eMedinewS5th June 2014, Thursday

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

5 natural ways to overcome erectile dysfunction

  1. Start walking: 30 minutes of walking a day is linked with a 41% drop in risk for ED. Moderate exercise can help restore sexual performance in obese middle–aged men with ED.
  2. Eat right: In the Massachusetts Male Aging Study, eating a diet rich in fruit, vegetables, whole grains, and fish — with fewer red and processed meat and refined grains — decreased the likelihood of ED. A chronic deficiency in vitamin B12 may contribute to erectile dysfunction.
  3. Pay attention to your vascular health: High blood pressure, high blood sugar, high cholesterol, and high triglycerides can all damage arteries in the male organ. Low levels of HDL (good) cholesterol and an expanding waistline also contribute.
  4. Get slim and stay slim: Obesity raises risks for vascular disease and diabetes, two major causes of ED. And excess fat interferes with several hormones that may be part of the problem as well.
  5. Build pelvic muscles and not biceps: A strong pelvic floor enhances rigidity during erections and helps keep blood from leaving the penis by pressing on a key vein. In a British trial, three months of twice–daily sets of Kegel exercises (which strengthen these muscles), combined with biofeedback and advice on lifestyle changes — quitting smoking, losing weight, limiting alcohol — worked far better than just advice on lifestyle changes. (Source: harvard News Letter)

News Around The Globe

  • Continuous positive airway pressure (CPAP) therapy results in rapid improvement in blood pressure and arterial tone in adults with obstructive sleep apnea (OSA), reports a new study presented at SLEEP 2014, the 28th Annual Meeting of the Associated Professional Sleep Societies.
  • In patients with type 2 diabetes and albuminuria, treatment with emapticap pegol for 12 weeks reduces the mean albumin/creatinine ratio and the level of glycated hemoglobin (HbA1c). The novel agent directly targets inflammation in diabetic nephropathy and is safe and well–tolerated. The findings were presented at the European Renal Association–European Dialysis and Transplant Association (ERA–EDTA) 51st Congress.
  • Two new studies conducted in subjects participating in the Atherosclerosis Risk in Communities (ARIC) Brain MRI Study have found no association between vitamin D levels and cognition or cerebrovascular pathology. The cognition study and the MRI study were published online in the European Journal of Neurology and JAMA Neurology, respectively.
  • Myofascial release, a type of massage, has been noted to improve range of motion to the same extent as static stretching in the short–term, reports a new study presented at the American College of Sports Medicine 61st Annual Meeting.
  • A study published in the June 3 issue of the Annals of Internal Medicine has stated that colorectal cancer (CRC) screening is cost–effective in adults older than 75 years who have not had prior screening. Researchers noted that among unscreened elderly patients without comorbidities, CRC screening remained cost–effective up to the age of 86 years.

Rabies News (Dr A K Gupta)

How is a skin sensitivity test performed?

Inject 0.1 ml ERIG diluted 1:10 in physiological saline intradermally into the flexor surface of the forearm to raise a bleb of about 3–4 mm diameter. Inject an equal amount of normal saline as a negative control on the flexor surface of the other forearm.

After 15 minutes, an increase in diameter to >10 mm of induration surrounded by flare is taken as positive skin test, provided the reaction on the saline test was negative.

An increase or abrupt fall in blood pressure, syncope, hurried breathing, palpitations and any other systemic manifestations should be taken as positive test.

A negative skin test must never reassure the physician that no anaphylactic reaction will occur. Those administering ERIG should always be ready to treat early anaphylactic reactions with adrenalin. The dose is 0.5 ml of 0.1 percent solution (1 in 1000, 1mg/ml) for adults and 0.01 ml/kg body weight for children, injected subcutaneously or IM. If patient is sensitive to ERIG, HRIG should be used.

Most ERIGs that are presently manufactured are highly purified and the occurrence of adverse events has been significantly reduced. Unlike the original unpurified rabies antisera, which resulted in adverse reactions in as many as 40% of recipients, the adverse–reaction rate of patients receiving highly purified ERIGs has been reduced to <1–2%. However, adverse events like anaphylaxis cannot be completely ruled out.

Cardiology eMedinewS

  • A novel analysis of the PREDIMED study, presented at the European Atherosclerosis Society 2014 Congress (EAS 2014), has suggested that individuals who adhered to the Mediterranean diet supplemented with extra virgin oil had significant regression of the carotid vessel–wall volume in comparison with those who ate a control diet low in saturated fat.
  • A planned secondary analysis of the TERISA study has revealed that ranolazine modestly improves quality of life in type 2 diabetics taking it for angina. The study is published online June 2 in JAMA Internal Medicine.

Pediatrics eMedinewS

  • A study presented at the European Atherosclerosis Society 2014 Congress (EAS 2014) has suggested that young boys and girls with elevated systolic blood pressure—sufficient to be labeled prehypertensive—have a more adverse cardiovascular risk profile than those with normal blood pressure.
  • High doses of methylprednisolone have the potential to reduce stricture formation after esophageal burns in children who ingest caustic substances. The study is published online in Pediatrics.

Dr K K Spiritual Blog

Is the origin of ISO Certification from the Vedas?

Whatever you say or do means you are ISO certified.

In mythology, truthfulness means that you do what you think or say. ISO therefore is a Vedic stamp for truthfulness.

You need ISO certification in Kaliyuga as majority being Kaliyugi will not be doing what they say or think.

In traditional old business times, people used to transact on verbal assurances but today every one works on written agreements. The saying was "Prana Jaye per vachan na jaye".

Wellness Blog

Hospital safety incidents have 20% mortality

Patients who experience a patient safety incident have a 20 percent chance of dying as a result of the incident.

The 16 different patient safety concerns are:

  1. Complications of anesthesia
  2. Death in low mortality diagnosis related groups
  3. Bed sores
  4. Failure to rescue
  5. Foreign body left in during procedure
  6. Physician–induced pneumothorax (air in the lungs)
  7. Selected infections due to medical care
  8. Post–operative hip fracture
  9. Postoperative hemorrhage or hematoma
  10. Postoperative physiologic and metabolic derangements
  11. Postoperative lung failure
  12. Postoperative pulmonary embolism or deep vein thrombosis (clot in the legs or the lungs)
  13. Postoperative infections
  14. Postoperative wound dehiscence in abdominopelvic surgical patients
  15. Accidental puncture or laceration
  16. Transfusion reaction

Inspirational Story

Bringing up children

To bring up your children as well as you can, bear the following in mind.

*Spend more time on them and less money.

*Teach values such as honesty, integrity, patience and self control gradually and steadily, and that too by your own example.

*Praise them openly and often, remove secretly and seldom; reprimand the bad behavior, not your children.

Teach them self esteem and self confidence (something they’ll carry for the rest of their lives).

*Restrict television watching and recreation time. Keep a watch on your children’s company.

*Try to keep alcohol and drugs away from the house, or keep them in moderation.

*Maintain a happy and loving home environment.

*Give a lot of your time to your children, both in quality and quantity.

*Make humor and laughter a part of your relationship with children.

*Allow children to grow and learn through the mistakes they make.

*Hug and show feelings of love whenever possible.

*Communicate gently but clearly and firmly––get your point across.

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.

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 88972 people since 1stNovember 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."

eMedi Quiz

What is the best reason for the nurse in instructing the client to rotate injection sites for insulin?

A. Lipodystrophy can result and is extremely painful
B. Poor rotation technique can cause superficial hemorrhaging
C. Lipodystrophic areas can result, causing erratic insulin absorption rates from these
D. Injection sites can never be reused

Yesterday’s Mind Teaser: Immediately after cholecystectomy, the nursing action that should assume the highest priority is:

A. encouraging the client to take adequate deep breaths by mouth
B. encouraging the client to cough and deep breathe
C. changing the dressing at least BID
D. irrigate the T–tube frequently

Answer for yesterday’s Mind Teaser: B. encouraging the client to cough and deep breathe

Correct answers received from: Dr K V Sarma, Dr Vijayalakshmi Seshadri, Raju Kuppusamy, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai,
Dr Prabodh K Gupta, Madhav Soni, Dr Avtar Krishan, Dr Anita Rajorhia,
Dr. Bitaan Sen & Dr Jayashree Sen.

Answer for 3rd June Mind Teaser: C. Lipodystrophic areas can result, causing erratic insulin absorption rates from these

Correct answers received from: Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

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

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

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: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on furosemide. I gave him full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

eMedinewS Humor

A woman customer called the Canon help desk with a problem with her printer.
Tech support: Are you running it under windows?
Customer: "No, my desk is next to the door, but that is a good point. The man sitting in the cubicle next to me is under a window, and his printer is working fine."

Quote of the Day

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop


Twitter of the Day

Dr KK Aggarwal: Relaxation during work http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question.#CosmicConsciousness


Forthcoming events


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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medicolegal update

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medicolegal update
  1. Dear Sir, Very informative news. Regards: Dr Kartik
cardiology news

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