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  From the Desk of Editor–in–Chief
Dr KK 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; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

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  Editorial …

29th April 2013, Monday

Revival of heart after death

  • It is possible to save the life of a person within 10 minutes of death.
  • Consciousness does not leave the body till the brain is alive.
  • It takes upto 10 minutes for the brain to die permanently and once that happens, life cannot be brought back.
  • The Savitri-Satyavan story can be equated to be the first mythological example of revival with Savitri fighting with Yamraja and reviving Satyavan’s life back after sudden cardiac death.
  • Following are the terms which, if learnt properly, can save the life of a person:

    o Savitri Yagna is the process of learning to revive a person after death and the technique is called CPR 10.
    o Savitri Dharma means that one’s purpose of life should be to save somebody who has died accidentally and suddenly before time.
    o Savitri Mantra is the mantra which should be recited by everybody till it is remembered at the level of your consciousness and the mind, “Marne ke dus minute ke under kam se kam dus minute tak 10x10=100 per minute ki speed se apni chhati peetne ke badle mare hue aadmi ki chhati peeto”.
    o Next step is Savitri Aasan i.e. in which position to save the life of the person. For this the dead person is made to lie on the floor and bystander should sit on his knees by his side.
    o Next is Savitri Mudra, which means getting ready to compress the centre of the chest of the dead victim with both arms outstretched keeping the elbows straight.
    o Savitri House is the location where the compression has to be done on the dead person; this should be in between the two nipples.
    o Savitri Karma means to compress the centre of the chest of the dead victim with a speed of 10x10=100 per minutes.

With all this, it is possible to revive 80% of the people who die suddenly before time especially due to heart attack, drowning and electrocution.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

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Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

5 of the Best Workouts You Can Ever Do:
Harvard Medical School

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    Photo Feature (from the HCFI Photo Gallery)

Life After Death

Dr. Aggarwal in conversation with Swami Parmananda Bharati at a Symposium organized by the Heart Care Foundation of India at IMA House

Dr K K Aggarwal
    National News

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme "Take Care Holistically", Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

HC upholds MCI norms on disabled MBBS applicants

CHENNAI: The Madras high court has upheld the legality of a Medical Council of India (MCI) regulation that says that people with 40% to 70% locomotor disability of lower limbs alone are eligible to be considered for MBBS admission under the special quota. A division bench comprising Justice M Jaichandren and Justice M M Sundresh, allowing an appeal by MCI against a single judge order which held that students with all forms of disabilities should be considered for admission, said: "When the experts are of the view that certain categories of persons cannot perform the role of a student or a doctor, then it is well within the powers of MCI to restrict them based upon the said opinion. While this court has sympathy for disabled persons, the overwhelming public interest has to be seen, particularly when such persons cannot perform the role assigned to them."

It all started with a petition filed by S Divya, who is now studying in third-year MBBS thanks to an order of the court. In her petition, Divya, who suffers from a spinal cord disability, questioned the MCI regulation limiting the reservation benefit meant for disabled people only to those with locomotor disability of lower limbs of between 40% and 70%. Allowing her petition, a single judge in September 2011 directed MCI to extend reservation benefits to students with all forms of disabilities. The MCI then filed an appeal. Setting aside the single judge order, the bench pointed out that the MCI regulation came about after detailed deliberations involving expert committees and consultations with specialists. Noting that they did not find any illegality in the method adopted by MCI, the judges said the single judge had gone beyond the scope of the petition when he issued directions to MCI asking it to include all disabilities for reservation benefits.

"Such a direction would lead to disastrous consequences. It is nobody's case that the disabilities which have been excluded would not stand in the way of the persons concerned performing their duties as students of medicine and thereafter as doctors. MCI is the best person to decide the issue," they said. The bench set aside the single judge's disagreement with MCI's classification of upper limb and lower limb disabilities.

The judges, however, did not disturb the admission of Divya, as she had completed two years of her studies. "By not allowing her to continue (studies) now, nobody would be benefited and the seat is also not going to be filled. It is also not in public interest," they said. The MCI is free to consider any other disability not specifically mentioned in the rules if, in its opinion, such disability is also required to be included for reservation benefits, they said. (Source: TOI, Apr 26, 2013)

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Physical abuse in children

  1. Physical neglect– Failure to provide adequate food, clothing, shelter, hygiene, protection; inadequate supervision with risk of harm to the child.
  2. Emotional neglect– Failure to provide love, affection, security, and emotional support; failure to provide psychological care when needed; spouse abuse in presence of the child.
  3. Educational neglect– Failure to enroll the child in school or ensure school attendance or home schooling; failure to address specific educational needs.
  4. Medical neglect– Refusal to seek or delay in seeking medical care resulting in damage or risk of damage to the child’s health.
    Valvular Heart Disease Update

Valvular thickening or sclerosis of the aortic and mitral valve is a frequent occurrence in hemodialysis patients and occurs in 55-69 % of individuals.

(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)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Older age predicts better response to Alzheimer’s drugs

Cholinesterase inhibitor drugs were most effective in a real-world clinical setting the older the patients were and the higher the cognitive functioning at baseline, a Taiwanese study of patients with Alzheimer's disease (AD) presented here shows. Chi-Ying Lin, MD, from the Department of Neurology at the Taipei Veterans General Hospital in Taipei, Taiwan, said his study results suggest that early diagnosis and prompt initiation of drug therapy can give better outcomes. The findings were presented here at the Alzheimer's Disease International (ADI) 28th International Conference. (Source: Medscape)

Need vitamin D? Try mushrooms

Eating mushrooms may be as effective at raising serum vitamin D levels as taking capsuled supplements, researchers reported t the joint American Society for Biochemistry and Molecular Biology and the Experimental Biology meeting in Boston. (Source: Medpage Today)

Medical interns spend very little time at patient bedsides

Medical interns spend only 12% of their time examining and talking with patients, and more than 40% of their time on computer tasks, according to a time-motion study published online April 18 in the Journal of General Internal Medicine. (Source: Medscape)

CABG has slim edge over PCI for survival

Coronary artery bypass graft (CABG) surgery was associated with a slightly lower death rate than percutaneous coronary intervention (PCI), a comparative-effectiveness study suggests. (Source: Medpage Today)

Chickens pegged as source of H7N9 flu

Evidence from a single patient infected with the novel avian influenza virus H7N9 points to transmission from live poultry, Chinese researchers reported. The finding suggests that live poultry could be the source of the H7N9 outbreak, which has sickened 108 people in eastern China and killed 22 according to the latest official update from the World Health Organization. Investigations into the source are ongoing. (Source: Medpage Today)

  Twitter of the Day

@DrKKAggarwal: Vitamin D and prevention of colds Data from a US survey population has shown a relationship between higher serum... http://fb.me/2xmtrbHQq

@DrKKAggarwal: The entire universe is consciousness & its contents #CosmicConsciousness

    Spiritual Update

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

What is the significance of a Tilak?

The Tilak is not merely a beauty-enhancing mark, or a sign of religosity. Hindu cultural traditions have given a significant place to wisdom in life. Life’s journey is guided by wisdom, which leads us through evolution of life towards salvation. If a man loses everything in his life but has his wisdom, he can recreate everything he has lost.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the risks of ovarian drilling?

This surgery could cause injury to your intestines, bladder, blood vessels and ureter. You could also have bleeding, an infection, or a reaction to anesthesia. If there is too much damage to the ovary, you may run out of eggs at a younger age and go through menopause (which is when you stop getting your period). After the surgery, adhesions or scar tissue can form between the ovaries and the fallopian tube, which carries the egg out of the ovary into the uterus. If you develop adhesions, it may be more difficult for you to get pregnant.

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

ABO system and pregnancy

There is a 20% chance of ABO incompatibility of mother and fetus.

    An Inspirational Story

Growing deep and strong!

One day, my mother and I were working together in the garden where we were transplanting plants for the third time.

Grown from seed in a small container, the plants had been transferred to a larger container; then transplanted into the garden. Now, because I was moving, we were transplanting them once again.

Inexperienced as a gardener, I turned to my green-thumbed mother. “Isn’t this bad for them?" I asked, as we dug them up and shook the dirt from the roots. “Won’t it hurt these plants, being uprooted and transplanted so many times?”

"Oh" my mother replied. “Transplanting doesn’t hurt them. In fact, it’s good for the ones that survive. That’s how their roots grow strong. Their roots will grow deep, and they will make strong plants”.

Often, I've felt like those small plants – uprooted and turned upside. Sometimes I’ve endured the change willingly, sometimes reluctantly, but usually my reaction has been a combination. Won't this be hard on me? I ask. Wouldn’t things be better if things remained the same? That’s when I remember my mother’s words: That’s how the roots grow deep and strong.

For comments and archives

  Cardiology eMedinewS

New AACE algorithm addresses all aspects of type 2 diabetes Read More

  Pediatric eMedinewS

HAART has beneficial effects on heart in children with HIV Read More

    Rabies Update

(Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

Can a pregnant woman be given pre-exposure vaccination?

Although no teratogenicity or other adverse effects have been reported with modern rabies vaccines, pre-exposure vaccination should be avoided in pregnant woman.

    IJCP Special

Dr Good Dr Bad

Situation: A patient of dengue hemorrhagic fever with minor GI bleed came for evaluation.
Dr Bad: Sister, admit him for platelet transfusion.
Dr Good: Sister, admit him for observation.
Lesson: Minor bleeds do not require platelet transfusion unless the bleeding is profuse and hematocrit is high. No blood transfusion is needed.

Make Sure

Situation: A patient with asymptomatic second degree Mobitz 1 block after PPI developed lead infection.
Reaction: Oh my God! Why was PPI (Permanent pace maker implantation) done?
Lesson: Make sure that PPI is not implanted in patients with asymptomatic second–degree Mobitz I (Wenckebach) AV block.

  Quote of the Day (Dr GM Singh)

Humility is not thinking less of yourself, it's thinking of yourself less.~ Rick Warren

    Mind Teaser

Read this…………………

An 8-month-old is admitted to the pediatric unit following a fall from his high chair. The child is awake, alert, and crying. Nurse Fatima should know that a brain injury is more severe in children because of:

a. Increased myelination
b. Intracranial hypotension
c. Cerebral hyperemia
d. A slightly thicker cranium

Yesterday’s Mind Teaser: A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?

a. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.
b. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
c. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
d. The human papillomavirus (HPV), which causes condylomata acuminata, can’t be transmitted during oral sex.

Answer for yesterday’s Mind Teaser: a. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.

Correct answers received from: Dr.K.Raju, Dr.Jayashree sen & Dr.Bitaan Sen, Dr Gajveer, Dr. B.B. Gupta, Dr. Thakor Hitendrsinh G, Dr Pankaj Agarwal, DR Chandresh  jardosh, Dr Jainendra Upadhyay, Dr Avtar Krishan, Muthumperumal Thirumalpillai, drjella

Answer for 27th April Mind Teaser: b. The client keeps the drainage bag below the bladder at all times.

Correct answers received from:Dr Arpan Gandhi, drjella

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Academic Talk

The following list of phrases and their definitions might help you understand the mysterious language of science and medicine. These special phrases are also applicable to anyone working on a Ph.D. dissertation or academic paper anywhere!

"It has long been known" = I didn't look up the original reference.

"A definite trend is evident" = These data are practically meaningless.

"While it has not been possible to provide definite answers to the questions" = An unsuccessful experiment, but I still hope to get it published.

"Three of the samples were chosen for detailed study" = The other results didn't make any sense.

"Typical results are shown" = This is the prettiest graph.

"These results will be in a subsequent report" = I might get around to this sometime, if pushed or funded.

"In my experience" = once.

"In case after case" = twice.

"In a series of cases" = thrice.

"It is believed that" = I think.

    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Surgical error death

A UK survey has suggested that the damage to underlying structures is the commonest complication for which patients successfully sue surgeons.

  • The survey found that damage to veins, nerves and other underlying structures accounted for nearly one-third of 115 successful claims, with infection accounting for another 12%.
  • Patients also sued successfully after they were burnt by diathermy, after spirit–based skin preparations ignited and after adverse reactions to iodine.
  • Retained items and failed or delayed diagnosis accounted for 8% and 7% respectively of successful medical negligence claims.
  • The retained items, which included a pair of forceps and a surgical pack after a hemorrhoid surgery occurred despite formal written procedures for swab and needle counts in operating theatres.
  • The top award was for £550000 ($880000) and was allocated to relatives of a patient with a history of deep vein thrombosis and pulmonary embolism who died of an embolism four weeks after elective surgery for varicose veins. The patient had received no anticoagulant treatment until two weeks after surgery.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

One should die young in old age

One should be remain active each day of our life and not die old in old age, said Padma Shri & Dr. BC Roy National Awardee Dr. KK Aggarwal, President Heart Care Foundation of India and Vice-Chairman World Fellowship of Religions. He was delivering the key note address at Om Shanti Retreat Centre, Pataudi Road, Manesar during 10th National Summit on Stress Management and Workshop on ‘How to be Healthy and Happy’ organised by Heart Care foundation of India in association with Prajapati Brahmkumari Aishwarya Vidyalaya and World Fellowship of Religions.

In another seminar on ‘Life After Death’ organised by the Foundation at IMA House, Dr. Aggarwal in conversation with Swami Parmananda Bharati said that all hospitals and medical establishments should have both a humor room as well as a prayer room. The dead body and the dying person should both be respected as it is only the physical body which dies and not the mind, intellect, ego and soul.

The aim of life should be to continue living after one’s physical body has died and that is only possible by doing positive Karmas.

Dr. Aggarwal said that the fact that we did not get moksha or liberation in our last birth means that some sufferings still remained for us to bear and the very purpose of our present birth is to face those sufferings. We should face them with happiness and not with sorrow. By doing positive karmas, we can not only neutralize our karmas of the past birth but also the bad karmas from birth till date.

In their introductory remarks, Prof. Uma Devi, Formerly at Delhi University, and Prof. Sunil Kumar, Hindi Scholar, said that the very purpose of life is to earn righteously to perform one’s Dharma with a desire to achieve inner happiness.

    Readers Response
  1. Dear Sir, Wonderful editorial. Regards: Dr Keshav
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