eMedinewS26th July 2014,Saturday

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

Nine modifiable risk factors for heart attack

The majority of known risk factors for heart attack disease are modifiable by specific preventive measures.

Nine potentially modifiable factors include smoking, dyslipidemia, hypertension, diabetes, abdominal obesity, psychosocial factors, regular alcohol consumption, diet () and physical activity. These account for over 90 percent of the population attributable risk of a first heart attack.

Fruits and vegetables should be eaten daily; regular physical activity is also important. In addition, aspirin is recommended for primary prevention of heart disease for men and women whose 10–year risk of a first heart attack event is 6 percent or greater.

Smoking cessation reduces the risk of both heart attack and stroke. One year after quitting, the risk of heart attack and death from heart disease is reduced by one–half, and after several years begins to approach that of nonsmokers.

A number of observational studies have shown a strong inverse relationship between leisure time activity and decreased risks of cardiovascular disease. Walking 80 minutes in a day and whenever possible with a speed of 80 steps per minute are the current recommendations.

News Around The Globe

  • A study presented at the Alzheimer’s Association International Conference (AAIC) 2014 has suggested that long–term use of the diabetes drug pioglitazone may protect against dementia.
  • The European Union’s regulatory body, Coordination Group for Mutual Recognition and Decentralised Procedures – Human (CMDh), has endorsed the suspension of marketing authorization of methadone oral solutions that contain high molecular weights of the additive povidone until the product can be reformulated. High–molecular–weight povidone (K90) accumulates inside the cells of vital organs leading to tissue damage and even death.
  • The Paracetamol for Low–Back Pain Study (PACE), published online July 24 in The Lancet, has revealed that the drug has no effect on speed of recovery, pain, or many other factors associated with the condition.
  • The US Food and Drug Administration (FDA) has approved an abuse –deterrent extended–release formulation of oxycodone, a combination of oxycodone hydrochloride and naloxone hydrochloride to treat severe pain that requires daily, around–the–clock,long–term opioid treatment, for which alternative treatment options are inadequate.
  • A study published in the August issue of Anesthesia & Analgesia has pointed that epidural anesthesia during childbirth may reduce the risk for postpartum depression. Study authors noted that at 6 weeks postpartum, 14% of the women who had opted for epidural anesthesia during delivery had depressive symptoms compared with 34.6% of the women who did not choose epidural anesthesia.

Rabies News (Dr A K Gupta)

What is "furious form" of rabies in animals?

The excitative phase follows the prodromal phase in some animals. The animal becomes irrational and may aggressively use its teeth, claws, horns, or hooves. The expression is one of anxiety with dilated pupils. Noise invites attack. Rabid animals roam extensively and attack other animals, including humans and any moving object. Cats usually manifest furious type of rabies.

Cardiology eMedinewS

  • The European Atherosclerosis Society (EAS) has released new guidance to assist physicians in detecting and managing patients with homozygous familial hypercholesterolemia (HoFH), a rare genetic condition characterized by high levels of LDL cholesterol and a premature risk of atherosclerotic CVD. The statement is published online July 23 in the European Heart Journal.
  • Radiation therapy, most often used for the treatment of cancer, may offer a promising new noninvasive alternative treatment for patients with high blood pressure not responding to medication, suggests preliminary research presented at the 56th Annual Meeting of the American Association of Physicists in Medicine (AAPM).

Pediatrics eMedinewS

  • A study published online July 21 in JAMA Pediatrics revealed that the risk for strabismus was 14 times higher in very premature infants weighing less than 2000 g at birth, independent of gestational age (GA).
  • Uptake of the human papillomavirus (HPV) vaccine in teenage girls and boys remains unacceptably low, despite a slight increase in coverage from 2012 to 2013, suggests data published in Morbidity and Mortality Weekly Report (MMWR).

Dr K K Spiritual Blog

Why do we Ring the Bell in a Temple?

The vibrations of the ringing bell produce the auspicious primordial sound ‘Om’, thus creating a connection between the deity and the mind. As we start the daily ritualistic worship (pooja), we ring the bell, chanting:

agamaarthamtu devaanaam
gamanaarthamtu rakshasaam
Kurve ghantaaravam tatra
devataahvaahna lakshanam

"I ring this bell indicating the invocation of divinity, So that virtuous and noble forces enter (my home and heart); And the demonic and evil forces from within and without, depart."

Wellness Blog

Reduce liquids to reduce weight

When it comes to losing weight, cut down on liquid calories rather than food.

"Weight loss from liquid calories is greater than loss of calorie intake from solid food, as per Dr. Liwei Chen, an assistant professor of epidemiology at the School of Public Health at the LSU Health Science Center in New Orleans, in the American Journal of Clinical Nutrition.

Body is able to self–regulate its intake of solid food. If you eat too much solid food at lunch, you’ll tend to eat less at dinner. But the same self–regulation is not in place for what you drink. The body does not adjust to liquid calories, so over time, you gain more weight.

Cutting back on calories from sugary drinks–by only one serving per day–can account for nearly two–and–a–half pounds of lost weight over 18 months.

Beverages are categorized into eight categories

  1. Sugar–sweetened beverages (including soft drinks, fruit drinks, fruit punch, or high–calorie beverages sweetened with sugar)
  2. Diet drinks such as diet soda and other diet drinks that were artificially sweetened
  3. Milk (including whole milk,2 percent milk,and 1 percent skim)
  4. 100 percent fruit and vegetable juice
  5. Coffee and tea with sugar
  6. Coffee and tea without sugar
  7. Alcoholic beverages
  8. Water with no calories

The best drinks are water, plain soda and tea/coffee with no sugar.

Inspirational Story

Inspiring Tears

Unfortunately when people think of teenagers, good thoughts are not always the first to come to mind. I know I avoid going into my teenage daughter’s high school at the end of their day because I don&’t want to shoved and pushed in the hallways. I feel like I am running the gauntlet sometimes! I know they are just kids in a hurry to get out and blow off steam.

Fortunately I also get an opportunity to see teenagers at their best. Watching my daughter and her high school band’s camaraderie is always a joy. For instance, when a fellow band member’s music folder fell on the pavement everyone ran to help gather the music before it was scattered by the wind. They are a great group of kids.

But I witnessed an event yesterday that really warmed my heart. My daughter had a band competition at a nearby high school. Her band was the last one to play and before they could play their last selection, the lights in the auditorium flickered and then went out.

The atmosphere in the large, dark space was pensive. The band, sensing this, started singing some of the familiar songs that they sing in the stands during football season. The audience started clapping and singing along. It was quite the experience, sitting in total darkness singing and clapping with dozens of people like it was an everyday occurrence.

I was so lucky to be able to experience this firsthand. My daughter is a senior and so this was one of her last concerts in high school. It was a moving inspirational experience I will never forget.

ePress Release

Tips for a healthy heart: Walk more and drink less soda

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 gave a few tips on ways to keep a healthy heart.

  • Take a 10–minute walk as part of a larger plan to exercise.
  • Find your comfortable walking shoes or buy a pair.
  • Choose days and times to walk, and then pencil them on the calendar.
  • Plan a route.
  • Think about possible obstacles and solutions. For example if it’s raining hard, do 10 minutes of mixed marching, stair climbing, and jumping rope before dinner.

Drink more water, less soda

  1. Find a water bottle (or buy one).
  2. Wash out the bottle, fill it up, and put it in the refrigerator at night.
  3. Put a sticky note on the front door, or on your bag as a reminder to carry the water bottle along with you.
  4. At work, take a break in the morning and one in the afternoon to freshen up your water bottle. This is a good time to notice how much (or little) you are drinking.
  5. When you get home from work, scrub out the water bottle for the following day and repeat.

eMedi Quiz

The parameters of sensitivity and specificity are used for assessing:

1. Criterion validity.
2. Construct validity.
3. Discriminant validity.
4. Content validity.

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: Dr P C Das, Dr B B Aggarwal, Dr poonam chablani, Dr K Raju, Dr K V Sarma, Dr Chandresh Jardosh,

Answer for 24th July Mind Teaser: 3 Gel filtration chromatography.

Correct answers received from: Dr Prakash Khalap, Dr Sushma Chawla

Send your answer to ijcp12@gmail.com



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 – 96458 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

Heart Care Foundation of India to focus on youth health education during the 21st MTNL Perfect Health Mela

press release

Light from laptops, TVs, electronics, and energy-efficient light bulbs may harm health

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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 :


Make Sure

Situation: A patient on dialysis and on oral antacid developed aluminum toxicity.

Reaction: Oh my God! You should have put him on magaldrate preparations?

Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis.

eMedinewS Humor

Sales Practice

The out–of–work newlywed took a temporary job as a vacuum cleaner salesman to make ends meet. After 3 days of intensive training, the sales manager told him to go home and practice his pitch on his wife.

The next morning, the manager asked the novice how he made out.

"Well," the man began, "I did what you said, and after I finished, I asked her if she would buy the vacuum cleaner from me. She said ‘Yes.’ Then I asked her ‘Why?’ She replied, ‘Because I love you.’"

Quote of the Day

Never fear shadows… that always mean there is a light shining somewhere. Jonathan Santo

Twitter of the Day

Dr KK Aggarwal: What’s Behind My Low Blood Pressure?http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra:The human brain is an activity of the universe that uses science & mathematics to predict its own behavior

medicolegal update

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  1. Dear Sir, Very informative newspaper. Regards: Dr Karuna
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Media advocacy through Web Media

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