eMedinewS17th October 2013, Thursday

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

Varenicline in depression

Varenicline may have serious neuropsychiatric side effects. Previous randomized trials of varenicline have excluded smokers with a history of major depression or other serious psychiatric conditions.

In a multicenter randomized trial in adult smokers with stably–treated current or past major depression, those treated with varenicline or placebo had similar rates of suicidal ideation and suicidal behavior, and neither group showed overall worsening of depression or anxiety. (Uptodate).


  1. Anthenelli RM, Morris C, Ramey TS, et al. Effects of varenicline on smoking cessation in adults with stably treated current or past major depression: a randomized trial. Ann Intern Med 2013 Sep;159(6):390–400.

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

sprritual blog

1. Yoga practices reduce allostatic load in stress response systems such that optimal homeostasis is restored.

2. Stress induces

i. Imbalance of the autonomic nervous system (ANS) with decreased parasympathetic nervous system (PNS) and increased sympathetic nervous system (SNS) activity

ii. Underactivity of the gamma amino–butyric acid (GABA) system, the primary inhibitory neurotransmitter system

iii. Increased allostatic load.

3. Yoga–based practices

i. Correct underactivity of the PNS and GABA systems in part through stimulation of the vagus nerves, the main peripheral pathway of the PNS

ii. Reduce allostatic load.

4. Depression, epilepsy, post traumatic stress disorder (PTSD), and chronic pain exemplify medical conditions that are exacerbated by stress, have low heart rate variability (HRV) and low GABAergic activity, respond to pharmacologic agents that increase activity of the GABA system, and show symptom improvement in response to yoga–based interventions.

5. The observation that treatment resistant cases of epilepsy and depression respond to vagal nerve stimulation corroborates the need to correct PNS underactivity as part of a successful treatment plan in some cases.

6. Decreased PNS and GABAergic activity that underlies stress-related disorders can be corrected by yoga practices resulting in amelioration of disease symptoms. (Med Hypotheses. 2012 May;78(5):571–9)

cardiology news

Student Counting Apples

A teacher teaching Maths to seven–year–old Laiq asked him, "If I give you one apple and one apple and one apple, how many apples will you have?" Within a few seconds Laiq replied confidently, "Four!"

The dismayed teacher was expecting an effortless correct answer, three. She was disappointed. "Maybe the child did not listen properly." – she thought.

She repeated, "Laiq, listen carefully. If I give you one apple and one apple and one apple, how many apples will you have?"

Laiq had seen the disappointment on his teacher’s face. He calculated again on his fingers. But within him he was also searching for the answer that will make the teacher happy. His search for the answer was not for the correct one, but the one that will make his teacher happy.

This time hesitatingly he replied, “Four.” The disappointment stayed on the teacher’s face. She remembered that Laiq liked strawberries. She thought maybe he doesn’t like apples and that is making him loose focus.

This time with an exaggerated excitement and twinkling in her eyes she asked, "If I give you one strawberry and one strawberry and one strawberry, then how many you will have?" Seeing the teacher happy, young Laiq calculated on his fingers again. There was no pressure on him, but a little on the teacher. She wanted her new approach to succeed.

With a hesitating smile young Laiq replied, "Three?" The teacher now had a victorious smile. Her approach had succeeded. She wanted to congratulate herself.

But one last thing remained. Once again she asked him, "Now if I give you one apple and one apple and one more apple how many will you have?" Promptly Laiq answered, "Four!" The teacher was aghast. "How Laiq, how?" she demanded in a little stern and irritated voice.

In a voice that was low and hesitating young Laiq replied, "Because I already have one apple in my bag."

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.


Antibody Test Spots IBS

SAN DIEGO –– Testing for antibodies to the protein vinculin may offer a serologic means of diagnosing irritable bowel syndrome, a researcher said here.

  1. Narcolepsy patients troubled by frequent nighttime awakenings had less sleep disruption when taking sodium oxybate (Xyrem) than modafinil (Provigil) in a randomized trial. Measurements of disrupted nighttime sleep –– specifically, the number of shifts per night from sleep stages 2–4 or REM sleep to stage 1 or full wakefulness as determined from polysomnography –– showed no change from baseline in the group assigned to modafinil, whereas there was a median reduction of 13.0 shifts from a baseline mean of 40.9 in the patients taking sodium oxybate. Yves Dauvilliers, MD, PhD, of Hospital Gui–de–Chauliac in Montpellier, France presented the findings at the American Neurological Association annual meeting. (Source: Medpage Today)
  2. A large, register–based study has found no association between exposure to metoclopramide (Reglan) during pregnancy and an increased risk of birth defects, spontaneous abortion, or stillbirth. Overall, babies born to women who used the drug in the first trimester of pregnancy to relieve nausea and vomiting had similar rates of congenital malformations as babies whose mothers did not take the drug (25.3 versus 26.6 per 1,000 births.
  3. Patients with inflammatory bowel disease (IBD) had overall dental health that was comparable to that of individuals without the chronic intestinal disorder, researchers reported at the annual meeting of the American College of Gastroenterology.
  4. Testing for antibodies to the protein vinculin may offer a serologic means of diagnosing irritable bowel syndrome (IBS). Measurement of anti–vinculin antibodies in serum demonstrated higher levels of these autoantibodies in IBS patients, compared with those without the disorder, with positive predictive values between 90% and 100% depending on the cutoff values used.
  5. A study in the Oct. 15 issue of the Journal of Clinical Sleep Medicine has reported that excessive daytime sleepiness from obstructive sleep apnea (OSA) contributed to excess car crashes, particularly in untreated men. Among sleep clinic referrals, men who scored high for sleepiness reported about a quarter more motor vehicle accidents and nearly five–fold more near misses than those scoring in the normal range. Sleepiness score also correlated with crashes among women, although without a dose effect.

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Rabies News (Dr. A K Gupta)

Is there a need to alter the dose or schedule of any concomitant medication during IDRV?

There is no need to alter the dose or schedule of any concomitant medication during IDRV.

cardiology news
  • A subanalysis of the FREEDOM trial reported in the Oct. 16 issue of JAMA has shown that both coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) with drug–eluting stents resulted in dramatic improvements in quality of life among diabetic patients with multivessel disease. Although improvements were more rapid in the PCI group, and slightly better through the first 2 years in the CABG group, health status was mostly similar in the two groups in the long term, David Cohen, MD, of Saint Luke's Mid American Heart Institute in Kansas City, Mo., and colleagues.
  • System delay in treating patients with ST–elevation myocardial infarction (STEMI) postpones their return to work and increases early retirement, according to research presented at the Acute Cardiac Care Congress 2013 by Kristina Laut, PhD student from Aarhus, Denmark.
cardiology news
  • Primary school children with anemia have better cognitive and physical health when given daily iron supplements, according to a systematic review and meta–analysis published online October 15 in the Canadian Medical Association Journal. Results showed that iron supplementation improved both global cognitive scores, by a third of a point, and intelligence quotient, by about 5 points, in children who were anemic at baseline.
  • Multiple vs single courses of prenatal corticosteroids were not associated with increased mortality or disability of the children at 5 years of age, according to a follow–up cohort study published online October 14 in JAMA Pediatrics. The women in this follow–up study participated in Multiple Courses of Antenatal Corticosteroids for Preterm Birth Study (MACS), an international randomized clinical trial.
cardiology news

Lifestyle counseling can reduce heart disease

An intensive effort to change lifestyle in people at high risk of heart disease can help them reduce such risk factors as high blood pressure, cholesterol and smoking.

The Euroaction study published in the journal Lancet compared the results of added counseling on lifestyle issues such as diet, physical activity and smoking to the usual care. It included more than 3,000 people with coronary heart disease and 2,300 at high risk. Half got the counseling from a team of nurses, dietitians, physiotherapists and the treating doctors. The counseling was given to families as well as individuals.

The trial included two groups of patients. One, those who already had developed coronary heart disease; another, those who were asymptomatic but at high risk because of a combination of risk factors that gives a high chance of developing heart disease over 10 years.

  • Fifty–five percent of those getting the counseling reduced their intake of saturated fat, compared to 40 percent of those not getting the advice.
  • Increased consumption of fruits and vegetables was seen in 72 percent of the counseled group, and 17 percent of them also increased their consumption of heart–friendly oily fish, compared to 35 percent and 8 percent in the other group.
  • Similar results were seen for blood pressure, cholesterol and physical activity, but it proved difficult to have people seen in general practice quit smoking.
cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

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Media advocacy through Web Media

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



Anil Jaju Social Excellence Award will be given to the best Non–governmental Organization for its work in the forthcoming 20th MTNL Perfect Health Mela being organized in the city from 23rd to 27th October, 2013 at Constitution Club of India.

Giving the details, Padmashri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India said that NGOs participating in the mela will be assessed on the basis of their contribution in the field of social health by a jury of members appointed by the Mela committee.

The award will constitute a cash prize of Rs. 11000/– along with a citation. Chairperson of the Award Committee, Mrs Veena Jaju said that NGOs are invited in the mela to do any community service project. There will be no participation charges for NGO participation.

Mr. Anil Jaju was the Director of Heart Care Foundation of India in whose remembrance this award has been instituted.

Sudden Cardiac Death is an unexpected death due to cardiac causes happening in a short time period generally within one hour on symptoms onset in a person with or without underlying structural heart disease. Most causes of sudden cardiac death are related to irregular heart rhythms.

Sudden cardiac death often represents as the first expression of cardiac disease in many people present with out of hospital cardiac arrest. One can predict his or her chances of sudden cardiac death in the next 10 years said Padma Shri and Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Dr. Aggarwal said that in the forthcoming 20th MTNL Perfect Health Mela special awareness and workshop will be conducted on how to prevent sudden cardiac death.

The Mela is being organized by the Heart Care Foundation of India at Constitution Club of India, New Delhi from 23rd to 27th October, 2013 in association with the Departments of Central and Delhi Government, Central Bank of India, LIC, Coca Cola, GAIL and various hospitals and NGOs.

Dr. Aggarwal said that

You are not at risk of sudden cardiac death in the next 10 years

  1. If you can walk two kilometers without any discomfort in the chest.
  2. You can climb two flights of stairs within any discomfort.
  3. If you have no discomfort while doing exercise with your partner in the bed.
  4. If your blood pressure is normal
  5. If your blood sugar is controlled
  6. If your cholesterol is normal
  7. If you do not smoke
  8. If you do not indulge into binge alcoholism (more than 5 packs in one hour or more than 6 packs in one day)
  9. If your heart pumping action is more than 30%
  10. If your ECG does not show widening of QRS conduction
  11. If you snore in the night and snoring does not have episodes of cessation of respiration
  12. If you do not have a morbid obesity
  13. If you had not suffered from cardiac arrest in the past.

Dr. Aggarwal said that even after a cardiac arrest, it is possible to revive a person by remembering CPR 10 Mantra, "marne ke 10 minute tak 10×10=100 per minute ki speed se aapni chati pitne ke badle mare hue aadmi ke chati pito".

today emedipics

A Press Conference was organised by Heart Care Foundation of India to announces the dates of 20th MTNL Perfect Health Mela 2013

press release

Skin care

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…………………

The blood vessel related to the paraduodenal fossa is:

1.Gonadal Vein.
2.Superior mesenteric artery.
3.Portal vein.
4.Inferior mesenteric vein.

Yesterday’s Mind Teaser: The commonest variation in the arteries arising from the arch of aorta is:

1. Absence of brachiocephalic trunk.
2.Left vertebral artery arising from the arch.
3.Left common carotid artery arising from brachiocephalic trunk
4.Presence of retroesophageal subclavian artery

Answer for yesterday’s Mind Teaser: 3.Left common carotid artery arising from brachiocephalic trunk

Correct answers received from: drsodhani navneet, Dr. V.P. Thakral, Dr Kanat jain, Dr.K.Raju, DR.G.M.SINGH Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, DR AVTAR KRISHAN

Answer for 15th October Mind Teaser: 2.Ulnar

Correct answers received from: DR AVTAR KRISHAN, Dr.A.K.GAJJAR

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

An Irish woman

An Irish woman of advanced age visited her physician to ask his advice on reviving her husband’s libido.

‘What about trying Viagra?’ asked the doctor.

‘Not a chance’, she said. ‘He won’t even take an aspirin.’

‘Not a problem,’ replied the doctor. ‘Give him an "Irish Viagra". It’s when you drop the Viagra tablet into his coffee. He won’t even taste it. Give it a try and call me in a week to let me know how things went.’

It wasn’t a week later when she called the doctor, who directly inquired as to her progress. The poor dear exclaimed, ‘Oh, faith, bejaysus and begorrah! T’was horrid! Just terrible, doctor!’

‘Really? What happened?’ asked the doctor.

‘Well, I did as you advised and slipped it in his coffee and the effect was almost immediate. He jumped straight up, with a twinkle in his eye! With one swoop of his arm, he sent me cups and tablecloth flying, ripped me clothes to tatters and …! It was a nightmare, I tell you, an absolute nightmare!’

‘Why so terrible?’ asked the doctor.

‘Freakin’, ’twas wonderful! But sure as I’m sittin’ here, I’ll never be able to show me face in Starbucks again.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time?
Lesson: Make sure that all foreigners are diagnosed to be suffering from Traveler’s diarrhea even if there is one single loose motion.

medicolegal update

Happy is the man who can do only one thing; in doing it, he fulfills his destiny. Joseph Joubert

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: No regrets and no anticipation, just this moment fresh and as is.

medicolegal update

Dear Sir, emedinews is very informative: Regards: Dr Sapna

Forthcoming Events

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

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medicolegal update

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