eMedinewS20th January 2014, Monday

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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Noteworthy Advances in Basic Research

Seeing into the Brain

NIH–funded scientists developed a new technique to preserve the brain’s 3–D structure down to the molecular level with a hydrogel. It allows for study of the brain’s inner workings at a scale never before possible.

Structure of a Potential Diabetes Drug Target

An international team of researchers, funded in part by NIH, determined and analyzed the structure of the human glucagon receptor.

How Sleep Clears the Brain

An NIH–funded study in mice suggests that sleep helps restore the brain by flushing out toxins that build up during waking hours though a special series of channels in the brain.

Technique Forms Working Inner Ear Cells

Using an innovative 3–D culture system, NIH-funded researchers were able to coax mouse embryonic stem cells to form complex cells and structures seen in the inner ear.

Study Reveals New Targets for Parkinson’s disease

NIH scientists used a novel approach, involving a protein tied to Parkinson’s disease, to identify dozens of genes that may contribute to disorders that involve mitochondria.

Therapeutic Nanoparticles from Grapefruit Juice

NIH–funded researchers made nanoparticles from grapefruits and used them to deliver targeted drugs to treat cancer in mice. The technique may prove to be a safe and inexpensive alternative.

Understanding How We Speak

Scientists funded by NIH revealed the patterns of brain activity that produce human speech.

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

Why do we Offer Food to God in Every Pooja?

sprritual blog

We follow a ritual of offering ‘bhog’ to the deity we worship. The ritual also involves sprinkling water all around the place where we sit down to eat food. Many people have advocated that the sprinkling of water is related to preventing ants and insects from approaching the food. But in spiritual language there is a deeper meaning of these rituals.

Bhagwad Gita and Yoga Shastras categorize food into three types corresponding to their properties termed as gunas. Depending upon satoguna, rajoguna and tamoguna, the food items are categorized as satwik, rajsik or tamsik.

Satwik food provides calmness, purity and promotes longevity, intelligence, strength, health, happiness and delight. The examples of satwik food items are fruits, vegetables, leaves, grains, cereals, milk, honey, etc. These items can be consumed as they are. One can also live on satwik food for life.

Rajsik food items possess attributes of negativity, passion and restlessness. Hot, spicy and salty food items with pungent, sour and salt taste promote rajas qualities.

Tamsik food has attributes of inducing sleep, ignorance, dullness and inertia. The examples of tamsik food are meat, onions, garlic, left–over food, etc.

Only satwik food is offered to God. Rajsik and tamsik food is never offered as Bhog. The only persons who were offered tamsik and rajsik food in Ramayana are Ahi Ravana and Kumbhkaran. Both of them were of an evil nature. Kumbhkaran signified tamas and Ahi Ravana, rajas or aggression. Tamsik and rajsik food can be converted into satwik by slow heating, sprouting or keeping them in water overnight. The examples are sprouted wheat and chana (chickpeas), etc.

A mixture of honey, milk, ghee, curd and sugar is called panchamrut and is a routine offering to the God. All the five components have satwik properties and their consumption promotes health.

In Ayurveda, there is a saying that any food item, which grows under the ground, is tamsik in nature and one, which comes from the top of the tree or plant like leaves, flower and fruits are satwik in nature. Satwik food is usually fresh, seasonal and locally grown.

Human beings are made up of body, mind and soul and soul is equated to consciousness or God. Whatever offered to external God if offered to the internal God or consciousness leads to inner happiness. The ritual, therefore, of offering food to God before eating forces us to either eat only satwik food or to include a substantial portion of satwik food in our meals. It helps a person convert his meal into a pure satwik one or at least adding satwik items.

Sprinkling water around the plate is considered an act of purification.

Many people confuse bhog with chadhava or offerings to the deity. While bhog is shared with God, chadhava is the offering of your illness or negative thoughts to the God and you go back with prasada of inner happiness. Many people counter the above argument by saying that alcohol is offered to Bhairon, viewed as a demon God, which means alcohol, is good for health. I personally feel that alcohol is offered to Bhairon not as a bhog but as an offering which means that people who are addicted to alcohol go to Bhairon and give their share of alcohol to him so they can de–addict themselves.

cardiology news

A mountain of dirt

It’s always a great idea to keep the front lawn looking tidy and to repair any problems. With this thought in mind, we had delivered a dump truck full of topsoil in order to fill in two large holes created when two old tree stumps were removed.

The big, big mound of earth sat there dumped 200 feet away from these holes waiting for me to begin the process. What had started out as a great idea soon soured when I realized that this big, big mound of earth was not going to move itself and seemed overwhelming. All I could see, as I stood beside it with my shovel and wheelbarrow, was a dump truck full of topsoil; a mound of earth that looked more like a mini–mountain than a pile of earth that would be a simple Saturday afternoon chore. Oh my goodness, why did I ever think that this hole filling, lawn repair project, was something I would be able to tackle?

After staring at this pile of topsoil for 10 minutes wondering whether I should hire someone to do what I just couldn’t see myself doing, an old Chinese proverb came to mind, "A journey of a thousand miles begins with a single step." The translation of this proverb to the task at hand immediately became obvious. I needed to take one shovel at a time until a wheelbarrow was full, and then keep filling one wheelbarrow at a time and dumping it until one hole was full then simply repeating the process until both holes were finished.

You see, what I had to remind myself was that what might at first appear as an overwhelming task, or something I couldn’t see myself doing, would be resolved by simply taking one step at a time, or one action at a time, over and over again.

Projects, problems, or one’s own need to learn a new job or career skill has the same application. Every difficult goal that, at first, may be viewed as an insurmountable obstacle can be resolved when you implement a strategy that requires only one–step at a time. Each action taken moves you forward, continuous progress is seen, and the final goal is closer and closer until it is accomplished.

News Around The Globe

News

  • The standard 24–2 visual field (VF) test for glaucoma missed early glaucomatous damage in the central macula that was detectable via a 10–2 VF test, according to research published online January 9 in JAMA Ophthalmology.
  • A combination of 10 Chinese medicinal herbs in a capsule, known as Tianqi, reduced progression to type 2 diabetes in people with impaired glucose tolerance (IGT) in a randomized controlled trial in China. The findings suggest that Chinese herbal medicine could provide a new option for diabetes management, using herbal medicine alone or as an adjuvant to currently used therapies. The results are published online January 16 in the Journal of Clinical Endocrinology & Metabolism.
  • As per a study presented at EPI|NPAM 2012, the Epidemiology and Prevention/Nutrition, Physical Activity and Metabolism Scientific Sessions 2012, increasing leisure–time activity and reducing sedentary behaviors such as watching television will both independently attenuate genetic predisposition to obesity, a new study reveals.
  • Patient fitness remains the key factor in selecting the most appropriate treatment regimen for myeloma patients who are ineligible for stem–cell transplantation, according to an updated consensus statement from the International Myeloma Working Group(IMWG), published online in the Journal of Clinical Oncology.
  • The US Food and Drug Administration (FDA) is asking healthcare professionals to stop prescribing combination prescription pain relievers that contain more than 325 mg of acetaminophen per tablet, capsule, or other dosage unit, citing the risk for liver damage. The action targets prescription analgesics that contain both acetaminophen and another ingredient, typically opioids such as codeine, oxycodone, and hydrocodone. Some of these combination products now have as much as 750 mg of acetaminophen per dose.

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)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

cardiology news

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

  • Conditions underlying pulmonary hypertension can cause more deaths than the lung disorder itself in critically ill patients, a new study shows. This finding points to the need for a new direction in the care of subgroups of pulmonary hypertension patients in intensive care units (ICUs), said Lisa Wheeler, a research coordinator at Vanderbilt University in Nashville, Tennessee. The results were presented at the Society of Critical Care Medicine 43rd Critical Care Congress. Pulmonary hypertension can be pulmonary arterial hypertension, often referred to as group 1 pulmonary hypertension, or can be related to left heart disease, lung disease or hypoxia, blood clots, and other factors. Group 1 patients often fare poorly in the ICU, but few studies have examined the fate of patients in the other groups.
  • Authors of a new review are warning cardiologists and other health professionals of "hidden injuries" that can arise from automobile airbags. Even though airbags save lives and reduce injuries, they can also cause cardiac and pulmonary injuries and death, especially if the driver or passenger is not wearing a seatbelt and — of special note — people who present following low–speed crashes. The main types of cardiovascular injuries following airbag deployment are aortic transection, tricuspid–valve injury, right atrial rupture, cardiac contusion, MI, aortic–valve avulsion, cardiac tamponade, and hemopericardium. The review article was published online January 9, 2014 in the Canadian Journal of Cardiology.
cardiology news

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

  • The US Food and Drug Administration (FDA) has cleared for marketing the CytoScan Dx Assay (Affymetrix), which detects chromosomal variations that may underlie a child’s developmental delay or intellectual disability.
  • A new study presented at the Society of Critical Care Medicine 43rd Critical Care Congress suggests that clinicians can use gentamicin as part of their treatment for sepsis in children without increasing the short–term risk for acute kidney injury.
cardiology news

About Thyroid gland

  • Low functioning thyroid is a new epidemic of the society affecting more than 3% of people. If thyroid function is low, it causes weight gain, loss of energy, cold intolerance and menstrual irregularities in women.
  • All people who are aged 50 and above should have their thyroid profile (TSH test) done to look for thyroid deficiency.
  • In younger people, or in the cases of infertility, menstrual irregularity, pregnancy, weight gain, one should check for thyroid deficiency.
  • Iodized salt should be used to prevent thyroid deficiency.
  • Non–iodized salt is only used in two conditions: firstly in patient with thyroid inflammation and secondly, while doing Jalneti in naturopathy, a yoga–related nasal wash technique.
  • In pregnancy, even mild thyroid deficiency can affect the growth of fetus hence dose requirement of thyroid medicine is much higher in pregnancy than in non–pregnancy.
  • In the elderly, the dose of thyroid medicine to be started is always low as compared to one in the adults.
  • If thyroid deficiency is untreated, osteoporosis (thickening of bone) and/or atrial fibrillation (irregular and fast heart rate) may result. Osteoporosis can cause recurrent fractures and atrial fibrillation may cause brain paralysis.
  • In Allopathic medicine, thyroid deficiency is treated by synthetic T4 hormone replacement. In TFSP, thyroid extracts are available, which contain both T4 and T3 potential drugs.
  • In Ayurveda, thyroid stimulant drugs are available but they are effective only if some amount of thyroid gland is available.
  • As per Ayurveda, eating soya and drinking water from copper vessel is good for thyroid.
cardiology news

Total CPR since 1st November 2012 – 84500 trained

Media advocacy through Web Media

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press release

Do not get unnecessary CT scans

If you have a chronic problem like passing kidney stones, and every time you show up at the emergency department every six months, they get another CT scan rather than doing ultrasound you are being mis-served, and CT is being overused.

Cumulative exposure to radiation from CT scans can increase the risk for cancer by as much as 12 percent, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

A Harvard University research published in the April issue of Radiology has shown that over 6.9 crore CT scans are done in the United States every year. CT provides detailed images of organs, allowing more accurate diagnoses of conditions such as cancer. But CT involves a higher radiation dose than most other imaging tests.

People should not be lying awake at night wondering when they are going to get their cancer -- after one or two or five or six CT scans -- if they needed to have them done, he said. The study looked at the medical records of 31,462 people who had undergone a total of 190,712 CT scans over 22 years. About 33 percent had five or more scans, 5 percent had more than 22 and 1 percent had more than 38.

15 percent of the people in the study had received cumulative radiation doses of more than 100 millisieverts (mSv), the same level of radiation as 1,000 chest X-rays. Four percent had received more than 250 mSv, and 1 percent had gotten more than 399 mSv. For about 7 percent of the study participants, their cumulative radiation exposure increased their cancer risk by 1 percent above the U.S. cancer risk rate. For the 315 people who had received the most radiation, their risk of cancer increased 12 percent.

Every time a CT is ordered, one should ask

1. Do I really need this test?

2. Have you considered the risk of radiation weighed against the benefit of the diagnostic acumen of the study?"

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 84500 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

Proton–pump inhibitors to carry warning about C.

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 2–month–old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother's hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only.
2. HbsAg and HBeAg positive.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Yesterday’s Mind Teaser: A 40 year old male had undergone splenectomy 20 years ago. Peripheral blood smear examination would show the presence of:

1. Dohle bodies
2. Hypersegmented neutrophils.
3. Spherocytes.
4. Howell–Jolly bodies.

Answer for yesterday’s Mind Teaser: 4. Howell–Jolly bodies.

Correct answers received from: Tukaram Pagad, yogesh soni, DR AVTAR KRISHAN, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr.Bitaan Sen & Dr.Jayashree Sen

Answer for 18th January Mind Teaser: 4. Portal hypertension due to extrahepatic obstruction.

Correct answers received from: Dr Prakash Khalap

Send your answer to ijcp12@gmail.com

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medicolegal update

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medicolegal update
medicolegal update

This is how our children may end up learning the alphabets

A – Apple – B – Blackberry C – Chatting D – Download E – Email F – Facebook G – Google H – Hotmail I – iTunes J – Java K – Kaspersky L – Laptop M – Microsoft N – Nintendo O – Outlook P – Playstation Q – Quicktime R – RapidShare S – Skype T – Twitter U – USB V – Vista W – Wikipedia X – XP Y – YouTube Z – Zorpia

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A rape victim became pregnant.
Reaction: Oh my God! Why was emergency contraceptive not given to her?
Lesson: Make sure that all victims of rape are given an emergency contraceptive.

medicolegal update

Men talk of killing time, while time quietly kills them. Dion Boucicault

medicolegal update

Dr KK Aggarwal: First BP should be checked at age three http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: No matter how much it gets abused, the body can restore balance. The first rule is to stop interfering with nature http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, Thanks for the nice information. Regards: Dr Karan

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