eMedinewS13th July 2014, Sunday

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

All about depression

  • Depression is a major public health problem as a leading predictor of functional disability and mortality.
  • Optimal depression treatment improves outcome for most patients.
  • Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
  • A non–psychiatric physician 50% of times misses the diagnosis of the depression.
  • All depressed patients must be enquired specifically about suicidal ideations.
  • Suicidal ideation is a medical emergency
  • Risk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts or family history of attempted suicide.
  • The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
  • About 1 million people commit suicide every year globally.
  • Around 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only one-third contact their mental health service provider.
  • Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
  • Suicide is the 10th leading cause of death worldwide and accounts for 1.2% of all deaths.
  • The suicide rate in the US is 10.5 per 100,000 people.
  • In the US, suicide is increasing in middle aged adults.
  • There are 10–40 non–fatal suicide attempts for every one completed suicide.
  • The majority of suicides completed in US are accomplished with fire arm (57%), the second leading method of suicide in US is hanging for men and poisoning in women.
  • Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt.
  • Fifty percent of successful victims have made prior attempts.
  • One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
  • The risk of suicide increases with increase in age; however, young adults and adolescents attempt suicide more than the older.
  • Females attempt suicide more frequently than males but males are successful three times more often.
  • The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children and married with children in descending order.
  • Living alone increases the risk of suicide.
  • Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
  • A recent sense of failure may lead to higher risk.
  • Clinicians are at higher risk of suicide.
  • The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
  • Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
  • The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
  • Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
  • Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
  • High impulsivity or alcohol or other substance abuse increase the risk.

News Around The Globe

  • The initial component of the first evidence-based concussion guidelines has identified 4 prevalence indicators of concussion – Disorientation or confusion immediately after the event; Impaired balance within 1 day after injury; Slow reaction time within 2 days after injury; Altered verbal learning and memory within 2 days after injury. The initial component of the guidelines is published as a special supplement in the September 2014 issue of Neurosurgery.
  • A new review published online July 9 in JAMA Surgery has revealed that a preoperative briefing lasting 2 minutes or less improves safety and communication in the operating room (OR) and reduces delays by more than 80%.
  • The World Gastroenterology Organization (WGO) has issued non–alcoholic fatty liver disease guidelines that offer pragmatic guidance for clinicians. The guidelines are published in the July issue of the Journal of Clinical Gastroenterology.
  • A large cohort study has reported that vasectomy is associated with a modest increase in the incidence of high-grade and lethal prostate cancer. However, vasectomy may not be associated with a risk for low–grade or localized disease, reported the study published online July 7 in the Journal of Clinical Oncology.
  • According to an article published online July 9 in the New England Journal of Medicine, patients with atopic dermatitis treated with the biologic agent dupilumab experienced rapid, significant improvements in disease signs, symptoms, and associated biomarker levels in early clinical trials.

Rabies News (Dr A K Gupta)

How should you approach a patient requiring RIGs, when none is available?

1. Thorough wound cleansing.

2. ESSEN IM vaccination with double dose on day 0 and refer the patient to RIG center.

Cardiology eMedinewS

  • A new analysis suggests that nonfasting LDL–cholesterol levels provide equivalent prognostic value to fasting LDL–cholesterol levels. Researchers noted that higher nonfasting and fasting LDL–cholesterol levels were associated with an increased risk of all–cause and cardiovascular mortality and both the entities yielded similar results for the prediction of mortality. The findings were published online July 11 in Circulation.
  • A new study has suggested that even low levels of alcohol consumption do not help reduce the risk of cardiovascular disease. Researchers conducted a Mendelian randomization, comparing rates of coronary heart disease and stroke in subjects who were or were not carriers of a genetic variant known to be associated with lower levels of alcohol consumption. The report is published online July 10 in the BMJ.

Pediatrics eMedinewS

  • Children who receive inactivated polio vaccine (IPV) at least 6 months after the oral poliovirus vaccine (OPV) series develop better immunity, suggested a report published online July 11 in the Lancet.
  • A retrospective record review, published online July 10 in JAMA Otolaryngology Head & Neck Surgery, revealed that more than 10% of children undergoing tympanostomy had postoperative tube obstruction, with serous fluid and increased time to follow–up visit predicting tube occlusion.

Dr K K Spiritual Blog

What are Satvik offerings in Vedic literature?

  1. Food Offerings: Panchashasha (grains of five types – brown rice, mung or whole green gram, til or sesame, mashkalai (white urad dal) or any variety of whole black leguminous seed, jowar or millet)
  2. Panchagobbo (Five items obtained from cow: milk, ghee or clarified butter, curd, cowdung and gomutra), curd, honey, brown sugar, three big noibiddos, one small noibiddo, three bowls of madhupakka (a mixture of honey, curd, ghee and brown sugar for oblation), bhoger drobbadi (items for the feast), aaratir drobbadi mahasnan oil, dantokashtho, sugar cane juice, an earthen bowl of atop (a type of rice), til oil (sesame oil).
  3. Water offerings: Ushnodok (lukewarm water), coconut water, sarbooushodhi, mahaoushodhi, water from oceans, rain water, spring water, water containing lotus pollen.
  4. Three aashonanguriuk (finger ring made of kusha).
  5. Puja Items: Sindur (vermillion), panchabarner guri (powders of five different colours – turmeric, rice, kusum flowers or red abir, rice chaff or coconut fibre burnt for the dark colour, bel patra or powdered wood apple leaves), panchapallab (leaves of five trees – mango, pakur or a species of fig, banyan, betal and Joggodumur or fig), pancharatna (five types of gems – gold, diamond, sapphire, ruby and pearl), panchakoshay (bark of five trees– jaam, shimul, berela, kool, bokul powdered in equal portions and mixed with water), green coconut with stalk, three aashonanguriuk (finger ring made of kusha).

Wellness Blog

Donating blood reduces chances of heart attack

Traditional Indian turmeric prevents heart failure, lowers cholesterol, prevents cancers and gall stones and augments scar formation in a wound.

Studies from the University of Toronto’s Cardiology Division and published in The Journal of Clinical Investigation have shown that Curcumin, an ingredient in the curry spice turmeric, when given orally to a variety of mouse models with enlarged hearts (hypertrophy), could prevent and reverse hypertrophy, prevent heart failure, restore heart function and reduce scar formation. In the studies, curcumin was given to rats, who then underwent surgery or received drugs designed to put them at risk of heart failure. The rats that received curcumin showed more resistance to heart failure and inflammation than comparison groups of rats that did not get curcumin.

Curcumin treatment also reversed heart enlargement. Curcumin short–circuited the heart enlargement process, though it’s not clear how it did that.

The healing properties of turmeric have been well–known. The herb has been used in traditional Indian medicine to reduce scar formation. For example, when there is a cut or a bruise, the home remedy is to reach for turmeric powder because it can help to heal without leaving a bad scar.

Curcumin has come under the scientific spotlight in recent years, with studies investigating its potential benefits for reducing cholesterol levels, improving cardiovascular health and fighting cancer.

As an herb, turmeric should to be taken 300 mg thrice–daily with meals. It has useful actions like antioxidant, anti–inflammatory, anti rheumatic; lowering cholesterol, anti cancer and prevention of gall stones. It is also found to be useful in situations like dysmenorrhea, dyspepsia, HIV, muscle soreness, peptic ulcer disease, scabies and uveitis.

Curcuminoids, act as free radical scavengers. They also inhibit leukotrienes and synthesis of prostaglandins. The anti–inflammatory activity has been claimed to be comparable to NSAIDs (such as indomethacin).

Curcuminoids lower blood lipid peroxides, decrease total cholesterol and LDL cholesterol, and increase HDL cholesterol. Turmeric has also been claimed to inhibit platelet aggregation.

Inspirational Story

I Tried to Climb the Mountain Today

I tried to climb the mountain today. As I inched my way up the path, I felt overwhelmed, so I had to turn back. I tried to climb the mountain today. On my journey, darkness started to fall, and I was full of fear, so I had to return to a safe place.

I was ready to climb the mountain today. But it was so hot outside, I thought I better stay in my nice air-conditioned house and rest up for tomorrow’s attempt. I was about to climb the mountain today. But I had so many other things to do, so instead of climbing the mountain I took care of much more important tasks. I washed my car, mowed the grass and watched the big game. Today the mountain will just have to wait.

I was going to climb the mountain today. But as I stared at the mountain in its majestic beauty, I knew I stood no chance of making it to the top, so I figured why even bother trying. I have forgotten about climbing the mountain today; until a friend came by and asked me what I was up to lately. I told him I was thinking about climbing that mountain some day. I went on and on about how I was going to accomplish this task.

Finally, he said, "I just got back from climbing the mountain. For the longest time I told myself I was trying to climb the mountain but never made any progress. I almost let the dream of making it to the top die. I came up with every excuse of why I could not make it up the mountain, but never once did I give myself a reason why I could. One day as I stared at the mountain and pondered, I realized that if I didn’t make an attempt at this dream all my dreams will eventually die.""The next morning, I started my climb."

He continued, "It was not easy, and at times I wanted to quit. But no matter what I faced, I placed one foot in front of the other, keeping a steady pace. When the wind tried to blow me over the edge, I kept walking. When the voices inside my head screamed "stop!" I focused on my goal never letting it out of sight, and I kept moving forward. At times, I was ready to quit, but I knew I had come too far. Time and time again, I reassured myself that I was going to finish this journey. I struggled to make it to the top, but I climbed the mountain!"

"I have to be going," my friend said. "Tomorrow is a new day to accomplish more dreams. By the way, what are you going to do tomorrow?" I looked at him, with intensity and confidence in my eyes, and said, "I have a mountain to climb."

ePress Release

Sitting over 3 hours a day may reduce life expectancy

One should not sit for more than 2 hours in a day, 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.

Quoting a study published in BMJ Dr Aggarwal said that sitting for three hours per day or longer may reduce an individual’s life expectancy.

The study calculated that limiting the time people spend sitting to 3 hours or fewer each day would increase the life expectancy of the population by two years. Cutting down TV watching to fewer than two hours each day would bump life expectancy up by another 1.4 years.

When you are sitting, your leg muscles (the largest in the body) are completely inactive, which causes problems with how you handle your blood sugar and how you handle cholesterol.



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 – 94595 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 and CPR 10 Camp at NP Primary School,Kamraj Marg–11th July 2014

press release

AHA ACS Update

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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 pyogenic meningitis developed complications.
Reaction: Oh my God! Why was an antibiotic not given when meningitis was suspected?
Lesson: Make sure that the first dose of antibiotic is given at the time when meningitis is suspected.

eMedinewS Humor

Getting Rid of the Problem

A farmhand is driving around the farm, checking the fences. After a few minutes he radios his boss and says, "Boss, I’ve got a problem. I hit a pig on the road and he’s stuck in the bull–bars of my truck. He's still wriggling. What should I do?"

"In the back of your truck there’s a shotgun. Shoot the pig in the head and when it stops wriggling you can pull it out and throw it in a bush." The farm worker says okay and signs off. About 10 minutes later he radios back. "Boss I did what you said, I shot the pig and dragged it out and threw it in a bush."

"So what’s the problem now?" his Boss snapped.

"The blue light on his motorcycle is still flashing!"

Quote of the Day

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict

Twitter of the Day

Dr KK Aggarwal: : Caloric restriction may prevent disease increase life span http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Each of us is a unique strand in the intricate web of life and here to make a contribution #CosmicConsciousness


eMedi Quiz

A middle aged male comes to the outer patient department (OPD) with the only complaint of hoarseness of voice for the past 2 years. he has been a chronic smoker for 30 years. On examination, a reddish area of mucosal irregularity overlying a portion both cords was seen. Management would include all except:

1. Cessation of smoking.
2. Bilateral cordectomy.
3. Microlaryngeal surgery for biopsy.
4. Regular follow–up.

Yesterday’s Mind Teaser: : A 31 year old female patient complaints of bilateral impairment of hearing for the past 5 years. On examination, tympanic membrance is normal and aduiogram shows a bilateral conductive deafness. Impedance audiometry. Shows as type of curve and acoustic reflexes are absent. All constitute part of treatment, except:

1. Hearing aid.
2. Stapedectomy.
3. Sodium Fluoride.
4. Gentamicin.

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

Correct answers received from: Dr Prakash Khalap, Dr P C Das, Dr Jainendra Upadhyay, Dr K V Sarma, Dr Ajay Gandhi, Dr Avtar Krishan, Arvind Diwaker, Dr Bitaan Sen & Dr Jayashree Sen, Dr Prakash Khalap, Dr Ajay Gandhi.

Answer for 10th July Mind Teaser: 4. Calcaneum

Correct answers received from: Dr Pawan Mehta, Dr R H Gobbur, Dr G Sahadevudu, Dr Poonam Chablani, Dr K V Sarma, Dr Jainendra Upadhyay, Dr Gopal Shinde, Arvind Diwaker, Dr Jayashree Sen & Dr Bitan Sen, Dr Rohini Dhillon, Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Sir, Thanks for the nice information: Regards: Dr Jatin

Forthcoming Events


India International Centre Extension Block, Lodi Road, Delhi, 12 &13 July, 14


13 JULY 2014



9.00 am– 9.30 am



9.30 am – 10.30 am

Effective Occupational Health Program:

A Vital Resource for Productivity & Sustainability.

Dr. A.K.Khokhar

Dr. Divyang Shah.

10.30 am –11.30 am

Non-Communicable Diseases at Workplace

Diabetes : Management of Type II Diabetes

Diabetes Management : Incretin Therapy

Dr. Minakshi Jain

Dr Deepak Mukherjee

11.30 am–12.00 pm

Chronic Liver Disease

Dr. Ajay Gupta

12.00 pm–12.30 pm

Prevention of Heart Diseases

Dr. Anand Pandey

12.30 pm–1.00 pm


Chief Guest: Honorable Ms.M. Lekhi

1.00 pm–2.00 pm



2.00 pm–2.40 pm

Joint Pains : Special emphasis Rheumatoid Arthritis

Dr. Rajat Gupta
Dr. B.K.Singh
Dr.Samaarjeet Singh

2.40 pm–3.00 pm

Women Health at Workplace

Dr Sangeeta Gupta

3.00 pm to 5.00 pm

Occupational Health servises : PUC Perspective


3.00 pm–3.30 pm

Occupational Health–A way Ahead

Dr. Mau Saxena–BHEL

3.30 pm–4.00 pm

Occupational Health and Health Index

Dr. Chandraa Tripaathi

4.00 pm–4.30 pm

Manaagement of Fatigue at workplace

Dr. Sandeep Sharma IOCL

4.30 pm–5.00 pm

Effect of Environment on Health

Mr.S. Kaul

5.00 pm



Dr. P.S. Prasa

Dr. Sandeep Sharma

Dr. Rajiv Garg
Chairman, Conference

Dr. A.K.Khokhar
Chairperson, Scientific Committee


Dr. Chandraa Tripaathi
Chairperson,Scientific Committee

Dr. U.C. Ojha
Co–Chairperson,Scientific Committee


Dr. Atul Gupta
Co–Chairperson, Scientific Committee

Dr. Kiran Kukreja
Chairperson, Reception Committee


Dr. Rajesh Parthesarthy
Chairperson Reception Committee

Mr. S. Kaul.
Co–Chairperson, Reception Committee


Dr. Rajiv Gupta
Co–Chairperson,Reception Committee

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