eMedinewS28th January 2014, Tuesday

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

eMedinewS Congrates and Salutes Padma Shri, Dr. K. M. Aachary, dermatologist from Jamnagr

Finasteride chemoprevention

Inhibition of 5–alpha reductase blocks production of androgens involved in prostate cancer pathogenesis and provides the rationale for the use of finasteride as a chemopreventive agent against prostate cancer.

Results from the Prostate Cancer Prevention Trial have shown that prophylactic use of finasteride for seven years significantly decreased the incidence of prostate cancer compared with placebo.

Additional long–term follow–up of the PCPT trial confirmed the significant decrease in the overall incidence of prostate cancer, which was limited to a reduction in the incidence of low risk disease.

Although an increase in the incidence of high–grade (Gleason score ≥7) prostate cancer remained, there was no difference between the finasteride and placebo groups in overall survival at 15 years.

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

Search for Happiness in the Present Moment

sprritual blog

Happiness should not be considered as being synonymous with pleasure. Pleasure is transient and is always associated with pain later. Any transient addiction to any of the five senses will either lead to pleasure or pain. Pleasure leads to attachment resulting in more intense and greater desires, and if these are not fulfilled, they cause pain which manifest as anger, irritability or even a physical disease. This type of transient pleasure is chosen by the individuals who attach themselves not to the actions only, but also to its results.

The soul, which is an energized field of information and energy, is controlled by the person’s action, memory and desire. With every action, a memory is created which either gets stored or is recirculated again as an action. If one does not control the desires, the recurrent actions may cause more problems than happiness.

True happiness, on the other hand, is internal happiness or the happiness of the soul or of the consciousness. It is often said, "You are what you eat; you are what you think; and you are what you do." Hence, your own internal happiness will vary with what you eat, think, and do.

Being in the present moment leads to true happiness. If one keeps lamenting about the past or is fearful about the future all the time, then we will never be able to live in the present. Not living in the present is bound to cause unhappiness. One should learn to live and enjoy the present which can only be done by attaching oneself to the actions and not to its results.

Doing our duty with devotion and discipline helps us to remain in the present. Performing good action is important, but it is equally important to maintain the purity of the mind at the same time. Because any intention in the thought creates the same chemical reaction as when the actual deed is done, abusing a person in thought is the same as abusing him in person. Cultivating positive actions in day–to–day life, like, giving or sharing etc., helps in acquiring internal happiness.

Since the thoughts ultimately get metabolized into various chemicals and hormones so changing the internal biochemistry of the person, hence by thinking about cancer all the time, one can actually induce it over a period of time. And similarly, cancers can be cured by thinking positive over a period of time.

Internal happiness gives a deep feeling of satisfaction and is not associated with any transient chemical changes which are generally associated with bodily pleasure activities. People who are internally happy are always contented and are devoid of jealousy, anger, irritability, greed and ego.

One should learn to disassociate from, both, external pain as well as pleasure, and only then can one acquire true internal happiness.

cardiology news

Couple’s heartbreak

A boy was born to a couple after eleven years of marriage. They were a loving couple and the boy was the apple of their eyes.

One morning, when the boy was around 2 years old, the husband saw a medicine bottle open. He was late for work so he asked the wife to cap the bottle and put it in the cupboard. The mother, preoccupied in the kitchen, totally forgot the matter.

The boy saw the bottle and playfully went to it and, fascinated with its color, drank it all. It happened to be a poisonous medicine meant for adults in small dosages. When the child collapsed, the mother hurried him to the hospital, where he died. The mother was stunned; she was terrified. How would she face her husband?

When the distraught father came to the hospital and saw the dead child, he looked at his wife and uttered just four words, "I Love You Darling."

The husband’s totally unexpected reaction is proactive behavior. The child is dead. He can never be brought back to life. There is no point in finding fault with the mother. Besides, if only he have taken time to put the bottle away, this would not have happened.

No point in attaching blame. She had also lost her only child. What she needed at that moment was consolation and sympathy from the husband. That is what he gave her. Sometimes we spend time asking who is responsible or who’s to blame, whether in a relationship, in a job or with the people we know and miss out on the warmth in human relationships we could receive by giving each other support.

After all, shouldn’t forgiving someone we love be the easiest thing in the world to do?

Treasure what you have. Don’t multiply pain, anguish and suffering by holding onto forgiveness. Let go of all your envies, jealousies, unwillingness to forgive, selfishness, and fears and you will find things are actually not as difficult as you think.

If everyone could look at life with this kind of perspective, there would be fewer problems in the world.

News Around The Globe

News

“Learning ABC of ECG – A workshop” with Dr. K K Aggarwal, Sunday 2nd February, 2014, 8am to 10am at Moolchand Auditorium. Organizer: Dr K K CME Group. (Dr. Pawan Gupta: 09813193071)

Note: The workshop will talk about how to read an ECG, normal versus abnormal, dangerous signs in ECG.”

Dr. KK Aggarwal

  • Two new studies are addressing this. In one, researchers found that circulating tumor cells (CTCs) could be used to distinguish between benign and malignant pancreatic disease and could identify metastasis. In the second, patients with pancreatic cancer who had low serum levels of matrix metalloproteinase (MMP)–7 were most likely to benefit from adjuvant treatment with gemcitabine. Although the data are very early, results from both studies were presented here at the 2014 Gastrointestinal Cancers Symposium.
  • For the first time, researchers have identified which patients with cutaneous squamous cell carcinoma (cSCC) should be considered for a sentinel lymph node (SLN) biopsy. Because nodal metastases are uncommon in cSCC (found in about 4% of patients), it has not been established when this procedure should be undertaken. However, results from a meta–analysis published in the January issue of JAMA Dermatology suggest that the patients most likely to yield positive SLN biopsy results are those with T2 lesions larger than 2 cm in diameter.
  • General practitioners (GPs) do well in some aspects of care for diabetic patients with kidney disease, but poorly in others, according to a new study of Israeli physicians. In a December 13 online paper in Primary Care Diabetes, Dr. Sophia Eilat–Tsanani of Emek Medical Centre in Afula and colleagues note that the responsibility for early detection and management of chronic kidney disease (CKD) lies mainly with GPs.
  • Adolescents may not be able to get out of wearing braces, but using a high-fluoride toothpaste for the duration could help them avoid white marks the devices often leave behind, according to a new study from Sweden. The special paste with almost four times the usual fluoride content helped prevent about a third of the chalky–looking spots among kids between the ages of 11 and 16, researchers say.
  • Dengue is commonly considered to be a tropical scourge, but the mosquito–borne viral infection is present in the United States and may be under–recognized as a cause of potentially fatal acute febrile illness, according to public health experts. According to the authors, clinicians in the United States should be aware of dengue and request diagnostic testing that includes both molecular and serologic diagnostics for patients with dengue–like symptoms. Competent DENV (dengue virus) vectors are present in most states, and importation of DENV via travelers has resulted in recent dengue outbreaks in Florida, Hawaii, and Texas, the authors write in an article published in the January 24 issue of the Morbidity and Mortality Weekly Report.

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 the initial (prodromal) symptoms of rabies?

  • Pain or paresthesiae at the site of the bite is well–known as a diagnostically useful prodromal symptom occurring in one–third to two–thirds of cases.
  • In Thailand, however, a specific type of paresthesiae–itching–was the earliest symptom in >40% of cases. Itching occurred at the site of the healed bite wound or involved the whole bitten limb and was sometimes so intense as to provoke frenzied scratching and excoriation of the skin. The explanation for local paresthesiae may be the multiplication of virus in the dorsal root ganglion of the sensory nerve supplying the area of the bite.
  • Pain behind the grafted eye was an early symptom in three of the four patients who developed rabies following corneal transplants.
  • Priapism with frequent spontaneous orgasms was the first symptom in one Thai patient.
  • Fever, malaise, nausea and vomiting.
  • The skin becomes sensitive to changes of temperature, especially air currents.
cardiology news

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

Treating statin–intolerant patients with evolocumab (Amgen, Thousand Oaks, CA) significantly lowers LDL–cholesterol levels, according to the top–line results of the GAUSS–2 study. Evolocumab is an investigational human monoclonal antibody for proprotein convertase subtilisin–kexin type 9 (PCSK9). The study included 307 patients who were unable to tolerate at least two different statins because of muscle–related side effects. Patients were randomized to one of four treatment groups: subcutaneous injection of evolocumab 140 mg every two weeks plus oral placebo; subcutaneous injection of evolocumab 420 mg once monthly plus oral placebo; subcutaneous placebo every two weeks plus oral ezetimibe (Zetia, Merck) 10 mg daily; or subcutaneous placebo monthly plus oral ezetimibe 10 mg daily. The mean percent reductions observed with evolocumab were statistically significant at both doses when compared with the placebo– and ezetimibe–treated patients.

cardiology news

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

The offspring of obese mothers consuming a high–fat diet during pregnancy are at a higher risk than the children of thin mothers for lifelong obesity, and related metabolic disorders. The molecular and cellular basis for these differences are clarified in a new study published in the recent issue of Cell by researchers at Yale School of Medicine and the University of Cologne.

cardiology news

Prevention Strategy Relies on Lifestyle

Stenting may not always be the answer to treating with stable heart disease.

A German study has shown that patients with stable coronary artery disease who were put on an exercise regimen had significantly higher rates of event–free survival than those who had undergone percutaneous coronary intervention (PCI). In the study, 70% of patients in the exercise program had event–free survival –– no stroke, heart attack, or death –– compared with 50% of stented patients after four years.

Exercise is an important part of any type of prevention, and it should be instituted for "anyone with stable coronary heart disease."

The study on stenting versus exercise come was a continuation of a pilot study first reported in 2004 in the journal Circulation. That study of 101 male patients found that after one year, 88% of patients who exercised had event–free survival compared with 70% of stented patients.

The updated data reflect an additional 100 patients, who performed moderate intensity exercise for two weeks under hospital supervision, and then were given an exercise bike to continue their regimen at home.

Patients with stable angina exercised at 80% of their threshold, and that after four weeks of exercising, their angina threshold increased.

The clear message for patients is to get 30 to 60 minutes of moderate-intensity aerobic activity every day, noting that 30% of heart disease could be prevented by 2.5 hours of walking per week.

cardiology news

Total CPR since 1st November 2012 – 84500 trained

Media advocacy through Web Media

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press release

Growing young is feasible

It is possible to grow young 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.

Dr. Aggarwal said that human body is not only just a physical body but also at the level of mind, intellect, ego and soul. While only the physical body which grows old, the other parts of human body mature with age. One also gets more humility with age. The end result is growing young and not growing old.

He further said that one should look at biological and intellect age and not the physical age. Chronologically, you may be 70 but biologically, you may be at 60. In medical science today, most of the drugs are given keeping biological age into consideration and not the chronological age.

Most of our vedic rituals teach us how to live young. The new epidemic of today’s era like iron deficiency, calcium and vitamin D deficiency related to osteoporosis and refined carbohydrate related heart diseases could not have entered into the society if the traditional rituals of eating gur–chana once a week, worshipping sun in the Magh month and/or not eating carbohydrates once a week was observed by the society. These were the rituals meant to prevent diseases.

Dr. KK Aggarwal said that relaxation, pranayam and meditation also take one from growing old to growing young. Staying in parasympathetic mode most of the times in the day can make the difference.

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

press release

Healthcare worker–fatigue and patient safety

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

Raised serum level of lipoprotein (a) is a predictor of:

1. Cirrhosis of liver.
2. Rheumatic arthritis.
3. Atherosclerosis.
4. Cervical cancer.

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: 1. Phenytoin.

Correct answers received from: Dr PC Das, Dr BK Agarwal, Dr AK Gajjar, Dr Raghavendra Jayesh, Dr Prakash Khalap, Daivadheenam, Dr K Raju, Dr Jainendra Upadhyay,
Dr KV Sarma, Dr (Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, Rajanish Shetty, Dr Girish B Ramteke, Dr Avtar Krishan, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Abhay Naik, Sasisadan, Dr Prabodh K Gupta, Sanjay Bhargava.

Answer for 26th January Mind Teaser: 1. Hydatid cyst of liver.

Correct answers received from: Dr B Prabhakar, Dr Chandresh Jardosh, Arvind Gajjar.

Send your answer to ijcp12@gmail.com

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medicolegal update

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medicolegal update
medicolegal update

Preacher’s Wish from God

A preacher went into his church and he was praying to God. While he was praying, he asked God, "How long is 10 million years to you?" God replied, "One second." The next day the preacher asked God, "God, how much is 10 million dollars to you?"

And God replied, "A penny." Then finally the next day the preacher asked God, "God, can I have one of your pennies?" And God replied, "Just wait a sec."

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A 28–year–old pregnant woman was advised erythromycin estolate for her upper respiratory tract infection. A week later she developed jaundice.
Reaction: Oh my God! You should have prescribed erythromycin stearate instead of estolate.
Lesson: Make sure to remember that higher incidence of hepatitis with cholestatic jaundice occur in pregnancy with erythromycin estolate.

medicolegal update

Wisdom begins with sacrifice of immediate pleasures for long–range purposes. Louis Finkelstein

medicolegal update

Dr KK Aggarwal: Weight gain precedes the onset of diabetes Weight gain after age of 18 years in women and 20 years in men (cont) http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: No matter how much it gets abused, the body can restore balance. The first rule is to stop interfering with nature http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, Very Informative news. Regards: Dr Shantanu

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