eMedinewS14th January 2014, 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
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Bone marrow stem cells are safe to give during treatment for multidrug– and extensively drug–resistant (MDR, XDR) tuberculosis

A single dose of mesenchymal stromal cells from patients’ own marrow resulted in no serious adverse events or apparent suppression of anti–TB immune responses among 30 treated patients, Markus J. Maeurer, MD, PhD, of the Karolinska University Hospital in Stockholm.

Sixteen of 30 patients cleared the infection by 18 months, whereas only five of 30 similar patients not treated with stem cells did so, the group reported online in Lancet Respiratory Medicine.

Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV

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."

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

Makar Sankranti: Uttarayana: The Medical Importance

sprritual blog

An extremely auspicious day, Lohri marks the sun’s entry into the ‘Makar Rashi’. The next day after lohri is Makar Sankranti. One can remember Lohri as the last day of winter and Makar Sankranti as the first day of summer.

The word Sankranti means "change of direction" and the sun changes its direction northwards on the day of Makar Sankranti.

The period, beginning from 14 January (Makar Sankranti) lasting till 14 July, is known as Uttarayana ("Uttar" North and "ayan" movement towards). It is also the last day of the month of Maargazhi, which is the ninth month of the lunar calendar. The Bhagawad Gita deems it as an extremely sacred and auspicious time when Lord Krishna manifests himself most tangibly. Bhishma Pitamah in Mahabharata also waited for this period (not day) to leave his body.

Uttarayana is considered to be the holiest half of the year. In Bhagavad Gita, the Lord says, "I am Uttarayana among the Ayanas."

In chapter 8 shloka 24 Lord Krishna has said "Those who know the Supreme Brahman attain that Supreme by passing away from the world during the influence of the fiery god, in the light, at an auspicious moment of the day, during the fortnight of the waxing moon, or during the six months when the sun travels in the north."

The earth, farthest from the sun at this point of time, starts its journey towards the sun, thus ending the coldest month of the year (peak winter), Paush, and announcing the start of the month of Magh.

As per "Puranas", Dakshinayana (the other 6-month period) is the night of the deities whereas Uttarayana is their day.

It’s the time to take a dip in the Ganges at sunrise and at sunset and say good bye to winter foods.

cardiology news

A Mad Elephant

Buddha never forgot the promise he make to king Bimbisara to return and give him teachings. So when the time was right, he journeyed to Rajagriha. Outside this royal city was a hill called Vulture’s Peak, and Buddha and many his disciples went and lived in caves there. King Bimbisara often went to Vulture’s Peak to hear the words of the Buddha. The people of the city went also, and soon the number of Buddha’s followers grew very large. After some time, the King and several other rich people gave Buddha and his followers parks where everyone could stay and listen to his teachings in comfort.

Buddha’s cousin, Devadatta, became very jealous. "He has so many people following him" he thought "and everyone shows him so much respect. But they all ignore me, and I am as great as he is. I must destroy him!" He knew that he would need help in killing the Buddha, so he went to the King’s son."Don’t you want to be King?" he asked. “Why should your father have all the wealth and power?" Come, if you help me kill Buddha, I shall help you kill your father. Then you can become King in his place." The King's son listened to these wicked words and agreed. Then the two of them tried many ways to murder the Buddha.

One day, while Buddha was sitting in meditation near Vulture’s Peak, they rolled a very large boulder down the hill towards him. But just before it was going to crush him, the rock split in half, leaving Buddha unharmed. Another time, Buddha was walking through the city with several of his closet disciples. The two men knew he was coming and were ready. They had bought an elephant and gave it lots of liquor to drink. When the elephant was quite drunk, they beat it with sticks until it was crazy with anger. Then they released it in the direction of the Buddha, hoping the elephant would trample him to death.

When the disciples saw the enraged elephant charging towards them, they ran away in fear. All except Ananda, Buddha’s closet companion, who stayed by his teacher’s side, holding onto Buddha's robe. Buddha saw the elephant coming and, instead of being frightened or angry, felt great love and pity for the poor beast. Even though the elephant was drunk and crazed, it felt the power of Buddha’s love. It stopped charging and walked over to the Buddha meekly, and then bowed down its large head at Buddha’s feet.

Buddha patted the elephant gently and turned and said to Ananda, "The only way to destroy hatred is with love. Hatred cannot be defeated with more hatred." This is a very important lesson for all to learn.

News Around The Globe

News

  • Congratulations to Dr Mukherjee: Dr Sandip Mukherjee received GAPIO Life Time Achievement Award. The award was conferred at the IV Annual Conference of Global Association of Physicians of Indian Origin (GAPIO) on 11th January 2014 at Hotel ITC Sonar Kolkata.
  • New studies suggest that novel (18F) ligands used with positron emission tomography (PET) may shed important light on the neural basis of memory impairment in the preclinical stages of Alzheimer’s disease (AD). The results of an initial small series of patients with and those without cognitive impairment imaged using one of these agents, T807 were presented during the 6th Clinical Trials conference on AD (CTAD).
  • Nebulized albuterol for asthma exacerbations often raised serum lactate levels, but apparently without hurting clinical outcomes. In a trial substudy reported in the January issue of Chest, 69% of patients had hyperlactatemia after treatment with nebulized albuterol for acute asthma exacerbation.
  • The US FDA has granted 510(k) clearance for a diagnostic imaging system (SoftVue, Delphinus Medical Technologies, Inc.) that uses ultrasound technology to provide accurate operator–independent 3–dimensional images of the entire breast in 1 to 2 minutes.
  • The US FDA has approved the first gel sealant for use in cataract surgery with intraocular lens placement. ReSure Sealant (Ocular Therapeutix, Inc) is a synthetic polyethylene glycol hydrogel indicated for prevention of postoperative fluid egress from incisions with a demonstrated wound leak following cataract surgery.
  • According to a research from Italy, early endoscopic ultrasound (EUS) is an accurate, safe, and quick first step in the management of patients with suspected common bile duct stones. EUS helps identify patients who will benefit from therapeutic endoscopic retrograde cholangiopancreatography (ERCP) and those who do not need ERCP. The findings are published in the journal Digestive and Liver Disease 2013.
  • As per findings of a population–based study by the Indian Council for Medical Research on prevalence of cancer among children (under the age of 14), Chennai has the largest number of child cancer cases in the country, with 159 new cases per 10 lakh population reported every year, followed by Delhi which recorded 149 cases, reports TOI, January 13, 2014. Pune had the lowest incidence of cancer among children — 47 new cases for the same sample size.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

If the pet is immunized, do family members need pre-exposure vaccination?

A dog effectively vaccinated against rabies ordinarily will not suffer and transmit rabies. But it is very difficult to say with certainty that a particular dog immunized with specific vaccine is immune against rabies, more so in a rabies–endemic area.

Animal lovers and pet owners are always at high risk of rabies, and therefore, pre–exposure vaccination is recommended for all the family members.

cardiology news

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

  • As the number of pacemaker, cardiac resynchronization, and implantable cardioverter defibrillator (ICD) device implantations climbs higher and higher, so too does the number of new arrhythmia diagnoses, particularly previously undetected atrial fibrillation. The problem, say the authors of a new review, is what—if anything—to do about them. The review is published online January 3, 2014 in Heart Rhythm.
cardiology news

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

  • Chronic hyperglycemia and glucose variability could impact the brains of young children with type 1 diabetes. In what the authors call the largest study to date investigating white matter structure in young children with type 1 diabetes published in the journal Diabetes Care, diabetic children had widespread and significant differences in their white matter microstructure compared with nondiabetic controls. There were also significant associations between white matter structure and hyperglycemia, glucose variability, and cognitive ability among diabetic children.
cardiology news

Hookah as bad as smoking

An hour of puffs from a hookah packs the same carbon monoxide punch as a pack–a–day cigarette habit.

Hookahs have grown in popularity in recent years and Hookah bars have appeared in cities all over the world that allow people to smoke these water pipes.

Users inhale tobacco smoke after it bubbles through water, a process that some people think filters toxins from the tobacco.

Hammond and a student, in a study published in the Journal of the American Medical Association, recruited 27 students who smoked water pipes for an hour on three different evenings in April 2006. Another five students did not smoke the hookahs but stayed in the room with those who did. The participants abstained from water pipe smoking for 84 hours before taking part in the study; the bowls of their water pipes were filled with water and 10 grams of Al Fakher mu'assal tobacco, and then heated with charcoal.

Researchers monitored carbon monoxide in the breath of the participants both before and after the experiment using a machine designed to detect if people are smokers.

The exhaled carbon monoxide in participants was an average of 42 parts per million, higher than that reported in cigarette smokers (17 parts per million). The study also found that carbon monoxide levels grew in the room where the subjects smoked hookahs and might reach environmentally unhealthy levels, as determined by the federal government, during longer sessions.

Smoking a water pipe for 45 minutes produces 36 times more tar than smoking a cigarette for five minutes.

cardiology news

Total CPR since 1st November 2012 – 84073 trained

Media advocacy through Web Media

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Human Body needs servicing too

While automobile vehicles need preventive servicing every three months, human body needs it every two months, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and Sr. National Vice President Indian Medical association.

As per Ayurveda, the seasons change every two months, approximately in the middle of the month.

Ayurveda describes these changes and precautions to be taken in great detail. The current makar rashi season, which starts after Lohri with sun changing its direction northwards resulting into lengthening of day and shortening of night time needs many lifestyle changes to balance health and prevent diseases. Vata gets aggravated, kapha gets accumulated and pitta gets depleted in this season.

In allopathic language, pitta denotes metabolic functions, vata signifies movement functions and kapha stands for secretory functions of the body.

Lohri, Makar Sankranti and Pongal are celebrated with khichdi, milk, gur, bhaat, sesame laddu, light hot food and beverages, etc all indicating measures to reduce vata and kapha and to increase pitta in the body.

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 84073 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

Suraj Bhan D.A.V. Public School students learned CPR–10

press release

ACE inhibitors better ARBs in new meta–analysis in hypertensives

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

A couple, with a family history of beta thalassemia major in a distant relative has come for counseling. The husband had HbA2 of 4.8% and the wife has HbA2 of 2.3%. The risk of having a child with beta thalassemia major is.

1. 50%
2. 25%
3. 5%
4. 0%

Yesterday’s Mind Teaser: The following separation technique depends on the molecular size of the protein:

1.Chromatography on a carboxymethyl (CM) cellulose column.
2.Iso–electric focusing.
3.Gelfiltration chromatography.
4.Chromatography on a diethylaminoethly (DEAE) cellulose column.

Answer for yesterday’s Mind Teaser: 3.Gelfiltration chromatography.

Correct answers received from: Tukaram Pagad, Arvind Gajjar, Dr.Bitaan Sen & Dr.Jayashree Sen Raju Kuppusamy, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr Pankaj Agarwal, Dr.Chandresh Jardosh, Dr Ajay Gandhi, Dr Avtar Krishan

Answer for 12th January Mind Teaser: 3. Hemophilia.

Correct answers received from: Raju Kuppusamy, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr Pankaj Agarwal

Send your answer to ijcp12@gmail.com

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medicolegal update

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Daughter in College

Did you hear about the banker who was recently arrested for embezzling $100,000 to pay for his daughter’s college education?

As the policeman, who also had a daughter in college, was leading him away in handcuffs, he said to the banker, "I have just one question for you. Where were you going to get the rest of the money?"

medicolegal update

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medicolegal update

Situation: A patient with rheumatoid arthritis was not responding.
Reaction: Oh my God! Why was smoking not stopped?
Lesson: Make sure that all patients of RA stop smoking. It is a major preventable factor contributing to the development of antibody–positive rheumatoid arthritis in genetically susceptible individuals.

medicolegal update

Making the beginning is one third of the work. Irish Proverb

medicolegal update

Dr KK Aggarwal: Life after death Part 1: http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Joy Peace Knowing are closer to you than your next thought

medicolegal update
  1. Dear Sir, Adieu to Lohri is very informative . Regards: Dr Kapil

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