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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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

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    Health Videos…

eMediTube (videos), eMedipics, eMediSlide, eMediLaw


12th April 2013, Friday

Green tea and coffee consumption may help protect against stroke

According to a large Japanese population-based study, people who drank green tea or coffee regularly had about a 20% lower risk for stroke than their peers who seldom drank these beverages. The study was done by Yoshihiro Kokubo, MD, PhD, Head of the Department of Preventive Cardiology, National Cerebral and Cardiovascular Center in Osaka.

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

Vowel chanting produces aspirin in my body

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

WHO Day Celebrated

Over 11459 people were trained in Hands-only Cardiopulmonary Resuscitation (CPR 10) in one day

Dr K K Aggarwal
    National News

Hypertension rising in semi-urban & rural areas, warn experts

PUNE: Hypertension has spread among the urban, semi-urban and rural population. Therefore, a cross-sectoral approach is needed to reduce the burden of the disease, said experts in a panel discussion at a consultation organized to mark the World Health Day. World Health Organisation's country office for India and the Armed Forces Medical College (AFMC) had organized the consultation at AFMC on Saturday, where experts said that high blood pressure needs more focus in the comprehensive strategy to tackle non-communicable diseases (NCDs). "In India, the prevalence of hypertension in urban areas is 20-40% while in rural areas it is around 12-17% and the prevalence of pre-hypertension might be as high as 60-70%," said Air Marshal B Keshav Rao, director and commandant, AFMC in his key note address. Hypertension is fast becoming a chronic disease. However, pre-screening and regular health check-up is beneficial, Rao added. (Source: TOI, Apr 8, 2013)

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Four categories of child maltreatment

  • Physical abuse
  • Sexual abuse
  • Emotional abuse
  • Child neglect

For comments and archives

    Valvular Heart Disease Update

How common is MS in the elderly?

Mitral stenosis is relatively uncommon in elderly adults. Mitral annular calcification occasionally causes mitral obstruction. For patients with symptomatic mitral stenosis, percutaneous balloon valvotomy is the procedure of choice if valvular morphology is favorable but it is not indicated in patients with mitral obstruction due to mitral annular calcification.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Many genes add to schizophrenia risk

Multiple single-nucleotide polymorphisms (SNPs) identified in a meta-analysis of genome-wide association studies, taken together, appear to confer susceptibility to schizophrenia, a family-based replication study confirmed. (Source: Medpage Today)

Targeted drug improves gastric cancer survival

Patients with previously treated gastric cancer gained a modest, but noteworthy survival benefit with an investigational targeted agent, according to results of a randomized trial. (Source: Medpage Today)

New troponin T test predictive in stable CAD

In patients with stable coronary artery disease, higher levels of high-sensitivity cardiac troponin T (hs-cTnT) independently predicted poorer outcomes, researchers found. Source: Medpage Today)

Biomarker effectively stages bipolar disorder

Interleukin 6 (IL-6), a cytokine with widespread functions, including proinflammatory ones, is emerging as a biomarker of disease severity in a number of conditions and now in staging bipolar disorder. (Source: Medscape)

Methane-producing gut organism may promote weight gain

In a study of almost 800 people with gastrointestinal (GI) symptoms, those with high levels of both hydrogen and methane gases in their breath had a higher average body mass index (BMI) and percentage of body fat than their peers. (Source: Medscape)

   Twitter of the Day

@DrKKAggarwal: Beware of food poisoning in Navratra http://bit.ly/Ynzz8I #Health

@DeepakChopra: Our Ego or our Soul evolves as our awareness expands? Please read my #askdeepak reply http://tinyurl.com/codtewr

    Spiritual Update

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

Science behind Navratra

Today the only thing observed in Navratra is food-fast for nine days and most of us either do not eat anything or eat only limited food during these days.

Fast does not mean ‘not eating’. Rather it basically means controlling the desires and simultaneously cultivating positive mental attitudes. Desires can be of many types. Desires to eat tasty food, desires to smell, desire to listen to a particular music, desire to watch beautiful things, etc.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How is the recipient couple evaluated?

The physician should obtain a comprehensive medical history from both partners. In addition, the female assessment will include a comprehensive gynecologic history and complete physical exam. From a laboratory perspective, the female should have an assessment of ovarian reserve, when appropriate, with at minimum, a measurement of day 3 follicle–stimulating hormone (FSH) blood levels, blood type and Rh, and rubella and CMV. A Pap smear and cultures for Neisseria gonorrhea and Chlamydia trachomatis should be obtained. The female partner should have an evaluation of her uterine cavity with a hysterosalpingogram (HSG), sonohysterogram (SHG) or hysteroscopy. If the female recipient is over the age of 45 years, a more thorough evaluation with assessment of cardiac function, risk for pregnancy–induced hypertension and gestational diabetes should be considered. The male assessment will include a semen analysis. The intended recipient couple should be screened for syphilis, hepatitis B and C, HIV–1 and HIV–2.

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

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

Transfusion practices in general medicine

  • The decision to transfuse should be guided by the clinical situation, and not only by laboratory reports.
  • Do not add any medication to the unit of blood.
  • Do not transfuse more than required to tide over a crisis. Restoring hemoglobin to normal value is not necessary.
  • Rate of transfusion should not exceed 2–4 ml/kg/hour (except in emergency or massive transfusion.)
  • Transfusion cannot correct cause or non hematologic effects of the underlying pathology.
  • Avoid volume overload in patients with incipient cardiac failure.
  • Avoid transfusion from first degree relatives to prevent transfusion–associated graft versus host disease (TA–GvHD).
  • Single unit transfusions are not recommended. However, it is important to identify situations where more than one unit may harm the patients. (e.g. Low cardiac output)

For comments and archives

   An Inspirational Story

That little girl

Have you ever not wanted to do something so badly that you would rather die than go? Well that’s how I felt about joining Madcaps and volunteering at Saint Vincent De Paul Homeless shelter.

But now I believe that you should have an open mind to things because in the end you might just end up enjoying it.

“It’s a waste of time”, I said when my mom told I had to join Madcaps, a mothers and daughters club assisting philanthropies, and then when she told me I had to volunteer at a homeless shelter I thought this just could not get worse.

We got there late, of course, and walked to the dirty homeless shelter, where we saw a lady yelling at the security guard. He dealt with her and then led us to the kitchen where we ran into my five fellow Madcaps class of 2017 mothers and daughters. Since I’m usually so socially awkward I had met only one person at the pool party, earlier this year. I looked around for her but she was not there. Damn, I was alone!

When the head of the kitchen came out and asked for 3 mothers to work outside the kitchen to clean up the plates and silverware, my mom just so happened to volunteer, leaving me to serve food with people I had never met before.

Soon the homeless families started to walk in and a little girl, around 5 years old, walked up and pointed to the food I was handing out. I handed her the cold sandwich, wrapped in the sticky plastic, she nodded in a form of saying thanks, and then walked to join her family at the large table.

As she walked away I thought of how much I had. I get to go to one of the top schools in San Diego, I have a great house by the water, and I have a warm meal every night. Then I thought of how little she had. She probably didn’t go to school, and this is where she sleeps and eats every day. It took that little girl to make me realize just how lucky I am.

After that moment I had a change of heart. Now, I love Madcaps and don’t miss one meeting, I have gotten over being socially awkward and now have many friends, who I hang out with on a regular basis. And this year I am sure I will do more than the required 20 hours of philanthropies.

I believe that if you have an open mind about things you can learn a lot about yourself and the people in your community, you can make new friends and realize just how lucky you are. I believe that if you have an open mind to things you can accomplish more and become a better rounded person. I believe you can make a difference just by doing one thing you don’t want to do.

For comments and archives

   Cardiology eMedinewS

Angina? Heartache is same in men and women Read More

Hypertension in lung vessels often mishandled Read More

   Pediatric eMedinewS

IUDs appear as safe for teenagers as for adults Read More

Small plates help kids curb calories Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

Can the vaccine be injected in gluteal region?

Rabies vaccine must not be administered in gluteal region as the gluteal fat may retard vaccine absorption resulting in delayed and lower seroconversion.

    IJCP Special

Dr Good Dr Bad

Situation: A 32–year–old man with sustained fever of 102°F for 2 weeks and in whom the diagnosis was not apparent after 3 days of diagnostic evaluation was hospitalized.
Dr Bad: Manage him as a case of PUO.
Dr Good: Investigate further. Don’t diagnose PUO yet.
Lesson: Pyrexia of unknown origin (PUO) is said to occur in patients with sustained fever of =101° F for 3 weeks in whom the diagnosis is not apparent after one week of diagnostic studies.

Make Sure

Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy as its side effect.

  Quote of the Day (Dr GM Singh)

Criticism, like rain, should be gentle enough to nourish a man’s growth without destroying his roots.

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

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    Mind Teaser

Read this…………………

An older adult patient is discharged from the hospital with nortriptyline for neuropathic pain. Which statement indicates the patient's need for additional education?

a. “I will chew sugarless gum and mints.”
b. “I will drink carbonated beverages.”
c. “I will take my medication at breakfast.”
d. “I will use a humidifier at bedtime.”

Yesterday’s Mind Teaser: A 35-year-old male patient with testicular cancer is joking and playing cards with his roommate. When assessed by the pain management nurse, the patient rates his pain as a 7 on a numeric pain rating scale of 0 to 10. The nurse concludes that the patient's behavior:

a. is an emotional reaction to the anticipated pain.
b. is in anticipation of future pain.
c. is more indicative of the need for pain medication than the pain rating.
d. may be in conflict with the pain rating, and accepts the report of pain.

Answer for yesterday’s Mind Teaser: may be in conflict with the pain rating, and accepts the report of pain.

Correct answers received from: Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Tukaram Pagad, Dr KV Sarma, Dr BB Gupta, Tukaram Pagad, Dr (Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal,
Dr K Raju, Dr Jainendra Upadhyay, Dr PC Das, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Kanta Jain,
Dr Deepali Chatterjee.

Answer for 10th April Mind Teaser: b. A new cast is needed every 1 to 2 weeks

Correct answers received from: Dr Kanta Jain, Dr PC Das.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Hard work has a future payoff. Laziness pays off NOW!

    Medicolegal Update

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

Medical negligence

  • Any doctor who is qualified by medical council and renders emergency care or treatment to a person suffering or appearing to suffer from cardiac arrest, which may include the use of an automated external defibrillator, in good faith and without compensation, shall be immune from civil liability for any personal injury as a result of care or treatment or as a result of any act or failure to act in providing or arranging further medical treatment where the person acts as an ordinary prudent person would have acted under the same or similar circumstances, except damages that may result for the gross negligence of the person rendering emergency care. This immunity shall extend to the licensed physician.
  • If a doctor passes the scene of an accident in which some person has been injured and is in need of urgent medical attention he would not be held to have been negligent if he does not render assistance, as no doctor/patient relationship has been established and in consequences the doctor owes the patient no legal duty.
  • If, however, the doctor goes to the assistance of a person who is injured in an accident, a doctor /patient relationship is at once established. When any physician gratuitously advises medical personnel at the scene of an emergency episode by direct voice contact, to render medical assistance based upon information received by voice or biotelemetry equipment, the actions ordered taken by the physician to sustain life or reduce disability shall not be considered liable when the actions are within the established medical procedures.
  • A doctor has a duty to exercise reasonable skill and care regardless of whether or not his services are being given gratuitously. A national health policy is required to be formulated to render emergency treatment to a person.
  • If such a practitioner fails to attend an emergency call and a complaint is made against him it may well be that some disciplinary action will be taken against him by the health authority/medical council.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Singhara flour – a favorite Navratra diet

During Navratra fasts, wheat flour should be omitted from diet and be substituted with buckwheat (kuttu) or water chestnut (Singhara) flour, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA. Singhara is not a cereal but a fruit and hence a good substitute for a Navratra fast where cereals are not to be eaten.

  • Singhara flour is prepared from Singhara or Water Chestnut.
  • Singharas are floating annual aquatic plants, growing in slow-moving water up to 5 meters deep. The plant bears ornately shaped fruits containing a single very large starchy seed.
  • The seeds or nuts are boiled and sold as snacks or eaten raw.
  • The flour is made from dried, ground water chestnuts. The nuts are boiled, peeled, dried then ground into flour. The flour is bright white fine powder; it is actually a starch rather than flour.
  • The flour is primarily used as a thickener.
  • The flour is used as a food in Navratra and consumed as a phalahar (fruit) diet.
  • It is an excellent source of energy and provides 115 kcals per 100g.
  • The glycemic Index for chestnut is 60. Low GI foods have a GI value less than 55; medium GI foods have a GI value between 55 and 69 and high GI foods have GI value greater than 70.
  • Chestnuts are relatively low in net carbs (total carbohydrate minus dietary fiber) and so are included in many low carb diets.
  • Being a gluten-free product, chestnut flour is a cooking option for people with celiac disease or other gluten intolerances or allergies.
  • Chestnuts do not contain the fat that regular nuts have.
  • It contains less carbohydrate than white flour.
  • People with tree nut allergies should avoid chestnut flour as it may cause an allergic reaction.
  • Flour made from chestnuts is typically more difficult to locate in many areas as well as more expensive than white flour.
  • Avoid eating deep fried chestnut flour pooris or paranthas.
  • Do not use trans fats containing vegetables oils to cook bread from chestnut flour.
  • Buy only branded flour as flour left over from the previous year can lead to food poisoning.
  • As per Ayurveda, chestnut flour has cool and buckwheat flour has hot properties.
  • Both chestnut flour and buckwheat flours can be combined.
  • One should eat phalahar once a week and at least 80 days in a year.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 43339 people since 1st November 2012.

The CPR 10 Mantra is – “Within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

    Readers Response
  1. Dear Sir, emedinews is very informative. Regards:Dr Jais Bhat
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