eMedinewS28th July 2014,Monday

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


  1. More than one billion people are infested with round worms worldwide.
  2. The prevalence is higher in India.
  3. Adult worms live in the lumen of small intestine.
  4. The female worm produces fertilized eggs much faster in the stool.
  5. The eggs prefer warm, shady, moist conditions where they can survive for five years.
  6. Within days following consumption of contaminated food or water, the eggs hatch in the small intestine and release larvae every minute in the next 10 days.
  7. Most worms are asymptomatic.
  8. During migration in the lung, a patient may have asthma–like attack.
  9. High burden of worms in the intestine can cause nutritional deficiency.
  10. Heavy infection can also cause nutritional obstruction.
  11. Eggs do not appear in the stool for at least 40 days after infection.
  12. Treatment is deworming tablets.
  13. Deworming is not good when a lung infection is suspected.
  14. Deworming tablet can be given in a single dose.
  15. Mass treatment with a single dose of deworming tablet every 2–3 months for school children is recommended.

News Around The Globe

  • A study published online July 22 in the Annals of Emergency Medicine has revealed that ketamine does not increase intracranial pressure, increase risk for death, or extend intensive care unit length of stay compared with drugs commonly used to intubate adult patients in the emergency department (ED).
  • A new system called CelluTome, from Kinetic Concepts Inc, for the treatment of diabetic foot ulcers allows for a nonsurgical approach in which skin obtained from a swath of tiny blisters created with heat and suction is applied to a wound, thereby avoiding the need for anesthesia or exposing patients to the risk of surgical complications.
  • A single course of low–dose otelixizumab does not preserve pancreatic beta-cell function in patients with newly diagnosed type 1 diabetes, suggest the results of the Durable Response Therapy Evaluation for Early or New–Onset Type 1 Diabetes (DEFEND–I) phase 3 trial. The results are published online in Diabetes Care.
  • Results from a survey presented at the American Urogynecologic Society and International Urogynecological Association 2014 Scientific Meeting have revealed that pelvic floor disorder symptoms are extremely common in female triathletes, with 1 in 3 female triathletes reporting symptoms like stress urinary incontinence, anal incontinence, and nondisabling pelvic girdle pain.
  • Two clinical trials, TURQUOISE–1 and PHOTON–2, evaluating interferon–free hepatitis C regimens have shown promising results for patients co–infected with HIV. The findings were presented at the 20th International AIDS Conference. In the TURQUOISE–1 trial, the sustained virologic response 4 weeks after treatment cessation was approximately 97%.

Rabies News (Dr A K Gupta)

Is it essential to perform skin sensitivity test prior to the administration of ERIG?

Majority of reactions to ERIG result from complement activation and are not IgE mediated and will not be predicted by skin testing.

The recent WHO recommendation states that there are no scientific grounds for performing a skin test prior to the administration of ERIG, because testing does not predict reactions and ERIG should be given whatever the result of the test.

However, skin test is mandatory to avoid any possible litigation under Consumer Protection Act in India.

Cardiology eMedinewS

  • The revised guidance from the National Institute for Health and Care Excellence (NICE) recommends once–daily, oral antiplatelet prasugrel, in combination with aspirin, as a cost–effective option in comparison to generic clopidogrel, for a wider group of acute coronary syndrome (ACS) patients having primary or delayed percutaneous coronary intervention (PCI).
  • Heart patients in Southampton are the first in the world to be able to use a new mobile station to analyze their pacemakers without the need for a nurse, doctor or visit to hospital. The hi–tech CareLink Express is currently based at Bitterne Park Medical Centre as part of a pilot study. It has been designed to provide care closer to home, decrease waiting times and missed appointments and free up staff to treat patients in hospital.

Pediatrics eMedinewS

  • A new study by researchers from the University of Murcia has linked brain connectivity with children’s impulsive behavior. Researchers noted that the greater the level of impulsiveness in the children, the greater the alteration in the connections between the posterior cingulate cortex and the right angular gyrus, a phenomenon also observed in antisocial behavior.
  • A review published online in the Journal of Parenteral and Enteral Nutrition (JPEN) has pointed that there is insufficient evidence that combination lipid emulsions offer any greater benefit in bilirubin levels, triglyceride levels, or infection incidence, in comparison with standard soybean oil lipid emulsion, in pediatric patients receiving intravenous feeding.

Dr K K Spiritual Blog

Panchamrit body wash

Panchamrit is taken as a Prasadam and is also used to wash the deity. In Vedic language, anything which is offered to God can also be done to the human body. Panchamrit bath, therefore, is the original and traditionally full bath prescribed in Vedic literature. It consists of the following:

  • Washing the body with milk and water, where milk acts as a soothing agent.
  • Next is washing the body with curd, which is a substitute for soap and washes away the dirt from the skin.
  • The third step is washing the body with desi ghee, which is like an oil massage.
  • Fourth is washing the body with honey, which works like a moisturizer.
  • Last step is to rub the skin with sugar or khand. Sugar works as a scrubber.

Panchamrit bath is much more scientific, cheaper and health friendly.

Wellness Blog

White Rice Most Dangerous

  • White rice is much more dangerous in terms of glycemic index than white bread. It has glycemic index of 102.
  • We often tell people not to take cola drinks but they eat white bread. The glycemic index for white bread is 100% and that for cola drink is 90%.
  • Traditional Indian drinks like Rooh Afza, Khas Khas may also contain more than 10% sugar.
  • The recommended sugary drink does not contain more than 2–3% sugar, which is the amount present in oral rehydration solution.
  • People leave a cola drink and take mashed potato which has glycemic index of more than that of a cola drink (102 versus 90).
  • Pizza has a glycemic index of only 86. So it is better to eat pizza than fried white rice or taking white bread.
  • Table sugar has a glycemic index of 84, while that of jam is 95.
  • French fries have a glycemic index of only 95.
  • To avoid refined carbohydrates in diet, if one has to choose than most dangerous is white rice, followed by white bread and then comes white sugar.
  • Most people add sugar in food and snacks because sugar is a preservative. Less the sugar, earlier the food will be spoiled.

Inspirational Story

Helping Yourself

Well my story starts 3 years ago. I was working in a retail store; I like to talk to everybody and know what’s going on in their lives. I remember this one girl who started working there a few months after me. I remember always seeing her. I don’t know why but for a weird reason we would never talk. We would just see each other and smile.

She would always smile in a really happy way until one day when we got to work in the same department again. She smiled as if she was the happiest girl in the world. I went up to her and asked "What’s wrong with you?" She answered "Why?" I said, "I could feel you’re very sad and you're always trying to hide it."

Her mouth just dropped as if I had discovered her deepest secret, so we started talking. She told me why she was feeling like that and why she was trying to hide it. Time went by and we became good friends. She’d always tell me I had changed her life in so many ways. I could not imagine. I would just smile, not really understanding what she meant by that. Today this girl is one of my best friends. I really don’t know what I would do without her. She has been there for me in every possible way a friend could be.

I guess what I’m trying to say is you never know when you’re helping yourself. I helped this girl never knowing that at the same time I was helping myself by finding a truthful friend.

So the next time you see a stranger and they look like they need someone who will listen to them, listen to what they have to say. You never know, you might just end up helping yourself.

ePress Release

Can’t avoid anger: Take aspirin

Emotionally stressful events, and more specifically, anger, immediately precede and appear to trigger the onset of acute heart attack.

Episodes of anger are capable of triggering the onset of acute heart attack and aspirin can reduce this risk 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.

People who cannot control their anger should ask their doctors to consider taking aspirin.

Quoting a Harvard study Dr Aggarwal said that doctors at the Deaconess Hospital, Harvard Medical School, Boston, interviewed 1623 patients (501 women) an average of 4 days after a heart attack.

The onset anger scale identified 39 patients with episodes of anger in the 2 hours before the onset of heart attack. The relative risk of heart attack in the 2 hours after an episode of anger was 23.

Regular users of aspirin had a significantly lower relative risk (1.4) than nonusers (2.9).

Anger in response to stress is also of particular importance for the development of premature heart attack in young men. An episode of anger may also trigger an acute heart attack in the next 2 hours.

eMedi Quiz

A lesion of ventrolateral part of spinal cord will lead to loss (below the level of lesion) of:

1. Pain sensation on the ipsilateral side.
2. Proprioception on the contralateral side.
3. Pain sensation on the contralateral side.
4. Propriception on the ispilateral side.

Yesterday’s Mind Teaser: Presence of food might be expected to interfere with drug absorption by slowing gastric emptying, or by altering the degree of ionization of the drug in the stomach. Which of the following statements is not a correct example?

1. Absorption of digoxin is delayed by the presence of food.
2. Concurrent food intake may severely reduce the rate of absorption of phenytoin.
3. Presence of food enhances the absorption of hydrochlorthiazide.
4. Anitimalarial drug halofantrine is more extensively absorbed if taken with food.

Answer for yesterday’s Mind Teaser: 3. Presence of food enhances the absorption of hydrochlorthiazide.

Correct answers received from: Dr poonam chablani, Dr.K.V.Sarma, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr Avtar Krishan

Answer for 26th July Mind Teaser: 1. Criterion validity.

Correct answers received from: Dr Avtar Krishan,

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

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Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

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Health Check Up and CPR 10 Camp at NP Primary School, Rama Krishna Marg –16th July 2014

press release

A soda a day raises heart disease risk by 20%

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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 ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately if swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

eMedinewS Humor

Wo Man

An English teacher wrote this phrase on the board and asked her students to properly punctuate it:

"Woman without her man is nothing."

MEN WROTE: Woman, without her man, is nothing.

WOMEN WROTE: Woman! Without her, man is nothing.

Quote of the Day

It is wise to direct your anger towards problems – not people; to focus your energies on answers – not excuses. William Ward

Twitter of the Day

Dr KK Aggarwal:Obesity is a disease By Dr k k Aggarwal http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra:Change begins with an idea, a hope, a dream, an individual. It can begin with you @SagesScientists Symposium

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  1. Dear Sir, Very interesting newspaper. Regards: Dr Shradha
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