August 18  2015, Tuesday
Reduce liquids to reduce weight
Dr KK AggarwalWhen it comes to losing weight, cut down on liquid calories rather than food.

Weight loss from liquid calories is greater than loss of calorie intake from solid food according to a study published earlier in the American Journal of Clinical Nutrition. The study found that drinking fewer sugary drinks was more important than eating less for losing weight. And, drinking one less serving of a soft drink was associated with just over one pound of weight loss at six months and an additional weight loss of more than 1.4 pounds at 18 months.

The body is able to self–regulate its intake of solid food. If you eat too much solid food at lunch, you will tend to eat less at dinner. But the same self–regulation does not apply for what you drink. The body does not adjust to liquid calories, so over time, you gain more weight.

Beverages are categorized into eight categories
  1. Sugar–sweetened beverages (including soft drinks, fruit drinks, fruit punch, or high–calorie beverages sweetened with sugar)
  2. Diet drinks such as diet soda and other diet drinks that were artificially sweetened
  3. Milk (including whole milk, 2 percent milk, and 1 percent skim)
  4. 100 percent fruit and vegetable juice
  5. Coffee and tea with sugar
  6. Coffee and tea without sugar
  7. Alcoholic beverages.
  8. Water with no calories.
The best drinks are water, plain soda and tea coffer with no sugar.
ICON 2015 IMACGP International Conference of Family Medicine organized by IMA HQs, New Delhi
A new study suggests that patients who undergo an organ transplant are at greater risk of developing melanoma, the deadliest form of skin cancer, and are at even higher risk of dying from the disease, compared with individuals who do not have a transplant. The findings were published in the Journal of Investigative Dermatology.

Cutting fat intake results in greater body fat loss as compared to a low-carbohydrate diet, suggests a new study published in Cell Metabolism.

Obstetrics and Gynecology

New research finds many parents become unhappy following the birth of their first child, which may deter them from having any more. Researchers noted that more than 70% of parents reported a decline in happiness following the birth of their first child. The findings are published in the journal Demography.

The presence of autoantibodies in healthy relatives of patients with rheumatoid arthritis (RA) predicts a higher risk of developing the disease, suggests a 5-year follow-up cohort study published in Arthritis and Rheumatology.

Allergy and Immunology
Scientists at Helmholtz Zentrum München and TU München have discovered a new mechanism as to how non-allergenic pollen mediators can enhance allergic reactions. Researchers revealed that B cells play a critical role in this process. The results were published in the journal Allergy.
Forthcoming DST school camps
  • Mt Abu School, Rohini Sector 5, on 19th August
  • St Mathew School, Paschim Vihar, D Block on 20th August
Cardiology eMedinewS

Patients with type 2 diabetes and stable ischemic heart disease faced a higher risk of death from cardiovascular causes if they had abnormal levels of cardiac troponin T concentration, suggested a new study published in the New England Journal of Medicine.


Researchers have reported an association between lower scores for executive function and an increased risk for stroke and coronary heart disease (CHD) that is independent of vascular risk factors such as hypertension and diabetes among elderly patients at increased risk for cardiovascular events but who are free from dementia. Executive function might be a better reflection of brain vascular pathologies than measures of memory, reported researchers in a study published online in Neurology.
Pediatrics eMedinewS

Children with multiple sclerosis are less physically active than those with monophasic acquired demyelinating syndrome (mono-ADS), a disorder that involves a single demyelinating episode, suggested a new study published online in Neurology.


Every hospital should have access to regional multidisciplinary teams that can provide expert advice for children and adolescents with concerns about sex development, and provide them and their parents with psychological support, reported a revised Society for Endocrinology guideline on disorders of sex development (DSD) published in Clinical Endocrinology.
Dr KK Spiritual Blog
Vedic science behind post-traumatic stress disorder

Post-traumatic stress disorder or PTSD is a type of stress that lasts for up to 13 days if handled properly and for months or years if not handled well after an acute stress. It can be a serious disorder.

The reference to mourning a death can be found in the Vedic literature. There is a custom that the grieved partner is made to weep till she or he is overwhelmed with emotions. In fact, all relatives and friends participate in the exercise, depending upon their respective closeness to the deceased.

After the antim yatra, the grieving person is made to sit for 90 minutes every day as a part of the ceremony, which either ends on chautha or tervi where again everybody known gather together. Thereafter, normal activities of life are resumed.

In some sections of the society there is also a custom of shaving the head or donating hair or wearing white clothes.

Is there a scientific explanation for these customs? The plausible explanation are many and are based on the observation that a grieving person may go into depression, which if not treated properly may last for months together, or even forever. For example the acute stress after the death of somebody very close will be called acute traumatic stress and the condition PTSD.
Make Sure
Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy as its side effect.
Dr Good Dr Bad
Situation: A 30–year–old male with suspected migraine came with runny nose.
Dr. Bad: It cannot be migraine.
Dr. Good: It can be migraine.
Lesson: Migraine can also cause nasal stuffiness and a runny nose, or teary eyes in some individuals so they may be sometimes mistaken for sinus headaches.

(Copyright IJCP)
eIMA Quiz
Halfway through the administration of blood, the female client complains of lumbar pain. After stopping the infusion Nurse Hazel should:

a. Increase the flow of normal saline
b. Assess the pain further
c. Notify the blood bank
d. Obtain vital signs.

Yesterday’s Mind Teaser: Which of the following is not a good approach to managing stress?

A. Talking directly to the person who is causing the stress.
B. Giving yourself a treat, like comfort food or a cocktail.
C. Accepting that there are things beyond your control.
D. Trying cognitive-behavioral therapy to learn new coping skills.
E. Working out regularly.

Answer for Yesterday’s Mind Teaser: B. Giving yourself a treat, like comfort food or a cocktail.
Answers received from: Dr Avtar Krishan, Dr Shangarpawar, Dr G Madhusudhan, Dr K Raju, Daivadheenam Jella, Dr Poonam Chablani, Dr Jainendra Upadhyay.
Answer for 16th August Mind Teaser: c) Is related to duration of ulcerative colitis
Correct Answers received from: Dr Shangarpawar.
Rabies News (Dr A K Gupta)
Can the vaccine be injected in gluteal region?

Rabies vaccine must not be administered in gluteal region as the gluteal fat may retard vaccine absorption resulting in delayed and lower seroconversion.
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Successfully trained 113241 people since 1st November 2012 in Hands-only CPR 10
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.
Madan Singh, SM Heart Care Foundation Fund, Post CAG
Kishan, SM Heart Care Foundation Fund, Post CHD Repair
Deepak, SM Heart Care Foundation Fund, CHD TOF
eIMA News
New model of care (Pre-emptive care model)
Cardiac arrest can be controlled by CPR: Expert

IANS | New Delhi August 16, 2015 Last Updated at 21:46 IST

Cardiac arrest is the number one killer in India, and can be controlled only by administering proper cardiopulmonary resuscitation (CPR), a health expert said on Sunday.

"With the increasing lifestyle pressures in today's day and age, the incidence of cardiac arrest is on the rise. An increasing number of people living in urban households and the younger generation are becoming victims of cardiac death," cardiac surgeon K.K. Aggarwal said.

Cardiac arrest takes an estimated 25 lakh lives annually.

According to data revealed by the Delhi Economic Survey, 150-250 deaths happen in the city every single day. Out of these, 25-45 deaths occur suddenly with 60 percent of the people dying before they reach the hospital and the largest number due to cardiac arrest.

"While prevention is key and awareness needs to be generated about how lifestyle modifications are a must for healthy heart health, what most people are not aware of is that death is reversible within the first 10 minutes of a cardiac arrest," Aggarwal said.

Only CPR compresses the heart between the sternum and the backbone and builds up pressure that keeps the oxygenated blood flowing to the brain and keeps the person alive until a defibrillator becomes available or expert medical help arrives.

"It is important to act quickly, for every minute lost reduces the chances of revival by 10 percent," he added
Kindly sign this petition: For allowing parliament to function

Tiny url to pass on to other members:

To sign, we can login through Facebook or email account on the right hand side.

Dr Marthanda Pillai,                        Dr KK Aggarwal
IMA Digital TV – Webcast Done So far
23rd July 2015 – TB Notification

6th August 2015 - Breastfeeding and Neonatal Skin Care

13th August 2015 - All About Vitamin D - IMA USV Initiative
IMA Digital TV
IMA Digital TV
IMA IPMO Initiative
Kindly go to
and pledge your organs. Unless we do it, the public will not listen to us.

Team IMA
ICON 2015
Inspirational Story
Always Remember Those Who Serve

In the days when an ice cream sundae cost much less, a 10 year old boy entered a hotel coffee shop and sat at a table. A waitress put a glass of water in front of him.

"How much is an ice cream sundae?" "Fifty cents," replied the waitress. The little boy pulled his hand out of his pocket and studied a number of coins in it. "How much is a dish of plain ice cream?" he inquired. Some people were now waiting for a table and the waitress was a bit impatient.

"Thirty–five cents," she said brusquely. The little boy again counted the coins. "I’ll have the plain ice cream," he said. The waitress brought the ice cream, put the bill on the table and walked away. The boy finished the ice cream, paid the cashier and departed.

When the waitress came back, she began wiping down the table and then swallowed hard at what she saw. There, placed neatly beside the empty dish, were two nickels and five pennies – Her Tip
Over 50 doctors attended the IMA Rise & Shine CME on Vitamin D deficiency in Guwahati
Quote of the Day
Take the attitude of a student, never be too big to ask questions, never know too much to learn something new. Og Mandino.
IMA in Social Media 28693 likes 46788 likes 1770 likes

Twitter @IndianMedAssn 1110 followers
Reader Response
  • Happy Independence Day to all. To actually see and listen to Dr K K Agrawal sir at WIMALS 2015 was a dream come true. Regards: Dr. Sofiya Ansari.
  • Hi Dr K K, The picture of both of you outside the Rashtrapati Bhawan is great. God Bless you both .cheers. Ashok Ahooja . Sqn.Ldr.(Retd)
Wellness Blog
Children and adolescents with congenital heart disease should avoid body piercing

Children and teenagers with congenital heart disease should be strongly discouraged from getting a tattoo or piercing their ears or other body parts, because it could lead to a potentially deadly infection of the heart called endocarditis.

Infective endocarditis occurs when bacteria or fungi attach and begin to grow on the valves of the heart. If left untreated, it can lead to a fatal destruction of heart muscle.

Body art in the form of tattoos and piercing has become increasingly popular among children and teenagers. But, most people remain unaware that they should talk to their doctor before tattooing or piercing their body.

Most experts today strongly discourage all forms of body art. For those who cannot be dissuaded, the recommendation is to give antibiotics prior to tattooing or piercing, "with strong advice for prompt treatment of any signs of subsequent infection".
IMA Humor
The Hot Dog Vendor

A Buddhist monk approaches a hotdog stand and says, "Make me one with everything."

The vendor has heard this one before, and without a word he simply makes the hot dog and hands it to the Buddhist monk, who pays with a $20 bill.

The vendor puts the bill in the cash box and closes it.

"Excuse me, but where’s my change?" asks the Buddhist monk.

The vendor replies, "Change must come from within."
IMA Videos
News on Maps
Press Release
Heart Care Foundation of India’s (HCFI) trains over 200 school children on the importance of health eating, hygiene and santiation

An initiative under its on-going 200 school project on obesity and hygiene awareness being organized in association with NCSTC, DST & the Govt. of India

HCFI, a leading national non-profit organization committed to making India a healthier and disease-free nation, today trained over 200 students of the Saulabh Public Health School, Mahavir Nagar on the importance of healthy eating, hygiene and sanitation.

This project has been initiated by HCFI in association with NCSTC, DST & Govt. of India and Indian Medical Association on the basic premise that it is easier to inculcate good habits at a young age. “If school-children are taught the basics of what hygienic living is and what is the kind of food which leads to lifestyle diseases in the future, a majority of India’s growing health problems can be solved”, said Padma Shri Awardee, President of HCFI & Hony. Sec General IMA, Dr KK Aggarwal.

He added, “HCFI has been working towards reducing the incidence of lifestyle diseases in our country through mass consumer awareness models since 1986. We believe that prevention is better than cure and this is the message we are taking to each of the 200 schools, which we are going to on a weekly basis as a party of this project. We believe that awareness when raised through the medium of creative arts has a longer lasting impact and this is why we are using tools such as a film on obesity and a puppet show on hygiene to educate children. We thank our partners for helping us make this project a reality.”

All school children are being educated on what food items can lead to childhood obseity, the difference between natural (banana, milk) and un-natural food (food containing high levels of carbohydrates, trans fats, sugar and salt). The children were also trained in the life-saving technique of hands only CPR 10 for revival after sudden cardiac arrest.

In his message to the children, Padma Shri Awardee and renowned wrestler Mr. Sushil Kumar said, “I am strong because I maintained a healthy diet and have lived a hygienic life throughout” The 200 school camps will be completed in a span of 1 year and aim at educating a total of over 40,000 students.