eMedinewS25th March 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.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

To screen or not to screen all young athletes with ECG to discover problems hiding within the heart

Guidelines from the American Heart Association (AHA) (endorsed by the American College of Cardiology) and the European Society of Cardiology (ESC), both recommend a screening before sports participation, but the Americans favor a detailed medical history combined with a physical examination only, while the Europeans favor the addition of the 12–lead ECG.

The controversy was evident in the results of a poll conducted during a debate session at the AHA meeting last year, which were published this week in the New England Journal of Medicine by James Colbert, MD, of Harvard Medical School.

Of the audience members who voted –– an unscientific sample, to be sure –– 70% favored some type of screening for cardiac disease in young athletes. And in a scenario where screening was already a foregone conclusion, 60% said it should include an ECG. A similar online poll on the NEJM website was even more informative, showing that the differences in opinion exist on both sides of the Atlantic.

Of the 1,266 people who voted on the site –– again, not a scientific sample –– 18% didn’t want any mandatory screening, 24% wanted screening with a medical history and physical exam, and 58% favored screening that included an ECG. The percentage of voters who endorsed an ECG was higher among Europeans than among Americans (66% versus 45%), but that still indicates a substantial amount of controversy regardless of geography.

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

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

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 nor dog is Brahman.

As per Chandogya Upanishad (6.15.1) at the time of death, our Vak Vritti (motor senses) merges into Karm Indriyas or manovritti (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, Manovritti and Prana Vritti, in the form of vibrations in the atmosphere, come back through rain and are taken 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 creating 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 Gnan 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

The Brilliance of Mahatma Gandhi

When Mahatma Gandhi was studying law at the University College of London, there was a professor, whose last name was Peters, who felt an animosity for Gandhi, and because Gandhi never lowered his head towards him, their "arguments" were very common.

One day, Mr. Peters was having lunch at the dining room of the University and Gandhi came along with his tray and sat next to the professor. The professor, in his arrogance, said, "Mr Gandhi: you do not understand… a pig and a bird do not sit together to eat", to which Gandhi replies, "You do not worry professor, I’ll fly away", and he went and sat at another table.

Mr. Peters, green of rage, decides to take revenge on the next test, but Gandhi responds brilliantly to all questions. Then, Mr. Peters asked him the following question, "Mr Gandhi, if you are walking down the street and find a package, and within it there is a bag of wisdom and another bag with a lot of money; which one will you take?"

Without hesitating, Gandhi responded, "the one with the money, of course".

Mr. Peters, smiling, said, "I, in your place, would have taken the wisdom, don’t you think?"

"Each one take what one doesn’t have", responded Gandhi indifferently.

Mr. Peters, already hysterical, writes on the exam sheet the word "idiot" and gives it to Gandhi. Gandhi takes the exam sheet and sits down. A few minutes later, Gandhi goes to the professor and says, "Mr. Peters, you signed the sheet, but you did not give me my grade".

News Around The Globe

  • Women who have had one ovary removed enter menopause an average of one year before women with two intact ovaries, reports a new study in Human Reproduction. The results of the study thus highlight that removal of one ovary has limited implications for women’s reproductive span. However, the authors suggest that doctors should remove ovaries in fertile women only if it is necessary Among the 23,580 women, those who had one ovary removed entered menopause approximately one year earlier than women with two ovaries intact (mean age 49.6 years vs. 50.7 years).
  • A new study presented at the American Academy of Orthopedic Surgeons (AAOS) Annual Meeting suggests that even one year after suffering a fracture, about one in five patients can still face difficulty sleeping. Poor sleep as a result may be associated with emotional problems. The researchers assessed functional status of 1095 patients who had suffered various acute fractures. It was noted even after a year, sleep problems were associated with the SF–36 Mental Health Index for patients with distal radius fractures.
  • A new study published in BMJ has revealed that nicotine patches have no significant benefit over placebo at helping pregnant women quit smoking. Investigators evaluated the efficacy of 16–hour nicotine patches among 402 pregnant women above 18 years of age between 12 and 20 weeks’ gestation who smoked at least 5 cigarettes a day and were unable to quit. A little more than 5% of women in each group achieved complete smoking abstinence, and the average time to the first cigarette smoked after the target "quit" date was 15 days for each group.
  • Sustained long–term follow–up of obese individuals with type 2 diabetes who have undergone bariatric surgery is essential to ensure the best possible outcomes with respect to their diabetes as well as weight loss, report experts. Lack of follow–up is the reason behind the "not so good" results with bariatric surgery in diabetics, said Davit Sargsyan at the Excellence in Diabetes 2014 meeting.
  • The US Food and Drug Administration (FDA) has approved a third agent for imaging β–amyloid in the setting of Alzheimer’s disease (AD), florbetaben F18 injection (Neuraceq, Piramal Imaging). Florbetaben is indicated for positron emission tomography (PET) of the brain to estimate β–amyloid neuritic plaque density in adults with cognitive impairment who are being evaluated for AD and other causes of cognitive decline. It was recently also approved in Europe. Two other PET imaging tracers, florbetapir (Amyvid, Eli Lilly and Company) and flutemetamol (Vizamyl, GE Healthcare), were approved previously by the FDA in 2012 and 2013, respectively.

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)

What is the potency requirement of IDRV?

Only three countries are practicing IDRV in regular patients attending regular anti–rabies clinics (ARCs) for more than 10 years. These countries are Thailand, Philippines and Sri Lanka.

In Thailand and Sri Lanka, the potency requirement is 0.7 IU/ID dose and in Philippines it is 0.5 IU/ID dose.

cardiology news

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

  • A study has recently revealed that verbal interactions between parents and children create a social feedback loop that is significant for language development. The research is yet to be published in Psychological Science, a journal of the Association for Psychological Science. The study reported that adults are more likely to immediately respond to children when the vocalizations are speech–related. The children are more likely to create more vocalizations. Together, this forms a social feedback loop that assists in speech development.
  • A novel study conducted by researchers at King’s College London has revealed that premature babies who are supported immediately after birth by high–frequency oscillation exhibit better lung function as adolescents when compared to those who receive conventional ventilation. The children ventilated with the high–frequency method exhibited higher academic achievement in three of eight school subjects.
cardiology news

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

  • According to a novel study conducted primarily in mice but also in tissue from human hearts, injection of a tiny nucleotide able to block a micro–RNA regulator of cellular calcium transport has the potential to stem the progression of induced heart failure in the animal model. This could potentially signify the future generation of heart failure therapies that would work by disruption of micro–RNA–mediated genetic machinery that affects cardiac myocyte structure and contractility.
  • A new research has pointed that people who develop diabetes and high blood pressure in middle age could possibly be at higher risk of brain cell loss and memory as well as thinking problems as compared to those who do not have either condition or develop them later in life. The study was published recently in the journal Neurology.
cardiology news

Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

People with very low cholesterol levels are at increased risk of developing stomach cancer, according to a study published in the International Journal of Cancer.

The study involved 2,600 residents of Hisayama, Japan, who were followed for 14 years. Gastric cancers developed in 97 subjects. After accounting for age and gender, stomach cancer rates rose significantly with descending cholesterol level. For example, among subjects with the highest cholesterol levels, the gastric cancer rate was the equivalent of 2.1 cases per 1000 persons per year; among those with the lowest cholesterol, the rate was 3.9 per 1000 persons per year.

Patients with low serum cholesterol should consider periodic gastrointestinal examination for the prevention of stomach cancer.

Low cholesterol has been earlier linked to depression, anxiety and suicide in both men and women. Another earlier report has also shown that people with cholesterol level below 180 had twice the risk of brain hemorrhage as compared to those with cholesterol levels of 230.

cardiology news

Total CPR since 1st November 2012 – 88972 trained

Media advocacy through Web Media

web mediawebmediawebmedia
press release

Drugs as Good as Angioplasty for Stable Heart Disease

Aggressive drug therapy is just as good as angioplasty for patients with stable heart blockages, 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.

There has been a belief amongst cardiologists that all patients with chronic stable heart disease need to have either an angioplasty or heart bypass surgery.

Patients with stable heart disease make up about three–quarters of all the patients who undergo angioplasty and receive stents.

Quoting the results of "Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial", Dr. Aggarwal said that optimal drug therapy, when combined with lifestyle changes, has equal results as that of angioplasty and optimal medical therapy combined.

The study published in the New England Journal of Medicine randomly assigned 2,300 patients with stable but significant heart disease to one of two treatment regimens. The first group received drug therapy alone, while the second group received the drug therapy plus angioplasty.

Follow up showed that 19% in the angioplasty group had died or had a heart attack, compared to 18.5% in the group that only received drug treatment. The only benefit of angioplasty was that it reduced chest pain over the long–term compared with drug therapy alone. About 30% of the patients who received drug therapy alone did eventually undergo angioplasty because their symptoms couldn’t be managed with drugs alone.

In addition, about 21% of the patients who received stents needed to have another procedure. Although angioplasty was better at relieving symptoms, it wasn’t better in preventing death or heart attack.

Drug therapy for patients with stable heart disease should be tried as first–line treatment. Angioplasty should be reserved for patients who have continuing symptoms.

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

The buffering capacity of a buffer is maximum at pH equal to:

1. 0.5pKa.
2. pKa
3. pKa+1
4. 2pKa

Yesterday’s Mind Teaser: In a patient with a tumor in superior mediastinum 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.

Answer for yesterday’s Mind Teaser: 4.Vertebral venous plexus.

Correct answers received from: Dr K V Sarma, Arvind Gajjar, Daivadheenam Jella, Dr P C Das, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Bitaan Sen &
Dr Jayashree Sen, Dr K V Sarma.

Answer for 23rd March Mind Teaser: 2.Propionyl CoA.

Correct answers received from: Dr Avtar Krishan, Dr Bitaan Sen & Dr Jayashree Sen.

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

What is lucid interval?

Lucid interval is the period during which the mentally unsound person behaves very much like a normal person. During this period all the signs and symptoms of insanity are absent. The person is responsible for all his acts performed during the period of lucid interval.

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with rheumatoid arthritis was not responding.
Reaction: Oh my God! Why was smoking not stopped?
Lesson: Make sure that all patients of RA stop smoking. It is a major preventable factor contributing to the development of antibody–positive rheumatoid arthritis in genetically susceptible individuals.

medicolegal update

Arrogance frowns; pride smiles. Mason Cooley

medicolegal update

Dr KK Aggarwal: Diabetic drug metformin may have anti cancer effects http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Your subjective world of thoughts emotions memories & desires is as real as the world outside with stars & galaxies http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, very nice updates. Regards: Dr Kartik.

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 – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, 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