eMedinewS8th November 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

Ministry of Health appointed 68 members to MCI

Three years after the Board of Governors took over the running of MCI, the Ministry of Health and Family Welfare appointed 68 new members and restored the council’s autonomy.

It is a victory of medical professionals who have been demanding this autonomy for quite some time.

Following are the 68 members:

  1. Dr. Putta Srinivas Andhra Pradesh
  2. Dr. Moji Jini, Arunachal Pradesh
  3. Dr. G.B. Gupta, Chhattisgarh
  4. Dr. Ashok Seth, Delhi
  5. Dr. Jayshreeben Mehta, Gujarat
  6. Dr. V.N. Jindal, Goa
  7. Dr. S.S. Sangwan, Haryana
  8. Dr. Surendra K. Ahluwalia, Himachal Pradesh
  9. Dr. Muzaffar Ahmad, Jammu & Kashmir
  10. Dr. Rakesh Prasad Srivastava, Jharkhand
  11. Dr. Jawali Vivekanand Sidramappa, Karnataka
  12. Dr (Mrs.) Rani Bhaskaran, Kerala
  13. Dr. Bharat Agrawal, Madhya Pradesh
  14. Dr. Kishor B. Taori, Maharashtra
  15. Dr. Asem Bijoy Singh, Manipur
  16. Dr. John Zohmingthanga, Mizoram
  17. Dr. Datteswar Hota, Orissa
  18. Dr. Baldev Singh Aulakh, Punjab
  19. Dr. Raja Babu Panwar, Rajasthan
  20. Dr. K.S. Sivakumaar, Tamil Nadu
  21. Dr. Jaivir Singh, Uttar Pradesh
  22. Dr. Alok Ahuja, Uttarakhand
  23. Dr. Sudipta Kumar Ray, West Bengal

    Elected members from Registered Medical Graduate Constituency (total 7)
  24. Dr. Kamleshwar Agrawal, Chhattisgarh
  25. Dr. Ritu Nath Deokota, Sikkim
  26. Dr. Naraina Venktesh Bhandare, Goa
  27. Dr. Sahajanand Prasad Singh, Bihar
  28. Dr. Satya Prakash, Haryana
  29. Dr. Raveendran Radhakrishnan, Tamil Nadu
  30. Dr. Vora Nitin Sumanchandra, Gujarat University

    elected members (total 29)
  31. Dr. Vijay Kumar Jain, Haryana
  32. Dr. Bhaskara Rao Ganni, Andhra Pradesh
  33. Dr. P. Guna Sekhar, Andhra Pradesh
  34. Dr. Venkatesh Kakollu, Andhra Pradesh
  35. Dr. K. Ramesh Reddy, Andhra Pradesh
  36. Dr. Shirish H. Srivastava, Gujarat
  37. Dr. Mahendrasinh Dolatsinh Chauhan, Gujarat
  38. Dr. Radha Madhab Tripathy, Odisha
  39. Dr. P.A. Fazal Ghafoor, Kerala
  40. Dr. Praveenlal Kuttichira, Kerala
  41. Dr. Nanandkar Sudhir Digambar, Maharashtra
  42. Dr. Deelip Govindrao Mhaisekar, Maharashtra
  43. Dr. Mhaske Chandrakant Bhaskar, Maharashtra
  44. Dr. S.S. Gill, Punjab
  45. Dr. K.S. Sriprakash, Karnataka
  46. Dr. A.M. Jagadeesh, Karnataka
  47. Dr. Shivanand S. Bhimalli, Karnataka
  48. Dr. R. Nisarga, Karnataka
  49. Dr. Sanjeev Kumar Gupta, Uttar Pradesh
  50. Dr. Kothari Bhavinbhai S., Gujarat
  51. Dr. Silvano C.A. Dias Sapeco, Goa
  52. Dr. Prakash Manilal Shah, Gujarat
  53. Dr. S.N. Chaudhary, Jharkhand
  54. Prof. D.K. Gupta, Uttar Pradesh
  55. Dr. Nileshbhai V. Parekh, Gujarat
  56. Dr. Rajendra Mohanlal Shah, Gujarat
  57. Dr. Vijay Prakash Singh, Bihar
  58. Dr. Keshav Kumar Agrawal, Uttar Pradesh
  59. Dr. Anil Mahajan, J&K

    Nominated members are (total 8)
  60. Dr. C.V. Bhirmanandham, Tamil Nadu
  61. Prof. Siri Bhagwan Siwach, Haryana
  62. Dr. Abdul Hamid Zargar, J&K
  63. Dr. Hebri Subhaskrishna Ballal, Karnataka
  64. Dr. K.S. Sharma, Maharashtra
  65. Dr. A.K. Bardhan, West Bengal
  66. Dr. Navin Dang, Delhi
  67. Dr. Ajay Kumar, Bihar And finally
  68. Dr. Shrinivas Shivcharan Vaishya, Daman & Diu

New Members include representatives from the Central Government, Universities and Registered Medical Graduates. More members will be nominated in due course of time. The elections for the office bearers would be held soon. The new president and vice president will not hold office for more than 2 years. The other members whether nominated or elected shall hold the office for a term of 4 years.

Polluted Diwali

We all knew that this Diwali and immediate post Diwali period would have less wind, more humidity and hence resultant more smog.
With experience of the last few years, we knew that the levels of SO2, NO2 and PM 10/PM2.5 would rise dangerously, which meant many more casualties with asthma, COPD and respiratory deaths. Then why was no advisory issued and why did the courts or the government did not warn the public? Fog results whenever the air is not windy and the humidity is high. And if the air contains pollutants, it will convert into smog with resultant health hazards. The PM2.5 particles can travel for hundreds of miles and affect the population at large.


Particulate matter levels in six areas monitored by the Delhi Pollution Control Committee were at an alarming over–5–to–9 times prescribed standards. Levels are measured in micrograms per cubic meter of air for two categories—less than 10 μg/m3 and less than 2.5 μg/m3.

  • Punjabi Bagh in West Delhi showed the highest pollution levels in the 10 μg/m3 category, with particulate matter levels of 936 μg/m3; nearly 10 times the acceptable cut–off of 100 µg/m3.
  • Indira Gandhi International Airport showed the highest levels of particulates in the less than 2.5 μg/m3 category at 592.44 μg/m3. This, again, was nearly 10 times the acceptable level of 60 μg/m3.
  • The pollutant sulfur dioxide peaked to 114 microgramme per cubic meter — 1.4 times the safe limit. Its maximum impact was seen in Punjabi Bagh, a dense residential area. The London Smog killed 4,000 people in 1952, had high levels of sulfur dioxide along with extremely fine particles
  • SO2 range was 35–114 microgramme per cubic meter. Last Diwali, it was 20-88 microgramme per cubic meter. Both minimum and maximum levels have increased this year. The increase in minimum levels indicates that pollution was widespread in the city and also high.

Particle pollution
Particle pollution includes "inhalable coarse particles," with diameters larger than 2.5 micrometers and smaller than 10 micrometers and "fine particles," with diameters that are 2.5 micrometers and smaller. How small is 2.5 micrometers? The average human hair is about 70 micrometers in diameter – making it 30 times larger than the largest fine particle. Visibility: Fine particles (PM2.5) are the main cause of reduced visibility (haze). Air pollution and lung disease

  • There is a direct relationship between the levels of particulate pollution and reported rates of chronic cough and bronchitis.
  • There is no association between particulate concentration and asthma, persistent wheeze, or hay fever. It is possible that asthma is related to specific pollutants, while other respiratory diseases are related to total air pollution.
  • The prevalence rates of asthma and atopy are higher with atmospheric pollution containing more NO2
  • Chronic bronchitis rates are higher with atmospheric pollution containing more SO2

Fine particulate air pollution may increase the risk of heart disease

  • An increase in mean resting arterial blood pressure through an increase in sympathetic tone and/or the modulation of basal systemic vascular tone
  • An increase in the likelihood of intravascular thrombosis through transient increases in plasma viscosity and impaired endothelial dysfunction.
  • The initiation and promotion of atherosclerosis.
  • In addition to long–term risk, short–term exposure to air pollutants (both ozone and fine particulate matter) has been associated with acute coronary ischemic events.
  • In a systematic review and meta–analysis of data from 34 studies published in JAMA in 2012, carbon monoxide, nitrogen dioxide, sulfur dioxide, and small particulate matter (less than 10 microns and less than 2.5 microns) were all associated with an increased risk of heart attack with the overall population attributable risk ranging from 1 to 5 percent.
  • The JAMA study also showed that PM2.5 leads to high plaque deposits in arteries, causing vascular inflammation and atherosclerosis.
  • The World Health Organization (WHO) estimates that "… fine particulate air pollution (PM2.5), causes about 3% of mortality from cardiopulmonary disease, about 5% of mortality from cancer of the trachea, bronchus, and lung, and about 1% of mortality from acute respiratory infections in children under 5 yr, worldwide.
  • A study in The Lancet concluded that traffic exhaust is the single most serious preventable cause of heart attack in the general public, the cause of 7.4% of all attacks.
  • The smallest particles, less than 100 nanometers (nanoparticles), may be even more damaging to the cardiovascular system.

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

Bhoot, Pret and Pishach

sprritual blog

In mythology, ‘Bhoot’ means the memories of known people whose unfulfilled desires keep on disturbing us. ‘Pret’ means the memories of unknown people whose unfulfilled desires keep coming to our mind during sleep and disturbing us. These unfulfilled desires of unknown people are instances that we may have forgotten but still reach us through the cloud internet. When these memories start disturbing our day to day life, they are defined as Pishach.

Pret, Pishach and Bhoot are seen only by some people and not everyone. That means that their attachment will only be with those with whom their unfulfilled desires were linked to.

This attachment disorder where the unfulfilled desires of the diseased person keep on coming to our mind during day time, night and in our dreams can be understood by a computer IT model used by porn sites.

People who own porn sites develop software by which a specific program can get transferred to our computer and whenever we open these sites the program file gets embedded in our computer in a secret location in such a way that whenever we open the computer, the specific will appear on the desktop or will become the preferred sites whenever we open the internet. The specific site only will automatically open even if we do not wish to open it.

These files are difficult to delete unless the computer is reformatted or an experienced IT professional is able to delete these files.

The attachment disorders and the unfulfilled desires of the deceased persons can be compared to this technology and can be explained why those thoughts keep on coming in our mind. Not only the thoughts, even the images of people keep coming into mind and they are difficult to get deleted.

cardiology news

Determining Your True Path

A master was strolling through a field of wheat when a disciple came up to him and asked, "I can’t tell which is the true path. What’s the secret?"

"What does that ring on your right hand mean?" asked the master. "My father gave it to me before dying." "Well, give it to me." The disciple obeyed, and the master tossed the ring into the middle of the field of wheat.

"Now what?" shouted the disciple.

"Now I have to stop doing everything I was doing to look for the ring! It’s important to me!"

"When you find it, remember this: You yourself answered the question you asked me. That is how you tell the true path: It is more important than all the rest."

News Around The Globe


  • Better diet quality at midlife is linked to greater health and well-being in an Annals of Internal Medicine analysis of 10,670 women in the Nurses’ Health Study who had no major chronic illnesses and survived to older age.
  • It is likely that the incidence of infection–related malignancies will decline as people infected with HIV live longer because of antiretroviral therapy, but the incidence of malignancies unrelated to infection will gradually increase, as per data from EuroSIDA, a large prospective cohort study. Age is much more strongly associated with malignancies unrelated to infection than with those related to infection, said biostatistician Leah Shepherd, from the University College London in the United Kingdom.
  • A patient–driven approach to streptococcal pharyngitis diagnosis using a new home test score might save on unnecessary physician visits, cultures, and treatment, according to a retrospective cohort study published online November 4 in the Annals of Internal Medicine. Though some experts are skeptic of the home score algorithm and of its potential cost–savings.
  • Among patients with nonalcoholic steatohepatitis (NASH), premenopausal women have a lower risk for severe fibrosis compared with similarly aged men, but the risk evens out in postmenopausal women and similarly aged men, according to a study published online October 1 in Hepatology.
  • Researchers have reported in the Oct. 30 issue of Science Translational Medicine that genetic testing for personalized treatment of lung cancer was associated with improved survival, likely due to getting targeted kinase inhibitors to the right patients. Patients whose tumors were genotyped had 28% better overall survival odds than those who couldn’t get a genetic diagnosis for reasons like limited tissue availability.
  • Perinatal arterial ischemic stroke has many possible risk factors, including gestational diabetes, researchers reported at the annual meeting of the Child Neurology Society. Compared with perinatal watershed infarcts and hypoxic ischemic encephalopathy, babies with perinatal arterial ischemic stroke had higher rates of gestational diabetes, methylenetetrahydrofolate reductase (MTHFR) deficiency and high birth weight.

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)

Are there any survivors of human rabies?

Till date only seven survivors have been recorded. These patients survived not due to any specific anti–rabies therapy but following intensive life support and excellent nursing care. These patients survived for variable periods with residual neurological deficits. All the survivors had paralytic form of rabies and majority had history of some anti–rabies vaccination in the past.

cardiology news

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

  • Two studies presented at TCT 2013 have shown that a two–stent strategy in bifurcation lesions does not improve clinical outcomes. In the Nordic–Baltic Study IV, the rate of major adverse cardiovascular events (MACE) was similar in patients randomized to a two–stent strategy and those randomized to a provisional approach that primarily involved stenting of the main vessel alone. In the second trial, TRYTON bifurcation trial, at 9 months, there was a nonsignificant higher rate of target vessel failure (TVF) in patients who underwent stenting of the main vessel and side branch vs those who underwent stenting of the main vessel alone with a provisional strategy to stent the side branch if necessary.
  • Intracranial ultrasound treatment using an operator–independent device together with tissue plasminogen activator (tPA) in stroke patients appears to be safe and produced promising recanalization rates, according to a new study, published online in Stroke on October 24. Ultrasound therapy causes the meshwork of fibrin strands within the clot to disperse, thereby allowing better access of tPA to the clot.
cardiology news

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

  • Infants younger than 2 months who are hospitalized more than once with gastroesophageal reflux disease (GERD) are significantly more likely to undergo antireflux procedures (ARPs) than children aged 7 months or older, according to an article published online November 6 in JAMA Surgery. Children with multiple disorders, regardless of age, are also more likely to undergo ARPs, and most ARPs in general are performed without a standard workup in advance.
  • Preventable readmission rates for children are lower than all–cause readmission rates, according to a new study presented at the annual meeting of American Academy of Pediatrics 2013.
cardiology news

Nine Modifiable Risk Factors for Heart Attack

The majority of known risk factors for heart attack disease are modifiable by specific preventive measures.

Nine potentially modifiable factors include smoking, dyslipidemia, hypertension, diabetes, abdominal obesity, psychosocial factors, regular alcohol consumption, lack of adequate fruits and vegetables in diet and sedentary lifestyle. These account for over 90 percent of the population–attributable risk of a first heart attack.

In addition, aspirin is recommended for primary prevention of heart disease for men and women whose 10–year risk of a first heart attack event is 6 percent or greater.

Smoking cessation reduces the risk of both heart attack and stroke. One year after quitting, the risk of heart attack and death from heart disease is reduced by one-half, and after several years it begins to approach that of nonsmokers.

A number of observational studies have shown a strong inverse relationship between leisure time activity and decreased risks of CVD. The Heart Care Foundation of India recommends walking 80 minutes in a day and with a speed of 80 steps per minute.

cardiology news

Total CPR since 1st November 2012 – 69833 trained

Media advocacy through Web Media

Air pollution can raise blood pressure

Breathing polluted air for even 2 hours can boost blood pressure, potentially raising the risk of cardiovascular disease in those exposed to smog, Dr. K K Aggarwal, President, Heart Care Foundation of India.

In susceptible patients this small increase may actually be able to trigger a heart attack or stroke. In the study, which appeared in the journal Hypertension, researchers tested 83 people as they breathed levels of air pollution similar to those in an urban city near a roadway. The air pollution caused diastolic pressure, the lower number in a blood pressure reading to rise within 2 hours. Blood vessels were impaired for as long as 24 hours. Tests showed that microscopic particles in the air, rather than ozone gases, caused the rise in blood pressure and impaired blood vessel function. If air pollution levels are forecasted to be high, those with heart disease, diabetes or lung disease should avoid unnecessary outdoor activity.

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 71933 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

Health Check Up Camp at 20th MTNL Perfect Health Mela

press release

Red flag arthritis

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

The lumbar region of the vertebral column permits all of the following movements except:

3.Lateral Flexion

Yesterday’s Mind Teaser: The conversion of an optically pure isomer (enantiomer) into a mixture of equal amounts of both dextro and levo forms is called as:


Answer for yesterday’s Mind Teaser: 3.Racemization.

Correct answers received from: Kirtika Kaushik, Tukaram Pagad, Dr.K.V.Sarma, Khurshid Alam, Dr Monica Gandhi, DR ARPAN GANDHI, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Sangeetha Raja, dr ajay Gandhi, Dr B K Agarwal, Dr Kanta Jain

Answer for 6th November Mind Teaser: 4. Protein folding.

Correct answers received from: Dr.K.Raju, Muthumperumal Thirumalpillai, Dr. Sujal Dave,

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

While he was talking to me, his nurse came in and said,
"Doctor, there is a man here who thinks he’s invisible."
The doctor said, "Tell him I can’t see him."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A 36–year–old truck driver had severe allergic rhinitis and came for treatment.
Reaction: Oh my God, why was he not prescribed azelastine nasal spray?
Lesson: Make sure to avoid oral antihistamines in persons who perform tasks like driving as they may cause sedation and drowsiness; instead prescribe azelastine nasal spray which is effective and non–sedating.

medicolegal update

First we make our habits then our habits make us. John Dryde

medicolegal update

Dr KK Aggarwal: Equipment–related failures common in Operation Theater http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: I maintain that the cosmic religious feeling is the strongest noblest motive for scientific research–Einstein http://tinyurl.com/kuf6zpm

medicolegal update
  1. Dear Sir, Reading emedinews is very worthful. Regards: Dr Tarun

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