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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

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eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

2ndMarch 2013, Saturday

Mathematics of weight loss

  • To lose one pound by exercising, you need to burn approximately 3,500 calories. (2.2 pound is one kg).
  • This can be done by exercising and cutting calories.
  • Walking or jogging uses roughly 100 calories per mile.
  • One would lose a pound for every 35 miles of walk (provided food intake and other activities are constant.)
  • Walking briskly (4 miles per hour) for 30 minutes on five days a week will be equal to walking 10 miles a week. So it would take 3 ½ weeks to lose one pound (provided the number of calories stays the same.
  • Cutting back by 250 calories a day (½ cup of ice cream or two sugar-sweetened sodas) will lead to a loss of a pound in two weeks.
  • By eating 250 fewer calories and walking for 30 minutes a day, it would take a week to lose one pound. (Harvard Newsletter)

Dr K K Aggarwal is Padma Shri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA (blog.kkaggarwal.com)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

How is constipation treated?

Stool softeners, suppositories (glycerin or bisacodyl), and enemas, although widely used, have limited clinical efficacy. Glycerin or bisacodyl suppositories can be used in institutionalized older adults with dyssynergic defecation to help with rectal evacuation.

For comments and archives

Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Lifestyle change can reduce aging

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Multi-specialty camp in East Delhi

A multispecialty camp was organized by Heart Care Foundation of India in association with East Delhi Walkers’ Association on 17th February 2013.

Dr K K Aggarwal
    National News

Union Budget 2013: Urban, rural health missions fused, to get shot in the arm

NEW DELHI: National Urban Health Mission (NUHM), UPA's ambitious plan focusing on primary healthcare for the urban poor, has been merged with the National Rural Health Mission (NRHM) and no specific allocation has been made in the Budget for the urban health initiative. The Budget has allocated Rs 21,239 crore, an increase of 24.3% over the revised estimates, under the National Health Mission that will cover both NRHM and NUHM. The overall allocation to the health sector went up to Rs 37,330 crore from Rs 30,702 crore in the current fiscal. The six AIIMS-like institutes, which are expected to be fully functional in 2013-14, have been granted Rs 1,650 crore while Rs 4,727 crore has been allocated for medical education, training and research. The National Programme for the Healthcare of Elderly, implemented in 100 districts of 21 states, got Rs 150 crore. The Ayurveda, Unani, Siddha and Homeopathy (AYUSH) division got a major boost with Rs 1,069 crore. Professor K Srinath Reddy, president, Public Health Foundation of India, said the allocation to health sector was below expectation. (Source: TOI, Mar 1, 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)


Victims who present within 72 hours of the incident needs urgent evaluation as they may have genital or anal injuries

For comments and archives

    Valvular Heart Disease Update

Symptomatic severe chronic MR

  • EF =30, LVESD =55 mm
  • Primary, NYHA III–IV, severe LVD (EF < 30, LVESD > 55 mm)

(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)

Allergies tied to antibiotic resistance

Allergies to penicillin and other antibiotics were significantly higher among hospital patients with drug-resistant infections, researchers reported the American Academy of Allergy, Asthma, and Immunology meeting. (Source: Medpage Today)

Set AAA screen frequency by size?

Small abdominal aortic aneurysms (AAAs) can remain quiescent for years, indicating that longer surveillance intervals would be clinically acceptable, researchers suggested. (Source: Medpage Today)

Self-help books, web sites first-line depression treatment?

Low-intensity interventions, including self-help books, interactive Web sites, and limited professional support, may help patients with severe depression, especially if offered as part of a stepped care model, new research suggests. (Source: Medscape)

Influenza vaccine efficacy significantly lower in elderly

This year's influenza vaccine prevented just more than half of medical visits for the flu but was significantly less effective against influenza A among the elderly, according to new data from the Centers for Disease Control and Prevention (CDC). The findings were posted in the February 22 issue of the CDC's Morbidity and Mortality Weekly Report. (Source: Medscape)

AAN points to 5 questionable practices in neurology

A new list from the American Academy of Neurology (AAN) calls into question 5 clinical practices judged to be of little or no benefit for patients. Part of the "Choosing Wisely" campaign across specialties by the American Board of Internal Medicine (ABIM), the list is meant to target tests, procedures, or treatments that may be unnecessary or even harmful, particularly in asymptomatic patients. The list is published online February 21 in Neurology. (Source: Medscape)

  Twitter of the Day

@DrKKAggarwal: Higher risks for patients with secondary AF...http://fb.me/1pPStUcWg

@DeepakChopra: Nature is a balance of evolution and destruction. I discuss the paradox of existence in this week's Rabbit Hole http://tinyurl.com/aokesqy

    Spiritual Update

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

What are Satvik offerings in Vedic literature?

1. Food Offerings: Panchashasha (grains of five types – brown rice, mung or whole green gram, til or sesame, mashkalai (white urad dal) or any variety of whole black leguminous seed, jowar or millet)

For comments and archives

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

If I have hydrosalpinx, can I have a baby?

If your fallopian tubes are completely blocked, an egg cannot travel through them to your womb. You will need to be treated by a doctor before you can get pregnant. If there is too much damage to the tubes, an egg might not be able to travel through them even if they are opened. You will need treatments that do not involve the tubes to help you get pregnant. One of these treatments is called vitro fertilization (IVF). In this procedure, your egg and the man’s sperm are joined (fertilized) in the laboratory. Then the doctor places the fertilized eggs (embryos) into your womb.

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

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

Blood Donation – Gift of Liquid Love

Blood is the lifeline for any hospital. In India we need about 9 million units of blood every year. But unfortunately only about 7 million units are collected every year. Thus there is a shortage of more than 25–30%. The gap between the demand and supply is increasing. Therefore, lakhs and lakhs of patients suffer due to non–availability of proper blood at proper time.

For comments and archives

    An Inspirational Story

The Blind Boy!

A blind boy sat on the steps of a building with a hat by his feet. He held up a sign which said: “I am blind, please help.” There were only a few coins in the hat.

A man was walking by. He took a few coins from his pocket and dropped them into the hat. He then took the sign, turned it around, and wrote some words. He put the sign back so that everyone who walked by would see the new words.

Soon the hat began to fill up. A lot more people were giving money to the blind boy. That afternoon the man who had changed the sign came to see how things were. The boy recognized his footsteps and asked, “Were you the one who changed my sign this morning? What did you write?”

The man said, “I only wrote the truth. I said what you said but in a different way.” What he had written was: “Today is a beautiful day and I cannot see it.” Do you think the first sign and the second sign were saying the same thing?

Of course both signs told people the boy was blind. But the first sign simply said the boy was blind. The second sign told people they were so lucky that they were not blind. Should we be surprised that the second sign was more effective?

Moral of the story: Be thankful for what you have. Be creative. Be innovative. Think differently and positively.

Invite others towards good with wisdom. Live life with no excuse and love with no regrets. When life gives you a 100 reasons to cry, show life that you have 1000 reasons to smile. Face your past without regret. Handle your present with confidence. Prepare for the future without fear. Keep the faith and drop the fear.

Great men say, “Life has to be an incessant process of repair and reconstruction, of discarding evil and developing goodness…. In the journey of life, if you want to travel without fear, you must have the ticket of a good conscience.”

The most beautiful thing is to see a person smiling… And even more beautiful is knowing that you are the reason behind it!!!

For comments and archives

  Cardiology eMedinewS

Spironolactone disappoints in preserved-EF HF: Aldo-DHF in print
Read More

Nicotine vaccine promising for smoking cessation Read More

  Pediatric eMedinewS

Nitric oxide measure lower in younger kids Read More

Sublingual therapy shows promise in kids with peanut allergy 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 came with first–onset atrial fibrillation.
Dr Bad: Get an Echo done.
Dr Good: Also get T3, T4 and TSH done.
Lesson: Subclinical hyperthyroidism is also associated with an increased risk of atrial fibrillation (N Engl J Med 1994; 331:1249).

Make Sure

Situation: A patient after receiving 40 units of insulin developed severe hypoglycemia.
Reaction: Oh my God! The order was for 4 units.
Lesson: Make sure that 4 unit is not written as 4.0 units.

  Quote of the Day (Dr GM Singh)

We give up leisure in order that we may have leisure, just as we go to war in order that we may have peace. Aristotle

    Mind Teaser

Read this…………………

The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, and right-sided facial pain. The patient describes the pain as fleeting, electric-like, and triggered by light touch and brushing of the teeth. The pain management nurse suspects:

a. Facet syndrome.
b. Myofascial pain syndrome.
c. Temporomandibular disorder.
d. Trigeminal neuralgia.

Yesterday’s Mind Teaser: The pain management nurse notices a male patient grimacing as he moves from the bed to a chair. The patient tells the nurse that he is not experiencing any pain. The nurse's response is to:

a. Clarify the patient's report by reviewing the patient's nonverbal behavior.
b. Confronting the patient's denial of pain.
c. Obtaining an order for pain medication.
d. Supporting the patient's stoic behavior.

Answer for Yesterday’s Mind Teaser: Clarify the patient's report by reviewing the patient's nonverbal behavior.

Correct answers received from: Dr KV Sarma, Dr Jayashree Sen & Dr Bitaan Sen, Dr PC Das, Dr Shashi Saini, Dr (Maj. Gen.) Anil Bairaria, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Muthumperumal Thirumalpillai.

Answer for 28th February Mind Teaser: a. Develop psycho-physiologic self-regulation.

Correct answers received from: Dr Kanta jain, Dr Jella, Tukaram Pagad.

Send your answer to ijcp12@gmail.com

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

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    Laugh a While (Dr GM Singh)

Eating chocolate

Chocolate is derived from cocoa beans. Bean = vegetable. Sugar is derived from either sugar CANE or sugar BEETS. Both are plants, which places them in the vegetable category. Thus, chocolate is a vegetable.

The problem: How to get 2 pounds of chocolate home from the store in a hot car. The solution: Eat it in the parking lot.

Diet tip: Eat a chocolate bar before each meal. It'll take the edge off your appetite, and you'll eat less.

Put "eat chocolate" at the top of your list of things to do today. That way, at least you'll get one thing done.

If not for chocolate, there would be no need for control top pantyhose. An entire garment industry would be devastated. You can't let that happen, can you?

    Medicolegal Update

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

What is the Dr Hawley Harvey Crippen murder case?

The most notorious and famous murder case in British history

Hawley Harvey Crippen was hanged to death in London in one of the most notorious and famous murder cases in British history for the murder of his wife Cora Henrietta Crippen, on November 23, 1910 on the basis of forensic evidence. For nearly a century, Crippen, a doctor, was thought to have poisoned his wife with an obscure toxin, and buried. He was labeled "one of the most dangerous and remarkable men who have lived in this century." Researchers have now cast doubts on this conviction. Now forensic science at Michigan State University is producing evidence that his execution was a mistake. David Foran, a forensic expert and director of MSU’s forensic science program, partnering with clinical and forensic toxicologist John Harris Trestrail the managing director of the regional poison center in Grand Rapids, is combining state–of–the–art DNA analysis with solid sleuthing to show the remains buried in Crippen’s basement couldn’t have been his wife.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Mobile phones can spread infections in the hospital

Mobile phones used by hospital healthcare workers are often contaminated with germs, including those that can cause illness in hospitalized patients, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

In a study published in the BMC journal Annals of Clinical Microbiology and Antimicrobials, Turkish researchers swabbed the dominant hand and the mobile phones of 200 doctors, nurses and other healthcare staff working in intensive care units and operating rooms and found that 95 percent of telephones were contaminated, often with more than one type of microbe and often with antibiotic-resistant bacteria.

Potentially serious infectious bugs such as staphylococci were isolated from phones in intensive care units.

Ninety percent of health care workers said they never cleaned their mobile phones. The investigators recommend routine decontamination of mobile phones with alcohol-containing disinfectants.

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 30027 people since 1st November 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 Response
  1. Sir, I read your editorial with great interest. In my view, every patient with advanced osteoarthritis who is incapacitated should be encouraged to undergo the procedure, as per the criteria you have laid out.

    This is based on my own experience recently as my mother underwent the operation and gained from it immensely. Regards, Dr Anil Arora
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