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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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  Editorial …

6th April 2013, Saturday

Over 10,000 to be trained in CPR 10 in one day

Wish me luck. I will be attempting a world record tomorrow by training over 10,000 people in one day in CPR 10.

For the first time in India, I will attempt to train more than 10000 people (nearly 13000) in cardiopulmonary resuscitation on 6th April, 2013, Saturday in a special function "CPR 10 Utsav" being organised at Dr. Sampoornanand Sarvodaya Kanya Vidyalaya, C-1, Yamuna Vihar, Delhi. The function is being organised by Heart Care Foundation of India in association with Directorate of Education, Government of NCT of Delhi.

The practical training will be given to school students, teachers and other members of the public. There are no charges for the training. Apart from Sarvodaya Kanya Vidyalaya, the host school, other schools co-hosting the event are Govt. Boys Sr. Secondary School C-1 & B-1 Yamuna Vihar. Over 40 schools from various parts of the city will also be participating in the Utsav.

This will be for the first time in the history that over 10000 people will be trained in hands-only cardiopulmonary resuscitation (CPR 10) at one venue in a single day.

Shri J.P. Aggarwal, Member of Parliament will be launching the camp. Mr Sandeeep Marwah will preside over the closing ceremony.

About CPR 10 Mantra: Within 10 minutes of death (earlier the better), at least for at least 10 minutes, longer the better (adults 25 minutes and children 35 minutes), compress the centre of the chest of the deceased person continuously (uninterrupted) and effectively (1½inch) with a speed of 10x10 = 100 per minute.” Over 35000 people have already been trained in CPR 10.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Vitamin D intake associated with reduced risk for Crohn's disease

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Dr. C. Venkata S. Ram, renowned High Blood Pressure Expert from Hyderabad received Padma Shri from the President of India in Rashtrapati Bhawan on April 5th, 2013

Dr K K Aggarwal
    National News

Renowned High Blood Pressure Expert from Hyderabad receives the Padma Award from the President of India in Rashtrapati Bhawan on April 5th, 2013

Dr. C. Venkata S. Ram of MediCiti Institute of Medical Sciences and MediCiti Medical College, Medchal and Hyderabad was awarded Padma Shri by the President of India, Shri Pranab Mukherjee for his life-long contributions in the field of high blood pressure. For his notable and enduring contributions to prevent heart diseases by treating high blood pressure effectively, Dr. Ram received the fourth highest civilian recognitions in India.

President and Chief Executive Officer, MediCiti Hospitals and MediCiti Institute of Medical Sciences and MediCiti Medical College, Hyderabad and Medchal, Andhra Pradesh, India

Padma Shri C. Venkata S. Ram, MD, MACP, FACC, FASH , a native of Hyderabad attended St. Paul High School, Nizams College, and Osmania Medical College before going to US where he completed his residency in medicine at Brown University in Providence, Rhode Island and a fellowship at the Hospital of the University of Pennsylvania. Dr. Ram’s professional career has centered on the management of hypertension and he is one of the very few individuals who have combined clinical practice with an academic career. At present, Dr. Ram is working at MediCiti group of institutions in Medchal and Hyderabad.

The author of more than 310 articles and a book on the treatment of hypertension, he is also a renowned speaker in the field. Dr. Ram has made numerous contributions to our understanding of both the physiology and the management of hypertension. For more than two decades, Dr. Ram’s work has explored the mechanisms of action of various antihypertensive drugs. In addition to expertise in clinical research and medical practice, Dr. Ram is considered a uniquely skilled communicator of scientific advances. Dr. Ram was the youngest person ever to become the Master of American College of Physicians. Dr. Ram is on the editorial boards of numerous national and international medical journals. He is rated as the topmost doctor in the world for high blood pressure treatment. Dr. Ram is considered as a globally recognized expert in hypertension and preventive cardiology.

For comments and archives

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)


Child Maltreatment

  • Child maltreatment is intentional harm or threat of harm to a child by a person who is acting in the role of caretaker.
  • There are four categories of child maltreatment
    • Physical abuse
    • Sexual abuse
    • Emotional abuse
    • Child neglect

For comments and archives

    Valvular Heart Disease Update

Percutaneous balloon valvotomy is not indicated in patients with mitral obstruction due to mitral annular calcification.

(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)

Landmark ADT study now published in NEJM

Receiving androgen-deprivation therapy (ADT) on an intermittent basis does not appear to be a wise choice for men with metastatic hormone-sensitive prostate cancer, according to a landmark trial published in the April 4 issue of the New England Journal of Medicine. (Source: Medscape)

For comments and archives

Combo defeats fungal meningitis in HIV

Induction therapy with combined amphotericin B and flucytosine improved survival in HIV-positive patients with cryptococcal meningitis, a randomized trial determined. (Source: Medpage Today)

For comments and archives

Low vitamin D, later CVD: Not true, in diabetes study

Contrary to what prior research suggests, vitamin-D deficiency did not predict early signs of cardiovascular disease in an observational study of patients with type 1 diabetes. The study, based on data from around 1200 participants from the Diabetes Control and Complications Trial /Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC), was published online March 25 in Diabetes Care. (Source: Medscape)

For comments and archives

HIV infection severity linked to Afib

More advanced HIV may independently boost the chances of atrial fibrillation (Afib), a VA registry study showed. A lower CD4+ cell count was associated with 40% higher risk of incident Afib after adjustment for traditional risk factors (less than 200 cells/mm3 versus more than 350 cells/mm3, P=0.018), Jonathan Hsu, MD, of the University of California San Francisco, and colleagues found. (Source: Medpage Today)

For comments and archives

Tirasemtiv: Initial promise in myasthenia gravis

The investigational drug tirasemtiv (Cytokinetics), which is being studied for the first indication of amyotrophic lateral sclerosis (ALS), may also have a role in myasthenia gravis, preliminary data suggest. (Source: Medscape)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Male baldness indicates heart disease risk Male pattern baldness is linked to an increased risk of coronary... http://fb.me/1bd0GKzFP

@DeepakChopra: Love yourself. Love the world. There is no power stronger than love.

    Spiritual Update

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

Wahans (Vehicles) In Mythology

In mythological era, the negative tendency of a man is symbolized with the animal nature. Also Gods in Indian mythology are symbolized by living a positive behavior. Every God has been given a vehicle or Wahan. Both God and the Wahan symbolized how to live a positive life and how to control the animal tendencies.

For comments and archives

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

What is embryo donation?

Embryo donation is a procedure that enables embryos either that were created by couples undergoing fertility treatment or that were created from donor sperm and donor eggs specifically for the purpose of donation to be transferred to infertile patients in order to achieve a pregnancy. Indications for embryo donation include untreatable infertility that involves both partners, untreatable infertility in a single woman, recurrent pregnancy loss thought to be related to embryonic factors, and genetic disorders affecting one or both partners. The process of embryo donation requires that the recipient couple undergo the appropriate medical and psychological screening recommended for all gamete donor cycles. In addition, the female partner undergoes an evaluation of her uterine cavity and then her endometrium is prepared with estrogen and progesterone in anticipation of an embryo transfer. Success rates with embryo donation depend on the quality of the embryos that were frozen, the age of the woman who provided the eggs, and the number of embryos transferred.

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

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

Does donor need any rest after donating blood?

Yes. The donor should rest for about 20-30 minutes before resuming his routine work; it takes only 3-8 minutes to take blood from a donor.

For comments and archives

    An Inspirational Story

The Hedgehogs

It was the coldest winter ever. Many animals died because of the cold.

The hedgehogs, realizing the situation, decided to group together to keep warm. This way they covered and protected themselves; but the quills of each one wounded their closest companions.

After awhile, they decided to distance themselves one from the other and they began to die, alone and frozen. So they had to make a choice: either accept the quills of their companions or disappear from the Earth.

Wisely, they decided to go back to being together. They learned to live with the little wounds caused by the close relationship with their companions in order to receive the heat that came from the others. This way they were able to survive.

The best relationship is not the one that brings together perfect people, but when each individual learns to live with the imperfections of others and can admire the other person's good qualities.

For comments and archives

  Cardiology eMedinewS

Green tea and coffee consumption may help protect against stroke
Read More

Glucocorticoids may increase risk for venous thromboembolism
Read More

  Pediatric eMedinewS

Whole-cell pertussis vaccine shot boosts later protection Read More

Older fathers more likely to have autistic grandchildren 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 factors responsible for rabies transmission in man from rabid animals?

  • Rabies is most commonly transmitted to humans via the bite of a rabies-infected animal.
  • Humans usually contract rabies through bite wounds from rabid animals (bite exposure) because the rabies virus is highly concentrated in the saliva of infected animals.
  • The amount of virus reaching the lesion is also a factor in transmission; for example, when a bite has to penetrate clothing, the saliva may be retained in the fabric and be prevented from entering the wound.
  • It can also be transmitted through non-bite exposure, although this rarely occurs. Airborne infections, such as inhaling an aerosol of infected animal brain tissue in virus laboratories, or of contaminated air in bat-inhabited caves, have been reported.
  • Iatrogenic rabies cases have occurred in patients who received cornea, kidney, liver, or blood vessel graft transplantation from donors who had undiagnosed rabies.
  • To date, the only medically verified cases of human-to-human rabies transmission are the cases infected through organ transplantation from undiagnosed rabies patients

Potential non-bite modes of transmission include contamination of a pre-existing wound, contact of mucous membrane or respiratory tract with the saliva of an infected animal, exposure to aerosolized rabies virus in the laboratory (or from bats), or via organ transplantation from an infected donor.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever without chills was diagnosed with gram-negative sepsis.
Dr. Bad: Diagnosis is wrong.
Dr. Good: You need intensive treatment.
Lesson: Patient with gram-negative species may have fever with or without chills.

Make Sure

Situation: An asthmatic with respiratory rate of 37 developed respiratory arrest.
Reaction: Oh my God!! Why was the patient not put on the ventilator in time?
Lesson: Make sure to remember that a respiratory rate of > 35 is a warning signal to start ventilation therapy.

  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…………………

An infant, age 8 months, has a tentative diagnosis of congenital heart disease. During physical assessment, nurse Jasmine measures a heart rate of 170 beats/minute and a respiratory rate of 70 breaths/minute. How should the nurse position the infant?

a. Lying on the back
b. Lying on the abdomen
c. Sitting in an infant seat
d. Sitting in high Fowler’s position

Yesterday’s Mind Teaser: A 3-month-old infant just had a cleft lip and palate repair. To prevent trauma to the operative site, Nurse Aljon should do which of the following?

a. Give the baby a pacifier to help soothe him
b. Lie the baby in the prone position
c. Place the infant’s arms in soft elbow restraints
d. Avoid touching the suture line, even to clean

Answer for Yesterday’s Mind Teaser: c. Place the infant’s arms in soft elbow restraints

Correct answers received from: Prabha Sanghi, Dr (Maj. Gen.) Anil Bairaria, Dr Jella, Dr Thakor Hitendrsinh G, Dr K Raju, Dr KV Sarma, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Sanjay Soni, Dr PC Das, Arundhati Malviya,
Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr PC Das.

Answer for 28th March Mind Teaser: c. Sitting in an infant seat

Correct answers received from: Dr. Sanjay Soni, Dr Kanta Jain, Dr. P. C. Das

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)


A certain little girl, when asked her name, would reply, "I’m Mr. Sugarbrown’s daughter." Her mother told her this was wrong, she must say, "I’m Jane Sugarbrown." The Vicar spoke to her in Sunday School and said, "Aren’t you Mr. Sugarbrown’s daughter?" She replied, "I thought I was, but mother says I’m not."

    Medicolegal Update

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

Doctor & law

A doctor is neither a detective nor a curtain between injured/sick alleged criminal and police or judiciary.

  • The primary and absolutely transparent duty of a doctor/hospital is to provide medical services to sick and injured patient may be an alleged criminal, to save his health/limb and life without any discrimination.
  • When the medical care records are required for judicial/police investigation, the records becomes medicolegal in nature and the same may be required to be testified under oath in the court of law by the treating doctor.
  • The doctor should acquire the habit of making a careful note of all the facts observed by him with exact time and date.
  • The doctor should examine the facts which come to his knowledge in his special capacity as a medical man, draw his conclusions logically and correctly after a detailed consideration of the pros and cons of the case, and elaborate in the Court that interpretation, along with the medical grounds on which it is based.
  • Presumption is not proof, and conjecture is not evidence. The Court has no special medical knowledge. It relies on medical witness for an opinion and expects him to assist it with his special knowledge and experience in perusal of truth.
  • Presumption, assumption hypothesis, and mere conclusion on self defined interpretation are not a proof, and conjecture is not evidence.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Never tell a patient that you are suspecting a diagnosis of cancer

Informed consent and a premature communication can be dangerous. Communicate the diagnosis only after it is confirmed that too if it is necessary, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and National President-Elect IMA.

Suspicions of a cancer or any serious illness should not be communicated unless it is confirmed as it can cause more harm and the harms can persist for years, added Dr S Arulrhaj Past President Commonwealth Medical Association.

A prospective cohort study reveals that negative psychological consequences of false-positive findings on screening mammography may persist for at least 3 years after the initial diagnosis. Women with false-positive findings had similar psychosocial outcomes to those diagnosed with breast cancer at 6 months in the study. At 6 months, psychological testing showed that women who received false-positive results remained as upset as women who had breast cancer.

Three years after the false mammography results, women still exhibited greater psychosocial consequences compared with women who had normal mammograms Dr John Brodersen and Dr Volkert Dirk Siersma, PhD, of the University of Copenhagen in Denmark wrote in an article published in Annals of Family Medicine.

The reported frequency of false-positive mammography results ranges from 20% to 60% in the U.S. and Europe, said Dr Anita Kant Senior Gynecologist at Faridabad.

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 31870 people since 1st November 2012.

CPR Mantra: "Within 10 minutes of death (earlier the better), at least for at least 10 minutes, longer the better (adults 25 minutes and children 35 minutes), compress the centre of the chest of the deceased person continuously (uninterrupted) and effectively (1½inch) with a speed of 10x10 = 100 per minute.” Over 35000 people have already been trained in CPR 10.

    Readers Response
  1. Dear Sir, Heads off to you for such an informative newsletter. Regards: Dr Trisha
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