Head Office: E–219, Greater kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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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

  Editorial …

27th March, 2011, Sunday                                 eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Integrated Versus Adulterated

These two terms are often misused and misunderstood when we talk about various pathies in treating a disease. When an ayurvedic doctor prescribes an allopathic drug or an allopathic doctor prescribes and homeopathic drug, it is not integrated medical practice but adulterated medical practice. On many occasions, even the Supreme Court of India has clearly said that the person will not prescribe a drug from other pathy which he or she has not studied in great detail.
There is a loophole in this definition as today most of the ayurvedic drugs have been researched the allopathic way and their references are available in Pubmed-medline. Once these are researched the allopathic way, they no more will remain in the domain of ayurved alone and can be prescribed by allopathic doctors. For example – red yeast rice – an herbal drug, has lovastatin as a constituent and now is being prescribed in allopathy as a statin substitute. Drugs like saw palmetto has fenestrate like action. Fenestrate is used both for prostate enlargement and hair loss. Similarly, saw palmetto is also used both for hair loss and prostate enlargement.  Today, saw palmetto has been researched the allopathic way and prescribed scientifically by allopathic doctors. Similarly cretegus in homeopathy has ACE inhibitor like action.
In ayurveda, it is allowed to study ECG, ultrasound, colour Doppler, TMT, laboratory tests etc. The same should be true for understanding panchkarma, nadi vigyan, concepts of ayurvedic prognosis, the concepts of vata, pitta and kapha in ayurved and the concept of sora syphlis and sycosis in homeopathy etc.
In Chanakya Niti, it is clearly written that to become a better professional, you need to know the strength and weaknesses of your competitor. Therefore, it should be customary for an allopathic student to be taught the strengths and weaknesses of ayurveda and homeopathy. One should use their weaknesses as your strength and their strength as your associates so that the patient can get the best of the two.
I personally feel if we understand the difference between adulteration and integration, the fight between various medical and ayurvedic councils will be over. While adulterated practice should not be promoted there is no way any  law can prohibit an integrated medical practice where a medical doctor is taking help of pranayama, relaxation techniques, meditation, jalnaiti, yoga, panchkarma, nadi vigyan, arishtha vigyan etc.
FDA Okays Shingles Vaccine for Younger Age Group
The FDA has approved use of the varicella zoster vaccine Zostavax in patients ages 50 to 59 for prevention of shingles. The vaccine was approved in 2006 for prevention of shingles in patients 60 and older. Approval for the new indication was based on a 22,000-patient multicenter study in the U.S. and four other countries. Patients ages 50 to 59 were randomized equally to the vaccine or placebo and were followed for a year. Shingles risk was 70% lower in the treatment group than in the placebo group. Adverse events in the study included injection site redness, pain, and swelling, as well as headache.

Dr KK Aggarwal
Editor in Chief
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    eMedinewS Audio PostCard

 HIV Update

Dr Nalin Nag Speaks on
‘Natural History of HIV/AIDS’

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Medifinance Conference On Portfolio Management for Doctors and update on Budget 2011

The audience actively took part in the discussions in the recently concluded Medifinance Conference held at Auditorium, Delhi TB Association, Lodhi Road, New Delhi on 13th March 2011.

Dr K K Aggarwal
    National News

We deeply regret to inform our readers the sad demise of Dr. Rema Mohan, Managing Director & Chief Ophthalmologist, Dr. Mohan’s Diabetes Specialities Centre, Chennai and wife of Dr. V. Mohan (our editor), on Friday, the 25th of March, 2011, following a prolonged illness. The funeral was on 26th of March 2011. Dr KK Aggarwal

Most pre–schoolers do not seek early education

NEW DELHI: Not many of the nearly 128 million children in the pre–school age group access vital early childhood education services, according to various researches shared at a workshop on "Early Childhood Care and Education Scenario: Feedback from the Grassroots" here on Thursday. Organised by the Centre for Early Childhood Education and Development and Galli Galli Sim Sim, the workshop was chaired by Women and Child Development Ministry Joint Secretary Dr. Shreeranjan. A CECED study supported by UNICEF India conducted in Rajasthan and Andhra Pradesh found that there were three types of early childhood care and education programmes — Integrated Child Development Services centres, NGO pre–schools, and private pre–schools. All children in the age group of three to five years were "enrolled" in at least one of the programmes and private ones were preferred. (Source: The Hindu, Mar 26, 2011)

War against TB in Rajasthan soon: Minister

JAIPUR: A host of programme, including a two–wheeler rally, were organised across the state for awareness on World Tuberculosis Day on Thursday. State TB disease officer K N Gupta said various programme were organised during the day to create awareness about the disease. He said the disease is completely curable provided the affected people take regular medicine. Since the treatment takes a long duration, patients sometimes leave treatment mid way resulting in development of a drug–resistant form of the disease. In the state level function held here, medical and health minister A A Khan flagged off a two–wheeler rally in the morning to create awareness about the disease and its treatment. (Source: The Times of India, Mar 25, 2011)

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

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

The first step towards leading an active lifestyle is …just thinking about it

It’s that simple, really! A newly published study conducted at Laval University in Quebec, Canada shows that the mere thought of exercising and leading an active life caused people to become more active. The study involved administering motivational surveys on exercise behavior. The study surveyed a group of 452 overweight or obese adults from Quebec, who were randomized into one of two groups. At the beginning of the study, participants in the first group completed a series of questionnaires on their feelings and cognitions regarding their participation in leisure–time physical activity; those in the other group completed a series of questionnaires on fruit and vegetable consumption. The questionnaires assessed their beliefs, attitudes, perceived social norms and control, as well as their intentions – all components of the Theory of Planned Behavior, which is often used to guide behavior change. Both groups also completed surveys to assess leisure time activity. After three months, leisure time physical activity was again measured with the questionnaire. A statistical analysis of covariance with baseline physical activity level was used to verify the effect of the surveys, and results clearly show that the group that took the survey about leisure time physical activity reported a significant increase in leisure time activity (whereas the control group reported no increase).

(Dr Monica and Brahm Vasudev)

Adherence to Mediterranean diet associated with lower metabolic syndrome prevalence

A meta–analysis reviewing the impact of a Mediterranean style diet on the progression of metabolic syndrome (and) published this month in the Journal of the American College of Cardiology, indicated that adherence to a Mediterranean dietary pattern was associated with lower metabolic syndrome prevalence and progression.

DASH diet may help improve cardiovascular health in young people with diabetes

Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet helps to improve cardiometabolic factors in addition to blood pressure in young people with diabetes, according to a study published online March 21 in the journal Circulation.

Mortality rates may increase when hospital nursing staff levels fall

When nurse staffing levels fell below target levels in a large hospital, more patients died, according to a study in the March 17 issue of the New England Journal of Medicine.

    IJCP Special

Dr Good Dr Bad

Situation: A man who was to be married was found to be HIV–positive.
Dr Bad: Keep the report secret.
Dr Good: I will inform the to–be married girl.
Lesson: Sections 269 and 270 of the Indian Penal Code provide as under: "269. Negligent act likely to spread infection of disease dangerous to life – whoever unlawfully or negligently does not act which is, and which he knows or has reason to believe to be, likely to spread the infection of any disease dangerous to life, shall be punished with imprisonment of either description for a term which may extend to six months, or with fine, or with both.

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain so much ascitic fluid?
Lesson: Make sure, to only moderately tap ascitic fluid as overenthusiastic tapping can be life–threatening.

    An Inspirational Story

(Dr GM Singh)

How to Tell When You’re Rich

When I was a kid in Minnesota, watermelon was a delicacy. One of my father’s buddies, Bernie, was a prosperous fruit–and–vegetable wholesaler, who operated a warehouse in St. Paul. Every summer, when the first watermelons rolled in, Bernie would call. Dad and I would go to Bernie’s warehouse and take up our positions. We’d sit on the edge of the dock, feet dangling, and lean over, minimizing the volume of juice we were about to spill on ourselves.

Bernie would take his machete, crack our first watermelon, hand us both a big piece and sit down next to us. Then we’d bury our faces in watermelon, eating only the heart – the reddest, juiciest, firmest, most seed–free, most perfect part – and throw away the rest. Bernie was my father’s idea of a rich man. I always thought it was because he was such a successful businessman. Years later, I realized that what my father admired about Bernie’s wealth was less its substance than its application. Bernie knew how to stop working, get together with friends and eat only the heart of the watermelon.

What I learned from Bernie is that being rich is a state of mind. Some of us, no matter how much money we have, will never be free enough to eat only the heart of the watermelon. Others are rich without ever being more than a paycheck ahead.

If you don’t take the time to dangle your feet over the dock and chomp into life's small pleasures, your career is probably overwhelming your life.

For many years, I forgot that lesson I’d learned as a kid on the loading dock. I was too busy making all the money I could.

Well, I’ve relearned it. I hope I have time left to enjoy the accomplishments of others and to take pleasure in the day. That’s the heart of the watermelon. I have learned again to throw the rest away.

    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

Are there any symptoms a woman/couple may notice that might indicate an inability to conceive?

Women who have extreme pain associated with ovulation or menstruation may be at risk for endometriosis and should seek expert care. Women who are anovulatory (do not ovulate) or who have very irregular cycles may be at risk for polycystic ovarian disease and should seek expert care. Unmanaged, these diseases can cause serious barriers to fertility. However, early treatment and expert management can preserve a woman’s fertility.

    Hepatology Update

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

What are the presentations of Hepatitis C infection ?

Acute HCV infection

  • Serum aminotransferase (ALT) levels are raised but rarely >1,000 IU/l.
  • Serum bilirubin: rarely >300 mmoles/l.
  • Alkaline phosphatase is generally < 2 × the upper limit of normal, except in cases complicated by cholestasis. Prothrombin time is rarely prolonged by up to 5 seconds; greater prolongation indicates developing hepatic failure.
  • Fulminant hepatic failure is extremely rare.

Most acute hepatitis C infections progress to chronicity.

    Medicolegal Update

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

What is the World Medical Association Declaration on Terminal Illness?

On October 1983, the 35th World Medical Assembly in Venice, Italy adopted as below

  • The duty of the physician is to heal and, where possible, relieve suffering and act to protect the best interests of his patients.
  • There shall be no exception to this principle even in the case of incurable disease or malformation.
  • This principle does not preclude application of the following rules
    • The physician may relieve suffering of a terminally ill patient by withholding treatment with the consent of the patient or his immediate family if unable to express his will.
    • Withholding of treatment does not free the physician from his obligation to assist the dying person and give him the necessary medicaments to mitigate the terminal phase of his illness.
    • The physician shall refrain from employing any extraordinary means which would prove of no benefit for the patient.
    • The physician may, when the patient cannot reverse the final process of cessation of vital functions, apply such artificial means as are necessary to keep organs active for transplantation provided he acts in accordance with the laws of the country or by virtue of a formal consent given by the responsible person.
  • The certification of death or the irreversibility of vital activity had been made by physicians unconnected with the transplantation and the patient receiving treatment.
  • These artificial means shall not be paid for by the donor or his relatives. Physicians treating the donor shall be totally independent of those treating the recipient and of the recipient himself.
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Obesity and pregnancy

Long–term complications

After delivery, obese mothers are more likely than normal–weight mothers to experience urinary symptoms such as stress incontinence and urgency. Excessive weight gain during pregnancy worsens maternal obesity. Weight gain during pregnancy is a strong predictor for sustained weight retention.

    Mind Teaser

Read this………………… 


Yesterday’s Mind Teaser: OturnedUT

Answer for yesterday’s Mind Teaser:
Turned inside out

Correct answers received from: Dr K Raju, Dr T Samraj, Dr Rakesh Bhasin, Dr Sudipto Samaddar, Dr
S Upadhyaya, Dr Chandresh Jardosh, Dr Madhusinha, Dr Rashmi Chhibber, Col (Dr) Narendra Kotwal, Anil Bairaria, Dr Neelam Nath, Dr Suman Bala, Dr Muthumperumal Thirumalpillai, Dr KP Rajalakshmi, Dr U Gaur, Dr Nandini Kapoor

Answer for 25th March Mind Teaser: Split level
Correct answers received from: Dr KV Sarma, Dr Shashi Chhabra, Dr SK Bansal, Dr Prabha Sanghi, Dr Bina Sawhney, Dr Amit Kochar.

Send your answer to ijcp12@gmail.com

    Lighter Side of Reading

Laugh a While
(Dr GM Singh)

Law of Logical Argument

Anything is possible if you don’t know what you are talking about.

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

CO2 content

Increase in serum CO2 content for the most part reflects increase in serum bicarbonate (HCO3–) concentration rather than dissolved CO2 gas, or PCO2 (which accounts for only a small fraction of the total).

  • Increased serum bicarbonate is seen in compensated respiratory acidosis and in metabolic alkalosis. Diuretics corticosteroids (in long term use), and laxatives (when abused) may cause increased bicarbonate.
  • Decrease in blood CO2 is seen in metabolic acidosis and compensated respiratory alkalosis. Substances causing metabolic acidosis include ammonium chloride, acetazolamide, ethylene glycol, methanol, paraldehyde, and phenformin. Salicylate poisoning is characterized by early respiratory alkalosis followed by metabolic acidosis with attendant decreased bicarbonate.
    Medi Finance Update

(Dr GM Singh)

Who is required to deduct tax at source while making payments of the nature referred to in above?

In case of Companies and Partnership Firms, tax is required to be deducted at source on every payments on which TDS is applicable. Individuals carrying out any business or profession are required to deduct at source on every payments on which TDS is applicable only when during previous financial year they were supposed to get their accounts audited under Income Tax law.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name


DCI Approval Date

Cinitapride (ER) 3mg + Omeprazole (EC) 20mg Capsules

For the treatment of gastric ulcer, gastroesophageal reflux disease (GERD) & dyspepsia not responding to omeprazole alone


    IMSA Update

International Medical Science Academy (IMSA) Update

Preoperative antisepsis with chlorhexidine–alcohol is superior to providone–iodine

Chlorhexidine should be used preferentially for preoperative antisepsis in clean–contaminated surgery. In a systemic review of six studies involving more than 5000 patients, chlorhexidine reduced postoperative surgical–site infection compared with povidone–iodine (pooled odds ratio 0.68, 95 percent confidence interval 0.50 to 0.94; p = 0.019).

  SMS of the Day

(Dr GM Singh)

A true friend is someone who thinks that you are a good egg even though he knows that you are slightly cracked." Bernard Meltzer.

    Readers Responses

Dear Dr Agarwal, This is in reference to the letter by Dr. Piyali Datta Chakraborty, Ph.D. (Science) regarding the ban on Placentrax (24th March Issue). I fully endorse her views. The working of Drug Controller of India needs more transparency. The procedure of approval of a drug or banning of a drug needs to be clearly defined. What we are seeing now is ‘adhocism’. If the media highlights a thing, immediately there is a knee jerk reaction. I remember few years back one of the medical representative came to me and asked me to give a letter for making Nimesulide drops available in the market. On further questioning I was told that Drug Controller of India needs 50 such letters by paediatricains to grant approval. I refused to give such a letter. But after few months I found that drops are available! I wish before granting approval to a drug, the opinion of specialist bodies like API/IAP and other professional bodies like ICMR is taken The procedure should be published on the website of Drug Controller of India and the opinion given by such bodies should also be published. Sincerely, Dr R S Bajaj, Consultant Paediatrician, Rohini.

    Public Forum

(Press Release for use by the newspapers )

Shedding weight improves the relaxation functions of the heart

Shedding extra weight improves the heart functions whether the weight loss comes from eating less or exercising more, said Dr. K.K. Aggarwal Padma Shri and Dr B C Roy National Awardee and President Heart Care Foundation of India.

Moderate weight loss, around 10% of the weight, can restore heart’s elasticity –– making it easier for the heart to relax between contractions and refill with blood.

With age the body tissue accumulates collagen fibers, which causes heart muscle and arteries –– to become stiffer. So over time, the heart starts to take a bit longer to relax between contractions and fill back with blood. Excess weight and obesity in particular adds to this misery by further causing further worsening of the relaxing functions of the heart.

The weight can be reduced by diet alone, exercise alone or both. The end result is improvement in the heart functions so long as one loses weight.

    eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. 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
    Situation Vacant

Vacancy for a post of Consultant in Pediatric ICU at Medanta – The Medicity Hospital, Sector –38, Gurgaon.
Interested candidates may please contact: drneelam@yahoo.com/9811043475.
*Eligibility: Post M/DNB/DCH

    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

March 26–27, 2011, CME on Pediatric Hepatology – 2011 In association with Gastroenterology Chapter of IAP
Auditorium, Medanta – The Medicity, Gurgaon; Organizing Chairperson Dr Neelam Mohan, Director, Department of Pediatric Gastroenterology. No registration fee. Prior registration is must. For More information please contact: 09971018789/ 09717840850/ 09999669415/ 09899996682. Click


Sunday 3rd April, 2011, World Fellowships of Religions and Perfect Health Parade First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof on Global Warming, Ethnic Crises, How to be Healthy
Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM.
Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.
Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm. Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com


April 16–17, 2011, National Conference on Gynae–Endocrinology–2011 under aegis of FOGSI, ICOG and AOGD , Focus on newer advances in management of endocrinal problems in gynaecology with emphasis on PCOS, hyperprolactinemia, amenorrhoea, hormonal contraception. Gyne– endocrinology is a topic of high importance especially for practitioner. Detailed programme http://www.aiims.edu and http://www.aiims.ac.in
For details please contact: Prof Alka Kriplani, Organizing Chairperson, 9810828717 kriplanialka@gmail.com/Dr Nutan Agarwal, organizing Secretary, 9810107464/9868397310 nutan.agarwal1@gmail.com


May 7–8, 2011, National Seminar On Stress Prevention
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com


September 30 – October 02, 2011;XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Highlights of Pre – Conference CME: Case based learning experience & audience interaction, Maximum 250 delegates for CME will be accepted, who will be divided in 5 batches and will rotate to different halls every 90 minutes. The topics are:(A) Right heart pressures & functions (From basics to newer methods (RV anatomy, echo views, echo assessment of RV function, prognostic impact of RV function) (B) Carotid Doppler: How do I assess and interpret in my daily practice.: Technical tips (Anatomy of the vessel, views of ultrasound scanning, Normal & abnormal Doppler hemodynamics, how to measure IMT) (C) Valvular stenosis: Assessment, limitations and their solution: (Anatomy of the valves, 2–D findings of stenotic lesions, quantitation of lesion, limitations) (D) How do I assess and report ventricular dyssynchrony in my lab. (What is ventricular dyssynchrony, what are the types of dyssynchrony, in whom, when & why do we assess it, various echo methods to assess it ) (E) Live 3–D Echo: Protocol for acquisition. How to slice and get full information. Aim is that by end of the day, every participant is well conversant with all the topics.
Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231/Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246
worldcon2011@in.kyoni.com, www.worldcon2011.org


ICC Cricket World Cup 2011

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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 Naveen Dang, Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta