16th November 2014, Sunday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

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

Long-term use of mobile and cordless phones is associated with an increased risk for brain tumor

Its official: Long-term use of mobile and cordless phones is associated with an increased risk for glioma, the most common type of brain tumor as per the latest research published online on October 28 in the journal Pathophysiology.

The new study from Sweden by Dr Lennart Hardell, Professor of Oncology at University Hospital, shows that the risk for brain tumor is tripled among those using a wireless phone for more than 25 years and that the risk is also greater for those who had started using mobile or cordless phones before age 20 years.

The widespread use of wireless communications has resulted in greater exposure to radiofrequency electromagnetic fields and the brain is the main target of these radiations when these phones are used, with the highest exposure being on the same side of the brain where the phone is placed.

In the study an increased risk for brain tumor was associated with use for more than 1 year of both mobile and cordless phones and the highest risk was for those with the longest latency for mobile phone use over 25 years.

The precautions include using hands-free phones with the "loud speaker" feature and text messaging instead of phoning.

Talking on mobile is risky when driving but talking to friend in the car is less risky as he too can see the road

Mobile conversations are an enemy to safe driving. A new Canadian study from University of Alberta in Edmonton finds that drivers do best when they don't talk and simply focus on the road, if they must talk, it's better if the person they are talking to has his or her eyes on the road, too. That could mean either sitting in the passenger seat or via a specially designed videophone.

The study, published recently in the journal Psychological Science, tested driver safety in one of four conditions, using a driving simulator.

  • A silent driver alone in the vehicle.
  • The driver accompanied by a passenger, where they engaged in conversation.
  • The driver speaking to someone on a hands-free cellphone with a standard audio-only connection.
  • The driver speaking to someone remotely with a one-way video connection. That connection allowed the person on the other end of the line to see both the driver and the driver's perspective of the road ahead, much as if they were a passenger in the car.

The study found

  • Nothing was as safe as driving alone in peace and silence.
  • Talking to a fellow passenger in the car was less safe than driving alone, but it was still safer than being on a typical, audio-only cellphone call, which tripled the odds for a collision compared to silent driving.
  • The videophone call was safer than having an audio call, and almost as safe as having a talking passenger sitting beside you.

News Around The Globe

  • Certain sunscreen chemicals used to protect against ultraviolent rays may impair men’s ability to father children in a timely manner, according to a study by the National Institutes of Health and the New York state Department of Health’s Wadsworth Center. But the researchers caution that the results are preliminary and that additional studies are needed to confirm their findings.
  • The US Food and Drug Administration (FDA) has approved the atypical long-acting antipsychotic paliperidone palmitate for schizoaffective disorder, either as once-monthly monotherapy or as adjunctive treatment.
  • Supplementation with vitamin B for 2 years did not affect cognitive performance in elderly people with raised homocysteine levels, according to a new randomized placebo-controlled trial published online in November 12 in Neurology.
  • Type 2 diabetes can be prevented, or reversed with simple lifestyle changes, one diabetes expert representing the European Society of Cardiology (ESC) is stressing on World Diabetes Day.
  • Top Five Data Releases at AHA Sessions
    1. Long-awaited data from the landmark Dual Antiplatelet Therapy (DAPT) Study: The trial randomized patients to discontinuation of clopidogrel or prasugrel plus aspirin either 12 or 30 months after coronary artery stenting.
    2. A wider range of dual antiplatelet duration will also be addressed by ISAR-SAFE, a double-blind trial comparing 6 versus 12 months of dual antiplatelet therapy after getting a drug-eluting stent, and the Italic/Italic+ randomized trial's 1-year primary results comparing 6 versus 24 months.
    3. Main results of the IMPROVE-IT trial: The trial compared simvastatin alone versus in combination with ezetimibe for secondary prevention after acute coronary syndrome.
    4. A large Japanese study of aspirin for primary prevention in high-risk elderly individuals
    5. Phase III data on the PCSK9 (proprotein convertase subtilisin kexin type 9) inhibitor alirocumab

Dr KK Spiritual Blog

Why Do We Say Aum Shanti Thrice?

It is believed that trivaram satyam that which is said thrice comes true. For emphasizing a point we repeat a thing thrice. In the court of law also, one who takes the witness stands says, "I shall speak the truth, the whole truth and nothing but the truth". Triple Talaq is a Sunni Islamic procedure whereby a husband can divorce his wife by saying to her "talaq, talaq, talaq" ("I divorce you", three times).

Prayer is to get something for which we have an intense desire like Shanti which means "peace" or inner happiness.

There is only love in the universe. Hatred is withdrawal of love. It follows the same principle of light and darkness. There is no darkness in the universe it is only absence of light.

Similarly there is only peace in the natural environment (both external and internal). Peace naturally exists in a place until someone makes noise (external or internal).

Internally peace underlies all agitations and negativity of the mind. When negative thoughts end, peace is the only happening as it was already there.

Peace is covered and controlled by kama, krodha, lobha, moha and ahankar. It can be earned by removing these five gateways to the hell.

To invoke peace, one meditates or chant prayers. By chanting prayers, one shifts one’s awareness from sympathetic to parasympathetic mode, a state of relaxation.

All prayers end by chanting shanti thrice. Some interpret it as if chanting first time loudest, addresses the unseen forces (Aadhidaivik, the natural disasters), second time, addresses the immediate surroundings (Aadhibhautika: external modifiable factors) and softest the last and third time addresses oneself (Aadhyaatmika)

Inspirational Story

The King's Teeth

Once there was a king who dreamt that he lost all his teeth. The king then summoned two dream interpreters to decipher to him the meaning of his dream.

The first man told the king that the dream means that all the royal family would die. Hearing this, the king had the guards beat and punish him outside.

On the other hand, the second man told the king that the dream meant that the king would live longer than the royal family, which actually meant that the royal family would perish first. Because of his wise words, the king granted him a treasure gift.
People can escape perils in life by acting rightly, saying rightly and doing things at the right time. The same meaning delivered in different way may produce differing effect.

Rabies News (Dr A K Gupta)

What is pre—exposure vaccination?

Pre–exposure (Prebite) vaccination means immunization before the bite.

Cardiology eMedinewS

  • New data suggest that beta-blockers have no mortality benefit in contemporary treatment of heart attacks. The data support the short-term (30 days) use of beta-blockers to reduce recurrent heart attacks and angina, though this has to be weighed at the expense of increase in heart failure, cardiogenic shock, and drug discontinuation, without prolonging life. The findings are published in The American Journal of Medicine.
  • At least 92.0% of patients aged 50 to 79 years with chronic kidney disease (CKD) should be taking statins, as per two different sets of guidelines, researchers report in an article published online November 13 in the Journal of the American Society of Nephrology. Although the American College of Cardiology/American Heart Association (ACC/AHA) guidelines do not consider CKD a risk factor for heart disease, it has been noted that most patients with CKD fit at least one of the criteria and only 50% of the patients studied were already taking statins.

Pediatrics eMedinewS

  • A type of brain surgery conducted in childhood for medication-resistant epilepsy not only reduces chronic seizures but can protect memory development, suggests new research published in Brain.
  • Premature infants may sleep a bit more efficiently when they are in a neonatal positioner, suggested new research. Researchers found that infants had 61% sleep efficiency in the positioners, compared to 54% on a regular mattress. The report was published online in The Journal of Pediatrics.

Quote of the Day

  • Whatever we plant in our subconscious mind and nourish with repetition and emotion will one day become a reality. Earl Nightingale

Wellness Blog

Diet is linked to the diabetes epidemic

A study in the medical journal Diabetes Care highlights the importance of the whole diet rather than focusing on certain foods or food groups that might be beneficial.

A diet rich in whole grains, fruits and vegetables (leafy green), nuts, and low–fat dairy may help people lower their risk of type 2 diabetes by 15% over 5 years than those who ate the lowest amounts of these foods. Also, a diet which contains high amounts of red meat, high–fat dairy and refined grains like white bread may boost the odds of diabetes development by 18%.

In contrast, adults whose diets were high in red meat, high–fat dairy, refined grains like white bread, plus beans and tomatoes, saw their diabetes risk go up by 18 percent as a group.

Type 2 diabetes is closely linked to obesity and it’s well–known that maintaining a healthy weight through diet and exercise reduces the risk of developing the disease. Diet affects diabetes risk independent of a person’s weight.

ePress Release

Besan or gram flour has health benefits

If you are in doubt that your food may be the cause of your illness, try substituting one food each day. To began with, its best to use besan foods (gram flour) in place of wheat flour foods 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.

People suffering from celiac disease cannot digest a protein called gluten, which is found in barley and wheat flour. This gluten triggers immune system in patients to damage small intestine villi. As a result, patients cannot absorb nutrients from food and remain malnourished, which could lead to anemia, weight loss and fatigue. Celiac disease patients suffer from fat malabsorption.

A gluten-free diet is also recommended for patients with wheat allergy, dermatitis herpetiformis; multiple sclerosis, autoimmune disorders, autism spectrum disorders, ADHD, and some behavioral problems.

Gluten-containing cereals are wheat, barley, rye, oats and triticale. Gluten is also present as a food additive in the form of a flavoring, stablizing or thickening agent.

In these conditions one should switch over to gluten free foods. The best alternative is to shift from wheat flour to gram flour (besan).

eMedi Quiz

Which of the following is not a post transcriptional modification of RNA?

1. Splicing.
2. 5' Capping.
3. 3' polyadenylation.
4. Glycosylation.

Yesterday’s Mind Teaser: Which of the following is present intracellularly in muscle cells?

1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.

Answer for yesterday’s Mind Teaser: 2. Corticosteroid.

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan.

Answer for 14th November Mind Teaser: 2. pKa

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Poonam Chablani, Dr KV Sarma.
Send your answer to email

eMedinewS Humor

Rice Preference

The young woman really thought she'd been very patient, through a protracted period of dating with no talk of marriage.

One night her steady boyfriend took her to a Chinese restaurant. As he perused the menu, he casually asked her, "So . . . how do you like your rice? Boiled? Steamed? Or fried?"

Without missing a beat, she looked over her menu at him and replied clearly, "Thrown."

emedipicstoday emedipics

21st Perfect Health Mela 18th October 2014



press release

Interventional Cardiology

video of day

Other Blogs

Video Library

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 101090 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)


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 :


Dr Good and Dr Bad

Situation: A patient with Mediclaim policy required hospitalization for dental treatment.
Dr. Bad: It will not be covered.
Dr. Good: It will be covered.
Lesson: Clause 4.7 excludes dental treatment/surgery unless requiring hospitalization.

Make Sure

Situation: A 42–year–old male developed acute heart attack after playing squash.
Reaction: Oh my God! Why did he not get a cardiac check up done yet?
Lesson: Make sure that after the age of 40 anybody going for anaerobic games should first get a cardiac clearance.

Twitter of the Day

Dr KK Aggarwal: Do not ignore any diffuse chest pain, diffuse chest pain after the age of 40
Dr Deepak Chopra: All knowledge of external reality is self knowledge. The world is a mirror of the self

medicolegal update

(Contributed by Dr MC Gupta, Advocate)

Can the hospital provide a copy of the case summary, lab reports and other necessary documents directly to the relatives/legal representatives of a person who dies in the hospital as an MLC case?


  • It is the right of the patient or his legal representatives to get the above documents in the normal course. The hospital would be liable in law for breaching this right.
  • Any right, including the above, can be restricted by law. There is no law restricting such right in respect of an MLC case.
medicolegal update
  1. Dear Sir, very informative newspaper. Regards: Dr Shagun

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)