eMedinewS10th April 2014, Thursday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, 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.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

Natural Fast Food is Good for Health

Natural fast food is good for health.

Natural fast food consists of eating fruits, vegetables, milk products, sprouts and sattu. On the contrary, unnatural fast food, also called as junk food, is bad for the heart’s health as it consists of items like refined ‘bad’ carbohydrates and either animal ‘bad’ fat or trans fats.

Sattu is a grounded roasted powder of soaked pulses and cereals. It is consumed along with fruit slices, gur or milk. Green chili, lemon juice and salt can be added to add flavor.

The commonest form of sattu is grounded roasted black gram or chana. Other common variety is grounded roasted black gram with barley.

Originally, sattu was made of seven Anaja (7 cereals, millets and pulses). The seven ingredients are maize and barley (cereals), black gram, pigeon gram or Arhar, green pea, khesari daal and kulath daal (pulses).

Sattu is a high fiber diet with low sugar producing properties. It is a cooling and refreshing fast food with anti diabetic and anti–obesity properties.

It is a full breakfast, mid day or lunch meal and has minerals and vitamins.

Sattu drink can be sweetened by adding gur or honey, sour by adding lemon and salted by adding black or rock salt. Roasting is one of the best forms of cooking. Sattu is both a fast food and a summer fast soft drink but healthy.

The so–called energy drinks available in the market are harmful as they contain three times the caffeine content of coffee or tea.

News Around The Globe

  • A single treatment with botulinum toxin, onabotulinum toxin A (OBA), has been noted to ease depressive symptoms, reports a new study published in the May issue of the Journal of Psychiatric Research. There is evidence that facial expressions have a role in the pathophysiology and treatment of mood disorders. In line with this, the randomized, double–blind, placebo–controlled trial revealed the response rates (> 50% decrease in the Montgomery–Åsberg Depression Rating Scale (MADRS) score) to be 52% in the OBA group and 15% in the placebo group.
  • A new study published online April 8 in Brain reveals epidural stimulation as a novel treatment approach for paralysis. The study included 4 men with chronic complete motor paralysis due to a spinal cord injury suffered at least 2 years before the study. Researchers implanted an epidural spinal cord stimulator into the abdomen of each patient. With daily stimulation and training, the voluntary movements of the study subjects improved over time.
  • A four–item scoring index, involving age, gender, hemoglobin and alkaline phosphatase at presentation, helps assess liver involvement in hereditary hemorrhagic telangiectasia (HHT), reports a recent analysis. The tool can categorize patients with HHT into low, moderate or high risk of significant liver disease. Age <47 years gave a score of 0, greater age scored 1. Being male had a score of 0 and being female was rated as 1. Hemoglobin at presentation gave scores of 0 to 3; for alkaline phosphatase at presentation, the range was from 0 to 4.
  • A study was recently presented at the American Association for Cancer Research 2014 meeting that put forward a way to predict which patients are likely to respond to the investigational immunotherapy MK–3475 (pembrolizumab, under development by Merck & Co.), which has already shown favorable results in non–small cell lung cancer (NSCLC) and melanoma. Researchers have noted that the best responses to MK–3475 may be obtained in patients whose tumors express the programmed death ligand 1 (PD–L1).
  • A retrospective cohort study published in the May issue of Obstetrics & Gynecology has revealed that the commercially available carboxymethylcellulose adhesion barrier at primary cesarean delivery does not reduce time to delivery, total operative time, or complications during repeat cesareans. Results showed that the time to delivery at repeat cesarean delivery was 6.1 ± 3.0 minutes with previous use of the adhesion barrier and 5.8 ± 2.5 minutes without. The two groups also did not differ in total operative times (31.2 ± 10.6 vs 31.8 ± 11.6 minutes) or in surgical complications.

Rabies News (Dr A K Gupta)

If for some reason, IDRV cannot be given in deltoid region, what are the alternative sites?

IDRV can be given in deltoid region, suprascapular, anterior abdominal wall and the upper part of thigh.

Cardiology eMedinewS

  • A large trial using separate double–blind randomizations for aspirin and clonidine has stated that neither of the two drugs has the potential to decrease the risk of death or nonfatal MI when given in association with noncardiac surgery. Aspirin, when given preoperatively and for 30 days after the procedure, led to significant increase in the risk of major bleeding while clonidine brought about significant increases in clinically important hypotension and bradycardia and in nonfatal cardiac arrest.
  • Results of the MSC–HF trial, recently presented at the American College of Cardiology 2014 Scientific Sessions, have revealed that patients receiving intramyocardial injections of autologous mesenchymal stromal cells (MSC) for their ischemic heart disease reported increases in functional heart muscle, LV end–systolic volumes, stroke volume, and LVEF, compared with control patients who had received similar intramyocardial injections of saline. However, these gains did not translate into clinical benefit as measured by NYHA class and six–minute–walk distance.

Pediatrics eMedinewS

  • A study presented at the American Association for Pediatric Ophthalmology and Strabismus 2014 annual meeting has stated that fluorescein angiography is superior to standard digital imaging for monitoring retinopathy of prematurity in the eyes of infants treated with the vascular endothelial growth–factor (VEGF) inhibitor bevacizumab. Of the 36 eyes from 18 neonates involved in the analysis, fluorescein angiography helped see advanced vascular in precise detail for all eyes, indicating regression of retinopathy of prematurity.
  • Treating young infants and women while pregnant or postpartum with macrolide antibiotics may be associated with infantile hypertrophic pyloric stenosis (IHPS), reports a new study. The study authors favored the use of macrolides in young infants only if potential treatment benefits outweigh the risk. Compared with infants who did not receive macrolides, the adjusted rate ratio for IHPS in infants given macrolides during days 0 through 13 after birth was 29.8. For macrolide therapy during days 14 through 120, the adjusted rate ratio was 3.24.

Dr K K Spiritual Blog

8 management lessons to learn from Narendra Modi’s election juggernaut

1. First, declare your ambitions and goals clearly.
2. Break the final target into a set of smaller targets and milestones.
3. Demonstrate strength and then invite stakeholders.
4. Eliminate doubters and bring in team players.
5. Plan meticulously and in detail.
6. Set the agenda and keep control.
7. Attack the enemy where he is weak.
8. Never play to your weakness.

Wellness Blog

Harvard 4 simple ways to boost your energy

  1. Pace yourself: Keep going, but don’t risk overtaxing yourself. Instead of burning through all your battery life in two hours, spread it out between morning tasks, afternoon tasks, and evening activities — with rest and meals between.
  2. Take a walk or a nap: However, if you have trouble sleeping at night, napping can make the insomnia worse. If that’s the case for you, get moving instead. Get up and walk around the block, or just get up and move around. If you are not an insomniac, enjoy that 20– to 30–minute power nap.
  3. Skip most supplements: There is no evidence that they works.
    • DHEA: There is no evidence that DHEA offers any real benefits.
    • Iron. Iron only improves energy if you are clearly deficient.
    • B vitamins. It is true that B vitamins (B1, B2, B6 and B12) help the body convert food into the form of energy that cells can burn, but taking more B vitamins doesn’t supercharge your cells.
  4. Fuel up wisely: A sugary bakery roll delivers plenty of calories, but your body tends to metabolize them faster, and then you can end up with sinking blood sugar and fatigue. You’ll maintain a steadier energy level by eating lean protein and unrefined carbohydrates. Try low–fat yogurt with a sprinkling of nuts, raisins, and honey

Inspirational Story

The Three Dolls

A sage presented a prince with a set of three small dolls. The prince was not amused. "Am I a girl that you give me dolls?" He asked.

"This is a gift for a future king," Said the sage. "If you look carefully, you’ll see a hole in the ear of each doll." The sage handed him a piece of string. “Pass it through each doll." He said.

Intrigued, the prince picked up the first doll and put the string into the ear. It came out from the other ear. "This is one type of person," said the sage, "whatever you tell him, comes out from the other ear. He doesn’t retain anything."

The prince put the string into the second doll. It came out from the mouth. "This is the second type of person," said the sage, "whatever you tell him, he tells everybody else."

The prince picked up the third doll and repeated the process. The string did not come out. "This is the third type of person," said the sage, "whatever you tell him is locked up within him. It never comes out."

"What is the best type of person?" Asked the prince. The sage handed him a fourth doll, in answer. When the prince put the string into the doll, it came out from the other ear.

"Do it again." Said the sage. The prince repeated the process. This time the string came out from the mouth. When he put the string in a third time, it did not come out at all.

"This is the best type of person," said the sage. "To be trustworthy, a man must know when not to listen, when to remain silent and when to speak out."

ePress Release

20 minutes of sunlight and a glass of milk can keep osteoporosis at bay

Osteoporosis and vitamin D deficiencies are the two new epidemics of the society, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

Drinking less milk, avoiding sunlight exposure and omitting the traditional aerobic outdoor games is one reason for the new epidemic. Younger professionals are also staying indoors with practically no sunlight exposure. This is especially true for the medical residents.

Here are a few tips to prevent osteoporosis and strengthening the bones.

  • One should stop smoking as it increases bone loss.
  • Eat a calcium–rich diet: The aim should be to get 1,500 milligrams of calcium a day in postmenopausal woman or a man over age 65. Good dietary sources of calcium include dairy products, tofu and other soy products; orange juice fortified with calcium, canned salmon with the bones, and cooked spinach. The alternative is to take calcium supplements.
  • Get enough vitamin D: Vitamin D levels are influenced by how much sunlight one gets. Levels tend to decrease in older adults, especially in winter and in people who are unable to leave their home. One should consider taking a supplement to make sure one gets the recommended daily amount.
  • Get exposure to sunlight of at least 20 minutes per day. At least the exposure should be of 20 minutes every day for a month in a year.
  • Get enough protein in diet: An adequate intake of protein in diet, combined with an adequate intake of Ca helps increase bone density. One should aim for about 12% of calories to come from proteins such as legumes, poultry, seafood, meat, dairy products, nuts and seeds. However, too much protein with too little Ca can be harmful.
  • Weight–bearing exercise: These are activities such as walking, jogging and stair climbing that one should do on the feet, with your bones supporting your weight. They work directly on the bones of the legs, hips and lower spine to slow mineral loss.
  • Weightlifting exercises: These exercises, also called resistance training or strength training. They strengthen muscles and bones in the arms, chest and upper spine. They can work directly on the bones to slow minerals loss.
  • Get adequate vitamin K: This vitamin may be helpful in enhancing bone strength. Green leafy vegetables are the best sources of vitamin K. If one is taking a blood thinner he or she should check with the doctor.
  • Avoid excessive alcohol: Women should limit alcohol consumption to less than one ounce a day and men should limit it to less than two ounces.
  • Limit cola drinks: People who have high cola intake often have lower bone density.

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 88972 people since 1stNovember 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."

eMedi Quiz

which of the following is not true about papular pruritic eruptio in HIV infection:

a .It is one of the earliest manifestions of HIV infection
b. It is an HIV specific cotaneous manifestions
c. Arthopods bites have been postulated to be one of the caustive factor
d. It does not serve as a cutaneous marker of underlying immune staatus

Yesterday’s Mind Teaser: Which of the following is not a post transcriptional modification of RNA?

1. Splicing.
2. 5’ Capping.
3. 3’ polyadenylation.
4. Glycosylation.

Answer for yesterday’s Mind Teaser: 4. Glycosylation.

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen, Anil Tandon, Dr. P. C. Das, Dr Poonam Chablani, Dr.K.Raju, Dr Jainendra Upadhyay, Dr Avtar Krishan, Daivadheenam Jella, DrDCMishra.

Answer for 8th April Mind Teaser: 2. Corticosteroid.

Correct answers received from: Dr.Jayashree Sen & Dr,Jayashree Sen.

Send your answer to ijcp12@gmail.com

Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D


Total CPR since 1st November 2012 – 88972 trained

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."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

A checkup camp was organized by Heart Care Foundation of India at St. Mathews Public School–9th April–2014

press release

FDA panel recommends first drug for HIV prevention

video of day video of day


IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :


Make Sure

Situation: A patient with rheumatoid arthritis was not responding.
Reaction: Oh my God! Why was smoking not stopped?
Lesson: Make sure that all patients of RA stop smoking. It is a major preventable factor contributing to the development of antibody–positive rheumatoid arthritis in genetically susceptible individuals.

eMedinewS Humor

Embarrassing Traffic Stop

A police car pulled me over near the high school where I teach. As the officer asked for my license and registration, my students began to drive past. Some honked their horns, others hooted, and still others stopped to admonish me for speeding.

Finally the officer asked me if I was a teacher at the school, and I told him I was.

"I think you’ve paid your debt to society," he said with a smile, and left without giving me a ticket.

Quote of the Day

My best friend is the man who in wishing me well wishes it for my sake. Aristotle


Twitter of the Day

Dr KK Aggarwal: Diabetic drug metformin may have anti cancer effects http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: Your subjective world of thoughts emotions memories & desires is as real as the world outside with stars & galaxieshttp://bit.ly/DC_Ananda #ananda


Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed


Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the update. Regards: Dr Kiran
cardiology news

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eMedinewS Special

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