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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 …

17th March, 2011,Thursday                                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

FAQs: Japan nuclear concerns

The present radiation catastrophe in Japan has opened a new fear amongst the general public about a possible radiation injury. However, a clarification from the World Health Organization shows that the health risk from Japan quake hit nuclear power reactors seems fairly low. The general public may not be exposed to radiation more than that equivalent to one CT scan. It is true that more than 10000 people might have died but these deaths are due to Tsunami and not due to radiation injury. On an international scale, the catastrophe is to the scale of 4 and in the past many such incidences have occurred with a scale of 5–7 with practically no radiation injury to the general public.

Radiation near a quake–hit nuclear plant reached levels harmful to human health, Japan’s government said after two explosions and a fire at the crippled facility Tuesday. Four of the six reactors at the Fukushima No.1 plant, 250 kms (155 miles) northeast of Tokyo, have now overheated and sparked explosions since Friday’s massive earthquake and tsunami knocked out cooling systems.

What is the current risk of radiation–related health problems in Japan to those near the reactor at the time, and those in other parts of Japan?

In Japan, the government is asking people living within 20 km of the Fukushima Daiichi nuclear power plant to evacuate and those between 20km and 30km away from the plant are asked to stay indoors in unventilated rooms. People living farther away are at lower risk than those who live nearby. This assessment can change if there are further incidents at these plants and WHO is following the situation closely. However, radiation–related health consequences will depend on exposure. Exposure in turn is dependant on the amount of radiation released from the reactor, weather conditions such as wind and rain at the time of the explosion, the distance someone is from the plant, and the amount of time someone is in irradiated areas.

What is ionizing radiation?

When certain atoms disintegrate, either naturally or in man made situations, they release a type of energy called ionizing radiation (IR). This energy can travel as either electromagnetic waves (gamma or X–rays) or as particles (neutrons, beta or alpha). The atoms that emit radiation are called radionuclides. The time required for the energy released by a radionuclide to decrease by half (i.e., the "half–life") range from tiny fractions of a second to millions of years depending on the type of atoms.

Are people normally exposed to ionizing radiation?

Human beings are exposed to natural radiation on a daily basis. The radiation comes from space (cosmic rays) as well as natural radioactive materials found in the soil, water and air. Radon gas is a naturally formed gas that is the main natural source of radiation.

People can also be exposed to radiation from human–made sources. Today, the most common man made source of ionizing radiation are certain medical devices such as X–ray machines.

The radiation dose can be expressed in units of Sievert (Sv). On average, a person is exposed to approximately 3.0 mSv/year of which, 80% (2.4 mSv) is due to naturally–occurring sources (i.e., background radiation), 19.6% (almost 0.6 mSv) is due to the medical use of radiation and the remaining 0.4% (around 0.01 mSv) is due to other sources of human–made radiation.

In some parts of the world, levels of exposure to natural radiation differ due to differences in the local geology. People in some areas can be exposed to more than 200 times the global average.

How are people exposed to ionizing radiation?

Ionizing radiation may result from sources outside or inside of the body (i.e. external irradiation or internal contamination). Internal contamination may result from breathing in or swallowing radioactive material or through contamination of wounds. External contamination is produced when a person is exposed to external sources such as X–rays or when radioactive material (e.g. dust, liquid, aerosols) becomes attached to skin or clothes. This type of contamination can often be washed off the body.

What type of radiation exposure could occur in a nuclear power plant accident?

If a nuclear power plant does not function properly, radioactivity may be released into the surrounding area by a mixture of products generated inside the reactor ("nuclear fission products"). The main radionuclides representing health risk are radioactive caesium and radioactive iodine. Members of the public may be exposed directly to such radionuclides in the suspended air or if food and drink are contaminated by such materials. Rescuers, first responders and nuclear power plant (NPP) workers may be exposed to higher radiation doses due to their professional activities and direct exposure to radioactive materials inside the power plant.

What are the acute health effects of radiation exposure?

If the dose of radiation exceeds a certain threshold level, then it can produce acute effects, such as redness of skin, hair loss, radiation burns, and acute radiation syndrome (ARS). In a nuclear power plant accident, the general population is not likely to be exposed to doses high enough to cause such effects. Rescuers, first responders and nuclear power plant workers are more likely to be exposed to doses of radiation high enough to cause acute effects.

What long–term effects can be expected from radiation exposure?

Exposure to radiation can increase the risk of cancer. Among the Japanese atomic bomb survivors, the risk of leukemia increased a few years after radiation exposure, whereas the risks of other cancers increased more than 10 years after the exposure. Radioactive iodine can be released during nuclear emergencies. If breathed in or swallowed, it will concentrate in the thyroid gland and increase the risk of thyroid cancer. Among persons exposed to radioactive iodine, the risk of thyroid cancer can be lowered by taking potassium iodide pills, which helps prevent the uptake of the radioactive iodine.

The risk of thyroid cancer following radiation exposure is higher in children and young adults Acute radiation syndrome (ARS) is a set of signs and symptoms that may develop after whole–body doses above 1 Sv (i.e. about 300 times the annual dose to background radiation). It is related to the damage of the bone marrow, where the blood cells are produced. At higher doses (>10 Sv) other organs may be affected (e.g. gastrointestinal, cardiovascular).

Which public health actions are most important to take? Health effects can only occur if someone is exposed to radiation, thus the main protective action someone can take is to prevent exposure. Those closest to the radiation are at greatest risk of exposure and the greater the distance away, the lower the risk. This is why when a nuclear accident occurs, the recommended public health actions involve evacuation and sheltering of those near the site. These necessary actions depend on the estimated exposure (i.e., the amount of radioactivity released in the atmosphere and the prevailing meteorological conditions such as wind and rain. The actions include steps such as evacuation of people within a certain distance of the plant, providing shelter to reduce exposure and providing iodine pills for people to take to reduce the risk of thyroid cancer).

If warranted, steps such as restricting the consumption of vegetables and dairy products produced in the vicinity of the power plant can also reduce exposure. Only competent authorities who have conducted a careful analysis of the emergency situation are in a position to recommend which of these public health measures should be taken.

How can I protect myself?

Keep you and your family informed by obtaining accurate and authoritative information (for example, information from authorities delivered by radio, TV or the Internet) and following your government’s instructions. The decision to stockpile or take potassium iodide tablets should be based on information provided by national health authorities who will be in the best position to determine if there is enough evidence to warrant these steps.

What are potassium iodide pills?

In the setting of a nuclear power plant accident, potassium iodide pills are given to saturate the thyroid gland and prevent the uptake of radioactive iodine. When given before or shortly after exposure, this step can reduce the risk of cancer in the long term.

Potassium iodide pills are not "radiation antidotes". They do not protect against external radiation, or against any other radioactive substances besides radioactive iodine. They may also cause medical complications for some individuals such as persons with poorly functioning kidney and therefore taking potassium iodide should be started only when there is a clear public health recommendation to take this step.

Can pregnant women take potassium iodide pills?

Pregnant women should take potassium iodide pills only when instructed by the competent authorities because the thyroid of a pregnant woman accumulates radioactive iodine at a higher rate than other adults and because the thyroid of the fetus is also blocked by giving potassium iodide pills to the mother.

What is WHO’s role in nuclear emergencies?

In accordance with its Constitution and the International Health Regulations, WHO is mandated to assess public health risks and provide technical consultation and assistance in association with public health events, including those associated with radiation events. In doing so, WHO is working with independent experts and other UN agencies.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
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  eMedinewS Audio PostCard

Pediatric Echo

Dr Savitri Srivastava
Speaks on ‘Misses in neonatal echo’

Audio PostCard
    Photo Feature

Nursing Leadership Program

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal in a Nursing leadership program organized by Moolchand Medcity on 16th March 2011.

Dr K K Aggarwal
    National News

Snake bites model’s bust and the snake dies of silicon poisoning

A snake attacked an Israeli model during a sexy photoshoot by biting into her surgically enhanced breast and later died from silicone poisoning.

25 paise coins to become history from June 30

The Reserve Bank of India will withdraw 25 paise coins and those of lower denomination from the market starting June 30. These coins will not be in circulation and can't be used as legal tender for payment.

In 2030, 20% more men than women

India will have 20% more men than women in the next two decades. A study by Dr Therese Hesketh from the UCL Centre for International Health and Development, London, and published in the Canadian Medical Association Journal the sex ratio at birth (SRB) – the number of boys born to every 100 girls – is consistent in human populations, where about 105 males are born to every 100 females. There are several states in the north and west such as Punjab, Delhi and Gujarat that have sex ratios as high as 125. In the south and east, several states – such as Kerala and Andhra Pradesh – have sex ratios of around 105. India is now reported to have an SRB of around 113, which is down from a peak of around 116. A large study in India showed that for second births with one preceding girl the SRB is 132, and for third births with two previous girls it is 139, while sex ratios where the previous child was a boy are normal. India has 34,012 registered ultra–sound clinics. 5–7 lakh girls a year or 2,000 girls go missing in India daily due to female foeticide. In families, where one girl child already exists, the chances of a second girl being born are as low as 54%. In a family with two female children, the chances of third girl being born is as low as 20%. (TOI).

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)

No evidence of dairy and chronic disease link

The popular press has recently reported on assumptions that regular consumption of milk or dairy products may increase risk of cardiovascular disease or death. However, new research has once again confirmed after systematically analyzing 17 studies that there is simply no evidence to substantiate these claims. The evidence, in fact, shows just the opposite—drinking milk slightly reduces the risk of coronary heart disease. In addition, multiple studies show that milk and dairy proteins (whey and casein) may actually protect the heart by helping to maintain lower blood pressure, lower blood sugar, and lead to reduced bodyweight.

The renowned, epidemiologic and nutrition researcher Walter Willet, Ph.D., and his group at Harvard, conducted this huge analysis by looking at various types of dairy intake, ranging from milk intake to total high–fat dairy products and total low–fat dairy products and correlating to risk of cardiovascular disease (CVD), coronary heart disease (CHD), stroke and all–cause mortality. This study was a meta–analysis of many prospective cohort studies in healthy men and women.

(Dr GM Singh)

Management of blood pressure

It is important to remember that lifestyle advice should be offered initially and then periodically to patients undergoing assessments or treatments for hypertension. The Blood Pressure Association has a range of information to support GPs and their patients, including booklets on healthy lifestyle and healthy eating, and recommends five tips that are a good starting point for all patients:

  • Cut down on salt: Eat no more than 6g of salt a day (a teaspoon). And that’s not just what you add at the table – around 70% of the salt in our diets has already been added to the food we eat, so watch out for hidden salt. Reducing salt can lower BP by 2–8mmHg.
  • Get your five a day: Eat at least five, ideally seven to nine, portions of fruit and vegetables a day. This can lower BP by 7mmHg or more.
  • Be as active as you can: Take 30 minutes of aerobic exercise five times a week. Can lower BP by 4–9mmHg.
  • Find and reach your ideal weight: This can lower BP by 5–10mmHg per 10kg lost.
  • Keep an eye on alcohol: No more than two to three units a day for women, and three to four units a day for men. Can lower BP by 2–4mmHg.

The Dietary Approaches to Stop Hypertension (DASH) diet is recommended by many organisations, including the American Heart Association. The diet goes considerably further than the recommendations traditionally made to reduce salt intake in the diet and is based on an approach that is rich in fruit and vegetables as well as low or non–fat dairy products. It has also been shown to be effective in reducing cardiovascular risk, and the arguments for promoting the DASH diet continue to grow. A study published in the US last year showed that it was also effective in heart failure. An AHA booklet for patients explaining DASH is available at pulsetoday.co.uk/downloads.

But compared with a normal Western diet it is low in red meat, sweets, added sugars and drinks containing sugar, and we know that it can be difficult to follow, so it demands some commitment from the individual.

(Dr Monica and Brahm Vasudev)

Many with borderline hypertension may never develop life–threatening problems

Millions of people who have been told they are on the path to hypertension may never develop life–threatening problems, according to a study published in the Journal of General Internal Medicine.

FDA approves first new lupus treatment in over five decades

Benlysta (belimumab), developed by Human Genome Sciences and GlaxoSmithKline, reduces the disease’s level of activity by inhibiting a bodily protein called the B–lymphocyte stimulator, which at elevated levels can contribute to the creation of autoantibodies.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure had a total lymphocyte count of 1000.
Dr. Bad: Lymphocyte count does not matter.
Dr. Good: You have a bad prognosis.
Lesson: In heart failure, a lymphocyte count of less than 1600 is associated with greater risk of death and hospital admission. The cut–off value of lymphocyte count is 1800 and low ejection fraction is defined as lower than 35% (Charach G, et al. Usefulness of total lymphocyte count as predictor of outcome in patients with chronic heart failure. Am J Cardiol 2011; Published online 07 March 2011)

Make Sure

Situation: A patient with LBBB in ECG developed acute pulmonary edema.
Reaction: Oh my God! Why was underlying low cardiac functions not suspected?
Lesson: Make sure all patients with LBB undergo echo to rule out ejection fraction. This may not be true for RBBB.

    An Inspirational Story

(Dr Anupam Sethi Malhotra)

The 99 Club

Once upon a time, there lived a King who, despite his luxurious lifestyle, was neither happy nor content. One day, the King came upon a servant who was singing happily while he worked. This fascinated the King. Why was he, the Supreme Ruler of the Land, unhappy and gloomy, while a lowly servant had so much joy? The King asked the servant, "Why are you so happy?" The man replied, "Your Majesty, I am nothing but a servant, but my family and I don’t need too much – just a roof over our heads and warm food to fill our tummies." The king was not satisfied with that reply. Later in the day, he sought the advice of his most trusted advisor. After hearing the King’s woes and the servant’s story, the advisor said, "Your Majesty, I believe that the servant has not been made part of The 99 Club." "The 99 Club? And what exactly is that?" the King inquired. The advisor replied, "Your Majesty, to truly know what The 99 Club is, place 99 Gold coins in a bag and leave it at this servant’s doorstep."

When the servant saw the bag, he took it into his house. When he opened the bag, he let out a great shout of joy… So many gold coins! He began to count them. After several counts, he was at last convinced that there were 99 coins. He wondered, "What could've happened to that last gold coin? Surely, no one would leave 99 coins!" He looked everywhere he could, but that final coin was elusive. Finally, exhausted, he decided that he was going to have to work harder than ever to earn that gold coin and complete his collection. From that day, the servant’s life was changed. He was overworked, horribly grumpy, and castigated his family for not helping him make that 100th gold coin. He stopped singing while he worked. Witnessing this drastic transformation, the King was puzzled. When he sought his advisor’s help, the advisor said, "Your Majesty, the servant has now officially joined The 99 Club." He continued, "The 99 Club is a name given to those people who have enough to be happy but are never content, because they're always yearning and striving for that extra 1 telling to themselves: "Let me get that one final thing and then I will be happy for life." We can be happy, even with very little in our lives, but the minute we're given something bigger and better, we want even more! We lose our sleep, our happiness, we hurt the people around us, all these as a price for our growing needs and desires.

That’s what is called joining The 99 Club!


    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

How do I know if I am a candidate for IVF or ICSI?

IVF is indicated for blocked tubes and failure of conventional infertility treatment. ICSI is indicated for poor sperm count or function or failure of fertilization in previous IVF.

    Medicine Update

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

Is enzyme replacement a solution for GSD

Enzyme replacement was thought to be the answer but its issues of tachyphylaxis– needing progressively higher doses and frequent infusions at almost 20–30 days intervals have put question marks over its advantage over existing therapy and its risk–benefit and cost benefit advantage.

    Vascular Disease Update

Dr. Rajiv Parakh, Chairman, Div of Peripheral Vascular & Endovascular Sciences, Medanta–The Medicity, Gurgaon NCR, Secretary General, International Society of Vascular Surgery, USA

Can the large bulging veins in the calves of the legs swell and burst?

Yes, they can. Sometimes from the result of injury the skin over the ankle veins gets very thin and irritated. Support stockings help with the heavy feeling in the legs as a result of the veins and also provide some protection for the veins. You must get a Doppler done at a vascular specialists clinic to ensure you do not have varicose veins.

    Medicolegal Update

(Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS)

What is impulse and its medicolegal importance?

Impulse is sudden and irresistible desire or force in a person, compelling him to the conscious performance of some act for which there is no motive; for example, kleptomania means an irresistible desire to steal articles which may be of small value and even, may be of no use to the person stealing the article. A sane person who has self–control and judgment capacity may not finally give shape to his impulsive or compulsive desire. But an insane person, who lacks in self–control and judgment capacity, cannot resist the impulse and may commit any offence. Thus, in connection with commission of an unlawful act, impulse is a good defense for an insane person which is not so for a sane person. Some types of impulses are:

  • Dipsomania: This is found in alcoholics who have an irresistible desire to take alcoholic drinks.
  • Pyromania: Here, there is an irresistible desire to set fire to things, which may be important and valuable. The person is not conscious or careful, at least temporarily, to the possible dangers of his act.
  • Mutilomania: This is an irresistible desire to injure and mutilate animals, commonly the domestic pets.
  • Sexual impulse: The person may feel compulsive urge to perform sexual intercourse, often in a perverted way. There may be some psychic problem concerning the sexual behavior; or the person may be a victim of mental sub normality.
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Infants of overweight mothers


Even in moderately overweight mothers (BMI 25–30 or 120–150% of ideal body weight), the incidence of perinatal death in the infants was 1.15– to 2.5–fold higher than that in normal–weight women. In obese women (BMI >30 or >150% of ideal body weight), the incidence of perinatal death in infants exceeded that in normal–weight women by 2.5 and 3.4. Maternal complications and preterm deliveries largely contribute to this excessive mortality.

    Legal Question of the Day

(Dr MC Gupta, Advocate)

Q. A patient came to the hospital casualty department with injury lower third of right leg which he attributed to be the result of getting hurt when his son was backing up the car. The injury was found to be a fracture of both bones. He was admitted in the hospital. He did not want an MLC to be registered. After a month, he got an FIR registered alleging that a neighbor had run his car over him and that the hospital doctor on duty should have made an MLC report. What are the legal aspects of this case?


The legal aspects are as follows:

  1. Registering an MLC is at the discretion of the duty medical officer in the casualty. If the patient is not very serious and if no foul play is suspected, as in this case, he need not make an MLC. However, he should take a signed statement from the patient that he does not want an MLC.
  2. Not making an MLC report does not mean that proper details should not be entered in the casualty register/records.
  3. If proper medical details are entered along with the patient’s statement that he was hurt while his son was at the wheel and that he does not want an MLC, there is nothing lacking on the part of the hospital. These records can be shown/given to the police if asked. The hospital and the doctor would be safe.
  4. The following is reproduced from the "Hospital Manual" published in 2002 by the Directorate General of Health Services, MOHFW, GOI, in Appendix V titled "The guidelines for medico–legal work—Pages 192–193"—
    • Cases of suspected accident, poisoning, burns, comatosed or brought dead persons should invariably be made a medico–legal case. In a case where the condition is not serious and the CMO does not suspect any foul play the fact should be recorded in the casualty register with reasons under (patient’s) signature. However, detailed findings and treatment administered should always be recorded in the casualty register."
    Lighter Side of Reading

Mind Teaser

Read this…………………

ch poorri

Yesterday’s Mind Teaser: Business :)

Answer for Yesterday’s Mind Teaser: Business before pleasure

Correct answers received from: Dr Sudipto Samaddar, Dr (Maj. Gen.) Anil Bairaria, Dr K.Raju, Dr Chandresh Jardosh, Dr Y. J. Vasavada, Dr K.P.Rajalakshmi, Dr T. Samraj

Answer for 15th March Mind Teaser
: Wise guys
Correct answers received from: Dr Neelam Nath, Dr Hena Vasdeva, Dr Nandinil Kapoor, Dr Kushal j. Manjesh

Send your answer to ijcp12@gmail.com


Laugh a While
(Dr GM Singh)

A man was in the kitchen making a lot of noise! His wife comes in and asks why he was making so much noise? The man replies: "I am killing flies." A short time later his wife came back and he was still making lots of noise! She asks: "Well, Mr.Big Shot, how many flies have you killed?" He says: "I have killed seven flies! 4 males and 3 females." She says: "Right, how can you tell the sex of flies?" He says: "Very easy: the 4 flies in my right hand are males. When I killed them, they were all on beer cans!" Then she asks: "If you are so smart, how can you tell the sex of the females?" He says: "The three in my left hand, they were all on the phone!!!"


    Useful Website

(Dr Surendernikhil Gupta)


Larry Brilliant On Early Detection, Early Response


    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Hemoglobin A1c

Glycohemoglobin A1c (HbA1c) test checks the long–term control of blood glucose levels in people with diabetes. Glucose binds to hemoglobin in red blood cells at steady rate. Since red blood cells last 3 to 4 months, the glycohemoglobin A1c test shows how much glucose is in the plasma part of blood. Some medical conditions can increase A1c levels, but the results may still be within normal level. These conditions include Cushing’s syndrome, pheochromocytoma, and polycystic ovary syndrome (PCOS).

    Medi Finance Update

(Dr GM Singh)

Fixed Maturity Plans (FMPs)

If an investor has surplus amount to invest, knows the time horizon and wanted to deploy the fund efficiently with least risk of capital & return, but wishes to optimize his/her investment – Fixed Maturity Plan is the right scheme. Though the returns are not assured, he/she may expect the prevailing market rates with least risk.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Indacaterol (as Maleate) Inhalation Powder Hard Capsules 150/300mcg
For maintenance bronchodilator treatment of airflow obstruction in adult patients with chronic obstructive pulmonary disease (COPD).
    IMSA Update

International Medical Science Academy (IMSA) Update

Fasting blood sugar in children

Even mild increases in fasting blood sugar levels during childhood predict risk for developing type 2 diabetes mellitus. In the Bogalusa heart study, children with fasting blood sugar values in the upper half of the normal range (between 86 and 99 mg/dL) had 2.1 times the risk for developing diabetes during adulthood, and 3.4 times the risk for developing pre–diabetes, independent of the child’s weight status.

(Dr Vinay Sakhuja)

Latin Quotes

Ab honesto virum bonum nibil deterret.

Nothing deters a good man from doing what is honorable.

  Thought of the Day

(By Dr GM Singh)

A man lost everything in fire, next day he placed a sign board. "Shop burnt, goods burnt, But faith and confidence not burnt. Business will start tomorrow."

    Readers Responses
  1. Really revealing and an excellent article. Congrats for doing always something for the society: Dr S Rana.
  2. Very accurate analogy used to describe doctors (Satyugi Vs Kalyugi). I agree with you Dr. Aggarwal that more and more clinical practitioners have been enticed into the network of making quick money, which affects ongoing care of the patients and eventually creates a black spot for the entire medical profession. As professionals, it’s a shared responsibility to take steps to curb this practice. I think, for those corporate hospitals there must be a provision of "an ethical committee" which must include someone from neutral background who could advocate on behalf of the patients e.g. a social worker/a govt. lawyer/a media person/an independent doctor etc. Each bill should go through them to justify the expenses incurred on the patients. Every patient and family should be provided with clear rules and regulations (printed) of the treatment and billing system. Patients/families must be educated about the rationale of a certain procedure and its billing. Most of the patients/family are forced to give in to unnecessary demands of these corporate hospitals once they step into their system. Another important step would be to make all the medical graduates and postgraduates realize the importance of Hippocratic Oath from time to time, which is forgotten the day one starts practicing. Things will not change overnight especially in country like India where corruption is deeply rooted, but one can always be positive about future. Regards: Neeraj.
    Public Forum

(Press Release for use by the newspapers)

Up to 61 percent people have normal weight obesity

More than half of normal–weight persons may have a high percentage of body fat making them susceptible to heart disease, diabetes and other metabolic disorders.

Men whose body fat is greater than 20 percent and women whose body fat is greater than 30 percent suffer from normal weight obesity, even though their weight may be normal for their size, said Dr. K.K. Aggarwal Padma Shri and Dr B C Roy National Awardee and President Heart Care Foundation of India.

The prevalence of people with a high amount of body fat despite a normal weight is relatively high. Many of these people have metabolic abnormalities. Even normal–weight people should be advised to exercise and eat a healthy diet to reduce their level of fat, especially belly fat.

A recent study by Dr. Lopez–Jimenez and presented at the American College of Cardiology’s annual meeting in Chicago, out of 2,127 people who participated in the U.S. government’s Third National Health and Nutrition Examination Survey, 61 percent of the participants had levels of body fat that indicated "normal weight obesity.

It was associated with high cholesterol; high levels of leptin, a hormone found in fat and other tissues that’s involved in appetite regulation; and high rates of metabolic syndrome.

Even a small amount of extra fat increase the risk for diabetes and heart disease.

Excess body fat in the belly is a menace, regardless of your 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)

    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 MD/DNB/DCH

    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

March 25–27, 2011, 2nd Delhi Knee Course, at Sitaram Bhartia Institute of Science and Research. Dr. J. Maheshwari of Knee & Shoulder Clinic is the Course Director. Faculty includes knee surgeons from Switzerland, Austria, Singapore and US, in addition to experienced Indian surgeons. Contact 9717133885, 9811109833.


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,