eMedinewS20th October 2013, Sunday

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.facebook.com/Dr KKAggarwal

Life style management can prevent diabetes

Comprehensive lifestyle interventions may reduce the risk for type 2 diabetes in patients who are at high risk for the disease, but the interventions do not appear to reduce all–cause mortality in patients with the disease, according to a systematic literature review.

Elizabeth Sumamo Schellenberg, BSc, MPH, and colleagues from the University of Alberta in Edmonton, Canada, present their findings in October 15 issue of the Annals of Internal Medicine.

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

Be Positive, Be Different and Be Persistent

sprritual blog

You should be not only positive, different but also persistent. In ten incarnations of Lord Vishnu, the first one was a Machhli (fish) which indicates to be different in life. The second incarnation is tortoise which indicates that you should be different but learn to withdraw when the need arises. The third is a boar which indicates persistence.

The mantra of a successful life is to be positively different and persistent and yet learn to withdraw when the situation arises.

cardiology news

Just a Mom

A woman, renewing her driver’s license at the County Clerk’s office was asked by the woman recorder to state her occupation. She hesitated, uncertain how to classify herself. "What I mean is," explained the recorder, "do you have a job or are you just a……?"

"Of course I have a job," snapped the woman. "I’m a Mom." "We don’t list ‘Mom’ as an occupation, ‘housewife’ covers it," said the recorder emphatically.

I forgot all about her story until one day I found myself in the same situation, this time at our own Town Hall.

The Clerk was obviously a career woman, poised, efficient and possessed of a high sounding title like, "Official Interrogator" or "Town Registrar." "What is your occupation?" she probed. What made me say it? I do not know. The words simply popped out.

"I’m a Research Associate in the field of Child Development and Human Relations." The clerk paused, ball–point pen frozen in midair and looked up as though she had not heard right. I repeated the title slowly emphasizing the most significant words.

Then I stared with wonder as my pronouncement was written, in bold, black ink on the official questionnaire. "Might I ask," said the clerk with new interest, "just what you do in your field?"

Coolly, without any trace of fluster in my voice, I heard myself reply, "I have a continuing program of research, (what mother doesn’t) in the laboratory and in the field, (normally I would have said indoors and out). I’m working for my Masters (first the Lord and then the whole family) and already have four credits (all daughters). Of course, the job is one of the most demanding in the humanities, (any mother care to disagree?) and I often work 14 hours a day, (24 is more like it).

But the job is more challenging than most run–of–the–mill careers and the rewards are more of a satisfaction rather than just money." There was an increasing note of respect in the clerk’s voice as she completed the form, stood up and personally ushered me to the door.

As I drove into our driveway, buoyed up by my glamorous new career, I was greeted by my lab assistants — ages 13, 7, and 3. Upstairs I could hear our new experimental model, (a 6 month old baby) in the child development program, testing out a new vocal pattern.

I felt I had scored a beat on bureaucracy! And I had gone on the official records as someone more distinguished and indispensable to mankind than "just another Mom." Motherhood!

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

20th MTNL Perfect Health Mela 2013 Hangout on Air with Google


Heart Surgery as Infant Hikes Risk for ADHD Later

Children who underwent surgery for congenital heart disease in the first year of life appeared to carry an increased risk of attention deficit hyperactivity disorder (ADHD) once they reached school age, researchers found.

Stiff Arteries Tied to Amyloid Plaque Formation

Arterial stiffness was associated with beta amyloid plaque formation in the brains of elderly people with no signs of dementia, independent of blood pressure and antihypertensive treatment, researchers reported

New Monoclonal Antibody Nabs LDL

The monoclonal antibody alirocumab, a PCSK9 inhibitor, significantly reduced LDL cholesterol when compared with ezetimibe (Zetia) in a phase III trial, top–line results released by the drug makers showed

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Rabies News (Dr. A K Gupta)

Why do some people fear the vaccine?

In the past, rabies vaccine was a sheep brain derived Nerve Tissue Vaccine (NTV) and was associated with considerable side effects. Large volumes and a number of injections were required. So, rabies vaccine acquired the dubious reputation of a dangerous vaccination. However, these fears are no longer justified with modern rabies vaccines that are very safe.

cardiology news

Esmolol Can Help to Stabilize Heart Rate in Septic Shock Patients

An article recently published online in JAMA mentions that the use of beta–blocker esmolol helps to lower and maintain heartbeat rates without causing adverse effects in patients with septic shock. A randomized phase 2 trial was conducted at the ICU, University of Rome Hospital, between November 2010 and July 2012 by Andrea Morelli, MD, Department of Anesthesiology and Intensive Care, University of Rome, Italy, and colleagues. The team randomly assigned 154 patients whose heartbeats exceeded 95 beats/minute (BPM) and who required high doses of norepinephrine to receive either continuous infusion of esmolol to maintain heart rate between 80 and 94 BPM (n = 77) or standard treatment (n = 77) of norepinephrine during intensive care unit stays. The target heartbeat rate was achieved in all patients in the esmolol group and was significantly lower than for patients in the control group.

The researchers mention that since esmolol is short–acting and has a half-life of about 2 minutes, it enables rapid resolution of any potential adverse effects. These new findings suggest that esmolol allows better ventricular filling during diastole, hence, improving stroke volume and thereby improving the efficiency of myocardial work and oxygen consumption. Limitations of the study include selection of a predefined arbitrary heart rate threshold and the requirement that the study should be nonblinded and not placebo–controlled. In addition, results might not be similar in a less at–risk population.

(Source: MedScape)

cardiology news

Gluten Introduced After Six Months of Age Increases Celiac Disease Risk

Researchers from Norway report that introduction of gluten after six months of age is associated with an increased risk of celiac disease. Dr. Stordal and colleagues used data from the Norwegian Mother and Child Cohort Study (MoBa) to analyze the association between timing of gluten introduction, breastfeeding, and the risk of celiac disease. The study included 324 children with celiac disease and 81,843 cohort controls followed for up to six months, and 287 children with celiac disease and 67,628 cohort controls followed for up to 18 months.

According to Dr. Stordal, the findings could not support any reduced risk with breastfeeding, neither alone or during introduction of gluten. Also it is not confirmed if prolonged breastfeeding >12 months is increasing the risk; this finding could be attributable to even more delayed gluten introduction or to reasons for prolonged breastfeeding not detectable in the data. Causality still remains to be proven.

(Source: MedScape)

cardiology news

Do not heat leafy vegetables twice

Nitrates in foods such as spinach, beet root and lettuce stimulate the production of nitric oxide in the body. Nitric oxide relaxes blood vessels. Ingested nitrate is reduced by oral, commensal, bacteria to nitrite, which can further be reduced to nitric oxide.

Vegetables are a major source of dietary nitrate. Green leafy and root vegetables, such as spinach and carrots, provide more than 85 percent of dietary nitrate. Foods in which nitrite are present are bacon, fermented sausage, hot dogs, bologna, salami, corned beef, ham and other products such as smoked or cured meat, fish and poultry. The conversion of dietary nitrate to nitrite has antimicrobial benefits in the mouth and stomach. Some epidemiological studies show a reduced rate of gastric and intestinal cancer in groups with a high vegetable–based nitrate intake. Nitrate is totally harmless; however, it can be converted to nitrite and some portion of nitrite to nitrosamines, some of which are known to be carcinogenic. Heating increases the conversion rate. The longer the heat treatment, the more nitrosamines will be formed. Hence, the recommendation not to heat leafy vegetables twice. Adding lemon juice to vegetables will reduce the formation of nitrosamines. It contains vitamin C, which also reacts with nitrite, thereby preventing the nitrosamine formation.

cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

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Media advocacy through Web Media

Shorter the waist line, longer the life line 2nd PR


The spirit behind Indian rituals was to stay healthy.

Conducting a workshop at FICCI Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela said that all rituals and festivals of India were so designed by our Rishi Munies to stay physical and mentally healthy.

The workshop was organized by Mrs Malvika Rai, President, FICCI Ladies Organization and was attended by over 100 women entrepreneurs from the NCR.

Dr. Aggarwal said that in the ancient Indian era, there was no introduction of various medical pathies. The only way for disease prevention was through the directions of Rishi Munies and these directions were converted into rituals and festivals which carried prevention formula.

Giving an example Dr. Aggarwal said that doing a Santoshi Mata vrata by women during their fertility period probably was made to prevent them from getting iron deficiency anemia and protein mal nutrition as compulsory eating of Jaggery which contains iron and Chana which contains protein ensure that these deficiencies does not occur.

The ritual of taking a sun bath in the month of Magh, Vaishakh and Kartik was to prevent from Vitamin D deficiency.

In ancient time nobody suffered from diabetes, blood pressure, heart attack or pot belly obesity. Rishi Muni knew that only way to prevent insulin residence was to miss eating carbohydrate base cereals once in a week and the same was terms as weekly fast.

The Rishi Muni knew that in the month Chaturmas there are more negativity in the mind therefore they created most of the festivals during this period to clean he mind, intellect and ego of the person.

Dr. Aggarwal said that the principles of cognitive behavior therapy of Allopathy originated from Bhagavad Gita and narration exposure therapy of a mourning period originated from the Chautha, Tervi and Bethak rituals after death.

Every six months cleaning the mind, body, soul by observing nine days of fast during Navratri and removing the negativity from mind of others by observing holastac before holi was probably scientific in nature.

Dr. Aggarwal said chanting of vowels produces interleukin 2 which is 200 times more stronger than aspirin and chanting of nasal consonant produces tranquilizers therefore changing of OM is the best spiritual prescription as it secrets both pain killers and tranquilizers.

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 63425 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

Conducting a workshop at FICCI Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India

press release

Vegetables and fruits lower chances of getting some cancers

today video of the day20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Ganesh Chaturathi

Cultural Evening at IMA

eMedi Quiz

Read this…………………

The nerve commonly damaged during McBurney’s incision is:

3.11th Thoracic.
4.10th thoracic.

Yesterday’s Mind Teaser: In all of the following conditions neuraxial blockade is absolutely contraindicated, except:

1.Patient refusal.
3.Severe hypovolemia.
4.Pre–existing neurological deficits.

Answer for yesterday’s Mind Teaser: 4.Pre–existing neurological deficits.

Correct answers received from: Prabha Sanghi, Arvind Gajjar, Dr Vishwanath R Hiremath, Dr MONICA GANDHI, Dr Arpan Gandhi, Dr Kanta Jain, Dr.K.V.Sarma, DR AVTAR KRISHAN, Dr Prakash Khalap, DR ABBAS VAKIL, Dr.K.Raju

Answer for 18th October Mind Teaser: 2.Iliohypogastric.

Correct answers received from: Dr.K.V.Sarma, Dr Pankaj Agarwal

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/15Lvpwx #Health

Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful http://tinyurl.com/kqlhghj

medicolegal update

Dear Sir, Very Informative. Regards: Dr Tarun

Forthcoming Events

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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medicolegal update

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