eMedinewS18th September 2013, Wednesday

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

India has too few post graduate specialists

Post graduates seats in India are much less than in the US. The distribution is Cardiology 250 (US 781); Diabetology/Endocrinology 50 (US 251); Gastroenterology 93 (US 433); Hematology 13 (US 523); Nephrology 84 (US 416); Neurology 159 (US 592) and Oncology 48 (508).

Only 250 new cardiologists are added to the pool in India with largest number of heart patients in the world.

It’s worse for diabetics. Even when the country is heading towards becoming the diabetes capital of the world, we have only 50 PG seats in endocrinology. The US, on the other hand, has 250 PG seats in this subject.

Tuberculosis is the sixth highest contributor to the number of deaths in India but the country has only 307 specialized doctors graduating in pulmonary medicine every year.

Cancer the most feared disease has only 47 seats in India. In contrast, the US has 508 seats.

While a mother dies every 10 minutes in India, we have only around 1,400 obstetrics and gynaecology seats. There are about 93 seats in gastroenterology, as against 433 in the US, even when diarrhoeal diseases are the second highest contributor to deaths in India.

On the other hand, there are 5,833 para–clinical PG seats in the country. Pathology tops with 1,201 MD seats, microbiology has 724 and community medicine 736, biochemistry has been allotted 481 seats and physiology 672.

Doctors say every unit in a medical college in the country can accommodate up to five PG students, according to MCI norms. If that’s the case, the number of PG seats can go up to 38,390 in the current scenario, but will that happen? (Source TOI). ….Read More

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

sprritual blogGanesh Visarjana

Ganesh Chaturthi is observed every year in the month of Bhadrapad starting on Shukla Chaturthi (4th day of the waxing moon period) and lasts for 10 days ending on Anant Chaturdashi (14th day of waxing moon period).

Every festival in India is observed for a duration, e.g. Dusshera is preceded by 9 days of Navratra, Holi by 8 days of Holasthak etc.

Most of the festivals are in Chaturmas in Dakshinayan period because of relative negative state of mind during this period which is linked to longer nights and shorter days.

Ganesha is the Lord of removal of obstacles and 10 days duration signifies that whenever you are in trouble, follow the principle of Ganesh’s stress management and over a period of next ten days, you wil be able to solve your problem.

cardiology news

The perfectionist sculptor

A gentleman once visited a temple under construction where he saw a sculptor making an idol of God. Suddenly he noticed a similar idol lying nearby. Surprised, he asked the sculptor, "Do you need two statues of the same idol?"

"No," said the sculptor without looking up, "We need only one, but the first one got damaged at the last stage." The gentleman examined the idol and found no apparent damage. "Where is the damage?" he asked.

"There is a scratch on the nose of the idol." said the sculptor, still busy with his work. "Where are you going to install the idol?" The sculptor replied that it would be installed on a pillar twenty feet high.

"If the idol is that far, who is going to know that there is a scratch on the nose?" the gentleman asked. The sculptor stopped his work, looked up at the gentleman, smiled and said, "I know it and God knows it!"

Moral: The desire to excel should be exclusive of the fact whether someone appreciates it or not. Excellence is a drive from inside, not outside. Excel at a task today – not necessarily for someone else to notice but for your own satisfaction. ….Read More

News Around The Globe

5th Dil Ka Darbar

Date: Sunday, 29th September 2013, Venue: Constitution club of India, Rafi Marg, Time: 8 AM to 6 PM

Programme: A non stop question answer–session between all top cardiologists of the NCR region and the public.

The focus of the discussions will be prevention of heart diseases in women and young men. Special discussion will be held on Sex and Heart Diseases. Practical training will also be given to people on Hands–only Cardiopulmonary Resuscitation. Another focus of the discussion will be the launch of the Project Dhadkan (Palpitations) and Project Murmur (Congenital and valvular heart diseases in children).

Entry free…

  • The Centers for Disease Control and Prevention (CDC) released its "landmark" report on the rising and lethal threat of antibiotic resistance, titled Antibiotic Resistance Threats in the United States, 2013. In its report, the CDC describes an infectious disease landscape in which 2 million people in the United States are sickened annually with antibiotic–resistant infections. The report estimates that at least 23,000 people a year die from antibiotic–resistant infections. An estimated minimum 250,000 illnesses and 14,000 deaths from C. difficile are directly related to antibiotic use and resistance. In the report, bacteria are prioritized into 1 of 3 categories: urgent, serious, and concerning. Urgent threats include carbapenem–resistant Enterobacteriaceae (CRE), drug–resistant gonorrhea, and C difficile. Serious threats include methicillin–resistant Staphylococcus aureus (MRSA) and nontyphoidal Salmonella infections. The "concerning" category includes group A Streptococcus, often referred to as "flesh–eating bacteria. The report also talks of a 4– part solution which includes: preventing infections, tracking resistance patterns, practicing antibiotic stewardship and developing new antibiotics and diagnostic tests.
  • An investigational submicron particle formula of the nonsteroidal anti–inflammatory drug (NSAID) diclofenac (Iroko Pharmaceuticals LLC) was effective in reducing the need for opioid rescue medication in patients with acute postoperative pain, according to the results of a new study presented at PAINWeek 2013. The submicron technology reduces NSAID drug particles so that they become at least 10 times smaller than those with standard formulations, promoting absorption. Submicron particle technology increases the surface area of exposure and similar efficacy as standard diclofenac is obtained by using the lower dose.
  • The production of fructose from glucose in the liver contributes to the development of metabolic syndrome in mice, says a study published online September 10 in Nature Communications. The study compared wild type mice and two types of knockout mice incapable of converting glucose into fructose or degrading fructose in the liver. After 14 weeks of a diet of 10% glucose and regular food, the normal mice exhibited signs of metabolic syndrome –– an increase in energy intake and body weight, visceral obesity, fatty liver, elevated insulin and hyperleptinemia. The knockout mice that couldn't process fructose did not.
  • Men with low–risk prostate tumors who participated in a multifaceted lifestyle improvement program showed an increase in mean telomere length after 5 years, contrary to findings in a control group. Dean Ornish, MD, of the University of California San Francisco and the Preventive Medicine Research Institute (PMRI) in Sausalito, Calif., and colleagues report in their study that among 10 patients who volunteered for the intervention, the ratio of telomere to single–copy human beta–globin gene length increased from baseline by a median of 0.06, whereas in 25 similar patients who underwent active surveillance for cancer and no other particular intervention, the ratio decreased by a median of 0.03.
  • The FDA has approved a generic version of the oral metastatic colorectal cancer drug capecitabine (Xeloda). It will be marked by Teva Pharmaceuticals USA in 150 mg and 500 mg doses. Common adverse events seen in clinical trials for the drug include diarrhea, vomiting, and nausea, as well as oral pain, redness, swelling, and sores. Other events were hand–foot syndrome, fever, and infection. Additionally, capecitabine is packaged with a boxed warning to avoid co–treatment with blood thinners, which may cause serious adverse events.

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Rabies News (Dr. A K Gupta)

Can rabies vaccine be given to a child with chicken pox or measles?

As rabies is 100% fatal, there is no contraindication for antirabies vaccination. Rabies vaccine can be given to a child with chicken pox or measles and it is effective. If possible administration of measles vaccine should be postponed by a fortnight after the completion of antirabies immunization.

cardiology news
  • The oral administration of probiotic products to infants with cyanotic congenital heart disease was associated with improved outcomes, including better survival. Among 100 infants given Bifidobacterium lactis plus inulin or placebo, 8% of the active treatment group developed sepsis compared with 28% of the placebo group. The Turkish study also found that use of the probiotic also appeared protective against necrotizing enterocolitis (NEC), as five cases occurred in the placebo group and none in the active treatment group. Moreover, mortality was almost three times higher in the placebo group (28% versus 10%).
  • The risk of having a stroke in the year after myocardial infarction (MI) has dropped over a 10–year period in patients with and without diabetes, but the decline was particularly marked among diabetic patients suggesting that they gained more from the greater use of secondary preventive medication. As per a new study by Stina Jakobsson, Herzzentrum Ludwigshafen, Ostersund, Sweden, The decreased ischemic stroke rate in both patient groups over time may be explained by a reduction in established risk factors for stroke and increased use of secondary preventive treatments after MI. The results were presented at the recent European Society of Cardiology (ESC) Congress 2013.

Valvular Heart Disease News

In infective endocarditis, in patients where no localized infection is seen, the source may be from minor trauma, oral cavity or genital or urinary infection.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • Oral dexamethasone for 5 days reduced hospital stay for infants with bronchiolitis and eczema or a family history of asthma, according to results from a placebo–controlled trial published online September 16 in Pediatrics. In the study, dexamethasone was added to salbutamol in infants at risk for asthma, based on eczema or a family history of asthma in a first–degree relative.
  • Use of new evidence–based delivery room guidelines was associated with significantly improved outcomes for very low birth weight infants, according to the results of a single–institution study published online September 16 in Pediatrics. Sara B. DeMauro, MD, MSCE, from the Department of Pediatrics, the Children’s Hospital of Philadelphia, Pennsylvania, the lead researcher noted that events during the first moments of an infant’s life can have lasting effect, especially for those born very prematurely. Specifically, 3 aspects of newborn care that require prompt attention in the delivery room are thermoregulation, respiratory management, and oxygen delivery.
cardiology news

Tattoos to warn of medical conditions

An increasing number of Americans are turning to medical tattoos to warn emergency responders about important medical conditions. However, "It’s unclear whether an ambulance crew racing to treat a gravely ill patient could honor a request…based on a "tattoo alone." Moreover, it’s questionable whether medics or doctors would be under any obligation to honor end–of–life instructions in a tattoo, unless they could be sure the patient also had signed legally binding papers. (AMA News)

cardiology news

Total CPR since 1st November 2012 – 63400 trained

CPR Classes 63400

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

29th August: Veer Arjun

Media advocacy through Web Media

When Constipation May be a Serious Problem 30th August


TB more dangerous than FLU 29th August


Economy–class syndrome

All doctors should diagnose and treat venous thromboembolism, which include deep-vein thrombosis and pulmonary embolism, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India & National Vice President–Elect IMA. These are potentially fatal conditions that occur when a blood clot that’s formed at one point of the venous circulatory system detaches and travels to the lungs.

A pulmonary embolism occurs when a blood clot, which usually forms in the veins of the leg, obstructs the pulmonary artery in the lungs or one of its branches. This can cause acute right heart failure or sudden death.

The problem of deep–vein thrombosis gained notoriety when passengers on long–haul flights develop deep vein thrombosis and lung embolism now called as "economy–class syndrome." It results from long hours of minimal movement i.e. airline passengers sitting in their seats for hours and not being able to move. Treating the condition at an early stage can help save lives and prevent complications such as pulmonary embolism or recurrent deep vein thrombosis.


  • Get up and walk about at least once an hour.
  • While seated, flex your ankles and move your feet around to stimulate blood circulation.
  • Remain hydrated.
  • Consider wearing support stockings or elastic wraps to keep blood from settling in the veins in your legs.
  • A simple aspirin tablet taken a few hours before take–off thins the blood during long periods of inactivity. The number of victims would fall significantly if more passengers followed this advice.
  • Patients at severe risk for thrombosis should be given injections with low molecular weight heparin (LMWH), a form of prophylaxis already in common use in hospitalized patients.
  • One should abstain from alcoholic beverages and caffeine.

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 63400 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."

today emedipics

A CPR 10 Training Camp was organized by Heart Care Foundation of India to train the students of Modern School Noida on 14th August

press release

Depression linked to paralysis

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…………………

When assessing a patient for possible side effects related to acetaminophen, the pain management nurse asks the patient about the use of:

a) Alcohol
b) Marijuana
c) Opioids
d) Tobacco

Yesterday’s Mind Teaser: When assessing a patient’s cultural beliefs about pain, the pain management nurse asks about:

a) A family history of pain.
b) Home remedies used to treat pain.
c) The frequency of visits to health care facilities.
d) The patient’s dietary preferences.

Answer for yesterday’s Mind Teaser: (b) Home remedies used to treat pain.

Correct answers received from: Chandulal Parmar, Dr KV Sarma, Daivadheenam,
Dr K Raju, Dr BK Agarwal, Dr VP Thakral, Dr Jainendra Upadhyay, Dr Raghavendra Singh,
Dr K V Sarma.

Answer for 15th September Mind Teaser: d. Seated upright

Correct answers received from: Dr PC Das, Dr VP Thakral, Dr Ayyavoo Erode, Dr K Raju.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Gynecologist: A man who works and operates in another man’s field

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on furosemide. I gave him 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: Dr K K Aggarwal: Relaxation during work http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. #CosmicConsciousness

medicolegal update

Dear Sir, emedinews is very informative. Regards: Dr Shyam

Forthcoming Events

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