eMedinewS1st January 2014, Wednesday

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

eMedinewS wishes its readers a Happy & Healthy New Year

Time to start the New Year with a difference

The Indian political system is going through a change and this change started in Delhi. Most of us have always thought that this being the age of Kalyug, a change for betterment of the society was just not possible. But this is our negative perception. When I hold motivational classes, I tell my audience to follow the routine as below:

  • Monday: Do not indulge in gossip, criticism, condemnation and/or complaint. When you want to communicate, do so in a non–violent manner.
  • Tuesday: Talk to 25 people who you have not spoken to for the last three months; make a list of your pending work.
  • Wednesday: Distribute non–materialistic gifts to everyone you meet. Smile, appreciate, encourage, say a few kind words to others…
  • Thursday: Think out of the box and look for new and innovative options. Finally ask yourself how to choose the best option.
  • Friday: Follow nature and do not eat cereals. Be on a diet full of fruits and salads.
  • Saturday: Ask yourself as to how you can help yourself, your family, your society and your nation.

The above affirmation actions have changed me and my patients.

All of you who are reading this should try this and experience a change in yourself.

Wish you all a very Happy and Healthy New Year, 2014.

Dr K K Aggarwal on Zee TV

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

What is the difference between smile, hug and laugh?

sprritual blog

Smile is a sign of joy, while hug is a sign of love. Laughter on the other hand is a sign of inner happiness. None of them are at the level of mind or intellect. All come from within the heart.

They are only the gradations of your expressions of your happiness.

It is said you are incomplete in your dress if you are not wearing smile on your face. Hug comes next and laughter the last.

Laughter is like an internal jogging and has benefits like that of doing meditation.

But be careful we must know when not to laugh. The most difficult is to laugh on oneself.

cardiology news

A Short Story on Self Confidence

There was a business executive who was deep in debt and could see no way out.

Creditors were closing in on him. Suppliers were demanding payment. He sat on the park bench, head in hands, wondering if anything could save his company from bankruptcy.

Suddenly an old man appeared before him." I can see that something is troubling you," he said.

After listening to the executive’s woes, the old man said, "I believe I can help you."

He asked the man his name, wrote out a check, and pushed it into his hand saying, "Take this money. Meet me here exactly one year from today, and you can pay me back at that time."

Then he turned and disappeared as quickly as he had come.

The business executive saw in his hand a check for $500,000, signed by John D. Rockefeller, then one of the richest men in the world!

"I can erase my money worries in an instant!" he realized. But instead, the executive decided to put the uncashed check in his safe. Just knowing it was there might give him the strength to work out a way to save his business, he thought.

With renewed optimism, he negotiated better deals and extended terms of payment. He closed several big sales. Within a few months, he was out of debt and making money once again.

Exactly one year later, he returned to the park with the uncashed check. At the agreed–upon time, the old man appeared. But just as the executive was about to hand back the check and share his success story, a nurse came running up and grabbed the old man.

"I’m so glad I caught him!" she cried. "I hope he hasn’t been bothering you. He’s always escaping from the rest home and telling people he’s John D. Rockefeller." And she led the old man away by the arm.

The astonished executive just stood there, stunned. All year long he’d been wheeling and dealing, buying and selling, convinced he had half a million dollars behind him.

Suddenly, he realized that it wasn’t the money, real or imagined, that had turned his life around. It was his newfound self–confidence that gave him the power to achieve anything he went after.

News Around The Globe


  • Kidney Disease: Improving Global Outcomes concluded a landmark Controversies Conference on Supportive Care for patients with severe kidney disease who do not have the option of dialysis or transplantation. The premise of the conference was that although kidney failure is treatable, some patients do not have access to kidney replacement therapy. Reasons for lack of access can be economic, inadequate health care resources, or personal inability to withstand arduous treatment. When these circumstances occur, health care teams must do everything they can to prolong life, provide comfort and manage symptoms. This care often includes members of the patient’s family.

    According to Dr. Bertram Kasiske, co-chair of KDIGO, the following are major recommendations from the conference:
    • The need for supportive care for kidney patients is equal to that for cancer patients and should be available based on need, not prognosis, for patients at any stage of kidney disease.
    • Supportive care is an essential component of the continuum of quality care for CKD and ESKD patients and should be provided with sensitivity to cultural and religious values as well as patient and family comfort and dignity.
    • Research in supportive care is critical to build new knowledge so that patient outcomes can be improved.
    • Kidney patients have a high symptom burden, and treatment of their symptoms is a high priority for them. Nephrologists should routinely ask patients about symptoms so they can be identified and treated.

      (Source Dr N P Singh)
  • Role of Iron in Atherosclerosis: Results from a mouse study challenge the hypothesis that iron accumulation in macrophage cells increases the risk of atherosclerosis. Researchers discovered the level of hepcidin, an iron-regulatory hormone, was not increased in mice at any stage of atherosclerosis progression. In addition, atherosclerotic plaque size was not increased in mice with elevated macrophage iron, according to the Cell Reports study. [ASN]
  • MD Biochemistry cannot do DM Endocrinology: As per MCI amendment notification dated 17.04.13 “in schedule 2 Post Graduate Medical Education Regulation 2000 in Clause (c) under the heading DM (Doctor of Medicine) prior requirement for Endocrinology at S.No.4 MD (Biochemistry) shall be deleted.
  • Coronary artery Ca score help predict risk of cardiovascular events: In a study of data from 6698 adults published in European Heart Journal, 15% of people believed to be at very low risk according to traditional risk factors had high coronary artery calcium scores and were at increased risk of experiencing a cardiac event during an average of 7.1 years of follow up.
  • Vitamin K may prevent vascular calcification in dialysis patients: Vitamin K supplementation may help prevent vascular calcification in hemodialysis patients, according to a Nephrology Dialysis Transplantation study.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Handsonly CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful handsonly CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

What are the common side effects of intra–dermal rabies vaccination?

Cell culture vaccines have proved to be remarkably safe and free of significant adverse events. However, mild symptoms of pain, erythema, irritation or swelling at the intradermal injection sites occur in 3–92% of patients. The most frequent symptom is local irritation in 7–64% of vaccines. Generalized symptoms reported by 3–14% of recipients include headache, fever and influenza–like illness. Transient macular, papular and urticarial rashes are occasionally seen. All these adverse effects are mild, transient and self limiting and rarely call for the use of antihistamines and analgesics.

cardiology news

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

  • New research indicates that inactive patients following cardiac surgery have a substantially higher risk of depression and that the number of patients suffering from depression after cardiac surgery is as high as 40%. Investigators recommend that cardiac patients should be assessed for depression and level of physical activity and remain as active as they safely can after surgery to minimize post–operative depression. The results were published in the December issue of the Canadian Journal of Cardiology.
  • High–potency statin therapy given post acute coronary syndrome did not raise serum creatinine or cause more risk of acute kidney injury than low–potency statin regimens did in a new analysis of two published landmark randomized clinical trials presented at the American Heart Association scientific sessions.
cardiology news

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

  • In preterm infants, continuous positive air pressure (CPAP) begun soon after birth, followed by selective use of surfactants, may be an effective alternative to routine intubation coupled with prophylactic or early surfactants, according to a new policy statement issued by the American Academy of Pediatrics (AAP) in the January issue of Pediatrics. Present practice guidelines recommend use of surfactants at or soon after birth in preterm infants with symptoms of respiratory distress syndrome (RDS).
  • Neither rescue nor routine use of costly inhaled nitric oxide (iNO), a treatment the use of which increased 6–fold in premature infants from 2000 to 2008, improves survival in preterm infants with respiratory failure, according to a clinical report published online December 30 in Pediatrics.
cardiology news

DPP–4 inhibitors not linked to increased heart attack risk

DPP–4 inhibitors not linked to increased heart attack risk: The Wall Street Journal reported that research published in the New England Journal of Medicine suggests that DPP–4 inhibitors may not be linked to an increased heart attack risk.

Extreme exercise may not pose danger to heart: The Wall Street Journal reported that a study of Tour de France cyclists found that they had longer lives than the general population and were less likely to die from heart troubles.

Faster heart attack care has not led to better in–hospital survival: USA Today reported that research published in the New England Journal of Medicine indicates that while hospitals have "shaved 16 minutes off the time it takes to get heart attack patients into treatment from 2005–2006 to 2008–2009, reducing that time from 83 minutes to 67 minutes," investigators “found that the percentage of heart attack patients who die while in the hospital, about 5%, hasn’t changed."

Gut bacteria may play role in determining weight: The investigators found that mice who received bacteria from the obese twin became fat, while the mice who received bacteria from lean individuals remained lean.

CDC: One in four deaths from cardiovascular disease preventable: USA Today reported currently, there are approximately 800,000 deaths annually in the US from cardiovascular disease, but about 200,000 of these deaths "could be prevented if people made healthy changes including stopping smoking, maintaining a healthy weight, doing more physical activity, eating less salt and managing their high blood pressure, high cholesterol and diabetes.

cardiology news

Total CPR since 1st November 2012 – 84073 trained

Media advocacy through Web Media

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press release

Drunken driving on New Year’s Eve can be risky

Medical doctors do not recommend drinking alcohol but those who drink and want to celebrate New Year’s Eve with a drink, they should ensure that they do not drive after drinking, said Padma & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

One peg of 30 ml of whiskey makes one incapable for driving for one hour. One should not drive for the number of hours equivalent to the number of pegs one has taken. For example, if one has taken 4 pegs, then he should not drive for four hours.

It is the duty of the host to ensure that those who are visiting their house without drivers should handover their keys before they are served any peg and also not allow them to drive back. A person who is under the influence of alcohol will feel that he can drive with confidence but he will lose his coordination at the time of emergency leading to accidents.

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 84073 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

Suraj Bhan D.A.V. Public School students learned CPR–10

press release

Ventilator–associated tracheobronchitis

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 following are true regarding Lyme’s Disease, except:

1. It is transmitted by ixodes tick.
2. Erythema chronicum migrans may be a clinical feature.
3. Borrelia recurrentis is the aetiological agent.
4. Rodents act as natural hosts.

Yesterday’s Mind Teaser: Commonest cause of sporadic encephalitis is:

1. Japanese B virus
2. Herpes simplex virus
3. Human immunodeficiency virus
4. Rubeola virus

Answer for yesterday’s Mind Teaser: 2. Herpes simplex virus

Correct answers received from: Dr PC Das, Dr A K Gajjar, Dr Bitaan Sen & Dr Jayashree Sen, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Ajay Gandhi, Daivadheenam,
Dr Avtar krishan, Muthumperumal Thirumalpillai.

Answer for 30th December Mind Teaser: 3. Leaves extension at elbow joint intact.

Correct answers received from: Daivadheenam, Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update


A small boy was looking at the red ripe tomatoes growing in the farmer’s garden. "I’ll give you my two pennies for that tomato," said the boy pointing to a beautiful, large, ripe fruit hanging on the vine.

"No," said the farmer, "I get a dime for a tomato like that one."

The small boy pointed to a smaller green one, "Will you take two pennies for that one?"

"Yes," replied the farmer, "I’ll give you that one for two cents."

"OK," said the lad, sealing the deal by putting the coins in the farmer’s hand, "I’ll pick it up in about a week."

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A known epileptic child died of a seizure while swimming.
Reaction: Oh my God! Why was he allowed to swim?
Lesson: Make sure that patients with uncontrolled epilepsy are not allowed to swim.

medicolegal update

The recipe for perpetual ignorance is: Be satisfied with your opinions and content with your knowledge. Elbert Hubbard

medicolegal update

Dr KK Aggarwal: Shorter the waist line, longer the life line http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Photons cannot be seen but make seeing possible http://bit.ly/15QdVeB #Health

medicolegal update
  1. Most of what one learns or does depends a great deal on efficient vision and healthy eyes. Let’s take a resolve to undergo professional eye examination within the first month of the new year…so that we are able to go through the rich informative content of eMedinews throughout the year – Dr. Narendra Kumar

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