eMedinewS18th May 2014,Sunday

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

Promising Medical Advances

Insights into brain injury

A study by NIH researchers provided insight into the damage caused by mild traumatic brain injury and suggested approaches for reducing its harmful effects.

Stem cells coaxed to create working blood vessels

In an NIH–funded study, scientists were able to direct human stem cells to form networks of tiny blood vessels that can connect to the existing circulation in mice

Genomic analysis of endometrial tumors

The findings, by an NIH–funded research network, suggest that genomic classification of endometrial tumors could help guide treatment strategies.

Common genetic factors found in 5 mental disorders

Autism, attention deficit hyperactivity disorder (ADHD), bipolar disorder, major depression, and schizophrenia were traditionally thought of as distinct mental disorders. An international research consortium funded by NIH discovered that these disorders share certain genetic glitches.

Vaccine clears away monkey AIDS virus

Current therapies can control but not eliminate the virus. In an NIH–funded study, an experimental vaccine triggered a lasting immune attack in monkeys that eliminated all traces of SIV infection after a year or more.

Method quickly assesses antibiotics

NIH–funded scientists developed an innovative method to quickly identify antibiotics that can treat multidrug–resistant bacteria—and reveal how these bacteria–killing medications work.

Strategy may improve survival after shock

An NIH–funded study of rats found that blocking digestive enzymes in intestines increases survival, reduces organ damage, and improves recovery after shock. The approach may lead to new therapies to improve patient outcomes.

News Around The Globe

  • A study published online in the journal Thorax has stated that nocturnal non–invasive ventilation may not diminish the risk of hospital readmission or death in patients with COPD who have prolonged hypercapnia after receiving ventilatory support for respiratory failure.
  • Blisibimod, a B cell–activating factor (BAFF) inhibitor, possibly improves some endpoints in patients with systemic lupus erythematosus (SLE), especially those with more severe disease (improvements in SLE Responder Index (SRI)–7 and SRI–8 responder rates), reports the phase 2 PEARL–SC study. The findings were published online in Annals of the Rheumatic Diseases.
  • A study comprising of nearly 2,000 community–dwelling older adults has shown that antidepressant use is independently associated with gait impairment, but depressive symptoms are not. The study has been published online in the American Journal of Geriatric Psychiatry.
  • A study published online in Hepatology has reported that high calorie diets with increased meal frequency are associated with increases in intrahepatic triglycerides (IHTG). Individuals consuming high–fat–high–sugar (HFHS) and HS diets divided into three meals daily with a snack consumed 2–3 hours after each meal had significantly increased IHTG and abdominal fat.
  • A study presented at the XXIII European Stroke Conference (ESC) has pointed that the amount of dead tissue in the brain visible on contrast computed tomography (CT), and not time, is a stronger predictor of who will benefit most following tissue plasminogen activator (tPA) treatment for stroke.

Rabies News (Dr A K Gupta)

Can the wound be deepened for cleaning purpose?

We should never try to deepen the bite wound. Deepening of wound for cleaning depends on area of injury, extent of injury and the aim should be to preserve as much tissue as possible and to excise only the dead tissue.

Cardiology eMedinewS

  • An indirect comparison analysis of four non–vitamin–K antagonist oral anticoagulants (NOACs) for stroke prevention in atrial fibrillation has revealed that high–dose edoxaban (60 mg) had similar safety and efficacy as dabigatran 110 mg twice daily. Dabigatran 150 mg twice daily led to lower stroke/systemic embolism. High–dose edoxaban had similar efficacy in stroke prevention as rivaroxaban or apixaban, with less bleeding than rivaroxaban and more bleeding than apixaban. The study is published in the May 2014 issue of Thrombosis and Haemostasis.
  • The US FDA has rejected serelaxin injection (RLX030) for patients with acute heart failure owing to lack of sufficient evidence of efficacy.

Pediatrics eMedinewS

  • Laryngomalacia in children commonly presents with snoring and/or sleep–disordered breathing (S–SDB) or with swallowing dysfunction, reports a novel analysis. The primary presentation of children diagnosed as having laryngomalacia appeared to be stridor in 56 children, S–SDB in 22 children, and swallowing dysfunction in 10 children.
  • Children delivered by cesarean section and those given antibiotics during early infancy may have increased likelihood of developing allergic inflammation of the esophagus, reports a study published online in the Journal of Allergy and Clinical Immunology: In Practice.

Dr K K Spiritual Blog

The spiritual meaning of the word ‘Artha’

Dharma, Artha, Kama and Moksha are the four fundamental principles of our very existence, which means earning righteously with a desire to fulfill the inner happiness.

Righteous earning is called ‘Artha’ and it has been mistakenly linked to materialistic money. In mythology, Artha is synonymous with Lakshmi, Saraswati and Kali, where Lakshmi represents righteously earned materialistic wealth, Saraswati represents wealth of knowledge and Kali represents wealth of wisdom to fight the bad in you and in the society.

In any country, it is the wealth of knowledge, which is more important. India was ruled initially by warriors (Kali), later by money (Lakshmi) and in future will be ruled by knowledge (Saraswati).

It is the human resources, which today decide the growth of a company and the amount of money invested. If you have good human resources, your company is going to succeed.

Wellness Blog

Gaining weight losing strength versus losing weight gaining strength

When we gain weight, we must acquire more strength and when we lose weight, we must lose the strength. This is a fundamental principle.

If we gain weight and feel weak, it is a disease and when we lose weight and gain strength, we are recovering from the disease. One is not supposed to gain more than 5kg of weight after the age of 20 years. Any weight gain after that will only be due to accumulation of fat, which leads to insulin resistance.

Insulin resistance does not allow food to convert into energy. In the state of insulin resistance, whatever you eat is converted into fat. As it is not converted into energy so you feel weak. When you reduce insulin resistance by drugs or walking, the metabolism becomes normal and whatever you eat gets converted into energy and you start gaining strength.

Inspirational Story

Many years ago all feeling and emotions gathered to spend their vacation on a coastal island. Each of them was having a good time, but one day a warning of a storm was announced and everyone had to leave the island.

This caused a panic, all rushed to their boats and only Love did not wish to be in a hurry. There was so much to do, so Love was the last, who realized that it was time to leave. However, no free boats were left and Love looked around with hope.

As Prosperity was passing by in its classy boat, Love asked, "Please, take me in your boat." But Prosperity replied, "My boat is full of gold and other precious possessions, there is no place for you."

Then Vanity came by in a lovely boat. Love asked, "Vanity, could you take me in your boat? Please, help me."

Vanity said, "No, your feet are muddy, and I don‘t want my boat get dirty."

Some time later Sorrow was passing by and Love called for help. But Sorrow answered, "I am so sad, I want to be by myself."

Then Happiness came by, Love asked for help, but Happiness was too happy, it was hardly concerned about anyone.

Suddenly somebody called out, "Love, I will take you with me." Love did not recognize its savior, just gratefully jumped on to the boat.

When everyone had reached safe place, Love got off the boat and met Knowledge. Love asked, "Knowledge, do you know who helped me when everyone else turned away?"

Knowledge smiled, "That was Time, because only Time knows Love’s true value and what Love is capable of. Only Love can bring peace and happiness."

The message of this story is that when we are prosperous, we underrate Love. When we feel important, we do not appreciate love. And even in happiness and sorrow we overlook love. Only with time we realize the true value of love. Why wait and not cherish and share Love every day of your life?

ePress Release

Before sports children need to be screened for the Heart

Sudden cardiac death amongst athletes is a rare but devastating event. Most victims are usually young and, apparently, healthy but many have underlying undiagnosed heart disease, 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.

As per American Heart Association Guidelines, children and adolescents undergoing for athletic training need medical clearance. Most sudden deaths amongst athletes are due to malignant irregularities in the heart rhythm such as ventricular tachycardia and ventricular fibrillation. The precipitating factors can be prolonged physical training or unaccustomed athletic activities.

In athletes under the age of 35, the most common cause of death is underlying congenital heart disease and for those above the age of 35, it is the presence of blockages of the coronary arteries.

As per American Heart Association, in every school/college, the attached doctor should evaluate all students with a 12 step history and examination to rule out high risk cases that need further evaluation. European Society of Cardiology also recommends an additional standard 12 lead ECG before a medical clearance is given for both competitive as well as recreational athletic activities. For those master athletes who are above the age of 35, they will need an additional exercise testing before they can be given a clearance for athletic activity. Diagnostic echocardiography is indicated with clinical, historical and physical findings suggest possibility of structural heart diseases. Athletes on pacemaker should not engage in sports as bodily collision may damage the pacemaker system.

The 12–element AHA recommendations for pre participation cardiovascular screening of competitive athletes

  1. Exertional chest pain/discomfort
  2. Unexplained syncope/near–syncope
  3. Excessive exertional and unexplained dyspnea/fatigue, associated with exercise
  4. Prior recognition of a heart murmur
  5. Elevated systemic blood pressure
  6. Premature death (sudden and unexpected, or otherwise) before age 50 years due to heart disease, in one relative
  7. Disability from heart disease in a close relative <50 years of age
  8. Specific knowledge of certain cardiac conditions in family members: hypertrophic or dilated cardiomyopathy, long–QT syndrome or other ion channelopathies, Marfan syndrome, or clinically important arrhythmias
  9. Heart murmur
  10. Femoral pulses examination to exclude aortic coarctation
  11. Physical features of Marfan syndrome
  12. Brachial artery blood pressure (sitting position, both arms)

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

What is not true for HNPCC (hereditary nonpolyposis colorectal cancer)?

a) It is the most common hereditary colorectal cancer syndrome in USA.
b) It is associated with MMR gene mutation.
c) It is associated with APC mutation.
d) It is associated with carcinoma colon and extraintestinal cancers.

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: B. No, skin–cancer rates and deaths from the disease are on the upswing.

Correct Answers received from: Dr KV Sarma, Dr Jainendra Upadhyay,
Dr K Raju, Daivadheenam Jella, Dr Avtar Krishan, Deepali Chatterjee, Dr Bitaan Sen & Dr Jayashree Sen, Dr Sushma chawla, Dr Uma Gaur.

Answer for 16th May Mind Teaser: a) Lignin

Correct Answers received from: Dr Uma Gaur.

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

3 D echo and pocket echo machines.

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 was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

eMedinewS Humor

Visiting a barber

A man enters a barber shop for a shave. While the barber is foaming him up, he mentions the problems he has getting a close shave around the cheeks.

"I have just the thing," says the barber taking a small wooden ball from a nearby drawer. "Just place this between your cheek and gum."

The client places the ball in his mouth and the barber proceeds with the closest shave the man has ever experienced. After a few strokes the client asks in garbled speech.

"And what if I swallow it?"

"No problem," says the barber. "Just bring it back tomorrow like everyone else does."

Quote of the Day

If the road is beautiful then, worry about the destination, but if the destination is beautiful, then don't worry about the road!

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: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful http://bit.ly/WAYHF_DC #WAYHF


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  1. Dear Sir, Very informative newspaper. Regards: Dr Kavisha
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