eMedinewS7th January 2014, Tuesday

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

Dear Colleague Watch my show on Zee News @ Health Wealth: Depression

Vegetarian diet for children

  • Children can safely take vegetarian diet and attain normal weight, growth and development.
  • Children need three meals and three snacks per day.
  • The intake of fat should not be restricted for children younger than 2 years of age.
  • For older children, food higher in unsaturated fats such as nuts, seeds power should be included to help nutritional energy needs.
  • Vitamin B12 is deficient in vegetarian diet, such children should consume regular and reliable source of Vitamin B12 either through fortified foods or oral B12 supplements.
  • Most of the foods do not contain vitamin D. The only source is enough sunlight exposure or fortified milk (not available in India).
  • Vitamin D supplements can be given to those who do not get sunlight exposure.
  • Plant based low quality protein products may be deficient in essential amino acids.
  • Vegetarian diet is usually deficient in omega 3 fatty acids. Therefore, such children should be given flaxseed, walnuts, soya or canola oil.
  • Children should be given adequate fiber in the diet.
  • Fruits should be preferred than fruit juices.
  • Children who do not drink milk should receive either calcium rich or fortified food or a calcium supplement.
  • Children are at risk for iron deficiency. A source of vitamin C should be provided at each meal to significantly increase the absorption of iron.  Diet containing tannin should be avoided.
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."

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

Why do we regard trees and plants as being sacred?

sprritual blog

The upper part of the plants, the leaves, flowers and fruits are worshipped as sacred and offered to God. As per the Bhagwad Gita, these have satvik properties. Roots of any plant are tamsik and not offered in pooja or eaten during pooja days. The same is true for the stems of plants, which have rajsik properties.

Fresh and live fruits have the same spirit and life force as in the human beings and are considered sacred the same way as any human being.

Human life also depends on plants and trees. They give us the vital factors that make life possible on earth: food, oxygen, clothing, shelter, medicines etc.

Ancient scriptures suggest the planting of a minimum of ten trees. We are also urged to apologize to a plant or tree before cutting it to avoid incurring a specific sin named soona.

Many trees and plants like tulsi, peepal etc., which also have medicinal value, are worshipped.

cardiology news

Fill me, Lord

Fill me with the fruits of your Spirit, Lord.

Fill me with love, so that I seek to understand and appreciate the rich variety and diversity of life that surrounds me.

Fill me with joy, so that I celebrate your presence in each and every moment I am on this earth.

Fill me with peace, so that I know how to ease those angry and sometimes violent urges that well up inside of me.

Fill me with patience, so that I stop rushing long enough to witness your miraculous work taking place all around me (and within me!)

Fill me with kindness, so that I take the extra time to help the one in need, even when it isn’t convenient for me.

Fill me with faithfulness, so that I place my mind, heart and all that I do in the service of your Gospel.

Fill me with gentleness, so that others know that I believe in a God who loves and cares for all people.

Fill me with self–control, so that I act not on my impulses and urges, but rather on my beliefs and values, which are rooted in you.

Fill me with these fruits of your spirit, Lord!

News Around The Globe

News

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

  • Surgical resection of huge hepatocellular carcinomas was linked with better survival outcomes versus transarterial chemoembolization (TACE), according to a study in Clinical Hepatology. Surgical resection as the first treatment for huge hepatocellular carcinomas was associated with higher 1–, 2–, and 3–year overall survival rates (69.7%, 58.6%, and 51.7%, respectively) compared with TACE (40.2%, 33.9%, and 18.5%, respectively).
  • Researchers have discovered a pathway by which hyperglycemia contributes to vascular complications in diabetes, suggesting a new target for treatment. The findings are published in Science Signaling.
  • A multinational group of experts has developed a set of 10 recommendations for the diagnosis and treatment of gout, derived from the "3e" initiative –– evidence, expertise, exchange –– and based on what the group considered the most important clinical questions today published in the February issue of Annals of the Rheumatic Diseases. The 3e initiative is a collaboration among practicing rheumatologists and experts from Europe, South America, and Australasia that aims to increase evidence–based practice in rheumatology.
  • Exposure to antibiotics other than penicillins, in particular metronidazole and quinolones, was associated with new-onset Crohn’s disease, based on a meta–analysis of observational and case–control studies presented at a conference on inflammatory bowel diseases.
  • Suicidal thoughts are common in patients with systemic lupus erythematosus (SLE) and are more intense in patients with depressive symptoms, recent life events, cardiovascular damage and previous suicide attempts, according to a research in the journal Rheumatology.
  • Kerala’s maternal mortality rate (MMR) has shown an impressive drop of 15 points from 2007–09 and now stands at 66, according to the latest Sample Registration Survey (SRS) report 2010–12 published by the Centre, reports The Hindu, dated January 5, 2014. The State’s MMR, as per the SRS data of 2007–09, was 81 (per one lakh live births). India’s MMR too has dropped substantially by 34 points from 2007–09, when the MMR was 212, to 178 in the latest SRS report 2010–12. Kerala continues to hold the distinction of having the lowest MMR in the country. Though States such as Uttar Pradesh, Uttarakhand, and Rajasthan have brought in substantial reduction in MMR by over 60 points, the MMR of these States are still in three-digit numbers.

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Rabies News (Dr. A K Gupta)

A person started with PVRV wants to change over to HDCV or PCECV or PDEV or vice versa. What should be done?

The currently available TCVs such as HDCV, PCECV, PVRV, and PDEV, are all equally good and approved by WHO. All are interchangeable following non availability of one brand or due to allergy to one of the CCVs or PDEV. All are considered protective against different strains of rabies viruses in different parts of the world.

cardiology news

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

  • A diagnosis of type 2 diabetes before age 50 was associated with an increased risk of microvascular complications, based on a secondary analysis of data from the international ADVANCE trial. The risk of microvascular complications, such as eye and kidney disease, increased with disease duration but not with patient age. The risk of macrovascular complications, such as myocardial infarction, stroke, and cardiovascular events, as well as all–cause mortality, increased with both patient age and disease duration, according to findings presented at the World Diabetes Congress.
  • A phase 2b trial of CER–001 (Cerenis Therapeutics), an engineered complex of recombinant human apolipoprotein A1 (apoA1) (the major structural protein of HDL), has failed to show that the agent can reduce total atheroma volume in patients with acute coronary syndrome (ACS). CER–001 is intended to mimic natural, nascent HDL (also known as pre–beta HDL) and to transiently increase apoA1 and the number of HDL particles to accelerate reverse lipid transport.
cardiology news

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

  • According to a study in the journal Psychological Science, inflated praise is actually harmful for children with low self–esteem. The study also found that these children may actually shy away from new challenges in the wake of such excessive applause.
  • A new imaging technique for studying the structure of the respiratory syncytial virus (RSV) virion and the activity of RSV in living cells could help researchers unlock the secrets of the virus, including how it enters cells, how it replicates, how many genomes it inserts into its hosts – and perhaps why certain lung cells escape the infection relatively unscathed. That could provide scientists information they need to develop new antiviral drugs and perhaps even a vaccine to prevent severe RSV infections (ACS Nano).
cardiology news

Guidelines about Eating

Malnutrition and wrong dietary habits have been identified as major risk factors for ill health, including heart attacks. Most people below the poverty line suffer from malnutrition due to lack of calories, proteins and vitamins in their food. In the affluent society, overeating or eating wrong food results in over nutrition, a form of malnutrition leading to heart blockages.

In this context Heart Care Foundation of India has formulated guidelines about eating, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President–Elect IMA.

These include:

  • Eat only when you are hungry.
  • Do not eat for pleasure, social obligations or emotional satisfaction.
  • Eat at a slow pace
  • Eat less; dinner less than lunch.
  • Take small mouthfuls each time, chew each morsel well, swallow it and only then take the next morsel.
  • Do not eat while watching television, driving a car or watching sports events. The mind is absorbed in these activities and one does not know what and how much one has eaten.
  • Do not talk while eating and never enter into heated arguments. The stomach has ears and can listen to your conversation. It will accordingly send signals to the mind and heart.
  • Plan and decide in advance what and how much food you will be eating.
  • Use low fat or skimmed mild dairy products. For cooking, use oils which are liquid at room temperature.
  • Do not take red meat and if you are a non–vegetarian, you may take poultry meat or fish.
cardiology news

Total CPR since 1st November 2012 – 84073 trained

Media advocacy through Web Media

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press release

Do not engage in distracting activities while driving

As per a new NIH study, drivers "reach for the phone", text, engaging in task secondary to driving or move their eyes for 10% of the time while they are behind the wheels. This can end up with a crash or a near miss events in newly licensed teen drivers, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India and Sr. National Vice President Indian Medical association.

New drives are more likely to crash or have a near miss while dialing, 7–8 times more likely when reaching for a phone or other object, four time more likely when tensed and three times more likely when eating while driving.

Experienced drivers are twice as likely to crash or have a near miss while dialing a cell phone and have increased risk while engaging in other tasks.

Talking on cell phone does not increase that much risk but reaching for the phone and answering or dialing increases the risk.

The distractive activities are dialing, talking, reaching for a cell phone, reaching for another object in the car, adjusting car’s temperature or radio controls, eating, drinking, looking for a crash or looking for something else etc., adjusting mirror, seatbelt or window in the car.

Indian curry especially distracts especially if it spills and fall on the clothes.

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

No Blood Tests for TB

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

All of the following are known risk factors for development of endometrial carcinoma except:

1. Obesity.
2. Family History.
3. Use of Hormone Replacement Therapy
4. Early Menopause.

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: 4. Practice proper hand washing.

Correct answers received from: Dr KP Chandra, dr.kusum mahajan, Rajiv Ranjan, DR.A.K.GAJJAR, daivadheenam, Dr Ajay Gandhi, Dr shashi saini, Dr.K.Raju, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr BK Agarwal, Dr. PC Das, Dr AJ Dabawala

Answer for 5th January Mind Teaser: 2. Caesarean section.

Correct answers received from: Dr Gopal Shinde, DR AVTAR KRISHAN, daivadheenam, Dr. P C Das

Send your answer to ijcp12@gmail.com

indianoil
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centralbank
medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

History of Telecommunication

After having dug to a depth of 10 feet last year, Italian scientists found traces of copper wire dating back 100 years and came to the conclusion, that their ancestors already had a telephone network more than 100 years ago.

Not to be outdone by the Italians, in the weeks that followed, a Chinese archaeologist dug to a depth of 20 feet, and shortly after, a story in the China Daily read: ‘Chinese archaeologists, finding traces of 200 year old copper wire, have concluded their ancestors already had an advanced high–tech communications network a hundred years earlier than the Italian’s.

One week later, the Punjab Times, a local newspaper in India, reported the following: After digging as deep as 30 feet in his pasture near Amritsar, in the Indian state of Punjab, Dugdeep Singh, a self–taught archaeologist, reported that he found absolutely nothing. Dugdeep has therefore concluded that 300 years ago, India had already gone wireless.

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy as its side effect.

medicolegal update

When your Time is Good, Your Mistakes are taken As a Joke! But When Your Time is Bad, Even your Jokes are Noticed as Mistakes!

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 http://bit.ly/15QdVeB #Health

medicolegal update
  1. Lighten to Enlighten!
    This batch,
    1975,
    Stars each one of them,
    Out of this world,
    Born on earth
    Slated to be together,
    Together at ‘Sewagram’
    Humane touch,
    humane reasons!
    One of them all,
    A super–doc,
    A super–being,
    Shone brightly,
    Got things right,
    Clicked in the world
    With a work,
    Incomparable and impeccable,
    Enlightened the beings all over,
    Got the best of the land;
    Raised the name of–
    This batch
    Our batch
    "1975".
    For more he is Krishan,
    But for a few "He" is ‘Kissu’,
    The ‘Torch Bearer’ of The Batch 1975!

    –Dr. Rajesh Chauhan

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