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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

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

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  Editorial …

27th March 2013, Wednesday

Quantum Interactions Happen 10,000 Times Faster Than Light

A team of physicists led by Juan Yin at the University of Science and Technology of China in Shanghai has found in an experiment involving entangled photons, or photons that remain intimately connected, even when separated by vast distances that quantum interactions happen 10,000 times faster than light. They wanted to see what would happen if you tried assigning a speed to what Einstein called “spooky action at a distance.”

As per quantum physicists after two photons particles interact, they sometimes become “entangled.” The experiment shows that if two entangled photons are sent at two different places say photon A to Delhi and photon B to Mumbai. When photon A is observed, it has a certain polarization, perhaps “up.” The other photon in Boston is always in the opposite polarization, “down.” No matter what measurement is made of photon A, photon B will always be opposite. The entangled photons always seem to “know” the right state to be in, instantaneously.

Chad Orzel, assistant professor of physics at Union College, explained, “It’s as though you sent two cards to two different addresses. One might be the jack of diamonds and the other the ace of hearts. When you get the card at one address you know which one went to the other. Quantum mechanics is weird because until you open the envelope, saying which card it is doesn’t have any meaning; it could be either one.

In the Chinese study, the researchers entangled two photons and sent them to two different stations about 10 miles (16 kilometers) apart.

The group measured the state of one photon and timed how long the entangled state took to show up in the other. They found that the slowest possible speed for quantum interactions is 10,000 times the speed of light.

This phenomenon answers many of the mysteries of consciousness. (Adapted from an article by Jesse Emspak)

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

School Health Education

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A symposium on prayer, faith, meditation and healing was organised by Heart Care Foundation of India jointly with Bhartiya Vidya Bhavan at Bhavan’s Auditorium. Speakers from various religions participated in the symposium.

Dr K K Aggarwal
    National News

Govt aims at 'zero TB deaths', 3 new schemes launched

Govt launches 3 new schemes on World TB Day: The Delhi government launched three new schemes on Sunday, the World TB Day. The schemes included one for providing livelihood to wives of poor patients who died of the disease. The schemes include TB control services for the homeless and evening Directly Observed Treatment (DOT) Centres for multi-drug-resistant (MDR) TB patients. The initiatives were unveiled by health minister A K Walia, who said the government was aiming at achieving "zero TB deaths", and will focus on homeless people. (Source: TOI, Mar 25, 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)


Perpetrators given access to the children usually through baby sitting and they attract children using bribes, games and systemically de-sensitizing them through touching, talking about sex and perpetrators.

For comments and archives

    Valvular Heart Disease Update

Aortic regurgitation (AR) is less common in elderly adults than aortic stenosis (AS) and mitral regurgitation (MR). In the Helsinki Aging Study, AR mostly mild was present in 29 percent of patients. In the Framingham Study, AR that was at least mild was present in 13 percent of subjects.

(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)

Marker may show kidney disease in diabetics

High levels of certain inflammatory markers may foretell of the development of macroalbuminuria in patients with type 1 diabetes, researchers found. (Source: Medpage Today)

Provider switch tied to worse glycemic control

For patients diagnosed with type 1 diabetes during adolescence, the transition to adult diabetes care can be associated with poor glycemic control, researchers found. (Source: Medpage Today)

AAN: Head to heart risk seen for women

Women who have migraine with aura appear to have an increased risk of cardiovascular disease, researchers reported at the meeting of the American Academy of Neurology. (Source: Medpage Today)

CHMP says no to defibrotide for veno-occlusive disease

The European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) yesterday issued a negative opinion on Gentium SpA's marketing application for defibrotide (Defitelio) for prevention and treatment of hepatic veno-occlusive disease in patients having hematopoietic stem cell transplantation (HSCT). (Source: Medscape)

EU committee rejects budesonide/salmeterol combo for asthma

The European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) has issued a negative recommendation on the marketing application for anti-asthma combination medication budesonide/salmeterol (Labazenit, Laboratories SMB SA). (Source: Medscape)

    Twitter of the Day

@DrKKAggarwal: Energy Drinks May Put Heart at Risk for Sudden Death Dr K K Aggarwal. Energy drinks may raise blood pressure (cont) http://tl.gd/n_1rjdivv

@DrKKAggarwal: One of the most challenging obstacle addicts face is relapse. Pls read this article of our addiction expert http://tinyurl.com/b5dcsyy

    Spiritual Update

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

Science behind complacency

One should never be complacent as it may end up in a disaster or a failure. This is a common occurrence in the Indian cricket team, which after winning a few matches becomes complacent and then starts performing miserably.

For comments and archives

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

How is infertility evaluated?

Infertility is usually diagnosed if you don’t conceive after one year of unprotected intercourse. If you are concerned about fertility or have an obvious medical problem affecting your ability to conceive, such as amenorrhea, sexual dysfunction, a history of pelvic disease, or prior surgery, you should begin the infertility evaluation immediately. You will have various tests which may include ovulation detection and evaluation of your fallopian tubes, cervix, and uterus. Your partner will have a semen analysis. Most testing can be completed within three months, and appropriate treatment can be started immediately after the evaluation is completed. Preconception counseling is often beneficial as well. Because children born to women over 35 have a higher risk of chromosomal problems, you may wish to discuss these risks with your physician or a genetic counselor prior to attempting pregnancy. Prenatal testing may be performed after conception. Amniocentesis and chorionic villus sampling are two methods of prenatal testing. Blood testing and ultrasound may also be used as screening tests for certain birth defects.

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

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

Blood Grouping systems & Principles, Blood Group Discrepancies & their possible solutions

ABO system and pregnancy

  • Majorities of hemolytic diseases are due to ABO incompatibility
  • The fetus inherits one gene from each parent: O + O = O, O + A= O or A, O + B= O or B, O + AB= A or B.
  • There is a 20% chance of ABO incompatibility of mother and fetus
  • There is a 5% chance of developing hemolytic disease only in type A & B infants of type O mothers, that too only of milder form.
  • In fetus and newborns, the RBCs have a decreased number of H, A and B reactive sites.
  • The fetal immunoglobulin production is low, so the plasma contains very little of anti–A and B agglutinins
  • Anti–A and B produced in the mother being natural are IgM molecules and so do not cross placenta.
  • In some type O adults, much of the anti–A and B and anti–AB (a cross reacting antibody, also called anti–C) isoagglutinins are of IgG class.
  • There is no adequate method of antenatal diagnosis.
  • Direct Coomb’s antiglobulin test may be negative in ABO hemolytic disease.
  • ABO hemolytic disease is frequently seen in infants of primigravidae and the chance of recurrence is 87%.
  • The risk of stillbirth is not increased and no antenatal treatment is necessary.
  • Only 67% of affected infants will need any treatment.

For comments and archives

    An Inspirational Story

Buying an hour of daddy’s time

The man came home from work late again, tired and irritated, to find his 5 year old son waiting for him at the door.

“Daddy, may I ask you a question? “Yeah, sure, what is it?” – replied the man. “Daddy, how much money do you make an hour?” “That’s none of your business! What makes you ask such a thing?” – the man said angrily.

“I just want to know. Please tell me, how much do you make an hour?” – pleaded the little boy. “If you must know, I make $20 an hour.” “Oh,” the little boy replied, head bowed. Looking up, he said, “Daddy, may I borrow $10 please?”

The father was furious. “If the only reason you wanted to know how much money I make is just so you can borrow some to buy a silly toy or some other nonsense, then you march yourself straight to your room and go to bed. Think about why you’re being so selfish. I work long, hard hour’s everyday and don’t have time for such childish games.”

The little boy quietly went to his room and shut the door. The man sat down and started to get even madder about the little boy’s questioning. How dare he ask such questions only to get some money.

After an hour or so, the man had calmed down, and started to think he may have been a little hard on his son. Maybe there was something he really needed to buy with that $10 and he really didn’t ask for money very often. The man went to the door of the little boy’s room and opened the door.

“Are you asleep son?” – he asked. “No daddy, I’m awake.” – replied the boy

“I’ve been thinking, maybe I was too hard on you earlier.” – said the man. “It’s been a long day and I took my aggravation out on you. Here’s that $10 you asked for.”

The little boy sat straight up, beaming. “Oh, thank you daddy!” he yelled. Then, reaching under his pillow, he pulled out some more crumpled up bills. The man, seeing the boy already had money, started to get angry again.

The little boy slowly counted out his money, then looked up at the man. “Why did you want more money if you already had some?” the father grumbled.

“Because I didn’t have enough, but now I do.” The little boy replied. “Daddy, I have $20 now. Can I buy an hour of your time? Please come home early tomorrow. I would like to have dinner with you.” The father was crushed and he put his arms around his little son.

It’s just a short reminder to all of us working so hard in life. We should not let time slip through our fingers without having spent some time with those who really matter to us, those close to our hearts. Do remember to share that $20 worth of your time with someone you love.

If we die tomorrow, the company that we are working for could easily replace us in a matter of hours. But the family & friends we leave behind will feel the loss for the rest of their lives.

For comments and archives

    Cardiology eMedinewS

Rivaroxaban gets ACS indication recommendation from European Regulators Read More

    Pediatric eMedinewS

AAN: Human foible may undermine concussion Tx Read More

AAP: Rule out bleeding disorders when abuse suspected 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 modern vaccines be diluted with tetanus toxoid or water or any other diluents and injected?

The modern anti-rabies vaccines should not be diluted with tetanus toxoid or any other diluents other than that provided with the vaccine.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with COPD developed Herpes zoster.
Dr Bad: They are not related.
Dr Good: There is an association between the two.
Lesson: People with chronic obstructive pulmonary disease, or COPD, are more likely than others to develop shingles (CMAJ 2011 Mar 22;183(5):E275-80).

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia after taking light breakfast.
Reaction: Oh my God! Why was insulin dose not reduced?
Lesson: Make sure that insulin dose is calculated correctly. The formula is 500/total daily dose. The value will be the amount of sugar fluctuation with 10 grams of carbohydrates.

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

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  Quote of the Day (Dr GM Singh)

When small men begin to cast big shadows, it means that the sun is about to set. Lyn Yutang

    Mind Teaser

Read this…………………

After trying to conceive for a year, a couple consults an infertility specialist. When obtaining a history from the husband, Nurse Jenny inquires about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility?

a. Chickenpox
b. Measles
c. Mumps
d. Scarlet fever

Yesterday’s Mind Teaser: A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the nurse is aware that the functions of the three lumens include:

a. Continuous inflow and outflow of irrigation solution.
b. Intermittent inflow and continuous outflow of irrigation solution.
c. Continuous inflow and intermittent outflow of irrigation solution.
d. Intermittent flow of irrigation solution and prevention of hemorrhage.

Answer for yesterday’s Mind Teaser: a. Continuous inflow and outflow of irrigation solution.

Correct answers received from: Dr Jella, Dr PC Das, Dr BB Gupta, Dr (Maj. Gen.) Anil Bairaria,
Dr Bharat Bhushan Aggarwal, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai,
Dr Avtar Krishan, Dr Kanta Jain, Dr BK Agarwal, Dr Jayashree Sen & Dr Bitaan Sen, Dr Raghavendra Jayesh, Dr VM Kartha.

Answer for 25th March Mind Teaser: d. Phenazopyridine

Correct answers received from: Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr BK Agarwal,
Dr Jayashree Sen & Dr Bitaan Sen, Dr VM Kartha.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Childbirth at 65

With all the new technology regarding fertility recently, a 65-year-old friend of mine was able to give birth. When she was discharged from the hospital and went home, I went to visit.

'May I see the new baby?' I asked

'Not yet,' She said 'I'll make coffee and we can visit for a while first.'

Thirty minutes had passed, and I asked, 'May I see the new baby now?'

'No, not yet,' She said.

After another few minutes had elapsed,

I asked again, 'May I see the baby now?'

'No, not yet,' replied my friend. Growing very impatient, I asked, 'Well, when can I see the baby?'

'WHEN HE CRIES!' she told me.

'WHEN HE CRIES?' I demanded. 'Why do I have to wait until he CRIES?'


    Medicolegal Update

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


Supreme Court of Georgia echoed the Illinois decision, albeit with somewhat different wording

  • Every person who enters into a learned profession undertakes to bring to the exercise of his profession a reasonable degree of care and skill. He does not undertake to use the highest possible degree of skill, for there may be persons who, for having enjoyed a better education and greater advantages, are possessed of greater skill in their profession; but he undertakes that he will bring a fair, reasonable, and competent degree of skill…He is not responsible for an error in judgment…if such error arises from the peculiar circumstance of the case, and not from the want of proper care or competent skill on his part.
  • Nearly a half–century later, a state of New York appeals court issued an opinion as to what constitutes the standard of care of a medical physician. Although the lawsuit did not involve radiology, the court decision could have well applied to radiologic interpretation
  • The law requires a physician to possess the skill and learning which is possessed by the average member of the medical profession…and to apply that skill and learning with ordinary reasonable care. He is not liable for a mere error in judgment, provided he does what he thinks is best after a careful examination. He does not guarantee a good result.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Physical illness can trigger depression

If you have depression, a thorough physical exam and careful medical history should be evaluated to pinpoint a physical source of the problem for an appropriate treatment, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and National Vice President-Elect IMA.

In depression not only look for what’s going on in the mind and brain but also check what’s going on in the body. Many medical problems are linked to mood disturbances.

Over fifty percent of heart attack survivors and those with cancer report feeling depressed. Depression is also linked to diabetes, Parkinson’s and other chronic conditions, added Dr Arulrhaj Former President Commonwealth Medical Association.

Depression too can affect the course of a physical disease. Depression is linked with slower recovery from a heart attack and an increased risk for future heart trouble, said Dr Praveen Chandra Chairman Cardiology at Medanta The Medicity.

Thyroid disorders also affect mood. Overactive thyroid can cause mania and under active thyroid can cause depression. Other medical conditions associated with mood disorders include certain neurological conditions (multiple sclerosis, Parkinson’s disease, Alzheimer’s), other hormonal imbalances and lack of vitamin B12.

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 31251 people since 1stNovember 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, 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 Responses
  1. The article on death certificates was very useful as even senior doctors are sometimes at a loss as to what to write. Please give some more examples. Dr Arundhati.
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