eMedinewS29th December 2013, Sunday

Dr K K AggarwalPadma 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; Chairman Ethical Committee Delhi Medical Council, 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

Dear Colleague Watch my show on Zee News

Health Wealth: Can Alcohol be prescribed as Medicine

Watch the show "Health Wealth" anchored by me on Zee News tomorrow (Sunday) at 12.30 pm

Noteworthy Advances in Basic Research

Seeing into the brain

NIH–funded scientists developed a new technique to preserve the brain’s 3–D structure down to the molecular level with a hydrogel. It allows for study of the brain’s inner workings at a scale never before possible.

Structure of a potential diabetes drug target

An international team of researchers, funded in part by NIH, determined and analyzed the structure of the human glucagon receptor.

How sleep clears the brain

An NIH–funded study in mice suggests that sleep helps restore the brain by flushing out toxins that build up during waking hours though a special series of channels in the brain.

Technique forms working inner ear cells

Using an innovative 3–D culture system, NIH–funded researchers were able to coax mouse embryonic stem cells to form complex cells and structures seen in the inner ear.

Study reveals new targets for Parkinson’s disease

NIH scientists used a novel approach, involving a protein tied to Parkinson’s disease, to identify dozens of genes that may contribute to disorders that involve mitochondria.

Therapeutic nanoparticles from grapefruit juice

NIH–funded researchers made nanoparticles from grapefruits and used them to deliver targeted drugs to treat cancer in mice. The technique may prove to be a safe and inexpensive alternative.

Understanding how we speak

Scientists funded by NIH revealed the patterns of brain activity that produce human speech

Dr K K Aggarwal on Zee TV

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 mantra
VIP’s on CPR 10 Mantra Video
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Man Vachan Kaya

sprritual blog

Man Vachan Kaya are the three fundamental principles used to define non–violence (ahimsa) and truthfulness (satya). Being truthful means what you think, speak and do, are the same.

You should be one in whatever you think, do or speak. Ahimsa is the fundamental principle of Jainism, which means that you should be non–violent not only in your actions but also in your speech and thoughts. Being truthful makes you Satyugi.

Only in certain circumstances, you may differ in your thinking, speech and actions. For example, you cannot tell a patient he is going to die in the next week. Here your mind may be saying something, your speech and actions will be something else.

Any discordance in Man, Vachan and Kaya ends up with guilt and suppress emotions, which later on can cause blood pressure, diabetes and heart disease.

cardiology news

It is the little things that make a big difference

There was a man taking a morning walk at or the beach. He saw that along with the morning tide came hundreds of starfish and when the tide receded, they were left behind and with the morning sun rays, they would die. The tide was fresh and the starfish were alive. The man took a few steps, picked one and threw it into the water. He did that repeatedly. Right behind him there was another person who couldn’t understand what this man was doing. He caught up with him and asked, "What are you doing? There are hundreds of starfish. How many can you help? What difference does it make?" This man did not reply, took two more steps, picked up another one, threw it into the water, and said, "It makes a difference to this one."

News Around The Globe


  • According to a new Scottish research reported in the January Arthritis Care & Research, incorporating musculoskeletal ultrasound into disease activity assessments helped inform treatment decision–making in early rheumatoid arthritis. In 29% of clinical evaluations that included a musculoskeletal ultrasound, the imaging study provided information that altered the decision of whether a change in disease–modifying anti–rheumatic drug (DMARD) therapy was appropriate.
  • Increased consumption of dietary fiber is associated with a significantly lower risk of CVD and CHD. For every 7 g of dietary fiber eaten daily, which can be achieved by eating 2 to 4 servings of fruits and vegetables, or a serving of whole grains plus a portion of beans or lentils, the risks of CVD and CHD were each lowered by 9%, according to a new meta–analysis published December 19, 2013 in BMJ.
  • For patients undergoing prostatectomy, an opioid–sparing approach to anesthesia was associated with a lower risk for systemic prostate cancer progression and lower overall mortality than general anesthesia, according to the largest study of its kind. The results were published online on December 16 in the British Journal of Anaesthesia.
  • Inclusion of estrogen receptor, progesterone receptor and human epidermal growth factor 2 (HER2) status could improve the prognostic accuracy of breast cancer staging, according to a new study. The current TNM staging system, based as it is strictly on anatomic factors, ignores the prognostic impact of tumor biology, Dr. Giuliano and colleagues noted in JAMA Surgery, online December 4.
  • Shrugging off chronic knee pain as an inevitable part of aging puts men in their 70s at risk for accelerated muscle loss, falls and generally reduced quality of life, as per a new study in the journal Age and Ageing.

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Rabies News (Dr. A K Gupta)

What is the approach to a person who has consumed milk of a rabid animal?

If a person has consumed milk of a rabid animal, counseling should be done. If counseling is not effective, then PEP by IM or ID route or as a last resort, a course of PEP (only vaccine) should be given.

If the milk is boiled or heated then only counseling or at the most a course of PEP should be given only due to compulsions in medical practice in Indian setting.

cardiology news

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

  • Heart rate, left ventricular filling pressure and use of aldosterone antagonists were linked to worsening renal function in patients with acute decompensated HF who received venovenous ultrafiltration, according to a new study in Journal of Cardiac Failure.
  • Children who have had open heart surgery to switch their great arteries have significantly altered function of these arteries later in life, according to a new study from Hong Kong published in the American Journal of Cardiology. The arterial switch operation is done to correct a congenital defect known as complete transposition of the great arteries, in which the aorta and the pulmonary artery are transposed at birth.
cardiology news

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

  • Prolonged exposure (PE) therapy helped alleviate symptoms of post–traumatic stress disorder (PTSD) better than counseling sessions in a small group of adolescent girls who had been sexually assaulted. In a study in JAMA, after 14 treatment sessions with counselors that had recently been trained in PE therapy, girls in the PE group averaged 7.5 points better on the PTSD symptom scale compared with girls in the counseling sessions. This improvement was maintained for 12 months following session cessation, with girls in the PE group averaging 6.0 points better at a 12–month follow–up.
  • Nearly half of teens who were perinatally infected with HIV have an increased risk of atherosclerotic cardiovascular disease. When they were assessed with the Pathobiological Determinants of Atherosclerosis in Youth (PDAY) scores, 48% of the infected teens were found to have an elevated risk for having a lesion in the coronary arteries, and about a quarter (24%) were at risk for a lesion in the abdominal aorta, as reported by Kunjal Patel, DSc, MPH, of the Harvard School of Public Health in Boston, and colleagues in Circulation: Journal of the American Heart Association.
cardiology news

How to Eat Less And Stay Healthy?

Vedic science, Ayurveda, Homeopathy, Naturopathy, Allopathy all talk about eating less to stay healthy. Following are the ways to eat less:

  • The brain gets a signal that you have eaten only after 20 minutes, therefore, chew every bite of food at least 15 times. It not only provides enough hormones for enzymes but also sends signals to the brain. Therefore, the time spent per meal should be 20 minutes.
  • The taste buds are only on the tip and side of the tongue. If you gulp food, the brain will not get signals. Eating small pieces and chewing them properly also sends the signals through the taste buds.
  • The size of the fullness of the stomach also decides how much one can eat. The brain gets signal only when the stomach is 100% full. Therefore, one should not overeat and full the stomach to its size. Also if you eat less and over a period of time the size of the stomach will get shrunken.
cardiology news

Total CPR since 1st November 2012 – 83037 trained

Media advocacy through Web Media

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press release

Winter holidays have more heart attacks

A look at a U.S. database of 53 million deaths occurring between 1973 and 2001 reveals that deaths from heart disease peak in December/January, with spikes on Christmas and New Year’s Day.

Giving reasons for this, Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President, Heart Care Foundation of India, said that:

  • People with symptoms of heart trouble prior to the holidays tend to delay going to the doctor.
  • They do not want to spoil holiday fun.
  • They are less likely to see their physicians over this period of time in order to get the acute care they may need.
  • During the holidays, many people take a break from their diet and exercise programs. Morning walk is often omitted and replaced by tea and coffee, both of which are heart stimulants.
  • The amount of time spent eating out and eating over at friends and family becomes more than usual.
  • It is easier to find excuses not to stay on an exercise regimen.
  • Alcohol consumption can increase during the holidays, which can contribute to something called "holiday heart syndrome." Alcohol has a toxic effect on the heart muscle. It can lead to atrial fibrillation –– an abnormal heart rhythm that is a classic finding of the holiday heart.
  • People tend to smoke more in holidays.
  • The hectic pace of the holiday season can cause people to forget to take medications such as blood thinners and pills for high blood pressure. Such lapses can lead to acute coronary trouble. Also they may get late and miss or delay the early morning dose.
  • Apart winter is in any way the peak season for the heart attacks. Most heart attacks and paralysis due to brain haemorrhage peak during early morning periods of winter season due to sudden rise in BP reading.

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 83037 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 10×10 i.e. 100 per minute."

emedipicstoday emedipics

CPR 10 Utsav at NDMC Premises

press release

White rice linked to diabetes in Asians

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar

Yesterday’s Mind Teaser: Which one of the following conditions may lead to exudative pleural effusion

1. Cirrhosis
2. Nephrotic syndrome
3. Congestive heart failure
4. Bronchogenic carcinoma

Answer for yesterday’s Mind Teaser: 4. Bronchogenic carcinoma

Correct answers received from: Arvind Gajjar, Pravin Lonsare, Dr Mihir Vora, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr Avtar Krishan.

Answer for 27th December Mind Teaser: 2. Giardia lamblia

Correct answers received from: Muthumperumal Thirumalpillai, Pradip Das, Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Couldn’t help but forward……………………all the women will really have a good laugh…

The doctor, after an examination, sighed and said, "I’ve got some bad news. You have cancer, and you’d best put your affairs in order."

The woman was shocked, but managed to compose herself and walk into the waiting room where her daughter had been waiting.

"Well, daughter, we women celebrate when things are good, and we celebrate when things don’t go so well. In this case, things aren’t well. I have cancer. So, let’s head to the club and have a martini."

After 3 or 4 martinis, the two were feeling a little less somber. There were some laughs and more martinis.

They were eventually approached by some of the woman’s old friends, who were curious as to what the two were celebrating. The woman told her friends they were drinking to her impending end. "I’ve been diagnosed with AIDS."

The friends were aghast, gave the woman their condolences and beat a hasty retreat.

After the friends left, the woman’s daughter leaned over and whispered, "Momma, I thought you said you were dying of cancer, and you just told your friends you were dying of AIDS! Why did you do that?"

"Because I don’t want any of those …… sleeping with your father after I’m gone."

And THAT, my friends, is called, "Putting Your Affairs in Order."

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with chest pain and who had normal ECG died half an hour later.
Reaction: Oh my God! Why was acute MI not suspected?
Lesson: Make sure all patients of chest pain are observed for 12 hours. ECG can be normal in acute heart attack for up to six hours.

medicolegal update

We Always Feel that GOD Never comes on Time when We Call Him…But the Truth is  "He is Always on Time" But "We are Always in Hurry!

medicolegal update

Dr KK Aggarwal: one more life saved Harshita Gupta: http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: How do you deal with someone, who starts avoiding you or for reasons you don’t know? #CosmicConsciousness

medicolegal update
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