eMedinewS6th October 2013, Sunday

Dr K K Aggarwal Padma 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);
For updates follow at
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

Antibiotics still overprescribed in sore throat and bronchitis

Even today antibiotics are still drastically overprescribed for two common complaints –– sore throat and bronchitis. Doctors order antibiotics for about 60% of patients who complain of a sore throat, according to Jeffrey Linder, MD, of Brigham and Women’s Hospital in Boston.

The problem is that only about one sore throat in 10 is caused by a pathogen –– group A streptococcus –– that responds to antimicrobial agents. The picture is even worse for bronchitis, Linder said –– some 73% of complaints result in an antibiotic prescription, but the condition never responds to the drugs.

The data come just weeks after the CDC warned that antibiotic resistance –– fueled by inappropriate use of the drugs –– is reaching a crisis.

People should be tiled that antibiotics not going to help you and there’s a very real chance they’re going to hurt you.

….Read More

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."


VIP’s on CPR 10 Mantra Video
eMedinewS
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

Spiritual mantra on the 2nd Navratri

sprritual blog

"Purify the mind (white clothes) with continuous efforts (japa mala) by accepting the things and situations as they are (kamandalu) and building humility in the mind (egoless state)"

Brahmacharini (Uma or Tapacharini) is worshipped on 2nd day of Navratri as the goddess who performed ‘Tapa’ (penance or continuous efforts) (Brahma – Tapa, Charini – Performer).

SHE personifies love and loyalty and provides knowledge and wisdom. Those who worship her, attain, Tap (Religious Austerity), Tyagi (Sacrifice) and Vairagya (Asceticism).

She is shown to hold Japa mala (rosary beads) in her right hand and Kamandal in left hand.

This form of Shakti as per Yoga Shastras is present in second gonad chakra (in Allopathy gonad plexus) called Svadhisthana Chakra. The bija sound for the chakras is VAM which removes attachments. In Ayurveda, the 2nd Chakra represents the water element.

In mythology ‘white’ represents purity of mind; beaded rosary or japa mala represents continuous efforts (meditation and concentration) and Kamandal represents acceptance and water in it represents pure thoughts.

Kamandalu also means living an egoless state of mind. Kamandalu is a water pot made from dry pumpkin. It contains nectar and is shown on the ground next to Shiva. The process of making Kamandalu has deep spiritual significance. A ripe pumpkin is plucked from a plant, its fruit is removed and the shell is cleaned for containing the nectar. In the same way, an individual must break away from attachment to the physical world and clean his inner self of egoistic desires in order to experience the bliss of the Self, symbolized by the nectar in the Kamandalu.

cardiology news

Dad with an eye and Me

My dad only had one eye. I hated him… He was such an embarrassment. He cooked for students & teachers to support the family. There was this one day during elementary school where my dad came to say hello to me. I was so embarrassed. How could he do this to me? I ignored him, threw him a hateful look and ran out. The next day at school one of my classmates said, "EEEE, your dad only has one eye!" I wanted to bury myself I also wanted my dad to just disappear. I confronted him that day and said, "If you’re only gonna make me a laughing stock, why don’t you just die?"

My dad did not respond… I didn’t even stop to think for a second about what I had said, because I was full of anger. I was oblivious to his feelings. I wanted out of that house, and have nothing to do with him. So I studied real hard, got a chance to go abroad to study.

Then, I got married. I bought a house of my own. I had kids of my own. I was happy with my life, my kids and the comforts. Then one day, my father came to visit me. He hadn’t seen me in years and he didn’t even meet his grandchildren. When he stood by the door, my children laughed at him, and I yelled at him for coming over uninvited. I screamed at him, "How dare you come to my house and scare my children!" GET OUT OF HERE! NOW !!!" And to this, my father quietly answered, "Oh, I’m so sorry. I may have gotten the wrong address," and he disappeared out of sight.

One day, a letter regarding a school reunion came to my house. So I lied to my wife that I was going on a business trip. After the reunion, I went to the old shack just out of curiosity. My neighbors said that he died. I did not shed a single tear. They handed me a letter that he had wanted me to have.

"My dearest son, I think of you all the time. I'm sorry that I came to your house and scared your children. I was so glad when I heard you were coming for the reunion. But I may not be able to even get out of bed to see you. I’m sorry that I was a constant embarrassment to you when you were growing up. You see……when you were very little, you got into an accident, and lost your eye. As a father, I couldn't stand watching you having to grow up with one eye. So I gave you mine. I was so proud of my son who was seeing a whole new world for me, in my place, with that eye.

With all my love to you, Your father.

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

The Immune System of the Soul

October 17, 2013, Siri Fort Auditorium

Organised by Brahma Kumaris


In this fast paced world, where we all are running in the rat race to acquire all sorts of gadgets, luxuries and comforts of life, and have actually forgotten about our ‘being’, our ‘soul’ per se. None of us have the time to sit back and ponder on the very basic questions which arise even in a small child’s mind, as in who we are? Where we have come from? What is the purpose of our being? How our soul dwells in our daily activities? How can we charge up our soul or what makes it low? Do we actually listen to our inner/soul’s voice? If yes, there is still some hope, and if not, then what happens to our inner voice in return? All of us are bothered about materialistic possessions and all we care about is that we should be free from physical ailments. Does that suffice our existence? The answer is NO, as emotional ailments take its toll when we stop caring about our soul or the inner voice. To answers these questions and to help people get enlightened, Mike George, an author, spiritual leader and management consultant, has organized a workshop titled ‘The Immune System of the Soul’ which will take you to a journey from awareness to realization and finally to transformation. The workshop is scheduled on October 17, 2013, 6–8 PM at Siri Fort Auditorium, Delhi. Come and be a part of this divine experience.

News

1. The FDA has approved the combination agent Duavee to treat hot flashes and prevent osteoporosis in menopausal women. The drug pairs conjugated estrogens with the selective estrogen receptor modulator (SERM) bazedoxifene, with the latter replacing the progestin that protects against the potentially increased risk of uterine hyperplasia seen with estrogen therapy. It is indicated for women who still have a uterus, and will come with the same boxed warning that appears on other approved estrogen products.

2. Islet cell transplantation improved insulin sensitivity in patients with long–standing type 1 diabetes, despite immunosuppressive drug regimens that have been associated with insulin resistance. In a small trial of 12 type 1 diabetic patients published in the Journal of Clinical Endocrinology & Metabolism, transplantation significantly lowered mean HbA1c from 7% to 5.6% and significantly increased total, hepatic, and peripheral insulin sensitivity, even though all patients were on tacrolimus and sirolimus.

3. Results of a randomized trial reported at the European Cancer Congress have shown that patients with early breast cancer had significantly less lymphedema if they received axillary radiotherapy instead of surgical lymph node dissection. The incidence of clinically significant lymphedema ranged from 21% to 25% over 5 years in patients who underwent surgical dissection of axillary lymph nodes as compared with 10% to 15% among patients who had radiotherapy. Patients who had both lymph node dissection and radiotherapy had the highest rates of lymphedema.

4. A new research reported at the World Parkinson Congress has found that patients with Parkinson’s disease, particularly those with early onset of symptoms, had an increased incidence of impulse control disorders. For instance, among a cohort of Parkinson’s patients whose average age was 47 years, 8.8% had a history of pathologic gambling and 5.9% had exhibited hypersexuality, while no matched controls showed these behavioral abnormalities.

5. Menopause may pose unique challenges to women with multiple sclerosis (MS). A new study finds that one third to one half of women report worsening of MS–related symptoms after menopause. "This is new data and the implications for women could be big, but more study is needed," lead investigator Riley M. Bove, MD, from Brigham and Women's Hospital and Harvard Medical School in Boston, Massachusetts. The study was presented at the 29th Congress of the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS).

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Rabies News (Dr. A K Gupta)

How is RIG injected locally? What is the mode of administration of full dose of RIG?

It is important to infiltrate all wounds with rabies immunoglobulin (RIG). Intramuscular (IM) administration of RIG is of very little value. The previous recommendation to give antirabies serum half into wounds and half IM no longer holds true and may lead to treatment failure. As much of the calculated dose of RIG, as is anatomically feasible, should be infiltrated into and around all the wounds. In the event that some volume of RIGs is left over after all wounds have been infiltrated, it should be administered by deep IM at a site distant from the vaccine injection site.

If the calculated dose of RIG is insufficient to infiltrate all wounds, sterile saline can be used to dilute it 2 or 3 fold to permit thorough infiltration.

cardiology news

In addition to lowering LDL cholesterol, a high dose of atorvastatin may alleviate periodontal disease, possibly representing a new pleiotropic effect of statins. After 12 weeks of treatment, 80–mg of atorvastatin resulted in a greater reduction in periodontal inflammation compared with 10–mg of the same drug, according to Ahmed Tawakol, MD, of Massachusetts General Hospital in Boston, and colleagues. There was a significant correlation between that reduction and a beneficial change in inflammation in the carotid artery (P<0.001), they reported online in the Journal of the American College of Cardiology.

Being underweight, overweight, or obese was a significant risk factor for coronary heart disease and stroke in a large cohort of people living in east Asia (China, Taiwan, Singapore, Japan, or Korea), but the association was much weaker in south Asia (India or Bangladesh). As reported in the journal BMJ, the pooled analysis of prospective data on 1.1 million Asians followed for close to a decade revealed that east Asians with a body mass index (BMI) of 25 or above had a greater risk of death from cardiovascular disease than east Asians with a BMI of 22.5 to 24.9, who served as the reference group. Among south Asians living in India or Bangladesh, the association between BMI and death from cardiovascular disease (CVD) was much less pronounced, with no association seen for stroke risk and an increased risk of death from coronary heart disease seen only in those with a BMI greater than 35.

Valvular Heart Disease News

When is antithrombotic therapy indicated after heart valve replacement?

Treatment with warfarin (or other vitamin K antagonist) and/or aspirin is recommended in patients with prosthetic heart valves to prevent valve thrombosis and thromboembolic events.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news

CT scanners calibrated to take fewer "snapshots" of the brain may dramatically cut radiation exposure without sacrificing diagnostic accuracy, a retrospective review found. The median radiation exposure for children undergoing normal head CT scans was 4.27 mSv compared with 0.284 mSv for the cases where researchers looked at fewer sequences of images (P<0.0001), according to Edward S. Ahn, MD, a pediatric neurosurgeon at the Johns Hopkins Children’s Center, and colleagues. The absolute reduction of 4.10 mSv translated into a mean 91.8% relative reduction in radiation exposure in children with shunt–treated hydrocephalus, they wrote in the October issue of the Journal of Neurosurgery: Pediatrics.

According to a report published in the October 4 issue of the Morbidity and Mortality Weekly Report, managing and investigating Mycobacterium tuberculosis (TB) in a school can be beyond the capabilities of local agencies, requiring leadership at the state and county levels. A plan needs to be in place for informing and educating the public, the report adds.

cardiology news

Donating blood reduces chances of heart attack

One should donate blood at least once in a year. Donating blood regularly has been shown in many reports to reduce chances of future heart attacks. Blood donation is also one of the best charities that one can do as it can save multiple lives through various components taken out of a single blood transfusion.

All those who are going for elective surgery should donate their blood well in advance and the same should be used at the time of surgery.

In the current medical tourism scenario, many patients who are Jehovah’s Witnesses refuse blood transfusion on religious grounds. They do not accept transfusion of whole blood or any of the four major components (blood cells, platelets, plasma and white cells). They are prepared to die rather than receive the blood. They also do not accept transfusion of stored blood including their own due to the belief that blood should not be taken out of the body and stored for any length of time. In such cases, every effort should be made to reduce blood loss, conserve blood and give drugs that can enhance hemoglobin formation.

A new concept called Bloodless Medicine has now become a reality where treatment, surgery and even emergency surgery can be done without using any blood.

cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

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Media advocacy through Web Media

Shorter the waist line, longer the life line 2nd PR

FREEPRESSINDEX LINK, FREEPRESS RELEASE, AFRICANEWSWIRE, PRLOG, BLOGZ

Do not misuse Navratri diet

Navratri means nine days of mind, body and soul purification and control of ego. The basic principles of Navratri diet involves eating less, eating once in a day, not eating refined carbohydrate–based cereals.

Today heart disease, diabetes and high blood pressure are the new epidemics of the society and they were practically unknown in the era of Ramayana and Mahabharata, said Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Dr. Aggarwal said that as far as mythological era is concerned, people used to prevent development of insulin resistance by not eating carbohydrate once in a week, additional once in a month on Ekadashi or Purnima and observing carbohydrate fast for nine days twice in a year during Navratri.

Eating carbohydrates everyday leads to insulin resistance and ultimately diabetes and pot belly obesity.

During Navratri diet, eating fruits and fruit–based products are permissible: Flour made from Singhara, Kuttu, Samak rice and rajgira (chaulai) are fruit–based products, which can be converted into food articles like chapattis, rice and dal.

One should also eat less during Navratri. Eat 50% of the normal diet during Navratri and that too once in a day and that too consisting of only fruit based products.

The best is to eat fruits and vegetable salad. Frying and deep frying products in Navratri does not make sense, especially if they are fried in vanaspati ghee.

Smoking, alcohol and non–vegetable food should be avoided at any cost as they are against spiritual detoxification. As per Bhagavad Gita, any food item that is grown under the ground is not Satvik and should not be eaten during a fast.

Nine days of dietary detoxification has to be done along with mental detoxification. A person should practice non-violent communication, distribute non-materialistic gifts and think positively different during these nine days.

We should practice positive affirmations everyday as to how one can help the family and the community.

Dr. Aggarwal said that people who have diabetes, high blood pressure and heart disease can also observe these fasts but they should talk to their doctors before doing so as their requirement of drugs may reduce by 40% during this period.

The easiest way to remember spiritual fast is whatever is not offered to God should not be offered to the body.

There will be special workshops on spiritual fast in the forthcoming MTNL Perfect Health Mela being organized in Constitution Club of India from 23rd to 27th October, 2013.

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 63425 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10minutes, 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."

today emedipics

MCI State Medical Council Meet 5th October 2013

press release

Weight loss may improve sexual health of obese diabetes

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

WHAT ARE THE CLOTTING FACTORS IN THE EXTERINSIC PATHWAY THAT REQUIRE PHOSPHOLIPIDS FOR ACTIVATION…

A.IX
B.X
C.XII
D.IX AND X

Yesterday’s Mind Teaser: What percentage of your diet should fat make up?

A. About 10 percent of your daily calories.
B. About 20 percent of your daily calories.
C. About 30 percent of your daily calories.
D. About 40 percent of your daily calories.
E. There is no recommended amount of fat; you should strive to eat as little of it as possible.

Answer for yesterday’s Mind Teaser: C. About 30 percent of your daily calories.

Correct answers received from: Dr P.K Sahu, Dr.A.K.Gajjar, Dr Jainendra Upadhyay, Dr valluri ramarao, Prabha Sanghi, Dr. V.P. Thakral, Dr.K.Raju, Dr.K.V.Sarma, Dr. P. C. Das, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr.(Maj. Gen.) Anil Bairaria, Dr Arpan Gandhi, Dr pawan mehta, DR AVTAR KRISHAN, Dr. Smita Uday Shevade, Dr. P. C. Das.

Answer for 4th October Mind Teaser: 2. Fluoxetine is the "selective serotonin reuptake inhibitors (SSRI)" of choice for the management of hot flushes in women taking tamoxifen.

Correct answers received from: Dr.(Maj. Gen.) Anil Bairaria,, Dr Arpan Gandhi, Dr B K Agarwal, Dr. P. C. Das.

Send your answer to ijcp12@gmail.com




medicolegal update

Click on the image to enlarge

medicolegal update

Whisky is a brilliant invention. One double and you start feeling single again.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient on dialysis and on oral antacid developed aluminum toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis.

medicolegal update

Striving for excellence motivates you; striving for perfection is demoralizing. Harriet Braiker

medicolegal update

Dr KK Aggarwal: What not to do in snake poisoning http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: How do you find the right path in life? How do you choose between all your options? http://tinyurl.com/msf3e3r

medicolegal update

Dear Sir, Emedinews is very Informative. Regards: Dr Krishna

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

eMedinewS Special

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

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Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update



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