eMedinewS 1st August 2013, Thursday

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; 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
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Such people bring bad name for the profession

A patient from Eastern India recently came to consult me. He had brought with him three prescriptions from a local doctor who was a specialist physician, MD and MRCH from UK. He was also a former professor and Head (Medicine) and principal of a medical college. After seeing his prescription, I asked the patient in which language had the doctor written the prescription as I could not make out head and tail of the prescription.

Had it been simply a case of bad handwriting, the name of the patient, age also would not have been legible but the same could easily be read on the top in all the three of his prescriptions.

I could only read the words ‘referred to AIIMS’ in one of the prescriptions which was legible.

Out of curiosity, I asked the patient from where did he buy the medicines. The patient told me that his handwriting could only be understood by a chemist in the neighborhood of the doctor and had to be procured only from that chemist. No other chemist in the whole city would be able to read and give medicines on that prescription.

Such prescriptions bring bad name to the profession.

I would give the benefit of doubt to the medical doctor and not claim that he has a nexus with the chemist but it gives a perception to the people that there is a nexus.

To avoid such perceptions, even if we have the worst handwriting, we should at least write the medicines in capital letters of English so that they are easily understood by all. Internationally, the practice is of electronic prescription but in India, I think, expecting that from all doctors all across the country would be too much. At least the State Medical Councils all across the country should send a circular to all doctors in their jurisdiction to write medicines in ‘BOLD CAPITAL/UPPER CASE ENGLISH LETTERS’.

(The scanned copy of the prescription are attached and name and address of the doctor have been withheld)

....Read More

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Dr K K Aggarwal Dr K K Aggarwal Dr K K Aggarwal

Can the police fire at the feet of a person?

Quite often we see the police fire on a person who is a thief, who is running away and gets unintentionally or accidentally killed by the person personnel.

There is a fundamental principle that the action of the police cannot be more than the amount of punishment the person will get for the crime he has committed. For example, the police cannot produce grievous injury to a simple thief by firing on his leg. Another example is, if a person has abused somebody and is running away, the other person or the police cannot fire on the leg to stop him. So the actions of the police of firing unnecessarily on the leg of the person is not justifiable unless they are firing on a person who has murdered somebody or who is a threat to other persons in the society. ....Read More

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 10x10 i.e. 100 per minute."


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

Ringtone – CPR 10 Mantra English

sprritual blog Spiritual Prescription: Practical exercises to achieve inner happiness or silence

Contemplation of scriptures, association with saints (satsang) and vairagya to material objects promote yogic discipline or yoga abhyasa.

To achieve inner happiness of silence one must learn to control the Prana Vayu through breath control exercises.

Consciousness or chitta is the immovable silent state of consciousness, which gets controlled by the process of breathing through the Prana Vayu (which in turns controls the thoughts). One can therefore achieve a state of silence by controlling the breath.

There are many techniques of breath control described in the Vedic literature like yoga sutras in Patanjali, Bhagavad Gita, Yoga Vashshistha, and Srimad Bhagwat.

One of them Pranayama is the talk of the universe today. Most spiritual leaders today are promoting Pranayama as the process of stimulating inner powers.

But there are many other techniques which can be learnt to get the same powers. Most of them are either forgotten or done only by people practicing advanced meditation techniques.

Meditation is nothing but continuing concentration on the object of concentration. Routinely, a person cannot concentrate for more than 3 seconds as a new thought appears within 3 seconds. The first lesson is to concentrate uninterrupted for 12 seconds. The day one is able to do this, he or she has learnt meditation. Then one can go the second stage of concentrating for two minutes and so on.

There are many types of yoga practices.

  • Being in the company of holy people (satsang), a person starts recognizing the world as unreal. At this stage, concentrating and meditating for a long time one can become firm in the practice of one tatva or the object of concentration. This leads to control over the movement of prana.
  • When one practices methodically, over a period of time the process of exhalation (rechaka) and inhalation (puraka) and holding or cessation of breathing (kumbaka) – the steps in pranayama – and merges in the meditation, then also the movement of prana is checked.
  • The movement of prana can also be checked with the fixation of consciousness in the subtle rhythm of the sound (ardha matra) at the end of the word AUM.
  • With the practice of rechaka pranayama, cognition merges in the shunya state of akash (void) on the support of prana vayu, and then also the movement of prana is stopped.
  • Prana vayu is also controlled by the practice of kumbaka.
  • When the tip of the tongue is fixed at the orifice of the palate, the prana vayu goes up on account of khechari mudra, and then, too, the movement of prana is checked.
  • Within the distance of 12 digits (finger breadths) from the tip of the nose, by fixing the vision on it, the movement of prana is also checked.
  • When one concentrates on a spot 12 digits above the palate, then also the movement of prana is checked.
  • The movement of prana is also checked by concentrating on trikuti, the spot between the eyebrows.
  • Free from all vasanas, when one meditates for a long time on the consciousness in the akash of the heart, then also the movement of prana is checked.
  • When one undertakes for a long–term continuous practice of breath that goes up to the distance of 10 digits from the spot between the two eyebrows then also prana is stabilized.
  • When one is engaged in atma abhyas after fixation of the tongue against the palate for a long term then also prana is controlled.

....Read More

cardiology news

The Twelve Gifts of Birth

Once upon a time, a long time ago, when princes and princesses lived in faraway kingdoms, royal children were given twelve special gifts when they were born. You may have heard the stories. Twelve wise women of the kingdom, or fairy godmothers as they were often called, traveled swiftly to the castle whenever a new prince or princess came into the world. Each fairy godmother pronounced a noble gift upon the royal baby.

As time went on, the wise women came to understand that the twelve royal gifts of birth belong to every child, born anywhere at any time. They yearned to proclaim the gifts to all children, but the customs of the land did not allow that. One day when the wise women gathered together they made this prophecy: Someday, all the children of the world will learn the truth about their noble inheritance…when that happens a miracle will unfold on the kingdom of Earth.

Some day is near. Here is the secret they want you to know.

At the wondrous moment you were born, as you took your first breath, a great celebration was held in the heavens and twelve magnificent gifts were granted to you.

  1. Strength is the first gift. May you remember to call upon it whenever you need it.
  2. Beauty is the second gift. May your deeds reflect its depth.
  3. Courage is the third gift. May you speak and act with confidence and use courage to follow your own path.
  4. Compassion is the fourth gift. May you be gentle with yourself and others. May you forgive those who hurt you and yourself when you make mistakes.
  5. Hope is the fifth gift. Through each passage and season, may you trust the goodness of life.
  6. Joy is the sixth gift. May it keep your heart open and filled with light.
  7. Talent is the seventh gift. May you discover your own special abilities and contribute them toward a better world.
  8. Imagination is the eighth gift. May it nourish your visions and dreams.
  9. Reverence is the ninth gift. May you appreciate the wonder that you are and the miracle of all creation.
  10. Wisdom is the tenth gift. Guiding your way, wisdom will lead you through knowledge to understanding. May you hear its soft voice.
  11. Love is the eleventh gift. It will grow each time you give it away.
  12. Faith is the twelfth gift. May you believe.

Now you know about your twelve gifts of birth. But there is more to the secret that the wise women knew. Use your gifts well and you will discover others, among them a gift that is uniquely you. See these noble gifts in other people. Share the truth and be ready for the miracle to unfold as the prophecy of the wise women comes true. ...Read More

News Around The Globe

sprritual blog

  • The boy who got his elbow amputated and transformed into a new shoulder
    In 2008, 15–year–old Tom Lemm had his arm and shoulder amputated due to a tumor. Surgeons then used bone and tissue from his lost elbow to construct a new shoulder. At the same time, a metal support plate was inserted in Tom’s collar bone by Professor Simon Kay’s team. This will make the boy able to wear a false arm. Tom, who lives in Pontefract, West Yorks, has battled cancer for three years, and is the first person in Britain to undergo the seven-hour procedure, and just the second ever. "I was very upset at losing my arm but then the prof told me what he planned to do. I hope the fact it has worked for me gives others hope", he said.
  • The early stages of Alzheimer’s disease may have more prevalence of seizures and epileptic activity than was previously recognized, according to a new study published online in JAMA Neurology July 8. Researchers led by Keith A. Vossel, MD, Gladstone Institute of Neurological Disease, San Francisco, California suggest that careful identification and treatment of epilepsy in such patients may improve their clinical course. (Source: Medscape)
  • An article published online July 8 in Arthritis Care and Research suggests that latent tuberculosis (TB) prophylaxis might not be necessary for certain low–risk elderly patients of rheumatoid arthritis (RA) with tuberculin skin tests of 5 mm or smaller, who have no other risk factors, and who live in countries in which TB prevalence is low. RA patients are usually tested for latent TB before beginning tumor necrosis factor (TNF) inhibitor treatment, and, if positive, are treated with prophylaxis such as 9 months of isoniazid (INH) to prevent reactivation of latent TB infection. (Source: Medscape)
  • The FDA has added a boxed warning to the labeling of the antimalarial drug mefloquine, advising of the possibility of neurologic and psychiatric adverse events. The neurologic side effects include dizziness, vertigo, tinnitus, and loss of balance relating to vestibular damage, as well as seizures and insomnia. Psychiatric adverse events include depression, hallucinations, confusion, paranoia, anxiety, and restlessness. According to the FDA statement, these events can be particularly difficult to diagnose in children. (Source: Medpage Today)
  • In a recent study by the Registrar General of India (RGI) and the Indian Council of Medical Research (ICMR) heart disease has emerged as the number one cause of death in India, among males as well as females and in all regions of India, as reported in the Deccan Chronicle, July 29, 2013. About 25% of deaths in the age group of 25– 69 years are due to heart diseases. If all age groups are included, heart diseases account for about 19% of all deaths. India is estimated to account for 60% of patient with heart disease globally. Half of all heart attacks in this population occur under the age of 50 years and 25% under the age of 40. It is estimated that India will have over 1.6 million strokes per year by 2015, resulting in disabilities on one third of them.
  • Risk factors for venous thromboembolism (Dr GM Singh)
    1. Surgery
      1. Major abdominal/pelvic surgery
      2. Hip/knee surgery
      3. Post–operative intensive care
    2. Obstetrics
      1. Pregnancy/puerperium
    3. Cardiorespiratory disease:
      1. COPD
      2. Congestive cardiac failure
      3. Other disabling disease
    4. Lower limb problems
      1. Fracture
      2. Varicose veins
      3. Stroke/spinal cord injury
    5. Malignant disease
      1. Abdominal/pelvic
      2. Advanced/metastatic
      3. Concurrent chemotherapy
    6. Miscellaneous
      1. Increasing age
      2. Previous proven VTE
      3. Immobility
      4. Thrombotic disorders
      5. Trauma

Rabies News (Dr. A K Gupta)

Can the vaccine be injected in gluteal region?

Rabies vaccine must not be administered in gluteal region as the gluteal fat may retard vaccine absorption resulting in delayed and lower seroconversion.

cardiology news
  • Subclinical episodes of atrial fibrillation (Afib) are frequent in patients with type 2 diabetes and are also more deadly, being associated with silent cerebral infarct and stroke. In the study, diabetic patients under 60 without clinical Afib had a significantly higher prevalence of brief episodes of subclinical Afib vs matched healthy controls (11% versus 1.6%). Also, patients with subclinical Afib episodes were significantly more likely to have silent cerebral infarcts at baseline (61% vs 29%) and a higher of number of strokes during an average 3–year follow–up (17% vs 6%).(Source: Medpage Today)
  • A subanalysis of the WARCEF trial published online in Circulation: Heart Failure has shown that the benefit of warfarin over aspirin in heart failure patients appears to be age–related, with younger patients accounting for the greater share of risk reduction. After adjusting for all factors, age under 60 was the only variable associated with a reduced likelihood of achieving the composite primary endpoint of first ischemic stroke, death, or intracerebral hemorrhage. The younger patients also had lower rates of the separate components of ischemic stroke and death, without an increase in major bleeding. (Source: Medpage Today)

Valvular Heart Disease News

Morphologically, mitral valve prolapse is classified as classic (with markedly and diffusely thickened leaflets (≥5 mm) with bileaflet prolapse) versus non–classic (with limited or absent leaflet thickening (thickness <5mm) and segmental prolapse).

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • Decreased brain reactivity during eye contact may be a biomarker of social disability and autism spectrum disorder (ASD) in children. In a study, activity after making direct eye contact, as measured by electroencephalogram (EEG) recordings, showed that children with ASD had weaker brain responses than did their healthy peers. (Source: Medscape)
  • Findings of the first multiyear, nationally representative study of food-related nonfatal choking injuries to kids state that on average, 12,435 children, ages 0 to 14, are treated in emergency departments a year because of choking on a food item. The most important cause of such events is hard candy, followed by other forms of candy, meat, and bone. (Source: Medpage Today)
cardiology news

Kidney patients more at risk for future heart attacks

Chronic kidney disease patients with kidney function less than 60% have now been added in the list of criteria for defining people at highest risk for future heart attacks.

In a large cohort Canadian study published in The Lancet led by Dr Marcello Tonelli at University of Alberta, patients with only chronic kidney disease had a significantly higher rate of heart attacks than those who only had diabetes. Those who had already had a heart attack had the highest overall rate of heart attacks.

Chronic kidney disease should be regarded as a coronary heart disease risk equivalent, similar to diabetes, as patients with the condition have high rates of cardiovascular events, particularly when they also have proteinuria.

When chronic kidney disease was defined more stringently with kidney function less than 45% and increased proteinuria, the rate of first heart attack was higher in those with both chronic kidney disease and diabetes than in those with either disorder alone.

cardiology news

Paternal age and fertility

Older men can be reassured that any excess risk of disease in their offspring related to paternal age is very small, but not zero. Advanced paternal age is associated with an increase in new autosomal dominant mutations. The best estimate of risk of autosomal dominant disease in progeny is ≤0.5 percent.

cardiology news

EBook

CPR 10 Camp – E Book Sahodaya Sr Sec School, SDA, New Delhi

Camps

CPR Classes: Persons trained (20)

30th July: CPR 10 Moolachand (20)

Total CPR since 1st November 2012 – 56851 trained

TV and Radio Coverage

24th July: Interview in Sahara TV on iron tablets

Video Chats and uploads

Dr KK Aggarwal on Say No Tobacco

Dr KK Aggarwal on NEWS 24

Advocacy through Print Media

30th July: Veer Arjun

Media advocacy through Web Media

hygiene, habits, Typhoid, fever 31st July

NETLOG, FREEPRESS RELEASE, AFRICANEWSWIRE, PRLOG, WEBENWSWIRE

Poly Diet and Poly Drugs

Traditional Vedic science has been advocating poly diet i.e. mixing a combination of all seven colors and six tastes, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Each color provides a different vitamin and each taste has a different function in the body. Combining them together provides a perfect balanced diet. Allopathy is also now promoting the concept of multiple drugs for a single disease. Today, for obesity, lipids, blood pressure, diabetes, tuberculosis, malaria, HIV, rheumatoid arthritis, etc., it is advised to combine multiple drugs in low doses than to give high dose of a single drug.

Giving a single drug for infections like tuberculosis, HIV and malaria can produce drug resistance and giving a single drug for non–communicable diseases like blood pressure, diabetes and high cholesterol may not adequately control the disease and achieve the required goals and targets.

Most patients with diabetes and hypertension of over 10 years’ duration may require a combination of 3 to 4 drugs. Even cooking vegetables in the traditional Indian way requires more than 10 ingredients. Therefore, one should not count the number of drugs while taking treatment.

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 56851 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 10x10 i.e. 100 per minute."

today emedipics

Heart Care Foundation of India Organizes a CPR 10 Training camp at Sahodaya Sr Sec. School, SDA, New Delhi on 25th July 2013.

press release

Do not give citalopram more than 40mg

today video of the dayDr KK Aggawral on Say No to Tobacco

Dr KK Aggarwal on How to Take Care of yourself during the Monsoons

Smart Phones Benefits and Hazards

eMedi Quiz

Read this…………………

The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?

a. A low–riding prostate
b. The presence of a boggy mass
c. Absent sphincter tone
d. A positive Hemoccult

Yesterday’s Mind Teaser: Nurse Lei is aware that one of the following is an early sign of heart failure in an infant with a congenital heart defect?

a. Tachypnea
b. Tachycardia
c. Poor weight gain
d. Pulmonary edema

Answer for yesterday’s Mind Teaser: b. Tachycardia

Correct answers received from: Dr Ayyavoo Erode, Dr Santhakumari, Dr Arpan Gandhi,
Dr PJ Khalap, Dr Sushma Chawla, Medical Suprintendent, Tukaram Pagad, Dr pankaj Agarwal, Dr KV Sarma, Dr Jainendra Upadhyay, Dr Avtar Krishan, Nageshwar Rao, Dr Chandresh Jardosh, Daivadheenam, Dr K Raju, Dr Kanta Jain, Dr Bitaan Sen & Dr Jayashree Sen.

Answer for 30th July Mind Teaser: d. Maintaining a consistent, structured environment

Correct answers received from: Anil Bairaria, Dr pankaj Agarwal, Dr Kanta Jain, Dr Bitaan Sen & Dr Jayashree Sen, Dr PJ Khalap.

Send your answer to ijcp12@gmail.com




eMedi Apps



medicolegal update

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medicolegal update

Like a Newborn Baby

Two elderly gentlemen from a retirement center were sitting on a bench under a tree when one turns to the other and says "Slim, I’m 83 years old now and I’m just full of aches and pains. I know you’re about my age. How do you feel?"

Slim says, "I feel just like a newborn baby."

"Really!? Like a new–born baby!?"

"Yep. No hair, no teeth, and I think I just wet my pants."

medicolegal update
medicolegal update

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medicolegal update

Situation: A dengue patient with BP 100/90 developed shock.
Reaction: Oh my God! Why was rapid fluid challenge not given?
Lesson: Make sure that pulse pressure (upper minus lower blood pressure) is maintained above 40 in all patients with dengue

medicolegal update

The pessimist complains about the wind; the optimist expects it to change; the realist adjusts the sails. William Arthur Ward

medicolegal update

Dr KK Aggarwal: You are at risk for osteoporosis if…
http://bit.ly/12vFIfq #Health

Dr Deepak Chopra: Consciousness has no mass, solidity, color, texture or substance. Nothing that can be measured http://tinyurl.com/lptszxn @SFGate

medicolegal update

Dear Sir, your emedinews is very informative. Regards: Dr Shikha

Forthcoming Events

CPR CAMPS

  1. 2nd August At Balwant Rai Mehta School, GK 2, Masjid Mor
  2. 3rd August At Sahodaya School, C–1 Sda For Delhi Police
  3. 5th August At Universal Public School, A Block, Preet Vihar

29th September–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

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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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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