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  From the Desk of Editor–in–Chief
Dr KK 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; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 7 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

29th October 2012, Monday

19th MTNL Perfect Health Mela to train general public on Compression Only Cardiopulmonary Resuscitation

Heart Care Foundation of India will be attempting three events, which will be covered by Limca Book of Records, for the first time in India.

  1. 1000 students and nurses will be trained in Continuous Compression-only Cardiopulmonary Resuscitation live on 200 dummies at one go. Multiple rescuer Continuous Compression-only Cardiopulmonary Resuscitation involves a technique where multiple people can conduct chest compression on one dead person for revival. The event will be held on 1st November, 2012 from 7am to 9am at Birla Vidya Niketan, Pushp Vihar, Sector-4, New Delhi.
  2. On 9th November, 2012, Friday at Constitution Club of India, 200 nurses will be trained on Continuous Compression-only Cardiopulmonary Resuscitation on 200 dummies in the ratio of one dummy per person.
  3. From 1st to 11th November, 2012, the Foundation will train upto 10000 people in Continuous Compression-only Cardiopulmonary Resuscitation.

It is well known that life is reversible after sudden cardiac arrest in the first 10 minutes provided compression only CPR can be done effectively and continuously by bystanders or single bystander. The revival is based on the Mantra “within 10 minutes of cardiac arrest, compress the chest of the victim effectively and continuously with a speed of 10x10=100 per minute”. If automatic external defibrillators are available, then electric shock should be given before starting Continuous Compression-only Cardiopulmonary Resuscitation and if the same is not available, one can substitute them with two thumps in the centre of the chest which can be repeated after every two minutes.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Stimulant laxatives, have direct effects on the colonic smooth muscle to stimulate contractile activity. The examples are triphenylmethanes (such as sodium picosulfate and bisacodyl), and anthraquinones (including senna, cascara, and aloe). Sodium picosulfate is metabolized in the colon to bisacodyl.

Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

Vovel chanting producing aspirin in my body

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela to focus on revival after sudden death

The forthcoming 19th MTNL Perfect Health Mela being organized by Heart Care Foundation of India jointly with Health Department, Government of NCT Delhi . In the photo: Hon'ble Dr. A.K. Walia, Minister of Health and Family Welfare, Government of NCT Delhi, and Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and MTNL perfect Health Mela addressing a press conference

Dr K K Aggarwal
    National News

India's infant mortality rate drops

India's infant mortality rate (IMR) has come down by three points from 47 to 44 deaths per 1,000 live births during 2011, the health ministry said Friday. According to the ministry, the latest bulletin of the Sample Registration System (SRS) released by the Registrar General of India (RGI) shows that the IMR for rural areas has dropped by three points from 51 to 48 deaths per 1,000 live births while the urban rate now stands at 29 from the previous 31. Among the states, Goa and Manipur have the lowest IMR of 11, followed by Kerala with 12 deaths per 1,000 live births. Madhya Pradesh has the highest IMR of 59 per 1,000 live births followed by Uttar Pradesh and Odisha with 57 each. Assam, Chhattisgarh, Rajasthan and Meghalaya have IMRs higher than the national average of 44. The SRS is a large-scale demographic survey for providing reliable annual estimates of birth rate, death rate and other fertility and mortality indicators at the national and sub-national levels. The field investigation consists of continuous enumeration of births and deaths in selected sample units by anganwadi workers and teachers. (Source: The Pioneer, Oct 26, 2012)

For comments and archives

My Profession My Concern

Recommendations of the Expert Advisory Group Meeting on the 14th Oct, 2004

Use of selected life saving drugs and interventions in obstetric emergencies

Administration of antibiotics: The indications for which antibiotic therapy is recommended are:

  • Premature rupture of membranes
  • Prolonged labour
  • Anything requiring manual intervention
  • UTI
  • Puerperal sepsis
  • There should be instructions for the ANMs that after starting the woman on antibiotics, she should inform the PHC Medical Officer.

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Valvular Heart Disease Update

Mitral stenosis in the elderly

Valvular mitral stenosis is rarely seen in elderly patients. Mitral obstruction may be produced by protuberant mitral annular calcification (MAC). It is present in 6 percent of the elderly population.

(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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Air pollution damages arterial function

Long-term exposure to air pollution -- and especially fine particulate matter -- may be an important risk factor for atherosclerosis, a multi-city study suggested. (Source: Medpage Today)

For comments and archives

Cath wrist access may work best for STEMI

Radial artery access in the cardiac catheterization lab was associated with improved outcomes compared with femoral artery access among patients with ST-segment elevation MI (STEMI), a prespecified secondary analysis of the RIVAL trial showed. (Source: Medpage Today)

For comments and archives

HIV home testing accepted most by those at highest risk

Rapid HIV home test kits would be acceptable to a majority of adults surveyed in New York City, but cost might be an issue. Speaking at an oral session here at IDWeek 2012, Julie Myers, MD, MPH, of the Bureau of HIV/AIDS Prevention and Control of the New York City Department of Health and Mental Hygiene in Long Island City, New York, and the Division of Infectious Diseases at Columbia University Medical Center in New York City, reported an analysis of a 2006 cross-sectional telephone survey of adults aged 18 to 64 years. (Source: Medscape)

For comments and archives

FDA: Don't tighten Vicodin regulation

Hydrocodone-containing combination products, such as hydrocodone/acetaminophen (Vicodin), should be kept as Schedule III controlled substances and not be subject to tighter regulations to prevent abuse, the FDA recommended Thursday. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: Driving Fitness Awareness For Commercial Drivers In The Forthcoming Perfect Health Mela blog.kkaggarwal.com/2012/10/driving

@DrKKAggarwal: Just as the moon waxes & wanes in an endless cycle so too consciousness cycles through birth , youth, old age ,death & rebirth.

    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

Dealing with Stress

Stress may be broadly defined as comprising of 3 components, namely a "known situation, interpretation of a situation and the physical and mental reaction to that interpretation of the situation".

Stress is a situation: There cannot be a stress without a situation. One cannot be stressed about some event occurring in USA without knowing the person or the situation. The situation requires familiarity with the particular sensory object (known situation).

For comments and archives

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

How is SHG performed?

Sonohysterography (SHG) is usually performed in the first part of the menstrual cycle after menstruation. The procedure begins with a transvaginal ultrasound examination. After this is completed, a narrow tube is placed through the cervix into the uterine cavity, and the ultrasound examination is continued while sterile saline is instilled into the uterine cavity. The uterine cavity is filled with sterile saline in order to improve detail of images of the uterine cavity. Space-occupying abnormalities such as endometrial polyps and intracavitary fibroids are usually very well visualized with this technique.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

What is a unit of blood?

The blood is collected in plastic bags. They contain a watery fluid, which prevents the blood from getting coagulated. On an average we draw about 350 or 450 ml. of blood from a person depending on his body weight and this blood plus the amount of anti coagulant present in the bag is known as one unit of blood.

For comments and archives

    An Inspirational Story


Sunflowers always face the sun. In the morning, they face east. By evening, they have turned west. They follow the sun as it crosses each day's sky, so they can gather in as much sun as possible. We can be like sunflowers, and turn to the SON, Jesus Christ, and gather spiritual light from him.

A sunflower's seed will grow almost anywhere. You, too, can bloom and grow where you are planted. By desiring to believe and by studying the scriptures prayerfully, you will nurture your personal gospel seed.

As the sunflower grows, small birds soon appear, surround by protecting leaves. Like those leaves, your parents, leaders, and teachers surround you, and love you, and protect you, and help your budding testimony grow.

As a sunflower grows taller, its stalk grows thicker, for it must support the large flower that will soon be full of seeds. So your spiritual stalk must grow, and your testimony will grow stronger as you prayerfully read the scriptures that teach of Jesus Christ and strive to become like him.

When the sunflower bud opens, bright yellow petals form, and its head becomes a golden crown. The blessings of its growth at last begin to show. And, having been born of a seed, it now produces seeds of its own that nourish people, animals and birds. Your testimony will likewise produce its own new seeds, and you will nourish family, friends and others who will see the Son reflected, like a golden crown, in you, for you have become like Him.

So turn to the Son. Open your heart to His light. Seek it first thing each morning. Follow its warmth across each day's sky, and let its comfort be the last thing you feel each night. Then, when the evening of your life's last setting comes, you will arise to a glorious new morning and turn again to Him and he will see His image in your countenance.

For comments and archives

  Cardiology eMedinewS

Acute Dyspnea Assessment: Portable Ultrasound Better Than CXR?
Read More

Bedside Clinical Prediction Rule For Stroke Promising Read More

  Pediatric eMedinewS

OTC Eye, Nasal Products Harmful If Kids Ingest, FDA Warns Read More

Parent Training Best Medicine For Disruptive Behavior In Kids Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with diabetes wanted to join aerobics.
Dr. Bad: It is bad for you.
Dr. Good: At least do it three times a week.
Lesson: According to the results of a randomized, controlled trial, patients with type 2 diabetes improved in fasting blood sugar, low-density lipoprotein, high-density lipoprotein, and quality of life following 8 weeks of aerobic exercise training for 30 minutes, at 50%-75% of maximum heart rate three times weekly (Int J Gen Med 2011;4:723-7).

For comments and archives

Make Sure

Situation: A patient with suspected pneumonia and normal x–ray died 12 hours after admission.
Reaction: Oh my God! Why were antibiotics not started?
Lesson: Make sure that all patients with suspected pneumonia are given antibiotic at the first suspicion as x–ray can be normal in the first 24 hours.

For comments and archives

    Legal Question of the Day (Dr MC Gupta)

Q. Offences under the PC&PNDT are cognizable. That being so, is it open to the police to arrest a doctor on the ground that there was some inaccuracy in the F form that was filled?


  1. The police is not competent to take cognizance of an offence under the PC&PNDT Act. Hence the police cannot arrest on their own.
  2. Cognizance of offences under the Act is explained in section 28, whereby it is made clear that only a court can take cognizance.
    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Beta 2 microglobulin

  • To evaluate the severity and prognosis of multiple myeloma, leukemia, or lymphoma
  • To distinguish between kidney disorders and to detest kidney damage
  Quote of the Day (Dr GM Singh)

The more you praise and celebrate your life, the more there is in life to celebrate. Oprah Winfrey

    Mind Teaser

Read this…………………

My daughter has as many sisters as she has brothers. Each of her brothers has twice as many sisters as brothers. How many sons and daughters do I have?

Yesterday’s Mind Teaser: Joey asks the nurse why he is receiving the injection of Morphine after he was hospitalized for severe anginal pain. The nurse replies that it:

A. Will help prevent erratic heart beats
B. Relieves pain and decreases level of anxiety
C. Decreases anxiety
D. Dilates coronary blood vessels

Answer for Yesterday’s  Mind Teaser: Answer: (B) Relieves pain and decreases level of anxiety Morphine is a specific central nervous system depressant used to relieve the pain associated with myocardial infarction. It also decreases anxiety and apprehension and prevents cardiogenic shock by decreasing myocardial oxygen demand.

Correct answers received from: Dr.B.R.Bhatnagar, Dr Kanta Jain, Dr Pankaj Agarwal, DR Chandresh  Jardosh, Dr. Thakor Hitendrsinh G, Dr Avtar Krishan, Dr Mukesh K Bhandari, Dr B K Agarwal

Answer for 27th October Mind Teaser: Take the fox over, return with nothing. Go over with one chicken, return with the fox. Go over with the second chicken, return with nothing. Finally, take the fox over.
Correct answers received from: Muthumperumal Thirumalpillai, Sagar, Dr.K.V.Sarma

Send your answer to ijcp12@gmail.com

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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

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    Laugh a While (Dr GM Singh)

Arresting Mom

A police recruit was asked on an exam, "What would you do if you had to arrest your own mother?"

In the blank, he wrote, "Call for backup."

    Medicolegal Update

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

Death of a person admitted as medicolegal case

The following are the Dos and Don’ts in case a person admitted as a medicolegal case dies.

  • A water proof identity slip must be tagged carefully on deceased body.
  • Inform the police immediately.
  • Send the body to the hospital mortuary for preservation, till the legal formalities are completed and the police releases the body to the lawful heirs.
  • Request a medicolegal postmortem examination.
  • Do not issue a death certificate even if the patient was admitted. Make a death summary for postmortem surgeon.
  • The dead body should never be released to the relatives; it should only be handed over to the police.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Soya milk - the health answer as 68% of milk in India adulterated

Over 68 per cent of milk in India does not conform to the standards set by the Food Safety and Standards Authority of India as per the govt. in a statement to Supreme Court.

According to the FSSAI's 2011 survey, the most common adulterant was found to be the addition of water, and the main reason for deviation from the standards was addition of glucose and skimmed milk powder. Addition of water will reduce the nutritional values and if contaminated can cause health hazards. It also found that in some samples, detergent was mixed.

A PIL alleged that synthetic and adulterated milk and milk products are prepared using urea, detergent, refined oil, caustic soda and white paint which, according to studies, are "very hazardous" to human life and can cause serious diseases like cancer.

These adulterants are hazardous and cause irreversible damage to the organs. As per ICMR detergents in milk causes food poisoning and gastrointestinal complications. Other synthetic compounds cause impairments, heart problems, cancer and even death. The immediate effect of drinking adulterated milk with urea, caustic soda and formalin is gastroenteritis but the long term effects are known to be far more serious.

The health answer is to shift to soya milk, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India. Dr Aggarwal said that the forthcoming MTNL Perfect Health Mela will focus on health benefits of shifting to soya. During festive season, especially Diwali as non adulterated milk is often used to prepare sweets it is impossible to get pure milk to drink. Atleast during these days it is safe to shift to soya milk.

Some facts about soya milk

  1. Soy milk (also called soya milk, soymilk, soybean milk, or soy bean juice and sometimes referred to as soy drink/beverage) is a beverage made from soybeans.
  2. It is produced by soaking dry soybeans and grinding them with water.
  3. Soy milk contains about the same proportion of protein as cow's milk: around 3.5%; also 2% fat, 2.9% carbohydrate, and 0.5% ash.
  4. Soy milk can be made at home.
  5. The coagulated protein from soy milk can be made into tofu, just as dairy milk can be made into cheese.
  6. The American Academy of Pediatrics considers soy milk a suitable alternative for children who cannot tolerate human or cow's milk, or whose parents opt for a vegan diet.
  7. It is associated with a reduction in low-density lipoprotein ("bad cholesterol") and triglycerides.
  8. It is good for women undergoing menopause.
  9. Soy affects bone mineral density.
  10. Gout sufferers limit consumption of soy products.
  11. It is good for the health of the thyroid gland.
    Readers Response
  1. Dear Sir, Nice to know about MTNL Perfect Health Mela. Regards: Dr Falguni
    Forthcoming Events

19th MTNL Perfect Health Mela 2012 Programme

Dr K K Aggarwal
Dr K K Aggarwal
Dr K K Aggarwal
    eMedinewS Special

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    Our Contributors

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, Dr Usha K Baveja