Nature, Nurture Both Have Role In Drug Abuse Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with high cholesterol wanted to know if he could take milk products.
Dr. Bad: You can have them.
Dr. Good: Take soya milk products.
Lesson: Foods of plant origin contain no cholesterol.

Make Sure

Situation: A patient on treatment for tension type headache was found to have brain tumor on CT scan.
Reaction: Oh my God, why was the brain tumor not suspected early?
Lesson: Make sure that all patients with tension type headache are thoroughly investigated to rule out brain tumor.

  Quote of the Day

(Dr GM Singh)

The important thing is this: To be able at any moment to sacrifice what we are for what we could become. Charles DuBois

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Iron deficiency anemia

In iron deficiency anemia (IDA), the serum iron concentration is reduced, and the level of transferrin (also measured as total iron binding capacity (TIBC)) is elevated; the latter finding reflects the reciprocal relationship between serum iron and transferrin gene expression in most nonerythroid cells.

    Mind Teaser

Read this…………………

Which of the following is a contraindication for breast conserving surgery (BCT)?

a) Small lump to breast ratio
b) Central breast tumor mass
c) Breast tumor size less than 5 cm
d) Young age

Yesterday’s Mind Teaser: Minimum number of lymph nodes to be dissected in axillary sampling in breast conservation surgery is:

a) 2
b) 3
c) 4
d) 5

Answer for Yesterday’s Mind Teaser: c) 4

Correct answers received from: Dr Mrs S Das, Dr PC Das, Preeti Jain, Anil Bairaria, Raju Kuppusamy, yogindra vasavada, Dr Surendra Bahadur Mathur, Dr Jainendra Upadhyay, Dr Hitendrasinh Thakor.

Answer for 6th March Mind Teaser
: d) A gastric bypass with a 15–ml pouch, a 40– to 60–cm. Roux–en–Y gastroenterostomy
Correct answers received from: satyanarayana akupatni

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Two philosophers

Two philosophers were sitting at a restaurant, discussing whether or not there was a difference between misfortune and disaster.

"There is most certainly a difference," said one. "If the cook suddenly died and we couldn’t have our dinner that would be a misfortune – but certainly not a disaster. On the other hand, if a cruise ship carrying the Congress was to sink in the middle of the ocean, that would be a disaster – but by no stretch of the imagination would it be a misfortune."

    Medicolegal Update

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

What are close–range and contact wounds?

Close–range wounds: When a firearm is discharged very close to or in contact with the skin surface, the gases produced by the explosion pass into the tissues with the bullet and cause considerable laceration of the skin and subcutaneous tissues. The entrance wound has a ragged appearance, especially over the skull where it may be stellate in appearance. There is usually some blackening and tattooing of the skin around the bullet entrance wound, while the hair in the region of the wound may be singed. Some skin burning and abrasion in relation to the hot gases may be present.

Contact wounds: In these wounds, the discharge passes into the tissues through the bullet entrance opening and powder deposits as well as blackening may be observed in the depths of the wound. The doctor attending the case must document all the findings in clinical sheet/medico–legal report.

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)

International Women Day – 8th March: Focus on the heart of your beloved

All women are at risk of heart disease. Take all women older than 65 to a family doctor and ask for a prescription of 325 mg aspirin if not contraindicated.

For younger women, to reduce the risk, advise them to indulge in minimum of 60–90 minutes of moderate–intensity activity (e.g., brisk walking) on most, and preferably all, days of the week.

These are a few of the updated guidelines of prevention of heart disease in the women said Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India on the occasion of International Women’s day.

He said that a woman’s heart is different. Women get less attention when there is a heart attack and when they get one, the attack is more serious.

He said that women are at risk for heart disease and heart attacks, just like men. Heart disease is the leading cause of death among women over 65. It kills more women over 65 than all cancers combined. Urban women are 4 to 6 times more likely to die of heart disease than of breast cancer.

Facts and guidelines

  • Women develop heart problems later in life than men – typically 7 or 8 years later. However, by about age 65, a woman’s risk is almost the same as a man’s.
  • Women are less likely to survive heart attacks than men.
  • Recommended lifestyle changes to help manage blood pressure include weight control, increased physical activity, alcohol moderation, sodium restriction, and an emphasis on eating fresh fruits, vegetables and low–fat dairy products.
  • Advice women to quit smoking by counseling, nicotine replacement or other forms of smoking cessation therapy.
  • Physical activity recommendations for women who need to lose weight or sustain weight loss includes minimum of 60––90 minutes of moderate–intensity activity (e.g., brisk walking) on most, and preferably all, days of the week.
  • All women should reduce saturated fats intake to less than 7 percent of calories.
  • Healthy women should eat oily fish at least twice a week for omega 3 fatty acids. Women with heart disease take a capsule supplement of 850–1000 mg of EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), which to be increased to 2–4 grams if associated high triglycerides.
  • Hormone replacement therapy and selective estrogen receptor modulators are not recommended to prevent heart disease in women.
  • Antioxidant supplements (such as vitamin E, C and beta-carotene) should not be used for primary or secondary prevention of heart disease.
  • Folic acid should not be used to prevent heart disease.
  • Routine low dose aspirin therapy may be considered in women age 65 or older regardless of heart disease risk status, if benefits are likely to outweigh other risks in other means if not contraindicated.
  • The upper dosage of aspirin for high–risk women is 325 mg per day rather than 162 mg. 13. Reduce bad LDL cholesterol to less than 70 mg/dL in very high–risk women with heart disease.

Top 10 points: Preventing heart diseases in the women

  • Increased emphasis on lifestyle changes
  • Hormone replacement therapy does not help heart disease
  • All women need adequate intake of omega–3 fatty acids
  • All women should decrease intake of saturated fats
  • All women need frequent exercise
  • Nicotine replacement therapy may be used
  • Antioxidants do not prevent heart disease
  • Folic acid does not prevent heart disease
  • All women older than 65 should consider daily aspirin
  • High risk women need more aggressive cholesterol treatment
    Readers Responses
  1. Dear Sir, Wish you and your team a very happy Holi. Regards Dr Shivam
    Forthcoming Events
Dr K K Aggarwal

On the occasion of World Kidney Day Delhi Nephrology Society is organising a Pannel discussion On

on 10th March, 2012 at 4–6 PM in PGIMER, RML Hospital.

  1. Topic: Role of Physician in Prevention of CKD, Speaker: Prof. Sham Sunder, PGIMER, RML Hospital
  2. Topic: Option of Treatment for End Stage Renal Disease, Speaker: Dr D Bhawmik Ad. Prof. Nephrology, AIIMS
  3. Topic: Overview of Kidney Transplantation,Speaker: Dr S C Tiwari, Dir. Nephrology, Fortis Hospital
  4. Topic: Status of Deceased Organ Transplant in India, Speaker: Maj. Gen. P P Varma, Head, Dept. Of Nephrology, R & R Hospital
  5. Topic: Role of Transplant co–ordinator/ ICU– sister in Organ Donation, Speaker: Lt. Col. Pradhi, R & R Hospital.

For further details please contact
Dr.Sham Sunder Dr.N.P.Singh
President, DNS Secretary, DNS

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

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

    eMedinewS Special

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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