eMedinewS25th February 2014, Tuesday

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.facebook.com/Dr KKAggarwal

How to keep your memory sharp?

  • Manage your stress especially deadline pressure and petty arguments.
  • The biggest stress is ongoing sense of extreme anxiety. The stress can be managed by deep breathing, meditation, yoga and by mindful approach to living.
  • Get a goodnight sleep. The most common reason for poor sleep is difficulty in falling asleep and staying asleep. Many drugs used to treat insomnia which can also impair memory.
  • If you need a sleeping medicine, it should be used in the lowest dose for the shortest period of time.
  • Get up at the same time in the morning.
  • If you smoke, quit.
  • If you do not drink, do not start.
  • Alcohol makes it difficult to perform short term memory tasks such as memorizing list.
  • Alcohol induces vitamin B1 deficiency, which can cause dementia.
  • Protect your brain from injury as repeated minor head trauma can cause brain damage.
  • Wear seat belt when riding in motor vehicle.
  • Wear helmet while driving or riding motorcycle.
Dr K K Aggarwal on Zee TV

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
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Leverage your strengths

sprritual blog

• Know your strengths
• According to a British study, only about one–third of people have a useful understanding of their strengths.
• If something comes easily, you may take it for granted and not identify it as a strength.
• If you are not sure, ask someone you respect who knows you well, by noticing what people compliment you on, and by thinking about what comes most easily to you.
• Strengths which most closely linked to happiness are gratitude, hope, vitality, curiosity, and love.
• Strengths are so important that they’re worth cultivating and applying in your daily life, even if they don’t come naturally to you.

cardiology news

Sometimes ignorance is bliss

My classmate, Susan, and I are in the middle of our thesis rewrites for Johns Hopkins University. We only have two weeks left and we are both quite razzled at the prospect of doing more research in the remaining time.

Today Susan called me to say that she desperately needed more history about a small tribe of Native Americans that lives in the Grand Canyon But there’s only one telephone on the reservation and no one ever answers it.

As a matter of fact, the three times she visited the tribe’s Visitor Center while she was on vacation, she said no one ever opened up the building.

Being a computer geek, I said, "Have you checked the Internet?"

She said, "No, what a great idea! Thanks." I did a quick check using Excite while she used Yahoo and she was astounded at the information available about this little-known tribe.

She thanked me profusely for the tip and hung up.

Two hours later, she called me back sounding absolutely miserable. "Susan," I said, "What’s the matter?"

"Well," she said, "You’re not going to believe it but they have their own Web page with all the information I could ever want about the tribe."

"That’s great," I said. "What more could you ask for?" "You don’t understand," she said. "My article is about how isolated the tribe is and how their only path to the outside world is a little dirt trail up the side of the canyon!

On their Web page, they even have a scanned photo of the helicopter that brought the donated PC into the canyon."

Moral of the story: Sometimes ignorance is bliss ––especially when you’re trying to finish a thesis on time.

News Around The Globe

  • Researchers from the Columbia University Medical Center in New York say they have uncovered the brain region (CA2 –a subregion in the hippocampus between CA3 and CA1) responsible for this process – known as social memory. According to the researchers, recent studies have shown there are subregions in the hippocampus, area of the brain that is known to be associated with memory, that have different responsibilities. The CA3 subregion enables us to recall memories from partial cues, and the CA1 subregion plays an important role in all areas of memory.
  • A new study in JAMA suggests that rates for postsurgical visits for clinically significant surgical site infections among patients who have undergone ambulatory surgery were low but "may still represent a substantial number of adverse outcomes in aggregate.
  • Researchers report that in 2012, only 20.0% of adults were current on their recommended pneumococcal vaccinations, and only 64.2% were up–to–date with their tetanus shots. Coverage with the vaccine against hepatitis A was especially low, at only 12.2% of adults aged 19 to 49 years, and just a tad more than a third of adults aged 19 to 49 years (35.3%) were fully protected against hepatitis B. The findings are reported in the Feb 7 issue of Morbidity and Mortality Weekly Report.
  • Tonsillectomy in adults is a safe procedure, showing low rates of mortality and complications, according to new research published online January 30 in JAMA Otolaryngology–Head & Neck Surgery.
  • Young adults with moderate to severe acne reported consuming foods with a higher glycemic index and more sugar and dairy than those with little acne, according to new research reported in the Journal of the Academy of Nutrition and Dietetics. Based on their results, the researchers suggest that physicians might add a dietary change to their acne treatment prescriptions.
  • The flu this season ––mostly the pandemic pH1N1 strain ––has been hard on young and middle–age adults, the CDC is reporting. People 18 through 64 account for 61% of all hospital admissions for laboratory–confirmed influenza, the agency reported in the Feb. 21 issue of Morbidity and Mortality Weekly Report (MMWR).

National News

In a major step, new guidelines on sexual violence formulated by the health ministry will offer an option to the victim of not reporting the incident to the police at the time of the medical examination or treatment, as reported in The Asian Age dated Feb 23, 2014. But, the victim can lodge a police complaint on the basis of the medical examination report anytime later. The guidelines meant for the doctors also decided to replace the word "victim" with "survivor". For the first time, the medical examination form will include "others" in the gender category, besides male and female. It is now mandatory to take consent of the guardian only if the "survivor"is under the age of 12 years. The "finger test", or "per vaginal test", would be conducted only in adult women and "only if medically required" and with the "consent of the survivor". The guidelines have also "disallowed" the usual practice by doctors and law–enforcing agencies to seek details of the survivor–s past sexual activities and personal family details.

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 precautions should be taken while vaccinating by the ID route?

  • The ID injections must be administered by staff trained in this technique.
  • The Vaccine vials must be stored at+2°C to + 8°C after reconstitution.
  • The total content should be used as soon as possible, but at least within 8 hours.
  • The 0.1 ml. ID administration of cell–culture vaccine should create a wheal of at least 5 mm diameter with "peau de orange" appearance.
  • If ID dose is given subcutaneously then there is a possibility of poor immune response due to low antigen load. This may be life–threatening.


cardiology news

Fecal Microbiota Transplantation (FMT)

Fecal Microbiota Transplantation (FMT) has emerged as highly effective treatment of C. difficile. FMT as emerged as a highly effective treatment for recurrent C. difficile infection. The transplantation refers to the infusion of a suspension of fecal matter from a healthy individual into the GI tract of another person to cure a specific disease through a colonoscopy. It is based on the concept that stool is a biologically active, complex mixture of living organisms with great therapeutic potential for C. difficile infection. Most patients with C. difficile infection respond to metronidazole, vancomycin but 15–35% may have recurrence. Patients who have one recurrence have 45% chances of a second recurrence, and after a second recurrence, 65% will have a third recurrence. The current treatment of recurrence is additional course of metronidazole, oral vancomycin, or prolonged oral vancomycin. FMT is commonly performed by colonoscopy but doctors have used nasogastric tube or nasoenteric tube, gastroduodenoscopy and enema.

cardiology news

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

  • Results from a small, single–center trial reported in the February issue of JACC: Cardiovascular Interventions suggest that for patients with symptomatic or asymptomatic carotid artery stenosis, stenting and endarterectomy appear to be equally effective for preventing ipsilateral stroke over the long term. But, though there was no difference in that outcome, the rate of fatal and nonfatal myocardial infarction (MI) through 10 to 13 years of follow–up was higher in patients who underwent endarterectomy (HR 2.27).The risk of MI also was higher in patients with symptomatic disease than it was in those without symptoms, regardless of revascularization procedure (27.5% versus 11%; HR 2.32).
  • The largest ever trial of adult stem cell therapy in heart attack patients has begun at The London Chest Hospital in the UK. The stem cell trial – titled "The effect of intracoronary reinfusion of bone marrow–derived mononuclear cells (BM-MNC) on all–cause mortality in acute myocardial infarction," or "BAMI" for short – has been made possible due to a €5.9 million ($8.1 million) award from the European Commission. The full study involves 19 partners across France, Germany, Italy, Finland, Denmark, Spain, Belgium, Poland, the Czech Republic and the UK.
cardiology news

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

  • A new study in Obstetrics & Gynecology shows that intrauterine devices (IUDs) are as effective for adolescents as they are for women in their 20s and early 30s, and complication rates are similarly low. However, adolescents are more likely than older women to request early discontinuation due to pain and bleeding.
  • An automated checklist that pulls information from electronic medical records and sends alerts to clinicians has been linked with a 3–fold decrease in central line–associated bloodstream infections (CLABSIs) at a California pediatric intensive care unit (PICU). CLABSIs are a type of hospital–acquired infection and a highly preventable cause of illness and death that hospitals everywhere are trying to reduce. The findings are reported in Pediatrics.
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

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press release

Heart Attack Symptoms in Women and Older are Different

Maximum heart attacks occur in winter and the symptoms in the women and the elderly may be different, warns 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.

Chest pain is still the most common sign of a heart attack in most women but women are more likely than men to have symptoms other than chest pain in heart attack. These symptoms include pain in the middle or upper back, neck, or jaw; shortness of breath; nausea or vomiting; indigestion; loss of appetite; weakness or fatigue; cough; dizziness and palpitations.

Between 30 and 37% of women may not have chest discomfort during a heart attack.

Women are on an average nearly a decade older than men at the time of their initial heart attack. Older people also are more likely to have heart attack without chest discomfort.

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 86664 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

Mega heart checkup camp by Heart Care Foundation of India at Sagar, Madhya Pradesh 20th February 2014

press release

To Err is Human

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

All of the following conditions may predispose to pulmonary embolism except:

1. protein S deficiency.
2. Malignancy.
3. Obesity.
4. Progesterone therapy.

Yesterday’s Mind Teaser: The parameters of sensitivity and specificity are used for assessing:
1. Criterion validity.
2. Construct validity.
3. Discriminant validity.
4. Content validity.

Answer for yesterday’s Mind Teaser: 1. Criterion validity.

Correct answers received from: Dr Prakash Khalap, Dr. Sushma Chawla, Tukaram Pagad, Dr Jainendra Upadhyay, Anil Bairaria, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Deepali Chatterjee, Dr.P.C.Das, Dr Chandresh Jardosh,

Answer for 23rd February Mind Teaser: 3.Gelfiltration chromatography.

Correct answers received from: Arvind Gajjar

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

A traffic slogan: Don’t let your kids drive if they are not old enough – or else they never will be

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A 62–year–old–diabetic with coronary artery disease, on treatment for the same, comes for follow up.
Reaction: Oh my God! Why did not 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

A happy family is but an earlier heaven –George Bernard Shaw

medicolegal update

Dr KK Aggarwal: Weight gain precedes the onset of diabetes Weight gain after age of 18 years in women and 20 years in men (cont) http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Learn the seven stages of consciousness & how they lead to enlightenment. Which stage have you reached?http://bit.ly/WAHF_Am #WAYHF

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

medicolegal update
  1. Dear Sir, very informative news: Dr Anurag

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