eMedinewS6th January 2014, Monday

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
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Cinnamon in Nonalcoholic Fatty Liver Disease

Cinnamon (dalchini) helps improve lipid profiles and improve nonalcoholic fatty liver disease (NAFLD), according to a new Iranian trial reports Medscape. The report found that 12 weeks consumption of 1.5 grams cinnamon per day plus a balanced diet improves insulin resistance and NAFLD characteristics. The study by Dr. Azita Hekmatdoost is published online December 9 in the journal Nutrition Research.

Cinnamon has anti–oxidant and insulin–sensitizer properties.

In the study, 50 patients were randomized to two 750 mg capsules of cinnamon or placebo daily for 12 weeks. All patients were given advice on a balanced diet and physical activity. In both groups, LDL cholesterol dropped significantly but there was no significant change in serum HDL cholesterol levels. After 12 weeks, LDL levels were 55.8 mg/dL in the treatment group and 90.3 mg/dL in the placebo group (p=0.032).

In the active treatment group there were also significant decreases in the HOMA (Homeostatic Model Assessment) index, fasting blood glucose, total cholesterol, triglyceride, SGOT and SGPT levels. This was also true of gamma GT and hs–CRP.

Dr K K Aggarwal on Zee TV 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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VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Debts in Mythology

sprritual blog

It is said that there are three debts which everybody has to pay in his or her lifetime. In Vedic language, they are called Dev Rin, Pitra Rin and Rishi Rin.

In medical language the body consists of soul, physical body, mind, intellect and ego. The soul is given to us by God or Devtas (Dev Rin), the physical body by our parents (Pitra Rin) and the mind, intellect and ego by our Gurus (Rishi Rin).

In terms of computer language, if I see my body as a computer, then my body as a computer is made by my parents; operating software and my inner internet represent the soul or consciousness given by the Devtas and the application software i.e. Word, Excel and Power point which we learn over a period of time are given to us by our Gurus. Therefore, we have to pay all these three debts while we are still alive.

cardiology news

Vikramaditya’s Judgement

Once there lived an old and pious man, renowned for his honesty. One day his neighbor, a rich merchant comes to him with a request. The merchant was leaving on a voyage and wants the old man to safeguard his wealth, until his return. The old man agrees and with God as witness promises to protect and safeguard the merchant’s wealth.

The old man then entrusts the safe keep of the merchant’s wealth to his son, from whom he takes an oath of propriety and honesty. Slowly the son starts dipping into the merchants’ wealth; people notice this and warn the old man of the son’s misdeeds. The old man calls his son asks him to explain, he also reminds him of his oath on following the right path. The son rubbishes the accusations as rumors and the idle gossip of jealous people, who could not bear to see his prosperity. The old man accepts the son’s explanation and things go on as before.

The merchant returns and demands his wealth. The old man calls his son, who hands over a quarter of the merchant’s wealth saying that is all there was. The merchant realizing that he has been cheated approaches the King. The King listens to the merchant’s complaint and summons the old man. The old man comes to the court with his son and handing him over to the King says "your majesty, the merchant is right. My son has confessed to the crime. Please punish him."

The king has the son flogged and imprisoned. He then praises the old mans honesty and dismisses the case. But the merchant demands punishment for the old man saying, "I have still not received justice. I had entrusted my wealth to the old man which he swore by God to safeguard. The old man’s integrity is intact, but what of me, I have been robbed of my life’s savings, and made a pauper. It was the old man’s decision to entrust my wealth to his son for safe keeping that has caused this loss. As far as I am concerned the old man is the real culprit, and should be punished.*

The king is astounded by this demand. The old man, was neither a party to the theft nor did he benefit from it. In fact, he had sent his son to jail. Yet, the merchant was asking for the old man’s punishment.

The Betal asks Vikramaditya, "What should be the King’s decision."

Vikramaditya’s replies, "Though the old man is innocent of the actual theft, he is guilty of dereliction of duty. The son’s crime was a straight forward one, the old man’s was a graver crime. He did nothing to protect the merchant’s wealth. Far from being vigilant he failed to take action even when he was warned of his son’s misdeeds. Because of his laxity the merchant is condemned to a life of penury. He should be punished."

NOW TRY TO SEE THE HAPPENINGS IN INDIA & 2G SCAM IN LIGHT OF THE ABOVE STORY:

India 2010, Dr. Manmohan Singh, esteemed economist, former Governor of RBI, Deputy Chairman of Planning Commission, former Finance Minister, a man whose personal ethics and integrity are unblemished, takes oath to protect and safeguard the Nation and its assets. He appoints Raja, as his Cabinet Minister for IT & Telecom.

Unlike the story, this heist of a precious national asset is carried out in full view of Dr. Manmohan Singh and his cabinet colleagues. Newspapers across the country cry out at this outrage in front page headlines.

The Indian Constitution grants the Prime Minister absolute power in running the country. He is the head of the Government and the Union Cabinet functions at his pleasure. As per the Transaction of Business Rules the Prime Minister has the unrestricted right to demand and get any file, any record from any Ministry. Dr. Man Mohan Singh could have at any time stopped this heist of a National asset, yet he chose to remain silent. The Minister’s failure to exercise his constitutional rights has caused irreparable loss to the Nation.*

Dr. Singh did not profit personally from Raja’s shenigans, but his failure to act, to honor the oath of office, to protect and safeguard the nation and its wealth is unforgivable. Like the old man, he has sacked Raja from his ministerial berth, but does his culpability end there.

The people of India had entrusted their faith and the future of the Nation in Dr. Manmohan Singh, believing him to be a man of integrity and honesty, and not to Raja. Does dismissing Raja absolve Dr. Singh or like the old man is he guilty of dereliction of duty and failure to safeguard the Nation and its citizens. Does he deserve punishment? Who can decide here?

News Around The Globe

News

This is what happens in civil hospital to a male resident doctor

This is what happens despite Prevention of violence against Medicare Establishment and Personal Acts. (Source Dr Neeraj Nagpal)

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

  • The urate precursor inosine is safe, is well tolerated, and succeeds in elevating serum and central nervous system (CSF) urate levels in patients with early Parkinson’s disease (PD), according to a new study in JAMA Neurology.
  • Androgens and genes involved in lipid metabolism may drive the differences in immune responses between men and women. According to the authors, males experience a greater severity and prevalence of bacterial, viral, fungal, and parasitic infections than females, who also exhibit a more robust response to antigenic challenges such as infection and vaccination. The findings are published in the journal Proc Natl Acad Sci.
  • Italian researchers report in Stem Cell Reports that epidermal stem cells can be used effectively for gene therapy in patients with junctional epidermolysis bullosa, a rare genetic disorder characterized by blister formation. There is no cure for the disease; instead, palliative treatments aim to relieve the devastating clinical manifestations.
  • A large study of Swedish men has provided further evidence of the smoking link to cataract development in the eye, with addiction to 15 cigarettes a day raising the risk of needing a cataract operation by 42%, compared with people who have never smoked.
  • According to a study in Rheumatology, age at disease onset should not guide rheumatoid arthritis treatment (RA). Older patients should be treated as aggressively as younger patients, suggest the study authors.

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Rabies News (Dr. A K Gupta)

What are the initial (prodromal) symptoms of rabies?

  • Pain or paresthesiae at the site of the bite is well–known as a diagnostically useful prodromal symptom occurring in one–third to two–thirds of cases.
  • In Thailand, however, a specific type of paresthesiae – itching – was the earliest symptom in >40% of cases. Itching occurred at the site of the healed bite wound or involved the whole bitten limb and was sometimes so intense as to provoke frenzied scratching and excoriation of the skin. The explanation for local paresthesiae may be the multiplication of virus in the dorsal root ganglion of the sensory nerve supplying the area of the bite.
  • Pain behind the grafted eye was an early symptom in three of the four patients who developed rabies following corneal transplants.
  • Priapism with frequent spontaneous orgasms was the first symptom in one Thai patient.
  • Fever, malaise, nausea and vomiting.
  • The skin becomes sensitive to changes of temperature, especially air currents.
cardiology news

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

  • The risk of a complication following the implantation of a cardiac device, such as an implantable cardioverter defibrillator (ICD), pacemaker, or cardiac resynchronization therapy (CRT) device, is higher than previously acknowledged, according to the results of a new Danish analysis published December 17, 2013 in the European Heart Journal. Overall, one in 10 patients (9.6%) who received an implantable electronic device experienced a complication, a rate that is higher than the 5% to 6% published in previous studies. The rate of major complications was 5.6%, the most common being the need for a lead–related reintervention (2.4%).
  • Routine screening is warranted for the first–degree relatives of patients who present with familial thoracic aortic aneurysm disease before age 60 years in the absence of predisposing conditions such as hypertension, Marfan syndrome, or bicuspid aortic valve, according to a study presented at the American Heart Association scientific sessions.
cardiology news

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

  • A community–based study of more than 4700 participants from the United Kingdom showed that those who were bullied at the age of 10 years were more than twice as likely to suffer from episodes of psychosis by the age of 18 as those who were never bullied. Interestingly, children who reported doing the bullying themselves were almost 5 times more likely to have psychotic experiences by the age of 18 years. The study was published December 17 in Psychological Medicine.
  • In a study in the Journal of the American Academy of Dermatology, thiotepa use was strongly linked to permanent hair loss in children after hematopoietic stem cell transplantation, new findings show. The incidence of permanent chemotherapy–induced alopecia (CIA), at 12%, was higher than in studies of adults, and the younger the patient, the greater their risk.
cardiology news

Snorers at risk of sudden death

The interrupted night time breathing of sleep apnea increases the risk of dying. Sleep apnea is a common problem in which one has pauses in breathing or shallow breaths during sleep.

Studies have linked sleep apnea during snoring to increased risk for death. Most studies were done in sleep centers rather than in the general community. A study published in the journal Sleep has suggested that the risk is present among all people with obstructive sleep apnea. The size of the increased mortality risk was found to be surprisingly large.

The study showed a six–fold increase, which means that having significant sleep apnea at age 40 gives you about the same mortality risk as somebody aged 57 who does not have sleep apnea.

For the study, the researchers collected data on 380 men and women, 40 to 65 years old, who participated in the Busselton Health Study. Among these people, three had severe obstructive sleep apnea, 18 had moderate sleep apnea, and 77 had mild sleep apnea. The remaining 285 people did not suffer from the condition. During 14 years of follow–up, about 33 percent of those with moderate to severe sleep apnea died, compared with 6.5 percent of those with mild sleep apnea and 7.7 percent of those without the condition. For patients with mild sleep apnea, the risk of death was not significant and could not be directly tied to the condition.

People who have, or suspect that they have, sleep apnea should consult their physicians about diagnosis and treatment options.

Another study by researchers from the University of Wisconsin has also shown that severe sleep apnea was associated with a three–fold increased risk of dying. In addition, for those with moderate to mild sleep apnea, the risk of death was increased 50 percent compared with people without sleep apnea. Sleep apnea is also linked to future heart attacks and with thickened wall thickness of the neck artery.

cardiology news

Total CPR since 1st November 2012 – 84073 trained

Media advocacy through Web Media

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press release

Weight gain precedes the onset of diabetes

Weight gain after age of 18 years in women and 20 years in men also increases the risk of type 2 diabetes said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & National Vice President IMA.

The Nurses’ Health Study, compared women with stable weight (those who gained or lost <5 kg) after the age of 18 years to women who gained weight.

Those who had gained 5–8 kg had a relative risk of diabetes of 1.9; this risk increased to 2.7 for women who gained 8-11 kg.

Similar findings were noted in men in the Health Professionals Study.

Thus, the excess risk for diabetes with even modest weight gain is substantial.

Weight gain precedes the onset of diabetes. Among Pima Indians (a group with a particularly high incidence of type 2 Diabetes), body weight gradually increased 30 kg (from 60 kg to 90 kg) in the years preceding the diagnosis of diabetes.

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 84073 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."

emedipicstoday emedipics

Suraj Bhan D.A.V. Public School students learned CPR–10

press release

Avoid these foods for a healthier heart

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

In post–operative intensive care unit, five patients developed postoperative wound infection on the same day. The best method to prevent cross infection occurring in other patients in the same ward is to:

1. Give antibiotics to all other patients in the ward.
2. Fumigate the ward.
3. Disinfect the ward with sodium hypochlorite.
4. Practice proper hand washing.

Yesterday’s Mind Teaser: A primigravida at 37 week of gestation reported to labour room with central placenta praevia with heavy bleeding per vaginum. The fetal heart rate was normal at the time of examination. The best management option for her is:

1. Expectant management.
2. Caesarean section.
3. Induction and vaginal delivery.
4. Induction and forceps delivery.

Answer for yesterday’s Mind Teaser: 2. Caesarean section.

Correct answers received from: Dr N K Agarwal, Rakesh Khan, Dr.Bitaan Sen & Dr.Jayashree Sen, Abhay Naik, Dr Pankaj Agarwal, DR. BIPIN Vyas, Muthumperumal Thirumalpillai, Dr Ajay Gandhi, Dr Laxmikant Goyal, Dr. P. C. Das, DR.A.K.GAJJAR, Dr Prakash Khalap,

Answer for 4th January Mind Teaser: 2. Medical Management.

Correct answers received from: DR AVTAR KRISHAN, Dr Manjit Mohi, soni brijesh, Dr Laxmikant Goyal

Send your answer to ijcp12@gmail.com

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medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

A man was complaining to a railroad engineer. What’s the use of having a train schedule if the trains are always late?

The railroad engineer replied, "How would we know they were late, if we didn’t have a schedule?"

medicolegal update

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medicolegal update

Situation: A patient of pulmonary Koch on ATT complained of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure that in patients talking ATT (including INH) B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

medicolegal update

It’s purity of heart that matters, not the external appearance. Because helping hands are always better than praying lips.

medicolegal update

Dr KK Aggarwal: Life after death Part 1: http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Joy Peace Knowing are closer to you than your next thought

medicolegal update
  1. Dear Sir, very good newspaper. Regards: Dr Tapan

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