23rd October 2014, Thursday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

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

eMedinewS wishes its readers a Healthy, Happy and Joyous Diwali

EBOLA preparedness

Faced with dismay over the Ebola infection of two nurses, the CDC has tightened its guidance for personal protective equipment. The new guidelines "provide an increased margin of safety" for healthcare workers treating Ebola patients, according to CDC Director Tom Frieden, MD.

The major change in the new guidance is an insistence that no skin be exposed during the care of an Ebola patient. CDC is also insisting that people likely to treat Ebola patients need to practice putting on and taking off the equipment safely, and that hospitals have a trained monitor to observe both procedures.

The CDC now says personal protective equipment should consist of:

  • Double gloves
  • Boot covers that are waterproof and go to at least mid-calf or leg covers
  • Single-use, fluid-resistant or impermeable gowns that extend to at least mid-calf or a coverall without integrated hood
  • Either N95 respirators or powered air purifying respirators
  • Disposable single-use full-face shield
  • Surgical hoods to ensure complete coverage of the head and neck
  • A waterproof apron that covers the torso to the level of the mid-calf in the event Ebola patients have vomiting or diarrhea

The guidance no longer recommends goggles, arguing they might leave skin exposed, are not disposable, and might fog up, tempting healthcare workers to manipulate them with gloved –– and possibly contaminated –– hands.

7th Asia-Pacific Heart Rhythm Scientific Session New Delhi, India

Syncope, especially non–arrhythmic syncope, often occurs in patients with Brugada syndrome. A systematic history provides clues to differentiate arrhythmic events and non–arrhythmic syncope: absence of prodromes and, particularly, specific triggers. It is important to take into consideration the high incidence of non–arrhythmic syncope in these patients during risk stratification (Heart Rhythm. 2014 Oct 10. Epub ahead of print).

Dr. Mohan Nair

Chairman, Organizing Committee of the 7th Asia Pacific Heart Rhythm Society's  (APHRS) Scientific Sessions, being organized simultaneously at the Taj Palace Hotel and ITC Maurya in New Delhi from October 29th to November 1st, 2014.

Be a part of the discussions regarding Arrhythmia Management with global experts at the 7thAsia Pacific Heart Rhythm Society Meeting from October 29th – November 1st at New Delhi.

As a special offer for all eMedinews readers, we have decided to waive off the registration fees for the conference. To register yourself, please click on the following link


News Around The Globe

  • A study published in J Glaucoma. 2014;23(7):464–466 reported no detected increased association of the development of glaucoma with current, recent, or past use of systemic fluoroquinolone but a minimal statistically significant increased risk was associated with distant use.
  • Thirty percent of lung cancer patients die early in the United Kingdom, although they visit their primary care physician more often in the 3 months before their death than other lung cancer patients. The findings come from an analysis of more than 20,000 lung cancer cases, published online October 13 in Thorax.
  • The natural history of type 2 diabetes can be changed through routine screening to find prediabetes and early diabetes, combined with management aimed to keep glucose levels as close to normal as possible, without hypoglycemia (Diabetes Care. 2014;37(10):2668-2676).
  • The US Food and Drug Administration (FDA) has added everolimus (Zortress, Novartis) to its FDA Adverse Event Reporting System (FAERS) because of new safety information the agency has received regarding hypertension. Everolimus is prescribed to treat renal cell carcinoma in patients who have failed previous treatments.
  • Results of a meta-analysis published online October 15 in JAMA Psychiatry show that the adjunctive use of NSAIDs, celecoxib in particular, was associated with improved antidepressant treatment response without an increased risk for adverse effects.

DMC News


Dr KK Spiritual Blog

Diwali The Festival of Inner Purnima on Outer Amavasya

Diwali is celebrated on the day of Amavasya but the festival is symbolized by inner happiness, lighting or Purnima.

Moon in mythology symbolizes cool positive thoughts. Normally, one encounters negatives thoughts on the day of Amavasya and positive thoughts on the day of Purnima.

Diwali is the only day in a year where one experiences positive thoughts on the day of Amavasya, hence some people believes Diwali symbolizes inner Purnima and out Amavasya.

Diwali celebrations also coincide with the terminal phase of Chaturmas, the four months of negative state of mind.

The purification process in Chaturmas starts with 1st Navratra falling on Amavasya. During these nine days, one undergoes mind, body and soul detoxification by not thinking negative, doing positive things and acquiring soul based knowledge.

The mind, body detoxification during Navratra ends with killing of Tamas (Kumbhakarna), Rajas (Meghnath) and ego (Ravan) and of consciousness (Rama) over the evil.

These benefits do not lead to inner Moksha or happiness until 20 days, the day of Diwali. In order to continue getting benefits of Navratra, one should fast in a positive state of mind every fourth day till Diwali.

On Sharad Purnima, the fast involves thinking positive with a cool mind to get health benefits. Four days later, on Karvachauth again, one fasts and worships the Moon with positive thoughts and acquires longevity benefits. Four days later on Ahoi Ashtami again, one worships the moon and the stars with positive thoughts and acquires fertility benefits. On the day of Dhanteras one acquires a win over the fear of death (Yama). On this day, the fast involves deeper meditation (Samudra manthan) to get all the benefits of Samadhi.

At the end of the meditation in the state of Samadhi, one gets in touch with the consciousness or the God, the insight gets illuminated and a person experiences bliss, a state of ecstasy of inner happiness and that is what is called experiencing inner Purnima on the day of outer Amavasya and the festival is celebrated as Diwali.

Let us all worship this Diwali as a state of positive mental state. This one month of purification of thoughts helps one in combating the depression phase seen in winter.

Diwali is the only Amavasya where one does not do Shradh pooja.  On Diwali Amavasya (falling in Chaturmas) one is allowed to start any new project. Even deaths on this Amavasya are considered auspicious (unlike on other Amavasya days).

Inspirational Story

The perfectionist sculptor

A gentleman once visited a temple under construction where he saw a sculptor making an idol of God. Suddenly he noticed a similar idol lying nearby. Surprised, he asked the sculptor, "Do you need two statues of the same idol?"

"No," said the sculptor without looking up, "We need only one, but the first one got damaged at the last stage." The gentleman examined the idol and found no apparent damage. "Where is the damage?" he asked.

"There is a scratch on the nose of the idol." said the sculptor, still busy with his work. "Where are you going to install the idol?" The sculptor replied that it would be installed on a pillar twenty feet high.

"If the idol is that far, who is going to know that there is a scratch on the nose?" the gentleman asked. The sculptor stopped his work, looked up at the gentleman, smiled and said, "I know it and God knows it!"

Moral: The desire to excel should be exclusive of the fact whether someone appreciates it or not. Excellence is a drive from inside, not outside. Excel at a task today – not necessarily for someone else to notice but for your own satisfaction.

Rabies News (Dr A K Gupta)

What is the importance of pre–exposure vaccination?

Pre–exposure vaccination simplifies post–exposure vaccination because after bite, those who have received full pre–exposure vaccination require only two doses of vaccine at Days 0 & 3. RIG is not required (WHO 2007).

Cardiology eMedinewS

  • Nandakumar Nagaraja, MD, of the University of Iowa, and colleagues report in JAMA Neurology that a drop in blood pressure together with neurological improvement may be clinically meaningful signs that blood flow to the brain is being restored in stroke patients treated with tissue plasminogen activator (tPA). In the study, neurologic improvement of ≥4 points on the NIH Stroke Scale (NIHSS) or a score of zero 24 hours after intravenous administration of tPA with a concurrent decline in systolic BP of ≥20 mmHg was associated with a 50% incidence of recanalization after thrombolysis.
  • A new research presented at Acute Cardiovascular Care 2014 by Dr Jin Wi from Korea suggests that deficiency of vitamin D increases the risk of poor brain function after sudden cardiac arrest by seven–fold.

Pediatrics eMedinewS

  • A study from Charite University Medical Center Berlin concluded that transcutaneous bilirubin underestimates total serum bilirubin in the eight hours after phototherapy. After phototherapy, the levels of transcutaneous bilirubin (TcB) fall more quickly than total serum bilirubin (TSB). The study findings are reported online October 20th in Pediatrics.
  • Abigail Freedman, MD, attending physician at Alfred I. duPont Hospital for Children in Wilmington, Delaware reported successful decolonization of the gut by fecal microbiota transplantation in a 13–year–old girl at IDWeek 2014. The patient a history of recurrent otitis media and otomastoiditis, who persistently harbored multidrug-resistant Klebsiella pneumoniae bacteria.

Quote of the Day

  • True genius sees with the eyes of a child and thinks with the brain of a genie. Puzant Kevork Thomajan


Indian Express: The Indian Medical Association (IMA) on Saturday set a 24–hour deadline for Bihar Chief Minister Jeetan Ram Manjhi to express “regret” over his remarks regarding doctors, failing which the association would either approach the court or go on strike. The CM had landed in a soup after he said on Friday that he would “chop off the hands (of doctors) if there was any negligence in the treatment of the poor”. Manjhi had also said that he would not tolerate “any slackening in matter of health”.

His statement further strained the relationship between the government and the IMA. The CM had earlier suspended the medical superintendent of Patna Medical College and Hospital without serving a showcause notice in the wake of the stampede at Gandhi Maidan.

Manjhi, meanwhile, defended himself saying, “I cannot do anything about people who do not understand the meaning of a Hindi proverb I used. I used ‘chopping hands’ in the context of curtailing powers of negligent doctors. I am disappointed at people taking it literally.”

IMA Bihar vice–president Dr Sahjanand said, “It is a shocking statement coming from the CM. We met today but were divided over whether to go on strike or to court. We have given the CM a 24–hour deadline to express regret or we will meet tomorrow (Sunday) to decide our course of action.”

Wellness Blog

How do you know if you need a hearing test? If you answer yes to any of the questions below, talk with your doctor about having your hearing tested:

  • Are you always turning up the volume on your TV or radio?
  • Do you shy away from social situations or meeting new people because you’re worried about understanding them?
  • Do you get confused or feel “out of it” at restaurants or dinner parties?
  • Do you ask people to repeat themselves?
  • Do you miss telephone calls — or have trouble hearing on the phone when you do pick up the receiver?
  • Do the people in your world complain that you never listen to them (even when you’re really trying)?

You can also ask a friend to test you by whispering a series of words or numbers. After all this, if you think you have a hearing problem, you should have a test.

ePress Release

Shedding weight improves the relaxation functions of the heart

Shedding extra weight improves the functions of the heart regardless of whether the weight loss comes from eating less or exercising more, 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.

Moderate weight loss, around 10% of the weight, can restore heart's elasticity -- making it easier for the heart to relax between contractions and refill with blood.

With age, the body tissue accumulates collagen fibers, which cause heart muscle and arteries to become stiffer. So over time, the heart starts to take a bit longer to relax between contractions and fill back with blood. Excess weight and obesity, in particular, add to this misery by causing further worsening of the relaxing functions of the heart.

The weight can be reduced by diet alone, exercise alone or both. The end result is improvement in the heart functions so long as one loses weight.

eMedi Quiz

The buffering capacity of a buffer is maximum at pH equal to:

1. 0.5pKa.
2. pKa
3. pKa+1
4. 2pKa

Yesterday’s Mind Teaser:In a patient with a tumor in superior mediastinum compressing the superior vena cava, all the following veins would serve as alternate pathways for the blood to return to the right atrium, except:

1.Lateral thoracic vein.
2.Internal thoracic vein.
3.Hemiazygos vein.
4.Vertebral venous plexus.

Answer for yesterday’s Mind Teaser:4.Vertebral venous plexus.

Correct answers received from:Dr Jainendra Upadhyay, Dr.K.V.Sarma, Dr.Jayashree Sen & Dr.Bitaan Sen, Dr Avtar Krishan

Answer for 21st Oct Mind Teaser:2.Propionyl CoA.

Correct answers received from:Dr Avtar Krishan, Dr.Bitaan Sen & Dr.Jayashree Sen

Send your answer to email

emedipicstoday emedipics

21st Perfect Health Mela 15th October 2014

21st MTNL Perfect Health Mela 2014


Zee News – Health Wealth Shows


press release

FDA OKs first drug-eluting stents for use in MI

video of day video of day

Other Blogs

Video Library

MTNL Perfect Health Mela

Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease-free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi.

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 96458 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)


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 :


Dr Good and Dr Bad

Situation:A female smoker wanted to know her risk of diabetes.
Dr. Bad: There is no risk.
Dr. Good: You are at high risk.
Lesson: A study published in the journal ‘Diabetes Care’ has shown that females who smoke more than 20 cigarettes daily have higher chances of developing type 2 diabetes.

Make Sure

Situation:A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy. Gingival hyperplasia is a known side effect of amlodipine.

eMedinewS Humor

Blind man in a store

A blind man walks into a store with his seeing eye dog. All of a sudden, he picks up the leash and begins swinging the dog over his head.

The manager runs up to the man and asks, "What are you doing?!!" The blind man replies, "Just looking around."

Twitter of the Day

Dr KK Aggarwal: Weight gain precedes the onset of diabetes Weight gain after age of 18 years in women and 20 years in men

Dr Deepak Chopra:Who is the most powerful person in your life? What are the characteristics of a powerful person?

medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Giving an opinion on phone has no legal liability

No legal liability will fall upon the doctor as there is no contract between him and the patient. For negligence to be proved there has to be a duty, breach of that duty and resultant damage. In this case there will no breach of duty. Only if the specialist has charged fee for his opinion from the patient (patient can sue) or from the physician (patient and doctor both can sue), he or she is liable. If the fee has been paid by the referring physician, it will be deemed to be paid by the patient.

medicolegal update
  1. Sir , the shocking statement of the CM is criminal threat and intimidation and should be dealt as so, under provisions of the law, irrespective of the fact that he happens to be the CM. All the more so.. Dr Rozario

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