eMedinewS23rd January 2014, Thursday

Dr K K AggarwalPadma 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; Chairman Ethical Committee Delhi Medical Council, 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

Limit paracetamol to 325 mg in combination painkillers

The US FDA is asking healthcare professionals to stop prescribing combination prescription pain relievers that contain more than 325 mg of paracetamol (acetaminophen) per tablet, capsule, or other dosage unit, citing the risk for liver damage.

The action targets prescription analgesics that contain both paracetamol and another ingredient, typically opioids such as codeine, oxycodone, and hydrocodone. Some of these combination products now have as much as 750 mg of paracetamol per dose.

As per FDA there is no data to show that taking more than 325 mg of paracetamol per dosage unit provides additional benefit that outweighs the added risks for liver injury.

Limiting the amount of paracetamol per dosage unit will reduce the risk of severe liver injury from inadvertent paracetamol overdose, which can lead to liver failure, liver transplant, and death.Cases of severe liver injury with paracetamol have occurred in patients who took more than the prescribed dose of a paracetamol –containing product in a 24–hour period; took more than 1 paracetamol –containing product at the same time; or combined alcohol with paracetamol products.The FDA said it will address over–the–counter (OTC) pain relievers and cold, sinus, and cough medicines that contain paracetamol in a separate regulatory action. Normally, the maximum level allowed for these products is 500 mg, although a few extended-action pain relievers that are taken less frequently can go up to 650 mg.

Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV

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 mantra
VIP’s on CPR 10 Mantra Video
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

How to Improve Your Soul Profile

sprritual blog

1. What is my purpose of life?

2. What is my contribution going to be for my friends and family?

3. Three instances in my life when I had my peak experiences.

4. Names of three people who inspire me the most.

5. Three qualities which I admire the most in others.

6. Three of my unique talents.

7. Three qualities I best express in my relationship.

These 21 answers will characterize one’s soul profile and can be used as a passport for every action performed in life and to be used as a reference in any difficulty. The principle is that in everyday life, one should act from the Soul Profile and not from the Ego Profile. While the Soul profile cannot be manipulated, the Ego Profile can be. (Source Deepak Chopra)

cardiology news

A mountain of dirt

It’s always a great idea to keep the front lawn looking tidy and to repair any problems. With this thought in mind, we had delivered a dump truck full of topsoil in order to fill in two large holes created when two old tree stumps were removed.

The big, big mound of earth sat there dumped 200 feet away from these holes waiting for me to begin the process. What had started out as a great idea soon soured when I realized that this big, big mound of earth was not going to move itself and seemed overwhelming. All I could see, as I stood beside it with my shovel and wheelbarrow, was a dump truck full of topsoil; a mound of earth that looked more like a mini–mountain than a pile of earth that would be a simple Saturday afternoon chore. Oh my goodness, why did I ever think that this hole filling, lawn repair project, was something I would be able to tackle?

After staring at this pile of topsoil for ten minutes wondering whether I should hire someone to do what I just couldn’t see myself doing, an old Chinese proverb came to mind, "A journey of a thousand miles begins with a single step." The translation of this proverb to the task at hand immediately became obvious. I needed to take one shovel at a time until a wheelbarrow was full, and then keep filling one wheelbarrow at a time and dumping it until one hole was full then simply repeating the process until both holes were finished.

You see, what I had to remind myself was that what might at first appear as an overwhelming task, or something I couldn’t see myself doing, would be resolved by simply taking one step at a time, or one action at a time, over and over again.

Projects, problems, or one’s own need to learn a new job or career skill has the same application. Every difficult goal that, at first, may be viewed as an insurmountable obstacle can be resolved when you implement a strategy that requires only one–step at a time. Each action taken moves you forward, continuous progress is seen, and the final goal is closer and closer until it is accomplished.

News Around The Globe


  • GAPIO held its IV Annual Conference on 11th-12th January 2014 at Hotel ITC Sonar, Kolkata India The City of Joy, Kolkata, India, was humming with delegates from India and overseas particularly from USA, U.K., Australia, Russia, Africa and Middle East who came here to participate in a two day International Conference of Global Association of Physicians of Indian origin (GAPIO) that began on 11th January to discuss solutions in healthcare for improving health worldwide. Dr Prathap C Reddy, Chairman of Apollo Hospitals Group and Founder President of GAPIO, who has played a significant role as architect of modern healthcare in India, chose the theme "The Non Communicable Diseases Epidemic – Meeting the Challenges" for this conference. Renowned National and International faculty spoke at seven clinical sessions comprising of Cardiac Sciences, Neurosciences, Diabetes, Gastroenterology and Liver Transplantation, Robotics, Nephrology/Kidney Transplantation and Oncology during the conference. The session – "GAPIO making an impact" was the highlight. More than 300 delegates from India and overseas attended the conference.

    Shri Amit Mitra, Hon’ble Minister of Finance, Govt. of West Bengal was the chief guest and Dr. Prathap C. Reddy–Chairman Apollo Hospitals Group, Dr.Sanku Rao–Vice President, GAPIO, Dr. Ramesh Mehta–Secretary General, GAPIO were also present apart from other dignitaries Mr. Y C Deveshwar – Chairman of ITC Limited, Mr. Sanjiv Goenka, Chairman of RP – Sanjiv Goenka Group of Companies, Mr. Harshvardhan Neotia, Chairman, Ambuja Neotia Group and Dr. Muzaffer Ahmad, Member of NDMA, were also present on this occasion.

    Dr. Ramesh Mehta, Secretary General shared the progress of new GAPIO projects like Total Health – Aragonda Project, Swaasth web site in collaboration with Government of India. Dr. Sandip Mukerjee and Dr. Sudhir Parikh were honored with GAPIO Lifetime Achievement Award. GAPIO Service Excellence Awards were given to 14 GAPIO members. Next Mid–Year conference will be held in the month of August 2014 at Sydney, Australia. Next annual conference of GAPIO will be held on 10th and 11th January 2015 at Chandigarh.
  • A single injection of mesenchymal stem cells (MSCs) into the meniscus after knee surgery is safe, relieves osteoarthritis (OA) pain, and may facilitate regeneration, according to results of a small study published in the January 15 issue of the Journal of Bone and Joint Surgery.
  • A new study published online January 12 in the journal Nature Neuroscience suggests that caffeine appears to have an enhancing effect on memory consolidation.
  • Researchers from Denmark have described a new test for pancreatic cancer based on detecting microRNAs in whole blood in the January 22/29 issue of JAMA. MicroRNAs are small noncoding single–stranded RNAs (about 18 to 24 nucleotides) that act on target genes at the messenger RNA level to promote oncogenesis.
  • A new study in healthy women published in the February issue of the Journal of Nutrition suggests that consuming high levels of flavonoids, including compounds found in berries, tea, grapes, and wine, could potentially lower the risk of type 2 diabetes.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

If a person is on antimalarials or steroids or taking immunosuppressant drug, what is the schedule for rabies vaccine?

The vaccine on Day 0 (first injection) must be doubled and given at two sites (deltoids or thigh in young children). In category II exposures, it is recommended to administer even RIGs along with vaccine. Rest of the schedule is same as for any other patient.

cardiology news

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

  • Statins may have a role in reducing mortality in patients with heart failure and preserved ejection fraction (HFpEF). In pooled results of observational studies, statin use was associated with a 40%reduction in the risk of dying through up to 10 years of follow–up (RR 0.60, 95% CI 0.49–0.74), according to Xiao–Hong Huang, MD, PhD, of Fu Wai Hospital in Beijing, and colleagues. The reduction was significant both for studies that followed patients for less than 5 years (RR 0.34, 95% CI 0.15–0.77) and for those that followed patients for longer (RR 0.64, 95% CI 0.47–0.89), the researchers reported online in the American Journal of Cardiology.
cardiology news

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

  • Public health researchers from The University of Manchester have found single dietary interventions are not effective at increasing fruit and vegetable consumption among overweight children and will not halt the global epidemic in childhood obesity. The team from Manchester Urban Collaboration of Health (MUCH), based at the University, says broader public health strategies are needed instead as obesity figures continue to rise. The findings were published in the Journal of Epidemiology and Community Health.
cardiology news

Ten ways to ease neck pain

  1. Don’t stay in one position for too long
  2. Position your computer monitor at eye level.
  3. Use the hands–free function on your phone or wear a headset.
  4. Prop your touch–screen tablet on a pillow so that it sits at a 45° angle, instead of lying flat on your lap.
  5. Keep your glass prescription up to date otherwise you tend to lean your head back to see better.
  6. Don’t use too many pillows as it can stifle your neck’s range of motion.
  7. Before you move a big armoire across the room, consider what it might do to your neck and back, and ask for help.
  8. Get a good night’s sleep.
  9. See your doctors if neck pain is associated with radiating pain, weakness, or numbness of an arm or leg.
  10. Also see the doctors if you have fever or weight loss associated with your neck pain, or severe pain. (Source Harvard)
cardiology news

Total CPR since 1st November 2012 – 84500 trained

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press release

Hepatitis A, E and Typhoid are the hygiene markers of a city

It is diseases such as jaundice with hepatitis A in children and E in adults, typhoid, cholera and gastroenteritis that reflect the hygiene status of a city and not the occurrence of dengue and malaria, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

Dr. Aggarwal said that food and water–borne diseases can be eradicated by the following public awareness formula: "Heat it, boil it, cook it, peel it or forget it". When in doubt follow this principle. Explaining this, Dr, Aggarwal said that in an unhygienic environment, one can eat an orange or a banana but not tomato or apple. Other steps are:

  • Do not take salad that has been left open for more than 2 hours even if it is washed properly.
  • Do not take cooked food that has been left on the table for more than 2 hours.
  • Vegetables grown under the ground or over the surface of the ground should be washed properly before eating them raw. They may be the biggest source of worm infection in the brain, a condition called neurocysticercosis.
  • Boiled water is the safest water to drink.
  • Ice made from unhygienic water can be the source of most water–borne diseases.
  • It is our duty to keep our home and city as clean as possible. We must regard our city as our extended home, a garden as our farmhouse and roads as are our personal walking tracks.

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 84500 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."

emedipicstoday emedipics

GAPIO held its IV Annual Conference on 11th–12th January 2014 at Hotel ITC Sonar, Kolkata India.

press release

Mammography survival benefit

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

Central nervous system manifestations in chronic renal failure are a result of all of the following, except:

1. Hyperosmolarity.
2. Hypocalcemia.
3. Acidosis.
4. Hyponatremia.

Yesterday’s Mind Teaser: An increased incidence of cholangiocarcinoma is seen in all of the following, except:

1. Hydatid cyst of liver.
2. Polycystic disease of liver.
3. Sclerosing cholangitis.
4. Liver flukes.

Answer for yesterday’s Mind Teaser: 1. Hydatid cyst of liver.

Correct answers received from: Dr B K Agarwal, Dr AK Gajjar, Dr P C Das, Valluri Ramarao, Dr K Raju, Sangeetha Raja, Daivadheenam, Dr Avtar Krishan, Muthumperumal Thirumalpillai, Dr Shilpa Sharma, Dr Prakash Khalap.

Answer for 21st January Mind Teaser: 2. Tricuspid valve

Correct answers received from: Dr (Maj. Gen.) Anil Bairaria, Dr Shilpa Sharma.

Send your answer to ijcp12@gmail.com

medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

Chess Playing Dog

A man went to visit a friend and was amazed to find him playing chess with his dog. He watched the game in astonishment for a while. "I can hardly believe my eyes!" he exclaimed. "That’s the smartest dog I’ve ever seen."

"Nah, he’s not so smart," the friend replied. "I’ve beaten him three games out of five."

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A rape victim became pregnant.
Reaction: Oh my God! Why was emergency contraceptive not given to her?
Lesson: Make sure that all victims of rape are given an emergency contraceptive.

medicolegal update

Do not follow where the path my lead. Go instead where there is no path and leave a trail. George Bernard Shaw

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/15QdVeB #Health
Dr Deepak Chopra:Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. http://bit.ly/15QdVeB #Health

medicolegal update
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