eMedinewS5th December 2013, Thursday

Dr K K AggarwalPadma 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

Lowering BP No Help in Acute Stroke

Use of antihypertensive drugs to lower systolic blood pressure by close to 13% as part of acute treatment of ischemic stroke did not reduce early mortality or disability compared with patients who did not receive antihypertensive therapy.

At 14 days after randomization, there were 683 events among patients who received early aggressive antihypertensive therapy versus 681 events in the control group and at 3 months, there were 500 additional events in the treatment arm versus 502 among controls, said Jiang He, MD, PhD, of Tulane University School of Public Health in New Orleans.

He reported the findings from China Antihypertensive Trial in Acute Ischemic Stroke (CATIS) at the American Heart Association scientific sessions here and the results were simultaneously published online by the Journal of the American Medical Association. (MedPage)

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

Do not tell others, it’s a secret…

sprritual blog

Most Asians are known for two habits, firstly their crab nature and secondly the habit of telling others that "I am telling you a secret and please do not tell others."

Crab nature mean pulling each other’s leg and not allowing any one to rise. Most people especially women may gossip and tell all secrets they know of. They will add the sentence "I am telling you the secret and do not tell others" to clear their own consciousness. The very fact you are telling it to someone takes away the secrecy. The recent case of Rajat Gupta in the US is an extension of the same. In India, we do not respect confidentiality laws and do not sign nod disclosure agreements. In hospitals, you will see attendants shouting outside ICU the name of the person admitted and list of operations scheduled in the operation theater being displayed at every corner of the hospital.

cardiology news

A story of one Doctor’s dedication

A doctor entered the hospital in hurry after being called in for an urgent surgery. He answered the call ASAP, changed his clothes and went directly to the surgery block. He found the boy’s father going and coming in the hall waiting for the doctor. Once seeing him, the dad yelled: "Why did you take all this time to come? Don’t you know that my son’s life is in danger? Don’t you have the sense of responsibility?"

The doctor smiled and said: "I am sorry, I wasn’t in the hospital and I came the fastest I could after receiving the call…… And now, I wish you’d calm down so that I can do my work"

"Calm down? What if your son was in this room right now, would you calm down? If your own son dies now what will you do?" said the father angrily

The doctor smiled again and replied: "I will say what Job said in the Holy Book "From dust we came and to dust we return, blessed be the name of God". Doctors cannot prolong lives. Go and intercede for your son, we will do our best by God’s grace"

"Giving advice when we’re not concerned is so easy" murmured the father.

The surgery took some hours after which the doctor went out happy, "Thank goodness!, your son is saved!" And without waiting for the father’s reply he carried on his way running. "If you have any question, ask the nurse!!"

"Why is he so arrogant? He couldn’t wait some minutes so that I could ask him about my son’s state" commented the father when seeing the nurse minutes after the doctor left.

The nurse answered, tears coming down her face: "His son died yesterday in a road accident, he was in the burial when we called him for your son’s surgery. And now that he saved your son’s life, he left running to finish his son’s burial."

News Around The Globe


  • Thirty–five per cent of Indians still use tobacco despite growing awareness and ban on tobacco product advertisement, said a tobacco control policy report released on Friday, reports the TOI Nov 29, 2013. The report also highlighted the need for stronger tobacco control policies and a change in the current prices of tobacco products in India to create social environments that are supportive of quitting. The Tobacco Control Policy Report is a collaborative effort of researchers at the Healis Sekhsaria Institute for Public Health and the University of Waterloo, Canada and based on the result of survey of adult tobacco users and non–users.
  • The antiseizure drug clobazam (Onfi, Lundbeck), a benzodiazepine, can trigger rare but potentially fatal skin reactions like Stevens–Johnson syndrome and toxic epidermal necrolysis, the US FDA has announced. It was approved in 2011 as an add–on therapy to treat seizures that accompany a severe form of epilepsy called Lennox–Gastaut syndrome. The FDA advises clinicians to closely monitor patients taking clobazam for Stevens–Johnson syndrome and toxic epidermal necrolysis, especially at the start of therapy or when the drug is reintroduced.
  • The growing epidemic of diabetes in lower– and middle–income countries is threatening to undo decades of hard work in the field of infectious disease, with tuberculosis control in particular a major concern as reported at the World Diabetes Congress 2013. Almost 80% of diabetes is now occurring in the developing world, in low– and middle–income countries, and those with diabetes, regardless of whether it is type 1 or type 2 are at higher risk of contracting TB. Research also indicates that those with infectious diseases are more likely to develop diabetes.
  • Capecitabine (Xeloda), an oral drug used to treat breast and colorectal cancers, has been associated with potentially fatal cutaneous reactions.
  • Anemia affects a third of the world’s population and accounts for almost 10% of years lived with disability (YLD), according to a review of data from 187 nations reported online in Blood. Despite the ongoing health burden of anemia, the estimated global prevalence declined from 40.2% in 1990 to 32.9% in 2010, the time frame encompassed by the study. In relative terms, anemia's contribution to YLDs decreased from 11.2% in 1990 to 8.8% in 2010, but absolute numbers continued to rise, reaching 68.4 million YLDs by the end of the study period.
  • The treatment of type 2 diabetes with liraglutide (Victoza) did not lead to a greater rate of acute pancreatitis or pancreatic cancer compared with other anti–diabetic drugs. An interim analysis reported online in Diabetes, Obesity and Metabolism found that the incidence rate for acute pancreatitis among patients receiving the glucagon–like peptide–1 (GLP–1) analog was 187.5 per 100,000 person-years compared with 154.4 per 100,000 for a group of pooled comparator drugs.

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Rabies News (Dr. A K Gupta)

Can the wound be deepened for cleaning purpose?

We should never try to deepen the bite wound. Deepening of wound for cleaning depends on area of injury, extent of injury and the aim should be to preserve as much tissue as possible and to excise only the dead tissue.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Highly electronegative LDL from patients with ST–elevation myocardial infarction (STEMI) triggers platelet activation and aggregation according to data reported in the journal Blood. L5, the most highly electronegative fraction of low–density lipoprotein (LDL), is markedly elevated in patients with ST–elevation myocardial infarction (STEMI). Utilizing in vitro studies, investigators demonstrate that L5 increased adenosine diphosphate (ADP)–induced platelet aggregation, platelet P–selectin expression, GPIIb/IIIa activation, and platelet–endothelial cell adhesion. When injected into mice, L5 also activated platelets. These findings suggest that elevated L5 may promote coronary artery thrombosis leading to STEMI, offer further insight into the role of platelets in coronary artery occlusion, and provide a potential entry point for future therapies.
  • According to a meta–analysis, as a whole, the new oral anticoagulants improve outcomes versus warfarin in patients with nonvalvular atrial fibrillation, at the expense of more gastrointestinal bleeding. Pooled results of the pivotal trials of dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban (Xarelto), and edoxaban showed a significant reduction in stroke or systemic embolism, primarily due to a reduction in hemorrhagic stroke. The newer drugs also reduced all–cause mortality relative to warfarin during follow–up (RR 0.90, 95% CI 0.85-0.95), but did not affect ischemic stroke or MI. The findings are reported online in The Lancet.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • According to a new study from the US, one quarter of adolescents go to bed after 11:30 on school nights, which also finds those kids tend to perform worse in school and to have greater emotional distress than peers who go to bed earlier.
  • Young adults who had been criticized, insulted or threatened by a parent growing up were more likely to be anxious or depressed, says a new study. Even when the same or another parent expressed plenty of affection, researchers found the apparent harmful effects of having a verbally aggressive mother or father persisted.
cardiology news

Pumpkin extract beneficial for diabetic patients

Pumpkin extract has insulin–like effects. It can help people with diabetes keep their blood sugar under control.

Quoting Chinese researchers that animals with drug–induced diabetes treated with pumpkin extract had lower blood glucose levels, greater insulin secretion, and more insulin–producing beta cells than diabetic rats that weren’t given the extract. This action may be due to the presence of both antioxidants and D–chiro-inositol, a molecule that mediates insulin activity.

Pumpkin extract is potentially a very good product for pre–diabetic persons, as well as those who have already developed diabetes.

Pumpkin is frequently used to treat diabetes and high blood glucose in Asia.

The results of an animal study have shown that rats with diabetes had 41 percent less insulin in their blood than normal rates; giving them pumpkin extract for 30 days boosted levels of the blood sugar–regulating hormone by 36 percent. And after 30 days of being fed pumpkin extract, diabetic rats had blood glucose levels similar to those of non–diabetic rats.

cardiology news

Total CPR since 1st November 2012 – 75187 trained

Media advocacy through Web Media

web media webmedia webmedia
press release

Never tell a patient that you are suspecting a diagnosis of cancer

Informed consent and a premature communication can be dangerous. Communicate the diagnosis only after it is confirmed that too if it is necessary, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India.

Suspicions of a cancer or any serious illness should not be communicated unless it is confirmed as it can cause more harm and the harms can persist for years.

A prospective cohort study has shown that negative psychological consequences of false–positive findings on screening mammography may persist for at least three years after the initial diagnosis. Women with false–positive findings had similar psychosocial outcomes to those diagnosed with breast cancer at 6 months. At 6 months, psychological testing showed that women who received false–positive results remained as upset as women who had breast cancer.

Three years after the false mammography results, women still exhibited greater psychosocial consequences compared with women who had normal mammograms, as reported by Dr John Brodersen and Dr Volkert Dirk Siersma, PhD, of the University of Copenhagen in Denmark in an article published in the journal Annals of Family Medicine.

The reported frequency of false–positive mammography results ranges from 20% to 60% in the US and Europe.

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 75187 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."

emedipicstoday emedipics

CPR10 Training at IITF

press release

Statins may worsen asthma

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

A 30–year–old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1.Medial rectus and superior division of oculomotor nerve.
2.Inferior oblique and inferior division of oculomotor nerve.
3.Lateral rectus and abducent nerve.
4.Superior rectus and trochlear nerve.

Yesterday’s Mind Teaser: The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar.

Answer for yesterday’s Mind Teaser: 1. Transitional

Correct answers received from: Dr.Dinesh Narain Saksena, DR. SUSHMA CHAWLA, DR ARPAN GANDHI, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Manoj –Bhatt, daivadheenam, DR AVTAR KRISHAN, Dr.Dinesh Narain Saksena

Answer for 3rd December Mind Teaser: 2.Propionyl CoA.

Correct answers received from: Dr.K.Raju

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

A woman customer called the Canon Help Desk with a problem with her printer.

Tech support: Are you running it under windows?

Customer: "No, my desk is next to the door, but that is a good point. The man sitting in the cubicle next to me is under a window, and his printer is working fine."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on furosemide. I gave him a full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

medicolegal update

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. #CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm

Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President
Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman
Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Editor, "The Ant and the Contact Lens" is a thrilling account of despair and hope. Contact lens is an excellent invisible aid to vision besides spectacles and refractive surgery. Both gas-permeable and soft contact lenses enjoy their respective useful places in the management of errors of refraction and corneal irregularity cases. And hygiene plays an important part in the continued comfortable wearing of `contacts'. Dr. Narendra Kumar

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