eMedinewS8th April 2014,Tuesday

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 Blood Pressure Guidelines Mean Millions Will No Longer Need Medication

New guidelines that ease the recommended blood pressure targets could result in 5.8 million US adults alone no longer needing hypertension medication, and that an estimated 13.5 million adults would now be considered as having achieved goal blood pressure, primarily older adults. The findings were released online by JAMA. In a divisive move, the Eighth Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 8), relaxed the blood pressure goal in adults aged 60 years and older to 150/90 mm Hg, instead of the previous goal of 140/90 mm Hg. Blood pressure goals were also eased for adults with diabetes and kidney disease.

News Around The Globe

  • The US FDA has voted in favor of MannKind's Afrezza (Technosphere insulin-inhalation system) for the treatment of both type 1 and type 2 diabetes in adults. Afrezza consists of a premeal insulin powder loaded into a cartridge for oral inhalation. The company is seeking an indication for it as ultrarapid-acting insulin for adults with type 1 or 2 diabetes. In type 1 patients, the indication would be for use with injected basal insulin. Panel members cited the advantages of more rapid onset of insulin action and shorter duration, resulting in a lower risk for hypoglycemia, as well as the potential for greater acceptance of inhaled–insulin therapy for patients with type 2 diabetes who might otherwise refuse or be unable to self-inject insulin.
  • The Effects of Aspirin in Gestation and Reproduction (EAGeR) medical trial has found that, in general, low–dose aspirin is not beneficial for future pregnancy outcomes in women with prior pregnancy loss. However, in women with one pregnancy loss within the previous 12 months, there did appear to be a benefit, said Dr Jean Wactawski–Wende, Professor in the Department of Epidemiology and Environmental Health in the School of Public Health and Health Professions at the University at Buffalo in the current issue of The Lancet.
  • A research published online in the American Journal of Sports Medicine has stated that polypropylene patch augmentation of rotator cuff repair is associated with significantly better outcome at three years as compared to the use of an absorbable collagen patch. Researchers evaluated data from 152 patients with a posterosuperior massive rotator cuff tear. Visual analogue pain scores at two months came out to be 6.46 in the collagen group, 4.92 in the polypropylene group and 6.96 in controls. At 36 months, the scores were 4.06, 3.28 and 3.66, respectively. Additionally, the retear rate at 12 months was 51% in the collagen group, 17% in the polypropylene group and 41% in controls.
  • A study presented at the Society of Gynecologic Oncology 45th Annual Meeting on Women’s Cancer has revealed that the risk of developing uterine cancer in obese women can be reduced by as much as 70% with bariatric surgery. Additionally, if the women maintain a normal weight after surgery, the decrease in risk can be up to 81%.
  • The US FDA has recently approved a handheld device, Evzio (naloxone hydrochloride injection, Kaléo, Inc), designed for use by family members or caregivers to deliver a single dose of naloxone aimed at reversing suspected opioid overdose. The device is small enough to be carried in a pocket and has been designed for the emergency treatment of known or suspected opioid overdose, characterized by decreased breathing or heart rates, or loss of consciousness.

Rabies News (Dr A K Gupta)

Do antibodies from rabies vaccination cross an intact blood–brain barrier?

No. Antibodies from vaccination do not cross an intact blood–brain barrier.

Cardiology eMedinewS

  • Amidst all the debate over whether bivalirudin reduces major bleeding in the setting of contemporary primary PCI compared with unfractionated heparin (UFH), without routine GPIIb/IIIa inhibition and when newer antiplatelet drugs are used, a new study presented at the American College of Cardiology 2014 Scientific Sessions revealed no differences in bleeding but an increase in stent thrombosis with bivalirudin compared with heparin, when GPIIb/IIIa inhibitors were used just for bailout in both arms. Two other trials, NAPLES III and BRAVE 4, also presented at ACC 2014, favored these findings.
  • Another trial presented at the American College of Cardiology 2014 Scientific Sessions has revealed how a drug-eluting stent (DES) is a better stent choice in patients at elevated risk for thrombosis or bleeding, those with serious comorbidities, and for whom DES supported by a long course of dual–antiplatelet therapy (DAPT) could be unsafe. Researchers compared the Medtronic zotarolimus–eluting Endeavor Sprint stent with a bare-metal stent in >1000 patients and noted fewer MIs and lower mortality and risk of stent thrombosis over the next 1 year among patients who had received the DES compared with a bare–metal stent.

Pediatrics eMedinewS

  • Routine addition of an aminoglycoside to a β–lactam as empirical therapy for children with Gram–negative bacteremia may not be helpful except in those with risk factors for multidrug–resistant (MDRGN) organisms, according to a retrospective cohort study published online April 7 in Pediatrics.
  • A British study published in the European Journal of Human Genetics has found that men who start smoking before the age of 11 have increased odds of having sons who are overweight. Of the data available from 9,886 fathers, 54% were smokers at some time and 3% of these had started smoking regularly before the age of 11. Looking at the next generation, researchers noted that at age 13, 15 and 17, the sons of men who started smoking before 11 had the highest body mass index (BMI) scores compared with the sons of men who had started smoking later or those who had never smoked.

Dr K K Spiritual Blog

On 9th Navratri Enjoy the Spiritual Powers

Siddhidatri is worshipped on the Ninth Day of Navratri. She gives all the eight siddhis – Anima, Mahima, Garima, Laghima, Prapti, Prakamya, Iishitva and Vashitva. She rides on a lion or on a lotus. She has four hands and looks pleased.

Spiritual mantra on the 9th Navratri

By the 9th day of spiritual detoxification one gets all spiritual powers.

Wellness Blog

Preventing death due to hypothermia

People can die of hypothermia in this season. Imagine a situation when you come across two people lying in a JJ cluster area with no clothes early in the morning. One of them is shivering and the other one is not. The one who is shivering indicates that his body is trying to compensate with the low body co-temperature.

The other one, who is not shivering, may be dead, dying or normal.

Recall your naturopathy teaching "Sar Thanda, Pet Naram and Paon Garam". If the soles of the feet and the feet are cold and the person is not shivering, this is a medical emergency. On the contrary, if the person is not shivering and the feet are warm, it is not medical emergency.

Therefore, hypothermia with no shivering and hyperthermia with no sweating are bad signs.

Inspirational Story

Be Positive

Father: "I want you to marry a girl of my choice." Son: "I will choose my own bride!"

Father: "But the girl is Bill Gate’s daughter." Son: "Well, in that case… ok"

Next Father approaches Bill Gates. Father: "I have a husband for your daughter."

Bill Gates: "But my daughter is too young to marry!" Father: "But this young man is vice–president of the World Bank."

Bill Gates: "Ah, in that case… ok" Finally Father goes to see the president of the World Bank.

Father: "I have a young man to be recommended as your vice–president." President: "But I already have more vice–presidents than I need!"

Father: "But this young man is Bill Gate’s son–in–law." President: "Ah, in that case… ok"

This is how business is done!!

Moral: Even if you have nothing, you can get anything. But your attitude should be positive.

ePress Release

Over 50, focus only on upper blood pressure

For patients over 50, doctors only need to monitor the upper systolic blood pressure, and can ignore the lower diastolic blood pressure reading, 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.

Systolic blood pressure – the top number in a blood pressure reading – is the pressure exerted at the beginning of the heart’s pumping cycle, while diastolic pressure records the lowest pressure during the resting cycle of the heart. Both pressures are routinely measured when recording the blood pressure.

As per a report published in the journal The Lancet, there is such an emphasis on diastolic pressure that the patients are not getting their systolic blood pressures adequately controlled. The fact is that people over the age of 50 probably do not even need to measure diastolic – it’s only the systolic blood pressure that should be the focus.

Generally, systolic blood pressure continues to increase with age, while diastolic pressure starts to drop after age 50, which is the same time when cardiovascular risk begins to rise. Therefore, there is an increased prevalence of systolic hypertension past age 50, whereas diastolic hypertension is practically nonexistent. Rising systolic pressure is the most significant factor in causing stroke and heart disease.

For people under 50, the scenario may be different. About 40 percent of adults below 40 years of age have diastolic hypertension, and about a third of those between 40 and 50 have the problem. For these patients, a continued emphasis on both systolic and diastolic blood pressures is needed. However, controlling systolic blood pressure, even among these younger patients, almost always results in adequate control of diastolic blood pressure, too.

For people 50 or older, systolic pressure is high if it is 140 mmHg or above.

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


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

Skin care

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: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis. Sero–epidemiological studies have shown a strong association between C. pneumoniae infection and atherosclerosis in patients with cardiovascular disease.

eMedinewS Humor


When a guy’s printing on his printer began to grow faint, he called a local repair shop where a friendly man informed him that the printer probably needed only to be cleaned. Because the store charged $50 for such cleanings, he told him he might be better off reading the printer’s manual and trying the job himself.

Pleasantly surprised by his candor, he asked, "Does your boss know that you discourage business?" "Actually, it’s my boss’s idea," the employee replied sheepishly. "We usually make more money on repairs if we let people try to fix things themselves first."

Quote of the Day

Determine what specific goal you want to achieve. Then dedicate yourself to its attainment with unswerving singleness of purpose, the trenchant zeal of a crusader. Paul J. Meyer


Twitter of the Day

Dr KK Aggarwal: Bed netting is of little help to prevent dengue http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: Emotional intelligence begins when you feel what you feel without labels or evaluation.


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

Which of the following is present intracellularly in muscle cells?

1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.

Yesterday’s Mind Teaser: The buffering capacity of a buffer is maximum at pH equal to:

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

Answer for yesterday’s Mind Teaser: 2. pKa

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen, Ashok Meshram, Dr. P.C.Das, Dr Poonam Chablani, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Valluri Ramarao, Dr Avtar Krishan

Answer for 5th April Mind Teaser: a. Most of the children present with clinical symptoms during

Correct answers received from: 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 Editor, "Babloo goes for an eye test" for students, parents and teachers is equally suitable and must-read book for everyone including doctors…and the added bonus is that the little book is available "free" for collection for libraries of hospitals and medical teaching institutions (from Ophthacare Eye Centre, C2C/236A Janakpuri, New Delhi 110058, 6.00 pm to 8.00 pm) with prior intimation at Phone 25599839. Dr. Narendra Kumar, Chairman, Eye Care India
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