eMedinewS10th October 2013, Thursday

Dr K K 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; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); 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);
For updates follow at
www.facebook.com/Dr KKAggarwal

Fecal Transplant Pills Effective for C. difficile

Pills containing a concentrate of fecal bacteria can stop recurrent Clostridium difficile infections by rebalancing the bacteria in the gut, a new study shows. The treatment is a potential advance over conventional fecal transplants, which are done with an enema or nasal tube, said lead investigator Thomas Louie, MD, a professor of infectious diseases and microbiology at the University of Calgary in Alberta, Canada. Fecal transplants from healthy donors have recently emerged as one effective means of stopping infections. Previous research has shown this approach ends C. difficile infections in about 9 out of 10 attempts.

Fecal transplant has been demonstrated to be safe in over 700 published cases. Typically, patients receive the transplants by enema, colonoscopy, or a nose tube.

The Calgary researchers processed feces in a centrifuge, decanting the supernatant layer until it contained only bacteria, then encapsulated it in 3 layers of gelatin. In this way, the pills were unlikely to leak until they reached the small intestine. The recipients took vancomycin prior to taking the pills, but stopped the antibiotic on the day before taking the capsules. On the day they took the pills, they underwent colonic cleansing with sodium picosulfate.

cpr10 Mantra 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 10×10 i.e. 100 per minute."

VIP’s on CPR 10 Mantra Video
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

Spiritual message on the 6th Navratri

sprritual blog

AUM chanting is one of the most powerful chakra and should be done concentrating on the Ajna chakra.

Navratri is the detoxification of body, mind and soul. Body detoxification involves Navratri diet containing eating less devoid of cereals. In Navratri diet, flour is replaced with Kuttu or Singhara flour; pulses with amaranth or Rajgiri and Rice with Samak rice.

Mental and soul detoxification involve practicing Yoga Sadhna as described in nine forms of respective Durga.

1. Mata Katyayani is worshipped on the sixth day of Navratri.
2. She has three eyes and four hands and rides on a Lion.
3. The top right hand is positioned in a gesture of providing courage and the other hand is positioned in a gesture of rendering a boon. The top left hand is holding a sword and the other holding a lotus.
4. In Yoga Shastra she represents the Ajna Chakra and AUM bija mantra.
5. AUM chanting helps attaining success in religion, wealth, passion and salvation and removing fear and sorrows.

cardiology news

The Secret of Happiness

A certain shopkeeper sent his son to learn about the secret of happiness from the wisest man in the world. The lad wandered through the desert for 40 days, and finally came upon a beautiful castle, high atop a mountain. It was there that the wise man lived.

Rather than finding a saintly man, though, our hero, on entering the main room of the castle, saw a hive of activity: tradesmen came and went, people were conversing in the corners, a small orchestra was playing soft music, and there was a table covered with platters of the most delicious food in that part of the world. The wise man conversed with everyone, and the boy had to wait for two hours before it was his turn to be given the man’s attention.

The wise man listened attentively to the boy’s explanation of why he had come, but told him that he didn’t have time just then to explain the secret of happiness. He suggested that the boy look around the palace and return in two hours.

"Meanwhile, I want to ask you to do something", said the wise man, handing the boy a teaspoon that held two drops of oil. "As you wander around, carry this spoon with you without allowing the oil to spill".

The boy began climbing and descending the many stairways of the palace, keeping his eyes fixed on the spoon. After two hours, he returned to the room where the wise man was.

"Well", asked the wise man, "Did you see the Persian tapestries that are hanging in my dining hall? Did you see the garden that it took the master gardener ten years to create? Did you notice the beautiful parchments in my library?"

The boy was embarrassed, and confessed that he had observed nothing. His only concern had been not to spill the oil that the wise man had entrusted to him. "Then go back and observe the marvels of my world", said the wise man. "You cannot trust a man if you don't know his house".

Relieved, the boy picked up the spoon and returned to his exploration of the palace, this time observing all of the works of art on the ceilings and the walls. He saw the gardens, the mountains all around him, the beauty of the flowers, and the taste with which everything had been selected. Upon returning to the wise man, he related in detail everything he had seen.

"But where are the drops of oil I entrusted to you?" asked the wise man. Looking down at the spoon he held, the boy saw that the oil was gone.

"Well, there is only one piece of advice I can give you", said the wisest of wise men. "The secret of happiness is to see all the marvels of the world and never to forget the drops of oil on the spoon".

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

The Immune System of the Soul

October 17, 2013, Siri Fort Auditorium

Organised by Brahma Kumaris

In this fast paced world, where we all are running in the rat race to acquire all sorts of gadgets, luxuries and comforts of life, and have actually forgotten about our ‘being’, our ‘soul’ per se. None of us have the time to sit back and ponder on the very basic questions which arise even in a small child’s mind, as in who we are? Where we have come from? What is the purpose of our being? How our soul dwells in our daily activities? How can we charge up our soul or what makes it low? Do we actually listen to our inner/soul’s voice? If yes, there is still some hope, and if not, then what happens to our inner voice in return? All of us are bothered about materialistic possessions and all we care about is that we should be free from physical ailments. Does that suffice our existence? The answer is NO, as emotional ailments take its toll when we stop caring about our soul or the inner voice. To answers these questions and to help people get enlightened, Mike George, an author, spiritual leader and management consultant, has organized a workshop titled ‘The Immune System of the Soul’ which will take you to a journey from awareness to realization and finally to transformation. The workshop is scheduled on October 17, 2013, 6–8 PM at Siri Fort Auditorium, Delhi. Come and be a part of this divine experience.


  • The 2013 Nobel medicine prize was awarded to James Rothman and Randy Schekman (USA) and Germany’s Thomas Suedhof (Germany) for their work on how hormones are transported within and outside cells, giving insight into diseases such as diabetes and Alzheimer’s. Schekman discovered a set of genes that were required for vesicle traffic. Rothman unravelled protein machinery that allows vesicles to fuse with their targets to permit transfer of cargo. Suedhof revealed how signals instruct vesicles to release their cargo with precision. The Nobel Committee said the work of the three scientists had great implications for neurological conditions as well as conditions affecting key organs.
  • Medical professionals, government agencies and others have all recommended that patients with diabetes should get vaccinated — ideally with shots, rather than the nasal–spray flu vaccine, for safety reasons. For patients, the Centers for Disease Control and Prevention (CDC) in Atlanta has a special Web page on the relationship between diabetes and the flu that offers answers to common questions and recommends some steps to take for protection against the flu. In addition, WebMD has a page devoted to diabetes and the flu. All of these sources also recommend that diabetic patients constantly track their glucose levels if they become ill, because these can be adversely affected by sickness. The American Diabetes Association, for example, suggests checking glucose levels every 3 to 4 hours and adjusting insulin levels accordingly.
  • Two new studies reported at the recent American Society for Bone and Mineral Research (ASBMR) 2013 Annual Meeting contribute further to the debate over the cardiovascular risk associated with supplementary or dietary calcium, each decidedly coming down on the side of no significant risk to men or women. According to Douglas C. Bauer, MD, from the University of California, San Francisco and the lead author of the first study, clinicians should continue to evaluate calcium intake, encourage adequate dietary intake, and if necessary, use supplements to reach but not exceed recommended intakes.
  • Updated clinical guideline from the American Society of Clinical Oncology and the College of American Pathologists recommend that oncologists should determine HER2 status for every invasive breast cancer, including recurrent disease, and adhere to specific histologic criteria to define positive, equivocal, and negative results. Every tumor must be tested for HER2 protein expression by immunohistochemistry (IHC) or for HER2 gene expression by single– or dual–probe in situ hybridization (ISH) assay, using only validated tests, preferably those approved by the FDA. The guideline defines a positive test as IHC 3+ or ISH positive, equivocal as IHC 2+ or ISH equivocal, and negative as IHC 1+ or IHC 0 or ISH negative. The guideline is reported in the Journal of Clinical Oncology and Archives of Pathology & Laboratory Medicine.
  • Having intensive care workers wear gloves and gowns during all patient contacts did not reduce the risk of transmission of two major multidrug–resistant pathogens. In a large cluster–randomized trial, intensive care units where workers always wore gloves and gowns did not lower the rate at which patients reached a composite endpoint of acquiring vancomycin-resistant enterococcus (VRE) or methicillin–resistant Staphylococcus aureus (MRSA). Taken separately, however, the universal use of gloves and gowns resulted in a "very meaningful and significant" reduction in the rate of transmission of MRSA alone but no change in transmission of VRE, said Anthony Harris, MD, of the University of Maryland School of Medicine in Baltimore.
  • Twenty percent of India’s population in the metros and above the age of 30 years suffers from the deadly duo of diabetes and high blood pressure according to a large–scale government study released recently as reported in the Indian Express dated Oct 08 2013. Over 4 crore people from across the country screened under the Government’s National Programme for Prevention and Control of Cancer, Diabetes, cardio–vascular Diseases and stroke (NPCDCS) has revealed that 6.34% of the population is suspected to be suffering from diabetes and over 6% are hypertensive. The survey results in urban areas of the country, including Delhi, Bangalore, Ahmedabad, Chennai and Kamrup (Assam) has pointed out trends that almost 11% people are suspected to be suffering from diabetes and 13% are hypertensive. Madhya Pradesh recorded the lowest diabetes (2.61 per cent). Sikkim recorded the highest prevalence of diabetes (13.67%) as well as hypertension (18.16%).

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Rabies News (Dr. A K Gupta)

A vaccinated pet dog is bitten by a rabid animal. What should the owner do?

Ideally, the pet dog should be put to sleep (Euthanasia). The usual method of euthanasia for dogs is by IV injection of either concentrated magnesium sulphate solution or concentrated pentobarbitone.

cardiology news
  • The US Food and Drug Administration (FDA) has approved riociguat (Adempas) for the treatment of pulmonary arterial hypertension (PAH) and the treatment of chronic thromboembolic pulmonary hypertension (CTEPH). Specifically, riociguat is indicated for: "(i) the treatment of adults with persistent/recurrent chronic thromboembolic pulmonary hypertension (CTEPH) (WHO Group 4) after surgical treatment or inoperable CTEPH to improve exercise capacity and WHO functional class; and (ii) the treatment of adults with pulmonary arterial hypertension (PAH) (WHO Group 1) to improve exercise capacity, improve WHO functional class and delay clinical worsening."
  • For patients undergoing noncardiac surgery within two years of receiving a coronary stent, only those undergoing emergency surgery and those with advanced heart disease were at an increased risk of major adverse cardiovascular events (MACE), according to the results of a new study published online October 7, 2013 in the JAMA. In contrast, those who had a stent implanted at least six months before undergoing noncardiac surgery were not at an increased risk of MACE, nor did the type of stent used influence the risk of adverse events.

Valvular Heart Disease News

Newer modalities such as 3D Transesophageal echocardiography are the investigation of choice in aortic valve disease.

(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)

cardiology news
  • The incidence of varicella, as well as hospitalizations and outbreaks associated with it, has declined significantly since a 2–dose vaccine regimen was instituted in 2006, according to an analysis of active surveillance areas in California and Pennsylvania published online October 7 in Pediatrics. "Declines in incidence across all ages, including infants who are not eligible for varicella vaccination, and adults, in whom vaccination levels are low, provide evidence of the benefit of high levels of immunity in the population," write Stephanie R. Bialek, MD, MPH, from the National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia and coauthors.
  • A new study has shown for the first time that women who smoke while pregnant risk having a child with bipolar disorder. Investigators at Columbia University found, after adjusting for several potential confounding factors, that there was nearly a 2–fold greater risk for bipolar disorder in children of women who smoked while pregnant. The study was published in the October issue of the American Journal of Psychiatry.
cardiology news

Sangat and smoking

Sewa, Simran and Sangat are the three principles of life as per the most Vedic literature. Even Adi Shankaracharya described Sangat as the main force for living a spiritual life.

Sangat is the company of people you live with. Living in the company of good people makes one good and the reverse is also true.

The same is now being proved in the allopathic context. A new research published in the New England Journal of Medicine has shown that when one person quits smoking, than others are likely to follow. One person quitting can cause a ripple effect, making others more likely to kick the habit.

  1. If your spouse stops smoking, you’re 67% less likely to continue smoking.
  2. If your friend kicks the habit, it’s about 36% less likely that you’ll be smoking.
  3. When a sibling gives up cigarettes, your risk of smoking decreases by 25%.
  4. It drops by 34% if a co–worker in a small office quits smoking. It’s sort of like watching dominoes. If one falls, it very quickly causes others to fall.

People should be treated as groups, rather than as individuals. Friends and family need to be involved. If you want to quit, try to get close friends and family to quit as well.

Quitting smoking may have an additional benefit of improving social well–being, just as it improves physical health.

cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping
sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Shorter the waist line, longer the life line 2nd PR


MTNL Perfect Health Mela from 23rd October

Addressing a press conference, Padma Shri and Dr. B C Roy National Awardee, Dr K K Aggarwal, President Heart Care Foundation of India said that the 20th MTNL Perfect Health Mela scheduled to be held at Constitution Club of India, New Delhi will be a perfect health picnic spot for the general public.

Co–addressing the Press Conference Mr GP Sinha GM (Mktg) MTNL; Sh Vinod Kumar, GM Operation MTNL Delhi, Dr NK Yadav, MHO, South Delhi, Medical Corporation; Dr. PK Sharma, MOH, NDMC; Dr NV Kamat, Director, Health Services, Delhi; and Sr representatives from Central Bank of India said that people should visit in large numbers and treat the day as a Health Picnic Day. Schools should also send their students to Perfect Health Mela under their annual picnic scheme.

Mr Shankar Sahni star attraction of the day said that entertainment evenings at the venue will either focus on health or will be intercept with healthy practices.

The Mela will be a unique combination of competitions, entertainment, check–ups, workshops and practical demonstration using infotainment modules under one room. The Mela will create awareness about all aspects of health for the public from all walks of life incorporating all pathies using low cost infotainment modules.

The Mela is being organized by the Heart Care Foundation of India in association with MTNL, LIC, Central Bank of India, GAIL, and many Departments of Central and Delhi Government. There will be more than 30 stalls of the Dept. of COHAND under the Ministry of Textiles for people to do their Diwali shopping.

Being a festive season, there will be special arrangements for training and workshops for the public on how to diagnose adulteration of food at home.

There will be a special workshop on clarifying myths behind magic and miracles. There will be also be an opportunity for the general public to have interactions with doctors from all systems of medicine i.e. Allopathy, Ayurveda, Unani, Homoeopathy, Naturopathy and Yoga under one roof and get preventive diagnostic care. There will be sessions where doctors from all systems of medicine will sit together and diagnose.

Special arrangements will be made to create awareness about financial health by LIC and Central Bank of India. A special emphasis will be on how to manage finance when there is a financial need during medical treatment. There will be special workshop on Reverse Mortgage where a person above the age of 60 can mortgage his or her property and get money in installments for which he has to pay nothing till he or she dies.

With the continuing dengue problem in the city, there will be special arrangements for educating public on how to identify and tackle dengue mosquito. There will be special OPDs for dengue patients and treatment under all pathies.

The Mela will also have a seminar where spiritual gurus will sit together and discuss on spiritual communication and life after death.
Entry to the Mela for the general public will be free and every person visiting the Mela will be provided with training on how to revive a person after sudden cardiac death.

There will be special seminar on Allopathy, Homoeopathy, Ayurveda, Naturopathy, Yoga and Unani cardiology for doctors from all pathies.

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 63425 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

today emedipics

Padma Shri and Dr. B C Roy National Awardee, Dr K K Aggarwal, President Heart Care Foundation of India announcing the dates of 20th MTNL Perfect Health Mela scheduled to be held at Constitution Club of India, from 23rd October to 27th October 2013 at a Press Conference

press release


today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Over a 4–day period, five men, four women, and six children are admitted to Philadelphia metropolitan hospitals with fever, prostration, hypotension, and various degrees of mucosal bleeding. All patients have thrombocytopenia, leukopenia, and elevated liver and renal function tests. None of the patients have traveled outside the mid–Atlantic area in the past 3 months. A viral hemorrhagic fever is suspected. Which one of the following epidemiological clues most strongly suggests that the outbreak is the result of a deliberate epidemic?

A. Multiple simultaneous epidemics of different diseases
B. Unusual age distribution of a common disease
C. Unusual antibiotic resistance pattern
D. Unusual geographic clustering of disease
E. Unusual route of exposure

Yesterday’s Mind Teaser: Supplementation of probiotics has a supportive role in which dermatologic disorder?

A. Psoriasis
B. Atopic dermatitis
C. Dermatitis herpetiformis
D. Acne vulgaris

Answer for yesterday’s Mind Teaser: B. Atopic dermatitis

Correct answers received from: Dr.A.K.GAJJAR, Prabha Sanghi , Dr. Thakor Hitendrsinh G, Dr. P. C. Das, Dr. SUSHMA CHAWLA, Dr. V.P. Thakral, Dr.K.V.Sarma, Dr.K.Raju, Dr. Prosun Goswami, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh Dr valluri ramarao, Dr Avtar Krishan, Dr.N.Sundaravadivelan, dr valluri ramarao, dr. Sushma chawla, dr prakash khalap

Answer for 8th October Mind Teaser: C. Lupus anticoagulant

Correct answers received from: Dr.K.Raju, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr. Prosun Goswami,

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

The International Food Shortage

Recently, a worldwide survey was conducted and the only question asked was: "Would you please give your honest opinion about the solution to the food shortage in the rest of the world?"

The survey was, not surprisingly, a huge failure. Because:

In Africa they didn’t know what "food" meant.

In Eastern Europe they didn’t know what "honest" meant.

In Western Europe they didn’t know what "shortage" meant.

In China they didn’t know what "opinion" meant.

In the Middle East they didn’t know what "solution" meant.

In South America they didn’t know what "please" meant.

And, in the USA they didn’t know what "the rest of the world" meant.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful #SAS13

medicolegal update

Dear Sir, Nice updates on Navratre. Regards: Dr Tirsha

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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medicolegal update

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