eMedinewS16th October 2013, Wednesday

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; 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
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

Crowd management and stampede prevention

  1. Most major crowd disasters can be prevented by simple crowd management strategies.
  2. One answer is use of barriers.
  3. However barriers in some cases may funnel the crowd towards an already-packed area, such as in the Hillsborough disaster. Hence barriers can be a solution in preventing or a key factor in causing a stampede.
  4. Use loudspeakers to communicate and direct a crowd.
  5. Warning signs of a crowd crush include density of more than four people per square meter, at which each person is being touched on four sides.
  6. To avoid or escape from a crowd crush, one is advised to move sideways, particularly between swells.
  7. After the stampede in the Victoria Hall disaster in 1883, a law was passed in England which required all public entertainment venues to be equipped with doors that open outwards.

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."


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

Ringtone – CPR 10 Mantra English

Why do we worship Kush Grass?

sprritual blog

‘Dharmasaya Dharata’ which means religion is what we practice. Hence, whatever the wise thought was good for health and hygiene has been enforced in the garb of religion. Several religious practices are in reality linked with health and the use of kush grass is no exception.

No traditional Hindu Indian pooja ritual is complete without the use of Durva (Doob) and Kush grasses.

Durva grass is used for Ganesh pooja and signifies the removal of obstacles from life. The peculiarity of Durva grass is that if you plant it in one area it will proliferate by itself and spread out in a wide area. This implies that a human family should be like the Durva grass, having spontaneous, effortless and obstacle-less growth.

The second herb, which is used in pooja, is the kush grass, known for its purity. In Ramayana, Valmiki named Sita’s two sons Luv and Kush. At the time of birth, Valmiki took a blade of kush grass and broke it into two and he named Sita’s first son Kush and other Luv. Kush is a benevolent grass, a symbol of progress and alertness. It is a satvik plant and stands for intelligence. The term ‘kushal buddhi’ originates from the word kush meaning alert, pure and bright mind.

In Bhagwad Gita (shloka 6.10), Lord Krishna says that for meditation one should sit on his or her own firm seat that is neither too high nor too low; covered with sacred Kush grass; deer skin and a cloth, one over the other, in a clean area. Kush grass is used to make asanas (a mat for sitting) for worshipping and during yagnas.

It is also used in the making of vedi during marriages.

The Garuda Purana has described rituals for a Panchak death. It says when the death of a close relative takes place during the period of Panchak, within one year, five family members may die if proper post–death rituals are not observed. These involve the placement of four small ‘dolls’ made of Kush grass (described as the hair of Lord Vishnu) on shoulders and knees of the dead body before cremation. This is accompanied by the chanting of mantras.

Garuda Purana also talks about the cremation of a person whose body has not been found as in natural calamities, bomb blasts, drowning, etc. It prescribes that under such circumstances, an effigy of Kush grass should be made to represent the physical body of the deceased and the usual rituals of cremation should be followed.

Medically too, this representative cremation is therapeutic as it helps to alleviate sorrow and reduce post traumatic stress disorders in the concerned family members.

Sankalp, a firm intent to do something, is a routine ritual in one’s life. When one takes a sankalp to do something, it becomes obligatory for him or her to do it. It is like taking a vow. Kush grass is often held in the hands before taking a sankalp.

In Ayurveda, the Kush grass is called Desmostactya bipinnata. It is a clean, pure and brittle grass that grows in abundance in the plains and hills of India. It is acrid, cooling, oleaginous, aphrodisiac, and diuretic and has been known for its use in the treatment of blood disorders, asthma, thirst, jaundice, stone in the urinary bladder, disease of skin, uterus, etc.

Traditional Chattisgarh, known for herbal medicines, uses the medicinal properties of Kush grass in many herbal ingredients. Kush sharbat, made from Kush roots, is a routine drink in that area. The traditional healers of Chattisgarh use this preparation for women patients for gynecological disorders.

A mala or garland made from the roots of Kush grass is also used for sacred and virtuous activities. Most Hindu believes that Lord Vishnu resides in stone (Shaligram), tulsi plant, peepal tree and kush grass.

Every ritual has a significance for health. Whatever is offered to God can be taken in the body for the well–being of the soul. Kush grass root/leaf juice should be consumed by everybody as a health drink. At least it should be offered in the form of a charnamrut whenever a ritual is being performed. The Kush grass has medicinal effects and helps to increase the alertness in the body and in detoxification of the body.

cardiology news

The Grass Cutting Days

The pastor called me to come forward. I walked to the pulpit confident and proud. I looked out at my family. Some wore somber expressions. Others had faces still damp with tears. Then I gazed down at the shiny black coffin crowned with yellow flowers.

My father, Charlie Lyons, was gone. It was my turn at his funeral earlier this year to pay tribute to the man who taught me so much growing up on the North side. How do you sum up a lifetime in 10 minutes?

I flashed to Dad holding the handlebar and jogging alongside my bike until I felt ready to ride on my own. I saw him pulling up to my broken–down car at night, doing a quick fix and trailing me home. I thought of the hug we shared at my wedding.

Then, I started talking about a special moment I draw from now. Dad was always full of advice, but one of the biggest lessons he taught me one summer was about having a strong work ethic. When my brother and I were growing up, we mowed yards during the summer to earn pocket change. Dad was our salesman. He pitched our service to neighbors and offered a price they could not refuse. My brother and I got $10 per yard. Some yards were a half–acre. I later found out our friends were charging $20 or more for the same amount of work.

Every time we headed out to mow lawns, Dad was there to watch. I used to wonder why he came with us. He stood supervising our work in the sticky Florida heat when he could have been inside relaxing with air conditioning and an icy drink.

One day we were cutting our next–door neighbor’s yard. She always waited until the grass was knee–high to call us over. To make matters worse, we had an old lawn mower that kept cutting off as we plowed through her backyard jungle. This particular afternoon, I was finishing up and was tired and sweaty. I pictured the tall glass of Kool–Aid I would gulp in a minute to cool down.

I was just about to cut off the lawn mower when I saw Dad pointing to one lone blade. I thought about the chump change I was getting paid for cutting grass so high it almost broke the mower. I ignored him and kept walking. Dad called me out and yelled, "You missed a piece."

I frowned, hoping he would let me slide and go home. He kept pointing. So beat and deflated, I went back to cut that piece of grass. I mumbled to myself: "That one piece isn’t hurting anyone. Why won’t he just let it go?"

But when I reached adulthood, I understood his message: When you’re running a business, the work you do says a great deal about you. If you want to be seen as an entrepreneur with integrity, you must deliver a quality product. That single blade of grass meant the job was not done.

Other neighbors took notice of the good work we did and we soon garnered more business. We started out with one client, but by the end of the summer we had five, which was all we cared to handle because we wanted time to enjoy our summer break from school.

The lesson my dad taught me stayed with me: Be professional. If you say you are going to perform a job at a certain time, keep your word. Give your customers the kind of service you would like to receive. It shows how sincere you are and how much pride you take in your work.

Before I knew it, my tribute was over. I saw my wife jump to her feet in an ovation. The pastor embraced me. People rushed to shake my hand. Though Dad’s body lay inside the coffin, I felt his spirit there. I pictured him standing in the sanctuary, wearing the white T–shirt and blue shorts he did on grass–cutting days. Always there for me and always proud.

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

20th MTNL Perfect Health Mela 2013 Hangout on Air with Google

The Immune System of the Soul

October 17, 2013, Siri Fort Auditorium

Organised by Brahma Kumaris


In this fast paced world, where we all are running in the rat race to acquire all sorts of gadgets, luxuries and comforts of life, and have actually forgotten about our ‘being’, our ‘soul’ per se. None of us have the time to sit back and ponder on the very basic questions which arise even in a small child’s mind, as in who we are? Where we have come from? What is the purpose of our being? How our soul dwells in our daily activities? How can we charge up our soul or what makes it low? Do we actually listen to our inner/soul’s voice? If yes, there is still some hope, and if not, then what happens to our inner voice in return? All of us are bothered about materialistic possessions and all we care about is that we should be free from physical ailments. Does that suffice our existence? The answer is NO, as emotional ailments take its toll when we stop caring about our soul or the inner voice. To answers these questions and to help people get enlightened, Mike George, an author, spiritual leader and management consultant, has organized a workshop titled ‘The Immune System of the Soul’ which will take you to a journey from awareness to realization and finally to transformation. The workshop is scheduled on October 17, 2013, 6–8 PM at Siri Fort Auditorium, Delhi. Come and be a part of this divine experience.

News

  • Reliance on a history of varicella exposure or vaccination was inadequate among patients with inflammatory bowel disease receiving immunosuppressive therapy who could be at serious risk if exposed to the virus, according to a research reported at the annual meeting of the American College of Gastroenterology. Among patients with IBD whose medical records suggested prior exposure to varicella zoster and who also were tested for serologic titers, the positive predictive value of the exposure history was 84%, but the negative predictive value was only 12. Clinical guidelines from the Crohn’s and Colitis Foundation of America and the European Crohn’s and Colitis Organization recommend using patient–reported history of varicella for determining varicella zoster immune status, and immunizing only those without any previous exposure or vaccination.
  • Ramnath Santosh Ramanathan, MD, of Allegheny General Hospital in Pittsburgh reported at the American Neurological Association’s annual meeting that patients with neuromyelitis optica responded well enough to oral methotrexate therapy that it could be a reasonable long–term therapy for the disorder. Six of nine patients with inadequate responses to other treatments –– some of whom had disease durations of more than 10 years –– showed sharp reductions in relapse frequency after starting or switching to methotrexate.
  • There should be little difference between the lifestyle advice given to diabetics and that given to the general public, results of a large, prospective study suggested. Although diabetics in the study had a 62% higher risk of dying than people without a diabetes diagnosis, diabetes status did not substantially influence the associations between lifestyle and mortality risk, researcher Diewertje Sluik, MSc, of Wageningen University in the Netherlands, and colleagues, wrote online in Diabetologia.
  • Patients with Barrett’s esophagus who also have diabetes are at increased risk for the esophageal disease to progress to dysplasia or cancer, although the opposite was the case for hypertension. Among patients with Barrett’s esophagus, the risk of progression for those with diabetes was more than doubled, according to Prashanthi N. Thota, MD, and colleagues from the Cleveland Clinic.
  • For fluid resuscitation in the intensive care unit (ICU), colloid solutions did not definitively boost survival compared with crystalloids in a randomized, open–label trial. The 28–day mortality rate was 25.4% with dextrans, gelatins, and hydroxyethyl starches versus 27.0% with isotonic or hypertonic saline or Ringer lactate solution, for a nonsignificant 4% relative risk reduction by the colloids, Djillali Annane, MD, PhD, of the University of Versailles in Garches, France, and colleagues reported online in the Journal of the American Medical Association.

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Rabies News (Dr. A K Gupta)

Can RIG be given locally to a healed wound?

Yes. If anti–rabies vaccination has not been started, then RIG can be given locally without disturbing the scab.

cardiology news
  • The Society for Cardiovascular Angiography and Interventions (SCAI) has released a new definition for myocardial infarction (MI) following coronary revascularization aimed at identifying only those events likely to be related to poorer patient outcomes. In the new criteria –– published as an expert consensus document in Catheterization and Cardiovascular Interventions and the Journal of the American College of Cardiology –– creatine kinase–myocardial band (CK–MB) is the preferred cardiac biomarker over troponin, and much greater elevations are required to define a clinically relevant MI compared with the universal definition of MI proposed in 2007 and revised in 2012. Also, the new definition uses the same biomarker elevation thresholds to identify MIs following both percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG), whereas the universal definition has different thresholds for events following the two procedures.
  • People with congenitally reduced triglyceride levels had about a 20% reduced risk of all–cause death compared with people without inherently low triglyceride levels during more than 30–years follow-up of nearly 14,000 people enrolled in the Copenhagen City Heart Study. Data from the study also showed that people with higher triglyceride (TG) levels at the time they entered the study had significantly higher all–cause mortality during more than 30 years of follow–up than did people who entered with lower TG levels, Dr. Børge G. Nordestgaard said at the European Society of Cardiology annual congress.
cardiology news
  • The US FDA has approved triamcinolone acetonide (Nasacort Allergy 24HR, Sanofi) nasal spray for over–the–counter (OTC) treatment of nasal allergy symptoms (nasal congestion, runny nose, sneezing, and itchy nose). Nasacort Allergy 24HR is labeled for use in children aged 2 years or older, adolescents, and adults. Nasacort Allergy 24HR should not be used in children aged under 2 years. It is indicated for once–daily use. There are different dosing instructions for adults and children aged12 years or older, children aged 6 to under 12 years, and children aged 2 to under 6 years.
  • In children with functional abdominal pain, cognitive behavioral therapy (CBT) is as effective in reducing abdominal pain as intensive medical care (IMC) delivered by pediatricians or pediatric gastroenterologists (P > 0.05 for all endpoints).Shelley M.C. van der Veek, PhD, from the Academic Medical Center in Amsterdam, the Netherlands, and colleagues describe the results of their randomized controlled trial comparing CBT with IMC in an article published online October 14 in Pediatrics.
cardiology news

Implantable cardiac devices

CRTs, ICDs, CRT–Ds: The evidence is convincing for efficacy across the spectrum of heart–failure patients with left bundle branch block, but physicians increasingly find that they have to consider limited resources. The indications are clear, but unlike drugs, most eligible patients will not receive evidence–based device therapy. The potential patient population is huge. The challenge is to try to implant devices in the patient population most likely to substantially benefit, and many of these patients are managed by primary–care physicians and never evaluated.

And there are major outstanding issues that complicate clinical practice. Should we implant a CRT–P (biventricular pacemakers that do not offer defibrillation) or CRT–D (defibrillating cardiac resynchronization therapy devices)? What about the vigorous elderly patients, the patients requiring upgrades, and patients with atrial fibrillation? And the role of imaging in detecting mechanical dyssynchrony needs to be defined. There is also debate concerning who should be implanting. Should it always be EP physicians, or should heart–failure docs be performing the procedure? The "boring but important" follow–up of these patients is the key to success but requires a unique multidisciplinary effort.

cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

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Media advocacy through Web Media

Shorter the waist line, longer the life line 2nd PR

FREEPRESSINDEX LINK, FREEPRESS RELEASE, AFRICANEWSWIRE, PRLOG, BLOGZ

Perfect Health Mela to have special arrangements for Haryana Residents

Heart Care Foundation of India is organising the 20th MTNL Perfect Health Mela from October 23 to 27, 2013 at Constitution Club of India, Rafi Marg, New Delhi. The Mela will be a mix of exhibitions, competitions, infotainment and workshops under one roof incorporating all pathies and for people from all walks of life.

The Marwadi Yuva Manch will be organising a special campaign for people with special needs at the Mela and will provide free Baisakhis (crutches). The campaign will be held during 23rd to 27th October, 2013 at the Mela venue.

On 26th October, Saturday, a special festival ‘Anmol’ for children with special needs will be held from 8 am to 12 noon. A workshop on Family health and climate change will be organised on 25th October, 2013 for women.

Addressing a press conference here, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that there will be special provisions for people from Haryana at the Mela venue. He said that Mela will be a perfect picnic spot for people and yet an opportunity to learn health sutras.

Co–addressing the press conference, Mr. Kamal Agiwal, Mr. Pawan Gupta and Mr.Sanjiv Marwadi Yuva Manch said that Faridabad schools with children with special needs will also be participating in the event.

The Mela will be open to general public from 23rd to 27th October, 2013 with no entry fee. Following health sutras were released in the press conference:

  1. Formula of 80: To live > 80 years without lifestyle diseases, keep your abdominal circumference, lower blood pressure, LDL (bad) cholesterol, pulse rate and fasting sugar all below 80. Walk 80 minutes per day with a speed of 80 steps per minute. Do not smoke to avoid paying a hospital bill of Rs. 80 thousand. Do not drink, if you drink, do not drink more than 80 ml a day or 80 gm a week.
  2. Formula of 10 (CPR–10): To revive a dead person after sudden cardiac arrest, within 10 minutes of cardiac arrest (earlier the better) for the next ‘at least’ 10 minutes compress the center of the chest, continuously and effectively, with a speed of 10 × 10 (100) per minute.
  3. To prevent vitamin D deficiency, expose 40% of your body to the sunlight for 40 minutes 40 days a year.
  4. Foods of plant in origin contain no cholesterol.
  5. Non–permissible colours in sweets can harm the body.
  6. Vegetables and fruits which are cheapest in the morning time are locally grown and seasonal and are health friendly.
  7. Avoid white sugar, white maida and white rice.
  8. Avoid eating extra salt in diet.
  9. Hepatitis B vaccination prevents liver cancer.
  10. Even adults need vaccination like hepatitis B, typhoid, pneumonia and flu.

MTNL Perfect Health Mela to have special arrangements for NOIDA residents

MTNL Perfect Health Mela is being organized by Heart Care Foundation of India from 23 to 27th October, 2013 at Constitution Club of India and will have special facilities for people from NCR and Noida.

Addressing a press conference, Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India said that the Mela will be a perfect health picnic spot for public at large as public can get awareness on all aspects of health, get their health check–up done, participate in competitions and simultaneously entertain themselves through various infotainment modules.

The Mela is being organized by the Heart Care Foundation of India in association with various Departments of Central Government and the Government of NCT of Delhi, LIC, Central Bank of India, Coca Cola, various hospitals, NGOs and PSUs.

There will be a round the clock workshops on various subject which include disaster management, family health, women health, communication skills, leadership qualities, etc. There will also be special educational programmes on how to cook healthy food, how to detect adulteration of food at home, decoding the myths behind magic and miracles, safe sanitation and prevention of lifestyle disorder.

Co–addressing the press conference Mr. Sandeep Marwaha, CMD, Marwaha Studio said that individuals with higher levels of recreational physical activity carry a lower risk of developing high blood pressure over the long term. Mr. Marwaha said that people from all sections of the society should walk, walk and walk. He further added that walking should not be just for the purpose of walking but it should be in the form of recreational exercise.

Following health messages were released:

  1. Smoking is a disease and needs treatment under medical guidance.
  2. Obesity is a disease and cannot be self–treated.
  3. Any weight gain of more than 5 kg after the age of 18 in women and 20 in men is overweight or obesity.
  4. Vegetables grown as creepers are natural diuretics. They can increase urine formation and secretion.
  5. Any vegetable food item, which is bitter and green reduces weight and lowers blood sugar.
  6. The combination of white rice, white maida and white sugar are harmful to the body.
  7. Dark chocolate, black coffee and black tea is good for health provided that milk and sugar are not added in them.
  8. Any eatable, which has more than 10% of sugar is harmful to the body and should be taken in limited quantity.
  9. If God wanted us to eat mangoes in winter, he would not have grown mangoes in summer.
  10. If God wanted us to consume coconut everyday in non–costal areas, he would have grown them in costal areas.
  11. Eat fresh fruits and vegetables.
  12. Never ignore early morning chest pain as heart attacks are more common in morning time.
  13. Remember a person can be revived within 10 minutes of death

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 63425 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10minutes, 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

A Press Conference was organised by Heart Care Foundation of India to announces the dates of 20th MTNL Perfect Health Mela 2013

press release

Diabetes Update

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

The commonest variation in the arteries arising from the arch of aorta is:

1. Absence of brachiocephalic trunk.
2.Left vertebral artery arising from the arch.
3.Left common carotid artery arising from brachiocephalic trunk
4.Presence of retroesophageal subclavian artery

Yesterday’s Mind Teaser: Interscalene approach to brachial plexus block does not provide optimal surgical anaesthesia in the area of distribution of which of the following nerve:

1.Musculocutaneous.
2.Ulnar
3.Radial
4.Median.

Answer for yesterday’s Mind Teaser: 2.Ulnar

Correct answers received from: Dr Prakash Khalap, Dr. V.P. Thakral, dr kanta jain, Dr shashi saini, Dr.K.Raju, dr arpan Gandhi, Dr.K.V.Sarma, DR Chandresh Jardosh, DR AVTAR KRISHAN, Dr B K Agarwal, Dr.G.S.Batra, Tukaram Pagad

Answer for 14th October Mind Teaser: C. About 30 percent of your daily calories.

Correct answers received from: Dr. SUSHMA Chawla, Dr Prakash Khalap

Send your answer to ijcp12@gmail.com




medicolegal update

Click on the image to enlarge

medicolegal update

A civilized fight between husband & wife…

Wife: Twinkle Twinkle little star, you should know what YOU are and once YOU know what YOU are Then the Mental hospital is’nt so far.

Husband: The rain makes all things beautiful The grass & flowers too If rain makes all things beautiful, Why doesn’t it rain on YOU?

Wife: Roses are red Violets are blue Monkeys like YOU should be kept in zoo.

Husband: Don’t feel so angry YOU will find me there too, Not in cage but laughing at YOU.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

medicolegal update

If you’re not using your smile, you’re like a man with a million dollars in the bank and no checkbook. Les Giblin

medicolegal update

Dr KK Aggarwal: The world’s deadliest virus in China today http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: No physical laws can explain an observing self or conscious minds that conceptualize & have access to mathematical truth

medicolegal update

Dear Sir, emedinews is very informative. Regards: Dr Tripti

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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medicolegal update



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