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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

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  Editorial …

3rd June 2013, Monday

Top 10 Ways to Keep the Kidneys Healthy

We all want our kidneys to last for a lifetime. We should all show our love for kidneys by adopting 10-step program for protecting kidney health.

One should begin with monitoring blood pressure and controlling weight and then move on to the rest of the kidney-healthy tips.

  • Monitor blood pressure and cholesterol.
  • Control weight.
  • Don't overuse over-the-counter painkillers.
  • Monitor blood glucose.
  • Get an annual physical exam.
  • Know if chronic kidney disease (CKD), diabetes or heart disease runs in your family. If so, you may be at risk.
  • Don't smoke.
  • Exercise regularly.
  • Follow a healthy diet.
  • Get tested for chronic kidney disease if you're at risk.

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

Rhinitis medicamentosa

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Heart Care Foundation of India organized a CPR 10 camp at EPFO (Employees Provident Fund Organization), Wazirpur on 30th May 2013

Dr K K Aggarwal
    National News

Between 7,350 And 16,200 premature deaths every year; 6 million asthma attacks

NEW DELHI: The capital's polluted air is loosely blamed for the spurt in respiratory ailments, but now a research team has estimated the number of premature deaths caused by these effluents. A recent study by scientists from IIT Delhi and Desert Research Institute (DRI), Reno in US, analyses past data to ascribe 7,350 to 16,200 premature deaths each year to air pollution, along with 6 million asthma attacks. The study, 'Health impacts of particulate pollution in a megacity-Delhi', published earlier this year in the Environmental Development journal of Elsevier, uses particulate matter—PM 10 and PM 2.5—data from 2010 to simulate the health impacts in Delhi. On studying PM levels in Delhi from 2001 onwards, Sarath Guttikunda from DRI and Rahul Goel from IIT found that the annual PM levels had risen more than 2.5 times on average.

In 2010, for instance, PM 10 averaged around 260mg (micrograms) per metre cube, which is four times more than the national safety level and 13 times higher than the WHO safety limit. They observed that the trend worsened during winter with concentrations at least double the annual average. They blamed that on the increased emissions from heating and unfavourable climate for dispersion. Such high pollution levels are bound to impact health. "We wanted to understand and quantify how PM 2.5 and other pollutants like sulphates and nitrates affect us," says Sarath. They used a simulating model called the Simplified Atmospheric Transport Modelling System (ATMoS) to estimate ambient PM concentrations. The health impacts were calculated by overlaying a gridded population data with the PM 2.5 concentrations. The study also indicated the level of PM 2.5 emissions by each sector. It calls heavy and light duty trucks, most of them running on diesel, the main source of vehicle exhaust emissions. The road and construction dust, however, might be contributing to coarser emissions responsible for PM 10 levels. Interestingly, a high percentage of pollution in northwest and northeast Delhi as well as parts of Greater Noida can be traced to the nearby brick kilns. (Source: TOI, Jun 1, 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

When aortic regurgitation is acute and severe (often due to active aortic valve endocarditis, aortic dissection involving the aortic valve, or chest trauma/deceleration injury), M-mode is of value in detecting premature closure of the mitral valve, which is defined as valve closure that occurs on or before the onset of the QRS and indicates that the valve did not close because of isovolumic contraction but rather because of an inappropriate rise in left ventricular pressure due to filling from aortic regurgitation.

(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)


Four types of child maltreatment are described:

  1. Physical abuse
  2. Sexual abuse
  3. Emotional abuse
  4. Child neglect

For comments and archives

    International News

(Contributed by Dr Monica and Brahm Vasudev)

FDA panel class recommendations on pedicle screw systems

A US Food and Drug Administration (FDA) advisory panel has recommended changes to the classification of pedicle screw spinal systems used in the treatment of degenerative disc disease and spondylolisthesis. (Source: Medscape)

Is type 2 diabetes a misnomer?

The term "type 2 diabetes" is misleading, as high blood sugar doesn't have a clear cause and may in fact belong on a spectrum of disorders, says a prominent English diabetes expert. Type 2 diabetes "has no hallmark clinical features, is generally diagnosed by default, has very heterogeneous pathophysiological features, and varies widely between populations in clinical presentation and consequences," Edwin Gale, MD, of Southmead Hospital in Bristol in England, wrote in a perspective in The Lancet. (Source: Medpage Today)

OA: Knee dextrose injections offer sustained pain relief

Patients with knee osteoarthritis (OA) who were treated with several injections of dextrose solution at painful sites in and around the knee had greater and more sustained pain relief than comparison groups treated with saline injections or with exercise, according to data from a randomized controlled trial published in the May/June issue of the Annals of Family Medicine. (Source: Medscape)

Age, syncope predict need for pacemaker

Age, fainting, and asymptomatic bradycardia predict the need for a pacemaker in patients being monitored with an implantable loop recorder or a conventional ECG, researchers said. (Source: Medpage Today)

ACP releases new guidelines for in-hospital hyperglycemia

The American College of Physicians (ACP) has revised the target blood glucose level for hospitalized patients, stating that doctors should aim for 140 to 200 mg/dL rather than trying to get to normoglycemia — a value of around 80 to 110 mg/dL. The greatest care should be taken among those in intensive care, who should not be given intensive insulin therapy (ITT). (Source: Medscape)

  Twitter of the Day

@DrKKAggarwal: Heat index should be communicated to the public # eMedinewS ‘Heat index’ measures the combined effects of... http://fb.me/1cqALMZ3X

@DrKKAggarwal: Whole worlds rise & fall like ripples in the ocean of consciousness -Yoga Vasishtha #CosmicConsciousness

    Spiritual Update

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

Why we never eat a breakfast of onion?

Anything which cannot be taken as a full meal is not good for health and either should not be taken or taken in a small amount.

For example, we never eat a breakfast of onion or garlic or radish. These are the items which either should not be taken or eaten only in small quantity only as addition to other full meal.

Onion is good for health and has anti-cholesterol properties and also blood thinning properties, yet it is consumed only in small quantity. In Vedic language, onion has both rajasik and tamasik promoting properties, which make a person more aggressive and dull.

For comments and archives

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

What are the success rates of IUI?

The success rates with donor insemination depend on many factors. These include age of the female and the presence of other female fertility factors such as endometriosis, tubal disease, or ovulatory dysfunction. In general, the monthly chance of pregnancy ranges from 8–15%. The risk of birth defects as a result of conceiving with donor insemination is no different than from conceiving naturally, and is in the range of 2–4%.

    An Inspirational Story

Love in action

One night a man came to our house and told me, "There is a family with eight children. They have not eaten for days," I took some food and I went. When I finally came to the family, I saw the faces of those little children disfigured by hunger. There was no sorrow or sadness in their faces, just the deep pain of hunger. I gave the rice to the mother. She divided it in two, and went out, carrying half the rice with her. When she came back, I asked her, "Where did you go?" She gave me this simple answer, "To my neighbors–they are also hungry."

I was not surprised that she gave–because poor people are generous. But I was surprised that she knew they were hungry. As a rule, when we are suffering, we are so focused on ourselves we have no time for others.

For comments and archives

  Cardiology eMedinewS

Quantified hydration status predicts hospital readmissions in acute-HF patients Read More

  Pediatric eMedinewS

Study backs wider use of fecal calprotectin in Pediatric IBD Workup
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 are the various brands of RIG available in India?

The different RIGs available in India are:

HRIG Brands

  • BERIRAB-P- manufactured by CSL Behring GmbH, Germany and marketed by Bharat Serum & Vaccines Ltd.
  • KAMRAB - manufactured by Kamada Ltd., Israel and marketed by Synergy.

ERIG Brands

  • Anti Rabies Serum - manufactured by CRI – Kasauli.
  • EQUIRAB - manufactured and marketed by Bharat Serum & Vaccines Ltd.
  • ABHAYRIG - manufactured by VINS Bioproducts and marketed by Human Biologicals Ltd.
  • VINIRIG - manufactured and marketed by VINS Bioproducts.
    IJCP Special

Dr Good Dr Bad

Situation: A patient with Mediclaim for the last seven years came for executive checkup.
Dr. Bad: You will have to pay from your pocket.
Dr. Good: You can claim it from Mediclaim.
Lesson: In addition to cumulative bonus, the insured shall be entitled for a reimbursement of the cost of medical checkup once at the end of block of every four underwriting years provided there are no claims reported during the block. The cost so reimbursable shall not exceed the amount of 1% of the total amount of the average sum insured during the block of four claim free underwriting years.

Make Sure

Situation: An asthmatic patient became worse after receiving a painkiller.
Reaction: Oh my God! Why was he not put on a leukotriene receptor antagonist?
Lesson: Make sure that a patient with asthma is not given aspirin or he is put on a leukotriene receptor antagonist.

  Quote of the Day (Dr GM Singh)

When you are at a loss of what to do, do nothing. Doing nothing can be very wise. When you pause doing things, you become more aware of God’s presence, and often an unexpected solution to your question will arise.

    Mind Teaser

Read this…………………

Which action will best help reduce anxiety in a 64-year-old patient who has been hospitalized for suspected peptic ulcer disease?

1. Ask all members of the team to reassure the patient about the quality of care provided in the hospital
2. Assign the patient to a room with a talkative, optimistic roommate
3. Explain to the patient what will happen during the hospitalization
4. Visit the patient frequently and get the patient to talk about pleasant future plans

Yesterday’s Mind Teaser: Which is often a physiological response to surgery-related stress?

1. Bronchial constriction
2. Decreased cortisol levels
3. Peripheral vasodilation
4. Sodium and water retention

Answer for yesterday’s Mind Teaser: Sodium and water retention

Correct answers received from: DR AYYAVOO ERODE, Dr.(Maj. Gen.) Anil Bairaria, Dr Avtar Krishan, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, DR ARPAN GANDHI, dr. Deepali chatterjee, Dr. Thakor Hitendrsinh G, niraj k. gupta, Dr,Bitaan Sen & Dr.Jayashree Sen, Dr. P. C. Das, Dr Kanta Jian

Answer for 1st June Mind Teaser: Sodium bicarbonate via IV push.

Correct answers received from: Dr Vslluri Ramarao

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

The teacher, during an English lesson, asked her students: "Now tell me, what do you call a person who keeps on talking when people are no longer interested?"

    Medicolegal Update

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

World Medical Association Declaration – Principle V – Clinical Education

The clinical component of medical education must be centered on the supervised study of patients and must involve direct experiences in the diagnosis and treatment of disease. The clinical component should include personal diagnostic and therapeutic experience with gradual access to responsibilities. An adequate relation of the numbers of students admitted for training and teaching at the bedside of the individual patient must be observed.

  • Before beginning independent practice, every physician should complete a formal program of clinical education. This program, usually of at least one year’s duration, should be characterized by a supervised increase of responsibility for the management of clinical problems.
  • The faculty is responsible for determining that students who receive the first professional degree, have acquired a basic understanding of clinical medicine, the basic skills needed to evaluate clinical problems and to take appropriate action independently, and have the attitude and character to be an ethical physician.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Do not ignore breakfast

Taking a good breakfast made of carbohydrates and lean protein, can help lessen cravings and hunger during the rest of the day, which can lead to significant weight loss, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

A research by Dr. Daniela Jakubowicz, a clinical professor at Virginia Commonwealth University and an endocrinologist at the Hospital de Clinicas Caracas in Venezuela has shown that sedentary, obese women lost almost five times as much weight on the "big breakfast" diet as did women following a traditional, restrictive low-carbohydrate diet.

While treating obese people we need to treat carb cravings and hunger.

On waking up in the morning, the body is primed to look for food. The metabolism is revived up, and levels of cortisol and adrenaline are at their highest. The brain needs energy right away, and if one doesn’t eat or eats too little, the brain needs to find another fuel source. To do this, it activates an emergency system that pulls energy from muscle, destroying muscle tissue in the process. Then when you eat later, the body and brain are still in high-alert mode, so the body saves energy from the food as fat.

Also the levels of the brain chemical serotonin are highest in the morning and the craving levels are at the lowest and you may not feel like eating. As the day wears on, serotonin levels dip, and you get cravings for chocolate or cookies, and such similar foods. If you eat these foods, your serotonin levels rise, and your body begins to associate good feelings with them, creating an addictive cycle.

The high protein, carbohydrate mix in breakfast gives the body the initial energy boost it needs in the morning. Throughout the rest of the day, the meals are made up of protein and complex carbohydrates, like vegetables. Because protein is digested slowly, you won't feel hungry.

If you have to eat chocolate or candy, eat them in the morning because having them when serotonin levels are high, they won't taste as good, and the brain won't feel the same serotonin boost. This will eventually help cut down on cravings.

Eating breakfast with high glycemic foods may be harmful. After eating cereal or a doughnut, the blood sugar and insulin levels spike. Once that blood sugar is used up, you'll still have excess insulin circulating, which makes you hungry and makes you crave carbohydrates.

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 54572 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, Emedinews is very informative newsletter. Regards: Dr Shruti
    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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