eMedinewS 25th July 2013, Thursday

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.facebook.com/Dr KKAggarwal

Delhi Medical Association to protest against one year compulsory rural posting

In anticipation of a likely notification of Medical Council of India making one year rural posting compulsory for doctors who are aspiring to do post graduation, Delhi Medical Association is organizing a Dharna on 8th August, 2013 Thursday outside MCI premises at Dwarka. A high level Indian Medical Association meeting was held which had representatives from Delhi Medical Association and also medical students, interns and non PG residents. The Medical Association is demanding that they are not against doctors working in rural areas but they do not want rural posting to be linked to entry to medical education. It can be linked to promotions or new appointments in government jobs. The Association is planning to have a Dharna of 1 to 4 thousand people on that day. Dr. Devi Shetty, Former Member, Board of Governors, MCI has also called an All India Students Convention on 29th July in his native place on the same subject. He is providing free lodging and travel to student leaders to come and attend the convention which is likely to announce its next strategy. The Medical Association said that there are 40000 students who pass MBBS every year and there are only 25000 for the rural postings. Making rural postings compulsory cannot be the right answer as the government does not have 40000 jobs. If rural posting is made compulsory all 40000 of them will have to apply for the same and if they do not find enough jobs, there will be chaos in the medical profession. .... Read More

Coronavirus is not a global emergency

As per an alert by World Health Organisation, Middle East respiratory syndrome coronavirus (MERS) is not a public health emergency of international concern. So far the deadly SARS-like virus has infected 82 people and killed 45 of them. WHO said that the current situation is serious and of great concern but does not constitute the public health emergency of international concern at this moment. Cases so far has been reported in Jordan, Kuwait, United Arab Emirates, Britain, France, Italy and Tunisia. Millions are expected to travel to Mecca for Hujj pilgrimage but Saudi Authorities have cut the number of VISAs this year citing safety concern over expansion work at the Mosque site. ... Read More

India poised to revoke Pioglitazone ban

The Drug Technical Advisory Board (DTAB) has advised the Government to revoke the suspension of the diabetes drug pioglitazone. The DTAB met on July 19 and recommended that pioglitazone be put back in the market in India with a box warning about bladder cancer. The DTAB is an advisory body and the government may or may not accept its advice but it is likely that the recommendations may be accepted. .... Read More

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
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog How can ego be managed?

In Indian ancient Vedic literatures Snakes symbolizes Mind and Naga (Cobra) the Ego.

The mind symbolizing Snake represents the duality and unpredictability of the mind, which can only be controlled by consciousness which is depicted by Lord Krishna not killing but controlling the mind (Kalia).

Ego is depicted in Vedic literature by Naga and is an essential component of ‘who you are” (mind, intellect, ego and consciousness).

Ego is an essential part of life but one should learn to be ego fugal and not ego centric. That means learn to have your ego in and not ego out. There are certain Vedic principals for controlling ego.

Always control your ego by directing it towards consciousness. You should be egoistic about your dharma and fulfill the values of life.

Directing the ego towards consciousness is depicted by Sheshnag in the neck of Lord Shiva; Sheshnag protecting Krishna at the time of birth and Sheshnag protecting Lord Vishnu when sleeping in the ocean.

Directing the ego towards consciousness shifts one from disturbed to undisturbed state of consciousness.

If one cannot control the ego then one must learn to kill it. Ego cannot be killed by mind but can only be killed by taking conscious based decisions. In Vedic language, Rama (consciousness) can only kill Ravana (ego), and in Mahabharata, Lord Krishna (consciousness) can only kill Kansa (ego). Lakshman (focused mind) cannot kill ego (Ravana). Ego will always overpower the mind.

Never hurt somebody else ego

It is also a Vedic saying that if you hurt somebody else ego, he or she will never leave you. The festival of Nag Panchami is observed in the month of Shravan for the same reason.

In Hanuman’s journey to Lanka, when Hanuman meets Simhika (ego) he could overpower her by observing humility which means he became smaller in size and came out of her mouth. Humility therefore is the answer when somebody is in egoistic attack.

In Nag Panchami, we worship Naga and offer milk, which again indicates learning and observing humility in front of egoistic behaviors.

Following are the situations where you can hurt somebody else ego.

  1. Allegations of financial embezzlement
  2. Calling a man as impotent.
  3. Calling women as old.
  4. Alleging somebody as a person of bad character.
  5. Talking ill about the caste.
  6. Talking ill about the religion.

There is an ancient saying that if you kill male Naga, the female Naga captures your picture and will always take revenge. In terms of Vedic saying, it indicates that if you hurt somebody else’s ego his feminine ego will always keep it on the priority list in the mind and will take revenge at the earliest instance. ....Read More

cardiology news

The law of the garbage truck

One day I hopped in a taxi and we took off for the airport. We were driving in the right lane when suddenly a black car jumped out of a parking space right in front of us.

My taxi driver slammed on his brakes, skidded, and missed the other car by just inches! The driver of the other car whipped his head around and started yelling at us! My taxi driver just smiled and waved at the guy. And I mean, really friendly. So I asked, “Why did you just do that? This guy almost ruined your car and sent us to the hospital!” This is when my taxi driver taught me what I now call, “The Law of the Garbage Truck.”

He explained that many people are like garbage trucks. They run around full of garbage (frustration, anger, and disappointment, etc.). As their garbage piles up, they need a place to dump it and sometimes they’ll dump it on you.

Don’t take it personally. Just smile, wave, wish them well, and move on. Don’t take their garbage and spread it to other people at work, at home, or on the streets.

The bottom line is that successful people do not let garbage trucks take over their day. Life’s too short to wake up in the morning with regrets, so… love the people who treat you right and pray for the ones who don’t. Life is ten percent what you make it and ninety percent how you take it!

Have a blessed, garbage-free day. ...Read More

News Around The Globe

  • Injectable gentamicin, combined with oral azithromycin, showed 100% effectiveness in curing genital gonorrhea infections, while oral gemifloxacin, combined with oral azithromycin, was close behind, with a 99.5% treatment efficacy in a phase IV clinical trial conducted by the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH). (Source: Medscape)
  • A new analysis of a landmark Women's Health Initiative study has shown that thousands of postmenopausal women have died prematurely over the past decade because they avoided estrogen therapy after hysterectomy. (Source: Medpage Today)
  • Worsening metabolic control, serious diabetes complications, and the development of psychiatric conditions are the factors leading to worsened quality of life among those with type 1 diabetes in the Diabetes Control and Complications Trial (DCCT) and its long-term follow-up study. (Source: Medscape)
  • According to a study published online July 16 in the journal Radiology, higher levels of fat in the liver, muscle tissue, and blood are associated with higher amounts of fat in the bone marrow, increasing the risk for osteoporosis. (Source: Medscape)
  • A third instance of rabies transmission following organ transplantation has been reported in the July 24/31 JAMA, with a patient dying 18 months after receiving a kidney from a deceased donor who was not known to be infected with the rabies virus. The extended incubation period was an unusual clinical feature because in the two previous episodes of transmission, all unvaccinated recipients developed symptoms within 6 weeks and died. Also distinctive was the fact that three other individuals who received organs from the same donor remained asymptomatic and only developed rabies antibodies after post-exposure prophylaxis. (Source: Medpage Today)
  • The "iKnife" or "intelligent knife" that lets surgeons know immediately whether the tissue they are cutting is cancerous or not was found to be 100% accurate in the first study to test the product in the operating theater. (Source: Medscape)
  1. A combination of memory test and brain imaging help to identify Alzheimer’s disease at the earliest stage, says Dr. D.M. Rentz from Harvard Medical School.
  2. Once a year ECO test in patients with Scleroderma can detect pulmonary hypertension.
  3. According to a study published in Ann Rheumdis in 2013, the rate of increase in right ventricular systolic pressure has measured by only ECO was strongly associated with PAH patients who had increases <300mmhg on annual ECO exam had a six fold increases risk of PAH and five fold increased risk of mortality.
  4. In patient with ST elevation heart attack one should bye pass emergency department and one should directly wield into the cath lab.
  5. As per a Duke study by Dr. Akshay Badhi, 75% of patients with ST elevation heart attack taken directly to cath lab were treated within 90 minutes of recommend time frame compared to only 50% who were first evaluated in the emergency room.

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Infertility News (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is pelvic adhesion?

Adhesions in and around the pelvic cavity may form if you have endometriosis, a pelvic infection, surgery on your pelvis, a cyst on an ovary, or have had surgery on your pelvis. Scar tissue causes organs that normally are separate from each other to become attached.

Rabies News (Dr. A K Gupta)

What should be done if there is a case of human rabies?

A study on management of human rabies concluded that the dismal outcome of patients with rabies provides little optimism for heroic efforts. Palliative therapy is of paramount importance in this fatal disease.

cardiology news

For STEMI skip ED, Go right to Cath Lab

A study published online in Circulation: Cardiovascular Interventions reports that bypassing the emergency department (ED) and heading straight to the cath lab resulted in faster reperfusion times for more patients with a severe heart attack. Three-quarters of patients with ST-segment elevation myocardial infarction (STEMI) taken directly to the cath lab by emergency medical services were treated within the 90-minute recommended time frame, compared with only half of those who were evaluated in the ED first (P<0.001). The time from first medical contact to angioplasty was a median 75 minutes for those who bypassed the ED, versus 90 minutes for those triaged in the ED before going to the cath lab (P<0.001). (Source: Medpage Today)

Study clears Avandia of fatal cardiac events

The controversial diabetes drug rosiglitazone (Avandia) won't increase the risk of major cardiovascular events and mortality in diabetic patients who have established coronary artery disease (CAD), as reported online in the journal Circulation. In a post-hoc analysis of data from the BARI 2D trial, patients taking rosiglitazone had an equal likelihood of dying over 5 years as those who didn't take any drug in the thiazolidinedione (TZD) class (hazard ratio 0.83, 95% CI 0.58 to 1.18, P=0.29). (Source: Medpage Today)

Valvular Heart Disease News

Echocardiography is indicated for formal diagnosis in patients with clinical examination suggestive of MVP or those with a family history of MVP.

(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

Less sleep, more behavioral problems in kids

Children who have relatively short nighttime sleep duration are at high risk for several externalizing behavioral problems. A cohort study of almost 9000 preschool-aged children showed that those who averaged fewer than 9 hours of sleep per night were significantly more likely to show impulsivity, anger, and overactivity and to have tantrums than their peers who averaged more nightly sleep. The children with less sleep were also 80% more likely to show aggression. (Source: Medscape)

Finland bucks the trend: Type 1 diabetes in kids flattens

An analysis of data from the Finnish National Institute for Health and Welfare on type 1 diabetes diagnosed in children aged 0 to 14 years during 2006–2011 is published July 23 in a research letter in JAMA shows that the incidence of type 1 diabetes appears to be leveling off in the country. Finland has the highest incidence of T1D in the world, and its T1D registry is one of the longest-running. (Source: Medpage Today)

cardiology news

Air quality a temporary trigger for MI

Heavy air pollution can trigger acute heart attack in the hours after exposure.

Every 10 µg/m3 increase in small particulate matter and nitrogen dioxide temporarily boosts heart attack risk by 1.2% and 1.1%, respectively, as per a report in the BMJ. The chances of suffering an attack increase by 1.3% in the 6 hours after coming in contact with high levels of vehicle–related pollutants.

The increased risk is seen up to six hours after exposure to typical traffic–related pollutants. The take home message is that breathing in large amounts of traffic fumes can trigger a heart attack within 6 hours following exposure.

...Read More

cardiology news

An adolescent was being evaluated for sexual assault.

Dr. Bad: No antibiotic prophylaxis is needed.
Dr. Good: Antibiotics prophylaxis for STI is needed.
Lesson: All adolescent who have been sexually abused should receive antibiotic prophylaxis for Sexually Transmitted Infections (STI). The decision to obtain culture prior to initiation of treatment should be made on case to case basis.

...Read More

cardiology news
  1. 23rd July: HCFI Executive Meeting


CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh


CPR Classes: Persons trained (136)

19th July: CPR Moolchand 29

20th July: CPR Moolchand 28

22nd July: CPR Moolchand 26

23rd July: CPR Moolchand 26

24th July: CPR Moolchand 27

CPR VIP Sensitization

24th July: Imtiaz alam from pakistan doing CPR

Total CPR since 1st November 2012 – 54811 trained

TV and Radio Coverage

24th July: Interview in Sahara TV on iron tablets

Video Chats and uploads

Dr KK Aggarwal on NEWS 24

Dr KK Aggarwal on Monsoon Take Care

Dr KK Aggarwal on Danger of Epidemics (Uttarakhand Disaster)

1308 students learnt CPR at Abhinav Public School, Rohini

CPR Utsav 6th April 11543 men and women Trained in 1 day

Dr KK Aggarwal on 4 REALNEWS JUNE 26 2013 On Uttarakhand Disaster

Symposium on Prayer, Faith, Meditation and healing part 9

Symposium on Prayer, Faith, Meditation and healing Part 8

Advocacy through

Print Media

21st July: Saha Times

21st July: Viraat Vaibhav

22nd July: Veer Arjun

22nd July: Viraat Vaibhav

23rd July Veer Arjun

24th July: Veer Arjun

Media advocacy through Web Media

Osteoporosis is preventable and treatable 23rd July


More women than men die in hospital from severe heart attack

Men and women have about the same adjusted in-hospital death rate for heart attack. But, but women are more likely to die if hospitalized for a more severe type of heart attack, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President Elect IMA.

According to a report in Circulation: Journal of the American Heart Association:

  • Women are twice as likely as men to die if hospitalized for a type of heart attack known as ST-elevation myocardial infarction (STEMI).
  • Women are also less likely to receive appropriate and timely treatment for heart attack.
  • Women with STEMI have a 12 percent higher relative risk for in-hospital death compared to men.
  • Compared to men, women are 14 percent less likely to receive early aspirin; 10 percent less likely to receive beta blockers; 25 percent less likely to receive reperfusion therapy (to restore blood flow); 22 percent less likely to receive reperfusion therapy within 30 minutes of hospital arrival; and 13 percent less likely to receive angioplasty within 90 minutes of hospital arrival.
  • Women admitted with a STEMI are about twice as likely to die in the first 24 hours of hospitalization as men.

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 54811 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 10x10 i.e. 100 per minute.” ...Read More

today emedipics

Heart Care Foundation of India organized a CPR 10 Camp with Delhi Transport Department (DTC) HQ, ITO on 18th July 2013

press release

Strain echo imaging for cancer chemotherapy toxicity_1–2

today video of the daySmart Phones Benefits and Hazards

Beware of Artificial Medicine

Dr KK Aggarwal on Pollution in Delhi

eMedi Quiz

Read this…………………

Dr. Smith suspects tracheoesophageal fistula in a 1-day-old neonate. Which nursing intervention is most appropriate for this child?

a. Avoiding suctioning unless cyanosis occurs
b. Elevating the neonate’s head and giving nothing by mouth
c. Elevating the neonate’s head for 1 hour after feedings
d. Giving the neonate only glucose water for the first 24 hours

Yesterday’s Mind Teaser: A 2-month-old baby hasn’t received any immunizations. Which immunizations should nurse Jess prepare to administer?

a. Measles, mumps, rubella (MMR); diphtheria, tetanus, pertussis (DTP); and Hepatitis B (HepB)
b. Polio (IPV), DTP, MMR
c. Varicella, Haemophilus influenzae type b (HIB), IPV, and DTP
d. HIB, DTP, HepB; and IPV

Answer for yesterday’s Mind Teaser: d. HIB, DTP, HepB; and IPV

Correct answers received from: Dr Abbas Vakil, Dr PC Das, Geeta Yadav, Dr KV Sarma,
Dr VP Thakral, Dr Sushma Chawla, Dr Raghavendra Jayesh, Dr Arpan Gandhi, Dr K Raju,
Dr Vishal D Wahane, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Raghavendra Singh, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Bitaan Sen & Dr Jayashree Sen.

Answer for 23rd July Mind Teaser: a. Babinski’s

Correct answers received from: Dr Raghavendra Jayesh, Dr Arpan Gandhi.

Send your answer to ijcp12@gmail.com

eMedi Apps

medicolegal update

medicolegal update

A family is driving in their car on holidays. A frog crosses the road and the husband, who is driving, is able to stop the car. He gets out and takes the frog and carries him to the side of the road.

The frog is grateful, thanks the man and tells him that he will grant him a wish.

The man says, "Please make my dog win the next dog race."

The frog asks to look at the dog, which limps out of the car. The frog notices that the dog only has three legs, it very fat, and can barely move at all so he tells the man that he thinks it is almost impossible to fulfill his wish and asks that the man will tell him another wish.

The man says, "Well, then please make my wife win the next beauty contest in the area. The frog asks him to tell his wife to get out of the car.

Wife comes out of the car and approaches the frog.

The frog turns to the man and says, "Could I please have another look at the dog?"

medicolegal update
medicolegal update

medicolegal update

Situation: A patient with acute heart attack died on the way to the hospital.
Reaction: Oh my God! Why was the patient not accompanied by the doctor?
Lesson: Make sure that all heart attack patients are accompanied by the doctor to the hospital so that chest compression (CPR) can be given if the heart stops on the way.

medicolegal update

The most painful thing in life is losing yourself in the process of valuing someone too much and forgetting that you are special too……… !!!

medicolegal update

Dr KK Aggarwal: Over 50 focus only on upper blood pressure
http://bit.ly/12vFIfq #Health

Dr Deepak Chopra: Not even devoutly religious scientists claim that God is necessary, when it comes to doing science
http://bit.ly/12vFIfq #Health

medicolegal update

Medical education has to be in the hands of private sector. Since childhood you send your wards to the best private schools. State medical colleges don't have adequate faculty and facilities to match the international standards. Most important is to control these private medical colleges to follow strict guidelines of MCI and admit meritorious students. Vivek Kumar, Varanasi.

Forthcoming Events

25th July CPR 10 Camp and Health Camp at Sahodaya School. C Block SDA

28th July Free Health Check up Camp at Moolchand Medcity, New Delhi

29th September -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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