eMedinewS 28th July 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; 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

FDA puts strict limits on oral ketoconazole use

  1. Oral ketoconazole should never be used as first-line therapy for any fungal infection because of the risk of liver toxicity and interactions with other drugs as per FDA.
  2. Among patients presenting with an acute stroke, women were less likely than men to receive intravenous thrombolytic therapy, which could have to do with delayed arrival at the hospital. In a cohort of patients presenting within 24 hours of stroke onset, IV tissue plasminogen activator (tPA) was used in 11% of women and 14% of men (OR 0.8, 95% CI 0.7-1.0), according to Inger de Ridder, MD, of Erasmus Medical Center University Hospital in Rotterdam, and colleagues. In the subgroup of patients who presented with an acute ischemic stroke within 4 hours of symptom onset, however, the sex difference disappeared (41.6% versus 42.4%, OR 1.0, 95% CI 0.8-1.2), the researchers reported online in Stroke: Journal of the American Heart Association.
  3. There may be an early cognitive benefit for dementia patients starting on angiotensin-converting enzyme (ACE) inhibitors for blood pressure control. Patients taking centrally active ACE inhibitors experienced marginally slower rates of cognitive decline compared with those not on the drugs according to William Molloy, MB, BCh, of the Centre for Gerontology and Rehabilitation at the University College Cork, St. Finbarrs' Hospital, in Cork City, Ireland, and colleagues in the online journal BMJ Open.
  4. In addition to reducing inappropriate antibiotic use and providing better infection control in outpatient settings, strategies to control Clostridium difficile infection (CDI) should include further examination of outpatient and household settings and a reduction in proton pump inhibitor (PPI) use, according to an article published in the July 22 issue of JAMA Internal Medicine.

.... Read More

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.”

VIP's on CPR 10 Mantra Video
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog Why do we not offer onions to God?

Anything that grows under the ground is not offered to God. According to Vedic science, anything which is grown under the ground is Tamasik in nature and produces sluggishness, heaviness and extreme aggressiveness.

Not only onion, all food products grown under the ground are not offered to God and are not supposed to be eaten during spiritual fasts. People who are spiritually oriented like monks, rishi munis avoid underground food altogether. Some people try to convert Tamasik food into Satvik food by slow heating them or by sprouting them or by soaking them in water. That is one reason why boiled potato is eaten during Vrat. ....Read More

cardiology news

Weakness or Strength?

Sometimes our biggest weakness can become our biggest strength. Take, for example, the story of one 10-year-old boy who decided to study Judo despite the fact that he had lost his left arm in a devastating car accident.

The boy began lessons with an old Japanese Judo master. The boy was doing well, so he couldn’t understand why, after three months of training the master had taught him only one move.

“Sensei,” the boy finally said, “Shouldn’t I be learning more moves?” “This is the only move you know, but this is the only move you’ll ever need to know,” the sensei replied.

Not quite understanding, but believing in his teacher, the boy kept training.

Several months later, the sensei took the boy to his first tournament. Surprising himself, the boy easily won his first two matches. The third match proved to be more difficult, but after some time, his opponent became impatient and charged; the boy deftly used his one move to win the match. Still amazed by his success, the boy was now in the finals.

This time, his opponent was bigger, stronger, and more experienced. For a while, the boy appeared to be overmatched. Concerned that the boy might get hurt, the referee called a time-out. He was about to stop the match when the sensei intervened.

“No,” the sensei insisted, “Let him continue.”

Soon after the match resumed, his opponent made a critical mistake: he dropped his guard. Instantly, the boy used his move to pin him. The boy had won the match and the tournament. He was the champion.

On the way home, the boy and sensei reviewed every move in each and every match. Then the boy summoned the courage to ask what was really on his mind.

“Sensei, how did I win the tournament with only one move?”

“You won for two reasons,” the sensei answered. “First, you’ve almost mastered one of the most difficult throws in all of judo. And second, the only known defense for that move is for your opponent to grip your left arm.”

The boy’s biggest weakness had become his biggest strength. ...Read More

News Around The Globe

  • A review article published in a special supplement to Clinical Infectious Diseases, coinciding with World Hepatitis Week, discusses 6 ways to prevent spread of HCV among young white adults living in rural and suburban areas who abuse intravenous opiate drugs. (Source: Medscape)
    1. Reducing risk from shared ancillary drug preparation equipment, such as containers, rinse water and filters. Availability of single-use supplies may reduce risk.
    2. Using a new rapid test at point of care that offers results in 20 minutes can detect infection before seroconversion. This together with counseling can help to check transmission.
    3. Addressing social and relational contexts of injecting can encourage uninfected individuals to take precautions when injecting drugs with infected sex partners.
    4. Encouraging "taking a break" from injecting drugs because HCV cannot be transmitted without this behavior.
    5. Developing models to guide delivery of new prevention strategies, including already-available approaches such as increasing syringe availability and future strategies such as direct-acting antivirals that can be used prophylactically as well as vaccines.
    6. Combining interventions in synergistic ways, such as needle exchange and methadone maintenance programs.
  • A new study, Reasons for Geographic and Racial Differences in Stroke (REGARDS) published online July 18 in the journal Stroke reports that participants who were inactive had a 20% increased risk for stroke or transient ischemic attack (TIA) compared with those who exercised 4 or more times per week, and that those who were active 1 to 3 times a week were 16% more likely to suffer a stroke.
  • Levels of serum neuron-specific enolase, an enzyme associated with neural injury increased significantly in patients with diabetes and with diabetic neuropathy, suggesting potential as a biomarker for peripheral neuropathy in diabetic patients, reports a study published online in Diabetes Care.
  • The European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) has recommended approval of 2 new once-daily inhaled bronchodilators for maintenance treatment to relieve symptoms of chronic obstructive pulmonary disease (COPD) in adults as reported in Medscape. The medications (Ultibro Breezhaler and Xoterna Breezhaler, Novartis Europharm) contain a fixed-dose combination of indacaterol (85 µg), a long-acting beta-2-adrenergic agonist, which relaxes the airway muscles, and glycopyrronium bromide (43 µg), a long-acting muscarinic antagonist, which blocks the bronchoconstrictor action of acetylcholine on airway smooth muscle cells, thereby dilating the airways.

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

How are the risks for multiple pregnancies related with the IVF procedure?

The more embryos that are transferred into the uterus, the higher the risk. Multiple pregnancies carry significant risks, including:

  • Premature labor with possible risks to the infant
  • Premature delivery
  • Maternal hemorrhage
  • Cesarean delivery
  • Pregnancy–induced high blood pressure
  • Gestational diabetes

Your doctor should transfer the minimum number of embryos necessary to provide a high likelihood of pregnancy with the lowest risk of multiple pregnancies.

Rabies News (Dr. A K Gupta)

What are the initial (prodromal) symptoms of rabies?

  • Pain or paresthesia at the site of the bite is well-known as a diagnostically useful prodromal symptom occurring in one-third to two-thirds of cases. In Thailand, however, a specific type of paresthesia-itching-was the earliest symptom in >40% of cases. Itching occurred at the site of the healed bite wound or involved the whole bitten limb and was sometimes so intense as to provoke frenzied scratching and excoriation of the skin. The explanation for local paresthesia may be the multiplication of virus in the dorsal root ganglion of the sensory nerve supplying the area of the bite.
  • Pain behind the grafted eye was an early symptom in 3 of the 4 patients who developed rabies following corneal transplants.
  • Priapism with frequent spontaneous orgasms was the first symptom in one Thai patient.
  • Fever, malaise, nausea and vomiting.
  • The skin becomes sensitive to changes of temperature, especially air currents.
cardiology news

Common blood pressure drugs may slow dementia decline

A class of drug used to lower blood pressure could potentially slow the rate of cognitive decline in dementia and even boost brain power, according to a study published by BMJ Open.

Researchers from Ireland analyzed the cognitive decline and brain power of 361 patients with an average age of 77. All had been diagnosed with either Alzheimer's disease, vascular dementia, or a mixture of both.

A new study appears to confirm that when you eat is just as important for health as what and how much you eat.

US researchers asked men to complete questionnaires about what they ate and when they ate it, then tracked their health for 16 years. Those who said they skipped breakfast were found to have a higher risk of heart attack or fatal coronary heart disease.

Valvular Heart Disease News

Intra-operative TEE, especially live 3D TEE, provides excellent diagnostic accuracy and helps surgical planning.

(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)

cardiology news
  • According to a long-term cohort study that included more than 1200 persons born in New Zealand, persons with lower self-control scores during middle-school years were more likely to have 12 of the 13 adverse adult outcomes measured, including criminal behavior, substance use, increased sexual behavior, and even mental disorders as adults than their peers who had higher childhood self-control scores.
  • Findings from two separate studies released online July 22 in the journal Pediatrics state that abnormal general movements in very preterm children predict neurodevelopmental impairment at ages 2 and 4, whereas neonatal infections do not. Such infants need close monitored for neurodevelopment.
cardiology news

Blood pressure measurement may detect proneness to heart attack

The ankle–brachial index (ABI), a simple, non–invasive 10–minute test should be incorporated into a routine physical exam for diagnosing peripheral arterial disease in the middle aged and the elderly, especially those with heart attack risk factors like smokers, diabetics and the ones with high BP or cholesterol levels.

With the patient in a supine position, the doctor takes blood pressure readings from both arms; he then takes blood pressure readings from both ankles with a sphygmomanometer and Doppler device. ABI value is calculated by dividing the higher systolic pressure in each leg by the higher systolic brachial pressure.

ABI scores should be interpreted as follows:

  • Greater than 0.90: Normal
  • 0.71 – 0.90: Mild obstruction
  • 0.41 – 0.70: Moderate obstruction
  • Less than 0.40: Severe obstruction
  • More than 1.30: Calcification of the vessels

Presence of peripheral arterial disease may indicate associated blockages in the heart and proneness to heart attack or paralysis. ...Read More

cardiology news

Paternal age and fertility

Women are generally aware of the reproductive issues related to advanced maternal age, typically defined as 35 years of age or older on the estimated date of confinement. These issues include higher risks of infertility, fetal aneuploidy, gestational diabetes, preeclampsia, and stillbirth.

cardiology news
  1. 23rd July: HCFI Executive Meeting


CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh


CPR Classes: Persons trained (1336)

19th July: CPR Moolchand 29

20th July: CPR Moolchand 28

22nd July: CPR Moolchand 26

23rd July: CPR Moolchand 26

24th July: CPR Moolchand 27

25th July: CPR Sahodaya Sr. Sec. School, SDA, New Delhi (1200)

26th July: CPR Moolchand (20)

CPR VIP Sensitization

24th July: Imtiaz alam from pakistan doing CPR

Total CPR since 1st November 2012 – 56831 trained

TV and Radio Coverage

24th July: Interview in Sahara TV on iron tablets

Video Chats and uploads

Dr KK Aggarwal on NEWS 24

Dr KK Aggarwal on Monsoon Take Care

Dr KK Aggarwal on Danger of Epidemics (Uttarakhand Disaster)

1308 students learnt CPR at Abhinav Public School, Rohini

CPR Utsav 6th April 11543 men and women Trained in 1 day

Dr KK Aggarwal on 4 REALNEWS JUNE 26 2013 On Uttarakhand Disaster

Symposium on Prayer, Faith, Meditation and healing part 9

Symposium on Prayer, Faith, Meditation and healing Part 8

Advocacy through

Print Media

21st July: Saha Times

21st July: Viraat Vaibhav

22nd July: Veer Arjun

22nd July: Viraat Vaibhav

23rd July Veer Arjun

24th July: Veer Arjun

25th July: New Ad n Face-year-14, issue-7

26th July: Hindustaan

26th July: Rastriya Rakshak

Media advocacy through Web Media

Eating Disorders are contagious 24th July


Smoking and ulcerative colitis

Nicotine therapy may benefit a limited number of patients with refractory ulcerative colitis, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President Elect IMA.

Several epidemiologic studies have suggested a protective effect of nicotine on ulcerative colitis disease activity.

Two placebo-controlled trials of transdermal nicotine in active mild ulcerative colitis published in the New England Journal of Medicine and Annals of Internal Medicine, showed a beneficial effect of nicotine therapy. The first study, evaluated 72 patients, all of whom were treated with mesalamine and 12 of whom received corticosteroids. Treatment with a nicotine patch (15 to 25 mg per 24 hours) led to complete remission in 17 of 35 patients versus only 9 of 37 given placebo. Side effects were considerable in those patients who were nonsmokers.

Transdermal nicotine is not effective for maintaining remission in ulcerative colitis. Thus, it may be used to bring patients into remission who will then require additional forms of maintenance therapy.

Ulcerative colitis is an inflammatory bowel disease of uncertain etiology that is characterized by recurring episodes of inflammation primarily involving the mucosal layer and occasionally the submucosa of the colon.

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 56831 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 10x10 i.e. 100 per minute.” ...Read More

today emedipics

Heart Care Foundation of India Organizes a CPR 10 Training camp at Sahodaya Sr Sec. School, SDA, New Delhi on 25th July 2013.

press release

New Drug for ED

today video of the dayDr KK Aggawral on Say No to Tobacco

Smart Phones Benefits and Hazards

Beware of Artificial Medicine

eMedi Quiz

Read this…………………

A mother and grandmother bring a 3-month-old infant to the well-baby clinic for a routine checkup. Nurse Aimee weighs the infant, the grandmother asks, “Shouldn’t the baby start eating solid food? My kids started on cereal when they were 2 weeks old.” Which response by the nurse would be appropriate?

a. ”The baby is gaining weight and doing well. There is no need for solid food yet.”
b. ”Things have changed a lot since your children were born.”
c. ”We’ve found that babies can’t digest solid food properly until they’re 3 or 4 months old.”
d. ”We’ve learned that introducing solid food early leads to eating disorders later in life.”

Yesterday’s Mind Teaser: Nurse Jake is aware that most oral pediatric medications are administered:

a. With the nighttime formula
b. ˝ hour after meals
c. On an empty stomach
d. With meals

Answer for yesterday’s Mind Teaser: c. On an empty stomach

Correct answers received from: DR AYYAVOO ERODE, DR SANTHAKUMARI, DR ARPAN GANDHI, Dr.Bitaan Sen & Dr.Jayashree Sen, rajeev ardey, Dr. V.P. Thakral, Dr. Sushma Chawla, Dr.K.V.Sarma, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr Avtar Krishan,

Answer for 26th July Mind Teaser: a. Neonates: 10.6 to 16.5 g/dl

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen

Send your answer to ijcp12@gmail.com

eMedi Apps

medicolegal update

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medicolegal update

Customer: I have problems printing in red...
Tech support: Do you have a colour printer?
Customer: Aaaah....................thank you.

medicolegal update
medicolegal update

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medicolegal update

Situation: A 28–year–old pregnant woman was advised erythromycin estolate for her upper respiratory tract infection. A week later she developed jaundice.
Reaction: Oh my God! You should have prescribed erythromycin stearate instead of estolate.
Lesson: Make sure to remember that higher incidence of hepatitis with cholestatic jaundice occur in pregnancy with erythromycin estolate.

medicolegal update

What other people say

You have to forget about what other people say, when you're supposed to die, or when you're supposed to love. You have to forget about all these things. Jimi Hendrix

medicolegal update

Dr KK Aggarwal: Obsessively yours: Signs That You May Have OCD
http://bit.ly/12vFIfq #Health

Dr Deepak Chopra: Just as a wave is a movement of the whole ocean, you are the energy of the cosmos. Don't underestimate your power.

medicolegal update

Dear Sir, Thanks for the nice updates. Regards: Dr Trishna

Forthcoming Events

28th July Free Health Check up Camp at Moolchand Medcity, New Delhi

29th September -Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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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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