eMedinewS 21st August 2013, Wednesday

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
www.facebook.com/Dr KKAggarwal

Origin of Raksha Bandhan

Raksha Bandhan is observed as a bond of protection and celebrates the relationship of brothers and sisters.  It is also called Rakhi Purnima. It is said that in the historical time the Rajputs Queens used to send Rakhi threads to the neighboring rulers as a token on brotherhood.

The festival grew in popularity after Rani Karnavati, the widow queen of Chittor sent a Rakhi to the Mugal Emporor Humayun when she required his help.  It is difficult to digest that Raksha Bandhan started in Mughal Era.  It had its presence in the Vedic times which is cleared from the fact that it is not observed on any fixed day but exactly 8 days before the Janmashtami.  If it would have been based on the Mugal Era, it would have been observed exactly the same day when Rakhi thread was sent to Humayun. The real fact is that the day and date of Raksha Bandhan changes every year, which means it has same Vedic logic.  Lust in today’s language is considered as one of the main cause of any disease and it can be for food, cigarette, alcohol, drugs or sex.  In Vedic Era, lust was synonymous with sex lust as cigarette was not there, alcohol was not a drink of kings, refined carbohydrates were not prevalent and drugs were also not prevalent. 

In Chaturmas which happens in Dakshinayan when the days are shorter than the nights, in Vedic literature, it has been mentioned that Chaturmas is a period when the desires are not fulfilled and there is turmoil of negativity in the mind.  That is the reason that most of the mind control exercise, rituals and festivals are observed in the month of Chaturmas.  Controlling of sexual lust is one such phase in Chaturmas which needs to be controlled.

Raksha Bandhan, Jagannath Yatra and Bhai Duj, all the three festivals which relate to the sacred relationship of brothers and sisters are observed in these four months only.  The protection of a female probably is meant not physical protection but from sexual assault protection.

Observance of Raksha Bandhan on Purnima again indicates that compared to Amavasya in Purnima, there is significantly more mental turmoil which needs to be controlled.  The time of Rakhi in the hands, just above the wrist, taking acupressure points into considerations coincides with the control of sexual area.  Observance of Janmashtami after 8 days of Raksha Bandhan again indicates that control of lust may take upto 8 days, once your mind is purified from the lust, you get in touch with your consciousness and which was the birth of Krishna, indicates the Union with the Consciousness.  

Cipro group of drugs may not be safe

The US Food and Drug Administration announced that fluoroquinolone antibiotics taken orally or by injection pose the risk for permanent peripheral neuropathy, a risk that will appear on updated labels for the drugs.

There are 6 FDA–approved fluoroquinolone drugs on the market: ciprofloxacin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, and ofloxacin. The topical fluoroquinolones, applied to the eyes or ears, are not known to have the risk for peripheral neuropathy.

A recent review of cases with the outcome of disability in the FDA Adverse Event Reporting System from January 1, 2003, and August 1, 2012, showed that the onset of peripheral neuropathy after the start of fluoroquinolone therapy was rapid, often within a few days, the FDA stated. Some patients who had stopped taking the drug continued to experience nerve damage symptoms for more than a year.

The agency advises clinicians to put patients receiving a fluoroquinolone drug on another class of antibiotics if they develop symptoms of peripheral neuropathy, unless the clinician believes the benefits of fluoroquinolone treatment outweigh the risks. (Medscape)

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 Rakshabandhan to Janmashtami

Rakhi is generally recognised as a celebration of a bond of love between brother and a sister. But how many of us have actually thought about what this tie entails?

Rakhi is synonymous with purity of the relationship and purity of the self and consequently of the soul. It is not merely a thread tied on the brother’s wrist by the sister whereby the brother pledges to protect her from any worldly harm. In a broader spectrum, it is a chance to free oneself from one’s internal enemies – the vices, especially the lust including the sexual one. A man is pulled down by his negative energies and Rakhi gives him a chance to retrospect and pull out of that dark side.

This multi coloured thread with multiple decorations and motifs is tied not necessarily only by one’s sister, but can be tied by any woman who shares a platonic relationship with a man. There is a complete absence of a physical relationship and has no age or space barriers between the two connected by this sacred thread. Simultaneously, it is absurd to think that a mere child or one who stays miles away would be able to offer protection to his ‘rakhi’ sister. The matter which is of prime importance here is the bond of spiritual love established between two individuals of the opposite sex.

Eight days after Rakhi we celebrate Janmashtami. The sacred thread tied during Raksha Bandhan connects us to Janmashtami, when we celebrate the birth of Lord Krishna. In this period of eight days between ‘Purnima’ and ‘Ashtami’ we get a chance of cleansing and purifying our soul and subsequently getting reborn again.

This seven-day period, symbolic of the time taken for creation of the world by God can be likened to a recreation of the self by us. This period is to be seen as a time for penance when all negativism is purged to achieve the level of pure spirit. Needless to say, all forms of ‘spiritual downers’ should be abstained from, so that a hindrance free communion with the soul is made possible. In fact an ideal gift to one’s sister can be the shedding of a strong vices in that person.

The message of Rakshabandhan is that of love and purity. We can see it as a thread tied on behalf of God to set us on Godly ways. The initial representation of Rakhi as a pledge to protect the sister and her right to be protected by the brother has gained wide propagation due to the fact that in Indian history and mythology there have been instances when this facet of tying a thread on a man’s wrist has been highlighted. Rani Padmavati sent a Rakhi to a Muslim king to ask for help when she was besieged by enemies. In the realm of the Gods, we have Indrani tying a Rakhi on Lord Indra. There is also the tradition of tying Rakhi by a Brahmin to a Yajman.

The connection between Rakshabandhan and Janmashtami is highlighted keeping in view the spiritual aspect of man’s life, which is the ladder that helps him to achieve oneness with God. ….Read More

cardiology news

Attain back your mental peace

When you were child you had a pure mind; the mind which was free from worries and anxieties. As the time passed, you were influenced by several social, personal, familial and official crises such as financial complications, broken relationship, lack of trust, joblessness, failure in business, loss of respect and so on. When the mind is stressful, the associated germs of negativity, jealousy and pessimism add fuel to fire and hence your pure mind becomes impure. These impurities if taken out can bring back the mental purity hence real spirit of joy of childhood can be attained up to an adequate level. Off course you cannot fix all of your problem at once but you can train your mind to develop the skills which can help either bypass or overcome the depressed and tragic situations so as to give you a big time relaxation while you focus on the solution to your problems. Below are some techniques which can be used to combat the peace stealing triggers:

Mind your own business. Yes, please mind your own business. When you start being concerned about things which are not related to you, you lose your grip on your thought process which often results in negativity disturbing the mental peace. Basically, your mind starts wandering here and there. As you know that a non–focused mind is evil’s workshop hence the germs of negativity and jealousy gain more strength. So next time an unnecessary thought comes to your mind, think whether this is really something you should be worrying for? If not, shun it right away and focus on something positive, practical and fruitful.

Surround yourself in positive people. Ignore negative comments and stay away from negative souls. When someone is negative, he spreads negativity and you get affected. Permanently staying with such people will have long term impact on your character so think about your company.

Don’t think about others too much. Remember the great quote: small minds discuss people; Average minds discuss events; Higher minds discuss ideas and Great minds act in silence. Don’t allow your brain to compare yourself to others as this is an insult to yourself. Don’t be Jealous; it’s a heart killing disease, get rid of it as soon as possible. When you are jealous you focus on finding faults in others even if they don't have. This poisons your soul and steals the mental peace.

You can’t keep everyone happy. Don't be over sensitive. Be natural and genuine in what you do. Be positive, constructive and ethical in your deeds and then don’t really care too much about others. Be aware, don’t apply this formula to too closed relations. Develop trust to establish powerful relationships.

Control your mood swings as it is an indication of unstable personality. Do it by not being over sensitive to others. Stop being reactive and implosive. Stay calm.

Ignore your thoughts about being unlucky. Bad luck happens to everyone. It’s not your fault at all. Time whether good or bad, passes quickly. Develop the power of not looking back into your past. Believe in the power of Now. Believe in your skills. Work hard and have faith in God; you will get what you have been entitled for. Be patient and see what God has planned for you. Patience and consistency in your deeds is the key to success.

Simplicity in your character and living style can overcome the stress and improve your happiness index. Don’t be socially sensitive and start following every single trend your social circle is following.

With these recommendations, I believe you can bring major changes in your life style hence attain back your mental peace. What are your recommendations in gaining mental peace? Read More

News Around The Globe

Lecture on "Health in Relation to Science of Mythology, Business and Leadership"

Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President, Heart Care Foundation of India, will be delivering a lecture on "Health in Relation to Science of Mythology, Business and Leadership" on 25th August, 2013, Sunday at 9.45 a.m. at Shanmukhananda Hall, Sion East, near Gandhi Market, Mumbai. The lecture is being organized by Indian Institute of Excellence and Consultancy.

In his talk, Dr. Aggarwal will focus on "Spiritual Principles to increase creativity and building leadership qualities".

Dr. KK Aggarwal is an internationally acclaimed motivational speaker who has done tremendous work in the field of integrating Vedic Sciences with Modern Medicine. He is also the Editor–in–Chief of IJCP Group of Publications and eMedinewS, the first national daily emedical newspaper of India, which reaches over 70000 doctors every day. He is also Vice President Elect of India Medical Association; Member, Ethics Committee, Medical Council of India and Past President, Ethical Committee, Delhi Medical Council.

He has authored a book ‘Alloveda’, which talks about integration of Vedic sciences and modern medicine. He also integrates and teaches Homoeopathy and Ayurveda in Allopathic Language.

In his lecture he will also talk about the concept that ‘Life is reversible in the first ten minutes after death when the heart has stopped’ and how the Rishis and Munis could revive a person even after hours of clinical death.

On behalf of Heart Care Foundation of India, we hereby invite you to his lecture in Mumbai.

MCI Elections

Medical Council of India election process is on. The last date for State and Government nomination is 30th August. Apart from that, every State Council and the University has been asked to elect their resctive members. It is very likely that the new MCI will be constituted by 10th November.

DMA Centenary Year

The Centenary Year of Delhi Medical Association starts.On 14th August, 2013, Delhi Medical Association Centenary Year started with flag hoisting and an official function was organized at Maulana Azad Medical College with the Chief Minister of Delhi Smt. Shiela Dikshit as the Chief Guest. Some of the hospitals were honoured with Centenary DMA Award for their contribution to the society. Many of the delegates objected to the selection and questioned why hospitals like Safdarjung, Ram Manohar Lohia, Railway, Army were not acknowledged. People do not realize that in the Centenary year, at least 100 institutions need to be honoured for their contribution in the city in the last 100 years. The same cannot be done in one function. A lot of functions are to be followed ending up in August 14, 2014. Any institution which has contributed to the medical profession will not be ignored by the time Centenary Year ends.

Face Recognition Test May Predict Early Dementia

Patients who were unable to name or recognize culturally–relevant and age appropriate famous faces may be at risk for various deficits in early–onset dementias, researchers found. (Source: Medpage today)

Coma Patients ‘Talk’ with Their Brains

Researchers said they established a primitive type of communication with two nonresponsive patients using functional MRI (fMRI) to measure their attention to certain words, serving as responses to questions.

Brain activity measured by fMRI in one patient with minimal consciousness and one in a persistent vegetative state demonstrated not only that they heard words spoken to them, but also could use their attention to the words to give "Yes" or "No" answers to questions about their names and location, according to Lorina Naci, PhD, and Adrian Owen, PhD, of Western University in London, Ontario. (Source: Medpage today)

High Normal PTH Still Poses Heart Risk

Even when they’re within the normal range, higher levels of parathyroid hormone (PTH) are associated with heart disease in older patients, researchers found.

In a cross–sectional population study, older patients in the highest quintile of normal serum PTH levels had a significantly higher risk of cardiovascular disease compared with those in the lowest quintile (OR 2.22, 95% CI 1.39–3.56), Elisabeth Eekhoff, PhD, of VU University Medical Center in Amsterdam, and colleagues reported online in the Journal of Clinical Endocrinology and Metabolism. (Source: Medpage today)

eMedinewS e–gifts to our readers

This is the age of smartphones. To improve usability and readability, eMedinewS has launched a mobile app of the newsletter for its readers. You can now also view eMedinewS on your smart phones or iPads.

The eMedinewS app is now available for free download. .

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Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

Rabies News (Dr. A K Gupta)

What are the precautions to be taken while administering RIGs?

  • Patient should not be on an empty stomach.
  • The RIGs vial taken out from the refrigerator should be kept outside for a few minutes to warm it to room/body temperature.
  • While infiltrating RIGs into the bite wound, care must be taken to avoid injecting into blood vessels and nerves.
  • While injecting into finger tips, care must be taken to avoid compartment syndrome.
  • All emergency drugs and facilities for managing any adverse reactions must be available.
  • For ERIG, keep the patient under observation for at least one hour after ERIG administration and then send home.
  • RIGs can be infiltrated even to already sutured wounds without disturbing the sutures.
cardiology news

Vitamin D No Help for High BP in Older Adults

Supplementation with high doses of oral cholecalciferol (or vitamin D3) every 3 months did not have a significant effect on blood pressure in older patients with isolated systolic hypertension, a small randomized trial showed.
At both 3 months and 1 year, there were no differences in office blood pressure between the supplementation and placebo groups, according to Miles Witham, PhD, of the University of Dundee in Scotland, and colleagues. (Source: Medpage today)

Valvular Heart Disease News

3D echo can quantify the diameter of the mitral anallus leaflet surface seathering distances and tenting volumes.

(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

Preterm Birth Tied to Smaller Right Ventricle

Preterm babies were more likely than term babies to have a smaller right ventricle and enlarged right ventricular mass, researchers found.

Compared with babies who were born at term, preterm birth was associated with small right ventricle (end diastolic volume 79.8 mL/m2 versus 88.5 mL/m2, P<0.001) and large right ventricular mass (24.5 g/m2 versus 20.3 g/m2, P<0.001), according to Paul Lesson, PhD, of the John Radcliffe Hospital in Oxford, and colleagues. (Source: Medpage today)

ADHD, TXTing: High–Risk Combo in Teen Drivers

Texting while driving compounded the effect of attention–deficit/hyperactivity disorder (ADHD) on how well teens did behind the wheel, an experiment showed. Typing a text message lowered performance for all teens in a driving simulation, doubling or tripling the risk of weaving across the line into oncoming traffic, for example, Jeffrey N. Epstein, PhD, of the Cincinnati Children’s Hospital Medical Center, and colleagues found. (Source: Medpage today)

cardiology news

White rice linked to diabetes in Asians

A previous study of Chinese American mothers and their children by Chen (published in June 2009 issue of the Journal of Immigrant and Minority Health) found that high household income was associated with higher consumption of fat and sweets on the part of the mother, and a high level of maternal acculturation was associated with a low body mass index among children.

In a recent study, Emily A Hu and colleagues reports that high levels of rice consumption were associated with an increased risk for type 2 diabetes among Asian, but not Western, populations. The analysis of data from 4 studies, including 7 prospective cohort analyses in Asian (China and Japan) and Western (Australia and US) populations, was published March 15 in the British Medical Journal by Hu from the Dept. of Nutrition, Harvard School of Public Health, Boston, Massachusetts.

Using summary data from these studies, the authors conclude that the pooled relative risk for type 2 diabetes associated with highest vs lowest white rice intake was 1.55 (95% confidence interval (CI), 1.20 – 2.01) among Asian populations and 1.12 (95% CI, 0.94 – 1.33) in Western populations. The researchers conclude, "for each serving per day increment of white rice intake, the relative risk of type 2 diabetes was 1.11 ((95% CI,) 1.08–1.14) (P for linear trend<0.001)."

cardiology news

HCFI Activities

19th August: Pooja Movie Creations State Excellence Award at Arya Auditorium, New Delhi

CPR Classes: Persons trained (2050)

14th August: CPR 10 at Modern School, Noida (2000)

17th August: CPR 10 at Moolchand (37)

18th August: CPR 10 at Moolchand (13)

Total CPR since 1st November 2012 – 61766 trained

14th August: CPR 10 at Modern School, Noida (2000)

CPR Classes 61766

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Heart risks detected by age 7 in overweight kids 19th August

NETLOG, FREEPRESS RELEASE, PRLOG, FREEPRESSINDEX , AFRICANNEWSWIRE

Raw milk not safe

One should not consume raw milk said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela.

As per a report published in the Morbidity and Mortality Weekly Report, a publication of the U.S. Centers for Disease Control and Prevention one should not consume raw (unpasteurized) milk or raw milk products because of the risk of E. Coli O157:H7 and other infections.

In September 2006, the California Department of Public Health was notified that two children had been hospitalized with hemolytic uremic syndrome, one of the most common causes of sudden, short–term kidney failure in children. Both children had consumed raw milk in the week before they became ill. One of the children was confirmed to have E. coli O157:H7 infection.

In the following three weeks, four more cases of E. coli O157:H7 infection were identified in children who’d consumed raw cow milk or raw cow colostrum produced by the same dairy.

From 1998 to May 2005, raw milk or raw milk products have been implicated in 45 food–borne illness outbreaks that resulted in more than 1,000 cases of illness in the United States.

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 61766 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 1010 i.e. 100 per minute."

today emedipics

Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India in a lecture at Pooja Movie Creations event organized at Arya Auditorium on 19th August 2013.

press release

Communication skills for Health care Professionals

today video of the dayDr KK Aggarwal on Sleeping Disorder

One more life saved from CPR 10

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

The best management of the recalled fidel is ICD lead is:

a.urgent removal electively
b.removal for lead failure
c.revoval at the time of generator change

Yesterday’s Mind Teaser: Bleeding complications of device implantation are highest during therapy with:

a. Dual antiplatelet therapy
b. Heparin
c. Warfarin
d. Aspirin

Answer for yesterday’s Mind Teaser: b. Heparin

Correct answers received from: Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, DR Chandresh Jardosh, Dr.K.Raju, DR AVTAR KRISHAN, Dr Kanta Jain, DR SANTHAKUMARI

Answer for 19th August Mind Teaser: a. The CRUSADE bleeding risk score

Correct answers received from: Dr Pankaj Agarwal, Dr.K.V.Sarma, Tukaram Pagad, DR SANTHAKUMARI

Send your answer to ijcp12@gmail.com




medicolegal update

Click on the image to enlarge

medicolegal update

And that’s How you Bargain for your Wife

A husband of beautiful wife phones a dentist to enquire about the cost for a tooth extraction.
"Rs850 for an extraction, sir" the dentist replied.
"Rs850!!! Don’t you have anything cheaper?"
"That’s the normal charge," said the dentist.
"What about if you just don’t use any anaesthetic?"
"That’s unusual, sir, but I could do it and knock Rs150 off.
"What about if you just use one of your dentist trainees and still without anaesthetic?"
"I can’t guarantee their professionalism and it’ll be painful. But the price could drop to Rs400".
"How about if you make it a training’ session, and one of your students do the extraction while the other students watch and learn?"
"It’ll be good for the students", mulled the dentist. "and it’s going to be very traumatic, but I’ll charge you Rs50.
"Now you talking ! It’s a deal," said the Husband "Can I confirm an appointment for my wife for tomorrow then?"

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with human bite developed infection in the wound.
Reaction: Oh my God! why were antibiotics not started in time?
Lesson: Make sure all patients with human bite are put early on amoxicillin–clavulanic group of antibiotics.

medicolegal update

Three Rules of Work: Out of clutter find simplicity; From discord find harmony; In the middle of difficulty lies opportunity. Albert Einstein

medicolegal update

Dr KK Aggarwal: Heart risks detected by age 7 in overweight kids http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Love in action can create miracles. http://tinyurl.com/kqlhghj

medicolegal update

Dear Sir, I enjoy reading eMedinewS. Regards: Dr Misha

Forthcoming Events

29thSeptember–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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medicolegal update


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