31st December 2014, Wednesday

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

Restricting salt in diet can lower heart disease risk

Restricting salt in the diet can lower the risk of developing heart disease by 25% and the risk of dying from heart disease by 20%.

Dietary intake of sodium among Indians is excessively high. Among hypertensive individuals, lowering sodium is quite well established to lower blood pressure, but now it has been shown that reducing salt also has an effect on cardiovascular disease.

According to a Harvard Medical School study published in British Medical Journal, when people with pre hypertension (blood pressure more than 120/80 and lower than 140/90), reduced their salt intake by about 25 to 35%, they were 25% less likely to develop cardiovascular disease 10 to 15 years after the trial ended. There was also a 20 percent lower death rate from cardiovascular disease among those who cut their salt consumption.

Salt restriction is best achieved by avoiding salted, salt cured and salt smoked foods such as lunch meat, hot dogs, ham, olives, pickles and regular salted canned foods, and other prepared foods, which often use more salt than homemade equivalents. Foods we would never think of as salty, such as breakfast cereals, cookies, and even some soft drinks often contain copious additions of sodium.

WHO recommends limiting the salt intake to less than 5 grams per day.

Presidential Address

Health Financing

It is impossible to achieve even basic health goals with a meager 1.23% GDP being spent on health by the Government. For every 100 rupees spent on health, 80 is from out of pocket of the individuals. Four per cent of our population is pushed below poverty line every year by paying for an illness.

We urge the Government to raise the public spending on Health from the current level of 1.23% of GDP to at least 8% by 2015. IMA takes strong exception to the fact that even the current expenditure was brought down by 6600 crores this year. Government should ensure that a minimum of 55% of Health care budget is spent on primary care, 35% on secondary and 10% on tertiary care. Current levels are 49%, 22% and 28% respectively. Government need to explore newer areas of resource mobilization and should introduce a Health Cess of 0.5% on VAT. There should be Health Cess on tobacco, alcohol, automobiles and even on high fat, high salt food products.

To address the burning issue of paucity of doctors and paramedics in villages, Government service should be made attractive to new medical graduates and paramedics by providing decent facilities for living and educational opportunities for their children. The existing staff pattern in PHCs is decades old and needs urgent revision, taking into consideration, the epidemiologic and demographic changes that have occurred over this period of time.


eMedinewS congratulates Dr Muruganathan for receiving “IMA DR. M.G.Garg All Time Achievement Award” by Indian Medical Association.

The Award carries a citation and amount of Rs. 10,000/–. The Award was presented by Hon’ble Union Health Minister of India, Shri Jagat Prakash Nadda at the recently concluded National IMA Conference at Ahmadabad.

IMA in the news

Dr Marthanda Pillai takes charge as the new President of IMA: India Medical Times
IMA plans to cut disease burden: The Tribune

Hospitals, nursing homes get new code of ethics: Economic Times

New IMA team takes charge: Drug Today Medical Times

NRI doctors will soon practice in India: Munsif TV

NRI doctors will soon practice in India: The Times of India

Threat of paralysis, stroke on rise among Gen Y: The Times of India

New IMA team works for change: The Asian Age

No vacancies for docs in rural areas of state: IMA –DNA
Doctors to perfect their soft skills and leadership qualities: Ahmedabad Mirror


Dr K K Aggarwal, Hony Secretary General IMA will be a part of the Global Leadership Council. It will be held on Jan 4, 2015 from 10am onwards in Mumbai. The meeting will be chaired by Dr. Jagdish Prasad, Director General Health Services, Govt. of India and Co–chaired by Mr DG Shah, Secretary General IPA, More than 30 leaders, CEOs and Senior Executives from various participating associations are meeting to share best practices, discuss and explore solutions on two key areas:

  • Access to Healthcare – Challenges & Solutions
  • Leveraging the Indian Medical Diaspora
  • Collaboration on major national initiatives

This will be a round table session and key information on current state and barriers faced by healthcare professionals will be discussed in an open and candid environment. The intent is to foster a collaborative approach that results in urgent removal of barriers and creates an environment that rewards and encourages innovation and implementation of collaborative and cost effective solutions.
Chair: Dr. Jagdish Prasad, DGHS
Co-Chair: Mr. D.G. Shah, Secretary General, IPA

Council Members
 Dr Amy E Dubois, Health Attaché, US Embassy, New Delhi
 Dr KK Aggarwal, Hon. Sec. General IMA
 Dr Jayshree Mehta, Chair, MCI
 Dr Sanku Rao, President, GAPIO
 Dr Ramesh Mehta, President, BAPIO
 Dr Rajesh Upadhyay, President-Elect, API
 Dr Ravi Jahagirdar, FL, USA
 Dr Seema Jain, NJ, USA
 Dr Jayesh Shah, TX, USA
 Dr Joesph Chalil, MI, USA
 Mr Bob Miglani, NY, USA
 Mr Anwar Feroz, NJ, USA
 Dr Rajendra Prasad, IHIF
 Dr Sanjay Desai, John Hopkins, USA

IMA Victory after a 10 years battle: A message from Dr. Jitendra B. Patel, Immediate National Past President, IMA

I have enlisted my six dreams when I took over as the National President of IMA.

  1. “Aao Gaon Chalen” is our flagship noble project through which we want to create a bond with the unprivileged brethren of our country. I wanted it to get strengthened and streamlined.
  2. Massive membership drive by giving a rebate in HFC till June 2014.
  3. Launching a nationwide campaign for organizing Blood Donation camps on the occasion of death and birth anniversaries of our legend Dr BC Roy.
  4. Enrollment of young medical graduates in the variety of activities of IMA by approaching medical institutions in view of having trained and dedicated cadres for our bright future.
  5. “Save the Girl Child” was our mission so far. Now “Welcome the Girl Child” would be our national campaign.
  6. Active coordination with the specialist professional organizations is the need of the hour in view of strengthening the process for the substantial exchange of views.

In addition, it has been a matter of great pride for all of us that our comrade in arms, Dr. Ketanbhai Desai, has been unanimously elected President of World Medical Association. Dr. Ketanbhai Desai’s contribution in putting our organization on the world map would always be cherished by us.

JIMA Arbitration Orders Pronounced


Re: Arbitration case between
Dr Subhas Chakraborty & Ors….Claimant
Indian Medical Association & Ors…Respondent

The only dispute involved in this arbitration case is whether or not the publication of JIMA will continue in the  manner it was being published or such publication will be out-sourced through the other publisher, viz., Medknow Publication Private Limited. Indian Medical Association hereinafter referred to as "IMA", and its office bearers are the respondents in this arbitration case and the respondents intend that the publication of JIMA will be made by M/s Medknow Publication Private Limited which is a reputed publisher and well recognised for the quality of work. The Indian Medical Association is only opposing that the publisher who had been printing and publishing JIMA so long should not be allowed to print and publish the said journal, JIMA.

It is not in dispute that the IMA is the owner of the journal, JIMA. It is also not in dispute that the office of JIMA will remain in Kolkata at 53, Creek Row, Calcutta 700 014. There is also no dispute that the selection of articles and other contents to be printed in the journal, JIMA will remain with the Editorial Committee/ Editor-in-Chief of JIMA as before. The IMA is contending that the proposed publisher, viz., Medknow Publication Private Limited will collect the advertisements to be published in JIMA on its own initiative for augmenting its revenue and the publisher will not charge any amount for printing and publishing JIMA. The Indian Medical Association has contended that on the contrary, the Medknow Publication Private Limited will give sufficient fund in the hand of Indian Medical Association out of the revenues collected by it from the' advertisements procured by it in its own initiative. The respondents have contended that if the printing and publication are allowed to be given to Medknow Publication Private Limited, the Indian Medical Association will save approximately Rs. 50.00 lacs to Rs. 70.00 lacs per year.

It has also been contended by the respondents that the respondents have the authority to decide as to how JIMA will be published and such decision of the Indian Medical Association cannot be challenged by a section of doctors or the Editorial Committee or Editorial Board. The prerogative to decide as to how JIMA will be published lies with the IMA and the decision of the IMA in deciding the manner in which the publication will be made, cannot be challenged by the claimants who being members of IMA are bound by the decision of IMA.

It appears that all the claimants are not willing to proceed with this arbitration case and two of the claimants have already withdrawn. The claimants have also failed to submit the statement as to the admission and denial of the respondents' documents in spite of repeated opportunities given by the Tribunal to do so. The claimants also failed to appear and contest the arbitration proceedings fixed for hearing on 16th November, 2014 and no intimation was given either to the Arbitrator or the respondents indicating that for any valid reason the claimants were not in a position to appear at the hearing fixed on November 16, 2014 by consent of parties. The minutes of the sitting held on November 16, 2014 clearly indicates that the Arbitrator waited for long so as to enable the claimants to appear at the hearing.

In the aforesaid facts and circumstances, the arbitration proceedings stands dismissed.

It may also be noted that the claimants have not paid Rs. 1,25,000.00 (Rupees one lac twenty-five thousand only) out of its share to pay one half of the remuneration fixed by the Hon'ble High Court at Calcutta (Rupees two lacs fifty thousand only) despite directions given by the Tribunal to pay the outstanding amount in the share of the claimants. However, the Tribunal does not intend to impose any cost on the claimants in this arbitration case.

G N Ray, Sole arbitrator

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 of pulmonary Koch’s on ATT complains of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure that in patients talking ATT (including INH), B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

eMedinewS Humor

Jogging Shoes

Deciding to take up jogging, the middle-aged man was astounded by the wide selection of jogging shoes available at the local sports shoe store.
While trying on a basic pair of jogging shoe, he noticed a minor feature and asked the clerk about it.
"Whatís this little pocket thing here on the side for?"
"Oh, thatís to carry spare change so you can call your wife to come pick you up when youíve

Twitter of the Day

Dr KK Aggarwal:Weight gain after quitting smoking does not increase heart risk. #PadmaShri http://itim.es/LqUkXb6 via @itimestweets
Dr Deepak Chopra:When you don't have an explanation, it is a miracle. When you find the explanation, it is science @DavidSY77 @RichardDawkins

News around the Globe

Middle-aged women who exercise regularly tend to have a higher quality of life and reduced symptoms of menopause, suggested a population-based study published in the January 2015 issue of Maturitas.

In patients with moderate stable asthma, as-needed budesonide and formoterol therapy seems less effective than the regular budesonide and formoterol treatment that is recommended by the 2014 revision of the Global Initiative for Asthma (GINA) guidelines, suggests a report published online in The Lancet Respiratory Medicine.

Many people with type 1 diabetes continue to secrete small amounts of insulin long after diagnosis, especially those who develop the condition in adolescence or adulthood, suggest two new studies published online in Diabetes Care.

Ovarian reserve testing should be performed when women more than 35 years of age have not conceived after 6 months of trying and with women who have an increased risk for diminished ovarian reserve, such as cancer survivors, suggests an opinion by the American College of Obstetrics and Gynecologists' Committee on Gynecologic Practice, published in the January 2015 issue of Obstetrics & Gynecology.

A fundoplication technique using endoscopic submucosal dissection seems effective in patients with refractory gastroesophageal reflux disease (GERD), suggests new research published online in the Scandinavian Journal of Gastroenterology.

Patients with type 2 diabetes have an elevated risk for dehydration due to high glucose levels, and an increasingly popular class of diabetes drugs may increase this risk even more, reported Naomi McKay, of the State University of New York at Buffalo, and colleagues in the The Journal of Neuroscience.

Familiar risk factors for knee osteoarthritis (OA) in individuals 50 years and older -- high body mass index (BMI), previous knee injury, age, female sex, and the presence of hand OA -- were confirmed as the condition's top drivers in a new systematic review and meta-analysis with an updated evidence base. According to the authors, the finding emphasizes "the continued importance of weight loss as a management option for OA," they wrote in Osteoarthritis and Cartilage.

Dr KK Spiritual Blog

Be Positive

Father: "I want you to marry a girl of my choice." Son: "I will choose my own bride!"

Father: "But the girl is Bill Gate's daughter." Son: "Well, in that case... ok"

Next Father approaches Bill Gates. Father: "I have a husband for your daughter."

Bill Gates: "But my daughter is too young to marry!" Father: "But this young man is vice–president of the World Bank."
Bill Gates: "Ah, in that case... ok."

Finally Father goes to see the president of the World Bank.

Father: "I have a young man to be recommended as your vice-president." President: "But I already have more vice-presidents than I need!"

 Father: "But this young man is Bill Gate's son-in-law." President: "Ah, in that case... ok"

 This is how business is done!!

Moral: Even if you have nothing, you can get anything. But your attitude should be positive.

Inspirational Story

Believe in Yourself

Believe in yourself and you can achieve, things you never thought possible, Believe in yourself and you can discover talents new, that lie away hidden

Believe in yourself and you can reach, new heights that you thought unscalable, Believe in yourself and you can solve, problems that defy any solution

Believe in yourself and you can conquer, any situation, however difficult, Believe in yourself and you can make, the most complicated things seem simple

Believe in yourself and you can learn, the skills of gaining knowledge from experience, Believe in yourself and you can enjoy, the beauty in nature's abundance

Believe in yourself and you can perceive, new depths your senses can apprehend, Believe in yourself and you can perform way beyond your expectations

Believe in your goal and work towards it with determination and dedication, Believe in yourself and output enhance by contributing to a given situation

Believe in yourself and you'll feel blessed, as God's very own special creation.

Rabies News (Dr A K Gupta)

Can a person receiving/completed antirabies immunization, either pre–exposure or post–exposure, donate blood?

A person receiving/completed antirabies immunization can donate blood. However, the recipient does not benefit from the transfer of rabies–neutralizing antibodies due to hemodilution..

Cardiology eMedinewS

  • Patients undergoing noncardiac surgery in the weeks and months following coronary stent implantation have a significantly increased risk of adverse cardiac events, suggests a large retrospective analysis published online in the Journal of the American College of Cardiology. The risk was greatest if surgery occurred in the first 6 weeks following stent deployment and decreased to approximately 1% after 6 months.
  • Researchers at the Spanish National Cancer Research Centre (CNIO) have for the first time treated myocardial infarction with telomerase by designing a very innovative strategy – a gene therapy that reactivates the telomerase gene only in the heart, thus increasing survival rates following a heart attack. The report is published in Nature Communications.

Pediatrics eMedinewS

  • The World Health Organization's strategy for eradicating polio will remove serotype 2 poliovirus from the oral polio vaccine (OPV) as this component causes many of the few new cases, pointed a new clinical report published online December 29 in Pediatrics.
  • Among full–term newborns with moderate or severe hypoxic ischemic encephalopathy, receiving deeper or longer duration cooling may not reduce the risk of neonatal intensive care unit death, compared to usual care, suggested a study published in JAMA.

Quote of the Day

Most people have no idea of the giant capacity we can immediately command when we focus all of our resources on mastering a single area of our lives. Anthony Robbins

Wellness Blog

Can blood pressure be higher in one arm?

A small difference in blood pressure readings between arms is normal. However, a difference of more than 20 mm Hg for systolic pressure (top number) or more than 10 mm Hg for diastolic pressure (bottom number) can be a sign of an underlying narrowing of the main arteries to that arm.

A difference of 10 to 15 mm Hg for upper systolic pressure that shows up repeatedly is a risk marker for vascular disease and future heart attacks.

Always have your doctor check both arms for blood pressure and whichever is higher, use that arm for future blood pressure readings.

ePress Release

The IMA headquarter in New Delhi welcomes itís new governing body

Neurosurgeon and MD of Ananthapuri Hospitals & Research Institute – Dr Marthanda Pillai & Cardiologist and the President of Heart Care Foundation of India -  Dr KK Aggarwal take over as the President & Secretary General, respectively

New Delhi, December 30, 2014: The Indian Medical Association, the only representative National organization of “Doctors of Modern Scientific System of Medicine” in India today took a positive step in the direction of making the Indian healthcare system more accountable, accessible, transparent and efficient. By a unanimous decision for the first time in the history of the age old institution, two Padma Shri National Awardees namely Dr A Marthanda Pillai and Dr KK Aggarwal were sworn in as its President and Secretary General respectively.

Dr A Marthanda Pillai, a leading Neurosurgeon and Dr KK Aggarwal, a Physician and Cardiologist are both known for their dedication towards making Healthcare more accessible to all especially the economically backward sections of the society. Dr KK Aggarwal, for over two decades, has been serving the society through his NGO, Heart Care Foundation of India and Dr. Pillai in the course of his career has performed thousands of free brain and spinal operations for patients, saving thousands of lives.

The Indian Medical Association in the coming years will witness a sea of change with several new activities being initiated to make the organization community centric rather than just doctor centric. A total of 365 new initiatives will be launched for the welfare of the people.

Giving his presidential address Dr Marthanda Pillai said, “I deem it a great privilege to be elected as the National President of IMA. I thank you for reposing your confidence in me to lead the medical fraternity of India. I am fully aware of the great responsibility that accompanies the Presidentship. I am confident that I will be able to rise up to your expectations with the support and cooperation of all the leaders of the IMA and its 2,15,000 doctors. I strongly believe that Healthcare should be acknowledged as a fundamental right for every citizen and we at IMA will strive to make it more accessible for all in the coming years.”

Adding to this, Dr KK Aggarwal the new IMA Honorary Secretary General and the President of Heart Care Foundation of India said, “It is a great honor to accept the responsibility of leading such a great association. Our aim over the next two years will be to make IMA more transparent, efficient and corruption free. Towards this endeavor we will be drafting an ethical code of conduct for doctors. We will also encourage doctors to work together for the benefit of the society at large. I look forward to the coming year and hope that through our efforts and support of all member doctors, we can bring a wave of positive change within the association.”

Some key programs, which will be launched, include:

  • IMA e-connect: A project aimed at digitally connecting over 2 lakh members every day
  • IMA Rise and Shine: A program to provide soft skills training to medical doctors across the country
  • IMA age friendly clinics: IMA, will at a National level, roll out age-friendly clinics to provide care to the elderly with a special focus dementia, nutrition, healthy ageing
  • IMA End of Life Care Project: Aimed at providing care to terminally ill patients
  • IMA National Pension Scheme: Increased longevity has resulted in long non- productive years for doctors. To address the financial problems of retired doctors, an IMA National Pension Scheme will be launched.
  • Trauma Care: Road traffic accident related trauma is the prime cause of death among the most productive population between 18-45 years. Trauma Care Committees will be formed to initiate first aid centers and rapid transport facilities at every 15 to 50 KM along highways with public and private Trauma Care hospitals.
  • Jiska Koi Nahi Uska IMA: This is aimed at making healthcare more accessible for all. All members will be sensitized to dispense quality affordable medicines to the people.IMA will also join hands with the Sameer Malik of Heart Care Foundation Fund, an imitative by Heart Care Foundation of India to provide free surgeries to young girls suffering from congenital heart disease and otherwise cannot afford surgery
  • Aao Gaon Chalen Project: All IMA branches will adopt one village each to make it healthy and disease-free
  • IMA Sun Day Project: All members nationally will be encouraged to spend 1 hour every week doing activities in the sun to create awareness about the importance of vitamin D for the body
  • Waste Disposal: General and Biomedical waste have become a major public health hazards resulting in increased incidence of infection and antibiotic resistance. IMA will start a consultancy service for biomedical waste disposal encouraging IMA State and Local branches to become eco–-friendly.

To reduce the gap between planning and execution, for the first time in its history, the IMA will appoint IMA Project Directors ever year for governmental national health programs, who will coordinate with the Government at State levels on a regular basis.

IMA will also join the Prime Minister’s Swachch Bharat movement to lay stress on the important correlation between a cleanliness and health. Over 50% of the diseases can be reduced simply by keeping one’s environment clean. Towards this endeavor, all IMA members will be expected to dedicate one hour every Friday towards this project. Every IMA branch will also be expected to nominate 9 medical icons to take forward this initiative and ensure its execution.

The new team of the IMA started its term with the concept of wellness through an holistic approach. The first day at the Association’s headquarter in New Delhi began with a Rudrabhishek Puja conducted by eleven pundits followed by attaining blessings from Spiritual Gurus representing  all nine religions.

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 Headquarter in Delhi and State / Terr. Branches in 29 States and Union Territories. It has over 2,15,000 doctors as its members through more than 1650 active local branches spread across the country.

eMedi Quiz

Ofleck phenomenon is seen due to which component?
a. Joint psoriasis
b. Mucosal psoriasis
c. Nail psoriasis
d. Pustular psoriasis

Yesterday’s Mind Teaser:Isotopic response is seen in scars of which of the following conditions?

a. Orolabial herpes
b. Herpes genitalis
c. Pyoderma gangrenosum
d. Eosinophilic pustular folliculitis

Answer for yesterday’s Mind Teaser: c. Pyoderma gangrenosum

Correct answers received from: : Dr Avtar Krishan,

Answer for 28th December Mind Teaser: d. Epitope spreading phenomenon

Correct answers received from: Dr Krishna, Dr Surya.

Send your answer to email

medicolegal update

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medical query

medicolegal update

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medicolegal update

medicolegal update
  1. Dr Pillai: Congratulations for taking charge as the National President IMA Hqrs for the year 2015–2017. We welcome you to the AMS team. Please go through our website www.ima–ams.org for your information. Dr. E. Prabhavathi, Hon. Secretary, IMA AMS Hqrs.

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)