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Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


Dear Colleague

4th April, 2010 Sunday

Junk food is addictive

Our Shastras say that refined carbohydrates, the so–called junk food, are addicting and should be omitted at least 75 days in a year. (The approximate number of fasts recommended in a year in traditional Hindu mythology)

A study on rats by Paul Kenny at Scripp Research Institute in Jupiter, Fla. has shown that junk food is addicting. When the rats were given unlimited access to junk food, they quickly gained lot of weight. Eating became such a compulsion that they kept eating even when they knew they were receiving unpleasant electric shock to their foot. On the other hand, rats who were given healthy diet did not gain much weight and stopped eating whenever receiving the clue that a foot shock was eminent.

When the researchers took away the junk food from the obese rats and replaced it with healthy food, the obese rats went on a hunger strike for two weeks. They refused to eat hardly anything. The findings are published in March 28 issue in Nature Neuroscience. When researchers examined brain of the obese rats, they noted that there were declines in dopamine D–2 receptors, a phenomenon seen in Cocaine and heroin addictions.

In another study, researchers gave rats a regular diet for five days and then switched them to a chocolate–flavored food that was high in sugar. When deprived of the sugary food, the rats showed signs of anxiety and their brains acted as if they were withdrawing from alcohol or drugs.

Dr KK Aggarwal
Chief Editor

Photo feature

Dr Eminent Padma Awardees – Narain Karthikeyan, Saina Nehwal, Dr PC Reddy and Dr KK Aggarwal at Presidents House.

Dr k k Aggarwal  get Padma Shri Award

News and views

CAD mortality marker

In an article published in the Journal of the American College of Cardiology, researchers Claire Heslop, Dr. Jiri Frohlich, and Dr. John Hill from The Providence Heart and Lung Institute and the University of British Columbia report that high levels of an enzyme, myeloperoxidase, in the blood of CAD patients more than doubles the risk for death over a 13 year period. Myeloperoxidase is an enzyme associated with oxidative stress, which damages arterial tissue.

ICD test linked to cognitive problems

A standard test of the implantable cardioverter defibrillator (ICD) is linked to significant thought–processing problems that improve for most patients within a year after the device is inserted, according to research reported in Circulation: Arrhythmia and Electrophysiology, a journal of the American Heart Association. After an ICD is inserted, doctors check its performance by medically causing repeated episodes of irregular heartbeat. The procedure, known as ventricular defibrillation testing, temporarily disrupts brain activity by causing a drop in blood pressure and blood flow to the brain, according to previous studies. However, the long–term thought-processing, or cognitive, effects of these disturbances were unclear.

Direct injection of gold nanoparticles into tumors opens door to new treatment for pancreatic cancer

Pancreatic cancer, the most fatal cancer, requires a radical new therapy. A promising approach may come in the form of tiny gold nanoparticles –– loaded with a therapeutic agent to kill cancer –– in a novel procedure called nanoembolization, said researchers at the Society of Interventional Radiology's 35th Annual Scientific Meeting in Tampa, Fla.

Children with insomnia may have impaired heart rate variability

Children with insomnia and shorter sleep duration had impaired modulation of heart rhythm during sleep, Pennsylvania researchers reported at the American Heart Association’s 50th Annual Conference on Cardiovascular Disease Epidemiology and Prevention.

Omega 3 curbs precancerous growths in those prone to bowel cancer

A purified form of an omega 3 cuts the number and size of precancerous bowel polyps in people whose genetic make–up predisposes them to bowel cancer.

Alcohol in moderation is good for sick hearts too

A study by the Catholic University of Campobasso, Italy, shows that regular and moderate alcohol consumption is beneficial for people who had a previous heart attack or other ischemic vascular events.

What’s New: Continue lactulose in HE

A randomized trial demonstrated that maintenance lactulose after an episode of hepatic encephalopathy significantly reduced the incidence of recurrent episodes of hepatic encephalopathy (20 versus 47 %) during 14 months of follow–up. The study helps confirm a preventive approach in such patients.

Celiac Disease (Dr Ishi Khosla)

What is Celiac disease?

It is a hereditary condition in which the protein in wheat, barley, oats and rye called gluten damages the small intestines and reduces the ability of intestines to absorb food, vitamins and minerals. It gradually leads to serious illness, malignancies and can be fatal.

Diabetes Fact

Dawn phenomenon, 3am sugar high 8am sugar high, increase night dose (5–8am insulin action is reduced)

Public Forum
(Press Release)

Do not mix salt with milk

A high–salt diet may increase the risk of developing gastric and duodenal ulcers. High concentrations of salt in the stomach can induce gene activity in the ulcer–causing Helicobacter pylori bacterium that causes it to become more virulent. Bacterial cells exposed to increased salt exhibit striking morphological changes. Cells become elongated and form long chains.

Salt restriction also reduces the diastolic blood pressure by 2–8 mmHg, said Dr KK Aggarwal, Dr BC Roy and Padma Shri awardee and President, Heart Care Foundation of India.

A WHO report, said that reducing salt intake would be a cost–effective way to reduce the risk of developing high blood pressure directly and reducing the risk of heart attack and stroke indirectly. The report recommends people to reduce consumption of sodium to less than 2 gm per day for each person. Common salt is chemically called Sodium Chloride (NaCl). About 2.5 gm of table salt contains one gm of Sodium. This would mean that about 5 gm of table salt is the current recommended level of consumption per day.

According to a report published from the All India Institute of Medical Sciences in the year 2000, the average intake of salt in India is 10 gm per day for each person. This would amount to about 4 gm of Sodium. The current recommendations suggest reducing this consumption by half.

A recent research study conducted by researchers at Harvard Medical School and published in the British Medical Journal, found that reducing salt intake by 25% reduced the risk of developing heart disease by 25% and reduced the chance of death from heart disease by 20%.

In 2002 WHO estimated that globally about 62% of strokes and about 50% of heart attacks were attributable to high blood pressure.

Adding a pinch of salt to milk will keep it fresh longer is a common Internet tip for the population but traditional Ayurveda teaching goes against it. As per charka samhita, too much of pipalli, alkali and salt are bad for the health. Ayurveda totally prohibits taking salt with the milk.

Question of the day

What are the various laser systems available for Laser Hair Removal (LHR) and how do you choose the same?

Following laser hair removal systems are available:

  • Long Pulse Ruby Laser Wavelength 694 nm

  • Long Pulse Allexendrite Laser 755 nm

  • Long Pulse diode Laser 800 nm

  • Long Pulse Nd : YAG Laser 1064 nm

In addition, an Intense Pulsed Light (IPL) system may be used. IPL system uses polychromatic source and is not a laser. Longer the wavelength, more the penetration of user energy upto hair bulb which lies deep in dermis. As a rule 755 mm and 800 nm systems are more effective as they absorb upto four times as much energy as 1064 nm. But in patients with type V skin, the same feature causes a higher absorption by epidermal melanin thus causing increased incidence of epidermal damage and transient post–procedure dyspigmentation. Other factors like cooling device (to protect epidermis), the type of probe (contact vs. non contact), and proper pulse width (some devices give a choice upto 400 milliseconds), the fluence (15–100 J/CM2) should determine the choice. The company manufacturing the unit, the local scale and service team and the maintenance cost (some units need a recurring cost on consumables) are also important factors to be considered.

eMedinewS Try this it Works

Soothing the sore throat

Symptoms of sore throat can often be alleviated and even resolved by use of a gargle containing two regular–strength aspirin tablets in a small amount of warm water.

Dr Good Dr Bad

Situation: A patient with prehypertension came for check up.

Dr Bad: No further tests are needed.

Dr Good: Get blood sugar done as you are at high risk for diabetes.

Lesson: In the San Antonio Heart Study (SAHS), individuals with prehypertension had higher rates of conversion to diabetes than those with normal blood pressure. Incident diabetes was 12.4% in subjects with prehypertension and 5.6% in subjects with normal blood pressure. Prehypertension is (systolic blood pressure (SBP) 120–139 mmHg and/or diastolic blood pressure (DBP) 80–89 mmHg. (Diabetes Care 2009;32(10):1870–2.)

Make Sure

Situation: An ICU patient presents with gastrointestinal hemorrhage.

Reaction: Oh my God! The patient has developed a stress ulcer

Make sure that ICU patients are given antacids prophylactically to prevent the development of a stress–related erosive syndrome.


Laughter the best medicine

Four surgeons were taking a coffee break and discussing their work. The first surgeon said, "I think that accountants are the easiest to operate on. You open them up and everything inside is numbered."

The second surgeon said, "I think that librarians are the easiest to operate on. You open them up and everything is in alphabetical order."

" The third surgeon said, "I think that electricians are the easiest to operate on. You open them up and everything is color coded."

The fourth surgeon said, "I think that lawyers are the easiest to operate on. They're heartless, spineless, gutless, and their heads and their ass are interchangeable."

Formulae in Critical Care

Blood urea nitrogen–plasma creatinine ratio

BUN/Pcr ratio

Comment: If more than 20:1 – prerenal cause of ARF.

If 10–15:1 – renal cause of ARF.

Milestones in Medicine

1796 A.D. The smallpox vaccine was developed by Edward Jenner, initiating the science of immunology.

Mistakes in Clinical Practice

Various trials all over the world have shown that use of intra cardiac adrenaline offers no advantage. Rather has shown to cause injury of the myocardium. It can also lead to cardiac rupture. Hence this step should be clearly avoided in CPR of patients during clinical practice.

Lab Test (Dr Naveen Dang)

Microalbumin and microalbumin/creatinine ratio is done to screen for a possible kidney disorder or for early damage to the kidneys in those with diabetes.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name


Approval Date

Everolimus 5/10mg Tablets (Addl. Indication)

Treatment of advanced renal cell carcinoma


(Advertorial section)


Zen Immune Beauty helps improve the brittleness of nails and increase the hair tensile strength, thus preventing hair loss. It stimulates regeneration of hair roots, helps prevention of comedone formation and post comedone skin scarring in acne vulgaris.

Advertising in eMedinewS

eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month.

Contact: drkk@ijcp.com or emedinews@gmail.com

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

NATIONAL SEMINAR ON STRESS PREVENTION (17 – 18 April). Over 400 registrations already done.

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.

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: On Saturday 17th April (2 pm onwards) and Sunday 18th April (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: 9811090206, emedinews@gmail.com BK Sapna: 9811796962, bksapna@hotmail.com

Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards


Delhi Medical Council Presents

An interaction with

Dr. Ketan Desai, President, Medical Council of India  
Mr. Mukul Rohtagi, Senior Advocate, Supreme Court of India
Dr A K Aggarwal, President, Delhi Medical Council

Topic: Medical Ethics & Doctor–Pharma Relationship – New MCI Amendments

Date: April 10, 2010, Saturday

Time: 6 pm – 9 pm

Venue: Maulana Azad Medical College Auditorium, Dilli Gate, New Delhi

Dr KK Aggarwal: Moderator, and Chairman Ethical Committee Delhi Medical Council

Dr Girish Tyagi: Registrar, Delhi Medical Council

For Registration SMS to Dr KK Aggarwal: 9811090206, or email to emedinews@gmail.com

No fee

Readers Responses

  1. Dear Dr Aggarwal, I would like to extent my heartiest congratulations on receiving the prestigious "Padma Award". I must say the award is much deserved. Your initiatives and commitment have always been an inspiration for others. Congratulations once again. with warm regards. Prof Anupam Sibbal. World Class health care. Indraprastha Apollo Hospitals.

  2. Dear Dr Agarwal, heartiest congratulations for your Award. Thank you for the medinews as it is very informative and it is more useful than attending CMES: Dr Law

  3. Dear Dr Aggarwal, Congratulations once again for this recognition of your achievements. Wish you many more: Dr S K Joshi

  4. Dear Sir, Congratulations! Regards: AnithaVijay, Client Service Representative, Informatics (India) Limited No. 194, R V Road, Basavanagudi, Bangalore 560 004, Karnataka, India

  5. Congrats for receiving Padma Shri award from the President of India, Dr A Selvarajan