eMedinewS12th April 2014,Saturday

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

ABO Blood Type is a Risk Factor for Coronary Heart Disease

Two prospective cohort studies have identified the ABO blood group as a risk factor for the development of heart disease. People with blood groups A, B, or AB were 5–23% more likely to develop coronary heart disease compared with those with O blood type. The study by Dr Meian He from Harvard School of Public Health, Boston, MA included 62 073 women from the Nurses' Health Study (NHS) and 27 428 men from the Health Professionals Follow-up Study (HPFS) and is published in the September 2012 issue of Arteriosclerosis, Thrombosis, and Vascular Biology.

In the NHS and HPFS, the incident rates of coronary heart disease per 100 000 person-years were 125, 128, 142, and 161 for women with type O, A, B, and AB, respectively, and 373, 382, 387, and 524 for men with type O, A, B, and AB, respectively. Compared with individuals with O blood type, individuals with blood group A, B, or AB had a respective 5%, 11%, and 23% increased risk of developing coronary heart disease in an age–adjusted model.

In non–O individuals, plasma levels of factor VIII–von Willebrand factor (vWF) are approximately 25% higher than in individuals with type O blood type. Elevated levels of factor VIII–vWF have been previously identified as a risk factor for coronary heart disease. The vWF has an important role in hemostasis and thrombosis by mediating platelet adhesion to the vascular wall, especially under high shear stress conditions

News Around The Globe

  • In line with previous data that people with Alzheimer’s disease, Parkinson’s disease, and Huntington’s disease are less likely to develop cancer, a new study published online April 9 in Neurology has demonstrated an inverse association between cognitive decline and cancer. The study, conducted in Spain, showed that faster cognitive decline was associated with a lower risk of death due to cancer over more than a decade in elderly subjects without dementia at baseline.
  • A new study presented at the American Association of Neurological Surgeons (AANS) 82nd Annual Meeting has revealed that patients with paralysis may be able to improve control of prosthetic arms using proprioception. Researchers noted during the course of the study that a patient with quadriparesis could manipulate a virtual reality arm without actually seeing it with the addition of proprioceptive feedback provided by a computer analyzing actual movement data.
  • A new study conducted in Finland has found that women with a history of eating disorders are at a heightened risk of an array of pregnancy–related complications. The study was published April 7 online in the American Journal of Obstetrics and Gynecology. Researchers noted that women with anorexia nervosa had increased odds of developing anemia, and were more likely to have low birth weight babies and very premature births. Additionally, women with bulimia nervosa were more likely to have babies who required resuscitation or had a low Apgar score.
  • A novel research published online April 7 in the Proceedings of the National Academy of Sciences Early Edition has stated that genetic variants that enhance the sensitivity to the euphoric effects of d–amphetamine might possibly reduce the risk of developing schizophrenia or attention–deficit/hyperactivity disorder (ADHD). The study authors noted that individuals who had an excess of alleles that increased sensitivity to the euphoric effects of amphetamine were also less likely to develop schizophrenia or ADHD.
  • A new study conducted at the Seoul National University, Korea has stated that polyps that develop on the vocal cords may resolve on their own in up to one third of patients. Researchers noted that among 94 patients presenting to a tertiary referral center treated conservatively and observed for at least three months, 46% of polyps diminished significantly in size and 38% resolved completely without requiring surgery. Of the polyps that resolved on their own, 44% were resolved by three months and 81% by eight months. The study was published online in JAMA Otolaryngology–Head & Neck Surgery.

Rabies News (Dr A K Gupta)

Why is rabies an important disease?

Rabies is one of the oldest and most feared zoonotic diseases, and has been a threat to human health for more than 4000 years. Rabies is a neglected and severely under–reported disease killing each year an estimated 55,000people (24,000 to 90,000 deaths) worldwide (WHO 2007). All mammals, but mainly carnivores and bats, are susceptible and can transmit rabies virus. Human exposures are most frequently associated with bites by rabid dogs and transmission of virus from dogs’ saliva. The Association for the Prevention and Control of Rabies in India (APCRI) estimated in 2004 that in India, there were 20,565 reported human deaths every year. About half of the world’s population lives in areas in which rabies is enzootic. Rabies is practically 100% fatal even today but easily preventable.

Cardiology eMedinewS

  • The US Food and Drug Administration (FDA) has approved 10 Medtronic biventricular pacemakers, with or without defibrillators, for use in patients with less severe systolic heart failure and atrioventricular block, pointing towards a need for right–ventricular pacing. The new approvals apply to the following devices: Consulta CRT–P and CRT–D, Syncra CRT–P, Maximo II CRT–D, Concerto II CRT–D, Viva XT CRT–D and S CRT–D, Protecta CRT–D and XT CRT–D, and Brava CRT–D.
  • Administration of nonsteroidal anti–inflammatory (NSAID) drugs might be associated with an increased risk for atrial fibrillation (AF), even after adjustment for ventricular end–diastolic dimension, known to be increased with NSAID use, reports a new study published online April 8 in BMJ Open. The study authors stated that the risk increases shortly after starting treatment and may resolve over time.

Pediatrics eMedinewS

  • Chronic stress prematurely ages children by speeding up the shortening of their telomeres, reports a study published online April 7 in the Proceedings of the National Academy of Sciences Early Edition. This was a cohort study involving 40 African American 9–year–old boys revealing that those who lived in homes with a low income, low maternal education, and unstable family structures had significantly shorter telomere length (TL) than children who had better environment at home.
  • Trauma–focused cognitive–behavioral therapy (TF–CBT) has surfaced as an effective treatment for young patients suffering from posttraumatic stress disorder (PTSD), reports a new evidence-based review. According to the review, TF–CBT had a larger effect in decreasing patients’ symptoms compared with no treatment or other active treatments. TF–CBT is a combined parent–child treatment that uses CBT principles and exposure techniques to prevent and treat PTSD, depression, and behavioral problems. The study was published online March 18 in Psychiatric Services.

Dr K K Spiritual Blog

Why spiritual gurus do not suffer?

Most spiritual gurus do acquire disease but they do not suffer from them. This means that they have learnt the art of facing or fighting a disease without mental suffering. They face any adversity as an opportunity to do something different in their life.

Classical examples are Lord Krishna who suffered from a nonhealing wound and Jesus Christ who at the time of his crucifixion was calm yet positive in his approach.

Wellness Blog

Small Study: Soft Drinks May Change Metabolism Permanently

Dr. Hans–Peter Kubis, the director of the Health Exercise and Rehabilitation group at Bangor University in England, has shown that regularly drinking soda drinks can not only cause weight gain, but can actually change the metabolism in the human body, potentially triggering a whole host of other medical problems.

The findings published in the European Journal of Nutrition in June, looked at the effects of increased soda intake on a group of 11 men and women described as ‘lightly active, healthy, lean subjects with sporadic soft drink consumption.

The study found that even in that short time, the extra soda led their bodies to process calories differently, switching to ‘an inefficient metabolism.

Inspirational Story


Ram received an automobile from his brother as Birthday present. One day when Ram came out of his office, he saw a street urchin was walking around the shiny new car, admiring it.

"Is this your car?" He asked. Ram nodded, "My brother presented me on my birthday." The boy was astounded. "You mean your brother gave it to you and it didn’t cost you nothing? Boy, I wish…" He hesitated.

Of course Ram knew what he was going to wish for. He was going to wish he had a brother like his brother but what the lad said jarred Ram all the way down to his heels.

"I wish," the boy went on, "that I could be a brother like that." Ram looked at the boy in astonishment, and then impulsively he added, "Would you like to take a ride in my automobile?"

"Oh yes, I’d love that." After a short ride, the boy turned and with his eyes aglow, said, "Would you mind driving in front of my house?" Ram smiled a little. He thought he knew what the lad wanted. He wanted to show his neighbors that he could ride home in a big automobile. But Ram was wrong again.

"Will you stop where those two steps are?" The boy asked. He ran up the steps. Then in a little while Ram heard him coming back, but he was not coming fast. He was carrying his little crippled brother. He sat him down on the bottom step, then sort of squeezed up against him and pointed to the car.

"There he is, brother. Like I told you upstairs, his brother gave it to him and it didn’t cost him a penny. Some day I’m going to give you one just like it then you can see for yourself all the pretty things in the shop windows that I’ve been trying to tell you about."

Ram got out and lifted the crippled boy to the front seat of his car. The shining–eyed older brother climbed in beside him and the three of them began a memorable ride.

ePress Release

Expressive writing can relieve stress

By spending 30 minutes each day for four days to write out innermost thoughts and feelings, one can significantly boost mental and physical health, 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.

The so–called expressive writing requires only pen and a paper. In expressive writing therapy, patients are encouraged to express whatever is on their mind, letting their hopes and fears flow out in a natural, unrestrained way. It is like keeping a journal, but more focused on the things that might be bothering one or triggering stress.

Talking about other updates, Dr Aggarwal said that snoring at night or sleepiness during the day may be a symptom of obstructive sleep apnea, a potentially life–threatening problem affecting one out of three diabetics. It occurs when the airway becomes blocked during sleep and is usually caused by the collapse of soft tissue in the back of the throat during sleep. Between snores, breathing stops for a period of 10 seconds or longer, and this pattern repeats itself multiples times over the course of a night.

Smoking while pregnant can damage thyroid function of both the mother and the foetus. Good thyroid function is the key to maintaining a pregnancy. This, in turn, affects metabolism and the risk of miscarriage, premature birth, low birth weight and impaired brain development.

People who develop chronic cough and phlegm (sputum production) are at four–fold higher risk of developing chronic obstructive lung disease.

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

A measure of location which divides the distribution in the ratio of 3:1 is:

1. Median.
2. First quartile.
3. Third quartile.
4. Mode.

Yesterday’s Mind Teaser: Elements of primary health care include all of the following except:

1. Adequate supply of safe water and basic sanitation.
2. Providing essential drugs.
3. Sound referral system.
4. Health education.

Answer for yesterday’s Mind Teaser: 3. Sound referral system.

Correct answers received from: Deepali Chatterjee, Dr.K.V.Sarma, Dr Prakash Khalap, Dr Jainendra Upadhyay, Dr Sanjeev Sood, Dr.Bitaan Sen & Dr.Jayashree Sen.

Answer for 10th April Mind Teaser: D

Correct answers received from: Dr Avtar Krishan.

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 free health checkup camp was organized by Heart Care Foundation of India at Bal Bharti Public School

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

Housekeeping Husband

My friend’s husband is always telling her that housekeeping would be a snap if only she would organize her time better. Recently he had a chance to put his theory into practice while his wife was away.

When I popped in one evening to see how he was managing, he crowed, "I made a cake, frosted it, washed the kitchen windows, cleaned all the cupboards, scrubbed the kitchen floor, walls and ceiling and even had a bath."

I was about to concede that perhaps he was a better manager than his wife, when he added sheepishly, "When I was making the chocolate frosting, I forgot to turn off the mixer before taking the beaters out of the bowl, so I had to do all the rest."

Quote of the Day

Nothing ever comes to one that is worth having, except as a result of hard work. Booker T. Washington


Twitter of the Day

Dr KK Aggarwal: Inhaling diesel exhaust Fumes causes heart attack or stroke http://youtu.be/NMIK16PyBrY?a via @YouTube
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


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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  1. Dear Sir, Thanks for the updated information. Regards: Dr Kapil
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