eMedinewS13th October 2013, Sunday

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

Every 10–dB increase in noise exposure is associated with a 3.5% higher rate of hospital admissions

Aircraft noise from some of the world’s busiest airports is linked to an increased risk of hospital admissions for cardiovascular disease. Previously, aircraft noise, as well as other "sound pollutants," has been linked to hypertension.

In the first of two studies published online October 8, 2013 in BMJ, Dr Anna L Hansell (Imperial College London, UK) and colleagues assessed hospital admissions for 3.6 million people living near Heathrow Airport. (bmj.f5432) They linked daytime and nighttime aircraft noise and hospital visits for stroke, coronary heart disease, and cardiovascular disease by comparing residents in the noisiest areas with those living farther from the airport.

They found that, after adjustment for confounders, high–noise areas (>63 dB) had significantly increased risks for all three diagnostic codes as compared with the quieter areas (<51 dB). High vs Low Aircraft Noise Exposure

Admission diagnosis
Relative risk
95% CI
Coronary artery disease
Cardiovascular disease

In the second paper, Dr. Andrew W Correia (NMR Group, Somerville, MA) and colleagues looked at hospitalization for cardiovascular disease among subjects 65 years or older according to "contours of aircraft noise levels" around 89 airports in the US. (BMJ 2013;347)

They report that every 10–dB increase in noise exposure (by zip code) was associated with a 3.5% higher rate of hospital admissions for cardiovascular disease. (Medscape Cardiology)

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 9th Navratri

sprritual blog

By the 9th day of spiritual detoxification one gets all spiritual powers.

Navratri is the detoxification of body, mind and soul. The nine days purification process is observed twice in a year, at the start of summer and winter. Chaitra Navratri is observed at the start of the summer for preparing the body to tolerate summer.

Body detoxification involves special Navratri diet principles of eating less, once a day with no cereals. In Navratri diet flour is replaced with Kuttu (winter) or Singhara (summer) flour; pulses with amaranth or Rajgiri and Rice with Samak rice.

Mental and soul detoxification involves practicing Yoga Sadhna as described in nine forms of Durga, one worshipped each day.

• Siddhidhatri is worshipped on the Ninth Day of Navratri.
• She gives all the eight siddhis – Anima, Mahima, Garima, Laghima, Prapti, Prakamya, Iishitva and Vashitva.
• She rides on a lion or on a lotus
• She has four hands and looks pleased.

cardiology news

The House with the Golden Windows

The little girl lived in a small, very simple, poor house on a hill and as she grew she would play in the small garden and as she grew she was able to see over the garden fence and across the valley to a wonderful house high on the hill – and this house had golden windows, so golden and shining that the little girl would dream of how magic it would be to grow up and live in a house with golden windows instead of an ordinary house like hers.

And although she loved her parents and her family, she yearned to live in such a golden house and dreamed all day about how wonderful and exciting it must feel to live there.

When she got to an age where she gained enough skill and sensibility to go outside her garden fence, she asked her mother is she could go for a bike ride outside the gate and down the lane. After pleading with her, her mother finally allowed her to go, insisting that she kept close to the house and didn't wander too far. The day was beautiful and the little girl knew exactly where she was heading! Down the lane and across the valley, she rode her bike until she got to the gate of the golden house across on the other hill.

As she dismounted her bike and lent it against the gate post, she focused on the path that lead to the house and then on the house itself…and was so disappointed as she realized all the windows were plain and rather dirty, reflecting nothing other than the sad neglect of the house that stood derelict.

So sad she didn’t go any further and turned, heartbroken as she remounted her bike… As she glanced up she saw a sight to amaze her…there across the way on her side of the valley was a little house and its windows glistened golden …as the sun shone on her little home.

She realized that she had been living in her golden house and all the love and care she found there was what made her home the ‘golden house’. Everything she dreamed was right there in front of her nose!

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

20th MTNL Perfect Health Mela 2013 Hangout on Air with Google

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.


  • For patients in septic shock who have an excessively high heartbeat, use of the beta blocker esmolol helped to lower and maintain heartbeat rates without adverse effects, according to an article published online October 9 in JAMA.
  • Improvements in bone–mineral density (BMD) resulting from a combination of osteoporosis agents, the antiresorptive denosumab (Prolia, Amgen) with the anabolic agent teriparatide (Forteo, Lilly), are sustained over 2 years of treatment, according to a new study presented here at the American Society for Bone and Mineral Research (ASBMR) 2013 Annual Meeting.
  • A woman’s age alone might predict her risk for osteoporotic fractures as effectively as more comprehensive, official risk prediction models would, according to a comparison study published in the October issue of Obstetrics & Gynecology. However, the authors of the study caution that this does not mean that age alone should be considered as an independent predictor of fractures, but it should be carefully considered when evaluating patients for osteoporosis screening and treatment.
  • An analysis of more than 120,000 colonoscopies has shown that there is up to 50% chance that a screening sigmoidoscopy will miss a potentially cancerous polyp increases with age (people 70 years and older). The data from the study were presented at the American College of Surgeons 2013 Annual Clinical Congress by Victor Tsirline, MD, from Northwestern University in Chicago.
  • A single annual injection with zoledronic acid (Zometa, Novartis) is safe and effective for boosting skeletal integrity in a population of women who are most at risk for fractures and least likely to receive osteoporosis treatment — the elderly and frail in long-term care, according to a new study presented at the American Society for Bone and Mineral Research (ASBMR) 2013 Annual Meeting.
  • The spread of methicillin–resistant Staphylococcus aureus (MRSA) can be reduced in the intensive care unit (ICU) if staff wear gloves and gowns for all contact with patients, as per a new study presented at IDWeek 2013. However, a protocol of gloves and gowns did not affect the spread of vancomycin–resistant Enterococcus faecium (VRE).
  • By 2030, India and China will not only have the bulk of cancer cases globally, but are also likely to be ill–prepared to deal with the cancer burden as ageing of the population and the consequent increase in cancer cases would be happening much more rapidly than it did in the developing world, reports the TOI Oct 12, 2013. In China, the proportion of elderly is expected to triple from 8% in 2006 to 24% by 2050, within just 44 years. And in India, the proportion of elderly is expected to go up from about 7% in 2001 to about 13% by 2030, a doubling within just 29 years. This issue of a rapidly ageing Asia ill-prepared to deal with the cancer burden has been highlighted in a recent report, the State of Oncology 2013, brought out by the International Prevention Research Institute. The report highlights not only the plight of cancer patients in Asia, but also of those in Africa, where a majority of cancer patients would have no access to diagnosis, treatment or palliative care.

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Rabies News (Dr. A K Gupta)

What are the signs of rabies in dogs/cats?

  • Any change in normal behavior suggesting either undue aggression or depression.
  • Running aimlessly and attacking others without provocation.
  • Becomes too drowsy and withdraws to a corner.
  • Change in voice/bark.
  • Excessive salivation.
  • Refusal to feed or eating objects like stone, paper, wood, metal pieces etc.
cardiology news
  • The benefits of all combined hormonal contraceptives (CHCs) in preventing unwanted pregnancies outweigh the risks of venous thromboembolism (VTE), the European Medicines Agency’s (EMA) Pharmacovigilance Risk Assessment Committee (PRAC) has concluded from its eight–month–long review. The PRAC review states that there are "small differences" between different CHCs, depending on the type of progestogen they contain, and that doctors can take these into account when prescribing the drugs.
  • New data from Ontario show that almost 42% of patients with suspected coronary artery disease (CAD) who underwent a diagnostic angiogram within a 17–hospital network were found to have none. The results imply that whatever criteria physicians are using to send a patient for the invasive test are often failing to identify patients who actually warrant further testing, according to Dr Kevin Levitt (University of Toronto, ON) and colleagues. Rates of angiograms turning up normal were noticeably not uniform across the hospitals studied, ranging from as low as 18% at some hospitals to as high as 77%. The study is published in the October 2013 issue of the American Heart Journal.

Valvular Heart Disease News

Transesophageal echocardiography provides detail of the aortic root and the ascending aorta that can help to exclude subvalvular and aortic pathologies.

(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
  • A 6–month course of oral valganciclovir improves hearing and nerve development in infants with cytomegalovirus, and works better than a 6-week course, reported researchers at IDWeek 2013. This is the first major trial of oral valganciclovir for cytomegalovirus in newborns. Congenital cytomegalovirus is the leading nongenetic cause of deafness in the United States, and can cause delays in other neurologic developments.
  • After extubation, very preterm infants did just as well when treated with oxygen administered through small nasal cannulae as through continuous positive airway pressure (CPAP) prongs after extubation, according to a randomized trial reported in the Oct. 10 issue of the Medicine. Treatment failure occurred at a rate of 34.2% with the high–flow nasal cannulae and 25.8% with CPAP, Brett J. Manley, MBBS, of the Royal Women's Hospital in Parkville, Australia, and colleagues found.
cardiology news

PCI in Stable CAD of Limited Benefit

PCI held no edge over optimal medical therapy in all–cause mortality, the primary outcome according to Sripal Bangalore, MD, MHA, from New York University School of Medicine in New York City, and colleagues. PCI did not significantly improve cardiac death, nonfatal myocardial infarction (MI), or repeat revascularization. The report is published in August issue of Circulation: Cardiovascular Interventions.

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


All systems of medicine should practice uniform preventive cardiology

As a part of the 20th MTNL Perfect Health Mela organized by Heart Care Foundation of India, Nehru Homoeopathic Alumni Association and Homoeopathy Cardiology of India organized a Workshop on Common Cardiac Disorders.

Delivering a lecture at the Workshop, Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela said that tincture Homoeopathy and Allopathy have common medicines and can interact with each other if taken together.

The workshop was organized at Nehru Homoeopathic Alumni Association and was attended by hundreds of budding and practicing homoeopaths.

Dr. Aggarwal said as per a Supreme Court judgment, Homoeopathy doctors are entitled to use basic cardiac investigations in their clinical practice. He said that preventive cardiology is one field where all pathies should work together and come out with a consensus statement.

Dr. Aggarwal further added that in the forthcoming 20th MTNL Perfect Health Mela being organized from 23rdto 27th October, 2013 at Constitution Club of India, special consultations will be available to the public on Homoeopathy cardiology, Ayurvedic cardiology and Yoga cardiology.

Dr Aggarwal also said that doctors from all pathies should treat unhealthy behaviors as aggressively as they treat hypertension, high cholesterol and other heart disease risk factors. Doctors should create “interprofessional practices” to connect patients with behavior-change specialists.

They must implement five As when caring for patients

1. Assess a patient’s risk behaviors for heart disease
2. Advise change, such as weight loss or exercise
3. Agree on an action plan
4. Assist with treatment
5. Arrange for follow-up care.

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

As a part of the 20th MTNL Perfect Health Mela organized by Heart Care Foundation of India, Nehru Homoeopathic Alumni Association and Homoeopathy Cardiology of India organized a Workshop on Common Cardiac Disorders.

press release

Avoid these foods for a healthier heart

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…………………

A 25 years old male is undergoing incision and drainage of abscess under general anesthesia with spontaneous respiration. The most efficient anaesthetic circuit is:

1.Mapleson A.
2.Mapleson B.
3.Mapleson C.
4.Mapleson D.

Yesterday’s Mind Teaser: A 5–year–old boy suffering from Duchenne muscular dystrophy has to undergo tendon-lengthening procedure. The most appropriate anaesthetic would be:

1. Induction with intravenous thiopentone and N2O; and halothane for maintenance.
2.Induction with intravenous protocol and N2O; and oxygen for maintenance.
3.Induction with intravenous suxamethonium and N2O; and halothane for maintenance.
4.Inhalation induction with inhalation halothane and N2O; oxygen for maintenance.

Answer for yesterday’s Mind Teaser: 2.Induction with intravenous protocol and N2O; and oxygen for maintenance.

Correct answers received from: Dr.K.Raju, Dr. V.P. Thakral, Hareesh s b Hareesh, Dr.K.V.Sarma, DR AVTAR KRISHAN, Dr ajay Gandhi, Dr Kanta jain.

Answer for 11th October Mind Teaser: 2.Pre–oxygenation is mandatory.

Correct answers received from: Dr.K.Raju, DR.A.K.GAJJAR.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

An elderly couple died in a car crash. She was 82 and he was 87 years old. While alive, the wife had always been very health conscious regarding what they ate.

When they arrived at heaven they were shown to a luxurious accommodation. There was a garden and a professional standard golf course. At the far side of the golf course was the Club house serving free food and drinks 24 hours a day. The club also accommodated satellite TV, snooker tables and cabaret entertainment.
A short stroll from the club house was a never–ending golden beach which was always well attended by lovely bronzed naked women.

The man turned to his wife and said, "You dozy cow… if it wasn’t for you and your bloody health food I could have been here 20 years ago!"

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient after sublingual nitrate developed fainting attack.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

medicolegal update

Don’t be pushed by your problems. Be led by your dreams. Calvin & Hobbes

medicolegal update

Dr KK Aggarwal: The world’s deadliest virus in China today http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: In my stillness I am the eternal possibility. In my movement I am the cosmos.

medicolegal update
  1. I am highly impressed by & interested in eMedinewS. It is enlightening as well as entertaining. Madanmohan Trakroo
  2. Members of academic aptitude and academic achievements avoid routine IMA activity. A similar thing is going to happen in the election of Medical Council of India representative. IMA should form a committee to nominate a deserving person for the post. Vivek Kumar, Varanasi

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medicolegal update

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