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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); 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

    Health Videos …

eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

27th April 2013, Saturday

Vitamin D and prevention of colds

Data from a US survey population has shown a relationship between higher serum levels of 25-hydroxyvitamin D and fewer reported respiratory infections.

However, in the largest randomized trial evaluating whether vitamin D supplementation can prevent upper respiratory infections, there was no difference in the incidence of colds over 18 months comparing groups who received monthly vitamin D3 injections or placebo; 25-OH vitamin D levels were 48 and 25 ng/mL for intervention and control groups respectively during the course of the trial

(JAMA 2012; 308:1333)

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

White rice linked to diabetes in Asians

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2013

Heart Care Foundation of India and World Fellowship of Religions in association with Ministry of Earth Sciences Govt. of India and Delhi Public School Mathura Road observed World Earth Day 2013.

Dr K K Aggarwal
    National News

Gujarat scientists set to decode Indian genes

AHMEDABAD: Ten years ago, the prestigious Human Genome Project (HGP) was completed giving scientists a first glimpse of the massive instruction book that orchestrates all the complexities of human biology. Of the 200 people pooled for the project, however, not one was from India as our country did not participate in the project. This is set to change. Gujarat-based Sardar Patel University (SPU) has undertaken what can be colloquially called a 'swadeshi' study to unravel the genome specific to Indians, reports TOI. Since India is in itself a diverse country, the project will study the genes of three Indians — one each from North India, South Indian and the North-East.

Vice-chancellor of SPU Dr Harish Padh said the study 'Analysis of Indian genome' has been funded by the Gujarat State Biotechnology Mission. "North Indians have many Caucasian characteristics since they belong to Aryan descent, South Indians belong to Dravidian descent while north-east people are of Mongoloid descent. Three Indians from these regions will be anonymously selected and their genome will be documented," said Dr Padh. Padh said this will be the first dedicated complete genetic study specific to Indians. A majority of the diseases, including cancer, high blood pressure, diabetes and cardiac illnesses which are exploding in India, have genetic origins. "The project involved analysis of DNA sequence to understand normal functioning of the human body and changes in sequence which leads to diseases. There are many known genetic variations which cause diseases but we are looking forward to finding certain newer mutations and variants. The complete genetic study will open a guidebook for prevention and better treatment of diseases," said Padh. He said that while most of the diagnostic and drug therapies are developed using Caucasian and European genetic bench-marks, the Indian genome would help develop specific diagnostic tests and drug therapies for Indians.

The project will be undertaken by a four-member team headed by Dr Padh and is expected to be completed in six months. (Source: TOI, Apr 23, 2013)

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, every Thursday 4:30 PM in DD India

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)


Trafficking types

  1. Forced or bonded labour including domestic work
  2. Prostitution and sex tourism
  3. Drug trafficking
  4. Forced employment in entertainment industries
  5. Entertainment (camel jockeying)
  6. Begging
  7. Organ trade viz. sale of kidneys
  8. Purchase and sale of babies for adoption
  9. Pornography
  10. Fraudulent or forced marriage

For comments and archives

    Valvular Heart Disease Update

Valvular sclerosis in end stage renal disease is associated with progressive stenosis and increased cardiovascular mortality.

(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)

Heart vulnerable to state of mind

Easily distressed individuals may be at higher risk of heart disease, a Danish population-based study showed (European Association for Cardiovascular Prevention and Rehabilitation's EuroPRevent meeting). (Source: Medpage Today)

Papillary thyroid cancer can recur, kill, decades later

Although survival following papillary thyroid cancer (PTC) is high, a small but significant number of recurrences and deaths occur decades after diagnosis, a long-term study has found. (Source: Medscape)

Exercise no heart help for laborers

Exercising may not be so heart-healthy for individuals with a physically-demanding job, researchers found. (Source: Medpage Today)

Factors affecting radiofrequency heat lesion size

Researchers have determined measures related to cannulas and generator settings that should be used in radiofrequency (RF) heat ablation in patients with chronic pain. (Source: Medscape)

New AACE algorithm addresses all aspects of type 2 diabetes

A new type 2 diabetes treatment algorithm from the American Association of Clinical Endocrinologists (AACE) is the first to incorporate obesity, prediabetes, and cardiovascular risk factor management. The AACE Comprehensive Diabetes Management Algorithm 2013 is published online April 22 and in the March/April issue of Endocrine Practice. The full document comprises 7 separate color-coded graphics addressing these aspects of diabetes and prediabetes management: (Source: Medscape)

  1. Complications-centric model for care of the overweight/obese patient.
  2. Prediabetes algorithm.
  3. Goals of glycemic control.
  4. Glycemic-control algorithm.
  5. Algorithm for adding/intensifying insulin.
  6. Cardiovascular disease (CVD) risk factor modifications algorithm.
  7. Profiles of antidiabetes medications.
  Twitter of the Day

@DrKKAggarwal: Protect our Mother Earth Heart Care Foundation of India and World Fellowship of Religions in association (cont) http://tl.gd/n_1rjtshg

@DeepakChopra: Why am I always searching for something else in my life? When is enough enough? My #askdeepak reply http://tinyurl.com/c86r8a8

    Spiritual Update

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

Why do we prostrate before parents and elders?

Most of us are taught to prostrate before our parents, elders, teachers and noble souls by touching their feet. The elders in turn give us their blessings by placing their hand on or over our heads.

For comments and archives

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

How will my doctor diagnose hydrosalpinx?

There are three ways that your doctor can check if you have hydrosalpinx.

  • X–ray procedure: The doctor will inject a special liquid into your uterus and then take an x–ray (called a hysterosalpingogram or HSG) to see where the liquid goes. If your fallopian tubes are open, the liquid will flow out of the ends of the tube. If the tubes are blocked, the liquid will be trapped and your doctor will be able to tell that you have a hydrosalpinx.
  • Surgery: Your doctor will make a small opening in your belly and insert a special telescope or laparoscope. During this surgery, the doctor can look at your fallopian tubes to see if they are blocked. Usually the doctor inserts a dye through the vagina into the uterus and fallopian tubes to confirm that the dye passes through the ends of the tubes.
  • Ultrasound: Your doctor may do an ultrasound to look at your fallopian tubes.
    Tat Tvam Asi………and the Life Continues……

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

What about Rh – positive and Rh – negative?

A patient with Rh–negative blood cannot be given Rh–positive blood as the antigen-antibody reactions will result in severe consequences.

In Rh negative women with their husbands being Rh–positive, the first child with Rh–positive may be normal. Subsequently she may not conceive or may have repeated abortions. There may be intra uterine fetal death. If the child born is alive, it will suffer from a fatal disease called "erythroblastosis fetalis." Now mothers can be given an injection of anti–D within 24 hours of the delivery of an Rh–positive child and thus protect the next baby from this catastrophe.

For comments and archives

    An Inspirational Story

That little girl

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

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

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

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

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

Soon the homeless families started to walk in and a little girl, around 5 years old, walked up and pointed to the food I was handing out.

I handed her the cold sandwich, wrapped in the sticky plastic, she nodded in a form of saying thanks, and then walked to join her family at the large table.

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

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

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

For comments and archives

  Cardiology eMedinewS

CV screening does not prevent disease over long term Read More

  Pediatric eMedinewS

Meningitis in kids may mean troubled future 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)

How is RIG life saving?

Administration of anti-rabies vaccine stimulates production of neutralizing antibodies by the patient’s immune system. Protective levels of antibodies (more than 0.5 IU/ml of serum) are seen 7 to 14 days after the initial dose of vaccine (window period). Moreover when the bites are on the head, neck, face & hands, the incubation period will be shorter.

Thus the patients are vulnerable to develop rabies during this window period of 7 to 14 days. RIGs are readymade anti-rabies antibodies and provide passive immunity to rabies.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with positive malaria came with severe thrombocytopenia.
Dr Bad: This is classical malaria.
Dr Good: Also look for dengue.
Lesson: Malaria and dengue may co exist in the same patient.

Make Sure

Situation: A patient of pulmonary Koch’s on ATT complains of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure that in patients talking ATT (including INH) B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

  Quote of the Day (Dr GM Singh)

Practice hope. As hopefulness becomes a habit, you can achieve a permanently happy spirit.

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

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    Mind Teaser

Read this…………………

When a female client with an indwelling urinary (Foley) catheter insists on walking to the hospital lobby to visit with family members, Nurse Rose teaches how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information?

a. The client sets the drainage bag on the floor while sitting down.
b. The client keeps the drainage bag below the bladder at all times.
c. The client clamps the catheter drainage tubing while visiting with the family.
d. The client loops the drainage tubing below its point of entry into the drainage bag.

Yesterday’s Mind Teaser: The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?

a. A low-riding prostate
b. The presence of a boggy mass
c. Absent sphincter tone
d. A positive Hemoccult

Answer for Yesterday’s Mind Teaser: b. The presence of a boggy mass

Correct answers received from: Dr Santha Kumari, Dr BB Gupta, Rajeev Ardey, Anil Bairaria, Muthumperumal Thirumalpillai, Dr KV Sarma, Dr Pankaj Agarwal, Dr Ayyavoo ERODE, Dr Jella, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Valluri Ramarao, Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Dr B K Agarwal, Vineeta Pande.

Answer for 25th March Mind Teaser: d. Maintaining a consistent, structured environment

Correct answers received from: Dr Avtar Krishan, Dr BK Agarwal, Vineeta Pande.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

A man goes into a drug store and asks the pharmacist if he can give him something for the hiccups.

The pharmacist promptly reaches out and slaps the man's face.

"What the heck did you do that for!?!" the man screams.

"Well, you don't have the hiccups anymore do you?"

The man says, "No I don't, you IDIOT...
But my wife out in the car still does!"

    Medicolegal Update

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

What is minimally conscious state?

Minimally conscious state is distinguished from vegetative state by the partial preservation of conscious awareness.

  • Some patients with severe alteration in consciousness have neurological findings that do not meet criteria for vegetative state (VS).
  • These patients demonstrate some behavioral evidence of conscious awareness but remain unable to reproduce this behavior consistently the condition referred here as the minimally conscious state (MCS).
  • To make the diagnosis of MCS, limited but clearly discernible evidence of self or environmental awareness must be demonstrated on a reproducible or sustained basis by one or more of behaviors like verbal yes/no responses regardless of accuracy, purposeful behavior, including movements or emotional behaviors that occur in relation to relevant environmental stimuli and are not due to reflexive activity.
  • Some examples of qualifying purposeful behavior include: appropriate smiling or crying in response to the emotional but not to neutral topics, vocalizations or gestures that occur in direct response to the linguistic content, reaching for objects.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

CT not required in appendicitis

When a patient has all the signs of acute appendicitis, waiting to get a CT scan to confirm the diagnosis is not required, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India.

Compared with a straight-to-surgery approach, the CT strategy is linked to delayed surgery and increased risk of a burst appendix.

Pre-operative CT is not necessary in cases with straightforward signs and symptoms of appendicitis. If, after a thorough physical examination, the diagnosis is still in question, then patients should be scanned. These patients tend to be older, female and have symptoms that are not typical for acute appendicitis.

    Readers Response
  1. Sir, it’s really good. I read all your mails. Om Prakash Jha
    Forthcoming Events
Dr K K Aggarwal

10th National Summit on Stress Management and
Workshop on How to be Happy and Healthy


Saturday 27th April 2013

2.00pm – 4.00pm                                      : Registration
4.00pm – 4.30pm                                      : TEA
4.30pm – 5.30pm                                      : Session by Dr. K.K.Aggarwal
5.30pm–6.30pm                                        : Inauguration
6.30pm–8.00pm                                        : Brahma Kumaris
8.00pm – 8.30pm                                      : DINNER
8.30pm – 10.00pm                                    : Session by Dr. K K Aggarwal

28th April 2013

7.00am–8.30am                                      : Meditation Session
8.30am–9.00am                                      : BREAKFAST
9.00am–11.00am                                    : Session by Dr. K.K.Aggarwal
11.00am–11.30am                                   : TEA BREAK
11.30am–1.00pm                                    : Brahma Kumaris
1.00pm–1.30pm                                     : Prasad and Blessings
1.30pm–2.00pm                                  : LUNCH Farewell for a New Beginning

Dr K K Aggarwal
    eMedinewS Special

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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