eMedinewS24th March 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
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

Treatment of mild hypertension in low-risk patients

There is no convincing data to show the benefit from antihypertensive therapy in patients with mild hypertension and no preexisting cardiovascular disease.

A meta–analysis combined four placebo–controlled trials totaling 8912 patients with mild hypertension and no preexisting cardiovascular disease (1). During 4 to 5 years of follow–up, antihypertensive therapy resulted in lower rates of mortality and stroke but higher rates of myocardial infarction. Low-risk patients with mild hypertension and no preexisting cardiovascular disease who fail to reduce their blood pressure with lifestyle modification should receive antihypertensive therapy.

Treatment of hypertension in frail older adults

Older adults who are frail may not benefit from antihypertensive therapy. In an observational study of 2340 adults older than 65 years, the association between blood pressure and mortality was examined according to whether or not individuals were frail (2). Frail is defined as an inability to walk six meters in less than eight seconds. Among frail adults, there was no association between blood pressure and mortality. In addition, a higher blood pressure was associated with a lower risk of death among the most frail (i.e., those who could not walk the distance at all).

References

  1. Diao D, Wright JM, Cundiff DK, Gueyffier F. Pharmacotherapy for mild hypertension. Cochrane Database Syst Rev 2012;8:CD006742.
  2. Odden MC, Peralta CA, Haan MN, Covinsky KE. Rethinking the association of high blood pressure with mortality in elderly adults: the impact of frailty. Arch Intern Med 2012;172:1162.

……………………………………………………………………………………………………………………………………………………………………………………………

Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

Safe Holi–Health Wealth Zee News 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

Why do We Worship the Tulsi Plant?

sprritual blog

Yanmule sarvatirhaani
Yannagre sarvadevataa
Yanmadhye sarvavedaascha
Tulasi taam namaamyaham


"I bow to the Tulsi, At whose base are all the holy places, At whose top reside all the deities and In whose middle are all the Vedas."

The Tulsi or Sacred Basil is one of the most sacred plants. There is a Sanskrit: "Tulanaa naasti athaiva tulsi" that which is incomparable in its qualities is the tulsi. It is the only pooja samagri which can be washed and reused.

Satyabhama once weighed Lord Krishna against all her legendary wealth. The scales did not balance until a last single tulsi leaf was placed along with the wealth on the scale by Rukmini with devotion. Thus, tulsi played the vital role of demonstrating that even a small object offered with devotion is of greater value than all the wealth in the world.

The Tulsi leaf has great medicinal value and is used to cure various ailments, including the common cold. Tulsi seeds are good for male infertility and increase the viscosity of semen and sperm counts. It has detoxifying properties and is used in fasts including the Satynarayana Katha where a thousand tulsi leaves are added to the water for pooja, and which is consumed later by everybody.

Tulsi also symbolizes Goddess Lakshmi. Those who wish to be righteous and have a happy family life worship the tulsi. Tulsi is ‘married’ to Lord Vishnu with pomp and show like any other wedding. This ‘marriage’ is solemnised because according to a legend, the Lord blessed her to be His consort. Tulsi is worshipped in the months of Magh and Kartik. Tulsi vivah is observed in the month of Kartik and is the symbolic marriage of Lord Vishnu in the form of a shaligram (sacred stone) and Tulsi. It indicates the importance of Tulsi for fertility. Tulsi pooja is an important component of any marriage. (Suggestion: give the English equivalent months for magh and kartik)

cardiology news

Temper Control

There once was a little boy who had a bad temper. His father gave him a bag of nails and told him that every time he lost his temper, he must hammer a nail into the fence.

The first day the boy had driven 37 nails into the fence. Over the next few weeks as he learned to control his anger, the number of nails hammered daily, gradually dwindled down. He discovered it was easier to hold his temper than to drive those nails into the fence. Finally the day came when the boy didn’t lose his temper at all. He told his father about it and the father suggested that the boy now pull out one nail for each day that he was able to hold his temper.

The days passed and the young boy was finally able to tell his father that all the nails were gone. The father took his son by the hand and led him to the fence. He said "you have done well, my son, but look at the holes in the fence. The fence will never be the same. When you say things in anger, they leave a scar just like this one."

You can put a knife in a man and draw it out. It won’t matter how many times you say I’m sorry, the wound is still there. Make sure you control your temper the next time you are tempted to say something you will regret later.

News Around The Globe

  • The World Health Organization (WHO) has recently stated that drug-resistant TB is a global health security risk and about one–third of the estimated 9 million people who contract TB in any form each year do not get the care they should be getting. The WHO warns that this has led to the spread of drug resistance globally at an alarming rate and has given way to incurable strains of the bacterial infection which cannot be treated with any known medicines right now. It has been noted that lesser than one in four people with the infection was appropriately diagnosed in the year 2012.
  • A new study presented at the American Association for Geriatric Psychiatry (AAGP) 2014 Annual Meeting has revealed that treating the fear of falling through fall prevention programs (FPPs) plays a significant role in improving depressive symptoms in elderly patients. In all, 69 individuals older than 55 years were recruited in the study. FPPs brought about significant improvement in both fear of falling and falls efficacy.
  • A study published online March 12 in Aging Cell reveals that low levels of insulin–like growth factor–1 (IGF–1) are associated with improved survival in healthy individuals in their late 90s. Although women with levels of IGF–1 below the median had a significantly longer survival than women with IGF–1 levels at or above the median, the case is not the same for men.
  • The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has recommended the approval of vedolizumab for the treatment of moderate–severe ulcerative colitis or Crohn’s disease in adults who fail to respond to or cannot tolerate steroids, suppressants, or tumor necrosis factor–α (TNF–α) antagonists.
  • Onset of type 2 diabetes in middle age appears to affect late–life cognition by reducing brain volume, MRI studies revealed in a population-based cohort without dementia. A study in the journal Neurology found that compared with never developing diabetes, developing diabetes in midlife was associated with an 85% increase in subcortical infarctions on MRI analysis, a 4% reduction in hippocampal volume and a 2.9% reduction in whole brain volume. Diabetes onset after age 64 did not appear to impact brain pathology or cognitive performance, suggesting that the deleterious impact of the disease on memory and other aspects of brain function occurs over decades.

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

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  emedinewsdownload.

The various icons for downloading are provided on the top of the newsletter. Choose the icon that is compatible with your device, whether emedinewsiPhone, emedinewsAndroid, emedinewsBlackberry, emedinewsiPad, emedinewsDesktop/Windows phone or emedinewsGSM
Click on the icon ‘e’ from the mail and download to install the app to the home screen of your mobile phone, iPad or Desktop. After you finish downloading, you will see an icon ‘e’ on the home screen of your device. That’s it.

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)

Is there a need to alter the dose or schedule of any concomitant medication during IDRV?

There is no need to alter the dose or schedule of any concomitant medication during IDRV.

cardiology news

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

  • The International Journal of Alcohol and Drug Research has come up with a special issue on Fetal Alcohol Spectrum Disorders (FASD) in order to increase awareness about the negative effects of alcohol use in pregnancy and to improve prevention, treatment and care for those living with FASD. FASD is a group of disorders wherein alcohol exposure in pregnancy damages the central nervous system as well as other systems and organs of the fetus. Dr. Svetlana (Lana) Popova, Senior Scientist at the Social and Epidemiological Research Department at the Centre for Addiction and Mental Health (CAMH) stated that if only FASD were given more attention at the policy and program level, it would alleviate the burden on those with FASD and their families.
  • Researchers at the Washington University School of Medicine in St. Louis have reported that guts of babies born prematurely harbor infectious microorganisms that can eventually lead to late–onset sepsis. Researchers evaluated 217 premature infants for their stool samples, beginning as soon as possible after birth. Eleven of the infants were noted to develop sepsis. Seven of these infants had bacteria in stool samples taken days to weeks before the onset of sepsis that matched bacteria in the blood samples taken afterwards. This suggested that bacteria from the gut, and not from other parts of the body, were responsible for the bloodstream infection.
cardiology news

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

  • Cardiologists at the UT Southwestern Medical Center have come up with a new heart failure symptom in advanced heart failure patients. Researchers have reported shortness of breath while bending over, such as when putting on shoes to be a significant symptom to diagnose excessive fluid retention in those with heart failure. The condition has been termed "bendopnea".
  • Children who are diagnosed with glomerular disease may be at increased risk of developing hypertension as adults, according to results from a cohort study of more than 38,000 male Israeli military recruits. The study, which appears as a Research Letter in the March 19 issue of JAMA, is authored by Asaf Vivante, MD, from the IDF Medical Corps, Tel–Hashomer, Israel, and colleagues. Most children who develop glomerular disease have a favorable prognosis, with full resolution of signs and symptoms. However, they add, the long–term sequelae of that diagnosis are not fully understood.
cardiology news

Triphala can help in reducing bronchial hyperreactivity

Triphala (TRP), a herbal extract, has been shown to affect lymphocytes and natural killer T (NKT) cell function. It has been shown to ameliorate bronchial hyperreactivity through immune–cell modulations.
In a study carried out at the Division of Allergy, Immunology and Pulmonary Medicine, Washington University in Saint Louis, Saint Louis, MO, asthma mouse models were generated through intraperitoneal (IP) injections of ovalbumin (OVA)/2 weeks followed by repeated intranasal OVA challenges.
Mice were then treated with normal saline (OVA/NS) or Triphala (OVA/TRP). Data were compared with mice treated with inhaled budesonide.

Both TRP and budesonide significantly ameliorated functional and histological OVA–induced bronchial hyperreactivity. Triphala causes a significant decrease in bronchial reactivity. It alters immune–cell distributions and show antioxidative properties. Immune–cell modulation with triphala can ameliorate lung injury.

(Ref: Horani A, Shoseyov D, Ginsburg I, et al. Triphala (PADMA) extract alleviates bronchial hyperreactivity in a mouse model through liver and spleen immune modulation and increased anti-oxidative effects. Ther Adv Respir Dis 2012 Aug;6(4):199–210).

cardiology news

Total CPR since 1st November 2012 – 88972 trained

Media advocacy through Web Media

web mediawebmediawebmedia
press release

Besan or gram flour has health benefits

If you are in doubt that your food may be the cause of your illness, try substituting one food each day. To begin with, its best to use besan foods (gram flour) in place of wheat flour foods said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

People suffering from celiac disease cannot digest a protein called gluten, which is found in barley and wheat flour. This gluten triggers immune system in patients to damage small intestine villi. As a result, patient cannot absorb nutrients from food and remains malnourished which could lead to anemia, weight loss and fatigue. Celiac disease patients suffer from fat malabsorption.

A gluten–free diet is also recommended for patients with wheat allergy, dermatitis herpetiformis, multiple sclerosis, autoimmune disorders, autism spectrum disorders, ADHD, and some behavioral problems.

Gluten–containing cereals are wheat, barley, rye, oats and triticale. Gluten is also present as a food additive in the form of a flavoring, stablizing or thickening agent.

In these conditions one should switch over to gluten free foods. The best alternative is to shift from wheat flour to gram flour (besan)

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

Heart Care Foundation of India, a national not–for–profit organization committed to raising awareness and providing effective solutions for impending health issues in the country, announced the opening of applications for the ‘Sameer Malik Heart Care Foundation Fund’

press release

FDA panel recommends first drug for HIV prevention

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

In a patient with a tumor in superior medistinum compressing the superior vena cava, all the following veins would serve as alternate pathways for the blood to return to the right atrium, except:

1. Lateral thoracic vein.
2. Internal thoracic vein.
3. Hemiazygos vein.
4. Vertebral venous plexus.

Yesterday’s Mind Teaser: B–oxidation of odd–chain fatty acids produces:

1. Succinyl CoA.
2. Propionyl CoA.
3. Acetyl CoA.
4. Malonyl CoA.

Answer for yesterday’s Mind Teaser: 2.Propionyl CoA.

Correct answers received from: Daivadheenam Jella, Dr. P. C. Das, Dr.K.Raju, Dr Chandresh Jardosh, Dr Avtar Krishan

Answer for 22nd March Mind Teaser: 3. Leaves extension at elbow joint intact.

Correct answers received from: Dr Prakash Khalap

Send your answer to ijcp12@gmail.com

indianoil
lic
centralbank
medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Never be rude to anyone

An American tourist asked a boat guy in Zanzibar, "Do you know Biology, Psychology, Geography, Geology or Criminology?"

The boat guy said, "No. I don’t know any of these."

The tourist then said, "What the hell do you know on the face of this Earth? You will die of illiteracy!"

The boat guy said nothing. After a while the boat developed a fault and started sinking. The boatman then asked the tourist, "Do you know Swimology and Escapology from Crocodiology?"

The tourist said, "No!"

The boat guy replied, "Well, today you will Drownology and Crocodiology will eat you. I will not Helpology and you will Dieology because of your Badmouthology."

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/80 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

medicolegal update

The best thing about dreams is that fleeting moment, when you are between asleep and awake, when you don’t know the difference between reality and fantasy, when for just that one moment you feel with your entire soul that the dream is reality, and it really happened. Johann Wolfgang von Goethe

medicolegal update

Dr KK Aggarwal: Diabetes is a progressive disease http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: You were created to be completely loved and completely lovable, for your whole life http://bit.ly/15QdVeB #Health

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

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

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

Our Sites

emedipics
emeditube
media advocacy