eMedinewS12th December 2013, Thursday

Dr K K AggarwalPadma 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

CPR 10 Utsav

Dear Colleague

Heart Care Foundation of India and NDMC are jointly organizing a CPR 10 Utsav in which thousands of peoples will be trained on CPR 10 technique (how to revive heart after it has stopped).

The training will be held at Talkatora Indoor Stadium on Sunday the 15th December, 2013 from 9.00 AM onwards and will be inaugurated by NDMC Chairman Sh. Jalaj Shrivastava.

The training will be provided on one to one basis using 1500 manikins. In the last one year we have trained over 80,000 people in this technique. We also have a record of training over13,000 peoples in one day on 6th April, 2013 on the eve of Heart World Day.

I have a feeling that CPR training should be made compulsory in schools and colleges and in a health care set up, all starting from the security guard to the CEO must be certified in CPR 10 technique.

I hereby appeal to all of you to join this movement and also ask your relatives and patients to come and learn this technique which is being provided free of cost.

In Delhi alone, 40 lives can be saved everyday if 10% of the population learns this technique.

It is well known fact that after cardiac arrest for 10 minutes, the soul does not leave the body and brain remains alive during this period. A successful CPR 10 done by any bystander can revive the heart.

Looking forward to have you with us.

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

sprritual blog

I was invited by PHD Chambers of Commerce to talk on Innovations in Rural Health Care Management on 11th Dec.’13 at PHD House, New Delhi. I was initially inclined to talk about various advancements in the field of Healthcare. But later on I realized that most important innovation is going back to future by relearning and practice the art of prevention as practiced in ancient times.

Today in every field of innovation we are trying to replicate what already exists in the nature. We have not been able to compete with the human mind or the natural stars in the sky.

The real innovation is to spread the message of prevention reaching to every household. Today 90% of the diseases are preventable and to prevent them one does not need sophisticated techniques.

Learning simple health sutras can be sufficient.

Over 90% of the diseases are self–limiting and do not require any treatment. In a rural healthcare setup, 90% of diseases can be managed by doctors of indigenous systems of medicine and allopathic system should be reserved only for emergencies and surgeries.

cardiology news

A Young Sad Lady

The old Master instructed the unhappy young lady to put a handful of salt in a glass of water and then to drink it. "How does it taste?" the Master asked. "Very bad" said the lady.

The Master then asked the young lady to take another handful of salt and put it in the lake. The two walked in silence to the nearby lake and when the apprentice swirled his handful of salt into the lake, the old man said, "Now drink from the lake."

As the water dripped down the young lady’s chin, the Master asked, "How does it taste?" "Good!" remarked the apprentice. "Do you taste the salt?" asked the Master. "No," said the young lady.

The Master said, "The pain of life is pure salt; no more, no less. The amount of pain in life remains the same, exactly the same. But the amount we taste the ‘pain’ depends on the container we put it into. So when you are in pain, the only thing you can do is to enlarge your sense of things…… Stop being a glass. Become a lake!"

News Around The Globe


  • Patients taking prescription anti–reflux medications had significantly higher odds of a vitamin B12 deficiency. In a study in JAMA, among patients diagnosed with a vitamin B12 deficiency, a 2 or more years’ prescription for proton pump inhibitors or histamine 2 receptor antagonists was significantly associated with risk for the deficiency. Patients who received more than 1.5 pills daily of PPIs had significantly greater vitamin B12 deficiency than those who received doses less than 0.75 pills per day.
  • A new research presented at the American Society of Hematology annual meeting reports that a next generation genetic therapy appeared to restore the immune system of patients with "bubble boy disease," but without leading to leukemia as a side effect. Among nine children, ages 3.9 to 10.5 months, diagnosed with X–linked severe combined immunodeficiency (SCID) who received a self–inactivating (SIN) gamma retroviral vector, seven were "alive and well" at 3 years’ post–treatment. The current standard treatment for X–SCID is hematopoietic stem cell transplantation, but finding a suitable donor is difficult.
  • The type 2 diabetes drug canagliflozin (Invokana) was associated with modest weight loss in an early trial of heavy patients who didn’t have hyperglycemia. In a phase IIb trial reported online in the journal Obesity, obese and overweight patients who didn’t have diabetes lost a significantly larger proportion of body weight on any of three doses of the drug compared with placebo.
  • Vedolizumab (VDZ; Entyvio, Takeda Pharmaceuticals USA, Inc) was recommended by wide margins for the treatment of adults with ulcerative colitis (UC) and Crohn’s disease (CD) at a joint meeting of the US FDA’s Gastrointestinal Drugs Advisory Committee (GIDAC) and the Drug Safety and Risk Management Advisory Committee (DSaRMAC), held December 9.
  • The Infectious Diseases Society of America (IDSA), the Society for Healthcare Epidemiology of America, and the Pediatric Infectious Diseases Society recommend that all healthcare employers (HCEs) require universal immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), according to a policy statement. Included with the mandated immunizations are those against measles, mumps and hepatitis B. The policy statement recommends that HCEs should consider, on a case–by–case basis, the need for administrative and/or infection control measures to reduce risk for disease transmission among HCP who cannot be vaccinated because of medical contraindications or vaccine supply shortages. HCPs include all paid and volunteer persons working in the healthcare setting who have the potential for exposure to patients and/or to infectious materials.

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Rabies News (Dr. A K Gupta)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

cardiology news

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

  • Individuals with sleep apnea and resistant hypertension treated with continuous positive airway pressure (CPAP) over the course of 12 weeks had significant improvements in their 24–hour mean and diastolic blood pressures, but no change in their systolic blood pressure, according to the results of the HIPARCO trial in the December 11, 2013 issue of the Journal of the American Medical Association. CPAP therapy also improved nocturnal BP pattern, with more patients treated with CPAP displaying the nocturnal dipper pattern vs individuals who did not receive CPAP.
  • Most experts at the World Diabetes Congress 2013 were of the opinion that patients with type 2 diabetes who are at high risk for or who already have heart failure should not be precluded from receiving dipeptidyl peptidase–4 (DPP–4) inhibitor glucose–lowering agents. They should instead be supervised closely for the first 6 months of therapy, because new findings from the Saxagliptin Assessment of Vascular Outcomes Recorded in Patients with Diabetes Mellitus — TIMI 53 (SAVOR–TIMI 53) trial indicate that heart–failure cases associated with the use of saxagliptin (DPP–4 inhibitor) appeared to occur primarily in the first 6 months of use of the drug.
cardiology news

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

  • A double–blind, placebo–controlled imaging study of 17 children and adolescents with autism spectrum disorder (ASD) suggests that a single dose of the hormone oxytocin administered via nasal spray enhances brain activity in key regions, temporarily improving social information processing in children with autism spectrum disorder (ASD). The findings were published online December 2 in the Proceedings of the National Academy of Sciences.
  • Exercise can help overweight kids slim down, but a new study suggests they might be at risk for leg, ankle and foot injuries in the process, according to results published online November 22 in the British Journal of Sports. That could be because their legs are supporting extra weight. Children with a healthy BMI had 4.4 injuries for every 1,000 "athletic exposures" (i.e., 1.5 hours of physical education class or one afterschool sports practice), compared to 5.3 injuries for every 1,000 exposures among kids with an overweight or obese BMI.
cardiology news

Nine modifiable risk factors for heart attack

The majority of known risk factors for heart attack disease are modifiable by specific preventive measures.

Nine potentially modifiable factors include smoking, dyslipidemia, hypertension, diabetes, abdominal obesity, psychosocial factors, regular alcohol consumption, lack of adequate fruits and vegetables in diet and sedentary lifestyle. These account for over 90 percent of the population–attributable risk of a first heart attack.

In addition, aspirin is recommended for primary prevention of heart disease for men and women whose 10–year risk of a first heart attack event is 6 percent or greater.

Smoking cessation reduces the risk of both heart attack and stroke. One year after quitting, the risk of heart attack and death from heart disease is reduced by one–half, and after several years it begins to approach that of nonsmokers.

A number of observational studies have shown a strong inverse relationship between leisure time activity and decreased risks of CVD. The Heart Care Foundation of India recommends walking 80 minutes in a day and with a speed of 80 steps per minute.

cardiology news

Total CPR since 1st November 2012 – 77787 trained

Media advocacy through Web Media

web media webmedia webmedia
press release

Differentiate Different types of Fever

One can differentiate different types of fever clinically, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

Following are the tips

  1. If a patient comes with fever with chills and rigors, think of Malaria in north and filaria in the Vidarbha region in India.
  2. In malaria, chills occur in the afternoon and in Filaria, chills are in the evening.
  3. Fever with joint pains on extension is often due to Chikungunya (flexion improves the pain)
  4. Think of dengue if there is fever with itching, rash and periorbital pain.
  5. In presence of fever with single chills, think of pneumonia.
  6. Fever with sore throat, no cough, no nasal discharge: Think of streptococcal sore throat, especially in children
  7. Fever with red angry–looking throat: Think of streptococcal sore throat.
  8. Fever with red epiglottis: Think of Hemophilus infection
  9. Fever with cough and or nasal discharge: Think of common flu
  10. Fever with cough, nasal discharge, nausea and vomiting: Think of H1N1 flu
  11. Fever with toxic look, persistent fever: Look for typhoid
  12. Fever with no or low rise in pulse: Look for typhoid
  13. Fever with urinary symptoms (burning, frequency): Rule out urinary infection
  14. Fever with high TLC (White cell count) and liver pain: Rule out liver abscess
  15. Fever with loose motions (watery, no blood, no mucous): Rule out acute gastroenteritis
  16. Jaundice appears after the fever resolves: This is viral hepatitis
  17. One feels very weak after the fever resolves: Rule our dengue hemorrhagic fever.

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 77787 people since 1st November 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 10×10 i.e. 100 per minute."

emedipicstoday emedipics

Awareness Messages were spread in the CPR 10 Camp

press release

Monitoring LFT in a patient on statins

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

Mummification refers to:

1. Hardening of muscles after death.
2. Colliquative putrefaction.
3. Saponification of subcutaneous fat.
4. Dessication of a dead body.

Yesterday’s Mind Teaser: The parameters of sensitivity and specificity are used for assessing:

1.Criterion validity.
2.Construct validity.
3.Discriminant validity.
4.Content validity.

Answer for yesterday’s Mind Teaser: 1.Criterion validity.

Correct answers received from: DR AJAY GANDHI, DR.A.K.GAJJAR, Dr.K.V.Sarma, Dr Chandresh Jardosh, Dr.Bitaan Sen & Dr.Jayashree Sen, Muthumperumal Thirumalpillai, Arvind Gajjar, Omparkashsingh Kande, Deepali Chatterjee

Answer for 10th December Mind Teaser: 3.Atracurium.

Correct answers received from: DR AVTAR KRISHAN, Dr.Sahadevudu Gelivi,

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

As an English professor, my father would often write little notes on student essays. Often he worked late, and as the hours passed, his handwriting deteriorated. One day a student came to him after class with an essay that had been returned.

"Mr. McDonald," he said, "I can’t make out this comment you wrote on my paper."

My father took the paper and, after studying it, sheepishly replied, "It says that you should write more legibly."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/70 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored. It is an impending sign that the patient is going into shock.

medicolegal update

Good friends care for each other… close friends understand each other… and true friends stay forever beyond words, beyond time

medicolegal update

Dr KK Aggarwal: Smoking and ulcerative colitis http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Your only identity is I AM undefined and infinite. Any label you give yourself limits yourself.

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm

Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President
Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman
Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Sir, Very informative news. Regards: Dr Kalpana

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