eMedinewS27th January 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);
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Difference between fog and smog

Whenever the humidity is high, air movement is less and the temperature is low, fog is the automatic choice. It reduces visibility and more accidents are reported on the roads and delay in both railway and airlines services. When the level of pollution is high in the atmosphere, the pollutant particles get mixed into the fog reducing its visibility further and the resultant is called as smog. Smog is very dangerous to both lungs and the heart.

  1. High sulfur dioxide contents lead to precipitation of chronic bronchitis.
  2. High nitrogen dioxide contents lead to precipitation of asthma.
  3. High particulate matter (PM10), air pollutants sized between 2.5 to 10 microns, can damage the lungs and precipitate asthma due to air flow and inflammation.
  4. High contents of particulate matter (PM 2.5), air pollutants less than 2.5 micron in size can enter the lungs and damage the lung lining. They can also be absorbed and cause inflammation of the heart arteries.
  5. Patients with asthma and chronic bronchitis should get the dose of their medicine increased during smog days. One should avoid exerting in the presence of smog.
  6. It is better to avoid walking during smog hours.
  7. One should drive slowly during smog hours.
  8. Heart patients should stop their early morning walk during smog hours.
  9. Remember to take the flu, pneumonia vaccine.
Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV 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."

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VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Neti–Neti (Not This Not This)

The Main Principle of Knowing the Truth

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The main figure in the Upanishads is sage Yajnavalkya, known as one of the greatest philosophers. Most of the great teachings of later Hindu or Buddhist philosophy are derived from him. He taught the great doctrine of neti–neti, the view that truth can be found only through the negation of all thoughts about it.

Brhadaranyaka Upanishad is the oldest and the most important of all the Upanishads. Its name actually means the great forest–book.

Sage Yajnavalkya’s dialogues with his wife, Maitreyi are featured in the Muni Kanda or Yajnavalkya Kanda. The doctrine of neti–neti suggests the indescribability of the Brahman, the Absolute. Yajnavalkaya attempts to define Brahman.

Atman is described "neither this, nor this" neti–neti. The Self cannot be described in any way. Na–iti – that is Neti. Through this process of neti–neti you give up everything - the cosmos, the body, the mind and everything – to realize the Self.

Once the Atman is defined in this manner are you become familiar with it, a transformation takes place as realization dawns that the phenomenal world and all its creatures are made up of the same essence of bliss.

Brahman is infinite, amorphous, colorless, characterless and formless Universal Spirit, which is omnipresent and omnipotent, and like cosmic energy, is pervasive, unseen and indescribable.

Neti–neti Meditation: The principle of neti–neti has been used in meditation involving gnana yoga. Whenever a thought or feeling comes to mind that is not the goal of the meditation, or is not the soul or the inner self, the meditator simply has to say, "Not this, not this," and dismiss the thought, image, concept, sound, or sense distraction. Any thought, any feeling, is patiently discarded — again and again if necessary, until the mind is clear and the soul/or the self is revealed.

Neti–neti and the mind: When you get into the habit of neti–neti, you can also discard thoughts of worry, doubt, or fear, and become established in the light of your inner self. You can, then, look back at worries and fears with deep insight and handle them.

Neti–neti and the medical profession: One of the basic medical teachings is to diagnose a condition by way of excluding other similar conditions. This is called differential diagnosis and this is the mainstay of allopathy. This also makes one investigative–oriented but is the only scientific way of knowing the truth.

Neti–neti and multiple–choice questions: In any modern exam today, the principle of neti–neti is used. A question has about four nearly similar answers and the student has to answer the correct one. He can only answer by the principle of negation.

Neti–neti and police investigations: This principle is also used while handling a criminal case. Everyone is a suspect in the crime initially, till a process of elimination clears them.

cardiology news

A man must constantly exceed his level!

This inspiring story is about Bruce Lee, a legendary martial art master.

"Bruce had me run up to three miles a day, really at a good pace. We’d run the three miles in 21 or 22 minutes. Just under eight minutes a mile (Note: when running on his own in 1968, Lee would get his time down to six–and–a half minutes per mile).

So this morning he said to me "We’re going to go five." I said, "Bruce, I can’t go five. I’m a helluva lot older than you are, and I can’t do five." He said, "When we get to three, we’ll shift gears and it’s only two more and you’ll do it."

I said "Okay, hell, I’ll go for it." So we get to three, we go into the fourth mile and I’m okay for three or four minutes, and then I really begin to give out. I’m tired, my heart’s pounding, I can’t go any more and so I say to him, "Bruce if I run anymore," –and we’re still running–" if I run any more I’m liable to have a heart attack and die." He said, "Then die." It made me so mad that I went the full five miles. Afterward I went to the shower and then I wanted to talk to him about it. I said, you know, "Why did you say that?"

He said, "Because you might as well be dead. Seriously, if you always put limits on what you can do, physical or anything else, it’ll spread over into the rest of your life. It’ll spread into your work, into your morality, into your entire being. There are no limits. There are plateaus, but you must not stay there, you must go beyond them. If it kills you, it kills you. A man must constantly exceed his level."

From The Art of Expressing the Human Body

By Bruce Lee, John Little

News Around The Globe

News

  • The European Medicines Agency’s Committee for Medicinal Products for Human Use has recommended the granting of marketing authorization for follitropin alfa (Bemfola, Finox Biotech AG), a recombinant human follicle–stimulating hormone (FSH, G03GA05), for the indication of fertility disorders in men and women.
  • Intranasal delivery of metoclopramide is more effective in managing symptoms of diabetic gastroparesis than oral metoclopramide. In a phase 2b study, metoclopramide nasal spray provided better symptom control than oral metoclopramide.
  • The European Medicines Agency (EMA) has launched a review of emergency contraceptives to determine whether they work as well in women weighing 75 kg or more. The emergency contraceptives being reviewed include a number that contain the progestogen levonorgestrel, such as Norlevo (HRA Pharma), Levonelle/Postinor (Bayer), and Levodonna (Novartis), as well as ellaOne (HRA Pharma), which contains ulipristal acetate.
  • Although wide disparities still exist in the use of infertility services in the United States, fewer women are seeking medical help to get pregnant compared with in recent decades, according to a report published online January 22 in the Centers for Disease Control and Prevention’s (CDC’s) National Health Statistics Reports.
  • Total normal brain and hippocampus volumes were directly associated with levels of omega–3 fatty acids in a study of more than 1000 postmenopausal women published online January 22 in Neurology. Results showed that overall brain size was slightly but significantly smaller in the women in the lowest quartile of omega–3 index compared with those in the highest quartile. And specifically, the hippocampus, area of the brain related to cognitive function, was also significantly smaller in the lowest vs the highest quartile of omega–3 index. The authors suggest that their results are consistent with the idea that higher omega–3 levels may slow the loss of brain volume that occurs as we age.

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)

Can we apply local antibiotics or antimicrobial agents on the site of bite?

After cleansing of the bite wounds, local antimicrobial agents can be applied. Discourage local wound applicants like turmeric, neem, red chili, lime, plant juices, coffee powder etc.

cardiology news

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

  • A randomized, placebo–controlled trial in healthy women in early menopause who had hot flashes suggests that three–month therapy with oral micronized progesterone alone (without estradiol) poses little or no short–term cardiovascular risk. Dr Jerilynn C Prior (Centre for Menstrual Cycle and Ovulation Research, University of British Columbia, Vancouver) recently coauthored a report based on the same study, in which progesterone therapy had significantly reduced the intensity and frequency of hot flashes and night sweats in the postmenopausal women. In this new analysis of the trial, Prior et al showed short–term cardiovascular safety. The Framingham general cardiovascular risk profile scores, which were low to begin with due to the enrollment criteria, remained low with progesterone therapy.
cardiology news

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

  • Estimates of autism spectrum disorder (ASD) prevalence will likely be lower under the newly released Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM–5) criteria compared with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM–IV–TR) criteria, new research suggests. The study was published online January 22 in JAMA Psychiatry.
  • Premature infants continue to have intermittent hypoxia (IH) even after they are no longer experiencing clinically apparent apnea, new findings suggest. In the study, published January 20 in JAMA Pediatrics, Dr. Carl E. Hunt of the Uniformed Services University of Health Sciences in Bethesda, Maryland and colleagues also show extending treatment with caffeine past the standard 34 weeks significantly reduced the frequency of IH.
cardiology news

Lifestyle can prevent 50% of common cancers

More than 50% of cancer could be prevented if people simply change lifestyles according to Graham Colditz, PD, DrPH, from the Washington University School of Medicine in St. Louis, Missouri here at the Union for International Cancer Control (UICC) World Cancer Congress 2012.

Among the "biggest buys" from lifestyle intervention is smoking cessation. One third of cancer in high–income countries is caused by smoking.

Being overweight or obese causes approximately 20% of cancer today. If people could maintain a healthy body mass index (BMI), the incidence of cancer could be reduced by approximately 50% in 2 to 20 years.

Poor diet and lack of exercise are each associated with about 5% of all cancers. Improvement in diet could reduce cancer incidence by 50% and increases in physical activity could reduce cancer incidence by as much as 85% in 5 to 20 years.

Eradicating the main viruses associated with cancer worldwide by implementing widespread infant and childhood immunization programs targeting 3 viruses — human papillomavirus and hepatitis B and C — could lead to a 100% reduction in viral–related cancer incidence in 20 to 40 years.

Tamoxifen reduces the rate of both invasive and noninvasive breast cancer by 50% or more, compared with placebo, at 5 years.

Raloxifene has been shown to reduce the risk for invasive breast cancer by about 50% at 5 years.

Bilateral oophorectomy in women carrying the BRCA1 or BRCA2 gene, although rare, has been associated with a 50% reduction in breast cancer risk among high–risk women.

Aspirin is associated with a 40% reduction in mortality from colon cancer.

Screening for colorectal cancer has a similar magnitude of mortality reduction (30% to 40%).

Tobacco, alcohol, and diet, lack of physical activity, and obesity — accounted for more than half of all cancer.

cardiology news

Total CPR since 1st November 2012 – 84500 trained

Media advocacy through Web Media

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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, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior 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 and oats. Gluten is also present as a food additive in the form of a flavoring, stabilizing 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 84500 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."

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CPR Camp at NDMC Premises

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To Err is Human

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

Granulocytopenia, gingival hyperplasia and facial hirsutism are all possible side effects of one of the following anticonvulsant drugs.

1. Phenytoin.
2. Valproate.
3. Carbamazepine.
4. Phenobarbitone.

Yesterday’s Mind Teaser: An increased incidence of cholangiocarcinoma is seen in all of the following, except:

1. Hydatid cyst of liver.
2. Polycystic disease of liver.
3. Sclerosing cholangitis.
4. Liver flukes.

Answer for yesterday’s Mind Teaser: 1. Hydatid cyst of liver.

Correct answers received from: Dr. P. C. Das, Dr.K.V.Sarma,, DR.BITAAN SEN & DR.JAYASHREE SEN, Dr K P Chandra, Dr.(Maj. Gen.) Anil Bairaria,, Dr Avtar Krishan, daivadheenam,

Answer for 25th January Mind Teaser: 2. HbsAg and HBeAg positve.

Correct answers received from: Dr. P. C. Das, DR AYYAVOO ERODE

Send your answer to ijcp12@gmail.com

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medicolegal update

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Just Ask Me

On a flight to Florida, I was preparing my notes for one of the parent education seminars I conduct as an educational psychologist. The elderly woman sitting next to me explained that she was returning to Miami after having spent two weeks visiting her six children, 18 grandchildren and ten great grandchildren in Boston. Then she inquired what I did for a living.

I told her, fully expecting her to question me for free professional advice.

Instead she sat back and said, "If there’s anything you want to know, just ask me."

medicolegal update

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medicolegal update

Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high?
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

medicolegal update

He who angers you conquers you. Elizabeth Kenny

medicolegal update

Dr KK Aggarwal: You can reverse heart disease Every cell in the body eventually dies and is replaced by a new cell. Every (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/15QdVeB #Health

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  1. Dear Sir, Congrates to all Padma Awardees Doctors. Regards: Dr Kapil.

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