eMedinewS16th December 2013, Monday

Dr K K AggarwalPadma 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

Will the stringent rape laws create fear in the minds of the people?

To some extent – yes but largely - not. There is a stringent IPC 302 law in which a person who commits crime can be hanged till death but this stringent law has not been able to reduce murders in the society They are still rampant in the society. Similarly, the new rape law may create fear in the people’s mind but in the long run, rapes will keep on occurring in the society. 

The answer, therefore, lies in prevention. It is a medical fact that rape is often committed by known person who knows the weaknesses of the female acquaintance.

1.  Females should never disclose their weaknesses to the man in the society even if they are close to them.
2.  Never go alone with a male in late night parties and functions.
3.  Awareness should be created about date rape drugs which are odorless, colorless and tasteless, and if consumed, the female feel that she is in date while actually she is being raped.
4. Counseling clinics should be available at every corner for males with excessive sexual desires or with sexual perversions.
5.  All rape victims should be given emergency contraceptives so that they do not end up into a psychological problem when they get pregnant.
6.  All rape victims should be given post exposure HIV prophylaxes so that they do not end up in getting HIV.
7.  All rape victims should be given preventive drugs to prevent from future sexually transmitted illnesses.
8.  Prostitution (female sex workers) should be legalized as they provide a method of sexual ease for those who do not have partners.
9.  MSM and FSF should be legalized as they constitute upto 5% of the society. (Male having sex with male and female having sex with female).
10. Education should be crated in schools that western culture is not acceptable in India. In western culture, touching the area above the diaphragm may not constitute an assault and touching an area below diaphragm constitutes an assault.
11. Some women, as a normal behavior, tend to touch the male friends which can be taken as an indication for sexual advances by the male with weak mind.
12. Some girls do not mind getting kissed and may accept it as an acceptable social behavior but the same may be understood as a sexual advancement by a male with weea mind.
13. Many males think that women who drink or smoke are women with excessive sexual desires and do not mind sexual advancements.

Salt restriction increases efficacy of RAAS blockade

In patients with nondiabetic CKD, sodium restriction on top of single and dual renin-angiotensin-aldosterone system (RAAS) blockade increases circulating levels of the anti-inflammatory and antifibrotic peptide N-acetyl-seryl-aspartyl-lysyl-proline (AcSDKP), according to a secondary analysis of a 46-patient randomized clinical trial in the Journal of Hypertension.

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 mantra
VIP’s on CPR 10 Mantra Video
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Music As A Drug

sprritual blog

Our body is the largest pharmaceutical group in the world and has the capacity to heal each and every disease. The very fact that there is a receptor for every drug in the body, the body has the capacity to produce that drug. Music is one such modality which can heal by initiating various chains of chemical reactions in the body.

1. Chanting vowels produces interleukin 2 in the body which works like a pain-killer
2. Chanting nasal consonants produces tranquilizers in the body.
3. Sounds like LUM are associated with fear, VUM with attachments, RUM with doubt, YUM with love, HUM with truthfulness and AUM with non-judgmental.
4. In music various chemical can be produced in the body via chanting various vowels and consents.
5. Nasal consonants are vibrant sounds and produce vibrations of the autonomic plexus causing balance between sympathetic and parasympathetic states. More the nasal consonants in music more will be its relaxing healing power. 6. Listening to overtone chanting in music can also heal people in the vicinity of the music.
7. Recitation of music can also increase or decrease the respiratory rate of the singer. Any lyric which reduces respiratory rates will lead to parasympathetic healing activity. The respiratory rate of a listener can also increase and decrease if he is absorbed in the song.
8. Listening to a song word by word by understanding its meaning can also change the biochemistry of the listener. A song can create an excitement or a feeling of depression.
9. Song can also work like intent by speaking in the form of prayers. Group prayers can have powerful affects and convert intent into reality through the concept of spontaneous fulfillment of desire.
10. Music is often linked with dance both classical and western which provides additional healing.
11. Gestures, mudras, bhavs and emotions associated with song produce parasympathetic state in both the singer and the listener.

cardiology news

How often do you stop to count your blessings?

A Mother was reading a magazine and her cute little daughter every now and then distracted her. To keep her busy, she tore one page on which was printed the map of the world. She tore it into pieces and asked her to go to her room and put them together to make the map again.

She was sure her daughter would take a lot more time and probably whole of day to get it done.

But the little one came back within minutes with perfect map. When she asked how she could do it so quickly, she said, "Oh Mom, there is a man's face on the other side of the paper. I made the face perfect to get the map right." she ran outside to play leaving the mother surprised.

Moral: Perhaps there is always the other side to whatever you experience in this world.

This story indirectly teaches a lesson. That is: Whenever we come across a challenge or a puzzling situation, look at the other side...& will be surprised to see an easy way to tackle the problem or an acute difficulty.

News Around The Globe


  • Naloxone use for opioid-related oversedation and respiratory depression was more common in patients with at least one of five risk factors viz. renal or cardiac disease, respiratory depression, a history of smoking, and use of a central nervous system (CNS) depressant as reported at the meeting of the American Society of Health-System Pharmacists.
  • A 25-year retrospective study of 2,097 patients reported online in Arthritis & Rheumatism observed that peripheral neuropathy is a more common manifestation of systemic lupus erythematosus (SLE) than has been previously appreciated, and often is a small-fiber neuropathy affecting the dorsal root ganglia. Unlike most small-vessel neuropathies, which have a characteristic "stocking and glove" distal pattern of involvement, the majority of affected SLE patients had a highly unusual pattern of pain in the torso, face, proximal extremities, and even the whole body.
  • A primary prevention trial presented at the San Antonio Breast Cancer Symposium concluded that anastrozole (Arimidex) reduced the risk of breast cancer by 53% in high-risk postmenopausal women. The incidence reduced to 2% over 5 years compared with 4% on placebo.
  • The Allergenic Products Committee of the US Food and Drug Administration (FDA) voted unanimously to recommend Timothy Grass Pollen Allergen Extract Tablet for Sublingual Use (MK-7243) (Grastek) for the treatment of Timothy grass pollen–induced allergic rhinitis, with or without conjunctivitis, in individuals aged 5 to 65 years, with the understanding that autoinjected epinephrine will be available to patients at home.
  • The use of synthetic cannabinoids, known on the street as "K2" or "spice," can trigger acute psychosis, prompting the condition to be dubbed "spiceophrenia" because of the similarity to schizophrenia symptoms. In a study, nearly all of the patients presented with severe agitation, disorganized thoughts, paranoid delusions, and assaultive behavior. Other common symptoms included suicidal ideation (30%), anxiety (28%), depression (20%) and catatonia (0.05%).

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Rabies News (Dr. A K Gupta)

Can a pregnant woman be given pre-exposure vaccination?

Although no teratogenicity or other adverse effects have been reported with modern rabies vaccines, pre-exposure vaccination should be avoided in pregnant woman.

cardiology news

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

  • A new meta-analysis published in the December 3 issue of Neurology has shown that levels of B-type natriuretic peptide (BNP) are associated with poststroke mortality independent of stroke severity, age, and sex. However, measuring BNP in clinical practice seems difficult because levels add only minor predictive value to clinical information, the authors conclude. BNP, a vasoactive hormone with natriuretic, diuretic, and vasodilator activity, and the inactive N-terminal fragment (NT-proBNP) have been associated with unfavorable clinical outcome and mortality in stroke patients.
  • The rate of hospitalization for acute myocardial infarction (MI) has declined over time for both men and women overall, but there's been an increase among women younger than 56, a study in British Columbia showed. An increase in the hospitalization rate of 1.7% per year from 2000 through 2009 along with greater risk of dying within 30 days of hospital discharge was observed in women compared with men.
cardiology news

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

  • A study published in the International Journal of Epidemiology has provided the strongest evidence yet for a link between fathers' diabetes and low birth weight. The findings show that people of below average birth weight are more likely to have a father with late onset diabetes (most likely type 2 diabetes).
  • Through lotions, shampoos and other personal care products (PCPs), infants and toddlers are likely becoming exposed to potentially harmful substances, called parabens, at an even higher level than adult women in the U.S., researchers have reported. They published their findings on parabens, which have been linked to reproductive and other health issues, in the ACS journal Environmental Science & Technology.
cardiology news

Revival of heart after death

  • It is possible to save the life of a person within 10 minutes of death.
  • Consciousness does not leave the body till the brain is alive.
  • It takes upto 10 minutes for the brain to die permanently and once that happens, life cannot be brought back.
  • The Savitri-Satyavan story can be equated to be the first mythological example of revival with Savitri fighting with Yamraja and reviving Satyavan’s life back after sudden cardiac death.
  • Following are the terms which, if learnt properly, can save the life of a person:

o Savitri Yagna is the process of learning to revive a person after death and the technique is called CPR 10.
o Savitri Dharma means that one’s purpose of life should be to save somebody who has died accidentally and suddenly before time.
o Savitri Mantra is the mantra which should be recited by everybody till it is remembered at the level of your consciousness and the mind, “Marne ke dus minute ke under kam se kam dus minute tak 10x10=100 per minute ki raftar se apni chhati peetne ke badle mare hue aadmi ki chhati peeto”.
o Next step is Savitri Aasan i.e. in which position to save the life of the person. For this the dead person is made to lie on the floor and bystander should sit on his knees by his side.
o Next is Savitri Mudra, which means getting ready to compress the centre of the chest of the dead victim with both arms outstretched keeping the elbows straight.
o Savitri House is the location where the compression has to be done on the dead person; this should be in between the two nipples.
o Savitri Karma means to compress the centre of the chest of the dead victim with a speed of 10x10=100 per minutes.
It is possible to revive 80% of the people who die suddenly before time, especially due to heart attack, drowning and electrocution.

cardiology news

Total CPR since 1st November 2012 – 77787 trained

Media advocacy through Web Media

web media webmedia webmedia
press release

CPR 10 Utsav Inaugurated

New Delhi: 15th December 2013: Inaugurating a day-long hands-only CPR 10 Utsav, Mr. Jalaj Shrivastava Chairman NDMC said that cardiac first aid training in hands-only CPR 10 should be provided in every school and college as part of their educational programme. It has now become possible to train everybody as mouth to mouth resuscitation is no more required.

In his message, Mr D M Sapolia Chief secretary Govt of Delhi said that all heart patients must ensure that their relatives and employee learn this technique as heart patients are at risk for sudden cardiac arrest and they can be revived if the bystander at that point of time can attempt CPR 10 on them if they develop cardiac arrest.

Padma Shri and Dr B C Roy National Awardee and President Heart Care Foundation of India Dr. K K Aggarwal and Dr P K Sharma, MOH NDMC said that all healthcare personnel including security personnel in the hospital premises, bus conductors, bus drivers, police personnel etc. should also be trained in CPR 10 as they are the first ones to reach if a person has cardiac arrest.

Dr. Aggarwal further said that CPR 10 is only effective if it is attempted within 10 minutes of cardiac arrest. The Foundation released the CPR 10 mantra, which in Hindi reads as “Marne ke dus minute ke under dus minute tak aur 10 x 10 yani 100 prati minute ki speed se apni chhati peetne ke badle marne wale ki chhati peeto.”

In English it can be remembered as “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.”

The journalists should also be trained in the technique as they are also among the first ones to reach the victim’s place. The chances of revival are up to 60 per cent if attempted within 10 minutes and these chances can be increased if there is availability of public access defibrillators.

Dr. Aggarwal said that the Government should issue an advisory so that every public place where there is a gathering of more than 50 people, which includes trains, buses, malls, hotels and restaurants it should be compulsory for them to have their staff trained in CPR 10 and also to make available public access defibrillators. As of today, only airlines have made it mandatory to have public access defibrillators.

Over 3000 persons were trained in a single sitting today.

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 77787 people since 1st November 2012.

emedipicstoday emedipics

CPR 10 Utsav Inaugurated

press release

5 of the Best Workouts You Can Ever Do: Harvard Medical School

vedio of day

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

Prevalence of HIV infection in India is:

a.1.8 millon
b.2.3 million
c.4.5 million
d.6.7 million

Yesterday’s Mind Teaser: All of the following are the electrocardiographic features of severe hyperkalemia except:

1. Peaked T waves.
2. Presence of U waves.
3. Sine wave pattern.
4. Loss of P waves.

Answer for yesterday’s Mind Teaser: 1. Clostridium tetani.

Correct answers received from: Dr.K.Raju, Dr Ajay Gandhi, Dr.K.V.Sarma, Dr. Mihir Vora, Dr. V.P. Thakral, DR APRAN GANDHI, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, DR AVTAR KRISHAN, Dr.PNN Pisharody,Muthumperumal Thirumalpillai

Answer for 14th December Mind Teaser: 2. Presence of U waves.

Correct answers received from: DR. SUSHMA CHAWLA, Dr Prakash Khalap

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

A Wife's Wishes

A woman finds Aladdin's magic lamp. She starts rubbing it and a Genie comes out as usual. The woman looks at the Genie and asks him to grant her wishes:

- I want my husband to have eyes only for me.

- I want to be the only one in his life.

- I want him to sleep always by my side.

- I want that when he gets up in the morning I'm the first thing he grabs and takes me everywhere he goes.

The Genie turned her into a Smart Phone....

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

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

Coalitions though successful have always found this, that their triumph has been brief. Benjamin Disraeli

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 #CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm

Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President
Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman
Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

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medicolegal update
  1. Dear Sir, Very informative newspaper. Regrds: Dr Kapil.

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