eMedinewS2nd December 2013, Monday

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

Harvard 7 faces of neck pain

  1. Muscle pain. Aching or sore neck and shoulder muscles may occur in response to overexertion or prolonged physical or emotional stress. The neck muscles may develop hard knots that are tender to the touch, sometimes called trigger points.
  2. Muscle spasm. This is a sudden, powerful tightening of neck muscles. Your neck may hurt, feel tight or knotted and it may be impossible to turn your head. When you wake up with a painful stiff neck, that’s likely a muscle spasm. Muscle spasm can result from a muscle injury, but it may also occur in response to a disk or nerve problem. Emotional stress may trigger a neck muscle spasm, but often there is no clear cause.
  3. Headache. Neck–related headache is most often felt in the back of the head and upper neck and is usually the result of muscle tension or spasm. The pain is usually dull or aching, rather than sharp — the neck might also feel stiff or tender. Moving your neck makes it worse.
  4. Facet joint pain. Often described as deep, sharp, or aching, facet joint pain typically worsens if you lean your head toward the affected side, and may radiate to your shoulder or upper back.
  5. Nerve pain. Irritation or pinching of the roots of the spinal nerves causes pain that may be sharp, fleeting, severe, or accompanied by pins and needles. Depending on the nerve involved, the pain may shoot down the arm or even into the hand.
  6. Referred pain. Referred pain is pain in one part of the body that is triggered by a problem in another part of the body. For example, neck pain that worsens with exertion may indicate a heart problem, while neck pain that occurs when you eat may stem from a problem in the esophagus.
  7. Bone pain. Pain and tenderness in the cervical vertebrae are far less common than neck pain from the soft tissues. Bone pain needs medical attention because it may signal a more serious health problem.

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

To know the Mental States of a Person

sprritual blog

The mental state of a person in Vedic language is described in terms of gunas. The present state of mind of any person is a result of mixing of three gunas of nature called Tamoguna, Rajoguna and Satoguna. In terms of states of mind they are called Tamas, Rajas and Satwa and the nature of a person is called Tamsik, Rajsik and Satvik.

Vedas, Upanishads, Bhagavad Gita and Ayurveda all talk about these gunas. The Sankhya philosophy also says that a mixture of the three makes up the cosmic mind as well as the human mind. Bhagwad Gita talks in great detail about the Nature, Yagna as well as diet depending upon these gunas.

A Satvik diet is the one, which makes a person full of Satoguna and makes him or her with predominant Satvik nature. The same is true for other two gunas. According to Ayurvedic text and in Atharvaveda, any food, which comes from the roots or underground part of the tree, is Tamsik in nature. Tamsik foods should not be eaten raw. They should either be slow cooked or soaked in water for hours before consumption.

Foods which are from the top part of the tree like coconut, fruits, leaves and flowers are Satvik in nature and can be consumed fresh, as they are. Foods which come from the middle part of the tree are often Rajsik in nature.

Fresh, soaked, sprouted, natural foods are often Satvik and old, left over foods are Tamsik in nature. Most Satvik foods are naturally white.

In Ramayana, Kumbhakaran represents a person with Tamsik nature, Meghnad & Ravana with Rajsik nature and Vibhishana with Satvik nature. One can see that the diet of Kumbhakaran was left over foods, onions, radish, carrots and non vegetarian food, all are tamas–producing.

Shastras also teaches us about Satvik food. In Vedic knowledge, God is represented by the consciousness and whatever is offered to God is the one, which is offered to consciousness and hence all offerings to God are soul healing and soul nurturing food items. Only Satvik foods are offered to God as one can live on Satvik food forever. Examples are dry fruits, fruits and milk. One cannot live on Rajsik or Tamsik food; hence, they have to be taken in moderation only.

The offerings to God include honey, milk, curd, fruits and vegetables, etc. Panchamrit offered in Puja is a mixture of milk, curd, ghee, honey and sugar is a classical example.

Yogashastra also talks about the role of Satvik diet in great detail. It says people who eat less are yogis, people who eat in moderation are bhogis and people who eat a lot are rogis. The synonyms are Tamsik for Rogi, Rajsik for Bhogi and Satvik for Yogi.

In terms of proper diet one should eat dinner lighter than lunch, eat only natural food during the night and follow the principles of moderation and variety.

cardiology news

Helpless love

Once upon a time all feelings and emotions went to a coastal island for a vacation. According to their nature, each was having a good time. Suddenly, a warning of an impending storm was announced and everyone was advised to evacuate the island.

The announcement caused sudden panic. All rushed to their boats. Even damaged boats were quickly repaired and commissioned for duty.

Yet, Love did not wish to flee quickly. There was so much to do. But as the clouds darkened, Love realised it was time to leave. Alas!! There were no boats to spare. Love looked around with hope.

Just then Prosperity passed by in a luxurious boat. Love shouted, "Prosperity, could you please take me in your boat?"

"No," replied Prosperity, "my boat is full of precious possessions, gold and silver. There is no place for you."

A little later Vanity came by in a beautiful boat. Again Love shouted, "Could you help me, Vanity? I am stranded and need a lift. Please take me with you."

Vanity responded haughtily, “No, I cannot take you with me. My boat will get soiled with your muddy feet.”

Sorrow passed by after some time. Again, Love asked for help. But it was to no avail. "No, I cannot take you with me. I am so sad. I want to be by myself."

When Happiness passed by a few minutes later, Love again called for help. But Happiness was so happy that it did not look around, hardly concerned about anyone.

Love was growing restless and dejected. Just then somebody called out, "Come Love, I will take you with me." Love did not know who was being so magnanimous, but jumped on to the boat, greatly relieved that she would reach a safe place.

On getting off the boat, Love met Knowledge. Puzzled, Love inquired, "Knowledge, do you know who so generously gave me a lift just when no one else wished to help?" Knowledge smiled, "Oh that was Time."

"And why would Time stop to pick me and take me to safety?" Love wondered.

Knowledge smiled with deep wisdom and replied, "Because only Time knows your true greatness and what you are capable of. Only Love can bring peace and great happiness in this world."

"The important message is that when we are prosperous, we overlook love. When we feel important, we forget love. Even in happiness and sorrow we forget love. Only with time do we realize the importance of love. Why wait that long? Why not make love a part of your life today?"

News Around The Globe


  • Aggressive metastatic prostate cancer cells express high levels of the NAALADL2 (N–acetyl–L–aspartyl–L–glutamate peptidase–like 2) protein, which can serve as a diagnostic and prognostic biomarker for prostate cancer, report Hayley Whitaker, PhD, and colleagues at Cancer Research UK in Cambridge, United Kingdom November 18 in Oncogene.
  • Blood pressure, cholesterol, and glucose together explained about half of the heightened risk of coronary heart disease (CHD) among individuals with a high body mass index (BMI) in a large review of 97 international studies. These three risk factors also explained three–quarters of the excess risk of stroke in overweight and obese individuals. Of the three risk factors, blood pressure was the most important, followed by glucose and cholesterol. The study, by the Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration (BMI Mediated Effects), was published online November 22, 2013 in the Lancet.
  • Decreased endogenous estrogen levels are largely unrelated to changes in cognitive ability and mood in postmenopausal women, according to research published online November 25 in the Proceedings of the National Academy of Sciences.
  • A low–fat diet and supplementation with fish oil appears to reduce proinflammatory substances in the blood of prostate cancer patients, according to a new study. It also decreased the cell cycle progression (CCP) score, which is a measure used to predict cancer recurrence. The study was published online October 29 in Cancer Prevention Research.
  • The FDA has approved an adjuvanted vaccine against the highly pathogenic H5N1 avian flu. The vaccine will not be available commercially, but will form part of the national stockpile in case the H5N1 flu develops into a human pandemic. The vaccine, dubbed Q-Pan H5N1, got a unanimous nod from the FDA’s vaccine advisory board in late 2012. The agency is not obliged to follow such advice but usually does.

eMedinewS e–gifts to our readers

This is the age of smartphones. To improve usability and readability, eMedinewS has launched a mobile app of the newsletter for its readers. You can now also view eMedinewS on your smart phones or iPads.

The eMedinewS app is now available for free  emedinewsdownload.

The various icons for downloading are provided on the top of the newsletter. Choose the icon that is compatible with your device, whether emedinewsiPhone, emedinewsAndroid, emedinewsBlackberry, emedinewsiPad, emedinewsDesktop/Windows phone or emedinewsGSM
Click on the icon ‘e’ from the mail and download to install the app to the home screen of your mobile phone, iPad or Desktop. After you finish downloading, you will see an icon ‘e’ on the home screen of your device. That’s it.

Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

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.

cardiology news

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

  • A new report The Heart of the Matter: Rethinking prevention of cardiovascular disease by the Economist Intelligence Unit investigates the health challenges posed by CVD. Despite greater recognition of the problem, every indication is that the global burden of the disease will get worse before it gets better. Greater collaboration is needed to prevent the disease. CVD is the world’s leading killer, according to the World Health Organization (WHO). It accounted for 30% of deaths around the globe in 2010. A joint Harvard University and World Economic Forum study estimated the total economic cost to be over US$850bn per year – predicted to reach US$1tn by 2025. Dr Srinath Reddy, the president of the World Heart Federation, calls CVD "the dominant epidemic of the 21st century". In India and China, the percentage of deaths caused by CVD increased by 20% between 1990 and 2010. The equivalent rate in the US and western Europe fell by at least 20% during that same period, although CVD still accounts for 43% of all deaths in 2010, according to the WHO. The common feature of the disease across the world is its disproportionate impact on individuals from lower socio–economic groups.
  • A noninvasive test that computes fractional flow reserve from coronary CT angiography images was highly accurate in detecting ischemia, compared with anatomic interpretation from CT angiography or invasive coronary angiography, in a study of 254 patients and 484 vessels. The AUC for the new test was 0.82, significantly better than 0.63 for coronary CT angiography. The specificity nearly doubled when the HeartFlow test was used to compute fractional flow reserve from coronary CT angiography images (FFRCT), compared with coronary CT angiography assessment. FFRCT correctly reclassified 68% of false positives from CT angiography to true negatives.
cardiology news

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

  • Analysis of data from a large clinical cohort has shown that children with systemic lupus erythematosus (SLE) had an increased risk for cancer, particularly for malignancies that were hematologic in origin. Among 1,020 patients younger than age 18 and followed for an average of 7.8 years, there were 14 cases of invasive cancer when three cases would have been expected, for a standardized incidence ratio (SIR) of 4.7. Three of the cases were hematologic, with two being non–Hodgkin’s lymphoma (NHL) and one leukemia, for an SIR of 5.2 (Arthritis Research & Therapy).
  • Structural brain changes that eventually lead to Alzheimer’s disease (AD) might date back to infancy in children who carry the apolipoprotein E (APOE) e4 allele, which is known to increase AD risk, a new study suggests. The study showed that babies carrying the APOE e4 risk allele have less white myelin water fraction (MWF) and gray matter volume in certain brain regions, and more in other regions, compared with babies who don’t carry this genetic variant. The observational study was published online November 25 in JAMA Neurology.
cardiology news

Formula of 80 to Prevent Heart Attack up to the Age of 80

I teach my patients that 80% of heart attacks up to the age of 80 can be prevented by learning the Formula of 80 as below.

  • Keep your lower blood pressure, fasting sugar, abdominal circumference, resting heart rate and LDL cholesterol levels all below 80.
  • Walk 80 minutes each day; brisk walk 80 minutes a week with a speed of 80 steps per minute.
  • Eat less, not more than 80 gm/80 ml of caloric food in one meal.
  • Do not eat carbohydrate–based refined cereals 80 days in a year to reduce chances of heart attack.
  • Take vitamin D through sunlight 80 days in a year.
  • Do not drink alcohol and if you drink, take less than 80 ml of whiskey in a day or less than 80 gm of whiskey in a week.
  • Do not smoke or be ready for placement of stent costing Rs. 80,000/–.
  • Give 80 minutes to yourself in a day.
  • When clapping, clap 80 times.
  • If you are a heart patient, ask your doctor to give 80 mg of aspirin and 80 mg of atorvastatin.
  • Donate blood 80 times in a lifetime to reduce chances of heart attack.
  • Avoid an atmosphere of more than 80 db of noise pollution.
  • While on treadmill, try to reach 80% of your heart rate.
cardiology news

Total CPR since 1st November 2012 – 75187 trained

Media advocacy through Web Media

web media webmedia webmedia
press release

Be cautious in giving painkiller to patients with high cholesterol

Long–term non–steroidal anti–inflammatory painkiller drugs (NSAIDs) such as naproxen should not be prescribed to patients with high cholesterol said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India.

In a swine model study published in Surgery Dr Frank Sellke, chief of cardiothoracic surgery and research at Rhode Island Hospital found that a high–cholesterol diet reduced blood flow to the heart muscle in animal models with chronic heart disease when given daily naproxen. They also found reduced levels of prostacyclin, a compound that dilates blood vessels and prevents blood clots.

These findings suggest that there may be a stronger risk of negative effects on the heart in patients who have high cholesterol levels and are taking NSAIDs as a form of pain or inflammation relief.

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 75187 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

CPR10 Training at IITF

press release

Osteoporosis Part 2

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

In a patient with a tumor in superior mediastinum compressing the superior vena cava, all the following veins would serve as alternate pathways for the blood to return to the right atrium, except:

1.Lateral thoracic vein.
2.Internal thoracic vein.
3.Hemiazygos vein.
4.Vertebral venous plexus.

Yesterday’s Mind Teaser: The buffering capacity of a buffer is maximum at pH equal to:

1. 0.5pKa.
2. pKa
3. pKa+1
4. 2pKa

Answer for yesterday’s Mind Teaser: 2. pKa

Correct answers received from: Dr.Dinesh Narain Saksena, Dr Jainendra Upadhyay, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Vishwanath Hiremath, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, DR AVTAR KRISHAN, daivadheenam,

Answer for 30th November Mind Teaser: 3. Down’s syndrome.

Correct answers received from: Dr.Dinesh Narain Saksena

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Kidneys and Livers

Two old men were arguing the merits of their doctors. The first one said, "I don’t trust your fancy doctor. He treated old Jake Waxman for a kidney ailment for nearly a year, and then Jake died of a liver ailment." "So what makes you think your doctor is any better?" asked his friend.

"Because when my doctor treats you for a kidney ailment, you can be sure you’ll die of a kidney ailment.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient died after receiving IV isoprin stat.
Reaction: Oh my God! The order was for IV Isoptin.
Lesson: Make sure while ordering the drug to spell out the name of the medicine correctly and clearly.

medicolegal update

Inventing is the mixing of brains and materials. The more brains you use, the less materials you need. Charles F. Kettering

medicolegal update

Dr KK Aggarwal: Raw milk not safe by Dr. K K Aggarwal http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Why is food that is so delicious so bad for us and yet food that is healthy for us, I just don’t like? #CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm

Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President
Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman
Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Sir, very informative editorial on world AIDS Day. Regards: Dr Kartik

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes 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)

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, Prof.(Dr).C V Raghuveer

medicolegal update

Our Sites

media advocacy