eMedinewS1st April 2014, Tuesday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, 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.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

5 Ways to Stop A–Salting Your Kidney

Eating white salt is like a slow poison. If the amount of salt is reduced to less than one teaspoon per day, a large percentage of people with high blood pressure will have normal blood pressure. High salt intake via increase in blood pressure leads to kidney damage over a period of time and kidney failure. Consume less–anything which is artificially white in feature–white sugar, white maida and white rice.

Most people who have presence of high salt in their body will have characteristic feature of liking to both ice cold as well as boiling beverages.

5 tips to reduce salt in your diet

  1. Make reading food labels a habit. Sodium content is always listed on food labels. Sodium content can vary from brand to brand, so compare and choose the lowest sodium product. Certain foods don’t taste particularly salty but are actually high in sodium, such as cottage cheese, so it’s critical to check labels.
  2. Stick to fresh meats, fruits and vegetables rather than their packaged counterparts, which tend to be higher in sodium.
  3. Avoid spices and seasonings that contain added sodium, for example, garlic salt. Choose garlic powder instead.
  4. Many restaurants list the sodium content of their products on their websites, so do your homework before dining out. Also, you can request that your food be prepared without any added salt.
  5. Try to spread your sodium intake out throughout the day; it’s easier on your kidneys than eating lots of salt all at once.

News Around The Globe

  • A novel multicenter randomized trial from the Academic Medical Center, Amsterdam in JAMA has reported that endoscopic ablation is superior to endoscopic surveillance for Barrett’s esophagus with low–grade dysplasia. In all, 136 patients with a confirmed diagnosis of Barrett’s esophagus and low–grade dysplasia were randomly assigned to either of the two treatments. Ablation was noted to reduce the risk of neoplastic progression to high-grade dysplasia or cancer over three years (the primary outcome) from 26.5% to 1.5%, an absolute risk reduction of 25%. It also reduced the risk of progression to adenocarcinoma from 8.8% to 1.5%, an absolute risk reduction of 7.4%.
  • A randomized, single-blind study of men under treatment with sertraline for premature ejaculation has revealed that the drug significantly reduced sperm concentration and percentage of normal morphology and significantly increased percentage of sperm deoxyribonucleic acid (DNA) fragmentation compared with behavioral therapy. The study was published online February 12 in Urology.
  • Researchers at the Catholic University of Korea have reported in the American Journal of Sports Medicine that arthroscopic posterior capsular release does not enhance outcomes of anterior–inferior release surgery for shoulder stiffness. In the study, 37 patients underwent conventional anterior and inferior capsular release only (19.5 months) while 38 patients were subjected to extended release that included posterior capsular release (17.3 months). Both groups had significant improvements in functional scores and range of motion; however, there were no significant differences between the groups in range of motion, pain, or functional scores.
  • Women with the highest levels of alpha–amylase, a biomarker of stress, when they were trying to conceive were nearly one–third less likely to conceive than their less–stressed peers, and twice as likely to meet the clinical definition of infertility, according to a prospective cohort study. Courtney Denning–Johnson Lynch, PhD, director of reproductive epidemiology at the Ohio State University Wexner Medical Center, Columbus, and colleagues published their findings online March 23 in Human Reproduction.
  • Cataract surgery boosts vision regardless of age–related macular degeneration (AMD) severity, according to a large clinical study published online March 11 in Ophthalmology.

Rabies News (Dr A K Gupta)

What is pre–exposure vaccination?

Pre–exposure (Prebite) vaccination means immunization before the bite.

Cardiology eMedinewS

  • Regularly consuming diet drinks has been associated with a greater risk of adverse cardiovascular (CV) events and related death, reports a large observational study of postmenopausal women presented recently at the American College of Cardiology 2014 Scientific Sessions. The study reported that in comparison to women who rarely drank these beverages, those who consumed two or more 12–ounce diet beverages a day had a 30% increased risk of a CV event and 50% increased risk of death from such an event during the next 10 years.
  • The Dallas Heart Study has suggested that there is a link between the number of children women give birth to and markers of subclinical atherosclerosis. The study authors noted that women with two to three kids had the lowest risk of atherosclerosis, while those with no children or only one child, as well as those with four or more children, had a higher risk of subclinical atherosclerosis. The findings were presented at the American College of Cardiology 2014 Scientific Sessions.

Pediatrics eMedinewS

  • Muscle strength is as important as diet and exercise in losing or controlling weight and maintaining cardiometabolic health for adolescents, reports a new study published online March 31 in Pediatrics. The study authors analyzed the records of 1421 adolescents and noted that BMI was independently associated with higher metabolic risk score (MetScores). Regular physical activity and normal muscle strength, on the contrary, were associated with lower MetScores in adjusted models.
  • In a study conducted by Ohio State University researchers, a 30–day challenge encouraging teenagers to reduce the intake of sugar–sweetened drinks lowered their overall consumption substantially and increased the percentage of high–school students who avoided sugary drinks altogether by two–thirds. The study showed that teenagers can be persuaded to avoid sugary soft drinks, especially with a little help from their friends.

Dr K K Spiritual Blog

Namkaran Sanskar

In India, a person is identified by his/her name, which usually is a reflection of his/her own family. It may contain not only your maiden name but also the name of your father and your surname/caste.

When you are born, you are usually given your special name, which you carry throughout your life unless it is changed for a specific purpose. For example, the surname may change after marriage or the in–laws may change your name, specifically, when you are a girl.

Artists often change their names to those which may reflect their profession. A classical example is Rajesh Khanna, who changed his name from Jatin to Rajesh, which was easier for the public to recall.

A name for a baby is chosen on any of the following grounds:

1. The priest as per the horoscope decides the sound present in the universe and that Akshar (Alphabet) is given to the family to pick up a name starting with that Akshar.

2. Sometimes, the name of the baby may be chosen depending upon the auspiciousness of the day he/she was born, e.g. a baby body born on Krishna Janmashtami, may be named ‘Krishna’ by the family after Lord Krishna.

3. If the parents have vowed a Mannat to a deity, then they may name their child after one of the many names of that deity. For example, if parents have taken a Mannat from Vaishno Devi, their baby girl may be named as one of the forms of Goddess Durga or Parvati.

4. People may also choose similar names for their children, e.g. Ramesh, Mahesh, and Suresh.

5. People may also keep the name of the child in the form of known pairs. If the name of the first child is Luv, the parents may like to name the second child as Kush, especially when the parents have twins. Other examples are Karan Arjun, Sita and Gita etc.

6. Sometimes, parents name their child after their favorite celebrity. For example, if someone is a big fan of Sachin Tendulkar, he may name his child Sachin. Sachin himself was named after the noted Hindi film music director Sachin Dev Burman by his father, who was a great fan of SD Burman.

Name has a lot of significance as Akshar in Sanskrit has a vibration and if that positive vibration matches with the vibrations of universe at the time of your birth, it helps in healing.

Normally, it is expected that you live up to your name. For example, if your name is Durga, you are expected to know all about Maa Durga and try to adopt characteristics of Durga.

Therefore, everyone is expected to know the literal meaning of his or her name and try to follow a lifestyle that is consistent with your name. For example, if you are named Ram, you are not expected to act like Ravana.

Namkaran Sanskar or the naming ceremony is a complete ceremony and is one of the 16 samskars. It is both a social and legal necessity. As the naming process creates a bond between the child and the rest of the community, it is considered auspicious.

Some people name their child before he/she is born but a Namkaran Sanskar is usually performed on the 12th day after birth but it may vary from religion to religion and custom to custom. The formal ritual involves a Namkaran puja, which is held at their home or a temple where the priest offers prayers to all the Gods, Navagrihas, five elements, Agni and the ancestors. The horoscope of a child is made and is placed in front of the idol of the deity for blessings. With the baby in the lap of the father, the chosen name of the child is whispered in the right ear.

Some people name child on the 101st day of the birth and still some others choose the first birthday to name their child.

The name of the child also entails certain etiquettes as it reflects a person. You cannot take the name of a person with disrespect. If you abuse a name it means you have abused a person.

Wellness Blog

Heart Patients Beware of summer

Dehydration can precipitate heart attack in susceptible individuals. The normal fluid requirement is 30 ml per kg weight, but the same needs to be increased in the summer because of the loss of fluid from sweating. Apart from water, sodium or salt is also lost. A person, therefore, needs to take more fruits during summer period.

Not passing urine in eight hours, dry armpits, feeling exhausted or feeling weak are suggestive of underlying dehydration. Dehydration can make the blood thick and precipitate heart attack in patients with uncontrolled blood pressure or diabetes.

Walking is a necessity for heart patients and the same should be continued even during peak summer but the timing should be so chosen that peak heat periods are avoided. One can walk early in the morning or late in the evening. People taking anti–allergic pills should take special precautions as they are more likely to get heat stroke.

Heat stroke is a medical emergency leading to charring of organs because of extreme internal heat. A person’s temperature may be more than 105°F.

Inspirational Story

Give Others their Happiness

Once a group of 50 people was attending a seminar.

Suddenly the speaker stopped and started giving each one a balloon. Each one was asked to write his/her name on it using a marker pen. Then all the balloons were collected and put in another room.

Now these delegates were let in that room and asked to find the balloon which had their name written, within 5 minutes. Everyone was frantically searching for their name, colliding with each other, pushing around others and there was utter chaos.

At the end of 5 minutes no one could find their own balloon.

Now each one was asked to randomly collect a balloon and give it to the person whose name was written on it.

Within minutes everyone had their own balloon.

The speaker began––– Exactly this is happening in our lives. Everyone is frantically looking for happiness all around, not knowing where it is.

Our happiness lies in the happiness of other people. Give them their happiness; you will get your own happiness.

And this is the purpose of human life.

Is this not what you are looking for?

ePress Release

Long term use of painkillers can cause kidney cancer

A study published in the journal Archives of Internal Medicine has shown that people who regularly take painkiller drugs like ibuprofen or naproxen are 51 percent more likely to develop kidney cancer. There is no increased risk from taking aspirin or paracetamol, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

The mechanism through which painkillers could cause kidney disease is the inhibition of prostaglandin synthesis with resulting papillary and tubular injury, and ultimately damage to DNA.

The study analyzed data from 77,525 women in the Nurses’ Health Study and from 49,403 men in the Health Professionals Follow–up Study. The risk was related to the duration of use of the painkillers. There was a decrease in the risk by 19 per cent if the painkiller was used for less than four years. There was a 36 per cent increase in risk of kidney cancer for people who used them regularly for 4 to 10 years. The risk increased almost three times for those who used these drugs regularly for 10 years or more.

The good news is that kidney cancer is uncommon so the risk is small for average users.

Two other important causes of kidney cancer are obesity and smoking. So people on painkillers should not smoke and should also keep their weight under control to prevent kidney cancer.

Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D


Total CPR since 1st November 2012 – 88972 trained

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 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Mr Ashok Chakradhar, Famous Poet, Advisor – Heart Care Foundation of India, receiving Padma Shri Award (2014) from the President of India

press release

Treating vitamin D deficiency in the country

video of day video of day


IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :


Make Sure

Situation: A patient with cough of more than 4 weeks duration came with blood in his sputum.
Reaction: Oh my God! Why was TB not suspected earlier?
Lesson: Make sure that all patients with cough of more than 3 weeks duration are investigated for TB.

eMedinewS Humor

Work Motivators

  • The beatings will continue until morale improves.
  • Never underestimate the power of very stupid people in large groups.
  • We waste time, so you don’t have to.
  • Hang in there, retirement is only thirty years away!
  • Go the extra mile. It makes your boss look like an incompetent slacker.
  • A snooze button is a poor substitute for no alarm clock at all.
  • When the going gets tough, the tough take a coffee break.
  • Indecision is the key to Flexibility.
  • Succeed in spite of management.
  • Aim low, reach your goals, avoid disappointment.

Quote of the Day

Anger: an acid that can do more harm to the vessel in which it is stored than to anything on which it is poured. Lucius Annaeus Seneca


Twitter of the Day

Dr KK Aggarwal: Long term use of painkillers can cause kidney cancer http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: Eat only when you feel hungry. Notice and feel your hunger. This is conscious eating http://bit.ly/DC_Ananda #ananda


Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed


Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

eMedi Quiz

A lesion of ventrolateral part of spinal cord will lead to loss (below the level of lesion) of:

1. Pain sensation on the ipsilateral side.
2. Proprioception on the contralateral side.
3. Pain sensation on the contralateral side.
4. Proprioception on the ipsilateral side.

Yesterday’s Mind Teaser: A 64–year–old hypertensive obese female was undergoing surgery for fracture femur under general anesthesia. Intra operatively, her end–tidal carbon–dioxide decreased to 20 from 40mm of Hg. followed by hypotension and oxygen saturation of 85%. What could be the most probable cause?

1. Fat embolism
2. Hypovolemia
3. Bronchospasm
4. Myocardial infarction

Answer for yesterday’s Mind Teaser: 2. Hypovolemia

Correct answers received from: Dr K V Sarma, Anil Tandon, Dr K Raju, Arvind Gajjar, Dr Bitaan Sen & Dr.Jayashree Sen, Dr P C Das, Dr Poonam Chablani, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Daivadheenam Jella, Muthumperumal Thirumalpillai.

Answer for 30th March Mind Teaser: 3. Third quartile

Correct answers received from: Arvind Gajjar, Daivadheenam Jella.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update
  1. Dr. KK Aggarwal sir, Good morning, Iam Dr.srikanth Reddy from Hyderabad. I enjoy reading emedinews. It not only updates us medically but also warns the soul what should be done. Thank you sir, Dr.srikanth
cardiology news

Media advocacy through Web Media

web mediawebmediawebmedia

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)