eMedinewS7th April 2014, Monday

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

Sunlight can reduce weight

A new Northwestern Medicine study reports that the timing, intensity and duration of your light exposure during the day are linked to your weight.

People who had most of their daily exposure to even moderately bright light in the morning had a significantly lower body mass index than those who had most of their light exposure later in the day.

"The earlier this light exposure occurred during the day, the lower individuals’ body mass index," said co–lead author Kathryn Reid, research associate professor of neurology at Northwestern University Feinberg School of Medicine. "The later the hour of moderately bright light exposure, the higher a person’s BMI."

The influence of morning light exposure on body weight was independent of an individual’s physical activity level, caloric intake, sleep timing, age or season. It accounted for about 20 percent of a person’s BMI.

"Light is the most potent agent to synchronize your internal body clock that regulates circadian rhythms, which in turn also regulate energy balance," said study senior author Phyllis C. Zee, M.D. "The message is that you should get more bright light between 8 a.m. and noon." About 20 to 30 minutes of morning light is enough to affect BMI. (Science Daily)

News Around The Globe

  • The 13–valent pneumococcal conjugate vaccine (PCV–13) may offer moderate protection against the most common forms of pneumococcal community–acquired pneumonia in healthy elderly people, reports the large prospective "Community–Acquired Pneumonia Immunization Trial in Adults (CAPiTA)" study, presented at the 16th International Congress on Infectious Diseases. The vaccine was 45.5% effective at preventing a first episode of vaccine–type pneumococcal pneumonia, compared with placebo. Additionally, it was 45.0% effective at preventing a first episode of nonbacteremic/noninvasive vaccine–type pneumococcal pneumonia and 75.0% effective at preventing vaccine–type invasive pneumococcal pneumonia.
  • Horizontal rectus muscle plication is effective for strengthening muscles as a treatment for strabismus, according to a new study published online March 27 in JAMA Ophthalmology. plication has a number of advantages over resection, including less surgical trauma; preservation of the vascular supply to the anterior segment of the eye; potential for early surgical reversibility; and no risk of loss of the muscle in the event of suture breakage or other surgical mishap, whereas in resection tendon loss is prevented only by suture integrity.
  • An experimental glucagonlike peptide–1 (GLP–1) agonist administered intranasally before meals has been noted to improve postmeal markers of glycemic control without severe adverse events in patients with type 2 diabetes in a recent study. The study has been published online in Diabetes Care. Study results revealed that mean HbA1c was 7.7% for those who were randomized to the GLP–1 compound and 7.5% for 8 patients randomized to intranasal placebo.

  • A novel meta-analysis published in the Journal of Neurology, Neurosurgery and Psychiatry has stated that patients with Parkinson's disease might be at an increased risk for osteoporosis. Additionally, these subjects may be more likely to have extra fractures. Pooled analysis of two studies revealed that patients with Parkinson’s had an odds ratio of 2.61 for developing osteoporosis compared with healthy controls.

  • Foot pain in psoriatic arthritis (PsA) was predicted by synovitis, erosion, subluxation of the metatarsophalangeal (MTP) joints, obesity, and female sex but unlike foot pain in rheumatoid arthritis, it was not predicted by elevated plantar pressure, according to a comparison study published in the April issue of Rheumatology.

Rabies News (Dr A K Gupta)

What is "paralytic form" of rabies in animals?

Paralytic or dumb rabies refers to animals in which the behavioral changes are minimal or absent and the disease is manifested mainly by paralysis. This is first manifested by paralysis of the throat and masseter muscles, often with profuse salivation and inability to swallow. Dropping of lower jaw is common in dogs. The animals are not vicious and rarely attempt to bite. The paralysis progresses rapidly to all parts of the body leading to coma and death follows in a few hours.

Cardiology eMedinewS

  • A new cross-sectional study presented at the Anxiety and Depression Association of America (ADAA) Conference 2014 has revealed that patients with anxiety or depression who are hospitalized for acute myocardial infarction (AMI) have lesser odds of receiving cardiac catheterization and subsequent angioplasty or bypass surgery than their mentally well counterparts. Additionally, the study reported lower mortality rates after AMI in patients with anxiety and depressive disorders compared with the general population.

  • A novel study conducted in UK has reported that one in four hypertensive patients only partially take their antihypertensive medication or do not take the drugs at all. The study authors noted that nearly 10% were totally nonadherent to antihypertensive therapy while 15% were only partially taking their medication. The highest prevalence of partial and total nonadherence was noted among patients with uncontrolled hypertension and those referred for renal denervatio

Pediatrics eMedinewS

  • A study published online March 24 in the Journal of Clinical Oncology has reported that children with stage 4N metastatic neuroblastoma exhibited better outcomes than those with other stages of metastatic disease. Stage 4N patients had significantly better estimated five–year event–free survival (77%) and overall survival (85%) than the non–4N stage patients (35% and 42%, respectively).

  • A study presented at the 16th International Congress on Infectious Diseases has revealed that pregnant women given the flu vaccine have a 50% reduced risk of developing influenza. The risk to their newborns in the first 24 weeks of life is also decreased. The study results reported fewer cases of influenza in infants of mothers in the vaccination group than in infants of mothers in the placebo group (19 vs 37). The vaccine efficacy rate was about 49%.

Dr K K Spiritual Blog

On the 8th Navratri, Enjoy a purified mind

Maha Gauri is worshipped on the 8th day of Navratri. SHE looks as white as moon and jasmine. White means purity of mind. She has three eyes and four hands. SHE is dressed in a white sari. SHE holds a drum and a trident and is often depicted riding a bull (control over the desires). Her upper left hand is in fearless pose and she holds ‘Trishul’ in her lower left hand. Her upper right hand has tambourine and lower right hand is in a blessing Mudra.

Spiritual mantra on the 8th Navratri

By the 8th day of spiritual detoxification, once gets purity of mind.

Wellness Blog

Apples during pregnancy and Asthma

Women who eat apples while pregnant may protect their child from developing asthma.

A study showed that children of moms who munched on more than 4 apples per week were 37 percent less likely to have a history of wheezing and 53 percent less likely to have doctor–confirmed asthma, compared to moms who ate one or no apples per week while pregnant. The effect may be due to the phytochemical content of the apple, such as flavonoids, which have been shown to have beneficial effects on adult lung function. The study also found that eating fish during pregnancy may curb the risk of eczema in offspring. Children of mothers who ate fish once per week or more while pregnant had a 43 percent lower risk of eczema compared to children whose mothers avoided fish altogether.

High fat diet and breast cancer

According to a study from the National Cancer Institute in Bethesda, Maryland, eating a high–fat diet raises the risk of developing invasive breast cancer in middle–aged women. There was 32% increased risk of breast cancer among women with a high level of fats in their diet. The risk was seen for all types of fat (saturated, monounsaturated and polyunsaturated) and seemed to be confined to women who were not using hormone replacement therapy. The higher the fat intake, the higher was the risk for breast cancer.

Eat more fruits

People who eat a diet high in fruit and low in meat reduce their risk of developing colon cancer. A team from University of North Carolina in Chapel Hill observed three groups – people who ate a lot of fruit but little meat, people who ate a lot of vegetables and a moderate amount of meat, and people who simply ate a lot of meat. The people who recalled eating large or moderate amounts of meat were 70 percent more likely to have had a polyp than those who said they ate a lot of fruit but little meat. Just 18 percent of the people who said they ate a lot of fruit but little meat had a polyp, compared to 30 percent of the moderate meat–eaters and 32 percent of people in the high meat-eating group.

Inspirational Story


Ram received an automobile from his brother as birthday present. One day when Ram came out of his office, he saw a street urchin walking around the shiny new car, admiring it.

"Is this your car?" He asked. Ram nodded, "My brother presented me on my birthday." The boy was astounded. "You mean your brother gave it to you and it didn’t cost you nothing? Boy, I wish …" He hesitated.

Of course Ram knew what he was going to wish for. He was going to wish he had a brother like his brother but what the lad said jarred Ram all the way down to his heels.

"I wish," the boy went on, "that I could be a brother like that." Ram looked at the boy in astonishment, and then impulsively he added, "Would you like to take a ride in my automobile?"

"Oh yes, I’d love that." After a short ride, the boy turned and with his eyes aglow, said, "Would you mind driving in front of my house?"

Ram smiled a little. He thought he knew what the lad wanted. He wanted to show his neighbors that he could ride home in a big automobile. But Ram was wrong again.

"Will you stop where those two steps are?" The boy asked. He ran up the steps. Then in a little while Ram heard him coming back, but he was not coming fast. He was carrying his little crippled brother. He sat him down on the bottom step, then sort of squeezed up against him and pointed to the car.

"There he is, brother. Like I told you upstairs, his brother gave it to him and it didn’t cost him a penny. Some day I’m going to give you one just like it then you can see for yourself all the pretty things in the shop windows that I’ve been trying to tell you about."

Ram got out and lifted the crippled boy to the front seat of his car. The shining-eyed older brother climbed in beside him and the three of them began a memorable ride.

ePress Release

Weight gain precedes the onset of diabetes

Weight gain after age 18 years in women and after age 20 years in men also increases the risk of type 2 diabetes 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.

The Nurses’ Health Study compared women with stable weight (those who gained or lost <5 kg) after the age of 18 years to women who gained weight. Those who had gained 5–8 kg had a relative risk of diabetes of 1.9; this risk increased to 2.7 for women who gained 8–11 kg. Similar findings were noted in men in the Health Professionals Study.
Thus, the excess risk for diabetes with even modest weight gain is substantial.

Among Pima Indians (a group with a particularly high incidence of type 2 diabetes), body weight gradually increased 30 kg (from 60 kg to 90 kg) in the years preceding the diagnosis of diabetes.

Zee News – Health Wealth Shows

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


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

A free heart checkup camp was organised by Heart Care Foundation of India at Mandi House, Doordarshan Kendra where over 500 people were examined.

press release

Daily aspirin to prevent heart disease may increase risk of GI or cerebral bleeding

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: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high?
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

eMedinewS Humor

Work Motivators

– The beatings will continue until morale improves.
– Never underestimate the power of very stupid people in large groups.
– We waste time, so you don’t have to.
– Hang in there, retirement is only 30 years away!
– Go the extra mile. It makes your boss look like an incompetent slacker.
– A snooze button is a poor substitute for no alarm clock at all.
– When the going gets tough, the tough take a coffee break.
– Indecision is the key to flexibility.
– Succeed in spite of management.
– Aim Low, Reach Your Goals, Avoid Disappointment.

Quote of the Day

Only those who dare to fail greatly can ever achieve greatly. Robert F. Kennedy


Twitter of the Day

Dr KK Aggarwal: Just as a wave is a movement of the whole ocean, you are the energy of the cosmos. Don’t underestimate your power.
Dr Deepak Chopra: Weight gain precedes the onset of diabetes Weight gain after age of 18 years in women and 20 years in men (cont)http://tinyurl.com/mboexab


Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed


Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

eMedi Quiz

The buffering capacity of a buffer is maximum at pH equal to:

1. 0.5pKa.
2. pKa
3. pKa+1
4. 2pKa

Yesterday’s Mind Teaser: of the following are TRUE regarding HIV infection in children except:

a. Most of the children present with clinical symptoms during the neonatal period.
b. They usually present with non specific symptoms of immunodeficiency
c. Skin is one of the most commonly involved organs with HIV infections
d. Children may remain asymptomatic upto the age of 8-10 years

Answer for yesterday’s Mind Teaser: a. Most of the children present with clinical symptoms during the neonatal period.

Correct answers received from: Dr.K.Raju, Arvind Gajjar, DR.BITAAN SEN & DR.JAYASHREE SEN, Dr Jayant Shah

Answer for 4th April Mind Teaser: 2.Propionyl CoA.

Correct answers received from: Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

medicolegal update

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medical querymedical query

medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the updation. Regards: Dr Anu
cardiology news

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