eMedinewS17th May 2014,Saturday

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

3 diet changes to help lower cholesterol levels

For every 10% drop in your cholesterol level, your heart attack risk falls by 20% to 30%.

  • Choose healthy fats. Avoid saturated fats, which increase unhealthy LDL levels, and steer clear of trans fats, which both raise LDL and lower protective HDL. Instead, substitute healthier unsaturated fats found in fish, nuts, and vegetable oils.
  • Go with whole grains. Whole-grain breads, pastas, and cereals help prevent a blood sugar roller coaster and make you feel full longer. Many of these foods contain fiber, which can help lower LDL levels.
  • Make other healthy choices. Eat more fruits and vegetables. Ideally, substitute these for processed foods and sweets. Choose fat-free milk instead of whole milk. Opt for low–fat yogurt and pick brands that are not loaded with sugar. (Harvard Newsletter)

News Around The Globe

  • A study presented at the American Pain Society (APS) 33rd Annual Scientific Meeting has revealed that people working full–time at a desk job with no physical exercise have an elevated risk of developing chronic neck pain after a year compared with those involved in the same type of work but who follow some kind of leisure physical activity.
  • Intense workplace exposure, especially recent exposure, to chemical solvents may precipitate cognitive impairment that may not diminish over time, reports a new study published in the May 13 issue of Neurology.
  • Overweight and obese subjects have an increased risk of having persistent moderate or severe neck pain after a motor vehicle collision that may last up to 1 year, according to a study presented at the American Pain Society (APS) 63rd Annual Scientific Meeting.
  • A retrospective study published online May 13 in Cancer points that older men with early-stage prostate cancer who also have other illnesses do not attain any survival benefit from aggressive surgery or radiation therapy. On the contrary, such treatment can be harmful and have a negative impact on quality of life of these patients.
  • A study published online May 15 in Lancet Respiratory Medicine has revealed the complex link between early antibiotic use and subsequent asthma. The study suggested that impaired antiviral immunity and genetic variants could possibly play significant roles in this association.

Rabies News (Dr A K Gupta)

What are monoclonal antibodies?

Monoclonal antibodies (mAb) are important reagents used in biomedical research, in diagnosis of diseases, and in treatment of such diseases as infections and cancer. These antibodies are produced by cell lines or clones obtained from animals that have been immunized with the substance that is the subject of study. The cell lines are produced by fusing B cells from the immunized animal with myeloma cells.

Cardiology eMedinewS

  • Results from a combined analysis of the INTERACT (Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial) 1 and 2 studies, presented at the XXIII European Stroke Conference (ESC), in patients with intracerebral hemorrhage (ICH) have shown that early intensive BP lowering leads to reduction in absolute growth of hematoma, and the effect is greater in patients who have previously received antithrombotics.
  • Results from a 20–year follow–up of patients in the Diabetes Mellitus Insulin Glucose Infusion in Acute Myocardial Infarction (DIGAMI 1) trial have revealed that hospitalized patients with type 2 diabetes in the early 1990s with an acute MI who received early, intensive insulin therapy had better long–term survival than those receiving only conventional treatment.

Pediatrics eMedinewS

  • A review published online May 15 in the Cochrane Database of Systematic Reviews has stated that the benefits of preventive zinc supplementation on growth, health, and survival in children outweigh the harms in areas with relatively high risk for zinc deficiency. Findings also revealed that zinc supplementation led to reduction in incidence of all-cause diarrhea and morbidity from diarrhea.
  • A study presented recently at Association for Research in Vision and Ophthalmology 2014 Annual Meeting has revealed that spending too little time outdoors has a negative effect on the risk for myopia in children, even before they learn to read. Children playing outside for <1 hour per day had a 34% greater risk of having an axial length above average than children who spent >2 hours outdoors.

Dr K K Spiritual Blog

Why do we regard trees and plants as sacred?

The upper part of the plants, the leaves, flowers and fruits are worshipped as sacred and offered to God. As per the Bhagwad Gita, these have satvik properties. Roots of any plant are tamsik and not offered in pooja or eaten during pooja days. The same is true for the stems of plants, which have rajsik properties. Fresh and live fruits have the same spirit and life force as in the human beings and are considered sacred the same way as any human being.

Human life also depends on plants and trees. They give us the vital factors that make life possible on earth: food, oxygen, clothing, shelter, medicines etc.

Ancient scriptures suggest the planting of a minimum of ten trees. We are also urged to apologize to a plant or tree before cutting it to avoid incurring a specific sin named soona.

Many trees and plants like tulsi, peepal etc., which also have medicinal value, are worshipped.

Wellness Blog

Waist circumference a better indicator of mortality

A high body mass index (BMI) appears to be protective in certain populations.

Abdominal obesity –– measured using waist circumference ––was a better predictor of 5–year mortality among French survivors of an acute myocardial infarction (MI) than was BMI, according to a study presented by Tabassome Simon, MD, of HA′pital Saint Antoine in Paris.

Looking at BMI, there was an increased risk of dying for those with the lowest body mass (less than 22 kg/m2) and those with the highest (35 kg/m2 and higher), but not for those in the middle of those two groups, which included individuals who were overweight and mildly obese.

Within each category of BMI, however, increased waist circumference was associated with an elevated risk of dying within the follow–up period. After adjusting for BMI in a multivariate analysis, waist circumference in the upper quartile was associated with a 44% greater risk of dying through 5 years.

Inspirational Story

A Young Sad Lady

The old Master instructed the unhappy young lady to put a handful of salt in a glass of water and then to drink it. "How does it taste?" the Master asked. "Very bad" said the lady.

The Master then asked the young lady to take another handful of salt and put it in the lake. The two walked in silence to the nearby lake and when the apprentice swirled his handful of salt into the lake, the old man said, "Now drink from the lake."

As the water dripped down the young lady’s chin, the Master asked, "How does it taste?" "Good!" remarked the apprentice. "Do you taste the salt?" asked the Master. "No," said the young lady.

The Master said, "The pain of life is pure salt; no more, no less. The amount of pain in life remains the same, exactly the same. But the amount we taste the ‘pain’ depends on the container we put it into. So when you are in pain, the only thing you can do is to enlarge your sense of things… Stop being a glass. Become a lake!"

ePress Release

Differentiate Different types of Fever

One can differentiate different types of fever clinically, 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.

Following are the tips

  1. If a patient comes with fever with chills and rigors, think of Malaria in north and filaria in the Vidarbha region in India.
  2. In malaria, chills occur in the afternoon and in Filaria, chills are in the evening.
  3. Fever with joint pains on extension is often due to Chikungunya (flexion improves the pain)
  4. Think of dengue if there is fever with itching, rash and periorbital pain.
  5. In presence of fever with single chills, think of pneumonia.
  6. Fever with sore throat, no cough, no nasal discharge: Think of streptococcal sore throat, especially in children
  7. Fever with red angry–looking throat: Think of streptococcal sore throat.
  8. Fever with red epiglottis: Think of Hemophilus infection
  9. Fever with cough and or nasal discharge: Think of common flu
  10. Fever with cough, nasal discharge, nausea and vomiting: Think of H1N1 flu
  11. Fever with toxic look, persistent fever: Look for typhoid
  12. Fever with no or low rise in pulse: Look for typhoid
  13. Fever with urinary symptoms (burning, frequency): Rule out urinary infection
  14. Fever with high TLC (white cell count) and liver pain: Rule out liver abscess
  15. Fever with loose motions (watery, no blood, no mucous): Rule out acute gastroenteritis
  16. Jaundice appears after the fever resolves: This is viral hepatitis
  17. One feels very weak after the fever resolves: Rule our dengue hemorrhagic fever.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

eMedi Quiz

Since sunscreen–awareness campaigns began, have skin–cancer rates decreased?

A. Yes, fewer people are getting skin cancer.
B. No, skin-cancer rates and deaths from the disease are on the upswing.
C. No, skin cancer is on the rise, but fatalities are down.
D. Skin-cancer rates have been stable over the past decade.
E. Yes, but only among older women.

Yesterday’s Mind Teaser: You‘ve had yeast infections before, but in the past year they haven’t really gone away. This could be a sign of:

A. Diabetes.
B. Emphysema.
C. Stomach ulcers.
D. Depression.
E. Food allergies.

Answer for yesterday’s Mind Teaser: A. Diabetes.

Correct Answers received from: Dr.K.Raju, Dr.B.R.Bhatnagar, Dr Arpan Gandhi, Dr Pankaj Agarwal, Dr Poonam Chablani, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Abhay Naik, Dr Prabodh K Gupta, Dr. Bipin Vyas, Dr Avtar Krishan, Dr Ajay Gandhi, Nirmala Agarwal,

Answer for 15th May Mind Teaser: : a) Lignin

Correct Answers received from:Dr.Bitaan Sen & Dr.Jayashree Sen

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 at Balwant Rai Mehta Vidya Bhawan,17th April 2014

press release

Healthcare worker fatigue and patient safety

video of day video of day


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 prosthetic heart valves (bioprosthetic) developed infective endocarditis.

Reaction: Oh my God! Why was he not given infective endocarditis prophylaxis?

Lesson: Make sure that all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis.

eMedinewS Humor

A friend recently explained why he refuses to get to married. He says the wedding rings look like miniature handcuffs.

Quote of the Day

Life begets life. Energy becomes energy. It is by spending oneself that one becomes rich. Sarah Bernhardt

Forthcoming events

Coffee with Dr KK

Next CME session with Dr K K will be held on Sunday 18th May, 2014 at 8 am at Moolchand Hospital.

  1. Jaundice Update
  2. Understanding what is transgender
  3. Prevalent common ailments observed in the last two weeks in general practice.

Kindly note that CME will start at 8am sharp.

You can also pass on the message to your colleagues and bring them if they would like to attend.

With regards, Dr Pawan Gupta, Convener, 09813193071


Twitter of the Day

Dr KK Aggarwal: Some Alcohol Terms Dr K K Aggarwal 1. Do not start if you do not drink Limit if you take and can not stop 3. (cont) http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: : Dealing with stress in a better way is the key to breaking the cycle of stress eating http://bit.ly/WAYHF_DC #WAYHF


medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update
  1. Dear Sir, Very informative newspaper. Regards: Dr Karan
cardiology news

Media advocacy through Web Media

web mediawebmediawebmedia

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes 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)