eMedinewS16th April 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

Harvard’s Medical School’s 4 Exercising Tips For People With Diabetes

  1. Get a "preflight" check
    • Talk with your doctor before you start or change a fitness routine.
    • Especially if you are overweight or have a history of heart disease, peripheral vascular disease, or diabetic neuropathy.
    • Go for a complete physical exam and an exercise stress test for people if you are 35 or older and who have had diabetes for more than 10 years. The results can help determine the safest way for you to increase physical activity.
  2. Spread your activity throughout the week
    • Adults should aim for a weekly total of at least 160 minutes of moderate aerobic activity, or 80 minutes of vigorous activity, or an equivalent mix of the two.
    • Be active at least 3 to 5 days a week.
  3. Time your exercise wisely
    • The best time to exercise is 1 to 3 hours after eating, when your blood sugar level is likely to be higher.
    • If you use insulin, it’s important to test your blood sugar before exercising. If it is below 100 mg/dL, eat a piece of fruit or have a small snack to boost it and help you avoid hypoglycemia. Test again 30 minutes later to see if your blood sugar level is stable.
    • Check your blood sugar after any particularly grueling workout or activity.
    • If you use insulin, your risk of developing hypoglycemia may be highest 6 to 12 hours after exercising.
    • Do not exercise if your blood sugar is too high (over 250).

Be prepared

Should you experience a medical problem while exercising (or at any time) it is important that the people who care for you know that you have diabetes. Keep card handy or glucose tablets with you while exercising in case your blood sugar takes a sudden nosedive.

News Around The Globe

  • One foot ulcer likely leads to another in diabetics, reports a new study published online April 4 in Diabetes Care. Researchers noted that even minor lesions lead to a major risk of more severe foot wounds. Individuals who had minor lesions at the beginning of the study were nine times more likely to develop an ulcer. Additionally, the wounds were often in the same place as a previous ulcer, indicating continued pressure or injury at that spot.
  • Ulcerative colitis is strongly linked to serious pregnancy complications, reports a study conducted in about 400,000 women. The study revealed that women with IBD were 46% more likely to have a child that was small for its gestational age than women without IBD. Women with IBD also had 32% increased odds of having a spontaneous preterm delivery and were nearly twice as likely to have a premature rupture of the placenta.
  • A novel research published online in the Annals of Allergy, Asthma & Immunology has revealed that individuals with asthma–related breathing problems may be at increased risk for bone loss. The study conducted in Korea with 7,034 patients noted that those with airway hyperresponsiveness had lower bone density in the lumbar spine than those without asthma symptoms. About 45% of these patients had osteopenia and 6% had osteoporosis.
  • Wells rule may not be able to safely rule out deep venous thrombosis (DVT) on its own; however, it may have considerable utility in combination with D–dimer testing, reports a new meta–analysis published online in BMJ. Researchers have noted that an unlikely score (of 1 or less) with the Wells rule in addition with a negative D–dimer test result was associated with an extremely low (1.2%) probability of DVT.
  • The US Food and Drug Administration (FDA) has approved Lipiodol for selective hepatic intra–arterial use when imaging tumors in adults with known hepatocellular carcinoma (HCC), according to a statement from Guerbet, the company that owns and distributes the agent. The product, also known as Lipiodol Ultra–Fluide, consists of ethyl esters of iodized fatty acids from poppy seed oil.

Rabies News (Dr A K Gupta)

Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

Cardiology eMedinewS

  • A follow–up analysis to the 2005 SCD–HeFT trial has found that baseline performance on the six–minute–walk test (6MWT) may predict how much survival benefit patients would have from the implantable cardioverter–defibrillator (ICD) devices. The study authors have shown that the survival benefit of primary–prevention ICD therapy varies depending upon baseline functional capacity and stated that the 6MWT could stratify patients according to whether they are likely to benefit from ICD therapy with longer survival.
  • In a new study published March 25 in Diabetes Care, researchers at Mount Sinai Hospital, Toronto have shown that heightened blood pressure, worsening of lipid profile, and increased insulin resistance can develop as early as one year after delivery if women do not lose pregnancy weight during a critical window of 3 to 12 months after the birth.

Pediatrics eMedinewS

  • Two new studies published online April 14 in Pediatrics have stated that exposure to screens in the critical developmental years of early childhood has a strong association with longtime poor sleeping habits and other self–regulation problems. The first study noted that infants and toddlers who had trouble with sleep, excessive fussing, and attention viewed more media at 2 years of age than those who did not have difficulty in these areas. The second study revealed that more television viewing was significantly associated with shorter sleep cycles from infancy through mid–childhood.
  • Depressive syndrome in preschoolers is a better predictor than several other major risk factors for major depression in later childhood, reports a new study published online April 4 in the American Journal of Psychiatry. Researchers observed that among the depressed preschoolers, about 51.4% developed school-age depression, compared with 23.8% of the control population. Additionally, preschool-onset conduct disorder was associated with school-age depression.

Dr K K Spiritual Blog

The Vedic meaning of Mahamritunjaya Mantra and the Gayatri Mantra

Any activity should always engage the 3 H model of Heart, the Head, and the Hand. The same has been advocated by the western scholars of today. The concept involves that while doing any work one should ask the head for choices and then refer these choices to the heart to choose one and finally order the hands to carry out that action.

In his book ‘The Seven Spiritual Laws of Success’, Deepak Chopra also talks about this. He writes that conscious–based decisions are the best decisions. Before taking any decision he recommends asking the body for the signals of comfort or discomfort and if the signals of discomfort are perceived, then one should not carry out that action.

All the above concepts come from our ancient Vedic knowledge. The two main mantras of our times are the Mahamritunjaya Mantra and the Gayatri Mantra.

The Mahamritunjaya Mantra is from the Rig–Veda and needs initiation for attaining any Siddhi. This is the greatest reliever from all evils and reads as under: Aum Trayambakam Yajamahe, Sugandhim Pushtivardhanam; Urva Rukamiva Bandhanan, Mrityor Mokshiye Mamritat. It means we worship Shiva – The Three–Eyed Lord; who is fragrant and nourishes all beings; May he protect us (bandhanana) from all big (urva) diseases (aarookam). May he liberate us (mokshiye) from death (mrityor), For the sake of immortality (mamritat, amrit); as the cucumber is automatically liberated, from its bondage from the creeper when it fully ripens.

The meaning of the mantra is the importance of the third eye and the benefits of its opening. The two eyes are at the level of the physical body. The third eye means the eyes of the mind and the eyes of the soul. It also indicates that in difficulty one should look inward from the eyes of the mind and ask for the choices. Like the cucumber, one should chose the good ones and drop the bad choices (Jo acha lage use upna lo, jo bura lage use jane do).

The mantra for the conscious–based decision comes from Gayatri mantra: Om Bhur Bhuvaha Suvaha Thath Savithur Varenyam Bhargo Devasya Dheemahi Dhiyo Yonaha Prachodayath. It means we meditate on the glory of the Creator; who has created the Universe; who is worthy of Worship; who is the embodiment of Knowledge and Light; who is the remover of all Sin and Ignorance; may He enlighten our Intellect.

It talks about the importance of conscious–based decisions and its directions to the intellect to choose the right and not the convenient actions.

The Gayatri is the Vedic prayer to illuminate the intellect. Gayatri is considered as Vedasara –– "the essence of the Vedas." Veda means knowledge, and this prayer fosters and sharpens the knowledge–yielding faculty. As a matter of fact, the four mahavakyas or ‘core–declarations’ enshrined in the four Vedas are implied in this Gayatri mantra.

Choosing the right decision from the consciousness was later defined by Buddha. He taught that before any action ask yourself the following four questions and if the answer to any of the question is no, not to indulge in that actions. These four questions are: is it the truth, is it necessary, will the actions bring happiness to you and to the others.

Wellness Blog

PCI often done at low-volume centers

About 25% of all percutaneous coronary interventions (PCI) in the US are performed at low–volume centers that do 200 or fewer procedures per year; 49% are done at centers that do no more than 400 such procedures annually, Gregory Dehmer, MD, of Scott & White Healthcare in Temple, Texas, and colleagues reported in the Journal of the American College of Cardiology. They also found that on–site cardiac surgery wasn’t available at 83% of centers that did 200 or fewer PCIs annually. The 2011 PCI guidelines stated that facilities doing 200 or fewer PCIs per year need to take a closer look at whether they should continue doing such procedures.

Inspirational Story

Believe in Yourself

Believe in yourself and you can achieve, things you never thought possible, Believe in yourself and you can discover talents new, that lie away hidden

Believe in yourself and you can reach, new heights that you thought unscalable, Believe in yourself and you can solve, problems that defy any solution

Believe in yourself and you can conquer, any situation, however difficult, Believe in yourself and you can make, the most complicated things seem simple

Believe in yourself and you can learn, the skills of gaining knowledge from experience, Believe in yourself and you can enjoy, the beauty in nature’s abundance

Believe in yourself and you can perceive, new depths your senses can apprehend, Believe in yourself and you can perform way beyond your expectations

Believe in your goal and work towards it with determination and dedication, Believe in yourself and output enhance by contributing to a given situation

Believe in yourself and you’ll feel blessed, as God's very own special creation.

ePress Release

Too much salt damages blood vessels and cause high BP

Eating a high–salt diet for several years is associated with markers of blood vessel damage like high uric acid and presence of albumin in the urine. People with any of these markers of blood vessel damage, who eat a high–salt diet are more likely to develop high blood pressure, 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.

The study published in the American Heart Association journal Circulation analyzed the association between sodium consumption and blood levels of uric acid and albumin in the urine — both markers of blood vessel damage — in participants not taking high blood pressure medicine. Higher sodium intake was associated with increasing levels of uric acid and albumin over time. The higher the levels of these markers, the greater the risk of developing hypertension if dietary salt intake was high. Compared with participants eating the least amount of sodium (2.2 grams a day), those eating the most (6.2 grams mg/d) were 21 percent more likely to develop high blood pressure.

Those who had high uric acid levels and ate the most salt were 32 percent more likely to develop high blood pressure while those with high urine albumin levels and highest salt intake were 86 percent more likely to develop high blood pressure. A high–salt diet is believed to be responsible for 20 percent to 40 percent of all cases of high blood pressure.

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

Mummification refers to:

1. Hardening of muscles after death.
2. Colliquative putrefaction.
3. Saponification of subcutaneous fat.
4. Dessication of a dead body.

Yesterday’s Mind Teaser: Acantholysis is characteristic of:

1. Pemphigus vulgaris.
2. Pemphigoid.
3. Erythema multiforme.
4. Dermatitis hepetiformis.

Answer for yesterday’s Mind Teaser: 1. Pemphigus vulgaris.

Correct answers received from: Dr K Raju, Dr PC Das, Dr KV Sarma,
Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Arvind Diwaker, Dr Avtar Krishan.

Answer for 14th April Mind Teaser: 1. The gain in weight of young animals per unit weight of protein-consumed.

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

A free health checkup camp was organized by Heart Care Foundation of India at Bal Bharti Public School

press release

Obesity reduces life expectancy

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: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy. Gingival hyperplasia is a known side effect of amlodipine.

eMedinewS Humor

A walking economy

This guy is walking with his friend, who happens to be a psychologist. He says to this friend, "I’m a walking economy."

The friend asks, "How so?"

"My hairline is in recession, my stomach is a victim of inflation, and both of these together are putting me into a deep depression!"

Quote of the Day

True genius sees with the eyes of a child and thinks with the brain of a genie. Puzant Kevork Thomajan


Twitter of the Day

Dr KK Aggarwal: Avoid chocolate for heartburn By Dr K K Aggarwal http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: If you can see it then it is not real. Reality is the invisible seer without which there is no seeing http://bit.ly/DC_Ananda #ananda


Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed


Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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  1. Dear Sir, Nice information. Regards: Dr Koyal
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