eMedinewS 19th August 2013, Monday

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; 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

Chief Minister of Delhi Inaugurates Centenary Celebrations of DMA

Inaugurating centenary year of Delhi Medical Association Mrs Sheila Dikshit Honb'le Chief Minister of Delhi said that all doctors should provide extra care for the oldest old population. No better pledge to take than making Delhi age friendly.

Prof. Kiran Walia Education Minister Delhi said “My Delhi I Care” is city's program which should also be adopted by the association. She said that our CM got commonwealth award for Bhagidari Scheme.

Others who spoke on the occasion were Dr Anil Aggarwal, Dr Anil Goel, Dr Prem Aggarwal, Dr N Saini. The association also launched an elderly free program: “Hamare Dilli Age Friendly”.

Others who were also present on the occasion were Dr K S Reddy, Dr Ashok Seth, Dr K K Aggarwal, Dr D Tempe, Dr Anupam Sibal, Dr Rajiv Sood, Dr O P Kalra, Dr Girish Tyagi, Dr Ramesh Datta and Dr Vinod Khetrapal.

The association also honored eighty plus doctors. DMA centenary institution awards were given to Bara Hindu Rao Hospital, Sir Ganga Ram Hospital, Patel Chest Institute, MAMC, UCMS, NBE, Apollo Hospitals, Escorts Heart Institute, AIIMS.

….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 10x10 i.e. 100 per minute."

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

Ringtone – CPR 10 Mantra English

sprritual blog What are the two basic truths of Vedanta?

Two Hindu principles that symbolize the outcome of freedom of thought were conceptualized four thousand years back by unnamed rishis in Rig–Veda which says, "This world is one family" (Vasudaiva Kutumbakam) and that "The Universal Reality is the same, but different people can call it by different names" (Ekam Sat Viprah Bahuda Vadanti).

In these two statements made in ancient Hindu India, we see the seeds of globalization and freedom of thought.

Most religions teach belief in One God. Judaism, Christianity, and Islam are, in fact, Semitic religions essentially speaking of One God. Even Hinduism that talks of many gods, in its highest form speaks only of One God.

This was defined in the Sanskrit verse in the Rig Veda: “Ekam Sat vipra bahuda vadanti” (The Truth is One, but scholars call it by many names.)

"Vasudaiva Kutumbakam" defines that you and me are not different from each other and we are the part of the same web of life. The same spirit is shared by you and me and we are just the two sides of the same coin. And hence, it adds on to say, how can there be any conflict between us?

The truth is one, but is perceived differently because different people are at different levels of evolution in spiritual terms. Everybody perceives it with their level of understanding and perception. For an uneducated village society even an entry of intelligent person in the village will be perceived as of GOD.

Vedanta upholds the reality of this indivisible, immanent and transcendent truth called Spirit. Vedanta denotes one’s identity with the rest of humanity. According to it, there is no stranger in this world. Everyone is related to one another in the kinship of the Spirit. In Vedanta, there is no ‘I’ and ‘for me’; but is ‘ours’ and ‘for us’; and ultimately ‘His’ and ‘for Him’.

If the Vedanta philosophy is rightly followed upon, it will obliterate all evils. It is the science of right living and it is not the sole monopoly of the Hindus. It is for all and it has no quarrel with any religion. It preaches universal principles and Vedanta is the only universal, and eternal religion. It is a great leveler and it unites all, giving room to all. ….Read More

cardiology news

TRUST and RESPECT can only be EARNED.

A little girl and her father were crossing a bridge. The father was kind of scared so he asked his little daughter, "Sweetheart, please hold my hand so that you don’t fall into the river."

The little girl said, "No, Dad. You hold my hand."

"What’s the difference?" Asked the puzzled father.

"There’s a big difference," replied the little girl. "If I hold your hand and something happens to me, chances are that I may let your hand go. But if you hold my hand, I know for sure that no matter what happens, you will never let my hand go."

Moral: TRUST and RESPECT cannot be LEARNED, PURCHASED or ACQUIRED. They can only be EARNED. Read More

News Around The Globe

  • 9th International Convention 2013
    To celebrate the excellence of our esteemed fraternity of insurance professionals a grand ‘9th International Convention 2013’ is organized by Indian Institute of Excellence & Consultancy Pvt. Ltd. (IIOE) in Mumbai. Dr KK Aggarwal has been invited as a GUEST SPEAKER at the inaugural function.
  • A novel use of ultrasound as a therapy in the brain rather than diagnostic has been reported by lead author W. Jeffrey Elias, MD, associate professor, neurosurgery, University of Virginia, Charlottesville. In a small pilot study, thalamotomy using high–intensity focused ultrasound, guided by MRI, improved tremor, particularly in the hand, and quality of life in patients with essential tremor. Results of the phase 1 open–label uncontrolled trial are published in the August 15 issue of the New England Journal of Medicine. (Source: Medscape)
  • Ching–Chun Lin, MA, from the Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taiwan, and colleagues have reported in the August issue of Ophthalmology that patients with sleep apnea were 1.67 times more likely to develop glaucoma than patients without apnea. The study compared more than 1000 apnea patients aged 40 years and older with more than 6000 age–matched participants. (Source: Medscape)
  • Women undergoing abdominal hysterectomy at high–mortality hospitals are at increased risk for death despite a lower rate of complications. The study published online August 12 in the American Journal of Obstetrics and Gynecology suggests that how complications are treated and not their actual occurrence, is a more important predictor of outcome for even low–morbidity procedures. (Source: Medscape)
  • In a CDC survey of nearly 4,700 people with chronic HCV under care in one of four U.S. integrated health–care systems, almost 50% of people with chronic hepatitis C (HCV) said they were only tested after they had some clinical sign or symptom. And only about one in five said they were tested because they fit one of the risk categories, such as injection drug use, defined by the CDC. The survey findings are reported in the Aug. 16 issue of Morbidity and Mortality Weekly Report. (Source: Medpage Today)
  • Drinking more than four cups of coffee per day does more than increase the risk of the jitters. Heavy coffee consumption, defined as more than 28 cups of coffee per week, is associated with an increased risk of all-cause mortality among men. The retrospective analysis by Dr Junxiu Liu (University of South Carolina, Columbia) and colleagues included 43 727 participants followed for a median of 17 years, during which time 2512 deaths occurred. Of these deaths, 32% were the result of cardiovascular disease. The study is published online August 15, 2013 in the Mayo Clinic Proceedings. (Source: Medscape)
  • A low–glycemic–load diet that also adheres to the principles of the traditional Mediterranean style of eating appears to reduce the risk for type 2 diabetes by about 20%, according to new prospective research published online August 15, 2013 in Diabetologia by Carlo La Vecchia, MD, from the Mario Negri Institute of Pharmacological Research, Milan, Italy, and colleagues. The authors studied patients from Greece who are part of the ongoing European Prospective Investigation into Cancer and Nutrition (EPIC). From a total of 22,295 participants, actively followed up for just over 11 years, 2330 cases of type 2 diabetes were recorded. (Source: Medscape)

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Rabies News (Dr. A K Gupta)

Can rabies be transmitted through sexual intercourse?

Rabies virus is present in the semen and to some extent in vaginal secretions. Priapism, increased sexual libido and indulgence are seen both in male and female rabies cases. Hence, in the exposed person, a full course of rabies post-exposure vaccination either by intramuscular (IM) or intradermal (ID) route should be given. If there is any doubt of category III exposures, i.e., abrasion on penis or in vagina, then RIG must also be given by IM route.

cardiology news
  • Remnant cholesterol and not LDL may be the cause of inflammation in atherosclerosis. A new study has found that the cholesterol transported by remnant lipoproteins is associated with ischemic heart disease (IHD) and low–grade inflammation, whereas LDL cholesterol is associated with IHD without any signs of inflammation. Using data from the Copenhagen General Population Study, the Copenhagen City Heart Study, and the Copenhagen Ischemic Heart Disease Study, the study included 10 668 individuals diagnosed with IHD between 1977 and 2011. Dr Anette Varbo from Herlev Hospital, Copenhagen, Denmark and colleagues in their report, published online August 7, 2013 in Circulation said that While the statins might have pleiotropic effects that reduce inflammation, these results might also be explained by statins lowering not only LDL cholesterol but also remnant cholesterol levels and consequently also reducing atherosclerosis and inflammation. (Source: Medscape)

Valvular Heart Disease News

Mitral valve repair produces good results in elderly patients. The operative mortality is 3.8 percent and 1.3 percent required reoperation for residual mitral regurgitation.

(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
  • A new biomarker panel may help rule out appendicitis in some children with abdominal pain, an observational study suggests. Three inflammation-related markers – white blood cell count (WBC), C–reactive protein (CRP) and myeloid–related protein 8/14 complex (MRP 8/14) – provided the best discrimination to identify patients with signs and symptoms suggestive of acute appendicitis who are at low low to moderate or moderately high risk and can be followed clinically, potentially sparing them exposure to the ionizing radiation of CT. The study is published in the American Journal of Emergency Medicine 2013 July 25.
  • A new study published online August 12, 2013 in the journal Pediatrics by Dr. Pablo J. Sanchez from University of Texas Southwestern Medical Center in Dallas has found that very low birth weight (VLBW) infants often do not receive the rotavirus vaccination when they leave the NICU. Preterm and VLBW infants are at increased risk of hospitalization for rotavirus gastroenteritis, and the rotavirus vaccine is immunogenic and well tolerated among these babies when provided at or after their discharge from the NICU. So, there must be a concerted effort in every NICU to ensure that all eligible infants receive the rotavirus vaccine at nursery discharge. (Source: Medscape)
cardiology news

Judicious use of cardiac screening

Unnecessary screening can have a considerable cost beyond that of the test itself, warn members of an ad hoc committee convened by the American College of Physicians.

Screening tests should be performed judiciously, and the committee has assembled a list of common clinical situations in which more testing is unlikely to be helpful and may be harmful, writes Amir Qaseem, MD, PhD, MHA, from the ACP, Philadelphia, Pennsylvania, and colleagues in the January 17, 2012 issue of the Annals of Internal Medicine.

ACP committee has identified 37 clinical scenarios in which screening does not promote patient health, and might even have adverse consequences. Those related to cardiac scenarios:

  • Performing coronary angiography in patients with chronic stable angina who have well–controlled symptoms on medical therapy, or who lack specific high–risk criteria on exercise testing
  • Routinely repeating echocardiography in asymptomatic patients with mild mitral regurgitation and normal left ventricular size and function
  • Obtaining ECG to screen for cardiac disease in patients at low to average risk for coronary artery disease.
  • Obtaining exercise electrocardiogram for screening low–risk, asymptomatic adults
cardiology news

Total CPR since 1st November 2012 – 61668 trained

14th August: CPR 10 at Modern School, Noida (2000)

CPR Classes 61668

Video Chats and uploads

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News JULY

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Birth defects linked to mother’s use of cold medicines. 14 August


ACE inhibitors can reduce dementia progression 13Th Aug


Heart risks detected by age 7 in overweight kids

Children at risk of future obesity should be examined for body mass index rebound said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India, & MTNL Perfect Health Mela and National Vice President Elect IMA.

BMI rebound is the age at which body mass index (BMI) reaches its lowest point before increasing through later childhood, adolescence and adulthood.

An earlier BMI rebound age is associated with adverse risk factors for heart disease as measured at age 7: Higher BMI, higher systolic and diastolic blood pressures, higher serum insulin and leptin levels, higher left ventricular mass and left atrial size.

Early BMI rebound age for children is lower than 4.4 years for boys and 4.2 years for girls. Normal values are 4.4 to 6.6 years for boys and 4.2 to 5.7 years for girls.

All children who start gaining weight between 3–4 years should be classified as high risk for future diabetes and heart disease.

Yoga is not just asanas

Talking about Yoga Dr Aggarwal said that Yoga is not just asanas. The word ‘Yoga’ means Union, which is when the body and mind work in symphony with each other.

Therapeutic lifestyle is the new treatment modality in cardiology and includes interventions where the person is treated with drugs in conjunction with yoga, meditation, Pranayama, exercises, and other lifestyle interventions to shift one from sympathetic to parasympathetic mode and simultaneously controlling the blood sugar and lipid parameters in addition to controlling the body weight and blood pressure. Yoga is an integral part of life style interventions.

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 61668 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

Inaugurating centenary year of Delhi Medical Association Mrs Sheila Dikshit Honb'le Chief Minister of Delhi, Prof. Kiran Walia Education Minister Delhi and Members of DMA

press release

Five Things Physicians and Patients should question

today video of the dayDr KK Aggarwal on Say No to Soft Drinks for Good Health

One more life saved from CPR 10

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Bleeding risk in NSTEMI patients can be estimated using:

a. The CRUSADE bleeding risk score
b. The INR
c. The PTT
d. The patient’s age

Yesterday’s Mind Teaser: New research in the postural orthostatic hypotension syndrome has shown:

a. Large heart size
b. Higher blood volume
c. Abnormal baroreflex function
d. Symptomatic improvement with exercise training

Answer for yesterday’s Mind Teaser: d. Symptomatic improvement with exercise training

Correct answers received from: Dr.K.V.Sarma, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr.K.Raju, Dr Pankaj Agarwal, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, DR ARPAN GANDHI, DR AVTAR KRISHAN, Dr Kanta Jain, Dr Kanta Jain, DR.BITAAN SEN & DR.JAYASHREE SEN

Answer for 17th August Mind Teaser: d. a & c

Correct answers received from: Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, DR ARPAN GANDHI, DR AVTAR KRISHAN,

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Another time, a man came running in the office and yelled,
"Doctor, doctor ! My son just swallowed a roll of film!"
The doctor calmly replied, "Well let’s just wait and see what develops."

IJCP BOOk of medical Records
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A 40–year–old mild hypertensive complained of ED after a beta blocker.
Reaction: Oh my god! What was the need of starting the drug so early?
Lesson: Make sure that all mild hypertensives are first advised lifestyle modifications like exercise, low salt diet, high fiber diet, decreasing stress, etc. before advising anti hypertensive medications.

medicolegal update

Problems are only opportunities in work clothes. Henry John Kaiser

medicolegal update

Dr KK Aggarwal: Birth defects linked to mother’s use of cold medicines. http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Nothing is not a system of thought but Robert thinks that if you don't understand nothing you don't understand consciousness.

medicolegal update

Sir, The suspension of manufacturing and sale on Poiglitazone and than allowing the same within two months shows that either the suspension was hasty or its revocation has been because of commercial reasons. Has new information become available during this period which warranted the revocation of suspension. Regards and warm wishes Dr. Kamlesh Kanodia

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medicolegal update

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