eMedinewS29th March 2014, Saturday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of record holder in CPR, 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

Rise and fall of Nuclear Cardiac Imaging

The use of nuclear myocardial perfusion imaging declined substantially in a large integrated healthcare system during a recent 5–year period, reports Medpage.

Following an increase in use from 2000 to 2006 at Kaiser Permanente Northern California MPI use dropped by a relative 51% through 2011 according to Edward McNulty, MD, of Kaiser Permanente Medical Center in San Francisco.

Replacement by cardiac CT and stress echocardiography did not explain the pullback from using MPI, the researchers reported March 26 issue of JAMA.

The fact that we observed greater declines amongst lower–risk subsets (outpatients and younger persons) suggests MPI use became more discriminating (used preferentially in higher–risk persons), as per the authors.

Other reasons may be "more recently, factors potentially discouraging use, such as appropriate use criteria, declining reimbursement, radiology benefits managers, and more publicized concerns about the health effects of radiation have emerged."


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
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
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

The Scientific Aspects of Prayer

sprritual blog

Whenever our near or dear ones suffer a sickness most of us often pass on the heartfelt promise that we’ll "pray for him or her". So many people believe in the power of prayer that it’s now caught the attention of scientific doctors.

Today most hospitals and nursing homes are building prayer rooms for their patients. It is based on the principle that the relaxed mind is a creative mind. During prayer, when one is in touch with the consciousness, one is able to take conscious based right decisions. Most doctors even write on their prescriptions "I treat He cures".

Medically it has been shown that even the subconscious mind of the unconscious person is listening. Any prayer would be captured by him building his or her inner confidence and faith to come out of the terminal sickness. We have seen the classical example of the effect of mass prayer on Amitabh Bachchan’s illness.

"Praying for your health is one of the most common complementary treatments people do on their own," said Dr. Harold G. Koenig, co–director of the Center for Spirituality, Theology and Health at Duke University Medical Center. About 90% of Americans and almost 100 % Indians pray at some point in their lives, and when they’re under stress, such as when they’re sick, they’re even more likely to pray.

More than one–third of people surveyed in a recent study published in the Archives of Internal Medicine said they often turned to prayer when faced with medical concerns. In the poll involving more than 2,000 Americans, 75 percent of those who prayed said they prayed for wellness, while 22 percent said they prayed for specific medical conditions.

Numerous randomized studies have been done on this subject. In one such study, neither patients nor the health–care providers had any idea who was being prayed for. The coronary–care unit patients didn’t even know there was a study being conducted. And, those praying for the patients had never even met them. The result: While those in the prayer group had about the same length of hospital stay, their overall health was slightly better than the group that didn’t receive special prayers.

"Prayer may be an effective adjunct to standard medical care," wrote the authors of this 1999 study, also published in the Archives of Internal Medicine. However, a more recent trial from the April 2006 issue of the American Heart Journal suggests that it’s even possible for some harm to come from prayer. In this study, which included 1,800 people scheduled for heart surgery, the group who knew they were receiving prayers developed more complications from the procedure, compared to those who had not been a focus of prayer.

Many patients are reluctant and do not talk on this subject with their doctors. Only 11% patients mention prayer to their doctors. But, doctors are more open to the subject than patients realize, particularly in serious medical situations. In a study of doctors’ attitudes toward prayer and spiritual behavior, almost 85 percent of doctors thought they should be aware of their patients’ spiritual beliefs. Most doctors said they wouldn’t pray with their patients even if they were dying, unless the patient specifically asked the doctor to pray with them. In that case, 77% of doctors were willing to pray for their patient.

Most people are convinced that prayer helps. Some people are ‘foxhole religious’ types and prayer’s almost a reaction or cry to the universe for help. But, many people do it because they’ve experienced benefit from it in the past.

If it’s something you want to do and you feel it might be helpful, there’s no reason you shouldn’t do it. If one has inclination that prayer might work, he or she should do it.

cardiology news

The Cookie Thief

A woman was waiting at an airport one night, with several long hours before her flight. She hunted for a book in the airport shops, bought a bag of cookies and found a place to drop. She was engrossed in her book but happened to see, that the man sitting beside her, as bold as could be…grabbed a cookie or two from the bag in between, which she tried to ignore to avoid a scene. So she munched the cookies and watched the clock, as the gutsy cookie thief diminished her stock. She was getting more irritated as the minutes ticked by, thinking, "If I wasn’t so nice, I would blacken his eye." With each cookie she took, he took one too, when only one was left; she wondered what he would do. With a smile on his face, and a nervous laugh, he took the last cookie and broke it in half.

He offered her half, as he ate the other; she snatched it from him and thought… oooh, brother. This guy has some nerve and he’s also rude, why he didn’t even show any gratitude! She had never known when she had been so galled and sighed with relief when her flight was called. She gathered her belongings and headed to the gate, refusing to look back at the thieving ingrate.

She boarded the plane, and sank in her seat, then she sought her book, which was almost complete. As she reached in her baggage, she gasped with surprise, there was her bag of cookies, in front of her eyes.

If mine are here, she moaned in despair, the others were his, and he tried to share. Too late to apologize, she realized with grief, that she was the rude one, the ingrate, the thief.

News Around The Globe

  • The potential barriers to the use of long–acting reversible contraceptives could be minimized if more Obstetricians–Gynecologists provide same–day IUD insertion, says a recent survey report of ACOG Fellows. It was noted that among Ob–Gyns who insert IUDs, only 7% provide postpartum IUD insertion and 10.9% provide immediate post-abortion or post–miscarriage IUD insertion. Of these, only 13.3% offered same–day IUD insertion, and about 77.3% pointed that two visits were required. Of note, clinicians who offered same–day IUD insertion provided more IUDs in the previous year (54 vs. 40). Continuing education concerning implants played a significant role in the clinicians’ decision-making.
  • A study presented at the at the American Academy of Dermatology 72nd Annual Meeting reports that a diagnostic test that makes use of gene–expression profiles might help ascertain which primary cutaneous melanoma tumors are likely to metastasize. This would eventually aid the identification of patients who were potential candidates for a more aggressive screening schedule and adjuvant therapies.
  • A contemporary laser treatment for acne that uses infrared–activated gold nanoparticles to deliver thermal damage to sebaceous follicles is a safe and effective option for reducing inflammatory lesions, reports a new study. Rox Anderson, Professor of Dermatology at Harvard Medical School in Boston, conducted 2 studies with the laser. In the first study, the mean reduction in inflammatory lesions was significantly better in the nanoparticle group as compared to face wash group (34% vs. 16%) at week 12. In the second study, at 16 weeks, the mean reduction in inflammatory lesions was again better in the nanoparticle group than in the sham group (53% vs. 31%). The findings were presented at the American Academy of Dermatology 72nd Annual Meeting.
  • An advisory panel of the US Food and Drug Administration (FDA) has recommended premarket approval for Exact Sciences Corporation’s Cologuard colorectal cancer (CRC) diagnostic device. The test is safe and effective and its potential benefits outweigh its risks. The in vitro diagnostic device analyzes patients’ stool to detect hemoglobin, multiple DNA methylation and mutational markers, and the total amount of human DNA contained in cells shed by CRC into the large bowel. The test will not replace colonoscopy; however, it will be used in association with colonoscopy and other tests.
  • A large population–based study published online March 27 in the American Journal of Obstetrics and Gynecology has reported that about 1 in 4 stillbirths may be due to maternal obesity. The risk gets higher as gestational age and obesity levels increase. The study authors analyzed records databases for stillbirths and singleton live births without severe fetal anomalies between 20 and 42 weeks’ gestation in Texas from 2006 to 2011 and Washington from 2003 to 2011. In all, 2,868,482 singleton births were identified, including 9030 stillbirths. The risk for stillbirth was found to increase with increasing maternal weight compared with normal–weight women (hazard ratio, 1.36 with overweight; 1.71 with class 1 obesity, 2.00 with class 2 obesity, 2.48 with class 3 obesity, and 3.16 for women with a BMI >50 kg/m2).

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)

Can a vaccinated dog transmit rabies? How effective is dog vaccine?

If a potent veterinary vaccine is given correctly as per pre–exposure schedule, it will mostly prevent rabies in the vaccinated dog, unless the exposure is severe. Ideally, its sera should be tested for protective antibody titer level but this is rarely practicable due to scare facilities in our country. Consequently, PEP vaccination is recommended following bites even by vaccinated dogs. It has been noted that:

(1) 6% of dogs found rabid have a reliable pre–exposure rabies vaccine history and that
(2) 40% of dogs’ vaccinated only one time lost most of their immunity 4–6 months later.
(3) Post Exposure Prophylaxis (PEP) vaccination is not very successful in dogs

cardiology news

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

  • The US Centers for Disease Control and Prevention (CDC) has recently issued a report that 1 in 68 children aged 8 years (or 14.7 per 1000) have an autism spectrum disorder (ASD) in the US. The number is approximately 30% higher than previous estimates reported in 2012 of 1 in 88 children (11.3 per 1000) having an ASD. The report has been published in the March 28 issue of the Morbidity and Mortality Weekly Report.
  • Researchers at the Universities of Southampton, Exeter and Plymouth have discovered that a simple blood test, which can read DNA, could successfully predict obesity levels in children. The test evaluates the levels of epigenetic switches in the PGC1a gene – a gene that regulates fat storage in the body. Results of a study conducted by the researchers showed that an increase in DNA methylation levels of 10% at five years was associated with up to 12% more body fat at 14 years.
cardiology news

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

  • Posttraumatic stress disorder (PTSD) in the elderly is significantly associated with the development of cerebrovascular disease (CVD) and myocardial infarction (MI), reports a novel study presented at the American Association for Geriatric Psychiatry (AAGP) 2014 Annual Meeting. The study revealed that those aged more that 54 years who had PTSD were 80% more likely to have incident CVD than age–matched controls. They were also 82% more likely to have MI, 60% more likely to have peripheral vascular disease, and 56% more likely to have congestive heart failure.
  • The deletion of yes–associated protein, or YAP, from vascular smooth muscle cells during development, leads to thin–walled blood vessels that over–dilate in response to the usual pressure of blood flow, report researchers at the Medical College of Georgia at Georgia Regents University. The study found that YAP regulated vascular smooth muscle cells by controlling the expression of the cell cycle arrest gene, Gpr132. During growth, YAP inhibited this suppressor and when blood vessel walls attain the right size, YAP expression decreases and Gpr132 expression increases.
cardiology news

Routine ECG Does Not Help

In populations of older adults, prediction of coronary heart disease (CHD) events through traditional risk factors is less accurate than in middle–aged adults. It has been shown that electrocardiographic (ECG) abnormalities are common in older adults and might be of value for CHD prediction. However, performing routine ECG among asymptomatic adults is not supported by current evidence and is not recommended by the US Preventive Services Task Force and the American College of Cardiology Foundation/American Heart Association.

The aim of this study by Auer and colleagues was to determine whether baseline ECG abnormalities or development of new and persistent ECG abnormalities are associated with increased CHD events.

cardiology news

Total CPR since 1st November 2012 – 88972 trained

Media advocacy through Web Media

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press release

Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

People with very low cholesterol levels are at increased risk of developing stomach cancer, according to a study published in the International Journal of Cancer, 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.

The study involved 2,600 residents of Hisayama, Japan, who were followed for 14 years. Gastric cancers developed in 97 subjects. After accounting for age and gender, stomach cancer rates rose significantly with descending cholesterol level. For example, among subjects with the highest cholesterol levels, the gastric cancer rate was the equivalent of 2.1 cases per 1000 persons per year; among those with the lowest cholesterol, the rate was 3.9 per 1000 persons per year.

Patients with low serum cholesterol should consider periodic gastrointestinal examination for the prevention of stomach cancer, said Dr Aggarwal.

Low cholesterol has been earlier linked to depression, anxiety and suicide in both men and women. Another earlier report has also shown that people with cholesterol level below 180 had twice the risk of brain hemorrhage as compared to those with cholesterol levels of 230.

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 to Support Free Heart Care Intervention, Press Conference 20th March 2014

press release

Monitoring LFT in a patient on statins

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

Elements of primary health care include all of the following except:

1. Adequate supply of safe water and basic sanitation.
2. Providing essential drugs.
3. Sound referral system.
4. Health Education.

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: 3. Down’s syndrome.

Correct answers received from: Dr P C Das, Dr Bitaan Sen & Dr Jayshree Sen,
Dr Jainendra Upadhyay, Dr Sushma Chawla, Dr Chandresh Jardosh, Dr Avtar Krishan.

Answer for 29th March Mind Teaser: 4. Glycosylation

Correct answers received from: Daivadheenam Jella.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Water in the Carburetor

Wife: "There’s trouble with the car. It has water in the carburetor."
Husband: "Water in the carburetor? That’s ridiculous."
Wife: "I tell you the car has water in the carburetor."
Husband: "You don’t even know what a carburetor is. I’ll check it out. Where’s the car?"
Wife: "In the pool."

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with acute heart attack died on the way to the hospital
Reaction: : Oh my God! Why was the patient not accompanied by the doctor?
Lesson: Make sure that all heart attack patients are accompanied by the doctor to the hospital so that chest compression CPR can be given, if the heart stops, on the way.

medicolegal update

Anxiety does not empty tomorrow of its sorrows, but only empties today of its strength. Charles Spurgeon

medicolegal update

Dr KK Aggarwal: : Smoking may dull taste buds By Dr KK Aggarwal http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: There is one experience that brings joy or happiness to every living being. The experience of love http://bit.ly/DC_Ananda #ananda

medicolegal update
  1. Dear Sir, Thanks for providing us the useful information. Regards: Dr Kanak

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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