eMedinewS7th February 2014, 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.facebook.com/Dr KKAggarwal

Promising Medical Advances

Insights into brain injury

A study by NIH researchers provided insight into the damage caused by mild traumatic brain injury and suggested approaches for reducing its harmful effects.

Stem cells coaxed to create working blood vessels

In an NIH–funded study, scientists were able to direct human stem cells to form networks of tiny blood vessels that can connect to the existing circulation in mice

Genomic analysis of endometrial tumors

The findings, by an NIH–funded research network, suggest that genomic classification of endometrial tumors could help guide treatment strategies.

Common genetic factors found in 5 mental disorders

Autism, attention deficit hyperactivity disorder (ADHD), bipolar disorder, major depression, and schizophrenia were traditionally thought of as distinct mental disorders. An international research consortium funded by NIH discovered that these disorders share certain genetic glitches.

Vaccine clears away monkey AIDS virus

Current therapies can control but not eliminate the virus. In an NIH–funded study, an experimental vaccine triggered a lasting immune attack in monkeys that eliminated all traces of SIV infection after a year or more.

Method quickly assesses antibiotics

NIH–funded scientists developed an innovative method to quickly identify antibiotics that can treat multidrug–resistant bacteria—and reveal how these bacteria-killing medications work.

Strategy may improve survival after shock

An NIH–funded study of rats found that blocking digestive enzymes in intestines increases survival, reduces organ damage, and improves recovery after shock. The approach may lead to new therapies to improve patient outcomes.

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
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Think Differently

sprritual blog

There are three ways to manage stress. One is to think opposite, second is to think different and the third is to think positive.

Thinking opposite was advocated by Patanjali, thinking differently by Adi Shankaracharya and thinking positive by Gautam Buddha. Out of three approaches, the Indian Vedic philosophy focuses on thinking differently. Thinking positive and thinking opposite may not be feasible at the time of any adversity.

Thinking differently has been emphasized in mythology at multiple places. The 10 heads of Ravana, five heads of Brahma, elephant head of Lord Ganesha, fish incarnation of Lord Vishnu and third eye of Lord Shiva remind us of the principle of thinking differently.

We can see or analyze a person or a situation with the eyes of our physical body (physical eye) or eyes of the mind (thinking and analyzing) and eyes of the soul (conscious based decision).

Lord Buddha once said that a good action should be based on truth, should be necessary and bring happiness both for the person doing it and the society.

The 3H principle advocated in the West is also based on the same, which means before any action think from your Head and from multiple options available, choose from the Heart and then order the Hands to do the job.

The first incarnation of Lord Vishnu Fish indicates the capacity of swimming against the stream. The third eye of Lord Shiva symbolizes thinking from the mind and choosing the right answer from the heart. The 10 heads of Ravana and five heads of Brahma also indicate thinking to get multiple options.

The example of thinking differently comes from the dialogue between Urvashi and Arjuna. Once Urvashi in a mind full of Kama went to Arjuna and said "If you are not going give me a son like you today, I am going to curse you".

Arjuna was in a dilemma but he thought differently and said – "Why do you want to wait for 25 years to get a son like me from today I am your son, Mother."

cardiology news

A Pillow and a Blanket

A long time ago, a young, wealthy girl was getting ready for bed. She was saying her prayers when she heard a muffled crying coming through her window. A little frightened, she went over to the window and leaned out. Another girl, who seemed to be about her age and homeless, was standing in the alley by the rich girl’s house.

Her heart went out to the homeless girl, for it was the dead of winter, and the girl had no blanket, only old newspapers someone had thrown out. The rich girl was suddenly struck with a brilliant idea. She called to the other girl and said, "You there, come to my front door, please."

The homeless girl was so startled she could only manage to nod. As quick as her legs could take her, the young girl ran down the hall to her mother’s closet, and picked out an old quilt and a beat up pillow. She had to walk slower down to the front door as to not trip over the quilt which was hanging down, but she made it eventually. Dropping both the articles, she opened the door.

Standing there was the homeless girl, looking quite scared. The rich girl smiled warmly and handed both articles to the other girl. Her smile grew wider as she watched the true amazement and happiness alight upon the other girl’s face. She went to bed incredibly satisfied.

In mid–morning the next day a knock came to the door. The rich girl flew to the door hoping that it was the other little girl there. She opened the large door and looked outside. It was the other little girl. Her face looked happy, and she smiled. "I suppose you want these back." The rich little girl opened her mouth to say that she could keep them when another idea popped into her head.

"No, I want them back." The homeless girl’s face fell. This was obviously not the answer she had hoped for. She reluctantly laid down the beat up things, and turned to leave when the rich girl yelled, "Wait! Stay right there."

She turned in time to see the rich girl running up the stairs and down a long corridor. Deciding whatever the rich little girl was doing wasn’t worth waiting for she started to turn around and walk away. As her foot hit the first step, she felt someone tap her on the shoulder, turning she saw the rich little girl, thrusting a new blanket and pillow at her.

"Have these." she said quietly. These were her own personal belonging made of silk and down feathers. As the two grew older they didn’t see each other much, but they were never far from each other’s minds. One day, the Rich girl, who was now a Rich woman, got a telephone call from someone, a lawyer saying that she was requested to see him. When she arrived at the office, he told her what had happened.

Forty years ago, when she was nine years old, she had helped a little girl in need. That grew into a middle–class woman with a husband and two children. She had recently died and left something for her in her will. "Though," the lawyer said, "it’s the most peculiar thing. She left you a pillow and a blanket."

News Around The Globe

6th International Conference "Recent Advances in Cardiovascular Sciences" 31st January &1st February, 2014

Dr. Pawan K. Singal, PhD, DSc.Dean & Principal of HIMSR and Professor and Head of the Department of Medicine/Preventive Cardiology, Jamia Hamdard, New Delhi

Dr Shridhar Dwivedi, MD Medicine (IMS, BHU), FRCP (London, UK), PhD (Cardiology) BHU, FAMS–National Academy of medical Sciences (India), FIACS (International Academy of Cardiovascular Sciences (Canada), Postgraduate Diploma in Health Planning and Administration (Leeds University, UK) former Head of the Department of Medicine, Delhi University and UCMS–GTB Hospital, Delhi; is currently Dean⁄Principal, & Professor of Medicine⁄Preventive Cardiology HIMSR & Associated HAHC Hospital, Hamdard University, New Delhi. He is an avid researcher and has contributed immensely in the field of ‘Preventive Cardiology’, medicinal plants and life style diseases. Has published over 200 research papers and abstracts in reputed national and international journals. His work on Terminalia arjuna and young CAD is a much cited work.

Recipient of several awards and orations notable among them are: Government of Delhi State Award for distinguished award, Distinguished Aluminus Award of BHU, General Amir Chand Oration Award of National Academy of Medical Sciences, Dr. PJ Mehta Oration of API, IJMS Oration–2013 ‘Publication Ethics and Plagiarism’, Dr. S Radhakrishnan Award for Teachers, Prof. PC Dandiya Oration, Prof. RC Shukla Oration of KGMU, Lucknow, etc. Dr Dwivedi is rated to be an excellent teacher and a wonderful human being.

Topic: Strategy to Prevent Cardiovascular Epidemic – Time to Act is now

India is dominantly a young country. Currently it has more than 50% of its population below the age of 25 and more than 65% below the age of 35. It is expected that, in 2020, the average age of an Indian will be 29 years, compared to 37 for China and 48 for Japan. However, despite being young, cardiovascular diseases particularly coronary artery disease (CAD) has been constantly on ascending graph in India that too in lower socioeconomic group of people. It is said that an estimated 31.8 million people are suffering from CAD. Moreover, the prevalence of diabetes in the urban population has doubled in last 25 years. IDF projection for 2025 suggests that India is going to have almost 64 million diabetics (i.e. more than double the population of diabetes at present).This will cause huge loss to country’s economy as it will involve productive and active age group.

According to a recent projection about 6 trillion $ would be required to manage the cardiovascular and other non communicable diseases. The situation becomes gloomier if we consider the fact that a large number of asymptomatic and subclinical cases have not been taken into account in ‘tip of the iceberg’ symptomatic pool. Further, young asymptomatic patients typically do not undergo medical investigations leading to the serendipitous discovery of CAD.As the seeds of the cardiovascular diseases are sown during conception itself and undergo subclinical phases of pre–diabetes, pre–hypertension, pre–atherosclerosis, pre–obesity, metabolic syndrome, non alcoholic fatty liver disease etc.; the most cost effective step to contain this epidemic is to recognize these signs at the earliest and implement immediate preventive measures. Thus it is utmost crucial to adopt health promotive measures right during conception even before the onset of risk factors or at a stage when risk factors are at subclinical stage.

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

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Rabies News (Dr. A K Gupta)

Can the wound be deepened for cleaning purpose?

We should never try to deepen the bite wound. Deepening of wound for cleaning depends on area of injury, extent of injury and the aim should be to preserve as much tissue as possible and to excise only the dead tissue.

cardiology news

Avoid drunk or drugged driving

The dangers of drinking alcohol and driving are well known to all. But, it is also important to recognize that taking drugs and driving too can be as dangerous, Drugged driving or driving under the influence of any drug that acts on the brain can adversely affect your, vision, reaction time and judgment and driving skills. This not only endangers your life but also of your co–passengers as well as others on the road.

Tips for safe driving

  • All through the year, especially during the holiday season, take steps to make sure that you and everyone you celebrate with avoids driving under the influence of alcohol or other drugs.
  • Always designate a non–drinking driver before any holiday party or celebration begins.
  • Arrange for someone to pick you up
  • Do not let a friend drive if you think that they are impaired. Take the car keys.
  • Stay overnight at your friend’s place, if possible and drive back home in the morning.
cardiology news

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

  • American adults consume on average about 15% of their calories from sugars added to foods during processing, with a whopping 37% of the added sugar consumed in sugar–sweetened beverages, suggests an analysis of data extending back about 25 years and published online February 3, 2014 in JAMA Internal Medicine. Moreover, the study projects that regularly drinking as little as one 12–ounce sugary soda a day may increase the risk of cardiovascular disease by about 30%—independent of total calories, obesity, or other risk factors. The study is published in
  • Elevated and increasing blood pressure trajectories throughout young adulthood strongly predicted subclinical atherosclerosis during middle age, researchers found in a 25–year study in the Feb. 5 issue of the Journal of the American Medical Association. Compared with participants with the best blood pressure profiles over the 25–year follow–up (low–stable group), those with the worst profiles (elevated–increasing blood pressure) were 3.7–times as likely to have a coronary artery calcification (CAC) score of 100 HU or greater. The study confirmed that blood pressure trajectories throughout young adulthood vary, and that higher blood pressure trajectories are associated with an increased risk of coronary artery calcification. The findings also suggest that long–term patterns of blood pressure changes starting in early adulthood may be clinically useful for predicting future cardiovascular risk, the researchers noted.
cardiology news

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

  • A downward trend in outpatient antibiotic prescribing for children may have reached a plateau, according to an article published online February 2 in Pediatrics. In fact, in some areas, prescribing rates may have started inching back up.
  • Children born prematurely and diagnosed with severe retinopathy are at increased risk of having nonvisual disabilities by the time they reach age 5 years, according to a study published in the February 5 issue of JAMA.
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

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press release

Chocolate, not tea, good for the heart

Regular consumption of polyphenol–rich cocoa products like dark chocolate may be considered a part of dietary approaches to lower BP, provided there is no total gain in calorie intake, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

Drug treatment is the basis of blood pressure control, and it should always be accompanied by lifestyle measures such as exercise and proper diet.

The recommendation is an occasional cup of cocoa but not chocolate milk, because it is high in sugar and fat.

According to a survey of medical literature by German researcher, Dr. Dirk Taubert from the University Hospital of Cologne, Cocoa–rich products help lower high blood pressure and not tea. They covered 10 studies on cocoa that included 173 participants and five tea studies with 343 participants. The cocoa studies lasted an average of two weeks, with four out of five trials reporting a reduction in both systolic and diastolic BP.

The average reduction was 4 to 5 mm HG in systolic pressure and 2 to 3 mm in diastolic pressure –– enough to reduce the risk of stroke by 20 percent and of coronary heart disease by 10 percent. No such reduction in blood pressure was noted in any of the tea trials, which lasted an average of four weeks. Tea and cocoa contain different kinds of polyphenols –– flavan–3–ols in tea, procyanids in cocoa.

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."

emedipicstoday emedipics

CPR 10 and First Aid Training, Chinmaya Vidyalaya at Vasant Vihar, Delhi 4th February 2014

press release

Longer CPR efforts may improve survival chances

vedio of day

today video of the dayHands only CPR 10 Utsav, 15th December 2013

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

Cultural Evening at IMA

eMedi Quiz

Presence of food might be expected to interfere with drug absorption by slowing gastric emptying, or by altering the degree of ionization of the drug in the stomach. Which of the following statements is not correct?

1. Absorption of digoxin is delayed by the presence of food.
2. Concurrent food intake may severely reduce the rate of absorption of phenytoin.
3. Presence of food enhances the absorption of hydrochlorothiazide.
4. Anitimalarial drug halofantrine is more extensively absorbed if taken with food.

Yesterday’s Mind Teaser: The extent to which ionisation of a drug takes place is dependent upon pKa of the drug and the pH of the solution in which the drug is dissolved. Which of the following statements is not correct?

1.pKa of a drug is the pH at which the drug is 50% ionized.
2.Small changes of pH near the pKa of a weak acidic drug will not affect its degree of ionisation.
3.Knowledge of pKa of a drug is useful in predicting its behaviour in various body fluids.
4.Phenobarbitone with a pKa of 7.2 is largely ionized at acid pH and will be about 40% non-ionised in plasma.

Answer for yesterday’s Mind Teaser: 4.Phenobarbitone with a pKa of 7.2 is largely ionized at acid pH and will be about 40% non-ionised in plasma.

Correct answers received from: Abhay Naik, Arvind Gajjar, Dr Jainendra Upadhyay, Dr.K.V.Sarma, Dr.Chandresh Jardosh, Dr Ajay Gandhi, Dr Avtar Krishan, Muthumperumal Thirumalpillai

Answer for 5th February Mind Teaser: 1. Cell Wall

Correct answers received from: Dr.K.V.Sarma, Dr Avtar Krishan, Muthumperumal Thirumalpillai

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Science Lesson

Miss Jones had been giving her second-grade students a lesson on science. She had explained about magnets and showed how they would pick up nails and other bits of iron. Now it was question time, and she asked, "My name begins with the letter ‘M’ and I pick up things. What am I?"

A little boy on the front row proudly said, "You’re a mother!"

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A hypertensive with obstructive sleep apnea (OSA) was not responding to CPAP?
Reaction: Oh my God! Why was an antihypertensive drug not started?
Lesson: Make sure that all hypertensives with OSA are given anti–HT drugs in addition to CPAP (Continuous positive airway pressure therapy). In a randomized crossover trial of 23 patients with OSA and systemic hypertension, an anti–hypertensive medication (valsartan 160 mg per day) lowered the mean 24–hour blood pressure significantly more than CPAP therapy alone (Am J Respir Crit Care Med 2010;182:954).

medicolegal update

The bad news is time flies. The good news is you’re the pilot. Michael Altshuler

medicolegal update

Dr KK Aggarwal: Heart disease starts in young age http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Cravings and false hunger are not the same as giving your body the fuel it needs http://bit.ly/WAYHF_DC #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

medicolegal update
  1. Positive attitude… I like it very much: Dr Vinod Agarwal

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