eMedinewS31st March 2014,Monday

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.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

Fecal Microbial Transplantation for Ulcerative Colitis

Fecal microbial transplantation (FMT) via enema is shown to be effective, tolerable, and feasible for treating children with ulcerative colitis (UC), according to findings from a phase 1 pilot study published in the Journal of Pediatric Gastroenterology and Nutrition.

It involves infusion of human stool from a healthy adult donor into the patient’s intestine and has been proposed as an option for recurrent Clostridium difficile infection and possibly for ulcerative colitis as per Sachin Kunde, MD, MPH, from Spectrum Health Medical Group, Helen DeVos Children’s Hospital in Grand Rapids, Michigan. The procedure may restore ‘abnormal’ bacteria to ‘normal’ in patients with UC.

Ten children, aged 7 to 21 years, who had mild to moderate UC, received freshly prepared fecal enemas daily for 5 days.

The investigators collected data on tolerability, adverse events, and disease activity during FMT and weekly for 4 weeks thereafter. At baseline, pediatric UC activity index ranged from 15 to 65. The investigators considered a reduction in PUCAI by more than 15 to be clinical response, and PUCAI lower than 10 to be clinical remission.

There were no serious adverse events. Self–limiting adverse events were mild cramping, fullness, flatulence, bloating, diarrhea, blood in the stool, and moderate fever. Although 1 child could not retain fecal enemas, average tolerated enema volume in the other 9 children was 165 mL/day.

Clinical response within one week occurred in 7 (78%) of the 9 children, including 3 (33%) who had clinical remission and 6 (67%) who maintained clinical response at 1 month. Compared with baseline, median PUCAI significantly improved after FMT. (Medscape)

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Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

Vitiligo–Health Wealth Zee News Show
Safe Holi–Health Wealth Zee News Show
Safe Drugs–Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show
Potbelly Obesity–Health Wealth Zee News Show
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."

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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

The Infinite Powers of the Spirit

sprritual blog

Om Poornamadah
"Om Poornamadah Poornamidam
Poornaat Poornamudachyate
Poornasya Poornamaadaaya
Poornameva Avasihyate"


‘The whole is whole; if you take away the whole away from the whole the whole will still remain.’ (That is infinite, this is infinite, from the infinite, the infinite has come out. Having taken the infinite out of the infinite, the infinite alone remains). (In Vedanta, "That" represents superconsciousness, God or the Brahman and "This" the visible universe)

Atman, which makes up our body, is 99.99 per cent space or void and if we look at the rest, it is also nothing but space or void. This void or ‘akasha’ is what is called Brahman, God or consciousness and is a web of energized information.

This web of information of inner space called inner consciousness is the Atman or the Soul. This is connected with the outer space in the universe having a similar web of energized information called the Spirit or Brahmand.

The Spirit has been given many names by different religions: Allah, Buddha, Brahman, Christ or Wahe Guru. They all signify the same. This spirit, the energized field of information, is a powerful expression of live energy which can move faster than the speed of light. Soul is nothing but an individualized expression of the spirit.

This energy containing information in the spirit cannot be seen, felt, touched, tasted or smelt. It is beyond the perception of the five senses. One cannot destroy it with a weapon, fire, water or air. This consciousness is embedded in the space of each and every cell of the body. It is like sugar added to the milk. Once added, you cannot find it as it gets embedded with each and every drop of the milk.

Soul originates from the spirit. Each soul differs from the other by way of the subtle layer of consciousness called the ‘Sukshma Sharir’, which is controlled by the triad of actions, memories and desires.

Spirit is like the light, which is always positive and removes darkness. The basic nature of consciousness is "truth and bliss". The soul and the spirit are devoid of hatred, anger or jealousy and are full of unconditional love. They are nothing but a treasury of information about everything. This infinite information is capable of doing anything, including miracles.

It is like the flame of a candle, which can light an infinite number of candles, while still retaining its illumination to the same degree.

Deepak Chopra once said that the soul is like the voice of Lata Mangeshkar coming through a radio, and if you break the radio, you will not find Lata Mangeshkar in it. Similarly, if you cut the body into pieces, you cannot find the physical presence of the spirit. Spirit is omnipresent and any amount of Spirit taken out from it will not make any difference to it.

In religious terms, the infinite or the vastness is equated and described by the blue color, and that is one reason why most gods are represented in blue color, or are shown in the background of blue sky. This only represents the vastness and infinite character of the consciousness.

A guru explained the Spirit to his disciples by the following equation: 1 × 1 = 1, 1/1=1 or, in other words everything is One. One can also explain it by the equation that infinity when added, subtracted, multiplied or divided by infinity will result only in infinity.

This infinite potential in our minds is present in between the thoughts and can be experienced by enabling oneself to go in between the thoughts by a process called meditation. One can experience the silent gap between the thoughts either with the use of primordial sound mantra as a vehicle or by way of yoga. People who have learnt meditation and have achieved the ability to go into the silent gaps can accomplish everything in their life using the principles of intention and attention. After any intention is introduced in the silent gap, a new reality can be created.

"That which is born of the flash is a flash; that which is born of the spirit is spirit" (John)

cardiology news

Once upon a time a very strong woodcutter asked for a job in a timber merchant, and he got it. The pay was really good and so were the work conditions. For that reason, the woodcutter was determined to do his best. His boss gave him an axe and showed him the area where he was supposed to work. The first day, the woodcutter brought 18 trees.

"Congratulations," the boss said. "Go on that way!" Very motivated by the boss’ words, the woodcutter tried harder the next day, but he could only bring 15 trees. The third day he tried even harder, but he could only bring 10 trees. Day after day he was bringing less and less trees.

"I must be losing my strength", the woodcutter thought. He went to the boss and apologized, saying that he could not understand what was going on.

"When was the last time you sharpened your axe?" the boss asked. "Sharpen? I had no time to sharpen my axe. I have been very busy trying to cut trees."

Our lives are like that. We sometimes get so busy that we don’t take time to sharpen the axe." In today’s world, it seems that everyone is busier than ever, but less happy than ever. Why is that? Could it be that we have forgotten how to stay sharp?

There’s nothing wrong with activity and hard work. But God doesn’t want us to get so busy that we neglect the truly important things in life, like taking time to pray, to read. We all need time to relax, to think and meditate, to learn and grow.

If we don’t take time to sharpen the axe, we will become dull and lose our effectiveness. So start today. Think about the ways by which you could do your job more effectively and add a lot of value to it.

News Around The Globe

  • A novel research suggests that among individuals with severe depression treated with electrode convulsive therapy (ECT), electrode placement and patient age significantly affect treatment outcomes. The study including 230 adults with severe depression revealed that right unilateral ECT was more effective in those aged >60 years than in younger patients, with remission rates of 70% and 46%, respectively. The study was presented at the American Association for Geriatric Psychiatry (AAGP) 2014 Annual Meeting.
  • Individuals with psoriasis have nearly twice the risk, and those with psoriatic arthritis (PsA) have nearly 5–fold increased risk, for gout as compared to those without psoriasis, reports a new study published online in the Annals of the Rheumatic Diseases. The age– and multivariate–adjusted relative risks for gout were 1.71 for psoriasis and 4.95 for psoriasis with concomitant PsA.
  • Cataract surgery improves vision irrespective of the severity of age–related macular degeneration (AMD), reported a large clinical study published online in Ophthalmology. Researchers noted that outcomes for 793 patients with 1232 cataracts revealed marked gains in best–corrected visual acuity, ranging from 6.8 letters in eyes with advanced AMD to 11.2 letters in those with mild disease.
  • A phase III trial presented at the American Academy of Dermatology (AAD) 72nd Annual Meeting is the first one to demonstrate that an oral small–molecule inhibitor is noninferior to a biologic agent for the treatment of psoriasis. The study revealed that tofacitinib, a novel oral Janus kinase inhibitor, is comparable to the anti–TNF drug etanercept in the treatment of moderate to severe plaque psoriasis.
  • A study published in the March issue of the Journal of the American Medical Informatics Association states that vital signs and laboratory data in electronic health records (EHRs) could be helpful in predicting whether hospitalized patients will develop high blood lactate levels, a potential indicator of sepsis. The study was conducted at the University of California, Davis (UC Davis). Study authors stated that using lactate levels along with arterial pressure and respiratory rate data, they could successfully predict the mortality of patients with sepsis in the majority of cases.

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)

Why is rabies an important disease?

Rabies is one of the oldest and most feared zoonotic diseases, and has been a threat to human health for more than 4000 years. Rabies is a neglected and severely under–reported disease killing each year an estimated 55,000people (24,000 to 90,000 deaths) worldwide (WHO 2007). All mammals, but mainly carnivores and bats, are susceptible and can transmit rabies virus. Human exposures are most frequently associated with bites by rabid dogs and transmission of virus from dogs’ saliva. The Association for the Prevention and Control of Rabies in India (APCRI) estimated in 2004 that in India, there were 20,565 reported human deaths every year. About half of the world’s population lives in areas in which rabies is enzootic. Rabies is practically 100% fatal even today but easily preventable.

cardiology news
  • Children who are fully vaccinated against influenza may have a 74% reduced risk of developing life–threatening influenza illness as compared to unvaccinated children, reports a study published online March 26 in the Journal of Infectious Diseases. Researchers from the Centers for Disease Control and Prevention conducted a study with 216 children aged 6 months–17 years and noted that the adjusted effectiveness for full influenza vaccination for preventing pediatric ICU admission was 74% compared with no vaccination. Moreover, adjusted effectiveness was 82% for case patients compared with community control participants.
  • A novel study published in PLoS Computational Biology has revealed that environmental factors may be associated with the increasing incidence of autism spectrum disorders (ASDs) and intellectual disability (ID). The study noted that ASD and ID rates correlated with the incidence of genital malformations in male newborns. This was a potential indicator of possible congenital exposure to harmful environmental factors such as pesticides.
cardiology news
  • Higher consumption of fruits and vegetables in women may be associated with a diminished risk of developing coronary atherosclerosis, reports the CARDIA study. The study will be presented at the American College of Cardiology 2014 Scientific Sessions. Among the 1610 women included in the study, those in tertile 1, 2, and 3 ate 3.3, 5.4, and 8.8 servings of fruit and/or vegetables each day. Women in the top third were about 40% less likely to have any coronary plaque compared with the women in the bottom third. The same findings could not be replicated in men.
  • A new study has revealed that one in three children in Texas undergoing routine lipid screening in primary–care pediatric clinics have cholesterol levels considered high or borderline high. About 46% of children had borderline–high or elevated levels and 44% had HDL–cholesterol levels that were low or borderline low. The findings of the study will be presented at the American College of Cardiology 2014 Scientific Sessions.
cardiology news

Role of folate or folic acid in cancer prevention

The role of folic acid in cancer prevention is uncertain. Large observational studies have suggested a decrease in risk of colorectal and other cancers with dietary folate but others randomized trials have raised the possibility of harm.

In the largest meta–analysis of individual patient data from randomized trials of folic acid for the prevention of cardiovascular disease and colorectal adenoma during an average of 5.2 years of treatment, there was no significant difference in overall cancer incidence for patients assigned to folic acid or placebo.

Vollset SE, Clarke R, Lewington S, et al. Effects of folic acid supplementation on overall and site–specific cancer incidence during the randomised trials: meta–analyses of data on 50?000 individuals. Lancet 2013.

cardiology news

Total CPR since 1st November 2012 – 88972 trained

Media advocacy through Web Media

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press release

Negative stress may lead to heart disease

Marital disharmony and job dissatisfaction are the two main mental risk factors for the causation of heart attack. Many studies in the past have linked that there is a strong correlation between a nagging wife and early heart attacks in men. Similarly, literature has shown that work related stress is related to early onset of high blood pressure, diabetes, stroke and heart attacks 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.

A study from University College, London has shown that chronically stressed workers have a 68% of higher risk of developing heart disease especially in people under the age of 50.

Whether it is stress–related chemical changes or stress–related behavior linked to heart disease, is yet to be answered. Stress–related lifestyle involves eating unhealthy food, smoking, drinking and skipping exercises.

Chemical changes related to chronic stress are increased levels of cortisol, epinephrine and norepinephrine.

Amongst stress, negative stress is more dangerous than positive stress and amongst negative stress it is jealousy, anger and cynicism which are associated with heart attack.

The answer lies in managing stress by acting on a personal situation and not reacting to it. In children the same type of stress, especially during exam days, can end up with anxiety, insomnia and suicidal attempts.

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A free heart checkup camp was organised at Mandi House, Doordarshan Kendra where over 500 people were examined by a team lead by 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

press release

Longer CPR efforts may improve survival chances

vedio of day

today video of the day 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

A 64–year–old hypertensive obese female was undergoing surgery for fracture femur under general anesthesia. Intra operatively, her end–tidal carbon–dioxide decreased to 20 from 40mm of Hg. followed by hypotension and oxygen saturation of 85%. What could be the most probable cause?

1. Fat embolism
2. Hypovolemia
3. Bronchospasm
4. Myocardial infarction

Yesterday’s Mind Teaser: A measure of location which divides the distribution in the ratio of 3:1 is:

1. Median
2. First quartile
3. Third quartile
4. Mode

Answer for yesterday’s Mind Teaser: 3. Third quartile

Correct answers received from: Dr Ajay Gandhi, Daivadheenam Jella, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr B K Agarwal,

Answer for 29th March Mind Teaser: 3. Sound referral system.

Correct answers received from: Dr Avtar Krishan, Dr.Bitaan Sen & Dr.Jayashree Sen

Send your answer to ijcp12@gmail.com

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medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

Dream of a necklace

After she woke up, a woman told her husband, "I just dreamed that you gave me a pearl necklace for our anniversary. What do you think it means?"

"You’ll know tonight." he said.

That evening, the man came home with a small package and gave it to his wife.

Delighted, she opened it to find a book entitled "The Meaning of Dreams."

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient after receiving 40 units of insulin developed severe hypoglycemia.
Reaction: Oh my God! The order was for 4 units.
Lesson: Make sure that 4 unit is not written as 4.0 units.

medicolegal update

Dream as if you’ll live forever, live as if you'll die today. James Dean

medicolegal update

Dr KK Aggarwal: Long term use of painkillers can cause kidney cancer http://tl.gd/n_1rvf2c6
Dr Deepak Chopra: Despite five decades of modern neuroscience, we have only a very limited knowledge of the role of sleep http://bit.ly/DC_Ananda #ananda

medicolegal update
  1. Dear Sir, Thanks for such useful newspaper. Regards: Dr Suman.

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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Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof. (Dr). C V Raghuveer

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