eMedinewS8th July 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

Fits or Epilepsy

  • Seizure is a sudden change in behavior that is the consequence of brain dysfunction.
  • Approximately 0.5–1% of population has epilepsy.
  • Some seizures are provoked i.e. that occur in the metabolic derangement, drug or alcohol withdrawal and in situations like acute paralysis or acute encephalitis. Such patients are not considered to have epilepsy because these seizures would not recur in the absence of the provocation.
  • Less than 50% of epilepsy cases will have an identifiable cause such as head trauma, brain tumor, paralysis, infection, brain malformation etc.
  • Having one seizure does not always mean that the patient would always get a seizure.
  • One episode of seizure may not require treatment.
  • Hospitalization is required in the first seizure only if it is associated with prolonged post seizure altered level of consciousness.
  • Patients with unprovoked seizure may not be allowed to drive for some time.
  • In children, seizure can occur with high grade fever.
  • In adults, the first episode of seizure may be due to worms in the brain. In such a situation, it may be necessary to do an MRI test.
  • A patient with seizure can get married, live a normal life and produce children.
  • It is a misnomer that during a fit you need to make the person smell a shoe.
  • During epilepsy, never put the fingers inside the mouth of the patient as they may get injured. Use a spoon instead to prevent tongue bite.
  • A patient with epilepsy fall will have stiffness in the body; on the contrary, patient with cardiac loss of consciousness will fall loose.
  • A seizure that lasts for more than 5–10 minutes requires specialized attention.

News Around The Globe

  • Births that were early–term (from the beginning of week 37 through the end of week 38) but without medical indication were more likely to occur among mothers with certain characteristics and increased risk for adverse infant outcomes, reported a study published in the July issue of Medical Care.
  • According to a report published in the July issue of the Journal of the American College of Surgeons, hepatic resection for metastatic melanoma significantly improves survival over medical treatment alone. Researchers suggested that patients who can undergo complete surgical treatment of melanoma liver metastases should consider this option.
  • A study published online July 2 in JAMA Surgery revealed that during the early adoption phase of robotic prostatectomy, there was a 2–fold increase in adverse events with this technique compared with traditional open radical prostatectomy (ORP) for prostate cancer. Thus, rapid introduction of a new surgical technology can result in patient harm.
  • Researchers from the Monell Chemical Senses Center in Philadelphia have identified receptors for stress–activated hormones located in oral taste buds responsible for detecting sweet, savory and bitter tastes. This may explain why under stress, many of us reach for sugary foods to make us feel better. The findings have been published in the journal Neuroscience Letters.
  • A new study from France has found that the pregnancies of egg donation patients are at a higher risk of disorders, particularly relating to high blood pressure, than the pregnancies of routine IVF patients using their own eggs. The study was presented recently at the 30th Annual Meeting of ESHRE held in Munich.

Rabies News (Dr A K Gupta)

How is RIG life saving?

Administration of anti–rabies vaccine stimulates production of neutralizing antibodies by the patient’s immune system. Protective levels of antibodies (more than 0.5 IU/ml of serum) are seen 7 to 14 days after the initial dose of vaccine (window period). Moreover when the bites are on the head, neck, face & hands, the incubation period will be shorter.

Thus the patients are vulnerable to develop rabies during this window period of 7 to 14 days. RIGs are readymade anti–rabies antibodies and provide passive immunity to rabies.

Cardiology eMedinewS

  • A new study recently presented at the Frontiers in Cardiovascular Biology meeting in Barcelona, Spain, has suggested that women who have high cholesterol may be at higher risk of developing breast cancer.
  • Another new study presented at the Frontiers in CardioVascular Biology 2014 conference has pointed that instead of relying on painful electric shocks, a new method of treatment that uses light could be used to achieve defibrillation in patients with atrial fibrillation. The new technique activates neurons by shining light on them in order to reset the heartbeat.

Pediatrics eMedinewS

  • Among children vaccinated with 13–valent pneumococcal conjugate vaccine (PCV13), invasive pneumococcal disease (IPD) is more common in those with comorbidities, reports an observational study published online July 7 in Pediatrics.
  • According to a study published online in Annals of Emergency Medicine, dating violence among adolescents was strongly associated with alcohol, illicit drug use and depression. Additionally, of adolescents visiting the emergency department for any reason, one in five girls and one in eight boys reported dating violence in the past year.

Dr K K Spiritual Blog

Facts about Soul and the Spirit

  1. Energy is the raw material of the universe.
  2. Information is the organization of energy into reproducible patterns.
  3. Consciousness is living information and energy (living energized information)
  4. Consciousness is, therefore, intelligence.
  5. Intelligence is information and energy that has self–referral or the ability to learn through experiences and the ability to reinterpret and influence one’s own information and energy states.
  6. Consciousness is live, advanced, software–driven energized information.

Nearest example: Advanced computer software which can type, correct, interpret, edit and store spoken or read information.

Wellness Blog

5 Ways to Use less Salt

  1. Use spices and other flavor enhancers such as spices, dried and fresh herbs, garlic and ginger, citrus, vinegars and wine. Flavors can be black pepper, cinnamon and turmeric to fresh basil, chili peppers, and lemon juice.
  2. Use the right healthy fats — from roasted nuts and avocados to olive, canola, soybean and other oils.
  3. Searing and sautéing foods in a pan builds flavor. Roasting brings out the natural sweetness of many vegetables and the taste of fish and chicken. If you do steam or microwave food, perk up these dishes with a finishing drizzle of flavorful oil and a squeeze of citrus.
  4. Get your whole grains from sources other than bread. White bread contains salt, not just for flavor but to ensure that the dough rises properly.
  5. Shop for raw ingredients with maximum natural flavor, thereby avoiding the need to add as much (if any) sodium. (Harvard)

Inspirational Story

A Most Important Lesson

During my second month of nursing school, our professor gave us a pop quiz. I was a conscientious student and had breezed through the questions, until I read the last one: "What is the first name of the woman who cleans the school?"

Surely, this was some kind of joke. I had seen the cleaning woman several times. She was tall, dark–haired and in her 50s, but how would I know her name? I handed in my paper, leaving the last question blank. Just before class ended, one student asked if the last question would count toward our quiz grade.

"Absolutely," said the professor. "In your careers, you will meet many people. All are significant. They deserve your attention and care, even if all you do is smile and say ‘hello’." "I’ve never forgotten that lesson. I also learned her name was Dorothy.

Moral: Every person no matter who it is should be considered equal… something that we all forget so easily. To value a person regardless of their status is the highest noble work.

ePress Release

Summer Diarrhea Treatment

One loose motion is equal to one glass of ORS. Most summer diarrhea is watery, effortless and painless diarrhea with no mucous or blood. They need no antibiotics. The only treatment is oral rehydration solution, 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.

One loose motion is equivalent to loss of one glass of fluid. Explaining this, Dr. Aggarwal said that if a patient has passed 10 loose motions, he needs 12 glasses of ORS apart from normal requirement of fluids and one glass for every loose motion passed again.

For upto 12 loose motions a patient can be managed as an out patient but if the loose motions are more than 12 he needs observation and if the numbers of loose motions are more than 40, he needs intensive treatment.

The main complication is renal shut down, which will happen if the blood pressure remains low for more than few hours. During loose motions one should maintain that he or she passes urine every 6–8 hours. If no urine is passed for eight hours it may indicate an impending renal failure.

eMedi Quiz

The exaggerated lepromin test seen in cases of lucin phenomenon is called as

a. mitsuda’s reactionion
b.medina ramirez reaction
c.fischer’s test
d.fernandez reacto

Yesterday’s Mind Teaser: olfeck’s phenomenon is seen due to which component

a. joint psoriasis
b.mucosal psoriasis
c.nail psoriasis
d.pustular psoriasis

Answer for yesterday’s Mind Teaser: c.nail psoriasis

Correct answers received from: Daivadheenam Jella, Dr Poonam Chablani, Dr K V Sarma, Daivadheenam Jella, Dr Ajay Sinha.

Answer for 5th July Mind Teaser: 1. Propamidine

Correct answers received from: Dr Ajay Sinha, Jayant Gaikwad.

Send your answer to ijcp12@gmail.com

eMedinewS Humor

Coffee Dilemma

A man and his wife were having an argument about who should brew the coffee each morning.

The wife said, "You should do it, because you get up first, and then we don’t have to wait as long to get our coffee".

The husband said, "You are in charge of the cooking around here and you should do it, because that is your job, and I can just wait for my coffee."

Wife replies, "No you should do it, and besides it is in the Bible that the man should do the coffee."

Husband replies, "I can’t believe that, show me."

So she fetched the Bible, and opened the New Testament and shows him at the top of several pages, that it indeed says:




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 – 94595 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

Health Check Up and CPR 10 Camp at N P Girls Sr. Sec School, Gole Market–7th July 2014

press release

White rice linked to diabetes in Asians

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 acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

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: Inhaling diesel exhaust Fumes causes heart attack or stroke http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Love is the highest intelligence #CosmicConsciousness


medicolegal update

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  1. Everyday Morning like reading a newspaper, I read your article which gives me new insight. Regards: Dr Trisha
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