eMedinewS2nd September 2013, Monday

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; 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

Albuminuria linked to mental decline in diabetics

A simple urine test may be able to identify type 2 diabetes patients at increased risk for mental decline. A new study of nearly 3,000 type 2 diabetes patients, average age 62, found that those who had persistent protein in their urine over four to five years had greater declines in their brain’s information–processing speed than those with no protein in their urine. The decline in patients with persistent protein in the urine was greater than 5 percent.

The findings suggest that protein in the urine –– a condition called albuminuria –– may be an early warning sign of future mental decline, according to the study, which was published online Aug. 29 in the Clinical Journal of the American Society of Nephrology.

Malaria Mosquitoes Smell You Better at Night

In work published in Nature: Scientific Reports, a team of researchers from the University of Notre Dame's Eck Institute for Global Health, led by Associate Professor Giles Duffield and Assistant Professor Zain Syed of the Department of Biological Sciences, revealed that the major malaria vector in Africa, the Anopheles gambiae mosquito, is able to smell major human host odorants better at night. Olfactory protein abundance and olfactory sensitivity are high at night and low at daytime. It is well known that dengue mosquito is a day biter and malaria mosquito a night biter.

Doctor bill patient for 74 lacs towards a cancer drug not administered

A Bangalore doctor has been arrested for fraud after he treated a police officer suffering from blood cancer and submitted a bill of Rs 74 lakh for administering Accepton, a drug used to treat breast cancer.

Dr. TR Hariprasad, managing director of KR Hospital and his administrative head PN Mahesh Kumar were arrested for allegedly producing fake medical bills to claim insurance.

The patient was diagnosed with blood cancer in November 2009. Though the hospital was not equipped to treat cancer patients, Dr. Hariprasad agreed to treat when Gowda he came to know that the patient is covered under 'Arogya Bhagya' insurance, a cashless facility given to government employees.

Every month, Hariprasad treated Gowda with Imalek 400mg tablet costing Rs 300 per tablet. The actual annual cost would come anywhere between Rs. 1 lakh and Rs. 1.2 lakh.

In the claim form, Hariprasad said that he had administered Accepton injection which costs around Rs. 2.5 lakh per piece.

View: It’s time for MCI to take suo moto cognizance and 
1. Suspend his license pending criminal investigations. 
2. To investigate and release the facts
3. Send an advisory to the medical fraternity so that such frauds do not happen again. 

People with diabetes are 50 percent to 60 percent more likely to suffer mental decline than those without diabetes

Most elderly patients with chronic dementia have Alzheimer’s disease (approximately 60 to 80 percent). The vascular dementias account for 10 to 20 percent, and Parkinson disease for 5 percent. The prevalence of vascular dementia is relatively high in blacks, hypertensive persons, and patients with diabetes; some of the reversible dementias (metabolic dementias) tend to occur in younger individuals.

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 10x10 i.e. 100 per minute."

VIP’s on CPR 10 Mantra Video
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

sprritual blog Why is Ganesha worshipped in every pooja?

Every Hindu ritual traditionally begins with a prayer to Lord Ganesh. The wedding ceremony too begins with a pooja of Lord Ganesha invoking him to bless the couple and to ensure that the ceremony goes off well.

Ganesha, the son of Shiva and Parvati, is the harmonious Aacharan or characteristic disposition of man. Remembered and ritually worshipped before starting a new venture, the entity of Ganesha has in store the facets of a complete man.

Ganesha’s head, that of an elephant represents wisdom, intelligence and a healthy mind capable of making sound decisions. Think before you speak, implies Ganesha’s head.

The big ears of this elephant deity signify the lending of a patient ear to the echo produced by others’ deeds and speech. It is said that half the dispute is resolved by patiently lending an ear to the words of the other. It also denotes that one must patiently listen to all sides before reaching a decision.

Ganesha’s extremely small mouth characteristically represents the need for a limited dialogue and the vanity of talking too much.

Overexpression through words results in unsought–for problems which could have been avoided.

Ganesha’s small eyes, highlight the need for a focused outlook in life. Such an outlook not only re-defines and foresees the right goals, but also relieves one from the stress–manifested episodes in life.

The long trunk identifies with the power of discrimination. Ganesha’s long nose has the strength to uproot a tree and the competency of picking up a pin from the ground. Such should be the approach of an individual who should be capable of perceiving the good and bad for one’s own self, and then have the strength to overcome these against all odds.

The tusks and the small teeth of Ganesha tell us to maintain a balance between loss (broken tooth) and gains (whole tooth) in the life. Man ought to maintain his mental state so that ups and downs do not deter him from his honest endeavors.

The ample stomach of Ganapati Deva advocates the need for retaining information. Acquiring knowledge, utilizing it and retaining it for years to come, is the crux of ‘big–belly commandment’.

The Char–Bhuja Dhari Ganesha, further represents strength by virtue of his four hands in which the Lord entraps his attachments, desires and greed. Two of the arms of Ganesha, which hold a rope, symbolize control over the attachments. The laddoo or sweet in one shows command over desires and earthly delusions.

The mouse sitting near the feet of Ganesha represents greed and gluttony upon which the Almighty rides, exhibiting control over evils.

Ganesha’s physical traits are an assembly of the characteristics most desired in an individual of substance.

….Read More

cardiology news

Two Frogs in the Milk

This is the story of two frogs. One frog was fat and the other skinny. One day, while searching for food, they inadvertently jumped into a vat of milk. They couldn't get out, as the sides were too slippery, so they were just swimming around.

The fat frog said to the skinny frog, "Brother frog, there’s no use paddling any longer. We’re just going to drown, so we might as well give up." The skinny frog replied, "Hold on brother, keep paddling. Somebody will get us out." And they continued paddling for hours.

After a while, the fat frog said, "Brother frog, there’s no use. I’m becoming very tired now. I’m just going to stop paddling and drown.

It’s Sunday and nobody’s working. We’re doomed. There’s no possible way out of here." But the skinny frog said, "Keep trying. Keep paddling. Something will happen, keep paddling." Another couple of hours passed.

The fat frog said, "I can’t go on any longer. There's no sense in doing it because we’re going to drown anyway. What’s the use?" And the fat frog stopped. He gave up. And he drowned in the milk. But the skinny frog kept on paddling.

Ten minutes later, the skinny frog felt something solid beneath his feet. He had churned the milk into butter and he hopped out of the vat. ...Read More

News Around The Globe

  • Electronic cigarettes relatively safe
    Authors of a small study looking at the microcirculatory effects of electronic cigarettes say their findings offer more early reassurances of safety for the newfangled devices. The study adds to currently available evidence that supports that electronic cigarettes are significantly less harmful compared with tobacco. The report was published at the European Society of Cardiology (ESC) 2013 Congress. The report of 60 subjects, looked at coronary flow velocity reserve (CFVR) and coronary vascular resistance index (CVRI).
    The electronic cigarette is not a product that is recommended for everyone as a new habit, it is recommended for smokers as an alternative to smoking to reduce consumption or to quit.
    The devices do emit low levels of harmful substances in addition to nicotine. Both formaldehyde and acrolein have been found. They are produced in the heating and evaporation process, so they are not present in the liquid, but in the vapor. But the levels in electronic cigarettes are from 10 to 400 times lower compare with tobacco. 
  • A new study suggests that a constellation of 4 biomarkers has both diagnostic and prognostic potential for patients with Parkinson’s disease (PD). The combination of the Alzheimer’s biomarkers β–amyloid 1–42 (Aβ1–42), total tau (T–tau), tau phosphorylated at threonine 181 (P–tau181), and α–synuclein, all measured in the cerebrospinal fluid (CSF), are lower in drug–naive patients with early–stage PD than among healthy controls. Aβ1–42 and P–tau181 were significant predictors of Parkinson’s disease, and T–tau and α–synuclein were associated with the severity of motor dysfunction. These findings, published online August 26 in JAMA Neurology, are the first report from the Parkinson’s Progression Markers Initiative (PPMI), an international study that aims to identify biomarkers of progression in PD and define subsets of patients by clinical and biomarker "signatures."
  • People who have less diversity in their intestinal microbiomes tend to be heavier and have more inflammation and metabolic dysfunction than those who have a more robust portfolio of gut bacteria. In an analysis of data from the European consortium MetaHIT, about a quarter of Danish patients had little bacterial richness in their guts, which was associated with greater adiposity, insulin resistance, and dyslipidemia compared with those who had a greater diversity of bugs, Oluf Pedersen, MD, of the University of Copenhagen, and colleagues reported in Nature.
  • The volume of epicardial adipose tissue in patients with rheumatoid arthritis (RA) correlated with the presence of the metabolic syndrome and cardiometabolic risk factors, which may help explain why they’re at risk for premature atherosclerosis. For each additional component of the metabolic syndrome in a cohort of adult RA patients, there was a 20% increase in volume of epicardial adipose tissue, which was independent of sex, age, and race. In addition, positive associations with epicardial adipose tissue volume were seen for triglycerides the homeostatic model of insulin resistance and homocysteine.
  • Konstantinos Tziomalos, MD, of AHEPA Hospital in Thessaloniki in Greece, and colleagues reported online in Clinical Endocrinology that lifestyle changes plus the weight-loss drug orlistat (Xenical) helped women with polycystic ovarian syndrome (PCOS) shed pounds, leading to metabolic improvements. women with and without PCOS lost a comparable percentage of body weight using the drug in combination with dietary changes and increased exercise (12.9% and 14.9%) and women with PCOS also had improvements in blood pressure, cholesterol, and markers of insulin resistance.
  • Creatine supplementation improved several measures of muscle function in patients with fibromyalgia in a small randomized trial, but no benefits were seen for pain, quality of life, sleep, or cognitive function as per a study reported in the September Arthritis Care & Research.

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Rabies News (Dr. A K Gupta)

Can the IM and ID routes of vaccination be used interchangeably?

It is recommended by many internationally reputed experts that the phenomenon of mixing of IM and ID schedules is not to be practiced and must be avoided as far as possible.

cardiology news

A remote preconditioning procedure used prior to CABG surgery significantly improved perioperative myocardial protection among surgical patients treated at a single center in Germany. More important, long–term follow–up suggested that patients who underwent ischemic preconditioning had a lower risk of mortality compared with patients who underwent conventional CABG surgery. The primary end point of the study was cardiac damage reflected by the release of the biomarker troponin I, which was significantly reduced in patients undergoing remote preconditioning, indicating that in fact that there was cardiac protection

Valvular Heart Disease News

Physical findings consistent with a diagnosis of infective endocarditis include a new regurgitant heart murmur and evidence of embolic events.

(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 mild osteogenesis imperfecta (OI) may benefit from treatment with oral risedronate. The drug increased areal bone mineral density (BMD) in children with OI, reduced their risk of first and recurrent clinical fractures, and was generally well tolerated, according to Dr. Nick Bishop of Sheffield Children's Hospital in the UK and colleagues, who reported their findings online August 6 in The Lancet.
  • Healthcare professionals should be on the lookout for "caregiver–fabricated illness" in children, according to a new report released by the American Academy of Pediatrics. The review, which is published as a Clinical Report in the September issue of Pediatrics, was developed by the AAP Committee on Child Abuse and Neglect to raise awareness and to give a broader understanding of the condition, which carries a 6% to 9% mortality rate. Traditionally known as Munchausen syndrome by proxy, caregiver–fabricated illness describes an instance in which a parent deliberately induces health problems in a child. The newly suggested diagnostic name will place the emphasis on the child, where it belongs, instead of on the motivation of the caregiver.
cardiology news

Caffeinated coffee may protect against liver fibrosis

Caffeine intake associated with coffee consumption has been linked to a reduced risk for clinical and pathologic progression of liver fibrosis in patients with hepatitis C virus, and coffee was also found to reduce the risk for liver enzyme elevations in patients with alcoholic liver disease. Drinking caffeinated coffee protects against liver fibrosis in patients with NAFLD, according to research published in the February issue of Hepatology by Jeffrey C. Molloy, MD, from the Division of Gastroenterology and Hepatology, Wilford Hall Medical Center, Lackland Air Force Base, Texas.

Moderate coffee consumption may be a benign adjunct to the comprehensive management of patients with (NASH). Ne should however avoid risk factors, such as obesity, high alcoholic intake, and viral hepatitis. (Hepatology 2012;55:429–36)

cardiology news

Smt. Krishna Tirath to inaugurate the Child Abuse seminar on "Be Human–Stop Child Abuse"

On 13th September, 2013, Smt. Krishna Tirath, Minister of Women and Child Development will be inaugurating the seminar at 1.30pm. The topic has been so chosen as child and sexual abuse has recently been the talk of the country. The deliberations will be held where representatives of over 13 countries will come out with their presentations on the subject.

cardiology news

Total CPR since 1st November 2012 – 62980 trained

CPR Classes 62980

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

29th August: Veer Arjun

Media advocacy through Web Media

When Constipation May be a Serious Problem 30th August


TB more dangerous than FLU 29th August


Monsoon reduces the immunity of the body

Monsoon is welcome by all but it comes with lots of diseases as the immunity of the body is reduced. The diseases associated with monsoon are malaria, dengue, Chikungunya, jaundice, gastrointestinal infections like typhoid and cholera, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India. Apart from these, viral infections like cold and cough are also common.

Patients with Chikungunya, typically have joint pains, which are relieved by flexing the limbs. Dengue, if not adequately managed, can be fatal in 1–4% of cases. Chikungunya, though not fatal, can cause chronic debilitating joint pains lasting for years.

Management of dengue involves fluid resuscitation and not platelet resuscitation. If enough fluids are given, mortality can be reduced. The mortality period usually starts when the fever subsides. Inappropriate misuse of anti fever medicines can precipitate bleeding in dengue patients.

The water that gets collected due to rain becomes a breeding ground for mosquitoes. Contamination of drinking water is common. It is important to drink clean and pure water to prevent diarrhea and gastrointestinal infections.

Walking in dirty water during rainy season leads to numerous fungal infections, which affect toes and nails. Diabetic patients in particular should take care of infections, which affect toes, and nails. Diabetic patients should always keep the feet dry and clean, avoid walking in dirty water and keep their shoes, socks and raincoats dry and clean.

Precautions have to be taken to prevent dampness and growth of fungus (mold) on and around the house where asthmatic patients reside. Avoid fumigation in case of asthmatic patients.

Worms from underground come to the surface and contaminate the surface vegetables. In the presence of weak digestive fire, this can cause gastric disturbances. It is because of this reason that community lunches and marriage are prohibited in this season.

One should eat light foods. Consuming barley, rice and wheat is good. Water should be boiled before use. Eating warm food is the rule.

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 63000 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

A CPR 10 Training Camp was organized by Heart Care Foundation of India to train the students of Modern School Noida on 14th August

press release

Estimated prevalence of CKD

today video of the dayDr KK Aggarwal on Costly Treatment

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?

a. A low-riding prostate
b. The presence of a boggy mass
c. Absent sphincter tone
d. A positive Hemoccult TEST

Yesterday’s Mind Teaser: An infant is hospitalized for treatment of inorganic failure to thrive. Nurse Faith is aware that the nursing action is most appropriate for this child?

a. Encouraging the infant to hold a bottle
b. Keeping the infant on bed rest to conserve energy
c. Rotating caregivers to provide more stimulation
d. Maintaining a consistent, structured environment

Answer for yesterday’s Mind Teaser: d. A positive Hemoccult

Correct answers received from: Daivadheenam, Dr.K.V.Sarma, anil sarin, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr Chandresh Jardosh, DR AVTAR KRISHAN, Dr Pooja Khullar, Dr P.K Sahu

Answer for 31st August Mind Teaser: a. 1 to 2 years

Correct answers received from: Daivadheenam, Dr.K.V.Sarma

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/16wknsh #Health

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

medicolegal update

It is interesting to note the deep meaning and wisdom of traditional customs and rituals. Kolitha

Forthcoming Events

29thSeptember–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

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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