eMedinewS16th June 2014,Monday

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

Is endorsement by the Association same as endorsement by a doctor?

Answer is no.

Under the MCI Ethics Regulation 2009 6.8, code of conduct for doctors and professional associations of doctors for their relationship with pharmaceutical and allied health care industry, the code of endorsement is under sub–section H.

"h) Endorsement: A medical practitioner shall not endorse any drug or product of the industry publically. Any study conducted on the efficacy or otherwise of such products shall be presented to and / or through appropriate scientific bodies or published in appropriate scientific journals in a proper way".

As per this regulation a medical practitioner shall not endorse, which means that whenever a product is endorsed, his or her name has to appear before or after the endorsement. For example, a doctor endorsing that "A coke a day is not harmful to health: Dr A R Dev". If the same endorsement does not carry his or her name, then it is not an endorsement by a medical practitioner for example "A coke a day is not harmful to health: Indian Doctors Association". In the first case, the endorsement is by medical practitioner and in the second, the endorsement is by an association. Even though in the second case the endorsement was signed by one of the office bearers, it does not mean that he is endorsing it as medical practitioner as he is not giving his or her name.

As per clause H "any study conducted on the efficacy or otherwise of such products shall be presented to and/or through appropriate scientific bodies or published in appropriate scientific journals in a proper way", It may be Interpreted as if somebody has carried out a study, for example "whether one coke a day is harmful to the body or not" and if the inference of the study is that "one coke a day is not harmful" and if the same study is published by the association in its own journal or presented in one of its own conference, it gets relief from the endorsement clause. In such case, if the company can quote "A coke a day is not harmful to health: Journal of India Doctors Association".

(The above are personal views of the author have nothing to do with the views of IMA,MCI or DMC)

News Around The Globe

  • A study published online June 12 in JAMA Ophthalmology has suggested that hydroxychloroquine retinopathy can continue for 3 or more years after the drug is discontinued and that early recognition can significantly reduce the amount of visual loss.
  • Replenishing cholecalciferol reserves in hemodialysis patients can potentially normalize their calcidiol, calcitriol, and calcium levels, reports a new study published online in the American Journal of Kidney Diseases. Oral weekly doses of 25,000 IU cholecalciferol for 13 weeks appear to be effective, safe, and inexpensive to increase calcidiol and calcitriol levels in these patients.
  • Professional athletes have a more diverse gut microflora as compared to people who are more sedentary, suggesting a beneficial effect of exercise on gastrointestinal health, reported an article published online June 9 in Gut.
  • Recording from the dorsal sural nerve may be a favorable method for early detection of oxaliplatin-induced peripheral neuropathy, reports a new study presented at the 24th Meeting of the European Neurological Society (ENS). Oxaliplatin is extensively used in cancer treatment.
  • New research shows that low cholesterol is not a good sign for people with kidney cancer, and may be linked with an increased risk of dying. The study is published in BJU International. Researchers noted that patients with high levels of cholesterol had a 43% lower risk of dying from kidney cancer than their counterparts with low levels.

Rabies News (Dr A K Gupta)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

Cardiology eMedinewS

  • The US Food and Drug Administration (FDA) has recently expanded the indication for the CoreValve transcatheter aortic valve from Medtronic to include high–risk surgical patients. The approval follows the positive results of the CoreValve High–Risk cohort, released this year at the American College of Cardiology 2014 Scientific Sessions.
  • A new study has revealed that hormones released during events like stress and emotional shock appear to cause bacterial biofilms on arterial walls to disperse, allowing plaque deposits to rupture into the bloodstream, leading to heart attacks. The research is published in mBio, the online open-access journal of the American Society for Microbiology.

Pediatrics eMedinewS

  • Survivors of childhood liver transplant remain nutritionally compromised over the long–term, reports a study published in Liver Transplantation. Recipients were noted to attain normal weight post–transplant due to an increase in fat mass as body cell mass remained low, thereby suggesting a slim body composition with little lean muscle mass or "skinny fat."
  • Children showing signs of social withdrawal have increased susceptibility to parental influences than others, and these children are more prone to distress caused by the impact of guilt–inducing parenting, reports a new study. The study will be published in the Journal of Child Psychology and Psychiatry.

Dr K K Spiritual Blog

Spiritual Prescription: You are born with a quota use it judicially

Everyone is born with a passport with a defined battery life to live up to 100 years after which one has to go back to renewal or recharging of the batteries.

If the battery is overused or misused and is depleted early, one may have to go back prematurely for recharging, but this time when one comes back, he or she may come back with a different body which may not be the human one. There are 64 lakh Yonis as described in the Vedic literature.

According to the Vedic description, if one dies prematurely there are chances that the rebirth will not be in the same species.

To live up to the time period defined at the time of birth by Dharmaraja, one has to follow the principles as described in Yogashastra.

The main principle is the principle of moderation and variety. It says that everything has to be used, if not used will get rusted and if overused well undergo wear and tear. The classical example is that God had made uterus in the women for producing a child; if the same organ is not used at all, it will produce a fibroid and if overused may end up in a cancer.

When using the principles of moderation and variety, one should remember that each one of us is born with a fix quota of everything, a quota of diet, respirations, heart rate and thoughts.

According to swara yoga one is born with predefined number of respirations to be taken during life. If one consumes them early he will depart for refueling early from the life. To reduce respiratory rate is therefore the basis of postponing aging and prolonging life. Stimulation of the parasympathetic nervous system by learning and practicing pranayama, which is slower and deep breathing, does the same.

One breathes 15 times a minute or 21600 breaths in a day, or 7884000 (78.84 lakhs) a year or 788400000 (78.84 crores) during life (assuming it to be 100 years). Some yoga books say that a person is born with 33 crore breaths, the same if taken at the rate or 15 per minute would last for 42 years.

In fact Pranayama originated on the concept that the breaths of each one of us are numbered, that our life–span is dependent on how many times we shall breathe in a given life, and that, as a consequence of this fact, we must reduce the number of breaths so as to live longer.

In Gorakshapaddhati (I.93), it is written that "Due to fear of death even Brahma, the Lord of creation, keeps on practicing pranayama and so do many yogis and minis. It is recommended that a student of yoga must always control his breath."

Hathayoga–pradipika (II.39) also writes: ‘All the Gods including Lord Brahma became devoted to the practice of pranayama because they were afraid of death. We the mortals should follow the same path and control the breath."

Similarly one is born with a quota of heartbeats, which is an average of 70 per minute. Many studies have shown that people whose resting heart rate is higher have more chances of sudden death. The aim therefore is to keep the heart rate at a slower pace. The same can be achieved either by regular exercise, meditation, Aum Pranayama, or by meditation. In people who run marathons or participate in athletic activities, the temporary increase in the heart rate during exercise is compensated by the body by adapting the cardiovascular system in such a way that the basal heart rate reduces. The marathon runners may have a heart rate of only 50 per minute.

The less one eats the more he lives is an Yogic saying. It is said that a person who eats once a day is a Yogi, twice a day is a Bhogi and thrice a day is a Rogi. There are enough studies now, which say that 25% reduction in the calories content can increase the life span. Many studies in rodents have also shown similar effect.

The moderation in exercise is to walk 10000 steps a day. No exercise will end up with obesity and over use with osteoarthritis.

Stress is the excess of thoughts in the mind. Controlling the mind forms the basis of meditation. Samadhi is the state of no thoughts. Practicing meditation 20 minutes twice daily helps in restraining the mind with resultant state of Turya where the mind has controlled limited positive thoughts.

Wellness Blog

Eat 20 almonds or 15 cashews or 30 peanuts every day

People who ate a 1–ounce serving of nuts each day showed a 20 percent reduced risk of dying from any cause over three decades, compared to those who didn’t eat the tasty snacks, as shown a study published in the Nov. 21 issue of the New England Journal of Medicine by Dr. Charles Fuchs, director of the Gastrointestinal Cancer Center at the Dana–Farber Cancer Institute in Boston.

Prior studies suggest health benefits like a lower risk of heart disease and type 2 diabetes and lower cholesterol, among other health outcomes. Nuts are nutrient–dense foods. They contain unsaturated fatty acids, fiber, vitamins, minerals and antioxidants.

One –ounce serving was equal to about 16 to 24 almonds, 16 to 18 cashews or 30 to 35 peanuts.

Inspirational Story

Beauty Tips

For attractive lips, speak words of kindness!
For lovely eyes, seek out the good in people!
For a slim figure, share your food with the hungry!
For beautiful hair, let a child run his or her fingers through it once a day!
For poise, walk with the knowledge you’ll never walk alone!
People, even more than things, have to be restored, renewed, revived, reclaimed, and redeemed;

Never throw out anybody! Remember, if you ever need a helping hand, you’ll find one at the end of your arm!

As you grow older, you will discover that you have two hands, one for helping yourself, the other for helping others! The beauty of a woman is not in the clothes she wears, the figure that she carries, or the way she combs her hair! The beauty of a woman must be seen from in her eyes, because that is the doorway to her heart, the place where love resides! The beauty of a woman is not in a facial mole, but true beauty in a woman is reflected in her soul!

It is the caring that she lovingly gives, the passion that she knows, and the beauty of a woman with passing years–only grows!

ePress Release

Low vitamin D linked to heart risk

Low blood levels of vitamin D are associated with an increased risk of cardiovascular problems such as heart attack and stroke, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and Sr. National Vice President Indian Medical association.

A 5–year research with participants in the Framingham Heart Study included 1,739 people, average age 59 years and living in Massachusetts City found that those with the lowest levels of vitamin D had a 62 percent greater risk of a cardiovascular event than those with the next highest levels.

According to a report published in the journal Circulation, an hour or so of sunlight on the skin each week allows the skin to produce blood levels of about 30 nanograms of vitamin D per liter of blood, more than enough to prevent a deficiency such as rickets.

Food sources of vitamin D include fortified milk and oily fishes such as salmon.

Recommendations from the U.S. Institute of Medicine call for a daily intake of vitamin D ranging from 200 International Units (IU) for young people, to 400 IU for the middle-aged, to 600 IU for older people.

But getting that amount from food and sunlight may not be easy. A glass of fortified milk contains only about 100 IU of vitamin D. The suggested recommendation is 1,000 – 2,000 IU.

The cardiovascular risk associated with low vitamin D levels was especially greater for people who also had high blood pressure. Their incidence of cardiovascular events was double that of people with higher blood levels of vitamin D.

eMedi Quiz

Prevalence of skin infections in HIV infection is approximately

d. Extremely rare

Yesterday’s Mind Teaser: A 2–month–old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother’s hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only
2. HbsAg and HBeAg positive
3. HBsAg and HBe antibody positive
4. HBV DNA positive

Answer for yesterday’s Mind Teaser: 2. HbsAg and HBeAg positive

Correct answers received from: Tukaram Pagad, Dr.K.V.Sarma, Dr Abbas Vakil, Dr.Bitaan Sen & DrJayashree Sen, Dr Jainendra Upadhyay, Dr.K.Raju, Dr Avtar Krishan, Daivadheenam Jella, Dr Pankaj Agarwal

Answer for 14th June Mind Teaser: 1. Cell wall

Correct answers received from: SATISHCHANDRA JOSHI

Send your answer to ijcp12@gmail.com

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 – 88972 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 Camp at Gitarattan Jindal Public School Sect–7 Rohini, 12th May 2014

press release

School Health Education

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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 dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/70 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored. It is an impending sign that the patient is going into shock.

eMedinewS Humor

As an English professor, my father would often write little notes on student essays. Often he worked late, and as the hours passed, his handwriting deteriorated. One day a student came to him after class with an essay that had been returned.

"Mr. McDonald," he said, "I can’t make out this comment you wrote on my paper."
My father took the paper and, after studying it, sheepishly replied, "It says that you should write more legibly."

Quote of the Day

Good friends care for each other… close friends understand each other… and true friends stay forever beyond words, beyond time


Twitter of the Day

Dr KK Aggarwal: Smoking and ulcerative colitis http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Your only identity is I AM undefined and infinite. Any label you give yourself limits yourself.


Forth Comming Event


Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
or Call: Vandana 9891673085/Dr Kakroo 9810301261


medicolegal update

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medicolegal update
  1. It is really nice to see your newspaper every morning for which you really deserve my heartiest congratulations. Please keep it up. Please do write more about diastolic heart failure, particularly its management. Also write on ‘An update on fatigue’, a very common symptom but sometimes by missing it one may do much more harm to the patient. Dr OP Agarwal, M.D.,Ph.D.,D.Sc.,F.A.C.P.(USA).,F.A.C.C.(USA) Senior Advisor in Cardiology
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