29th December 2014, Monday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

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

IJCP and eMedinewS congratulate their Editor-in-Chief, Dr KK Aggarwal on taking over as the Honorary Secretary General Indian Medical Association. We wish him all success in his endeavors.

Hypothermia and older adults: Tips for staying safe in cold weather

Hypothermia is generally defined as having a core body temperature of 95 degrees Fahrenheit or lower and can occur when the outside environment gets too cold or the body’s heat production decreases. Older adults are especially vulnerable to hypothermia because their bodies’ response to cold can be diminished by underlying medical conditions such as diabetes and by use of some medicines, including over–the–counter cold remedies. Hypothermia can develop in older adults after relatively short exposure to cold weather or even a small drop in temperature.

An individual may suffer from hypothermia if he or she has been exposed to cool temperatures and shows one or more of the following signs: slowed or slurred speech; sleepiness or confusion; shivering or stiffness in the arms and legs; poor control over body movements; slow reactions, or a weak pulse.

Here are a few tips to help older people avoid hypothermia.

  • Make sure your home is warm enough.
  • Set the thermostat to at least 68 to 70 degrees.
  • Even mildly cool homes with temperatures from 60 to 65 degrees can lead to hypothermia in older people.
  • To stay warm at home, wear long underwear under your clothes, along with socks and slippers.
  • Use a blanket to keep your legs and shoulders warm and wear a hat or cap indoors.
  • When going outside in the cold, it is important to wear a hat, scarf, and gloves or mittens to prevent loss of body heat through your head and hands. A hat is particularly important because a large portion of body heat can be lost through the head.
  • Wear several layers of warm loose clothing to help trap warm air between the layers.
  • Check if any prescription or over–the–counter medications you are taking may increase your risk for hypothermia.
  • Remember hypothermia with no shivering is a bad sign
  • In India, wear a monkey cap.

News around the Globe

  • Circulating leptin may be linked to knee cartilage thinning in adults after adjusting for body mass index and other factors, and may potentially explain the association between obesity and cartilage thickness, suggests a new study published in Annals of Rheumatic Diseases.
  • Robot-assisted radical cystectomy with a pelvic lymph node dissection and open urinary diversion appeared to have no advantage over traditional open surgery, reported a trial published online in European Urology. The rates of grade 2-5 complications at 90 days were similar (62% in robot-assisted vs. 66% in traditional open radical cystectomy).
  • The US Food and Drug Administration (FDA) has approved a fixed-dose combination of memantine hydrochloride extended-release (XR) and donepezil hydrochloride for moderate to severe Alzheimer's-related dementia in patients receiving stable doses of the two drugs.
  • Compared with aerobic activities, daily weight training is more effective in keeping abdominal fat at bay, suggests a new study published in the journal Obesity.
  • A high intake of yogurt is associated with a lower risk of developing type 2 diabetes, reports a new study published in BMC Medicine.
  • Clazakizumab seems to be effective at controlling arthritis, enthesitis, and dactylitis in psoriatic arthritis (PsA) compared with placebo, suggests a small pilot study presented at the 2014 meeting of the American College of Rheumatology.

Dr KK Spiritual Blog

If You Hate Somebody, It Means You Have a Lot of Time to Waste

If you hate somebody, it only means that you have lot of meaningless time to spare. If you are busy and live in the present, you cannot think of the past or the future.

There is a well known saying in Vedanta that you cannot hate strangers, you only can hate somebody whom you loved and withdrawal of love is what hatred is.

Love and hate, therefore, are the two sides of the same coin. You cannot have both. You need to make an effort to hate somebody but love is always spontaneous. It is not true that if you love somebody, it means that you have a lot of time to spare. Love comes from the heart and not from the mind or the intellect.

Uniform Code for Pharmaceuticals Marketing Practices (UCPMP)

Procedure of Lodging a Complaint:

  1. All complaints, related to the breach of the code should be addressed to the "Ethics Committee for Pharma Marketing Practices (ECPMP)", Secretary General/Chairman/President, "Name of Association".
  2. All complaints about any one activity of breach of code should to the extent practicable be made at one time. The complaint must be made within three month of breach of code.
  3. Complaints must be in writing and for each case THE COMPLAINANT should:
    1. identify himself (whether a company or an individual) with a full mailing address (fax number, if possible, mobile telephone nos.). When the complaint is from a pharmaceutical company, the complaint must be signed or authorized in writing by the company's managing director or chief executive or equivalent and must state those clauses of the Code which are alleged to have been breached.
    2. identify the company which is alleged to be in breach of the Code, and the name of any company personnel, product or products which are specifically involved.
    3. give the details of the activity which is alleged to be in breach of the Code.
    4. give the date of the alleged breach of the Code.
    5. provide supporting evidence of the alleged breach(es).
  4. A non-refundable amount of Rs. 1,OOO/- is to be deposited by the complainant along with the complaint. The associations will elaborate how this payment is to be made within a month of issue of the code and upload the same on their website.
  5. When it appears from media reports (other than letters to the editor of a publication) that a company may have breached the Code, the matter will be treated as a complaint and the committee may request the concerned publication for further information.
  6. A published letter, from which it appears that a company may have breached the Code, will be dealt with as a complaint with the author being treated as the complainant.
  7. Any complaint received by the Department of Pharmaceuticals will also be forwarded to the concerned Association for necessary action. In such cases, the concerned association will further take up the matter with the complainant directly.

Procedure of Handling of Complaints

  1. Once a complaint is lodged, the process of enquiry shall be completed by the committee even if it is withdrawn.
  2. The Head of the association will personally take note of the complaint.
  3. The Head of the association will refer the complaint to the senior most (by designation) member (Chairman) of ECPMP and also indicate the names of other two members of the committee in case of conflict of interest.
  4. The decision will be made by majority.
  5. When the committee (ECPMP) receives information from which it appears that a company may have contravened the Code, the managing director or chief executive or equivalent of the company concerned will be requested to provide a complete response to the matters of complaint.
  6. To assist companies in ensuring that a complete response is submitted the committee may suggest to the respondent company about the relevant supporting material to be supplied. It is the responsibility of the respondent company to ensure that a full response is submitted.
  7. The company against which the complaint is made should provide supporting evidence even if it thinks that the Code has not been breached.
  8. The respondent company shall submit its comments and supporting documents to the committee within 10 working days after receipt of information from the committee.
  9. The Committee shall render a decision within 30 days of receipt of the complaint with supporting documentation and shall promptly notify the parties of its decision, and the reasons therefore, in writing and by registered mail.
  10. Where the committee decides no breach of the Code because it considers the matter of complaint is not within the scope of the Code, the complainant will be so advised in writing.
  11. Where the committee, after enquiry decides that there is breach of the Code, the complainant and the respondent company are so advised in writing and are given the reasons for the decision.
  12. If there is no request of review within the stipulated period (clause13.4), the decision of ECPMP shall be final and binding, and adherence to the decision shall be a condition of continued membership of the Association. The decisions shall be uploaded on the website of the Association.

Inspirational Story

The Challenge

It was decided that we would enter our first sports race or challenge as it was also called. The event was for a really good cause and sounded like a great idea. We would all train accordingly in preparation for the big day. A sixty-mile course consisting of three paddling legs, two cycling segments and two running courses lied ahead. We decided which part of the race each of us would complete and recruited a driver for our team.

We came up with a team name, and so we had the birth of the Warren Street Rat Pack. What we might have lacked in physical ability, we would make up in enthusiasm. We arrived at the starting point adorn with our team t-shirts. We looked like true contenders. My teammates left me at the starting line to run my leg of the challenge and headed off to the next checkpoint.

When it was time for the challenge to begin, I joined the large group of runners at the starting line. I observed some of the runners stretching, some walking in circles nervously and decided to converse with a small group who chattered and laughed non-stop while waiting for the race to begin.

I have never been in a race before; the excitement of taking off swept me away. People lined that streets and were cheering. I stuck with the group of runners until I realized I was completely out of breath and was running at speed that was twice as fast as I had ever gone before.

I managed to finish my leg in the time that I had hoped for, with only two runners finishing behind me. My team cheered me on as if I was the first to cross the line and I felt like a champion. It was time to pass the baton to our next team member who would embark on his first kayak ride since he attended summer camp as a boy.

With the completion of each leg of the race, our team members applauded wildly and acknowledged success for the person who just finished their turn. I am sure the spirit of our team was lifted a bit higher when one our teammates took off with a giant smile while ringing the bell on her three-speed bike. We all followed her in the car for a bit, laughing as we watched her emanating joy with her smile; waving to every person she passed by.

The first place team had long since passed the finish line, the check in points were being dismantled, and the big celebration party had already kicked off when we had one last kayak route to complete. Now on his second kayak ride since attending summer camp as a boy, our finish line team member set off to complete the challenge for our team. We did our best to stay close enough to him, so that he could hear us rooting for him. Our excitement level was high, as we were about to complete our first sports race, or challenge as it was also called.

At last we helped our kayaker to pull the boat ashore after he crossed the finish line. Jumping up and down, hugging one another, offering raised hands welcoming the high-fives, we had finished. The encouragement we gave to each other, the laughter we shared and the way we embraced each part of the journey put us on a winning team, which by the way came in last.

We all agreed to enter the Greenway Challenge together again this year. Although we have considered making some changes in our strategy looking back, perhaps we shouldn't change a thing.

Rabies News (Dr A K Gupta)

Do antibodies from rabies vaccination cross an intact blood–brain barrier?

No. Antibodies from vaccination do not cross an intact blood–brain barrier.

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at G B S S School, No-2, Ambedkar Nagar on 19th December 2014

video of day
press release

Five Things Physicians and Patients should question

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 101090 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

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

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


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 died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that each time a patient is given penicillin injection, anti anaphylaxis measures are available.

eMedinewS Humor

A man was just waking up from anesthesia after surgery, and his wife was sitting by his side.

His eyes fluttered open and he said, "You are gorgeous."

Then he fell asleep again. His wife had never heard him say that, so she stayed by his side.

A few minutes later, his eyes fluttered open and he said, "You are beautiful!"

Then he fell asleep again.

After a few minutes, he again opened his eyes and said, "You are cute!"

The wife was disappointed because instead of ‘gorgeous’ or ‘beautiful,’ it was now just ‘Cute.’

She said, "What happened to ‘gorgeous, beautiful’?"

Her husband replied, "The drugs are wearing off!"

Twitter of the Day

Dr KK Aggarwal: eMedicalnewS: Quitting smoking is not easy http://m3m.in/tu/FPQ
Dr Deepak Chopra: Ultimate realty is a field of all possibilities that manifests as space time energy information matter, all observers & modes of observation

Cardiology eMedinewS

  • When it comes to heart health, educational attainment, such as college and graduate degrees, appears to provide protection for Whites against inflammation - a cardiovascular risk marker- while Blacks may not have any health benefit, suggested a new study by a Robert Wood Johnson Foundation (RWJF) Health & Society Scholar.
  • Substantially slower progression of subclinical atherosclerosis was seen in patients with ankylosing spondylitis (AS) who remained on tumor necrosis factor (TNF) inhibitors compared with those who discontinued them, reported a study published online in Annals of Rheumatic Diseases.

Pediatrics eMedinewS

  • Fast food consumption may not only affect physical health but the amount of fast food children eat may also influence their academic growth, suggests a new study published in Clinical Pediatrics.
  • Children who are neglected or abused are at increased risk of experiencing migraine than tension headache in adulthood, suggests a study published in Neurology.

Quote of the Day

And in the end, it's not the years in your life that count. It's the life in your years. ~ Abraham Lincoln

Wellness Blog

Fast for 12 hours if going for a cholesterol test

  • Getting a cholesterol test is easy.
  • Food and drinks affect cholesterol profile. Fast for 12 hours to get accurate readings of LDL ("bad" cholesterol), HDL ("good" cholesterol), and triglyceride levels.
  • Avoid drinking alcohol for at least 24 hours before the test.
  • Tell your doctor
    • Flu or another illness shortly before the blood test can have a dramatic effect on your cholesterol levels.
    • A change in diet in the last one week can make a difference. High levels of alcohol or carbohydrates can raise triglycerides.
    • Did you forget to fast or sneak something to eat or drink before the test? It can affect the cholesterol levels.
    • An underactive or overactive thyroid can affect cholesterol levels.

ePress Release

The new team at the Indian Medical Association vows to start the New Year with a difference

For the first time in the history of the age-old institution, two Padma Shri Awardees namely
Dr A Marthanda Pillai & Dr KK Aggarwal take over as the President and Secretary General, respectively

The Indian Medical Association, the only representative national organization of “Doctors of Modern Scientific System of Medicine” in India today witnessed a wave of change. For the first time in 86 years of the history of the Association, two Padma Shri National Awardees namely, Dr A Marthanda Pillai & Dr KK Aggarwal were sworn in as the President and Secretary General at a ceremony held at the Ahmedabad Convention Center. Dr A Marthanda Pillai, a leading Neurosurgeon and Dr KK Aggarwal, a Physician and Cardiologist are both known for their commitment to make the medical system more transparent, collaborative and efficient.

Immediately after taking over, the duo, in their inaugural address said that Indian Medical Association will shift its focus from being a doctor-centric association to a community-centric one. Speaking about their plans for the next two years, they said that the association will connect with every doctor in the country on a regular basis with the campaign ‘IMA Rise and Shine’.

The association will also start several new initiatives like a Mediation and Grievance Cell, updated Self Code of Conduct for doctors, health care settings in a digital framework, helping the poor "Jiska Koi Nahin uska IMA" project, promoting the Made in India concept for medical technologies; bringing a medical emblem to differentiate allopathic doctors from other pathies and helping take Indian research projects to an international level.

Delivering his presidential address Dr Marthanda Pillai said, “I am extremely humbled and honored to have been chosen by my colleagues to lead the Indian Medical Association during this important time of change in our country. My message to all the 2.9 lakh members of this institution is that we need to share our diverse perspectives and experiences and take full advantage of opportunities to innovate and improve care for our patients and the communities we are privileged to serve.”

Adding to this, Dr K K Aggarwal, the incoming Honorary Secretary General and the President of Heart Care Foundation of India said, “The new team of the IMA will start the year with the concept of wellness through a holistic approach. The first day, at the Association’s headquarters in New Delhi, will begin with a Rudrabhishek Yagna conducted by eleven pandits followed by blessings from Spiritual Gurus representing all nine religions on 30th December."

The Indian Medical Association, in the coming two years, will also work towards providing NRI doctors a platform to serve their country; building consensus on treating patients with minimum investigations and with the rational use of drugs; help the government achieve its health targets and parameters for the term and fight for some policymaking changes.

Through its project ‘Swachh Bharat - Swasthya Bharat’, the association will aim at reducing the disease burden of the country by 50%. One of the key goals of the association will be to minimize hospitalizations with maximum safety.

About IMA: Indian Medical Association is the only representative, national voluntary organization of Doctors of Modern Scientific System of Medicine, which looks after the interest of doctors as well as the well-being of the community at large. It has its Headquarters in Delhi and State / Terr. Branches in 29 States and 7 Union Territories. It has over 2,15,000 doctors as its members through more than 1650 active local branches spread across the country.

About Dr KK Aggarwal: A renowned physician, cardiologist, spiritual writer and motivational speaker, Dr KK Aggarwal is the founding Trustee and President of Heart Care Foundation of India, a leading national non-profit organization working in the field of healthcare in India. In addition to this, he is also the past Senior National Vice President of the Indian Medical Association; Editor in Chief of IJCP, A Medical Communications Group and Emedinews, First national daily emedical newspaper of India; Senior Physician, Cardiologist and Dean Board of Medical Education – Moolchand Medcity; Member Ethics Committee of the Medical Council of India and the Chairman Ethics Committee of the Delhi Medical Council. A doctor and social worker par excellence, Dr. KK Aggarwal is the only doctor in the country to have received three prestigious National awards namely the Padma Shri, Dr. BC Roy and the DST National Science and Communication Award. He is also a Limca Book of World Record holder for the maximum number of people trained in the lifesaving technique of hands only CPR in one go.

About Dr Marthanda Pillai - MS (Neuro), MNAMS (Neuro), FRCS, Dr Marthanda Pillai is a neurosurgeon. In 2011 he became the only former National President and Vice President of the Indian Medical Association in Kerala State to receive the Padma Shri National Award for medicine for the year 2010-2011.During Dr. Pillai’s service in the Government Health Service, he oversaw the improvement of the neurosurgical services to one of the best at the national level. He has performed thousands of free brain and spinal operations for patients, saving thousands of lives. In the private sector he is currently the Managing Director of Ananthapuri Hospitals & Research Institute in Thiruvananthapuram. He accepts only nominal fees for consultation, to remain accessible to poor patients. He is a visiting surgeon to several leading hospitals in India and abroad.

eMedi Quiz

Formation of antibody against acetyl choline receptor in pemphigus can be explained by

a. Desmoglein compensation theory
b. Antibody excess prozone phenomenon
c. Anti-idiotypic
d. Epitope spreading phenomenon

Yesterday’s Mind Teaser: The exaggerated lepromin test seen in cases of Lucio phenomenon is called as:

a. Mitsuda's reaction
b. Medina-Ramirez reaction
c. Fischer's test
d. Fernandez reaction

Answer for yesterday’s Mind Teaser: b. Medina-Ramirez reaction

Correct answers received from: ...............

Answer for 26th December Mind Teaser: b.2-12 weeks

Correct answers received from: Dr Avtar Krishan

Send your answer to email


Financial Planning Process Components

  • Review of your objectives and risk/reward attitudes: Short-term, medium range and long-term goals as well as perceptions of risks and expected rewards.
  • Asset structure: Review of current holdings, present value, cost basis, growth and expected purchases.
  • Liabilities: Present and anticipated debt obligations.
  • Income tax analysis: Projections for 10 years, with review of personal tax returns for last two years.
  • Cash flow management: Projections for 10 years, determine effective use of anticipated surplus, managing deficits
  • Investment review: Analysis and recommendations.
  • Insurance review: Analysis and recommendations.
  • Employee benefits: Review and recommendations; coordinate with personal assets and spousal plans.
  • Disability income: Analysis and recommendations; 10-year projections of taxes, cash flow and net worth.
  • Estate distribution: Costs and taxation analysis methods of reducing probate costs and estate duties.
  • Capital needs and survivor income analysis: Analysis and recommendations.
  • Retirement income: Analysis and recommendations inflation, qualified plans and increasing net cash flow.
  • Financial organizer file: For all documents, policy records.
  • Income tax organizer file: Used each year to accumulate and store vital records to support tax returns.
  • Master implementation checklist: To monitor financial progress and be aware of advisor performance.
  • Periodic review sessions: Verify progress evaluation of investments, benefit plans and document completion.
medicolegal update

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medical query

medicolegal update

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medicolegal update

medicolegal update
  1. Thanks for such informative & beautiful mail. With Regards, Dr Bharat Gadhvi.

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)