eMedinewS28th March 2014,Friday

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
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SC holds Akhilesh government guilty of negligence, orders arrest of all Muzaffarnagar accused

Note: Imagine a similar case in the medical council, would they have ordered arrest of the hospital dire tor, MS or medical administrator. They would have only suspended the license of the treating doctors. Also in this situation difficult to understand why the Supreme court did not ask the CM to step down.

News: Strongly indicting the Akhilesh Yadav government of Uttar Pradesh over the communal riots in Muzaffarnagar last year, the Supreme Court held it prima facie guilty of negligence in preventing the violence and ordered it to immediately arrest all those accused irrespective of their political affiliation, reports Indian Express.

"We prima facie hold the state government responsible for being negligent at the initial stage in not anticipating the communal violence and for not taking necessary steps for its prevention," said a bench led by Chief Justice P Sathasivam. It also blamed the central government for its failure to provide intelligence inputs to the Samajwadi Party–ruled state government in time to help sound alerts.

The bench, also comprising Justices Ranjana Desai and Ranjan Gogoi, was of the view that if Central and State intelligence agencies smelt these problems and alerted the district administration, the killing of 59 people could have been prevented.

The bench said "sincere efforts shall be made to apprehend all the accused irrespective of political affiliation and produce them before the appropriate court". It ordered the state government to inform relevant courts about the criminal action taken against political persons and maintained that "the investigating authorities should eschew communal bias and proceed against all the offenders irrespective of their caste, community and religion."

In the six rape cases reported from relief camps, the court said the state government’s special investigation cell shall arrest the accused in a time-bound manner. It ordered an additional compensation of Rs 5 lakh to all rape victims, besides other rehabilitative assistance. To the relatives of those dead in the violence, the court asked the UP government to pay Rs 15 lakh each as compensation, besides adequate compensation to farmers who lost their source of livelihood such as tractors, cattle and sugarcane crops.

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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

Aastik Vs Nastik

sprritual blog

Traditionally, people believe that Nastik are the persons who do not go to temples or related places of worship. They also do not believe in God.

To differentiate between Astik and Nastik, we need to first understand the concept of Sanatan Dharma and Arya Samaj Dharma. People who believe in Sanatan Dharma consider God as separate from the self and worship him in the form of an idol. They believe in Dualism theory.

Arya Samaj followers do not do idol worship and believe in non–dualism and treat God and self as one.

Arya Samajis, therefore, will not go to a temple where the idols of Gods are placed. Being an Arya Samaji does not mean that the person is Nastik.

The word Nastik means someone who does not believe in God at all, therefore, he or she also does not believe in self as God is nothing but self. In medical sciences, these are the people who have no insight and will usually be suffering from depression and loss of self–esteem.

cardiology news

The Falcon & the Branch

Once there was a king who received a gift of two magnificent falcons. They were peregrine falcons, the most beautiful birds he had ever seen. He gave the precious birds to his head falconer to be trained. Months passed, and one day the head falconer informed the king that though one of the falcons was flying majestically, soaring high in the sky, the other bird had not moved from its branch since the day it had arrived.

The king summoned healers and sorcerers from all the land to tend to the falcon, but no one could make the bird fly. He presented the task to the member of his court, but the next day, the king saw through the palace window that the bird had still not moved from its perch.

Having tried everything else, the king thought to himself, "May be I need someone more familiar with the countryside to understand the nature of this problem." So he cried out to his court, "Go and get a farmer." In the morning, the king was thrilled to see the falcon soaring high above the palace gardens. He said to his court, "Bring me the doer of this miracle."

The court quickly located the farmer, who came and stood before the king. The king asked him, "How did you make the falcon fly?" With his head bowed, the farmer said to the king, "It was very easy, your highness. I simply cut the branch where the bird was sitting."

Moral: We are all made to fly — to realize our incredible potential as human beings. But at times we sit on our branches, clinging to the things that are familiar to us. The possibilities are endless, but for most of us, they remain undiscovered. We conform to the familiar, the comfortable, and the mundane. So for the most part, our lives are mediocre instead of exciting, thrilling and fulfilling. Let us learn to destroy the branch of fear we cling to and free ourselves to the glory of flight.

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 the precautions to be taken while administering RIGs?

  • Patient should not be on an empty stomach.
  • The RIGs vial taken out from the refrigerator should be kept outside for a few minutes to warm it to room/body temperature.
  • While infiltrating RIGs into the bite wound, care must be taken to avoid injecting into blood vessels and nerves.
  • While injecting into finger tips, care must be taken to avoid compartment syndrome.
  • All emergency drugs and facilities for managing any adverse reactions must be available.
  • For ERIG, keep the patient under observation for at least one hour after ERIG administration and then send home.
  • RIGs can be infiltrated even to already sutured wounds without disturbing the sutures.
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

Artificial Sweeteners in Sweets May Be Harmful

The American Heart Association and the American Diabetes Association have issued a joint scientific statement giving a cautious recommendation to the use of nonnutritive sweeteners to help people maintain a healthy body weight and for diabetics to aid glucose control.

These products should be considered like a nicotine patch. They are appreciably better than the real product (sugar), but not part of an optimal diet.

The statement, published in both Circulation and Diabetes Care on July 9, 2012, warns that sweeteners are helpful only as long as people don’t eat additional calories later as compensation.

The term nonnutritive sweeteners cover six sweeteners including aspartame, acesulfame K,neotame, saccharin, sucralose, and plant–derived stevia. These nonnutritive substances have zero calories.

Two thinks may happen in terms of compensation

1.Physiological, where the body might be expecting more calories and so the individual may be hungrier and therefore may eat more

2.Psychological, where the individual thinks they are allowed to eat more sugar-rich food because they had a diet soda instead of a full–sugar soda.

When real people use sweeteners there is compensation. The key is how much? Partial compensation, is ok but people often completely compensate or even overcompensate, so these sweeteners have to be used smartly to be successful.
Compensation seems less of a problem when these sweeteners are consumed in beverages as opposed to food.

People don’t really notice the lack of calories in a diet soda and so don’t tend to eat more, whereas if they consume a low–calorie foodstuff, they do tend to eat more as compensation.

Its better when sweeteners are used in beverages and not sweets or other foods.
One is not completely sure about the safety of these products, because their long–term use in humans has not been studied fully.

However, the artificial sweeteners on the market are almost certainly safer than consuming large amounts of sugar, which has definite harm when consumed in large amounts.

This harm, particularly when consumed in beverage form such as soda, includes increases in risks of obesity, diabetes, cardiovascular disease, and gout.

A concern, though, is that just replacing sugar with artificial sweeteners leaves a person, especially children, conditioned to high levels of sweetness, which is likely to influence their food choices adversely.

cardiology news

Total CPR since 1st November 2012 – 88972 trained

Media advocacy through Web Media

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press release

Can diabetes be ward off?

Adhering to Mediterranean diet, rich in fruits and vegetables and low in animal products, may protect one against developing type 2 diabetes said 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 quoting a Spanish study. The diet emphasizes olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and deemphasizes meat and dairy products. It is a healthy eating plan that seems to help in the prevention of heart disease.

In the study published in the British Medical Journal, researchers tracked the diets of 13,380 Spanish university graduates with no history of diabetes. Participants filled out a 136–item food questionnaire, which measured their entire diet (including their intake of fats), their cooking methods and their use of dietary supplements. During an average of 4.4 years of follow–up, the team found that people who adhered to a Mediterranean diet had a lower risk of developing type 2 diabetes. In fact, those who stuck very closely to the diet reduced their risk by 83 percent.

Moreover, the people who tended to stick closest to the diet were those with factors that put them at the highest risk for developing diabetes, such as being older, having a family history of diabetes and being an ex–smoker. These people were expected to have a higher rate of diabetes, but when they adhered to the Mediterranean diet this was not the case.

Type 2 diabetes is typically brought on by poor eating habits, too much weight and too little exercise.

One key factor that might be responsible for the protective effect of the Mediterranean diet is its emphasis on olive oil for cooking, frying, putting on bread and mixing in salad dressings.
Preventing diabetes – TIPS
1. Eat less
2. Omit refined carbohydrates (white sugar, white rice and white maida)
3. Use olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and reduce meat and dairy products.

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

Heart Care Foundation of India, a national not–for–profit organization committed to raising awareness and providing effective solutions for impending health issues in the country, announced the opening of applications for the ‘Sameer Malik Heart Care Foundation Fund’

press release

Treating vitamin D deficiency in the country

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

44. A married middle aged female gives history of repeated abortions for the past 5 years. The given below is conceptions pre–natal karyogram.
This karyogram suggests the following:

1. Klinefelter’s syndrome.
2. Turner’s syndrome.
3. Down’s syndrome.
4. Patau’s syndrome.

Yesterday’s Mind Teaser: Which of the following is not a post transcriptional modification of RNA?

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

Answer for yesterday’s Mind Teaser: 4. Glycosylation

Correct answers received from: Dr Ajay Gandhi, Dr P C Das, Dr K V Sarma, Dr Jainendra Upadhyay, Dr Avtar Krishan, Daivadheenam Jella.

Answer for 27th March Mind Teaser: 2. Corticosteroid.

Correct answers received from: Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

indianoil
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centralbank
medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

What is lucid interval?

Lucid interval is the period during which the mentally unsound person behaves very much like a normal person. During this period all the signs and symptoms of insanity are absent. The person is responsible for all his acts performed during the period of lucid interval.

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

medicolegal update

The greatest gift you can give another is the purity of your attention. ~ Richard Moss

medicolegal update

Dr KK Aggarwal: First BP should be checked at age three http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: The universe works by itself as does your body. All striving is interference http://bit.ly/DC_Ananda #ananda

medicolegal update
  1. Dear Sir, Thanks for the nice information: Regards: Dr Jatin

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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