eMedinewS 3rd July 2013, Wednesday

     Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at
www.facebook.com/Dr KKAggarwal

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 10x10 i.e. 100 per minute.”

Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

From the Desk of Editor in Chief

Suraj Pancholi rightly got bail in the Jiah Khan suicide case

If an impulsive suicidal ideation has an element of obsession then it requires an early diagnosis to prevent suicide and not blame the person on whom the victim is obsessive.

Obsession is a disease and needs to be treated. Suicidal thoughts at some point occur in as many as 50% of the patients with impulsive compulsive obsession. Suicide attempts are reported in 25% of individuals with OCD. Presence of co-morbid depressive disorders increases the risk of suicidal attempts.

It appeared from the media reports that Jiah was suffering from both - underlying depression with OCD.

Obsessions are defined as recurrent and persistent thoughts, urges, or images that are experienced at some time during the disturbances as intrusive and inappropriate and with marked anxiety or distress. Compulsions are defined as repeated behavior or mental act of the person drawn to perform in response to the obsession or according to rule that must be applied rigidly.

While giving the bail, Justice Sadhna said – “No doubt that it was an unfortunate incident that the young girl has committed suicide, she (Jiah) must have been impulsive and he (Suraj) cannot be solely responsible for it”. .....Read More

sprritual blog What is the importance of life force?

A physical body becomes useless once the life force is gone. The same body, which was lovable to everyone, becomes a liability after death. Everyone wants to dispose it as early as possible as keeping a dead body at home is considered a bad omen.

During the transfer of dead body from one place to another nobody wants to keep the body in a vehicle other than a harsh van whose job is only to carry dead bodies. No family will be willing to carry the dead body of a person in a car in which the deceased person has been traveling or driving for years. ... Dr K K Blogspot

cardiology news
pediatrics news
wellness blog

First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea ...Read More


Situation: The principal reported the first case of child abuse in a school.
Dr. Bad: Child abuse is rare.
Dr. Good: This is under reporting.
Lesson: Each year approximately 1 percent of children experience some form of sexual abuse. Read More

press release

Skin care


Health risks from dead bodies are negligible (Dr K K Aggarwal)

The health risks of dead bodies are dangers related to the improper preparation and disposal of cadavers. ...Read More

Monsoon season is the time to give our child a de-worming tablet

In the monsoon season, most of the worms inside the soil will come to the surface and infect the vegetables. Monsoon humidity also leads to more breeding of house flies and mosquitoes.

All fruits and vegetables, therefore, in monsoon season should be washed thoroughly with clean water and if needed Potassium Permanganate should be added, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA. ...Read More

News Around The Globe

IMA delegation meets President of India. Dr K K Aggarwal

An IMA delegation met the President of India at Rashtrapati Bhavan.
The delegation consisted of 18 leaders of IMA including its Past Presidents and office bearers. I being the National Vice President elect was also a part of the delegation.
Every year 1st of July is being observed as Doctor’s Day and it has been a tradition that President of India reserves some hours on that day for doctors.
Dr. BC Roy National Awards are also being given by the President of India on that day. Unfortunately since 2008 Dr. BC Roy National Awards have not been declared. The same needs urgent attention and the awards need to be re-instituted.

The IMA delegation briefed the President of India about the problems faced by the medical profession and requested the President to ask the Ministry of Health to intervene in many of them. A special IMA poster “we commit ours to affordable, accessible and quality health care for our patients” was presented to the Hon’ble the President of India.

On every Doctor’s Day in every State the respective Governors and Lt. Governors or the Chief Ministers should host a function for their doctors.

Over the last many years, at least, in Delhi the Chief Minister has been giving State Awards to doctors, but the same has been limited only to the Government doctors. Why this discrimination is beyond any ones imagination.

The time has come for the Delhi Government to rethink and include doctors from private sector also in State Awards.dh

New Tick-Borne Illness

Researchers have discovered a new tick-borne illness, caused by Borrelia miyamotoi, the symptoms of which are similar to that of Lyme disease and other tick-borne illnesses, but that does not respond to conventional doxycycline in the same way. Suspect this new illness when there is acute febrile illness, with myalgia, headache, neutropenia, thrombocytopenia, and elevated hepatic aminotransferase levels. The study is reported online in the Annals of Internal Medicine.

Lipid clinic is the answer

Every doctor should have a lipid clinic where apart from drug, non-drug therapy protocols are also discussed. 15% of the patients do not tolerate statins and these are the patients who can specifically be helped by a physician. (Source National Lipid Association, Scientific Sessions).

Write prescription for two months

Compliance is better when you write better for 2 or 3 months together than you write it for 15 days or so. In a study from Women’s College Hospital in Toronto, Canada up to 50% of prescription cover only for seven days.

Salmonella in Eggs


today emedipics

Doctor Day Celebration

On the Occasion of Doctors Day, a CME was organized by IMANDB, eMedinewS and Heart Care Foundation of India on 29th June 2013 at IIC, New Delhi

Just a few hours outside the fridge, the eggs can get contaminated by salmonella infection. Salmonella is the commonest cause of food poisoning across the world. Warm weather and unrefrigerated eggs or food made from raw or undercooked eggs create ideal conditions for Salmonella to grow. Many germs grow in high numbers in just a few hours at room temperature. A person typically will have fever, loose motions and abdominal pain starting 12 to 72 hours after consuming a contaminated food or beverage. The illness may last 4 to 7 days.

Diclofenac under scrutiny

Diclofenac a painkiller is under scrutiny in U.K. for its cardio-vascular risk.

Cooling treatment for cardiac arrest practically not used in India

Research shows that therapeutic hypothermia in which the body is cooled to about 89.6 degrees Fahrenheit protects the brain against damage caused by lack of blood flow and oxygenation. There are studies where therapeutic hypothermia has saved lives in people who suffer cardiac arrest outside the hospital. In a study published in Journal Critical Care Medicine only 2% of patients who die in the hospital received therapeutic hypothermia. It is also true that most patients who suffer from cardiac arrest in the hospital settings may not be the candidate for therapeutic hypothermia because they have other serious conditions or terminally ill.

Cesarean deliveries now level off

In the US, there has been a steady rise of cesarean deliveries in the last 12 years but the cesarean deliveries result now have shown that in the last 3 years, the caesarean rates have not increased. The overall cesarean delivery rate today is 31.3% and has not changed in the last three years. From 1996 to 2009, the percentage of cesarean birth gradually increased from 19.7% to 31.3%.

Fish oils may protect against cancer

The consumption of higher levels of dietary marine n-3 polyunsaturated fatty acids is associated with a 14% lower risk for breast cancer than lower levels of consumption, according to a meta-analysis of 26 studies published in BMJ. The recommended fishes are: salmon, tuna, and sardines

Eight ways to prevent stroke

  1. Lower blood pressure.
  2. Loose weight.
  3. Exercise more.
  4. Take a baby aspirin.
  5. Drink in moderation.
  6. Treat atrial fibrillation
  7. Treat diabetes.
  8. Quit smoking.

Valvular Heart Disease Update

Functional mitral insufficiency can be inferred when the valve is morphologically normal but the left ventricle is either globally or segmentally abnormal. The color flow jet is usually central, occurring at a coaptation point that is marked by decreased contact area and displacement toward the left ventricle apex, a direction that is the opposite of prolapse.

(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)

Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How is hyperprolactinemia treated?

The treatment depends on the cause. If your doctor cannot identify cause or you have a microadenoma or a macroadenoma in the pituitary gland, the primary treatment is with medication. The most commonly used medications are bromocriptine and cabergoline. The treatment continues until you get pregnant. The most common side effects from bromocriptine include lightheadedness, nausea and headache. Other side effects include nasal congestion, dizziness, constipation, abdominal cramps, fatigue, vomiting and rarely, neurologic symptoms such as hallucinations. Slowly increasing the dose helps reduce side effects. You can also take bromocriptine as a vaginal suppository or tablet at bedtime.

Rabies Update (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.

medicolegal update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Science shows innocent man hanged in famous British murder case

Michigan’s Foran’s laboratory has devised methods to extract and isolate mitochondrial DNA. His laboratory specializes in ancient and forensic DNA evidence, often working with human remains that are thousands of years old. Read More

ijcp book of medical records
medicolegal update

Can a doctor who has MD (Medicine) practice cardiology?

Relevant Laws

Two clauses in Medical Council of India Act, viz., 7.20 and 1.42 have to be read together.

1. Clause 7.20 of 2003 states – “A physician shall not claim to be a specialist unless he has a special qualification in that branch”. This clause is applicable only after 2003 and is not applicable for Read More

dr good dr bad

Situation: Doctor, screen me for thyroid deficiency.

Dr. Bad: Get TSH, FT4 and FT3 test done.

Dr. Good: Get serum TSH done.

Lesson: The current recommendation is to do only serum TSH as the initial screening test.

make sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for C. pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis. Sero–epidemiological studies have shown a strong association between C. pneumoniae infection and atherosclerosis in patients with cardiovascular disease.

quote of the day

Be ready when opportunity comes...Luck is the time when preparation and opportunity meet. Roy D. Chapin Jr.

twitter of the day

Dr KK Aggarwal: Vegetarian diet and Soya Products help reduce BP http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: How do we find balance between setting the person we love free & at the same time committing to each other?
http://bit.ly/14JxRjo #Health

emedinews humor

Funny definitions

Gastrointestinal: "The alimentary canal is located in the northern part of Alabama." Read More

reader response

Dear Sir, emedinews is very informative newsletter. Regards: Dr Karan

An Inspirational Story

Who Am I?

I am your constant companion. I am your greatest helper or heaviest burden. I will push you onward or drag you down to failure. I am completely at your command. Half the things you do might just as well be turned over to me and I will be able to do them quickly and correctly. I am easily managed––you must merely be firm with me. Show me exactly how you want something done and after a few lessons I will do it automatically. I am the servant of all great people and, alas, of all failures, as well. Those who are great, I have made great. Those who are failures, I have made failures. I am not a machine, though I work with all the precision of a machine plus the intelligence of a person. You may run me for profit or run me for ruin –– if makes no difference to me.

Take me, train me, be firm with me, and I will place the world at your feet. Be easy with me and I will destroy you. Who am I? I am habit!

Note: A habit is a system that you have mastered through practice.. ............Read More

eMedi Quiz

Read this…………………

Dietary gluten intake postulated to be a possible etiologic factor in all the following dermatologic diseases except.......

A.Acne vulgaris
C.Dermatitis herpetiformis
D.Recurrent aphthous stomatitis

Yesterday’s Mind Teaser: The average intake of phytanic acid in Refsum's disease should be reduced to.....

A.100-200 mg/day
B.10-20 mg/day
D.1-2 mg/day

Answer for yesterday’s Mind Teaser: B.10-20 mg/day

Correct answers received from: DR.BITAAN SEN & DR.JAYASHREE SEN, Dr.K.V.Sarma, Dr Abbas Vakil, Dr.Biji Anilkumar, daivadheenam, Dr. B.B. Gupta, Dr Kanta jain, Dr.K.Raju, Rakesh Goel, Dr. Thakor Hitendrsinh G, DR ARPAN GANDHI, Dr Pankaj Agarwal, Dr Rawat Purushottam Singh, Dr Jainendra Upadhyay, Dr Avtar Krishan, Muthumperumal Thirumalpillai, Tukaram Pagad, dr p j khalap, DR.BITAAN SEN & DR.JAYASHREE SEN.

Answer for 1st July Mind Teaser: C. Scleroderma

Correct answers received from: Dr Pankaj Agarwal, Dr Rawat Purushottam Singh, pushpa otiv.

Send your answer to ijcp12@gmail.com

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Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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