eMedinewS18th December 2013, Wednesday

Dr K K AggarwalPadma 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

Do Heavier HF Patients Live Longe?

A higher BMI was associated with decreased mortality in certain subsets of patients with acute decompensated heart failure, according to an intercontinental study that supports the existence of a global "obesity paradox." Overall, a higher BMI was associated with decreased 30-day and 1-year mortality (11% decrease at 30 days; 9% decrease at one year per 5kg⁄m²; P<0.05)¸ after adjustment for clinical risk‚ wrote James L‚ Januzzi Jr‚ MD‚of Massachusetts General Hospital, and his co–authors in the Journal of the American College of Cardiology. Further analysis showed that the protective association was confined to older individuals (>75; HR=0.82‚ p=0.006)‚ decreased cardiac function (ejection fraction < 50%; HR=0.85‚ P<·001)‚ non diabetics (HR=0.86‚ P < ·001)‚ and de novo HF (HR = 0.89‚ P = 0.004).

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

Health activists

sprritual blog

Social activists are now an established carrier and more and more people like to call themselves as social activists but, unfortunately most when they interact with the media they ignore health issues.

The time has come for healthcare professionals to play the role of social health activists. Their role should be to pick up health issues and debate them in the media. Their job should also be to pursue the media to take up health issues.

For example, social activist will focus about giving harsh punishment to the rapist but the social health activist will focus on rape prevention.

Social health activist‘s concern will be to pursue the government to take up the health issues, bring amendments in existing policies and work for the welfare of the society.

cardiology news

How to Get to Heaven

I was testing children in my Sunday School class to see if they understood the concept of getting into heaven
I asked them, "If I sold my house and my car, had a big garage sale and gave all my money to the church, would that get me into heaven?"
"NO!" the children answered in unison.
"If I cleaned the church every day, mowed the garden, and kept everything tidy, would that get me into heaven?"
Again, the answer was a unanimous "NO!"
"If I gave sweets to all the children, and loved my husband, would that get me into heaven?"
Again, they all answered "NO!"
I was just bursting with pride for them.
I continued, "Then how can I get into heaven?" This time, there was no shout in unison. Finally, the silence was broken when a little boy shouted out, "You‘ve got to be dead!

News Around The Globe


  • Smoking tobacco or marijuana, taking prescription painkillers, or using illegal drugs during pregnancy may increase the risk of stillbirth. The researchers took umbilical cord and blood samples at delivery from the 2 groups of women. They tested the women’s blood for cotinine, a derivative of nicotine. They tested the umbilical cords for evidence of the stimulants cocaine and amphetamine; prescription painkillers, such as morphine and codeine; and marijuana. They also asked the women to self-report smoking and drug use during pregnancy. The results appeared online on December 6, 2013, in Obstetrics & Gynecology.
  • The introduction of cheaper, generic aromatase inhibitors, used to prevent breast cancer recurrence, appears to have improved adherence, according to a new research presented at the annual San Antonio Breast Cancer Symposium.
  • Concomitant IV use of vancomycin and piperacillin/tazobactam, regardless of extended or traditional infusion, appeared to result in acute kidney injury in roughly one out of every five inpatients. In a study presented at the American Society of Health-System Pharmacists, among 226 adult inpatients, no cases of nephrotoxicity were found among those treated with vancomycin alone, but 22.7% of those treated with a traditional infusion of concomitant vancomycin and piperacillin/tazobactam, as well as 19.6% of those given an extended infusion of the combination, experienced elevated creatinine levels to the point of toxicity (P<0.05).
  • Fewer than one in six patients treated with powerful antibiotics for a Clostridium Difficile (C. Diff) infection actually had lab-confirmed infections despite high costs and negative outcomes of unnecessary treatments. At a 240-bed hospital, over the course of 22 months‚ 1‚971 patients were treated with vancomycin and/or metronidazole for a C. Diff infection, but only 292 of those patients had positive test results for C. Diff (American Society of Health-System Pharmacists).
  • Reductions in time to treatment followed the development of more efficient treatment protocols for sepsis, but not after Computer Physician Order Entry (CPOE) systems were put in place. Tram Cat, PharmD, BCPS, of Cedars-Sinai Medical Center in Los Angeles, Calif., and colleagues reported at the midyear meeting of the American Society of Health –System Pharmacists that a combination of procedural updates, including Code Sepsis and nursing staff alerts, shortened the time between diagnosis and administration of antibiotics by 64% in non–ICU sepsis patients.

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Rabies News (Dr. A K Gupta)

Can RIG be given locally to a healed wound?

Yes. If anti–rabies vaccination has not been started, then RIG can be given locally without disturbing the scab.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • A high-dose regimen that includes 28 vitamins and minerals given to stable patients with a history of MI does not reduce their future risk of cardiovascular events, according to the results of a new analysis. The results, from the second arm of the 2×2 factorial Trial to Assess Chelation Therapy (TACT), funded by the National Heart, Lung, and Blood Institute (NHLBI) and National Center for Complementary and Alternative Medicine (NCCAM), were first presented at the American College of Cardiology 2013 Scientific Sessions and are now published online December 16, 2013 in the Annals of Internal Medicine.
  • HIV-positive patients with detectable levels of virus in their blood have an elevated risk of heart problems. Among patients infected with HIV, having a detectable viral load was associated with a higher rate of structural heart disease, according to a study presented at the EuroEcho-Imaging meeting in Istanbul. Their study included 65 HIV-positive patients with dyspnea; all had New York Heart Association class II symptoms or worse. Transthoracic echocardiography revealed that slightly less than half (47%) had some form of structural heart disease, although the rate was higher in patients with a detectable viral load (75% versus 43%).
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • The Children’s Heart Failure Study Group of the Canadian Cardiovascular Society collaborated with the Canadian Pediatric Cardiology Association to develop guidelines for diagnosing and managing heart failure in children. The guidance is designed to help primary care and emergency room physicians recognize and manage heart failure in children who have no known heart disease but are showing signs of possible heart failure. Early detection can be difficult because the symptoms of heart failure in children are different than those seen in adults. The document contains five recommendations for detecting heart failure, 16 for assisting in diagnosis, and 10 for managing acute heart failure, but does not include recommendations for more advanced management.
  • Early skin–to–skin contact between mothers and their newborns was associated with higher rates of exclusive breastfeeding in a retrospective study presented at the annual meeting of the American Academy of Pediatrics. Of the 150 mothers included in the study, 72% intended to breastfeed exclusively, but only 28% did so. After adjustment for maternal age, mode of delivery, parity, and gestational age, the only factor significantly associated with exclusive breastfeeding other than intention to breastfeed exclusively was early skin–to–skin contact (odds ratio, 3.7)‚ which occurred in 53% of cases, Dr. Darshna Bhatt of Cohen Children’s Medical Center of New York, New Hyde Park, reported.
cardiology news

Crowd management and stampede prevention

  1. Most major crowd disasters can be prevented by simple crowd management strategies.
  2. One answer is use of barriers.
  3. However barriers in some cases may funnel the crowd towards an already–packed area, such as in the Hillsborough disaster. Hence barriers can be a solution in preventing or a key factor in causing a stampede.
  4. Use loudspeakers to communicate and direct a crowd.
  5. Warning signs of a crowd crush include density of more than four people per square meter, at which each person is being touched on four sides.
  6. To avoid or escape from a crowd crush, one is advised to move sideways, particularly between swells.
  7. After the stampede in the Victoria Hall disaster in 1883, a law was passed in England which required all public entertainment venues to be equipped with doors that open outwards.
cardiology news

Total CPR since 1st November 2012 – 80967 trained

Media advocacy through Web Media

web media webmedia webmedia
press release

Dr K K Aggarwal creates another Indian Record on CPR10

Padma Shri and Dr B C Roy National Awardee Dr. K K Aggarwal, President Heart Care Foundation of India, created an Indian record of training 1080 people in single rescuer CPR–10 in one session on 1080 manikins.

The record event was held on 15th December 2013 at Talkatora Stadium and was organized in association with New Delhi Municipal Council.

The event was inaugurated by Sh. Jalaj Shrivastava, Chairman NDMC. The record has been accepted by IJCP Book of Medical records.

In the past Dr K K Aggarwal and Heart Care Foundation hold an Indian record of providing multi rescuer hands-only CPR–10 training to 1050 people in one session using 210 manikins.

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 80967 people since 1st November 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 10×10 i.e. 100 per minute."

emedipicstoday emedipics

A Free Health Check–up Camp was organized by Heart Care Foundation of India in association with Varishth Nagrik Kesari Club on 16th December 2013.

press release

Metformin may repair stroke injured brains

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

Chi–square test is used to measure the degree of:

1. Causal relationship between exposure and effect.
2. Association between two variables.
3. Correlation between two variables.
4. Agreement between two observations.

Yesterday’s Mind Teaser: Serum total lactate dehydrogenase level will NOT be raised in:

1. Muscle crush injury.
2. Stroke.
3. Myocardial infarction.
4. Hemolysis.

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

Correct answers received from: DR.A.K.GAJJAR, Dr. P. C. Das, Dr.K.Raju, drvaishali parmar, Dr Jainendra Upadhyay

Answer for 16th December Mind Teaser: b.2.3 million

Correct answers received from: DR AVTAR KRISHAN

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

A Dishonest Honest Man

A woman customer called the Canon Help Desk with a problem with her printer.

Tech support: Are you running it under windows?

Customer: "No, my desk is next to the door, but that is a good point. The man sitting in the cubicle next to me is under a window, and his printer is working fine."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: Doctor, this patient has developed acute renal failure.
Reaction: Oh my God, I forgot that he was on furosemide. I gave him a full dose of amikacin.
Lesson: Make sure before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

medicolegal update

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop

medicolegal update

Dr KK Aggarwal: Relaxation during work http://bit.ly/15QdVeB #Health
Dr Deepak Chopra:Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question#CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm

Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President
Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman
Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Sir, sorry to correct you but your data regarding top 5 regrets on dying is a study done in UK and the no.2 statement is that I wish I had not worked so hard rather than I wished I had worked hard. Source: http://www.theguardian.com/lifeandstyle/2012/feb/01/top–five–regrets–of–the–dying. Thanks a lot Sir: Dr Puneet Wadhwa, Specialist Pediatrician, NMC Specialty Hospital, Dubai

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Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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