eMedinewS27th August 2013, Tuesday

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

Can diabetes drugs cause cancer?

There is insufficient evidence linking diabetes drugs with increase risk of cancer and as per FDA, doctors can continue to confidently prescribe all approved drugs for the management of the diabetes, as per a joint consensus statement released by American College of Endocrinology and American Association of Clinical Endocrinologist. The statement was released on 20th August, 2013. Recently some reports have linked incretin drugs with pancreatic cancer and lantus insulin with cancer. As per the statement both diabetes and obesity may increase the risk of certain cancer, therefore, it is difficult to say that the drugs are linked to it. ….Read More

How to keep your memory sharp?

  • Manage your stress especially deadline pressure and petty arguments.
  • The biggest stress is ongoing sense of extreme anxiety. The stress can be managed by deep breathing, meditation, yoga and by mindful approach to living.
  • Get a goodnight sleep. The most common reason for poor sleep is difficulty in falling asleep and staying asleep. Many drugs used to treat insomnia which can also impair memory.
  • If you need a sleeping medicine, it should be used in the lowest dose for the shortest period of time.
  • Get up at the same time in the morning.
  • If you smoke, quit.
  • If you do not drink, do not start.
  • Alcohol makes it difficult to perform short term memory tasks such as memorizing list.
  • Alcohol induces vitamin B1 deficiency, which can cause dementia.
  • Protect your brain from injury as repeated minor head trauma can cause brain damage.
  • Wear seat belt when riding in motor vehicle.
  • Wear helmet while driving or riding motorcycle.

….Read More

Fecal Microbiota Transplantation (FMT)

Fecal Microbiota Transplantation (FMT) has emerged as highly effective treatment of C. difficile. FMT as emerged as a highly effective treatment for recurrent C. difficile infection. The transplantation refers to the infusion of a suspension of fecal matter from a healthy individual into the GI tract of another person to cure a specific disease through a colonoscopy. It is based on the concept that stool is a biologically active, complex mixture of living organisms with great therapeutic potential for C. difficile infection.

Most patients with C. difficile infection respond to metronidazole, vancomycin but 15-35% may have recurrence. Patients who have one recurrence have 45% chances of a second recurrence, and after a second recurrence, 65% will have a third recurrence. The current treatment of recurrence is additional course of metronidazole, oral vancomycin, or prolonged oral vancomycin. FMT is commonly performed by colonoscopy but doctors have used nasogastric tube or nasoenteric tube, gastroduodenoscopy and enema. ….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 What is common between childhood marriage (Bal Vivah) and night time marriages?

As per Vedic literature and also the Bhagavad Gita, the auspicious time for any work are Uttarayan period from January to July near Purnima during day time and while Yagna is taking place. Today marriages usually take place in night contradicting the above Vedic ritual. The original of night marriages goes back to Mughal Era and when in some of the Rajyas (Princely States) it was a custom that men of the king would run around the State and attend day marriages and if they find that the bride is beautiful they will pick her up to spend the first night with the King. To get away from this, people started marrying their daughters in the evening so that their beauty could not be seen by men of the king. The same probably was ritual of Ghoonghat where the women and unmarried women and the newly married women were supposed to wear Ghoonghat so that they were not seen by the elders in the family, society and the rulers. Bal Vivah or the childhood marries were also prominent in this era and one of the reasons might have been that better to marry a girl while she is young and immature than to wait for her to grow up into a beautiful lady and picked up by rulers to spend first night with them. ….Read More

cardiology news

The Power of Mother’s Love

This story is a little long but well worth the time to read. It perfectly illustrates not only the amazing power of Love, but also the truly inspiring power of Touch.

When doctors told Carolyn Isbister that her tiny premature daughter would die within 20 minutes, she had to prepare herself for the worst.

Tiny Rachael had just been born minutes before, weighing just 1.4lb (0.64kg), and her heart was only beating once every ten seconds. But Miss Isbister was determined to have just one cuddle with her daughter and to savor the one precious moment she had, so she picked up tiny Rachael and cuddled her close.

And it was a cuddle that has amazed doctors by saving the baby’s life. The warmth of her mother’s skin actually kick started Rachael’s heart into beating properly, which allowed her to take tiny breaths of her own.

Four months later – the baby who was so tiny that the doctors gave up on her life – had been allowed home, thanks to that precious life saving cuddle from her mother.

Miss Isbister, 36, from West Lothian, said: "Rachael has been such a little fighter – it is a miracle that she is here at all. When she was born the doctors told us that she would die within 20 minutes because her heart wasn’t beating properly and she wasn’t breathing. But that one precious cuddle saved her life. I’ll never forget it."

Miss Isbister, a chemist, and her partner David Elliott, 35, an electronics engineer, were thrilled when she fell pregnant. At the 20 week scan at the Edinburgh Royal Infirmary, doctors told them that she was carrying a girl and they decided to name her Rachael. But at 24 weeks, Miss Isbister went into premature labour after she developed an infection in her womb.

Miss Isbister, who also has two children Samuel, 10, and Kirsten, 8, from a previous marriage, said: "We were just terrified we were going to lose her. I had been bleeding throughout the pregnancy, and had suffered three miscarriages before falling pregnant with Rachael, so we really didn’t think there was much hope."

When Rachael was born, weighing 1.4lb, doctors told the couple that their daughter would only live for 20 minutes. She wasn’t breathing and she was grey and lifeless. Her heart was only beating once every 10 seconds.

Miss Isbister said: "The doctor just took one look at her and said no. They didn’t even try to help her with her breathing as they said it would just prolong her dying. Everyone just gave up on her."

The doctors told the couple to say their goodbyes to their daughter, but Miss Isbister decided that she would give her daughter the only cuddle she would ever have. So she lifted her out of her hospital blanket and placed her on her chest, with skin to skin contact.

She said: "I didn’t want her die being cold. So I lifted her out of her blanket and put against my skin to warm her up. Her feet were so cold. It was the only cuddle I was going to have with her, so I wanted to remember the moment."

But after 20 minutes tiny Rachael was still alive. Then a miracle happened. She started taking tiny breaths on her own, and her heart started beating more regularly.

Miss Isbister said: "We couldn’t believe it – and neither could the doctors. She let out a tiny cry. When she was still breathing after four hours and her heart was beating more regularly, the doctors came in and said there was still no hope for her, but I still wasn’t letting go of her. We had her blessed by the hospital chaplain, and waited for her to slip away. But she still hung on. And then amazingly the pink color began to return to her cheeks. She literally was turning from grey to pink before our eyes, and she began to warm up too."

After 48 hours, the doctors decided to put her on a ventilator to help with her breathing and she was transferred to the intensive care unit. Miss Isbister said: "The doctors said that she had proved she was a fighter and that she now deserved some intensive care as there was some hope. She had done it all on her own – without any medical intervention or drugs. She had clung onto life – and it was all because of that cuddle. It had warmed up her body enough for her to start fighting."

Because Rachel hadn’t had any oxygen for four hours, doctors warned the couple that there was a high risk she had been brain damaged. But a scan showed no evidence of any damage at all.

As the days passed, Rachael slowly began to gain in strength and put on weight. She had laser treatment on her eyes to save her sight as the blood vessels hadn’t had chance to develop properly in the womb. And she also had six blood transfusions.

Miss Isbister added: "We couldn’t believe that she was doing so well. Her heart rate and breathing would suddenly sometimes drop without warning, but she just got stronger and stronger."

After five weeks she was taken off the ventilator and Miss Isbister was able to hold and breastfeed her. Then after four months in hospital, they were finally allowed to take her home – a day which they never thought they would see.

At six months old, she now weighs 8lb (3.63kg) – the same as a newborn baby – and she has a healthy appetite.

Miss Isbister said: "She is doing so well. When we finally brought her home, the doctors told us that she was a remarkable little girl. And most of all, she just loves her cuddles. She will sleep for hours, just curled into my chest. It was that first cuddle which saved her life – and I’m just so glad I trusted my instinct and picked her up when I did. Otherwise she wouldn’t be here today."

Source: http://academictips.org/blogs/the–power–of–mothers–love/

...Read More

News Around The Globe

  1. Dr. V K Monga joins Congress in Delhi: Dr. V K Monga who earlier contested elections on BJP ticket and became a counselor and Chairman of the Health Committee has officially joined Congress and will contest the MLA elections most probably from Krishna Nagar assembly seat. It will be worth seeing whether Dr. Harsh Vardhan also  fights from the same and if that happens, it will be a fight to watch as both of them have been working together and are a part of medical fraternity. 
  2. The combination of diabetes and tuberculosis doesn’t just complicate treatment; the double disease could be as dangerous as having HIV/AIDS with TB as reported in TOI, Aug 20, 2013. A new study from Chennai has confirmed that diabetes can make the TB harder to treat, just as HIV/AIDS does. In a survey of records of TB patients registered in the government’s Revised National Tuberculosis Control Programme in Chennai, Tiruvallur and Kancheepuram, at least 50% of TB patients had diabetes or pre–diabetes. All patients were given medication under the DOTS (Directly Observed Treatment Short Course) programme, recommended by World Health Organisation for TB control. At the end of two months, doctors did a sputum test to see if medicines had brought down infection. Nearly 14% of patients with diabetes tested positive for TB vs 3% of those without diabetes. After six months, 4% of TB diabetes patients had not responded to treatment compared to 0.7% of those without diabetes.
  3. After a hip fracture or other serious fall–related injury, how much independence older adults regained depended to a large extent on how well they were doing beforehand. According to Thomas M. Gill, MD, of Yale University, and colleagues, functional trajectories were tightly linked, with rapid recovery observed only in those with no or mild disability before the fall, found. They report online in JAMA Internal Medicinethat individuals with progressive disability in the year prior to their fall had only a 25% chance of a "little recovery," whereas none with preexisting severe disability recovered at all, the researchers. (Source: Medpage Today)
  4. A new risk score may help clinicians determine which of their type 2 diabetes patients are at risk for developing dementia. The score, based on age, education, heart disease, metabolic events, and other factors, was a significant predictor of dementia risk over a 10–year period (C–statistic 0.736). According to the researchers, the score "can be used to increase vigilance for cognitive deterioration and for selection of high–risk patients for participation in clinical trials." (Source: Medpage Today)
  5. Analysis of micro–(mi)RNA expression in bladder tissue distinguished cancer from normal tissue with 100% accuracy in a small preliminary study. A panel of 15 miRNAs correctly classified all 57 tissue specimens, which were obtained from patients with muscle–invasive and non-muscle-invasive bladder cancer and patients with no cancer. One of the miRNAs demonstrated 81% classification accuracy by itself. The study is reported online in the Journal of Molecular Diagnostics. (Source: Medpage Today)
  6. A literature review reported in the September issue of Diabetologia has shown that intravenous infusions of GLP–1 normalized blood glucose without gastrointestinal upset, while subcutaneous injections and infusions lowered blood sugar –– but not to the normal range –– and prompted nausea and vomiting. (Source: Medpage Today)

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Rabies News (Dr. A K Gupta)

What precautions should be taken while vaccinating by the ID route?

  • The ID injections must be administered by staff trained in this technique.
  • The Vaccine vials must be stored at +2°C to + 8°C after reconstitution.
  • The total content should be used as soon as possible, but at least within 8 hours.
  • The 0.1 ml. ID administration of cell–culture vaccine should create a wheal of at least 5 mm diameter with "peau de orange" appearance.
  • If ID dose is given subcutaneously then there is a possibility of poor immune response due to low antigen load. This may be life–threatening.
cardiology news

Clot–Busting Drugs Used More Often in Stroke

Stroke patients eligible for thrombolytic therapy have significantly better odds of receiving the therapy than they did a few years ago, according to a review of more than a million stroke cases.

More than three–fourths of patients who arrived at a hospital within 2 hours of symptom onset received intravenous tissue plasminogen activator (tPA). And although fewer than 10% of patients who arrived within 3 hours received tPA, that nonetheless represented almost a doubling of the rate a decade ago, researchers reported online in Circulation Cardiovascular Quality Outcomes.

Valvular Heart Disease News

Bicuspid aortic valve

Congenital left ventricular outflow lesions can occur at valvular, subvalvular and supravalvular levels. The most common lesion is bicuspid aortic valve. A congenitally bicuspid aortic valve is present in about 1–2% of the population.

(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

Focus on lifestyle changes rather than weight loss may be key to kids’ health

A UCLA School of Nursing study has found that both healthy–weight and obese children who participated in an intensive lifestyle modification program significantly improved their metabolic and cardiovascular health despite little weight loss.

cardiology news

Check your BMI to know chances of future heart attack

If you are less than 40 years of age, male, with a strong family history of diabetes, blood pressure or heart disease, have a normal weight as judged by body mass index (BMI) but have a pot belly, or have gained more than 10 kg since the age 18, do not ignore and go to your cardiologist to reduce your chances of a future heart attack.

A BMI of 20 to 23 kg/m2 is associated with little or no increased risk unless visceral fat is high, or the subject has gained more than 10 kg since age 18.

Subjects with a BMI of 23 to 30 kg/m2 may be described as having low risk, while those with a BMI of 30 to 35 kg/m2 are at moderate risk.

Subjects with a BMI of 35 to 40 kg/m2 are at high risk, and those with a BMI above 40 kg/m2 are at very high risk from their obesity.

At any given level of BMI, the risk to health is increased by more abdominal fat (increased weight to hip ratio, WHR), hyperlipidemia, hypertension, age less than 40 years, male sex and a strong family history of diabetes, hypertension, or heart disease.

The body mass index (BMI) is the most practical way to evaluate the degree of obesity. It is calculated from the height and weight as follows:

BMI = body weight (in kg) ÷ square of stature (height in meters)

Overweight is defined as a BMI between 23 and 30 kg/m2 and obesity as a BMI greater than 30 kg/m2.

cardiology news

Spiral fractures, fractures in wrist, hip or vertebrata in an elder person may be a symptom of elderly abuse.

cardiology news

CPR Classes: Persons trained (1200)

21st August: CPR 10 at Ramjas School, R K Puram – 1200

Total CPR since 1st November 2012 – 62966 trained

14th August: CPR 10 at Modern School, Noida (2000)

CPR Classes 62966

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Sudden Cardiac Death 24th August


Smoking may dull taste buds

Smoking dampens the ability to taste, 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.

In a study published in the journal BMC Ear, Nose and Throat Disorders, doctors used electrical stimulation to test the taste threshold of 62 Greek participants. Applying an electrical current to the tongue generates a unique metallic taste. Measuring the amount of current required before a person perceives this taste enabled researchers to determine taste sensitivity. The 28 smokers in the study scored worse on this test than the 34 non–smokers. The doctors than measured the number and shape of a type of taste bud called fungiform papillae. They found that the smokers had flatter fungiform papillae, with a reduced blood supply. Nicotine may cause functional and morphological alterations of papillae, at least in young adults.

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 62966 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."

today emedipics

A CPR 10 Training Camp was organized by Heart Care Foundation of India to train the students of Ramjas School, R K Puram

press release

Hepatitis B Vaccination

today video of the dayDr KK Aggarwal on Costly Treatment

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Nurse Dave is conducting an examination of a 6–month–old baby. During the examination, the nurse should be able to elicit which reflex?

a. Babinski’s
b. Startle
c. Moro’s
d. Dance

Yesterday’s Mind Teaser: Nurse Wayne is aware that which finding would be least suggestive of necrotizing enterocolitis (NEC) in an infant?

a. Hepatomegaly
b. Distended abdomen
c. Gastric retention
d. Blood in the stool

Answer for yesterday’s Mind Teaser: a. Hepatomegaly

Correct answers received from: Dr.K.V.Sarma, Rajiv Kohli , DrGajveer Singh, Kanta Jain, Dr. P. C. Das, Dr. V.P. Thakral, daivadheenam, Dr.(Maj. Gen.) Anil Bairaria, DR.BITAAN SEN & DR.JAYASHREE SEN, Dr.Nageswara Rao Patnala, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, DR AVTAR KRISHAN.

Answer for 24th August Mind Teaser: da. A sunken fontanel

Correct answers received from: Dr. SUSHMA Chawla.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

A young businessman had just started his own firm. He had just rented a beautiful office and had it furnished with antiques. He saw a man come into the outer office. Wishing to appear the hot shot, the businessman picked up the phone and started to pretend he had a big deal working. He threw huge figures around and made giant commitments.

Finally he hung up and asked the visitor, "Can I help you?"

"Yeah, I’ve come to activate your phone lines."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A hypertensive patient on atenolol developed erectile dysfunction (ED). Atenolol was stopped.
Reaction: Oh my God! Why did you stop the beta–blocker? You should have just switched over to nebivolol.
Lesson: Make Sure that nebivolol is used as the beta–blocker of choice in a hypertensive patient with ED (Source: Asian J Androl 2006;8(2):177–82).

medicolegal update

Do more than belong: participate. Do more than care: help. Do more than believe: practice. Do more than be fair: be kind. Do more than forgive: forget. Do more than dream: work. William Arthur Ward

medicolegal update

Dr KK Aggarwal: Sudden Cardiac Death By Dr k k Aggarwal http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Why is food that is so delicious so bad for us and yet food that is healthy for us, I just don't like? http://tinyurl.com/kqlhghj

medicolegal update

Reacting to a situation in life, emotions and all other factors related to stress are genetic in our system, it is very difficult to change your genetic behavior to a stressful situation. vivek kumar, varanasi

Forthcoming Events

29thSeptember–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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