eMedinewS3rd August 2014, Sunday

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

Beware of Synthetic Milk

  1. It is not milk
  2. It is made up of urea, caustic soda, refined oil (cheap cooking oil) and common detergents.
  3. Detergents are used as they emulsify and dissolve the oil in water giving the frothy solution, the characteristic white colour of milk. Refined oil is used as a substitute for milk fat. Caustic soda is added to the blended milk to neutralize the acidity and preventing it from turning sour during transport. Urea/sugar are added for solid–not–fat (SNF).
  4. It looks like natural milk, except in taste and nutritional qualities.
  5. It is normally mixed with milk and then sold in the market
  6. It is carcinogenic in humans
  7. Urea and caustic soda can harm liver and kidneys.
  8. Caustic soda with high sodium content is harmful for patients with high blood pressure.
  9. Caustic soda also deprives the body from utilizing lysine, an essential amino acid in milk, which is required by growing babies.

News Around The Globe

  • A phase 1 pilot trial of subcutaneous injections of PD01A in patients with Parkinson’s disease (PD) has shown that the vaccine is well tolerated and safe, induces an immune response, and the immune response appears to improve function.
  • Researchers at the Johns Hopkins University School of Medicine have identified alterations in a gene linked to stress reactions that may help identify patients at increased risk for suicidal behavior, including attempts, possibly through a simple blood test. The findings were published July 30 in the American Journal of Psychiatry.
  • An advisory committee to the U.S. Food and Drug Administration has concluded that the benefit of Baxter International Inc’s experimental immune deficiency therapy, HyQvia, outweighs the risks. Data shows a favorable benefit–to–risk ratio for the drug designed to treat primary immunodeficiency diseases.
  • The US Food and Drug Administration (FDA) has approved the glucose–reducing drug empagliflozin after the drug maker corrected manufacturing problems that caused the agency to reject the drug in March. The drug is indicated for improving glycemic control in adults with type 2 diabetes in association with diet and exercise.
  • Expert pathology panels are better than community pathologists at diagnosing low–grade dysplasia (LGD) in association with Barrett’s esophagus, suggests a report from the Netherlands. In the study, amongst the 293 patients referred with a community diagnosis of LGD, revised diagnoses of the expert panel left only 79 patients with a diagnosis of LGD. The study was published online in Gut.

Rabies News (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.

Cardiology eMedinewS

  • The European Society of Cardiology and European Society of Anesthesiology (ESC/ESA) have published new recommendations for the cardiovascular management of patients undergoing noncardiac surgery. The new recommendations advice against the use of beta–blockers in patients without clinical risk factors since the drugs do not decrease the risk of cardiac complications and may even increase this risk. The guidelines appear August 1 in the European Heart Journal.
  • A new minimally invasive technique for repairing the most common cardiac birth defect in newborns, a hole in the heart, has been used successfully to fix the condition in six premature infants without resorting to open–heart surgery. The technique for repairing the condition, patent ductus arteriosus, was published online in the journal Catheterization and Cardiovascular Interventions.

Pediatrics eMedinewS

  • Researchers at UC San Francisco have noted that children with sensory processing disorders (SPD) exhibit decreased structural brain connections in specific sensory regions different than those in autism. This backs the fact that SPD is a clinically important neurodevelopmental disorder. The research was published in the journal PLOS ONE.
  • A new study has suggested that trauma in abused children has lasting effects on mental and physical health and that experiences can alter gene activity. The study wsa published online in the journal Child Development.

Dr K K Spiritual Blog

How to Finish Your Pending Work?

  1. This involves principles of time management and some Vedic principles.
  2. The first thing to do is to make a checklist of all the pending work by writing it down and re–categorizing them depending upon the urgency and importance.
  3. Pending work can be classified under following four sections:
    • Urgent and important: Should be done immediately.
    • Important but not urgent: Should be scheduled as per the time available
    • Not important and not urgent: One should learn to say no and dump it
    • Urgent but not important: This work should be delegated to others.
  4. Urgency of the work is decided by the deadlines available.
  5. The importance of the work is decided by directing the result of the work to the mind, body or the soul. One should see whether the result of the work gives pleasure to the body, mind or the soul. The one which is giving pleasure to the soul will be free of fear or guilt.
  6. When choosing files between simple or difficult, choose the difficult first so that you do not carry them back home in the mind. In terms of importance, difficult files are more important than simple files.
  7. When choosing right versus convenient action, give priority to the right action and not the convenient action.
  8. Delegation of work – team work is very important.
  9. When deadlines are available, it is always better not to keep the work just near the deadlines.
  10. Anticipate delay and keep time for unforeseen movements.
  11. Work is work and not something personal.
  12. Always remember the spiritual principle that you get what you deserve and not what you desire. So never get linked to the results of your actions.
  13. Yoga, pranayama, afternoon naps and meditation help to prioritize your work.
  14. Follow the principles of creativity and learn to give breaks in between the work so that the mind is relaxed and can take soul boosting decisions.
  15. Remember, Yudhishthir never kept anything pending for tomorrow. In this way you can have a fearless, undisturbed sleep.
  16. Organizing your pending list always helps.
  17. Do not waste time on learning material on which you are already an expert.
  18. Take advantage of down time. If you find free time in your routine, then convert it into a creative time so that you can plan strategies or do something new.
  19. Always get up at the same time and never disturb your sleep time.

Wellness Blog

Plate Your Food Now

A ‘Food Plate’ symbol has replaced the traditionally recommended ‘Food Pyramid’ of the USDA. These guidelines break down a healthy diet into 4 main quadrants on a plate: red for fruits, green for vegetables, orange for grains and purple for protein. A small blue circle attached to the plate signifies dairy products.

Fruits and vegetables occupy half of the plate space, with the vegetable portion being a little bigger than the fruit section. Eating more fruits and vegetables means consumption of fewer calories on the whole, which helps to maintain a healthy body weight. Fruits and vegetables are also a rich source of fiber along with vitamins and minerals.

The other half is divided between grains and proteins. Grains, with emphasis on whole grains make up one quarter of the plate. Protein is a smaller quarter of the plate. The recommendation is to aim to eat different kinds of protein in every meal.

In a major shift from the food pyramid, the Plate does not mention the number of servings for any food group or portion size. Nor does it mention fats and oils.

Remember the following tips for a healthy meal:

  • Eat less and enjoy your food by eating slowly
  • Fill half your plate with fruit and vegetables.
  • Avoid oversized portions which can cause weight gain.
  • At least half of your grains should be whole grains.
  • Reduce intake of foods high in solid fats and/or added sugar.
  • Use fat–free or low fat milk and/or dairy products.
  • Drink plenty of water. Avoid sugary drinks.
  • Avoid foods that have high sodium levels such as snacks, processed foods.
  • Above all, balance your food choices with your activity level.

Inspirational Story

If and When

IF and WHEN were friends. Every week they met and had lunch. Their conversation usually centered on all the things they were going to achieve. They both had many dreams and they loved to talk about them.

This particular Saturday when they met, WHEN sensed that IF was not in a great mood. As usual they sat at the table reserved for them and ordered their lunch. Once they placed their order, WHEN questioned IF. "IF what is wrong with you? You don’t seem your usual cheery self?"

IF looked at WHEN and replied, "I’m not sure; I just don’t feel like I am making any progress. This last week I saw a course I wanted to take if only I had the time to take it."

WHEN knew exactly how IF felt. "Yeah," replied WHEN, "I too saw a course and I am going to register when I get enough money together." WHEN then said, "Well what about that new job you were going to apply for. You were so excited about it last week, did you apply?"

IF responded, "If my computer didn’t break down last week, I would have applied. But, my computer is not working, so I could not type my resume."

"Don’t worry about it IF, when you are ready another job will come through. I have been thinking about looking for another job also, but I will wait and when the weather gets nicer I will look then." WHEN then went on to tell IF about his week, hoping that it would cheer him up a bit.

The man at the next table couldn’t help overhear WHEN and IF. They both were talking about when this and if that, finally he couldn’t take it anymore.

"Excuse me gentlemen," the man said. IF and WHEN both looked at the man and wondered what he wanted? The man continued, "I’m sorry, but I couldn't help hearing your conversation. I think I know how you could solve your problems."

IF smiled and thought, how could a complete stranger know how to solve all of their problems? If only he knew. When he realized the challenges they faced there was no way he could solve their problems! Curious, IF asked the gentleman, "How do you think you can solve our problems?"

The gentleman smiled and said, "You only need listen to yourselves. It reminds me of an old proverb: ‘If and When were planted, and Nothing grew’."

IF and WHEN looked puzzled. The gentleman smiled and said, "Start counting how many times you use the words ‘if’ and ‘when’. Rather than thinking ‘if and when’, start doing, take action, stop talking about ‘if and when’."

IF and WHEN both looked surprised, and suddenly realized that what the gentleman had said was so true. Both of them were guilty of thinking, acting and living their life for the "ifs and when’s".

The gentleman left and IF and WHEN’s conversation changed. They made a pact that when they met for lunch next week, there would be no "ifs and when’s"; they would only talk about what they accomplished!





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 – 96458 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 Sonipat, 27th July 2014

press release

Skin care

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 :


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. Seroepidemiological studies have shown a strong association between C. pneumoniae infection and atherosclerosis in patients with cardiovascular disease.

eMedinewS Humor

If a lion is chasing you

Teacher: If a lion is chasing you, what would you do?
Student: I'd climb a tree.
Teacher: if the lion climbs a tree?
Student: I will jump in the lake and swim.
Teacher: if the lion also jumps in the water and swims after you?
Student: Teacher, are you on my side or on the lion’s?

Quote of the Day

A life spent making mistakes is not only more honorable, but more useful than a life spent doing nothing. George Bernard Shaw

Twitter of the Day

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Everything you desire is already within you http://bit.ly/DC_Ananda #ananda

ePress Release

Deep frying, burning or charring foods may produce cancers

Regularly eating burned or charred red meat, similar to that cooked on a grill can increase the chances of pancreatic cancer by 60%, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

Turning down the heat when grilling, frying, and barbecuing to avoid excess burning or charring of the meat may be a sensible way for some people to lower their risk for getting pancreatic cancer.

As per Dr Kristin Anderson of the University of Minnesota, charred meat contains several known cancer-causing chemicals, including heterocyclic amines.

Heterocyclic amines (HAs) are carcinogens produced by cooking meat and animal protein at high temperatures; metabolism of HA is influenced by polymorphisms in the N–acetyltransferase–2 (NAT–2) gene. Data from a variety of sources suggest that HA may play a role in human carcinogenesis and are liked to many cancers.

Anderson’s team started with 62,000 healthy people and documented what they actually did eat. Over nine years, 208 were diagnosed with pancreatic cancer. When divided into five groups based on how much charred meat such as hamburgers they ate, the people diagnosed with pancreatic cancer were far more likely to be in the top two groups.

They found that those who preferred very well–done steak were almost 60 percent more likely to get pancreatic cancer as those who ate steak less well–done or did not eat steak. Those with the highest intake of very well–done meat had a 70 percent higher risk for pancreatic cancer over those with the lowest consumption.

The mutagenic activity and the mass amount of heterocyclic amines responsible for the mutagenic activity have been measured in some cooked foods. Cooked meats are the predominant source of mutagenic activity in the diet with values ranging from 0 to 10,000 revertants per gram reported in the Ames/Salmonella test with strain TA98.

Frying at higher temperatures and for longer times produces the greatest mutagenic response, and thus concomitantly, the largest amounts of heterocyclic amines.

Non–meat products such as baked breads can also form significant mutagenic activity, particularly when overcooked. Commercially prepared hamburgers made from meat substitutes such as tofu, wheat gluten or tempeh and fried at 210 degrees C have up to 10% of the mutagenic activity of a fried beef patty cooked under the same conditions.

eMedi Quiz

Which of the following statement is true regarding the author based second opinion teledermatology?

a. Evidence based medicine is practiced as a collective opinion of the author who worked on an instant case
b. Applied for difficult to manage cases
c. Expert opinion and literature is obtained
d. All of the above

Yesterday’s Mind Teaser: LE cell is a:

a. Neutrophil
b. Macrophage
c. Histocyte
d. Dendritic cell

Answer for yesterday’s Mind Teaser: a. Neutrophil

Correct answers received from: Dr Vaishali Parmar, Dr Avtar Krishan, Dr Abbas Vakil, Naresh Veludandi.

Answer for 1st July Mind Teaser: b. Procaine

Correct answers received from: Dr Prakash Khalap, Dr RR Vijayakumar.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update
  1. Dear Sir, Thanks for the information. Regards : Dr Krishi

Forthcoming Events


Dear Colleague,

Hypertension Society of India is organizing its "23rd Annual Conference HSICON–2014" to be held on 9th & 10th August, 2014 at Kempinski Ambience Hotel, Near Yamuna Sports Complex, New Delhi

Dr. N. P. Singh                          Dr. Neeru P. Aggarwal

Organizing Chairperson               Organizing Secretary

Click here for Scientific Program

cardiology news

Media advocacy through Web Media

web mediawebmediawebmedia

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)