eMedinewS19th December 2013, Thursday

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

Should doctors be informed about every new drug introduction or ban?

Recently‚ I attended the Partnership for Safe Medicine Board Meeting and this point came for discussion. The DCGI said that it is not in their mandate that Drug Controller Department needs to inform every doctor about banning or introduction of a new drug.

He said that it is the prerogative of MCI‚ which I feel is not correct. Internationally, FDA informs each and every doctor through a weekly or fortnightly news alert.

In India‚ the answer is very simple. Their needs to be a directive by the Health Ministry or by the MCI that every doctor registers his or her email in the Health Ministry website and through that website or through a direct email to every doctor‚ one can communicate about happenings in the field of drugs‚ whether introduction of new drugs or ban of drugs.

Today‚ when a drug is banned, no pharma company will inform and the doctor may come to know about ban after months. During this period he may keep on prescribing all the drugs and someday the media may do a sting operation that the doctors are not aware that the drug has been banned.

The Ministry says that they update the information in their website but the same is never done the same day and there is invariably a lag period between the drug ban and the updating of the website.

Similarly‚ when a new drug is introduced‚ it is the pharmaceutical companies who inform the doctors. Doctors ultimately become dependent on them for information regarding introduction of new drug and that is perceived in the society as a doctor-pharma nexus. If updated knowledge is provided by the Health Ministry‚ doctors will no more be dependent on pharma companies.

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

Why do we regard trees and plants as being sacred?

sprritual blog

The upper part of the plants, the leaves, flowers and fruits are worshipped as sacred and offered to God. As per the Bhagwad Gita, these have satvik properties. Roots of any plant are tamsik and not offered in pooja or eaten during pooja days. The same is true for the stems of plants, which have rajsik properties.

Fresh and live fruits have the same spirit and life force as in the human beings and are considered sacred the same way as any human being. Human life also depends on plants and trees. They give us the vital factors that make life possible on earth: food, oxygen, clothing, shelter, medicines etc.

Ancient scriptures suggest the planting of a minimum of ten trees. We are also urged to apologize to a plant or tree before cutting it to avoid incurring a specific sin named soona.

Many trees and plants like tulsi‚ peepal etc.‚ which also have medicinal value‚are worshipped.

cardiology news

Prison Help!

An old man lived alone in Minnesota. He wanted to spade his potato garden‚ but it was very hard work. His only son‚ who would have helped him‚ was in prison. The old man wrote a letter to his son and mentioned his situation:

Dear Son, I am feeling pretty bad because it looks like I won’t be able to plant my potato garden this year. I hate to miss doing the garden because your mother always loved planting time. I’m just getting too old to be digging up a garden plot. If you were here‚ all my troubles would be over. I know you would dig the plot for me‚ if you weren’t in prison.

Love‚ Dad
Shortly‚ the old man received this telegram: ‘For Heaven‘s sake‚ Dad‚ don’t dig up the garden!! That’s where I buried the GUNS!!’

At 4 a.m. the next morning‚ a dozen FBI agents and local police officers showed up and dug up the entire garden without finding any guns. Confused‚ the old man wrote another note to his son telling him what had happened‚ and asked him what to do next.

His son’s reply was: Go ahead and plant your potatoes, Dad. It’s the best I could do for you, from here.

Moral: No matter where you are in the world‚ if you have decided to do something deep from your heart‚ you can do it. It is the thought that matters‚ not where you are or where the person is.

News Around The Globe


  • A farm in Qatar might hold the clues that link the emerging Middle East respiratory syndrome (MERS-CoV) to camels‚ say Marion Koopmans‚ DVM‚ PhD‚ of Erasmus Medical Center in Rotterdam‚ and colleagues in the The Lancet Infectious Diseases. For the first time, the virus has been isolated from a non-human species -- camels on a small farm that is also linked to two human cases. But it is still unclear whether -- or even if -- the virus passed from camels to humans or vice versa.
  • A new study has found that older women spend 9.7 hours a day in sedentary behavior‚ excluding sleep. These findings were published as a research letter in the December 18 issue of JAMA.
  • People with eczema are especially vulnerable to allergic reactions to certain preservatives in lotions and creams than those without eczema, according to a new study published online November 11 in the Journal of the American Academy of Dermatology.
  • A new case series reported in JAMA Ophthalmology, online November 28‚ may help doctors diagnose and manage Merkel cell carcinoma (MCC) of the eyelid, a rare‚ aggressive cancer that has been increasing in incidence over the last three decades. Researchers found that even tumors with a low T category were associated with regional nodal disease and distant metastases, suggesting that regardless of T category or size‚ a sentinel lymph node biopsy or strict regional lymph node surveillance may be considered for all MCCs of the eyelid. Merkel cell carcinoma is a skin cancer and usually diagnosed by dermatologists. However, when it is located on the eyelid‚ patients are usually first seen by their ophthalmologist.
  • The largest population-based study of gastrointestinal (GI) carcinoids ever reported shows that although the disease remains rare‚ it is increasing more rapidly than most other cancers. Researchers found an age-adjusted annual percentage change (APC) in the number of GI carcinoids of 4.4%‚ which is greater than that for liver cancer (3.5%)‚ thyroid cancer (3.5%), and lung cancer in women (3.0%)‚ and only slightly less than esophageal adenocarcinoma (4.8%). The findings are published in the December issue of the Annals of Oncology.

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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

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

  • The use of ACE inhibitors or angiotensin receptor blockers (ARBs) in patients with advanced chronic kidney disease (CKD) and hypertension may have prevented the initiation of long-term dialysis and delayed death, as per a Taiwanese study reported online in JAMA Internal Medicine. After accounting for potential confounders, using an ACE inhibitor or ARB was associated with a 6% lower relative risk of starting dialysis (hazard ratio 0.94, 95% CI 0.91-0.97) and of either starting dialysis or dying (HR 0.94, 95% CI 0.92-0.97). Use of the drugs also was associated with an increase in the rate of hyperkalemia-associated hospitalization (9.2% versus 6.7%, P<0.001), but not with the risk of predialysis mortality caused by hyperkalemia (HR 1.03‚ 95% CI 0.92-1.16).
  • In a phase 3 study of the investigational cholesterol-lowering evolocumab (Amgen, Thousand Oaks, CA)‚ the human monoclonal antibody for proprotein convertase subtilisin-kexin type 9 (PCSK9) met both of its co–primary end points‚ according to the top-line results of MENDEL-2.The drug, tested at two doses, a subcutaneous injection of 140 mg every two weeks and a 420-mg injection once monthly, significantly lowered LDL-cholesterol levels from baseline after 10 and 12 weeks of treatment. The mean percent reductions in LDL cholesterol when compared with both placebo and ezetimibe (Zetia‚ Merck) were consistent with results observed in phase 2 studies.
cardiology news

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

  • A new study presented at the American Epilepsy Society (AES) 67th Annual Meeting shows that epilepsy surgery doesn’t appear to have a major effect on mood or anxiety in children‚ and some kids even do better.
  • The diabetes drug metformin is only modestly effective for promoting weight loss when combined with lifestyle intervention in nondiabetic children and teens, and the benefits do not appear to be long lasting‚ as reported in a new meta-analysis in JAMA Pediatrics‚ published online Dec. 16.
cardiology news

Waist circumference a better indicator of mortality

As per a press conference at the European Society of Cardiology meeting a high body mass index (BMI) appears to be protective in certain populations. Abdominal obesity –– measured using waist circumference –– was a better predictor of 5–year mortality among French survivors of an acute myocardial infarction (MI) than was BMI, according to a study presented by Tabassome Simon, MD, of HÀ’pital Saint Antoine in Paris. Looking at BMI, there was an increased risk of dying for those with the lowest body mass (less than 22 kg/m2) and those with the highest (35 kg/m2 and higher), but not for those in the middle of those two groups, which included individuals who were overweight and mildly obese. Within each category of BMI‚ however, increased waist circumference was associated with an elevated risk of dying within the follow–up period. After adjusting for BMI in a multivariate analysis, waist circumference in the upper quartile was associated with a 44% greater risk of dying through 5 years.

cardiology news

Total CPR since 1st November 2012 – 80967 trained

Media advocacy through Web Media

web media webmedia webmedia
press release

Tackling Winter Allergy

New Delhi: December 18‚ 2013: Winter is a difficult time for the people with allergies, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

During winter, people spend more time indoor exposing themselves to allergies and irritants like dust mites, pet dander‚ smoke‚ house hold spray and chemicals and gas fumes. In wet winter‚ mold spores can cause additional problems.

Tips to avoid winter allergies

  1. Make sure that Christmas trees and decorations are mold free.
  2. Turn on exhaust fan when showering to remove excess odor from the house.
  3. For the same reason‚ turn on the exhaust fan while cooking.
  4. Clean your carpets with HEPA vacuum to reduce the burden of dust mite and pet allergens.
  5. Moping of floors should be done.
  6. Wash your hands after playing with pets.
  7. Wash your bed linen and pajamas in hot water (above 130 degree) to kill dust mites.
  8. Keep indoor humidity level between 30-40%
  9. Look for visible mold in the house especially in the basement.
  10. Keep your bedroom allergy-free.

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

Live Dilli Aajtak on winter disorders

press release

Healthcare worker fatigue and patient safety

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

The Vitamin A supplement administered in Prevention of nutritional blindness in children programme contains:

1. 25,000 IU/ml.
2. 1 lakh IU/ml.
3. 3 lakh IU/ml.
4. 5 lakh IU/ml.

Yesterday’s Mind Teaser: : 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.

Answer for yesterday’s Mind Teaser: 4. Agreement between two observations.

Correct answers received from: Dr.Dinesh Narain Saksena, DR.A.K.GAJJAR, Dr. P. C. Das, Dr Jainendra Upadhyay, Dr Dinesh Yadav, Dr Chandresh Jardosh, dr deepali chatterjee, DR AVTAR KRISHAN, Dr.Bitaan Sen & Dr.Jayashree Sen

Answer for 17th December Mind Teaser: 2. Stroke.

Correct answers received from: Tukaram Pagad, Muthumperumal Thirumalpillai, daivadheenam, dr deepali chatterjee, Dr.Dinesh Narain Saksena, Tukaram Pagad

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

A friend recently explained why he refuses to get to married. He says the wedding rings look like miniature handcuffs.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation:A patient with prosthetic heart valves (bioprosthetic) developed infective endocarditis.
Reaction:: Oh my God! Why was he not given infective endocarditis prophylaxis?
Lesson: Make surethat all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis.

medicolegal update

Life begets life. Energy becomes energy. It is by spending oneself that one becomes rich. Sarah Bernhardt

medicolegal update

Dr KK Aggarwal:Some Alcohol Terms Dr K K Aggarwal 1. Do not start if you do not drink Limit if you take and can not stop 3. (cont) http://bit.ly/15QdVeB #Health
Dr Deepak Chopra:: Dealing with stress in a better way is the key to breaking the cycle of stress eating.#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, Spiritual blogs are full of education. Regards: Dr Karan

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