eMedinewS8th October 2013, Tuesday

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
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Coffee protects from liver cancer

Coffee consumption is inversely related to the risk of cirrhosis or hepatocellular carcinoma (HCC). However, the protective effect of coffee drinking against the risk of HCC was not established in HBV–prevalent region.

A hospital–based case–control study was performed in 1364 subjects. A total of 258 HCC patients, 480 health–check examinees (control 1, HCE) and 626 patients with chronic liver disease other than HCC (control 2, CLD) were interviewed on smoking, alcohol and coffee drinking using a standardized questionnaire. HBV e–antigen (HBeAg) status and serum HBV DNA levels were measured in patients infected with HBV.

After adjustment for age, gender, obesity, DM, presence of hepatitis virus (except for HCE) and lifetime alcohol drinking/smoking, a high lifetime coffee consumption (=20 000 cups) was an independent protective factor against HCC, in each analyses using healthy and risky control groups respectively.

However, the high coffee consumption did not affect the HCC risk in patients with HBV after adjustment for HBeAg status, serum HBV DNA level and antiviral therapy.

A high lifetime coffee consumption was negatively associated with a HCC development. However, this difference of coffee exposure with the HCC group was reduced in chronic hepatitis B patients by the dominant role of viral replication. (Liver International. 2013;33(7):1092–1099.)

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 3rd Navratri

sprritual blog

On 3rd Day control aggression in the mind (lion), which is of a natural occurrence by this time during detoxification by keeping a balanced mind (trishul) through persisting in one’s efforts of controlling the desires (beaded rosary) by practicing detached attachment (lotus) and accepting things as they are (Kamandalu) in an egoless state (bow). This can be done by starting to think differently (third eye) and by using one’s qualities of sharp intelligence (sword), focusing on one point (arrow and bow) and killing negative energies by using your power (mace or gada). Chandraghanta is worshipped on the third day of Navratri. SHE is shown with golden skin and riding a tiger. She is depicted with ten hands and 3 eyes with a crescent moon on the head.

Eight of HER hands display weapons. The rest two are in the mudras or gestures of boon giving and stopping harm (Varada and abhay mudra) indicating protection. Five out of her eight hands contain:

1&2: Bow and arrow (to bend, focus, one point determination. The bow and arrows also represent energy. Holding both the bow and arrow in one hand indicates control over both potential and kinetic energies)

1. Trishul (balance)
2. Sword (sharp intelligence)
3. Mace (power to destroy the evil)

The remaining three hands contain

1. Rosary (tapas)
2. Lotus (detached attachment)
3. Kamandalu (acceptance)

In Ayurveda, SHE represents the control over the fire element. In Yogashastra, SHE represents the solar or Manipura Chakra with the Bija sound RAM.

Sound of her bell terrifies demons as well as all enemies. SHE represents protector and bravery.

cardiology news

The 2 wolf story

You might have heard the story about the two wolves. If not, here is the refresher.

The old man told his son that a battle between two wolves inside each one of us goes on all the times. First wolf is the Evil character wolf; it produces germs of anger, envy, sorrow, greed, arrogance, stress, lies and tension in our minds. Whereas, the second one is Good character wolf; it generates the energy for hope, peace, happiness, truth, generosity and ethics in our mind, heart and soul. The son asked, so who wins the battle? The old man replied, the one which you feed more!

The story has a superb driving force motivating us to do our self audit. The question is that which wolf we feed daily and how much? If we surround ourselves in negative character people, do back biting, leg pulling, learning tricks to deceive people and talk pessimist events or ideas then definitely we are strengthening the Evil Wolf. On the contrary, if we spend our times with nice and positive people, read good books, focus on solutions, and assist people in resolving their problems then we are encouraging the Good Wolf to overcome the Evil one. In the long run, the Wolf represents our character because eventually our character gets molded either in to a Good Wolf or Evil Wolf.

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

  • A bivalent norovirus vaccine protected patients against severe vomiting and diarrhea symptoms, as well as viral shedding, according to a new research reported during the IDWeek meeting. Compared with patients treated with placebo in a phase I/II trial of the vaccine, no patients who received the norovirus vaccine reported severe vomiting and/or diarrhea (0% versus 8.3%), and norovirus symptom severity was significantly reduced among those in the treatment group (20% versus 41.7%, P=0.028). At 10 days after receiving the vaccine, fewer patients shed the virus (22.4% versus 36.2%), though this difference was not significant.
  • In a new study reported in the October issue of Chest, the forced expiratory volume in 3 seconds relative to forced vital capacity (FEV3/FVC) was abnormal in some patients with otherwise normal spirometry, suggesting that it could serve as a simple measure of early lung disease. A low FEV3/FVC in the setting of a normal FEV1/FVC was associated with mild airway obstruction and early lung injury by other measures. That group had significantly higher mean predicted total lung capacity, residual volume, and ratio of the two but significantly lower FEV1, inspiratory capacity and diffusing capacity of lung for carbon monoxide (CO) compared with patients who fell in the normal range for both FEV3– and FEV1–to–FVC ratios.
  • Flu vaccination sharply reduced the risk of community–acquired pneumonia, one of the most serious complications of influenza. Carlos Grijalva, MD, of Vanderbilt University in Nashville, Tenn reported in a case test–negative study that flu vaccination was associated with a 59% reduction in the risk of being admitted to hospital with pneumonia. However, vaccine efficacy appeared to be higher in children than in adults
  • Older patients with diabetes who are overly tired during the day may be at a higher risk for hypoglycemia. In a subgroup analysis from a large observational study, patients who had higher scores on two different scales of daytime sleepiness were significantly more likely to have suffered from severe hypoglycemia (P=0.016 and P=0.024, respectively), Rebecca Reynolds, PhD, of Queen’s Medical Research Institute in Edinburgh in Scotland, and colleagues reported online in Diabetes Care.
  • Factors that helped predict which patients with Parkinson’s disease would fall repeatedly included gait and cognitive ability. Among a cohort of 94 patients who had never fallen, factors that were associated with becoming a recurrent faller included step velocity, step time and cognition. Lynn Rochester, PhD, of Newcastle University in Newcastle upon Tyne, England presented her findings at the World Parkinson Congress.

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Rabies News (Dr. A K Gupta)

Why do dogs always keep their mouth open with tongue protruding out?

Dogs do not sweat through the skin. They exchange most of their heat through the mouth, and extend the tongue to increase the surface exposed to the air.

cardiology news
  • Sleep–disordered breathing (SDB) identified during acute decompensated heart failure (ADHF) hospitalization, especially central sleep apnea (CSA), predicted elevated cardiac readmission risk at three and six months and a two–thirds increase in mortality at three years in a prospective cohort study presented at the Heart Failure Society of America 2013 Scientific Meeting. The authors of the study suggest that routine screening and treatment for central or obstructive sleep apnea (OSA) in hospitalized heart–failure patients might be a useful strategy for bringing down ADHF readmission rates and associated late mortality. The lead author of the study, Dr Rami N Khayat, Ohio State University, Columbus said that although sleep studies are not usually performed after admissions for HF, he recommends that they be routinely included for patients without a prior diagnosis of SDB "early on in the hospitalization
  • One of 3 patients who arrived at the emergency department with pulmonary embolism (PE) were misdiagnosed before being sent home or hospitalized, according to a retrospective observational study published online September 23 in the American Journal of Emergency Medicine. Chronic lung conditions such as asthma frequently contributed to the delay in diagnosis. Although prompt diagnosis can improve patients’ health outcomes, correctly diagnosing PE remains challenging.

Valvular Heart Disease News

Percutaneous balloon valvotomy is not indicated in patients with mitral obstruction due to mitral annular calcification.

(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
  • According to a prospective birth cohort study, the risk of celiac disease was higher in children introduced to gluten after 6 months of age and in those breastfed longer than 12 months. Children introduced to gluten at 7 months of age or beyond were 27% more likely to develop celiac disease by age 2, according to Ketil Stordal, MD, PhD, from the Norwegian Institute of Public Health in Oslo, and colleagues. The study findings are published in the journal Pediatrics.
  • Resistance training is good for kids, but needs to be supervised and tailored for them by a qualified professional, according to a consensus statement by 20 doctors and fitness experts. The statement appears in the British Journal of Sports Medicine and is endorsed by the American Academy of Pediatrics, the International Federation of Sports Medicine and the U.S. National Collegiate Athletic Association (NCAA). The authors point out that resistance training –– which can include light free weights, resistance bands or medicine balls, as well as push–ups and other body–weight–bearing exercises –– can benefit young bodies and prepare them for active lives. Childhood is the best time to use weight-bearing activity to build bone mass and kids are less likely to suffer sprains than adults, according to the consensus statement.
cardiology news

Legumes may aid glycemic control, cut lipids

Eating more beans and chickpeas help improve glycemic control and lower total cholesterol and triglycerides in patients with type 2 diabetes. In a randomized controlled trial, patients who ate at least an additional cup of legumes per day had a greater reduction in HbA1c than patients who increased their insoluble fiber consumption for 3 months as per David Jenkins, MD, PhD, of the University of Toronto in the Archives of Internal Medicine. The diet significantly lowered mean total cholesterol and triglycerides, without any changes in HDL cholesterol levels.

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

Diabetes and heart patients beware during Navratri fasts

Fasting during Navratri carries a risk of complications for diabetic patients, 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 released the following facts about Navratri diet for those who have diabetes:

  1. Patients with type 1 diabetes should not fast.
  2. Diabetic patients should not end fast immediately if their blood sugar level falls below 60 mg.
  3. Fast should also be broken if blood sugar is less than 70 mg per percentage in the first few hours after the start of the fast.
  4. The risk associated with fasting is low in type 2 diabetes, which is well controlled with diet alone. But there is a potential risk of post meal high blood sugar if the patients overindulge in eating.
  5. Type 2 diabetic patients on diet control who also follow a regular daily exercise program should modify their exercise program and not do it when they are fasting. They should exercise only after 2 to 3 hours of post sunset meal.
  6. In diabetics with uncontrolled high blood sugar and high cholesterol, restriction of fluids intake during the day can precipitate dehydration leading to paralysis and heart attack.
  7. Patients on metformin alone can fast as the possibility of low blood sugar is minimal. Two–third of the normal dose of metformin should be given immediately before post sunset meal and remaining one–third can be given in the morning if they take a fruit–based breakfast. Similarly patients on pioglitazone can fast without any change in the dosage pattern.
  8. Diabetic patients who are on sulfonylurea drugs should talk to their doctors before fasting. Only glimepiride and gliclazide, which have also lower risk of low blood sugar can be given during fast but under medical supervision. Sometimes these drugs may be shifted to short–acting drugs like repaglinide during the period of the fast again under medical supervision.
  9. Patients who are taking insulin and taking only one meal a day may have to adjust the dose of their insulin and the requirement of insulin may reduce up to 40%.
  10. Most diabetic patients during fast will be controlled on a single dose of plain insulin before the major meal or longer–acting insulin at bed time.
  11. Patients on plain insulin should talk to their doctor whether they need to shift to lispro insulin instead of regular insulin to reduce chances of low blood sugar.
  12. Fasting diabetic patients who take heavy dinner may have to accordingly modify their insulin dose.
  13. Simultaneously the dose of high blood pressure drugs may be reduced up to 40% during Navratri fasts.

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

Dr KK Aggarwal Live on Lok Sabha TV - 7th October 2013

press release

Depression made easy

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…………………

Dilute Russell viper venom test is used to diagnose………

A. Anticardiolipin
B. Antibiotic against prothrombin
C. Lupus anticoagulant
D. Anti–beta2–glycoprotein 1 antibodies

Yesterday’s Mind Teaser: The most common manifestation of cutaneous adverse reaction to food is………

A. Acute urticaria
B. Pruritus
C. Flare of atopic dermatitis
D. Contact urticaria

Answer for yesterday’s Mind Teaser: A. Acute urticaria

Correct answers received from: Dr Prakash Khalap, Prabha Sanghi, Dr Jainendra Upadhyay, Dr. P. C. Das, Dr.K.V.Sarma, DR AYYAVOO ERODE, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr P.K Sahu, D. Deepali chatterjee, Dr B K Agarwal, DR SAMEER PEKHALE, Dr Ayyavoo Erode

Answer for 6th October Mind Teaser: D.IX AND X

Correct answers received from:Dr.K.V.Sarma, Dr Ayyavoo Erode

Send your answer to ijcp12@gmail.com




medicolegal update

Click on the image to enlarge

medicolegal update

Men are very Kind and Women are very Selfish!

Wanna Proof??

Most women don’t like to help unknown men; but all men are ready anytime to help unknown women. Aurat ke dil mein sirf uske lover ya pati ke liye jagah hoti hai… But Aadmi ka dil itna bada hota hai ki us mein…

Dost ki girlfriend.
Biwi ki friends.
Saamne waali.
Baaju waali.
Oopar waali.
Neeche waali.
Kaam waali.
Apni saali.
Bhai ki saali.
Behan ki nanad.
Kids ki madams.
aur
Thodi Bahut biwi ke liye bhi jagah hoti hai…

Sach mein Aadmi ka dil bahut bada hota hai… Meri toh aankhe bhar aayi…

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A 28–year–old pregnant woman was advised erythromycin estolate for her upper respiratory tract infection. A week later she developed jaundice.
Reaction: Oh my God! You should have prescribed erythromycin stearate instead of estolate.
Lesson: Make sure to remember that higher incidence of hepatitis with cholestatic jaundice occur in pregnancy with erythromycin estolate.

medicolegal update

What other people say

You have to forget about what other people say, when you're supposed to die, or when you’re supposed to love. You have to forget about all these things. Jimi Hendrix

medicolegal update

Dr KK Aggarwal: Obsessively yours: Signs That You May Have OCD http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Just as a wave is a movement of the whole ocean, you are the energy of the cosmos. Don't underestimate your power.

medicolegal update

Dear Sir, emedinews is really very informative. Regards: Dr Saroj

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

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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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