eMedinewS2nd October 2013, Wednesday

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

New Device for pre exposure HIV prophylaxis

A new intravaginal ring filled with an anti–retroviral drug, developed with support from the National Institute of Allergy and Infectious Diseases by Northwestern University visiting associate professor Patrick Kiser, a ring which is easy to use and long lasting has recently demonstrated a 100 percent success rate protecting primates from the simian immunodeficiency virus (SHIV). The device will soon undergo its first test in humans.

"After 10 years of work, we have created an intravaginal ring that can prevent against multiple HIV exposures over an extended period of time, with consistent prevention levels throughout the menstrual cycle," said Kiser, an expert in intravaginal drug delivery who joined Northwestern from the University of Utah, where the research was conducted. Kiser is a new faculty member in Northwestern’s McCormick School of Engineering’s Department of The research was published September 16 in the Proceedings of the National Academy of Sciences (PNAS).

Out of existing methods, pills must be taken daily and require high doses and vaginal gels that must be applied prior to each sex act are inconvenient, yielding poor usage rates. The new ring is easily inserted and stays in place for 30 days.

It is delivered at the site of transmission, the ring –– known as a TDF–IVR (tenofovir disoproxil fumarate intravaginal ring) –– utilizes a smaller dose than pills.

The device contains powdered tenofovir.

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

You are Temple of the God and the Spirit of the God Dwells in You

sprritual blog

This sutra from the Bible reflects the union between the spirit and the soul. The ‘Spirit’ represents the Parmatama or the Brahman and ‘You’ represents the individualized spirit or the Soul (Jivatama).

A temple is a place of worship and also the place where God resides. Every human being represents a temple (place of worship) where God exists (one’s soul) and this soul is nothing but the essence of God (the spirit).

One should treat every individual with the same manner as the same spirit dwells in every human being. The soul is also the reflection of individual’s past and present karmic expressions. Most people are in the habit of looking and searching for God in artificial temples, gurudwaras and churches, not realizing that the same God is present within us, provided we undertake the internal journey to look for Him.

He is present in between the thoughts in the silent zone and can be approached by adopting any of the three pathways: Karma Yoga, Bhakti Yoga and Gyana (Gnana) Yoga.

Doing selfless work with detachment to its results; working with the principles of duty, devotion and discipline; and/or regularly doing Primordial Sound Meditation or other types of meditations can help one reach the stage of self–realization or meeting one’s true self.

Once there, one can have all the happiness in life.

cardiology news


A woman who had worked all her life to bring about good was granted one wish, "Before I die let me visit both hell and heaven." Her wish was granted.

She was whisked off to a great banquet hall. The tables were piled high with delicious food and drink and around the tables sat miserable, starving people as wretched as could be.

"Why are they like this?" she asked the angel who accompanied her. "Look at their arms," the angel replied.

She looked and saw that attached to the people’s arms were long chopsticks secured above the elbow. Unable to bend their elbows, the people aimed the chopsticks at the food, missed every time and sat hungry, frustrated and miserable.

"Indeed this is hell! Take me away from here!" She was then whisked off to heaven. Again she found herself in a great banqueting hall with tables piled high. Around the tables sat people laughing, contented, and joyful. "No chopsticks I suppose," she said.

"Oh yes there are. Look, just as in hell they are long and attached above the elbow but look, here people have learnt to feed one another".

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

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.

eMedinewS e–gifts to our readers

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  • Patients with type 2 diabetes and nocturnal hypertension may be better off taking their once–daily antihypertensives before bed instead of in the morning, according to an open-label, crossover study by Niklas Rossen, a doctoral student at Silkeborg Regional Hospital in Denmark, and colleagues. The study included 41 patients with type 2 diabetes and nocturnal hypertension, defined as a nighttime systolic pressure over 120 mm Hg. They were randomized to 8 weeks of either morning or bedtime dosing followed by 8 weeks of the opposite strategy. Bedtime dosing was associated with a 7.5–mm Hg reduction in nighttime systolic blood pressure and a 3.1–mm Hg drop in 24–hour systolic blood pressure, without a significant effect on daytime readings, morning surge, or arterial stiffness measured using pulse wave velocity. Similar patterns were seen for diastolic, mean arterial, and pulse pressure.
  • Treatment with long–acting oxycodone and naloxone in fixed combination was effective at reducing restless legs syndrome (RLS) symptom severity among patients not effectively managed on other treatments, researchers reported the World Congress of Neurology. Compared with placebo at week 12, combination oxycodone and naloxone treatment offered significant improvement in International RLS Study Group Rating Scale scores by 8.15 points. The effects of opioid therapy "were observed within week 1 and continued over the long–term" without withdrawal or addiction events.
  • The AAOS has issued recommendations for the management of rotator cuff injuries covering more than 1,100 combinations of patient presentations and possible treatments. Half of these treatment scenarios were rated as "rarely appropriate," while 16% were recommended as appropriate by an AAOS committee that reviewed the literature along with expert opinion. Five general treatment types including nonsurgical treatments, as well as partial or full surgical repair, reconstruction, and joint replacement are covered in the recommendations. "Major surgery, such as reconstruction or arthroplasty was an option found to be most appropriate for patients who have not responded to conservative care, are healthy, have large or massive tears, and chronic changes on MRI," said committee moderator James O. Sanders, MD, in a statement.
  • Older individuals who have experienced three or more major life stressors –– such as loss of a partner, death of a child, or changing residence –– are at greater risk of death than people with fewer of these events, according to a study presented at the annual meeting of the European Association for the Study of Diabetes. When, compared outcomes of people who experienced stressful events with those of people who experienced no life stressors over an average of 15 years, there was no significant difference for those with one or two events, but there was a 29% increase in the risk of mortality if a person experienced three life stressors, and a 51% increased risk of mortality if a person experienced more than three events.
  • A genetic variant found in about 40% of patients with type 2 diabetes may increase the susceptibility to dying from cardiovascular disease. In a meta–analysis of data from four diabetes cohorts, the presence of the KCNJ11 E23K polymorphism was associated with a 21% relative increase in the risk of cardiovascular mortality, according to Sami Alkayyali, a doctoral student at Lund University in Sweden.
  • According to a report in Lancet Global Health, The Bill and Melinda Gates Foundation–funded Avahan programme may have prevented over 6 lakh HIV infections in India over 10 years as published in The Hindu, dated September 30, 2013. The Avahan India AIDS Initiative was launched in 2003, as a large scale, targeted intervention prevention programme and was implemented in Andhra Pradesh, Maharashtra, Tamil Nadu, Manipur and Nagaland. The study looked at 69 districts in Andhra Pradesh, Maharashtra, Karnataka and Tamil Nadu. The results of the assessment indicated that over the first four years of the programme, 42 per cent of the HIV infections were averted, and over 10 years, it rose to 57 per cent.

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
  • Stress tests done with the newer vasodilator regadenoson (Lexiscan) have the same predictive power for coronary artery disease as conventional adenosine (Adenoscan). An abnormal SPECT scan had the same independent association with cardiovascular death and nonfatal heart attack for both pharmacological stress agents, according to Afshin Farzaneh–Far, MD, of the University of Illinois at Chicago, and colleagues who presented their findings at the American Society of Nuclear Cardiology meeting. The summed stress score showed no interaction by vasodilator used.
  • A single–center study reported at the American Society for Nuclear Cardiology meeting has shown that adding a routine prone position to the standard supine cardiac CT when looking for myocardial ischemia modestly boosts the number of normal findings, but whether it can cut down on unnecessary catheterizations isn't clear yet. The proportion of single photon emission CT (SPECT) myocardial perfusion imaging studies read as normal was 73% with routine dual positions, compared with 66% using the supine position plus discretionary prone imaging.

Valvular Heart Disease News

In patients ≥62 years of age with MAC, 6 percent have mitral obstruction.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • Children with congenital heart disease were at an elevated risk for infective endocarditis if they had left–sided lesions, cyanotic congenital heart disease, or endocardial cushion defects. Ariane Marelli, MD, MPH, of the McGill Adult Unit for Congenital Heart Disease in Montreal, and colleagues found that the incidence of infective endocarditis was elevated in children who had congenital heart disease if the patient had cyanotic congenital heart disease, endocardial cushion defects and left–sided lesions, when these risk factors were compared with the presence of atrial septal defect. The risk of endocarditis was also elevated in children who had undergone cardiac surgery within 6 months of the study and those who were younger than 3 years old versus those ages 6 to 18. The study is reported in the Sept. 24 issue of Circulation. (Source: Medpage Today)
  • Compared with term infants (39 – 41 weeks), early–term infants born between 37 and 38 weeks’ gestational age were at a 7–fold higher risk for neonatal morbidity and had heightened risk for admission to the neonatal intensive care unit (NICU) or neonatology service. Shaon Sengupta, MD, from the Division of Neonatology, Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, and coauthors published the findings of their 3–year population–based cohort study online September 30 in JAMA Pediatrics.
cardiology news

Small Study: Soft Drinks May Change Metabolism Permanently

Dr. Hans–Peter Kubis, the director of the Health Exercise and Rehabilitation group at Bangor University in England, has shown that regularly drinking soda drinks can not only cause weight gain, but can actually change the metabolism in the human body, potentially triggering a whole host of other medical problems.

The findings published in the European Journal of Nutrition in June, looked at the effects of increased soda intake on a group of 11 men and women described as 'lightly active, healthy, lean subjects with sporadic soft drink consumption.

The study found that even in that short time, the extra soda led their bodies to process calories differently, switching to ‘an inefficient metabolism.

cardiology news

Total CPR since 1st November 2012 – 63400 trained

CPR Classes 63400

Media advocacy through Print Media

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Media advocacy through Web Media

Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

People with very low cholesterol levels are at increased risk of developing stomach cancer, according to a study published in the International Journal of Cancer, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

The study involved 2,600 residents of Hisayama, Japan, who were followed for 14 years. Gastric cancers developed in 97 subjects. After accounting for age and gender, stomach cancer rates rose significantly with descending cholesterol level. For example, among subjects with the highest cholesterol levels, the gastric cancer rate was the equivalent of 2.1 cases per 1000 persons per year; among those with the lowest cholesterol, the rate was 3.9 per 1000 persons per year.

Patients with low serum cholesterol should consider periodic gastrointestinal examination for the prevention of stomach cancer, said Dr Aggarwal.

Low cholesterol has been earlier linked to depression, anxiety and suicide in both men and women. Another earlier report has also shown that people with cholesterol level below 180 had twice the risk of brain hemorrhage as compared to those with cholesterol levels of 230.

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 63400 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

Inaugurating the day–long ‘Dil Ka Darbar’ organized by Heart Care Foundation of India in association with Department of AYUSH, Government of India, Health Department, Government of Delhi, MTNL, Central Bank of India and LIC.

press release

Carotid neck ultrasound the only way to check regression of heart blockages

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…………………

All of the following regarding aromatase inhibitors (AIs) are correct except:

1. Unlike tamoxifen, AIs are associated with an increased risk of endometrial cancer.
2. AIs have been shown to reduce bone density, and increase the risk of fractures.
3. AIs are not indicated in premenopausal women.
4. The musculoskeletal symptoms associated with the AIs are transient.

Yesterday’s Mind Teaser: A recent large database study of bivalirudin and vascular closure devices for interventional procedures has shown reduced bleeding with.......

a. Bivalirudin use
b. Vascular closure device use
c. Both used together
d. All of the above

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

Correct answers received from: Dr.A.K.GAJJAR, Prabha Sanghi, Dr pooja khullar, Dr. SUSHMA CHAWLA, Dr. V.P. Thakral, Dr.K.Raju, Dr A.J.Dabawala, Dr.K.V.Sarma, Dr Pankaj Agarwal, DR AYYAVOO ERODE, DR.BITAAN SEN & DR.JAYASHREE SEN, Dr Chandresh Jardosh, Dr. Thakor Hitendrsinh G, Dr Kanta Jain, DR AVTAR KRISHAN, Dr valluri ramarao

Answer for 30th September Mind Teaser: A. 110/70

Correct answers received from: DR.BITAAN SEN & DR.JAYASHREE SEN, Dr Jainendra Upadhyay, Dr. Thakor Hitendrsinh G, Supriya Chandra, Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

The Vicious Circle

The boss calls his secretary and says, "Get ready for the weekend. We are going on a business trip."

The secretary calls husband and says, "Me and my boss are going on a business trip for 2 days so take care of yourself."

The husband calls his mistress and says, "My wife is going on a business trip. Come home we can have fun."

The mistress calls the boy to whom she gives tuition, “No tuition this weekend."

The boy calls his grandfather, "Grandpa at last we can spend this weekend together."

Grandpa (The boss) calls his secretary and says, "Business trip is canceled. I'm going to spend weekend with my grandson."

The secretary calls husband, "I won’t be going"

The husband calls his mistress, "I am sorry, my wife is not going"

The mistress calls boy, "You have tuition"

Boy calls his grandpa and says, "Sorry grandpa, I’ve classes"

The grandpa calls secretary and…

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient on penicillin antibiotic developed a relapse of fever while still on antibiotic.
Reaction: Oh my God! Why was the antibiotic continued for so long?
Lesson: Make sure that drug fever is always excluded in such situations. Antibiotics are the most common cause of drug fever, accounting for approximately one–third of episodes. This especially applies to beta–lactams, sulfonamides and nitrofurantoin (Am J Med Sci 1987;294:275).

medicolegal update

A total commitment is paramount to reaching the ultimate in performance. Tom Flores

medicolegal update

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

Dr Deepak Chopra: What does it take to be a visionary leader? http://tinyurl.com/l6x3eo4

medicolegal update

Dear Sir, emedinews is very informative. Regards: Dr Karan

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

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medicolegal update

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