eMedinewS17th July 2014, Thursday

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

Monsoon fever can be deceptive

In the current season any episode of fever should not be taken lightly as many diseases can cause fever, the commonest being viral, malaria, dengue or Chikungunya. However, fever can also be due to viral jaundice or typhoid.

Here are a few tips:

  • Unless you suspect typhoid, no antibiotics are required.
  • Viral fever is associated with cough, redness of the eyes or nasal discharge.
  • Dengue will have fever with rash and pain in eye movement.
  • Chikungunya is a triad of fever, rash and joint pain. Typically the joint pain will increase on compression of the joint.
  • Typically, the fever in malaria comes with chills and rigors and will have normal phase in between two episodes of fever.
  • Fever in jaundice disappears once the jaundice appears.
  • Typhoid fever is often continuous with relatively low pulse rate and with toxic feeling.


  • No antibiotics are required unless there is a feeling of toxemia.
  • Antibiotics in cases of sore throat are only required if associated with pain in the throat while swallowing food or red angry–looking tonsils.
  • Except for paracetamol or nimesulide, other anti fever medicines should not be used indiscriminately as they can reduce platelet count.
  • Most diseases are self–limiting and take 4 to 7 days to resolve.
  • The basic precaution involves proper hydration, especially on the days when fever is subsiding.

Warning signals
Any fever with associated comorbid conditions should not be ignored and the doctor should be consulted.

News Around The Globe

  • Foods high in omega–3 polyunsaturated fatty acids (PUFAs) could help diminish the risk for amyotrophic lateral sclerosis (ALS), also known Lou Gehrig’s disease, suggests a new study published online in JAMA Neurology on July 14.
  • Sleep disturbance, including sleep apnea and insomnia, has the potential to increase the risk of dementia, suggested a new study presented at the Alzheimer’s Association International Conference (AAIC) 2014.
  • Engaging in cognitively stimulating activities, particularly card or puzzle games, is associated with greater brain volumes and higher cognitive test scores in cognitively normal adults at increased risk for Alzheimer’s disease (AD), reports a new study presented at the Alzheimer’s Association International Conference (AAIC) 2014.
  • A new randomized trial reported that hydroxychloroquine, a drug commonly prescribed for the treatment of primary Sjögren’s syndrome, was no better than placebo at relieving symptoms of dryness, pain, or fatigue over a course of 24 weeks. About 17.9% of patients receiving hydroxychloroquine had a >30% reduction in symptoms on at least 2 of 3 analog symptom scales compared with 17.2% of patients receiving placebo. The findings are published in the July 16 issue of JAMA.
  • Immunohistochemical screening of sebaceous neoplasms can identify germline mismatch repair (MMR) mutations and help diagnose Lynch syndrome, suggests a new report published online in JAMA Dermatology. The findings support the recommendations for routine screening through this widely available approach.

Rabies News (Dr A K Gupta)

Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

Cardiology eMedinewS

  • Novel data from the National Cardiovascular Data Registry (NCDR) has suggested an index based on patient and device characteristics that can place candidates for an implantable cardioverter defibrillator (ICD) at lower or higher risk for inadequate defibrillation safety margins (DSMs) once the device is placed. Researchers noted that an inadequate DSM was independently associated with longer hospitalization and greater risk of in–hospital complications and death. The report is published in the July 22 issue of the Journal of the American College of Cardiology.
  • A reduced range of facial expression among patients who present to the emergency department with chest pain and shortness of breath possibly provides a visual clue to a potentially serious cardiopulmonary diagnosis; suggest the findings of a single–center pilot study. The study was published online July 14 in the Emergency Medicine Journal.

Pediatrics eMedinewS

  • A new database study has revealed that though inhaled nitric oxide is widely used in infants with congenital diaphragmatic hernia (CDH), there is not enough evidence to show that it significantly improves outcomes. The report is published online July 14 in Pediatrics.
  • A new study has revealed that bed–sharing could be the single greatest risk factor for sleep–related deaths in younger infants. The findings revealed that 69% of the infants were bed–sharing when they died. The study is published in the journal Pediatrics.

Dr K K Spiritual Blog

Why is the Garun Puran not read in routine life?

It is said in Hindu mythology that Garun Puran should not be read unless there is a death in the family. What can the rationale behind this?

One of the philosophies of Vedanta is that one should always talk and think positive and face adversity like a cricketer right from the first ball he faces. He always thinks he is going to score a 100 till he gets out. Similarly, every person should think that he will live up to 100 years until the last moment of death. Once he dies, he is not there to know how many years he lived. It is only the family who would know this. As far as he is concerned, till the last moment, he had been thinking that he would live for 100 years.

It is true that one should plan his old age and write a will in time but that is for the safety of the family and has nothing to do with your life.

Because Garun Puran talks about everything about death, therefore, it is normally recommended that we do not talk about it in routine life.

Wellness Blog

Avoid Drunk or Drugged Driving

The dangers of drinking alcohol and driving are well known to all. But, it is also important to recognize that taking drugs and driving too can be as dangerous, Drugged driving or driving under the influence of any drug that acts on the brain can adversely affect your, vision, reaction time and judgment and driving skills. This not only endangers your life but also of your co–passengers as well as others on the road.

Tips for safe driving

  • All through the year, especially during the holiday season, take steps to make sure that you and everyone you celebrate with avoids driving under the influence of alcohol or other drugs.
  • Always designate a non–drinking driver before any holiday party or celebration begins.
  • Arrange for someone to pick you up
  • Do not let a friend drive if you think that they are impaired. Take the car keys.
  • Stay overnight at your friend’s place, if possible and drive back home in the morning.

Inspirational Story

The Starfish

Once a man was walking along a beach. The sun was shining and it was a beautiful day. Off in the distance he could see a person going back and forth between the surf's edge and the beach. Back and forth this person went. As the man approached, he could see that there were hundreds of starfish stranded on the sand as the result of the natural action of the tide.

The man was stuck by the apparent futility of the task. There were far too many starfish. Many of them were sure to perish. As he approached, the person continued the task of picking up starfish one by one and throwing them into the surf.

As he came up to the person, he said: "You must be crazy. There are thousands of miles of beach covered with starfish. You can’t possibly make a difference." The person looked at the man. He then stooped down and picked up one more starfish and threw it back into the ocean. He turned back to the man and said: "It sure made a difference to that one!"

ePress Release

Women should quit smoking to lower their risk of heart disease

Smoking is still the leading preventable cause of death. Not only does tobacco smoke cause lung cancer, it is also implicated in heart disease, other cancers and respiratory diseases. As per WHO, an estimated 3 million people in industrialized countries will have died as a result of tobacco use by 2030, and an additional 7 million people in developing countries face the same fate.

The harms of smoking are reversible and can decline to the level of nonsmokers, as per a report in Journal of the American Medical Association, 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.

Women who quit smoking have a 21 percent lower risk of dying from coronary heart disease within five years of quitting their last cigarette. The risks of dying from other conditions also decline after quitting, although the time frame varies depending on the disease. For chronic obstructive pulmonary disease, it may take up to 20 years. It's never too early to stop, and it’s never too late to stop.

Women who are current smokers have almost triple their risk of overall death compared with non smoker women. Current smokers also have a 63 percent increased risk for colon cancer compared with never–smokers, while former smokers have a 23 percent increased risk. There was no significant association between smoking and ovarian cancer.

Women who started smoking earlier in life are at a higher risk for overall mortality, of dying from respiratory disease and from any smoking–related disease. However, a smoker’s overall risk of dying returns to the level of a never–smoker 20 years after quitting. The overall risk decline by 13 percent within the first five years of abstaining. Most of the excess risk of dying from coronary heart disease vanishes within five years of quitting.

For chronic obstructive pulmonary disease, the return to normal takes 20 years, although there is an 18 percent reduction in the risk of death seen within five to 10 years after quitting.

And the risk for lung cancer does not return to normal for 30 years after quitting, although there is a 21 percent reduction in risk within the first five years.

eMedi Quiz

A 30 year old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1.Medial rectus and superior division of oculmotor nerve.
2.Inferior oblique and inferior division of oculomotor nerve.
3.Lateral rectuas and abducent nerve.
4.Superior rectus and trochlear nerve.

Yesterday’s Mind Teaser: An increase in which of the following parameters will shift the O2 dissociation curve to the left.

1. Temperature.
2. Partial pressure of CO2
3. 2,3 DPG concentration.
4. Oxygen affinity of haemoglobin.

Answer for yesterday’s Mind Teaser: 4. Oxygen affinity of haemoglobin.

Correct answers received from: Dr P C Das, Chandrahas Nayak, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Avtar Krishan, Daivadheenam Jella.

Answer for 15th July Mind Teaser: 1.Glyceraldehyde-3-phosphate Dehydrogenase

Correct answers received from: Dr Avtar Krishan.

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 – 96355 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 and CPR 10 Camp at NP Primary School, Kamraj Marg–11th July 2014

press release

New treatment for acute asthma in children

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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 on penicillin antibiotic developed a relapse of fever while still on antibiotic.
Reaction: Oh my God! Why was the antibiotic continued for so long?
Lesson: Make sure that drug fever is always excluded in such situations. Antibiotics are the most common cause of drug fever, accounting for approximately one–third of episodes. This especially applies to beta–lactams, sulfonamides and nitrofurantoin (Am J Med Sci 1987;294:275).

eMedinewS Humor

Teacher: Rick, where was the Declaration of Independence signed?
Rick: At the bottom!

Quote of the Day

Question paper of 5th class

Write an essay about your MOTHER in 200 words. Given time half an hour.

A boy finished the paper in first minute itself.
He just wrote one sentence, but he got full marks.
That one sentence was–
"Any combination of 26 alphabets can never explain my MOTHER"!!!

Twitter of the Day

Dr KK Aggarwal: High BP in Pregnancy Increases Risk for Future Atherosclerosis http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: No matter what happened in the past, we all have the right and the capacity to be happy and loved #CosmicConsciousness


medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the update. Regards: Dr Krishna
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