eMedinewS3rd October 2013, Thursday

Dr K K Aggarwal Padma 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

Rasheed Masood gets 4 years in jail. Will the MCI take an action, under Section 7.5, against the nine students who secured admission via fraudulent means?

Chanakya rightly said that any money earned out of fraudulent means cannot last long. He said the results would come within eight years.

Of late, we are witnessing the results and most of our corrupt leaders one by one are going to the jail.

A special CBI court HAS NOW sentenced Rajya Sabha member Rasheed Masood, who was found guilty in a 1990–91 medical admission scam case, to four years in jail. He was minister of health in the VP Singh government at that time and was held guilty of fraudulently nominating undeserving candidates to MBBS seats allotted to Tripura in medical colleges across the country from the central pool in offences under Prevention of Corruption Act and IPC Sections 120–B (criminal conspiracy), 420 (cheating) and 468 (forgery).

Nine students who had fraudulently got admission in the medical colleges have also been convicted of cheating.

It’s time for Medical Council of India to cancel their registrations under Section 7.5.

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."

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

How to Remove Negative Thoughts

sprritual blog

Darkness is absence of light and similarly negative thoughts are absence of positive thoughts. The answer to negative thoughts is to bring positive thoughts back. An idle mind is the devil’s workshop and will always think negative. Here are the ways

1. Think differently as taught by Adi Shankaracharya. Once Menaka approached Arjuna with lust and said that she wanted to have a son like him with him. Arjuna said that why wait for 25 years consider me as you son from today.

2. Think opposite as taught by Patanjali. For example if you are having a though to steal, silently start thinking of charity.

3. Think positive as taught by Buddha. Make a list of positive actions to be done today as the first thing in the morning and concentrate on that list. Divert your mind to the pending works. It’s a type of behavioral therapy.

cardiology news

A little girl was enjoying the beauty of the garden in her home. Her father had a good collection of rare and exotic plants. He grew them with tender care.

The girl was fascinated by a plant full of fine and fragrant flowers. She went near the plant and enjoyed its beauty and the fragrance of its fine flowers. Suddenly she noted that the plant was growing in a heap of filth. She could not tolerate the presence of dirt at the bottom of the plant with such fantastic flowers.

She conceived a plan to clean the plant. She pulled the plant with all her might and uprooted it. She then carried it to the tap and washed the shoot and roots in running tap–water till all traces of dirt were washed away. She then placed the plant on a clean stone and went away, thinking that she had done a great deed indeed.

Later her father came to the garden and saw the uprooted plant. Its flowers and leaves had wilted and the plant had almost died in the scorching sun. His little daughter ran to him to exhibit her achievement. ‘I have cleaned it, Daddy, she reported innocently. It was placed in dirty soil. Now it is clean.

The father showed her how her treatment had almost killed the plant. He told her that he had collected the filthy soil and placed it to cover the plant’s roots as it was the best medium to grow that plant. It could grow up healthily and produce fine flowers only if grown in filthy soil. She was sad that the plant had suffered and withered by her cleaning.

Pain, poverty and illness may cause agony in our life. Sight of successful persons may make us depressed and envious. A great gardener mixes the right soil for each plant. In the same way God provides each of us with the best environment required for optimum spiritual growth. But it may appear to be unpleasant to us and we may even complain to God about our plight.

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

The Immune System of the Soul

October 17, 2013, Siri Fort Auditorium

Organised by Brahma Kumaris

In this fast paced world, where we all are running in the rat race to acquire all sorts of gadgets, luxuries and comforts of life, and have actually forgotten about our ‘being’, our ‘soul’ per se. None of us have the time to sit back and ponder on the very basic questions which arise even in a small child’s mind, as in who we are? Where we have come from? What is the purpose of our being? How our soul dwells in our daily activities? How can we charge up our soul or what makes it low? Do we actually listen to our inner/soul’s voice? If yes, there is still some hope, and if not, then what happens to our inner voice in return? All of us are bothered about materialistic possessions and all we care about is that we should be free from physical ailments. Does that suffice our existence? The answer is NO, as emotional ailments take its toll when we stop caring about our soul or the inner voice. To answers these questions and to help people get enlightened, Mike George, an author, spiritual leader and management consultant, has organized a workshop titled ‘The Immune System of the Soul’ which will take you to a journey from awareness to realization and finally to transformation. The workshop is scheduled on October 17, 2013, 6–8 PM at Siri Fort Auditorium, Delhi. Come and be a part of this divine experience.

  • For women with menopausal symptoms, not all oral hormone therapy is created equal. In a case–control study, conjugated equine estrogens (CEEs) were associated with about twice the risk of venous thrombosis compared with estradiol, according to Nicholas Smith, PhD, of the University of Washington in Seattle, and colleagues. The CEEs also appeared to be associated with an increased risk of heart attack, but the link fell short of statistical significance, Smith and colleagues reported online in JAMA Internal Medicine. The difference between the two therapies is that CEEs are extracted from the urine of pregnant mares and contain several active estrogen compounds, while estradiol contains only synthetic estradiol-17β.
  • Repeated noninvasive transcranial magnetic stimulation (nTMS) helped treat spasticity, motor symptoms, and post–stroke pain in a small population of stroke patients, as per a study reported at the World Congress of Neurology. Low–frequency stimulation and stimulation in both brain hemispheres were associated with motor recovery, while high-frequency stimulation aided recovery from post–stroke pain, according to Alexander Chervyakov, PhD, of the Russian Academy of Medical Sciences in Moscow, and colleagues. Additionally, stimulation of both hemispheres was associated with reductions in patient spasticity, Chervyakov said during an oral session.
  • The US Food and Drug Administration (FDA) has approved the tumor necrosis factor (TNF) inhibitor certolizumab pegol (Cimzia, UCB Pharma) for the treatment of adults with active psoriatic arthritis (PsA). Certolizumab is already approved in the United States for treatment of adults with moderately to severely active rheumatoid arthritis and for reducing signs and symptoms of Crohn’s disease and maintaining clinical response in adults with moderately to severely active disease who have had an inadequate response to conventional therapy.
  • A duodenal–jejunal bypass liner placed endoscopically in morbidly obese patients with type 2 diabetes significantly improves HbA1c levels and other metabolic parameters, according to the results of a new study. At 12 months, HbA1c levels declined from 8.5% to 7.5% in 45 patients while weight decreased from 115 kg to 104 kg. In addition, there were improvements in fasting glucose levels, body mass index (BMI), and systolic blood pressure. Lead investigator Julian Teare, MD, a gastroenterologist and honorary clinical senior lecturer at Imperial College London, United Kingdom, presented the 12–month results of the study at the European Association for the Study of Diabetes (EASD) 2013 Meeting.
  • Obese men with binge eating disorder (BED) are much more likely than their female counterparts to develop metabolic syndrome. A study of nearly 200 obese adults with BED showed that the men were almost 3 times more likely than their female counterparts to meet criteria for metabolic syndrome. In addition, they had significantly higher blood pressure, triglyceride levels, and fasting glucose levels than women with BED. As per the researchers, these findings underline the importance of primary care screening for BED and for metabolic syndrome in men who are obese — as well as including more of these men in clinical studies, where traditionally they have been underrepresented.

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Rabies News (Dr. A K Gupta)

Management if anaphylactic reaction occurs

Adrenaline: The dose is 0.5 ml of 0.1% solution (1 in 1000, 1mg/ml) for adults and 0.01ml/kg body weight for children, injected intramuscularly (IM).
Inj Hydrocortisone: 100 mg stat and 6 hourly IV
Inj Chlorpheniramine IV
Inj Ranitidine IV

If patient is sensitive to ERIG, HRIG should be used. Patient who has had prior exposure of anti–sera (e.g. Anti–tetanus serum, anti–diphtheria serum) should receive subcutaneous dose of Inj adrenaline (the requirement will be half dose of that required for treatment for anaphylaxis).

cardiology news
  • Quantitative myocardial blood flow assessed on PET scans caught some multivessel coronary artery disease missed with standard PET perfusion imaging in a study by Jun–Yang Lou, MD, PhD, of the Cleveland Clinic, and colleagues. Qualitative myocardial perfusion imaging underestimated the extent of disease compared with gold standard angiography, calling multivessel disease single vessel or no disease in 45% of cases. The newer quantitative analysis method significantly improved on that performance both in net reclassification and overall prediction combined with perfusion and other clinical variables. The study was presented at the American Society of Nuclear Cardiology meeting. The retrospective study included 202 consecutive patients who underwent a rubidium–82 PET/CT during rest and stress with regadenoson (Lexiscan) from December 2010 through August 2013.
  • Family socioeconomic status, body mass index, and either personal or parental smoking during childhood predicted the likelihood of achieving ideal cardiovascular health as an adult. Better socioeconomic status and lower BMI were significantly associated with having ideal cardiovascular health 2 to 3 decades later in three cohort studies conducted in Finland, Australia, and the U.S. (P<0.01 for both variables), according to Tomi Laitinen, BM, of the University of Turku in Finland, and colleagues. In addition, personal smoking was a predictor of ideal cardiovascular health in the Australian cohort and parental smoking was a predictor in the Finnish cohort (P≤0.001 for both), the researchers reported online in the International Journal of Cardiology. The authors suggest that special attention could be paid to children who are from low socioeconomic status families, and who smoke or whose parents smoke, to prevent cardiovascular disease morbidity and mortality because atherosclerotic cardiovascular diseases begin in childhood.

Valvular Heart Disease News

Mitral vegetation is always on the LA surface.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • A new screening rule can help distinguish cardiac syncope from vasovagal syncope in young people. In a review of children and adolescents diagnosed with cardiac syncope, researchers found that characteristics in the history, physical exam and ECG will accurately identify those with a cardiac etiology. In their series, all patients with a cardiac etiology for syncope had at least one of the following: (1) history of syncope associated with exertion; (2) a concerning cardiac family history; (3) an abnormal physical examination; or (4) an ECG interpreted as abnormal by a pediatric cardiologist. Dr. Justin Tretter and Dr. Rae–Ellen Kavey from Golisano Children's Hospital at the University of Rochester Medical Center in Rochester, New York point out in the Journal of Pediatrics, online August 29, they point out that as many as 15% of children experience a syncopal event, but only 1.5% to 5% of these are caused by underlying cardiac disease.
  • A study from The Netherlands has found that the use of acid–suppressive drugs by pregnant women is associated with an increased risk of asthma in their offspring. As per the authors, the physicians should be aware of this association and should reconsider prescribing acid–suppressive drugs for the individual patient. Instead of prescribing drugs, dietary advice should be first given.
cardiology news

Eating too quickly may raise type 2 diabetes risk

People who thoughtfully chew their food and don’t rush mealtimes not only avoid indigestion but also lower their chances of diabetes.

Eating too quickly may raise the risk for type 2 diabetes, according to a study presented at the International Congress of Endocrinology and European Congress of Endocrinology by Lithuania researchers.

They found that those who gobble down their food are 2.5 times more likely to have diabetes than those who take their time while eating.

cardiology news

Total CPR since 1st November 2012 – 63400 trained

CPR Classes 63400

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

When Constipation May be a Serious Problem 30th August


TB more dangerous than FLU 29th August


Shorter the waist line, longer the life line

Conducting a workshop on lifestyle and nutrition in women, Padma Shri and Dr B C Roy national Awardee Dr KK Aggarwal, President 20th MTNL Perfect Health Mela said that wild animals do not get heart attack as they follow the principles as laid by the nature. He was speaking at Faridabad in a session organized with Marwari Yuva Manch.

Dr Aggarwal said that the forthcoming Mela being organized from 23–27th October at Constitution Club if India will focus on lifestyle interventions through exhibitions, competitions, checks ups and other entertainment based modules incorporating all pathies. The entry to the Mela will be free. The Mela is being organized by the foundation in association with various Departments of Delhi and Central Governments, LIC, GAIL, Coca Cola, Central Bank of India and many other NGOs and educational institutions.

Dr Aggarwal said:

1. Eating less prolongs life.
2. Shorter the waist line longer the life line.
3. Go on changing the edible oil.
4. Add 5–7 servings of fruits and vegetables in daily routine.
5. Natural fast food is good for health (milk, fruits, dry fruits etc.)
6. Add all six tastes and seven colours in food.
7. Foods of plant in origin contain no cholesterol.
8. Fat, which is liquid at room temperature, is unsaturated.
9. Avoid trans fats in diet.
10. Avoid white sugar, white maida and white rice in diet.

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 63400 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."

today emedipics

Conducting a workshop on lifestyle and nutrition in women, Padma Shri and Dr B C Roy national Awardee Dr KK Aggarwal, President 20th MTNL Perfect Health Mela

press release

Concept of stress management

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Which of the following statements regarding tamoxifen is correct?

1. Compared with AIs, tamoxifen has been associated with a decreased risk of venous thromboembolic events.
2. Similar to AIs in post menopausal women, tamoxifen increases the risk of bone loss and osteoporosis.
3. In post menopausal women tamoxifen has shown better efficacy than inhibitors.
4. Tamoxifen may be associated with an increased risk of ischemic cerebrovascular complications.

Yesterday’s Mind Teaser: All of the following regarding aromatase inhibitors (AIs) are correct except:

1. Unlike tamoxifen, AIs are associated with an increased risk of endometrial cancer.
2. AIs have been shown to reduce bone density, and increase the risk of fractures.
3. AIs are not indicated in premenopausal women.
4. The musculoskeletal symptoms associated with the AIs are transient.

Answer for yesterday’s Mind Teaser: 1. Unlike tamoxifen, AIs are associated with an increased risk of endometrial cancer.

Correct answers received from: Dr Jainendra Upadhyay, DR.SHRAVAN KUMAR CHINNIKATTI, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, Dr.Bitaan Sen & Jayashree Sen, Dr. P. C. Das, DR AVTAR KRISHAN, Dr T K Bhattacharjee, Dr pooja khullar

Answer for 1st October Mind Teaser: d. All of the above

Correct answers received from: Dr.Bitaan Sen & Jayashree Sen, Dr. P. C. Das, DR AVTAR KRISHAN,

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

The Cardiologist and the Motorcycle repairman

A motorcycle mechanic was removing cylinder–head from the motor of a Harley–Davidson when he spotted a well–known cardiologist in his shop. The cardiologist was there waiting for the service manager to come and take a look at his bike when the mechanic shouted across the garage, ‘Hey Doc, want to take a look at this?’ The cardiologist, a bit surprised, walked over to where the mechanic was working on the motorcycle.

The mechanic straightened up, wiped his hands on a rag and asked, ‘So Doc, look at this engine. I opened its heart, take the valves out, repair any damage, and then put them back in, and when I finish, it works just like new. So how come I make $39,675 a year and you make $1,695,000 when you and I are doing basically the same work?’

The cardiologist paused, leaned over, and then whispered to the mechanic. ‘Try doing it with the engine running’.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient intolerant to penicillin was denied rheumatic prophylaxis.
Reaction: Oh my God! Why was he not put on a sulfa drug?
Lesson: Make sure that patients who cannot tolerate penicillin are put on sulfadiazine or sulfisoxazole. This antibiotic class is effective for preventing group A streptococcal (GAS) infection although it cannot be used to achieve eradication.

medicolegal update

Any man’s life will be filled with constant and unexpected encouragement, if he makes up his mind to do his level best each day. Booker T. Washington

medicolegal update

Dr KK Aggarwal: Heart risks detected by age 7 in overweight kids http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Love in action can create miracles. #SAS13

medicolegal update

Dear Sir, Great work by you. Regards: Dr Shipra

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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medicolegal update

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