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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 (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
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  Editorial …

27th May 2013, Monday

Vaccination for elderly

The best gift to your grandparents is to get them vaccinated if they have not been vaccinated earlier.

  • Annual influenza or flu vaccine is recommended for all persons aged 6 months and older.
  • Pneumonia vaccine should be given to all adults aged 65 years and older.
  • Tetanus Toxoid should be given to all irrespective of age after every 10 years.
  • A single dose of herpes zoster vaccine is recommended for adults aged 60 years and older regardless whether they have had a previous episode of herpes zoster. The vaccination begins at 60 years of age.
  • Hepatitis B vaccine should be given to all if they have not been vaccinated earlier.
  • All diabetics aged 60 years or older should be vaccinated for hepatitis B. This recommendation is based on increased need for associated blood glucose monitoring in long term care facilities.
  • All patients with chronic liver diseases should also be given the Hepatitis B vaccine.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

Monitoring LFT in a patient on statins

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

Centre cuts AIDS fund by 65%

Chennai: Battling HIV has just gotten tougher for the states. After a delay of nearly a year, the Cabinet committee, on Friday, gave its nod for implementing phase IV of the National AIDS Programme with a financial sanction of 2550 crores, reports the TOI. This is a mere 35% of the funding it gave in the last three phases of the National Aids Control Project.

Health officials have been instructed to expect sizeable cutbacks in their programmes. "Our staff across the state will be cut down by half," said an official. "We also expect some reduction in salaries," he said. Moreover, National AIDS Control Organisation (NACO) has mandated that NGOs may now only conduct awareness programmes, rather than assist the government in providing support and care. "Nutritional support has reduced and the Centre has suggested we rely on existing state welfare schemes to help patients," said the official. So far, funding for this project came from USAID, Bill Gates Foundation and the World Bank. When the Phase III ended last year, the Centre had to dip into its coffers for Phase IV in May 2011. During this transition phase, no funds were forthcoming and many centres struggled for months. It is only now that the Centre has approved the sum, but with a huge cutback. Social workers worry that unless enough funds are pumped in, it will be hard to maintain status quo. "Now that NGOs have been asked to do only awareness programmes, the follow-up procedure for Anti-Retroviral Therapy patients will be inadequate," said P Kousalya of South India Positive People's Network. "A lot of HIV-related work involves home visits where they persuade the patient to come in for treatment. Since the government does not have such widespread infrastructure, NGOs do it in many places. Now this will be curtailed." (Source: TOI, May 25, 2013)

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

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

    Valvular Heart Disease Update

Patients with mild carditis (mild mitral regurgitation or healed carditis) should receive secondary prophylaxis for rheumatic fever for 10 years after the last attack, or at least until 25 years of age (whichever is longer). Patients with more severe valvular damage (causing heart failure) or after valve surgery should receive lifelong secondary prophylaxis.

(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)

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Screening for risk of child abuse and neglect. A practicable method?

Selective primary prevention programs for child abuse and neglect depend on risk screening instruments that have the goal of systematically identifying families who can profit most from early help. Based on a systematic review of longitudinal studies, a set of established risk factors for early child abuse and neglect is presented. Nearly half of the items included in screening instruments can be seen as validated. Available studies indicate a high sensitivity of risk screening instruments. Positive predictive values, however, are low. Overall, the use of risk screening instruments in the area of primary prevention for families at risk represents a feasible method, as long as stigmatizing effects can be avoided and participating families also benefit beyond preventing endangerment.

(Source: Kindler H. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010 Oct;53(10):1073-9).

    International News

(Contributed by Dr Monica and Brahm Vasudev)

GRADE trial to compare top diabetes drugs

Researchers are launching a large-scale comparative effectiveness trial that will help determine which of the top type 2 diabetes drugs are best for glycemic control. The aim of the GRADE trial (Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study) is to help clinicians make the best clinical decisions when it comes to choosing from the "considerable armamentarium of glucose-lowering medications." (Source: Medpage Today)

First-in-class insomnia drug gets nod from FDA committee

A first-in-class insomnia drug (suvorexant; Merck Sharp & Dohme Corp.) has moved a step closer to market after day-long discussions by the US Food and Drug Administration's (FDA's) Peripheral and Central Nervous Systems Drugs Advisory Committee. (Source: Medscape)

Vitamin C no help in gout

Vitamin C supplements didn't lower uric acid levels in patients with gout when given either alone or in combination with allopurinol, an open-label pilot study showed. (Source: Medpage Today)

TODAY study sounds alarm bell for youth with type 2 diabetes

Some youths with type 2 diabetes have a more aggressive form of the disease than is seen adults, with a high risk for complications such as early renal and cardiovascular disease, according to a number of new reports from the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study, which together form a special section of the June issue of Diabetes Care. (Source: Medscape)

Blood velocity predicts brain disease

The velocity of blood through the aortic arch is an independent predictor of cerebral microvascular disease, researchers reported. (Source: Medpage Today)

  Twitter of the Day

@DrKKAggarwal: How to make bones strong http://blog.kkaggarwal.com/2013/05/how-to-make-bones-strong/ …

@DrKKAggarwal: There is no scientific evidence that supports the existence of a material world #CosmicConsciousness #God #Science #Atheism

    Spiritual Update

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

Have Depression, Encourage Others

Student says: I am very discouraged. What should I do?

Guru says, “Encourage others”

The above is a classical Buddhist teaching and the same principles are used today in counseling and allopathic psychiatry. Whatever you want in life, give it to other. The more you give, the more you will receive. You will only get respect in life if you learn to give respect.

For comments and archives

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

Which surgery is recommended for infertility?

Laparoscopic treatment of minimal and mild endometriosis has been associated with a small but significant improvement in pregnancy rates. In a study, 29% of women who had their endometriosis treated conceived over nine months, in contrast to only 17% of women whose endometriosis was diagnosed, but not treated during laparoscopy. Treatment of moderate and severe endometriosis by laparoscopy and/or laparotomy increases pregnancy rates for women in whom no other causes of infertility have been found.

    An Inspirational Story

The six most important words are “I admit I made a mistake”
The five most important words are “You did a good job”
The four most important words are “What is your opinion”
The three most important words are “If you please”
The two most important words are “Thank you”
The least important word is “I”

For comments and archives

  Cardiology eMedinewS

Hatha yoga reduces blood pressure in mildly hypertensive patients
Read More

  Pediatric eMedinewS

Pertussis vaccines: Whole-cell more durable than acellular 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)

What does humanizing your dog means?

  • Talking to your dog like he/she is a person.
  • Treating your dog like he/she is a person.
  • Allowing dogs to do what they want because it will hurt their “feelings.”
  • Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with migraine and palpitations came for treatment.
Dr. Bad: No drug is needed.
Dr. Good: Take verapamil.
Lesson: Verapamil is frequently used as a first choice for preventive migraine therapy because it is easy to use and has fewer side effects.

Make Sure

Situation: A patient developed fainting attack after sublingual nitrate.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with LVOT obstruction are not given sublingual nitrates.

  Quote of the Day (Dr GM Singh)

Most of the shadows of life are caused by standing in our own sunshine. Ralph Waldo Emerson

    Mind Teaser

Read this…………………

A male client is scheduled for a renal clearance test. Nurse Maureen should explain that this test is done to assess the kidneys’ ability to remove a substance from the plasma in:

a. 1 minute
b. 30 minutes
c. 1 hour
d. 24 hours

Yesterday’s Mind Teaser: Nurse Lea is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

a. Rashes on the palms of the hands and soles of the feet
b. Cauliflower-like warts on the penis
c. Painful red papules on the shaft of the penis
d. Foul-smelling discharge from the penis

Answer for yesterday’s Mind Teaser: d. Foul-smelling discharge from the penis

Correct answers received from: Tukaram Pagad, DR P K SAHU,Dr.B.R.Bhatnagar, Dr(Brig) C H Gidvani,Dr Raj Kapoor,Dr. B.B. Gupta, daivadheenam, Dr Pankaj Agarwal, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr gajveer,Dr. Thakor Hitendrsinh G,Dr Kanta jainDr  Chandresh  jardosh,

Answer for 25th May Mind Teaser: a. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.

Correct answers received from: Dr. P. C. Das & Dr. Mrs. S. Das

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Law of Bag/Box Occupancy

All bags and boxes in a given room must contain a cat within the earliest possible nanosecond.

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    Medicolegal Update

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

Can medical interventions be stopped?

Every medical intervention, including artificial nutrition and hydration, may be terminated at the patient’s request. Specific legal cases have sanctioned the withholding or withdrawal of respirators, chemotherapy, blood transfusions, hemodialysis and major surgical operations. In Cruzan, the United States Supreme Court definitively stated that artificial nutrition and hydration are medical interventions that can be withheld or withdrawn under the guidelines that apply to other medical treatments (Cruzan v. Director of Missouri Department of Health, 110 S. Ct. 2841 (1990))

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Natural Fast Food is Good for Health

Natural fast food is good for health, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

Natural fast food consists of eating fruits, vegetables, milk products, sprouts and sattu. On the contrary, unnatural fast food, also called as junk food, is bad for the heart’s health as it consists of items like refined ‘bad’ carbohydrates and either animal ‘bad’ fat or trans fats.

Dr. Aggarwal further said that Sattu is a grounded roasted powder of soaked pulses and cereals. It is consumed along with fruit slices, gur or milk. Green chili, lemon juice and salt can be added to add flavor.

The commonest form of sattu is grounded roasted black gram or chana. Other common variety is grounded roasted black gram with barley.

Originally, sattu was made of seven Anaja (7 cereals, millets and pulses). The seven ingredients are maize and barley (cereals), black gram, pigeon gram or Arhar, green pea, khesari daal and kulath daal (pulses).

Sattu is a high fiber diet with low sugar producing properties. It is a cooling and refreshing fast food with anti diabetic and anti-obesity properties.

It is a full breakfast, mid day or lunch meal and has minerals and vitamins.

Sattu drink can be sweetened by adding gur or honey, sour by adding lemon and salted by adding black or rock salt. Roasting is one of the best forms of cooking. Sattu is both a fast food and a summer fast soft drink but healthy.

The so-called energy drinks available in the market are harmful as they contain three times the caffeine content of coffee or tea.

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 50457 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, 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 Response
  1. Dear Sir, We read emedinews daily. It is very informative. Regards: Dr Shipra
    Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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