eMedinewS6th December 2013, Friday

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

A New Test that Rapidly Detects Blood Infections

A new simple and inexpensive test can identify bacteria in the blood in less than 20 minutes. The method combines a selective lysis step in which blood cells in the sample are destroyed, a centrifugation step to collect any bacteria or fungi in the sample

and a fluorescence step that analyzes the particular fingerprint of any pathogens present in the sample. It can correctly identify the species of bacteria or fungi in 96.5% of positive blood culture samples.

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

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

Self-esteem in Mythology

sprritual blog

To be spiritual, one needs to control two things, firstly, lust and lastly, the ego. In Kama, Krodha, Lobha, Moha and Ahankara, both ego and lust are slow poisons and do not allow one to be spiritual healthy. There are many examples of how to control ego in mythology. Fundamentally, it is said that one should learn to kill ego of oneself and never hurt the ego of others.

Ego, in Ramayana, is equated to Ravana and in Krishna´s era to Kans. One should learn to kill the ego. In Ramayana, Kumbhakaran is Tamas killed by the self i.e. Rama, Meghnath is Rajas and is killed by the mind i.e. Lakshman and ego, the Ravana, is killed again by self i.e. Rama. In Krishna´s Yuga, Kans is killed by consciousness or Lord Krishna.

Mythology also teaches us to keep our ego under control.

  • The door of any temple is always low in height so that nobody can enter without bending. Bending is a sign of humility. Most temples have caves, which have similar significance. Older the temple, longer will be the cave and smaller will be the entry gate.
  • Ego in mythology is depicted by Sheshnaga or Cobra snake with its hood directed inwards indicating keeping your ego under control. The hood of Sheshnaga over Vishnu while he is resting indicates the same. In Krishna´s birth also, the snake symbolizes the controlled ego and protects Krishna when Vasudev takes him out in the rain.
  • Lord Shiva is also shown wearing a snake in his neck with hood directed inwards. Shiva is also said to have a blue neck or Neelkanth indicating that to control anger one should neutralize the anger continuously (matted hairs) with a cool mind (Moon) using positive flow of thoughts (ganga) with ego controlled (nag)
  • When Hanuman traveled to Lanka, he handled the snake Sursa with humility. Sursa, the ego, went on increasing in size as Hanuman increased his size.
  • No Hindu marriage is complete without Varmala, which again indicates the need to bow in front of each other.
cardiology news

The Disaster of Negative Thinking

The greatest scientists in the world are just beginning to scratch the surface when it comes to understanding what our minds are really capable of. The mind is so unbelievably powerful in ways we could never imagine. You and I don't need to understand exactly how it works, we just need to take care of our minds and let the magic happen.

Our subconscious mind takes orders from our conscious mind. The subconscious mind doesn´t ask questions, it doesn´t differentiate between empowering thoughts and demoralizing thoughts. It just acts upon the thoughts that we think. All outcomes and experiences in our lives are a direct result of our dominant mental thoughts. What we think, we become because our subconscious minds translate into reality our thought impulses.

When we ask ourselves a demoralizing question like "Why does this always happen to me?" our subconscious minds go to work whether we realize it or not. How do you think it responds to a demoralizing question like that? You are brilliant; it answers it with a bunch of demoralizing answers. It´s just like the computer you are reading. A computer´s output is based on its input. When a computer hacker tries to commit a cyber crime or steal someone's identity, the computer doesn´t say it can't do that because that´s illegal. It just performs what its user instructed it to do whether it´s legal or illegal.

Our subconscious minds act the same exact way a computer does. Its output is based on its input whether it´s a positive input or a negative input. Its not rocket science, if you want to change your output, you must change its input. The quality of your life is going to depend on the quality of your thoughts. The more empowering questions you ask your subconscious mind, the more empowered you will be. You must understand that the dominate thoughts of your mind will eventually manifest into the real world.

Buddha said, "We are shaped by our thoughts. We become what we think."

All that we are arises with our thoughts. With our thoughts, we make the world. The next time you want to let a negative thought or a demoralizing question enter your precious mind, be careful what you ask for because you are eventually going to get it.

Use incredible thoughts to manifest an incredible life. Your life will follow your thoughts. If you think it and believe it, your subconscious mind will make you achieve it. Take your passion and make it happen.

News Around The Globe

News

  • A post hoc analysis of the ACCORD trial showed that among patients with type 2 diabetes, treatment with both fenofibrate and a thiazolidinedione (TZD), usually rosiglitazone (Avandia) was paradoxically associated with an increased likelihood of having an extremely low HDL cholesterol level. Although fenofibrate, TZDs, and the combination of the two drug classes were associated with increases in average HDL cholesterol levels during the lipid part of the trial, they were also associated with higher rates of levels below 25 mg/dL (Diabetes Care).
  • As part of the Choosing Wisely campaign of the American Board of Internal Medicine Foundation, the American Society of Hematology (ASH) has issued a list of 5 hematologic tests and/or procedures that should not be continued, or that should be used less than they currently are. These are:
    • Don´t transfuse more than the minimum number of red blood cell (RBC) units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7 to 8 g/dL in stable, non-cardiac in-patients).
    • Don´t test for thrombophilia in adult patients with venous thromboembolism (VTE) occurring in the setting of major transient risk factors (surgery, trauma or prolonged immobility)
    • Don´t use inferior vena cava (IVC) filters routinely in patients with acute VTE.
    • Don´t administer plasma or prothrombin complex concentrates for non-emergent reversal of vitamin K antagonists (i.e. outside of the setting of major bleeding, intracranial hemorrhage or anticipated emergent surgery).
    • Limit surveillance computed tomography (CT) scans in asymptomatic patients following curative-intent treatment for aggressive lymphoma.
  • A new study has shown that radioimmunotherapy in conjunction with antiretroviral triple therapy can effectively kill HIV-infected cells from patients. The findings were presented at the Radiological Society of North America 99th Scientific Assembly and Annual Meeting by Ekaterina Dadachova, PhD, professor of radiology, microbiology, and immunology at the Albert Einstein College of Medicine in the Bronx, New York.
  • A majority of patients with chronic myelogenous leukemia (CML) achieved a deep molecular response with imatinib (Gleevec)-based therapy, which correlated with improved long-term and progression-free survival (PFS), according to a randomized trial reported online in the Journal of Clinical Oncology.
  • Repairing full-thickness rotator cuff tears may cost less than a nonoperative approach, taking into account the indirect costs incurred over a patient's lifetime, a new study has found. Costs associated with fewer employment options, lower income, missed work days, and disability payments exceeded the cost of surgery for younger patients in particular, in the researchers' decision model.

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Rabies News (Dr. A K Gupta)

Are pregnancy and lactation contraindications for IDRV?

Pregnancy and lactation are not contraindications for IDRV.

cardiology news

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

  • Knowing the number of hourly premature atrial contractions (PACs) a patient has is as good as the Framingham atrial fibrillation (AF) risk algorithm in predicting five- to 15-year risk of AF as per findings of a study published in the December 4, 2013 issue of the Annals of Internal Medicine. According to the authors, the study helps to identify people at highest risk of developing the disease; also, since ablation of certain PACs may eradicate existing AF, early eradication or reduction of PACs might help prevent AF.
  • Consuming energy drinks had short-term effects on cardiac function in healthy volunteers. In a small study of 31 young men and women, cardiac MRI revealed that contractility of the left ventricle was significantly increased an hour after consuming an energy drink. There were, however, no effects on heart rate, blood pressure, or left ventricular ejection fraction (LVEF). The findings were reported at the Radiological Society of North America meeting
cardiology news

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

  • New research suggests that despite the well-documented sex difference in the prevalence of attention-deficit/hyperactivity disorder (ADHD), when it comes to early perinatal risk factors, there seems to be little variance between boys and girls. The results from a population-based, record linkage, case-control study show that low birth weight, post-term pregnancy, low Apgar scores, and fetal distress were not factors for ADHD irrespective of sex. The study was published online December 2 in Pediatrics.
  • Medication-naïve children with attention deficit hyperactivity disorder (ADHD) have reduced levels of iron in their brain. Magnetic field correlation imaging, an MRI technique, can be used to identify this iron deficiency, and could guide diagnosis and treatment in this patient population.
cardiology news

Eating junk food: it’s in the brain

When it comes to eating junk food, one may blame the brain. Addiction is a disease and the same has been proved by a study.

Two areas of the brain have to work together to give the self-control to reject unhealthy foods. California Institute of Technology researchers used MRI to scan the brains of volunteers as they looked at photos of dozens of types of foods and decided which ones they'd like to eat. They found significant differences in the brain activity between people who had self-control in terms of making food choices and those with no self-control. An area of the brain called the ventromedial prefrontal cortex is involved in all value-based decisions. When ventromedial prefrontal cortex activity decreases, a person will probably reject an item, whereas increased activity means they'll probably choose it. The study published in the journal Science found that in people with no self-control, the ventromedial prefrontal cortex seemed to take into consideration only the taste of a food.

In people with good self-control, another area of the brain called dorsolateral prefrontal cortex becomes active and modulates the basic value signals so that the self-controllers also incorporate health considerations into their decisions. The study showed that ventromedial prefrontal cortex is active during every decision and that the DLPFC is more active when a person is using self-control.

cardiology news

Total CPR since 1st November 2012 – 75187 trained

Media advocacy through Web Media

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press release

20 minutes of sunlight and a glass of milk can keep osteoporosis at bay

New Delhi: 5th December 2013: Osteoporosis and vitamin D deficiency are the two new epidemics of the society, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Drinking less milk, avoiding sunlight exposure and omitting the traditional aerobic outdoor games is one reason for the new epidemic. Younger professionals are also staying indoors with practically no sunlight exposure. This is especially true for the medical residents.

Here are a few tips for preventing osteoporosis and strengthening the bones.

  1. Stop smoking as it increases bone loss.
  2. Eat a calcium-rich diet – The aim should be to get 1,500 mg of calcium a day in postmenopausal woman or a man over age 65. Good dietary sources of calcium include dairy products, tofu and other soy products; orange juice fortified with calcium, canned salmon with the bones and cooked spinach. The alternative is to take calcium supplements.
  3. Get enough vitamin D – Vitamin D levels are influenced by how much sunlight one gets. Levels tend to decrease in older adults, especially during winter and in people who are unable to leave their home. One should consider taking a supplement to make sure one gets the recommended daily amount.
  4. Get exposure to sunlight of at least 20 minutes per day. At least the exposure should be of 20 minutes every day for a month in a year.
  5. Get enough protein in diet - An adequate intake of protein in diet, combined with an adequate intake of calcium helps increase bone density. Aim for about 12% of calories to come from proteins such as legumes, poultry, seafood, meat, dairy products, nuts and seeds. However, too much protein with too little calcium can be harmful.
  6. Weight-bearing exercise – These are activities such as walking, jogging and stair climbing that one should do on the feet, with bones supporting your weight. They work directly on the bones of the legs, hips and lower spine to slow mineral loss.
  7. Weightlifting exercises – These exercises, also called resistance training or strength training, strengthen muscles and bones in the arms, chest and upper spine. They work directly on the bones to slow minerals loss.
  8. Get adequate vitamin K – Vitamin K may be helpful in enhancing bone strength. Green leafy vegetables are the best sources of vitamin K. If one is taking a blood thinner, he or she should check with the doctor.
  9. Avoid excessive alcohol – Women should limit alcohol consumption to less than one ounce a day and men should limit it to less than two ounces.
  10. Limit cola drinks – People with high cola intake often have lower bone density.

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 75187 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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CPR10 Training at IITF

press release

FDA panel recommends first drug for HIV prevention

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

A lesion of ventrolateral part of spinal cord will lead to loss (below the level of lesion) of:

1.Pain sensation on the ipsilateral side.
2.Proprioception on the contralateral side.
3.Pain sensation on the contralateral side.
4.Propriception on the ispilateral side.

Yesterday’s Mind Teaser: A 30-year-old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1.Medial rectus and superior division of oculomotor nerve.
2.Inferior oblique and inferior division of oculomotor nerve.
3.Lateral rectus and abducent nerve.
4.Superior rectus and trochlear nerve.

Answer for yesterday’s Mind Teaser: 3.Lateral rectus and abducent nerve.

Correct answers received from: Dr.K.Raju, Arvind Gajjar, DR AVTAR KRISHAN, Ajay, Dr.Uma Maheswari, Dr Chandresh Jardosh, DR ARPAN GANDHI, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr ajay Gandhi, Abhay Naik, daivadheenam

Answer for 4th December Mind Teaser: 1. Transitional

Correct answers received from: Dr K P Chandra, Dr ajay Gandhi, Muthumperumal Thirumalpillai, Dr.Sahadevudu Gelivi, Dr B K Agarwal, Dr Prakash Khalap

Send your answer to ijcp12@gmail.com

indianoil
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centralbank
medicolegal update

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medical querymedical query

medicolegal update

Benefits of having Alzheimer’s disease

  • You never have to watch reruns on television
  • You are always meeting new people.
  • You don’t have to remember the whines and complaints of you spouse.
  • You can hide your own Easter eggs.
  • Mysteries are always interesting.
medicolegal update
medicolegal update

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medicolegal update

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make sure, to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

Fate leads the willing, and drags along the reluctant………….. Lucius Annaeus Seneca

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful #CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm


Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President
Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman
Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Sir, Thanks for the updation. Regards: Dr Karan

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