eMedinewS29th January 2014, Wednesday

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);
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Tobacco, drug use in pregnancy can double risk of stillbirth

Smoking tobacco or marijuana, taking prescription painkillers, or using illegal drugs during pregnancy is associated with double or even triple the risk of stillbirth, according to research funded by the National Institutes of Health.

Researchers based their findings on measurements of the chemical byproducts of nicotine in maternal blood samples; and cannabis, prescription painkillers and other drugs in umbilical cords. Taking direct measurements provided more precise information than did previous studies of stillbirth and substance use that relied only on women’s self–reporting. The study findings appear in the journal Obstetrics & Gynecology.

"Smoking is a known risk factor for stillbirth, but this analysis gives us a much clearer picture of the risks than before," said senior author Uma M. Reddy, M.D., MPH, of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the NIH institute that supported the study. "Additionally, results from the latest findings also showed that likely exposure to secondhand smoke can elevate the risk of stillbirth." Stillbirth occurs when a fetus dies at or after 20 weeks of gestation.

The researchers tested the women’s blood for cotinine, a derivative of nicotine, and tested fetal umbilical cords for evidence of several types of drugs. They looked for evidence of the stimulants cocaine and amphetamine; prescription painkillers, such as morphine and codeine, and marijuana. These tests reflect exposure late in pregnancy. Among the women who had experienced a stillbirth, more than 80 percent showed no traces of cotinine and 93 percent tested negative for the other drugs. In comparison, about 90 percent of women who gave birth to a live infant tested tobacco–free and 96 percent tested negative for other drugs.

Based on the blood test results and women’s own responses, the researchers calculated the increased risk of stillbirth for each of the substances they examined: Tobacco use — 1.8 to 2.8 times greater risk of stillbirth, with the highest risk found among the heaviest smokers

Marijuana use — 2.3 times greater risk of stillbirth

Evidence of any stimulant, marijuana or prescription painkiller use — 2.2 times greater risk of stillbirth

Passive exposure to tobacco — 2.1 times greater risk of stillbirth

The researchers noted that they could not entirely separate the effects of smoking tobacco from those of smoking marijuana.

Only a small number of women tested positive for prescription painkiller use, but there was a trend towards an association of these drugs with an elevated stillbirth risk.

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

Sexuality In Ancient Mythology

sprritual blog

1. Both sexuality and spirituality have been mentioned in mythology to prevent HIV and sexually transmitted diseases. An educational art was created at Khajuraho which talks about "multiple positions with one are better than one position with many."

2. Asexual reproduction – Lord Ganesha’s birth from the skin of Goddess Parvati represents a form of asexual reproduction using pluripotent cells.

3. The birth of Kartikay from Shiva can be linked to success story of in vitro fertilization. Shiva throws away white sparks (semen) in the air (centrifugation), they fell down in river (petri dish) become five petal flower (5 cell zygote) adopted by local Kartikayan girls (in vitro fertilization) and Kartikay was born.

4. Artificial insemination of semen was well described in mythology. The birth of Dashrath’s children, Hanuman all were probably examples of the same.

5. Sexuality and spirituality are opposite to each other. No Tirath Sthan is ever used as honeymoon place.

6. Bull or Nandi represents sexual desires and is always placed outside Shiva Mandir. You cannot enter a spiritual place without sexual desires on.

7. Polygamy was the need of the day at that time as is evident by three wives of Dashrath and five husbands of Draupadi.

8. Santoshi Mata Ka Vrat was created to prevent iron deficiency anemia in child bearing age ladies. They were made to eat Gur (iron) and Chana (protein) every week to prevent recurrent abortions and death by anemia.

9. Ashrams were created in mythology as part of discipline. Brahmcharya was the period for education and Grihastha for active sexual reproductive life.

10. Dharma Artha Kama Moksha were the four purposes of life which meant earning money righteously to fulfill all our desires which leads to inner happiness.

11. Sex education at that time was through sculptures.

12. The Science of Kamasutra was the classical textbook which promoted sexual hygiene.

13. True love was symbolized by Meera–Krishna and Radha–Krishna.

14. Marriages were not solemnized in Chaturmaas as during this period the mind is always in a negative state with more chances of divorce.

15. The marriage months have been the month of Maagh, Vaishakh and Kartik. These are spontaneous months with increased fertility.

16. To enhance fertility Shahi snans were advocated which involve exposure to sun so that vitamin D deficiency can be avoided.

17. Marriage seasons used to start with Tulsi Vivah which meant that Shyama Tulsi seeds are good for fertility and make the semen thick.

cardiology news

Military story: True friend

Horror gripped the heart of the World War I soldier as he saw his lifelong friend fall in battle. Caught in a trench with continuous gunfire whizzing over his head, the soldier asked his lieutenant if he might go out into the "no man’s land" between the trenches to bring his fallen comrade back.

"You can go," said the lieutenant, "but I don’t think it will be worth it. Your friend is probably dead and you may throw your life away." The lieutenant’s advice didn’t matter, and the soldier went anyway. Miraculously he managed to reach his friend, hoist him onto his shoulder and bring him back to their company’s trench. As the two of them tumbled in together to the bottom of the trench, the officer checked the wounded soldier, and then looked kindly at his friend.

"I told you it wouldn’t be worth it," he said. "Your friend is dead and you are mortally wounded." "It was worth it, though, sir," said the soldier. "What do you mean; worth it?" responded the Lieutenant. "Your friend is dead." "Yes, Sir" the private answered. "But it was worth it because when I got to him, he was still alive and I had the satisfaction of hearing him saying, "Jim…, I knew you’d come."

Many times in life, whether a thing is worth doing or not, really depends on how u looks at it. Take up all your courage and do something your heart tells you to do so that you may not regret not doing it later in your life. May each and every one of you be blessed with the company of true friends.

A true friend is one who walks in, when the rest of the world walks out. War doesn’t determine who’s right. War only determines who’s left.

News Around The Globe

News

  • Risk for type 2 diabetes is shared, with around a 20% increased risk for individuals whose partners have the disease, confirms a new study, whose authors suggest that behavioral and environmental factors might have a significant role to play. Findings of the systematic review and meta–analysis are published online January 24 in BMC Medicine.
  • A cohort of nearly 32,000 participants from the Black Women’s Health Study (BWHS) published online January 21 in the Annals of Allergy, Asthma and Immunology showed that those with the highest depressive symptom scores were more than twice as likely to develop asthma as their counterparts with the lowest symptom scores.
  • Endoscopy for gastroesophageal reflux disease (GERD) may be both too much and not enough of a good thing, according to a new study in JAMA Internal Medicine. In a retrospective review of records on nearly half a million patients with uncomplicated GERD, researchers found that endoscopy is overused in patients at low risk for serious complications of GERD and underused in those at high risk.
  • Use of hormone replacement therapy (HRT) has been associated with an increased risk for acute pancreatitis in a prospective study of more than 30,000 women in Sweden. Women who had ever used HRT had a 57% increase in the risk for acute pancreatitis compared with women who had never used HRT, lead author Viktor Oskarsson, MD, and colleagues report in the current issue of the Canadian Medical Association Journal, published online January 27.
  • Vaccine–induced antibodies may wane more quickly than usual in patients with HIV, who might therefore lose their protection before they receive a booster, if current guidelines are followed, new research suggests.

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 most common modes of exposures of rabies virus?

Human exposures to rabies can generally be categorized as bite, open wound, mucous membrane, or other types of exposure:

  • Bite exposure: Any penetration of the skin of a person by the teeth of a rabid or potentially rabid animal.
  • Open wound exposure: Introduction of saliva or other potentially infectious material (cerebrospinal fluid, spinal cord, or brain tissue) from a rabid or potentially rabid animal into an open wound (e.g., broken skin that bled within the past 24 hours).
  • Mucous membrane exposure: Introduction of saliva or other potentially infectious material (cerebrospinal fluid, spinal cord, or brain tissue) from a rabid or potentially rabid animal onto any mucous membrane (eyes, nose, mouth).
  • Other exposure: Any interaction with a rabid or potentially rabid animal where a bite, open wound, or mucous membrane exposure cannot be definitively ruled out.
cardiology news

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

  • Updated draft guidelines from the U.S. Preventive Services Task Force (USPSTF) have reiterated that routine, one–time screening for abdominal aortic aneurysm (AAA) with an ultrasound should be confined to men ages 65 to 75 who have ever smoked. For men in that age group who have never smoked, however, clinicians should offer selective screening on a case–by–case basis, stated the guidance, which will replace the previous 2005 recommendations if finalized after a period of public comment. Whereas the older recommendations advised against screening for AAA in all women, the newer guidance made a distinction between those who had ever smoked and those who had never smoked.
cardiology news

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

  • Recent advances in understanding the causes of fractures make it easier for clinicians to identify victims of child abuse, according to a report by the American Academy of Pediatrics. The report, published online January 27 in Pediatrics, updates the academy’s 2006 guidelines for differential diagnosis of fractures caused by child abuse. Abuse causes between 12% and 20% of all fractures in infants and children. But, in children younger than 3 years, physicians misdiagnose as many as 20% of fractures caused by abuse. The percentage of fractures caused by abuse declines after children learn to walk. Classic metaphyseal lesions, a type of long bone fracture, are also often caused by abuse.
cardiology news

Even Children Can Have Acidity

Children who have continuing recurrence of cough and croup could be suffering from stomach acid reflux problems.

Croup or ‘Kali Khansi’ as it is called in local parlance is recognized by a loud cough that often sounds like the barking of a seal. It can cause rapid or difficult breathing, and sometimes wheezing. Croup is thought to be caused by a virus, but reflux acidity has been suggested as a possible trigger.

In gastroesophageal reflux disease, stomach acid causes swelling and inflammation of the larynx, which narrows the airway. It can trigger more swelling with any kind of viral or respiratory infection.

Identifying children with gastroesophageal reflux disease could help treat and improve recurring croup. It is unusual for a child to have three or more bouts of croup over a short period of time. These children need to be evaluated.

The same is true for adults also. Patients with non responding asthma should be investigated for underlying acidity as the cause of acute asthma.

cardiology news

Total CPR since 1st November 2012 – 84500 trained

Media advocacy through Web Media

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press release

Over 1000 children trained in cardiac first aid

INew Delhi: January 28, 2014: Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India trained over 1000 school children at Guru Harkrishan Public School, Hargovind Enclave in cardiac first aid including how to revive a dead person after sudden cardiac death.

Speaking to the children, Dr. Aggarwal said that all school children enrolling for a competitive sports should get a cardiac evaluation done. This should include specialist consultation along with ECG and, if any abnormal heart sounds is viewed clinical chest examination and an echocardiogram should be done.

In children, even if a child dies during a strenuous exertion, he can be revived if a bystander standing attempts hand only cardiopulmonary resuscitation (CPR). Apart, children should learn CPR 10 because they can also revive other persons with heart attack outside their school arena.
Dr. Aggarwal said that CPR learning has a special technique which involves CPR Asana and CPR Mudra. CPR Asana is standing on your knees in front of the dead person who is lying on a flat surface and CPR Mudra means straightening hands with no bending of the elbow and compress the centre of the chest of the dead person with a speed of 10x10 i.e. 100 per minute. Dr. Aggarwal revised the CPR mantra in the form of a chanting to every child in Hindia which says – "Marne ke dus minute ke andar (jitna jaldi utna behtar), kam se kam agle dus minute tak (jitni der tak utna behtar, 10×10=100 ki gati se, apni chhati peetne ke bajaye mare hue aadmi ki chhati peeto"

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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Over 1000 school children at Guru Harkrishan Public School, Hargovind Enclave in cardiac first aid including how to revive a dead person after sudden cardiac death

press release

Should I be registered with MCI?

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

An anxius mother brought her 4 year old daughter to the pediatrician. The girl was passing loose bulky stools for the past 20 days. This was often associated with pain in abdomen. The pediatrician ordered the stool examination which showed the following organisms. Identify the organism:

1. Entamoeba histolytica
2. Giardia lamblia
3. Cryptosporidium
4. E. Coli

Yesterday’s Mind Teaser: Raised serum level of lipoprotein (a) is a predictor of:

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

Answer for yesterday’s Mind Teaser: 3. Atherosclerosis.

Correct answers received from: DR.A.K.GAJJAR, Dr,Raghavendra Jayesh, dr ajay Gandhi, Dr.K.V.Sarma, Dr Brijesh soni, Dr.(Maj. Gen.) Anil Bairaria,, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Avatar Wadhwan, Avatar Wadhwan, Dr Chandresh Jardosh Tukaram Pagad, DR AYYAVOO ERODE,

Answer for 27th January Mind Teaser: 1. Phenytoin.

Correct answers received from:Raju Kuppusamy, Dr B K Agarwal, Dr Avtar Krishan, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh

Send your answer to ijcp12@gmail.com

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medicolegal update

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medicolegal update

A traffic slogan: Don’t let your kids drive if they are not old enough – or else they never will be

medicolegal update

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medicolegal update

Situation:: A 62–year–old–diabetic with coronary artery disease, on treatment for the same, comes for follow up.
Reaction: Oh my God! Why did not you put him on antioxidants?
Lesson: Make sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

medicolegal update

A happy family is but an earlier heaven -George Bernard Shaw

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: Learn the seven stages of consciousness & how they lead to enlightenment. Which stage have you reached? http://bit.ly/15QdVeB #Health

medicolegal update
  1. aapki e– mail kaafee educative rehti hai … hum uski intzaar karte rehtein hain. keep it up, regards, thanx, dr.kamal kumar jain, mbbs,dch, (family physician)

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