eMedinewS 11th August 2013, Sunday

Dr K K Aggarwal Padma 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; 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

Just 2 weeks of mindfulness meditation training help reduce smoking and craving for cigarettes

Results from a study conducted by investigators at the University of Oregon in Eugene showed that integrative body–mind training (IBMT) helped curtail cigarette consumption by up to 60% in smokers who underwent 5 hours of training during a 2–week period. In comparison, a control group who underwent relaxation therapy showed no reduction in smoking. The study was published online August 5 in the Proceedings of the National Academy of Sciences.

One reason for substance abuse and addiction may involve a lack of self-control, which raises the question of whether an intervention to improve self–control could change smoking behavior. Mindfulness training has shown some proof of efficacy in substance abuse, but a lack of adequate control conditions, failure to randomize participants, and a failure to assess biological markers of change have limited the research.

IBMT has been shown to reduce stress, increase positive emotion, and improve attention and self–control after a few hours of practice compared with the same amount of relaxation training. …Read More

High blood glucose linked to dementia even without diabetes

Higher blood glucose levels, shy of the diabetic range, increase the risk for dementia in adults, new data from the longitudinal Adult Changes in Thought (ACT) study suggest by Paul K. Crane, MD, associate professor of medicine at the University of Washington School of Medicine, Seattle. The study is published in the August 8 issue of the New England Journal of Medicine.

Among participants without diabetes, higher average glucose levels within the preceding 5 years were associated with increased risk for dementia.

At a glucose level of 115 mg/dL, as compared with 100 mg/dL, the adjusted hazard ratio for dementia was 1.18.

Higher average glucose levels were also related to an increased risk for dementia in those with diabetes. At a glucose level of 190 mg/dL, as compared with 160 mg/dL, the adjusted hazard ratio for dementia risk was 1.40. …Read More

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."

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

Ringtone – CPR 10 Mantra English

sprritual blog What is common between solah somvar vrat by women and Kanwar Yatra by men?

During the month of Chaturmas, married women and women eligible to be married are often asked to observe 16 Monday fasts and worship Shiva Lingam. Similarly, boys and young adult males travel for days together towards Haridwar to carry Ganga Jal (positive thoughts) and come back and pour it onto the Shiva Lingam in their respective places.

In both the situations, the spiritual ritual is to control one’s sexual desires which are known to increase during Chaturmas, especially in the months of Shravan and Bhadon.

For Monday fast, it is also a ritual for the wife not to go to the husband in the night.

Apart from that, the festival of Raksha Bandhan, Jagannath Rath Yatra (the only festival of brother and sister where Subhadra, Krishna and Balram are worshipped) and Bhai Dooj, all talk about controlling lust and respect for a women folk in the society.

During these four months, no marriages are held and it is said that men and women should not attempt to produce a child during this period. ….Read More

cardiology news

Testing for Gossip

In ancient Greece, Socrates was reputed to hold knowledge in high esteem. One day an acquaintance met the great philosopher and said, "Do you know what I just heard about your friend?" "Hold on a minute", Socrates replied. "Before telling me anything I’d like you to pass a little test. It’s called the Triple Filter Test."

"Triple filter?" "That’s right", Socrates continued. "Before you talk to me about my friend, it might be a good idea to take a moment and filter what you're going to say. That’s why I call it the triple filter test. The first filter is Truth. Have you made absolutely sure that what you are about to tell me is true?" "No," the man said, "Actually I just heard about it and …"

"All right", said Socrates. "So you don’t really know if it’s true or not. Now let’s try the second filter, the filter of Goodness. Is what you are about to tell me about my friend something good?" "No, on the contrary."

"So", Socrates continued, "you want to tell me something bad about him, but you're not certain it’s true. You may still pass the test though, because there’s one filter left: the filter of Usefulness. Is what you want to tell me about my friend going to be useful to me?" "No, not really."

"Well", concluded Socrates, "if what you want to tell me is neither true nor good nor even useful, why tell it to me at all?" …

News Around The Globe

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  • Chantal Reusken, PhD, of the National Institute for Public Health and the Environment in Bilthoven, the Netherlands, and colleagues report online in Lancet Infectious Diseases that camels could be spreading the MERS coronavirus. Blood from camels in Oman and Spain had antibodies against Middle East respiratory syndrome coronavirus (MERS–CoV) or something closely related to it. Although the Middle East respiratory syndrome coronavirus (MERS–CoV) is related to pathogens found in bats, direct ancestors of MERS–CoV have not been found in the flying mammals. (Source: Medpage Today)
  • A father and his daughter who both died this spring from the H7N9 avian influenza provide the best evidence yet that the novel strain can jump from person to person, as reported by Zhou and colleagues online in BMJ. Both the genetics of the flu strains and the epidemiology of the cases combine to suggest the daughter caught the H7N9 flu from her father. (Source: Medpage Today)
  • According to researchers from Italy and South Africa, open–water swimmers who compete in long–distance events in warm water run the risk of heat stroke. According to Dr. Filippo Macaluso from University of Palermo, Palermo, Italy, heat stroke can occur also in swimmers and can result in the death of athletes. Factors that may increase the risk of developing heat stroke include high environmental temperature, low potential for convective cooling, elevated rates of energy expenditure, and greater body mass and percentage body fat. (Source: Medscape)
  • New recommendations from the United States Public Health Service (USPHS) state that after any occupational exposure to HIV, healthcare personnel (HCP) should immediately receive a postexposure prophylaxis (PEP) regimen containing at least 3 antiretroviral drugs for 4 weeks. The updated guidelines are published in the September issue of Infection Control and Hospital Epidemiology. The three-drug guideline is a change from the 2005 recommendations of the U.S. Public Health Service, which suggested prescribing the number of drugs based on an assessment of the risk of infection. (Source: Medscape)
  • The US Food and Drug Administration (FDA) today approved the first rapid diagnostic test to spot antibodies to both HIV types 1 and 2 as well as the HIV–1 p24 antigen. The Alere Determine HIV–1/2 Ag/Ab Combo test, manufactured by Orgenics of Yavne, Israel, can detect HIV antibodies and the HIV–1 p24 antigen in human serum, plasma, and venous or finger stick whole–blood specimens. The HIV–1 antigen is an earlier hint to HIV–1 infection than HIV–1 antibodies by themselves. The new test can tell the difference between acute vs established HIV–1 infections when the blood specimen tests positive for the p24 antigen, but negative for HIV–1 and HIV–2 antibodies. Most HIV infections worldwide stem from HIV–1. HIV–2 infections occur mostly in West Africa. (Source: Medscape)

Rabies News (Dr. A K Gupta)

What are the limitations of polyclonal serum (RIG)?

Difficulties associated with the use of Polyclonal Serum (RIG) samples might consist of:

  • Batch–to–batch variation
  • Risk related to the use of human blood products. Because HRIG preparations are of human origin, they need to be treated to minimize the risk of transmission of infectious agents.
  • Difficulties in finding immune donors during sudden mass exposures might lead to a low availability of RIG.
  • Because of discontinued ERIG production by international manufacturers, supply of ERIG relies on regional production.
  • The use of ERIG has raised ethical issues and has been condemned by animal protection groups.
cardiology news
  • A single center found that for patients with a blocked superficial femoral artery, surgical bypass was linked to more re–interventions than angioplasty and stenting, but bypass surgeons had to contend with larger lesions. Mahmoud Malas, MD, MHS, of Johns Hopkins Bayview Medical Center, and colleagues report online in the Journal of Vascular Surgery that in the first 2 years after the procedures, 54% of patients who underwent surgery, compared with 31% of those who received endovascular treatment, required re–intervention. However, bypass was used primarily in more extensive lesions that had a greater risk of patency failure. (Source: Medpage Today)
  • Two–dimensional strain and echo–tracking may improve early identification of myocardial changes in patients with beta–thalassemia major, according to s study reported online July 22 in the American Journal of Cardiology. Cardiovascular involvement in patients with beta–thalassemia major occur independently of iron overload and are associated with a higher incidence of complications and worse clinical outcomes. (Source: Medscape)

Valvular Heart Disease News

In patients ≥62 years of age with MAC, 6 percent have mitral obstruction.

(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)

cardiology news
  • A large, epidemiologic study published in the August issue of the Journal of the American Academy of Child and Adolescent Psychiatry has indentified risk factors that can spot teens at greatest risk of developing posttraumatic stress disorder (PTSD) following potentially traumatic experiences (PTE). The strongest vulnerability factors for PTSD included female sex, events involving interpersonal violence, and pre–existing anxiety and mood disorders before exposure to the worst traumatic stressor. (Source: Medscape)
  • Thomas Frieden, MD, MPH, director of the US Centers for Disease Control and Prevention (CDC) said that for the first time in a generation that obesity trends are moving in the right direction in 2– to 4–year–olds. US health officials are hopeful that small but significant declines in obesity rates among preschoolers in 18 states and the Virgin Islands mark a tipping point in the breathtaking 4–decade climb in childhood obesity rates. (Source: Medscape)
cardiology news

Deep frying potatoes can cause cancer but soaking potatoes in water before frying can nullify these effects

Deep frying of potato can cause cancer but soaking potatoes in water before frying can nullify these effects. Soaking potatoes in water before frying cuts down the formation of the suspected carcinogen acrylamide. Acrylamide is created when starch–rich foods are cooked at high temperatures (1200C) such as frying, baking, grilling, broiling or roasting.

Raw or even boiled potatoes test negative for the chemical.

Boiling and microwaving appear less likely to form acrylamide as the cooking does not involve very high temperatures. Longer cooking times increase the amount of acrylamide produced when the temperature is high enough.

Potato chips and French fries contain high levels of acrylamide compared to other foods, with lower levels also present in bread and cereals. Acrylamide is harmful to health and may cause cancer in animals.

In a study published in Journal of the Science of Food and Agriculture, it has been found that simply soaking potatoes before frying can significantly reduce the formation of acrylamide.

The researchers tried three different approaches. They washed raw French fries, soaked them for 30 minutes, and soaked them for two hours. This reduced acrylamide levels by up to 23 percent, 38 percent and 48 percent, respectively, but only if the fries were cooked to a light color. It’s not clear whether the same reductions could be achieved if French fries are cooked to a deep, dark brown.

The cooking and re–cooking of fried foods in the same frying pan or broiler is the main cause. Even the thoroughly washed iron skillet can continue to contain submerged carcinogens collected from previous use. Most restaurants uses the same rancid cooking oil for days or even weeks and even reusing it after washing the pot.

Traditional Ayurveda has been advocating against deep frying and has been advocating low temperature cooking for centuries. It has also been suggesting not consuming raw foods grown under the ground but soaking them before use or frying them. Read More

cardiology news

Pediatric care providers can address the problem of media violence and associated violent behavior at three levels: the family, the community and school, and the legislative and regulatory approaches.

cardiology news

8th August: DMA Dharna against one year mendatory Rural Posting at Jantar Mantar


CPR 10 Camp – E Book Balwant Rai Mehta School, G K – 2, New Delhi

Total CPR since 1st November 2012 – 59455 trained

CPR Classes: Persons trained (3193)

5th August: CPR 10 at Universal Public School (1078)

DMA Dharna against one year mandatory Rural Posting at Jantar Mantar

6th August: CPR 10 at Moolchand (30)

7th August: CPR 10 at Moolchand (27)

CPR VIP Sensitization

CPR Classes 59455

Video Chats and uploads

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News JULY

Media advocacy through Print Media

7th August: Just Zindagi–Sunday Navbharat Times

8th August: Amar Ujala

8th August: Punjaab Kesri

Media advocacy through Web Media

Low BP may be normal 7th August


Police learn CPR 10

Inaugurating the Second CPR 10 Training Programme for South Delhi Police Personnel, Mr. B S Jaiswal, DCP South said that for the sake of preserving evidence, the Police personnel should not forget to provide medical first aid or to revive a dead person. Providing first aid is the first priority at any cost.

Conducting a workshop on CPR 10, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that in the next three months all the police personnel from South District would be trained in cardiac CPR.

By learning the technique of CPR 10, one can revive victims of sudden death within 10 minutes. Sudden death may include heart attack, electrocution deaths, hypothermia deaths, deaths due to choking, drowning deaths and other deaths, which occur suddenly without notice.

Dr. Aggarwal said that it is unfortunate that in our city that medical personnel cannot reach the victim early, therefore, we have to depend on police personnel and so we need to train them so that at least they can provide first aid including cardiac first aid to the victims.

In the second session, over 600 police personnel were trained. Training will continue till training of every police personnel in South Delhi is complete.

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 59455 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."

today emedipics

Conducting a Second CPR 10 Training Programme for South Delhi Police Personnel, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India

press release

Confederation of Associations of Medical Specialties of India

today video of the dayOne more life saved from CPR 10

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

Smart Phones Benefits and Hazards

eMedi Quiz

Read this…………………

Nurse Rose is caring for a neonate with congenital clubfoot. The child has a cast to correct the defect. Before discharge, what should the nurse tell the parents?

a. The cast will be removed in 6 weeks
b. A new cast is needed every 1 to 2 weeks
c. A short leg cast is applied when the baby is ready to walk
d. The cast will be removed when the baby begins to crawl

Yesterday’s Mind Teaser: A male client with acute pyelonephritis receives a prescription for co-trimoxazole P.O. twice daily for 10 days. Which finding best demonstrates that the client has followed the prescribed regimen?

a. Urine output increases to 2,000 ml/day.
b. Flank and abdominal discomfort decrease.
c. Bacteria are absent on urine culture.
d. The red blood cell (RBC) count is normal.

Answer for yesterday’s Mind Teaser: c. Bacteria are absent on urine culture.

Correct answers received from: Dr Chandresh Jardosh, Dr. P. C. Das, Dr Arpan Gandhi, Dr. V.P. Thakral, Dr.Rohini Dhillon. Dr.(Maj. Gen.) Anil Bairaria, Dr Valluri Ramarao, Dr Pankaj Agarwal, Dr.K.Raju, Dr K P Chandra, Muthumperumal Thirumalpillai, Dr Santhakumari, Dr Abbas Vakil, daivadheenam, Dr Avtar Krishan, Dr Kanta Jain, Dr. P C Das.

Answer for 8th August Mind Teaser: b. Gonorrhea

Correct answers received from: Dr P J Khalap, Dr.Sushma Chawla.

Send your answer to ijcp12@gmail.com

eMedi Apps

medicolegal update

Click on the image to enlarge

medicolegal update

Teacher: Billy, stop making ugly faces at other students!

Billy: Why, ma’am!

Teacher: Because when I was a child, my parents told me that if I kept making ugly faces my face would stay that way!

Billy: Well, I can see you didn’t listen then!

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful

medicolegal update

If someone has criticized your move to show solidarity with medical students, please accept my congratulations for having done what more of us should have done. Compulsory 1 yr rural service is a hasty, illogical, typically beaurocratic move to solve a difficult problem with a stroke of pen. Its repercussions have not been considered. on Right Move or Wrong Move, Regards: Dr Neeraj Nagpal

Forthcoming Events

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medicolegal update

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