eMedinewS 27th June 2013, Thursday

     Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at
www.facebook.com/Dr KKAggarwal

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 10x10 i.e. 100 per minute.”

Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

From the Desk of Editor in Chief

Post flood illnesses

1. Post flood impact: The 2010 Pakistan flood affected 20 million people. The impact of the event and recovery was measured at 6 months in a cross-sectional cluster survey of 1769 households conducted six months post-flood in 29 most-affected districts. (1)

  • Households were headed by males, large and poor.
  • The flood destroyed 54.8% of homes and caused 86.8% households to move, with 46.9% living in an IDP camp.
  • Lack of electricity increased from 18.8% to 32.9%
  • Lack of toilet facilities increased from 29.0% to 40.4%
  • Access to protected water remained unchanged (96.8%)
  • 88.0% reported loss of income
  • Immediate deaths and injuries were uncommon but 77.0% reported flood-related illnesses.

2. Post-flood infectious diseases: Following a flood, there exists the potential for transmission of water-borne diseases and for increased levels of endemic illnesses such as vector-borne diseases. The Japan Disaster Relief (JDR) Medical Team was sent to Mozambique where a flood disaster occurred during January to March 2000. The team operated in the Hokwe area of the State of Gaza, in the mid-south of Mozambique where damage was the greatest. A total of 2,611 patients received medical care during the nine days. Infectious diseases were detected in 85% of all of patients, predominantly malaria, respiratory infectious diseases,and diarrhea. There was no outbreak of cholera or dysentery The incidence of malaria increased by 4 to 5 times over non-disaster periods, and the quality of drinking water deteriorated after the event  ...Read More

sprritual blogDefinition of Health

Health is not mere absence of disease; it is a state of physical, mental, social, spiritual, environmental and financial well being. All aspects of health are not defined in allopathy.

During MBBS, medical students are taught more about the physical health. Social and mental healthcare is covered only in few lectures. Community health is a separate subject but never given its due importance. Spiritual health is not defined at all and financial health is hardly covered. ...Read More

Dr K K Blogspot

cardiology news
pediatrics news
wellness blog

Smell check, scratch and sniff, a new test for Parkinson’s disease

Olfactory dysfunction presenting as odor detection, discrimination, and identification is a common finding in patients with early non vascular Parkinson's disease.. As per a study of 2,267 men .... Read More


Situation: A child was sexually abused by an acquaintance of adolescent age.
Dr. Bad: It cannot happen.
Dr. Good: This is usual.
Lesson: Perpetrators of sexual abuse are usually male, and often trusted adult acquaintances.
Read More

press release

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


Why do doctors not live long? (Dr K K Aggarwal)

When I was the President of Delhi Medical Association in 2005, we wanted to make a list of doctors who were 80 years old and above. We had a hard time finding them. We could collect only 22 doctors. Today, we have 40000 members in Delhi Medical Council and ...Read More

Diabetic or hypertensive: get your albumin check up done

Microalbuminuria or presence of albumin in the urine in micro amounts indicates early kidney damage; an early vascular endothelial dysfunction and early atherosclerosis with major cardio or cerebrovascular events and death.

Current guidelines advocate annual screening in patients with diabetes and wherever possible in non-diabetic patients with hypertension said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.. Early detection of high-risk patients allows selection of aggressive treatment to slow disease progression. ...Read More

News Around The Globe

IIT-Kharagpur to start medical course

The Centre has sanctioned a 400-bed superspeciality hospital on the IIT-Kharagpur campus which will have a medical college attached to it so that the premier institute can start a medical course. Once this happens, IIT-Kgp will be the only one in the chain to impart medical education alongside technology.

No mental harm from HRT in early menopause

Hormone replacement therapy (HRT) in early menopause caused no apparent harm to patients' cognitive function, according to long-term follow-up of participants in clinical trials. (Source: Medpage Today)

FDA orders warning on blood volume expander

H ydroxyethyl starch solutions used to treat hypovolemia must carry a boxed warning about increased risk of kidney injury and death, the FDA said Monday. (Source: Medpage Today)

Abnormal imaging indicates surgery in intractable epilepsy

Abnormal neuroimaging in children with early medically intractable epilepsy is a strong indication for surgical rather than medical treatment, new research suggests. (Source: Medscape)

A potential turning point in treatment of CLL

Clinical trial data showing high rates of response with the experimental targeted therapy ibrutinib (Pharmacyclics) in patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma have been published online in the New England Journal of Medicine. (Source: Medscape)

ADA: Time since diabetes Dx key in adherence

Newly diagnosed type 2 diabetes patients are less likely to follow their medication regimen than those with longer-standing disease, and those who take more pills are more likely to be adherent than those on fewer medications, a study found. (Source: Medpage Today)


today emedipics

Dr KK Aggarwal conducting a CPR 10 training camp at Police Traning Center Najafgarh

Valvular Heart Disease Update

Spontaneous echo contrast is also seen in the left ventricle when systolic function is severely reduced or in the presence of an aneurysm.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

Does obesity affect the chances of getting pregnant with treatment and having a healthy baby?

There is an increasing amount of evidence that many complications of pregnancy for the mother (gestational diabetes, preeclampsia) and her baby (birth defects) are increased in obese women. In addition, obese women have an increased chance of a cesarean section for delivery.

Rabies Update (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.

medicolegal update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What was counteraffidavit of Dean, KEM Hospital in Aruna Shaunbag case?

  • Aruna accepts food in normal course and responds by facial expressions. She responds to commands intermittently by making sounds. Read More
ijcp book of medical records
medicolegal update

What are the principles of informed consent?

Ans. In a case decided by Supreme Court of India, SCI, Civil Appeal No. 1949 of 2004, 16.01.2008, Samira Kohli vs Dr. Prabha Manchanda and Anr, B.N. Agrawal, P.P. Naolekar and R.V. Raveendran, JJ, the following was observed. “(i) A doctor has to seek and secure the consent of the patient before commencing a 'treatment' Read More

dr good dr bad

Situation: What are normal TSH levels after the age of 80?
Dr. Bad: Less than 5 mU/L
Dr. Good: About 7.5 mU/L
Lesson: The upper limit of TSH in 80+ age is about 7.5 mU/L.
Read More

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.

quote of the day

If you have controlled your mind you are the conqueror of the whole world. Swami Sivananda

twitter of the day

Dr KK Aggarwal: When it comes to losing weight cutting down on liquid calories is equally important said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

"Weight loss from liquid calories is greater than loss of calorie intakefrom 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 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 there 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 http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: It is impossible to prove the existence of anything outside consciousness http://bit.ly/14JxRjo #Health

emedinews humor

I recently picked a new primary care physician. After two visits and exhaustive lab tests, he said I was doing "fairly well" for my age. A little concerned about that comment, I couldn't resist asking him, "Do you think I'll live to be 90?"

He asked, do you smoke tobacco or drink beer/wine?" "Oh no," I replied. "I'm not doing either."

Then he asked, "Do you eat rib-eye steaks and barbecued ribs?" I said, "No, my other Doctor said that all red meat is very unhealthy!"

"Do you spend a lot of time in the sun, like playing golf, sailing, hiking, or bicycling?"

No, I don't," I said.

He asked, "Do you gamble, drive fast cars, or have a lot of sex?"

"No," I said. "I don't do any of those things."

He looked at me and said, "Then why do you care if you live to be 90?

Read More

reader response

Dear Dr KK,

While on DM, I may add that the Disaster management is extremely poor in our country. While I was working with Airports Authority of India, I was in-charge 'Casualty Evacuation Centre' at the IGI Airport. There 'non medico bosses' were more concerned with financial involvement, but I as a medico was concerned with operability and availability of essentials required for the calamity. So there was always some kind of tussle, but I managed to keep my centre up to the minimum level of equipment and medication available at any given point of time. This required frequent inspections and turn over of the expired or near expired medical items, which is a must for effective disaster preparedness. In our country this kind of a thing is seen as a 'white elephant', which in my experience and personal observations is a MUST for the country. What if it involves some extra financial investment-cum-expenditure on the part of the exchequer, but it is WORTH the lives we lose. Life is precious whosoever it may be. This was more prominent and visibly on sound footings in the Defence, and is better now a days. We must take these small investments at country level seriously and not wait for tragedy to happen and become hapless asking for donations etc. when we are in the thick of it. Dr KK Arora (Ex-IAF, Ex-AAI. Ex-MCI), New Delhi

An Inspirational Story

Paid in full

A young man was getting ready to graduate from college. For many months he had admired a beautiful sports car in a dealer's showroom, and knowing that his father could well afford it, he told him that was all he wanted. As Graduation Day approached, the young man awaited signs that his father had purchased the car.

Finally, on the morning of his graduation, his father called him into his private study. His father told him how proud he was to have such a fine son, and told him how much he loved him. He handed his son a beautifully wrapped gift box. Curious, and somewhat disappointed, the young man opened the box and found a lovely, leather-bound Bible, with the young man's name embossed in gold. Angry, he shouted at his father and said "with all your money, you give me a Bible?" and stormed out of the house.

Many years passed and the young man had become very successful in business. He had a beautiful home and wonderful family, but realized his father now was getting old, and thought perhaps he should go see him. He had not seen him since that graduation day. Before he could make arrangements, he received a telegram telling him his father had passed away, and willed all of his possessions to his son. He needed to come home immediately and take care of things. ............Read More

eMedi Quiz

Read this…………………

All of the following can precipitate pemphigus in a genetically predisposed individual,except....

A. Thiols
B. Phenols
C. Tannins
D. Gliadin

Yesterday’s Mind Teaser: Antiphospholipid antibodies may be transient in all except...

A.Patient with SLE
B.Normal individuals
D.Elderly population

Answer for yesterday’s Mind Teaser: A.Patient with SLE

Correct answers received from: Soni Brijesh, Dr Jainendra Upadhyay, Dr Sana Khanam, Dr.Bitaan Sen & Dr.Jayashree Sen, Prabha Luhadia, dr pankaj agarwal, Dr.K.Raju, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr.Chandresh Jardosh.

Answer for 25th June Mind Teaser: B. Warfarin

Correct answers received from: Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr.Chandresh Jardosh.

Send your answer to ijcp12@gmail.com

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Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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