eMedinewS21th October 2013, Monday

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

How to Cut back on added sugar

Many of the "healthy" foods you eat contain sugar like energy bars, fruit, flavored yogurt. Step one is to read labels carefully and opt for products that are lower in sugar.

The American Heart Association recommends keeping calories from added sugars under 100 calories a day (24 grams, or 6 teaspoons) for women and under 150 calories (36 grams, or 9 teaspoons) for men.

Giving up juices and soft drinks can be tough, but here are few ways to get started:

  • Make your own. Start with plain sparkling water or tap water. Add a flavoring that strikes your fancy. Here are a few options: an ounce or two of 100% fruit juice; a slice of lemon, lime, orange, or grapefruit; a sprig of fresh mint; a few raspberries.
  • No frills coffee and tea. A small dash of sugar or artificial sweetener and milk is okay, but go easy on the extras like flavored syrups and whipped cream.
  • Transition to "diet" beverages. Sugar–free sodas and other soft drinks can help you transition away from sugar–sweetened beverages. (HealthBeat)

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

You Cannot Hate Strangers

sprritual blog

You can only hate somebody to whom you have loved. Hatred, therefore, is withdrawal of love.

Love is opposite of fear and not hate. Most of us assume that love and hatred are opposite to each other but hatred is withdrawal of love and manifestation of fear and not it’s opposite.

In spirituality, you cannot have love and fear together. Love means being in touch with your consciousness. Love is total absence of fear.

As per mythology, there are only two emotions and they are emotions of love and emotions of fear. All other emotions are their sub–categories. For example, love can be categorized into joy, peacefulness, happiness, forgiveness and fear, on the other hand, can give rise to hatred, depression, guilt, inadequacy, discontentment, prejudice, anger etc.

In Ayurveda, fear is linked with Vata disorder, Pitta with anger and Kapha with attachment and possessiveness.

Again, as per As per Ayurveda, fear is linked with large intestine, pitta with small intestine and kapha with stomach and upper GI systems.

Fear in Vedic sciences is linked with Mooldhara Chakra, the first chakra with the sound LUM and love is linked to the Heart, the fourth Heart Anhata Chakra with its sound Yum. In terms of Vedic sciences, in Chakra meditation, Mooldhara chakra has the opposite characteristics of Anhata or Heart Chakra. Therefore, the sounds LUM and YUM are often chanted together.

Fear or love have different chemistry. Fear is based on adrenaline and love is based on endorphins. Fear is related to adrenaline based fight and flight.

The most important fear in body is fear of death. If that fear goes, one attains spirituality.

In Sikh prayer "Ik Onkaar Sat Naam Kartaa Purakh Nirbh–a–o Nirvair Akaal Moorat Ajoonee Saibhn Gur Parsaad Jap………7h 7h "

‘Nirbhay’ means free of fear. Once one is in touch with consciousness the fear goes away.

When there is fear, there is no love and when there is no love, there is fear. Fear and love cannot be experienced at the same time.

cardiology news

Laughing Buddha

In actuality he was named Hotei or Pu–Tai is best known as the jolly Laughing Buddha. In China, he is known as the Loving or Friendly One. He is based on an eccentric Chinese Ch’an (Zen) monk who lived over 1,000 years ago and has become a significant part of Buddhist and Shinto culture. Because of this monk’s benevolent nature, he came to be regarded as an incarnation of the Bodhisattva who will be Maitreya (the Future Buddha). His large protruding stomach and jolly smile have given him the common designation "Laughing Buddha."

He was truly a great Zen master and legend has a great story which is so inspirational for all of us.

The jolly good saint that he was used to go from one place to the other. He went to the Town Square and soon people gathered around him. He was so funny looking and always smiling that people used to crowd around him. He would then distribute sweets and small toys to all children who had gathered around him. Then keep his bag down, look to the sky and just start laughing. He used to laugh madly and he was not interested whether other laughed or not. Soon his laughter used to be contagious and all who had gathered would start to laugh.

The whole town used to laugh and laugh. After sometime he would pick the bag, which he had kept down, smile to all, and go to the next town. All his life he did only this action and it was said that many people attained Nirvana, enlightenment just through this process. Hence he was called as the laughing Buddha because Buddha is someone who is enlightened and laughter was his unique method. Never before him or never after him such a simple aspect was used to achieve what all humans strive for – moksha or enlightenment.

He would rarely speak and once when he was asked to describe his method he told, that he gave sweets to children to symbolically that the more you give, the more comes to you. Thereby, he unveiled the secret of "Giving with joy". Children are said to be GOD because they represent the GOD Nature, which is always, be in Present time, smiling and joyful, ego less, and most important is without judge mental mind.

The bag represented problems that all humans encounter. We are mistaken that when we have problems, that GOD only gave you a problem and the rest are so happy. The problems appear big because we are associated with it– calling it as "My Problem". Look at a funny phenomenon, if anyone comes to you with any problem of theirs and seek solutions or advice, what you do. You tell them so many solutions so easily as though you are an expert in all the fields in the Universe. However big the others problems are you can solve it so easily, you are a master solver of problems. But then what happens to your own problems. Hmm Hmm it is impossible to find any solution.

This happens only because of your attachment and association with the problem. So laughing Buddha said, simple keep your problem down (symbolically keeping the bag down) means "Disassociate with your Problem", "Separate form it" and yes just Laugh. What else can one do? Think and thank GOD that you only have such a small problem as compared to so many others. Whether you laugh or cry the problem is going to be there right. So why not laugh at it. Therein is the magic and mind you no small magic, it is huge, apply it to realize about the power of laughter.

On laughing your whole internal chemistry changes and thereby the body produces certain enzymes that are only released in a state of laughter. The problem now looks too tiny and as you pick it (symbolically he picks back the bag before going to the next place) the problem is solved.

Such a great Zen master was Hotei or Laughing Buddha. So next time you look at the statue of "laughing Buddha" associate with that great teaching he gave all of us, the power of laughter. Each time you see the Laughing Buddha and if it reminds you to laugh, a great work has been done.

Whole life Hotei lived in Laughter. And when the time came to pass away, he knew he had to give up his life at an appropriate time. He called his disciples and said that after he passes away, they should immediately burn his body. The disciples were surprised because there was no tradition of burning in Zen. But they followed the master wishes. And as they lit fire to his body, "Fire Works and Crackers" started flying all over.

Hotei was so great that just before he died he hid a lot of crackers and rockets in his clothes. So there also he created such laughter by the suddenness of the situation. So Hotei not only lived in laughter all through his life, he also died in laughter.

Let us all learn from the great Zen master that "It is our birth right to laugh" and "No matter what happens we should come back to laughter".

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

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


Higher Kidney Risks Associated with Moderate and Severe Psoriasis

A study involving more than 800,000 people, recently published in BMJ, reports that people with severe psoriasis are at nearly twice the risk of developing chronic kidney disease (CKD) as those without. According to Andy Robertson, PhD, Chief Scientific and Medical Officer, National Psoriasis Foundation, there is a need for increased vigilance for CKD among clinicians treating psoriasis patients. The physician-maintained medical records of The Health Improvement Network (THIN) was used by Joy Wan, MD, Resident Physician, Department of Dermatology, University of Pennsylvania, Philadelphia, and colleagues to compare patients, between 18 and 90 years, with and without psoriasis. The study included 142,883 patients with psoriasis, 7354 patients with severe psoriasis, and 689,702 patients without psoriasis and the disease severity was identified by the method of treatment.

As a result, the overall adjusted hazard ratio for CKD among patients with mild, moderate, or severe psoriasis was 1.05. The increased relative risk was unaffected when patients treated with methotrexate or cyclosporine were eliminated from the analyses. Psoriasis should thus be considered a systemic disease and not a skin disease.

(Source: MedScape)

ODYSSEY MONO Reports PCSK9 Inhibitor to Be More Effective than Ezetimibe in Decreasing LDL Level

According to Sanofi and Regeneron, the ODYSSEY MONO trial, which is a 24–week, phase 3 study including 103 patients, showed that the monoclonal antibody targeting PCSK9, known as alirocumab, significantly reduced the low–density lipoprotein (LDL) cholesterol levels when compared with ezetimibe (Zetia, Merck/Schering–Plough) in patients with hypercholesterolemia. The mean reduction in LDL cholesterol for patients treated with alirocumab was 47.2% whereas a 15.6% reduction was noted for patients treated with ezetimibe 10 mg.

As a result of the treatment, 78.4% in the ezetimibe group and 69.2% in the alirocumab had side effects. The most common adverse events reported with alirocumab were infections such as nasopharyngitis, influenza, and upper respiratory tract infections. The patients were treated with 75 mg of alirocumab subcutaneously every two weeks, and the dose was increased at week 12 to 150 mg every two weeks if the measurement of LDL cholesterol at week 8 was more than 70 mg/dL. According to the companies, the majority of patients treated remained on the low dose. (Source: MedScape)

Children with Visits to the Doctor Get More Flu Vaccinations

A new study by Evgeniya Antonova, PhD, Senior Manager, MedImmune, Inc., and her team has revealed that children who have recently visited their doctor are more likely to be vaccinated against influenza. They mention that even though the US Advisory Committee on Immunization Practices recommends that all children be vaccinated against influenza, the rate of pediatric vaccination is low.

The team analyzed vaccinations in patients insured by Blue Cross Blue Shield from the 2007–08 to the 2011–12 flu seasons. The number of children in the database who were eligible for vaccination fluctuated from one season to the next, but ranged from 1,277,502 to 2,363,087. Over five influenza seasons, vaccination rates declined as the age of the children increased. (Source: MedScape)

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Rabies News (Dr. A K Gupta)

Can RIGs be safely injected into already infected animal bite wounds?

RIGs can be safely injected into already infected animal bite wounds following proper wound cleansing and administration of appropriate antibiotics.

cardiology news

CE Mark Certification Granted to Tiny Leadless Pacemaker

St Jude Medical, a global medical device company located in Minnesota, United States, announced that leadless pacemaker (developed by Nanostim, Inc.), an intracardiac device, first of its type, has been given CE Mark approval for sale in Europe. This pacemaker is a tiny cylinder that resembles an AAA battery having an average battery life span of 8.5 years with 100% pacing. It is inserted within the right ventricle via the femoral vein using a steerable catheter and is designed to be entirely retrievable. (Source: MedScape)

cardiology news

Autistic Traits Often Found in Children with ADHD

New research has suggested that children with attention–deficit hyperactivity disorder (ADHD) often have comorbid autistic traits (ATs). These traits cause social difficulties for them. This study was presented at the 26th European College of Neuropsychopharmacology (ECNP) Congress. The study was performed on 469 children that showed that those having ADHD also had ATs; the number was more than their peers without ADHD. In addition, those having both ADHD and ATs had significantly more psychopathological, neuropsychological, and interpersonal deficits, and more emotional dysregulation.

The principal investigator, Joseph Biederman, MD, Clinical and Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston, and Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts, reports that this ability to recognize impairment related to traits of autism in children with ADHD will help research to identify biomarkers, neurobiological and genetic, and the environmental factors associated with this potentially distinct subtype of ADHD. (Source: MedScape)

cardiology news

Smoking Can Cause Erectile Dysfunction

One reason for a man or a woman not to smoke is that a man is likely to end up with erectile dysfunction and the woman with premature aging with wrinkles on face

It has been shown that men who smoke more than 20 cigarettes a day have 60% higher risk of erectile dysfunction as compared to those who never smoke. Fifteen percent of past and present smokers experience erectile dysfunction. Men, who are current smokers or are former smokers, are 30% more likely to suffer from erectile dysfunction. Among men who never smoke, only 12% end up with erectile dysfunction.

Smoking increases the risk of erectile dysfunction by more than 50% in men in the 30–40 year age group. Diabetes, high blood pressure and high cholesterol are other important risk factors for erectile dysfunction.

Apart from erectile dysfunction, smoking also causes reduced volume of ejaculation, low sperm count, sperm shape etc.

In women, smoking leads to premature aging with formation of wrinkles on the face.

cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping
sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

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


Perfect Health Mela campaign in Delhi Zoo

As part of 20th MTNL Prefect Health Mela celebrations a special lifestyle prevention campaign was organsied on Sunday at the premises of Delhi Zoo.

100s of health care activists participated in three hours long play card based journey in the premises of Delhi Zoo led by Padma Shri and Dr B C Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India.

Commenting on the event, Dr Aggarwal said that animals do not get heart attack because they live in accordance with the laws of nature.

Dr Aggarwal said that wild animal eat only red meat and yet do not get heart attack gives us a message that eating non–veg is only bad if we do not exercise. Following play cards created awareness about healthy life:

  1. Eat seasonal and locally grown fruits and vegetables.
  2. Seasonal and locally grown fruits and vegetables are the cheapest in the morning.
  3. As per Ayurveda one can be a dear personality or lion personality or elephant personality. People with elephant personality are not obese but they are structurally heavy.
  4. Even pets can transmit infections to people.
  5. Scrub typhus is a mite born infectious disease. The disease typically crosses 7 to 10 days after the bite of an infected chigger and small rodents.
  6. Eating uncooked or partially cooked meat can cause many diseases including hydatid cyst and tape worm disease.
  7. One cannot get bird flu by eating birds or chicken.
  8. Pets should be fed high quality food and should not be allowed to eat garb or hunt. They should not be allowed to drink non–potable water.
  9. Everyone should wash ones hands after contacting their bets or cleaning their cages. Pets should be immunized as per standard recommendation.
  10. Rabies prophylaxis a rarely indicated by rodent bites.
  11. Lizards can transmit salmonella infection.
  12. Lizard accidently cooked in a marriage food may not cause infections.

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

As part of 20th MTNL Prefect Health Mela celebrations a special lifestyle prevention campaign was organized on Sunday at the premises of Delhi Zoo.

press release

New CPR Guideliness

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

Dr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

eMedi Quiz

Read this…………………

All of the following are examples of traction epiphysis, except:

1.Mastoid process.
2.Tubercles of Humerus.
3.Trochanters of femur.
4.Condyles of tibia.

Yesterday’s Mind Teaser: The nerve commonly damaged during McBurney’s incision is:

3.11th Thoracic.
4.10th thoracic.

Answer for yesterday’s Mind Teaser: 2.Iliohypogastric.

Correct answers received from: Dr. V.P. Thakral, Dr.A.K.GAJJAR, Dr shashi saini, Dr.(Maj. Gen.) Anil Bairaria, Dr.K.Raju, Dr.K.V.Sarma, DR B K AGARWAL, Dr Jainendra Upadhyay, Dr Jainendra Upadhyay, Dr Chandresh Jardosh

Answer for 19th October Mind Teaser: 4.Pre–existing neurological deficits.

Correct answers received from: DR AVTAR KRISHAN, Muthumperumal Thirumalpillai, Dr Kanta jain, Dr Arpan Gandhi

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Seen on a famous beauty parlour in Bombay:

Don’t whistle at the girl going out from here. She may be your grandmother!

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A 62–year–old diabetic with coronary artery disease, on treatment for the same, came for follow up.
Reaction: Oh My God! Why didn’t you put him on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

medicolegal update

Sunbeams out of the clouds. Faith out of all my doubt. Terri Guillemets

medicolegal update

Dr KK Aggarwal: Eating refined sugar can cause diabetes http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Why do you stay in prison When the door is so wide open –Rumi

medicolegal update

Dear Sir, emedinews is very informative. Regrds: Dr Tarun

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