eMedinewS25th June 2014, Wednesday

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

WHO recommendations for poliovirus vaccination

In May 2014, the World Health Organization issued poliovirus vaccination recommendations for all residents and long–term visitors (>4 weeks) exiting 10 poliovirus-affected countries in order to prevent further spread of the disease.

The recommendations apply to Afghanistan, Cameroon, Equatorial Guinea, Ethiopia, Iraq, Israel, Nigeria, Pakistan, Somalia, and Syria. A dose of a poliovirus vaccine should be given within the year prior to exit from those countries. The burden for implementation of these recommendations lies with the poliovirus–affected countries. Although these recommendations are for vaccination on exit from the listed countries, travel health practitioners should be aware of individual country requirements in order to discuss whether vaccination prior to travel to the listed countries might be advisable. In the United States, the Centers for Disease Control and Prevention recommends that travelers to poliovirus–affected areas be fully vaccinated against poliovirus, including a one-time booster dose for adults. (Source: Uptodate)

News Around The Globe

  • A new randomized, double–blind, placebo–controlled study has shown that calcium and vitamin D supplementation may cause hypercalciuria and hypercalcemia in some postmenopausal women. Therefore, the authors suggest that blood and urine calcium levels must be measured at baseline and every 3 months in women taking the supplements. The study has been published online in Menopause.
  • A phase II study from Finland has reported that celiac patients treated with a gluten–specific enzyme may be less exposed to gluten and its potentially harmful effects. Researchers noted that the gluten–specific protease ALV003 could attenuate gluten–induced injury to the small intestinal mucosa in celiac disease patients. The study was published online in Gastroenterology.
  • A new study presented at the ICE/ENDO 2014 has shown that the number of taste buds on the tongue declines as the age advances and this may be important since the fewer the taste buds, the higher the fasting plasma glucose (FPG) level. This could explain, in part, the increased incidence of type 2 diabetes among older adults.
  • Patients with schizophrenia switched from oral antipsychotics to once–monthly aripiprazole, a long–acting injectable antipsychotic, experienced a significant decline in their rates of psychiatric hospitalizations compared with their experience with the oral medications, reports a new study presented at the American Society of Clinical Psychopharmacology (ASCP) 2014 Annual Meeting.
  • A 24–hour transdermal rotigotine (RTG) patch has the potential to reduce the severity of symptoms for patients with restless legs syndrome (RLS) who have not responded to other treatments, reported a new study presented at the 18th International Congress of Parkinson’s Disease and Movement Disorders in Stockholm.

Rabies News (Dr A K Gupta)

What should be done to a person who has consumed milk of a rabid animal?

If a person has consumed milk of a rabid animal, counseling should be done. If counseling is not effective, then PEP by IM or ID route or as a last resort, a course of PEP (only vaccine) should be given.

If the milk is boiled or heated then only counseling or at the most a course of PEP should be given only due to compulsions in medical practice in Indian setting.

Cardiology eMedinewS

  • Follow–up results from a pooled analysis of the EFFORTLESS S–ICD Registry and initial investigational device exemption (IDE) study, presented at CardioStim 2014, have shown that with the new subcutaneous implantable cardioverter defibrillator (ICD) from Boston Scientific, just over 90% of patients are free from complications at two years. The total complication rate and the infection and erosion rates were comparable to those associated with the conventional transvenous ICD.
  • The preliminary results from the first human implants of the world’s smallest pacemaker, the Micra(TM) Transcatheter Pacing System (TPS) were presented at the CARDIOSTIM/EHRA EUROPACE 2014. At 1 month and 3 months, results revealed the Micra TPS was successfully implanted in all patients, aged 74 to 83 years, with no major complications post–implant.

Pediatrics eMedinewS

  • A study published online June 23 in Environmental Health Perspectives has revealed that prenatal exposure to organophosphates and other commonly applied agricultural pesticides is associated with the development of autism spectrum disorder (ASD) and developmental delay (DD).
  • A new study published in Developmental Psychology has reported that if a child has strong bonds with his parents, he is likely to be a positive, responsive playmate, and he'll be able to adapt to a difficult peer by asserting his needs.

Dr K K Spiritual Blog

How to convert Dakshinayana into Uttarayana at the time of death?

As per Bhagavad Gita whatever your thoughts are through life will be your thoughts at the time of your death and whatever thoughts are there at the time of your death will be your thoughts in your future birth.

Bhagavad Gita says that the best time to die is Uttarayana, before full moon, in day time or in the presence of Yagna. Does it mean that the people who die in Dakshinayana or 15 days before Amavasya or during night will suffer and will not get liberation or they will go to the hell?

No. If this would have the intention, Bhagavad Gita would not have mentioned it at all as this would have created unrest in 50% of the society.

What they probably meant was that everybody at the time of death should be in a positive frame of mind. If they are not, efforts should be made to create positive frame of mind for them which means that if a person is dying in night or 15 days before Amavasya, one can create an atmosphere of Uttarayana or full moon by creating enough artificial light as if it is day time or doing Yagna in the vicinity of the dying person and/or enchanting of any religious Mantra, for example, Gayatri Mantra in the ear of the dying person.

Efforts should also be made to talk positive in his or her presence. Ayurvedic or Homeopathic consultants can be contacted if they have any medicine which can convert negative state of mind into positive state of mind.

In the process of death a dying person can hear till his last karma indriyas and gnana indriyas are functioning.

In Hindu mythology, chanting of Rama or Aum at the time of death does the same thing.

Wellness Blog

Natural foods and not supplements prevent heart disease

One should eat seasonal and locally grown natural food and vegetables grown out of organic farms. Eat less, dinner lighter then lunch, eat natural and in moderation– are few of the mantras.

Eating food supplements can be harmful. According to the American Heart Association (AHA), supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.

High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all–cause mortality.

Supplementation with vitamin C does not prevent a second heart attack.

Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

As per the AHA, current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets that are rich in natural antioxidants are associated with lower cardiovascular mortality.

Inspirational Story

The Wooden Bowl – Touching Story

A frail old man went to live with his son, daughter–in–law, and a four–year old grandson. The old man’s hands trembled, his eyesight was blurred, and his step faltered. The family ate together nightly at the dinner table. But the elderly grandfather’s shaky hands and failing sight made eating rather difficult. Peas rolled off his spoon onto the floor. When he grasped the glass often milk spilled on the tablecloth. The son and daughter–in–law became irritated with the mess. "We must do something about grandfather," said the son. I’ve had enough of his spilled milk, noisy eating, and food on the floor. So the husband and wife set a small table in the corner. There, grandfather ate alone while the rest of the family enjoyed dinner at the dinner table. Since grandfather had broken a dish or two, his food was served in a wooden bowl. Sometimes when the family glanced in grandfather’s direction, he had a tear in his eye as he ate alone. Still, the only words the couple had for him were sharp admonitions when he dropped a fork or spilled food. The four–year–old watched it all in silence.

One evening before supper, the father noticed his son playing with wood scraps on the floor. He asked the child sweetly, "What are you making?" Just as sweetly, the boy responded, "Oh, I am making a little bowl for you and mama to eat your food from when I grow up." The four–year–old smiled and went back to work. The words so struck the parents that they were speechless. Then tears started to stream down their cheeks. Though no word was spoken, both knew what must be done. That evening the husband took grandfather's hand and gently led him back to the family table.

For the remainder of his days he ate every meal with the family. And for some reason, neither husband nor wife seemed to care any longer when a fork was dropped, milk spilled, or the tablecloth soiled.

Children are remarkably perceptive. Their eyes ever observe, their ears ever listen, and their minds ever process the messages they absorb. If they see us patiently provide a happy home atmosphere for family members, they will imitate that attitude for the rest of their lives. The wise parent realizes that every day building blocks are being laid for the child's future.

Let us all be wise builders and role models. Take care of yourself … and those you love, … today, and everyday!

ePress Release

Blood sugar goals

Correction and prevention of low blood sugar is beneficial to hospitalized patients, 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.

For most non–critically ill hospitalized patients with diabetes, one should have a target blood sugar of less than 180 mg/dL. In non–critically ill hospitalized patients, lower blood glucose levels may decrease the risk of poor clinical outcomes, but also increase the risk of hypoglycemia. A reasonable sugar goal to avoid low blood sugar is to achieve fasting blood glucose concentrations not less than 90 to 100 mg/dL.

Preventing a Peptic Ulcer

An ulcer is a breakdown in the lining of the stomach or the first part of the small intestine. A type of bacterial infection is the most frequent cause, but lifestyle factors may also raise the risk said Dr Aggarwal.

The following tips may prevent a peptic ulcer.

  • Limit alcohol to no more than two drinks daily.
  • Stop smoking or chewing tobacco.
  • If you need to take painkillers, avoid anti–inflammatory drugs (NSAIDs) such as naproxen, ibuprofen or aspirin.
  • Consider, with your doctor’s approval, paracetamol instead.

eMedi Quiz

A hybrid teledermatology is:

a. Combination of store and forward and mobile teledermatology
b. Combination of store and forward and video conference
c. Combination of online discussion group and author based second opinion teledermatology
d. Combination of online discussion group and video conference

Yesterday’s Mind Teaser: IRIS commonly occurs after how many weeks of ART initiation:

a. 1–4 week
b. 2–12 weeks
c. 12–24 weeks
d. After 6 months

Answer for yesterday’s Mind Teaser: b. 2–12 weeks

Correct answers received from: Dr Avtar Krishan, Dr Jainendra Upadhyay, Gajveer Singh, Daivadheenam Jella, Dr KV Sarma, Dr Palanivelrajan, Dr Prakash Khalap.

Answer for 23rd June Mind Teaser: c.90–100%

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr K V Sarma, Daivadheenam Jella, Dr Poonam Chablani, Dr K Raju, Tukaram Pagad.

Send your answer to ijcp12@gmail.com

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia after taking a light breakfast.
Reaction: Oh my God! Why was the insulin dose not reduced?
Lesson: Make sure that insulin dose is correct. The formula is 500/total daily dose. The value will be the amount of sugar fluctuation with 10 gm of carbohydrates.

eMedinewS Humor

That Darned Cat

A man absolutely hated his wife’s cat and decided to get rid of him one day by driving him 20 blocks from his home and leaving him at the park. As he was getting home, the cat was walking up the driveway.

The next day he decided to drive the cat 40 blocks away. He put the beast out and headed home. Driving back up his driveway, there was the cat!

He kept taking the cat further and further and the cat would always beat him home. At last he decided to drive a few miles away, turn right, then left, past the bridge, then right again and another right until he reached what he thought was a safe distance from his home and left the cat there.

Hours later the man calls home to his wife: "Jen, is the cat there?"

"Yes", the wife answers, "why do you ask?"

Frustrated, the man answered, "Put that darned cat on the phone. I’m lost and need directions!"

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

Heart Care Foundation of India announces the dates and program of the 21st MTNL Perfect Health Mela.

press release

Can vitamin D treat pain?

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 :


Quote of the Day

Children find everything in nothing; men find nothing in everything. Giacomo Leopardi


Twitter of the Day

Dr KK Aggarwal: Stress may increase smoking habits http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: If life is a dream and nothing is real then what is the purpose of living? http://tinyurl.com/lkz8hq4


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

Zoonosis 2014 9-1 PM

6 July 2014 Zoonosis 2014

Speakers Zoonotic disease in India
Dr Jyoti Misri Pr Scientist ICAR Govt of India

Inaugural address
Dr M L Madan Fmr DDG ICAR

Dr KK Aggarwal (To Moderate)

Bovine Tuberculosis and Brucellosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Dr Rishendra Verma Jt Dir.Centre for Animal Disease Research and Diagnosis IVRI Bareilly UP

Equine Encepahalitis
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines,Hissar Haryana

Cysticarcosis, Neurocysticercosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Rabies, Cat Scratch Disease
Dr. Ashok Bhardwaj Asstt.Prof. SKAUST Jammu

Swine Flu, Japanese Encepahlitis
Dr.P K Uppal Fmr FAO Expert on Flu
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines, Hissar Haryana

Bird Flu
Dr.P K Uppal Fmr FAO Expert on Flu

Mycotic Diseases

Dr.P P Gupta Fmr Dir.Research Punjab Agri Univ.

Food Borne Diseases Salmonellosis, tapeworms, teniasis

Dr.Lal Krishna
Fmr Animal Husbandry Commissioner Govt.of India.

Anthrax, Rota Virus, Carona Virus

Dr. A K Bhatia Professor & Head, Biotechnology Dept.GLA Univ. Mathura

Dr.M P Yadav Fmr Director IVRI Bareilly UP

Dr.C Bhattacharya Vety Public Health Spl. Delhi

Emerging Threats : JD,Crone's Disease,Nepha Virus,etc.

Dr.Shoorvir Singh Pr Scientist National centre for Res in Goats Makhdoom Agra


medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Very Informative news. Regards: Dr Karan
cardiology news

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