eMedinewS4th October 2013, Friday

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

President Clears MCI Ordinance

President has signed MCI ordinance confirming the term of Board of Governors till 10th of November. The ordinance will be applicable retrospectively after 16th September. It is expected that by 14th of November new MCI team will take over.

12 Steps to Tackle Heartburn

  1. Eat smaller meals, but more often.
  2. Eat in a slow, relaxed manner.
  3. Remain upright after meals.
  4. Avoid late–night eating (last meal three hours before sleep)
  5. Don’t exercise immediately after meals.
  6. Tilt your torso with a bed wedge.
  7. Stay away from carbonated beverages.
  8. Find the foods that trigger your symptoms and avoid them (fatty foods, spicy foods, tomatoes, garlic, milk, coffee, tea, cola, peppermint, and chocolate.)
  9. Chew sugarless gum after a meal which promotes salivation and neutralizes acid.
  10. Check your drugs that can loosen the lower esophageal sphincter (LES) or cause acid reflux or inflammation of the esophagus.
  11. Lose weight if you need to.
  12. Avoid hurry, worry and curry.

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

The Science of Power

sprritual blog

Power is the ability to influence others to get a work done the way you want it.

We have seen evolution in the way power works. There was an era when Brahmins ruled using the power of knowledge. Then came the era of Kshatriyas who ruled using physical power; this was followed by an era of Vaishyas ruling the world with the power of money and a time will come when Shudras will rule with the power of their work.

In one of his lectures, Deepak Jain from Kellogg’s said that the world has seen eras of physical power, economical power and the time has come that it will now be ruled by the power of human resources.

Former Governor of Mizoram A R Kohli, in one of his talks, said that there are four types of powers which govern the universe and these are – physical power, economical power, the power of the chair (ego) and the power of the human resource which is based on consciousness.

Everyone has these four inherent powers. The physical power is based on fear, tamas and rajas. The economical and the power of chair are linked to one’s ego and rajas. It is the power of human resource, which is linked to the soul, consciousness and Satva.

The physical power is at the level of body, economic power is at the level of mind, the power of chair is at the level of intellect and ego and the power of human resources is at the level of soul. It is the power of human resource, which is based on Dharma and is universally accepted by all religions.

As per Mahabharata, the powers are the power of human resource (righteousness or Yudhishthir), power to remained focused (Arjun), power to fight injustice (Bheem), power to help others (Sahdev) and power to remain neutral during any adversity (Nakul).

In Vedic sciences, these powers are also defined as Ichha shakti (the power of desires to be with the consciousness), Kriya shakti (the power to do selfless work), Gyan shakti (the power to learn about consciousness), Chitta shakti (the power to take conscious based decisions) and Anand shakti (the power for inner happiness).

The power of human resources talks about cultivating relationships. It is not based on the principles of survival of the fittest which is an animal behavior. The power of human resource believes in training and developing everyone to survive and become the fittest of the fit.

cardiology news

A farmer came into a Chinese town and asked the owner of a restaurant if he could sell him a million frog legs. The restaurant owner was shocked and asked the man where he could get so many frog legs! The farmer replied, "There is a pond near my house that is full of frogs – millions of them. They all croak all night long and they are about to make me crazy!" So the restaurant owner and the farmer made an agreement that the farmer would deliver frogs to the restaurant, five hundred at a time for the next several weeks. The first week, the farmer returned to the restaurant looking rather sheepish, with two scrawny little frogs. The restaurant owner said, "Well… where are all the frogs?" The farmer said, "I was mistaken. There were only these two frogs in the pond. But they sure were making a lot of noise!"

1. Next time you hear somebody criticizing or making fun of you, remember, it’s probably just a couple of noisy frogs.

2. Problems always seem bigger in the dark. Have you ever lain in your bed at night worrying about things which seem almost overwhelming like a million frogs croaking? Chances are pretty good that when the morning comes, and you take a closer look, you’ll wonder what all the fuss was about.

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.

Exercise may be just as effective as many drugs in lowering risk for death in the secondary prevention of coronary heart disease, rehabilitation after stroke, and prevention of diabetes, according to an analysis of randomized controlled trials published online October 1 in the British Medical Journal.

To the ongoing debate over whether routine screening for prostate cancer reduces prostate cancer mortality comes a new analysis that suggests that it does more harm than good. The total harms that men experience in terms of impotence, incontinence, and other side effects from prostate cancer treatment can severely affect their quality of life, lead author Mathieu Boniol, MD, said at the European Cancer Conference 2013 (ECCO–ESMO–ESTRO).

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.

Repeated noninvasive transcranial magnetic stimulation (nTMS) helped treat spasticity, motor symptoms, and post–stroke pain in a small population of stroke patients. Presenting the findings of their study at the World Congress of Neurology, to Alexander Chervyakov, PhD, of the Russian Academy of Medical Sciences in Moscow said that low–frequency stimulation and stimulation in both brain hemispheres were associated with motor recovery, while high–frequency stimulation aided recovery from post–stroke pain. Additionally, stimulation of both hemispheres was associated with reductions in patient spasticity.

A new prospective study has found that eating cooked meat can raise serum creatinine significantly enough to drop the estimated glomerular filtration rate (eGFR) calculation and in some cases lead to a misclassification of chronic kidney disease (CKD) stage in patients with diabetes. The cooking process converts creatine to creatinine in meat, which in turn transiently increases the diner’s serum creatinine. Fasting is not routinely recommended for renal–function tests, but these results suggest that it should be or, at the very least, that patients should avoid eating cooked meat before undergoing such tests, say Sunil Nair, MRCP, from the University Hospital Aintree, Liverpool, United Kingdom, and colleagues in their paper published online September 23 in Diabetes Care.

eMedinewS e–gifts to our readers

This is the age of smartphones. To improve usability and readability, eMedinewS has launched a mobile app of the newsletter for its readers. You can now also view eMedinewS on your smart phones or iPads.

The eMedinewS app is now available for free download.

The various icons for downloading are provided on the top of the newsletter. Choose the icon that is compatible with your device, whether iPhone, Android, Blackberry, iPad, Desktop/Windows phone or GSM
Click on the icon ‘e’ from the mail and download to install the app to the home screen of your mobile phone, iPad or Desktop. After you finish downloading, you will see an icon ‘e’ on the home screen of your device. That’s it.

Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

Rabies News (Dr. A K Gupta)

Does kissing a rabies patient call for anti-rabies vaccination?

Kissing a rabies patient may transmit disease because there may be contact with rabies patient’s saliva. Full post–exposure immunization must be given either by intramuscular (IM) or intradermal (ID) route.

cardiology news

An out–of–sync left ventricle (LV) predicted heart failure patients who stood to benefit more from cardiac rhythm devices. Left ventricular dyssynchrony was seen on SPECT imaging in 75% of heart failure patients and was associated with a 28% rate of sudden cardiac death, appropriate device shocks, or other sustained ventricular tachyarrhythmia (VT), Saurabh Malhotra, MD, MPH, of the University of Pittsburgh Medical Center, and colleagues found. But none of the patients without dyssynchrony had sustained VT, yielding 100% negative predictive value in ruling out risk, the researchers reported here at the American Society of Nuclear Cardiology meeting.

A study presented at the American Society of Nuclear Cardiology meeting has suggested that for relatively low–risk angina patients in the emergency department, reserving myocardial perfusion imaging for selected patients who fail an exercise stress test appears safe. None of the patients cleared in the emergency department by a treadmill test without the radioisotope injection needed to come back for angiography or revascularization over the following year. Other follow–up testing was needed in only 1.6% within 1 year, and mortality was low at 2.6% over about 3.5 years, the researchers reported here at the.

Valvular Heart Disease News

In infective endocarditis, in patients where no localized infection is seen, the source may be from minor trauma, oral cavity or genital or urinary infection.

(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

Researchers from Taiwan have found that among children with a history of retinopathy of prematurity (ROP), those with impaired vision tend to have a thinner choroid. The vision problems associated with ROP remain poorly understood, and little is known about the role of choroid in the disease as reported in JAMA Ophthalmology online September 26. In the study, Dr. Wei–Chi Wu from Memorial Hospital in Taoyuan and colleagues used spectral–domain optical coherence tomography (SD–OCT) to examine choroidal thickness in 14 children who had been born preterm and whose ROP had regressed without treatment. They compared the results with measurements from 35 children with a history of threshold ROP who had laser treatment or cryotherapy. The best corrected visual acuity was significantly worse for the treated group than for the nontreated (regressed) group.

A planned cesarean delivery in twin pregnancy does not increase or decrease risks to the unborn fetuses when compared with a planned vaginal delivery, according to the results of a randomized controlled trial. The study, published in the October 3 issue of the New England Journal of Medicine, shows that among pregnant mothers of twins between 32 weeks 0 days and 38 weeks 6 days of gestation and whose first twin is in the cephalic presentation, choosing to have a planned cesarean delivery does not affect the risks for fetal or neonatal death or serious neonatal morbidity when compared with choosing to deliver the twins vaginally.

cardiology news

Non–HDL–C Levels Linked to Risk for Cardiovascular Events

Levels of non–HDLC among users of statins is linked to the risk for a major cardiovascular event, such as a heart attack or stroke, more strongly than are levels of LDLC and apolipoprotein B. The finding, from a meta–analysis of data from 8 trials comprising a total of 62,154 patients, is published in the March 28 issue of JAMA by S. Matthijs Boekholdt, MD, PhD, from the Academic Medical Center, Amsterdam, The Netherlands.

The meta–analysis looked at individual–patient data from randomized, controlled statin trials published between 1994 and 2008. All study participants had conventional lipids and apolipoprotein levels assessed at baseline and at 1–year follow–up.

Among the 38,153 patients who were randomly assigned to statin therapy, 158 (0.4%) had a fatal myocardial infarction and 1678 (4.4%) had a nonfatal myocardial infarction during follow–up. Death due to other types of coronary artery disease occurred in 615 (1.6%) of the study participants, and fatal or nonfatal stroke occurred in 1029 (2.7%) study participants. In addition, 2806 (7.4%) patients were hospitalized for unstable angina, and 6286 major cardiovascular events (MACE) occurred in 5387 participants, for an event rate of 14.1%. The analysis showed that all the studied lipid and apolipoprotein measures were associated with the risk for MACE and that these associations were statistically significant.

Further analysis showed that the difference between LDL–C and non–HDL–C in predicting the risk for MACE for each 1–standard deviation increase was statistically significant (P = 0.002). The difference between non–HDL–C and apoB was also statistically significant (P = 0.02), but the difference between LDL–C and ApoB was not (P = 0.21).

Given the fact that many other arguments for the clinical applicability of non–HDL–C and LDL–C are identical, non–HDL–C may be a more appropriate target for statin therapy than LDL–C. (Source Medscape)

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


MTNL Perfect Health Mela to be held from 23rd October in Delhi will have special attractions for NCR residents

Addressing a press conference at Hotel Krishna Sagar Raj Nagar Ghaziabad, Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India (HCFI) said that the forthcoming 20th MTNL Perfect Health Mela, being organized from 23–27th October at Constitution Club of India, will have special focus on the health of National Capital Region (NCR) residents.

The event will create awareness on lifestyle interventions through exhibitions, competitions, check 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.

Co–addressing the conference, in a joint statement, Dr B P Tyagi Coordinator NCR for HCFI and Dr Uday Kakroo Advisor to the Mela said that most lifestyle diseases prevalent in NCR are preventable and follow typical urban risk factors.

The experts released the following messages on dengue and lifestyle diseases

  1. Using a mosquito net at night does not prevent dengue as the dengue mosquito bites during the day.
  2. Dengue mosquito does not breed in running water.
  3. Dengue mosquito bites three persons in a day as against malaria mosquito, which bites one person in 3 days.
  4. Remember, no active bleeding, no platelet transfusion
  5. Platelet counts have an error of up to 40,000.
  6. Diabetes, high blood pressure and high cholesterol can remain for decades without any symptoms.
  7. First BP should be checked at age 4.
  8. First blood cholesterol in high risk families should be checked at age 7.
  9. In low risk families, no cardiac tests are required if no symptoms are present.
  10. Walk 10000 steps every day.
  11. Avoid eat trans–fats in diet.
  12. Keep the levels of fasting blood sugar, bad cholesterol levels, abdominal circumference, resting heart rate and lower blood pressure all less than 80.
  13. One should not eat carbohydrate-based cereals 80 days in a year
  14. One should expose 40% of the body for 40 minutes for 40 days in a year
  15. Do not take more than 80 ml of alcohol in a day
  16. Walk 80 minutes a day and brisk walk 80 minutes a week.
  17. Smoking in any form is harmful to the heart.
  18. In acute heart attack, chewing a tablet of 300 mg water–soluble aspirin can save life.
  19. Death is reversible in the first 10 minutes.
  20. Within 10 minutes of cardiac arrest for the next 10 minutes, one should compress the center of the chest of the dead victim with a speed of 100 per minute to revive the dead person.

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

Addressing a press conference at Ghaziabad, Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India (HCFI)

press release

White rice linked to diabetes in Asians

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…………………

All of the following statement regarding management of side effects of hormonal therapy are correct except

1. Vaginal bleeding is a warning sign for possible endometrial caner or pathology in postmenopausal women on tamoxifen.
2. Fluoxetine is the "selective serotonin reuptake inhibitors (SSRI)" of choice for the management of hot flushes in women taking tamoxifen.
3. Estrogen replacement therapy is contraindicated in women with ER/PR positive breast cancer for managing hot flushes and bone loss.
4. Gabapentin is an active agent for the management of tamoxifen related hot flushes.

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: 4. Tamoxifen may be associated with an increased risk of ischemic cerebrovascular complications.

Correct answers received from: Dr.K.V.Sarma,Dr Prakash Khalap, Dr. Sushma chawla, Dr. V.P. Thakral, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, DR.BITAAN SEN & DR.JAYASHREE SEN, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai,

Answer for 2nd October Mind Teaser: 1. Unlike tamoxifen, AIs are associated with an increased risk of endometrial cancer.

Correct answers received from:DR AVTAR KRISHAN, Dr pooja khullardr s. upadhyaya, Dr.A.K.GAJJAR, Dr Prakash Khalap, Dr. V.P. Thakral, Dr K.Raju

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

When you have an ‘I Hate My Job’ day, try this: On your way home from work, stop at your pharmacy and go to the thermometer section and purchase a rectal thermometer. When you get home, lock your doors, draw the curtains and disconnect the phone so you will not be disturbed.

Change into very comfortable clothing and sit in your favorite chair. Open the package and remove the thermometer. Now, carefully place it on a table or a surface so that it will not become chipped or broken.

Now the fun part begins.

Take out the literature from the box and read it carefully You will notice that in small print there is a statement:

"Every Rectal Thermometer made by this company is personally tested and then sanitized."

Now, close your eyes and repeat out loud five times, "I am so glad I do not work in the thermometer quality control department at this company." HAVE A NICE DAY AND REMEMBER, THERE IS ALWAYS SOMEONE ELSE WITH A JOB THAT IS MORE OF A PAIN IN THE A$$ THAN YOURS!

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, emedinews is very informative. Regards: Dr Trisha

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

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes 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)

Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

Our Sites