eMedinewS23rd December 2013, 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);
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Dear Colleague Watch my first show on Zee News @ Health Wealth: All about Paralysis

World’s first artificial heart transplant in France

For the first time, an artificial heart that may give patients up to five years of extra life has been successfully implanted in a 75-year-old French man, reports PTI. The artificial heart, designed by French biomedical firm Carmat, is powered by Lithium-ion batteries that can be worn externally.

The heart that was put into the patient at Georges Pompidou Hospital in Paris uses a range of "bio-materials", including bovine tissue, to reduce the likelihood of the body rejecting it, ‘The Telegraph’ reported. The device is developed by Dutch-based European Aeronautic Defence and Space Company.

The heart weighs as little as less than a Kg. The device mimics heart muscle contractions and contains sensors that adapt the blood flow to the patient’s moves.

The heart surfaces that come into contact with human blood are made partly from bovine tissue and not plastic, which can cause blood clots.

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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Ringtone – CPR 10 Mantra Hindi
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What do you mean by ‘food is Brahman’?

sprritual blog

‘Food is Brahman’ is a Vedic Upanishad and Bhagavad Gita saying.

Brahma is consciousness, therefore, food is consciousness. Though the traditional Vedic teaching has been that consciousness is present in everything and yet only food is considered Brahman. We never say that stone is Brahman or dog is Brahman.

As per Chandogya Upanishad (6.15.1) at the time of death, our Vak Vritti (motor senses) merges into Karam Indriyas or mano vritti (sensory senses, mind, intellect, ego and memory) and that now merges with Prana (Udana Vayu) and finally this merges into Tejas, which leaves the body to merge into the Sat.

Vak Vritti, Mano Vritti and Prana Vritti, in the form of vibrations in the atmosphere come back through rain and is taken up by the plants to become plant consciousness.

Therefore, as per Chandogya Upanishad, the consciousness of the Brahman moves from human to plants and plants to human.

The plant food once eaten and absorbed enters into the human body and ultimately makes Prana, Tejas, Ojas, Sperms and Ova. Through sperm and ova, it enters into the next life.

If this theory is correct, then food makes the consciousness and consciousness makes food.

This also further proves that vegetarian food, as it is full of Brahman creates a satvik mind and takes one towards spirituality.

The Tamsik food, which is dead and devoid of consciousness does not lead to a healthy mind as it may produce Mal (waste) or make flesh but will not make essence.

As per Chandogya Upanishad, fiery food makes Karma Indriyas, earthy food makes Gnana Indriyas and Water in food makes Prana.

It further emphasizes on the fact that one should eat freshly cut fruits and vegetables as far as possible as life or consciousness in them can only stay for some time (as per Jainism up to 48 minutes).

cardiology news

A Story for Passover

A good Passover story should always involve cakes. Austrian baker Manfred Klaschka is the subject of this year’s story. He was in the news because of his most recent catalogue of cake designs, Klaschka is a pastry specialist.

Of course, Austrian pastries are famous the world over. Now, pastry baker Manfred Klaschka’s most recent catalogue of such tasty delights was in the news this week because it included cakes decorated with swastikas as well as one with a baby raising its right arm in a Nazi salute.

Herr Klaschka insists he is not a Nazi. After the news story broke, he even met with a Holocaust awareness group, and apologized for what he had done and he then baked a cake to say he was sorry a cake with Jewish and Christian symbols. The point of the story – the bit I found interesting is Herr Klaschka’s explanation for what he did.

"I see it was a mistake, anyone who knows me knows what kind of person I am. I am no Nazi", said Klaschka, who had earlier said he was just a pastry maker fulfilling his customers wishes. Fulfilling his customers wishes? There is a market in Austria in 2011 for cakes with babies raising their arms in Nazi salutes, cakes with swastikas on them? There are parties where people serve such cakes? Maybe birthday parties for babies?

Of course there are such people, and there are such parties, and because of that, there is a market there is consumer demand for swastika cakes, which is why Herr Klaschka was happy to bake them and not only in Austria.

You may remember the case of the Campbell family from New Jersey.

When Kurt Waldheim was exposed as a war criminal his popularity rose. The neo–Nazi Freedom Party headed by the late Jorg Haider, won 27% of the vote in the 2000 elections and became part of the coalition government the first time since 1945 that Nazis had sat in a European government.

But this never happened in New Jersey, which is why I want to talk about the Campbell family. The Campbell family in New Jersey made the news back in 2008 when they tried to get a birthday cake made for their son — they have a son and two daughters — at the local Shop Rite in Holland Township. The store refused their request.

And the reason was that Mr. Campbell wanted the cake to read "Happy birthday Adolf Hitler". Because, you see, his son’s name was Adolf Hitler Campbell. One of the daughters is named is named Joyce Lynn Aryan Nation Campbell. Well, you get the point.

When I read about the Austrian baker Manfred Klaschka, I thought here was a marketing opportunity for him. He would have happily baked a cake for the Campbell family.

So what does all this have to do with Passover?

This week, when we are forbidden to eat Sachertore or Linzer tort or even the delightfully named Punschkrapfen, we might want to pause and think about something we say every year at the Passover seder: ‘In every generation it is the duty of man to consider himself as if he had come forth from Egypt’.

Because in this generation, as in all others, there are those who order custom–made swastika cakes. There are those who name their children after Adolf Hitler. And there are others who fire anti–tank missiles at school busses with Jewish children in them. Because there are those who are building nuclear weapons, having told the world that their intention is to wipe the Jewish state off the face of the earth. Because people like that make Pharaoh look like a nice guy. Because getting out of the house of bondage, out of slavery in Egypt, was not the end of the story for the Jewish people, but was the beginning.

It is a story of a never–ending struggle for freedom, for dignity, for respect, for human rights, that has universal resonance and meaning — for all people, everywhere, always.

News Around The Globe

News

  • The FDA has cleared the AXIOS Stent and Delivery System for treatment of pancreatic pseudocysts. The clearance for this indication makes the catheter and stent system the first stent specifically designed for drainage of such pseudocysts. The stent is delivered through a catheter placed in the stomach through an endoscope passed through the patient’s mouth and into a stomach area adjacent to the pseudocyst. The cyst then drains into the stomach after an opening is made in the wall of the stomach and the pseudocyst that is bridged by the stent.
  • In uncontrolled HIV infection, an over–the–top immune response causes much of the damage that leads to AIDS, researchers are reporting. In papers in Nature and Science, Greene and colleagues outline –– for the first time –– how resting CD4–positive T cells die in response to HIV infection. The process is "much more of a cellular suicide than a viral murder."
  • White adults in the United States have a 4% risk of developing strabismus at some time in their lives, a Minnesota research group estimates. The incidence of adult–onset strabismus overall and its 4 most common forms significantly increased with age (P < 0.001 for all), with a peak incidence in the eighth decade of life. However, most of the risk occurred in the last decades of life, Jennifer M. Martinez–Thompson, MD, from the Department of Neurology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, and colleagues write report in an article published online December 9 in Ophthalmology.
  • Periodontal treatment doesn’t improve glycemic control among patients with type 2 diabetes who have advanced chronic periodontitis, a new randomized clinical trial has found. The results were published December 18 in the Journal of the American Medical Association (JAMA) by Steven P. Engebretson, DMD, Department of Periodontology and Implant Dentistry, New York University, New York, and colleagues.
  • The American College of Physicians (ACP) has issued a policy position paper on prescription drug abuse in an effort to stem the "epidemic" of deaths from prescription drug overdose that is occurring. Recommendations in the position paper, published online in the Annals of Internal Medicine on December 10, include the following:
    • Establishment of a national prescription drug monitoring program
    • Evidence–based, nonbinding guidelines regarding recommended maximum dosage and duration of therapy for controlled substance medications
    • Greater use of random drug testing in patients receiving certain medications

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Rabies News (Dr. A K Gupta)

What does humanizing your dog means?

  • Talking to your dog like he/she is a person.
  • Treating your dog like he/she is a person.
  • Allowing dogs to do what they want because it will hurt their "feelings."
  • Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

cardiology news

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

  • Patients with an implantable cardioverter defibrillator (ICD) who suffer appropriate shocks could potentially go straight to catheter ablation of their ventricular arrhythmia rather than trying a course of antiarrhythmic therapy first, according to a retrospective study, published December 12, 2013 in Heart Rhythm. In the analysis covering about 3000 device recipients who had appropriate shocks despite antiarrhythmic drug therapy, catheter ablation of their VT/VF: lowered the risks of death and of heart–failure hospitalization to on par with those of ICD patients who never had appropriate shocks, decreased those risks independently of ejection fraction or whether heart disease was ischemic or nonischemic and lowered the risk of subsequent appropriate shocks compared with patients who suffer appropriate shocks but continue with antiarrhythmic drug therapy instead of having ablation.
  • Ischemic stroke risk actually goes up during the first month after patients with chronic atrial fibrillation (AF) start warfarin, especially in the first week, and it plunges below baseline only after the first month of oral anticoagulation, suggests a retrospective case–control study. In the analysis, published December 19, 2013 in the European Heart Journal, a cohort of 70 766 chronic–AF patients followed a mean of four years showed an ischemic stroke rate of 2% per year overall.
cardiology news

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

  • A high ratio of fresh–frozen plasma to packed red blood cells was associated with a significantly lower risk of fatal hemorrhage in massively transfused pediatric trauma patients, results of a small retrospective study suggest. No fatal hemorrhages occurred in 24 patients who received high–ratio transfusions compared with three fatal hemorrhages in 14 patients who received low–ratio transfusions.
  • The rate of pediatric musculoskeletal methicillin–resistant Staphylococcus aureus (MRSA) infections grew from 2001 to 2010, increasing the level of required care. Over the study period, the percentage of musculoskeletal infections in children caused by MRSA increased from 9% to 29%, and length of stay for pediatric MRSA patients increased from 8 days to 13. The MRSA patients also had higher mean presenting C–reactive protein levels (14.7 mg/L vs 9.8 mg/L), and there were more cases of infection–related complications (22%versus 6%) compared with those infected with musculoskeletal methicillin–sensitive S. aureus (MSSA). Infection with MRSA was also significantly associated with a need for multiple surgical procedures compared with those who were infected with MSSA (38% vs 15%).
cardiology news

Fast for 12 hours if going for a cholesterol test

  • Getting a cholesterol test is easy.
  • Food and drinks affect cholesterol profile. Fast for 12 hours to get accurate readings of LDL ("bad" cholesterol), HDL ("good" cholesterol), and triglyceride levels.
  • Avoid drinking alcohol for at least 24 hours before the test.

Tell your doctor

  • Flu or another illness shortly before the blood test can have a dramatic effect on your cholesterol levels.
  • A change in diet in the last one week can make a difference. High levels of alcohol or carbohydrates can raise triglycerides.
  • Did you forget to fast or sneak something to eat or drink before the test? It can affect the cholesterol levels.
  • An underactive or overactive thyroid can affect cholesterol levels.
cardiology news

Total CPR since 1st November 2012 – 80967 trained

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Asthma Patients X–mas Holiday Precautions

People with asthma, bronchitis can safely travel by airplane, but they should be evaluated by their doctor beforehand, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President, Heart Care Foundation of India.

As per a British report in the European Respiratory Journal, 18% of lung patients suffer some type of respiratory symptom on the plane –– most commonly shortness of breath, coughing and chest pain.

However, these symptoms are typically moderate requiring no serious incidents requiring an emergency landing.

Patients with severe, unstable asthma and those who have required recent hospitalization should not fly.

Asthmatic patients who do fly should carry on their person a beta–2 selective adrenergic agonist metered dose inhaler and a course of oral steroids.

Traditionally a pneumothorax is an absolute contraindication to air travel, and one should not travel until the pneumothorax resolves fully. Patients should have a chest x–ray to confirm resolution of a pneumothorax before flying.

Guidelines from the British Thoracic Society recommend that it is prudent to wait 7 days after x–ray resolution before flying and to delay flying for 2 weeks after traumatic pneumothorax.

Patients with sleep–disordered breathing who use CPAP or BiPAP may plan to sleep during a flight. If so, they should be encouraged to bring their home machine onto the flight and to first check with the airline about policies and power supply for the machine (battery versus using the airplane’s supply).

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 80967 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 cum Health Check up Camp by Punjab Kesari Varishth Nagrik 16th December 2013

press release

FDA OKs first drug–eluting stents for use in MI

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

The following separation technique depends on the molecular size of the protein:

1.Chromatography on a carboxymethyl (CM) cellulose column.
2.Iso–electric focusing.
3.Gelfiltration chromatography.
4.Chromatography on a diethylaminoethyl (DEAE) cellulose column.

Yesterday’s Mind Teaser: An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1.Glyceraldehyde–3–phosphate dehydrogenase.
2.Phosphoglucomutase.
3.Lactate–dehydrogenase.
4.Glucokinase.

Answer for yesterday’s Mind Teaser: 1.Glyceraldehyde–3–phosphate dehydrogenase.

Correct answers received from: Raju Kuppusamy, daivadheenam, DR AVTAR KRISHAN, Muthumperumal Thirumalpillai, Arpan Gandhi, Dr B K Agarwal

Answer for 21st December Mind Teaser: 4. Rule of nine

Correct answers received from: Arpan Gandhi, Dr.Dinesh Narain Saksena, daivadheenam, Dr. P. C. Das, DR ABBAS VAKIL

Send your answer to ijcp12@gmail.com

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medicolegal update

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medicolegal update
medicolegal update

Will I live longer?

Patient: Doctor, if I give up wine, women, and song, will I live longer?

Doctor: Not really, it will just seem longer.

medicolegal update

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medicolegal update

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

medicolegal update

Every great and commanding movement in the annals of the world is the triumph of enthusiasm. Ralph Waldo Emerson

medicolegal update

Dr KK Aggarwal:Heart disease starts in young age http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Dealing with stress in a better way is the key to breaking the cycle of stress eating. #CosmicConsciousness

medicolegal update
  1. Dear Sir, Thanks for the nice updates. Regards: Dr Kalyan

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