eMedinewS16th November 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

Metformin Lowers Blood Glucose by Reducing Fat in the Liver

When mice with mutated acetyl–CoA carboxylase—which regulates fat production as well as the ability to burn fat—are given metformin, the drug does not lower the animals’ blood sugar levels.

Inhibitory phosphorylation of acetyl-CoA carboxylase is essential for the control of lipid metabolism and for metformin–induced improvements in insulin action.

The findings of the research published in the journal Nature Medicine indicate that metformin does not directly reduce sugar metabolism but instead reduces fat in the liver, which then allows insulin to work better.

Patients die inspite of treatment

Up till now we have been taught that "to err is human" and as per a US report over 100,1000 people die every year because of adverse medical reactions and now the Joint Commission International is worried about the increasing number of deaths because of technology.

That technology kills is now a reality. JCI in April 2013 reported 80 deaths because of alarm hazards in the intensive care practices. They also noted 16 deaths from retained devices and unretrieved fragments.

The other concerns of technology are errors because of drugs being given from infusion pumps, excessive CT radiation exposure especially in children, errors because of electronic health records, radiation hazards in hybrid operating rooms, faulty sterilization of endoscopes and surgical equipments leading to transmission of diseases, not updating the technology on regular basis, using adult technology in pediatric practice and finally errors because of the learning curve while using newer technology like robotic surgery and aortic valve graft implantation.

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

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 painkiller.
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 chemicals can be produced in the body by chanting of various vowels and consonants.
5. Nasal consonants are vibrant sounds and produce vibrations of the autonomic plexus leading to 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. Lyrics, which reduce 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

Two Traveling Angels

Two traveling angels stopped to spend the night in the home of a wealthy family. The family was rude and refused to let the angels stay in the mansion’s guest room. Instead the angels were given a small space in the cold basement.

As they made their bed on the hard floor, the older angel saw a hole in the wall and repaired it. When the younger angel asked why, the older angel replied, "Things aren’t always what they seem." The next night the pair came to rest at the house of a very poor, but very hospitable farmer and his wife.

After sharing what little food they had the couple let the angels sleep in their bed where they could have a good night’s rest. When the sun came up the next morning the angels found the farmer and his wife in tears. Their only cow, whose milk had been their sole income, lay dead in the field.

The younger angel was infuriated and asked the older angel, "How could you have let this happen? The first man had everything, yet you helped him." she accused. "The second family had little but was willing to share everything, and you let the cow die." "Things aren’t always what they seem." the older angel replied.

"When we stayed in the basement of the mansion, I noticed there was gold stored in that hole in the wall. Since the owner was so obsessed with greed and unwilling to share his good fortune, I sealed the wall so he wouldn’t find it. Then last night as we slept in the farmer’s bed, the angel of death came for his wife. I gave him the cow instead. Things aren’t always what they seem."

Sometimes that is exactly what happens when things don’t turn out the way they should. If you have faith, you just need to trust that every outcome is always to your advantage. You might not know it until sometime later…

Should you find it hard to get to sleep tonight, remember the homeless family who has no bed to lie in.

Should you find yourself stuck in traffic, don’t despair; there are people in this world for whom driving is an unheard–of privilege.

Should you have a bad day at work, think of the man who has been out of work for many months struggling to feed his family.

Should you notice a new gray hair in the mirror, think of the cancer patient in chemo who wishes she had hair to examine.

Should you find yourself at a loss and pondering what is life all about, asking, "What is my purpose?", be thankful, there are those who didn’t live long enough to get the opportunity.

News Around The Globe


  • As per a new study presented at CHEST 2013, for fellows in pulmonary and critical care medicine, training with a video laryngoscope, rather than a direct scope, improves first–pass success and decreases the complications of urgent endotracheal intubation. Although research has shown that video laryngoscopy improves glottic visualization during elective surgery in the operating room, direct laryngoscopy is routinely used to perform uncomplicated endotracheal intubation outside the operating room.
  • Pregnant women who enter the hospital for reasons unrelated to their pregnancy face a sharply increased risk for thromboembolism during their stay and several weeks thereafter as reported in a study published online November 7 in BMJ. In a review of data on more than 200,000 women, hospital admission during pregnancy was associated with a 17.5–fold increase in the risk for venous thromboembolism (VTE) during the stay and a 6–fold increase in risk in the 4 weeks after discharge compared with pregnant women who did not require hospitalization.
  • Diabetes not only affects life of the patient, it has an adverse impact on the life of immediate family members too as reported in TOI, Nov 14, 2013. The recently released Diabetes Attitude Wishes and Needs (DAWN2) study has captured the trend. As per the survey, over 61% of the respondents said they faced high level of stress because of their relative with diabetes. Besides, 19% of the respondents perceived a notable diabetes related burden on the family.
  • Voided midstream urine cultures frequently contained bacteria not found in paired urethral catheter specimens, questioning the value of midstream voided urine for diagnosis of acute bladder infection. The study reported in NEJM found that the presence of Escherichia coli in midstream specimens had 93% positive predictive value for acute cystitis. However, more than 10% of cultured specimens also grew enterococci and group B streptococci, which had poor correlation with catheter urine cultures.
  • The relationships between clinicians and staff play an important role in patients’ perception of quality care. A new scale, known as the Work Relationship Scale (WRS), can be used to measure these relationships and may help optimize care delivery in the primary setting. Erin P. Finley, PhD, MPH, from South Texas Veterans Health Care System in San Antonio, Texas, and colleagues published the results of their study in the November/December issue of the Annals of Family Medicine.

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Rabies News (Dr. A K Gupta)

A person started with PVRV wants to change over to HDCV or PCECV or PDEV or vice versa. What should be done?

The currently available TCVs such as HDCV, PCECV, PVRV, and PDEV, are all equally good and approved by the WHO. All are interchangeable following non availability of one brand or due to allergy to one of the CCVs or PDEV. All are considered protective against different strains of rabies viruses in different parts of the world.

cardiology news

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

  • Healthy people do not require vitamin and/or mineral supplements to prevent cancer or cardiovascular disease (CVD), according to an analysis of several studies that was published online November 11 in the Annals of Internal Medicine.
  • Clarithromycin prescribed for patients already taking antihypertensive calcium–channel blockers is associated with increases in hospitalization for acute kidney injury, hypotension, and death, according to new research. The results, presented here at Kidney Week 2013, were also published online November 9 in JAMA.
cardiology news

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

  • Teens were more likely to actively respond to aggressive cues than were children or adults. The study presented at the Society for Neuroscience meeting found that in a go/no–go task, where aggressive faces were a target for "no go," teens showed a higher propensity than adults or children to react (pressing a button) when presented with an aggressive face. Teens who successfully avoided pressing the button during the no–go cue showed greater activation of the ventromedial prefrontal cortex –– the part of the brain that monitors personality and impulse control –– when showing restraint against reacting to the aggressive stimulus.
  • The number of acquired moles, particularly atypical ones, on children who are at risk for familial melanoma may help predict who will develop the malignancy. According to the authors, physicians should take additional care of children from families at high risk of melanoma. Children with a high number of melanocytic nevi and children with atypical nevi should be included in a surveillance program with the parents. Buttocks should be checked for moles.
cardiology news

Eat tomatoes, guava, watermelon, and grapefruit to prevent paralysis

Lycopene may lower stroke risk in men. Foods such as tomatoes, guava, watermelon and grapefruit are good sources of lycopene. When tomatoes are cooked, the heat processing increases levels of cis–lycopene, which is easily absorbed by the body.

As per a report published in Oct. 9 issue of Neurology, by Jouni Karppi, PhD, of the University of Eastern Finland in Kuopio, compared with the men who had the lowest serum concentrations of the carotenoid, those with the highest concentrations had significantly lower risks of stokes.

cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

Inhaling diesel exhaust Fumes causes heart attack or stroke

Inhaling diesel exhaust fumes causes changes in the body that may make people more prone to heart attack or stroke, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

In a study European scientists have shown that blood clots are more likely to form in otherwise healthy people exposed to relatively high amounts of diesel engine exhaust fumes for a short time. This could cause a blocked vessel resulting in heart attack or stroke.

Diesel engines spew many times more fine pollutant particles than gasoline engines.

People with heart and artery disease should stay away from traffic congestion to avoid the effects of this pollution.

The study involved 20 healthy men, aged 21 to 44 years. They breathed filtered air and also diluted diesel exhaust at a level approximating curbside exposure on a busy road.

Compared to breathing filtered air, breathing air with the diesel exhaust fumes increased clot formation by roughly 20 – 25 percent in the hours after exposure. The researchers also found an increase in platelet activation in the blood. Platelets play a major role in clotting.

The same group reported in the New England Journal of Medicine that heart attack victims showed clear differences when breathing diesel fumes. They found that the hearts of heart attack survivors were far more likely to be starved of oxygen when exercising while breathing in such fumes than when exercising in clear air.

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 71933 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 10×10 i.e. 100 per minute."

today emedipics

20th MTNL Perfect Health Mela 2013

press release

Proton–pump inhibitors to carry warning about C

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

All of the following are examples of traction epiphysis, except:

1.Mastoid process.
2.Tubercles of Humerus.
3.Trochanters of femur.
4.Condyles of tibia.

Yesterday’s Mind Teaser: The nerve commonly damaged during McBurney’s incision is:

3.11th thoracic
4.10th thoracic

Answer for yesterday’s Mind Teaser: 2.Iliohypogastric

Correct answers received from: Dr Kanta jain, DR.A.K.GAJJAR, Prabha Sanghi, Dr Arpan Gandhi, Dr. P. C. Das, Dr.K.Raju, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, DR AVTAR KRISHAN, Dr.K.V.Sarma, DR.G.SAHADEVUDU GELIVI, Dr B K Agarwal, Dr Prakash Khalap

Answer for 14th November Mind Teaser: 4.Inferior mesenteric vein.

Correct answers received from: DR.G.SAHADEVUDU GELIVI, Dr B K Agarwal, Dr Prakash Khalap

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Doctors vs Guns


The number of physicians in the US is 700,000

Accidental deaths caused by Physicians per year are 120,000

Accidental deaths per physician are 0.171

Statistics courtesy of U.S. Dept of Health Human Services.


The number of gun owners in the U.S. is 80,000,000

The number of accidental gun deaths per year, all age groups, is 1,500

The number of accidental deaths per gun owner is .000188.

Statistics Courtesy of F.B.I.

Statistically, doctors are approximately 9,000 times more dangerous than gun owners.

Remember, "Guns don’t kill people, doctors do."

FACT: Not everyone has a gun, but almost everyone has at least one doctor.

Please alert your friends to this alarming threat immediately. We must ban doctors before this gets completely out of hand!

Note: Out of concern for the public at large, the statistics on lawyers have been withheld for fear the shock would cause people to panic and seek medical attention.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: An 18–year–old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin (macrolide) 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

medicolegal update

For success, attitude is equally as important as ability. Harry F. Banks

medicolegal update

Dr KK Aggarwal: Obsessively yours: Signs That You May Have OCD http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: One of the clearest definitions of the "cosmic religious feeling" involves four key characteristics @thechoprawell http://youtu.be/65NXtLfQMYo

Forthcoming events

The Principal, Staff and Students of Bal Bharati Public School ((An Institution of child education society (Regd.))

Sector – 12, Dwarka, New Delhi – 110078 cordially invite you to their 16th Annual Day on Sunday, November 17, 2013

5:00 pm onwards

Venue: School premises

Chief Guest: Sh Vineet Joshi, IAS, Chairman CBSE

Guest of Honor: Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India

2. Pushpanjali Crosslay Hospital, a 350+ bedded NABH & NABL accredited multi super specialty hospital is organizing its 5th Annual Conference "PCCON 2013" in association with Indian Medical Association (East Delhi Branch & West Ghaziabad Branch) on November 23–24, 2013 at Hotel Country Inn, Sahibabad, Ghaziabad.

Chairperson : Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Day & Date : Sunday, 24th Nov, 2013

Topic : Quality Management in Healthcare Delivery

medicolegal update
  1. Dear Sir, I feel that the reason Lord Shiva drank/ drinks bhang is to convey the message that - He is "The Destroyer" and is there to destroy the evils from our lives. Evils including alcohol, drugs (bhang) etc. Similar was the reason when he drank the urn of poison churned out during Samudra Manthan; thus saving the devas from its ill effects. Offering of bhang to Lord Shiva is a symbol of offering the evils from our lives, so that he can destroy them and save/ protect us. But, some ignorant, misguided selfish people interpret it otherwise and consider bhang/ alcohol/ drugs as the prasad and consume it to make their and their family's and society's life miserable. Various outcomes of them are-- Rave parties, accidents, rape/ molestations, homicides/ suicides etc. I feel IMA/ MCI should take a pledge on moral grounds not to serve/ entertain alcohol/ related products in any of the banquet dinners organised during seminars/ CME/ Educational events/ conferences conducted any where in India. Thanks and Regards: Dr. Gaurav Cheraya

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medicolegal update

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