eMedinewS3rd December 2013, Tuesday

Dr K K AggarwalPadma 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

A New Test that Rapidly Detects Blood Infections

A new simple and inexpensive test can identify bacteria in the blood in less than 20 minutes. The method combines a selective lysis step in which blood cells in the sample are destroyed, a centrifugation step to collect any bacteria or fungi in the sample, and a fluorescence step that analyzes the particular fingerprint of any pathogens present in the sample. It can correctly identify the species of bacteria or fungi in 96.5% of positive blood culture samples.

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

Who is a Good Teacher?

sprritual blog

A good teacher is the one who follows the principles of listening first, teaching in detail till confusion arises and then teaching with reasoning while going into the minutest details and finally summarizing the ‘take–home’ messages.

This is how Lord Krishna discoursed to Arjuna in Bhagavad Gita. In the first chapter, he only listens, in the second, he gives detailed counseling and from chapters 2 to 17, he gives reasoning and in 18th chapter, he revises.

cardiology news

The Ant and the Contact Lens

Brenda was a young woman who was invited to go rock climbing. Although she was scared to death, she went with her group to a tremendous granite cliff. In spite of her fear, she put on the gear, took hold of the rope and started up the face of that rock. Well, she got to a ledge where she could take a breather. As she was hanging on there, the safety rope snapped against Brenda's eye and knocked out her contact lens.

Well, here she is on a rock ledge, with hundreds of feet below her and hundreds of feet above her. Of course, she looked and looked and looked, hoping it had landed on the ledge, but it just wasn’t there. Here she was, far from home, her sight now blurry. She was desperate and began to get upset, so she prayed to the Lord to help her to find it.

When she got to the top, a friend examined her eye and her clothing for the lens, but there was no contact lens to be found. She sat down, despondent, with the rest of the party, waiting for the rest of them to make it up the face of the cliff.

She looked out across range after range of mountains She thought, "Lord, You can see all these mountains. You know every stone and leaf, and You know exactly where my contact lens is. Please help me."

Finally, they walked down the trail to the bottom. At the bottom there was a new party of climbers just starting up the face of the cliff. One of them shouted out, "Hey, you guys! Anybody lose a contact lens?" Well, that would be startling enough, but you know why the climber saw it? An ant was moving slowly across the face of the rock, carrying it.

Brenda told me that her father is a cartoonist. When she told him the incredible story of the ant, the prayer, and the contact lens, he drew a picture of an ant lugging that contact lens with the words, "Lord, I don’t know why You want me to carry this thing. I can't eat it, and it’s awfully heavy. But if this is what You want me do, I'll carry it for You."

I think it would probably do some of us good to occasionally say, "God, I don’t know why you want me to carry this load. I can see no good in it and it’s awfully heavy. But, if you want Me to carry it, I will."

News Around The Globe


  • There has been a dramatic fall in HIV cases by 57% in India, including deaths, but a study on lives lost to AIDS shows that the government is still light years away from its ‘Getting–to–Zero’ target, reports TOI Dec 2, 2013. ‘Getting to Zero’ means total deletion of new infections, deaths, stigma and discrimination, and the 2015 deadline is not too far away. A recent mortality investigation carried out by semi–government entity Institute of Actuaries of India on people living with HIV (PLHIV) with support from the National Aids Control Organisation (NACO) shows among the deceased, the illiterate population make for the higher number, unprotected sex is still the commonest reason behind the transmission of HIV, those between 25 and 49 years of age bear 83% of the death burden and there is a significant time gap between a person getting infected and him/her seeking treatment. The study investigated 1,695 deaths between April 2012 and March 2013 in 20 ART centres of five districts, representative of the whole country.
  • Hemolysis was significantly less common when blood was drawn with a butterfly needle as opposed to an intravenous catheter, as reported in a cross–sectional, prospective study of emergency department blood draws. Hemolysis following intravenous catheter blood draws was significantly higher with small–gauge catheters, with collection tubes that were half full or less, when tourniquet time was a minute or greater, and in the event of difficult venipuncture, all factors not associated with hemolysis in butterfly needle blood draws.
  • Surgeons are fine–tuning their approach to Descemet membrane endothelial keratoplasty (DMEK) to improve corneal transplant outcomes and allay concerns ophthalmologists have about performing the challenging procedure. Friedrich Kruse, MD, from the University of Erlangen, in Germany, a leader in the DMEK field, presented new ideas at the American Academy of Ophthalmology 2013 Annual Meeting.
  • A novel strategy that incorporates hypoxia therapy and walking training results in improved walking speed and endurance in patients with an incomplete spinal cord injury. The results of a new study suggest that combining low–oxygen therapy with traditional rehabilitation exercises is better than either treatment approach alone. The study was published online November 27 in Neurology.
  • The American Academy of Ophthalmology (AAO) is launching the country’s first comprehensive eye disease registry. Intelligent Research in Sight (IRIS) will open in April 2014. According to William Rich III, MD, medical director of health policy for the AAO, IRIS is expected to have a groundbreaking effect on improving quality and outcomes for physicians, group ophthalmology practices, and the entire profession.
  • The risk of hospitalization was higher among asthmatics who re–filled only long–acting beta–agonist (LABA) prescriptions instead of following one of two other medication routes, or even using no medication at all as reported by Mohsen Sadatsafavi, MD, PhD, of the University of British Columbia in Vancouver, Canada, and colleagues in Thorax. Asthma patients who regularly filled their prescriptions for inhalers containing both a corticosteroid plus LABA, or corticosteroids alone, had a reduced risk for hospitalization compared with those filling LABA–only prescriptions.

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Rabies News (Dr. A K Gupta)

What is the role of monoclonal antibodies in rabies?

Monoclonal antibodies against rabies virus have been widely used in the diagnosis and immunological analysis of rabies. Human monoclonal antibodies to rabies virus G protein are also expected to be used as a replacement for rabies immunoglobulin (RIG) in the post–exposure treatment of rabies. In 1978, Wiktor reported the preparation of rabies virus monoclonal antibodies. Since then, rabies virus monoclonal antibody (mAb) technology has been more and more widely used in basic research and diagnosis of rabies.

cardiology news

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

  • A study published in the Journal of Risk Research suggests that regularly eating sushi can pose a significant risk to humans from increased mercury exposure. The study showed that tuna sashimi contains the highest levels of methylmercury in fish–sushi, based on samples taken from across the USA. The effects of methylmercury exposure in humans as a result of excessive fish consumption can include neurodevelopmental deficits, poorer cognitive performance and increased rates of cardiovascular disease. The study also notes that higher levels of methylmercury can be detrimental to the positive effects of omega–3 fatty acids, which are known to reduce cholesterol levels, reduce the risk of some cancers and incidence of heart disease, blood pressure, stroke and pre–term delivery.
  • Diabetic patients whose aortic stenosis was treated with transcatheter aortic valve implantation (TAVI) rather than surgery had lower risks of mortality and renal failure in the first year after treatment. Brian R. Lindman, MD, MSCI, of the Washington University School of Medicine in St. Louis, and his co–authors November 27th in the Journal of the American College of Cardiology report that all–cause mortality at 1 year was 18% in the transcatheter group versus 27.4% in the surgical group. The rates of renal failure requiring dialysis for more than 30 days were also lower in the transcatheter group (0% vs 6.1%).
cardiology news

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

  • A new study by the Cornell Food and Brand Lab involving kids, ages 6 to 10 indicates that extraverted and introverted children respond differently to environmental cues, such as plate size, when it comes to portion control. First, adults served breakfast: after being given a large bowl kids indicated how much milk and cereal they wanted for breakfast. Then on a different day, the children were given a large or a small bowl and served themselves as much as they wanted. When serving themselves, extraverted kids were far more likely to be impacted by the size of the bowl; they served a heaping 33.1% more breakfast in the large bowl, compared to introverted kids who only served themselves 5.6% more when bowl size increased. This indicates that the extraverted kids were more influenced by the external cue of bowl–size than introverted kids were. This benefit for introverted kids, however, is only present when serving themselves; when served by adults, all kids requested more cereal to fill up the large bowl than the small bowl.
  • Researchers from Canada have reported that in children with sickle cell disease hospitalized for painful vaso–occlusive episodes (VOE), IV magnesium sulfate fails to improve most outcomes. In the study reported online November 25th in the journal Pediatrics, IV magnesium sulfate was found to be no better than placebo for children that needed to stay in the hospital with a severe sickle cell pain episode.
cardiology news

Have Leg Artery Blockages? Walk on a Treadmill

A planned program of walking is good for people with blockage of leg blood vessels called peripheral arterial disease (PAD).

Normally when there is pain in the calf muscles in the leg on walking, the usual tendency is to rest and not walk. A study of 156 people with PAD published in JAMA showed that regular 6–minute walks on a treadmill improved their endurance and quality of life. The study examined patients with symptoms and without symptoms. Over the six months of the study, the participants who did their regular 6–minute treadmill walks increased their walking distance by about 69 feet, while those who did not walk regularly saw a decrease of 49 feet.

There is the potential for greater oxygen extraction from the blood under maximum exercise conditions. The muscles can make better use of blood flow and the oxygen release that comes from it.

Such exercise leads to improvement in "collateral circulation" –– growth in the number of blood vessels supplying the legs. Clinicians should urge all PAD patients, whether or not they have symptoms, to engage in a regular, supervised exercise program.

Walking is a standard recommendation for people with PAD. A recommended regimen is a 40–minute walk three times a week for at least six months.

Persistent leg pain is an indication that help is needed. In the absence of that symptom, physicians can test for PAD by measuring the difference in blood pressure between an ankle and an arm.

cardiology news

Total CPR since 1st November 2012 – 75187 trained

Media advocacy through Web Media

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press release

Women die more than men in hospital from severe heart attack

Winter months are heart attack months, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

Men and women have about the same adjusted in-hospital death rate for heart attack — but women are more likely to die if hospitalized for a more severe type of heart attack.

According to a report in Circulation: Journal of the American Heart Association:

  • Women are twice as likely as men to die if hospitalized for a type of heart attack known as ST–elevation myocardial infarction (STEMI).
  • Women are also less likely to receive appropriate and timely treatment for heart attack.
  • Women with STEMI have a 12 percent higher relative risk for in–hospital death compared to men.
  • Compared to men, women are 14 percent less likely to receive early aspirin; 10 percent less likely to receive beta blockers; 25 percent less likely to receive reperfusion therapy (to restore blood flow); 22 percent less likely to receive reperfusion therapy within 30 minutes of hospital arrival; and 13 percent less likely to receive angioplasty within 90 minutes of hospital arrival.

Women admitted with a STEMI are about twice as likely to die in the first 24 hours of hospitalization as men.

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."

emedipicstoday emedipics

CPR 10 Training at IITF

press release

To Err is Human

vedio of day

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

B–oxidation of odd–chain fatty acids produces:

1.Succinyl CoA.
2.Propionyl CoA.
3.Acetyl CoA.
4.Malonyl CoA.

Yesterday’s Mind Teaser: In a patient with a tumor in superior mediastinum compressing the superior vena cava, all the following veins would serve as alternate pathways for the blood to return to the right atrium, except:

1.Lateral thoracic vein.
2.Internal thoracic vein.
3.Hemiazygos vein.
4.Vertebral venous plexus.

Answer for yesterday’s Mind Teaser: 4.Vertebral venous plexus.

Correct answers received from: Dr Ajay Gandhi, Tukaram Pagad, daivadheenam, Dr. V.P. Thakral, DR ARPAN GANDHI, Dr Chandresh Jardosh

Answer for 1st December Mind Teaser: 2. pKa

Correct answers received from: Dr.KV Sarma, Dr. PC Das, Dr Ajay Gandhi

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Last week I took my children to a restaurant. My six–year–old son asked if he could say grace.

As we bowed our heads he said, "God is good. God is great. Thank you for the food, and I would even thank you more if Mom gets us ice cream for dessert. And Liberty and justice for all! Amen!"

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with hiatus hernia developed severe symptoms after eating a ‘Paan’.
Reaction: Oh my God! Why was he given a peppermint?
Lesson: Make sure patients with reflex esophagitis are not given any foods, which can relax GI sphincter.

medicolegal update

Great minds discuss ideas; Average minds discuss events; Small minds discuss people. Eleanor Roosevelt

medicolegal update

Dr KK Aggarwal: A mix of exercise protocol is better http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: What is the psychological meaning of Cosmic Consciousness? #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,emedinewsconference@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, Very Informative Editorial. Thanks. Regards: Dr Karan

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