Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 …

17th November 2011, Thursday

Dialysis rooms to offer Pomegranate juice

Patients on hemodialysis consuming a moderate amount of pomegranate juice for a year can lead to a continuous, cumulative, beneficial effect on their lipid profile, their blood pressure, and the number of antihypertensive medications they are on as per Dr Batya Kristal, from the Nephrology Department at the Western Galilee Hospital in Nahariya, Israel who was talking at the American Society of Nephrology 44th Annual Meeting. In addition to water, sugars, and pectin, pomegranates contain the antioxidants ascorbic acid and polyphenolic flavonoids.

In the study, hemodialysis patients were randomized to receive 100 mL of pomegranate juice (n = 66) or an equivalent–tasting placebo (n = 35) 3 times a week for 12 months.

  • At 12 months, all components of the lipid profile improved in the pomegranate juice group but not in the placebo group.
  • In the juice group, there were statistically significant decreases in TGs from baseline to 12 months (P = .01), especially in patients with a baseline TG level of at least 200 mg/dL (P < .001).
  • HDL rose significantly (P = .005) in the juice group. There was no significant change in any of these parameters in the placebo group.
  • There was a significant decrease in systolic blood pressure in the juice group overall (P < .006), especially in patients who had a baseline systolic pressure of at least 140 mm Hg (P < .005); this was not the case in the placebo group.
  • At 12 months, those in the juice group were taking significantly fewer antihypertensive drugs than those in the placebo group (P < .05).
  • In the juice group, 22% of the subjects were taking fewer and 12.2% were taking more anti–hypertensive drugs; in the placebo group, 7.7% were taking fewer and 34.6% were taking more antihypertensive drugs.
  • Pomegranate juice contains a high level of potassium, so potassium overload is a risk.
  • Pomegranate juice intake can interfere with the metabolism of certain drugs.

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

Dialysis rooms to offer Pomegranate juice

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011– Anmol – A Health Festival for Children with Special Needs

The special event was organised by MTNL Perfect Health Mela and Heart Care Foundation of India in the premises of Balwant Rai Mehta School.Padma Shri Awardee Dr KK Aggarwal said everybody has some special qualities, no one is inferior to other

Dr K K Aggarwal
    National News

Early onset of diabetes a worry

ALLAHABAD: After being declared as the ‘diabetes capital of the world,’ the onset of diabetes in India could be seen as early as 25 years of age. This latest finding, following a study conducted by the Indian Council of Medical Research establishes that an estimated 62.4 million people in India are suffering from diabetes. Elaborating on the ailment, Dr Bharat Arora, diabetes specialist said, "While the prevalence of diabetes shoots up from the age of 35, what is concerning that India is now seeing a significant proportion of type 2 diabetes cases occurring as early as 25 years of age. The risk factors known for diabetes are age, family history, obesity, physical inactivity and unhealthy eating habits. As per the ICMR–INDIAB, urbanisation and higher income status also have a role to play." (Source: TOI, Nov 14, 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

ASN: Renal benefits of diabetes control emerge late

The risk of progressive kidney disease decreased by 50% in patients with type 1 diabetes managed by tight glycemic control, a new analysis of two landmark trials showed. The analysis involved combined data from the Diabetes Control and Complications Trial (DCCT) and the Epidemiology of Diabetes Interventions and Complications (EDIC) follow–up study. (Source: Medpage Today)

For comments and archives

Eyes may be window on future disability

Microvascular changes in the retina could be an early warning sign for disability in older people, researchers reported. In a prospectively followed cohort, people with two or more retinal signs were 45% more likely to develop an inability to perform activities of daily living, according to Dae Hyun Kim, MD, of Beth Israel Deaconess Medical Center in Boston, and colleagues. (Source: Medpage Today)

For comments and archives

FDA panel to look at pneumococcal vax for older adults

The pneumococcal 13–valent conjugate vaccine (Prevnar 13) –– currently approved only for children –– appears safe and effective at preventing pneumococcal disease in adults 50 and older, FDA reviewers concluded in advance of an advisory committee meeting. The agency’s Vaccines and Related Biologics Advisory Committee will meet to decide whether the indication for Pfizer’s Prevnar 13 vaccine should be expanded under the FDA’s accelerated approval system, which is for biologics or drugs that are intended to treat serious or life–threatening illnesses and that provide a meaningful benefit over existing treatments. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: #AJCC Surgery no help in preventing strokes Adding extracranial–intracranial bypass surgery to optimal medical… fb.me/1opTpJyRs

@DeepakChopra: A true friend accepts who you are without judging you.

    Spiritual Update

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

What is the Significance of Haldi Ceremony?

According to Indian customs, Haldi ceremony is organized a day before the actual wedding and is held in both bride and bridegroom’s place.

The ceremony is also known as ‘Ubtan’ elsewhere in India.

For comments and archives

    An Inspirational Story

(Dr Anupam Sethi Malhotra)

Life is ten percent what you make it and ninety percent how you take it

One day I hopped in a taxi and we took off for the airport. We were driving in the right lane when suddenly a car jumped out of a parking space right in front of us. My taxi driver slammed on his brakes, skidded, and missed the other car by just inches! The driver of the other car whipped his head around and started yelling at us. My taxi driver just smiled and waved at the guy. And I mean he was really friendly.

So I asked, ‘Why did you just do that? This guy almost ruined your car and sent us to the hospital!’

This is when my taxi driver taught me what I now call ‘The Law of the Garbage Truck.’

He explained that many people are like garbage trucks. They run around full of garbage, full of frustration, full of anger, and full of disappointment. As their garbage piles up, they need a place to dump it and sometimes they’ll dump it on you. Don’t take it personally. Just smile, wave, wish them well, and move on. Don’t take their garbage and spread it to other people at work, at home, or on the streets.

The bottom line is that successful people do not let garbage trucks take over their day. Life’s too short to wake up in the morning with regrets, so…… ‘Love the people who treat you right. Forgive the ones who don’t.’

Life is ten percent what you make it and ninety percent how you take it!

For comments and archives

    Cardiology eMedinewS

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


Revolution in the management of aortic valve stenosis

For comments and archives

CSI Abstracts

Cilostazol has anti depressant action

For comments and archives

CSI News

PTMC improves LA function

For comments and archives

Facts and figures in cardiology

The Global Burden of Diseases study reported estimated mortality from CAD in India at 1.6 million in the year 2000. (Indian Heart J 2005;57:632–8). Extrapolation of this estimate shows the current burden of CAD in India to be more than 32 million patients.

    Fitness Update

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

Simple 5–step guide to form your habit

Be Consistent

Building habits is all about consistency so you must NEVER miss a workout. If for some remote chance you do miss a workout then don’t freak out just get the workout done as soon as you can, but NEVER EVER miss two in a row. Being consistent is the foundation of forming your new habit so make sure you do something even if it’s not your complete workout.

For comments and archives

    Healthy Driving

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

Do not drink at lunchtime if you are driving that evening.

    Medicine Update

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

How do we diagnose a case of hereditary fructose intolerance?


  • Positive for reducing substances (fructosuria)
    • Positive Clinitest but negative Clinistix indicates that the reducing substance is not glucose
  • Fructose identified by chromatography


  • Conjugated hyperbilirubinemia
  • Elevated transaminases with progressive liver disease

Liver biopsy

  • Progressive fatty infiltration and fibrosis
  • Focal cytoplasmic dissolution
  • Abnormal appearance of glycogen and mitochondria
  • Plate–like and needle–like crystals in hepatocytes

Fructose tolerance test

  • Contraindicated because fructose–1–phosphate is competitive with glucose–1–phosphate for phosphorylase and therefore a sudden load of fructose–1–P will interfere with the conversion of glycogen to glucose which causes sudden hypoglycemia leading to shock and death.

For comments and archives

    Legal Question of the Day

(Dr M C Gupta, Advocate)

I am an FMT faculty member. A person with a fire arm wound was admitted in the emergency. As per the events stated by the patient and his NOK, there did not appear to be foul play. They gave in writing that they did not want an MLR to be prepared. However, the police was informed. No MLR was prepared. Details of injuries were written in the hospital file, a copy of which was given to the police. The police wanted from us information about the nature of injury. We gave them in writing that such information cannot be given because no MLR was prepared. The police is still pestering us for the information. What should we do?

  1. I find it difficult to believe that any doctor, especially an FMT specialist, would waive the requirement of preparing an MLR at the request of the patient when there is a firearm wound.
  2. It was a police case because the police had been informed. Preparing an MLR is a must in a police case.
  3. The police are very much within their rights to ask for information/opinion about the nature of injury. You are duty bound to give such opinion. It is a peculiar excuse that the opinion cannot be given because no MLR was prepared. Opinion by an expert can be given even on the basis of the information/documents available when the expert has never seen or examined a person. In this case, it was your own patient examined by you. If the police complains to the court, you can be hauled up for obstructing the course of criminal investigation and justice by refusing to give to police information in your possession.
  4. You should give the written opinion to the police without delay. As a matter of fact, you should prepare a special MLR (special in the sense that the MLR register has pages that are serially and chronologically numbered and you will have to prepare the MLR at a later page number, recording therein appropriate reasons/background for doing so) and give the original to the police and retain a copy with you.

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

What is Amortization?

Amortization is a method of equated monthly payments over the life of a loan. Payments usually are made monthly but can be paid annually, quarterly, or on any other schedule. In the early part of a loan, repayment of interest is higher than that of principal. This relationship is reversed at the end of the loan.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: An elderly patient with fever had a single episode of chills.
Dr. Bad: This is classical malaria.
Dr. Good: It can also be pneumonia.
Lesson: A single episode of chills is often seen in elderly patients with pneumonia.

For comments and archives

Make Sure

Situation: A 42–year–old male developed acute heart attack after playing squash.
Reaction: Oh my God! Why hadn’t he got a cardiac check up done yet?
Lesson: Make sure that after the age of 40 anybody going for anaerobic games should first get a cardiac clearance.

For comments and archives

  Quote of the Day

(Dr GM Singh)

It must be borne in mind that the tragedy of life does not lie in not reaching your goal. The tragedy of life lies in having no goal to reach. Benjamin E. Mays

Our Social
Network sites
… Stay Connected

  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

  > Dr K K Aggarwal
  > eMedinewS
  > HCFIindia
  > IJCP Group

  > Dr K K Aggarwal
  > eMedinewS
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

emedinews revisiting 2011
emedinews revisiting 2011
emedinews revisiting 2011
eMedinewS Apps
    Mind Teaser

Read this…………………

All are precancerous for carcinoma colon except:

a. Crohn’s disease
b. Bile acids
c. Fats
d. Carotene

Yesterday’s Mind Teaser: Which is not a paraneoplastic syndrome for hepatocellular carcinoma?

a) Hypercalcemia
b) Hypoglycemia
c) Erythrocytosis
d) Hyperglycemia

Answer for Yesterday’s Mind Teaser: d) Hyperglycemia

Correct answers received from: Alexander Daniel, Dr Fakhruddin Johar, Dr Ragavan Moudgalya, yogindra vasavada, Dr PC Das, Dr Valluri Ramarao, Dr KV Sarma, Dr Thakor Hitendrasinh G, Selva Pandian, Dr Chandresh Jardosh, Uma Vasanth, Raju Kuppusamy, Dr Surendra Bahadur Mathur, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Kavita, Dr Ajay Gandhi.

Answer for 15th November Mind Teaser
: c) Oral contraceptives
Correct answers received from: Anil Bairaria, Dr NeelamNath, Dr Kavita, Dr Ajay Gandhi, Dr BB Aggarwal, Jayaraman T P, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

A mother and her daughter were at the gynecologist’s office. The mother asked the doctor to examine her daughter. "She has been having some strange symptoms and I’m worried about her," the mother said. The doctor examined the daughter carefully and then announced, "Madam, I believe your daughter is pregnant." The mother gasped, "That’s nonsense! Why, my little girl has nothing whatsoever to do with men." She turned to the girl. "You don’t, do you, dear?" "No, mumsy," said the girl. "Why, you know that I have never so much as kissed a man!" The doctor looked from mother to daughter, and back again. Then, silently he stood up and walked to the window, staring out. He continued staring until the mother felt compelled to ask, "Doctor, is there something wrong out there?" "No, Madam," said the doctor. "It’s just that the last time anything like this happened, a star appeared in the East and I was looking to see if another one was going to show up."

    Medicolegal Update

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

Alcohol and Isopropanol poisoning

  • The effect of ethanol depends on how much alcohol a person regularly drinks. Someone who does not usually drink much alcohol may be badly affected by an amount that would have very little effect on a person who regularly drinks large amounts.
  • Children may get severe poisoning after drinking just a mouthful of aftershave, mouthwash or perfume. Isopropanol is more poisonous than ethanol. Serious poisoning can be caused by using isopropanol as rubbing alcohol, if large amounts are rubbed on the skin and absorbed into the body.
  • Both ethanol and isopropanol slow down the brain, causing unconsciousness and shallow breathing. Isopropanol vapor is irritant to eyes, nose and throat and poisonous if breathed in. Isopropanol can cause poisoning if absorbed through the skin.
  • Slurred speech, difficulty in performing simple tasks, staggering walk, nausea, vomiting, and abdominal pain with blurred or double vision, unconsciousness, fits are more severe after isopropanol intoxication.
  • If breathing stops, open the airway and give mouth–to–mouth respiration. If the patient is unconscious or drowsy, lay him or her on one side in the recovery position. Check breathing every 10 minutes and keep the patient warm. Take the patient to hospital as soon as possible if the patient is a child, the patient has severe poisoning, the patient has swallowed isopropanol.
  • Doctor must check for blood glucose which may be low and there may be metabolic acidosis and electrolyte imbalance. Do a full medical examination to exclude other causes of the patient’s condition, such as head injury. Ensure the airway is clear and the patient remains in the recovery position. Monitor breathing, blood pressure, pulse, and blood glucose. Supportive care, including oxygen and ventilation, should be given as needed:
  • Fluid and electrolyte balance should be corrected and hypoglycemia should be treated with oral or intravenous glucose.

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)

All Kids Need Cholesterol Tests as per new guidelines

As per new guidelines from the American Academy of Pediatrics published in Paedatrics cholesterol checks should be part of periodic well–child visits for all children. One should screen cholesterol at least once between the ages of 9 and 11 and again at 17 to 21.

Doctors previously had been directed to screen cholesterol only in children with risk factors like a family history of heart disease or high cholesterol. Routine screening need only be a non–HDL cholesterol measurement that doesn’t require fasting, said Padmashri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India.

Dietary management is often effective and should be the first line of attack against elevated cholesterol. Short–term use of plant sterol or stanol esters –– such as those in some margarines –– have been shown safe at doses up to 20 g per day, but longer–term use hasn't been tested and should be reserved for children who don’t respond to diet alone.

Statins should be considered for those with LDL levels at 190 mg/dL or higher for children who are at least 10 years old and haven’t responded after six months of lifestyle management or at an LDL of 160 to 189 mg/dL if risk factors are present.

  • One should emphasize on breastfeeding and a diet low in saturated fat after a child’s first year.
  • Advise parents on protecting children from tobacco exposure
  • Start active anti–smoking advice to children at ages 5 to 9.
  • Track weight–for–height, reviewing growth with parents and refer when above the 85th percentile without reductions for more than six months after age 4.
  • Start routine annual blood pressure checks at age 3.
  • Encourage physical activity and limiting time spent sedentary or in front of a screen to two hours or less per day.
  • Start measuring fasting glucose at age 9 to 11.
  • Detecting and intervening on these risks early should give children a healthier future.

For comments and archives

    Readers Responses
  1. Dear Sir, It is a wonderful experience reading the emedinews. Regards: Dr Arpana
    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