eMedinewS3rd September 2014, Wednesday

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

Lowering BP No Help in Acute Stroke

Use of antihypertensive drugs to lower systolic blood pressure by close to 13% as part of acute treatment of ischemic stroke did not reduce early mortality or disability compared with patients who did not receive antihypertensive therapy.

At 14 days after randomization, there were 683 events among patients who received early aggressive antihypertensive therapy versus 681 events in the control group and at 3 months, there were 500 additional events in the treatment arm versus 502 among controls, said Jiang He, MD, PhD, of Tulane University School of Public Health in New Orleans.

The findings from China Antihypertensive Trial in Acute Ischemic Stroke (CATIS) were reported at the American Heart Association scientific sessions and the results were simultaneously published online by the Journal of the American Medical Association. (MedPage)

Innovations in Cardiology (IIC) Summit 2014

Dr Rajneesh Kapoor

Low carb diet better than low fat diet to reduce cardiac risk

A low–carbohydrate diet may be more effective for weight loss and reduction in risk factors for cardiovascular disease than a low–fat diet, according to a randomized, parallel–group trial in Ann Intern Med. 2014;161(5):309–318. At the end of the study at 12 months, it was observed that participants on the low–carbohydrate diet had greater decreases in weight, fat mass, ratio of total–high–density lipoprotein (HDL) cholesterol and triglyceride level and greater increases in HDL cholesterol level than those on the low–fat diet. Carbohydrate restriction may be an option for persons who wish to lose weight and reduce cardiovascular risk factors.

News Around The Globe

  • Increasing obesity rates appear to be the biggest contributor to the increasing prevalence of type 2 diabetes in the United States, accounting for all of the increase in women and about half of the increase in men, suggests new data from the National Health and Nutrition Examination Survey (NHANES). The study is published in the September 2 issue of Annals of Internal Medicine.
  • Additional evidence has surfaced that success in patients with resistant hypertension who undergo renal denervation depends on ablating all accessory renal arteries. The data has been presented at the European Society of Cardiology (ESC) Congress 2014.
  • Staff working in offices designed to be lean and devoid of greenery, are happier and more productive when those environments are enriched with plants, suggests a new study published in the Journal of Experimental Psychology: Applied. Researchers noted that the effect of introducing plants into the lean work environments improved worker’s perception of air quality, concentration, and workplace satisfaction, increasing productivity by 15%.
  • A new study conducted by researchers at the Washington University in St. Louis, MO, has reported that there are networks in the brain that are affected in a similar way by both early and late–onset Alzheimer’s disease. Researchers noted that in both forms of the disease, the same basic component of brain function begins to decline about 5 years before symptoms become obvious. The findings are published in JAMA Neurology.
  • A new study published in the American Journal of Kidney Diseases suggests that kidney stones may increase the risk of coronary heart disease and stroke. Study authors noted that patients with kidney stones were 19% more likely to experience a CHD incident, and were 40% more likely to have a stroke, compared with patients who did not have kidney stones.

Rabies News (Dr A K Gupta)

If for some reason, IDRV cannot be given in deltoid region, what are the alternative sites?

IDRV can be given in deltoid region, suprascapular region, anterior abdominal wall and the upper part of thigh.

Cardiology eMedinewS

  • Treatment with alirocumab, an investigational proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor results in significant reductions in LDL cholesterol, in various patients groups who received the drug, including individuals at high risk for cardiovascular events currently taking a maximally tolerated statin dose, suggests an analysis presented recently at the European Society of Cardiology (ESC) Congress 2014.
  • Results of the Complete Versus Lesion–Only Primary PCI Trial were presented at the ESC Congress 2014 and for the second time in two years, the study that compared infarct–related artery (IRA) revascularization against complete revascularization at the time of index admission has shown a dramatic reduction in MACE at 12 months.

Pediatrics eMedinewS

  • Children with developmental delays have a better chance of getting the early–intervention services they need if clinicians take the time to document screening efforts and follow–up with a simple telephone call, suggests an article published online September 1 in Pediatrics.
  • A longitudinal study published in the American Academy of Pediatrics’ (AAP) journal Pediatrics has shown that stimulant medication given to children being treated for ADHD does not affect their final height in adulthood.

Dr K K Spiritual Blog

Get what you give

A son and his father were walking on the mountains. Suddenly, his son falls, hurts himself and screams: "AAAhhhhhhhhhhh!!!"

To his surprise, he hears the voice repeating, somewhere in the mountain: "AAAhhhhhhhhhhh!!!"

Curious, he yells: "Who are you?" He receives the answer: "Who are you?" And then he screams to the mountain: "I admire you!" The voice answers: "I admire you!"

Angered at the response, he screams: "Coward!" He receives the answer: "Coward!"

The boy is surprised, but does not understand. Then the father explains: "People call this ECHO, but really this is LIFE. It gives you back everything you say or do. Our life is simply a reflection of our actions. If you want more love in the world, create more love in your heart. If you want more competence in your team, improve your competence. This relationship applies to everything, in all aspects of life. Life will give you back everything you have given to it. (Shared by Man Mohan Mundra)

Wellness Blog

Pollution and Diabetes

India may soon become the diabetes capital of the world. The number of diabetics diagnosed every year is increasing.

If we go back to the era of Ramayana and Mahabharata, we find none of the Devtas or Asurs suffering from diabetes. Though diabetes does get a mention in Ayurveda, its incidence and prevalence in Indian society was very low.

Today diabetes is considered to be a lifestyle disease and is linked to potbelly obesity. Lord Ganesha and Kuber both had potbelly obesity yet did not suffer from diabetes. Lord Ganesha had an uncontrolled appetite to eat sweets and yet he had no diabetes and same comes from one of his prayers, which talks about why people in that era did not suffer from diabetes. Following is a gist of one of my write–ups on the same: "Gajananam Bhoota Ganadi Sevitam; Kapittha Jambu phalasara bhakshitam; Umasutam Shoka Vinasha karanam; Namami Vighneswara pada pankajam". The Mantra means

  • "Oh Elephant–faced, worshiped by the existing beings, of all living beings, tasting the elephant apple (kaith) and jambolana (jamun), the Son of Uma, destroyer of grief, I bow to the lotus feet of Ganesha who is lord of all" or
  • Gajananam (the big tummy one worshipped by all) Bhoota (Durva grass and Bilva patra used for worshipping Ganesha) Ganadi (in equal quantity) Sevitam (if consumed); Kapittha (Kaith ) Jambu (Jamun) phalasara (fruits) bhakshitam (to be consumed); Umasutam (son of Uma) Shoka (diseases) Vinasha karanam (get rid of); Namami (I bow to) Vighneswara (destroyer of grief) pada pankajam (feet of lord)"

The mantra talks about four medicinal herbs: Durva grass and Bilva patra (Bel leaves) used for Ganesha worship; fruit of elephant apple (Kaith) and fruit of Jambolona (Jamun). All four have anti diabetic properties and can be mixed in equal quantity and prepared as a medicinal juice.

Medically, Durva grass (Cynodon dactylon) has been shown to possess anti diabetic, cholesterol–lowering, immunomodulatory, DNA protective, aphrodisiac, male fertility, anti cancer and anti inflammatory activities. Similarly, Bilva Patra has both antidiabetic and fertility promoting properties.

Elephant apple (Limonia acidissima) also named as Wood Apple, Elephant Apple, Monkey Fruit, Curd Fruit, Koth Bel, Kaitha and Kath Bel, has been shown to possess strong anti diabetic properties.

Jamun (Syzygium cumini) also has DNA protective, antioxidant and antidiabetic properties and is an essential ingredient of most antidiabetic Ayurveda preparations.

Apart from the above, two things have also happened in the current Kaliyuga era, which deviate from the Vedic era. Firstly, environmental pollution and secondly people have chosen to eat carbohydrates on a daily basis and there is also a shift of complex carbohydrates to refined carbohydrates.

Environmental pollution, especially with high particulate matter PM 2.5 exposure, is linked with diabetes. Any particulate matter of less than 2.5 micro m3 in size can get absorbed from respiratory system, enter into the blood and release pro–inflammatory products leading to endothelial dysfunction and resultant diabetes and heart disease.

As per WHO, the air content of PM2.5 should be less than 10 μg/m3 but in India the levels are always more than 60 μg/m3as 60 μg/m3 concentration has been accepted as normal in India. This means that an Indian is already six times more exposed to PM 2.5 particulate.

In India, we can see values as high as 300–400 μg/m3 in selected areas on a daily basis. Constant exposure to PM 2.5 particulate matter leads to endothelial dysfunction, one of the major factors that increase the prevalence of diabetes.

As per Chandok Upanishad, food is Brahman. Food contains the same consciousness as that of human body. Fruits remain alive for up to 40 minutes after they are plucked from the tree unless they are refrigerated or frozen at the same time.

A fruit without consciousness is dead food and does not have protective nutritional value. PM2.5 particulates can also gets absorbed in the fruits, reducing its nutritional value.

If the same food is also devoid of consciousness, it will not be able to prevent and protect human being from various diseases.

To prevent oneself from diabetes, therefore, one should avoid eating refined carbohydrates, omit carbohydrates 80 days in a year from diet and avoid exposure to high PM2.5 pollution matter, exercise more and try to eat a diet full of fruits and vegetables which are live, locally grown and seasonal.

Inspirational Story

Peace of Mind

Once, Buddha was walking from one town to another town with a few of his followers. This was in the initial days. While they were traveling, they happened to pass a lake. They stopped there and Buddha told one of his disciples, "I am thirsty. Do get me some water from that lake there."

The disciple walked up to the lake. When he reached it, he noticed that some people were washing clothes in the water and, right at that moment, a bullock cart started crossing through the lake. As a result, the water became very muddy, very turbid. The disciple thought, "How can I give this muddy water to Buddha to drink!" So he came back and told Buddha, "The water in there is very muddy. I don’t think it is fit to drink."

After about half an hour, again Buddha asked the same disciple to go back to the lake and get him some water to drink. The disciple obediently went back to the lake. This time he found that the lake had absolutely clear water in it. The mud had settled down and the water above it looked fit to be had. So he collected some water in a pot and brought it to Buddha.

Buddha looked at the water, and then he looked up at the disciple and said, "See what you did to make the water clean. You let it be… and the mud settled down on its own – and you got clear water… Your mind is also like that. When it is disturbed, just let it be. Give it a little time. It will settle down on its own. You don’t have to put in any effort to calm it down. It will happen. It is effortless."

ePress Release

Renowned Cardiologist, President of the Heart Care Foundation of India and National Awardee, Dr. K.K. Aggarwal elected as the new Secretary General of the Indian Medical Association for the year 2014–16

Adding another milestone achievement to his medical career, eminent cardiologist, and President of Heart Care Foundation of India Dr. K.K. Aggarwal has been unanimously elected as the new Honorary National Secretary General of the Indian Medical Association for the year 2014–16. He is the only doctor in the country to have received three national awards namely the Padma Shri, Dr. BC Roy National Award and DST National Science Communication Award.

At present, Dr. KK Aggarwal is the Senior National Vice President of the IMA, which serves as the largest national organization of "Doctors of Modern Scientific System of Medicine" in the country. During his one–year tenure, he has played an instrumental role in streamlining the processes and functioning of the only representative voluntary institution in India, which looks after the interest of doctors as well as the well being of the community at large. Instituted in 1928 the Indian Medical Association has over 250,000 members and 1700 branches across the nation.

In addition to this, Padma Shri Awardee Dr. A. Marthanda Pillai, who belongs to Kerala and Dr. S.S. Aggarwal from Rajasthan have been appointed IMA’s new National Presidents. Dr. R.N. Tandon from Delhi will be IMA’s new National Finance Secretary.

Commenting on the occasion, Dr. K.K. Aggarwal, said, "It is indeed an honor to be unanimously elected as the Honorary Secretary General of an institution as noble in cause and prestigious in stature as the Indian Medical Association. I look forward to serving the body for the next two years with uttermost commitment and honesty towards the benefit of the medical profession as a whole. I congratulate my fellow colleagues Dr. Pillai, Dr. S.S. Aggarwal and Dr. Tandon on their appointment as well and look forward to working with them." The new working year for the Indian Medical Association starts annually on the occasion of its Founder’s Day on December 28. This year for the first time ever, both IMA’s President as well as Secretary General will be Padma Shri Awardees.

A pioneer of leading health initiatives, Dr. K.K. Aggarwal has been instrumental in bringing treatments such as clot–dissolving therapy for acute heart attacks and Color Doppler Echocardiography in the country.

He has also conceptualized and organized unique consumer–driven health awareness platforms such as the Perfect Health Mela and the Run for your Heart as part of his role as the President of The Heart Care Foundation of India. In recognition of both these initiatives, the Government of India released National Postal Commemorative Stamps of INR 6.50 & 1 respectively. His most recent project is the Sameer Malik Heart Care Foundation Fund, an initiative to ensure that no person dies of heart disease just because they cannot otherwise afford treatment. In addition to this, Dr. K.K. Aggarwal’s commitment towards training people in the lifesaving technique of hands–only CPR has won him a position in the Limca Book of World Records 2013.

A leading healthcare communicator, Dr. Aggarwal’s other roles also include Dean of the Board of Medical Education Moolchand Medcity, Member Ethics Committee Medical Council of India, Chairman Ethics Committee Delhi Medical Council, Editor in Chief IJCP Group of Publications and eMedinewS and Chairman Legal Cell Indian Academy of Echocardiography.

eMedi Quiz

Injury to radial nerve in lower part of spiral groove:

1. Spares nerve supply to extensor carpi radialis longus.
2. Results in paralysis of anconeus muscle.
3. Leaves extension at elbow joint intact.
4. Weakens pronation movement.

Yesterday’s Mind Teaser: The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal
4. Stratified columnar

Answer for yesterday’s Mind Teaser: 1. Transitional

Correct answers received from: Dr P C Das, Dr K Raju, Dr Poonam Chablani, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Avtar Krishan, Daivadheenam Jella, Shashank Jalak, Najib Khatee, Dr Bitaan Sen & Dr Jayashree Sen, Dr K Raju, Dr B K Agarwal.

Answer for 31st August Mind Teaser: 3.Lateral rectus and abducent nerve.

Correct answers received from: Dr Bitaan Sen & Dr Jayashree Sen.

Send your answer to ijcp12@gmail.com

Self-Assessment-Quiz

 

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Cardiology Summit 2014Cardiology Summit 2014

 

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

Total CPR since 1st November 2012 – 98440 trained

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 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

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VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

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Health Check Up and CPR 10 Camp at NP Model Primary School East Kidvai Nagar 20th August 2014

press release

Weight loss may improve sexual health of obese diabetes

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IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :

 

Make Sure

Situation: A chronic smoker developed cancer of lung.
Reaction: Oh my God!! Why was he not screened earlier for cancer of lung?
Lesson: Make sure that all chronic smokers are given an option for lung cancer screening with low dose spiral CT.

eMedinewS Humor

Upset is Unhealthy

The mother of a problem child was advised by a psychiatrist, "You are far too upset and worried about your son. I suggest you take tranquilizers regularly."

On her next visit the psychiatrist asked, "Have the tranquilizers calmed you down?"

"Yes," the boy’s mother answered.

"And how is your son now?" the psychiatrist asked.

"Who cares?" the mother replied.

Quote of the Day

Man’s troubles are rooted in extreme attention to senses, thoughts, and imagination. Attention should be focused internally to experience a quiet body and a calm mind. Buddha

Twitter of the Day

Dr KK Aggarwal: You can reverse heart disease Every cell in the body eventually dies and is replaced by a new cell. Every (cont) http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Brain , body, universe & all our ideas about them exist in consciousness alone #CosmicConsciousness

   
medicolegal update

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medicolegal update

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medicolegal update
  1. Dear KK, I congratulate you for taking over as Hony. Secretary General of Indian Medical Association. I have known you and your dynamism and I expect tremendous activities under your leadership. Being the National President of Indian Dental Association, please let me know if we could integrate and work in unison for the benefit of masses. Personally, I feel proud for your new position and send you my Best Wishes for all your endeavors. Best regards: Mahesh Verma.
  2. Heartiest congratulations to Dr KK Aggarwal…A New Feather… A proud moment for IMA New Delhi Branch. Dr Garg
  3. Hearty congratulations. IMA New–Delhi Branch feeling proud of you. One more feather in your cap. Wish you all the best. God bless you. Dr. Satish Mehta.
  4. Dear Dr. KK Aggarwal, Congratulations on taking over as Hony. Secretary General of Indian Medical Association. We are proud of you. Yours Sincerely, (DR.RAMAN KAPUR)

Forthcoming Events

Dear Colleague

Kindly attend ‘Innovations in Cardiology (IIC) Summit 2014’ on 6th September, 11 am – 6 pm at Hotel Oberoi, Gurgaon.

The Organizing Secretary is Dr Rajneesh Kapoor

Highlights of the conference

  • Separate hall for Clinical Cardiology
  • One session on Medicolegal aspects will be taken by me.
  • No registration fee, limited seats

Kindly send your confirmation to rawat.vandana89@gmail.com or sms 9891673085

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eMedinewS Special

1. IJCP’s ejournals (This may take a few minues to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)