eMedinewS12th October 2013, Saturday

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; 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

Election of one member to Medical Council of India from Delhi

The election of one member to Medical Council of India has been announced and approximately 54000 members of Delhi Medical Council will be voting for their candidate to the Medical Council of India.

Dr. Vinay Aggarwal has filed his nomination and I know him personally for the last two decades. I have been working with him in Delhi Medical Council for the last four years and have worked with him in Indian Medical Association where he has worked as Past National President.

Dr Vinay is also a Dr. BC Roy National Awardee and Dr. PN Behl Community Service Awardee by Delhi Medical Association. He has been both the Secretary and President of DMA and Secretary General of IMA. At Branch level, he has been President of IMA East Delhi Branch.

In the recently held CMAAO conference, where again I worked closely with him, he took over as the President of CMAAO.

I personally feel that Medical Council of India needs people who are grass–root workers, medical activists working for the welfare of the society.

Today IMA has been able to make its presence felt in issues like Clinical Establishment Act, one–year Rural Service linked to education, re–institution of Medical Council of India. If it was not for the IMA, the MCI by now would have been dissolved permanently and a democratic body would have been converted into a sub–department of Ministry of Health. But because of the pressure by IMA and its activists, the Ministry of Health has been forced to re–elect MCI, a process which will complete on 9th November this year.

MCI is not only about medical education but it also controls the registration and both protection and taking disciplinary action against doctors. Only grass–root workers can understand and provide significant inputs to MCI.

MCI today needs substantial change. There is a need for the capitation fees to come down; change in the UG and PG curricula; for PG examination immediately after MBBS and before internship; to have common entrance and exit examinations; of transparency in medical education admissions and to change the law by which a Russian doctor with MD Physician degree which is not even actually equivalent to MBBS degree in India is denied permission to write MD against their name.

Finally there is a need to prepare a uniform and standard medical education programme across the country.

I wish him all the success.

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."

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

Ringtone – CPR 10 Mantra English

On 8th Navratri Enjoy A Purified Mind

sprritual blog

Navratri is the detoxification of body, mind and soul. The nine days purification process is observed twice in a year, at the start of summer and winter. Chaitra Navratri is observed at the start of the summer for preparing the body to tolerate summer.

Body detoxification involves special Navratri diet principles of eating less, once a day with no cereals. In Navratri diet, flour is replaced with Kuttu (winter) or Singhara (summer) flour; pulses with amaranth or Rajgiri and Rice with Samak rice.

Mental and soul detoxification involves practicing Yoga Sadhna as described in nine forms of Durga, one worshipped each day.

• Maha Gauri is worshipped on the Eight Day of Navratri.
• SHE looks as white as moon and jasmine. White means purity of mind.
• She has three Eyes and four hands. SHE is dressed in a white sari.
• SHE holds a drum and a trident and is often depicted riding a bull (control over the desires)
• Her above left hand is in fearless pose and she holds ‘Trishul’ in her lower left hand.
• Her above right hand has tambourine and lower right hand is in blessing Mudra. Spiritual message on the 8th Navratri: By the 8th day of spiritual; detoxification once gets purity of mind. ….Read More

cardiology news

You have to give it all away

There is a legend of a man who was lost in the desert, dying of thirst. He stumbled on until he came to an abandoned house. Outside the dilapidated, windowless, weather–beaten, deserted shack was a pump. He stumbled forward and began pumping furiously, but no water came from the well. Then he noticed a small jug with a cork at the top and a note written on the side: "You have to prime the pump with water, my friend. P.S. And fill the jug again before you leave." He pulled out a cork and saw that the jug was full of water.

Should he pour it down the pump? What if it didn’t work? All of the water would be gone. If he drank the water from the jug, he could be sure he would not die of thirst. But to pour it down the rusty pump on the flimsy instruction written on the outside of the jug?

Something from inside told him to follow the advice and choose the risky decision. He proceeded to pour the whole jug of water down the rusty old pump and furiously pumped up and down. Sure enough, the water gushed out! He had all he needed to drink. He filled the jug again, corked it and added his own words beneath the instructions on the jug: "Believe me, it really works. You have to give it all away before you can get anything back."

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

20th MTNL Perfect Health Mela 2013 Hangout on Air with Google

The Immune System of the Soul

October 17, 2013, Siri Fort Auditorium

Organised by Brahma Kumaris

In this fast paced world, where we all are running in the rat race to acquire all sorts of gadgets, luxuries and comforts of life, and have actually forgotten about our ‘being’, our ‘soul’ per se. None of us have the time to sit back and ponder on the very basic questions which arise even in a small child’s mind, as in who we are? Where we have come from? What is the purpose of our being? How our soul dwells in our daily activities? How can we charge up our soul or what makes it low? Do we actually listen to our inner/soul’s voice? If yes, there is still some hope, and if not, then what happens to our inner voice in return? All of us are bothered about materialistic possessions and all we care about is that we should be free from physical ailments. Does that suffice our existence? The answer is NO, as emotional ailments take its toll when we stop caring about our soul or the inner voice. To answers these questions and to help people get enlightened, Mike George, an author, spiritual leader and management consultant, has organized a workshop titled ‘The Immune System of the Soul’ which will take you to a journey from awareness to realization and finally to transformation. The workshop is scheduled on October 17, 2013, 6–8 PM at Siri Fort Auditorium, Delhi. Come and be a part of this divine experience.


  • Two cases of irreversible pancreatic atrophy associated with long–term use of sorafenib (Nexavar, Bayer/Onyx) are reported in a letter published online October 9 in the New England Journal of Medicine. Volumetric CT of the abdomen revealed a 20% reduction in the volume of the pancreas in one patient and a 35% decrease in the other patient (37 months after the initiation of sorafenib).This may be a newly reported adverse effect of long–term treatment with the drug, suggest researchers Ségolène Hescot, MD, and colleagues from the Université Paris Descartes in France. Sorafenib, an oral inhibitor of vascular endothelial growth factor (VEGF), as well as other tyrosine kinases, is approved for use in kidney and liver cancer, and is awaiting approval for use in thyroid cancer. According to the researchers, sorafenib has potent angiogenic activity.
  • A new computer model presented at the American College of Surgeons 2013 Annual Clinical Congress has suggested that the survival benefit for contralateral prophylactic mastectomy among women who do not have a BRCA gene mutation is less than 1% at 20 years. "We hope that by providing women with accurate and easily understood information about the potential benefits of contralateral prophylactic mastectomy, this may impact current trends," said Pamela Portschy, MD, from the University of Minnesota in Minneapolis.
  • Cocaine use may increase an individual’s vulnerability to HIV infection by increasing the pool of T cells susceptible to the virus. Researchers from University of California, Los Angeles found that cocaine renders quiescent CD4 T cells, which are normally refractory to HIV infection, more susceptible to HIV. The study is published in the October issue of the Journal of Leukocyte Biology.
  • According to a new study, an increased dose of influenza vaccine stimulates a greater immune response than the standard dose in long–term care residents older than 65 years. Presenting the findings at the IDWeek 2013, Richard Zimmerman, MD, from the University of Pittsburgh in Pennsylvania said, "The superiority of high–dose influenza vaccine was demonstrated for all influenza strains except A/H1N1 in 2012–2013. Standard influenza vaccines don’t produce as good an immune response in the frail elderly as they do in younger, healthier populations."
  • A new classification system for systemic sclerosis has been developed that reflects advances in understanding and refinement in diagnosis of the disease, according to an international group of experts. Sensitivity and specificity of the revised criteria were 0.91 and 0.92, respectively, compared with 0.75 and 0.72 for the 1980 classification criteria (P=0.01), explained Frank van den Hoogen, MD, PhD, of Radboud University in Nijmegen, The Netherlands, and colleagues. The criteria, which have been approved by the American College of Rheumatology and the European League Against Rheumatism, were published simultaneously online in Arthritis & Rheumatism and the November issue of the Annals of the Rheumatic Diseases.

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Rabies News (Dr. A K Gupta)

Can a lactating mother be given antirabies vaccination?

Modern Anti–rabies vaccines being used now are Tissue Culture Vaccines (TCV) inactivated by beta–propiolactone (BPL) and can safely be given to a lactating mother.

cardiology news

For patients in septic shock who have an excessively high heartbeat, use of the beta blocker esmolol helped to lower and maintain heartbeat rates without adverse effects. Andrea Morelli, MD, from the Department of Anesthesiology and Intensive Care, University of Rome, "La Sapienza," Italy, and colleagues conducted a randomized phase 2 trial at the University of Rome hospital intensive care unit between November 2010 and July 2012. The researchers randomly assigned 154 patients whose heartbeats exceeded 95 beats per minute (BPM) and who required high doses of norepinephrine to receive either continuous infusion of esmolol to maintain heart rate between 80 and 94 BPM (n = 77) or to receive standard treatment (n = 77) of norepinephrine during intensive care unit stays. The target heartbeat rate was achieved in all patients in the esmolol group and was significantly lower than for patients in the control group. The median heart rate reduction came to — 28 BPM for the esmolol group compared with — 6 BPM for the control group. The median continuously infused dose for esmolol was 100 mg/h (interquartile range (IQR), 50 – 300 mg/h). The study is published online October 9 in JAMA.

Valvular Heart Disease News

Transesophageal echocardiography provides detail of the aortic root and the ascending aorta that can be helpful in excluding subvalvular and aortic pathologies.

(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
  • Colic, defined as excessive crying or fussing for no apparent reason, affects up to 20% of infants younger than 3 months, but its etiology remains unclear. Findings of a new meta–analysis suggest that probiotics may not quiet colicky babies. Valerie Sung, MPH, and colleagues report in an article published online October 7 in JAMA Pediatrics that evidence is still insufficient to support probiotic use to manage colic, especially in formula–fed infants, or to prevent infant crying.
  • For children with gram–negative bacteremia, two antibiotics are not better than one, researchers reported, and they may be worse. In a 10–year retrospective analysis, combination therapy with a beta-lactam and an aminoglycoside had equivalent rates of 30–day mortality to the beta–lactam alone, according to Pranita Tamma, MD, of Johns Hopkins Medical Institutions, and colleagues. But the risk of nephrotoxicity was more than doubled with two drugs, Tamma and colleagues reported online in JAMA Pediatrics.
cardiology news

When is your doctor at fault while prescribing antibiotic?

  • Prescribes antibiotics when no bacterial infection exists.
  • Prescribes the wrong antibiotic or the wrong dose.
  • Prescribes antibiotics for longer than necessary.
  • Prescribes strong antibiotics, when a less strong would be as effective.
  • Prescribes an expensive antibiotic when a cheaper but equally effective antibiotic is available.

You are at fault when

  • You demand antibiotics even when the doctor thinks it is unnecessary
  • You buy an antibiotic without prescription.
  • You buy an antibiotic without a bill
  • You discontinue antibiotics when your symptoms start to improve and you do not take a full course of antibiotics.
  • When you change brands without the doctor’s knowledge.
cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Shorter the waist line, longer the life line 2nd PR


Do not misuse Dussehra Festival

Dussehra is a festival to purify one’s mind, body and soul and control the ego. Killing of effigies of Kumbhkaran, Meghnath and Ravana means killing one’s tamasik, rajasik and egoistic behavior. Reunion of Ram, Sita and Lakshman means the union of mind and body with the soul.

‘Internal Dussehra’ where you kill the devils within is the spiritual meaning behind the festival but people observe external Dussehra, where they kill man–made effigies of Kumbhkaran, Meghnath and Ravana with the help of bow and arrow which if misdirected can cause perforating injuries in the eyes.

Padma Shri and Dr. B C Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela said that the basic meaning of bow and arrow is to practice humility and focus at the same time. The word "Bow" means leaving ego personality and the word "Arrow" means not losing your focus while working.

Using Bow and Arrow to kill the three devils, therefore, means that by practicing humanity and not losing your focus, you will be able to kill and control your own ego.

Any perforating injuries in the eyes may cause permanent loss of vision. The following precautions should be taken after any injury to the eye.

• The injured eye should not be rubbed or massaged.
• Do not forcibly try to open the injured eye.
• Do not apply any ointment on the injured eye.
• Oral intake should immediately stop.
• Do not panic but immediately rush to the nearest hospital to save the vision.

20th MTNL Perfect Health Mela to observe Karwa Chauth

Dr. Aggarwal said that as a part of the forthcoming 20th MTNL Perfect Health Mela, the Heart Care Foundation of India will observe festival of Karwa Chauth with a difference.

The event will be dedicated to prevention of HIV/AIDS with the theme "Be Faithful to Your Partner".

For married women, the Foundation will organize a special movie show at Satyam Cinema at Nehru Place where during the intermission, they would be sensitized to the importance of being faithful to their partner.

The festival of Karwa Chauth is a day–long ritual of fasting observed by all married women. The fast ends when the moon is sighted.

On this day, married women apply henna on their hands and feet. Henna symbolizes luck and prosperity. The Karwa Chauth is an occasion when married women get closer to their in–laws as they undertake fast for the well–being of their husband. Husbands are also free to fast on Karwa Chauth for their wives.

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 63425 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10minutes, 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."

today emedipics

Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India delivers a lecture on the occasion of World Mental Health Day in a function organized by Delhi Medical Association.

press release

Intensive medical treatment prevents second stroke not intracranial stenting

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

A 5–year–old boy suffering from Duchenne muscular dystrophy has to undergo tendon-lengthening procedure. The most appropriate anaesthetic would be:

1. Induction with intravenous thiopentone and N2O; and halothane for maintenance.
2.Induction with intravenous protocol and N2O; and oxygen for maintenance.
3.Induction with intravenous suxamethonium and N2O; and halothane for maintenance.
4.Inhalation induction with inhalation halothane and N2O; oxygen for maintenance.

Yesterday’s Mind Teaser: During rapid sequence induction of anesthesia:

1. Slick’s maneuver is not required.
2.Pre–oxygenation is mandatory.
3.Suxamethonium is contraindicated.
4.Patient is mechanically ventilated before endotracheal intubation.

Answer for yesterday’s Mind Teaser: 2.Pre–oxygenation is mandatory.

Correct answers received from: DR KULDEEP GUPTA, Dr. V.P. Thakral, Dr. Sushma Chawla, Muthumperumal Thirumalpillai, Dr Arpan Gandhi, Dr.K.V.Sarma, DR AVTAR KRISHAN, Dr Prakash Khalap

Answer for 10th October Mind Teaser: D. Unusual geographic clustering of disease

Correct answers received from: DR AVTAR KRISHAN, Dr Prakash Khalap

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Kidneys and Livers

Two old men were arguing the merits of their doctors. The first one said, "I don’t trust your fancy doctor. He treated old Jake Waxman for a kidney ailment for nearly a year, and then Jake died of a liver ailment." "So what makes you think your doctor is any better?" asked his friend.

"Because when my doctor treats you for a kidney ailment, you can be sure you’ll die of a kidney ailment.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient died after receiving IV isoprin stat.
Reaction: Oh my God! The order was for IV Isoptin.
Lesson: Make sure while ordering the drug to spell out the name of the medicine correctly and clearly.

medicolegal update

Inventing is the mixing of brains and materials. The more brains you use, the less materials you need. Charles F. Kettering

medicolegal update

Dr KK Aggarwal: Raw milk not safe by Dr. K K Aggarwal http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Why is food that is so delicious so bad for us and yet food that is healthy for us, I just don’t like? #SAS13

medicolegal update

Dear Editor, Most of what we learn or do depends a great deal on adequate vision and healthy eyes. Isn’t it an irony then that nearly 40% of the population suffers from some form of departure from normal in terms of visual health (findings based on primary eye check up of over 2,000 children and older adults in schools and eye camps while I used to work as Refractionist at Sir Ganga Ram Hospital in 1980s). Everyone of us, therefore, needs to adopt the ‘mantra’ "I care for eye care"…and ensures to visit an eye care professional or a hospital for comprehensive eye examination on yearly basis.

Dr. Narendra Kumar, Ophthacare Eye Centre

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medicolegal update

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