eMedinewS30th November 2013, Saturday

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

NIH Statement on World AIDS Day 2013 — December 1, 2013

  1. Progress has turned an HIV diagnosis from an almost–certain death sentence to what is now for many, a manageable medical condition and nearly normal lifespan.
  2. NIH–funded researchers—in partnership with academia and the biotechnology and pharmaceutical industries—have developed more than 30 life–saving antiretroviral drugs and drug combinations for treating HIV infection.
  3. Moreover, as the landmark HPTN 052 clinical trial proved, antiretroviral treatment can also effectively prevent HIV transmission by lowering the amount of virus in infected individuals, thereby making them less able to transmit the virus to their sexual partners.
  4. NIH scientists and grantees are exploring the administration of anti–HIV antibodies as a way to treat infection. This approach was recently shown to be effective when used in monkeys infected with a genetically engineered version of simian HIV.
  5. NIH researchers have begun early stage human testing of a monoclonal antibody (called VRC01), which in the laboratory, protected human cells against infection by more than 90 percent of known HIV strains.
  6. The HPTN 065 study (also known as TLC–Plus), is assessing the feasibility of conducting widespread voluntary HIV testing, linking HIV–infected individuals to care and antiretroviral treatment, and providing incentives to individuals to adhere to treatment. The study is being conducted in New York City, and Washington, D.C.—both of which have communities at greater than average risk of HIV infection.
  7. Internationally, the recently launched HPTN 071 study, also called PopART, is examining whether offering expanded voluntary HIV testing along with enhanced delivery of antiretroviral treatment and prevention services can substantially reduce the number of new infections in South Africa and Zambia. The study will involve 21 communities and 1.2 million people in those countries.
  8. NIH–funded research has proven the effectiveness of such HIV prevention strategies as voluntary medical adult male circumcision and pre–exposure prophylaxis, or PrEP (taking a daily antiretroviral pill to prevent HIV acquisition). In order to be effective, these strategies must be used consistently under strict guidelines.
  9. The NIH also continues to investigate new HIV prevention tools for those groups most at risk for HIV infection, including women and men who have sex with men. The multinational ASPIRE clinical trial, launched in 2012, is testing whether a vaginal ring containing the experimental antiretroviral drug dapivirine can prevent HIV infection in women. The recently launched MTN 017 External Web Site Policy clinical trial is examining the safety of a rectally applied gel containing the antiretroviral drug tenofovir for men who have sex with men.
  10. A cornerstone of our HIV prevention efforts continues to be the search for a safe and effective vaccine.
  11. We have reached the point when the thought of an HIV cure is not unrealistic. Several cases, including that of a toddler, have demonstrated the possibility of sustained remission, in which patients control or perhaps even eliminate HIV without the need for a lifetime of daily antiretroviral therapy.

TCT 2013 Update: Cardiology Trials

Low strokes, PVL with CoreValve TAVR in extreme risk trial: Use of the self–expanding Medtronic CoreValve transcatheter aortic valve in the CoreValve Extreme Risk trial led to some of the lowest stroke and paravalvular leak rates seen in any transcatheter aortic–valve replacement (TAVR) study to date, investigators reported here. The study also met its primary end point of reduction in all–cause death or major stroke; as expected, however, use of the device was associated with pacemaker implantation in more than one in five patients, reported Dr Jeffrey Popma of Beth Israel Deaconess Medical Center, Boston.

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

The lips of truth shall be recognized for ever but a lying tongue is but for a moment

sprritual blog

The sutra from Bible has a very deep significance in day to day life. The truth is ever lasting and always ends up in internal happiness and self realization & in long run always gives you happiness and an all win situation. On the contrary a lying tongue will only give you a momentarily pleasure but will end up in some difficulty later in life.

Spoken words cannot come back as in the case of a released arrow from the bow. Once lost one cannot get back his youth, virginity, or respect, similarly, spoken bad words cannot be taken back and once spoken will create negative waves in the other persons (on whom they were spoken) mind which will persist as repressed thoughts or memory in the people’s mind for ever. Such bad memories will keep on coming back in the person’s mind causing damage to the personal relationships.

A spoken word is a karmic expression. For every karmic action there is an opposite and equal reaction. For every negative karmic expression one has to pay the debt either now or in future. The law of karma says that every debt has to be paid.

It is always better to avoid indulging into negative language both in spoken words as well as in the mind. The yoga sutras of Patanjali describe thinking, speaking or doing anything wrong having the same karmic significance. We should not only purify our self in actions and spoken words but also in the mind. If a person keeps negative thoughts in the mind sooner or later the same will be reflected to the outside world.

The momentary pleasure which one gets by "lying" has no spiritual significance as it only satisfies your ego sense or makes you attached to any of the five senses. The transient pleasure experienced by the body stimulates a chain of reactions, consisting of action, memory and desire leading to action again, which will only intensify the greed & attachments.

In the Mahabharata, Lord Krishna has given only two examples, which work as an exception to such a situation. Any truth which harms others may not be spoken and any lie which does not harm anyone but benefit a few may be spoken.

Truth is the opposite of doubt & it is always better to clear all the doubts from the mind as any repressed doubts can end up into causation of heart attack, paralysis and cancer.

Truth also means taking conscious–based decisions as the consciousness will never lie. While taking any decision one should always ask oneself— Is it the truth? Is it necessary? And will it bring happiness to me and the people around?

Lord Krishna is also described as "SATCHITANAND" which only indicates the qualities like truthfulness, conscious based decisions and internal happiness. The practice of truthfulness has to be practical over a period of time and made a part and parcel of your daily life. To start with a person may have bad experiences but in the long run truthfulness will always win.

cardiology news

Power of Thought: Hitting Unseen Target

Yogi Raman was a true master of the art of archery. One morning, he invited his favorite disciple to watch a display of his skill. The disciple had seen this more than a hundred times before, but he nevertheless obeyed his teacher.

They went into the wood beside the monastery and when they reached a magnificent oak tree, Raman took a flower, which he had tucked in his collar and placed it on one of the branches.

He then opened his bag and took out three objects: his splendid bow made of precious wood, an arrow and a white handkerchief embroidered with lilacs.

The yogi positioned himself one hundred paces from the spot where he had placed the flower. Facing his target, he asked his disciple to blindfold him with the embroidered handkerchief.

The disciple did as his teacher requested.

‘How often have you seen me practice the noble and ancient sport of archery?’ Raman asked him.

‘Every day,’ replied his disciple. ‘And you have always managed to hit the rose from three hundred paces away.’

With his eyes covered by the handkerchief, Yogi Raman placed his feet firmly on the ground, drew back the bowstring with all his might – aiming at the rose placed on one of the branches of the oak tree – and then released the arrow.

The arrow whistled through the air, but it did not even hit the tree, missing the target by an embarrassingly wide margin.

‘Did I hit it?’ said Raman, removing the handkerchief from his eyes.

‘No, you missed completely,’ replied the disciple. ‘I thought you were going to demonstrate to me the power of thought and your ability to perform magic.’

‘I have just taught you the most important lesson about the power of thought,’ replied Raman. ‘When you want something, concentrate only on that: no one will ever hit a target they cannot see.‘

News Around The Globe


  • Data from a prospective cohort study of more than 66,000 older adults in Washington state and published in the December issue of the American Journal of Hematology found that women with any airborne allergen had a 47% increase in risk for a hematologic cancer than men. Also, women who hit the allergy trifecta of sensitivity to plants, grass and trees had a 73% greater chance of developing a mature B–cell lymphoma or related disorder.
  • Individually targeted lifestyle changes may increase the likelihood nulliparous women will have normal pregnancies, according to results from a large, newly published cohort study published their study in November current issue of BMJ. The changes identified include normalizing maternal weight, increasing consumption of fruits before pregnancy, reducing blood pressure, and avoiding use of drugs.
  • Frailty in critically ill older adults was associated with higher in–hospital mortality rates, major adverse events, lengthier hospital stays and a loss of independence. Among 421 intensive care unit (ICU) patients, ages 50 and older, nearly one–third (32.8%) met the criteria for frailty and compared with nonfrail patients, showed an increased risk for in–hospital death (31.9% versus 15.9%) and major adverse events (39.1% versus 29.3%).
  • New research conducted separately in 2 countries with different healthcare systems — Israel and the United Kingdom indicates that there is much room for improvement in the medical care of women with diabetes before they conceive and during pregnancy. This neglect gives rise to poor outcomes, with a significantly higher rate of stillbirth and infant death than is seen in the general population.
  • Individuals who are frail face increased risks of dependency and mortality. John Morley, MD, director of the Division of Geriatric Medicine at the Saint Louis University School of Medicine has described a new set of the following five questions for physicians to ask patients older than 70 for a quick evaluation of how FRAIL a patient is, which would take just 15 seconds.
    • Fatigue: Are you fatigued?
    • Resistance: Do you have difficulty walking up one flight of steps?
    • Aerobic: Are you unable to walk at least one block?
    • Illness: Do you have more than five illnesses?
    • Loss of weight: Have you lost more than 5% of your weight in the past 6 months?

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Rabies News (Dr. A K Gupta)

What should be done if there is a case of human rabies?

A study on management of human rabies concluded that the dismal outcome of patients with rabies provides little optimism for heroic efforts. Palliative therapy is of paramount importance in this fatal disease.

cardiology news

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

  • Researchers have warned about "unexpectedly" and "abruptly" increased rates of thrombosis with the HeartMate II (Thoratec) left ventricular assist device (LVAD) occurring early after implantation. Their study compared outcomes in LVAD patients at three centers from January 2004 to March 2011 vs March 2011 to April 2013. During these periods, the rate of confirmed thrombosis three months after LVAD implantation increased sharply from 2.2% to 8.4%, and median time from implantation until the development of blood clots with the devices decreased from 18.6 to 2.7 months. Elevated lactate dehydrogenase (LDH) levels in the first weeks after implantation of the device often preceded confirmed pump thrombosis. The study was published online November 27, 2013 in the New England Journal of Medicine.
  • Preliminary results from the cardiovascular outcomes trial of a combination pill containing naltrexone and bupropion (Contrave) –– the Light Study –– indicated that the obesity drug did not double the risk of major adverse cardiovascular events (MACE) compared with placebo. In a pre specified interim analysis, the upper end of the 95% confidence interval associated with the hazard ratio for MACE did not exceed 2.0, and the FDA previously agreed that if the interim analysis meets the specified criteria to exclude cardiovascular risk, Contrave could be approved.
cardiology news

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

  • Pediatric responses after corneal collagen crosslinking are similar to those in adults, and the technique appears to be safe in this younger age group, report researchers. Responses, however, might not be as long lasting in children and adolescents, and longer follow–up is needed to verify this trend. The study showed that progression of keratoconus occurred in 88% of the pediatric population, suggesting that immediate treatment is needed once the diagnosis is made (American Academy of Ophthalmology 2013 Annual Meeting).
  • There has been a recent upswing in injuries in older teens, probably because they are paying more attention to their cell phones than to where they are going. That is the contention of investigators from Safe Kids Worldwide, a global nongovernmental organization dedicated to preventing injuries, the leading cause of death in children in the United States. A Safe Kids recent study showed that distracted walking is as serious a public safety issue as distracted driving, Kristin Rosenthal, program manager for pedestrian and bike safety at that organization (American Public Health Association 141st Annual Meeting).
cardiology news

Work–related Stress can kill

Job stress raises the risk of heart disease by disrupting the body’s internal systems.

The findings from a long–running study involving more than 10,000 British civil servants also suggest stress–induced biological changes may play a more direct role than previously thought.

The researchers measured stress among the civil servants by asking questions about their job demands such as how much control they had at work, how often they took breaks, and how pressed for time they were during the day.

The team conducted seven surveys over a 12–year period and found chronically stressed workers – people determined to be under severe pressure in the first two of the surveys – had a 68 percent higher risk of developing heart disease. The link was strongest among people under 50.

Stressed workers also eat unhealthy food, smoke, drink and skip exercise – all behaviors linked to heart disease.

In the study, stressed workers also had lowered heart rate variability – a sign of a poorly–functioning weak heart – and higher–than–normal levels of cortisol, a "stress" hormone that provides a burst of energy for a fight–or–flight response.

Too much cortisol circulating in the blood stream can damage blood vessels and the heart.

cardiology news

Total CPR since 1st November 2012 – 75187 trained

Media advocacy through Web Media

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press release

Long term use of painkillers can cause kidney cancer

A study published in the journal Archives of Internal Medicine has shown that people who regularly take painkiller drugs like ibuprofen or naproxen are 51 percent more likely to develop kidney cancer. There is no increased risk from taking aspirin or paracetamol, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

The mechanism through which painkillers could cause kidney disease is the inhibition of prostaglandin synthesis with resulting papillary and tubular injury, and ultimately damage to DNA.

The study analyzed data from 77,525 women in the Nurses’ Health Study and from 49,403 men in the Health Professionals Follow–up Study. The risk was related to the duration of use of the painkillers. There was a decrease in the risk by 19% if the painkiller was used for less than four years. There was a 36 per cent increase in risk of kidney cancer for people who used them regularly for 4 to 10 years. The risk increased almost three times for those who used these drugs regularly for 10 years or more.

The good news is that kidney cancer is uncommon so the risk is small for average users.

Two other important causes of kidney cancer are obesity and smoking. So people on painkillers should not smoke and should also keep their weight under control to prevent kidney cancer.

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

Uric acid and endothelial dysfunction

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

A married middle aged female gives history of repeated abortions for the past 5 years. The given below is conceptions pre–natal karyogram.

This karyogram suggests the following:
1. Klinefelter’s syndrome.
2. Turner’s syndrome.
3. Down’s syndrome.
4. Patau’s syndrome.

Yesterday’s Mind Teaser: Which of the following is present intracellularly in muscle cells?

1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.

Answer for yesterday’s Mind Teaser: 2. Corticosteroid.

Correct answers received from: Dr.K.Raju, Dr. V.P. Thakral, DR ARPAN GANDHI, Dr Chandresh Jardosh, daivadheenam, DR AVTAR KRISHAN, Muthumperumal Thirumalpillai, Satyajit Kumar

Answer for 28th November Mind Teaser: 4. Glycosylation.

Correct answers received from: Dr. P. C. Das, Dr. SUSHMA CHAWLA, Prabha Sanghi, DR AVTAR KRISHAN, Muthumperumal Thirumalpillai

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

An elderly husband and wife visit their doctor when they begin forgetting little things. Their doctor tells them that many people find it useful to write themselves little notes.

When they get home, the wife says, "Dear, will you please go to the kitchen and get me a dish of ice cream? And maybe write that down so you won’t forget?"

"Nonsense," says the husband, "I can remember a dish of ice cream."

"Well," says the wife, "I’d also like some strawberries and whipped cream on it."

"My memory’s not all that bad," says the husband. "No problem – a dish of ice cream with strawberries and whipped cream. I don’t need to write it down."

He goes into the kitchen; his wife hears pots and pans banging around. The husband finally emerges from the kitchen and presents his wife with a plate of bacon and eggs.

She looks at the plate and asks, "Hey, where’s the toast I asked for?"

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A 62–year–old diabetic with coronary artery disease, on treatment for the same, came for follow up. Reaction: Oh My God! Why didn’t you put him on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

medicolegal update

In the space age the most important space is between our ears. Thomas J Borlow

medicolegal update

Dr KK Aggarwal: Eating refined sugar can cause diabetes http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Why do you stay in prison When the door is so wide open–Rumi

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 news. Regards: Dr Pankaj

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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

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