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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

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  Editorial …

8th December 2011, Thursday

December 4–10 is National Influenza Vaccination Week

December 4–10 is National (USA) Influenza Vaccination Week. An annual flu vaccine is the single best way to prevent this serious illness.

The Centers for Disease Control and Prevention, (CDC) established National Influenza Vaccination Week (NIVW) in 2005 to highlight the importance of continuing flu vaccination through the holiday season and beyond. This season's NIVW is scheduled for December 4–10, 2011.

It’s not too late to vaccinate!

As long as flu viruses are spreading and causing illness, vaccination can provide protection against the flu.
Flu activity doesn’t usually peak until January or February in the United States and can last as late as May, so it’s important to vaccinate now if you haven’t already.

An annual flu vaccine for everyone 6 months of age and older

CDC recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against flu viruses. A flu vaccine offers the best protection we have against this serious disease. Once vaccinated, it takes about 2 weeks for the body’s immune response to fully kick in.

High–risk groups

There are certain people who are at high–risk of developing serious flu–related complications:

  • Pregnant women
  • Children younger than 5, but especially children younger than 2 years old
  • People 65 years of age and older
  • People of any age with certain chronic medical conditions

In addition, there are other people for whom vaccination is especially important:

  • People who live in nursing homes and other long–term care facilities
  • People who live with or care for those at high risk for complications from flu, including:
    • Health care workers
    • Household contacts of persons at high risk for complications from the flu
    • Household contacts and out of home caregivers of children less than 6 months of age (these children are too young to be vaccinated

Some children may need 2 doses of flu vaccine

NIVW reminds parents, guardians and caregivers of children not only about the importance of flu vaccination in general, but the fact that some children may need 2 doses of vaccine this season to be fully protected.

Children younger than 9 years old who did not receive at least 1 dose of last season’s (2010–2011) influenza vaccine, or those for whom it is unknown whether they received at least 1 dose of the 2010–2011 flu vaccine, will need 2 doses of vaccine this season to be fully protected (even if they received 2 doses in a flu season prior to the 2010–2011 season). So if your child is younger than 9 and has been vaccinated with one dose, make sure he/she gets a second dose if recommended by their pediatrician. (Source CDC)

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

December 4–10 is National Influenza
Vaccination Week

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011

A cancer checkup camp was organised by Heart Care Foundation of India as a part of MTNL Perfect Health Mela.

Dr K K Aggarwal
    National News

Govt mulls free medicine for all

NEW DELHI: The government is considering rolling out a "free–medicine–to–all" scheme through public hospital and health facilities across the country in a bid to arrest poverty and indebtedness mainly in rural areas. The strategy aims to facilitate state governments to set up autonomous medical supplies corporation, a public sector body, to supply free, quality generic essential medicines to indoor and outdoor patients, who seek healthcare in government hospitals and health facilities. (Source: TOI, Dec 6, 2011)

For comments and archives

Kindly visit Facebook for CSI News. It will cover minute to minute happenings of the 63rd CSI conference at Mumbai 8–11th December

For Facebook Page

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

C. difficile infection makes hospital stays longer

Hospital–acquired Clostridium difficile independently added six days to the average length of stay, according to the results of a retrospective study from Canada. The median length of stay for hospital patients who had C. difficile infections before hospitalization was 10 days. For those developing the infection after admission, the median time to discharge (using Kaplan–Meier analysis) was 16 days. This meant that the median increase in the length of stay that could be directly attributed to hospital–acquired C. difficile was six days, according to Alan J. Forster, MD, from The Ottawa Hospital, and colleagues. (Source: Medpage Today)

For comments and archives

Fish oil again linked to lower CVD risk

Young women who consume little to no fish or omega–3 fatty acids appear to have an elevated cardiovascular risk, a Danish study showed. Those who reported eating less than 3 grams of fish per day during pregnancy were about 50% more likely to be hospitalized with a cardiovascular event than those who ate more than 30 grams per day (HR 1.54, 95% CI 1.13 to 2.11), according to Marin Strøm, PhD, a postdoctoral researcher at the Statens Serum Institut in Copenhagen, and colleagues. (Source: Medpage Today)

For comments and archives

Headache common after kids’ brain injury

Chronic headaches are a common occurrence after traumatic brain injury in young people, particularly for girls and those in their teenage years, a prospective study found. Three months after the head injury, 59% of girls were troubled by headache compared with 24% of controls, for a relative risk of 2.4 (95% CI 1.4 to 4.2), according to Heidi K. Blume, MD, of the University of Washington in Seattle, and colleagues. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Healthier people create a healthier economy Can poor health and lack of exercise make the recession worse?…http://fb.me/18Z1KC6YN

@DeepakChopra: Where is memory located ? http://bit.ly/vERm11

    Spiritual Update

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

Yogi, Bhogi and Rogi

Every one is born with a defined battery life to live up to 100 years after which one has to go back for renewal or recharging of the batteries.

If the battery is overused or misused and is depleted early, one may have to go back prematurely for recharging.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

The Here and Now

The critical time for accomplishing anything is in the here and now. Every day is a day to dare to do my best. Each day provides opportunity for self–improvement/self–renewal. Today’s accomplishments, not yesterday’s or tomorrows, produce the most satisfaction as what I accomplish today can give me an immediate feeling of self confidence and direction.

The critical time for accomplishing anything is in the here and now, today. The most important ingredient in future performance is present performance. The most difficult tasks are consummated, not by a single explosive burst of energy or effort, but by consistent daily application of the best I have within me.

Practice is an opportunity to improve my skills. Approach each practice with enthusiasm, as nothing great has ever been accomplished without it. Challenge myself mentally as well as physically and I will start to enjoy the price of success rather than pay for it. Desire… the "want to" is the extra which enables an athlete to take whatever ability he/she has and utilize it to the maximum. Total effort gives an athlete a special kind of victory… victory over himself/herself. I will make this the best day and the best practice ever.

For comments and archives

    Cardiology eMedinewS

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

Non Cardiac Chest Pain May Not Be Benign

For comments and archives

PCI vs Conservative treatment In STEMI Patients presenting > 24 Hours of onset of chest pain

For comments and archives

Detection of Rheumatic fever and Rheumatic Heart Disease by 2D Echo Doppler

For comments and archives

Anticoagulants in Atrial Fibrillation: Devil and the Deep Sea

For comments and archives

    Fitness Update

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

Exercise may encourage healthy eating via brain changes

Exercise may encourage healthy eating by changing parts of the brain that influence impulsive behaviour, according to a new review of the available literature by researchers from Spain and the US published in Obesity Reviews. The researchers conclude that in a society where we are surrounded by temptations and triggers that facilitate overeating and excess, the part of the brain responsible for "inhibitory control" undergoes "relentless strain" (they note it has limited capacity anyway), and doing exercise on a regular basis enhances it. "By enhancing the resources that facilitate ‘top–down’ inhibitory control, increased physical activity may help compensate and suppress the hedonic drive to over–eat," they write.

Obesity has been rising at an alarming rate in Spain in recent years, so much so that in some parts of Spain, the proportion of the population that is obese is higher than that in many parts of the United States, the country traditionally considered as having the highest obesity rates in the western world.

For comments and archives

    Healthy Driving

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

The elderly and driving

Functional reach test: This is another test for balance and fall risk that is easily administered in the primary care office. A yardstick is mounted to the wall. The patient stands close to the wall with feet flat on the floor and raises one arm parallel to the yardstick, with the arm at 90° of shoulder flexion, the elbow extended, and the hand fisted. The patient is asked to keep the fist in line with the yardstick and lean forward as far as possible, without taking a step or falling forward. As the patient leans forward, the fist moves along the yardstick. If the starting and ending point of the fist is <6 inches, the patient is at a high–risk of falling within the next six months.

For comments and archives

    Medicine Update

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

Consider the following causes in a patient of hepatomegaly

  • With normal bilirubin: Consider hepatoblastoma, metabolic diseases.
  • With splenomegaly: TORCH infections, sepsis and disorders of carbohydrate metabolism, e.g. galactosemia.
  • Without splenomegaly: Liver tumor, choledochal cyst, biliary atresia, neonatal hepatitis.
  • With raised unconjugated bilirubin: CCF, toxins, hemolytic anemias.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A diabetic came with A1c of 7.5%.
Dr Bad: Its ok.
Dr Good: You need better control.
Lesson: A1c goal is <7% for most patients.

For comments and archives

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh by God! Why was additional insulin given?
Lesson: Make sure that the insulin dose is correctly calculated. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

For comments and archives

  Quote of the Day

(Dr GM Singh)

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

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Allergy tests

The allergen–specific IgE antibody test is used to screen for an allergy to a specific allergen. It measures the amount of that suspected IgE antibody in the blood. Immunoglobulin E (IgE) is a protein associated with allergic reactions; it is normally found in very small amounts in the blood.

    Mind Teaser

Read this…………………

time, time

Yesterday’s Mind Teaser: When should you have your first cholesterol screening?

A. At age 10.
B. At age 20.
C. At age 35.
D. At age 40.
E. It depends on your risk factors

Answer for Yesterday’s Mind Teaser: At age 20.

Correct answers received from: Dr S Upadhyaya, Gita Arora,
Dr Satyanarayana Akupatni, Dr Sukla Das, Dr PC Das, Dr BB Aggarwal,
Dr Rakesh Bhasin, Dr Ravi, Dr Usha, Raju Kuppusamy, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Anil Bairaria, Dr Neelam Nath, Dr Prabodh Kumar Gupta, Muthumperumal Thirumalpillai.

Answer for 6th December Mind Teaser
: Equal rights
Correct answers received from: Dr Amol Hartalkar, Dr BB Aggarwal,
Dr Manisha Gadre.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Murphy’s Law

Whenever I find the key to success, someone changes the lock.

    Medicolegal Update

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

What is a dangerous injury?

An injury is said to be dangerous, if the nature of injury is such that it may put the life of the injured in danger. An injury caused on the vital part cannot be called a grievous injury unless the nature and dimensions of the injury or its effects are such that the doctor is of the opinion that it actually endangers the life of the victim. To designate the injury as grievous hurt danger to life should be imminent. Dangerous injuries are those which cause imminent danger to life, either by involvement of important organs or structures or extensive areas of the body. If no surgical aid is available such injuries may prove fatal.

  • Some examples of injuries which endanger life are: stab on the abdomen or head or vital part, hurt causing rupture on spleen, squeezing testicles, incised wounds on the neck, compound fracture of the skull, rupture of an internal organ, and injury of a large blood vessel.
  • Danger to life should be imminent
  • Injuries are extensive and implicate important structures or organs, so that they may prove fatal in the absence of surgical aids. For instance a compound fracture of the skull,
  • Wound of an artery or rupture of some internal organ such as the spleen, should be considered "dangerous to life".
  • There is a fine distinction in the degree of body injury between dangerous to life and likely to cause death.
  • Another type of bodily injury which is sufficient in the ordinary course of nature to cause death is also to be recognized. But the injuries which prove fatal remotely by incurrent diseases such as tetanus should not be considered as dangerous.
  • If an opinion as regards the nature of a particular injury cannot be formed at the time of the examination as in the case of an extensive swelling of a limb when its fracture cannot be detected, or in the case of a head injury where the symptoms are obscure, the injured person must be either re–examined 12–24–48 hours after the initial clinical examination or admitted under observation until a definite opinion can be formed and the police should be notified of the fact.

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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)

Drunk and Drugged Driving Prevention Month

December has been designated National Drunk and Drugged Driving Prevention (3D) Month, a time to raise awareness about the consequences of driving under the influence of alcohol and drugs, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Tips for safe drinking

  • About three in every ten persons is involved in an alcohol related crash at some point in their lives.
  • In 2006, nearly one–third of all traffic–related deaths in the United States were related to alcohol.
  • During the holiday season, and year–round, take steps to make sure that you and everyone you celebrate with avoids driving under the influence of alcohol.
  • Always designate a non–drinking driver before any holiday party or celebration begins.
  • Do not let a friend drive if they are impaired. Take the keys.
  • If you’re hosting a party this holiday season, remind your guests to plan ahead and designate their sober driver, always offer alcohol–free beverages, and make sure all of your guests leave with a sober driver.
  • One is not safe for up to one hour after 19 gram of alcohol intake. 2 hours after 20 grams of alcohol intake and so on.

For comments and archives

    Readers Responses
  1. Dear Sir, very informative newsletter. Regards: Dr SR Joshi
    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

Lecture on Buddism and Astronomy

By Prof. Trinh X. Thuan

UNESCO Kalinga Awardee, 2009; Prof. of Astronomy, University of Virginia, USA; UNESCO Kalinga Awardee for Popularisation of Science by UNESCO, Kalinga Chair awardee by Department of Science & Technology, Government of India.

Organised by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt.of India

At Nehru Planetarium Chankyapuri New Delhi on 27th Dec 2011 at 10.30 am

No fee, to register email to drkakroo@gmail.com, 9810301261

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

3rd eMedinewS Revisiting 2011

Dr Ajay Kriplani (Surgical management of diabetes); Dr N K Bhatia ( What’s new in transfusion medicine); Dr Kaberi Banerjee (Fertility update); Dr Amit Bahrgava (Cancer update 2011), Onco Radiation update (Rajiv Gandhi Cancer Institute); Dr Ambrish Mithal (Vitamin D update), Dr Praveen Chandra (Interventional Cardiology update); Revisting 2011 (Dr K K Aggarwal), Portfolio management (Central Bank of India); Insurance update (LIC India); General Insurance (Doogar Associates)

    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