eMedinewS5th March 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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The Future of Healthcare: A Collective Vision – Conference highlights

"The Future of Healthcare: A Collective Vision", a first–of–its kind global healthcare conference was held in New Delhi on March 3–4, 2014 with an objective to provide a powerful platform to industry stakeholders to brainstorm unique solutions and innovative strategies to help lead humanity towards a healthier future. With participation from over 15 countries and the presence of more than 500 delegates, the two–day event hosted by the Healthcare Alliance, saw an impressive turnout of thought leaders, policy makers, senior Government officials, and business and health leaders from India and across the globe.

The first day of the Conference, hosted by The Healthcare Alliance, saw a splendid turnout of thought leaders, policy makers, senior Government officials, and business and health leaders from India and across the globe. The inaugural session witnessed the presence of personalities like Montek Singh Ahluwalia, Deputy Chairman, Planning Commission of India; Lov Verma, Health Secretary, Ministry of Health & Welfare, Government of India; Prof K Srinath Reddy, President Public Health Foundation of India; Lord Nigel Crisp, Crossbench member, House of Lords, and Dr Prathap C Reddy, Chair of The Healthcare Alliance and Chairman of Apollo Hospitals Group, all of whom delivered a special address to the audiences.

The second and the concluding day of the Conference began with special addresses by health ministers from Botswana, Maldives, Mongolia, Mozambique, and Sri Lanka who shared their vision of the future of healthcare with the audiences. This was followed by a special address by Krishna Udayakumar, Head, Global Innovation, Duke Medicine With participation from over 15 countries and the presence of more than 500 delegates, the power–packed, morning–to–evening agenda focused on three critical issues facing the healthcare industry worldwide:

  • The rising incidence of non–communicable diseases and how to curb it through primary and preventive healthcare
  • Setting up successful Public–Private–People Partnerships
  • Meeting the manpower needs of the future by up–skilling and up–scaling talent.

Dr. Prathap C. Reddy, Chair of The Healthcare Alliance & Chairman of Apollo Hospitals Group

addressed the audience at the formal inauguration of the conference. He said, "Amazing progress has been made in healthcare over the last 30 years, yet barriers of accessibility, quality and cost persist. New challenges have risen, such as the worrying ascent of NCDs, which claim 36 million lives every year in the world, with nearly 80% of these deaths occurring in low–and middle–income countries. The need of the hour is four–fold: preventive healthcare, making people partners in PPP, up-scaling and up–skilling the manpower, and accelerating the pace of innovation. This Conference provides a common platform for collective thinking for stakeholders of the nation and global thought leaders to come up with an agenda for the future. We have to work towards the dream of a disease–free world. This is the big challenge for the future of healthcare."

He further said, "The current healthcare systems of countries would become unsustainable soon if they continue to function as they do currently. While healthcare is primarily organized within national boundaries the issues and challenges involved are truly global. At the broadest level, sustainability and convergence are the two major issues to be dealt with across the global. I am sure the solutions and the action agenda that have arisen from this two-day Conference would not only favorably impact healthcare in India, but also serve as a unique model for addressing health challenges globally."

The Conference began with opening remarks by Sangita Reddy, Executive Director, Apollo Hospitals Group, who warmly welcomed the guests. She expressed hope that the deliberations and sessions over two days of the event would result in concrete recommendations to shape the future of healthcare not only in India but also in other countries facing similar demographic and economic challenges.

Highlights of the conference

The main highlights of the entire Conference were its power–packed sessions focusing the immediate and urgent challenges healthcare that are need to be addressed to ensure a healthier tomorrow and the launch of four white papers by knowledge partners of The Healthcare Alliance formulated by KPMG, Brain & Company, PwC, and McKinsey & Company. The White Papers, each focusing on a specific area of the conference highlighted by the sessions, are a result of over three months of collaboration between members of The Healthcare Alliance and thought leaders from around the world to arrive at global solutions that are systemic, sustainable and impactful. Each paper looks into a definitive way forward and an action plan to impact the future of healthcare in the 21st century.

Plenary Session 1: Control of NCDs through Primary and Preventive Healthcare

Shobana Kamineni, Executive Director (New Initiatives), Apollo Hospitals Group, set the context for the plenary session on "Control of NCDs through Primary and Preventive Healthcare" which was followed by the keynote address by Prof K Srinath Reddy, President, Public Health Foundation of India. The insightful panel discussion saw several significant stakeholders as participants, including Anshu Prakash, Principal Secretary (Health & Family Welfare), Government of India; Planning Commission member Syeda Hameed; John Brooks, President & CEO, Joslin Diabetes Center; Dr V. Mohan, Chairman & Chief of Diabetology, Dr. Mohan ’s Diabetes Specialty Centre, and Shailesh Ayyangar, MD &President, Sanofi India. The session was moderated by Karan Singh Bain & Company’s Asia–Pacific Healthcare practice head.

The main take–away from the discussion: With NCDs snatching away precious lives, a population equal to the size of a nation like Canada, each year across the world, this is a threat that can no longer be ignored. The solution lies in strengthening primary care for early detection and popularizing preventive care to bring down the incidence.

Panelists recommended high–impact interventions and large–scale outreach throughout the country, articulation of a national vision for combating NCDs, and partnering with community service organizations for creating better awareness. They also called upon the health service providers to expand their reach, deliver high quality but affordable care, and address the demand for information and specially trained professionals. Pharmaceutical and medical technology companies need to develop and deploy an integrated approach to providing cost–effective medical products and work with policy makers to make affordable medicines available, the panelists recommended.

Plenary Session 2: Public–Private–People Partnerships

The panelists at the session on Public–Private–People Partnerships (PPPP) were unanimous about the importance of including people as partners in the existing PPP model to make it more effective and inclusive. They noted that global healthcare systems are increasingly coming under stress due to rising costs. India too needs huge investments to bring its healthcare infrastructure to international levels of penetration.

Even as PPPs are becoming popular for service delivery, it is essential to consider people as a critical part of the health ecosystem, the participants concluded in a free–wheeling discussion moderated by Rana Mehta, Leader –Healthcare, PwC India. Chandrajit Banerjee, Director General, Confederation of Indian Industry (CII), set the context for the discussions that revolved around the ingredients required to deliver successful healthcare PPPs. Dr Paul Da Rita, Head, Global Health PPP Advisory, International Finance Corporation, delivered the keynote address.

Panelists recommended that the Government develop a health PPP policy framework, create an institutional mechanism to support health PPPs, ensure contractual flexibility and continued sharing of risks and rewards, devise an appropriate pricing and incentive mechanism to improve quality, affordability and viability, and benchmark best practices.

Other action points from the panelists included the need for providers to evolve business models with fair margin and high volumes, collaborate with the Government in developing a policy framework, benchmark their own performance, and develop strategies for human resource augmentation. The participants also came up with specific recommendations for the community and citizens at large.

Plenary Session 3: Talent Fast–forward: Upskill, Upscale

The keynote address by Lord Nigel Crisp, Crossbench member, House of Lords, kick–started the session titled "Talent fast-forward: Upskill, Upscale," with the context being set by Rajendra Pawar, Chairman, NIIT. The acute dearth of adequately educated or trained healthcare professionals was deeply felt by the panelists, who pointed out that this issue is limiting access and quality of healthcare services in India. They deliberated upon the challenge of ensuring sufficient supply of manpower for expansion of healthcare to all corners of the country and came up with many interesting ideas that showed the most practical way forward.

The Government being the strongest influencer among all the stakeholders, the panelists recommended that it should ensure standardization across key elements of talent development, put together a policy framework to minimize entry barriers, and lay down regulations for up–skilling. They were of the view that healthcare trainers also need to redesign training structure and introduce innovations in training, while healthcare providers should restructure HR processes to comply with accreditation guidelines and collaborate with other stakeholders to achieve workforce outcomes.

Plenary Session 4: Role of Innovation in Achieving Universal Access to Healthcare

Dr. Didar Singh, Secretary General, FICCI, set the context for the debate at the plenary session on the "Role of Innovation in Achieving Universal Access to Healthcare" while Dr. Victor Dzau, Chancellor, Health Affairs, Duke, University and soon to be President of Institute of Medicine, USA delivered the keynote address. Thomas Kibasi, Associate Partner, McKinsey & Company, proficiently moderate the discussion that included panelists form Sequoia Capital, One Family, Medicall, Swasth India, EI Camino Hospital, and Labour Welfare Department, Government of India.

Panelists called upon the Government to set up an institute for innovative healthcare service delivery and an innovation incubator to fund innovators. They also suggested it should set up cells to exclusively deal with PPPs and innovative pilots, draft a PPP policy that is aligned with public policy goals, and offer tax rebates to healthcare products designed and made in India. The Participants advised the healthcare industry to conduct

"innovation expos" to showcase healthcare innovations, create a formal innovation alliance among multiple stakeholders to encourage innovations in the industry, and set up an in–house venture–capital arm to acquire innovative firms. Other recommendation included launching incubators for healthcare research at educational institutes and incentivizing faculty to conduct joint research with starts–ups, industry and students.

The session also saw the launch of White Paper by McKinsey & Company titled "Role of innovation in achieving universal access to healthcare."

Plenary Session 5: Future Perfect

At the final session, heads of Apollo Hospitals, Fortis Healthcare, Medicity, Narayana Health, and Stanford Hospital and Clinic along with the World Health Organization outlined their vision of the future of healthcare for India and the world. Luminaries who spoke on the occasion included Suneeta Reddy , Dr. Devi Shetty, Dr. Naresh Trehan, Shivinder Singh, Amir Dan Rubin and Dr. Seif Seleman Rashidi (Minister of Health, Tanzania).

The Conference also included a lively conversation on the theme "The Where, What and How – for the Future of Healthcare" facilitated by Dr. Anupam Sibal, Group Medical Director, Apollo Hospitals, along with Dr. John Adler, Inventor CyberKnife and Chief of new Clinical Applications, Varian, Dr. Rajiv Doshi, Executive Director, Stanford–India Biodesign, and Dr. Euan Thomson, Operating Partner, Khosla Ventures.

Recommendations arising from the deliberations at the conference as four White Papers were presented to Shri Pranab Mukherjee, The Hon’ble President of India, and Shri Ghulam Nabi Azad, Minister of Health & Family Welfare, Government of India, at a private event at the Rashtrapati Bhawan Auditorium on March 4, 2014, the second and final day of the event. The delegation from The Healthcare Alliance was led by its Chair Dr. Prathap C. Reddy Founder Chairman, Apollo Hospitals Group along with Prof. K. Srinath Reddy, President, Health of Foundation of India and Dr. Jaishreeben Mehta, President, Medical Council of India.
The action agenda submitted to the Government by The Healthcare Alliance includes recommendations such as:

  • Setting up an institute for innovative healthcare service delivery
  • Establishing an innovation incubator for healthcare
  • Creating cells to exclusively deal with PPPs and innovative pilots
  • Developing the policy framework and institutional mechanism for health PPPs
  • Offering tax rebates to indigenously designed and manufactured healthcare products
  • Standardizing across key elements of health manpower development
  • Creating a policy framework to minimize entry barriers for medical education
  • Driving high–impact interventions and forging partnership for large–scale outreach in healthcare
  • Allowing private players to manage primary healthcare centers in underserved areas
  • Partnering with community service organizations to build awareness about health challenges
  • Allowing health insurers to introduce products that meet community requirements
  • Facilitating scaling up of successful experiments in healthcare service delivery

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Zee Show

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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Ringtone – CPR 10 Mantra Hindi
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I want to live after my death

sprritual blog

In my workshops, whenever I ask delegates as to how long they want to live, the answer I get from most of them is 60, 70 or 80 years. While answering they forget that they are only talking about the death of the physical body but what about the mental, social, intellectual and spiritual bodies.

It is well known that the soul never dies and so do your Sanskars and good work done. The aim of life should be that one should live even after the death of his or her physical body. It is your good Karmas, which keep your memories alive even after your physical death.

It is equally true that even your bad Karmas can make you be remembered after death but that is not the purpose of life. We would like to be remembered as Rama and not like Ravana after death.

In Vedic language your present is decided by your past and your future is decided by your present. To improve your future you need to work positive in your present.

When you start working positive in your present moment, you will start neutralizing your bad karmas. It is like washing a dirty shirt which will not become stain free in one washing. With repeated washings only it can become stain free. Similarly washing your bad karmas with good karmas will take time.

It is possible that even when one starts doing good Karmas, one may still suffer as the sum total of past karmas may not have been neutralized by that time.

For example if a dacoit surrenders and wants to live a civilian life he may be pardoned to some extent but may still be jailed for a duration of time. In other word he may be pardoned from death sentence and given life sentence.

As per Bhagavad Gita whatever are your thoughts at the time of death will decide the atmosphere you will get in your rebirth. It also says that whatever will be your thoughts throughout your life will be your thoughts at the time of your death.

So do not expect that you can acquire positive thoughts at the time of death if you have been thinking negative throughout your life

The gist is to start doing good actions in the present.

cardiology news

A Gardener and the Portrait

A very wealthy man and his son loved to collect rare works of art. They had everything in their collection, from Picasso to Raphael. They would often sit together and admire the great works of art. When the Vietnam conflict broke out, the son went to war. He was very courageous and died in battle while rescuing another soldier.

The father was notified and he grieved deeply for his only son. About a month later, just before Christmas, there was a knock at the door. A young man stood at the door with a large package in his hands.

He said, "Sir, you don’t know me, but I am the soldier for whom your son gave his life. He saved many lives that day, and he was carrying me to safety when a bullet struck him in the heart and he died instantly. He often talked about you, and your love for art."

The young man held out his package. "I know this isn’t much. I’m not really a great artist, but I think your son would have wanted you to have this." The father opened the package. It was a portrait of his son, painted by the young man.

He stared in awe at the way the soldier had captured the personality of his son in the painting. The father was so drawn to the eyes that his own eyes welled up with tears. He thanked the young man and offered to pay him for the picture. "Oh, no sir, I could never repay what your son did for me. It's a gift."

The father hung the portrait over his mantle. Every time visitors came to his home he took them to see the portrait of his son, before he showed them any of the other great works he had collected. The man died a few months later. There was to be a great auction of his paintings.

Many influential people gathered, excited over seeing the great paintings and having an opportunity to purchase one for their collection. On the platform sat the painting of the son. The auctioneer pounded his gavel. "We will start the bidding with this picture of the son. Who will bid for this picture?" There was silence.

Then a voice in the back of the room shouted, "We want to see the famous paintings. Skip this one." But the auctioneer persisted. "Will someone bid for this painting? Who will start the bidding? $100, $200?"

Another voice shouted angrily. "We didn’t come to see this painting. We came to see the Van Goghs, the Rembrandts. Get on with the real bids!" But still the auctioneer continued. "The son! The son! Who’ll take the son?"

Finally, a voice came from the very back of the room. It was the longtime gardener of the man and his son. "I’ll give $10 for the painting." Being a poor man, it was all he could afford. "We have $10, who will bid $20?" "Give it to him for $10. Let’s see the masters." "$10 is the bid, won't someone bid $20?"

The crowd was becoming angry. They didn’t want the picture of the son. They wanted the more worthy investments for their collections. The auctioneer pounded the gavel. "Going once, twice, SOLD for $10!" A man sitting on the second row shouted, "Now let’s get on with the collection!" The auctioneer laid down his gavel. "I’m sorry, the auction is over."

"What about the paintings?" "I am sorry. When I was called to conduct this auction, I was told of a secret stipulation in the will. I was not allowed to reveal that stipulation until this time. Only the painting of the son would be auctioned. Whoever bought that painting would inherit the entire estate, including the paintings. The man who took the son gets everything!"

News Around The Globe

Congratulations

Dr K K Sethi was awarded Distinguished Alumnus Award 2013 by Maulana Azad Medical College on 28th Feb 2014 during the convocation function held on the college day.

News

  • Risk for stroke shows a graded association with rising levels of HbA 1c in women with type 2 diabetes, new findings from a large prospective study show. Notably, poor control of blood sugar was found to have the strongest effect on stroke in diabetic women over 55 years of age. The Louisiana State University Hospital–Based Longitudinal Study (LSUHLS) aimed to better understand the relationship between glycemic control and stroke and is published online February 24 in Diabetologia.
  • The FDA has approved a new means of delivery for weekly exenatide (Bydureon) – a pen formulation – for patients with type 2 diabetes. The pen eliminates the need for patients to transfer the medication between a vial and a syringe. It contains the same dose and continuous-release formulation as the original single–dose tray. It will also come with the same boxed warning on the risk of thyroid C-cell tumors, such as medullary carcinoma. The drug shouldn’t be used for type 1 or in patients with diabetic ketoacidosis
  • Episodes of binge drinking are risky for anyone, but they are particularly so for aging adults who are moderate drinkers. In a study published online March 3 in Alcoholism: Clinical and Experimental Research, compared with moderate–drinking older adults who do not binge, those that do have a 2–fold increased risk of dying during a 20–year period. According to the authors, these findings demonstrate that among older adults, drinking patterns need to be addressed along with overall consumption in order to understand alcohol’s health effects. Even among those with apparently modest average consumption, a number of these folks may be drinking in risky ways.
  • More than 10% of patients with pancreatic cancer had preceding episodes of acute pancreatitis in the 2 years before cancer diagnosis, data from a large retrospective analysis showed. The association between pancreatitis and pancreatic cancer was strongest in the first year and then declined steadily thereafter. The risk was concentrated in patients =40 and was negligible in younger patients as reported in Clinical Gastroenterology and Hepatology online.
  • People with multiple food allergies may become desensitized to them safely, using oral immunotherapy (OIT), and treatment with the asthma medication omalizumab ( Xolair, Genentech Inc and Novartis Pharmaceuticals Corporation) could shorten this process. Researchers from Stanford University in California report the results of 2 recent studies in articles published online in Allergy, Asthma & Clinical Immunology.

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

eMedinewS e–gifts to our readers

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The eMedinewS app is now available for free  emedinewsdownload.

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Click on the icon ‘e’ from the mail and download to install the app to the home screen of your mobile phone, iPad or Desktop. After you finish downloading, you will see an icon ‘e’ on the home screen of your device. That’s it.

Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

Rabies News (Dr. A K Gupta)

The IM dose of Verorab (PVRV) and Abhayrab (PVRV) is 0.5mL; that of Rabipur (PCEC) and PVRV (Coonoor) is 1mL. Is the ID dosage of all vaccines uniformly 0.1mL?

The ID dosage of all approved vaccines is uniformly 0.1 mL per ID site irrespective of their IM dosage

cardiology news

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

  • Transcatheter aortic valve implantation (TAVI) has been incorporated into the updated valvular heart disease guidelines from the American Heart Association and American College of Cardiology. The recommendations -- the first on the management on aortic stenosis, mitral regurgitation, and other adult valvular heart diseases from the AHA/ACC since a focused update released in 2008 –– will be published in Circulation: Journal of the American Heart Association and the Journal of the American College of Cardiology.
    • Surgical valve replacement remains the recommended treatment option for patients with severe aortic stenosis and a low or intermediate surgical risk, but TAVI is recommended for patients who are not candidates for surgery and would be expected to survive longer than a year after an intervention.
    • For patients who have an indication for aortic valve replacement and a high surgical risk, TAVI is tagged as a reasonable alternative to surgery in the guidance.
    • TAVI is not recommended, however, in patients with a comorbidity burden that would cancel out any expected benefit from correcting the stenosis.
  • A flash of anger may send the body down a path ending in a heart attack or stroke, as shown by a systematic review in the European Heart Journal. n pooled results of four of the studies, the risk of MI or acute coronary syndrome was 4.74–fold higher in the hours after an outburst (95% CI 2.50–8.99). In pooled results of two studies, the risk of ischemic stroke was not significantly elevated (incidence rate ratio 3.62, 95% CI 0.82–16.08). One study evaluated intracranial hemorrhage and showed that the risk was higher in the hour after a bout of anger (IRR 6.30, 95% CI 1.59–24.90).
cardiology news

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

  • Preventive use of probiotics reduced crying, vomiting, constipation, and healthcare–related costs among infants in a placebo–controlled trial. In a study in JAMA Pediatrics, on average, infants who were given prophylactic probiotics (L reuteri, strain DSM 17938) for the first 90 days of life spent less time crying per day (38 versus 71 minutes, P<0.01), had fewer regurgitations (2.9 versus 4.6, P<0.01), and had less constipation (4.2 evacuations versus 3.6, P<0.01) compared with infants taking a placebo.
  • Childhood cancer survivors have nearly a 5–fold increase in the risk of developing an endocrine disorder in later life that often requires hospitalization, according to a large population–based cohort study of 5 Nordic countries. Results of the study, by Adult Life After Childhood Cancer in Scandinavia (ALiCCS) study group, were published online February 18 in the Lancet.
cardiology news

New Mobile phone Illnesses

Up till now the debate has been whether mobile radiations can cause brain cancer or not. But recently, a new spectrum of diseases related to use of mobile phones has come to the notice of medical profession and it is anticipated that 10 years from now they will take an epidemic shape

  • Computer vision syndrome: It occurs in 90% of people who use computer for more than 3 hours at a stretch. It leads to drying of eyes and headache. Prevention is to take a 20 seconds break after every 20 minutes and look at a distance of 10 feet for these 20 seconds.
  • Blackberry thumb: This is inflammation of the tendons in the thumb leading to pain. This can be prevented by alternatively using fingers while texting on a Blackberry phone.
  • Stiff neck occurs due to constant use of mobile in one hand with neck flexed. It can be prevented by alternative shifting of phone from one hand to another.
  • Cellphone elbow is a pain in the elbow because of the stretching of ulnar nerve because of use of mobile phone in a flexed position. Using hands–free set can prevent this.
  • Nomophobia: It is present in 50% of the mobile users and is a type of mobile addiction. The term literally means, ‘no mobile phobia’, which means that a person always fears losing his/her phone.
  • Ringxiety: It is the anxiety resulting due to not receiving a call in the last 30 minutes. It is present in 30% of the mobile users.
  • Phantom ringing: It is present in 20–30% of mobile users. You can feel that your phone is ringing but when you check, it is actually not ringing.
  • Social site addiction: With the growing popularity of smartphones, one is addicted to Facebook, internet, Twitter and other such applications. These can cause insomnia, fragmented sleep, etc.
  • After TV, Facebook is the number two cause of relational disharmony within the family and is present in 20% of the houses.
  • Smartphone is a cause for parent–child conflict in 30% of the cases. Often children stay up late and go to school unprepared. On an average, people spend 30–60 minutes in bed playing with their smartphone before sleeping.

Prevention

  • Electronic curfew means not using any electronic gadgets 30 minutes before sleep.
  • Facebook holiday: Take a Facebook holiday for 7 days every three months.
  • Social media fast: Avoid use of social media once in a week for the entire day.
  • Use your mobile phone only when mobile.
  • Do not use computer for more than 3 hours in a day.
  • Limit your mobile talk time to not more than 2 hours in a day.
  • Do not recharge your mobile battery more than once in a day.

    Mobile can also be a source of infection in the hospital setup; therefore, it is disinfected everyday
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

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press release

Air pollution can raise blood pressure

Breathing polluted air for even two hours can boost blood pressure, potentially raising the risk of cardiovascular disease in those exposed to smog, 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.

In susceptible patients, this small increase may actually be able to trigger a heart attack or stroke. In the study, which appeared in a recent issue of the journal Hypertension, researchers tested 83 people as they breathed levels of air pollution similar to those in an urban city near a roadway. The air pollution caused diastolic pressure –– the lower number in a blood pressure reading –– to rise within two hours. Blood vessels were impaired for as long as 24 hours. Tests showed that microscopic particles in the air, rather than ozone gases, caused the rise in blood pressure and impaired blood vessel function. If air pollution levels are forecasted to be high, those with heart disease, diabetes or lung disease should avoid unnecessary outdoor activity.

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 86664 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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Mega heart checkup camp by Heart Care Foundation of India at Sagar,Madhya Pradesh February 20–23,2014

press release

Depression linked to paralysis

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

At the end of a balanced anaesthesia technique with non–depolarizing muscle relaxant, a patient recovered spontaneously from the effect of muscle relaxant without any reversal. Which is the most probable relaxant the patient had received?

1.Pancuronium.
2.Gallamine.
3.Atracurium.
4.Vecuronium.

Yesterday’s Mind Teaser: An increase in which of the following parameters will shift the O2 dissociation curve to the left
1. Temperature.
2. Partial pressure of CO2
3. 2,3 DPG concentration.
4. Oxygen affinity of hemoglobin

Answer for yesterday’s Mind Teaser: 4. Oxygen affinity of hemoglobin

Correct answers received from: Deepali Chatterjee, Dr. P. C. Das, Trupti, Dr Poonam Chablani, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Jainendra Upadhyay, Dr Avtar KRrishan

Answer for 3rd March Mind Teaser: 1.Criterion validity.

Correct answers received from: Dr Jainendra Upadhyay

Send your answer to ijcp12@gmail.com

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centralbank
medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Communication technician

A communication technician drafted by the army was at a firing range. At the range, he was given some instructions, a rifle and 50 rounds. He fired several shots at the target. The report came from the target area that all attempts had completely missed the target. The technician looked at his weapon, and then at the target. He looked at the weapon again, and then at the target again. He then put his finger over the end of the rifle barrel and squeezed the trigger with his other hand. The end of his finger was blown off, whereupon he yelled toward the target area: "It’s leaving here just fine, the trouble must be at your end!"

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with LDL cholesterol 100 mg% and hsCRP 3 developed MI
Reaction:Oh my God! Why was a statin not started earlier?
Lesson: Make sure that all patients with even normal cholesterol are considered for statins if the hsCRP is high.

medicolegal update

Adapt yourself to the life you have been given and truly love the people with whom destiny has surrounded you. Marcus Aurelius

medicolegal update

Dr KK Aggarwal: Soul is the biggest pharmacy in the world – Dr KK Aggarwal http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: How do I reconcile my worldview with others & rid myself of loneliness & lack of motivation? http://bit.ly/WAHF_Am #WAYHF

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 – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

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  1. Dear Sir, Very Informative News. Regards: Dr Trupti

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