eMedinewS20th March 2014,Thursday

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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Marriage: Good for the Heart?

Middle–age women living with a spouse or partner carried a lower risk of dying from ischemic heart disease compared with those living alone a large British study showed. Through an average of about 9 years of follow–up, 0.24% of the partnered women and 0.50% of the un–partnered women died from ischemic heart disease, according to Sarah Floud, PhD, of the University of Oxford in England, and colleagues. After taking into account socioeconomic status, lifestyle, and other risk factors, that worked out to a relative 28% lower risk of succumbing to heart disease (relative risk 0.72, 95% CI 0.66–0.80), as reported online in BMC Medicine. (MedPage)

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Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

Safe Drugs-Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show2
Potbelly Obesity–Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show1
Vitamin D Health Wealth
Pneumonia–Health Wealth Zee News Show
Sudden Cardiac Death
Depression
Can Alcohol be Prescribed as Medicine
Health Wealth: All about Paralysis

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."

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

What is the importance of life force?

sprritual blog

A physical body becomes useless once the life force is gone. The same body, which was lovable to everyone, becomes a liability after death. Everyone wants to dispose it as early as possible as keeping a dead body at home is considered a bad omen.

During the transfer of dead body from one place to another nobody wants to keep the body in a vehicle other than a hearse van, meant to transport dead bodies. No family would be willing to carry the dead body of a person in a car in which the deceased person had been traveling or driving for years.

May be for any reason, health or rituals, once you touch a dead body you are required to take a bath before you commence your daily routine.

Within a matter of hours in absence of life force, the physical body starts disintegrating and in a matter of days, it shows signs of self–destruction and putrefaction.

This vital force is nothing but the soul, aatma, brahma, spirit or consciousness described in different Vedic texts.

Aadi Shankaracharya in his book Bhaja Govindam shloka 6 says:

yávat–pavano nivasati dehe
távat–pøcchati kuùalam gehe,
gatavati váyau dehápáye
bháryá bibhyati tasmin káye.(6)

"Till the life force remains in the body, people come and enquire about your welfare. But, the moment the life force goes out, even your wife is afraid of coming anywhere near your body".

Life force can be equated to the network of information in computer, radio, television or mobile phone. All these gazettes without a data are useless and are thrown away. This silent data retrievable by operational and application software represent the life force or soul of these electronic gadgets.

Shankara says that as one does not give importance to a computer without data one should not give importance to the physical body. It is the life force within the body which is respected and cared for and that is what real "I" or "We" are. All glories of the body are only until the life force remains in it. In Bhagavad–Gita, Lord Krishna in Chapter 2 (2.23) says about this life force or ataman “fire cannot burn it, weapon cannot cut it, water cannot wet it, air cannot dry it, it is immortal".

The most defined relationship in Vedic text is between husband and wife. The very fact even a wife after death does not want to touch the husband signifies the importance of life force.

The life force has no dimensions: height, weight, color or image. It is immortal, omnipotent, omniscient and omnipresent. The weight of a live and a dead body immediately after the death is the same.

It is the same life force, which dwells in everybody and during life is modified by the action, memory and desire cycle. If one gets attached to any of the three, then one starts getting detached from the soul or the life force. People who are in touch with their life force all the time attain peace and happiness and die young in old age.

Most Vedic mahavakyas talk about, that it is the same spirit, which dwells in everybody and hence every person in the society should be welcomed and treated with equal importance. Ahambrahmasami, tatwamasi, vasudeva kutumbakam, etc. are a few of the examples.

According to Aadi Shankara, one can achieve non-duality only by seeing God in everyone. Athithi–devo–bhava is also based on the same principle.

cardiology news

The Greatest Gift is LOVE

A woman came out of her house and saw three old men with long white beards sitting in her front yard. She did not recognize them.

She said, "I don’t think I know you, but you must be hungry. Please come in and have something to eat." "Is the man of the house home?" they asked. "No", she said. "He’s out." "Then we cannot come in", they replied. In the evening when her husband came home, she told him what had happened. "Go tell them I am home and invite them in!" The woman went out and invited the men in. “We do not go into a House together," they replied.

"Why is that?" she wanted to know. One of the old men explained: "His name is Wealth," he said pointing to one of his friends, and said pointing to another one, "He is Success, and I am Love." Then he added, "Now go in and discuss with your husband which one of us you want in your home."

The woman went in and told her husband what was said. Her husband was overjoyed. "How nice!!" he said. "Since that is the case, let us invite Wealth. Let him come and fill our home with wealth!" His wife disagreed. "My dear, why don&rst we invite Success?"

Their daughter–in–law was listening from the other corner of the house. She jumped in with her own suggestion: "Would it not be better to invite Love? Our home will then be filled with love!" "Let us heed our daughter–in–law’s advice," said the husband to his wife. "Go out and invite Love to be our guest."

The woman went out and asked the 3 old men, "Which one of you is Love? Please come in and be our guest." Love got up and started walking toward the house. The other 2 also got up and followed him. Surprised, the lady asked Wealth and Success: "I only invited Love, Why are you coming in?"

The old men replied together: "If you had invited Wealth or Success, the other two of us would’ve stayed out, but since you invited Love, wherever He goes, we go with him. Wherever there is Love, there is also Wealth and Success!"

News Around The Globe

  • Lu Qi, Assistant Professor at the Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts, recently noted in a study that genetic susceptibility to obesity promotes the adverse effects of eating fried foods. Therefore, there is a need to curb the consumption of fried foods among those genetically susceptible to develop obesity. The study included 37,000 participants and is published online in BMJ.
  • Twelve–year data from Australia and New Zealand reveals that the mortality rate from severe sepsis has decreased by 16.7%. The study is published online March 18 in JAMA. Data were accumulated from January 1, 2000 to December 31, 2012. The absolute mortality from severe sepsis was noted to decrease from 35.0% to 18.4%, with an average annual decrease of 1.3% and a relative risk reduction of 47.5%.
  • Hospitalization for critical illness has been shown to be a significant risk factor for new–onset psychiatric illness and need for psychoactive medications following discharge, reports a population–based cohort study published in the March 19 issue of JAMA. The study included 24,179 critically ill adults needing mechanical ventilation who were compared with matched hospital patients and matched healthy individuals from the general population. Critically ill patients had increased odds of having a prior psychiatric diagnosis than both comparison cohorts and were more likely to have received psychoactive medications than the general population cohort.
  • Two recent studies have demonstrated oxytocin to be of great help in the treatment of anorexia nervosa. Oxytocin was seen to reduce patients’ unconscious tendencies to focus on food, body shape, and negative emotions. During the course of the study, anorexia nervosa patients exhibited significant reductions in the attention given towards eating–related stimuli and toward negative body shape stimuli when administered oxytocin. The studies were published in Psychoneuroendocrinology and PLoS One on March 13 and March 6, respectively.
  • Instead of fever, dengue illness may present as loss of appetite and weakness only in the elderly, reports a novel research. It was noted at a clinic in Belize that among the 10 elderly patients diagnosed with dengue fever, the most common complaints were appetite loss and weakness. The findings were published February 6 online in the journal Tropical Doctor.

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)

What is IM pre–exposure vaccination schedule?

The regimen is three IM injections on days 0, 7 and 28.

cardiology news

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

  • The American Academy of Pediatrics (AAP), as part of its Choosing Wisely initiative, has released its second list of common tests and treatments in order to avoid the use of antibiotics for viral respiratory illnesses and the use of unnecessary CT scans. The novel recommendations include:
    • Avoidance of high–dose dexamethasone (0.5mg/kg per day) for the prevention or treatment of bronchopulmonary dysplasia in preterm infants
    • Avoidance of screening panels for food allergies without previous consideration of medical history
    • Avoidance of acid blockers and motility agents for physiologic gastroesophageal reflux
    • Avoidance of surveillance cultures for the screening and treatment of asymptomatic bacteriuria
    • Avoidance of infant home apnea monitors routinely to prevent Sudden Infant Death Syndrome
  • A study published online March 17 in Pediatrics states that teenagers who happen to be in cars with impaired drivers are more likely themselves to drive drunk or drugged. The more times they are driven around by an impaired driver, the more risky their own driving habits become. The study surveyed 2500 U.S. students each year between 10th and 12th grades and reported that 12–14% of students each year reported impaired driving in the past month while 23–38% reported riding in cars with drunk or drugged drivers within the past year.
cardiology news

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

  • In the postmarket COMPASS 2 trial, bosentan failed to reduce time to first morbidity or mortality compared with placebo for patients with pulmonary arterial hypertension. In all, 334 patients were randomized to receive either bosentan or placebo on top of sildenafil treatment. It was however stated by the makers of bosentan that while the study did not meet its primary end point, an exploratory analysis still suggested that patients taking bosentan on top of sildenafil showed an improvement of 21.8 m in 6–m–walk distance at week 16.
  • A novel study published March 17, 2014 in CMAJ reports that among younger adults presenting to the emergency department with acute coronary syndrome (ACS), women are less likely to receive timely ECGs and timely reperfusion therapy with fibrinolysis in comparison to men. The same gender bias was noted in case of patients presenting with ST–segment elevation MI (STEMI). Of note, only one–third of women received fibrinolysis within the recommend 30–minute window compared to 59% men.
cardiology news

Food poisoning with rice dishes

Staph and Bacillus cereus can cause acute food poisoning within 6 hours of ingestion of food. B. cereus is likely when rice is the culprit

  • B. cereus is able to persist in food processing environments due to its ability to survive at extreme temperatures as well as its ability to form biofilms and spores.
  • B. cereus has been recovered from a wide range of foods, including rice, dairy products, spices, bean sprouts and other vegetables.
  • Fried rice is an important cause of emetic–type food poisoning associated with B. cereus
  • The organism is frequently present in uncooked rice, and heat–resistant spores may survive cooking.
  • Cooked rice subsequently at room temperature can allow vegetative forms to multiply, and the heat–stable toxin that is produced can survive brief heating such as stir frying
  • Two distinct types of toxin–mediated food poisoning are caused by B. cereus, characterized by either diarrhea or vomiting, depending on which toxin is involved. The diarrheal toxin is produced by vegetative cells in the small intestine after ingestion of either bacilli or spores. The emetic toxin is ingested directly from contaminated food. Both toxins cause disease within 24 hours of ingestion.
  • The emetic syndrome is caused by direct ingestion of the toxin.
  • The number of viable spores and vegetative bacteria that produce diarrheal toxin is reduced by heating, although spores associated with emetic toxin are capable of surviving heat processing.
  • Cereulide is heat stable and resistant to gastric conditions.
  • The ingested toxin itself may therefore cause disease despite sufficient heating to kill B cereus.
  • The emetic syndrome is characterized by abdominal cramps, nausea, and vomiting. Diarrhea also occurs in about one–third of individuals. Symptom onset is usually within one to five hours of ingestion, but it can also occur within half an hour and up to six hours after ingestion of contaminated food.
  • Symptoms usually resolve in 6 to 24 hours.
  • Rice-based dishes in particular have been implicated in emetic toxin mediated disease, usually as a result of cooling fried rice dishes overnight at room temperature followed by reheating the next day.
  • The infective dose of cereulide required to cause symptoms is 8 to 10 micrograms per kilogram of body weight.
cardiology news

Total CPR since 1st November 2012 – 88972 trained

Media advocacy through Web Media

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press release

Promotion of hygiene as important as deworming tablet

According to a study published in the February 2013 issue of the journal PLoS Neglected Tropical Diseases, it is just not enough to give children deworming tablets to reduce worm infestations. It is also important to improve hygiene and sanitation.

Elaborating on this, Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association said that deworming agents can easily treat intestinal worms. Reinfection is common because of lack of adequate hygiene and sanitation to control re–exposure. Also, at times, the human body may not be capable of developing a protective response against re–infection by the intestinal worms.

According to the study, if infection persists, deworming agents should be given to children every year till hygiene and sanitation are improved so that re–infection does not occur.

The common intestinal worms are roundworms and hookworms. These are transmitted via contaminated soil.

Worm infestations impair the physical growth of children and affect their mental development. They also cause anemia, diarrhea and pain in abdomen.

All the common worm infections in school–age children can be treated effectively with deworming agents such as albendazole, mebendazole, which can be given as a single tablet to all children.

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 88972 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."

emedipicstoday emedipics

CPR–10 Training Camp at Press Club–8th March 2014

press release

Weight loss may improve sexual health of obese diabetes

vedio of day

today video of the dayPadma Shri & Dr B C Roy National Awardee,Dr KK Aggarwal on Tackling tension headaches

Hands only CPR 10 Utsav, 15th December 2013

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

eMedi Quiz

A 30–year–old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1. Medial rectus and superior division of oculomotor nerve.
2. Inferior oblique and inferior division of oculomotor nerve.
3. Lateral rectus and abducent nerve.
4. Superior rectus and trochlear nerve.

Yesterday’s Mind Teaser: A lesion of ventrolateral part of spinal cord will lead to loss (below the level of lesion) of:

1. Pain sensation on the ipsilateral side.
2. Proprioception on the contralateral side.
3. Pain sensation on the contralateral side.
4. Proprioception on the ipsilateral side.

Answer for yesterday’s Mind Teaser: 3.Pain sensation on the contralateral side.

Correct answers received from: Arvind Gajjar, Dr P C Das, Tukaram Pagad, Dr Tahmina S., Dr Valluri Ramarao, Dr U Gaur.

Answer for 18th March Mind Teaser: 2.Hypovolemia.

Correct answers received from: Dr U Gaur, Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

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medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

During their silver anniversary, a wife reminded her husband: Do you remember when you proposed to me, I was so overwhelmed that I didn’t talk for an hour?" The hubby replied: "Yes, honey, that was the happiest hour of my life."

Q: What’s the difference between an intelligent man and a UFO?
A: Don’t know, haven’t seen any.

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient on ACE inhibitor developed angioedema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

medicolegal update

It is wise to direct your anger towards problems – not people; to focus your energies on answers – not excuses. William Ward

medicolegal update

Dr KK Aggarwal: Give your child deworming now By Dr k k Aggarwal http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: #Science is a creation of the mind in order to understand reality. The mind itself is an expression of consciousness http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, Very informative news. Regards: Dr Jatin.

Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

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