eMedinewS16th March 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 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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Bhang use and misuse

What is Bhang?

Bhang is a traditional Indian beverage made of cannabis mixed with various herbs and spices, which has been popular in India for ages.

  • Bhang is a less powerful preparation than Ganja, which is prepared from flowering plants for smoking and eating.
  • Charas, more potent than either Bhang or Ganja, consists of cannabis flower tops harvested at full bloom.
  • Dense with sticky resin, Charas is nearly as potent as the concentrated cannabis resin preparations called hashish.

What does bhang do to the brain and body?

Bhang can make you feel happy and relaxed. It can also make you feel less anxious, tense, and depressed. But it does bad things, too. It makes it hard to focus or remember things, or to think clearly. Plus, it slows your reaction time and impairs your judgment. Bhang can also:

  • Make your heart race
  • Raise your blood pressure
  • Make you breathe faster
  • Make your eyes red
  • Make your mouth dry
  • Make you hungry

How can you tell if someone has a problem with bhang use?

People who have a problem with bhang use have one or more of these issues:

  • They often don’t do things that are expected of them, such as go to work or school, remember family events, and clean their home.
  • They have problems in their relationships with other people.
  • They sometimes have legal problems.

Bhang intoxication

Bhang can make you feel happy and relaxed. It can also make you feel less anxious, tense, and depressed. But it does bad things, too. It makes it hard to focus or remember things, or to think clearly. Plus, it slows your reaction time and impairs your judgment. Bhang can also:

  • Bhang or Cannabis intoxication is characterized by psychological changes in mood, perception, and thought content.
  • Impaired cognition, judgment, coordination, and psychomotor functioning also occur and can persist for hours beyond the mood changes.
  • Bhang intoxication is typically pleasant, but may induce distressing symptoms such as dysphoria, panic, depersonalization, paranoia, and unpleasant hallucinations.

Heart patients should avoid bhang

Heart patients should not take bhang as it can precipitate an increase in heart rate and sudden rise in blood pressure.

Those who are socially committed should consult their doctor. Pre–treatment with propranolol, a beta–blocker can block the cardiovascular effects of marijuana. It can prevent the learning impairment and, to a lesser degree, the characteristic subjective experience.

Marijuana is known to induce typical subjective state ("high") with marked increases in heart rate, blood pressure and conjunctival infection. It impairs performance on a learning test without significantly affecting attention.

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Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

Safe Drugs-Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show2
Potbelly Obesity–Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show1
Vitamin D Health Wealth
Pneumonia–Health Wealth Zee News Show
Sudden Cardiac Death
Depression
Can Alcohol be Prescribed as Medicine
Health Wealth: All about Paralysis

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
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Holi beyond Colors

sprritual blog

The story behind the festival, Holi, starts with Holika, the sister of Hiranakashyap, the father of Prahalad.

Hirnakashyap had declared himself as GOD and wanted his son Prahalad to worship him and not Vishnu. When Prahalad refused to do the same, he was made to sit with Holika in an open fire. Holika had a boon that she would not be burned even if she was on live fire. When she was made to sit with Prahalad on the live fire, the opposite happened. She lost her life and got burned but Prahalad came out alive from the fire.

The above story has a deep spiritual meaning. Here, Hiranakashyap represents the "ego" which when takes control makes one forget about their own consciousness and makes one think of themselves as the supreme power. The same symbolic representation is seen with Ravana in Ramayana and Kansa in Mahabharata.

Prahalad here represents a person with self realization or the son of God or one’s consciousness or one’s true self. The consciousness cannot be burned, cut, dried or made wet by anything. It is imperishable and everlasting.

All those people who have acquired self realization utilizing any of the pathway (Bhakti, Karma and Gnana) are in a state of GOD acquaintance and nothing can destroy them.

The obstacles to the pathway of self realization are mentioned as "attachment, anger, desire, greed and ego". When all these negative factors overpower any individual, it leads one away from self realization or away from God. Holika here represents the sum total of the negative forces in the body which can kill you if not controlled in time.

Getting attached to any of the 5 senses can end in a vicious cycle and one can get burnt in this ‘chakravyuha’ of attachments. If you are truthful, and have attained a state of one–point contemplation on a known truth, all the negative forces will stay away. All such negative forces if repressed within the body can burn you out over a period of time and that is one of the reasons why all negative emotions should never be suppressed or repressed.

The practice of burning Holi a day before the festival symbolizes burning of all your negative thoughts or emotions embedded in the mind and neutralize all the poison arising due to the negative feelings. As soon as the negativity is removed from the mind there is opening of the spiritual vision or the knowledge of the consciousness. Once this is done, only the positive thoughts remain, which is celebrated as sharing and loving each other, the next day.

Sharing love is the biggest thing one can do in removing all the above mentioned 5 obstacles to self–realization. Spreading love reduces anger as well as desires, detaches one from various attachments, reduces greed, and brings humility in a person. By burning one’s ego and other negative qualities, one also burns the ill feeling amongst each other and makes everybody a friend.

During Holi, the practice therefore, is to visit and meet not only your friends but also those people to whom you are not friendly. The festival therefore, is an opportunity to spread brotherhood and happiness in the society.

WHO defines health as not mere absence of disease but a state of physical, mental, spiritual, social and environmental wellbeing. Holi, therefore, is a classical example or a custom to create and enhance "social health" amongst the general society.

The habit of throwing water on each other also has a deep spiritual meaning. It basically means removing dirt from each other. Dirt here does not means bodily dirt but mental dirt, which once removed leads to spiritual cleanliness.

The whole meaning is not to play Holi superficially or meet each other at a superficial level but to get rid of the negativity at the level of the mind as well. There is no point in celebrating Holi and meeting people unless you remove your negative thoughts about them from the mind.

When you lovingly smear ‘gulal’ (colored powder) on others, they reciprocate with doubled love and affection. Similarly, always think of good things about people. Express your positive thoughts about these friends loudly – not only in front of them but also in their absence. Don’t you think your heart will throb with pleasure when they reciprocate?

cardiology news

An Office Boy

A jobless man applied for the position of ‘office boy’ at a very big company. The employer interviewed him, then a test: clean the floor. "You are hired," the employer said. "Give me your email address, and I’ll send you the application to fill, as well as when you will start."

The man replied, "I don’t have a computer, neither an email." "I’m sorry," said the employer, "if you don’t have an email that means you do not exist. And who doesn’t exist, cannot have the job."

The man left with no hope. He didn’t know what to do, with only $10 USD in his pocket. He then decided to go to the supermarket, bought a 10kg tomato crate, then sold the tomatoes door to door. In less than two hours, he succeeded and doubled his capital.

He repeated the operation 3 times and returned home with $60 USD. The man realized that he could survive by this way, and started to go every day earlier, and returned late. Thus, his money doubled or tripled every day. Shortly later, he bought a cart, then a truck, and then he had his own fleet of delivery vehicles.

Five years later, the man’s company was one of the biggest food retailers. He started to plan his family’s future, and decided to have a life insurance. He called an insurance broker and chose a protection plan. When the conversation was concluded, the broker asked him his email. The man replied: "I don’t have an email."

The broker replied curiously, "You don’t have an email, and yet have succeeded to build an empire. Do you imagine what you could have done if you had an email?" The man paused for a while, and replied: "An office boy!"

Don’t be discouraged if something is not in your favor today. Better opportunities are waiting ahead.

News Around The Globe

  • A novel 10–lipid panel predicts Alzheimer’s disease (AD) with 90% sensitivity and 90% specificity. The biomarker panel is used to test peripheral blood samples and has the ability to predict the development of amnestic mild cognitive impairment (aMCI) or AD over a period of 2 to 3 years in individuals cognitively normal at baseline.
  • Attention–deficit/hyperactivity disorder (ADHD) medication prescriptions are at an all time high in the United States. A report published online March 12 states that the percentage of adults prescribed medication for ADHD in the US has risen by 53.4% over a 5–year period from 2008 to 2012. Women aged 26 to 34 years received the greatest number of prescriptions. This could be attributed to delays in diagnosis of attention deficits in girls until they reach adulthood.
  • A recent meta–analysis, conducted by Chinese researchers noted that prehypertension i.e. borderline high blood pressure could be associated with increased risk of stroke. The study results appeared in the journal Neurology on March 12. Therefore, BP in the range of 120–139 systolic and 80-89 diastolic should also be considered seriously.
  • Peter Gasser and his team in Switzerland have revived lysergic acid diethylamide (LSD) for the management of anxiety. The results from their small pilot study suggest that LSD if used under close supervision with a trained psychotherapist could help improve anxiety in patients with terminal illness. The results of the study are published in the Journal of Nervous and Mental Disease.
  • Results of a recent study presented at the American Academy of Pain Medicine (AAPM) 30th Annual Meeting reported that patients with fibromyalgia undergoing intensive disciplinary rehabilitation program exhibited clinically significant improvements for as long as 12 months after discharge from the program. Although the interdisciplinary program has no role in curing fibromyalgia, it helps patients become functional again. The interdisciplinary program included a combination of various disciplines including pain physicians, pain psychologists, physical and occupational therapists, group therapy, individual therapy, biofeedback, among several others.

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 all available anti-rabies vaccines be used by intradermal route?

Not all vaccines produced in India are at present fit for intradermal usage. The following vaccines have been approved by DCGI for use by intradermal route.

  • Purified chick embryo cell vaccine (PCEC) – Rabipur and Vaxirab–N.
  • PVRV (Purified verocell rabies vaccine) – Verorab–vial of 0.5 ml,
  • PVRV – Abhayrab – vial of 0.5 ml., Human Biological Institute
  • PVRV – Indirab, vial of 0.5 ml/1.0 ml. Bharath Biotech, Hyderabad.

PDEV (Vaxirab) and HDCV (Rabivax) are approved for IM use only and not for IDRV.

Rabies vaccines formulated with an adjuvant should not be administered intradermally.

cardiology news

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

  • Purified fish oils, similar to those given to some heart attack patients, may be the answer for newborn babies whose bodies produce excessive amounts of insulin. The condition, a rare and potentially lethal disease, is termed congenital hyperinsulinism. The research has been published in Frontiers in Endocrinology.
  • Results of a study published in the journal Diabetes state that interactions of the gut microbiota in children with typical diabetes autoantibodies are significantly different from those in healthy children. It was noted that the bacterial diversity present in the gut were similar in both groups. However, bacterial interaction networks in the gut were different. The differences could exist even before one group developed the typical diabetes autoantibodies.
cardiology news

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

  • A novel research presented at the European Congress of Radiology 2014 has reported that calcium scores vary considerably among state–of–the–art CT systems. Owing to this, the study authors noted, approximately 6.5% of the individuals rated as being at intermediate cardiovascular risk could be misclassified. Therefore, the brand of CT scanner used to calculate coronary artery calcium score plays a pivotal role in the analysis.
  • Researchers at the Monash University claim to be a step closer to creating a novel drug to stop heart attack and reduce the damage caused,without any side effects. The results of the study have been published in the journal Proceedings of the National Academy of Sciences, USA. The researchers are analyzing a specific protein belonging to the family of "G protein–coupled receptors" (GPCRs) for this purpose. GPCRs have a role in most disease conditions including cardiovascular disease, obesity, diabetes, neuropsychiatric disorder, inflammation and cancer.
cardiology news

Poor hygiene habits may lead to typhoid fever

Typhoid fever is caused by a bacteria Salmonella typhi and is transmitted through the ingestion of food or drink contaminated by the feces or urine of infected people.

Flying insects feeding on feces may occasionally transfer the bacteria through poor hygiene habits and public sanitation conditions. Though the cases occur all through the year, the number is higher during the summer and rainy seasons.

Symptoms usually develop 1 to 3 weeks after exposure, and may be mild or severe. They include high fever, malaise, headache, constipation or diarrhea and enlarged spleen and liver. A healthy carrier state may follow acute illness.

Typhoid fever can be treated with antibiotics. However, resistance to common antimicrobials is widespread. Healthy carriers should be excluded from handling food.

Sanitation and hygiene are the critical measures that can be taken to prevent typhoid.

  • Typhoid does not affect animals and therefore transmission occurs only from human to human.
  • Typhoid can only spread in environments where human feces or urine are able to come into contact with food or drinking water.
  • Careful food preparation and washing of hands are crucial to preventing typhoid.
  • Typhoid fever in most cases is not fatal.
  • Prompt treatment of the disease with antibiotics reduces the case–fatality rate to approximately 1%.
  • When untreated, typhoid fever may persist for three weeks to a month.
  • Resistance to common antibiotics is now common.
  • Typhoid that is resistant to common antibiotics is known as multidrug-resistant typhoid (MDR typhoid).
  • Ciprofloxacin resistance is an increasing problem, especially in the Indian subcontinent and Southeast Asia.
  • Azithromycin is a new drug for drug–resistant typhoid.
  • Typhoid vaccine taken every three years is the best preventive approach.
cardiology news

Total CPR since 1st November 2012 – 88792 trained

Media advocacy through Web Media

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press release

Avoid alcohol during Holi celebrations

Consumption of alcohol during Holi can be dangerous. It makes one prone to accidents and people who drink may end up quarrelling with each other unnecessarily, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association. There is no evidence that people who do not drink should drink during Holi. For social drinking, one should restrict the intake to less than 80 grams per week or 80 ml per day.

Alcohol impairs the intellect, which in turn impairs the power to judge individuals and discriminate between the opposites. The impairment in judgment can also lead to errors while driving leading to fatal accidents.

Three to four drinks are sufficient to raise the blood pressure to dangerously high levels in susceptible individuals. In patients who are prone to heart attacks, this dangerous rise in blood pressure can precipitate heart attack, paralysis and brain hemorrhage. The incidence of paralytic attacks is found to be high within 24 hours of heavy drinking.

Binge drinking (more than 5 pegs in one hour or six pegs in a day) is also associated with irregular heartbeats and increased incidence of sudden death. Heart and high blood pressure patients are therefore specifically cautioned not to indulge into heavy drinking.

Drinking one peg of alcohol (one ounce) in one hour can still be considered as safe (social drinking) as this amount of alcohol can be totally metabolized by the liver during one hour.

Consuming six tablets of paracetamol with alcohol, which is a common practice to reduce the hangover particularly by women, can produce fatal liver damage. Taking aspirin to reduce the hangover can also produce fatal hemorrhage in the stomach and hence should be avoided. The festival of Holi is to share happiness with each other while forgetting all the differences.

Similarly, the practice of consuming bhang, which can cause impairment in judgment and brain functioning, should also be avoided.

Those who cannot restrict their alcohol intake should only take red wine as it contains antioxidants, polyphenols that slow cell deterioration. They also prevent plaque build-up and inhibit platelet formation. Natural sources of polyphenols are grape seeds, grape skin, aloe vera, green tea, chocolate and cocoa. The types of polyphenols in cocoa are flavonoids and flavanols, and contain catechins, epicatechins, and procyandins.

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 88792 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

Mega heart checkup camp by Heart Care Foundation of India at Sagar, Madhya Pradesh 20th–23rd February 2014

press release

AHA – ACS update

vedio of day

today video of the dayPadma Shri & Dr B C Roy National Awardee,Dr KK Aggarwal on Tackling tension headaches

Hands only CPR 10 Utsav, 15th December 2013

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

eMedi Quiz

An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1. It is the proportion (fraction) of unchanged drug that reaches the systemic circulation.
2. Bioavailability of an orally administered drug can be calculated by comparing the Area under Curve after oral and intravenous administration.
3. Low oral bioavailability always and necessarily means poor absorption.
4. Bioavailability can be determined from plasma concentration or urinary excretion data.

Yesterday’s Mind Teaser: An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1. Glyceraldehyde–3–phosphate dehydrogenase.
2. Phosphoglucomutase.
3. Lactate dehydrogenase.
4. Glucokinase.

Answer for yesterday’s Mind Teaser: 1.Glyceraldehyde–3–phosphate dehydrogenase.

Correct answers received from: Dr.K.V.Sarma, Dr.A.K.Gajjar, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr.P.C.Das, Daivadheenam Jella, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr.Sashidharan, Dr Abbas Vakil. Dr Prakash Khalap

Answer for 14th March Mind Teaser: 3.Gelfiltration chromatography.

Correct answers received from: Daivadheenam Jella,Dr Jainendra Upadhyay,Dr Chandresh Jardosh, Dr Abbas Vakil

Send your answer to ijcp12@gmail.com

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medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

Cab Drivers

Two cab drivers met. "Hey," asked one, "why did you paint one side of your cab red and the other side blue?"

"Well," the other responded, "when I get into an accident, you should see how all the witnesses contradict each other.

medicolegal update

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medicolegal updatemedicolegal update

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 suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

Nothing ever comes to one that is worth having, except as a result of hard work. Booker T. Washington

medicolegal update

Dr KK Aggarwal: High BP in Pregnancy Increases Risk for Future Atherosclerosis http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: No matter what happened in the past, we all have the right and the capacity to be happy and loved http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir,Thanks for the nice message on Holi.Regards: Dr Prateek

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

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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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