eMedinewS13th September 2013, Friday

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

Cinnamon in diabetes

In a new meta–analysis of 10 studies in patients with type 2 diabetes, taking cinnamon supplements improved fasting blood glucose and cholesterol levels, but not HbA1c levels. The report is published in September 9 issue in the Annals of Family Medicine.

Small doses of a cinnamon supplement could be used along with traditional diabetes medication,

Cinnamomum cassia, either as natural supplement powder or capsule, was the most common form of cinnamon that was studied in the trials, and 1 tsp of cinnamon is approximately 3 g.

Cinnamon effect is attributed to its active component cinnamaldehyde.

The advantages of cinnamon are its cost, tolerability, and relatively safe profile.

Long–term administration of high–dose cinnamon may possibly be unsafe due to the coumarin content of cinnamon, which has been associated with liver damage in animal studies. ….

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

sprritual blog Types of Memory

The easiest way to remember types of memory is by understanding the concept of Suno, Samjho, Jano and Karo (hearing, listening, knowledge and wisdom). Hearing is the most short–lasting memory. We hear and we forget is the rule.

Once we listen and understand, memory lasts longer but the same memory become ever lasting if we not only hear, understand and know but also incorporate the knowledge in our practice.

These principles have been used by marketing people in brand recall. I know many pharmaceuticals play a game and ask 100 doctors to enter into a competition in which they have to write the company’s brand a number of times in one minute and the one who writes the maximum number of times is given a prize. By practicing the brand name repeatedly you create a permanent impact of their brand in the soul and it is unlikely that you will forget the brand and its recall value will increase every time you think about the molecule.

The same principle has been used by devotees of Rama and Shiva where they make people write the name of Rama repeatedly everyday and the devotees of Shiva make people write Om Namaha Shivai on a piece of a paper for years together. By doing so you inculcate the teachings of Lord Rama and Shiva. Unfortunately, devotees of Lord Krishna have not been able to make a brand out of Lord Krishna.

Many spiritual Gurus give a Mantra, which is also based on the same principle. A mantra is nothing but a positive affirmation which you have to follow every minute of your life through out your life. Once you start doing it, a time will come when it will become a part of your soul consciousness and you will start living and behaving in a way as of your positive affirmation. For example, Brahma Kumari’s say that always say a positive affirmation to yourself that I am a peaceful soul. After some time you will start behaving like a peaceful soul and you will loose agitation, anger and negative affirmations of life. ….

cardiology news

Growing Deep and Strong!

One day, my mother and I were working together in the garden where we were transplanting plants for the third time.

Grown from seed in a small container, the plants had been transferred to a larger container; then transplanted into the garden. Now, because I was moving, we were transplanting them once again.

Inexperienced as a gardener, I turned to my green–thumbed mother. "Isn’t this bad for them?" I asked, as we dug them up and shook the dirt from the roots. "Won’t it hurt these plants, being uprooted and transplanted so many times?"

"Oh" my mother replied. "Transplanting doesn’t hurt them. In fact, it’s good for the ones that survive. That’s how their roots grow strong. Their roots will grow deep, and they will make strong plants".

Often, I’ve felt like those small plants – uprooted and turned upside. Sometimes I’ve endured the change willingly, sometimes reluctantly, but usually my reaction has been a combination. Won’t this be hard on me? I ask. Wouldn’t things be better if things remained the same? That’s when I remember my mother’s words: That’s how the roots grow deep and strong.

News Around The Globe

  • A novel preventive throat spray for upper respiratory tract infections (URI) reduced self–reported frequency and severity of symptoms, but did not reduce incidence compared with placebo, according to a study presented at the Interscience Conference on Anti–Microbial Agents and Chemotherapy. Compared with placebo treatment, patients who received the active throat spray had significantly reduced risks of sore throat, cough and fever, and severity of cough and sore throat symptoms were significantly lower.
  • The FDA has approved the use of the botulinum toxin drug Botox Cosmetic for temporarily reducing moderate to severe lateral canthal lines or crow's feet in adults. It had earlier been approved to reduce glabellar or frown lines between the eyebrows.
  • Breast cancer patients seemed to have significant changes in cardiovascular risk factors following treatment compared with a matched group of women without breast cancer. In a study presented at the Breast Cancer Symposium, blood pressure and body composition both shifted in an unfavorable direction from baseline to the end of breast cancer therapy, whereas the non-oncology patients had no significant changes in cardiovascular risk parameters over a similar time period.
  • A breathalyzer–like test can sample components of a patient’s breath and accurately detect invasive aspergillosis. A profile of three metabolites specific to Aspergillus fumigatus –– farnesene, β–vatirenene, and cis–geranylacetone –– was able to correctly distinguish the presence of Aspergillus fungal pneumonia in 94% of patients with 93% sensitivity and 96% specificity, according to a study presented at the Interscience Conference on Antimicrobial Agents and Chemotherapy.
  • Some symptoms traditionally attributed to low testosterone may actually be due to estrogen deficiency. In a small study of men, reported in the New England Journal of Medicine, whose hormone levels were altered to mimic low testosterone –– and in some cases, to completely inhibit estrogen production –– it appeared that androgen deficiency accounted for decreases in lean mass, muscle size, and strength, while a lack of estrogen was responsible for increases in body fat.

5th Dil Ka Darbar

Date: Sunday, 29th September 2013, Venue: Constitution club of India, Rafi Marg, Time: 8 AM to 6 PM

Programme: A non stop question answer–session between all top cardiologists of the NCR region and the public.

The focus of the discussions will be prevention of heart diseases in women and young men. Special discussion will be held on Sex and Heart Diseases. Practical training will also be given to people on Hands–only Cardiopulmonary Resuscitation. Another focus of the discussion will be the launch of the Project Dhadkan (Palpitations) and Project Murmur (Congenital and valvular heart diseases in children).

Entry free…

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Rabies News (Dr. A K Gupta)

Is sera testing of IDRV patients for antirabies antibodies necessary as a measure of knowing its efficacy?

Routine sera testing for rabies antibodies to know its efficacy is not required.

cardiology news
  • Patient with heart blockages who have positive attitude are more likely to exercise and less likely to die from any cause at 5 years follow up, as per a study published in the journal Circulation. High positive effect is associated with the significant reduced risk of all cause mortality and a significant chance of exercising. The Danish study was done by S. Pedersan. Patients who exercise are less likely to die at 5 years.
  • An MRI of the whole body may strongly predict cardiovascular disease in patients with diabetes. In a single–center trial, patients who had detectable vascular changes on whole–body MRI had a cumulative risk of a cardiovascular event of 20% at 3 years, and 35% at 6 years. In contrast, none of the patients with a normal whole–body MRI had a cardiovascular event over that time. The study findings are reported online in the journal Radiology.

Valvular Heart Disease News

In many vaccines with endocardita, there may be history of localized infection.

(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
  • More innovative interventions are needed for severely obese children and adolescents before they consider bariatric surgery, according to a scientific statement from the American Heart Association. "Severe obesity" is a newly defined class of risk that comprises about 6% of children and adolescents, and effective treatment options are limited. The problem is that an "unacceptably large" gap exists between behavior– and drug–based interventions and bariatric surgery for youth with severe obesity, according to the statement published online in Circulation: Journal of the American Heart Association.
  • Cutaneous warts in schoolchildren aged 4 to 12 years will resolve within 1 year in about 50% of cases, as reported by Dutch researchers in the September issue of the Annals of Family Medicine. Resolution is particularly likely in younger children and in those with nonwhite skin types. At 1 year, the complete resolution rate was 52 per 100 person–years at risk, regardless of treatment. Likelihood of resolution increased by about 10% for each year of age decrease and was twice as likely for children with nonwhite skin types.
cardiology news

Judicious use of cardiac screening

Unnecessary screening can have a considerable cost beyond that of the test itself, warn members of an ad hoc committee convened by the American College of Physicians.

Screening tests should be performed judiciously, and the committee has assembled a list of common clinical situations in which more testing is unlikely to be helpful and may be harmful, writes Amir Qaseem, MD, PhD, MHA, from the ACP, Philadelphia, Pennsylvania, and colleagues in the January 17, 2012, issue of the Annals of Internal Medicine.

ACP committee has identified 37 clinical scenarios in which screening does not promote patient health, and might even have adverse consequences. Among them cardiac ones are:

  • Performing coronary angiography in patients with chronic stable angina who have well–controlled symptoms on medical therapy, or who lack specific high–risk criteria on exercise testing
  • Routinely repeating echocardiography in asymptomatic patients with mild mitral regurgitation and normal left ventricular size and function
  • Obtaining ECG to screen for cardiac disease in patients at low to average risk for coronary artery disease.
  • Obtaining exercise electrocardiogram for screening low–risk, asymptomatic adults
cardiology news

Dr Vinay Aggarwal today took over as CMAAO President and Dr Ajay Kumar Past President IMA as Advisor for two years.

cardiology news

Total CPR since 1st November 2012 – 63400 trained

CPR Classes 63400

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

29th August: Veer Arjun

Media advocacy through Web Media

When Constipation May be a Serious Problem 30th August


TB more dangerous than FLU 29th August


Dengue patients don’t die of platelet deficiency

According to international guidelines, unless the platelet count is below 10,000/or there is spontaneous active bleeding, no platelet transfusion is required, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal President, Heart Care Foundation of India.

The cause of death in dengue is capillary leakage, which causes blood deficiency in the intravascular compartment, leading to multiorgan failure, he added.

At the first instance of plasma leakage from intravascular compartment to extravascular compartment, 20 ml per kg body weight per hour of fluid replacement should be administered to the patient till the difference between upper and lower blood pressure is more than 40 mmHg or the patient passes adequate urine. Giving unnecessary platelet transfusion to the patient can harm the individual.

Dr. Aggarwal has created a ‘Formula of 20’ for family doctors to understand the severity of dengue.

  • Rise in pulse by 20
  • Fall in upper blood pressure by 20 mmHg
  • Pulse pressure lower than 20
  • Hematocrit increase by 20%
  • Platelet count less than 20,000
  • More than 20 petechiae in the tourniquet test

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 63400 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."

today emedipics

Mrs. Sheila Dikshit, Chief Minister of Delhi inaugurate the CMAAO India conference.The CMAAO India conference was inaugurated by Chief Minister of Delhi Smt. Sheila Dikshit on 12th September at Hotel Shangri La.

press release

Dr KK Aggarwal New pill for HIV prevention

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…………………

After trying to conceive for a year, a couple consults an infertility specialist. When obtaining a history from the husband, Nurse Jenny inquires about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility?

a. Chickenpox
b. Measles
c. Mumps
d. Scarlet fever

Yesterday’s Mind Teaser: A triple–lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the nurse is aware that the functions of the three lumens include:

a. Continuous inflow and outflow of irrigation solution.
b. Intermittent inflow and continuous outflow of irrigation solution.
c. Continuous inflow and intermittent outflow of irrigation solution.
d. Intermittent flow of irrigation solution and prevention of hemorrhage.

Answer for yesterday’s Mind Teaser: a. Continuous inflow and outflow of irrigation solution.

Correct answers received from: DR AJAY GANDHI, Narahari Kandakatla, Dr.K.Raju, Dr Prakash Khalap, Dr. P. C. Das, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr.Chandresh Jardosh, Dr Jainendra Upadhyay, Dr.K.V.Sarma, daivadheenam, Dr B K Agarwal

Answer for 11th September Mind Teaser: d. Phenazopyridine

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

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

A group of expectant fathers sat nervously in the hall. A nurse beckoned to one of them and said, "Congratulations, you have a son!"

Another man dropped his magazine, jumped up and said, "Hey, what’s the idea? I got here two hours before he did!"

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

Money is not the most important thing in the world. Love is. Fortunately, I love money. Jackie Mason

medicolegal update

Dr KK Aggarwal: Poor hygiene habits may lead to Typhoid fever http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Empirical facts are not descriptions of fundamental reality but descriptions of modes of human observation using a human nervous system

medicolegal update

Dear Sir, Very informative blog. Regrds: Dr Sagun

Forthcoming Events

29thSeptember–Dil Ka Darbar at Constitution Club of India,New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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