eMedinewS16th February 2014, Sunday

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, 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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Eating high fiber diet

  1. There are two types of fibers. One is soluble and the other is insoluble.
  2. Soluble fiber includes those that are made up of carbohydrates and absorb in water. Examples are oats, barley and legumes.
  3. Insoluble fiber comes from plant cells and does not dissolve in water. Examples are wheat, ragi and other grains.
  4. Traditionally, fiber is insoluble fiber.
  5. Dietary fiber is a combination of soluble and insoluble fiber.
  6. The recommended amount of dietary fiber is 20–35 gm in a day.
  7. Eating a high–fiber diet both can prevent constipation, reduce cholesterol, and help in reversing obesity and heart diseases in children and adults.
  8. A high–fiber diet should be a balanced diet with food from all food groups.
  9. The common sources of fiber are whole grain produce and cereals, legumes, fruits and vegetables.
  10. One should eat fruits with significance, such as prunes and peas, which are natural laxatives.
  11. Raw vegetables such as carrot, garlic or cherry tomatoes are rich in fiber.
  12. Salads with dark green lettuce provide high fiber content.
  13. Eating whole wheat bread or with added fiber is a rich source of fiber.
  14. Prefer brown rice over white rice.
  15. You can eat whole wheat carbohydrates, bran muffins, bran cereals or oat meals.
  16. Avoid eating refined white flour, cereals and other starches.
  17. If juices are to be taken, one should take 4–6 ozs.
  18. Fruits are better than juices
  19. Try to develop a taste for bran by starting with 2–4 table spoons every day.
  20. Mix a high fiber cereal with a regular cereal.
  21. Isabgol is a fiber supplement.
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."

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

Spirituality The Key To Health

sprritual blog

To stay healthy, one needs to eat right, get plenty of exercise and rest, and avoid bad habits such as smoking. But, now it is said that "what you believe in" can have a big impact on health and longevity.
There have been a lot of studies that show how patients with strong spirituality can improve their health from a variety of chronic conditions, like hypertension, heart disease, recover from surgery and more.
Research indicates there are real health benefits from spirituality:

1. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone the body releases in response to stress.

2. Positive thinking produces nearly a 30 percent drop in perception of pain.

3. Spirituality and the practice of religion have recently been associated with a slower progression of Alzheimer’s disease.

4. Those who regularly attend organized religious activities may live longer than those who don't. Regular participation lowers mortality rate by about 12 percent a year.

5. People undergoing cardiac rehabilitation are more confident and perceive greater improvements in their physical abilities if they have a strong faith.

6. Increased levels of spirituality and religious faith may help substance abusers kick their habit.

7. Spirituality stimulates the relaxation response. When the body is relaxed, your heart rate, blood pressure and breathing rate all go down, which decreases the body's stress response.

8. Spirituality can affect immune–system function. Spirituality, faith, church attendance improves immune function in ways that can be measured, like an increase in white blood cells.

9. Prayer heals the heart.

10. Positive talking and thinking in the ICU produces better results.

Spirituality is what brings you peace and safety. It can be achieved through God or Goddess, nature, a beautiful sunset, a meditation, Pranayama, religious meeting, chanting, mind body relaxation, etc. Spirituality is something that can help all the way from promoting wellness to helping with recovery.

cardiology news

All or Nothing

After the miscarriage of her second child, my sister was so excited to learn that she was pregnant once again. She had a five–year–old son and was anxious to give him a little brother or sister. This pregnancy would soon become a nightmare as well.

At 23 weeks, Kathy started getting very sick and having contractions. Fearing another miscarriage she immediately went to her doctor. He checked her, told her she was fine that it was "all in her head" and to go home and continue doing housework and go about her normal routine. It was December 31st, and several days after that doctor’s appointment, Kathy had barely made it past the 24–week mark of her pregnancy. It was this fateful New Year’s Eve when the ambulance was called. Kathy was in full–blown labor. Riding in the back of that ambulance hearing the sirens roar all that she could think was "When am I going to wake up from this nightmare?"

Kathy was taken to Baptist Hospital in Winston–Salem, the closest hospital equipped with the kind of staff and medical technology to handle this kind of emergency. She was told that she had a terrible infection. If they did a c–section on her, the baby would have more of a chance of survival but there was the possibility that the infection could spread throughout her body and she would be in life threatening danger. She could have natural childbirth but as tiny as the baby was, it would surely never make it through the ordeal. Kathy opted for the c–section, risking her own life to save the life of her baby.

The first thing Kathy was told was, you have a baby daughter, and she is very tiny. She weighs only 1 pound, 8 ounces, and is only 13 inches long. (That is the same height as a Barbie doll) Her lungs are not fully developed so she cannot breathe on her own.

Her chances of living are slim to none. She probably won’t even make it through the night. If she does make it through the night she will have less than a 10% chance of living after that. If she does live, the medical bills are going to be astronomical, the emotional strain will be hardly bearable; furthermore, she will very possibly be severely retarded and will be challenged with so much more than most children in life. Now the question presented to my sister was this, "Do you want us to do all we can, or nothing?" In other words, we can turn her life support off and let her lay there and die, but we have to have your permission. It was the kind of thing where you think, I know what they just ask me, but did they really ask me THAT?? Needless to say Kathy told them to do anything and everything possible to save her baby, even after all the discouraging words told to her. After all she had been through, how could she just give up on this tiny little miracle now?

I guess that first night was the longest. Every church within a sixty–mile radius was praying. We all got through it one minute at a time. Then came the morning and little Elizabeth Nicole Hale was still hanging on, fighting hard for her life. Doctors were still very pessimistic telling Kathy not to get her hopes up. Beth still only had a 10% chance of survival.

Facing reality, Kathy had to go back home an hour and a half away, to take care of her husband and five–year–old son, leaving her tiny baby in the neonatal nursery. She visited as much as possible, which was only 2 or 3 times a week. She called every day however, 7 or 8 times a day. Her first phone bill she could literally stretch across the entire length of her house. That was ok; the money was the least of her worries.

The next major hurdle for Beth was at two weeks old when they discovered a heart murmur that would not close up on its own. Beth had lost down to 1 pound and 4 ounces, she was too small to be under anesthesia so they would have to paralyze her tiny body and do heart surgery. Once again we hung on minute by minute until we found out that Beth was out of surgery and doing ok.

It was touch and go for the next 4 months. It was the week before Mother's Day and I will never forget it, when my sister, her husband and her son were on their way to bring little Beth home from the hospital. She weighed in at a whopping 4 pounds. The doctors constantly warned Kathy that Beth would be challenged and a slow achiever.

On June 8, 2002, the little 1 pound, 8 ounce miracle who was given less than a 10% chance of survival will graduate 15th in her class with high honors. She has already been accepted into the college of her choice. If she is a slow achiever, as the doctors said, I would love to see her at full speed!! She is tall with blonde hair and blue eyes that glow with the beauty that is her future. All or Nothing? Beth is going for it ALL!!

News Around The Globe

  • As per FDA, the targeted drug ibrutinib (Imbruvica) can be used as second–line therapy for patients with relapsed or refractory chronic lymphocytic leukemia (CLL). Ibrutinib was first approved last November as a treatment for mantle cell lymphoma in patients who failed at least one prior therapy. It inhibits Bruton’s tyrosine kinase, a key component of the intracellular signalling cascade that drives malignant cell proliferation.
  • New–onset widespread pain (WP) is common in older adults and is predicted by a number of factors including baseline pain status, anxiety, and physical health–related quality of life. Nonrestorative sleep is the strongest predictor, however, for WP in this patient population, according to a new study in Arthritis and Rheumatology February 13.
  • Guidelines have been drawn up for the first time to operate on patients with major depression and obsessive compulsive disorders (OCD). The World Society for Stereotactic & Functional Neurosurgery last month published guidelines to ensure that surgery is not misused against patients with psychiatric illnesses as reported in TOI Feb 15, 2014, 03.24 AM IST. The guidelines were published in the Journal of Neurology, Neurosurgery & Psychiatry.
  • New research has suggested that clinicians may be missing the chance to diagnose early–stage chronic obstructive pulmonary disease (COPD) in the vast majority of cases. A retrospective review of data in Lancet Respiratory Medicine February 13 on nearly 39,000 patients seen by general practitioners and specialists in the United Kingdom showed that in the 5 years immediately before a diagnosis of COPD, 85% of patients had symptoms, examination findings, or test results that may have heralded early signs of COPD.
  • A research reported at the International Stroke Conference observed that exposure to five common viruses viz. Helicobacter pylori, cytomegalovirus, Chlamydia pneumoniae, and herpes simplex 1 and 2 was associated with poorer executive function and language skills among adults 55 and older (P=0.002 and P=0.04, respectively).

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)

Can "major surgery" be conducted after the dog bite?

There is no contraindication for any surgery along with anti–rabies vaccination and a full course of anti–rabies immunization should be given, irrespective of the surgery or other procedures.

cardiology news

Heart Aphorisms: Ten Commandments for a Healthy Heart

‘Prevention is better than cure, nothing more apt to keep heart assure’

  • Exercise and walking keeps heart talking
  • High blood pressure puts heart under pressure
  • Eating more salt makes heart halt
  • Smoking thrills but kills
  • Tobacco invitation to cancer death and destruction
  • Rich fat food does heart no good
  • Larger the waist line shorter the heart line
  • Hard drink pushes heart to brink
  • Heart attack immediate medication only solution
  • Smoking and health you cannot chose both
cardiology news

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

  • In a case–control study, researchers found vitamin C depletion was more common among intracerebral hemorrhage (ICH) cases than matched controls. The study will be released at the upcoming 66th Annual Meeting of the American Academy of Neurology annual meeting in Philadelphia, Pennsylvania. Lead researcher Stephane Vannier, MD, a neurologist at Pontchaillou University Hospital, Rennes, France said that this original study suggests that a low plasma vitamin C concentration is a risk for spontaneous intracerebral hemorrhages. This link is probably associated with the role of vitamin C in blood pressure regulation and collagen biosynthesis," although other factors may also play a role.
  • A screening test for hypertrophic cardiomyopathy (HC) designed specifically for children may be more accurate for them than tests for adults, according to a new retrospective cross–sectional study. In the largest pediatric single–center study to determine echocardiogram (ECG) criteria for HC screening, the voltage criterion based on pediatric data out–performed criteria based on adult data. The pediatric–specific criterion using leads RaVL+SV2 more accurately identify children with HC than other popular screening criteria, they wrote online January 17 in The American Journal of Cardiology.
cardiology news

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

  • According to new research in the February issue of the Journal of Bone and Joint Surgery, obese children who sustain a supracondylar humeral (above the elbow) fracture can be expected to have more complex fractures from something as simple as falling onto an outstretched hand while standing and experience more postoperative complications than children of a normal weight.
  • Giving children with acute asthma flare–ups 1 or 2 doses of dexamethasone in the emergency department (ED) provides equivalent relief to a 5–day course of prednisone while reducing the chance of triggering vomiting, according to a meta–analysis by Grant E. Keeney, MD, from the Department of Pediatrics, Medical College of Wisconsin, Milwaukee, and colleagues, who published the results of their analysis online February 10 in Pediatrics.
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

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press release

Over 1200 children trained in cardiac first aid

Padma Shri, Dr. B C Roy National and DST National Science Communication Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India trained over 1200 school children at Mayur Public School, IP Extension, New Delhi, in cardiac first aid including how to revive a dead person after sudden cardiac death.

Dr. Aggarwal said that all school children enrolling for competitive sports including cricket should get a cardiac evaluation done including an ECG.

If any abnormal heart sound or murmur is heard on clinical examination, then an echocardiogram should be done.

In children, even if a child dies during a strenuous exertion, he can be revived if a bystander attempts hand only cardiopulmonary resuscitation (CPR).

Children should also learn CPR 10 because they can also revive other persons with heart attack outside their school arena.

Dr. Aggarwal said that learning CPR 10 involves a special technique which includes CPR Asana and CPR Mudra. CPR Asana is standing on your knees in front of the dead person who is lying on a flat surface and CPR Mudra means straightening hands with no bending of the elbow and compress the centre of the chest of the dead person with a speed of 10x10 i.e. 100 per minute.

Dr. Aggarwal revised the CPR mantra in the form of a chanting to every child in Hindi which says, "Marne ke dus minute ke andar (jitna jaldi utna behtar), kam se kam agle dus minute tak (jitni der tak utna behtar, 10×10=100 ki gati se, apni chhati peetne ke bajaye mare hue aadmi ki chhati peeto".

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 86664 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

Heart Care Foundation of India trained school children at Mayur Public School, IP Extension in cardiac first aid including how to revive a dead person after sudden cardiac death.

press release

FDA panel recommends first drug for HIV prevention

vedio of day

today video of the dayHeart disease starts in youth

Cholesterol tips released

Padma Shri & Dr B C Roy National Awardee, Dr KK Aggarwal on Tackling tension headaches

eMedi Quiz

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. Gel filtration chromatography.
4. Chromatography on a diethylaminoethyl (DEAE) cellulose column.

Yesterday’s Mind Teaser: A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with polygonal raised areas in the palpebral conjunctiva is:

1. Trachoma.
2. Phlyctenular conjunctivitis.
3. Mucopurulent conjunctivitis.
4. Vernal keratoconjunctivitis.

Answer for yesterday’s Mind Teaser: 4. Vernal keratoconjunctivitis.

Correct answers received from: .Dr. A.K. Chaudhry, Abhay Naik, Dr. P. C. Das, Arvind Gajjar, Dr Chandresh Jardosh, dr poonam chablani, Dr. V.P. Thakral, Dr Jainendra Upadhyay, Dr.K.Raju, Dr Pankaj Agarwal, Dr.K.V.Sarma, Anil Bairaria, Dr Ajay Gandhi, Dr Avtar Krishan

Answer for 14th February Mind Teaser: 2. Sympathetic ophthalmia.

Correct answers received from: Anil Bairaria, Dr Ajay Gandhi, Dr Avtar Krishan

Send your answer to ijcp12@gmail.com

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centralbank
medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

Those four letter words……

A young couple got married and left on their honeymoon. When they got back, the bride immediately called her mother. Her mother asked, "How was the honeymoon?"

"Oh, mama," she replied, "the honeymoon was wonderful! So romantic…"

Suddenly she burst out crying. "But, mama, as soon as we returned Sam started using the most horrible language…things I’d never heard before! I mean, all these awful 4 letter words! You’ve got to come get me and take me home… Please mama!"

"Sarah, Sarah," her mother said, "calm down! Tell me, what could be so awful? What 4–letter words?"

"Please don’t make me tell you, mama," wept the daughter, "I’m so embarrassed they’re just too awful! Come get me, please!"

"Darling, baby, you must tell me what has you so upset… Tell your mother these horrible 4–letter words!"

Still sobbing, the bride said, "Oh, mama…words like DUST, WASH, IRON, COOK …!"

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

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.

medicolegal update

Life begets life. Energy becomes energy. It is by spending oneself that one becomes rich. ~ Sarah Bernhardt

medicolegal update

Dr KK Aggarwal: Give your child deworming now By Dr k k Aggarwal http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: The journey to fulfillment is the most exciting project you could possibly undertake http://bit.ly/DC_Ananda #ananda

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 – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

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

medicolegal update
  1. Dear Sir, Very informative newspaper. Regards: Dr Rajat

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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, Prof.(Dr).C V Raghuveer

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