26th December 2014, Friday

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

Greetings from team IMA 2014-16

Dear All

As you are aware we will be taking over IMA as the new team under the leadership of Padma Shri Awardee Dr Marthanda Pillai as our President on 28th of this month.

We want to start the new IMA year with a paradigm shift from health to wellness, from professional centric to community centric, from anti government to pro people.

Our focus will be on the campaign " IMA Rise and Shine" and " Jiska Koi Nahi uska IMA".

We invite all of you to bless the new Team IMA on 30th 10 am onwards as per the following program

10-12 Noon: Rudtrahishek Yagna with eleven pandits

12-2 PM IMA- Media advocacy initiative

2-4 PM: General house discussions and suggestions

4-7 PM : All religion blessings on quality of a healer

8- 10 PM: IMA Padma Awardee Doctors Forum Initiative

10 am - 8 PM: Prasadam and blessings

And on 3rd January kindly join us the New Year's Celebrations at AIIMS Gymkhana over cultural evening and  Delhi Ki Chaat.

Do come and bless us.
Remember we all are IMA and we together can make a change.
Dr K K Aggarwal
Honorary Secretary General IMA

FDA to Lift Ban on Gay Men Donating Blood

The US Food and Drug Administration has decided to formally propose lifting a 31–year–old ban on blood donations from men who have sex with men, allowing them to give blood provided they have not had sex with other men during the previous year.

FDA instituted its ban in the early days of the AIDS epidemic on the basis of fears of HIV entering the blood supply.

An advisory committee of the Department of Health and Human Services in November recommended a blood donation deferral of 1 year after sexual activity, pointing to studies that show the practice to be safe.

As per the new policy Individuals cannot donate blood within a year of having sex with a prostitute or an intravenous drug user

According to one recent study, allowing MSM to donate blood 12 months after their last sexual episode could add as many as 317,000 pints to the nation's supply each year.

The United Kingdom permits MSM to donate blood after a year of celibacy, and Canada allows it after the 5–year mark.

Indian Medical Association has called a meeting of experts to decide about the Indian Guidelines. (The Author is Padma Shri Awardee, Honorary Secretary General Elect IMA and President Heart Care Foundation of India)

National News

  • HSG Elect and President Heart Care Foundation of India, Padma Shri Awardee Dr K K Aggarwal, will be delivering a guest lecture " Women and Lifestyle " on 12th Jan 2015 at 11:30 AM in the conference room of All India Woman's Conference ( AIWC, 6, Bhagwandas Road, New Delhi.)
  • HC orders CBI probe into castration of followers inside Dera Sacha Sauda: IMA writes to MCI Ethics Committee. MCI to take up the issue.


IMA- SLIM initiative: IMA white paper on avoiding unnecessary tests to be launched on Doctor's Day July 1, 2015. Experts meeting will be held on Tuesday, 6th January, 2015 at 10am at the SIB Centre, 1st floor Old OT Block, opposite Directors bungalow, AIIMS

News around the Globe

  • Transparency Market Research has published a new report titled, “Medical Tourism Market (India, Thailand, Singapore, Malaysia, Mexico, Brazil, Taiwan, Turkey, South Korea, Costa Rica, Poland, Dubai and Philippines) - Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2013 – 2019”. The report states that the global medical tourism market was valued at US$10.5 billion in 2012, and is expected to reach US$32.5 billion in 2019, growing at a CAGR of 17.9% from 2013 to 2019.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) may protect against skin cancer, according to a study published online December 18 in the Journal of Investigative Dermatology.
  • Frail, elderly residents of long-term-care facilities who received the high-dose inactivated influenza vaccine (HD IVV) during the 2011 to 2012 and 2012 to 2013 influenza seasons produced more robust immune responses to all strains of influenza when compared with residents who received standard-dose IVV. The only exception was response to influenza strain A (H1N1), for which noninferiority criteria were met. David A. Nace, MD, MPH, from the University of Pittsburgh in Pennsylvania, and colleagues published their single-blinded, randomized, controlled trial online December 17 in the Journal of Infectious Diseases. (Medscape)
  • Advances of the year 2014: World's First Baby Born After Uterine Transplant: A 36-year-old woman who received a uterus transplant from a live donor in 2013 gave birth to a healthy baby boy in September 2014, according to an article published online October 6 in The Lancet.
  • FDA approved Cologuard (Exact Sciences Corporation), a stool-based colorectal cancer (CRC) in vitro diagnostic device intended for the detection of colorectal neoplasia–associated DNA markers and for the presence of occult hemoglobin in human stool.
  • Three-dimensional (3D) printing is beginning to reshape medical practice, but its implications for healthcare may be complex, according to an opinion article published online December 2 in JAMA.
  • A new "electronic nose" is capable of detecting prostate cancer from a urine sample with nearly 80% accuracy, according to a proof-of-concept pilot study.
  • Noninvasive prenatal DNA testing in low-risk women may be as useful in a general obstetric population as it is in high-risk pregnancies.
  • Alterations in a gene linked to stress reactions may eventually help clinicians identify patients at increased risk for suicidal behavior, including attempts, potentially by way of a simple blood test
  • A new blood test may identify major depressive disorder in adults, and could potentially help clinicians predict which patients with the disorder will respond to cognitive-behavioral therapy.
  • Ebola outbreak was the biggest medical news of the year
  • Malaria death rates dropped by 47% between 2000 and 2014 worldwide but it still killed some 584,000 people in 2013, most of them in sub-Saharan Africa, according to the World Health Organization (WHO). Much of the success in fighting the disease is due to the use of combination therapies (ACTs) based on artemisinin, a Chinese herb derivative, which is now under threat as malaria parasites have been building up resistance to the drugs. "Artemisinin resistance could wipe out a lot of the gains we've made in containing malaria and there is nothing yet to replace it," said Nyan Sint, an epidemiologist and regional malaria officer working with the government's national malaria control program.
  • A landmark study published online December 11 in Arthritis & Rheumatism by Hyon K. Choi, MD, DrPH, from Boston University School of Medicine, Massachusetts, and Sydney University, Australia, and colleagues confirmed the widely held assumption that gout is more likely to flare at night and challenged the common impression that attacks are more likely after alcohol or purine dietary indulgence.
  • In a small randomized, crossover study, shortly after study subjects drank canned soy milk, researchers detected high urine bisphenol A (BPA) levels, and systolic blood-pressure levels were higher than after they drank the same beverage from glass bottles. This study builds on previous epidemiologic evidence, as reported by heartwire, showing that that people with high urine concentrations of this chemical, which is found in the plastic lining of canned foods and beverages, had a higher risk of CVD. The current study of 60 elderly Korean participants, mainly women, was published online December 8, 2014 in Hypertension. (Medscape)
  • The US Preventive Services Task Force (USPSTF) recently updated its draft screening recommendations to include all adults 45 and older, as well as younger adults who have risk factors for diabetes. The previous guidance suggested screening only adults with high blood pressure. However, a study determined that the previous formula was missing more than half of the undiagnosed diabetes cases, with many also carrying cardiovascular risks.

Dr KK Spiritual Blog

The lips of truth shall be recognized forever, a lying tongue is but for a moment

This sutra from Bible has a very deep significance in day to day life. The truth is ever lasting and always ends up in internal happiness and self realization & in long run always gives you happiness and an all-win situation. On the contrary a lying tongue will only give you a momentarily pleasure but will lead to or create some difficulty later in life.

Spoken words cannot come back just as in the case of a released arrow from the bow. Once lost, one cannot get back his youth, virginity, or respect. Similarly, spoken bad words cannot be taken back and once spoken will create negative waves in the other persons (on whom they were spoken) mind which will persist as repressed thoughts or memory in the people’s mind for ever. Such bad memories will keep on coming back in the person’s mind causing damage to the personal relationships.

A spoken word is a karmic expression. For every karmic action there is an opposite and equal reaction. For every negative karmic action, one has to pay the debt either now or in future. The law of karma says that every debt has to be paid.

It is always better to avoid negative language both in spoken words as well as in the mind. The yoga sutras of Patanjali describe thinking, speaking or doing anything wrong as having the same karmic significance. We should not only purify ourselves in actions and spoken words but also in the mind. If a person keeps negative thoughts in the mind, sooner or later the same will be reflected to the outside world.

The momentary pleasure which one gets by “lying” has no spiritual significance as it only satisfies your ego sense or makes you attached to any of the five senses. The transient pleasure experienced by the body stimulates a chain of reactions, consisting of action, memory and desire leading to action again, which will only intensify the greed & attachments.

In the Mahabharata, Lord Krishna has given only two examples, which work as an exception to such a situation. Any truth, which harms others, may not be spoken and any lie which does not harm anyone but benefits a few may be spoken.

Truth is the opposite of doubt and it is always better to clear all the doubts from the mind as any repressed doubts can end up into causation of heart attack, paralysis and cancer.

Truth also means taking conscious-based decisions as the consciousness will never lie. While taking any decision one should always ask oneself— Is it the truth? Is it necessary? And will it bring happiness to me and the people around?

Lord Krishna is also described as “SATCHITANAND” which only indicates the qualities like truthfulness, conscious based decisions and internal happiness. The practice of truthfulness has to be practical over a period of time and made a part and parcel of your daily life. To start with a person may have bad experiences but in the long run truthfulness will always win.

Uniform Code for Pharmaceuticals Marketing Practices (UCPMP)

Textual and Audio-Visual Promotional Material

  1. All promotional material issued by an authorized holder or with his authority, must be consistent with the requirements of this Code.
  2. Where the purpose of promotional material is to provide persons qualified to prescribe or supply with sufficient information upon which to reach a decision for prescribing or for use, then the following minimum information, must be given clearly and legibly and must be an integral part of the promotional material:
    1. The relevant drug, the name and address of the holder of the authorization of the drug or the business name and address of the part of the business responsible for placing the drug on the market;
    2. The name of the drug and a list of the active ingredients using the generic name, placed immediately adjacent to the most prominent display of the name of the drug;
    3. Recommended dosage, method of use and where not obvious, method of administration;
    4. Adverse reactions, warnings and precautions for use and relevant contraindications of the product;
    5. A statement that additional information is available on request;
    6. The date on which the above particulars were generated or last updated.
  3. Promotional material such as mailings and journal advertisements must not be designed to disguise their real nature. Where a pharmaceutical company pays for or otherwise secures or arranges the publication of promotional material in journals, such promotional material must not resemble editorial matter.
  4. All promotional materials appearing in journals, the publication of which is paid for or secured or arranged by a company and referring by brand name to any product of that company, must comply with Clause3. 3 of this Code as appropriate, irrespective of the editorial control of the material published.
  5. Promotional material must conform, both in text and illustration, to canons of good taste and must be expressed so as to recognize the professional standing of the recipients and not be likely to cause offence.
  6. The names or photographs of healthcare professionals must not be used in promotional material.
  7. Promotional material must not imitate the devices, copy slogans or general layout adopted by other companies in a way that is likely to mislead or confuse.
  8. Where appropriate (for example, in technical and other informative material), the date of printing or of the last review of promotional material must be stated.
  9. Postcards, other exposed mailings, envelopes or wrappers must not carry matter which might be regarded as advertising to the lay public or which could be considered unsuitable for public view.
  10. Audio-visual material must be supported by all relevant printed material so that all relevant requirements of the Code are complied with.

Medical Representatives

  1. The term "medical representative" means sales representatives, including personnel retained by way of contract with third parties and any other company representatives who call on healthcare professionals, pharmacies, hospitals or other healthcare facilities in connection with the promotion of drugs.
  2. Medical representatives must at all times maintain a high standard of ethical conduct in the discharge of their duties. They must comply with all relevant requirements of the Code.
  3. Medical representatives must not employ any inducement or subterfuge to gain an interview. They must not pay, under any guise, for access to a healthcare professional.
  4. Companies are responsible for the activities of all their employees including Medical Representatives for ensuring compliance of the Code. This would be additionally ensured by the companies through appropriate clause in the contract of the employment between the companies and its employees/Medical Representatives.
  5. Other third parties working for or on behalf of pharmaceutical companies, and those that do not act on behalf of companies (such as joint ventures and licensees) commissioned to engage in activities covered by the Code should also have a good working knowledge of the Code.
emedipicstoday emedipics

Health Check Up and CPR 10 Camp at GB S School, Khan Pur, New Delhi, on 27th November 2014

video of day
press release

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

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 – 101090 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 patient with mediclaim of Rs. 2 lakhs has used a cumulative bonus of Rs. 40000 after 8 years. How much can he claim next year?
Dr. Bad: Same as 2.4 lakhs.
Dr. Good: It will be 10% less.
Lesson: In case of claim under the policy in respect of insured person who has earned the cumulative bonus, the increased percentage will be reduced by 10% of claim of sum insured on the next renewal. However, basic sum insured will be maintained and will not be reduced.

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was the additional insulin given?
Lesson: Make sure that insulin dose is calculated correctly. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

eMedinewS Humor

Preacher's Wish from God

A preacher went into his church and he was praying to God. While he was praying, he asked God, "How long is 10 million years to you?" God replied, "One second."

The next day the preacher asked God, "God, how much is 10 million dollars to you?"

And God replied, "A penny." Then finally the next day the preacher asked God, "God, can I have one of your pennies?" And God replied, "Just wait a sec."

Twitter of the Day

Dr KK Aggarwal: Some Alcohol Terms Dr K K Aggarwal 1. Do not start if you do not drink Limit if you take and cannot stop 3. (cont)
Dr Deepak Chopra: Life is about fulfillment. If your life isn't fulfilled, your stomach can never supply what's missing

Inspirational Story

The cockroach theory for self development

At a restaurant, a cockroach suddenly flew from somewhere and sat on a lady. She started screaming out of fear.

With a panic stricken face and trembling voice, she started jumping, with both her hands desperately trying to get rid of the cockroach. Her reaction was contagious, as everyone in her group also got panicky.

The lady finally managed to push the cockroach away but ...it landed on another lady in the group.

Now, it was the turn of the other lady in the group to continue the drama.

The waiter rushed forward to their rescue.

In the relay of throwing, the cockroach next fell upon the waiter.

The waiter stood firm, composed himself and observed the behavior of the cockroach on his shirt. When he was confident enough, he grabbed it with his fingers and threw it out of the restaurant.

Sipping my coffee and watching the amusement, the antenna of my mind picked up a few thoughts and started wondering, was the cockroach responsible for their histrionic behavior?

If so, then why was the waiter not disturbed?

He handled it near to perfection, without any chaos.

It is not the cockroach, but the inability of the ladies to handle the disturbance caused by the cockroach that disturbed the ladies.

I realized that, it is not the shouting of my father or my boss or my wife that disturbs me, but it's MY inability to handle the disturbances caused by their shouting that disturbs me.

It's not the traffic jams on the road that disturbs me, but MY inability to handle the disturbance caused by the traffic jam that disturbs me.

More than the problem, it's MY reaction to the problem that creates chaos in my life.
Lessons learnt from the story

I understood, I should not react in life.

I should always respond.

The women reacted, whereas the waiter responded.

Reactions are always instinctive whereas responses are always well thought of, just and right to save a situation from going out of hands, to avoid cracks in relationship, to avoid taking decisions in anger, anxiety, stress or hurry.

A beautiful way to understand............LIFE

Rabies News (Dr A K Gupta)

What are the various types of modern anti-rabies vaccines?

These are:

  • Purified vero cell rabies vaccine (PVRV)
  • Purified chick embryo cell vaccine (PCECV)
  • Human diploid cell vaccine (HDCV)
  • Purified duck embryo vaccine (PDEV)

Cardiology eMedinewS

  • The American Diabetes Association (ADA) has called for a lower threshold of the body mass index (BMI) cut points in Asian Americans for type 2 diabetes. The current ADA guidelines recommend screening members of the general population for type 2 diabetes when they have a BMI of 25 kg/m² or higher. For Asian Americans, the ADA now recommends screening for individuals with a BMI of 23 kg/m² or higher. The guidelines are published in Diabetes Care.
  • The American Heart Association (AHA) has released its annual "state-of-the-union" address with respect to heart disease and stroke in the US and provides, for the first time, a global snapshot of the impact of heart disease and stroke in the rest of world. Worldwide, cardiovascular disease remains the leading cause of death, taking the lives of 17.3 million individuals each year. Cardiovascular disease, as has been noted before, is no longer a disease of the Western world, with 80% of global deaths from cardiovascular disease occurring in low- and middle-income countries.

Pediatrics eMedinewS

  • Maternal vitamin D deficiency is associated with multisystem long-term health outcomes in offspring, according to a summative review of five published substudies by Prue H. Hart, PhD, from the Telethon Kids Institute at the University of Western Australia, and colleagues and published online December 15 in Pediatrics.
  • The quality of CPR in children can be improved with a device about the size of a credit card that's placed on the chest and provides real-time feedback on chest compression quality. "Just-in-time" (JIT) CPR refresher training with visual feedback is also helpful, according to the CPR CARES Study results, online December 21 in JAMA Pediatrics.

Quote of the Day

Always ask God to give what you deserve and not what you desire because your desires may be few but you deserve a lot.

Wellness Blog

Coffee Consumption Reduces Mortality

The largest prospective cohort study evaluated the impact of coffee consumption on all-cause mortality and involved 229,000 men and 173,000 women, who were followed for up to 13 years.

After adjustment for smoking status and other potential confounders, associations between coffee consumption (either caffeinated or decaffeinated) and reduced all-cause mortality were evident at relatively low levels of consumption (2 to 3 cups/day).

Compared to non–coffee drinkers, the risk of all-cause mortality among men and women who consumed 2 to 3 cups of coffee daily was 0.90 and 0.87.

The apparent benefit of coffee was similar for individuals with high levels of coffee consumption, including those who drank six or more cups of coffee per day. (UpToDate)

(Ref: Freedman ND, Park Y, Abnet CC, et al. Association of coffee drinking with total and cause-specific mortality. N Engl J Med 2012;366:1891).

ePress Release

Winter Health Problems in Women

Winter can create health problems especially in women, 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. Following are some of the problems women might have to face:

  1. Heart Disease: Heart disease kills more women than any other disease. It takes more lives than breast cancer, cervical cancer, or any other disease. Stroke and heart disease-related hospitalizations and deaths rise by more than 50 percent during the winter months.
  2. Seasonal Affective Depression: This condition is characterized by having episodes of depression every year, but only during the winter. What the exact cause is yet to be discovered, but it is thought that body temperature, ambient light, and hormone regulation play a role.
  3. Hypothermia: Hypothermia is as an abnormally low body temperature and can occur in cold weather. In cold weather one looses heat faster than one is able to create it. If this happens gradually one may not even realize it is happening. If the body temperature drops below 95 degrees Fahrenheit, one needs to see emergency medical care immediately in order to avoid death.
  4. Vitamin D Deficiency: We are at an increased risk of vitamin D deficiency, especially during the winter month. Women who work in the house at times cannot take out time to give sunshine to their body. Vitamin D is essential for bone, immune system, and heart health. It may also help to prevent cancer.
  5. Influenza: Flu is very common during the winter and has the potential to be deadly. One should not forget to take the flu shot.

eMedi Quiz

Ofleck phenomenon is seen in:

a. Joint psoriasis
b. Mucosal psoriasis
c. Nail psoriasis
d. Pustular psoriasis

Yesterday’s Mind Teaser: Bacitracin acts on:

1. Cell Wall
2. Cell Membrane.
3. Nucleic Acid.
4. Ribosome.

Answer for yesterday’s Mind Teaser: 3. Nucleic Acid.

Correct answers received from: Dr.J.Daivadheenam, Tukaram Pagad, Dr Rakesh Sharma, Raju Kuppusamy, Dr Avtar Krishan

Answer for 24th December Mind Teaser: 4. Glycosylation.

Correct answers received from: Raju Kuppusamy, Dr Avtar Krishan

Send your answer to email

medicolegal update
  • We read in the newspapers about reporting of TB and infectious diseases. The majority of these cases are treated by private practitioners and no sincere attempt has been made to involve them and help them to report the cases. It appears that Babus are only interested in making statements and press releases (and probably fix responsibility for not reporting) without any earnest desire to improve the reporting. Has any full time medical or paramedical person been entrusted with the task? Is there a will to ensure complete reporting? Can you get data from pathological labs, molecular diagnostic labs - which can give proven cases? Any thoughts on how to enable reporting by SMS, Email or online portals? Dr Sridharan R. Chennai
  • Congratulations to TN State IMA Branch New Office Bearers: Dr RVS Surendran, State President, Dr CN Raja, Hony State Secretary and Dr V Madhavan, State Finance Secretary.

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues 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)