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  Address:  39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: http://www.ijcpgroup.com 

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



8th November Sunday

Dear Colleague,

 Calorie restriction the only answer for ageing
A calorie restriction diet for anti aging involves eating fewer calories than your body needs to maintain your normal weight while still getting enough vitamins and other nutrients.
Generally, a calorie-restriction diet may call for 20 to 30 percent fewer calories than usual.
Research has shown the following health benefits for animals on a calorie-restriction diet for anti aging:

  •  Rodents that reduced their calorie consumption by 30 to 60 percent before age 6 months increased their maximum life spans by 30 to 60 percent.
  •  Rodents that reduced their calorie intake by 44 percent as adults, age 1,  increased their maximum life spans by 10 to 20 percent.
  •  Rodents that followed a calorie restriction diet developed fewer chronic diseases associated with aging such as diabetes, heart disease and cancer or delayed the development of these diseases.
  •  A calorie-restriction diet decreased the deterioration of nerves in the brain and increased nerve creation in animals with Alzheimer's disease, Parkinson's disease, Huntington's disease and stroke.
    Some researchers estimate that a long-term calorie restriction diet may only increase a person's life expectancy by 4 to 17 percent.
  • Limited research on the calorie-restriction diet for anti-aging suggests that it can lead to positive changes in blood pressure, blood sugar , body fat percentage, cholesterol level and weight.
    A calorie-restriction diet can improve memory in older adults. Most of these changes also reduce the risk of chronic diseases, such as heart disease, but it isn't clear whether they'll translate to a longer life span.
    The calorie-restriction diet isn't safe for everyone ? particularly older adults and people who are lean. Side effects of the calorie-restriction diet might include menstrual irregularities, hormonal changes, reduced bone density and loss of muscle mass.
    If you're following a calorie-restriction diet, you can offset some losses in bone density and muscle mass through regular physical activity, such as walking or jogging, and by making sure you get enough calcium and vitamin D.
    Excessive calorie restriction can cause, anemia, dizziness, depression, irritability, lethargy and swelling in your legs and feet. 

  Dr K K Aggarwal



Study suggests statins may increase risk of fatigue, shortness of breath in certain heart failure patients.
Statins may boost the risk of fatigue and shortness of breath in some patients with heart failure, according to a study presented at the American College of Chest Physicians meeting. Investigators looked at the medical records of 136 patients with heart failure. The researchers found that individuals who had diastolic heart failure and took a cholesterol drug had almost half as much exercise tolerance as those with the condition who didn't take the drugs.

Researchers identify more hereditary risk factors for late-onset Alzheimer's.
According to a study published in the Nov. issue of the Archives of General Psychiatry, 'more hereditary risk factors for Alzheimer's disease' have been identified. After comparing "206 middle-aged adults whose parents had late-onset Alzheimer's to another group of 200 similarly aged adults with no parental history of the disease," researchers found that children of Alzheimer's patients had higher systolic and diastolic blood pressure, and 40% of them had hypertension, compared with 29% of those in the control group. In addition, the Alzheimer's offspring also had a lower ankle brachial index, as well as significantly higher levels of several kinds of proinflammatory cytokines.

Keeping cholesterol in check may reduce prostate cancer risk
Men may protect more than their hearts if they keep cholesterol in line. Their chances of getting aggressive prostate cancer may be lower. Scientists at two institutions detailed the research that led them to that conclusion in Cancer Epidemiology Biomarkers & Prevention. Even though the papers are not definitive and have some weaknesses, they do fit with plenty of other science suggesting that limiting fats in the bloodstream can lessen cancer risk.
Researchers exploring environmental, genetic factors that may trigger breast cancer.
According to the researchers at the National Institute of Environmental Health Sciences, first-degree relatives of someone with breast cancer have about a twofold risk of developing breast cancer themselves, but some of this familial risk is due to environmental factors.

Depressed people report more physical symptoms than actually experienced
According to a study published online Oct. 15 in Psychosomatic Medicine, depressed people tend to report more physical symptoms than they actually experience.

No link between coffee and heart failure

A Swedish Study has shown no link between coffee drinking and the risk of heart failure published in American Heart Journal. The study said that people who drink coffee are not at high risk of heart failure.

Smoking to Chronic Lower Back Pain
Canadian researchers have linked smoking to chronic lower back pain. In the study, boffins identified a higher rate of chronic lower back pain among people who smoke every day. Smoking interferes with pain transmitters, causing osteoporosis.  (ANI)

You may have sinusitis if

  • Cold symptoms that persist for more than five to seven days.
  • Inability to smell, drainage into the back of the throat, or a sore throat.
  • Headache and pressure or tenderness in the face surrounding the eyes and sometimes affecting the teeth.
  • Nasal congestion, bad breath or runny nose.
  • Coughing, particularly at night.
  • Fever, fatigue and general feeling of illness.


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Mistake of the day

Never order on phone with half names. A doctor ordered IV chloro on phone. He meant chloromycetin, the nurse gave chloroquin.

Advertising in emedinews

emedinews is a new venture of IJCP Group and is the first daily emedical newspaper of the country. One can advertise with a singe insertion or 30 insertions in a month. For details contact drkk@ijcp.com.

emedinews: revisiting 2009

IJCP Group is organizing emedinews: Revisiting 2009, a day-long medical conference on 10th January, 2010 at Maulana Azad Auditorium. It will be attended by over 1000 doctors. Topics will be top happenings in the year 2009. There will be no registration fee. Advanced registration required.  Top experts will deliver lectures. It will be followed with lively cultural evening, doctors of the year award, dance and dinner. For regiatration mail  emedinews@gmail.com 

Conference Calender

ISNCON  2009, XL Annual Conference of Indian Society of Nephrology, December 4-6, 2009, Guwahati, Website: www.isn-india.com/isncon2009.php


ASICON 2009, LXVIII Annual Conference of Association of Surgeons of India,

December 27-30, 2009, Coimbatore, kovaiasicon2009@gmail.com, kovaiasicon2009@yahoo.in

Website: www.kovaiasicon2009.com


53rd AICOG: All India Congress of Obstetrics and Gynecology: January 19-22, 2010

Guwahati, Assam: Email: aicog2010@gmail.com: Website: www.aicog2010.org


DERMACON 2010: 38th National Conference of Indian Association of Dermatologists, Venereologists and Leprologists: January 7-10, 2010: Lucknow: Email: dermacon2010@gmail.com: Website: www.dermacon2010lucknow.com


47 th Annual Conference of the IndianAcademy of Pediatrics (IAP): January 7-10, 2010

Hyderabad: Email : info@pedicon2010.org: Website: www.PEDICON 2010.org


Evaluating Signs of Kidney Stones

  • Pain in the abdomen or side of the back, which may travel to the groin or testicles.
  • Pain that appears suddenly, then suddenly disappears.
  • Changes in color of the urine, or the presence of blood in the urine.
  • Chills and fever.
  • Nausea and vomiting.

Accurate blood pressure readings

Measuring diastolic blood pressure is difficult in patients in whom the fifth Korotkoff sound is indistinct because of poor arterial turbulent blood flow. Try this. Have the patient lift up his or her arm and clench the fist about 10 times. This drains the blood from the forearm. Keeping the arm raised, inflate the occlusion cuff until the pressure rises above the systolic point. Now have the patient lower the arm, and take the pressure as one would normally do.  This makes the fifth Korotkoff sound much more distinct. (Dr Rajiv Garg UP)




Patient: I always see spots before my eyes.
Doctor: Didn?t the new glasses help?
Patient: Sure, now I see the spots much clearer.


Formula to know


If you wheeze more than twice a month in night or more than twice a week in day time or consume more than 2 canisters of inhalers a year you have persistent asthma and need continuous inhalers. 


Practice tip

Fever only responding to Indomethacin. Rule out Hodgkins disease.



The massive fire that broke out at the Indian Oil fuel depot about 10 days back at Jaipur continues to blaze. Besides the huge economic loss sustained, the dense clouds of smoke that it?s emitting now have become a health hazard to the nearby areas. The smoke clouds possibly hAS spread to Delhi increasing the temperature and adding to the already high pollution levels of the city, causing smog. The thick smog covering the city has resulted in poor visibility disrupting traffic and increasing chances of road traffic accidents.

Change in humidity by more than 10% and/or rise in temperature by more than 10 degrees precipitates acute attacks of asthma, chronic obstructive pulmonary disease (COPD) and eye irritation. Complaints of watering, irritation or burning sensation in the eyes have been on the rise since these last few days. Besides, individuals with respiratory illnesses such as bronchial asthma, COPD are at an increased risk of acute breathing problems.

Prevention is the best cure...

People with asthma and COPD should consult their doctors about need for increasing the dose of their medications. They should stay indoors. If they need to go outside their homes, they should cover their faces with a wet handkerchief or cloth to avoid inhaling smoke. Individuals with allergies also need to exercise caution.Those with eye irritation should avoid rubbing their eyes with hands as it may cause infection. Instead they should wash their eyes with water. 


Dear Dr Agarwal
This is respect of the statement that any fevr unless proved otherwise would be Malaria, UTI, Filaria. In a recent epidemiological review carried for GOI MOHFW  for Getting a world Bank Loan of 250 Million US dollars  for Malaria and Kalaazar control program 2008-2012. Of the average reported 100 miilion slides collected annuallay by malaria worker only 1% was positive for Malaria ( in Govt health system) Though estimates are that Malaria could be 5 times the Govt figures( since PVt sector is not in the reporting loop). This has led to change in National Malria policy ( also because of chloroquin resistance na emerging Falciparum) Now there is no presumption, the key lies in EARLY DETECTION EARLY TREATMENT,
RAPID DIAGNOSTIC TEST (RDT) are being provided to the health workers inlcudig ASHA to test susected Malaria by RDT and  give treatement with ACT immediately in falciparum areas. Hence the assumption that any fever would be malaria should not be taken blindly but investigated , Viral fevers are more common , chills are seen with many febrile conditions. One of the reason for development of Resistance was 4 tabs of chloroquin as presumptive treatment for any fever ( luckily P vivax in north Inida Delhi included has not shown much resistance to CQ, ) but indiscrimante use of ACT will end up resistance developement . Dr Anil Varshney


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