eMedinewS24th November 2013, Sunday

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; 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

Choosing Wisely: 5 Headache Interventions Discouraged

The American Headache Society has released a list of specific tests or procedures that are commonly performed but not always necessary in the treatment of migraine and headache.

  1. Don’t perform neuroimaging studies in patients with stable headaches that meet criteria for migraine.
  2. Don’t perform computed tomography imaging for headache when magnetic resonance imaging is available, except in emergency settings.
  3. Don’t recommend surgical deactivation of migraine trigger points outside of a clinical trial.
  4. Don’t prescribe opioid or butalbital–containing medications as first–line treatment for recurrent headache disorders. 5. Don’t recommend prolonged or frequent use of over–the–counter (OTC) pain medications for headache.

The list was published October 29 in the journal Headache.

TCT 2013 Update: Cardiology Trials

OPTIMIZE: Three months’ DAPT okay after zotarolimus stent: Three months of aspirin plus clopidogrel following PCI with a zotarolimus–eluting stent (Endeavor, Medtronic) proved noninferior to the recommended 12 months of dual antiplatelet therapy (DAPT) in the OPTIMIZE study. Results were published in JAMA and presented by Dr Fausto Feres of Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil.

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."

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

Mini–Relaxation Exercises: When you’ve Got One Minute

sprritual blog

• Place your hand just beneath your navel so you can feel the gentle rise and fall of your belly as you breathe. Breathe in. Pause for a count of three. Breathe out. Pause for a count of three. Continue to breathe deeply for one minute, pausing for a count of three after each inhalation and exhalation.

• Or while sitting comfortably, take a few slow deep breaths and quietly repeat to yourself "I am" as you breathe in and "at peace" as you breathe out. Repeat slowly two or three times. Then feel your entire body relax into the support of your chair. (Harvard Medical school)

cardiology news

Mother’s Love

The Vietnam War broke out. Followed the heart, the young husband joined the military and sacrificed his life leaving behind his wife and kids.

Life postwar was very hard, often with not enough food to eat. Still young and beautiful, the wife refused to remarry and dedicated her entire life to raise her kids with the best possible care and education. An opportunity came; the first born son immigrated to America, studied hard and became a NASA Engineer having a good life.

The son sent home letters often, together with much money for mom to spend, however, Christmas after Christmas, New Year after New Year, with the many excuses, the son stubbornly refused to travel home to visit mom. When the mother died, the son returned and organized a big funeral but people did not see him shedding a tear.

Mother left behind a chest that she always placed at the top of her bed. During the funeral, the son opened the chest and suddenly burst into tears, sobbed, embraced his mother’s coffin and screamed hysterically, "Mom! Mom!"

Everyone looked at each other and looked at the chest. It was full of $100 dollar bills and a piece of paper. In it read, "Son, I don’t spend too much money. I miss you a lot. Every time I hear a motorcycle passing by, I run out the door but it wasn’t my son. I saved this money for you in case when you get sick."

News Around The Globe


  • Patients with mild concussions showed abnormal brain structural patterns that persisted long after clinical symptoms had resolved. In the study reported online in Neurology, diffusion tensor imaging in 26 patients with mild traumatic brain injury (TBI) showed increases in mean fractional anisotropy, a marker of gray matter injury, in the superior frontal cortex that persisted on the left side 4 months after the injury in the patients relative to healthy controls.
  • Antibiotics are the most common identifiable cause of perioperative anaphylaxis, according a new Cleveland Clinic study presented at the American College of Allergy, Asthma & Immunology (ACAAI) 2013 Annual Scientific Meeting.
  • The US FDA has approved the first adjuvant vaccine for influenza A H5N1 — a form of bird flu — that is designed to maximize the number of doses available during a possible pandemic. The new vaccine is indicated for individuals 18 years of age and older who have a higher risk of exposure to the virus.
  • Levels of the serum biomarker S100B, in combination with S100B antibody levels, can be used to accurately identify brain metastases in patients with lung cancer, according to a new study presented at CHEST 2013. S100B is a protein found in the brain, muscle, and fat. It is synthesized by astrocytes in the brain and released into the bloodstream when the blood–brain barrier is disrupted. Because the growth of metastatic lesions in the brain compromises the integrity of the blood–brain barrier, investigators postulated that serum levels of S100B could be a possible biomarker of brain metastases.
  • Blind patients with a rare circadian rhythm condition called non–24–hour sleep-wake disorder, or non–24–hour, that affects their sleep and quality of life may soon rest a little easier. The US FDA’s Peripheral and Central Nervous System Drugs Advisory Committee (PCNS) almost unanimously agreed that tasimelteon (Vanda Pharmaceuticals Inc), a melatonin agonist, has been proven to be effective and safe for patients with non–24–hour.

eMedinewS e–gifts to our readers

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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)

What precautions should be taken while vaccinating by the ID route?

  • The ID injections must be administered by staff trained in this technique.
  • The vaccine vials must be stored at +2°C to + 8°C after reconstitution.
  • The total content should be used as soon as possible, but at least within 8 hours.
  • The 0.1 ml ID administration of cell–culture vaccine should create a wheal of at least 5 mm diameter with "peau de orange" appearance.
  • If ID dose is given subcutaneously then there is a possibility of poor immune response due to low antigen load. This may be life–threatening.
cardiology news

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

  • An attempt to reduce sodium intake in rural Chinese villages by subsidizing the cost of a salt substitute met with modest success. Nicole Li, PhD, a research fellow at the George Institute for Global Health, Sydney reported at the AHA Scientific Sessions that sodium intake after the pricing intervention was 230 mmol in the group getting the subsidy and health education, compared with 243 mmol a day among the control population –– a 13 mmol decrease that achieved statistical significance.
  • The density of calcium in coronary artery plaque is inversely and significantly associated with heart disease and stroke risk independent of calcium volume and should be considered whenever calcium scanning is used to assess patient risk. A new analysis of data from the Multi–Ethnic Study of Atherosclerosis (MESA) trial found that in CT scanning for coronary artery calcium (CAC), Agatston area or volume scores alone were not optimal measures for predicting cardiovascular risk. The study findings are published online ahead of print in the Journal of the American Medical Association.
cardiology news

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

  • Less than 5% of parents think their child is at risk for high–frequency hearing loss despite the silent epidemic affecting almost 20% of adolescents, according to results of an Internet-based survey published online November 21 in JAMA Otolaryngolgy–Head Neck Surgery. According to the authors, few parents believe that their teenager is at risk of hearing loss and most parents have a poor understanding of hazardous noise exposures for adolescents. However, the 19.5% prevalence of hearing loss among 12– to 19–year–olds is comparable to the 18.4% obesity rate, which gets much more attention.
  • Neither the use of prednisone nor the presence of active disease in pregnant women with rheumatoid arthritis lowered their children’s bone mineral density (BMD) later in childhood. In a study reported online in Arthritis & Rheumatism, at age 7 years, no negative association was seen for children’s total body BMD or lumbar spine BMD if their mothers had been treated with prednisone while pregnant. There also was no negative correlation for the children’s total body BMD or lumbar spine BMD and maternal disease activity scores during the first trimester.
cardiology news

Do not take more than 4 grams paracetamol in a day

Supratherapeutic amounts of paracetamol are given to at least 4% of adult inpatients a review by Dr Li Zhou at Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts and published in the journal Archives of Internal Medicine.

Paracetamol is one of the most widely used medications for relieving pain and reducing fever, but it is also the most common cause of acute liver failure.

In the study

  • About 6.6% of all hospitalized adults were given in excess of 4 g/day.
  • The recommended limit of 3 g/day was exceeded by 22.3% of patients 65 years or older and 17.6% of patients with chronic liver disease.
  • Half of the occurrences of supratherapeutic dosing were at least 5 g/day.
  • Forty percent of patients were given supratherapeutic dosing for at least 3 days and 4.0% for at least 10 days.
  • Osteoarthritis was associated with an increased likelihood of supratherapeutic dosing
cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

Blood Donation Lowers the Risk of Heart Attack

Government policy should change from replacement donor to 100% voluntary donor, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India. He said that it is possible that under the disguise of replacement donor a professional donor will enter into the system. He also said that under replacement blood donor system a patient requiring multiple transfusions or patients who are from outstation may find it difficult to get replacement donors.

He also said that no blood donation is 100% safe. Diseases can still be in the window period and get transmitted even if the blood tests are negative. Sophisticated blood tests detecting antigens of the organisms are not done in the country, either the tests are costly or not available in blood banks. They are also not mandatory under the national policy. Donating blood reduces the chances of heart attack. People who regularly donate blood are healthier than people to have never donated blood. One should every year donate blood either on their birthday or on the Blood Donor’s Day.

He said that blood is the precious gift which one can give to somebody unknown. It is possible that one unit of donated blood can save multiple lives.

More than 70,000 units of blood are required in Delhi every month. More camps should be organized by non medical associations so that the shortage of blood can be taken care of.

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 71933 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

CSR Activity by Heart Care Foundation of India on the Diabetes Day

press release

An orange a day keeps stroke away

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

The primary role of chaperones is to help in:

1.Protein synthesis.
2.Protein degradation.
3.Protein denaturation.
4. Protein folding.

Yesterday’s Mind Teaser: The conversion of an optically pure isomer (enantiomer) into a mixture of equal amounts of both dextro and levo forms is called as:


Answer for yesterday’s Mind Teaser: 3.Racemization.

Correct answers received from: Dr.Dinesh Narain Saksena, Dr Shaukat N Panjawani, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr.Bitaan Sen & Dr.Jayashree Sen, DR AVTAR KRISHAN

Answer for 22nd November Mind Teaser: 3. Leaves extension at elbow joint intact.

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen, DR AVTAR KRISHAN

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

A man walked into his doctor’s office complaining that he had lost all hearing in his right ear. "Let me take a look," said the doctor. "I see the problem. You’ve got a suppository stuck in your ear!"

The patient asked to use the phone, called home and said, "Margaret, you can stop looking for my hearing aid. I know where it is."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with renal failure came to a doctor.
Reaction: Oh, my God! Why was he given painkillers?
Lesson: Make sure to remember that most painkillers (barring nimesulide) are not kidney–friendly drugs.

medicolegal update

Success is not a destination, it’s a journey. Zig Ziglar

medicolegal update

Dr KK Aggarwal: Sudden Cardiac Death By Dr k k Aggarwal http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: How to Handle Difficult People | LinkedIn http://www.linkedin.com/today/post/article/20130822022815–75054000–how–to–handle–difficult–

Forthcoming events

Quality Management in Healthcare Delivery

Pushpanjali Crosslay Hospital, a 350+ bedded NABH & NABL accredited multi super specialty hospital is organizing its 5th Annual Conference "PCCON 2013" in association with Indian Medical Association (East Delhi Branch & West Ghaziabad Branch) on November 23–24, 2013 at Hotel Country Inn, Sahibabad, Ghaziabad.

Chairperson : Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal
Day & Date : Sunday, 24th Nov, 2013

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm

Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Sir, Very Informative News. Regards: Dr Ratan

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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

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