eMedinewS26th November 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

MCI Elections Postponed for One Week

High Court of Tamil Nadu has stayed the elected MCI meeting scheduled for 10th of December for one week. Will this lead to more cases in other states? MCI will be challenging this judgment.

Copy of the Order

"W.P.No.23914 of 2013

and M.P.No.7 of 2013


  1. This application, at the instance of Tamil Nadu Dr. MGR Medical University seeks an interim order to direct the Medical Council of India (hereinafter referred to as ‘MCI’) to defer the constitution of Executive Committee and the application to the post of President, Vice President and other members of the Committee till the conclusion of the election process initiated by the University to elect the members from the State of Tamil Nadu.
  2. The learned Advocate General appearing on behalf of the Tamil Nadu Dr. MGR Medical University submitted that in case the MCI proceeds to elect the Executive Committee, there would not be any kind of participation for the State of Tamil Nadu in the said Committee.
  3. According to the learned Advocate General, it was only on account of the pendency of the writ petitions and the interim order granted by this Court the process of election to elect the members from Tamil Nadu was delayed. The University was not responsible for the delay. Therefore, the learned Advocate General seeks an interim direction to the MCI not to constitute Executive Committee till the conclusion of the election process commenced by the Tamil Nadu Dr. MGR Medical University.
  4. The learned standing counsel for the MCI placed reliance on the communication sent by the MCI dated 8 November 2013 convening meeting of the members of the Council to attend the General Body Meeting 'scheduled to be held on 10 and 11 December 2013. The schedule appended to the communication indicates that the General Body Meeting of the MCI would be held at 11.00 a.m. on 10 and 11 December 2013 for the purpose of electing the members of Executive Committee.
  5. The Tamil Nadu Dr. MGR Medical University issued a notification indicating that the election would be conducted on 10 December 2013. The learned Advocate General appearing on behalf of the Tamil Nadu Dr. MGR Medical University submitted that the election would be conducted in accordance with the mandate of Indian Medical Council (Amendment) Ordinance 2013.
  6. The Tamil Nadu Dr. MGR Medical University would be conducting election on 10 December 2013 to elect the members from Tamil Nadu. The MCI convened the meeting to be held on 10 December 2013 to elect the Executive Committee. In case the election is conducted by the MCI as per the schedule, there will be no participation for the State of Tamil Nadu. The State of Tamil Nadu would be denied of representation in MCI. The MCI is a statutory body and it should represent the members from all the States.
  7. The Indian Medical Council (Amendment) Ordinance 2013 was promulgated by the President on 21 May 2013. The proviso added to Section 3 of the Principal Act shows that in case there is a Health University in a State, that University shall elect, in such manner as may be provided by the rules made by the Central Government, one representative for every ten medical colleges affiliated to it to represent such medical colleges. It was only pursuant to the said ordinance, the Tamil Nadu Dr. MGR Medical University initiated action to conduct the election.
  8. lt is true that the notification was issued on 21 May 2013. However, on account of the pendency of the writ petitions, the University was not in a position to proceed further. No prejudice would be caused to the MCI or the members by postponing the General Body Meeting by one week.
  9. 0n the other hand, the State of Tamil Nadu would be put to great prejudice as the members of this State would not be in a position to become the members of Mel. In case the election to the Executive Committee is conducted even before the conclusion of the election process initiated by the Tamil Nadu Dr. MGR Medical University. Therefore, I am of the view that the MCI should be directed to postpone the election by one week.
  10. There shall be an interim order restraining the MCI from conducting the meeting of Medical Council on 10 and 11 December 2013. The MCI is directed to convene the meeting on any date after 17 December 2013, so as to enable the members from Tamil Nadu to participate in the electron to elect the Executive Committee.
  11. Post the writ petitions on 18 December 2013.


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

Positive Attitudes

sprritual blog

All those out there who feel you are at your wits’ end wondering how things don’t ever work out for you can now relax and dwell on all those failures that life has taken you through and turn failure into success.

Positive Attitudes

1. Failure doesn’t mean you are a failure. But it does mean you haven’t succeeded yet.
2. Failure doesn’t mean you have accomplished nothing. It does mean you have learned something.
3. Failure doesn’t mean you have been a foolish. It does mean you had a lot of faith.
4. Failure doesn’t mean you’ve been discouraged. It does mean you were willing to try.
5. Failure doesn’t mean you don’t know what to do. It does mean you have to do it in a different way.
6. Failure doesn’t mean you are inferior. It does mean you are not perfect.
7. Failure doesn’t mean you have wasted your life. It does mean you have a reason to start afresh.
8. Failure doesn’t mean you should give up. It does mean you must try harder.
9. Failure doesn’t mean you’ll never make it. It does mean it will take a little longer.
10. Failure doesn’t mean God has abandoned you. It does mean God has a better idea.

cardiology news

The Real Pearl Necklace

Jenny was a bright–eyed, pretty five–year–old girl. One day when she and her mother were checking out at the grocery store, Jenny saw a plastic pearl necklace priced at $2.50.

How she wanted that necklace, and when she asked her mother if she would buy it for her, her mother said, "Well, it is a pretty necklace, but it costs an awful lot of money. I’ll tell you what. I’ll buy you the necklace, and when we get home we can make up a list of chore that you can do to pay for the necklace. And don’t forget that for your birthday Grandma just might give you a whole dollar bill, too. Okay?"

Jenny agreed, and her mother bought the pearl necklace for her. Jenny worked on her chores very hard every day, and sure enough, her grandma gave her a brand new dollar bill for her birthday. Soon Jenny had paid off the pearls.

How Jenny loved those pearls. She wore them everywhere–to kindergarten, bed and when she went out with her mother to run errands. The only time she didn’t wear them was in the shower; her mother had told her that they would turn her neck green.

Now Jenny had a very loving daddy. When Jenny went to bed, he would get up from his favorite chair every night and read Jenny her favorite story. One night when he finished the story, he said, "Jenny, do you love me?" "Oh yes, Daddy, you know I love you," the little girl said. "Well, then, give me your pearls."

"Oh! Daddy, not my pearls!" Jenny said. "But you can have Rosie, my favorite doll. Remember her? You gave her to me last year for my birthday. And you can have her tea party outfit, too. Okay?" "Oh no, darling, that’s okay." Her father brushed her cheek with a kiss. "Good night, little one." A week later, her father once again asked Jenny after her story, "Do you love me?"

"Oh yes, Daddy, you know I love you." "Well, then, give me your pearls."

Oh, Daddy, not my pearls! But you can have Ribbons, my toy horse. Do you remember her? She’s my favorite. Her hair is so soft, and you can play with it and braid it and everything. You can have Ribbons if you want her, Daddy," the little girl said to her father.

"No, that’s okay," her father said and brushed her cheek again with a kiss. "God bless you, little one. Sweet dreams." Several days later, when Jenny’s father came in to read her a story, Jenny was sitting on her bed and her lip was trembling. "Here, Daddy," she said, and held out her hand.

She opened it and her beloved pearl necklace was inside. She let it slip into her father’s hand. With one hand her father held the plastic pearls and with the other he pulled out of his pocket a blue velvet box. Inside of the box were real, genuine, beautiful pearls.

He had them all along. He was waiting for Jenny to give up the cheap stuff so he could give her the real thing.

News Around The Globe


24–hour systolic blood pressure and mixed hypertension are major determinants of target organ damage
In a study of 1047 untreated Chinese patients, published in Hypertension, 24–hour systolic blood pressure and mixed systolic plus diastolic hypertension were major determinants of target organ damage irrespective of age and target organ. Compared with normotension, mixed hypertension was associated with higher left ventricular mass index, urinary albumin: creatinine ratio, and pulse wave velocity; and isolated diastolic hypertension was associated with similar left ventricular mass index and pulse wave velocity, but higher urinary albumin: creatinine ratio. Twenty–four hour diastolic blood pressure and isolated diastolic hypertension only related to the urinary albumin: creatinine ratio in individuals younger than middle age.

Amlodipine, but not aliskiren, reduces blood pressure in dialysis patients with refractory hypertension
In a randomized trial exploring the antihypertensive effect of aliskiren (a direct renin inhibitor) compared with amlodipine (a calcium–channel blocker) in patients undergoing hemodialysis, researchers found a significant decrease in predialysis clinic blood pressure and home blood pressure only in patients taking amlodipine. In contrast, there was a decrease in atrial natriuretic peptide only in the aliskiren group. (The Clinical and Experimental Nephrology study)

ACEI and ARB combination increases risk for adverse effects in diabetic nephropathy: NEPHRON–D
The combination of an angiotensin–converting enzyme (ACE) inhibitor and an angiotensin–receptor blocker (ARB) increases the risk for serious adverse effects in patients with diabetic nephropathy, according to NEPHRON–D, a large multicenter study that was stopped early. The research, known as the Veterans Affairs Nephropathy in Diabetes study, was presented at Kidney Week 2013 and was also published in the New England Journal of Medicine.

Ranibizumab and Bevacizumab have equivalent effects in ARMD
A 1–year analysis of the head–to–head Lucentis Compared to Avastin Study (LUCAS) has found that ranibizumab (Lucentis, Genentech) and bevacizumab (Avastin, Genentech) had equivalent effects on visual acuity when administered according to an inject–and–extend protocol in neovascular age–related macular degeneration. The study findings were presented at the American Academy of Ophthalmology (AAO) 2013 Annual Meeting.

Low–dose aspirin does not increase survival time in colon cancer
In a case–control cohort, there were no significant associations between low–dose aspirin use and colorectal cancer–specific mortality or all–cause mortality post–diagnosis, according to Chris Cardwell, PhD, of Royal Victoria Hospital in Belfast, Northern Ireland, and colleagues. Additionally, there was no dose–response association for low–dose aspirin use with colorectal cancer–specific mortality after 1 year, they wrote online in the journal Gastroenterology.

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Rabies News (Dr. A K Gupta)

Are pregnancy and lactation contraindications for IDRV?

Pregnancy and lactation are not contraindications for IDRV.

cardiology news

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

  • In a year–long efficacy–safety study of a cholesterol–lowering monoclonal antibody (MAb), once–monthly injections of evolocumab (Amgen) consistently suppressed LDL–C levels by about 50% compared with a standard–care approach. The LDL–C response was consistent across several distinct groups of dyslipidemic patients, including the statin–intolerant and those with familial hypercholesterolemia (FH). And the risk of adverse events didn’t go up on treatment with the agent, a human MAb against proprotein convertase subtilisin/kexin type 9 (PCSK9), a regulator of LDL–receptor levels. Evolocumab had previously gone by the name AMG145. Dr Michael J Koren (Jacksonville Center for Clinical Research, FL presented the Open–Label Study of Long–term Evaluation Against LDL–C (OSLER) at the American Heart Association 2013 Scientific Sessions.
  • The Trial to Assess Chelation Therapy (TACT), dubbed by one observer as "the most controversial CVD trial in a long time," is stepping back into the limelight with findings from a substudy that may prove just as astounding as the primary study results. In a prespecified analysis of patients with diabetes in TACT, Dr Esteban Escolar (Mount Sinai Medical Center, Miami Beach, FL) and colleagues, with TACT principal investigator Dr Gervasio A Lamas (Mount Sinai Medical Center), found a highly significant 15% absolute decrease in risk of the primary composite end point among diabetic patients in the chelation arm compared with patients treated with placebo infusions.
cardiology news

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

  • Neuraminidase inhibitor (NAI) drugs improved survival of children with influenza when they were given the drugs within the first 48 hours of illness, according to an analysis published online November 25 in Pediatrics. Prompt NAI therapy in children with influenza virus infection who are hospitalized in an ICU may improve survival, including in those most severely ill who require mechanical ventilation.
  • Peak scores of well–being for teenagers occurred with about 14 hours a week of sport practice, or twice the recommended 7 hours, but higher sport durations independently predicted poor well–being, according to a Swiss survey study published online November 21 in the Archives of Disease in Childhood.
cardiology news

Long–term use of painkillers can cause kidney cancer

A study published in the journal Archives of Internal Medicine has shown that people who regularly take painkiller drugs like ibuprofen or naproxen are 51 percent more likely to develop kidney cancer. There is no increased risk from taking aspirin or paracetamol.

The mechanism through which painkillers could cause kidney disease is the inhibition of prostaglandin synthesis with resulting papillary and tubular injury and ultimately damage to DNA.

The study analyzed data from 77,525 women in the Nurses’ Health Study and from 49,403 men in the Health Professionals Follow–up Study. The risk was related to the duration of use of the painkillers. There was a decrease in the risk by 19% if the painkiller was used for less than four years. There was a 36 per cent increase in risk of kidney cancer for people who used them regularly for 4 to 10 years. The risk increased almost three times for those who used these drugs regularly for 10 years or more.

The good news is that kidney cancer is uncommon so the risk is small for average users.

Two other important causes of kidney cancer are obesity and smoking. So people on painkillers should not smoke and should also keep their weight under control to prevent kidney cancer.

cardiology news

Total CPR since 1st November 2012 – 75187 trained

Media advocacy through Web Media

Longer the waist line shorter the brain size

For every excess pound piled on the body, the brain gets a little bit smaller, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

A new research from UCLA neuroscientist Paul Thompson, has found that elderly individuals who were obese or overweight had significantly less brain tissue than individuals of normal weight. The brains of obese people looked 16 years older than their healthy counterparts while those of overweight people looked 8 years older.

Much of the lost tissue was in the frontal and temporal lobe regions of the brain, the seat of decision-making and memory, among other things. These have serious implications for aging, overweight or obese individuals, including a heightened risk of Alzheimer's. Obesity thus may accelerate ageing.

The researchers studied brain images of 94 people in their 70s. None of the participants had dementia or other cognitive impairments. They were followed for five years. Clinically obese people had 8 percent less brain tissue, while the overweight had 4 percent less brain tissue compared to normal-weight individuals.

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 75187 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

CPR 10 activity during IITF 2013

press release

Vegetables and fruits lower chances of getting some cancers

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

Decreased glycolytic activity impairs oxygen transport by hemoglobin due to:

1.Reduced energy production.
2.Decreased production of 2,3–bisphosphoglycerate.
3.Reduced synthesis of hemoglobin.
4.Low levels of oxygen.

Yesterday’s Mind Teaser: The conversion of an optically pure isomer (enantiomer) into a mixture of equal amounts of both dextro and levo forms is called as:


Answer for yesterday’s Mind Teaser: 3.Racemization.

Correct answers received from: Dr.K.Raju, DR.A.K.GAJJAR, Dr.K.V.Sarma, Dr. P. C. Das,, Dr. Vishal D Wahane, Dr Pankaj Agarwal, Dr Chandresh Jardosh, DR AVTAR KRISHAN, daivadheenam jella, Dr.Sahadevudu Gelivi, Dr.Dinesh Narain Saksena, DR ABBAS VAKIL, DR.A.K.GAJJAR

Answer for 24th November Mind Teaser: 4. Protein folding.

Correct answers received from: DR ABBAS VAKIL

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Logical questions need logical answers…

If swimming is a good exercise to stay FIT, Why are whales so FAT??

Why is the place in a stadium where people SIT called a STAND?

Why is that everyone wants to go to HEAVEN, but nobody wants to DIE.

Shall I say that there is racial discrimination even in chess… as the WHITE piece is moved FIRST.

In our country, we have FREEDOM of SPEECH, then why do we have TELEPHONE BILLS?

If money doesn’t grow on TREES, then why do banks have BRANCHES?

Why doesn’t GLUE stick to its BOTTLE?

Why do you still call it a BUILDING, when it’s already BUILT?

If it’s true that we are here to HELP others, what are others HERE for?

If you aren’t supposed to DRINK and DRIVE, then why do bars have PARKING lots?

If all the nations in the world are in debt, where did all the money go?

When dog food is new with improved taste, who tests its taste?

If the "Black Box" flight recorder is never damaged during a plane crash, why isn’t the whole airplane made out of that stuff?

Who copyrighted the Copyright symbol?

Can you cry under water?

Why do people say "I’ve been working like a dog", when dogs do nothing but just sit around all day?

We all are living in a seriously funny world…
So Enjoy!!!

Dr. Vasant G. Shenoy

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient after sublingual nitrate developed fainting attack.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

medicolegal update

When the character of a man is not clear to you, look at his friends. Japanese Proverb

medicolegal update

Dr KK Aggarwal: Relieve Stress by Changing the Interpretation http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: How can I make people understand that spirituality is the ultimate goal? #CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm

Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Sir, excellent content. Regards: Dr Suraj

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Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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