eMedinewS18th January 2014, Saturday

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);
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Measles eliminated from the US: Will India learn?

Fifty years after the introduction of an effective measles vaccine, the disease is no longer endemic in the US. Measles was declared "eliminated" from the U.S. in 2000 –– with elimination defined as the lack of any continuous disease transmission for 12 months or more in a defined geographical area –– and a study by Mark Papania, MD, of the CDC’s Division of Viral Diseases in Atlanta, and colleagues that was published online in JAMA Pediatricss confirmed that the disease remained eliminated through 2011.

But cases continue to be imported into the country from around the world, where an average of 430 children die from measles each day.

From 2001 to 2011, Papania and colleagues reported, the median number of U.S. cases each year was 61. But 175 –– including 20 resulting in hospitalization –– were reported to the CDC from January through the end of November this year. Another surge was seen in 2011, when 222 cases were recorded.

That number is minute compared with the burden before the measles vaccine was introduced in 1963. Up until then, measles was common, causing 450 to 500 deaths, 48,000 hospitalizations, 7,000 seizures, and 1,000 cases of permanent brain damage or deafness each year, according to the CDC (MedPage).

The 5th emedinews revisiting scheduled for 19th January has been postponed. The new date along with other details would be published in emedinews.

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

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

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

Sattchittaananda: The soul characteristics, (Absolute Existence –Absolute Knowledge)

sprritual blog

Satt means ‘truth or knowingness’
Chitta means ‘conscious based’
Ananda means ‘bliss or inner happiness’

The soul in Vedic description is described as Sattchittaananda. People in touch with their soul speak the truth, take consciousness–based decisions and experience inner happiness.

The great rishis of India have described a formula of how to be in touch with your soul and get inner happiness. The formula is based on three questions, which you should ask yourself before performing any action.

1. Is it the truth?
2. Is it consciousness–based?
3. Will it give happiness?

If the answer to all three is ‘yes’, go ahead. In other words, if the answer to any of the three is "no", do not perform that action.

Later on, many dharma groups modified this formula for their own use.

1. Buddha’s Law of Action summarizes these questions as:

• Is it the truth?
• Is it necessary?
• Will it bring happiness to me?
• Will it bring happiness to others?

If the answer to any of the questions is ‘no’, then do not do that action.

2. Buddha’s Law of Speech summarizes the questions as:

• Is it the truth?
• Is it necessary?
• Is it kind?

If the answer to any of the question is ‘no’, do not speak

3. The Rotary four–way test comprises of:

• Is it the truth?
• Is it fair to all concerned?
• Will it build goodwill and better friendship?
• Will it be beneficial to all concerned?

If the answer to any of the answer is ‘no’, do not perform that deed.

4. Formula of three H: Head, Heart and Hand

Before doing any action ask your head for the choices. Then listen to the heart to give you the best consciousness–based advice and finally order the hand to do the action.

5. The formula Satyam Shivam Sundram is based again on three questions: Is it the truth; is it God (consciousness based); and is it going to build my inner beauty (happiness).

6. ‘May I help you?’ is another formula given in Srimad Bhagwat where once you agree to help, you end up with truth, tapa of hard work, purity of mind and daan or charity.

cardiology news

The Three Races

A fable retells the story of the young athletic boy hungry for success, for whom winning was everything and success was measured by such a result.

One day, the boy was preparing himself for a running competition in his small native village, himself and two other young boys to compete. A large crowd had congregated to witness the sporting spectacle and a wise old man, upon hearing of the little boy, had travelled far to bear witness also.

The race commenced, looking like a level heat at the finishing line, but sure enough the boy dug deep and called on his determination, strength and power… he took the winning line and was first. The crowd was ecstatic and cheered and waved at the boy. The wise man remained still and calm, expressing no sentiment. The little boy however felt proud and important.

A second race was called, and two new young, fit, challengers came forward, to run with the little boy. The race was started and sure enough the little boy came through and finished first once again. The crowd was ecstatic again and cheered and waved at the boy. The wise man remained still and calm, again expressing no sentiment. The little boy, however, felt proud and important.

"Another race, another race!" pleaded the little boy. The wise old man stepped forward and presented the little boy with two new challengers, an elderly frail lady and a blind man. "What is this?" quizzed the little boy. "This is no race" he exclaimed. "Race!" said the wise man. The race was started and the boy was the only finisher, the other two challengers left standing at the starting line. The little boy was ecstatic; he raised his arms in delight. The crowd, however, was silent showing no sentiment toward the little boy.

"What has happened? Why not do the people join in my success?" he asked the wise old man. "Race again", replied the wise man, "…this time, finish together, all three of you, finish together" continued the wise man. The little boy thought a little, stood in the middle of the blind man and the frail old lady, and then took the two challengers by the hand. The race began and the little boy walked slowly, ever so slowly, to the finishing line and crossed it. The crowd was ecstatic and cheered and waved at the boy. The wise man smiled, gently nodding his head. The little boy felt proud and important.

"Old man, I understand not! Who are the crowds cheering for? Which one of us three?" asked the little boy. The wise old man looked into the little boy’s eyes, placing his hands on the boy’s shoulders, and replied softly… "Little boy, for this race you have won much more than in any race you have ever ran before, and for this race the crowd cheer not for any winner!"

News Around The Globe

News

  • On Dec 17 the Indian Health Minister declared that MBBS students applying for admission to PG medical courses from 2015–16 will have to undertake a compulsory one–year rural posting at a public health centre (PHC), to ‘give back’ to the society.
  • Women treated for high–grade cervical intraepithelial neoplasia (CIN3) have an increasing risk for invasive cancer after the age of 60, particularly if the treatment was recent, according to a Swedish population–based cohort study published online January 14 in BMJ. This finding suggests that women treated for the high–grade lesions need to be followed for a long time.
  • An investigational drug with a novel mechanism of action reduced the rate of viral shedding in patients with genital herpes simplex virus–2 (HSV–2) infection. In a small, double–blind, placebo–controlled study, the drug, dubbed pritelivir, also reduced the number of days patients had genital lesions.
  • Fructosamine and glycated albumin levels could help predict risk of diabetes and microvascular complications, particularly when glycated hemoglobin (HbA1c) levels aren't reliable.

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

eMedinewS e–gifts to our readers

This is the age of smartphones. To improve usability and readability, eMedinewS has launched a mobile app of the newsletter for its readers. You can now also view eMedinewS on your smart phones or iPads.

The eMedinewS app is now available for free  emedinewsdownload.

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Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

Rabies News (Dr. A K Gupta)

Can rabies be transmitted to a dog that has eaten the flesh of a dead rabid cow or buffalo?

Yes. The rabies virus after multiplying in the brain spreads to other organs of the body like the heart, muscles, skin, etc. So the dog can definitely get infected because the virus can spread through oral mucous membrane.

cardiology news

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

  • An FDA advisory committee voted Wednesday –– with one dissenting voice –– to recommend approval of the anti–platelet vorapaxar (proposed trade name Zontivity) for reducing atherothrombotic events in certain patients with a history of myocardial infarction (MI).By a vote of 10–1, the agency’s Cardiovascular and Renal Drugs Advisory Committee affirmed that the benefits of the drug –– which is being considered for reducing vascular events in patients with atherosclerotic disease but no history of stroke or transient ischemic attack –– outweighed the risks, which were primarily focused on bleeding.
  • As people get older, their bodies wear down and become less resilient. In old age, it’s common for people to become "clinically frail," and this "frailty syndrome" is emerging in the field of public health as a powerful predictor of healthcare use and death. Vicki Myers and Prof. Yariv Gerber of the Department of Epidemiology and Preventive Medicine at the School of Public Health at Tel Aviv University’s Sackler Faculty of Medicine and colleagues have found that poor people are more than twice as likely as the wealthy to become frail after a heart attack. The findings are published in the International Journal of Cardiology.
cardiology news

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

  • Researchers from Japan report that the low sensitivity of the rapid influenza antigen detection test (RIADT) limits its ability to rule out influenza. RIADT has previously been shown to have low sensitivity and high specificity, but there is little information about factors that could influence the results.
  • Human rhinovirus (HRV) is a pathogen frequently associated with the common cold; however, recent studies have indicated that HRV may also cause severe lower respiratory infections in children. Now, investigators have found that severe HRV infections are associated with a limited number of factors, including coinfection with respiratory syncytial virus (RSV), prematurity, congenital heart disease, and noninfectious respiratory disease. Lourenco Faria Costa, PhD, from Laboratory of Virology, Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Brazil, and colleagues report the results of their study in an article published online January 13 in Pediatrics.
cardiology news

Buy your shoes in the evening

Harvard 8 tips for buying shoes that are good to your feet

Start with your own feet, and look at what’s already in your closet. Stand barefoot on a piece of paper or cardboard, and trace the shape of each foot. Now take your shoes, one by one, and place them on top of the drawing. If you’re like most people, your "comfortable" shoes will closely match the outline of your own feet.

Identify the shoes that cause pain. If you’re a woman, most of these will be shoes with narrow toes or high heels. Check to see if the toe of the shoe is narrower or shorter than your own toes.

  1. Wait until the afternoon to shop for shoes — your feet naturally expand with use during the day and may swell in hot weather.
  2. Wear the same type of socks that you intend to wear with the shoes.
  3. Have the salesperson measure both of your feet. If one foot is larger or wider than the other, buy a size that fits the larger foot.
  4. Stand in the shoes. Make sure you have at least a quarter– to a half–inch of space between your longest toe and the end of the shoe.
  5. Walk around in the shoes to determine how they feel. Is there enough room at the balls of the feet? Do the heels fit snugly, or do they pinch or slip off? Don’t rationalize that the shoes just need to be "broken in" or that they’l stretch with time. Find shoes that fit from the start.
  6. Trust your own comfort level rather than a shoe’s size or description. Sizes vary from one manufacturer to another. You’re the real judge.
  7. Feel the inside of the shoes to see if they have any tags, seams, or other material that might irritate your feet or cause blisters.
  8. Turn the shoes over and examine the soles. Are they sturdy enough to provide protection from sharp objects? Do they provide any cushioning? Also, take the sole test as you walk around the shoe store: do the soles cushion against impact? Try to walk on hard surfaces as well as carpet to see how the shoes feel.
cardiology news

Total CPR since 1st November 2012 – 84073 trained

Media advocacy through Web Media

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press release

All adolescents who can afford should take meningococcal vaccine

Neisseria meningitidis is a bacterium that causes serious illnesses, including bacterial meningitis. The bacteria lives on surfaces of the nose and pharynx (wind pipe) and is transmitted from person to person by direct contact with respiratory secretions, Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr. National Vice President IMA

Although meningococcal disease is easily treated in most people, 10 to 14 percent of people die from the infection

Meningococcal polysaccharide conjugate vaccine (MCV–4, Groups A, C, Y and W–135) is recommended for all patients between 11 and 55 years of age. However, US FDA has granted licensure to expand the indication for its meningococcal conjugate vaccine, to include children 2 years through 10 years of age.

These recommendations represent a change from the previous guidelines, which targeted specific subgroups. Factors related to the expanded recommendations include the ongoing risk of invasive meningococcal disease in adolescents and young adults, and the possibility that increased vaccine coverage may protect unvaccinated adolescents and their contacts.

Apart expert groups recommend the MVC4 vaccine for college freshmen living in dormitories, military recruits, travelers going to areas where meningococcal disease frequently occurs, microbiologists who are exposed to Neisseria meningitidis, people who have had their spleen removed, and people with terminal complement deficiency. The vaccine can be used in adults infected with human immunodeficiency virus (HIV).

MCV4 vaccine is given in one dose. A booster dose is recommended every 3 to 5 years for adults over 55 who are at high risk of meningococcal infection. Vaccination has also been used during outbreaks of meningococcal infection to reduce the number of secondary cases, when there is an appropriate vaccine available for the outbreak serogroup.

Routine vaccination is not recommended for adults between 20 and 55 years of age. The incidence of meningococcal disease is low in this age group and not affected by routine immunization.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National Commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 84073 people since 1st November 2012.

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

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CPR 10 training at NDMC Premises

press release

Ayurvedic doctors to perform eye surgeries

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

A 7 year old girl from Bihar presented with three episodes of massive hematemesis and melena. There is no history of jaundice. On examination, she had a large spleen, non-palpable liver and mild ascites. Portal vein was not visualized on ultrasonography. Liver function tests were normal and endoscopy revealed esophageal varices. The most likely diagnosis is:

1. Kala azar with portal hypertension.
2. Portal hypertension of unknown etiology.
3. Chronic liver disease with portal hypertension.
4. Portal hypertension due to extrahepatic obstruction.

Yesterday’s Mind Teaser: Thirty–eight children consumed eatables procured from a single source at a picnic party. Twenty children developed abdominal cramps followed by vomiting and watery diarrhea 6–10 hours after the party. The most likely etiology for the outbreak is:

1. Rotavirus infection.
2. Entero-toxigenic E. coli infection
3. Staphylococcal toxin.
4. Clostridium perfringens infection.

Answer for yesterday’s Mind Teaser: 4. Clostridium perfringens infection.

Correct answers received from: Dr Prakash Khalap, Dr. V.P. Thakral, drlaxmankumar, Narahari Kandakatla, Dr.A.K.Saxena, Dr Jainendra Upadhyay, Dr Arpan Gandhi, DR MONICA GANDHI, Dr.K.Raju, Dr. Vishal D Wahane, Dr.Chandresh Jardosh

Answer for 14th January Mind Teaser: 2. Bilateral cordectomy.

Correct answers received from: Dr laxmankumar, Narahari Kandakatla, Dr. Vishal D Wahane, daivadheenam

Send your answer to ijcp12@gmail.com

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medicolegal update

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Funny Definitions

Intoxication: Euphoria at getting a tax refund, which lasts until you realize it was your money to start with

Hipatitis: Terminal coolness.

Dopeler effect: The tendency of stupid ideas to seem smarter when they come at you rapidly.

medicolegal update

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medicolegal update

Situation: A patient died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that every time a patient is given penicillin injection, anti anaphylaxis measures are available.

medicolegal update

Seek first to understand and then to be understood. Stephen R. Covey

medicolegal update

Dr KK Aggarwal: Shorter the waist line, longer the life line http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Photons cannot be seen but make seeing possible http://bit.ly/15QdVeB #Health

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  1. Thanks For Such Informative & Beautiful mail With Regards, Dr.Bharat Gadhvi.

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