eMedinewS15th February 2014, Saturday

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
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Normal Aging Changes

  1. The heart rate shows less variability.
  2. There is altered circadian pattern (24–hour cycle of the body).
  3. There is a delayed response of bone marrow to loss of blood or hypoxia (reduced oxygen).
  4. The function of the white blood cells is impaired.
  5. Advancing age is a procoagulant stage. This means that the blood gets clotted easily.
  6. Reflux of the stomach acid in the food pipe is common.
  7. Tendency to constipation is common.
  8. Painkillers can quite easily cause ulcers in the stomach.
  9. Renal functions decline with age.
  10. Older kidney is more prone to be damaged with painkillers.
  11. Calcification of heart valves may occur.
  12. The maximum heart rate may not reach the level as that in the young age in response to exercise.
  13. About one–third of the lung volume may be lost.
  14. Aging slows the rate of fracture repair.
  15. Skin may become atrophic (thin) and elasticity is reduced.
  16. A person may not be able to read small print.
  17. There may be impaired speech recognition in noisy environment.
  18. There may be loss of taste.
  19. There may be loss of smell.
  20. There may be high frequency hearing loss.
  21. Immunity may be reduced.
  22. With age, one is more prone to get urinary tract infection.
  23. With age ejaculation may get impaired.
Dr K K Aggarwal on Zee TV

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."

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

Are We Honest?

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Most of us are relatively honest. If I introspect myself, I consider myself as an honest doctor but when I go deep into introspection, I see that I am only relatively honest. I used to give money to the TT to get a reservation in a train, buy a cinema ticket in black, pay money to the electrician to get my electricity in time during functions etc.

Corruption is corruption whether it is for one rupee or 1 lakh rupee. Many of the current so called anti–corruption campaigners have purchased their houses by paying in black. Accepting donations from people who are not honest and from people who are donating from their unaccounted money is also corruption.

Only corrupt people approach a corrupt person and therefore for him every one is corrupt. The vice versa is also true.

cardiology news

The Three Races

In old times, a fable retells the story of the young athletic boy hungry for success, for whom winning was everything and success was measured by such a result.

One day, the boy was preparing himself for a running competition in his small native village, himself and two other young boys to compete. A large crowd had congregated to witness the sporting spectacle and a wise old man, upon hearing of the little boy, had travelled far to bear witness also.

The race commenced, looking like a level heat at the finishing line, but sure enough the boy dug deep and called on his determination, strength and power… he took the winning line and was first. The crowd was ecstatic and cheered and waved at the boy. The wise man remained still and calm, expressing no sentiment. The little boy, however, felt proud and important.

A second race was called, and two new young, fit, challengers came forward, to run with the little boy. The race was started and sure enough the little boy came through and finished first once again. The crowd was ecstatic again and cheered and waved at the boy. The wise man remained still and calm, again expressing no sentiment. The little boy, however, felt proud and important.

"Another race, another race" pleaded the little boy. The wise old man stepped forward and presented the little boy with two new challengers, an elderly frail lady and a blind man. "What is this?" quizzed the little boy. "This is no race." he exclaimed.

"Race!" said the wise man. The race was started and the boy was the only finisher, the other two challengers left standing at the starting line. The little boy was ecstatic; he raised his arms in delight. The crowd, however, was silent showing no sentiment toward the little boy.

"What has happened? Why don’t the people join in my success?" – he asked the wise old man. "Race again", replied the wise man, "this time, finish together, all three of you, finish together." – continued the wise man.

The little boy thought a little, stood in the middle of the blind man and the frail old lady, and then took the two challengers by the hand. The race began and the little boy walked slowly, ever so slowly, to the finishing line and crossed it. The crowd was ecstatic and cheered and waved at the boy. The wise man smiled, gently nodding his head. The little boy felt proud and important.

"Old man, I don’t understand! Who is the crowd cheering for? Which one of us three?" asked the little boy.

The wise old man looked into the little boy’s eyes, placing his hands on the boy’s shoulders, and replied softly, "Little boy, for this race you have won much more than in any race you have ever ran before, and for this race the crowd cheer not for any winner!"

News Around The Globe

  • Patients with rheumatoid arthritis (RA) who have an inadequate response to a single TNF inhibitor (TNFi) generally do better if they switch to rituximab, rather than to an alternative TNF inhibitor, Paul Emery, MD, and colleagues report in an article published online January 17 in the Annals of the Rheumatic Diseases.
  • Young adults who had not been vaccinated against influenza had severe cases and needed the most intensive treatment, according to a case series published online February 10 in the American Journal of Respiratory and Critical Care Medicine.
  • In an analysis of National Health and Nutrition Examination Survey (NHANES) data paired with outcomes from CMS in the Feb. 12 issue of the Journal of the American Medical Association, the estimated risk of ESRD over 15 years was 30.8 per 10,000 in kidney donors compared with 3.9 per 10,000 in matched healthy nondonors (P<0.001).
  • Computer–based vision training may improve vision for patients with glaucoma, possibly because of plasticity in the retina and vision–related areas of the brain, according to an article published online February 6 in JAMA Ophthalmology.
  • In the first randomized trial of cognitive therapy as a stand–alone therapy for schizophrenia, researchers found that it significantly reduced the severity of psychiatric symptoms and improved personal and social functioning and some dimensions of delusional beliefs and voice hearing. The study was published online February 6 in the Lancet.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

What are the consequences of a vaccine with a higher potency?

There are no risks with vaccine with a higher potency.

cardiology news

Punishment for a Rapist

  • One needs to distinguish between paraphiliac and non–paraphiliac rapists. Paraphiliac rapists have excessive sexual desire. Paraphiliac offenders commit sex offences because they are sexually aroused by the act. On the other hand, non–paraphiliac sex offenders are instigated by violations or ego–hurt or for taking revenge.
  • One may lose intellect under the influence of alcohol and may end up raping somebody if instigated.
  • Chemical castration is reversible and the effect of the injection lasts only 3–6 months. The injections are costly and need to be given by medical doctors.
  • Chemical castration in the long run leads to thinning of the bone (osteoporosis), feminine characteristics and increased tendency for cardiovascular diseases.
  • Chemical castration drugs are not safe and healthy.
  • In the long run influential people convicted for chemical castration will start paying bribes to doctors and get a water injection in place of chemical castration injection.
  • Chemical castration does not mean dissolving the male organ with a chemical. It only means reducing the blood testosterone levels to that of pre–puberty levels.
  • Non–injectable oral drugs, which block the action of testosterone are costlier and need to be taken every day. Therefore, they cannot be a part of chemical castration as punishment.
  • Surgical removal of testis will remove sexual desire permanently and the same should only be given as a punishment in patients who are spending life–term in the prison.
  • Depo Provera is another injection which can be given every three months to patients with paraphiliac sexual abnormality.
  • Deprivation of sex and non–fulfillment of sexual desires is one of the main causes of rapes.
  • If female commercial sex workers are banned in the society, the incidents of rape will increase as sexually deprived people with strong sexual urges will end up raping the minors.
  • People under the influence of alcohol and drugs will keep raping girls if not treated and counseled in time.
cardiology news

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

  • Elevations in blood pressure in the first trimester of pregnancy, even those below the cutoff for overt hypertension, may increase the risk for preeclampsia among women receiving aspirin prophylaxis, according to a new study published in the March issue of Obstetrics & Gynecology. The researchers found that 9.6% (59) of women receiving aspirin prophylaxis developed preeclampsia and that these women had a higher median BP during their first trimester compared with women who did not develop preeclampsia (127/75 mm Hg vs 117/68 mm Hg, respectively). Women who developed elevations in BP during their first trimester and who were classified as having either prehypertension or hypertension according to the Joint National Committee on Hypertension 7 guidelines had a 2–fold increase in their risk for preeclampsia. Normal BP during the first trimester of pregnancy, in contrast, was associated with a 56% reduction in the risk for preeclampsia.
  • In a small study of patients presenting to the ER with hypertensive acute heart failure (HF), the IV calcium–channel blocker clevidipine (Cleviprex, the Medicines Company) was safe and more effective than standard IV drugs to rapidly reduce BP and improve dyspnea. These promising early findings from A Study of Blood Pressure Control in Acute Heart Failure–A Pilot Study (PRONTO) were published online January 15, 2014, in the American Heart Journal.
cardiology news

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

  • In a study in Pediatrics published online February 10, researchers have found that premature babies who were exposed to more talking from adults, such as their parents, in the NICU, tended to score higher on development tests later on.
  • Common infections are associated with a significantly higher risk for stroke in children, and routine vaccinations appear to be protective. The study funded by the National Institutes of Health (NIH) was presented by Nancy Hills, PhD, University of California San Francisco Medical Center, at the American Stroke Association (ASA) International Stroke Conference (ISC) 2014.
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

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His and Her Heart Disease

Medical research is confirming that, even in heart disease, men and women share a lot of similar risk factors, said Padma Shri and Dr B C Roy National & DST National Science Communication Awardee Dr K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association. However, there are some important differences as reported in Harvard News Letter.

  1. Smoking: Cigarette smoking tops the list of lifestyle risk factors for men and women alike. But for women who take birth control pills, smoking increases the risk of heart attack and stroke even more.
  2. Cholesterol: Levels of ‘bad’ LDL cholesterol above 130 mg/dL are thought to signal even greater risk for men, while levels of ‘good’ HDL cholesterol below 50 mg/dL are seen as greater warnings for women. High triglyceride levels (over 150 mg/dL) are also a more significant risk factor for women.
  3. High blood pressure: Until age 45, a higher percentage of men than women have high blood pressure. During midlife, women start gaining on them and by age 70, women, on average, have higher blood pressure than men.
  4. Inactivity: Only about 30% of Americans report getting any regular physical activity, but men tend to be more physically active than women, with the greatest disparities in the young (ages 18 to 30) and the old (65 and older).
  5. Excess weight: Being heavy has long been thought to set one on the road to heart disease, but the location of the extra pounds may be more important than their number. Abdominal fat, which releases substances that interfere with insulin activity and promote the production of bad cholesterol, is more toxic than extra padding on the hips. Many health authorities consider a waist measurement of 35 inches or more for women and 40 inches or more for men as a more precise indicator of heart disease risk than body mass index.
  6. Diabetes: Diabetes more than doubles the risk of developing heart disease for both men and women; however, diabetes more than doubles the risk of a cardiac death in women, while raising it to 60% in men.
  7. Metabolic syndrome: Having any three of the five features of metabolic syndrome – abdominal obesity, high blood pressure, high triglycerides, low HDL cholesterol, and high blood sugar or insulin resistance – is riskier for women than for men, tripling the risk of a fatal heart attack and increasing the chance of developing diabetes 10–fold. The combination of a large waist and high triglycerides is especially toxic to women.
  8. Psychosocial risk factors: The depth of the heart–head connection is still being plumbed, but there’s enough evidence to implicate certain factors as contributors to heart disease, such as chronic stress, depression, and lack of social support. Neither sex fares better than the other overall, but research indicates that some factors predominate in men and others in women.
  9. Stress is an equal–opportunity burden. Women are twice as likely to be depressed as men and to suffer more from emotional upheaval. In fact, the reported cases of ‘broken heart syndrome’ – the sudden, but usually reversible, loss of heart function after an intense emotional experience – are almost exclusively in older women. Anger and hostility have long been cited as risk factors in men, but that’s probably because most studies of heart disease excluded women. It’s well documented that men are more likely to lack social support – especially after retirement – than are women.
  10. Inflammation: Chronic inflammation is now thought to set the stage for the deposition of atherosclerotic plaque. Women have much higher rates of conditions that often lead to persistent, low–grade inflammation. For example, lupus more than doubles the risk of heart attack and stroke for women.

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 86664 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."

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CPR Training, Chinmaya Vidyalaya at Vasant Vihar, Delhi 4th February 2014

press release

Exercise impact on the knee

vedio of day

today video of the dayHeart disease starts in youth

Cholesterol tips released

Padma Shri & Dr B C Roy National Awardee, Dr KK Aggarwal on Tackling tension headaches

eMedi Quiz

A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with polygonal raised areas in the palpebral conjunctiva is:

1. Trachoma.
2. Phlyctenular conjunctivitis.
3. Mucopurulent conjunctivitis.
4. Vernal keratoconjunctivitis.

Yesterday’s Mind Teaser: A 20 year old man complains of difficulty in reading the newspaper with his right eye. Three weeks after sustaining a gunshot injury to his left eye. The most likely diagnosis is:

1. Macular edema.
2. Sympathetic ophthalmia.
3. Optic nerve avulsion.
4. Delayed vitreous hemorrhage.

Answer for yesterday’s Mind Teaser: 2. Sympathetic ophthalmia.

Correct answers received from: DR AYYAVOO ERODE, Prabha Sanghi, Dr. P. C. Das, Dr. V.P. Thakral, Dr Ajay Gandhi, Dr.K.Raju, Dr Jainendra Upadhyay, Dr.K.V.Sarma, DR AVTAR KRISHAN, Dr.(Maj. Gen.) Anil Bairaria, Sangeetha Raja, Abhay Naik

Answer for 13th February Mind Teaser: 1.Glyceraldehyde-3–phosphate dehydrogenase.

Correct answers received from: Abhay Naik, Dr U Gaur, Tukaram Pagad

Send your answer to ijcp12@gmail.com

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medicolegal update

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medicolegal update
medicolegal update

A traffic slogan: Don’t let your kids drive if they are not old enough – or else they never will be

medicolegal update

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medicolegal update

Situation: A chronic smoker developed cancer of lung.
Reaction: Oh my God!! Why was he not screened earlier for cancer of lung?
Lesson: Make sure that all chronic smokers are given an option for lung cancer screening with low dose spiral CT.

medicolegal update

A happy family is but an earlier heaven. George Bernard Shaw

medicolegal update

Dr KK Aggarwal: Kidney stone of less than 5mm size needs no treatment http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: No matter what happened in the past, we all have the right and the capacity to be happy and loved 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 – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

medicolegal update
  1. Dear Sir, Nice information. Regards: Dr Kanak

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