eMedinewS 24th June 2013, Monday

     Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at
www.facebook.com/Dr KKAggarwal

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.”

From the Desk of Editor in Chief

Do not treat mild hypertension with low risk for heart disease

The benefit from antihypertensive therapy is unproven in patients with mild hypertension and no preexisting cardiovascular disease.

A meta-analysis combined four placebo-controlled trials adding together 8912 patients with mild hypertension and no preexisting cardiovascular disease.

Up to 5 years of follow-up, antihypertensive therapy resulted in lower rates of mortality and stroke but higher rates of heart attacks.

Low-risk patients with mild hypertension and no preexisting cardiovascular disease who fail to reduce their blood pressure with lifestyle modification should receive antihypertensive therapy.

eMedinewS Ringtone - CPR 10 Mantra Hindi
Ringtone - CPR 10 Mantra English

sprritual blogThe lips of truth shall be recognized for ever but a lying tongue is but for a moment

The sutra from Bible has a very deep significance in day to day life. The truth is everlasting and always ends up in internal happiness and self realization & in long run always gives you happiness and an all-win situation. On the contrary, a lying tongue will only give you a momentarily pleasure but will end up in some difficulty later in life. ...Read More

Dr K K Blogspot

cardiology news
pediatrics news
wellness blog

Work-related Stress can kill

Job stress raises the risk of heart disease by disrupting the body’s internal systems.

The findings from a long–running study involving .... Read More


Situation: A male child was brought with an allegation of having a sexual play with her classmate. Read More

press release

Avoid unnecessary injections, finger prick blood tests
Read More


Checklist for a doctor’s consultation
(Dr K K Aggarwal)

...Read More

News Around The Globe

Gene 'switch' turns on cardiac risk

People with a gene that has been turned off through a natural process called DNA methylation may be at higher risk of cardiovascular disease. Levels of triglycerides and very low-density lipoprotein (VLDL) cholesterol were strongly associated with the methylation of the gene encoding carnitine palmitoyltransferase 1A (CPT1A), a key enzyme in lipid metabolism. (Source: Medpage Today) ....Read More

Violence against women 'epidemic,' says WHO global report

Nearly a third of women throughout the world are victims of violence perpetrated by their intimate partners (IPV), according to results of a global meta-analysis that synthesized data from more than 140 studies carried out globally. (Source: Medscape) ........Read More

Better testing catches early HIV infection

A 4th-generation immunoassay, coupled with an HIV-1/HIV-2 antibody differentiation test, picked up acute infections where traditional methods did not, according to two studies reported by CDC in the June 20 issue of Morbidity and Mortality Weekly Report. (Source: Medpage Today) .... Read More

New AAOS knee OA guidelines likely to be controversial

The newly revised American Academy of Orthopaedic Surgeons (AAOS) clinical practice guideline for knee osteoarthritis (OA) has already become a focus for controversy. The most significant change from the 2008 clinical practice guideline is a strong recommendation against the use of intraarticular hyaluronic acid (HA viscosupplementation) for symptomatic knee OA including the use of glucosamine and chondroitin sulfate, and arthroscopy with lavage for primary knee OA. The guideline also reduced the maximum dosage for acetaminophen from 4000 to 3000 mg/day, with a note that it does not recommend for or against the use of acetaminophen, opioids, or pain patches because evidence of efficacy is inconclusive. (Source: Medscape) .... Read More

HCV genotype test kit OK'd

The first standardized test kit for hepatitis C virus (HCV) genotyping has won FDA approval, the agency said Thursday. Abbott Molecular's RealTime HCV Genotype II test identifies the specific viral genotype -- classified as 1, 1a, 1b, 2, 3, 4, or 5 -- present in clinical samples. This information is vital for treatment planning, as available treatments for HCV infection vary in Read More

Azad says no shortage of TB drugs; WHO for regimen change

New Delhi: Even as the Union government rejected reports of shortage of tuberculosis drugs, saying fresh stocks will arrive by July-end, World Health Organisation (WHO) on Friday asked India to consider changing the Read More


today emedipics

Dr KK Aggarwal attending Ayurvedic-Allopathic discussion on diet

Valvular Heart Disease Update

Sudden death can occur in children with aortic stenosis due to a bicuspid aortic valve, especially during and immediately after exertion.

(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)

Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is the percentage of miscarriage occurring after ART?

According to western figures, miscarriage may occur after ART, even after ultrasound identifies a pregnancy in the uterus. Miscarriage occurs after ultrasound in nearly 15% of women younger than age 35, in 25% at age 40, and in 35% at age 42 following ART procedures. In addition, there is approximately a 5% chance of ectopic pregnancy with ART.

Rabies Update (Dr. A K Gupta)

How should the animal causing the bite be handled?

It is important to establish if the biting animal is healthy or diseased, bearing in mind that a rabid animal excretes the virus in its saliva not just throughout the illness but also several days before the appearance of the first signs. An unknown animal, which has disappeared, must be considered as rabid and full course of PEP must be given. Cats and dogs, which can be identified, must be kept under observation. The risk of rabies can be considered as slight if the animal shows no sign of disease after 5 days, and non-existent if the animal is still healthy on the 10th day (The European Standards recommend an observation period of 15 days).

All wild animals, and those domestic animals suspected of having rabies must be put down and the rabies diagnosis must be carried out in the laboratory.

If it is proven that the animal is not rabid – and only then the anti-rabies treatment may be halted.

medicolegal update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What is minimally conscious state?

Minimally conscious state is distinguished from vegetative state by the partial preservation of conscious awareness. Read More

ijcp book of medical records
medicolegal forum

Can a cardiologist dispense medicine?

As per MCI Regulations, 2002 and the Drugs and Cosmetics Act, 1940 one is allowed to dispense drugs to own patients and for that one can store necessary drugs in a reasonable quantity. For this no license is needed. However, one is not allowed to start a pharmacy/drug Read More

dr good dr bad

Situation: What should be the level of TSH to be maintained in a patient of hypothyroidism?
Dr. Bad: Between 5 and 10 m/U/L
Dr. Good: Between 2.5 to 5 m/U/L
Lesson: It is ideal to maintain a level between 2.5 to 5. One can also maintain Read More

make sure

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

quote of the day

Permanence, perseverance and persistence in spite of all obstacles, discouragement, and impossibilities: It is this, that in all things distinguishes the strong soul from the weak. Thomas Carlyle

twitter of the day

Dr KK Aggarwal: Smoking leads to cardiovascular ageing http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: Being aware isn't passive. It's an action that takes place mentally. My article is about staying centered http://tinyurl.com/m9r7v5r

emedinews humor

The physician writing out a prescription for his hypertensive cardiac patient: “Diazepam 5mg (tranquilizer) TDS".

The patient’s wife asks, "Doctor, when are these medicines to be given?" Doctor: "These are to be taken by you. Read More

reader response

Motivation of our young doctors for rural posting can be achieved only by improving infra structure like roads, social security, electricity in rural areas; rest all sounds too theoretical and idealistic. Vivek, Varanasi.

An Inspirational Story

How the poor live

One day, a father of a very wealthy family took his son on a trip to the country with the firm purpose of showing his son how poor people live. They spent a couple of days and nights on the farm of what would be considered a very poor family. On their return from their trip, the father asked his son, “How was the trip?” “It was great, Dad.” “Did you see how poor people live?” the father asked. “Oh yeah,” said the son.

“So, tell me, what did you learn from the trip?” asked the father.
............Read More

eMedi Quiz

Read this…………………


Yesterday’s Mind Teaser: "ALLworld "

Answer for yesterday’s Mind Teaser: "It’s a small world after all."

Correct answers received from: Dr Pankaj Agarwal, DR AVTAR KRISHAN, Dr Kanta jain, Dr Kavish, Dr Sanjay, Dr SP Shukla, Dr Vikas, Dr Aman, Dr CP Chandra, Dr Vyom, Dr Shikhar, Dr Jayesh

Answer for 22nd June Mind Teaser: B. Omega-3 > omega-6 fatty acids

Correct answers received from: Dr Jainendra Upadhyay, drperiasamy subarayan, DR.BITAAN SEN & DR.JAYASHREE SEN.

Send your answer to ijcp12@gmail.com

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Forthcoming Events

ZOONOSIS – 2013-Conference on Prevention of Diseases
Communicable from Animals to Human

Saturday, 6th July, 9.30 am – 5 pm

Venue: Meeting Room, 1st Floor, A Wing, Dr S P Mukerjee Civic Centre (MCD), Jawaharlal Nehru Marg (Opp Ramlila Ground, Asaf Ali Marg), New Delhi, Entry from Gate 3.

(All About Flu, Malaria, Dengue, Chikungunya, Japanese Encephalitis, Rabies, Neurocysticercosis, Leptospirosis, Food Allergies etc.)

For Free Registration: Email: rekhapapola@gmail.com
9899974439 (Rekha Papola), 9810301261 (Dr Uday Kakroo)

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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  Perfect Health Mela

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  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely


eMedinewS Special

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Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta