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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 (07–08c); 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


Live Web Cast of 3rd eMedinewS – Revisiting 2011, on January 22, 2012

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eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

  Editorial …

18th January 2012, Wednesday

Use of mobile phones risky while driving

Talking on a mobile phone while driving is more hazardous than operating a vehicle while under the influence of alcohol.

A study from the Harvard Center of Risk Analysis estimates that cell phone use while driving contributes to 6 percent of crashes.

UK scientists involved 20 subjects using a driving simulator to test reaction times and driving performance, and tested how driving impairment was affected when drivers were talking on a handheld mobile phone or a hands–free phone, and when drivers had consumed enough alcohol to register above the legal blood–alcohol limit.

  • Driver’s reaction times were, on average, 30% slower when talking on a handheld mobile phone than when legally drunk. And 50% slower than under normal driving conditions (no alcohol).
  • Drivers talking on phones were less able than drunk drivers to maintain a constant speed, and they had greater difficulty keeping a safe distance from the car in front.
  • Using a handheld mobile phone had the greatest impact on driving performance. On average, it took handheld mobile phone users half a second longer to react than normal and a third of a second longer to react compared to when they were drunk. At 70 mph, this half–second difference is equivalent to traveling an additional 46 feet before reacting to a road hazard, researchers said.
  • Hands free mobile was no safer.
  • Clearly the safest course of action is to not use a cell phone while driving.
  • Remember the combination will be the worst.

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

Texting and email checking in OT while work can be dangerous

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011

Medico Masti–An Inter College Health Festival at Perfect Health Mela Infotainment is a new concept of creating health education where education is inter linked with entertainment.

Dr K K Aggarwal
    National News

Arunachal launches scheme for TB patients

Itanagar: Arunachal Pradesh has become the first state in the northeast to launch the Directly Observed Treatment Plus Services (DOTS), meant for the treatment of Multi Drug Resistant (MDR) TB Patients. The service was launched at the DOTS Plus Site in Arunachal State Hospital, Naharlagun, on Friday, official sources said. The programme was inaugurated by the state director of health services Dr K Nishing, who administered DOTS Plus (CAT–IV) medicine to two MDR patients admitted to the newly constructed DOTS Plus Ward of the hospital. This service will be introduced in Assam, Manipur and Sikkim soon. With this, MDR (TB) patients will get the benefit of free check–ups and DOTS Plus medicines for 24 to 27 months. (Source: TOI, Jan 15, 2012)

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

New symptom indices offer no gain in ovarian Ca

Two new ovarian cancer symptom indices offered little advantage over the current Goff Index, according to a U.K. study. When symptoms starting within three months of diagnosis were excluded, sensitivity was decreased across all indices and data sources. The greatest sensitivity was for a telephone interview group at 69.4%, suggesting that symptom indices might advance diagnosis by three months in about two–thirds of women at best, reported Peter Sasieni, PhD, from Queen Mary University in London and colleagues, in the Journal of the National Cancer Institute. (Source: Medscape Medical News)

For comments and archives

LINX reflux management system scores a hat trick at the FDA

The US Food and Drug Administration’s Gastroenterology and Urology Devices Advisory Panel has voted unanimously to endorse the approval of the LINX Reflux Management System (Torax Medical Inc), an implantable device for the treatment of pathologic gastroesophageal reflux disease (GERD) refractory to antireflux drug therapy. The 9–member panel voted a unanimous yes to all 3 questions, affirming the efficacy, safety, and favorable risk–benefit ratio for the novel treatment for GERD. The panel praised the sponsor and the FDA for the excellent quality of their presentations. (Source: Medscape Medical News)

For comments and archives

Dental visits found to reduce diabetes hospitalization

Patients with diabetes were one third less likely to visit an emergency department or be hospitalized for the disease when they got regular dental care, researchers report in the January 2012 issue of the Journal of the American Dental Association. (Source: Medscape Medical News)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Padma Shri Awardee Dr KK Aggarwal on Exercise – a prescription in English: http://youtu.be/TqKgoGfBW1A via @youtube

@DeepakChopra: Nisargadatta is referring to the causal body or core consciousness. Being non local its beyond time and space.

    Spiritual Update

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

Period of Holy Baths (Makar Sankranti to Maha Shivaratri)

Vitamin D deficiency causes severe bone loss in adults across northern India despite abundant sunlight in the region. The factors are inadequate exposure to sunlight and poor nutrition. The resultant disease is osteomalacia, the loss of calcium from bones brought about by vitamin D deficiency. It can lead to life threatening emergencies in young adults…

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What happens after the egg retrieval?

Two days after the egg retrieval, the fertilized egg divides to become a 2– to 4–cell embryo. By the third day, a normally developing embryo will contain approximately 6 to 10 cells. By the fifth day, a fluid cavity forms in the embryo, and the placenta and fetal tissues begin to separate. An embryo at this stage is called a blastocyst. Embryos may be transferred to the uterus at any time between 1 and 6 days after the egg retrieval. If successful development continues in the uterus, the embryo hatches from the surrounding zona pellucida and implants into the lining of the uterus approximately 6 to 10 days after the egg retrieval.

For comments and archives

    An Inspirational Story

(Dr Anupam Sethi Malhotra)

God is never wrong

A king who did not believe in the goodness of God, had a slave who, in all circumstances, said: My king, do not be discouraged, because everything God does is perfect, no mistakes!

One day they went hunting and along the way a wild animal attacked the king. His slave managed to kill the animal, but could not prevent his majesty losing a finger.

Furious and without showing his gratitude for being saved, the nobleman said "Is God good? If He was good, I would not have been attacked and lost my finger."

The slave replied: "My king, despite all these things, I can only tell you that God is good, and he knows "why" of all these things. What God does is perfect. He is never wrong!" Outraged by the response, the king ordered the arrest of his slave. Later, he left for another hunt and was captured by savages who made human sacrifices.

In the altar, ready to sacrifice the nobleman, the savages found that the victim had not one of his fingers, so he was released. According to them, it was not so complete to be offered to the gods. Upon his return to the palace, he authorized the release of his slave that he received very affectionately.

"My dear, God was really good to me! I was almost killed by the wild men, but for lack of a single finger, I was let go! But I have a question: if God is so good, why did he allow me to put you in jail?"

"My King, if I had gone with you in this hunt, I would have been sacrificed for you, because I have no missing finger, therefore, remember, everything God does is perfect. He is never wrong."

Often we complain about life, and negative things that happen to us, forgetting that nothing is random and that everything has a purpose.

Every morning, offer your day to God, don’t be in a rush.

Ask God to inspire your thoughts, guide your actions, and ease your feelings. And do not be afraid. God is never wrong!

You know why this message is for you? I do not know, but God knows, because he never makes mistakes………

The path of God and his word is perfect, without impurities. He is the way of all those who trust in Him.

What you do with this message is up to you. May God put in your heart the desire to send it to someone. God knows why He choose you to receive this message. Please bless someone with it.

For comments and archives

    Cardiology eMedinewS

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

National Intervention Council Update

Read More

Irisin hormone produced by exercise can control diabetes

Read More

Low LDL linked to AF

Read More

Medicolegal Insights into Cardiology Practice

Can a foreign interventional cardiologist do angioplasty In India?

Read More

    Pediatric eMedinewS

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

Ondansetron and QT interval prolongation

Read More

Atypical hemolytic uremic syndrome and eculizumab

Read More

Hematopoietic cell transplantation for adrenoleukodystrophy

Read More

Prednisone dosing for duchenne muscular dystrophy

Read More

    Healthy Driving

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

Driving and diabetes

Do not delay treatment of a low blood sugar. The brain becomes confused when the blood sugar reaches around 54 mg/dL.

    Legal Question of the Day

(Dr MC Gupta, Advocate & Medico–legal Consultant)

Q. What percentage of medical errors are avoidable?


According to a November 2010 study by the Office of Inspector General of the U.S. Department of Health and Human Services, about 1 in 7 Medicare patients in hospitals experience a serious medical error. Of these, 44% percent are preventable –– U.S. Department of Health and Human Services, Office of the Inspector General, Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries (November 2010), pp. i-ii, found at http://oig.hhs.gov/oei/reports/oei–06–09–00090.pdf.

No such data from India is available.

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emedinews revisiting 2011
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    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient was found unconscious.
Dr Bad: He has suffered a stroke.
Dr Good: First rule out hypoglycemia.
Lesson: In diabetics, sudden loss of consciousness is hypoglycemia unless proved otherwise.

For comments and archives

Make Sure

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh My God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

For comments and archives

  Quote of the Day

(Dr GM Singh)

He who asks a question is a fool for five minutes; he who does not ask a question remains a fool forever.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Antidiuretic hormone

Also known as: Vasopressin; Arginine Vasopressin; AVP

  • To help detect, diagnose, and determine the cause of antidiuretic hormone (ADH) deficiency or excess
  • To investigate low blood sodium levels (hyponatremia)
  • To distinguish between the two types of diabetes insipidus
    Mind Teaser

Read this…………………

Which of the following statements concerning the treatment of HIV/TB coinfection is false?

a. PI–containing HAART regimes are recommended for patients being treated with concurrent antitubercular therapy.
b. There are no major interactions with NRTIs and rifampicin.
c. Interactions between antiretroviral and antituberculous medications arise through shared route of metabolism.
d. The combination of nevirapine and daily rifampicin is not recommended.

Yesterday’s Mind Teaser: HO

Answer for yesterday’s Mind Teaser: Tally-ho!

Correct answers received from: Manoj Kumar Patil, Dr Parvezazmi Alam, Dr Mrs S Das, Dr PC Das,
Dr KV Sarma, Dr Chandresh Jardosh, Dr Neelam Nath, Dr Thakor Hitendrasinh G.

Answer for 15th January Mind Teaser: d. BPPV
Correct answers received from: Dr Niraj kumar Gupta, Annappa Pangi, Dr Rakesh Bhasin, Rebecca Oommen.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Dumb and dumber

Friend 1: Is it true that your wife talks to herself when she is alone?

Friend 2: I don’t know. I wasn’t with her when she was alone.

    Medicolegal Update

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

Forensic opinion in case of fatal hanging

  • Hanging was formerly thought to be a pure asphyxia as a result of ‘cutting off the air’ by occlusion of the airway during the fatal pressure on the neck.
  • It has been recognized by many forensic authors that the rapidity of death in many cases made it impossible for hypoxia to be the sole or even major cause. Many victims died almost immediately and exhibited none of the so–called ‘classic’ signs of asphyxia.
  • Hanging means self–suspension; the body weight is constricting force/partial/complete, which constricts the laryngeal/tracheal lumen, root of tongue/venous congestion/reflex vagal inhibition/cerebral ischemia/fracture and dislocation of cervical vertebra as in case of typical/judicial hanging.
  • The doctor who is conducting the postmortem examination, on the basis of position and type of knot/material/partial/complete hanging/length of duration of hanging/slipping of ligature/partial hanging, has to opine with clarity on the followin
    • go Whether the death is due to strangulation by ligature and subsequent postmortem hanging? This is a point of contention and requires clarity.
    • What is the medicolegal inference of injury in neck as described ligature mark? Whether it is a case of antemortem homicidal hanging by use of force or poisoning?
    • Whether it is a case of death due to asphyxia as a result of antemortem hanging or not? If yes then whether it is a case of suicidal hanging?
    • What is the forensic importance/explanation of any other injury on body……poisoning?

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)

Avoid food poisoning by thorough washing and proper cooking

Thorough washing and proper cooking of fruits and vegetables can eliminate most bacteria that cause food poisoning, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Food-borne illnesses or food poisoning usually occurs due to eating food tainted with bacteria or their toxins. Virus and parasites can also be behind the food poisoning. People have long known that raw meat, poultry and eggs can also harbor diseases causing microbes. But in recent years most outbreaks of food–borne illnesses are due to fresh fruits and vegetables.

Food poisoning can cause abdominal pain, nausea, headache, fatigue, vomiting, diarrhea and dehydration. Symptoms may appear several hours to several days after eating tainted food. For example, Salmonella bacteria will cause illness 12 hours to 3 days after ingestion lasting about 4–7 days. The most common way to treat food poisoning is to drink plenty of fluids. The sickness usually subsides within a few days.

    Readers Responses
  1. Dear Sir, I Wish a grand success to the 3rd eMedinewS Revisiting. Regards Dr Shweta
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS–revisiting 2011 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2011. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

See programme below.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/rekhapapola@gmail.com/drpawangupta2006@yahoo.com

3rd eMedinewS Doctor of the Year Awards

Dear Colleague, the 3rd eMedinewS "Doctor of the Year Awards" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 3 pm. If you know of any medical doctor who you feel has made significant achievement/contribution in medicine in the year 2011, send his/her Biodata at: emedinews@gmail.com

More than 900 people have registered for the conference.

View Live Webcast of 3rd eMedinewS–Revisiting 2011 at: www.emedinews.org

Viewer Requirements

  • Windows Media Player 9.0 or above for live webcast version
  • PC: P4 (Pentium 4), 1GB RAM, good quality multimedia kit, good Internet connectivity–ideally broadband connectivity–512 kbps or 1 mbps and above dedicated bandwidth
  • Firewall etc. should allow streaming content
  • Ports 80 and 8080 should be opened to allow streaming content.

Moderator by Dr K K Aggarwal





8.00–8.10 AM

Dr KK Aggarwal

Revisiting the Year 2011


8.10–8.25 AM

Dr G K Mani

Cardiac surgery in 2012

Dr Sandeep Mukherjee, Dr P K Dave

8.25–8.35 AM

Mr M K Doogar

Health Insurance

Mr Arun Kishore

8.35–8.50 AM

Mr B N S Ratnakar

Financial Health

Mr Anil Wadhwa

8.50–9.05 AM

Dr Dinesh Bhurani

Hemato Oncology Update

Dr Amit Bhargava

9.05–9.20 AM

Dr Kailash Singla

Gastro Update

Dr Ajay Kumar

9.20–9.35 AM

Dr Pramod Kumar

Beyond Coronaries

Dr Rakesh Arora

9.35–10.00 AM

Dr N K Bhatia

What’s new in transfusion medicine

Dr B B Rewari, Dr Bharat Singh

10.00–10.25 AM

Dr Praveen Chandra

Dual Anti Platelet Therapy in ACS

Dr H K Chopra

10.25–10.50 AM

Dr Ambrish Mithal

Obesity as a precursor for diabetes

Dr P D Gulati, Dr H S Luthra


Dr Ajay Kriplani

Diabetes: A Curable Surgical Disease

Dr K N Srivastava, Dr K Jagadeesan

11.15–11.40 AM

Dr Kaberi Banerjee

Infertility Update

Dr Veena Aggarwal

11.40–11.50 AM

Dr I M Chugh

Chest Medicine Update

Dr Pavan Mangla

11.50–12.05 PM

Dr Rajneesh Kapoor

Understanding stents (a journey from bare metal to biodegradable stents)

Dr Harsh wardhan

12.05–12.20 PM

U Kaul

DES for the future–Is India ready to take the challenge

Dr Sanjay Tyagi

12.20–12.45 PM

Dr Sujit Jha

High risk diabetes

Dr G M Singh

12.45–1.10 PM

Dr Sudhir Kumar Rawal

Robotic Surgery in India

Dr P K Julka

1.10–1. 35 PM

Dr Amit Bhargava


Dr P K Julka

1.35–1.50 PM

Dr Sanjay Chaudhary

Automation in Cataract Surgery with Femto–second

Dr Satish Mehta

1.50–2.05 PM

Dr Surender Kumar

Diabetes in 2012

Dr Pawan Gupta

2.05–2.20 PM

Dr S N Khanna

Valve Surgery Update

Dr O P Yadav

2.20–2.35 PM

Dr Ravi Kasliwal

Markers for cardiovascular prevention

Dr Sameer Srivastava

2.35–2.50 PM

Dr Neelam Mohan

Liver Transplantation

Dr A S Soin


Date: 18th–22nd Januray, 2011
Venue: Leisure Valley Ground, Sector 29, Gurgaon, Haryana
Website: http://pedicon2012.com/
For Latest happenings pls visit: http://pedianews.emedinews.in/


The Annual conference of Indian Menopause Society is to be held from 17 to 19th Feb 2012 in Hotel The Claridges, Surajkund Faridabad. It is multidisciplinary approach to the problems of midlife onwards in women. This conference has participation of British Menopause Society and South Asian Federation Of Menopause Societies and opportunity to hear from international faculties.

For information Contact Dr. Maninder Ahuja (Organizing Chairperson) 9810881048 down load forms from web sit http://indianwoman35plus.com/ or Indianmenopausesociety.org or http://fogsi.org/

Contact at ahuja.maninder@gmail.com
Call for free papers and posters on theme topics of conference.

Early Registration till 30th Dec 2011

National Intervention Council Update

National Intervention Council is pleased to announce a National Interventional Fellow Competition in its forthcoming Mid–term NIC Meeting to be held in Kochi, 27–29 April 2012.

As you might know there is paucity of good interventional post–DM Fellowship programmes in the country. As such there is no consistent, dedicated teaching to the aspiring interventionists. These budding interventional cardiologists mostly learn by watching their teachers and senior colleagues. As such these students particularly lack in knowledge of basics of this sub–speciality. Therefore, NIC is focusing on alleviating this felt need by doing a "Back to Basics" session at the mid–term NIC Meeting. At the end of this session we propose to hold a National Competition.

The "Competition" will include an MCQ type written exam on basics of coronary intervention followed by a quiz. The students will be examined by judges who will award "National Interventional Fellow Award". Students enrolled in Cardiology and Intervention Cardiology teaching programme and those who have already completed within 3 years will be eligible for the competition.

Those who wish to participate for this competition can register by sending their full particulars (Name, Institution, Year of Residency, Guide/co–Guides, email address and mobile number) either on email or the following address.

Dr Sundeep Mishra

425 Mount Kailash Tower No 2, East of Kailash,
New Delhi, India 110065

drsundeepmishra@hotmail.com, Mobile 9871421390

Fellows can also register at website http://www.nickochi2012.org/ NIC will offer an all paid 3 month hands–on Interventional fellowship at an international center to winner of this award. We hope this will stimulate a desire to systemically learn the basics of coronary hardware and the techniques and will then apply this learned knowledge to clinical practice thus raising the overall standard in our country.

Please let us know what you feel about the program. Particularly, we request you encourage your students and junior colleagues to participate in this event.

    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)

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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

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