eMedinewS23rd February 2014,Sunday

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

Winter smoking may be dangerous

Winter smoking can precipitate heart attack, paralysis and acute rise in blood pressure.

Smoking in winter can also increase the risk of erectile dysfunction in men. Men who smoke 20 cigarettes a day are 40% more likely to struggle with erectile dysfunction than men who do not smoke. Nicotine present in smoke can constrict the blood supply to the male organ.

As per a study published in the journal Tobacco Control in men aged 16–59 the risk of erectile dysfunction is almost double in smokers than in non smokers.

In winter blood pressure and diabetes may also be uncontrolled adding to the problem of erectile dysfunction.

Obese people and people who consume more alcohol are more at risk.

Depression is also common in winter adding to the agony.

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

Why do we light a lamp during pooja?

sprritual blog

|| Deepajyothi parabrahma
Deepa Jyotir Janaardanah
Deepo harati paapaani
Sandhyaa deepa namostute ||

"I prostrate to the dawn/dusk lamp; whose light is the Knowledge Principle (the Supreme Lord), which removes the darkness of ignorance and by which all can be achieved in life."

Light symbolizes knowledge, and darkness, ignorance. Knowledge removes ignorance just as light removes darkness. The purpose of any ritual is to remove internal darkness and attain knowledge.

Vedic scriptures recommend daily lighting of the lamp as a part of pooja. Some do it once at dawn, others twice a day – at dawn and dusk – and some keep a lamp that is always lit (akhanda deepa). No auspicious function can commence without the lighting of a lamp.

Knowledge is everlasting inner wealth by which all outer achievement can be accomplished. By lighting the lamp, we bow to knowledge as the greatest of all forms of wealth. Knowledge about the self is the greatest wealth. It goes around achieving inner happiness by burning the negativity of a mind that is full of lust and ego.

The traditional oil lamp defines this spiritual significance. The oil or ghee symbolizes our vaasanas (lust, negative tendencies) and the wick, the ego. When lit by spiritual knowledge, the vaasanas get slowly exhausted and the ego too finally perishes. The flame of a lamp always burns upwards signifying that the only that knowledge should be acquired, which takes us towards higher ideals.

cardiology news

Short test of how you think

This is a test

You are driving down the road in your car on a wild, stormy night,

when you pass by a bus stop and you see three people waiting for the bus:

  1. An old lady who looks as if she is about to die.
  2. An old friend who once saved your life.
  3. The perfect partner you have been dreaming about.

Which one would you choose to offer a ride to, knowing that there

could only be one passenger in your car? Think before you continue reading.

This is a moral/ethical dilemma that was once actually used as part of a job application. You could pick up the old lady, because she is going to die, and thus you should save her first. Or you could take the old friend because he once saved your life, and this would be the perfect chance to pay him back. However, you may never be able to find your perfect mate again.


The candidate who was hired (out of 200 applicants) had no trouble coming up with his answer.

He simply answered: ‘I would give the car keys to my old friend and let him take the lady to the hospital. I would stay behind and wait for the bus with the partner of my dreams.›

Sometimes, we gain more if we are able to give up our stubborn thought limitations.

Never forget to ‘Think Outside of the Box.’


News Around The Globe

  • The European Medicines Agency’s (EMA’s) Committee for Medicinal Products for Human Use (CHMP) this week recommended approval of 6 inhaled medications for treatment of respiratory diseases. Four are intended for treatment of adults with chronic obstructive pulmonary disease (COPD), and 2 are intended for treatment of asthma and COPD. The drugs for COPD are as follows: The combination of the long–acting muscarinic antagonist umeclidinium bromide (55 μg) and the long-acting β2 agonist vilanterol (22 μg), under the brand names Anoro and Laventair, both from GlaxoSmithKline; Umeclidinium bromide (55 μg) as monotherapy, under the brand name Incruse (GlaxoSmithKline) and the long–acting β2 agonist indacaterol (85 μg) combined with the anticholinergic glycopyrronium bromide (43 μg), under the brand name Ulunar Breezhaler, from Novartis.
  • Results of a new study suggest that more stress means more headaches. Sara H. Schramm, MD, from University Hospital of University Duisburg–Essen in Germany, said that these results add weight to the concept that stress can be a factor contributing to the onset of headache disorders, that it accelerates the progression to chronic headache, exacerbates headache episodes, and that the headache experience itself can serve as a stressor. The results were released February 19 and will be presented at the upcoming 66th Annual Meeting of the AAN annual meeting in Philadelphia, Pennsylvania, in April.
  • The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency has recommended granting marketing authorization for canagliflozin/metformin (Vokanamet, Janssen–Cilag International NV) for the treatment of type 2 diabetes, according to a February 20 statement.
  • The American College of Obstetricians and Gynecologists (ACOG) Committee on Health Care for Underserved Women has released recommendations on what obstetricians and gynecologists can do to initiate dialogs with patients and to address the epidemic of overweight and obesity in the United States published online February 19 and in the March issue of Obstetrics & Gynecology.
  • Women transitioning into menopause saw their waist circumference decrease, diastolic blood pressure fall, and frequency of self–reported hot flashes decline after participation in a 6–month individualized intervention program to control central obesity. The results are published online February 10 in Menopause.

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

eMedinewS e–gifts to our readers

This is the age of smartphones. To improve usability and readability, eMedinewS has launched a mobile app of the newsletter for its readers. You can now also view eMedinewS on your smart phones or iPads.

The eMedinewS app is now available for free  emedinewsdownload.

The various icons for downloading are provided on the top of the newsletter. Choose the icon that is compatible with your device, whether emedinewsiPhone, emedinewsAndroid, emedinewsBlackberry, emedinewsiPad, emedinewsDesktop/Windows phone or emedinewsGSM
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. RIGs are not required (WHO 2007). However, in laboratory confirmed rabies exposures, irrespective of past rabies immunization, full course of PEP and RIGs is recommended. In rabies, it is safer to over treat than under treat.

cardiology news

Carbohydrates as substitute to saturated fats not the answer

More than 20 prospective studies have addressed components of diet and the risk of heart disease.

The type of fat consumed appears to be more important than the amount of total fat.

Trans fatty acids increase risk of heart disease while polyunsaturated and monounsaturated fats decrease risk.

There is controversy about whether it is optimal to substitute saturated fats with carbohydrate. An increase in carbohydrate tends to reduce the level of good high density lipoprotein (HDL) cholesterol in addition to total and low density lipoprotein (LDL) cholesterol. Thus, the reduction in heart disease risk may be less than predicted by the reduction of saturated fat alone.

Observational studies have consistently shown that individuals consuming diets high in vegetables and fruits (which are rich in antioxidant vitamins) had a reduced risk of heart disease.

Results of a number of randomized trials are now available and show largely no significant clinical benefits of antioxidant vitamins on heart disease.

Supplemental vitamin C, E, and beta carotene cannot be recommended in the primary prevention of CHD.

Taking supplements without clinical benefits could, in theory, increase the risk if individuals mistakenly avoid therapeutic lifestyle changes or drug therapies with proven benefits.

cardiology news

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

  • One–year mortality in MI patients is significantly higher in those with underlying chronic obstructive pulmonary disease (COPD) than in patients with no underlying lung disease, data from a large Swedish registry show. Strikingly, however, this increased risk falls substantially in analyses that controlled for both comorbidities and treatment patterns, pointing to significant undertreatment of cardiovascular disease in this group. The findings are published in the inaugural issue of Open Heart.
  • In a study in Circulation: Cardiovascular Imaging, complex left atrial appendage (LAA) morphology was a risk factor for LAA thrombus in a prospective series of patients with atrial fibrillation (AF), independent of clinical predictors and echocardiographic markers of blood stasis. Patients with LAA thrombi were overwhelmingly more likely to show three or more LAA lobes by three–dimensional transesophageal echocardiography (3D TEE), while those without LAA thrombi were more likely to show only one or two lobes.
cardiology news

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

  • The American College of Obstetricians and Gynecologists (ACOG) has endorsed the national recommendations for vaccination with the human papillomavirus (HPV) vaccine and recognize the role obstetrician/gynecologists can have in public education and catch–up vaccination. The Advisory Committee on Immunization Practices of the Centers of Disease Control and Prevention (CDC) recommends that children of both sexes receive the human papillomavirus (HPV) vaccine starting at 11 or 12 years of age, with catch-up doses recommended up to 26 years of age for people who have not yet been vaccinated. The recommendations are published in the March issue of Obstetrics & Gynecology.
  • Two studies suggest that genetic differences in how infants respond to food may play a role in obesity risk. In the first study, among newborn sets of twins, the twin with higher responsiveness to food and lower satiety gained more weight than the twin who was more easily sated. The other study found that infants with a higher genetic risk score –– based on findings from earlier genome-wide association studies (GWAS) –– had reduced satiety and higher body mass index (BMI) than those with a lower risk profile. Both studies were published online in JAMA Pediatrics.
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

web mediawebmediawebmedia
press release

TB more dangerous than FLU

TB especially multi drug resistant is more dangerous and contagious that swine flu 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.

Respiratory secretions are of two sizes less than and more than 5 microns. The ones, which are more than 5 microns like H1N1, are heavy and can not remain suspended in the air and immediately will settle down on the surface and are called droplet infections. They need contact precautions and three feet air precautions. Surgical three– layered mask is sufficient to prevent infections spreading to others.

The ones smaller than 5 microns are called droplet-nuclei infections, are lighter, can remain suspended in the air and move from one place to other with the air movement and needs air born precautions including N95 mask, air born isolations rooms with 6 exchanges per hour, HEPA filter exhausts, closed rooms etc.

Most of the centers in the country do not have facilities to tackle TRB, which alone kills over 2500 people in Delhi every year. In India if all the efforts are diverted to TB prevention swine flu will be wiped out automatically.

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 86664 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

Mega heart checkup camp by Heart Care Foundation of India at Sagar,Madhya Pradesh 20th February 2014

press release

Vitamin D intake associated with reduced risk for Crohn’s disease

vedio of day

today video of the dayHands only CPR 10 Utsav,15th December 2013

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

Padma Shri & Dr B C Roy National Awardee,Dr KK Aggarwal on Tackling tension headaches

eMedi Quiz

The following separation technique depends on the molecular size of the protein:

1.Chromatography on a carboxymethyl (CM) cellulose column.
2.Iso–electric focusing.
3.Gelfiltration chromatography.
4.Chromatography on a diethylaminoethly (DEAE) cellulose column.

Yesterday’s Mind Teaser: : The substances present in the gall bladder stones or the kidney stones can be best identified by the following technique:
1. Fluorescence spectroscopy.
2. Electron microscopy.
3. Nuclear magnetic resonance.
4. X–ray diffraction

Answer for yesterday’s Mind Teaser: 4.X–ray diffraction.

Correct answers received from: Arvind Gajjar, Dr Jainendra Upadhyay, Sangeetha Raja Dr.Bitaan Sen & Dr.Jayashree Sen, Anil Bairaria, Dr Chandresh Jardosh, DR AVTAR KRISHAN, Dr. SUSHMA CHAWLA, Dr B K Agarwal, Dr.B.R.Bhatnagar, Achin Rawat,Dr Prakash Khalap, Dr.Rohini Dhillon, Dr S B Sood

Answer for 20th February Mind Teaser:2 Sympathetic ophthalmia

Correct answers received from: Dr.Rohini Dhillon,Dr S B Sood

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Embarrassing Traffic Stop

A police car pulled me over near the high school where I teach. As the officer asked for my license and registration, my students began to drive past. Some honked their horns, others hooted, and still others stopped to admonish me for speeding. Finally the officer asked me if I was a teacher at the school, and I told him I was. "I think you’ve paid your debt to society," he said with a smile, and left without giving me a ticket

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: : A diabetic patient’s wound was not healing.
Reaction:Oh my God! Why is his A1c still more than 8?
Lesson: to control diabetes in such cases. Every 1% increase in hemoglobin A1c was associated with almost a 0.03 cm2 reduction in daily rate of wound resolution.

medicolegal update

Where there is determination there is success

Think of all that you wanted to achieve in the past few days. Now check if you have achieved it or are still trying for it. Check if you have left anything midway. Pick out one of the things that you wanted to achieve or create an aim for yourself and think, "I am the one who is victorious and I will achieve whatever I set out to. I will not leave any task unfinished."

medicolegal update

Dr KK Aggarwal: Cleaning your home may worsen asthma http://bit.ly/15QdVeB #Health
Dr Deepak Chopra:The most positive action we can take about the past is to change our perception of it http://bit.ly/WAHF_Am #WAYHF

Forthcoming events

Date: Saturday 2PM-Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

medicolegal update
  1. Dear Sir,very informative news Regards:Dr Tapan

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

Our Sites

media advocacy