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  From the Desk of Editor–in–Chief
Dr KK 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; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

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  Editorial …

23rd May 2013, Thursday

Preventing heat disorders

During summer, susceptible children and adolescents can develop heat stroke, which can even lead to death if not identified and treated in time.

  • The heat index is more important than the atmospheric temperature. A 42 degree temperature may feel like 46 degree if the heat index is high.
  • Avoid prolonged exposure to sun when the temperature is high. Use an umbrella if you need to go out.
  • Wear light cotton clothes to avoid heat absorption.
  • Make sure that you are properly hydrated before you step out in the heat. The requirement of water in summer is 500 ml more than that in winter.
  • Summer drinks should be refreshing and cool such as panna, khas khas, rose petal water, lemon water, bel sharbat and sattu sharbat.
  • Any drink with more than 10% sugar becomes a soft drink and so should be avoided. Ideally, the percentage of sugar, jaggery or khand should be 3%, which is the percentage present in oral rehydration drink.
  • You should pass urine at least once in 8 hours. This is a sign of adequate hydration.
  • If you develop heat cramps, drink plenty of lemon water with sugar and salt.
  • Heat exertion presents with fever and sweating. If you develop heat exertion, drink plenty of oral fluids, mixed with water, lemon and sugar. Presence of sweating is good sign.
  • If a person develops high grade fever, i.e. more than 104 degrees Fahrenheit with dry armpits, this is a sign of impending heat stroke, which is a medical emergency. The temperature here may be more than 106 degree Fahrenheit. Fever should be brought down rapidly within minutes to save the life.
  • People, who have been advised to restrict their fluid intake on medical grounds, should discuss their fluid requirement in summer with their doctor.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Longer CPR efforts may improve survival chances

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2013

Heart Care Foundation of India and World Fellowship of Religions in association with Ministry of Earth Sciences Govt. of India and Delhi Public School Mathura Road observed World Earth Day 2013.

Dr K K Aggarwal
    National News

Urban PHCs to work from noon till night

New Delhi: To help urban poor go to health facilities after working hours, urban primary health centres, planned under the National Urban Health Mission (NUHM), will function from noon to 8 p.m, reports The Hindu. Out-patient departments at standard health facilities worked only in the morning; when patients had to go to work, visiting a doctor or hospital would mean losing a day’s salary, Anuradha Gupta, Additional Secretary, Ministry of Health and Family Welfare, said. Another important feature of the NUHM was the inclusion of urban-centric issues: domestic violence, sexual exploitation, HIV/AIDS, trafficking, and child and drug abuse, and gender-related matters. “These are broadly urban issues, but need to be addressed,” Ms. Gupta told The Hindu. For this, the NUHM would work in coordination with non-governmental and civil society organisations. The NUHM, approved recently by the Cabinet, will run parallel to the National Rural Health Mission (NRHM). Reproductive and child health programmes apart, it will address communicable and non-communicable diseases, especially State-specific diseases such as sickle-cell and fluorosis.

The Ministry of Health and Family Welfare started the programme on Monday, urging the States to map out slums and unlisted clusters in cities and the health facilities available there in order to identify the gaps in services, and to appoint a nodal officer for coordination. The Ministries of Housing and Urban Poverty Alleviation and Urban Development will play an important role in the implementation.

Close to 40 per cent of India’s population will live in urban centres by 2026, with 25 per cent of them being poor, and 10 per cent vulnerable such as rag-pickers, rickshaw-pullers and homeless children. This population has restricted access to facilities such as health care, housing, and sanitation, resulting in communicable and non-communicable diseases.

Statistics suggest under 5 mortality at 72.7 among urban poor is significantly higher than the urban average of 51.9, 56 per cent deliveries among the urban poor take place at home and several health indicators are worse than rural areas like 60 per cent do not receive complete immunisation, 47 per cent urban poor children are under-weight as compared to 45 per cent in rural areas and 59 per cent women (15-49 age group) are anaemic as compared to 57 per cent in rural. Even child survival in the urban poor is shamefully low with 1.3 children dying before reaching the age of five years.

In phases, the NUHM will cover all cities and towns with a population of over 50,000. Primary health centres will be set up near slums and low-income neighbourhoods. The government is open to roping in the private sector. There will be no health sub-centres. Accredited Social Health Activists will be recruited and Auxiliary Nurse Midwives drafted, one for every 1,000-2,500 slum population (200-500 slum households). (Source: The Hindu, May 21, 2013)

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Sexual abuse is when a child engages in sexual activity for which he/she cannot give consent, is unprepared for developmentally, cannot comprehend and/or an activity that violates the law or social taboos of society.

    Valvular Heart Disease Update

Rheumatic heart disease (RHD) is the leading cause of heart disease in children and young adults under the age of 40 years.

(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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

New-onset diabetes less severe among Asian Indians, Chinese

In a population-based cohort study of people with newly diagnosed diabetes in Ontario, Canada, Asian Indians and Chinese were about half as likely to die within 5 years as Europeans. Compared with Europeans, Chinese patients were also half as likely to have complications of diabetes — coronary artery disease, stroke, or lower-limb amputations — during this follow-up. Asian Indians, however, were almost as likely as Europeans to develop these complications. (Source: Medscape)

Inhalers link to cardiac events in COPD

Newly initiated treatment with bronchodilators significantly increased the risk of cardiac events in older patients with chronic obstructive pulmonary disease (COPD), according to a large case-control study. (Source: Medpage Today)

New colonoscope offers 330-degree view of the colon

A new colonoscope that provides a sweeping view of the colon could significantly improve the ability of the examination to detect adenomas, according to investigators evaluating the Full Spectrum Endoscopy (FUSE) colonoscope. (Source: Medscape)

Ketamine works in OCD, stubborn depression

The anesthetic agent ketamine continues to show tantalizing promise in psychiatric disorders, with results from new studies in intractable depression and obsessive-compulsive disorder. (Source: Medpage Today)

Physician inertia to blame for small BP changes in BARBER-1

In an attempt to reduce the prevalence of hypertension in African-American men, an innovative study turned to the local barber as a gatekeeper for encouraging hypertensive men to visit their healthcare professional to get their blood pressure under control. (Source: Medscape)

    Twitter of the Day

@DrKKAggarwal: Two or more drugs may interact with each other http://bit.ly/167c6NM

@DrKKAggarwal: How to process irritability, anger and let them go? http://youtu.be/1j8kAdtfB3A #SpiritualSolutions

    Spiritual Update

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

The Very Purpose Of Life Is To Face Sufferings

As per Hinduism, the very fact we are born means that in our last life, we did not get liberation or Moksha. It also means that there were some of the sufferings which were left in our last birth. Therefore, the purpose of this birth is to face those sufferings.

For Comments and archives…

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How many types of hair does an adult have?

Adults have two types of hair, vellus and terminal. Vellus hair is soft, fine, generally colorless, and usually short. Terminal hair is long, coarse, dark, and sometimes curly. In most women, vellus hair covers the face, chest, and back and gives the impression of “hairless” skin. In most men, terminal hair covers the face and body. Terminal hair grows on the scalp, pubic, and armpit areas in both men and women. A mixture of vellus and terminal hair covers the lower arms and legs in both men and women. If excessive hair growth is present only on your lower legs and forearms, it is not considered hirsutism and will not respond to hormonal therapy.

    An Inspirational Story

Building Your House

An elderly carpenter was ready to retire.

He told his employer-contractor of his plans to leave the house-building business to live a more leisurely life with his wife and enjoy his extended family.

He would miss the paycheck each week, but he wanted to retire, they could get by.

The contractor was sorry to see his good worker go and asked if he could build just one more house as a personal favor.

The carpenter said yes, but over time it was easy to see that his heart was not in his work.

He resorted to shoddy workmanship and used inferior materials, it was an unfortunate way to end a dedicated career.

When the carpenter finished his work, his employer came to inspect the house.

Then he handed the front-door key to the carpenter and said, "This is your house... my gift to you."

The carpenter was shocked!

What a shame! If he had only known he was building his own house, he would have done it all so differently.

So it is with us. We build our lives, a day at a time, often putting less than our best into the building.

Then, with a shock, we realize we have to live in the house we have built, if we could do it over, we would do it much differently.

But, you cannot go back. You are the carpenter, and every day you hammer a nail, place a board, or erect a wall. Someone once said, "Life is a do-it-yourself project."

Your attitude and the choices you make today, help build the "house" you will live in tomorrow. Therefore, build wisely!

For comments and archives

   Cardiology eMedinewS

JNC 2013: Simplified BP goal in sight Read More

   Pedia News

American Dental Association concerned about pacifier sharing Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

What are the types of RIGs?

There are two types of RIGs:

  • Human RIG (HRIG): Available as 2 ml. vial with a potency of 150 IU/ml.
  • Equine RIG (ERIG): Available as 5 ml. vial with a potency of 300 IU/ml.
    IJCP Special

Dr Good Dr Bad

Situation: A patient with metabolic syndrome was found to have impaired kidney function.
Dr Bad: They are unrelated.
Dr Good: They are related.
Lesson: People with metabolic syndrome are at 55% increased risk for kidney disease (reduced kidney functions (Ref: Thomas G, et al. Metabolic syndrome and kidney disease: a systematic review and meta-analysis. Clin J Am Soc Nephrol 2011;6(10):2364-73).

Make Sure

Situation: A patient with fever and cough developed complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure that a patient with fever and cough is not given antibiotics as presence of cough mostly signifies viral infection.

  Quote of the Day (Dr GM Singh)

The greatest obstacle to discovery is not ignorance - it is the illusion of knowledge. Daniel J Boorstin

    Mind Teaser

Read this…………………

Nurse Wayne is aware that which finding would be least suggestive of necrotizing enterocolitis (NEC) in an infant?

a. Hepatomegaly
b. Distended abdomen
c. Gastric retention
d. Blood in the stool

Yesterday’s Mind Teaser: When developing a postoperative plan of care for an infant scheduled for cleft lip repair, nurse Elaine should assign highest priority to which intervention?

a. Comforting the child as quickly as possible
b. Maintaining the child in a prone position
c. Restraining the child’s arms at all times, using elbow restraints
d. Avoiding disturbing any crusts that form on the suture line

Answer for Yesterday’s Mind Teaser: a. Comforting the child as quickly as possible

Correct answers received from: Tukaram Pagad, Dr Kanta Jain, DR B K AGARWAL, Dr shashi saini, DR AYYAVOO ERODE, Dr. B.B. Gupta, Dr. P. C. Das & Dr. Mrs. S. Das, Dr(Brig) C H Gidvani, Dr.(Maj. Gen.) Anil Bairaria, Dr Gajveer, DR ARPAN GANDHI, Dr.K.V.Sarma, DR Chandresh Jardosh, Dr Pankaj Agarwal, daivadheenam, Dr Jainendra Upadhyay.

Answer for 21st May Mind Teaser: A. Inhibit bacterial growth

Correct answers received from: Tukaram Pagad, Dr Bharat Bhushan Aggarwal, Dr.BitaanSen & Dr.Jayashree Sen, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Valluri Ramarao, DR P K SAHU.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Mrs. Ogden went to her doctor and said "Please give me a prescription for the Pill."

"I don't think you need the Pill at your age."

"It relaxes me."

"But you know the 'purpose' of the Pill. It's not for relaxing," exclaimed the physician.

"I know," said Mrs Ogden, "but my daughter dates, and every morning I drop one in her orange juice. Believe me, I feel more relaxed.

  Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Grievous hurt as per IPC

It is very difficult to draw a line between those bodily hurts which are serious and those which are slight. To make out an offence of voluntarily causing grievous hurt, there must be some specific hurt, voluntarily inflicted and coming within the scope of following as per law. As per Section 320 Indian Penal Code (IPC), the following kinds of hurt are designated as "grievous":

  • Emasculation: It means depriving a male of masculine power.
  • Permanent privation of sight of either eye: The gravity lies in the permanency because it deprives a person the use of the organ of sight.
  • Permanent privation of the hearing of either ear: It deprives a man of his sense of hearing. Injury to the tympanum or auditory nerve or by thrusting something into the ear which causes deafness.
  • Privation of any member or joint: The term ‘member’ means an organ or a limb being part of man capable of performing a distinct function. It includes, nose, mouth, hands, feet, phalanges etc.
  • Destruction or permanent impairing of the powers of any member or joint: the use of limbs and joints of body are essential to the discharge of the normal functions of the body. Their deprivation causes lifelong crippling and makes the person defenseless and miserable.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Heart Patients Beware of Summer

Dehydration can precipitate heart attack in susceptible individuals. Dehydration can be dangerous in patients with uncontrolled blood pressure or diabetes. In these patients, dehydration can make the blood thicker and precipitate heart attack, said Padma Shri and Dr B C Roy Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Dehydration is common in summer, and with the rising temperatures, chances of a person developing dehydration increase. A person, therefore, needs to increase fluid intake during summer.

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 (Na) or salt is also lost.

Walking is a necessity for heart patients and it should be continued even during peak summer but the peak heat periods should be avoided. One can walk early in the morning or late in the evening.

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 50457 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 10x10 i.e. 100 per minute.”

    Readers Response
  1. Dear Sir, Reading emedinews is joy and educative too. Regards:Dr KP Mishra
    Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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