eMedinewS3rd June 2014, Tuesday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

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

Cynical? You may be hurting your brain health

American Academy of Neurology: People with high levels of cynical distrust may be more likely to develop dementia, according to a new study. Cynical distrust, which is defined as the belief that others are mainly motivated by selfish concerns, has been associated with other health problems, such as heart disease

News Around The Globe

  • A small study has recently shown that cognitive-behavioral therapy (CBT) increases sleep time and reduces fatigue and depression in multiple sclerosis (MS) patients suffering insomnia. The findings were presented at the 6th Cooperative Meeting of the Consortium of Multiple Sclerosis Centers (CMSC) and the Americas Committee for Treatment and Research in Multiple Sclerosis (ACTRIMS).
  • The antiangiogenic drug ramucirumab marginally improved survival in the second-line treatment of non–small cell lung cancer (NSCLC), reported the REVEL study presented at the 2014 Annual Meeting of the American Society of Clinical Oncology (ASCO).
  • A yoga program that has been designed specifically for patients with multiple sclerosis (MS) potentially improves walking ability, balance, fatigue, and general health status, and might even help control inflammation, reported a new study presented at the 6th Cooperative Meeting of the Consortium of Multiple Sclerosis Centers (CMSC) and the Americas Committee for Treatment and Research in Multiple Sclerosis (ACTRIMS).
  • A small phase II study presented at the 2014 Annual Meeting of the American Society of Clinical Oncology has stated that the combination of 2 investigation therapies, olaparib and cediranib, is significantly more active in recurrent platinum–sensitive ovarian cancer than olaparib alone (median progression–free survival, 17.7 vs. 9.0 months).
  • Regular rather than as–needed treatment with a vascular endothelial growth–factor (VEGF) inhibitor improves outcomes for patients with neovascular age–related macular degeneration, reports a new study presented at the Association for Research in Vision and Ophthalmology 2014 Annual Meeting.

Rabies News (Dr A K Gupta)

Does treatment of provoked bites differ from unprovoked bites?

Provocation is subjective and relative and specific to each dog/cat. However, obvious gross provocation viz., stamping, hitting, chasing, etc. possibly suggest that the animal may not be rabid. However, the wound treatment of animal bites is the same.

Cardiology eMedinewS

  • A radiation detector that emits audible beeps could possibly help interventional cardiologists and others in the cardiac catheterization laboratory reduce their exposure, reports a new study presented at the Society for Cardiovascular Angiography and Interventions Meeting.
  • Longer–term results from a single–arm trial of the Diamondback 360° orbital atherectomy system have revealed durable effects for patients with severely calcified lesions, reports a novel research. At 1 year, the rate of major adverse cardiac events (MACE) was 16.4%, which was comparable with other recent trials.

Pediatrics eMedinewS

  • A new study has reported that prenatal exposure to flame retardants can be significantly associated with lower IQs and greater hyperactivity in five–year old children. The findings are published online in the journal Environmental Health Perspectives.
  • Two randomized controlled trials have put forward conflicting data on the value of nebulized hypertonic saline for infants with bronchiolitis. Both the studies are published in JAMA Pediatrics online May 26.

Dr K K Spiritual Blog

How to convert Dakshinayana into Uttarayana at the time of death?

As per Bhagavad Gita whatever your thoughts are through life will be your thoughts at the time of your death and whatever your thoughts at the time of your death will be your thoughts in your future birth.

Bhagavad Gita says that the best time to die is Uttarayana, before full moon, in day time or in the presence of Yagna. Does that mean the people who die in Dakshinayana or 15 days before Amavasya or during night will suffer and will not get liberation or they will go to the hell?

No. If this would have the intention, Bhagavad Gita would not have mentioned it at all as this would have created unrest in 50% of the society.

Wellness Blog

Top 10 Ways to Keep the Kidneys Healthy

We all want our kidneys to last for a lifetime. We should all show our love for kidneys by adopting a 10–step program for protecting kidney health.

One should begin with monitoring blood pressure and controlling weight and then move on to the rest of the kidney–healthy tips

  • Monitor blood pressure and cholesterol.
  • Control weight.
  • Don’t overuse over–the–counter painkillers.
  • Monitor blood glucose.
  • Get an annual physical exam.
  • Know if chronic kidney disease (CKD), diabetes or heart disease runs in your family. If so, you may be at risk.
  • Don’t smoke.
  • Exercise regularly.
  • Follow a healthy diet.
  • Get tested for chronic kidney disease if you're at risk.

Inspirational Story

Love in action

One night a man came to our house and told me, "There is a family with eight children. They have not eaten for days," I took some food and I went. When I finally came to the family, I saw the faces of those little children disfigured by hunger. There was no sorrow or sadness in their faces, just the deep pain of hunger. I gave the rice to the mother. She divided it in two, and went out, carrying half the rice with her. When she came back, I asked her, "Where did you go?" She gave me this simple answer, "To my neighbors–they are also hungry."

I was not surprised that she gave–because poor people are generous. But I was surprised that she knew they were hungry. As a rule, when we are suffering, we are so focused on ourselves we have no time for others.

ePress Release

Do not ignore breakfast

Taking a good breakfast made of carbohydrates and lean protein, can help lessen cravings and hunger during the rest of the day, which can lead to significant weight loss, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA. A research by Dr. Daniela Jakubowicz, a clinical professor at Virginia Commonwealth University and an endocrinologist at the Hospital de Clinicas Caracas in Venezuela has shown that sedentary, obese women lost almost five times as much weight on the "big breakfast" diet as did women following a traditional, restrictive low–carbohydrate diet.

While treating obese people we need to treat carb cravings and hunger.

On waking up in the morning, the body is primed to look for food. The metabolism is revived up, and levels of cortisol and adrenaline are at their highest. The brain needs energy right away, and if one doesn’t eat or eats too little, the brain needs to find another fuel source. To do this, it activates an emergency system that pulls energy from muscle, destroying muscle tissue in the process. Then when you eat later, the body and brain are still in high–alert mode, so the body saves energy from the food as fat.

Also the levels of the brain chemical serotonin are highest in the morning and the craving levels are at the lowest and you may not feel like eating. As the day wears on, serotonin levels dip, and you get cravings for chocolate or cookies, and such similar foods. If you eat these foods, your serotonin levels rise, and your body begins to associate good feelings with them, creating an addictive cycle.

The high protein, carbohydrate mix in breakfast gives the body the initial energy boost it needs in the morning. Throughout the rest of the day, the meals are made up of protein and complex carbohydrates, like vegetables. Because protein is digested slowly, you won’t feel hungry.

If you have to eat chocolate or candy, eat them in the morning because if you eat them when serotonin levels are high, they won’t taste as good, and the brain won’t feel the same serotonin boost. This will eventually help cut down on cravings.

Eating breakfast with high glycemic foods may be harmful. After eating cereal or a doughnut, the blood sugar and insulin levels spike. Once that blood sugar is used up, you’ll still have excess insulin circulating, which makes you hungry and makes you crave carbohydrates.

eMedi Quiz

What is the best reason for the nurse in instructing the client to rotate injection sites for insulin?

A. Lipodystrophy can result and is extremely painful
B. Poor rotation technique can cause superficial hemorrhaging
C. Lipodystrophic areas can result, causing erratic insulin absorption rates from these
D. Injection sites can never be reused

Yesterday’s Mind Teaser: Lipodystrophy is most characteristically seen with:

a. Zidovudine
b. Nevirapine
c. Indinavir
d. Tenofovir.

Answer for yesterday’s Mind Teaser: c. Indinavir

Correct Answers received from: Dr Poonam Chablani, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr.Chandresh Jardosh, Dr Vijayalakshmi Seshadri, Dr Ajay Gandhi, Daivadheenam Jella

Answer for 1st June Mind Teaser: 2.Trophic ulcer.

Correct Answers received from: Dr. Sushma Chawla, Dr P.C. Das, Dr Poonam Chablani, Dr. SUSHMA Chawla

Send your answer to ijcp12@gmail.com

Make Sure

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.

eMedinewS Humor

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.

Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Fluid Intake


Total CPR since 1st November 2012 – 88972 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)

emedipicstoday emedipics

Health Check Up Camp at Universal Public School, 11th April 2014

press release

Breast cancer risk and alcohol

video of day video of day


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 :

Quote of the Day

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


Twitter of the Day

Dr KK Aggarwal: Raw milk not safe by Dr. K K Aggarwal http://bit.ly/HTZaj4 #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? http://bit.ly/WAYHF_DC #WAYHF


Forthcoming events


Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
or Call: Vandana 9891673085/Dr Kakroo 9810301261


medicolegal update

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medicolegal update

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medicolegal update
  1. Now that we have our popular Govt which we expect to be more receptive, eager to push in reforms esp health care, those of us in practice for above 3 decades, and have vast experience, K.K, I propose we must work with our govt and participate in decision making , unlike past, where professionals had just no say. interaction with our elected representatives. I offer my honorary services.Dr. Vijan.DM,MD.
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