eMedinewS7th May 2014,Wednesday

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

New Screening Update

  1. Screening colonoscopy is linked to experience of the operator: In a study of over 300,000 colonoscopies, rates of adenoma detection among 136 gastroenterologists varied from 7.4 to 52.5 percent (1). Patients who had screening colonoscopy performed by gastroenterologists with higher rates of detecting adenomas were at lower risk for both interval advanced–stage colorectal cancer and fatal interval CRC.
  2. Long–term results from the Canadian National Breast Screening Study (February 2014)
    Analysis of long–term follow–up data from the Canadian National Breast Screening Study, pooling results for women aged 40 to 49 and 50 to 59, did not find a decrease in breast cancer mortality for women who had mammogram screening (2).
  3. Screening for abdominal aortic aneurysm: A systematic review analyzed four randomized trials of population–based screening for abdominal aortic aneurysm (AAA) in people over age 65, including long–term follow–up data from the largest trial, the Multicenter Aneurysm Screening Study (MASS) (3). The analysis concluded that an invitation to attend a screening for AAA significantly reduces the risk of AAA–related mortality and risk of AAA rupture in men ages 65 to 74.
  4. Screening for lung cancer: The US Preventive Services Task Force (USPSTF) has revised its guidelines for screening for lung cancer, based on a systematic review and an analysis of the benefits and harms of lung cancer screening (4,5). The USPSTF now recommends annual low-dose CT scan for high–risk adults (30 pack–year smoking history and current smoker or quit within the past 15 years), aged 55 to 80 years, with discontinuation of screening once the individual has not smoked for 15 years or has a limited life expectancy [6].
  5. Efficacy of counseling to prevent sexually transmitted infections: High–intensity behavioral counseling with multiple sessions over several hours is effective in reducing the incidence of sexually transmitted infections (STIs). In a trial of 5012 individuals presenting to several STI clinics across the United States, there was no difference in cumulative STI incidence (HIV, HSV–2, chlamydia, gonorrhea, trichomoniasis, and syphilis) at six months between those randomly assigned to receive one–time counseling on STI risk reduction (median of 35 minutes total) and those who received only basic information (median of six minutes total); both groups received rapid HIV testing (7).


  1. Corley DA, Jensen CD, Marks AR, et al. Adenoma detection rate and risk of colorectal cancer and death. N Engl J Med 2014;370:1298.
  2. Miller AB, Wall C, Baines CJ, et al. Twenty five year follow–up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial. BMJ 2014;348:g366.
  3. Guirguis–Blake JM, Beil TL, Senger CA, Whitlock EP. Ultrasonography Screening for Abdominal Aortic Aneurysms: A Systematic Evidence Review for the U.S. Preventive Services Task Force. Ann Intern Med 2014.
  4. Humphrey LL, Deffebach M, Pappas M, et al. Screening for lung cancer with low–dose computed tomography: a systematic review to update the US Preventive services task force recommendation. Ann Intern Med 2013;159:411.
  5. de Koning HJ, Meza R, Plevritis SK, et al. Benefits and Harms of Computed Tomography Lung Cancer Screening Strategies: A Comparative Modeling Study for the U.S. Preventive Services Task Force. Ann Intern Med 2013.
  6. U.S. Preventive Services Task Force Recommendation Statement: Screening for Lung Cancer http://www.uspreventiveservicestaskforce.org/uspstf13/lungcan/lungcanfinalrs.htm (Accessed on January 03, 2014).
  7. Metsch LR, Feaster DJ, Gooden L, et al. Effect of risk–reduction counseling with rapid HIV testing on risk of acquiring sexually transmitted infections: the AWARE randomized clinical trial. JAMA 2013;310:1701.

News Around The Globe

  • Three analyses from the phase 3 ADVANCE trial have established the efficacy and safety of pegylated interferon β–1a in the treatment of relapsing–remitting multiple sclerosis (MS). The efficacy was better with dosing every 2 weeks (Q2W) compared with once every 4 weeks (Q4W) and the safety and immunogenicity were good after 2 years.
  • Chronic stress in women whose diet contains high–fat and high–sugar foods could increase the metabolic health risks, including abdominal fat and insulin resistance, to a greater extent as compared to low–stressed women who eat the same foods, reports a recent study published in the journal Psychoneuroendocrinology.
  • The routine induction of pregnant obese women at 39 weeks of gestation has the potential to minimize stillbirths, cesarean deliveries, and delivery–related healthcare costs, reported a study presented at the American Congress of Obstetricians and Gynecologists (ACOG) 2014 Annual Clinical Meeting.
  • Treatment of subclinical hypothyroidism, a condition associated with increased cardiovascular risk, with levothyroxine does not reduce mortality, reported a new study presented at the European Congress of Endocrinology (ECE) 2014.
  • A 2–week–long restrictive diet has been noted to shrink obese patients’ livers, thereby making gall bladder laparoscopic surgery quicker and easier, reported a study presented at the annual Digestive Disease Week. There was a 20% reduction in surgical time.

Rabies News (Dr A K Gupta)

What are the signs of rabies in dogs/cats?

  • Any change in normal behavior suggesting either undue aggression or depression.
  • Running aimlessly and attacking others without provocation.
  • Becomes too drowsy and withdraws to a corner.
  • Change in voice/bark.
  • Excessive salivation.
  • Refusal to feed or eating objects like stone, paper, wood, metal pieces etc.

Cardiology eMedinewS

  • A new study has shown that an HDL mimetic used in the treatment of patients with ACS could not reduce the burden of atherosclerotic disease. The findings are published online in the European Heart Journal.
  • The INTERSTROKE study, presented at the World Congress of Cardiology 2014 Scientific Sessions, has identified the following risk factors that explain approximately 90% of the population–attributable risk of stroke: hypertension, lipid levels, physical inactivity, smoking, diet, larger waist–to–hip ratios, history of diabetes, alcohol intake, psychosocial stress or depression, and cardiac causes.

Pediatrics eMedinewS

  • The risk for congenital heart malformations in fetuses of women exposed to lithium during pregnancy is higher than that has already been reported in prospective studies, suggests a new study. The study was published online in the American Journal of Psychiatry.
  • An analysis of more than 2 million families has found genetics to contribute 50% of the risk for an autism spectrum disorder (ASD), with environmental influences contributing to the remaining 50%. The findings are published in the May 7 issue of JAMA.

Dr K K Spiritual Blog

What are Satvik offerings in Vedic literature?

  • Food Offerings: Panchashasha (grains of five types – brown rice, mung or whole green gram, til or sesame, mashkalai (white urad dal) or any variety of whole black leguminous seed, jowar or millet)
  • Panchagobbo (Five items obtained from cow: milk, ghee or clarified butter, curd, cowdung and gomutra), curd, honey, brown sugar, three big noibiddos, one small noibiddo, three bowls of madhupakka (a mixture of honey, curd, ghee and brown sugar for oblation), bhoger drobbadi (items for the feast), aaratir drobbadi mahasnan oil, dantokashtho, sugar cane juice, an earthen bowl of atop (a type of rice), til oil (sesame oil).
  • Water offerings: Ushnodok (lukewarm water), coconut water, sarbooushodhi, mahaoushodhi, water from oceans, rain water, spring water, water containing lotus pollen.
  • Three aashonanguriuk (finger ring made of kusha).
  • Puja Items: Sindur (vermillion), panchabarner guri (powders of five different colors – turmeric, rice, kusum flowers or red abir, rice chaff or coconut fiber burnt for the dark colour, bel patra or powdered wood apple leaves), panchapallab (leaves of five trees – mango, pakur or a species of fig, banyan, betel and Joggodumur or fig), pancharatna (five types of gems – gold, diamond, sapphire, ruby and pearl), panchakoshay (bark of five trees – jaam, shimul, berela, kool, bokul powdered in equal portions and mixed with water), green coconut with stalk, three aashonanguriuk (finger ring made of kusha).
  • Panchamrit: A mixture of Honey, Milk, Curd, Ghee and Brown Sugar.

Wellness Blog

Artificial sweeteners

Artificial sweeteners like acesulfame, aspartame, saccharin, sucralose give the sweetness of sugar with virtually none of the calories. Most people who use artificial sweeteners or choose foods or beverages made with them do so because they want to lose weight. And for a lot of people, they do help. But some research suggests that the use of artificial sweeteners may actually promote weight gain.

Artificial sweeteners are hundreds to thousands of times sweeter than table sugar. People who use these sweeteners often may desensitize themselves to sweetness. If that happens, they may find healthful but not–so–sweet foods such as fruits and vegetables unappetizing by comparison.

Calories removed from the diet by swapping sugar for sweeteners may re–enter in the form of refined carbohydrates (like those found in crackers, chips, pastries, and the like) and unhealthy saturated and trans fats.

(Excerpts from HealthBeat)

Inspirational Story

How to Handle Teens

A wise old gentleman retired and purchased a modest home near a junior high school. He spent the first few weeks of his retirement in peace and contentment. Then a new school year began.

The very next afternoon three young boys, full of youthful, after–school enthusiasm, came down his street, beating merrily on every trash can they encountered. The crashing percussion continued day after day, until finally the wise old man decided it was time to take some action.

The next afternoon, he walked out to meet the young percussionists as they banged their way down the street. Stopping them, he said, "You kids are a lot of fun. I like to see you express your exuberance like that. In fact, I used to do the same thing when I was your age. Will you do me a favor? I’ll give you each a dollar if you’ll promise to come around every day and do your thing."

The kids were elated and continued to do a bang–up job on the trash cans. After a few days, the old–timer greeted the kids again, but this time he had a sad smile on his face. "This recession’s really putting a big dent in my income," he told them. "From now on, I’ll only be able to pay you 50 cents to beat on the cans." The noisemakers were obviously displeased, but they did accept his offer and continued their afternoon ruckus. A few days later, the wily retiree approached them again as they drummed their way down the street.

"Look," he said, "I haven’t received my Social Security check yet, so I’m not going to be able to give you more than 25 cents. Will that be okay?" "A lousy quarter?" the drum leader exclaimed. "If you think we’re going to waste our time, beating these cans around for a quarter, you’re nuts! No way, mister. We quit!" And the old man enjoyed peace.

ePress Release

Diabetic or hypertensive: get your albumin check up done

Microalbuminuria or presence of albumin in the urine in micro amounts indicates early kidney damage, an early vascular endothelial dysfunction and early atherosclerosis with major cardio or cerebrovascular events and death.

"Current guidelines advocate annual screening for microalbumin in urine in patients with diabetes and wherever possible in non–diabetic patients with hypertension," 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.

Early detection of high–risk patients allows selection of aggressive treatment to slow disease progression.

Antihypertensive agents providing angiotensin II blockade are recommended for the treatment of hypertensive patients with microalbuminuria, regardless of diabetes and/or early or overt nephropathy. Treatment with these drugs provides effective reduction of microalbuminuria and blood pressure, and long–term prevention of CV events beyond blood pressure reduction.

Even very low levels of microalbuminuria strongly correlate with cardiovascular risk. Albumin excretion rates as low as 4.8 μg/min, well below the microalbuminuria thresholds stated in current clinical guidelines, are associated with increased risk of cardiovascular and cerebrovascular disease, independent of the presence of other risk factors.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

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 – 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

World Earth Day Celebration at DAV Public School, RK Puram, New Delhi.

press release

In MI, keep K between 3.5 to 4.5 mEq/L

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 foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time?
Lesson: Make sure that all foreigners are diagnosed to be suffering from Traveler’s diarrhea even if there is one single loose stool.

eMedinewS Humor

Visiting a barber

A man enters a barber shop for a shave. While the barber is foaming him up, he mentions the problems he has getting a close shave around the cheeks.

"I have just the thing," says the barber taking a small wooden ball from a nearby drawer. "Just place this between your cheek and gum."

The client places the ball in his mouth and the barber proceeds with the closest shave the man has ever experienced. After a few strokes the client asks in garbled speech.

"And what if I swallow it?"

"No problem," says the barber. "Just bring it back tomorrow like everyone else does."

Quote of the Day

Happy is the man who can do only one thing; in doing it, he fulfills his destiny. Joseph Joubert


Twitter of the Day

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: No regrets and no anticipation, just this moment fresh and as is.

eMedi Quiz

Do women have more headaches than men?

A. No, they get equal numbers.
B. Yes, but not that many more.
C. Yes, and the headaches are more severe.
D. Yes, but men tend to get more painful kinds that last longer.
E. None of the above.

Yesterday’s Mind Teaser: What percentage of your diet should fat make up?

A. About 10 percent of your daily calories.
B. About 20 percent of your daily calories.
C. About 30 percent of your daily calories.
D. About 40 percent of your daily calories.
E. There is no recommended amount of fat; you should strive to eat as little of it as possible.

Answer for yesterday’s Mind Teaser: C. About 30 percent of your daily calories.

Correct answers received from: Dr P C Das, Dr K V Sarma, Dr Poonam Chablani, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr Avtar Krishan, Daivadheenam Jella, Dr B K Agarwal, Dr Avtar Krishan.

Answer for 5th May Mind Teaser: 4.Aortic stenosis.

Correct answers received from: Dr Avtar Krishan, Daivadheenam Jella.

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Very nice stories. Regards: Dr Fatima
cardiology news

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