eMedinewS20th July 2014, Sunday

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

Seven Behaviors Cut Heart Deaths

Seven heart–healthy behaviors can reduce the risk of death from cardiovascular disease. In a prospective study, by Enrique Artero, PhD, of the University of South Carolina, and colleagues and published in the October issue of the Mayo Clinic Proceedings, those who met 3–4 of the American Heart Association’s ‘Simple Seven’ heart–health criteria had a 55% lower risk of cardiovascular mortality than those who met no more than two of those practices over 11 years.

Four core behaviors

  1. No smoking
  2. Normal body mass index
  3. Engaging in physical activity
  4. Eating healthfully

Three parameters

  1. Cholesterol lower than 200 mg/dL
  2. Blood pressure lower than 120/80 mm Hg
  3. Not having diabetes

News Around The Globe

  • A report published online July 10 in the Journal of the American Medical Association has stated that among the wide–ranging comorbidities associated with diabetes, mental–health issues are among the most overlooked, despite the possibility that these issues can compromise self–management and increase the risk for serious complications.
  • An article published online July 16 in Science Translational Medicine has pointed that the urine and placentas of women who develop preeclampsia (PE) contain aggregates of misfolded proteins. The new findings suggest that PE shares pathophysiological features with diseases like Alzheimer’s that are characterized by protein misfolding.
  • An experimental drug, AMG 416, to reduce excess parathyroid hormone levels in patients with chronic kidney disease succeeded in meeting the primary and secondary goals of a phase III study, reported Amgen Inc recently. More than 75% of patients who received the drug had a >30% reduction in their parathyroid hormone levels, compared with 9.6% who experienced a similar reduction among those who received a placebo.
  • A study published online July 16 in the Journal of the National Cancer Institute has stated that survival benefits in women with cancer in one breast, opting to undergo contralateral prophylactic mastectomy (CPM), might be only marginal depending on the type and stage of breast cancer.
  • Increasing the saline and cutting the fluid volume has a significant effect on the rate of complications after pancreatic surgery, suggests a new study published in the Annals of Surgery. Researchers noted that using a hypertonic saline intravenous drip and moderately restricting the total volume of fluid resulted in a 21% reduction in the rate of complications and a 26% reduction in the total number of complications in patients undergoing Whipple surgery for pancreatic cancer.

Rabies News (Dr A K Gupta)

What are the signs of rabies during the prodromal phase in animals?

Prodromal phase may last for 1–3 days and the animal may show only vague signs of involvement of the central nervous system, which intensify rapidly and death is virtually certain within 10 days after the initial onset of signs.

Cardiology eMedinewS

  • The National Institute for Health and Care Excellence (NICE) has published its new recommendations for the treatment of patients at risk for cardiovascular disease. The new NICE guidelines recommend that physicians initiate treatment with atorvastatin 20 mg in patients with a 10–year risk of cardiovascular disease that exceeds 10%.
  • Among patients who have acute chest pain but have a negative initial ECG or troponin test, a coronary computed–tomography CT angiography (CCTA) scan that detects high–risk plaque features can successfully identify those at higher risk of impending ACS, suggests a study presented at the Society of Cardiovascular Computed Tomography 2014 Annual Scientific Meeting.

Pediatrics eMedinewS

  • Findings of two systematic reviews published online July 17 in the Cochrane Library have suggested that inhaled corticosteroids may suppress growth in the first year of treatment in children with asthma; however, lower doses may minimize the effects.
  • A new study has suggested that children aged 6 to 35 months can safely be given a full dose of seasonal trivalent inactivated influenza vaccine (TIV). The study is published online in the Journal of the Pediatric Infectious Diseases Society.

Dr K K Spiritual Blog

Science behind regrets

In a US–based study, dying people were asked about their regrets, if any. The top five regrets were:

  1. 1. I wish I had the courage to live a life I wanted to live and not what others expected me to live.
    2. I wish I had worked harder.
    3. I wish I had the courage to express my feelings.
    4. I wish I had stayed in touch with my friends.
    5. I wish I had let myself to be happier.

Regrets are always based on suppression of emotions or non–fulfillment of desires and needs. These need–based desires can be at the level of physical body, mind, intellect, ego or the soul. Therefore, regrets can be at any of these levels.

I did a survey of 15 of my patients and asked them a simple question that if they come to know that they are going to die in next 24 hours, what would be their biggest regret.

Only one of them, a doctor said that she would have no regrets.

Only one person expressed a physical regret and that was from a Yoga expert who said that her regret was not getting married till that day.

Mental regrets were two.

  1. A state trading businessman said, "I wish I could have taken care of my parents."
  2. A homeopathic doctor said, "I wish I could have given more time to my family."

Intellectual regrets were three.

  1. A lawyer said, "I wish I could have become something in life."
  2. A businessman said, "I wish I could have helped more people."
  3. A retired revenue inspector said, "I wish I had married off my younger child."

Egoistic regrets were two.

  1. One fashion designer said, "I wish I could have become a singer."
  2. A housewife said, "I wish I could have become a dietician."

Spiritual regrets were six.

  1. A Consultant Government Liaison officer said, "I wish I could have made my family members happy."
  2. A businessman said, "I wish I could have meditated more."
  3. A Homeopathic doctor said, "I wish I could have spent more time with my family."
  4. A reception executive said, "I wish I could have spent more time with my parents."
  5. An entertainment CEO said, "I wish I could have taken my parents for a pilgrimage."
  6. A fashion designer said, "I wish I could have worked more for the animals."

In a very popular and successful movie, Kal Ho Na Ho, the hero was to die in the next 40 days. When asked to remember the days of his life, he could not remember 20 ecstatic instances in life.

This is what happens with each one of us where we waste all our days and cannot remember more than 50 or even 20 of such instances. If we are given 40 days to live and if we live every day ecstatically, we can get inner happiness. Therefore, we should learn to live in the present instead of having a habit of postponing everything we do.

We should learn to prioritize our work and do difficult work first or else we would be in a state of constant worry till that work is over.

I teach my patients that they should practice confession exercise and one confession is to talk about your regrets and take them as challenge and finish before the next Tuesday. When working, there are three things which are to be remembered –passion, profession and fashion. Profession is at the level of mind, ego and spirit.

We should convert our profession in such a manner that it is fashionable and passionate. Passion means working from the heart and profession means working from mind and intellect and fashion means working the same at the level of ego which is based on show–off.

Wellness Blog

Eating Out Tips

  • Curb portions: Always order for one if you are two people and if you are alone set aside some of what is on your plate to bring home.
  • Resist refined carbohydrates.
  • Load your plate with colorful choices at the salad bar with vegetables, fruits, and small amounts of lean protein. Skip the creamy and ranch dressings.
  • Choose dishes that are grilled, roasted, steamed, or sautéed.
  • Don’t be afraid to request a salad, vegetables, or fruit instead of starchy side dishes.
  • In non–vegetarian food, order only fish or seafood.
  • If you decide to have dessert, share it with your dining companion(s).

Inspirational Story

Inspiring Tears

Unfortunately when people think of teenagers, good thoughts are not always the first to come to mind. I know I avoid going into my teenage daughter’s high school at the end of their day because I don’t want to shoved and pushed in the hallways. I feel like I am running the gauntlet sometimes! I know they are just kids in a hurry to get out and blow off steam.

Fortunately I also get an opportunity to see teenagers at their best. Watching my daughter and her high school band's camaraderie is always a joy. For instance, when a fellow band member's music folder fell on the pavement everyone ran to help gather the music before it was scattered by the wind. They are a great group of kids.

But I witnessed an event yesterday that really warmed my heart.
My daughter had a band competition at a nearby high school. Her band was the last one to play and before they could play their last selection, the lights in the auditorium flickered and then went out.

The atmosphere in the large, dark space was pensive. The band, sensing this, started singing some of the familiar songs that they sing in the stands during football season. The audience started clapping and singing along. It was quite the experience, sitting in total darkness singing and clapping with dozens of people like it was an everyday occurrence.

I was so lucky to be able to experience this firsthand. My daughter is a senior and so this was one of her last concerts in high school. It was a moving inspirational experience I will never forget.

ePress Release

Natural food and not supplements to prevent heart disease

One should take seasonal and locally grown natural food and vegetables grown in organic farms, 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.

Eat less, dinner lighter then the lunch, eat natural and in moderation are few of the mantras. Taking food supplements can be harmful.

According to the American Heart Association, supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease. High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all–cause mortality.

Supplementation with vitamin C does not prevent second heart attack.

Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

The American Heart Association concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets high in natural antioxidants are associated with lower cardiovascular mortality.



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 – 94595 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 and CPR 10 Camp at NP Primary School, Rama Krishna Marg–16th July 2014

press release

Proton–pump inhibitors to carry warning about C

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 with prosthetic heart valves (bioprosthetic) developed infective endocarditis.
Reaction: Oh my God! Why was he not given infective endocarditis prophylaxis?
Lesson: Make sure that all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis

eMedinewS Humor

A housewife goes to an optometrist

A housewife goes to an optometrist and says: Lately I’m seeing grocery items smaller than they appeared till recently. I think I need a change of my eyeglasses.

The optometrist after examining her eyes for refraction and finding no change in dioptric values observes: Manufacturers of grocery items, rather than increasing the prices, have made the packings smaller; and there’s no need for you to change your eyewear.

Quote of the Day

You have to forget about what other people say, when you're supposed to die, or when you're supposed to love. You have to forget about all these things. Jimi Hendrix

Twitter of the Day

Dr KK Aggarwal:What’s Behind My Low Blood Pressure? http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: How do you detach yourself from something you truly want to happen?http://bit.ly/HTZaj4 #Health

eMedi Quiz

Follow up care for a leg ulcer is documented with which of the following teledematology tool?

a. Videoconference
b. Mobile teledermatology
c. Store and forward teledermatology
d. Online discussion group

Yesterday’s Mind Teaser: Which of the following statement is true regarding the author–based second opinion teledermatology?

a. Evidence based medicine is practiced as a collective opinion of the author who worked on an instant case
b. Applied for difficult to manage cases
c. Expert opinion and literature is obtained
d. All of the above

Answer for yesterday’s Mind Teaser: d. All of the above

Correct answers received from: Dr Chandresh Jardosh, Daivadheenam Jella, Dr Avtar Krishan, Dr Prakash Khalap

Answer for 18th July Mind Teaser: 1. Transitional

Correct answers received from: Dr.Rohini Dhillon, Dr. P. C. Das, Tukaram Pagad, Dr Poonam Chablani, Dr K Raju, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, we like reading the medical news. Regards: Dr Jayant

Forthcoming Events

Ethical & Legal Issues of Medical Profession
Sunday, 20th July, 2014, 9.30am to 2.00pm, Hotel Radisson Blu, Kaushambi
Organized by: Delhi Medical Association, IMA UP State &
Crosslay Society for Promotion of Medical Education & Research
Programme Schedule



10.00 –10.30am

Inauguration by Chief Guest
Sh. Vimal Kumar Sharma, IAS
District Magistrate, Ghaziabad


How to Improve Image of Medical Profession?
Dr. Ajay Kumar, Member, Ethics Committee, World
Medical Association, Chairman Administration and
Grievance Committee, MCI


Common Ethical Violations in Medical Practice
Dr. Muzaffar Ahmad
Chairman, Ethics Committee, MCI


‘Pharma Industry–Medical Profession’ Relationship
Dr. K.P. Kushwaha, Member, Ethics Committee, MCI


Death on Table
Dr. Sharda Jain, Pushpanjali Crosslay Hospital


My Lord–I am not guilty.
Dr. K. K. Aggarwal, Member, Ethics Committee, MCI
Vice President, Indian Medical Association


Avoiding Criminal Litigations
Mr. Siddharth Aggarwal Criminal Lawyer Supreme Court

12.40 onwards

Professional Misconduct–Case Discussions
Dr. Arun Aggarwal, President, Delhi Medical Council Dr. O.P. Kalra, Chairman, Disciplinary Committee, DMC Dr. Anil Goyal, President, Delhi Medical Association Dr. Girish Tyagi, Secretary, Delhi Medical Council



cardiology news

Media advocacy through Web Media

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eMedinewS Special

1. IJCP’s ejournals (This may take a few minues to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)