eMedinewS27th February 2014, Thursday

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

Just to share a happy moment in my life with eMedinewS readers

Dear All

Just to share a happy moment in my life with eMedinewS readers. I will be receiving DST National Award for Outstanding Efforts in Science & Technology Communication from Sh. Jaipal Reddy Hon’ble Cabinet Minister, Ministry of Science and Technology on 28th of this month. The award will be presented as part of National Science Day Celebrations.

In the past I have already received two other National Awards, Padma Shri and the Dr. BC Roy National Award. With the addition of the DST National Award, I will have the rare distinction of receiving a national award in all these three prestigious categories

  1. CONGRATS A LOT DR SAHIB, we are very happy, hope abhi aage aur bhi aise news milti rahengi: Dr Geeta Mongia, vice president, IIHP (DSB), 9810442075, www.homoeogeeta.com
  2. Congratulations…We are proud of U. Nimmi/Jiwan
  3. Dear Dr K K Aggarwal, Please accepts our best wishes for the award which you deserve so much. The medical fraternity is really proud and fortunate to have you with us. Simply all rounder and full of excellent qualities. Wishing you many more awards for your contribution for social welfare: Dr Arun Mishra, drarunmishra@yahoo.com
  4. Heartiest congratulations, Dr. D. K. Bhargava, dineshmaya@yahoo.com
  5. Many many Congratulations KK. Ramona also joins me to wish u the same., Dr Tarun Gupta
  6. Congrats sir, so happy for u & sooo…proud to have a teacher like U. you deserve much more…God bless U always Dr Puja Kapoor
  7. Congrats KK. No one deserves the award more than you. O P Yadava.
  8. Dear Dr Aggarwal, On behalf of colleagues from Tamilnadu, I extend our congratulations for this achievement. Best wishes for a much brighter future. thanx , Dr.S.Shanmugasundaram. M.D,D.M(Cardiology)
  9. Great Sir! Thanks for sharing. I am very happy for you. Congrats and best wishes for many more ! Best regards, Sanjay Chugh
  10. Congrats sir ! It is really great. God bless you: S Dwivedi
  11. Congrats Dr K K Aggarwal. You truly deserve it. Vinod Vijan
  12. Congratulations Sir and hope you win many more awards–regards Dr Dharan
  13. Dear Dr KK Aggarwal, it is well deserved. Congratulations! Regards, Dr Upreet Dhaliwal, MS
  14. Heartiest congratulations! Thanks, Dr. Parveen Bhatia
  15. Congrats Dr Aggarwal. You always deserved it. Dr N P Singh
  16. Congratulation for this unmatched achievement. Truly a glorious moment for all of us to feel proud. Dr Rajendra Kumar
  18. Congratulations!!! Wish you get thousands of such awards. Dr Rishipal Singh
  19. Congrates, Dr.Israni
  20. Congratulations, you truly deserve this award, we really feel very proud of you. With best wishes, Prof. Alka Kriplani
  21. Heartiest congratulations Dr Aggarwal, its great joy. Proud to be associated with you. K P Kushwaha
  22. Congratulations KK May God bless you. Dr and Dr Mrs Khalilullah
  23. Thank you very much to share your happiness with us. This is your greatness ––that is why you are really a special blessed person. You have taught us ""The Practical and constructive way to improve our lives and the lives of those around us.–––for the valuable teaching of yours, help us to get the appreciation from our work place".with regards and heartiest congratulation for you great achievement. May God be with you with all blessings. DR. Deepali Chatterjee
  24. Many congratulations, sir! Well deserved! Regards, Vivek Tandon
  25. Dear KK, Heartiest congratulations. God is great. Your commitment and perseverance deserves all recognition. Regards, Sunil. Nigam
  26. Congratulations. Peeyush jain
  27. Dear Dr. Aggarwal, Heartiest Congratulations, Dr. (Prof) Harsh Wardhan
  28. Dear Sir, Congratulations. Thanking You. With Regards, P.Venugopal
  29. Congratulations, Sir!! Dr Kaberi Banerjee
  30. Great news, KK, It is truly deserved. You are clearly an inspiration to us all. Love, Rajiv Khosla
  31. Congrats. Wish you many, many, more awards in the years to come. Dr. Sadhana Kala
  32. Congrats on your work acknowledgment by this award! Dr Manisha Kukreja
  33. Congrates Doctor!!…we are proud of you !! DAV RK Puram
  34. Congrates, Well deserved, Dr B B Rewari
  35. Sir, heartiest congratulations for receiving this award. From- Dr Ravi Bindra and Dr Renu Bindra
  36. Congratulations KK May God bless you.Dr and Dr Mrs Khalilullah
  37. Dear Dr. Aggarwal, What a brilliant achievement! You richly deserve it. May God bless you with successive successes. Best Regards, Ashok Hemal
  38. Congratulations Dr KK, Joyous news, will celebrate together with the entire Padma family on Saturday 8th evening at our residence!! Ashok Grover
  39. Hearty congratulations from both of us on your being awarded this very prestigous national Award. You have done so mch for Science Communication and Health Communication. You fully deserve this and many more activities in the coming years. All very best wishes, Yours sincerely, Ranjit Roy Chaudhury
  40. Congratulations on another great achievement. We are proud of you. God Bless!!!!! Warm regards, Harsh Ritu Mahajan
  41. Congrats well deserved god bless, Dr P K Julka
  42. Congrats!! Many more laurels to come. Ashok Vaid
  43. Congratulation Dr Aggarwal. You made all of us proud Regards. Anil kohli
  44. Congratulations. Keep it up Kk Dr G R Khatri
  45. Dear KK, Another feather in your illustrious cap. Heartiest congrats. Warm regards, Ashok Rajgipal
  46. Congratulations. Wish you all the best in your future endeavours Dr SP Agarwal.
  47. Congratulation Dr .Aggarwal. You do us proud :Warm Regards, Dr Mahipal Sachdev,M.D
  48. 48. This is very well deserved, Best regards, Balram Bhargava
  49. Dear K K, Many many congrats on your selection. You have really worked hard in medical communication for years. I have been the witness and a participant in many of your efforts. Regards K KSethi
  50. This is great news, heartiest congratulations and with prayers for your continued success, good health and happiness. Regards, Vipin Buckshey
  51. Dear KK, I am thrilled to hear this great news. Keep up your efforts in this direction. We are all proud of you. Congratulations, Upendra Kaul
  52. Heartiest Congratulations KK !!! Dr. Ashok Seth
  53. Congratulations k k, we r proud of u, please keep going, Regds, Klers
  54. Accept our heartiest congratulations. Wish you many more feathers in your cap, Sincerely, Dr Narmada P Gupta
  55. Dear KK, Heartiest congratulations and well done! You have added yet another, well deserved, feather in your cap. We all are proud of you. Regards, Arvind Lal
  56. KK , Proud of you, May god bestow more laurels on your career, Regards. Prof. Dr Sanjeev Bagai.
  57. Dear Dr Aggarwal, Congratulation for a very deserving recognition. Subrat Acharya
  58. Dear Dr. K K Aggarwal, I am so overjoyed to hear about your award. You rightly deserve it as you have done tremendous work in Communication amongst the Public and Masses. Congratulations on this unique achievements and best Wishes. Best Regards; Prof. (Dr.) Mahesh Verma
  59. Well done & Well deserved!!! Congrats once again KK ! You seem to be making a habit of winning awards! Sincere regards, Ganesh & Manju Mani
  60. Dear Dr. Aggarwal, Many congratulations on another great achievement! Dr. Kalyan Banerjee
  61. Congratulations on the well deserved and prestigious award! Best wishes & Regards; Dr. Pradeep Chowbey
  62. Dear Dr Aggarwal, Heartiest congratulations. Many more laurels to follow. Best wishes. Dr Shiv Sarin.
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

The Spiritual Meaning of Lord Shiva

sprritual blog

Most of us worship Lord Shiva without understanding the deeper meaning behind him. In Hindu mythology, Shiva is one of the three forms of God (Brahma, Vishnu & Mahesh).

The Parmatama or spirit or GOD can be equated to a mixture of three forces representing Generator, (Creator or Brahma); Organizer; (Maintainer or Vishnu); Destroyer (Winding up or Mahesh or Shiva).The same three forces are also present inside our body to perform any work, which can be linked to create or generate an idea, maintain or organise the contents of the idea, and then destroy or wind up so that new work can be undertaken through Ganesha – the Lord of new happenings.

For day to day life, one has to understand and implement the principles of Lord Shiva which can be known by understanding the meaning of Shiva.

Shiva is worshipped in the sitting meditating pose, sitting on a deer’s skin at white Himalaya in the background of blue sky. Shiva is also depicted in the form smeared with the ash of graveyard, having a snake on neck, Ganga coming out of his matted hairs, three eyes, blue neck, trishul on one hand and damru on his other hand.

All these symbolic representations have a deep spiritual meaning and tell us about Shiva’s principles of success.

Shiva’s third eye means thinking differently or using the eyes of our mind and the soul. The message is, whenever you are in difficulty, use your intelligence and wisdom or think differently for getting different options. The third eye opening also represents the vanishing of ignorance (darkness or pralaya).

Shiva sitting in an open–eye meditating pose indicates that in day–to–day life one should be calm as if you are in the meditation rose. Calmness in day–to–day practice helps in achieving better results. In allopathic language it is equivalent to mindfulness living.

The snake around the neck represents one’s ego. One should keep the ego out and control it and not let it overpower you. The downward posture of the head of the snake represents that ego should be directed towards the consciousness and not outwards.

The blue neck (Neelkanth) represents that one should neither take the negative emotions out nor suppress them but alter or modify them. The blue color indicates negative thoughts.

The same in the neck indicates that negative slow emotions akin to negative emotions are neither to be drunk nor to be spitted out but to be hold temporarily and with continuous efforts (matted hairs) with cool mind (moon) and with positive thoughts (Ganga) should be directed towards the consciousness keeping the ego directed towards it (sheshnag).

Suppressed anger or any other negative emotions will release chemicals in the body causing acidity, asthma, angina and diarrhea. Expressed anger on the other hand will end up into social unhealthiness.

The ash on the skin of the body of Shiva reminds that everything in the universe is perishable and nothing is going to remain with the person. The message is that ‘you have come in this world without anything and will go back without anything, then why worry’.

The Trishul in one hand represents control of three factors i.e. mind, intellect and ego. It also represents controlling your three mental gunas i.e. Sattva, Rajas and Tamas. The damru, the hollow structure, represents taking all your ego and desires out of the body.

The blue sky represents vastness and openness and the White Mountain represents purity and truthfulness.

If one adapts to Shiva’s principles in day–to–day life, one will find no obstacles both in his routine life as well as to one’s spiritual journey.

On the Shivratri day, the custom is to fast. The fast does not just indicate not eating on that day, but its deeper meaning signifies fasting of all bad things in life like – "seeing no evil, hearing no evil and speaking no evil". Fasting also indicates controlling the desires for eating foods (like fermented, sweet, sour and salt) and control the negative thoughts both in the mind, deed as well as actions.

cardiology news

Don’t Give the Fish, teach them to catch it

Today I visited my bank in order to deposit a cheque for a due payment to a company. The procedure was quite simple but I thought of cross checking it with the teller so as to avoid cheque bounce back. The teller being a fresh employee (I judged it from the face look and the communication approach) wasn’t sure about it. She called her manager for assistance. The manager, a nice ethical young man, elaborated the details about the form filling which I understood and thanked him for. However I noticed that while the manager was explaining to me, the teller got busy in something else and didn’t pay attention to her manager neither the manager asked her to listen vigilantly to understand the procedure.

Well, I completed my work in bank and ponder that the manger had taken the corrective methodology instead of preventive methodology. Hence there is a big time chance that the teller would call her manager again in future and every time the manager

will have to leave his desk, come to the teller point and explain the same procedure to more customers in future which he could have avoided by teaching the procedure to the ‘right person’, the teller. This extra work would cause disturbance in his routine work and waste his precious time to complete the jobs which he has been primarily hired for !!!

This whole situation reminded me of a good quote which says, "Give a man a fish and you feed him for the day; Teach a man how to fish and you feed him for a life time" And this is why I said earlier, that the teller will ask her manager again (asking for the fish) because the manager didn’t teach to’catch the fish’

So my friend this is where the power of being visionary and proactiveness come into play… that is to see the future now and make the right moves … and this is where Stephen Covey suggests us ‘to begin with the end in mind’

News Around The Globe

  • The US FDA has approved indomethacin capsules (Tivorbex, Iroko Pharmaceuticals LLC) at 20–mg and 40–mg doses for the treatment of mild to moderate acute pain in adults. These dosages of the nonsteroidal anti–inflammatory drug (NSAID) are 20% lower in strength than the 25–mg and 50–mg indomethacin products already on the market.
  • New findings in the March issue of Obstetrics & Gynecology confirm that women who deliver vaginally are at greater risk of urinary incontinence during their first year postpartum compared to women who have cesarean sections.
  • Overweight and obese women who gain too few pounds, or even lose weight, during pregnancy may be putting their unborn child at risk, according to a new study. The findings are reported in the American Journal of Obstetrics and Gynecology.
  • Patients with oropharyngeal cancer retained salivary function, with no apparent increased risk of disease spread, with gland–sparing radiation therapy, data from two studies presented during a press briefing at the Multidisciplinary Head and Neck Cancer Symposium. As the radiation dose to the submandibular glands decreased, salivary function improved significantly, and patients had fewer symptoms of xerostomia. Both studies showed excellent disease control exceeding 90%, including 100% in one of the studies.
  • The US FDA has approved a supplemental new drug application (sNDA) allowing use of ivacaftor (Kalydeco, Vertex Pharmaceuticals) in patients aged 6 years and older with cystic fibrosis (CF) caused by any of 8 additional mutations in the CF transmembrane conductance regulator (CFTR) gene.

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)

Is there carrier state of rabies in dogs?

A carrier state of rabies in dogs/cats has not yet been conclusively proven and established.

cardiology news

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

  • A new meta–analysis in JAMA Internal Medicine suggests that eating a vegetarian diet is associated with reductions in blood pressure on par with adopting the DASH (low–sodium) diet, and roughly half that of starting pharmaceutical treatment,.
  • The American Academy of Neurology has issued new guidelines on the prevention of stroke in patients with nonvalvular atrial fibrillation (NVAF). The guidelines, published in the February 25 issue of Neurology, have particular emphasis on clinical judgment.
cardiology news

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

  • The American Academy of Pediatrics (AAP) has updated its schedule for preventive health services recommended during well–child visits. Published online February 24 in Pediatrics, the updated schedule reflects the consensus of the Committee on Practice and Ambulatory Medicine and Bright Futures, a national health promotion and disease prevention initiative that addresses children's health needs in the context of family and community.
  • Fever during pregnancy may harm offspring health, according to a study published online February 24 in Pediatrics. Studies in several mammalian models have associated first trimester exposure to elevated maternal temperature with damage to the extraembryonic membranes, placenta, and maternal–fetal circulation, resulting in growth retardation, malformations, and fetal demise, and in the longer–term, to impaired cognitive function. The extent to which these experimental conditions mimic human prenatal exposures was not clear.
cardiology news

IBD linked to heart disease

Inflammatory bowel disease is associated with increased risks for stroke, myocardial infarction and ischemic heart disease, particularly in women.

A meta–analysis and systematic review has shown that increased odds for cerebrovascular accidents including ischemic and hemorrhagic stroke –– and for ischemic heart disease according to Siddharth Singh, MD, of the Mayo Clinic in Rochester, Minn., and colleagues.

These risks are specifically elevated in women versus men, with women having a 28% increased odds of cerebrovascular events and a 26% increased odds of ischemic heart disease.

The study was presented in a poster presentation at the American College of Gastroenterology meeting in San Diego.

cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

web mediawebmediawebmedia
press release

Bystander CPR training should be compulsory in school

The Government of India should make bystander cardiology pulmonary resuscitation (CPR) 10 training mandatory in elementary schools. CPR training should also be mandatory when getting a driving licence.

Quoting a Denmark initiative published in October issue in the Journal of the American Medical Association, 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 said that with the initiatives taken by the Denmark Government, the percentage of out of hospital cardiac arrest that involved bystander CPR more than doubled from 21.1% to 44.9% over a 10–year period. Following that trend there was a significant improvement in survival at 30 days and at one year. When the bystander CPR rate is less than 21%, the 30–day survival rates are below 6%.

Dr. Aggarwal said that ever since CPR 10 programme has been initiated in Delhi by Heart Care Foundation of India, the number of survivals by the bystander has increased. We are getting success stories, which is a good trend, he further added.

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–23rd February 2014

press release

Weight loss may improve sexual health of obese diabetes

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

High resolution computed tomography of the chest is the ideal modality for evaluating:

1. Pleural effusion.
2. Interstitial lung disease.
3. Lung mass.
4. Mediastinal adenopathy.

Yesterday’s Mind Teaser: The extent to which ionisation of a drug takes place is dependent upon pKa of the drug and the pH of the solution in which the drug is dissolved. which of the following statements is not correct.

1.pKa of a drug is the pH at which the drug is 50% ionized.
2.Small changes of pH near the pKa of a weak acidic drug will not affect its degree of ionisation.
3.Knowledge of pKa of a drug is useful in predicting its behaviour in various body fluids.
4.Phenobarbitone with a pKa of 7.2 is largely ionized at acid pH and will be about 40% non-ionised in plasma.

Answer for yesterday’s Mind Teaser: 4.Phenobarbitone with a pKa of 7.2 is largely ionized at acid pH and will be about 40% non-ionised in plasma.

Correct answers received from: Drjella, Dr. P. C. Das, DR AVTAR KRISHAN, Dr Prakash Khalap

Answer for 25th February Mind Teaser: 4. Progesterone therapy.

Correct answers received from: Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Funny quote on a husband’s T–Shirt

All girls are devils,
but my wife is the queen
of them.

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with cough of more than 4 weeks duration came with blood in his sputum.
Reaction: Oh my God! Why was TB not suspected earlier?
Lesson: Make sure that all patients with cough of more than 3 weeks duration are investigated for TB.

medicolegal update

Luck is what happens when preparation meets opportunity. Seneca

medicolegal update

Dr KK Aggarwal: Long term use of painkillers can cause kidney cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Eat only when you feel hungry. Notice and feel your hunger. This is conscious eating 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 bulletin. Regards: Dr Karan

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