eMedinewS9th June 2014, Monday

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

Ten ways to ease neck pain

  1. Don’t stay in one position for too long
  2. Keep the computer monitor at eye level.
  3. Use the hands–free function of the phone or wear a headset.
  4. Prop your touch–screen tablet or the ipad on a pillow so that it sits at a 45° angle, instead of lying flat on your lap.
  5. Keep your prescription up to date, if you wear glasses to prevent leaning your head back to see better.
  6. Don’t use too many pillows as it can stifle your neck’s range of motion.
  7. Before you move a big wardrobe across the room, consider what it might do to your neck and back, and ask for help.
  8. Sleep well.
  9. Call your doctor if neck pain is associated with radiating pain, weakness, or numbness of an arm or leg.
  10. Also call the doctor if you have fever or weight loss associated with your neck pain, or severe pain.

News Around The Globe

  • Targeted thyroid testing during pregnancy is ineffective for the identification of subclinical hypothyroidism. In a retrospective cohort study published online June 4 in Obstetrics & Gynecology, the proportion of patients with elevated trimester–specific TSH was 12.6% in the targeted thyroid testing group and 12.1% in the untested group.
  • A new meta–analysis reported in the Journal of the American Academy of Dermatology has found that oral contraceptives seem to work as well as antibiotics for long–term treatment of acne in women. After three months of treatment, antibiotics had reduced the number of whiteheads or cysts by 48% vs 37% with oral contraceptives. But by six months, OCs reduced acne by 55% vs 53% with antibiotics.
  • Colorectal cancer (CRC) screening is cost-effective in adults older than 75 years who have not had prior screening, according to a study published in the June 3 issue of the Annals of Internal Medicine.
  • A new survey from Turkey reports that pneumoconiosis identified by high–resolution computed tomography (CT) was present in almost half of dental prosthetic technicians. These technicians are exposed to many lab chemicals that increase their risk of developing pneumoconiosis, and they need appropriate education and workplace protection to prevent exposure to hazardous materials. The findings are reported in the journal Occupational Medicine.
  • In patients with ankylosing spondylitis (AS), lower levels of the tumor necrosis factor (TNF) inhibitor etanercept are associated with high disease activity according to a study reported in Annals of the Rheumatic Diseases. According to the authors, though about 40% of AS patients do not respond to TNF inhibitors, the drugs are prescribed in a fixed dose without taking differences in pharmacokinetics into account.
  • The US Food and Drug Administration (FDA) has approved phenylephrine and ketorolac injection (Omidria, Omeros Corporation) 1%/3% for use during cataract surgery or intraocular lens replacement (ILR). The drug prevents intraoperative miosis (pupil constriction) and reduces postoperative pain. Omidria is a proprietary combination of a pupil–dilating agent (phenylephrine) and an anti-inflammatory agent (ketorolac) that is added to the standard irrigating solution used during cataract surgery and other ILR procedures, including refractive lens exchange.

Rabies News (Dr A K Gupta)

What is the importance of pre–exposure vaccination?

Pre–exposure vaccination simplifies post–exposure vaccination because after bite, those who have received full pre–exposure vaccination require only two doses of vaccine at Days 0 & 3. RIG is not required (WHO 2007).

Cardiology eMedinewS

  • Treatment with rosuvastatin for 2 years appears to slow the progression of subclinical atherosclerosis in children and adolescents with heterozygous familial hypercholesterolemia (FH). In the new study, presented at the European Atherosclerosis Society 2014 Congress (EAS 2014), the mean carotid intima–media thickness (IMT) was significantly higher among those with heterozygous FH prior to starting rosuvastatin vs healthy siblings who were unaffected with FH.
  • Hospitals with the greatest increases in the use of transradial access for percutaneous coronary intervention (PCI) had the largest reductions in bleeding. In a study reported online in Circulation: Cardiovascular Quality and Outcomes, those with moderate–to–high increases in transradial use had a 55% decline in access–site bleeding, which was significantly greater than the 35% decline seen in hospitals with a very–low–to–low increase in transradial procedures. No differences were seen across levels of transradial use in the amount of contrast administered during the procedures, although fluoroscopy time increased over time to a greater extent in the centers with moderate–to–high increases in transradial use (1.3 vs 0.2 min).

Pediatrics eMedinewS

  • Here’s some good news for parents who worry that their child is a fussy eater. A new study from the UK suggests that exposing infants to a new vegetable early in life encourages them to eat more of it compared to offering novel vegetables to older children. The research has been published in the journal Plos One.
  • An estimated 25 percent of children in remission from acute lymphocytic leukemia (ALL) are missing too many doses of an essential maintenance medication that minimizes their risk of relapse, according to a study published online in Blood. Adherence to maintenance medication was lower in African American and Asian children in remission from ALL than in non–Hispanic white children, with 46% of African Americans and 28% of Asians not taking enough to prevent relapse vs 14% of non–Hispanic whites.

Dr K K Spiritual Blog

Mindfulness meditation

Sit on a straight–backed chair or cross–legged on the floor.

Focus on an aspect of your breathing, such as the sensation of air flowing into your nostrils and out of your mouth, or your belly rising and falling as you inhale and exhale.

Once you’ve narrowed your concentration in this way, begin to widen your focus. Become aware of sounds, sensations, and ideas.

Embrace and consider each thought or sensation without judging it good or bad. If your mind starts to race, return your focus to your breathing. Then expand your awareness again.

Wellness Blog

Researchers find reason why many vein grafts fail

NIH intramural–led study uncovers biology behind improper graft remodeling

National Institutes of Health researchers have identified a biological pathway that contributes to the high rate of vein graft failure following bypass surgery. Using mouse models of bypass surgery, they showed that excess signaling via the Transforming Growth Factor Beta (TGF–Beta) family causes the inner walls of the vein to become too thick, slowing down or sometimes even blocking the blood flow that the graft was intended to restore. Inhibition of the TGF–B signaling pathway reduced overgrowth in the grafted veins.

The team, led by Manfred Boehm, M.D., chief of the Laboratory of Cardiovascular Regenerative Medicine at NIH’s National Heart, Lung, and Blood Institute, identified similar properties in samples of clogged human vein grafts, suggesting that select drugs might be used in reducing vein graft failure in humans.

Endothelial cells not only form the inner lining of a blood vessel, but also contribute to blood vessel narrowing as shown in this mouse vein graft model. Endothelial cells lose their typical morphology and become more like smooth muscle cells. This change in cellular properties indicates that endothelial–to–mesenchymal transition (EndMT) is operative in vein graft stenosis.

Inspirational Story

The perfectionist sculptor

A gentleman once visited a temple under construction where he saw a sculptor making an idol of God. Suddenly he noticed a similar idol lying nearby. Surprised, he asked the sculptor, "Do you need two statues of the same idol?"

"No," said the sculptor without looking up, "We need only one, but the first one got damaged at the last stage." The gentleman examined the idol and found no apparent damage. "Where is the damage?" he asked.

"There is a scratch on the nose of the idol." said the sculptor, still busy with his work. "Where are you going to install the idol?" The sculptor replied that it would be installed on a pillar twenty feet high.

"If the idol is that far, who is going to know that there is a scratch on the nose?" the gentleman asked. The sculptor stopped his work, looked up at the gentleman, smiled and said, "I know it and God knows it!"

Moral: The desire to excel should be exclusive of the fact whether someone appreciates it or not. Excellence is a drive from inside, not outside. Excel at a task today – not necessarily for someone else to notice but for your own satisfaction.

ePress Release

Restricting salt in diet can lower heart disease risk

Restricting salt in the diet can lower the risk of developing heart disease by 25 percent and the risk of dying from heart disease by 20 percent, 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.

Dietary intake of sodium among Indians is excessively high. Quoting a Harvard Medical School study published in British Medical Journal, Dr Aggarwal said that among hypertensive individuals, lowering sodium is quite well established to lower blood pressure, but now it has been shown that reducing salt also has an effect on cardiovascular disease.

When people with pre hypertension (blood pressure more than 120/80 and lower than 140/90), reduced their salt intake by about 25 to 35%, they were 25% less likely to develop cardiovascular disease 10 to 15 years after the trial ended. There was also a 20 percent lower death rate from cardiovascular disease among those who cut their salt consumption.

Salt restriction is best achieved by avoiding salted, salt cured and salt smoked foods such as lunch meat, hot dogs, ham, olives, pickles and regular salted canned foods, and other prepared foods, which often use more salt than homemade equivalents. Foods we would never think of as salty, such as breakfast cereals, cookies, and even some soft drinks, often contain copious additions of sodium.

eMedi Quiz

Bacitracin acts on:

1. Cell Wall
2. Cell Membrane.
3. Nucleic Acid.
4. Ribosome.

Yesterday’s Mind Teaser: An increased incidence of cholangiocarcinoma is seen in all ofthe following, except:
1. Hydatid cyst of liver.
2. Polycystic disease of liver.
3. Sclerosing cholangitis.
4. Liver flukes.

Answer for yesterday’s Mind Teaser: 1. Hydatid cyst of liver.

Correct answers received from: Dr Avtar Krishan, Dr.K.Raju, Dr Jainendra Upadhyay, Daivadheenam Jella,Dr Pankaj Agarwal, Dr.B.R.Bhatnagar

Answer for 7th June Mind Teaser:1. Hyperosmolarity.

Correct answers received from: .Dr.Bitaan Sen & Dr.Jayashree Sen

Send your answer to ijcp12@gmail.com

eMedinewS Humor

Water in the Carburetor

Wife: "There’s trouble with the car. It has water in the carburetor."
Husband: "Water in the carburetor? That’s ridiculous."
Wife: "I tell you the car has water in the carburetor."
Husband: "You don’t even know what a carburetor is. I’ll check it out. Where’s the car?"
Wife: "In the pool."

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 – 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

Health Check Up Camp at Modern Era Public School, 16th May 2014

press release

Monitoring LFT in a patient on statins

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 heart attack died on the way to the hospital.
Reaction: Oh my God! Why was the patient not accompanied by the doctor?
Lesson: Make sure that all heart attack patients are accompanied by the doctor to the hospital so that chest compression CPR can be given, if the heart stops, on the way.

Quote of the Day

Anxiety does not empty tomorrow of its sorrows, but only empties today of its strength. Charles Spurgeon


Twitter of the Day

Dr KK Aggarwal:Smoking may dull taste buds By Dr KK Aggarwal http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: There is one experience that brings joy or happiness to every living being. The experience of love http://bit.ly/DC_Ananda #ananda


Forth Comming Event


Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
or Call: Vandana 9891673085/Dr Kakroo 9810301261


medicolegal update

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medical querymedical query

medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the information. Regards: Dr Payal
cardiology news

Media advocacy through Web Media

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eMedinewS Special

1. IJCP’s ejournals (This may take a few minues 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)