eMedinewS11th April 2014,Friday

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

Smoking makes you 5 years older

Men have a greater chance of dying then women, and smoking increases any adult’s risk of death just as if five years were suddenly added to their age.

  • For men who have never smoked, heart disease presents their greatest risk for death at any age, exceeding the odds of dying from lung, colon and prostate cancer combined.
  • Male smokers face a lung cancer risk that is greater than the odds of heart disease taking their lives after age 60, and is tenfold higher than the chance of dying from prostate and colon cancer combined.
  • The chances of dying from heart disease and breast cancer are similar for nonsmoking women until age 60, when heart disease becomes a greater risk.
  • For female smokers, dying from lung cancer or heart disease is more likely than dying from breast cancer after age 40

News Around The Globe

  • A study presented at the 2014 American Association for Cancer Research Annual Meeting has reported that some gut bacteria that are responsible for gastric upsets may also create an ideal incubating environment for tumor development by altering routine mechanisms that repair damaged DNA. It was noted that the proteins produced by some of the gut bacteria actively suppressed the gut cells’ DNA repair proteins, eventually resulting in the accumulation of mutations that lead to cancer.
  • A study published online April 3 in Cancer Epidemiology, Biomarkers & Prevention reports that fertility drugs do not increase the risk of breast cancer. Researchers at the National Cancer Institute in Bethesda, Maryland noted among about 10,000 women that those who received fertility drugs to stimulate ovulation were no more likely to develop breast cancer during 30 years of follow–up than those who never used the drugs. However, an increased risk of breast cancer was evident among a small subset of women who received the highest doses of clomiphene.
  • A microscopic telescope implanted in the eye has the potential to enhance vision in people with atrophic or dry age–related macular degeneration, reports a study presented at the World Ophthalmology Congress 2014. The device, OriLens, is a miniature Cassegrain-type reflecting telescope that accumulates light on a primary mirror and bounces it to a smaller secondary mirror, which distributes the light to areas of the retina unaffected by macular degeneration.
  • A study published in the journal Psychopharmacology has reported that green tea can improve the brain’s cognitive functions, particularly the working memory. The study included 12 healthy male volunteers with a mean age of 24.1 years. Results revealed that those who consumed a soft drink with green tea extract exhibited increased connectivity between the right superior parietal lobule and the frontal cortex of the brain as compared to those who did not receive the extract. This activity correlated with improved performance on the working memory tasks.
  • Postoperative chemotherapy extended to stage 2 and 3 rectal cancer patients after surgery and preoperative (chemo) radiotherapy does not improve outcome, reports the PROCTOR/SCRIPT study from the Netherlands, presented at the European Society for Radiotherapy and Oncology (ESTRO) 33. About 440 patients entered the study, and all received total mesorectal excision (TME) after preoperative radiotherapy or chemoradiotherapy, followed by observation or adjuvant chemotherapy. At 5–year follow–up, there was no difference in the distant recurrence rate, which was around 35%, between the 2 arms. There was a slight difference in favor of adjuvant chemotherapy for disease-free survival, but it was not statistically significant (62.3% vs 57.1%).

Rabies News (Dr A K Gupta)

Is washing of animal bite wound(s) essential?

The risk of rabies reduces by about 50% by just washing of wounds and application of antiseptics.

The maximum benefit of the wound washing is obtained when the fresh wound is cleaned immediately. It is important to remove saliva containing rabies virus at the site of bite by physical or chemical means. This can be done by prompt and gentle thorough washing with ordinary soap or detergent and flushing the wound with running tap water for at least 15 minutes.

Washing of the wound must be done as long as the wound is raw irrespective of the time elapsed since the exposure. Care must be taken not to disturb the scab, if formed.

After washing with water and soap, disinfectants like Povidone Iodine or Surgical Spirit must be applied.

In extraneous circumstances, other alcoholic (>40%) preparations like Rum, Whisky or aftershave lotion may be applied on the wound. If soap or antiviral agent is not available, the wound should be thoroughly washed with water.

Cardiology eMedinewS

  • Current and recent use of painkillers or anti-inflammatory agents may be linked to an increased risk of atrial fibrillation among older adults, reports a large population study published in the online journal BMJ Open. Researchers monitored the heart health of 8423 people taking part in the Rotterdam Study. About 857 of these subjects developed atrial fibrillation; 554 of these had used NSAIDs in the past, and 42 were currently taking the drugs. Current use was associated with a 76% higher risk of atrial fibrillation than never use.
  • A new study presented at EuroHeartCare 2014 has reported that poor sleep may increase hospitalizations two-fold in patients with heart failure. Researchers at the University Hospital of Linköping, Sweden included 499 patients hospitalized for heart failure. 43% of these patients had sleep problems at discharge from the initial hospitalization and 30% had continued sleep problems at 12 months. It was noted that patients with continued sleep problems were two times more likely to be hospitalized during the follow-up period than those without sleep problems. The risk was double for all-cause hospitalizations as well as for cardiovascular hospitalizations.

Pediatrics eMedinewS

  • A novel study has reported that teenage girls who eat more colorful fruits and vegetables have lesser odds of developing benign breast disease as young adults. Study authors thus concluded that consumption of these carotenoid-rich foods could prevent against benign breast disease. It was noted that girls who ate the least amount of beta-carotene were almost twice as likely to be diagnosed with benign breast disease as girls who ate the most. The study is published April 7 in Pediatrics.
  • A new study published online April 7 in JAMA Pediatrics revealed that teenage drivers with higher cortisol levels in response to stress may be less likely to be involved in automobile accidents. The study involved 19 male and 21 female 16–year–olds who had 9 near crashes for every crash. Those who had the highest cortisol levels at baseline had lower crash and near–crash rates. The association was seen in both the sexes.

Dr K K Spiritual Blog

Did all Gods suffer before death?

Most Gods and spiritual gurus had suffered in their last days. Lord Krishna had a nonhealing wound, Jesus Christ was crucified, Bhagwan Rajneesh had an infectious disease, Swami Chinmayanand had low functioning heart, Maharshi Mahesh Yogi had heart and pancreatic disease, Satya Sai Baba was put on a ventilator etc. When they were God–like personalities, why did they suffer in their last days?

The answer to this comes from Vedic knowledge within the concept of rebirth. Vedanta says that the very fact that we are born means that in the last birth we did not attain moksha or liberation. In other words, this means that there were some sufferings yet to be faced. You are born to face those sufferings. When you face the last suffering, there are high chances that that suffering may be your last suffering before liberation.

Most Gods or saints who died in a phase of suffering may mean that they did not attain liberation. A person who dies suddenly or unnaturally would mean that he would have to take rebirth to face more sufferings.
According to me, terminal sufferings are good from spiritual point of view.

Wellness Blog

MR–Guided Focused Ultrasound for Knee Osteoarthritis

Recently, local bone denervation by MR–guided focused ultrasound has been demonstrated as a promising tool for pain palliation of bone metastases. A study in BMC Musculoskelet Disord 2013;14(267) has shown the safety and efficacy of MR–guided focused ultrasound treatment in osteoarthritis. Significant increase of pressure pain thresholds on treated area showed successful denervation effect on the nociceptive nerve terminals. MR–guided focused ultrasound is a promising and innovative procedure for noninvasive pain management of knee OA.

Inspirational Story

Four Burning Candles

In a room there were four candles burning. The ambiance was so soft you could hear them talking. The first one said, "I am PEACE, however nobody can keep me lit. I believe I will go out."

Its flame rapidly diminishes and goes out completely. The second one says, "I am FAITH. Most of all I am no longer indispensable, so it does not make any sense that I stay lit any longer." When it finished talking a breeze softly blew on it putting it out.
Sadly, the third candle spoke in its turn. "I am LOVE. I have not gotten the strength to stay lit. People put me aside and don’t understand my importance. They even forget to love those who are nearest to them." And waiting no longer it goes out.

Suddenly a child entered the room and saw three candles not burning. "Why are you not burning you are supposed to stay lit till the end." Saying this, the child began to cry. Then the fourth candle said, "Don’t be afraid, while I am still burning we can re–light the other candles, I am HOPE.”

With shining eyes, the child took the candle of Hope and lit the other candles. The flame of Hope should never go out from our life and that each of us can maintain HOPE, FAITH, PEACE and LOVE. Hope never abandons you. You abandon hope. Consult not your fears but your hopes and your dreams. Think not about your frustrations, but about your unfulfilled potential. Concern yourself not with what you tried and failed in, but with what it is still possible for you to do.

ePress Release

Blood sugar goals

Correction and prevention of low blood sugar is beneficial to hospitalized patients, 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.

For most non–critically ill hospitalized patients with diabetes, one should have a target blood sugar of <180 mg/dL. In non–critically ill hospitalized patients, lower blood glucose levels may decrease the risk of poor clinical outcomes, but also increase the risk of hypoglycemia. A reasonable sugar goal to avoid low blood sugar is to achieve fasting blood glucose concentrations not less than 90 to 100 mg/dL.

Preventing a peptic ulcer

An ulcer is a breakdown in the lining of the stomach or the first part of the small intestine. A type of bacterial infection is the most frequent cause, but lifestyle factors may also raise the risk said Dr Aggarwal.

One may follow these preventive steps that may ward off a peptic ulcer:

  • Limit alcohol to no more than two drinks daily.
  • Stop smoking or chewing tobacco.
  • If you need to take painkillers, avoid anti-inflammatory drugs (NSAIDs) such as naproxen, ibuprofen or aspirin.
  • Consider, with your doctor’s approval, paracetamol instead.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

eMedi Quiz

Elements of primary health care include all of the following except:

1. Adequate supply of safe water and basic sanitation.
2. Providing essential drugs.
3. Sound referral system.
4. Health education.

Yesterday’s Mind Teaser: which of the following is not true about papular pruritic eruptio in HIV infection:

a.it is one of the earliest manifestions of HIV infection
b.it is an HIV specific cotaneous manifestions
c.arthopods bites have been postulated to be one of the caustive factor
d.it does not serve as a cutaneous marker of underlying immune staatus

Answer for yesterday’s Mind Teaser: D.It does not serve as a cutaneous marker of underlying immune staatus

Correct answers received from: Dr.K.V.Sarma, DR AJAY GANDHI, Dr Jayashree Sen & Dr,Bitaan Sen, Dr. P. C. Das

Answer for 9th April Mind Teaser: 4. Glycosylation

Correct answers received from: Dr Avtar Krishan, .

Send your answer to ijcp12@gmail.com

Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D


Total CPR since 1st November 2012 – 88972 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

A free heart checkup camp was organized by Heart Care Foundation of India at Bal Bharti Public School

press release

Weight loss may improve sexual health of obese diabetes

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: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure of 90/80 ignored?
Lesson: Make sure sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

eMedinewS Humor

A friend recently explained why he refuses to get to married. He says the wedding rings look like miniature handcuffs.

Quote of the Day

Failures are finger posts on the road to achievement. Charles F. Kettering


Twitter of the Day

Dr KK Aggarwal: Eating refined sugar can cause diabetes http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: Why do you stay in prison When the door is so wide open –Rumi


Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed


Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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  1. Dear Sir, Very Informative newspaper. Regards: De Kapil
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