eMedinewS5th July 2014, Saturday

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

Declines in eGFR Good Predictor of CKD Progression

In patients with chronic kidney disease (CKD), declines in estimated glomerular filtration rate (eGFR) is a predictor of progression to end–stage renal disease (ESRD) and mortality.

Until now doubling of serum creatinine was used to define progression of CKD; however, in this meta–analysis, smaller decreases in eGFR "strongly" and "consistently" identified a greater proportion of people at risk for ESRD and mortality.

Optimal level of eGFR decline is approximately 30% over 2 years. At this level, you have the best information about who is going to progress to end–stage renal disease. But the doubling of serum creatinine turned out to be a 57% decrease in eGFR, which is a very strict and a very rare end point.

The study results were presented at the European Renal Association–European Dialysis and Transplant Association (ERA–EDTA) 51st Congress, and were published online simultaneously in JAMA.

News Around The Globe

  • A new study presented at the American Headache Society (AHS) 56th Annual Scientific Meeting has suggested that headache and depression have a complicated relationship, especially after mild traumatic brain injury (mTBI). Researchers noted that a year after suffering an mTBI, patients with headache were about 5 times more likely to be depressed than patients with mTBI without headache, and those who were depressed were more likely to have headaches.
  • Adults with Asperger’s syndrome are about 9 times more likely to experience suicidal thoughts compared with the general population, reports a new study published online in the Lancet Psychiatry. The study results revealed that 66% of adults with Asperger’s syndrome had suicidal ideation.
  • Patients with idiopathic intracranial hypertension (IIH) treated with acetazolamide, following a weight-loss diet, have significantly improved visual field function, papilledema grade, quality of life, and cerebrospinal fluid pressure, and the treatment is well tolerated; reports a new multicenter, randomized, placebo–controlled study presented at the American Headache Society (AHS) 56th Annual Scientific Meeting.
  • A new study published online in Sleep Medicine revealed that young adults who exercised vigorously before bedtime ended up getting better sleep than their counterparts who reported less strenuous evening activity.
  • Among patients with traumatic brain injury (TBI), neither treatment with erythropoietin nor maintaining a higher hemoglobin concentration using blood transfusion appears to improve neurological outcome at 6 months, suggested the results of a controlled trial. The study was published in the July 2 issue of JAMA.

Rabies News (Dr A K Gupta)

If the saliva of the rabid animal falls into the eyes, what should be done?

If the rabid animal’s saliva falls into the eyes, the eyes should be washed with water/saline and then RIGs can be instilled as eye drops, after dilution (1:1) with sterile normal saline along with full course of anti–rabies vaccination.

Cardiology eMedinewS

  • A new research presented at the American Headache Society (AHS) 56th Annual Scientific Meeting has suggested that women suffering from migraines are nearly 1.52 times more likely to have cardiovascular disease than those without migraine, and are also more likely to have a stroke or heart attack and to die of cardiovascular disease.
  • A study, published online this week in the Annals of Pharmacotherapy, comparing 6,355 Medicare beneficiaries treated with testosterone with 19,065 who were not, from January 1997 to December 2005, revealed no increased risk of myocardial infarction (MI) in the treatment group. The study reports no significant increased heart attack risk in older men treated with an intramuscular form of testosterone therapy.

Pediatrics eMedinewS

  • Increasing evidence suggests that infant colic is a type of migraine headache. Results of a new meta–analysis linking the 2 conditions suggested that colic is an age–sensitive phenotype of migraine. The findings from the meta–analysis were presented at the American Headache Society (AHS) 56th Annual Scientific Meeting.
  • A study published in the July 3 issue of the New England Journal of Medicine has pointed that human leukocyte antigen (HLA) haplotype DR3–DQ2 is associated with dosage–dependent increases in risk for celiac disease autoimmunity and celiac disease in young children.

Dr K K Spiritual Blog

Dakshinayana is the start of negative state of mind

Uttarayana and Dakshinayana are not only time periods mentioned in the Vedic literature but also the state of minds. Uttarayana means a period for a positive state of mind and Dakshinayana, a period of a relatively negative state of mind. A positive state of mind in Uttarayana makes meditation easier and more fruitful during this period. Beginners should learn the process of meditation and pranayama during this period.

Bhagwad Gita talks about Moksha and liberation. Those who believe in the philosophy of rebirth know that once a soul is liberated at death, a person is not reborn. For others who believe that hell and heaven are in this birth only, liberation means dying peacefully and without any suffering.

The theory of rebirth is well described in Bhagwad Gita in Chapter 8. The gist of Lord Krishna’s teaching is:

  1. Whatever you think throughout your life will be your thought at the time of death.
  2. Whatever is the state of mind at the time of death will be the atmosphere you will get in the rebirth. For example, if your state of mind is in cruelty at the time of death, you will be born in a cruel family.
  3. If you are relaxed, thinking of God or chanting AUM at the time of death, there are chances your soul will be liberated.
  4. Fire, illumination, daytime, fortnight before full moon and Uttarayana are the paths for liberation. It means these are the periods/ways for spontaneous positive thinking.

From mental health point of view, this knowledge can be converted into medical prescription. Uttarayana means satwik healthy state of mind and dakshinayana means a depressed state of mind. Performing and attending to Yagna, sitting in well–illuminated light or exposing oneself to sunlight during the day can be an adjunct to depression treatment. During the first fortnight of full moon and during Uttarayana, psychotherapy and counseling invariably will work better and the requirement of drugs may get reduced.

Uttarayana is also the period for ‘Snana’ (bath), ‘Daan’ (charity), ‘Dhyana’ (concentration), ‘Upwas’ (detoxification) and ‘Sun worship’ (Sunbath).

Snana means cleansing of the body, mind and the soul and combined with fast or ‘upwas’ and sun bath is the procedure for detoxification. Once the body is detoxified, it’s in a positive state of mind, can concentrate better and gets detached to material things. One should also start donating in charity whatever one has in excess.

Uttarayana can also be described in chakra language. From mooladhara chakra to anahata chakra is the Dakshinayana path; the Uttarayana path is from anahata chakra to ajna chakra. Those who travel on the Uttarayana path travel from anahata chakra. Those who travel on the Dakshinayana path start from mooladhara.

The Chatur Mas (Four holy months) in Hinduism falls during the period of Dakshinayana. Chaturmas begins on July 11 and ends on November 6. It begins on the Ekadashi day in Shukla Paksha in the month of Ashada and ends on the Ekadashi in the Shukla Paksha in the month of Kartik. It occurs during monsoon season and most important festivals take place during this period. It’s a four–month period for observing fast, rituals, pujas and festivals.

Chaturmas has following months:

  • 1st month ‘Shravan’ is dedicated to Lord Shiva, especially the Mondays. It is a month of Vata or air imbalance. The classical song "Savan ka mahina Pawan kare shor" explains the air imbalance in this month. The vata function in the mind is related to emotional imbalance.
  • 2nd ‘Bhadrapad’ is the month of festivals including Ganesh Chaturthi and Janmashtami. The month is again related to Vata or air imbalance. The classical Bollywood song "tere naina savan bhado phir bhi mera man payasa" illustrates the state of the mind in savan and bhado months. The state of the mind is negative with chances of more non fulfillment of desires.
  • 3rd month ‘Ashwin’ includes the festivals of Durga Puja, Navratri, Diwali etc.
  • 4th month ‘Kartik’; Diwali celebrations end in this month.

There is a saying ‘Avoid green leafy vegetables in Shravan month, Curd in Bhadrapad, milk in Ashwin and pulses (split) in Kartik month.’

No marriages or important functions take place in chaturmas for many reasons

  1. Firstly it is a period of negative state of mind and hence more chances of divorce
  2. For the same reason more chances of infertility
  3. Due to rainy seasons more chances of worms on the surface and infesting the leafy vegetables
  4. Due to Vata (movement) predominance, leafy vegetables will not be health friendly
  5. Due to pitta (metabolism) suppression, the digestive fire will be weak
  6. Many people avoid garlic and onion as it can stimulate unnecessary excitements, cause indigestion and distract devotee from pujas and prayers.

Wellness Blog

White rice as risky as white bread in causing diabetes

Eating more white rice increases the risk of type 2 diabetes, especially for Asian populations.

Qi Sun, PhD, of Harvard, and colleagues, reported in the BMJ that patients who ate the greatest amounts of the grain had a 27% greater risk of developing the disease than those who ate the least, and the relative risk was higher among Asian patients.

The glycemic index of white rice is higher than that of other whole grains, largely due to processing.

Sun and colleagues conducted a meta–analysis of four prospective cohort analyses in Asian and Western populations, totaling 352,384 patients with follow–up ranging from 4 to 22 years. During that time, there were 13,284 incident cases of type 2 diabetes. Asians generally had a higher level of white rice consumption than Western populations.

They also found a dose–response effect –– with each increase in rice serving per day, risk of type 2 diabetes rose by 11% (95% CI 1.08 to 1.14, P<0.001).

Inspirational Story

The Thirst and the Rusty Well

There is a legend of a man who was lost in the desert, dying of thirst. He stumbled on until he came to an abandoned house. Outside the dilapidated, windowless, weather–beaten, deserted shack was a pump. He stumbled forward and began pumping furiously, but no water came from the well. Then he noticed a small jug with a cork at the top and a note written on the side: "You have to prime the pump with water, my friend. P.S. And fill the jug again before you leave." He pulled out a cork and saw that the jug was full of water.

Should he pour it down the pump? What if it didn’t work? All of the water would be gone. If he drank the water from the jug, he could be sure he would not die of thirst. But to pour it down the rusty pump on the flimsy instruction written on the outside of the jug?

Something from inside told him to follow the advice and choose the risky decision. He proceeded to pour the whole jug of water down the rusty old pump and furiously pumped up and down. Sure enough, the water gushed out! He had all he needed to drink. He filled the jug again, corked it and added his own words beneath the instructions on the jug: "Believe me, it really works. You have to give it all away before you can get anything back."

That’s why giving is important…

ePress Release

Reducing 8% weight can prevent diabetes in 50% people

Developing diabetes is not inevitable, 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.

A recent 3–year study called Diabetes Prevention Program has shown that healthy diet and regular exercise can prevent type 2 diabetes. People who lose 5% to 7% of their weight and exercise about 30 minutes a day can reduce diabetes risk by more than half.

The Look AHEAD study also showed that losing weight and exercising can prevent diabetes. In the study, diet modification with moderate–intensity exercise for at least 175 minutes a week along with diabetes education, resulted in the loss of an average of 8.6% of their body weight ( as against 0.7% in the control group) after one year. They also showed improvements in blood sugar, blood pressure and HDL (good) cholesterol. The benefits lasted for four years.

eMedi Quiz

All of the following conditions may predispose to pulmonary embolism except:

1. Protein S deficiency
2. Malignancy
3. Obesity
4. Progesterone therapy

Yesterday’s Mind Teaser: Ofleck phenomenon is seen in:

a. Joint psoriasis
b. Mucosal psoriasis
c. Nail psoriasis
d. Pustular psoriasis

Answer for yesterday’s Mind Teaser: c. Nail psoriasis

Correct answers received from: Dr Jayant Gaikwad, Prabha Sanghi.

Answer for 3rd July Mind Teaser: d. All of above

Correct answers received from: Dr KV Sarma, Dr Jayant Gaikwad, Dr Ajay Gandhi, Dr Poonam Chablani, Prabha Sanghi.

Send your answer to ijcp12@gmail.com

eMedinewS Humor

Doctor complaining to mechanic

A doctor is taking to a car mechanic, "your fee is several times more per hour then we get paid for medical care."

‘Yeah, but you see, doc, you have always the same model! It hasn’t changed since Adam. But we have to keep up to date with new models coming every month

Quote of the Day

When you are at a loss of what to do, do nothing. Doing nothing can be very wise. When you pause doing things, you become more aware of God’s presence, and often an unexpected solution to your question will arise.

Make Sure

Situation: A 40–year–old male developed acute heart attack after playing squash.
Reaction: Oh my God! Why was a cardiac test not done?
Lesson: Make sure that anybody who attempts anaerobic sports after the age of 40 should first get a cardiac clearance.



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 – 94595 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, Havlock Square–2nd July 2014

press release

Daily aspirin to prevent heart disease may increase risk of GI or cerebral bleeding

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 :


Twitter of the Day

Dr KK Aggarwal:Monsoon reduces the immunity of the body http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: To acquire true self power you have to feel beneath no one, be immune to criticism, and be fearless.

Forth Comming Event


Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
or Call: Vandana 9891673085/Dr Kakroo 9810301261

Zoonosis 2014 9-1 PM

6 July 2014 Zoonosis 2014

Speakers Zoonotic disease in India
Dr Jyoti Misri Pr Scientist ICAR Govt of India

Inaugural address
Dr M L Madan Fmr DDG ICAR

Dr KK Aggarwal (To Moderate)

Bovine Tuberculosis and Brucellosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Dr Rishendra Verma Jt Dir.Centre for Animal Disease Research and Diagnosis IVRI Bareilly UP

Equine Encepahalitis
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines,Hissar Haryana

Cysticarcosis, Neurocysticercosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Rabies, Cat Scratch Disease
Dr. Ashok Bhardwaj Asstt.Prof. SKAUST Jammu

Swine Flu, Japanese Encepahlitis
Dr.P K Uppal Fmr FAO Expert on Flu
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines, Hissar Haryana

Bird Flu
Dr.P K Uppal Fmr FAO Expert on Flu

Mycotic Diseases

Dr.P P Gupta Fmr Dir.Research Punjab Agri Univ.

Food Borne Diseases Salmonellosis, tapeworms, teniasis

Dr.Lal Krishna
Fmr Animal Husbandry Commissioner Govt.of India.

Anthrax, Rota Virus, Carona Virus

Dr. A K Bhatia Professor & Head, Biotechnology Dept.GLA Univ. Mathura

Dr.M P Yadav Fmr Director IVRI Bareilly UP

Dr.C Bhattacharya Vety Public Health Spl. Delhi

Emerging Threats : JD,Crone's Disease,Nepha Virus,etc.

Dr.Shoorvir Singh Pr Scientist National centre for Res in Goats Makhdoom Agra


medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the useful information. Regards: Dr Kartik
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