eMedinewS27th March 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.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

What levels of radiation should be avoided?

As per American Association of Physicists in Medicine a cumulative radiation dose in excess of 100 millisieverts (mSv), is of concern.

That there may be an associated negative effect on the patient with single exposures of greater than 50 mSv and should be avoided.

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Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

Vitiligo–Health Wealth Zee News Show 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

Why do we Ring the Bell in a Temple?

sprritual blog

The vibrations of the ringing bell also produce the auspicious primordial sound ‘Om’, thus creating a connection between the deity and the mind. As we start the daily ritualistic worship (pooja), we ring the bell, chanting:

Aagamaarthamtu devaanaam
gamanaarthamtu rakshasaam
Kurve ghantaaravam tatra
devataahvaahna lakshanam

"I ring this bell indicating the invocation of divinity, So that virtuous and noble forces enter (my home and heart); And the demonic and evil forces from within and without, depart."

cardiology news

This too Shall Pass

Once a king called upon all of his wise men and asked them," Is there a mantra or suggestion which works in every situation, in every circumstance, in every place and in every time? In every joy, every sorrow, every defeat and every victory? One answer for all questions? Something which can help me when none of you is available to advise me? Tell me is there any mantra?"

All the wise men were puzzled by the King’s question. They thought and thought. After a lengthy discussion, an old man suggested something which appealed to all of them. They went to the king and gave him something written on paper, with a condition that the king was not to see it out of curiosity.

Only in extreme danger, when the King finds himself alone and there seems to be no way, only then he can see it. The King put the papers under his Diamond ring.

Sometime later, the neighbors attacked the Kingdom. King and his army fought bravely but lost the battle. The King had to flee on his horse. The enemies were following him…getting closer and closer. Suddenly the King found himself standing at the end of the road – that road was not going anywhere. Underneath there was a rocky valley thousand feet deep. If he jumped into it, he would be finished…and he could not return because it was a small road…the sound of enemy’s horses was approaching fast. The King became restless. There seemed to be no way.

Then suddenly he saw the Diamond in his ring shining in the sun, and he remembered the message hidden in the ring. He opened the diamond and read the message. The message was – "THIS TOO SHALL PASS"

The King read it. Again read it. Suddenly something struck him, "Yes! This too will pass. Only a few days ago, I was enjoying my kingdom. I was the mightiest of all the Kings. Yet today, the Kingdom and all his pleasure have gone. I am here trying to escape from enemies. Like those days of luxuries have gone, this day of danger too will pass."

A calm came on his face. He kept standing there. The place where he was standing was full of natural beauty. He had never known that such a beautiful place was also a part of his Kingdom.

The revelation of the message had a great effect on him. He relaxed and forgot about those following him. After a few minutes he realized that the noise of the horses and the enemy coming was receding. They moved into some other part of the mountains and were nowhere near him.

The King was very brave. He reorganized his army and fought again. He defeated the enemy and regained his empire. When he returned to his empire after victory, he was received with much fanfare. The whole capital was rejoicing in the victory.

Everyone was in a festive mood. Flowers were being showered on King from every house, from every corner. People were dancing and singing. For a moment King said to himself," I am one of the bravest and greatest Kings. It is not easy to defeat me. With all the reception and celebration he saw an ego emerging in him.

Suddenly the Diamond of his ring flashed in the sunlight and reminded him of the message. He opened it and read it again: "THIS TOO SHALL PASS".

He became silent. His face went through a total change – from the egoist he moved to a state of utter humbleness. If this too is going to pass, it is not yours. The defeat was not yours, the victory is not yours. You are just a watcher. Everything passes by. We are witnesses of all this. We are the perceivers. Life comes and goes. Happiness comes and goes. Sorrow comes and goes.

Now as you have read this story, just sit silently and evaluate your own life. This too will pass. Think of the moments of joy and victory in your life. Think of the moment of Sorrow and defeat. Are they permanent? They all come and pass away.

Life just passes away. There is nothing permanent in this world. Everything changes except the law of change. Think over it from your own perspective. You have seen all the changes. You have survived all setbacks, all defeats and all sorrows. All have passed away. The problems in the present, they too will pass away… Because nothing remains forever. Joy and sorrow are the two faces of the same coin. They both will pass away.

You are just a witness of change. Experience it, understand it, and enjoy the present moment – this too shall pass.

News Around The Globe

  • A systematic review published online March 24 in the British Journal of Ophthalmology states that blindness has come down by 50% in high–income countries. The principal cause has also changed from cataract to macular degeneration. The prevalence of uncorrected refractive error has also been noted to decrease by 38%; however, it still remains the leading cause of moderate and severe vision impairment (MSVI).
  • A national cohort study in the U.S. including over 4800 adults >64 years old has reported that almost 10% of the subjects reported binge drinking, defined as 5 or more drinks in 1 sitting for men and 4 or more drinks for women, in the previous 30 days. Elderly binge drinking is a cause for alarm since alcohol consumption in the elderly may be associated with cognitive decline and worsening of comorbidities, including hypertension, stroke and osteoporosis. The findings of the study were presented at the American Association for Geriatric Psychiatry (AAGP) 2014 Annual Meeting.
  • Findings of a recent study presented at the American Academy of Dermatology 72nd Annual Meeting reported that topical TrkA kinase inhibitor CT327 has the potential to reduce chronic itch in patients with psoriasis. A total of 160 patients with mild to moderate psoriasis were included in the study. Results revealed that the overall reduction in itch was 59.2% in the CT327 groups as compared to 21.2% in the placebo group.
  • A new study conducted in young adults with end–stage renal disease (ESRD) has noted that certain avoidable issues are responsible for hospitalizations in this population. Problems like skipping check-ups, or uneven care in medical centers may send them to the hospital for potentially avoidable emergencies. Of the 349 patients <22 years of age with ESRD, 26.4% were transferred to adult care. These subjects had a three–fold higher rate of avoidable hospitalizations three to four years after transfer as compared to their final year of pediatric care. The findings are published in the journal Pediatrics.
  • A study presented at the American Academy of Dermatology 72nd Annual Meeting has reported that wounds heal better when closed with the purse–string suture than when not sutured. A modest improvement was noted in the time of healing and reduction in pain; however, the suturing did not affect the size of the resulting scar.

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)

What are monoclonal antibodies?

Monoclonal antibodies (mAb) are important reagents used in biomedical research, in diagnosis of diseases and in treatment of such diseases as infections and cancer. These antibodies are produced by cell lines or clones obtained from animals that have been immunized with the substance that is the subject of study. The cell lines are produced by fusing B cells from the immunized animal with myeloma cells.

cardiology news

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

  • More violent video games are linked to aggressive thoughts and behavior in children, reports a new study. The games appeared to affect children more if they started out less aggressive. Children with low aggression initially exhibited a 16% increase in aggressive behavior, while those with high aggression increased by 10%. The findings were published online March 24 in JAMA Pediatrics.
  • A latest report by US researchers has stated that approximately 32,000 children are affected each year with a drug–resistant strain of tuberculosis globally. The study reported that overall about 1 million children become sick with TB each year, which is twice the number previously speculated. Of note, only one–third of these cases are ever diagnosed. The study was published March 23 in The Lancet.
cardiology news

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

  • Results of a recent study published in the March 26 issue of the Journal of the American Medical Association have revealed that monitoring HbA1c levels in addition to conventional cardiovascular risk factors has no particular role in risk prediction in adults without diabetes or existing cardiovascular disease.
  • The recently released Joint British Societies’ Consensus Recommendations for the Prevention of Cardiovascular Disease (JBS3) and published in the journal Heart recommend that cardiovascular disease prevention efforts should certainly be extended to people with low short–term risk but high lifetime risk of cardiovascular events. The recommendations also stress upon initiation of statin therapy in individuals with LDL–cholesterol levels between 70 and 189 mg/dL and a 10–year risk of atherosclerotic cardiovascular disease of >7.5%. JBS3 puts particular emphasis on lifetime risk and is being launched with an online tool designed to boost the adoption of lifestyle changes early on, thereby reducing CV events in due course.
cardiology news

New form of heart failure on the rise

Heart failure is routinely described as progressive loss of ability of the heart to pump blood. But, there is another form of heart failure where the blood–pumping ability of the heart remains near normal. This second form of heart failure is too often overlooked and is just as lethal.

In this condition the heart muscle becomes thickened. The chamber inside gets smaller and the heart is unable to relax to accommodate the blood it needs to pump out. As there is no room for the heart to relax, the blood backs up into the lungs. This kind of anomaly is not picked up by standard measurements of "ejection fraction" – the percentage of blood in the heart that goes out with every beat.

This form of the disease is called "diastolic heart failure" because the problem occurs during the diastole portion of heart activity, as the heart relaxes after a beat. Nearly one–third of these patients have an ejection fraction greater than 50 percent, which is very near normal. However, the death rate for this kind of heart failure matches that of patients with the more common form of heart failure, with more than 20% of all the patients dying within a year. There is a steady increase over 15 years of heart failure with normal or near–normal ejection fraction.

For patients, the symptoms of both types of heart failure are the same: Shortness of breath, difficulty exercising and fluid retention in the body. Physicians cannot make a diagnosis on the basis of symptoms or routine examinations. One has to have an echocardiogram and see the heart pumping and see if the ejection fraction is normal or reduced. Until now, relatively little attention has been paid to diastolic heart failure. Advances have been made against systolic heart failure, in which the ejection fraction falls below normal but not much has been done about diastolic heart failure.

Pacing for heart failure

For patients with advanced heart failure waiting for cardiac transplant, biventricular pacing not only improves the quality of life but also prolongs life. If the ejection fraction is low the combo device also gives an electric shock when the heart stops. It is said that all patients with low ejection fraction should ask their doctors for possible implantation of these devices.

Signals of heart failure

One of the commonest presentations is breathlessness on exertion, which is often confused as a part of aging or being obese. Not being able to climb stairs may be the earliest sign of hypertensive diastolic heart failure. Other signals are:

  • Feeling extra tired even after a good night’s sleep. People with heart failure may limit activities they like to do or take naps to avoid feeling tired.
  • Weight gain: Call your doctor if you gain weight for more than 2 days in a row or if you gain 2 or more pounds.
  • Shortness of breath: Heart failure makes breathing harder, especially during exercise. Lying position may make it worse.
  • Swollen ankles, legs, belly, and/or lower back, the swelling is often worse at the end of the day.
  • Going to the bathroom more at night.
cardiology news

Total CPR since 1st November 2012 – 88972 trained

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press release

Over 500 people got their heart examined at Mandi House

A free heart checkup camp was organised at Mandi House, Doordarshan Kendra where over 500 people were examined by a team lead by 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. Hands–on training on CPR 10 was also given to everybody.

Addressing a gathering of Doordarshan employees, Dr Aggarwal said that people who have high blood pressure, high sugar or high cholesterol should undergo a comprehensive lifestyle change to reduce their chances of future heart attack and paralysis.

Dr Aggarwal said that loss of erection in males can be the earliest signal of presence of blockages in the heart arteries. People who can walk 2 km, climb two flights of stairs or have a normal sexual life with their partners, do not need any further annual cardiac tests.

Dr Aggarwal said that everyone should learn cardiopulmonary resuscitation and at least 30 lives can be saved in Delhi alone every day if everybody learns CPR 10.

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

A free heart checkup camp was organised at Mandi House, Doordarshan Kendra where over 500 people were examined by a team lead by 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

press release

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

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 not a post transcriptional modification of RNA?

1. Splicing
2. 5’ Capping
3. 3’ polyadenylation
4. Glycosylation

Yesterday’s Mind Teaser: Which of the following is present intracellularly in muscle cells:

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

Answer for yesterday’s Mind Teaser: 2. Corticosteroid.

Correct answers received from: Dr KV Sarma, Dr Sushma Chawla, Dr Jainendra Upadhyay, Dr Chandresh Jardosh.

Answer for 25th March Mind Teaser: 2. pKa

Correct answers received from: Dr Avtar Krishan, Dr Sushma Chawla.

Send your answer to ijcp12@gmail.com

indianoil
lic
centralbank
medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

Cab Drivers

Two cab drivers met. "Hey," asked one, "why did you paint one side of your cab red and the other side blue?"

"Well," the other responded, "when I get into an accident, you should see how all the witnesses contradict each other.

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why did you ignore the blood pressure of 90/80?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

medicolegal update

Productive achievement is a consequence and an expression of health, self–esteem, not its cause. Nathaniel Branden

medicolegal update

Dr KK Aggarwal: Heart disease starts in youth: http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: At our core we are all capable and deserving of love At our core we are all capable and deserving of love http://bit.ly/DC_Ananda #ananda

medicolegal update
  1. Dear Sir, Very informative news. Regards: Dr Kalpana

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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