eMedinewS11th June 2014, Wednesday

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

BMJ Withdraws Statement on Statin–Related Adverse Events, but Papers Stand, Pending Review: Medscape

The authors of a research paper critical of statins have withdrawn a statement on the percentage of patients who experience treatment–related adverse events, according to BMJ.

The paper, with first author Dr John Abramson (Harvard Medical School, Boston, MA), questioned whether people at low risk of cardiovascular disease should be taking the lipid–lowering medications.

Specifically, they wrote that the side effects of statins, which include muscle symptoms, a risk of diabetes, liver inflammation, cataracts, decreased energy, sexual dysfunction, and fatigue, occur in approximately 18% to 20% of people treated with the drugs.

This figure, which was also cited in another BMJ paper by Dr Aseem Malhotra (Croydon University Hospital, London, UK) on the role of saturated fats in heart disease, turns out to be based on reported statin–related adverse events in an observational study, according to a new BMJ editorial. In reporting that nearly one in five patients develop side effects, Abramson and colleagues failed to take into account necessary caveats and the uncontrolled, observational nature of that study.

In a correction amended to the paper, the actual percentage of patients who discontinued statin therapy because of adverse events is closer to 9%.

News Around The Globe

  • Severe obstructive sleep apnea (OSA) could possibly increase a person’s risk of developing diabetes by 30% or more, suggests an article published online June 6 in the American Journal of Respiratory and Critical Care Medicine.
  • A patient care program encompassing early postoperative mobilization, mandatory risk stratification of venous thromboembolism (VTE), and commensurate electronic prophylaxis recommendations significantly reduced the incidence of VTE complications in patients undergoing surgical procedures at an academic, urban hospital. The results were published in the June issue of the Journal of the American College of Surgeons.
  • The decline in Helicobacter pylori infection in the Western world over the past few decades, could explain, in part, the increased prevalence of obesity in these countries, suggests a new meta–analysis published online in Alimentary Pharmacology & Therapeutics.
  • A new study, published online in Diabetes Care, has pointed that people with both depression and diabetes have higher markers of inflammation in their blood than those with diabetes alone. The higher inflammation levels might help explain the link between diabetes, depression and worse overall health.
  • A new study presented at SLEEP 2014, the 28th annual meeting of the Associated Professional Sleep Societies has suggested that pregnant women who get regular moderate exercise in early pregnancy are likely to sleep better than those who don’t.

Rabies News (Dr A K Gupta)

Can IDRV be given in private hospital?

The ID route has been permitted to be used in selected anti–rabies clinics (ARCs) having an adequate number of patients (at least 5/day) seeking post–exposure prophylaxis against rabies every day to make IDRV viable and cost–effective.

Cardiology eMedinewS

  • The European Medicines Agency (EMA) has extended the indications for the oral anticoagulant dabigatran to include treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) and prevention of recurrent DVT and PE in adults. The extended market authorization applies to dosages already approved in Europe.
  • A study published online in the Journal of the American College of Cardiology has pointed that about one in five patients treated with prasugrel in the PINNACLE registry is receiving the drug inappropriately or for a nonrecommended indication.

Pediatrics eMedinewS

  • A research into the effects of varicella vaccine since its introduction 15 years back has shown that the vaccine has led to a reduction in the incidence of varicella as well as subsequent hospitalizations from varicella. Additionally, there is no evidence of a shift in disease burden from young children to older age groups. The findings are published online June 9 in Pediatrics.
  • According to a study published online June 9 in Pediatrics, rotavirus vaccination has reduced diarrhea–related healthcare use in children by about 94% in the years after the vaccines were introduced. The decline in healthcare use saved approximately $1 billion over a 4–year period.

Dr K K Spiritual Blog

How to Remove Negative Thoughts

Darkness is absence of light and similarly negative thoughts are absence of positive thoughts. The answer to negative thoughts is to bring back positive thoughts. An ideal mind is a devil’s workshop and will always think negative.

Here are some ways by which you can remove negative thoughts.

  • Think differently as taught by Adi Shankaracharya. Once Menaka approached Arjuna with lust and said that she wanted to have a son like him with him. Arjuna said that why wait for 25 years consider me as you son from today.
  • Think opposite as taught by Patanjali. For example if you are having a though to steal, silently start thinking of charity.
  • Think positive as taught by Buddha. Make a list of positive actions to be done today as the first thing in the morning and concentrate on that list. Divert your mind to the pending works. It’s a type of behavioral therapy.

Wellness Blog

Skin care

  1. Clean with soap and water.
  2. Moisturizers can make the skin dirty.
  3. Dryness is better than being dirty.
  4. No soap is a better soap.
  5. Glycerin is the safest moisturizer.
  6. One should rub hard but should not cause bruises.
  7. Soap emulsifies, therefore, one should remove 100% of surface part.
  8. Killing the normal flora of the skin is a bad idea. Therefore, do not use antiseptic soaps.
  9. Remember, Dettol does not kill pseudomonas infection.

Can creams and oils penetrate skin?

  1. The answer is no.
  2. Oil cannot be absorbed.
  3. Nutrition cannot be absorbed from the skin.
  4. Almond cannot be absorbed from the skin.
  5. Unless the skin is damaged, nothing can be absorbed.
  6. For absorption, an occlusive dressing has to be used over a patch with a bandage, only then the drug can be absorbed. The bandage damages the skin because of preparation of moisturizer and heat. Any agent, which is irritating, can cause inflammation, erosion and then only a drug can be absorbed.
  7. If the skin is damaged, it can cause inflammation and can cause dermal pigmentation.
  8. Ultrasound techniques can be used to increase absorption.
  9. Newer drugs are getting absorbed through nano techniques.

Inspirational Story

The Falcon & the Branch

Once there was a king who received a gift of two magnificent falcons. They were peregrine falcons, the most beautiful birds he had ever seen. He gave the precious birds to his head falconer to be trained. Months passed, and one day the head falconer informed the king that though one of the falcons was flying majestically, soaring high in the sky, the other bird had not moved from its branch since the day it had arrived.

The king summoned healers and sorcerers from all the land to tend to the falcon, but no one could make the bird fly. He presented the task to the member of his court, but the next day, the king saw through the palace window that the bird had still not moved from its perch.

Having tried everything else, the king thought to himself, "May be I need someone more familiar with the countryside to understand the nature of this problem." So he cried out to his court, "Go and get a farmer." In the morning, the king was thrilled to see the falcon soaring high above the palace gardens. He said to his court, "Bring me the doer of this miracle."

The court quickly located the farmer, who came and stood before the king. The king asked him, "How did you make the falcon fly?" With his head bowed, the farmer said to the king, "It was very easy, your highness. I simply cut the branch where the bird was sitting."

Moral: We are all made to fly — to realize our incredible potential as human beings. But at times we sit on our branches, clinging to the things that are familiar to us. The possibilities are endless, but for most of us, they remain undiscovered. We conform to the familiar, the comfortable, and the mundane. So for the most part, our lives are mediocre instead of exciting, thrilling and fulfilling. Let us learn to destroy the branch of fear we cling to and free ourselves to the glory of flight.

ePress Release

Vegetables & fruits lower chances of getting some cancers

Vegetables and fruits help lower your chances of getting head, neck, and breast, ovarian and pancreatic cancers. Even one additional serving of vegetables or fruits could help lower the risk of head and neck cancer. The more fruits and vegetables you can consume, the better.

Quoting an International Study from National Cancer Institute, 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 said that those who eat six servings of fruits and vegetables per 1,000 calories have a 29% decreased risk relative to those who have 1.5 servings. In the study, after adjusting the data to account for smoking and alcohol – known risk factors for head and neck cancer– the researchers found that those who consumed the most fruits and vegetables had the lowest risk for head and neck cancers. Vegetables appeared to offer more cancer prevention than fruits alone did. Adding just one serving of fruit or vegetables per each 1000 calories consumed daily resulted in a 6% reduction of risk.

In another study, broccoli and soy protein were found to protect against the more aggressive breast and ovarian cancers. When consumed together, digesting broccoli and soy forms a compound called di–indolylmethane (DIM). In lab experiments, the researchers found that DIM could affect the motility of breast and ovarian cancer cells, which could help keep cancers from spreading. Soy, acts like estrogen and is a nutritious, healthy food, and should be eaten in moderation.

Yet another study compared intake of flavonols to their risk of pancreatic cancer. Flavonols are protective compounds found in fruits and vegetables, such as onions, apples, berries, kale and broccoli. Those who had the highest consumption of flavonols reduced their risk of pancreatic cancer by 23%. The benefit was even greater for people who smoked. Smokers with high levels of flavonols reduced their risk of pancreatic cancer by 59%.

eMedi Quiz

Which of the heart valve is most likely to be involved by infective endocarditis following a septic abortion?

1. Aortic valve.
2. Tricuspid valve.
3. Pulmonary valve.
4. Mitral valve.

Yesterday’s Mind Teaser: A 2 month old baby with accute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother's hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only.
2. HbsAg and HBeAg positve.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Answer for yesterday’s Mind Teaser: 2. HbsAg and HBeAg positve.

Correct answers received from: Dr P C Das, Dr Manas Ranjan Sahoo,
Dr Jayant Gaikwad. Dr K V Sarma, Dr Pankaj Agarwal, Deepali Chatterjee,
Dr K Raju, Dr Jainendra Upadhyay, Vijayalakshmi Seshadri, Muthumperumal Thirumalpillai, Daivadheenam Jella, Arvind Diwaker.

Answer for 9th June Mind Teaser: 1. Cell Wall

Correct answers received from: Arvind Diwaker.

Send your answer to ijcp12@gmail.com

Quote of the Day

Tell a man he is brave, and you help him to become so. Thomas Carlyle

Zee News – Health Wealth Shows

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


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

Health Check Up Camp at Modern Era Public School, 16th May 2014

press release

Obesity reduces life expectancy

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 on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy as its side effect.

eMedinewS Humor

Cab Drivers

Two cab drivers met. "Hey," asked one, "why did you paint one side of your cab red and the other side blue?"

"Well," the other responded, "when I get into an accident, you should see how all the witnesses contradict each other.


Twitter of the Day

Dr KK Aggarwal: Inhaling diesel exhaust Fumes causes heart attack or stroke http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Fear is the memory of pain. Addiction is the memory of pleasure. Freedom is beyond both. http://bit.ly/DC_Ananda #ananda


Forth Comming Event


Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
or Call: Vandana 9891673085/Dr Kakroo 9810301261


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  1. Dear Sir, Very informative bulletin. Regards: Dr Kanta
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