eMedinewS30th July 2014, Wednesday

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

Common Cold

  1. It is benign self–limiting syndrome caused by several viruses.
  2. It is one of the most frequent acute illnesses.
  3. The term ‘common cold’ refers to a mild upper respiratory viral illness presenting with sneezing, nasal congestion, nasal discharge, low grade fever, headache and malaise.
  4. Common cold is not the same as influenza or common sore throat, which can also involve the heart.
  5. Common cold affects a pre–school child 5–7 times in a year and adult 2–3 times in a year.
  6. It can spread by hand contact, by direct contact with the infected person or by indirect contact with a contaminated environmental surface.
  7. It can also spread by small particle droplets that become airborne from sneezing or coughing.
  8. It can also be transmitted via large particle droplets that typically require close contact with infected person.
  9. Most important is hand to hand transmission of the virus.
  10. Infection can also spread through circulating air in commercial airline passenger cabins.
  11. Saliva does not spread any cold.
  12. The disease is most infectious on the 2nd and 3rd day of illness.
  13. However, a person may be infectious for upto two weeks.
  14. Normal cold may last for 8–10 days.
  15. The diagnosis is based on clinical findings.
  16. Common cold can exacerbate asthma in susceptible individuals.

News Around The Globe

  • The US Food and Drug Administration (FDA) has expanded the indication for ibrutinib – already approved for the treatment for chronic lymphocytic leukemia (CLL) – to include treatment of patients with CLL who carry a deletion in chromosome 17 (17p deletion), which is associated with poor responses to standard treatment for CLL.
  • Childhood cancer survivors are known to have an increased risk of cardiovascular disease in adulthood. However, a new study has revealed that the risk can be reduced by following a healthy lifestyle. The study is published in the journal Cancer.
  • A novel study conducted in 12 men with or without brown fat has revealed that when activated by mild exposure to cold, brown fat increases blood glucose disposal, insulin sensitivity, and energy expenditure in humans. The study was published online in Diabetes.
  • Results from a large database study, presented at the American Urogynecologic Society (AUGS) and International Urogynecological Association (IUGA) 2014 Scientific Meeting, revealed that mediolateral episiotomy during operative vaginal delivery has the potential to reduce the risk of obstetrical injury.
  • Another study presented at the American Urogynecologic Society and International Urogynecological Association 2014 Scientific Meeting revealed that urinary incontinence in severely obese women was considerably improved for up to 3 years after bariatric surgery.

Rabies News (Dr A K Gupta)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

Cardiology eMedinewS

  • A new meta–analysis, published July 28 in the Journal of the American College of Cardiology, has suggested that lowering LDL–cholesterol levels to very low levels leads to considerable reduction in cardiovascular events. Individuals with LDL–C levels <50 mg/dL had a significantly lower risk of major cardiovascular events compared to those who had higher LDL–C levels.
  • Patients with dementia had increased odds of being implanted with a pacemaker, as compared to those without cognitive impairment, suggested an analysis of the national Alzheimer disease database. The report was published July 28 in JAMA: Internal Medicine.

Pediatrics eMedinewS

  • Updated guidelines by the American Academy of Pediatrics have recommended that palivizumab prophylaxis for respiratory syncytial virus (RSV) should be restricted to infants born before 29 weeks’ gestation as well as to those with chronic illness like congenital heart disease or chronic lung disease. The update is published in the August issue of Pediatrics.
  • Infants at high risk for HIV should be started on antiretrovirals to reduce the disease to undetectable levels and induce long–term viral remission, suggests a new study conducted in 3 pediatric hospitals in Canada. The findings were presented at the 20th International AIDS Conference.

Dr K K Spiritual Blog

Is the origin of ISO Certification from the Vedas?

Whatever you say or do means you are ISO certified.

In mythology, truthfulness means that you do what you think or say. ISO therefore is a Vedic stamp for truthfulness.

You need ISO certification in Kalyug as majority being Kaliyugis will not be doing what they say or think.

In traditional old business times, people conducted their transactions on verbal assurances but today every one works on written agreements. The saying was "Prana Jaye per vachan na jaye".

Wellness Blog

To screen or not to screen all young athletes with ECG to discover problems hiding within the heart

Guidelines from the American Heart Association (AHA) (endorsed by the American College of Cardiology) and the European Society of Cardiology (ESC), both recommend a screening before sports participation, but the Americans favor a detailed medical history combined with a physical examination only, while the Europeans favor the addition of the 12–lead ECG.

The controversy was evident in the results of a poll conducted during a debate session at the AHA meeting last year, which were published this week in the New England Journal of Medicine by James Colbert, MD, of Harvard Medical School.

Of the audience members who voted –– an unscientific sample, to be sure –– 70% favored some type of screening for cardiac disease in young athletes. And in a scenario where screening was already a foregone conclusion, 60% said it should include an ECG. A similar online poll on the NEJM website was even more informative, showing that the differences in opinion exist on both sides of the Atlantic.

Of the 1,266 people who voted on the site –– again, not a scientific sample –– 18% didn’t want any mandatory screening, 24% wanted screening with a medical history and physical exam, and 58% favored screening that included an ECG. The percentage of voters who endorsed an ECG was higher among Europeans than among Americans (66% versus 45%), but that still indicates a substantial amount of controversy regardless of geography.

Inspirational Story

Approval you want

Corporate lesson: Jack and Max are walking to the church for the Sunday prayer.

Jack wonders whether it would be all right to smoke while praying.

Max replies, "Why don’t you ask the Priest?"

So Jack goes up to the Priest and asks, "Father, may I smoke while I pray?"

The Priest replies, "No, my son, you may not! That’s utter disrespect to our religion."

Jack goes back to his friend and tells him what the good Priest told him.

Max says, "I’m not surprised. You asked the wrong question. Let me try."

And so Max goes up to the Priest and asks, "Father, may I pray while I smoke?"

To which the Priest eagerly replies, "By all means, my son. By all means. You can always pray whenever you want to."

Moral of the story: The approval you want depends on the way u ask for it!! Dedicated to all the corporate professionals !!

ePress Release

S Moorei responsible for bad breath

Solobacterium moorei, a gram–positive anaerobic bacillus originally isolated from human feces has been shown to be responsible for chronic bad breath, or halitosis.

Persistent bad breath, is often caused by the breakdown of bacteria in the mouth, producing foul–smelling sulfur compounds that reside on the surface of the tongue.

As per Betsy Clark, at the State University of New York at Buffalo School of Dental Medicine in a study of 21 people with chronic bad breath and 36 subjects without this problem, S. moorei was found in every patient who had halitosis compared with only four control subjects.

Brushing twice a day with antibacterial toothpaste and using a toothbrush with a built–in tongue scraper can eliminate chronic bad breath.

Bad oral hygiene is also associated with increased risk of heart disease 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.

Identifiable cause of bad breath is periodontal disease, gingivitis, postnasal drip, systemic illness.

Oral source of bad breath may be alleviated by:

  1. Proper dental care and oral hygiene.
  2. Gentle cleaning of the posterior portion of the dorsum tongue with a plastic tongue cleaner.
  3. Rinsing and deep gargling with an effective mouthwash. One should extend the tongue while gargling.
  4. Eating fibrous foods especially at the breakfast.
  5. Brief gum chewing for five minutes if the mouth is dry, or after meals, especially with high protein intake.
  6. Sufficient water intake.

Antibiotics, if bacteria are present for temporary relief. One should floss their teeth properly, smell the floss between each passage, and clean the malodorous sites carefully. Flossing should include cleaning the posterior surface of the back teeth as well.

Effective tongue brushing requires access to the deep posterior part of the dorsal tongue; odors often lurk 10 cm or more back from the tongue tip. The basic idea is to sweep away the mucus, desquamated cells, and other debris.

Some mouthwashes contain components that may harm soft oral tissues (eg, alcohol, sodium dodecyl sulfate, strong oxidizing agents). The most efficacious mouthrinses for short–term use are probably those containing 0.2 percent chlorhexidine gluconate.

The best time to use a mouthwash is before bedtime since the residue of the mouthrinse may remain in the mouth for a longer period of time and have a greater effect. Also bacterial activity leading to bad breath is greatest during the nighttime, when saliva flow is practically zero and microbial activity is highest.



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 – 96458 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 CO–ED Sr. Sec. School Lodhi Estate, New Delhi on 24th July 2014

press release

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

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: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on furosemide. I gave him full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

eMedinewS Humor

A woman customer called the Canon help desk with a problem with her printer.

Tech support: Are you running it under windows?

Customer: "No, my desk is next to the door, but that is a good point. The man sitting in the cubicle next to me is under a window, and his printer is working fine."

Quote of the Day

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop

Twitter of the Day

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question.

eMedi Quiz

The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar.

Yesterday’s Mind Teaser: A 30–year–old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1. Medial rectus and superior division of oculomotor nerve.
2. Inferior oblique and inferior division of oculomotor nerve.
3. Lateral rectus and abducent nerve.
4. Superior rectus and trochlear nerve.

Answer for yesterday’s Mind Teaser: 3. Lateral rectus and abducent nerve.

Correct answers received from: Tripti Parmar, Dr Abbas Vakil, Tejveer Chauhan, Raju Kuppusamy, Dr Pankaj Agarwal, Dr Poonam Chablani, Dr Narahar, Dr K V Sarma, Daivadheenam Jella, Dr Chandresh Jardosh, Dr Bitaan Sen & Dr Jayashree Sen.

Answer for 27th July Mind Teaser: 3. Pain sensation on the contralateral side.

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Uma Gaur.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update
  1. Dear Sir, Thanks for the updation. Regards: Dr KP Singh
cardiology news

Media advocacy through Web Media

web mediawebmediawebmedia

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)