eMedinewS22nd October 2013¸ Tuesday

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

50 Ps to know all about dengue fever

  1. Parthenogenesis is endothermic dysfunction.
  2. Plasma leakage is the cause of severe dengue.
  3. Pregnancy is an indication for admission.
  4. Paani (water) resuscitation is the treatment.
  5. Pulse, if rises by 20 is a bad sign.
  6. Pressure: if systolic blood pressure falls by 20, this is a red flag.
  7. Pulse pressure less than 20 is a red flag.
  8. Paracetamol is the drug of choice for fever.
  9. Patti: if fever does not respond to paracetamol do tap water patti.
  10. PCV, if rises by 20% is a red flag.
  11. Platelets count is not reliable and no transfusion if no active bleeding.
  12. Piss: Make sure that the patient pisses (urinates) every 3 hours.
  13. Papaya leaves have no scientific role.
  14. Peeli haldi (yellow turmeric) can reduce plasma leakage.
  15. Pancreatitis can occur in dengue.
  16. Peelia (jaundice) can occur due to dengue but invariably is mild. SGOT will be higher than SGPT.
  17. Pot, if filled with fresh stagnant water can grow dengue.
  18. Potty: Dengue can present with loose motions.
  19. Pasina: Dengue fever may be high with sweating.
  20. Pedatric age: Dengue is more serious in children.
  21. Pain in the head: There can be severe pain in the head (retro orbital area) in dengue.
  22. Pantoprazole with domperidone may be required to stop vomiting.
  23. Palang: Extreme weakness in dengue may require rest.
  24. Paisa: Do not waste paisa (money) on unnecessary treatment.
  25. Positive: Always think positive and do not be afraid of mortality.
  26. Panic: Do not panic; dengue is not all that dangerous.
  27. Pareshani: do not trouble hospitals for unnecessary admissions.
  28. People: Multiple people may get dengue in one family.
  29. Protect people from dengue by taking precautions.
  30. Precautions: Take anti mosquito precautions.
  31. Prognosis is bad in second dengue.
  32. Post febrile period is the dangerous period.
  33. Prayers may have a role in terminal cases of dengue.
  34. Pradesh: Keep your pradesh free of dengue mosquitoes.
  35. Patience: Be patient in dengue.
  36. Picture: A picture of how a dengue patient looks should be in every house.
  37. Population: Dengue affects 10% of the population in any epidemic.
  38. Pagalpan: Dengue can cause encephalitis.
  39. Pleural effusion: Dengue can cause pleural effusion.
  40. Pericardial effusion; Dengue can cause pericardial effusion.
  41. Patila: Do not keep empty patila (vessels) on the roof of your house.
  42. Purify atmosphere with yagna smoke to kill mosquitoes.
  43. Prem: Dengue is not a sexually-transmitted illness.
  44. Past dengue illness history should be taken.
  45. Plot: Workers working in construction sites are at risk.
  46. Pehnava: Wearing full-sleeved clothes can prevent dengue.
  47. Pajama: wear full pajama in the day time.
  48. Passengers can carry mosquito to far-off places via car or train.
  49. Posture is normal in dengue unlike in Chikungunya where the person comes with flexed posture
  50. Prepare : the government should be prepared in advance to prevent dengue fever

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

Debts in Mythology

sprritual blog

It is said that there are three debts which everybody has to pay in his or her lifetime. In Vedic language, they are called Dev Rin, Pitra Rin and Rishi Rin.

In medical language, the body consists of soul, physical body, mind, intellect and ego. The soul is given to us by God or Devtas (Dev Rin), the physical body by our parents (Pitra Rin) and the mind, intellect and ego by our Gurus (Rishi Rin).

In terms of computer language, if I see my body as a computer, then my body as a computer is made by my parents; operating software and my inner internet represent the soul or consciousness given by the Devtas and the application software i.e. Word, Excel and Power point, which we learn over a period of time are given to us by our Gurus. Therefore, all these three debts we have to pay when we are still alive.

cardiology news

The Secret of Happiness

A merchant sent his son to learn the secret of happiness from the wisest of men. The young man wandered through the desert for 40 days until he reached a beautiful castle at the top of a mountain. There lived the sage that the young man was looking for.

However, instead of finding a holy man, our hero entered a room and saw a great deal of activity; merchants coming and going, people chatting in the corners, a small orchestra playing sweet melodies, and there was a table laden with the most delectable dishes of that part of the world.

The wise man talked to everybody, and the young man had to wait for two hours until it was time for his audience. With considerable patience, the Sage listened attentively to the reason for the boy’s visit, but told him that at that moment he did not have the time to explain to him the Secret of Happiness.

He suggested that the young man take a stroll around his palace and come back in two hours' time.However, I want to ask you a favor," he added, handling the boy a teaspoon, in which he poured two drops of oil. "While you walk, carry this spoon and don’t let the oil spill."

The young man began to climb up and down the palace staircases, always keeping his eyes fixed on the spoon. At the end of two hours he returned to the presence of the wise man. "So," asked the sage, "did you see the Persian tapestries hanging in my dining room? Did you see the garden that the Master of Gardeners took ten years to create? Did you notice the beautiful parchments in my library?"

Embarrassed, the young man confessed that he had seen nothing. His only concern was not to spill the drops of oil that the wise man had entrusted to him. "So, go back and see the wonders of my world,” said the wise man. “You can’t trust a man if you don’t know his house."

Now more at ease, the young man took the spoon and strolled again through the palace, this time paying attention to all the works of art that hung from the ceiling and walls. He saw the gardens, the mountains all around the palace, the delicacy of the flowers, the taste with which each work of art was placed in its niche. Returning to the sage, he reported in detail all that he had seen.

"But where are the two drops of oil that I entrusted to you?" asked the Sage. Looking down at the spoon, the young man realized that he had spilled the oil.

"Well, that is the only advice I have to give you," said the sage of sages. "The Secret of Happiness lies in looking at all the wonders of the world and never forgetting the two drops of oil in the spoon."

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

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


  • Gastric banding was associated with improvements in glucose metabolism, normalization of blood glucose in most diabetic patients, and reductions in pro-inflammatory immune cells. At 2 and 12 weeks after surgery, patients had -- on average -- significantly lowered fasting glucose, 2-hour glucose, HbA1c, fasting insulin, and triacylglycerol from baseline measures. Also, seven of 10 patients with diabetes who received the gastric band had shifted to normal glucose tolerance or impaired glucose tolerance at 2 weeks after the procedure, they wrote online in Diabetologia
  • Findings of a survey of 200 people showed that poor sleep quality had a significant association with active inflammatory bowel disease (IBD) and several potentially modifiable factors, culminating in poor health-related quality of life (HRQOL). Patients with self-reported poor sleep quality were three times as likely to have active IBD as compared with patients who reported good sleep quality.
  • The first "Choosing Wisely" list for endocrinologists has pinpointed "5 Things Physicians and Patients Should Question" in the field of endocrinology. These touch on advice regarding self–glucose monitoring in type 2 diabetes, how best to monitor hypothyroid patients, and what not to test to determine vitamin-D deficiency. Also documented is when it is appropriate to order a thyroid ultrasound or prescribe testosterone.
  • People using a supplement for weight loss or muscle building may be susceptible to acute hepatitis and liver failure, the Centers for Disease Control and Prevention (CDC) has warned. The agency published the warning and clinician recommendations October 11 in its Morbidity and Mortality Weekly Report.
  • New nutritional guidelines from the American Diabetes Association focus on overall eating patterns and patient preference, rather than any particular dietary prescription. the authors intentionally avoided using the word "diet." The new evidence-based position statement "Nutrition Therapy Recommendations for the Management of Adults With Diabetes," published online October 9 in Diabetes Care, reviews the evidence for several popular eating plans, including Mediterranean style, vegetarian, low fat, low carbohydrate, and Dietary Approaches to Stop Hypertension (DASH), but does not recommend any specific one.

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Rabies News (Dr. A K Gupta)

Can the vaccine be injected in gluteal region?

Rabies vaccine must not be administered in gluteal region as the gluteal fat may retard vaccine absorption resulting in delayed and lower seroconversion.

cardiology news

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

  • The FDA approved the oral dual endothelin-receptor blocker macitentan (Opsumit) in 10-mg once daily dose for treatment of pulmonary arterial hypertension (PAH). It is the first oral PAH agent approved with an indication to delay disease progression and to reduce hospitalization for the disease.
  • Patients with acute ischemic stroke (AIS) who have elevated factor VIII levels (in excess of 150%) may be at increased risk for recurrent thrombotic events, and these recurrent events are associated with high rates of death and disability, a new study presented at the American Neurological Association (ANA) 2013 Annual Meeting.
cardiology news

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

  • Adding mild hypothermia to neonatal extracorporeal membrane oxygenation (ECMO) in infants with very severe cardiorespiratory problems did not improve neurological outcomes at 2 years, a randomized trial reported online in Pediatrics. Infants randomized to receive ECMO with cooling showed a mean cognitive score of 88.0 (standard deviation 16.2) at 2 years compared with 90.6 (SD 13.1) for those who received ECMO alone, a nonsignificant difference.
  • According to a new study reported at the American Thyroid Association meeting, newborns have sufficient iodine levels whether they’re breastfed or formula-fed. In a single-center study in the Boston area, urine iodine concentrations were similar and well above the required 100 mcg/L for infants who received only breastmilk, only formula, or a combination of the two.
cardiology news

Do not ignore breakfast

Taking a good breakfast made up of carbohydrates and lean protein, can help lessen cravings and hunger during the rest of the day, which can lead to significant weight loss.

A research by Dr. Daniela Jakubowicz, a clinical professor at Virginia Commonwealth University and an endocrinologist at the Hospital de Clinicas Caracas in Venezuela has shown that sedentary, obese women lost almost five times as much weight on the "big breakfast" diet as did women following a traditional, restrictive low–carbohydrate diet.

While treating obese people we need to treat carb cravings and hunger. On waking up in the morning, the body is primed to look for food. The metabolism is revived up, and levels of cortisol and adrenaline are at their highest. The brain needs energy right away, and if one doesn’t eat or eats too little, the brain needs to find another fuel source. To do this, it activates an emergency system that pulls energy from muscle, destroying muscle tissue in the process. Then when you eat later, the body and brain are still in high–alert mode, so the body saves energy from the food as fat.

The levels of the brain chemical serotonin are highest in the morning and the craving levels are at the lowest and you may not feel like eating. As the day wears on, serotonin levels dip, and you get cravings for chocolate or cookies, and such similar foods. If you eat these foods, your serotonin levels rise, and your body begins to associate good feelings with them, creating an addictive cycle. The high protein, carbohydrate mix in breakfast gives the body the initial energy boost it needs in the morning. Throughout the rest of the day, the meals are made up of protein and complex carbohydrates, like vegetables. Because protein is digested slowly, you won’t feel hungry.

If you have to eat chocolate, eat it in the morning as having a small piece of chocolate or candy when serotonin levels are high, won’t taste as good, and the brain won’t feel the same serotonin boost, which will eventually help cut down on cravings.

Eating breakfast with high glycemic foods may be harmful. After eating cereals or a doughnut, the blood sugar and insulin levels spike. Once that blood sugar is used up, you’ll still have excess insulin circulating, which makes you hungry and makes you crave carbohydrates.

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
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


Health Mela is the best low-cost health awareness module

The health Mela concept is one of the most field-tested and successful low-cost modules for creating health awareness in the country. The concept was started by Heart Care Foundation of India in 1993 and the Government of India earmarked the occasion by issuing a national commemorative postal stamp. Later, the concept was adopted by the Ministry of Health, Government of India under Swasthya Mela Scheme.

Addressing a press conference, Padma Shri and Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India said that Health Mela concept is nothing but passing on credible health information to the people who are gathered by attracting them using traditional folk or modern infotainment modules.

The press conference was organized to earmark the 20th MTNL Perfect Health Mela to open on 23rd October.

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.

The press was co-addressed by Mr. Ashok Chakradhar, noted Poet and Dr. Praveen Chandra, Chairman, Interventional Cardiology at Medanta - The Medicity, Gurgaon.

The experts said that today when Delhi alone has over 65 national news channels and newspapers, there is always a shortage of medical experts available for quotes.

Any wrong information from the mouth of a health expert can create panic in the society. Giving examples the experts said that Swine Flu panic ended up with increased number of patients with rheumatic fever and dengue epidemic panic has ended up with unnecessary platelet transfusion.

The expert said that time has come for the health information to be regulated by the councils.

Dr. Aggarwal said that under Section 7.11 of Code of Medical Ethics by Medical Council of India, a doctor should not contribute to the lay press articles and give interviews regarding diseases and treatments which may have the effect of advertising himself or soliciting practices; but is open to write to the lay press under his own name on matters of public health, hygienic living or to deliver public lectures, give talks on the radio/TV/internet chat for the same purpose and send announcement of the same to lay press.

Therefore, any exaggeration of a disease or creating panic in the society, soliciting patients amounts to professional misconduct.

  1. The health information should be fact-based, field-tested and should not create any panic or fear in the society.
  2. The principles of ‘hit the iron when it is hot and involving the people who count ’ should be adhered to.
  3. While giving a health statement, the doctor should also quote credible source of information.
  4. As of today, the credible sources of studies are Meta-Analysis, Randomized controlled studies and Reviews published in credible journals. Individual case reports or non-randomized controls may not be accepted as the recommendations.
  5. Any claim of cure should be accepted with a pinch of salt.
  6. The Medical Council of India does not allow doctors to endorse any drug or product publicly. The council expects that any study conducted by a doctor on the efficacy or otherwise of a product shall be first presented to and/or through appropriate scientific bodies or published in a proper scientific journal in a proper way.
  7. Health information should be evidence-based medicine.

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 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

Padma Shri and Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India, Mr. Ashok Chakradhar and Dr. Praveen Chandra released Health messages during the Press Conference

press release

Daily aspirin to prevent heart disease may increase risk of GI or cerebral bleeding

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

Read this…………………

What percentage of your diet should fat make up?

A. About 10 percent of your daily calories.
B. About 20 percent of your daily calories.
C. About 30 percent of your daily calories.
D. About 40 percent of your daily calories.
E. There is no recommended amount of fat; you should strive to eat as little of it as possible.

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

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

Answer for yesterday’s Mind Teaser: 4.Condyles of tibia.

Correct answers received from: .Annappa Pangi, Arvind Gajjar, Dr. Rajesh B. Astik, Dr Monica Gandhi, Dr Arpan Gandhi, Dr.K.V.Sarma, Dr.(Maj. Gen.) Anil Bairaria, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr U Gaur, Dr B K Agarwal

Answer for 20th October Mind Teaser:2.Iliohypogastric.

Correct answers received from: .Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr U Gaur, Dr B K Agarwal, Supriya Chandra

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

My doctor sure has his share of nut cases.
One said to him, "Doctor, I think I’m a bell."
The doctor gave him some pills and said, "Here, take these — If they don’t work, give me a ring."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with Chikungunya had persistent joint pain.
Reaction: Oh my God! Why was hydroxychloroquine not given?
Lesson: Make Sure that all patients with post Chikungunya arthritis are treated with hydroxychloroquine to reduce chances of death.

medicolegal update

If the looser keeps his smile, the winner will lose the thrill of victory.

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: You are instantly abundant when you show thanks for what you have.

medicolegal update

Dear Sir, emedinews is very informative. Regrds: Dr Shreya

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
20th PHM 2013 20th PHM 2013
20th PHM 2013 20th PHM 2013
20th PHM 2013

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