eMedinewS26th March 2014,Wednesday

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
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New guidelines to be followed by doctors to examine and treat the Sexually assaulted victims

These guidelines were drawn by MOH with the help of The Department of Health Research (DHR) along with Indian Council of Medical Research (ICMR) for dealing with sexually assault cases.

  1. Every hospital must have a designated room to deal with Medico Legal Cases (MLC) of sexual assault to provide privacy to the victim and must have essential equipments listed in the guidelines.
  2. While carrying out medical tests no third person must be present in the room other than the doctor. If the doctor is male, a female attendant must be there.
  3. Provide comprehensive care which must address issues like physical injuries, STDs, HIV, Hepatitis B, etc. Also the psychological effects must be recognized and the patient shall be provided counselling, social support and appropriate referrals.
  4. The two–finger test that was used by doctors to opine whether the girl is habituated to sexual intercourse or not, has been outlawed.
  5. Doctors are asked not to use word rape in their opinion, as it is a legal definition and not a medical diagnosis.
  6. Names of samples, its preservative and purpose of analysis for forensic lab has to be printed itself on the form before sending it to FSL (forensic science lab).
  7. A provision for DNA analysis has also been done. A separate form for medical management as a check list has been provided too.
  8. Obtaining "informed consent" of the victim (explained in the manner and language which the patient can understand) is mandatory before starting treatment and so is informing the police. (source IMA)

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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

Can A Mantra Or Sound Be Used As A Medicine?

sprritual blog

The answer is yes. The difference between a Mantra and a sound is that Mantra sound is an energized sound with medicinal values. There are many aspects of Mantra as a sound:

1. The type of sound matters. It is a well known that chanting of vowel sounds produces interleukin 2 in the body which has the same action as that of aspirin and works like a natural pain killer.
Chanting of nasal consonants produces delta activity in the EEG and has similar action like tranquilizers. Chanting of other consonants has different actions in the body for example chanting of LUM reduces
fear, VUM reduces attachments, RUM reduces doubt, YUM increases love, HUM increases truthfulness and AUM non-judgmental activities.

2. Mantra sounds can be vibratory or non-vibratory. Vibratory sounds use nasal consonants and vibrate bones starting from mandible, spine, and the automatic plexus lying along the spine. Chanting of nasal consonants leads to parasympathetic state.

3. Any Mantra chanting associated with reduced respiratory rate leads to parasympathetic state of the body. Ideal is to reduce the respiratory rate to 4 per minute and then continue it for next 20 minutes that means 80 breathes in 20 minutes. This can be done by chanting for exam-le the whole Gayatri mantra in on respiratory cycle.

4. How does one chant also matters? The yogic way of chanting is when the mind is in mantra or the chanting. This leads to deeper relaxation.

5. Whether you chant with the understanding the meaning of the Mantra or not also matters? If you do that the chanting benefits will be more. Foreigners do not understand the meaning of Indian Mantras but yet they get benefits. But if they chant with understanding the meaning of the Mantra, the health benefits will be more.

6. Chanting a mantra with its meaning in the mind invokes the power of intention. It’s like getting connected to any search engine on the internet and typing your query. Your consciousness in our body is the internet and the intention the search button.

7. Chanting a mantra with its meaning in the mind also results in emotions and expressions which have an added advantage.

8. Overtone chanting has additional benefits. The new sound heals not only those who are chanting but also those who are listening and bystanders.

9. Group chanting is more powerful. If 1% population chants together, rest 99% also gets the benefits.

10. One can also do distance healing by chanting at a far distance. The only way one can explain this is by understanding consciousness as an internet cum social site model. In this understanding each one of us has our page in the internet (soul) as well as a page in the cloud internet (spirit). All our pages are connected with every person in this earth through the cloud internet. People can chant at a distance and their audio file with intent automatically gets posted on their soul internet and the cloud internet. The person for whom we are prayer chanting gets the benefit whenever he is connected to the cloud internet.

11. During chanting the mind diverts. Continuously chanting of Mantra for 12 seconds means concentration, 12×12 seconds is contemplation and 144×144 seconds is meditation. So by concentrating on the object of concentration, the mantra, one can avoid diversion of the mind.

12. The intensity or the loudness of the chanting sound also matter Higher the loudness less will be the effects. Japa meditation involves two hours of Mantra chanting to get the benefit. In a non Japa meditation, these benefits can be acquired in 20 minutes. Thoughtless chanting is more powerful than verbal Mantra chanting. Vipasana is chanting without Mantra where you are just aware of the breath and one has to do this type of meditation for hours together to get the benefit.

13. In Chautha or Teravi (mourning period), we have one hour of sangeet, or chanting of Mantra or prayers. This helps relax the mind, shifts one from sympathetic to parasympathetic mode. In the initial 15 minutes, there is sympathetic over activity and the person is restless. As the time passes, parasympathetic state takes over and by the time one hour is over, parasympathetic state is at its full blown activity and at that time getting connected to cloud internet is easier.

Full attending for one hour of Chautha ceremony is only for those who are connected to the dead person and want to get distressed. These people have empathy for the diseased person. Those who have sympathy mostly show up before or after the Chautha ceremony to complete their formality.

In Chautha, we say that Bhagwan Uski Aatma Ko Shanti De. God will forgive him only if the soul is under distress which can only happen if there are some non–fulfilled desires and these desires will always be linked to a particular person. Therefore, only those who have guilt will feel that the diseased person’s soul is not at rest.

In a Chautha ceremony one can only remove this guilt in the parasympathetic phase towards the end of the Chautha ritual and seeks forgive and forgiveness.

14. In different religions, this has different implications. In Hinduism, we only attend Chautha of whom we know but in Islam people attend the mourning ceremony of people whom they not even know. They believe in mass prayers and pray for the soul of the diseased person. In Islam this mass prayer message gets written on the cloud internet and has mass effect in the community.

In Islam, a person usually says Mein khuda se tumhare liye dua mangunga. It is possible for them as they do Namaz prayer five times in a day and when they ask for Dua for someone they put the intent in the cloud internet which can be retrieved by others.

In Christians, it is different. The dying patients or the relations ask the doctors and others to pray with them and not only for them.

cardiology news

The Brilliance of Mohandas Karamchand Gandhi

When Mr. M. K. 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

  • A new study published online March 20 in the Journal of Clinical Endocrinology and Metabolism has reported that obese women undergoing in vitro fertilization (IVF) are more likely to benefit from weight–based dosing of reproductive hormones used during IVF cycles. Researchers at the University of Colorado evaluated 10 regularly menstruating obese women and 10 normal–weight women with normal baseline prolactin, thyroid–stimulating hormone, and blood count. Cetrorelix, a GnRH antagonist, exhibited decreased distribution half–life in obese women compared with normal–weight women (8.1 ± 1.6 vs. 12.7 ± 6.2 h). Additionally, obese women exhibited increased clearance of cetrorelix compared with normal–weight women (25.8 ± 6.8 vs 20.1 ± 8.3 L/h).
  • The American Academy of Neurology (AAN) has recently recommended through its new guidelines that oral cannabis extracts, tetrahydrocannabinol (THC), and a cannabinoid mouth spray might relieve spasticity and pain in patients with multiple sclerosis. The guidelines also recommend that magnetic therapy and Gingko biloba may alleviate fatigue and reflexology could ease paresthesia. The new guideline, developed by the Guideline Development Subcommittee of the AAN, is published in the March 25 issue of Neurology.
  • Women with the highest levels of alpha–amylase, a biomarker for stress, are nearly one–third less likely to conceive than their less–stressed counterparts, and twice more likely to meet the clinical definition of infertility, reports a recent prospective cohort study. A multivariate analysis adjusted for female age, race, income, and use of alcohol, caffeine and cigarettes, reported that women in the highest tertile for alpha–amylase, a protein enzyme that is elevated in saliva after chronic stress, were 29% less likely to conceive than those in the lowest tertile. The study was published online March 23 in Human Reproduction.
  • A new study has revealed that e–cigarettes are no longer an effective option for those trying to quit smoking. Recent results from a longitudinal analysis of e–cigarette use and smoking cessation in a sample of 1549 participants revealed that baseline e-cigarette use was not associated with any change in cigarette consumption at 1 year. The findings of the study were published online March 24 in JAMA Internal Medicine.
  • A novel study on social media has come up with some interesting results; it has been noted that social media, in combination with traditional in–office counseling, is effective for improving patient contraceptive knowledge. The increased knowledge was translated into increased patient preference for long-acting reversible contraceptives (LARCs). The study is published in the April issue of Obstetrics & Gynecology.

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)

Do antibodies from rabies vaccination cross an intact blood–brain barrier?

No. Antibodies from vaccination do not cross an intact blood–brain barrier.

cardiology news

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

  • Ceftriaxone when used at therapeutic doses may be associated with renal stones and pediatric acute renal failure (PARF), reports a retrospective study published online March 24 in Pediatrics. The study also states that recovery is possible with early treatment. The study authors suggested that observation of sudden–onset anuria or flank pain in children receiving ceftriaxone should prompt the clinician to immediately discontinue the drug.
  • According to the experience of a hospital–based pediatric primary care practice in Boston, Massachusetts, a team–based quality improvement initiative may improve vaccination coverage of toddlers. Researchers employed a before–and–after design to evaluate the effect of the initiative among 3298 patients aged 24 months between 2009 and 2012. Results revealed that the monthly modified immunization rate, which excluded patients whose parents declined vaccination or who opted into or out of the practice, increased from 93% before implementation of the initiative to 95% afterward.
cardiology news

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

  • Researchers at the University of Virginia have come up with novel findings on significant genetic variants associated with stroke, cardiovascular disease and many other common diseases. The researchers focused on the folate one–carbon metabolism (FOCM) pathway based on their knowledge that abnormally high blood levels of the amino acid homocysteine are associated with increased risk of diseases such as stroke, cardiovascular disease and dementia. Homocysteine is a breakdown product of methionine, a part of the FOCM pathway. Investigators identified variants in five genes in the FOCM pathway that were associated with differences in a person’s potential to convert methionine to homocysteine.
  • A study published in the American Heart Association’s journal Circulation has revealed that a battery–sized, wireless, leadless pacemaker may be safer and more effective in reducing the risk of complications as compared to conventional pacemakers. The novel device is 6 millimeters in diameter and about 42 millimeters long. The efficacy of the pacemaker was evaluated in 33 Caucasian patients, average age 77 years. The self–contained pacemaker was successfully implanted in 97% patients. About 94% patients were free of complications over the three–month study period.
cardiology news

Vaccination for elderly

The best gift to your grandparents is to get them vaccinated if they have not been vaccinated earlier.

  • Annual influenza or flu vaccine is recommended for all persons aged 6 months and older.
  • Pneumonia vaccine should be given to all adults aged 65 years and older.
  • Tetanus Toxoid should be given to all irrespective of age after every 10 years.
  • A single dose of herpes zoster vaccine is recommended for adults aged 60 years and older regardless whether they have had a previous episode of herpes zoster. The vaccination begins at 60 years of age.
  • Hepatitis B vaccine should be given to all if they have not been vaccinated earlier.
  • All diabetics aged 60 years or older should be vaccinated for hepatitis B. This recommendation is based on increased need for associated blood glucose monitoring in long term care facilities.
  • All patients with chronic liver diseases should also be given the Hepatitis B vaccine.
cardiology news

Total CPR since 1st November 2012 – 88972 trained

Media advocacy through Web Media

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press release

Restricting salt in diet can lower heart disease risk

Restricting salt in the diet can lower the risk of developing heart disease by 25 percent and the risk of dying from heart disease by 20 percent, 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.

Dietary intake of sodium among Indians is excessively high. Quoting a Harvard Medical School study published in British Medical Journal, Dr Aggarwal said that among hypertensive individuals, lowering sodium is quite well established to lower blood pressure, but now it has been shown that reducing salt also has an effect on cardiovascular disease.

When people with pre hypertension (blood pressure more than 120/80 and lower than 140/90), reduced their salt intake by about 25 to 35%, they were 25% less likely to develop cardiovascular disease 10 to 15 years after the trial ended. There was also a 20 percent lower death rate from cardiovascular disease among those who cut their salt consumption.

Salt restriction is best achieved by avoiding salted, salt cured and salt smoked foods such as lunch meat, hot dogs, ham, olives, pickles and regular salted canned foods, and other prepared foods, which often use more salt than homemade equivalents. Foods we would never think of as salty, such as breakfast cereals, cookies, and even some soft drinks, often contain copious additions of sodium.

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

Five Things Physicians and Patients should question

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

Which of the following is present intracellularly in muscle cells:

1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.
Ans. 2

Yesterday’s Mind Teaser: The buffering capacity of a buffer is maximum at pH equal to:

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

Answer for yesterday’s Mind Teaser: 2. pKa

Correct answers received from: Dr P C Das, Dr K V Sarma, Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan, Dr Prakash Khalap.

Answer for 24th March Mind Teaser: 4.Vertebral venous plexus.

Correct answers received from: Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

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centralbank
medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

A woman customer called the Canon Help Desk with a problem with her printer.
Tech support: Are you running it under windows?
Customer: "No, my desk is next to the door, but that is a good point. The man sitting in the cubicle next to me is under a window, and his printer is working fine."

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: Doctor, this patient has developed acute renal failure.
Reaction: Oh my God, I forgot that he was on furosemide. I gave him a full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

medicolegal update

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, Very Informative news. 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

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