eMedinewS24th June 2014, Tuesday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

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

When should aspirin be stopped before non cardiac surgery?

For patients taking aspirin for primary or secondary prevention of cardiovascular disease, one should stop aspirin seven days before noncardiovascular surgery.

The best evidence regarding the impact of aspirin on outcomes comes from the POISE–2 trial in which 10,010 patients scheduled for noncardiac surgery, with or at risk of atherosclerotic disease, were randomly assigned to either aspirin or placebo.

The primary outcome of death or nonfatal heart attack at 30 days was similar in both groups as well as between those who were taking long–term aspirin and those who were not. As expected, major bleeding was more common in the aspirin group.

Based on POISE–2, the recommendation is to stop aspirin about seven days before noncardiovascular surgery.


Dear Friends

I am sure you all will be very happy to know this. Dr Navin Nanda was bestowed earlier this month the Honorary Degree of Doctor of Science D.Sc (Hon) from Sakarya University, near Istanbul, Turkey. It is one of the leading Universities in Turkey and it is the first time they have given such a degree to any outside physician. The President and the Senate of the University selected him for this honor because of his outstanding contributions in cardiology and medicine.

News Around The Globe

  • Obese pregnant women who adhere to an intensive nutrition and exercise program in their first trimester may gain less weight and have fewer pregnancy complications compared to their counterparts who receive standard prenatal care, reported a study presented at the ICE/ENDO 2014.
  • A new study, presented recently at the ICE/ENDO 2014, has revealed that women who have low blood levels of the peptide kisspeptin during their first trimester of pregnancy are significantly more likely to have a miscarriage. Researchers stated that a plasma kisspeptin test early in pregnancy could successfully identify the risk for miscarriage before 26 weeks’ gestation in asymptomatic women.
  • Needling devices that prick the skin with 1mm or 2mm needles on a roller can improve acne scars, reported a recent trial published online in JAMA Dermatology. While the patients reported a 41% improvement in their acne scars with the devices, dermatologists blinded to treatment procedures also reported a statistically significant improvement in scars treated with these devices.
  • The US FDA has warned that the commonly used intravenous chemotherapy docetaxel may cause patients to experience intoxication or feel drunk during and after treatment. The FDA is thus revising the labels of all docetaxel products to warn about the risk for intoxication.
  • An investigational MEK inhibitor selumetinib continues to show benefit in patients with uveal melanoma, a rare form of melanoma that affects the eye. In a randomized controlled trial of selumetinib in uveal melanoma, tumor responses were better and progression–free survival (PFS) time longer with selumetinib than with chemotherapy. The study is published in the June 18 issue of JAMA.

Rabies News (Dr A K Gupta)

If RIG is inadequate to infiltrate extensive wounds, what should be done?

If RIG is inadequate to infiltrate extensive wounds, the RIG should be diluted with normal saline. This is a particular issue in children, whose body weight may be small in relation to the size and number of wounds.

Cardiology eMedinewS

  • Researchers at the Stanford University have devised a noninvasive way to detect heart transplant rejection weeks or months earlier than previously possible. The test depends on the detection of increasing amounts of the donor’s DNA in the blood of the recipient and does not require the removal of any heart tissue. The findings have been published in Science Translational Medicine.
  • A new study by researchers at the University of Copenhagen and Rigshospitalet has shown that people with variation in a gene that inhibits a specific protein in the blood – the apolipoprotein C3 – have significantly lower levels of normal blood lipids than people without this gene variation, and also have a 41% lower risk of arteriosclerosis. The findings are published in the New England Journal of Medicine.

Pediatrics eMedinewS

  • A new research published in Psychological Science, a journal of the Association for Psychological Science, has shown that a moral story that praises a character’s honesty may be more effective at getting young children to tell the truth than a story that stresses upon the negative repercussions of lying. Researchers stated that emphasizing the positive outcomes of honesty rather than the negative consequences of dishonesty appears to be the key.
  • There may be an association between child abuse and the reduction of gray matter in the brain that is responsible for information processing, according to a new study published in the American Journal of Psychiatry. The study authors noted that individuals who had been exposed to childhood maltreatment had much smaller volumes of gray matter in certain brain areas, compared to those who had no such history.

Dr K K Spiritual Blog

What is the importance of silence?

True silence is the silence between thoughts and represents the true self, consciousness or the soul. It is a web of energized information ready to take all provided there is a right intent. Meditation is the process of achieving this silence.

Observing silence is another way of getting benefits of meditation. Many yogis in the past have recommended and observed silence now and then. Mahatma Gandhi used to spend one day of each week in silence. He believed that abstaining from speech brought him inner peace and happiness. On these days, he communicated with others only by writing on paper.

Hindu principles also talks about a correlation between mauna (silence) and shanti (harmony). Mauna Ekadashi is a ritual followed traditionally in our country. On this day the person is not supposed to speak at all and keep complete silence throughout day and night. It gives immense peace to the mind and strength to the body. In Jainism this ritual has a lot of importance. Nimith was a great saint in Jainism who long ago asked all Jains to observe this vrata. Some people recommend that on every ekadashi one should observe silence for few hours in a day if not the whole day.

Deepak Chopra in his book 7 Laws of Spiritual Success talks in great detail about the importance of observing silence in day to day life. He recommends that everyone should observe silence for 20 minutes everyday. Silence helps redirecting our imagination towards self from the outer atmosphere. Even Swami Sivananda in his teaches recommends daily observation of mauna for 2 hours for ekadashi, take milk and fruits everyday, study daily one chapter of Bhagwad Gita, do regular charity and donate one-tenth of the income in the welfare of the society.

Ekadashi is the 11th day of Hindu lunar fortnight. Ekadashi is the day of celebration occurring twice a month, meant for meditation and increasing soul consciousness. Vinoba Bhave was the great sage of our country who is known for this bhoodaan movement. He was a great advocator and practical preacher of mauna vrata.

Mauna means silence and vrata means vow hence mauna vrata means vow of silence. Mauna was practiced by saints to end enmity and recoup their enmity. Prolonged silence as the form of silence is observed by the rishi munis involved for prolonged periods of silence. Silence is a source of all that exists. Silence is where conscious dwells. There is no religious tradition which does not talk about silence. It breaks outward communication and forces a dialogue towards inner communication. This is one reason why all prayers, meditation and worship or any other practice whether we attune our mind to the spiritual consciousness within are done in silence. After the death of a person it is a practice to observe silence for two minutes. The immediate benefit is that it saves a tremendous amount of energy.

Silence is cessation of both sensory and mental activity. It is like having a still mind and listening to the inner mind. Behind this screen of our internal dialogue is the silence of spirit. Meditation is the combination of observing silence and the art of observation.

Wellness Blog

Water Hygiene

Safe water is an essential commodity for prevention of most water and food–borne diseases like diarrhea, typhoid and jaundice. These diseases are 100% preventable. All of them can be lethal if not prevented, diagnosed or treated in time. Transmission of parasitic infections can also occur with contaminated water. Here are a few tips:

  1. Travelers should avoid consuming tap water.
  2. Avoid ice made from tap water.
  3. Avoid any food rinsed in tap water.
  4. Chlorination kills most bacterial and viral pathogens.
  5. Chlorination does not kill Giardia cysts.
  6. Chlorination does not kill amoeba cysts.
  7. Chlorination does not kill Cryptosporidium.
  8. Boiled water is safe.
  9. Treated water is safe.
  10. Bottled water is safe.
  11. Carbonated drinks, wine and drinks made with boiled water are safe.
  12. Freezing does not kill the organisms that cause diarrhea. Ice in drinks is not safe unless it has been made from adequately boiled or filtered water.
  13. Alcohol does not sterilize water or the ice. Mixed drinks may still be contaminated.
  14. Hot tea and coffee are the best alternates to boiled water.
  15. Bottled drinks should be requested without ice and should be drunk from the bottle with a straw rather than with a glass.
  16. Boiling water for 3 minutes followed by cooling to room temperature will kill bacterial parasites.
  17. Adding two drops of 5% sodium hydrochloride (bleach) to quarter of water (1 liter) will kill most bacteria in 30 minutes.
  18. Adding 5 drops of tincture of iodine to a quarter of water (1 liter) will kill bacteria within 30 minutes.

Inspirational Story

It’s All Good

I heard the story told recently about a king in Africa who had a close friend that he grew up with. The friend had a habit of looking at every situation that ever occurred in his life (positive or negative) and remarking, "This is good!"

One day the king and his friend were out on a hunting expedition. The friend would load and prepare the guns for the king. The friend had apparently done something wrong in preparing one of the guns, for after taking the gun from his friend, the king fired it and his thumb was blown off. Examining the situation the friend remarked as usual, "This is good!". To which the king replied, "No, this is NOT good!" and proceeded to send his friend to jail.

About a year later, the king was hunting in an area that he should have known to stay clear of. Cannibals captured him and took them to their village. They tied his hands, stacked some wood, set up a stake and bound him to the stake.

As they came near to set fire to the wood, they noticed that the king was missing a thumb. Being superstitious, they never ate anyone that was less than whole. So untying the king they sent him on his way.

As he returned home, he was reminded of the event that had taken his thumb and felt remorse for his treatment of his friend. He went immediately to the jail to speak with his friend. "You were right" he said, "it was good that my thumb was blown off." And he proceeded to tell the friend all that had just happened. "And so I am very sorry for sending you to jail for so long. It was bad for me to do this."

"No," his friend replied, "this is good!"

"What do you mean, ‘this is good’! How could it be good that I sent my friend to jail for a year."

"If I had NOT been in jail, I would have been with you."

ePress Release

Heart disease may present with asthma like symptoms

Heart disease may present with asthma like symptoms 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.

Dr. Aggarwal said that the commonest cause of breathlessness is not asthma. Both obesity and anemia can cause exertional breathlessness. Uncontrolled blood pressure, diastolic dysfunction of the heart and enlarged heart can also cause breathlessness.

The thumb rule is that any breathlessness appearing for the first time in life after the age of 40 is cardiac in nature unless proved otherwise.

Impaired relaxation functions of the heart are a new epidemic of the society where the heart arteries do not have any blockages but the heart cannot relax properly.

Diastolic functions of the heart can be evaluated by tissue Doppler echocardiography examination. Ordinary echo exam will miss the diagnosis as it usually detects the contracting systolic functions of the heart.

eMedi Quiz

IRIS commonly occurs after how many weeks of ART initiation:

a. 1–4 week
b. 2–12 weeks
c. 12–24 weeks
d. After 6 months

Yesterday’s Mind Teaser: The prevalence of skin infections in HIV infection is approximately

d. Extremely rare

Answer for yesterday’s Mind Teaser: c.90–100%

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr K V Sarma, Daivadheenam Jella, Dr Poonam Chablani, Dr K Raju, Tukaram Pagad.

Answer for 22nd June Mind Teaser: b. Medina Ramirez reaction

Correct answers received from: Tukaram Pagad.

Send your answer to ijcp12@gmail.com

Make Sure

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

eMedinewS Humor

Military Medical Clinic

During a visit to a military medical clinic, I was sent to the lab to have blood drawn. The technician there was friendly and mentioned that his mood improved every day because he was due to leave the service in two months. As he applied the tourniquet on my arm, he told me that taking the blood wouldn’t hurt much. Then, noticing my Air Force T–shirt, he asked me what my husband did.

When I replied that he was a recruiter, the technician smiled slyly and said, "This might hurt a little more than I thought."

Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Fluid Intake


Total CPR since 1st November 2012 – 94595 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)

emedipicstoday emedipics

Dr. Navin Nanda, bestowed the Honorary Degree of Doctor of Science D.Sc(Hon) from Sakarya University, near Istanbul, Turkey.

press release

Monitoring LFT in a patient on statins

video of day video of day


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 :


Quote of the Day

"Be rich to yourself… and poor to your friends." (Juvenal)

Twitter of the Day

Dr KK Aggarwal: Diabetes is a progressive disease http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: We exist in each others mind where there is no separation in space or time. Physical separation is projected illusion http://tinyurl.com/lkz8hq4


Forth Comming Event


Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
or Call: Vandana 9891673085/Dr Kakroo 9810301261

Zoonosis 2014 9-1 PM

6 July 2014 Zoonosis 2014

Speakers Zoonotic disease in India
Dr Jyoti Misri Pr Scientist ICAR Govt of India

Inaugural address
Dr M L Madan Fmr DDG ICAR

Dr KK Aggarwal (To Moderate)

Bovine Tuberculosis and Brucellosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Dr Rishendra Verma Jt Dir.Centre for Animal Disease Research and Diagnosis IVRI Bareilly UP

Equine Encepahalitis
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines,Hissar Haryana

Cysticarcosis, Neurocysticercosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Rabies, Cat Scratch Disease
Dr. Ashok Bhardwaj Asstt.Prof. SKAUST Jammu

Swine Flu, Japanese Encepahlitis
Dr.P K Uppal Fmr FAO Expert on Flu
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines, Hissar Haryana

Bird Flu
Dr.P K Uppal Fmr FAO Expert on Flu

Mycotic Diseases

Dr.P P Gupta Fmr Dir.Research Punjab Agri Univ.

Food Borne Diseases Salmonellosis, tapeworms, teniasis

Dr.Lal Krishna
Fmr Animal Husbandry Commissioner Govt.of India.

Anthrax, Rota Virus, Carona Virus

Dr. A K Bhatia Professor & Head, Biotechnology Dept.GLA Univ. Mathura

Dr.M P Yadav Fmr Director IVRI Bareilly UP

Dr.C Bhattacharya Vety Public Health Spl. Delhi

Emerging Threats : JD,Crone's Disease,Nepha Virus,etc.

Dr.Shoorvir Singh Pr Scientist National centre for Res in Goats Makhdoom Agra


medicolegal update

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medical querymedical query

medicolegal update

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medicolegal update
  1. Dear Sir, Very Informative news. Regards: Dr Karan
cardiology news

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