eMedinewS22nd May 2014, Thursday

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

Natural foods and not supplements prevent heart disease

One should take seasonal and locally grown natural food and vegetables grown out of organic farms. Eat less, dinner lighter then lunch, eat natural and in moderation– are few of the mantras.

Eating food supplements can be harmful. According to the American Heart Association (AHA), supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.

High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all–cause mortality.

Supplementation with vitamin C does not prevent a second heart attack.

Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

The AHA concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets that are rich in natural antioxidants are associated with lower cardiovascular mortality.

News Around The Globe

  • The US Food and Drug Administration (FDA) has approved vedolizumab (VDZ) injection for the treatment of adults with moderate to severe ulcerative colitis and moderate to severe Crohn’s disease.
  • A new study has revealed that adults with migraine have 2–fold increased odds of subclinical brain infarction as compared to their migraine–free peers. The new findings, published online May 15 in Stroke, have been obtained from the ongoing Northern Manhattan Study (NOMAS).
  • Vitamin D supplementation does not have any significant impact on the rate of first treatment failure or exacerbation in patients with asthma and low vitamin D levels, reports a study presented at the American Thoracic Society 2014 International Conference. Significant reductions in exacerbations and the rate of first treatment failure were noted in those with normal vitamin D levels.
  • Two novel studies presented at the American Urological Association (AUA) 2014 Annual Scientific Meeting have revealed that botulinum toxin type A, besides its wrinkle–erasing properties, can also ease the strains of overactive or neurogenic bladder disorders.
  • Findings from a new study presented at the American Geriatrics Society 2014 Annual Scientific Meeting have revealed that in patients with fecal incontinence, psyllium fiber may be as effective as loperamide for reducing bowel leakage, without intolerable adverse effects.

Rabies News (Dr A K Gupta)

What is the criterion for "protection" after immunization?

The rabies virus neutralizing antibody (RVNA) titer of =0.5 IU/ml of serum in the vaccinated person is considered protective.

The facility for this test is available at NCDC, Delhi, CRI, Kasauli, Pasteur institute, Coonnor, NIV, Pune and NIMHANS, Bangalore.

Cardiology eMedinewS

  • Results of the Optical Coherence Tomography Assessment of Gender Diversity in Primary Angioplasty (OCTAVIA) study have shown that the pathophysiology of STEMI is nearly identical in men and women and that women respond just as well as men to primary PCI and stenting, despite their smaller vessels and higher risk profile. The study was presented recently at the EuroPCR 2014.
  • A study presented at the American Society of Hypertension (ASH) 2014 Annual Scientific Meeting has pointed that hyperkalemia occurs frequently in patients with resistant hypertension treated with spironolactone. The study reported the incidence of hyperkalemia to be 8.2% in these patients.

Pediatrics eMedinewS

  • A study published online in Otolaryngology – Head & Neck Surgery has stated that children with cochlear nerve deficiency (CND) who receive auditory brainstem implants (ABI) are more likely to learn how to communicate verbally than those fitted with cochlear implants (CI).
  • The risk of experiencing birth asphyxia increases for babies born to women who are overweight or obese, reports a recent study published in PLOS Medicine. Study authors noted that the rates of low Apgar scores increased with maternal BMI.

Dr K K Spiritual Blog

Doctor–Patient Relationship

The doctor–patient relationship is a sacred relationship and is based on many Vedic principles, the first being that this relationship should run on the principle of detached attachment.

The doctor should be attached to the patient as long as he or she is his patient. Once the patient detaches himself with the doctor, the doctor should also detach with the patient instantly. If a doctor is too attached to a patient, he will not be able to concentrate on his work and the resultant anxiety can harm the next patient.

As per international medical ethics, there should be no personal relationships between a patient and a doctor. If by any chance a person gets attracted to a doctor or vice–versa, the patient–doctor relationship should end from that very same moment.

It is often said that doctor should not treat their own close relatives as then he/she is not likely to think of serious or worse outcomes in them and can miss diagnosis.

One should discourage casual consultations as one is likely to miss diagnosis on many occasions. Similarly, no telephonic consultations should be allowed.

Internationally, it is mandatory that a patient should be examined wearing a paper gown without his or her routine clothes. It may be an awkward situation when the patient is the doctor’s own relative

Wellness Blog

Diabetics Should Undergo Cardiac Evaluation

All diabetics should have their cardiac examination done as cardiovascular disease accounts for 65% of deaths in patients with type 2 diabetes.

Intensive and aggressive management of diabetes can reduce the risk of getting future heart attacks. As per the new guidelines, all patients with diabetes should have a blood pressure below 120/80 mmHg and fasting blood sugar lower than 90 mg%. The ABC of diabetes management is to keep abdominal circumference lower than 32 inches in women and lower than 35 inches in men, blood pressure lower than 120/80 mmHg and LDL cholesterol less than 100 mg%.

Inspirational Story

Dealing with Depression

The dictionary describes depression as a condition of general emotional dejection and withdrawal, sadness greater and more prolonged than that warranted by any objective reason.

The question here is why does one get depressed? Is it the inability to cope with the situation or the high stress levels that come with success or failure? Life is full of twists and turns, some pleasant others not so pleasant or at times dreadful. No one is devoid of problems in their lives. Everyone has their own personal set of problems.

Even the people who have a smile constantly on their face have problems. The only difference is they know how to tackle the problems of their life and smile about the fact that they can overcome those problems, similar to Mother Nature.

Someone compared the changes in Mother Nature with depression so aptly. He said each year nature sheds all its charm and the vibrant colors but then again it blooms to its optimum capacity to smile and teach us the most valuable lesson of life.

Seasonal changes are the main reason for depression in nature. Change is inevitable, be it in nature or in our life, but what are the changes is subjective. They may differ person to person, and so will the approach towards them.

Getting into depression is a normal phenomenon, but letting it over take us completely is not the best thing. There are no specific rules or concepts to deal with it, whatever way one feels is the best way, and one should adopt to tackle it.

Here are some really easy ways to tackle this "blown out of proportion problem".

  1. Lead your life on the basis of fundamental values of what is right and what’s wrong.
  2. Avoid hurting others and yourself too.
  3. It is easier to change and adapt ourselves to new circumstances, than to expect vice versa.
  4. Don’t make any decisions when angry or sad.
  5. Fight it. If you can’t, then get help.
  6. Enjoy nature; it’s free.
  7. Spend time with our own self to introspect and retrospect daily.
  8. Yell, scream or punch the bag if you feel like doing it.
  9. Be joyful genuinely and not just put up the mask of happiness.
  10. Last, but not the least, do not underestimate the power of Prayers.

ePress Release

The type of food you eat also matters

Everyone needs a mix of proteins, carbohydrates, and fats, plus enough vitamins and minerals for optimal health. But some of the food choices within these categories are better than others, 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.

  1. Added sugar: Whether it is white granulated sugar, brown sugar, high–fructose corn syrup, corn sugar, or honey, sugar contains almost no nutrients and is pure carbohydrate and full of empty calories, causing blood sugar to rise and fall like a roller coaster. Soft drinks and other sugar–sweetened beverages are the primary source of added sugar in the diet and a major contributor to weight gain. One extra 12–ounce can of a typical sweetened beverage a day can add on 15 pounds in a year. Those liquid calories aren’t as satisfying as solid food.
  2. Dairy fat. Ice cream, whole milk, and cheese are full of saturated fat and some naturally occurring trans fat both bad for the heart. The healthiest milk and milk products are low–fat versions, such as skim milk, milk with 1% fat and reduced–fat cheeses.
  3. Baked sweets. Cookies, snack cakes, doughnuts, pastries etc are packed with processed carbohydrates, added sugar, unhealthy fats, and often salt.
  4. White carbohydrates. Bread, pasta, potatoes, rice, cookies, cake, or pancakes are bad. One should opt for whole–grain versions. One can choose homemade cookies or bars using grains such as oatmeal, and less sugar and unhealthy fats.
  5. Processed and high–fat meats. Meats like bacon, ham, pepperoni, hot dogs, and many lunch meats are less healthy than protein from fish, skinless chicken, nuts, beans, soy, and whole grains. Fresh red meat should be eaten sparingly and the leanest cuts selected.
  6. Salt. Current dietary guidelines recommend reducing sodium to 1,500 mg per day and not exceeding 2,300 mg per day. But most of us get 1 ½ teaspoons (or 8,500 mg) of salt daily. That translates to about 3,400 mg of daily sodium.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

eMedi Quiz

Lipodystrophy is most characteristically seen with:

a. Zidovudine
b. Nevirapine
c. Indinavir
d. Tenofovir

Yesterday’s Mind Teaser: Bedsore is an example of:

1.Tropical ulcer.
2.Trophic ulcer.
3.Venous ulcer.
4.Post thrombotic ulcer.

Answer for yesterday’s Mind Teaser: 2.Trophic ulcer.

Correct Answers received from: Dr Sushma Chawla, Dr B R Bhatnagar, Dr K V Sarma, Dr Jainendra Upadhyay, Dr Avtar Krishan, Rameshwar Prasad, Dr Chandresh Jardosh, Dr Poonam Chablani, Dr Ajay Gandhi, Daivadheenam Jella.

Answer for 20th May Mind Teaser: c) It is associated with APC mutation.

Correct Answers received from: Dr K Raju, Dr Sahadevudu Gelivi, Dr Sushma chawla.

Send your answer to ijcp12@gmail.com

Zee News – Health Wealth Shows

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


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

Health Check Up Camp at Modern Era Public School, 16th May 2014

press release

Obesity reduces life expectancy

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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 rheumatic arthritis was not given penicillin prophylaxis, and subsequently developed another attack.
Reaction: Oh my God! Why was the prophylaxis not started?
Lesson: Make sure that one administers secondary prophylaxis in the setting of suspected poststreptococcal reactive arthritis for up to one year after the onset of symptoms. Evidence of valvular disease after one year should prompt continued prophylaxis; otherwise, antibiotic prophylaxis may be discontinued.

eMedinewS Humor

A couple in their nineties is having problems remembering things. During a checkup, the doctor tells them that they’re physically okay, but they might want to start writing things down to help them remember.

Later that night, while watching TV, the old man gets up from his chair. ‘Want anything while I’m in the kitchen?’ he asks.

‘Will you get me a bowl of ice cream?’ ‘Sure.’

‘Don’t you think you should write it down so you can remember it?’ she asks. ‘No, I can remember it.’

‘Well, I’d like some strawberries on top, too. Maybe you should write it down, so as not to forget it?’ He says, ‘I can remember that. You want a bowl of ice cream with strawberries.’

‘I’d also like whipped cream. I’m certain you’ll forget that, write it down?’ she asks.

Irritated, he says, ‘I don’t need to write it down, I can remember it! Ice cream with strawberries and whipped cream – I got it, for goodness sake!’

Then he toddles into the kitchen. After about 20 minutes, the old man returns from the kitchen and hands his wife a plate of bacon and eggs. She stares at the plate for a moment.

‘Where’s my toast?’

Quote of the Day

A dreamer is one who can only find his way by moonlight, and his punishment is that he sees the dawn before the rest of the world. Oscar Wilde


Twitter of the Day

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/HTZaj4 #Health
Dr Deepak Chopra: In the eyes of love, all people are doing the best they can from their own levels of consciousnesshttp://bit.ly/WAYHF_DC #WAYHF


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  1. Dear Sir, Very Informative News. Regards: Dr Karan
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