eMedinewS9th October 2013, Wednesday

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

World's first malaria vaccine in 2014

British drug maker GSK will seek marketing approval for the world's first malaria vaccine next year after trial data showed the shot significantly cut cases of the disease in African children.

The vaccine known as RTS,S was found, after 18 months of follow-up, to have almost halved the number of malaria cases in young children in the trial, and to have reduced by around a quarter the number of malaria cases in infants. United Nations health agency, the Geneva-based World Health Organization (WHO), has indicated it may recommend use of the RTS,S vaccine from as early as 2015 if EMA drugs regulators back its licence application.

If approved, the vaccine is unlikely to be anything other than neutral for GSK's bottom line. GSK has promised that if RTS,S is given the market go-ahead, it will be priced at cost of manufacture plus a 5 percent margin, and the margin would be reinvested in malaria research.

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

Spiritual mantra on the 5th Navratri

sprritual blog

One should learn detached attachment as the main principle of spirituality.

Skanda Mata is worshipped on the fifth Day of Navratri. SHE is holding her son ‘Skandaa or Kartikeya’ on her lap.

SHE has three eyes and four hands. Two hands hold lotuses while the other two hands respectively display defending and granting gestures.

She is the ocean of knowledge. She rides on a lion.

In Yoga Shastra, she represents the Vishuddha chakra and HAM bija mantra. She also dignifies motherhood, fertility and mother–child relationship.

Skandaa means the one with six heads corresponding to the five senses and the mind. Or the one who has a control over the six demonic vices: kaama (sex), krodha (anger), lobha (greed), moha (passion), mada (ego) and matsarya (jealousy).

Kartikeya carries in one hand a spear and his other hand is always blessing devotees. His vehicle is a peacock, a pious bird that grips with its feet a serpent, which symbolizes the ego and desires of people. The peacock represents the destroyer of harmful habits and the conqueror of sensual desires.

cardiology news

A Meeting of Minds

Martin was returning to work in his London office after spending two weeks with his brother over in New York. He was coming back with a heavy heart. It was not just that it was the end of a wonderful holiday; it was not just that he invariably suffered badly from jet lag; it was that Monday mornings always began with a team meeting and, over the months, he had grown to hate them.

Martin was aware that colleagues approached these meetings with hidden agendas; they indulged in game–playing; and he knew that people were not being honest and open. The meetings themselves were bad enough – but then there was all the moaning afterwards. "The usual people saying the usual things". "I could have improved on that idea, but I wasn't going to say". "I was thinking of making a suggestion – but I couldn’t be bothered".

As this morning’s meeting began, Martin braced himself for the usual moroseness and monotony. But, as the meeting progressed, he became aware of a strange background noise. At first, he thought that he was still hearing the engine noise from the aircraft that had brought him back to London – he had had to sit over the wing and the droning was terrible. But, as he concentrated on the noise, it became a little clearer.

He realized – to his amazement – that he could hear what his colleagues were thinking as well as what they were saying. As he concentrated still harder, he found that he could actually hear what they were thinking at the same time as they were speaking. What surprised him, even more than the acquisition of this strange power, was that he discovered that what people were saying was not really what they were thinking. They were not making clear their reservations. They were not supporting views which they thought might be unpopular. They were not contributing their new insights. They were not volunteering their new ideas.

Martin found it impossible not to respond to his new knowledge. So he started to make gentle interventions, based more on what he could hear his colleagues thinking than on what he could hear them saying. "So, John are you really saying …" "Susan, Do you really think that " "Tom, Have you got an idea on how we could take this forward?" He was aware that his colleagues were unsettled by how insightful were these interventions. They looked at him mystified. In truth, he felt rather proud of his newly–acquired talent.

Emboldened now, Martin forgot his usual misery at participating in such meetings and began making comments of his own. However, he became aware that some of his colleagues were looking at him quizzically. One or two even had a gentle smile playing on their lips. Only gradually did it dawn on him – they could hear his thoughts and he was not really saying what he was thinking.

As the meeting progressed, Martin became aware of changes to the tone and style of the event. It was clear to him now that, one by one, each member of the meeting was learning how to hear the thoughts of all the others and this was subtly changing how they inter–acted with one another. The game–playing started to fall away; people started to speak more directly; views became better understood; the atmosphere became more open and trusting.

The meeting ended. As people left the room, Martin found that he could still hear what they were thinking. "That was the best meeting we've ever had." "All meetings should be like that." "In future, I’m going to say what I think".

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

The Immune System of the Soul

October 17, 2013, Siri Fort Auditorium

Organised by Brahma Kumaris

In this fast paced world, where we all are running in the rat race to acquire all sorts of gadgets, luxuries and comforts of life, and have actually forgotten about our ‘being’, our ‘soul’ per se. None of us have the time to sit back and ponder on the very basic questions which arise even in a small child’s mind, as in who we are? Where we have come from? What is the purpose of our being? How our soul dwells in our daily activities? How can we charge up our soul or what makes it low? Do we actually listen to our inner/soul’s voice? If yes, there is still some hope, and if not, then what happens to our inner voice in return? All of us are bothered about materialistic possessions and all we care about is that we should be free from physical ailments. Does that suffice our existence? The answer is NO, as emotional ailments take its toll when we stop caring about our soul or the inner voice. To answers these questions and to help people get enlightened, Mike George, an author, spiritual leader and management consultant, has organized a workshop titled ‘The Immune System of the Soul’ which will take you to a journey from awareness to realization and finally to transformation. The workshop is scheduled on October 17, 2013, 6–8 PM at Siri Fort Auditorium, Delhi. Come and be a part of this divine experience.

Anil Jaju Social Excellence Award

Anil Jaju Social Excellence Award will be given to the best Non–governmental Organization for its work in the forthcoming 20th MTNL Perfect Health Mela being organized in the city from 23rd to 27th October, 2013 at Constitution Club of India.

Giving the details, Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India said that NGOs participating in the mela will be assessed on the basis of their contribution in the field of social health by a jury of members appointed by the Mela committee.

The award will constitute a cash prize of Rs. 11000/ – along with a citation. Chairperson of the Award Committee, Mrs Veena Jaju said that NGOs are invited in the Mela to do any community service project. There will be no participation charges for NGOs.

Mr. Anil Jaju was the Director of Heart Care Foundation of India in whose remembrance this award has been instituted.


  • HIV patients given a pneumococcal vaccine primer followed by a booster dose had a superior immune response than those who received the booster dose alone. In a new study, compared with patients who received a single dose of 23–valent pneumococcal polysaccharide vaccine, those who were primed with a 13–valent conjugate had a significantly greater mean IgG geometric mean titre increase at week 8 (8.69 versus 4.49, P<0.001), which trended toward significance at week 28 (4.39 versus 2.47). There was also a significantly greater proportion of vaccine responders at week 28 in those who received a primer dose versus those who did not (85% versus 52%). Corinna Sadlier, MD, of St. James’s Hospital in Dublin, and colleagues presented their study at the IDWeek meeting
  • A Dutch study has found that patients with differentiated thyroid cancer had a greater risk of dying from cardiovascular disease compared with their peers who did not have cancer, even after accounting for traditional cardiovascular risk factors. The risk of cardiovascular mortality during follow–up was more than three times as high and the risk of all–cause mortality was more than four times as high. The study is reported online in the Journal of Clinical Oncology. Each 10–fold drop in the level thyroid stimulating hormone (TSH) was associated with a greater risk of cardiovascular mortality
  • A new, unique study of 16 identical twin pairs published online October 6 in Diabetologia, where each has 1 lean and 1 obese twin, has yielded some important clues as to the mechanisms behind metabolically healthy obesity. In half the twin pairs, the obese twins turned out to be as metabolically healthy as their lean counterpart, with low levels of liver fat and little sign of chronic inflammation in their adipose tissue. But the remaining 8 obese twins had the classic hallmarks of unhealthy obesity, with marked insulin resistance, dyslipidemia, and a fatty liver, as well as upregulation of chronic inflammation in their fat tissue.
  • Some men with type 1 diabetes fluctuate in and out of a state of impotence over the course of their disease. The findings, from the landmark Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) study, also show that the longer such men remain affected by erectile dysfunction, the greater the likelihood that it might become permanent.
  • The combination of laser therapy plus ranibizumab (Lucentis, Novartis, Genentech) leads to significantly fewer injections for patients with diabetic macular edema than treatment with ranibizumab alone, according to a prospective study presented at the 13th EURETINA Congress. In addition to reducing the use of vascular endothelial growth–factor (VEGF) inhibitors, there was a greater improvement in vision for the patient.

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)

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

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

cardiology news

The Circulatory System Devices panel of advisors to the FDA meeting here on October 8 will consider whether the agency should approve expanded indications for biventricular pacemakers made by Medtronic based on last year’s BLOCK–HF trial. The trial saw benefits for the devices compared with standard dual–chamber–pacemaker pacing in patients with heart failure, at least very mild LV systolic dysfunction, and atrioventricular (AV) block. Any forthcoming approval would extend to all approved BiV pacemakers, with or without defibrillating capability, which are now used for cardiac resynchronizaton therapy (CRT–D and CRT–P, respectively). Importantly, the proposed expanded indications would represent a new BiV pacing niche that that doesn’t require recipients to have an LVEF <35% or ECG evidence of ventricular dyssynchrony, consistent with the BLOCK–HF entry criteria. Source: Medscape)

Valvular Heart Disease News

The etiology of aortic valve disease can often be better delineated by transesophageal echocardiography than transthoracic echocardiography.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news

There is not enough evidence to recommend for or against routine screening for primary hypertension in asymptomatic children and teens, according to the U.S. Preventive Services Task Force (USPSTF). The guidance –– published online in Pediatrics and the Annals of Internal Medicine –– is consistent with the task force’s previous document on the topic from 2003.

cardiology news

Reduce weight first if facing infertility problem

Both obese men and women can face fertility problems unless they reduce their weight. Reducing weight as the first step can bring back their fertility.

  • Obese men are more than three times as likely to have low sperm counts compared with their normal–weight peers. A study published in the journal Fertility and Sterility showed that the heaviest men were at triple the risk of having a low count of progressively motile sperms –– sperms that swim forward in a straight line.
  • Increased body fat can also contribute to lower testosterone levels and higher estrogen levels.
  • Obese men were also 1.6 times more likely than overweight or normal–weight men to have a high percentage of abnormally shaped sperm.
  • There is a trend toward increasing likelihood of erectile dysfunction with increasing BMI.
  • Obesity is associated with a greater risk of impotence.
  • Obesity is also associated with metabolic syndrome and polycystic ovarian disease (PCOD) in women and associated infertility.
cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping
sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Shorter the waist line, longer the life line 2nd PR


Best of all pathies in the forthcoming MTNL Perfect Health Mela

Most pathies are complementary to each other and can be combined together provided doctors from all pathies sit together, discuss and take a common decision said Padma Shri and Dr. BC Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Special provisions have been arranged in the forthcoming 20th MTNL Perfect Health Mela for complicated patients where they can have a joint discussion and consultation with doctors from all systems of medicine. The Mela is being organized by Heart Care Foundation of India in association with various Departments of Central and Delhi Government, LIC, Central Bank of India, Coca Cola, GAIL and various NGOs and Hospitals. The Mela will be held from 23rd to 27th October, 2013 at Constitution Club of India.

The systems of medicine that will be in consultation chambers are Allopathy, Ayurveda, Unani, Homoeopathy, Yoga and Naturopathy. A team of specialists from Mumbai will also be available who will be representing traditional, ancient treatment based on different types of massages and acupressure.

Dr. Aggarwal said unfortunately a doctor in India from one pathy is not exposed to weaknesses and strengths of other systems of medicine.

A doctor from a particular system of medicine should only say "I (my system of medicine) do not have the treatment for this disease". He/she should not say that treatment for this disease is not available.

Only in a fair like Perfect Health Mela, where doctors from all systems of medicine sit together, can a final answer be found whether or not there is a treatment for a particular disease.

The entry to the Mela is free.

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 63425 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10minutes, 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

Dr KK Aggarwal on Lok Sabha TV

press release

Breast cancer risk and alcohol

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Supplementation of probiotics has a supportive role in which dermatologic disorder?

A. Psoriasis
B. Atopic dermatitis
C. Dermatitis herpetiformis
D. Acne vulgaris

Yesterday’s Mind Teaser: Dilute Russell viper venom test is used to diagnose……

A. Anticardiolipin
B. Antibiotic against prothrombin
C. Lupus anticoagulant
D. Anti–beta2–glycoprotein 1 antibodies

Answer for yesterday’s Mind Teaser: C. Lupus anticoagulant

Correct answers received from: Muthumperumal Thirumalpillai, DR AYYAVOO ERODE, dr. Anita rajorhia, Dr. P. C. Das, Dr.K.Raju, Dr.Prosun Goswami, Dr Jainendra Upadhyay, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr Chandresh Jardosh, DR AVTAR KRISHAN, DR.A.K.GAJJAR

Answer for 7th October Mind Teaser: A. Acute urticaria

Correct answers received from: Dr.Prosun Goswami, Dr Jainendra Upadhyay, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr Chandresh Jardosh

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

An old man went to the college that he went to when he was a youth.

He knocked on room number 3 of the hostel and said: "May I come in. I lived in this very room thirty years ago when I studied in this college."

A young man opened the door and let him in. The old man examined the room, fondly remembering everything.

He said, "The same old room, the same old wooden table, the ventilator and the same old window that opens to the garden and the same old bed."

When examining it he found a young girl under the bed.

The young man got alarmed and said, "Don’t mistake me. She is my cousin. She dropped her earring and is searching for it." The old man said, "And the same old story!!

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A 40–year–old mild hypertensive complained of ED after a beta blocker.
Reaction: Oh my god! What was the need of starting the drug so early?
Lesson: Make sure that all mild hypertensives are first advised lifestyle modifications like exercise, low salt diet, high fiber diet, decreasing stress, etc. before advising anti hypertensive medications.

medicolegal update

Problems are only opportunities in work clothes. Henry John Kaiser

medicolegal update

Dr KK Aggarwal: Birth defects linked to mother’s use of cold medicines. http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Nothing is not a system of thought but Robert thinks that if you don’t understand nothing you don’t understand consciousness. #SAS13

medicolegal update

Dear Dr. KK, The two wolf story if only people follow it correctly, life would be better. Good one. Ashok Ahooja

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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