eMedinewS18th November 2013, Monday

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

Clarithromycin and calcium–channel blockers combination may be fatal

The combination is associated with increases in hospitalization for acute kidney injury, hypotension, and death said senior author Amit Garg, MD, from the London Health Sciences Centre and the University of Western Ontario.

The results, presented here at Kidney Week 2013, were also published November 9 in JAMA to coincide with their presentation.

TCT 2013 Update: Cardiology Trials

LEVANT 2 and RIBS V: Results met with cautious optimism and some caveats

Two studies of drug–eluting balloons were met with cautious optimism—and some caveats.

Promising six–month results from the LEVANT 2 study of patients with stenotic femoropopliteal arteries treated with the Lutonix (Bard) DEB or standard balloon angioplasty were reported by Dr Kenneth Rosenfield from Massachusetts General Hospital, Boston, MA.

The RIBS V trial presented by Dr Bernard Gersh of Mayo Clinic, Rochester, MN randomized patients with bare–metal stent restenosis to paclitaxel–eluting balloon or everolimus–eluting stent treatment. The primary end point of mean luminal diameter at nine months was 2.36 mm in the stent group and 2.01 mm in the DEB group.

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

Types of Memory

sprritual blog

The easiest way to remember types of memory is by understanding the concept of Suno, Samjho, Jano and Karo (hearing, listening, knowledge and wisdom). Hearing is the most short lasting memory. We hear and we forget is the rule.

Once we listen and understand the memory is more longer lasting but the same memory become ever lasting if we not only hear, understand and know but also incorporate the knowledge in our practice.

These principles have been used by marketing people in brand recall. I know many pharmaceuticals play a game and ask 100 doctors to enter into a competition in which they have to write the company’s brand a number of times in one minutes and the one who rights the maximum number of times is given a prize. By practicing the brand name repeatedly you create a permanent impact of their brand in the soul and it is unlikely that you will forget the brand and its recall value will increase every time you think about the molecule.

The same principle has been used by devotees of Rama and Shiva where they make people to write the name of Rama repeatedly everyday and the devotees of Shiva makes people writing the Om Namaha Shivae in a peace of a paper for years together. By doing so you inculcate the teachings of Lord Rama and Shiva. Unfortunately, devotees of Lord Krishna has not been able to make a brand out of Loard Krishna.

Many spiritual Gurus give a Mantra which is also based on the same principle. A mantra is nothing but a positive affirmation which you have to follow every minute of your life through out your life. Once you start doing it a time will come when it will become a part of your sole consciousness and you will start living and behaving in a way as of your positive affirmation. For example, Brahma Kumari's say, that always say a positive affirmation to yourself that I am a peaceful soul. After some time you will start behaving like a peaceful soul and you will loose agitation, anger and negative affirmations of life.

cardiology news

Dearest Grandmamma

Hi all, I would like to share a story with you, a person who has been a source of inspiration to each and every one of our family member.

She is (was rather, she is no more) my grandmamma. She was an affectionate woman who could win over anyone with her undying love, no matter what. Let me narrate to you, the story of her life, the trauma that no woman should ever undergo! She was the eldest of a family of 7 girls and 1 boy. Of these, 2 children died shortly after birth. Right now, only 2 of them are alive.

At the age of 16, my grandma got married as a second wife to a 40 year old man. She lost her husband 1 year after her wedding. By God’s grace she had a son whom she considered a solace. But that didn’t last, as the son passed away shortly too! Ultimately, by the age of 25 she lost her entire family! Nevertheless, she then dedicated her life towards the upbringing of each and every child in the family. This was the reason she was loved and respected by everyone in our family.

Last year, by this same time, my marriage was fixed. Being the oldest grandchild in my family, she was very happy and said she would bring up my kid too! I was in tears and said of course you will have to! Shortly before my engagement, she had a fall one night when sleeping. It left her right hand fractured. There began all the trouble. She was 83 years old by then.

At my engagement function, all she could do was sit quietly in one place. It was a hard hitting reality for all of us since we got used to seeing her doing the entire household chores all by herself! There was hardly a month left for my wedding. She developed a strange mental depression since that time, imagining things, fearing death, longing to see my wedding and the like. All of us assured her that she would be the first person to bless me at my wedding. But nature is inevitable as we all know.

She was admitted in the ICU for nearly 20 days. All day we would stay at the hospital, praying for her. One fine day it happened–what we all feared. She was no more, and left all of us teary–eyed. My dad was the eldest child in the family, so naturally he had to do the rites. But our family stopped him since I had my wedding the next month. We (me, dad, mum and sis) weren’t allowed to even see her face! Imagine our plight!

At my wedding, her garlanded photo was in front of me and my husband. I was speechless, moved to tears. I knew, my dearest grandmamma will bless me as ever! Even today, we don’t feel her loss; I only feel why she isn’t around to share our joys and sorrows.

I’d like to conclude by saying not only parents; grandparents need our affection and care! They are precious; do not lose them at any cost!!

News Around The Globe

  • Achieving an undetectable hepatitis C viral load is associated with decreased liver morbidity and death, according to data from a large observational study using Veterans Affairs (VA) presented at The Liver Meeting 2013 and simultaneously published online in JAMA Internal Medicine
  • The link between acetaminophen (Tylenol and generics) and liver damage is well established, but there is also evidence to suggest that in some asymptomatic patients, therapeutic doses of acetaminophen and light-to-moderate alcohol use can lead to renal disease. A health survey found that respondents who reported taking both acetaminophen and drinking lightly or moderately had a more than two-fold higher risk for kidney dysfunction.
  • Women who get pregnant within 12 months of loop electrosurgical excision procedures (LEEP) are at almost 6-fold increased risk for miscarriage compared with those who wait, according to a study published online November 6 in Obstetrics & Gynecology.
  • A small pilot study in a population of men with multiple sclerosis (MS) presented at the Society for Neuroscience meeting found that treatment with 100 mg of testosterone was associated with diminished atrophy of gray matter over a 6-month window and reversal to pre-study levels with significant increase in the right middle frontal gyrus after 12 months of therapy.
  • Women who binge eat may be at greater risk of developing type 2 diabetes, regardless of how heavy they are. In a cohort study of about 4,300 girls, those who binged frequently -- without "purging," or using laxatives or vomiting after a big meal -- had nearly a four-fold increased risk of developing type 2 diabetes, even after controlling for body mass index.

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Rabies News (Dr. A K Gupta)

What should be done to a person who has consumed milk of a rabid animal?

If a person has consumed milk of a rabid animal, counseling should be done. If counseling is not effective, then PEP by IM or ID route or as a last resort, a course of PEP (only vaccine) should be given.

If the milk is boiled or heated then only counseling or at the most a course of PEP should be given only due to compulsions in medical practice in Indian setting.

cardiology news

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

  • The AHA, ACC and CDC have collaborated to write a "science advisory" on effective approaches for managing high blood pressure. The advisory published online November 15, 2013 in Hypertension recommends the development of evidence-based algorithms in the treatment of high blood pressure as well lifestyle changes needed to control hypertension in adults. In the advisory, the organizations recommend
    o Blood-pressure goal of <139/89 mm Hg.
    o Lifestyle modification and the consideration of a thiazide diuretic in individuals with stage 1 hypertension (systolic 140–159 mm Hg or diastolic 90–99 mm Hg).
    o For stage 2 hypertension (systolic >160 mm Hg or diastolic >100 mm Hg): Combination therapy with a thiazide diuretic and ACE inhibitor, angiotensin receptor blocker (ARB), or calcium-channel blocker (CCB).
    o If the patient is not at goal, then physicians should increase the dose of the medications and/or add a drug from a different class.
    o If the patient still not be at goal, then physicians should question patient adherence, request readings from home, or consider secondary causes of hypertension.
  • A large phase 3 study testing an inhibitor of the lipoprotein-associated A2 (Lp-PLA2) enzyme has failed to lower the risk of cardiovascular events in coronary heart disease patients who received the drug on top of statin therapy. The Lp-PLA2 inhibitor darapladib (GlaxoSmithKline, London, UK) was tested in more than 15 000 patients in the Stabilization of Atherosclerotic Plaque by Initiation of Darapladib Therapy (STABILITY) study.
cardiology news

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

  • The Centers for Disease Control and Prevention (CDC) and the Tennessee Department of Health have found a cluster of newborns in Tennessee with late vitamin K deficiency bleeding (VKDB), according to a report published in the November 15 issue of the Morbidity and Mortality Weekly Report. VKDB is a coagulopathy that can cause brain hemorrhage and is preventable by intramuscular vitamin K injection, given routinely at birth. In every case in the cluster, the parents had refused this intervention, mostly because they were not aware of the potential benefit.
  • A new study published in the November issue of the Journal of Autism and Developmental Disorders has shown that children with autism spectrum disorder (ASD) are far more likely to have gastrointestinal problems such as constipation, diarrhea, and food sensitivities than their typically developing peers,
cardiology news

Growing young is feasible

It is possible to grow young.

Human body is not just a physical body; it is also at the level of mind, intellect, ego and soul. While only the physical body grows old, the other parts of human body get more mature with age. One also gets more humility with age. The end result is growing young and not growing old.

One should look at biological and intellect age and not the physical age. Chronologically, you may be 70 but biologically, you may be at 60. In medical science today, most of the drugs are given keeping biological age into consideration and not the chronological age.

Most of our Vedic rituals teach us how to live young. The new epidemic of today’s era like iron deficiency, calcium and vitamin D deficiency related to osteoporosis and refined carbohydrate related heart diseases could not have entered into the society if the traditional rituals of eating gur–chana once a week, worshipping sun in the Magh month and/or not eating carbohydrates once a week was observed by the society. These were rituals meant to prevent such diseases.

Dr. KK Aggarwal said that relaxation, pranayam and meditation also take one from growing old to growing young. Staying in parasympathetic mode most of the times in the day can make the difference.

cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

Diabetes Road Shows

Heart care Foundation of India today created health awareness on diabetes at India Gate Lawns. Launching the campaign, Padma Shri and Dr. B C Roy National Awardee Dr. KK Aggarwal President Heart Care Foundation of India said that life style diabetes can be prevented and even reverted if detected and treated in time.

Dr. Aggarwal said that one should not eat white sugar, white maida and white rice if one wants to avoid diabetes.

Following messages were released

  1. Nine potentially modifiable factors account for over 90 percent of the population attributable risk of a first Heart attack. These include smoking, High Cholesterol, high blood pressure, diabetes, abdominal obesity, psychosocial factors, daily consumption of fruits and vegetables, regular alcohol consumption and regular physical activity.
  2. People with pre diabetes are at increased risk for developing type 2 diabetes, heart disease and Paralysis.
  3. More than 25% people have pre diabetes (blood sugar level more than 90 but below 126 mg/dL) but only 4% know it needs attention.
  4. Diabetes is not just to control blood sugar. Controlling BP (<120/80) and LDL bad cholesterol (<70) is equally important.
  5. Smokers face 44% increased risk of diabetes when compared to nonsmokers (Swiss researchers JAMA)
  6. Advancing age, diabetes, high BP, obesity, smoking, drugs, heart diseases, alcohol, cycling for > 3 hours/week can cause erectile dysfunction.
  7. Each 1 mg increase in serum uric acid increases the risk of developing diabetes by 18%.
  8. Keep your fasting sugar, lower BP, bad cholesterol, abdominal girth all below 80.
  9. Recent studies have shown that people at risk of type 2 diabetes can prevent onset of diseases by losing 5 to 7% body weight.
  10. Diabetes should only drive if their blood sugar is under control and there is no evidence of end organ disqualifying disease.
  11. Significant snoring with episodes of cessation of respiration during night can lead to diabetes.
  12. Treating depression may help people with diabetes get their blood sugar under control.
  13. Sudden cardiac death is preventable – keep your diabetes under control.
  14. If BP and diabetes are kept under control, 75% dialysis and transplants can be prevented.
  15. One in five patients with diabetes have abnormal Treadmill Stress Test
  16. Patients with metabolic syndrome are 5 times more likely to develop diabetes (National Heart, Lung, Blood Institute).
  17. Diabetic patients have similar risk as non–diabetics with one heart attack.
  18. Fifty percent of diabetic patients may have associated high blood pressure.
  19. Uncontrolled diabetes can cause heart attack.
  20. Hypertension and diabetes together raise the chances of heart attack manifold.
  21. Diabetics can have heart attack without the classical symptom of pain.
  22. Diabetes can remain silent for over five years.
  23. Uncontrolled diabetes can cause impotence.
  24. Uncontrolled diabetes can cause blindness.
  25. Uncontrolled diabetes can cause paralysis.

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 71933 people since 1st November 2012.

The CPR 10 Mantra is – "Within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

today emedipics

Heart care Foundation of India created health awareness on diabetes at India Gate Lawns. Launching the campaign, Padma Shri and Dr. B C Roy National Awardee Dr. KK Aggarwal President Heart Care Foundation of India.

press release

Can vitamin D treat pain?

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

Referred pain from ureteric colic is felt in the groin due to involvement of the following nerve:

1.Subcostal.
2.Iliohypogastric.
3.Ilioinguinal.
4.Genitofemoral

Yesterday’s Mind Teaser: All of the following muscles are grouped together as muscles of mastication except:

1.Buccinator.
2.Masseter.
3.Temporalis.
4.Pterygoids.

Answer for yesterday’s Mind Teaser: 1.Buccinator.

Correct answers received from: Dr. P. C. Das, DR.A.K.GAJJAR, Uma Maheswari, Dr. SUSHMA Chawla, Dr.K.Raju, KANTA JAIN, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr. Thakor Hitendrsinh G, Satyajit Kumar, DR AVTAR KRISHAN, DR ABBAS VAKIL, Thomas Gregorissac, DR.A.K.GAJJAR,

Answer for 16th November Mind Teaser: 4.Condyles of tibia.

Correct answers received from: Satyajit Kumar, dr.sahadevudu gelivi, Dr. P. C. Das

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

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

Billy: Why, ma’am!

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

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

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

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

medicolegal update

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

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful @thechoprawell http://youtu.be/65NXtLfQMYo

Forthcoming events

Pushpanjali Crosslay Hospital, a 350+ bedded NABH & NABL accredited multi super specialty hospital is organizing its 5th Annual Conference "PCCON 2013" in association with Indian Medical Association (East Delhi Branch & West Ghaziabad Branch) on November 23–24, 2013 at Hotel Country Inn, Sahibabad, Ghaziabad.

Chairperson : Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Day & Date : Sunday, 24th Nov, 2013

Topic : Quality Management in Healthcare Delivery

medicolegal update
  1. Dear Sir, Thanks a lot for this academic gift as emedinews. Regards: Dr Sarad

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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

medicolegal update

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