eMedinewS 22nd August 2013, Thursday

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

Diastolic blood pressure below 70 mm Hg associated with higher mortality
in chronic kidney disease

Achieving ideal systolic blood pressure (SBP) at the expense of lower–than–ideal diastolic blood pressure (DBP) could be harmful in adults with chronic kidney disease.

A review of U.S. veterans with CKD found that SBP of 130 to 159 mm Hg and DBP of 70 to 89 mm Hg were associated with the lowest mortality rates as per results appeared in the Aug. 20 Annals of Internal Medicine.

Those in whom both SBP and DBP were concomitantly very high or very low had the highest mortality rates.

Patients with moderately elevated SBP combined with DBP no less than 70 mm Hg had consistently lower mortality rates than did patients with ideal SBP combined with DBP less than 70 mm Hg. Results were consistent in subgroups of patients with normal and elevated urinary microalbumin-creatinine ratios.

Nearly one–third (32.5%) of the patients in the study cohort had SBP greater than 140 mm Hg and DBP less than 70 mmHg. Read More

Coffee protects from liver cancer

Coffee consumption is inversely related to the risk of cirrhosis or hepatocellular carcinoma (HCC). However, the protective effect of coffee drinking against the risk of HCC was not established in HBV–prevalent region.

A hospital–based case–control study was performed in 1364 subjects. A total of 258 HCC patients, 480 health–check examinees (control 1, HCE) and 626 patients with chronic liver disease other than HCC (control 2, CLD) were interviewed on smoking, alcohol and coffee drinking using a standardized questionnaire. HBV e–antigen (HBeAg) status and serum HBV DNA levels were measured in patients infected with HBV.

After adjustment for age, gender, obesity, DM, presence of hepatitis virus (except for HCE) and lifetime alcohol drinking/smoking, a high lifetime coffee consumption (≥20 000 cups) was an independent protective factor against HCC, in each analyses using healthy and risky control groups respectively.

However, the high coffee consumption did not affect the HCC risk in patients with HBV after adjustment for HBeAg status, serum HBV DNA level and antiviral therapy.

A high lifetime coffee consumption was negatively associated with a HCC development. However, this difference of coffee exposure with the HCC group was reduced in chronic hepatitis B patients by the dominant role of viral replication (Liver International 2013;33(7):1092–1099). 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 Definition of Health

Health is not mere absence of disease; it is a state of physical, mental, social, spiritual, environmental and financial well being. All aspects of health are not defined in allopathy.

During MBBS, medical students are taught more about the physical health. Social and mental health are covered only in few lectures. Community health is a separate subject but never given its due importance. Spiritual health is not defined at all and financial health is hardly covered.

Yet, in day today practice it is the social, financial, spiritual and community health which is the most important during patient-doctor communication. It is incorporated in the four basic purposes: dharma, artha, kama and moksha.

Dharma and artha together forms the basis of karma which righteous earning. You are what your deep rooted desires are. Most of the diseases today can be traced to a particular emotion, positive or negative. Anger and jealously are related with heart attack, fear with blood pressure, greed & possessiveness with heart failure. Unless the mind is healthy, one cannot be free of diseases.

The best description of health comes from Ayurveda. In Sanskrit health means swasthya, which means establishment in the self. One is established in the self when there is a union of mind, body and soul. Most symbols of health are established around a shaft with two snakes and two wings. The shaft represents the body, two snakes represent the duality of mind and the two wings represent the freedom of soul.

Sushrut Samhita in Chapter 15 shloka 10 defines the ayurvedic person as under:

Samadosha, samagnischa,
Swastha iti abhidhiyate.

From ayurvedic point of view for a person to be healthy must have balanced doshas, balanced agni, balanced dhatus, normal functioning of malkriyas and mind, body, spirit and indriyas full of bliss and happiness.

Human body is made up of structures (Kapha) which have two basic functions to perform; firstly, metabolism (pitta) and movement (vata). Vata, pitta and kapha are called doshas in ayurveda. Samana dosha means balance of structures, metabolism and movement functions in the body. Agni in Ayurveda is said to be in balance when a person has normal tejas and a good appetite.

Ayurveda describes seven dhatus: rasa, rakta, mamsa, medha, asthi,majja, shukra and they are required to be in balance. They are equivalent to various tissues in the human body.

Ayurveda necessitates proper functioning of natural urges like urination, stool, sweating and breathing and that is what balances in malakriya means.

Ayurveda says for a person to be healthy he has to be mentally and spiritually healthy which will only happen when his or her indriyas are cheerful, full of bliss and devoid of any negativities. For indriyas to be in balance one has to learn to control over the lust cum desires, greed and ego. This can be done by learning regular pranayama, learning the do’s and don’ts in life, living in a disciplined atmosphere and learn to live in the present.

Regular pranayama shifts one from sympathetic to para sympathetic mode, balances the mind and thoughts and helps in removing negative thoughts from the mind. For living a disabled life one can follow the yama and niyama of yoga sutras of patanjali or do’s and don’ts taught by various religious gurus, leaders and principles of naturopathy. Living in the present means conscious or meditative living. This involves either learning meditation 20 minutes twice a day or learning subtle mental exercises like mind–body relaxation, yogic shavasana, self–hypnotic exercises, etc.

According to Yoga Sutras of Patanjali a person who eats thrice a day is a rogi, twice a day is a bhogi and once a day is yogi. The take home message is: to live more one has to eat less.

Swar yoga defines the importance of respiration and longevity. According to this yoga shastra, everybody has a fixed number of breaths to be taken during the life span.

Lesser the number a person takes in a minute more is the life. It also forms the basis of pranayama which is nothing but longer and deeper breathing with reduced respiratory rate. To be healthy one can remember to follow the principle of moderation and variety in diet & exercise, regular pranayama & meditation and positive thinking. ….Read More

cardiology news

The Good you do, comes back to you

A woman baked a chapati (roti) for members of her family and an extra one for a hungry passerby. She kept the extra chapatti on the window sill, for whosoever would take it away. Every day, a hunchback came and took away the chapatti. Instead of expressing gratitude, he muttered the following words as he went his way: "The evil you do remains with you: The good you do, comes back to you!" This went on, day after day. Every day, the hunchback came, picked up the chapatti and uttered the words: "The evil you do, remains with you: The good you do, comes back to you!" The woman felt irritated. "Not a word of gratitude," she said to herself…

"Everyday this hunchback utters this jingle! What does he mean?" One day, exasperated, she decided to do away with him. "I shall get rid of this hunchback," she said. And what did she do? She added poison to the chapatti she prepared for him! As she was about to keep it on the window sill, her hands trembled. "What is this I am doing?" she said. Immediately, she threw the chapatti into the fire, prepared another one and kept it on the window sill. As usual, the hunchback came, picked up the chapatti and muttered the words: "The evil you do, remains with you: The good you do, comes back to you!" The hunchback proceeded on his way, blissfully unaware of the war raging in the mind of the woman.

Every day, as the woman placed the chapatti on the window sill, she offered a prayer for her son who had gone to a distant place to seek his fortune. For many months, she had no news of him.. She prayed for his safe return. That evening, there was a knock on the door. As she opened it, she was surprised to find her son standing in the doorway. He had grown thin and lean. His garments were tattered and torn. He was hungry, starved and weak. As he saw his mother, he said, "Mom, it’s a miracle I’m here. While I was but a mile away, I was so famished that I collapsed. I would have died, but just then an old hunchback passed by. I begged of him for a morsel of food, and he was kind enough to give me a whole chapatti. As he gave it to me, he said, "This is what I eat everyday: today, I shall give it to you, for your need is greater than mine!" " As the mother heard those words, her face turned pale.

She leaned against the door for support. She remembered the poisoned chapatti that she had made that morning. Had she not burnt it in the fire, it would have been eaten by her own son, and he would have lost his life! It was then that she realized the significance of the words:

"The evil you do remains with you: The good you do, comes back to you!"

Do good and don’t ever stop doing good, even if it is not appreciated at that time. Read More

News Around The Globe

  1. The monthly meeting of Cardiological Society of India Delhi Branch has been rescheduled for 31st August, 2013.
  2. CMAAO IMA conference will be held on 12, 13 and 14th September, 2013 at Hotel Shangri La. The conference will have a special day devoted to lifestyle disorder. The theme of the CMAAO conference is "Be Human, Stop Child Abuse".
  3. Dr. Vinay Aggarwal will take over as President, Confederation of Medical Association of Asia and Oceania (CMAAO) – Dr. Vinay Aggarwal, Past President of IMA, will be taking over the charge of President, CMAAO on 12th September, 2013 at a special function organized at Hotel Shangri La.
  4. In a study published in the journal Mayo Clinic Proceedings, scientists have shown that heavy coffee consumption is associated with a higher death risk in men and women younger than 55. Heavy coffee drinking means more than 4 cups a day.

Lecture on "Health in Relation to Science of Mythology, Business and Leadership"

Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President, Heart Care Foundation of India, will be delivering a lecture on "Health in Relation to Science of Mythology, Business and Leadership" on 25th August, 2013, Sunday at 9.45 a.m. at Shanmukhananda Hall, Sion East, near Gandhi Market, Mumbai. The lecture is being organized by Indian Institute of Excellence and Consultancy.

In his talk, Dr. Aggarwal will focus on "Spiritual Principles to increase creativity and building leadership qualities".

Dr. KK Aggarwal is an internationally acclaimed motivational speaker who has done tremendous work in the field of integrating Vedic Sciences with Modern Medicine. He is also the Editor–in–Chief of IJCP Group of Publications and eMedinewS, the first national daily emedical newspaper of India, which reaches over 70000 doctors every day. He is also Vice President Elect of India Medical Association; Member, Ethics Committee, Medical Council of India and Past President, Ethical Committee, Delhi Medical Council.

He has authored a book ‘Alloveda’, which talks about integration of Vedic sciences and modern medicine. He also integrates and teaches Homoeopathy and Ayurveda in Allopathic Language.

In his lecture he will also talk about the concept that ‘Life is reversible in the first ten minutes after death when the heart has stopped’ and how the Rishis and Munis could revive a person even after hours of clinical death.

On behalf of Heart Care Foundation of India, we hereby invite you to his lecture in Mumbai.

Medicine Tit Bits

  1. Rub your ears to boost energy: Instead of reaching for another cup of coffee, give your ears a gentle self-massage. According to Chinese medicine, stimulating the pressure points in the ears increases blood circulation to all parts of the body, giving you an instant energy boost.

eMedinewS e–gifts to our readers

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The eMedinewS app is now available for free download. .

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Click on the icon ‘e’ from the mail and download to install the app to the home screen of your mobile phone, iPad or Desktop. After you finish downloading, you will see an icon ‘e’ on the home screen of your device. That’s it.

Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

Rabies News (Dr. A K Gupta)

A previously immunized person is bitten again. What is the re-exposure immunization schedule?

Only two doses of vaccine at Days 0 and 3 are required. RIG is not required (WHO 2007). However, in laboratory-confirmed rabies exposures, a full course of PEP and RIGs is recommended irrespective of past rabies immunization. In rabies, it is safer to overtreat than undertreat.

cardiology news
  1. Using a device for patent foramen ovale (PFO) closure did not reduce recurrent events in patients with cryptogenic ischemic stroke, although there was a hint of benefit, a meta–analysis of three recent trials showed and published in Catheterization and Cardiovascular Interventions.
  2. A diet high in antioxidant–rich fruit may help protect against the development of an abdominal aortic aneurysm (AAA) as per a Swedish study. Through 13 years of follow-up, men and women who said they ate more than two servings of fruit a day had a 25% lower risk of developing AAA (HR 0.75, 95% CI 0.62–0.91) compared with those who ate less than 0.7 servings a day, according to Otto Stackelberg, MD, of the Karolinska Institute in Stockholm, and colleagues in the Aug. 20 issue of Circulation: Journal of the American Heart Association. There were no such associations with vegetable intake.

Valvular Heart Disease News

3D echo is instrumental in describing the sadal of the mitral annulus and redefining accurate imaging for mitral valvular lapse.

(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
  • Younger siblings of children with autism spectrum disorders (ASDs) had a greater risk of being affected with an ASD themselves, according to a new study from Denmark. Compared with children who came from families unaffected by ASDs, those with an older sibling with an ASD were nearly seven times more likely to be diagnosed with an ASD. The risk was significantly greater for full siblings than for half–siblings, the researchers reported online in JAMA Pediatrics. (Source: Medpage Today)
  • Prenatal and postnatal administration of probiotics may reduce immunoglobulin E (IgE) levels in infants and protect against sensitization to hereditary allergies but may not protect against asthma or wheezing, according to a new meta–analysis published online August 19 and in the September issue of Pediatrics. (Source: Medscape)
cardiology news

Exercise impact on the knee

Different exercises produce different impacts on the knee joints. The best and safest exercises that cause minimum impact on the knee in patients post knee replacement or knee arthritis are walking, biking, hiking, riding an exercise bike, riding an elliptical trainer and walking on the treadmill. In sports, one can play doubles tennis but not singles. One can also participate in downhill or cross–country skiing. Jogging and golf swings produce maximum stress.


  • Biking generate the least force, producing impact of about 1.3 times the person’s body weight.
  • Treadmill walking is the next best, producing forces of 2.05 the body weight.
  • Walking on level ground generate forces of 2.6 times the body weight.
  • Tennis produces forces of 3.1 to 3.8 times the body weight, with serving producing the highest impact.
  • Jogging produces forces of 4.3 times body weight.
  • Golf swings produces forces of 4.5 times body weight on the forward knee and 3.2 times body weight in the opposite knee.

Positions and activities that place excessive pressure on the knee joint include:

  • Squatting and kneeling
  • Twisting and pivoting
  • Repetitive bending (multiple flights of stairs, getting out of a seated position, clutch and pedal pushing, etc.)
  • Jogging
  • Aerobics, dancing
  • Playing stop and go sports (basketball, sports that use racquets)
  • Swimming using the frog or whip kick

Exercise equipments that place excessive pressure on the knee include:

  • Stair stepper
  • Stationary bicycle
  • Rowing machine
  • Universal gym utilizing leg extensions

The preferred exercise equipment for the knee should provide smooth motion of the knee, maximal toning of the front and back thigh muscles (quadriceps and hamstring muscles), minimal jarring and impact to the joint and the least amount of bending to accomplish toning.

Activities that are acceptable alternatives to the above include:

  • Fast walking
  • Water aerobics
  • Swimming using the crawl stroke
  • Cross country ski machines
  • Soft platform treadmill
  • Trampoline
cardiology news

The first obligation of the healthcare worker in conjunction with social worker of the society is to assure safety of at risk elder.

cardiology news

HCFI Activities

19th August: Pooja Movie Creations State Excellence Award at Arya Auditorium, New Delhi

CPR Classes: Persons trained (2050)

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

17th August: CPR 10 at Moolchand (37)

18th August: CPR 10 at Moolchand (13)

Total CPR since 1st November 2012 – 61766 trained

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

CPR Classes 61766

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Heart risks detected by age 7 in overweight kids 19th August


Routine HIV Testing Recommended for All Women, Regardless of Individual Risk Factors

Women represent the fastest growing population of persons infected with HIV and heterosexual transmission has become a much bigger factor. All women, between 19–64 years of age, irrespective of risk factors should be tested for HIV, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India, & MTNL Perfect Health Mela.

A committee opinion issued by the American College of Obstetricians and Gynecologists (ACOG) and published in the journal Obstetrics and Gynecology recommends that HIV screening should be done for all women aged 19 to 64 years, regardless of their risk factors and targeted screening should be done for women outside this age range who are at high risk. For example, all sexually active teenagers under 19 years should be tested, as well as women older than 64 years who have had multiple partners in recent years.

Currently, testing is done only for pregnant patients, patients at high risk, and/or upon patient request. Present recommendation on HIV screening emphasizes "opt-out" testing as the preferred approach.

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 62966 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

A CPR 10 Training Camp was organized by Heart Care Foundation of India to trained the students of Ramjas School , R K Puram

press release

Exercise impact on the knee

today video of the dayDr KK Aggarwal on Sleeping Disorder

One more life saved from CPR 10

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Nurse Claudine is reviewing a client’s fluid intake and output record. Fluid intake and urine output should relate in which way?

a. Fluid intake should be double the urine output.
b. Fluid intake should be approximately equal to the urine output.
c. Fluid intake should be half the urine output.
d. Fluid intake should be inversely proportional to the urine output.

Yesterday’s Mind Teaser: The best management of the recalled Fidelis ICD lead is:

a. Urgent removal electively
b. Removal for lead failure
c. Removal at the time of generator change

Answer for yesterday’s Mind Teaser: B & C

Correct answers received from: Dr.K.V.Sarma,, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr Kanta Jain, Dr Sitanta Das, Dr Sitanta Das, Tukaram Pagad, Dr P J Khalap, DR.BITAAN SEN & DR.JAYASHREE SEN, DR SANTHAKUMARI, DR ARPAN GANDHI

Answer for 20th August Mind Teaser: b. Heparin

Correct answers received from: Dr. Thakor Hitendrsinh G, DR.BITAAN SEN & DR.JAYASHREE SEN

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

I remember one time I told my doctor
I had a ringing in my ears.
His advice:
"Don’t answer it."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

medicolegal update

The future has many names: For the weak, it means the unattainable. For the fearful, it means the unknown. For the courageous, it means opportunity. Victor Hugo

medicolegal update

Dr KK Aggarwal: Relieve Stress by Changing the Interpretation http://bit.ly/16wknsh #Health

Dr Deepak Chopra: How can I make people understand that spirituality is the ultimate goal? http://tinyurl.com/kqlhghj

medicolegal update

Dear Sir, Wonderful explanation of Rakshabhandhan. Thanks. Regards:Dr Suruchi

Forthcoming Events

29thSeptember–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

eMedinewS Special

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medicolegal update

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