eMedinewS18th October 2013, Friday

Dr K K Aggarwal Padma 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
www.facebook.com/Dr KKAggarwal

Not again: Please take me out of these sms list

Of late we have started receiving a lot of SMS of mud sludging. This happens every time the elections are on, whether they are DMA election, DMC elections or MCI elections.

I personally feel instead of mud sludging one should talk about what he or she would do if elected.

Mud sludging reminds me of a story which is often taught in business management, it belongs to a group of frogs called mud sludging frogs. The story goes as under:–

"There was a ship which used to carry frogs from different countries across the world. One day a new captain of the ship joined and he refused to sail the ship because one of the frog containers was without the lid. When he asked the subordinates the reply was "do not worry, the frogs, even if the lid is not there, will never come out of the container because these frogs belonged to a particular section of Indian society. They will not allow any frog to climb up. If anybody tries to climb up the others will pull its leg down."

We live in a country with full of Vedic knowledge which says one should rise by his own capabilities and not by bringing down others.

I do not say that one should not fight the Dharma. One should. But if you want to expose corruption, expose it with evidences and through the law, and not by character assassination without proof. Never defame anybody else character unless you have full evidence with you which can stand in the law.

I end up with my personal observation and a question (amenable to change if somebody can provide me evidence against it) that in the pre Board of Governors MCI era the radiology MD seat was sold between Rs. 75 lakhs to 1 crore, and today in the era of Board of Governors, this year the seat was openly auctioned for Rs.3 crores.

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."

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

Why do We Ring the Bell in a Temple?

sprritual blog

The vibrations of the ringing bell also produce the auspicious primordial sound ‘Om’, thus creating a connection between the deity and the mind. As we start the daily ritualistic worship (pooja), we ring the bell, chanting:

Aagamaarthamtu devaanaam

gamanaarthamtu rakshasaam

Kurve ghantaaravam tatra

devataahvaahna lakshanam

"I ring this bell indicating the invocation of divinity, So that virtuous and noble forces enter (my home and heart); And the demonic and evil forces From within and without, depart."

cardiology news

Let go of your Stresses!

A psychologist walked around a room while teaching stress management to an audience. As she raised a glass of water, everyone expected they’d be asked the "half empty or half full” question. Instead, with a smile on her face, she inquired: "How heavy is this glass of water?" Answers called out ranged from 8 oz. to 20 oz.

She replied, "The absolute weight doesn’t matter. It depends on how long I hold it. If I hold it for a minute, it’s not a problem. If I hold it for an hour, I’ll have an ache in my arm. If I hold it for a day, my arm will feel numb and paralyzed. In each case, the weight of the glass doesn’t change, but the longer I hold it, the heavier it becomes."

She continued, "The stresses and worries in life are like that glass of water. Think about them for a while and nothing happens. Think about them a bit longer and they begin to hurt. And if you think about them all day long, you will feel paralyzed – incapable of doing anything."

It’s important to remember to let go of your stresses. As early in the evening as you can, put all your burdens down. Don’t carry them through the evening and into the night. Remember to put the glass down!

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

20th MTNL Perfect Health Mela 2013 Hangout on Air with Google


  1. A highly sensitive clinical decision rule –– dubbed the Ottawa Subarachnoid Hemorrhage, Ottawa SAH, rule –– has been developed to help clinicians diagnose subarachnoid hemorrhage. The rule, which specifies that patients with any one of six clinical features should undergo diagnostic testing beginning with a CT scan of the head and, if necessary, a lumbar puncture, had a sensitivity of 100% (95% CI 97.2–100) and a specificity of 15.3% (95% CI 13.8–16.9), according to Jeffrey J. Perry, MD, of Ottawa Hospital in Ontario, and colleagues. The features included in the rule were age 40 or higher, thunderclap headache, pain or stiffness in the neck, limited neck flexion, a witnessed loss of consciousness, and onset during exertion, Perry and colleagues reported in the Sept. 25 issue of JAMA.
  2. Low testosterone levels predicted a greater risk of acute myocardial infarction (MI) in Swedish men with type 2 diabetes, according to a study presented at the European Association for the Study of Diabetes meeting. After adjustment for potential confounders, higher total testosterone levels were associated with a 25% reduced risk of acute MI in that group (HR 0.75, P=0.006), according to Bledar Daka, MD, of the University of Gothenburg in Sweden. But no such relationship was seen in men without diabetes or in women regardless of diabetes status.
  3. Researchers appear to be homing in on clinically useful blood–based biomarkers indicating risk of Alzheimer’s disease in mildly impaired or asymptomatic individuals. Serum or plasma levels of apolipoprotein E (apoE), complexes of albumin and beta–amyloid protein, and a mystery substance described only as "protein Z" showed significant correlations with Alzheimer’s disease pathology and/or progression of cognitive impairment to overt dementia in separate studies reported at the World Congress of Neurology. Another study presented here confirmed that levels of beta–amyloid and tau proteins in cerebrospinal fluid (CSF) can be used with high sensitivity and specificity to predict conversion of mild cognitive impairment to clinically definite Alzheimer's disease.
  4. The combination of diet and exercise worked best for knee osteoarthritis than either alone for overweight and obese patients. Joint inflammation, pain, function, and quality of life all significantly favored the combined approach compared with exercise alone over 18 months, Stephen P. Messier, PhD, of Wake Forest University in Winston–Salem, N.C., and colleagues found. Comparing single strategies, diet came out better than exercise for reducing knee joint loading and cutting inflammation, the group reported in the Sept. 25 issue of JAMA.

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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 news
  • According to a new trial reported online in JAMA Internal Medicine, supplementation with high doses of oral cholecalciferol (or vitamin D3) every 3 months had no significant effect on blood pressure in older patients with isolated systolic hypertension. No differences in office blood pressure between the supplementation and placebo groups were observed at both 3 months and 1 year. No effects were seen on nearly all of the secondary outcomes, with the exception of parathyroid hormone levels, which dropped by 3.8 ng/mL with supplementation relative to placebo. (Source: Medpage Today)
  • A new analysis, published in the August 14, 2013 issue of the Journal of the American Medical Association has reported that patients with severe mitral regurgitation (MR) without a class I indication for surgical intervention fared significantly better when treated with surgery than patients who underwent "watchful waiting" while treated with medical therapy. (Source: Medscape)
cardiology news
  • Children with medically unexplained functional abdominal pain (FAP) are vulnerable to developing anxiety disorder or depression in adolescence and young adulthood, even if the pain resolves. Hence, chronic or recurrent pain should be addressed by a multidisciplinary health team that can evaluate the physical, emotional/mental, and interpersonal aspects of pain in order to develop a treatment plan that addresses all the factors that contribute to pain, according to Lynn S. Walker, PhD, from the Division of Adolescent and Young Adult Health, Monroe Carell Jr Children’s Hospital at Vanderbilt University in Nashville, Tennessee. The study is published online August 12 in Pediatrics. (Source: Medscape)
  • According to Kathy Boutis, MD, from the Department of Emergency Medicine and the Department of Pediatrics, Hospital for Sick Children, University of Toronto, Ontario, Canada, and colleagues, use of a simple rule may enable emergency departments (EDs) to significantly reduce the number of radiographs ordered for children who present with ankle injuries. The study involved 6 Canadian emergency departments between January 1, 2009, and August 31, 2011. Three hospitals were assigned to intervention and 3 as controls. The control EDs received no intervention. The findings of the study are published August 12 in the Canadian Medical Association Journal. (Source: Medscape)
cardiology news

Long term use of painkillers can cause kidney cancer

A study published in the journal Archives of Internal Medicine has shown that people who regularly take painkiller drugs like ibuprofen or naproxen are 51 percent more likely to develop kidney cancer. There is no increased risk from taking aspirin or paracetamol.

The mechanism through which painkillers could cause kidney disease is the inhibition of prostaglandin synthesis with resulting papillary and tubular injury, and ultimately damage to DNA.

The study analyzed data from 77,525 women in the Nurses’ Health Study and from 49,403 men in the Health Professionals Follow–up Study. The risk was related to the duration of use of the painkillers. There was a decrease in the risk by 19% if the painkiller was used for less than four years. There was a 36 per cent increase in risk of kidney cancer for people who used them regularly for 4 to 10 years. The risk increased almost three times for those who used these drugs regularly for 10 years or more.

The good news is that kidney cancer is uncommon so the risk is small for average users. Two other important causes of kidney cancer are obesity and smoking. So people on painkillers should not smoke and should also keep their weight under control to prevent kidney cancer.

cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping
sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Shorter the waist line, longer the life line 2nd PR


First BP should be checked at age three

As per American Academy of Pediatrics of the National High Blood Pressure Education Program 2004 all high risk children aged 3 years or older should have their blood pressure measured at least once at every health acre visit.

As the childhood obesity rate has increased, so has the prevalence of high blood pressure in children and teenagers, said Padma Shri and Dr. B C Roy national Awardee Dr. K K Aggarwal President Heart Care Foundation of India.

The prevalence of hypertension among US children and adolescents ranges from 1% to 5%. The prevalence of hypertension among obese children is 11%.

Dr. Aggarwal further added that in the forthcoming 20th MTNL Perfect Health Mela being organized from 23rdto 27th October, 2013 at Constitution Club of India, there will be special provision for consultations available to the obese children by doctors from all pathies.

Facts about obesity in children

  1. Natural fast food is good for the health
  2. Examples of fast food are milk, dry fruits, fruits
  3. Artificial fast food or junk food is bad for the health
  4. Junk food contains refined bad fats and trans fats
  5. Trans fats reduces the amount of good cholesterol and raised the levels of bad cholesterol in the body
  6. Soft drinks if taken more than one drink a day are harmful to the health
  7. Sweets contain more than 30% sugar and are harmful to the body
  8. One should avoid white sugar, white maida and white rice
  9. Jaggery is better than sugar
  10. All girls should eat jiggery and white gram once a week
today emedipics

A Press Conference was organised by Heart Care Foundation of India to announces the dates of 20th MTNL Perfect Health Mela 2013

press release

Lifestyle change can reduce aging

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

The nerve commonly damaged during McBurney’s incision is:

3.11th Thoracic.
4.10th thoracic.

Yesterday’s Mind Teaser: The blood vessel related to the paraduodenal fossa is:

1.Gonadal Vein.
2.Superior mesenteric artery.
3.Portal vein.
4.Inferior mesenteric vein.

Answer for yesterday’s Mind Teaser: 4.Inferior mesenteric vein.

Correct answers received from: Prabha Sanghi, Dr.Raghavendra Jayesh, Dr.K.Raju, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr Arpan Gandhi, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr Kanta jain, Dr shaukat Panjawani, Dr Prakash Khalap

Answer for 16th October Mind Teaser: 3.Left common carotid artery arising from brachiocephalic trunk

Correct answers received from: Dr shaukat Panjawani, Dr Prakash Khalap

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Another time, he gave a patient six months to live.
At the end of the six months, the patient hadn’t paid his bill,
So, the doctor gave him another six months.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

medicolegal update

The qualities of a great man are vision, integrity, courage, understanding, the power of articulation, and profundity of character. Dwight David Eisenhower

medicolegal update

Dr KK Aggarwal: Birth defects linked to mother’s use of cold medicines. http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Does technology have a place in religion & spirituality? http://tinyurl.com/kqlhghj

medicolegal update

Dear Sir, Thanks for the nice updates. Regards: Dr Shagun

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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medicolegal update

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