eMedinewS 26th July 2013, Friday

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; 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

Kidney stones linked to higher heart risk

Bad news for North Indian who live in a stone belt as two large prospective cohort studies have shown that women (not men) with a history of kidney stones have a modestly increased risk of coronary heart disease. The magnitude of the increase ranged between 20% and 50% in the two studies. Similar increases emerged from separate analyses of fatal and nonfatal heart attacks and revascularization. The findings are reported by Dr Pietro Manuel Ferraro, of Columbus-Gemelli Hospital in Rome, and colleagues online in the Journal of the American Medical Association. The findings suggest that women with a history of nephrolithiasis might warrant more scrutiny for signs of heart blockages.

A previous study has indicated that light exercise can lower the risk of kidney stones in women.

Several other studies have identified associations between nephrolithiasis and systemic diseases, including atherosclerosis, hypertension, diabetes, metabolic syndrome, and cardiovascular disease.

In the present study the investigators analyzed data from three large, prospective cohort studies including 45,748 men, ages 40 to 75, and 196,357 women, ages 30 to 55, all without heart blockages at baseline. The studies' data encompassed follow-up of 18 years in women and 24 years in men. .... Read More

Aflatoxin, a fungus can worsen AIDS epidemic

As per a study in World Microtoxin Journal and reported in Science Daily, a type of fungus coatin seen on stored corn, wheat, rice and nut may worsen the AIDS epidemic in developing countries.

Aflatoxin is produced by fungus Aspergillus flavas and parasiticus. Chronic exposure to aflatoxin is linked to liver damage and cancer. The study showed that patients who had the highest exposure of the fungus on the rice were six times more likely to have high HIV virus than those in the lower group.

The fungus toxin may suppress immune system or may increase the expression of genes that results in more copies of virus. ... Read More

FDA to regulate and possibly ban menthol in cigarettes

FDA has issued an Advance Notice of Proposed Rulemaking, which requests information from the public regarding the effects of menthol in cigarettes and possible regulatory options. The comment period will last for 60 days before the FDA makes a decision. If a rule is ultimately proposed, there will be another comment period.

Menthol is associated with increased initiation and greater progression to regular smoking, increased dependence, and reduced success in quitting, particularly among black smokers.

Menthol's cooling and anesthetic properties can reduce the harshness of cigarette smoke and the evidence indicating that menthol cigarettes are marketed as a smoother alternative to non-menthol cigarettes, make it likely that menthol cigarettes pose a public health risk above that seen with non menthol cigarettes.

Menthol -- which makes tobacco smoke more palatable -- helps people to start and continue smoking and makes it harder to stop.

For years, pediatricians have called for the elimination of all flavored tobacco products, including menthol. Candy and other flavors make tobacco products more attractive to children, and it's time to stop manufacturing products that we know will lead many of today's children to nicotine addiction, unnecessary illness, and premature death.

Menthol and other flavors are dangerous in all tobacco products -- whether in cigarettes, cigars, or other types of tobacco. .... Read More

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 10x10 i.e. 100 per minute.”

VIP's on CPR 10 Mantra Video
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog Facts about Soul and the Spirit

• Energy is the raw material of the universe.
• Information is the organization of energy into reproducible patterns.
• Consciousness is living information and energy (living energized information)
• Consciousness is, therefore, intelligence.
• 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.
• 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. ....Read More

cardiology news

The Real Pearl Necklace

Jenny was a bright-eyed, pretty five-year-old girl. One day when she and her mother were checking out at the grocery store, Jenny saw a plastic pearl necklace priced at $2.50.

How she wanted that necklace, and when she asked her mother if she would buy it for her, her mother said, “Well, it is a pretty necklace, but it costs an awful lot of money. I’ll tell you what. I’ll buy you the necklace, and when we get home we can make up a list of chore that you can do to pay for the necklace. And don’t forget that for your birthday Grandma just might give you a whole dollar bill, too. Okay?”

Jenny agreed, and her mother bought the pearl necklace for her. Jenny worked on her chores very hard every day, and sure enough, her grandma gave her a brand new dollar bill for her birthday. Soon Jenny had paid off the pearls.

How Jenny loved those pearls. She wore them everywhere-to kindergarten, bed and when she went out with her mother to run errands. The only time she didn’t wear them was in the shower; her mother had told her that they would turn her neck green.

Now Jenny had a very loving daddy. When Jenny went to bed, he would get up from his favorite chair every night and read Jenny her favorite story. One night when he finished the story, he said, “Jenny, do you love me?”

“Oh yes, Daddy, you know I love you,” the little girl said. “Well, then, give me your pearls.”

“Oh! Daddy, not my pearls!” Jenny said. “But you can have Rosie, my favorite doll. Remember her? You gave her to me last year for my birthday. And you can have her tea party outfit, too. Okay?”

“Oh no, darling, that’s okay.” Her father brushed her cheek with a kiss. “Good night, little one.” A week later, her father once again asked Jenny after her story, “Do you love me?”

“Oh yes, Daddy, you know I love you.” “Well, then, give me your pearls.”

Oh, Daddy, not my pearls! But you can have Ribbons, my toy horse. Do you remember her? She’s my favorite. Her hair is so soft, and you can play with it and braid it and everything. You can have Ribbons if you want her, Daddy,” the little girl said to her father.

“No, that’s okay,” her father said and brushed her cheek again with a kiss. “God bless you, little one. Sweet dreams.”

Several days later, when Jenny’s father came in to read her a story, Jenny was sitting on her bed and her lip was trembling. “Here, Daddy,” she said, and held out her hand.

She opened it and her beloved pearl necklace was inside. She let it slip into her father’s hand. With one hand her father held the plastic pearls and with the other he pulled out of his pocket a blue velvet box. Inside of the box were real, genuine, beautiful pearls.

He had them all along. He was waiting for Jenny to give up the cheap stuff so he could give her the real thing.

...Read More

News Around The Globe

  1. Poor adherence to antihypertensive therapy increases short- and long-term risk of stroke among hypertensive patients, according to a study using records from Finnish national registers for 1 January 1995 to 31 December 2007 and reported in the European Heart Journal.
  2. Doctors have discovered a compound that mimics the action catestatin, a hormone that controls the secretion of catecholamines, which in turn regulate blood pressure.
  3. According to a retrospective cohort study published online July 24 in JAMA Surgery, duodenal anastomosis appears to be preferred over jejunal anastomosis for biliary reconstruction, as it is safe and simple, with low rates of leak, stricture, cholangitis, and bile gastritis. (Source: Medscape)
  4. A guideline published in January on brain scans for beta-amyloid plaques has been updated to address concerns raised by a key government advisory committee. (Source: Medpage Today)
  5. Further examination of outpatient and household settings and a reduction in proton pump inhibitor (PPI) use are strategies that should be implanted in addition to reducing inappropriate antibiotic use and providing better infection control in outpatient settings to control Clostridium difficile infection . (Source: Medscape)
  6. Seniors with diabetes were at more than a 50% increased risk for physical disability and disability in daily living activities, researchers found. (Source: Medpage Today)

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.

Happy reading…

Infertility News (Dr Kaberi Banerjee, IVF expert, New Delhi)

If I have hydrosalpinx, can I have a baby?

If your fallopian tubes are completely blocked, an egg cannot travel through them to your womb. You will need to be treated by a doctor before you can get pregnant. If there is too much damage to the tubes, an egg might not be able to travel through them even if they are opened. You will need treatments that do not involve the tubes to help you get pregnant. One of these treatments is called vitro fertilization (IVF). In this procedure, your egg and the man’s sperm are joined (fertilized) in the laboratory. Then the doctor places the fertilized eggs (embryos) into your womb.

Rabies News (Dr. A K Gupta)

What does humanizing your dog means?

  • Talking to your dog like he/she is a person.
  • Treating your dog like he/she is a person.
  • Allowing dogs to do what they want because it will hurt their “feelings.”
  • Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

cardiology news

Strokes tied to tainted steroid injections

Researchers reporting a small series of case studies reported in JAMA Neurology recommend that there should be a "high index of suspicion for possible fungal meningitis" when ischemic stroke occurs in the posterior circulation and patients have a history of epidural spinal injections. In these three cases, one patient experienced a stroke a full month after an epidural injection of contaminated methylprednisolone, and the other two presented with stroke 2 weeks post injection. (Source: Medpage Today)

Echo screening in asymptomatic adults has no mortality benefit

Randomly screening all individuals for structural heart disease with echocardiography does not translate into improved survival, nor does it reduce the risk of MI or stroke in these asymptomatic individuals. These are the conclusions of a randomized study that is part of the larger Tromsø study, a population-based cohort study conducted in Norway. The results support the existing clinical guidelines, which state echocardiography is not recommended for cardiovascular risk assessment in individuals without symptoms that warrant screening. (Source: Medscape)

Valvular Heart Disease News

Intra-operative TEE, especially live 3D TEE, provides excellent diagnostic accuracy and helps surgical planning.

(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

Low omega-3 in kids linked to behavior, cognitive deficits

Blood levels of omega-3 fatty acids in school-aged children in the United Kingdom (UK) are well below the minimum recommended for good cardiovascular health in adults. A new study has reported that low levels of omega-3, particularly docosahexaenoic acid (DHA), which is found in fish, seafood, and some algae, are associated with worse performance on reading tests and working memory, and more symptoms of attention-deficit/hyperactivity disorder (ADHD) in the children, even after controlling for sex and socioeconomic status. (Source: Medpage Today)

Tailor Tx for arrhythmias in kids, groups say

Arrhythmia treatment for children takes special considerations for drugs, ablation, and devices, as outlined in new European recommendations. The consensus statement from the European Society of Cardiology's European Heart Rhythm Association and the Association for European Paediatric and Congenital Cardiology has observed that while the same drugs can work for both adults and children, doses and indications differ. Children should not be given drugs based only on a complaint of palpitations or suspicious symptoms without recorded events occurring frequently enough to consider treatment. (Source: Medpage Today)

cardiology news

Mathematics of weight loss

  • To lose one pound by exercising, you need to burn approximately 3,500 calories. (2.2 pound is one kg).
  • This can be done by exercising and cutting calories.
  • Walking or jogging uses roughly 100 calories per mile.
  • One would lose a pound for every 35 miles of walk (provided food intake and other activities are constant.)
  • Walking briskly (4 miles per hour) for 30 minutes on five days a week will be equal to walking 10 miles a week. So it would take 3 ½ weeks to lose one pound provided the number of calories stays the same.
  • Cutting back by 250 calories a day (½ cup of ice cream or two sugar-sweetened sodas) will lead to a loss of a pound in two weeks.
  • By eating 250 fewer calories and walking for 30 minutes a day, it would take a week to lose one pound. (Harvard Newsletter)

...Read More

cardiology news

Maternal age plays a major role in determining a woman's fertility, regardless of the means used to achieve pregnancy (except donor egg)

cardiology news
  1. 23rd July: HCFI Executive Meeting


CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh


CPR Classes: Persons trained (1336)

19th July: CPR Moolchand 29

20th July: CPR Moolchand 28

22nd July: CPR Moolchand 26

23rd July: CPR Moolchand 26

24th July: CPR Moolchand 27

25th July: CPR Sahodaya Sr. Sec. School, SDA, New Delhi (1200)

CPR VIP Sensitization

24th July: Imtiaz alam from pakistan doing CPR

Total CPR since 1st November 2012 – 56811 trained

TV and Radio Coverage

24th July: Interview in Sahara TV on iron tablets

Video Chats and uploads

Dr KK Aggarwal on NEWS 24

Dr KK Aggarwal on Monsoon Take Care

Dr KK Aggarwal on Danger of Epidemics (Uttarakhand Disaster)

1308 students learnt CPR at Abhinav Public School, Rohini

CPR Utsav 6th April 11543 men and women Trained in 1 day

Dr KK Aggarwal on 4 REALNEWS JUNE 26 2013 On Uttarakhand Disaster

Symposium on Prayer, Faith, Meditation and healing part 9

Symposium on Prayer, Faith, Meditation and healing Part 8

Advocacy through

Print Media

21st July: Saha Times

21st July: Viraat Vaibhav

22nd July: Veer Arjun

22nd July: Viraat Vaibhav

23rd July Veer Arjun

24th July: Veer Arjun

25th July: New Ad n Face-year-14, issue-7

Media advocacy through Web Media

Eating Disorders are contagious 24th July


Obsessively yours: Signs that you may have OCD

Obsessive-compulsive disorder (OCD) is disabling and potentially chronic anxiety disorder and is characterized by anxiety-provoking intrusive thoughts and repetitive behaviors, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President Elect IMA.

Obsessions may consist of aggressive thoughts and impulses, fears of contamination by germs or dirt, or fears of harm befalling someone. Compulsions such as washing, checking, or counting are rituals whose purpose is to neutralize or reverse the fears.

OCD occurs in 2 to 3 percent of the population. People with OCD have uncontrolled thoughts that compel them to develop habits or rituals to ease their anxiousness. The Anxiety Disorders Association of America offers this list of potential warning signs of OCD:

  • Persistent irrational fears or concerns, commonly about being dirty or getting sick.
  • Obsessing about things being in order or arranged a certain way.
  • Being afraid that your thoughts or actions will cause harm to you or someone else.
  • Hoarding objects with no value.
  • Irrational doubts or fears that you will harm someone else.
  • Impulsively and repeatedly cleaning your body or your home.
  • Repeatedly checking something, such as if the doors are locked, appliances are unplugged or the stove is turned off.
  • Habits such as repeatedly saying a word or a name, or walking in the same place or in the same way.
  • Constantly re-living conversations, repeating words or counting.

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 56811 people since 1st November 2012.

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 10x10 i.e. 100 per minute.”

today emedipics

Heart Care Foundation of India Organizes a CPR 10 Training camp at Sahodaya Sr Sec. School, SDA, New Delhi on 25th July 2013.

press release

Weight loss may improve sexual health of obese diabetes

today video of the daySmart Phones Benefits and Hazards

Beware of Artificial Medicine

Dr KK Aggarwal on Pollution in Delhi

eMedi Quiz

Read this…………………

When caring for children who are sick, who have sustained traumas, or who are suffering from nutritional inadequacies, Nurse Ron should know the correct hemoglobin (Hb) values for children. Which of the following ranges would be inaccurate?

a. Neonates: 10.6 to 16.5 g/dl
b. 3 months: 10.6 to 16.5 g/dl
c. 3 years: 9.4 to 15.5 g/dl
d. 10 years: 10.7 to 15.5 g/dl

Yesterday’s Mind Teaser: Dr. Smith suspects tracheoesophageal fistula in a 1-day-old neonate. Which nursing intervention is most appropriate for this child?

a. Avoiding suctioning unless cyanosis occurs
b. Elevating the neonate’s head and giving nothing by mouth
c. Elevating the neonate’s head for 1 hour after feedings
d. Giving the neonate only glucose water for the first 24 hours

Answer for yesterday’s Mind Teaser: b. Elevating the neonate’s head and giving nothing by mouth

Correct answers received from: Tukaram Pagad, Dr Abbas Vakil, Dr PK Sahu, Dr Bitaan Sen & Dr Jayashree Sen, Dr PC Das, Dr KV Sarma, Dr (Maj. Gen.) Anil Bairaria, Dr Arpan Gandhi, Dr Vishal D Wahane, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Raju Kuppusamy, Dr Avtar Krishan, Dr AJ Dabawala, Dr BK Agarwal.

Answer for 23rd July Mind Teaser: d. HIB, DTP, HepB; and IPV

Correct answers received from: Tukaram Pagad, Dr KV Sarma, Dr (Maj. Gen.) Anil Bairaria, DR Arpan Gandhi, Dr Vishal D Wahane, Dr BK Agarwal, Dr Bitaan Sen & Dr Jayashree Sen, Daivadheenam.

Send your answer to ijcp12@gmail.com

eMedi Apps

medicolegal update

Click On Image for Enlarge

medicolegal update

Communication technician

A communication technician drafted by the army was at a firing range. At the range, he was given some instruction, a rifle and 50 rounds. He fired several shots at the target. The report came from the target area that all attempts had completely missed the target. The technician looked at his weapon, and then at the target. He looked at the weapon again, and then at the target again. He then put his finger over the end of the rifle barrel and squeezed the trigger with his other hand. The end of his finger was blown off, whereupon he yelled toward the target area: "It’s leaving here just fine, the trouble must be at your end!"

medicolegal update
medicolegal update

Click On Image for Enlarge

medicolegal update

Situation: Sir, he collapsed after sublingual nifedipine was given.
Reaction: Oh, my God! I forgot to check for LVOT obstruction.
Lesson: Make sure that the patient does not have LVOT obstruction (left ventricular outflow tract) before giving sublingual nifedipine.

medicolegal update

Love looks through a telescope; envy, through a microscope. Josh Billings

medicolegal update

Dr KK Aggarwal: Over 50 focus only on upper blood pressure
http://bit.ly/12vFIfq #Health

Dr Deepak Chopra: Reality cannot be experienced or known through a system of thought scientific or philosophical
http://bit.ly/12vFIfq #Health

medicolegal update

NA MA - means not we - but one. We both are reflections of the same Divinity. That's All. With Regards: Yours Sincerely, Dr. KS Ananda Kumar

Forthcoming Events

28th July Free Health Check up Camp at Moolchand Medcity, New Delhi

29th September -Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

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