eMedinewS8th March 2014, Saturday

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

Researchers Report Treatment Clears HIV in Second Baby

Evidence is increasing that treating HIV–positive babies within a few hours of birth can dramatically restrict –– and perhaps eliminate – infection. After nearly 2 years off anti-HIV therapy, the so-called Mississippi baby –– now 41 months old –– remains free of HIV, according to Deborah Persaud, MD, of Johns Hopkins University. Sensitive tests can find no sign of HIV viremia or replication–competent virus in the child, Persaud said at the annual Conference on Retroviruses and Opportunistic Infections. The baby, born at Long Beach's Miller Children’s Hospital, was given triple drug HIV therapy starting within 4 hours of birth to a mother with untreated HIV. Tests at birth showed the presence of HIV DNA in the baby and testing 36 hours later –– 32 hours after treatment was started –– showed a plasma viral load of 217 copies per milliliter. A spinal tap when the child was 6 days old showed 32 copies of HIV RNA per milliliter of cerebrospinal fluid, Persaud reported. But within days, almost all signs of HIV had disappeared. The plasma viral load, for instance, was and has remained undetectable, defined as fewer than 20 copies per milliliter. (MedPage)

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Zee News – Health Wealth Show

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Cancer Prevention–Health Wealth Zee News Show2
Potbelly Obesity–Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show1
Vitamin D Health Wealth
Pneumonia–Health Wealth Zee News Show
Sudden Cardiac Death
Depression
Can Alcohol be Prescribed as Medicine
Health Wealth: All about Paralysis

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

Values, Morals and Ethics

sprritual blog

Values

• Values are our fundamental beliefs. They are the principles we use to define that which is right, good and just.

• Values provide guidance to determine the right versus the wrong, the good versus the bad.

• They are our standards.

• When we evaluate anything we compare it to a standard.

• Typical values include: honesty, integrity, compassion, courage, honor, responsibility, patriotism, respect and fairness.

• Ethics are universal

Morals

• Morals are values which we attribute to a system of beliefs, typically a religious system, but it could be a political system of some other set of beliefs.

• These values get their authority from outside the individual– a higher being or higher authority (e.g. society).

• Right as defined by a higher authority.

• By that definition one could categorize the values listed above (honesty, integrity, compassion …) as "moral values" – values derived from a higher authority.

Ethics

• Ethics is about our actions and decisions.

• When one acts in ways that are consistent with our beliefs (whether secular or derived from a moral authority) we characterize that as acting ethically.

• When one’s actions are not congruent with our values – our sense of right, good and just – we view that as acting unethically.

• The ethics of our decisions and actions is defined socially, not individually.

cardiology news

A Touch of Heaven

It had been a very disheartening day. The doctors had given us the worst of news. Our daughter, who had just completed her first brain surgery to remove a tumor and was going through radiation treatments, was now officially given a two percent chance of survival as this type of cancer had no cure.

My wife and I decided to take our daughter to lunch before continuing our afternoon conversations. We went to a local restaurant where we sat in silence waiting for the waitress. Our daughter Molly wouldn’t hear of such sadness or silence so she played happily with crayons and paper while we sat and stared at the floor.

I noticed a very elderly couple sitting a few booths away; they too sat in silence never speaking a word. I couldn’t help but wonder what challenges they had faced in their life and if they ever faced such terrible news about a child of theirs.

We eventually ordered our lunch and still sitting in silence we ate what we could. At some point I became intrigued by the old couple and I watched them more intently with each passing minute. I thought to myself that they hadn’t yet spoken to each other and I wondered if it was the peace they were enjoying or the food or maybe both. However, at some point I lost interest and put my focus back on my lunch.

Molly was still talking away and enjoying her meal and her mom and I both listened and tried to be happy in her presence but it wasn’t going very well. All of a sudden I saw this hand come out of nowhere. It was huge and I could tell that it had been afflicted with arthritis. The knuckles were swollen and the fingers were crooked and off center. I couldn't take my eyes of that hand. The hand drifted down and landed on my daughter’s tiny six year old hand and as it did I looked up; it was the old woman who had been sitting with the old man in silence eating their lunch.

I looked into her eyes and she spoke, but not to me. She looked at my daughter and simply whispered, "If I could do more for you I would." And then she smiled and moved away to join her husband who had moved towards the door.

I heard a "Hey look, a whole dollar." Molly spoke with excitement as she discovered that the old lady had placed a crumpled one dollar bill on the back of her hand. I looked down and saw the dollar bill and quickly realized that it had been left behind by the old lady. I looked up to thank her, but she was gone. I sat stunned, not sure what had just happened and then I looked over at my wife. In almost unison, we broke out into a smile. The sadness of the day had been wiped out by the crippled hand and generous touch of an old lady.

The dollar, although exciting to Molly, was not what made us smile or begin to feel differently, it was the offer from an old lady who felt our hurt and our suffering. The crippled hand symbolized a healing touch and made us realize that we did not have to fight this battle alone; that others cared and wanted to help. We felt up–lifted and soon our day filled with more happy thoughts as we spent the rest of our lunch planning the next day at home with fun filled activities for everyone.

I will never forget that crippled arthritic hand that taught us such an important lesson. One does not have to go through life facing hardships all alone; the world is full of compassionate and understanding people. Even those that are suffering from their own afflictions have much to give to each other.

The hand that covered Molly’s on that day still covers it. And although Molly is no longer with me, I can see her holding hands with that old lady now, both hands perfect and both faces filled with smiles and laughter. And though Heaven has these two perfect angels now, the lessons that they both taught me will remain forever in my heart.

News Around The Globe

  • A simple vision test performed on the sidelines can improve the identification of concussion in sports players who have experienced a head injury. The study findings will be presented at the American Academy of Neurology (AAN) 66th Annual Meeting in Philadelphia, April 26 to May 3, 2014.
  • New findings published online February 19 in the American Journal of Obstetrics and Gynecology show that transvaginal and transabdominal surgical repair of vesicovaginal fistulas (VVF) have similarly positive effects on patients’ sexual function and quality of life.
  • A 6–week treatment regimen appeared to be as effective as the more standard 12 weeks of therapy for patients with hepatitis C virus infection, researchers reported here at the annual Conference on Retroviruses and Opportunistic Infections. In a pilot study that treated 20 patients in each of three arms, all patients treated with the combination of sofosbuvir (Sovaldi, nucleotide NS5B inhibitor) 400 mg with ledipasvir (NS5A inhibitor) 90 mg once daily for 12 weeks achieved a sustained virologic response at 12 weeks’ post–treatment (SVR12).
  • New guidelines proposed by the World Health Organization (WHO) advise drastic cuts to sugar intake, halving an earlier recommendation for each individual to consume fewer than 10% of daily calories as sugar. The WHO is inviting comment on the proposed guidelines — presented to the press at a March 5 briefing in Geneva by Dr. Francesco Branca, WHO director of nutrition for health and development — until the end of the month. The proposal is based on systematic reviews of research into the impact of sugar on weight gain and dental caries and advises adults and children to consume less than 5% of calories as so–called "free sugars." The "free sugars" referred to in the guidelines mean all monosaccharides and disaccharides added to foods by a manufacturer, a cook, or a consumer, as well as sugars that are naturally present in honey, syrups, fruit juices, and fruit concentrates. The guidelines do not limit sugar consumed in whole fruit or milk.
  • Giving omalizumab (Xolair) around the start of oral immunotherapy for milk allergy improved reduced safety, a randomized trial confirmed. The proportion of patients with any symptom during dosing was 5% on omalizumab compared with 23% on placebo. The proportion with an event requiring treatment was 1.2% on the anti–immunoglobulin E injections compared with 4.7% on placebo, they reported at the American Academy of Allergy, Asthma, and Immunology meeting.

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

eMedinewS e–gifts to our readers

This is the age of smartphones. To improve usability and readability, eMedinewS has launched a mobile app of the newsletter for its readers. You can now also view eMedinewS on your smart phones or iPads.

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Rabies News (Dr. A K Gupta)

What is pre–exposure vaccination?

Pre–exposure (Prebite) vaccination means immunization before the bite.

cardiology news

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

  • Babies of HIV–positive mothers taking an antiretroviral drug recommended for pregnant women have reduced bone density. In a cohort study presented at the annual Conference on Retroviruses and Opportunistic Infections, babies of mothers taking tenofovir (Viread) had an average whole–body bone mineral content about 8 grams less than babies whose mothers did not use the drug. But while the difference is statistically significant, it’s not clear if it will persist or what the clinical impact would be if it does.
  • Excess maternal weight gain during pregnancy appears to be the greatest single contributor to large–for–gestational age (LGA) births, according to a study published online March 4 in Obstetrics & Gynecology.
cardiology news

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

  • Among patients showing up in the emergency department with chest pain and dyspnea, those carrying extra weight tended to incur higher costs and have longer hospital stays. Costs were 22% higher for patients who were overweight, 28% higher for those who were obese, and 41% higher for those who were morbidly obese compared with those who had a normal body mass index (BMI). In addition, the heaviest patients –– those who were morbidly obese –– stayed in the hospital 34% longer if they didn’t have a CT scan and 44% longer if they did have a CT scan compared with normal-weight individuals who didn’t have a scan as reported online in Circulation: Cardiovascular Quality and Outcomes.
  • Thoratec has issued a safety advisory that recommends relabeling and patient retraining on a backup accessory for its HeartMate II LVAS, a left ventricular assist device (LVAD), after it identified nine complications, including four deaths, apparently related to patient and caregiver unfamiliarity with the new component. Patients who have the HeartMate II LVAS Pocket System Controller should contact their doctors for retraining on the device and for an update to its patient handbook, according to the company. Their physicians should update all providers and other persons responsible for patient training on use of the Pocket System Controller.
cardiology news

CT not required in appendicitis

When a patient has all the signs of acute appendicitis, waiting to get a CT scan to confirm the diagnosis is not required. Compared with a straight–to–surgery approach, the CT strategy is linked to delayed surgery and increased risk of a burst appendix.

Pre–operative CT is not necessary in cases with straightforward signs and symptoms of appendicitis. If, after a thorough physical examination, the diagnosis is still in question, then patients should be scanned. These patients tend to be older, female and have symptoms that are not typical for acute appendicitis.

cardiology news

Total CPR since 1st November 2012 – 88792 trained

Media advocacy through Web Media

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press release

Padma Shri Awardee Dr K K Aggarwal enters the Limca Book of World Records
Trains 11,453 children in hands only CPR 10 in 8 hours

Recognizing outstanding efforts towards educating common people about life–saving techniques, the Limca Book of World Records has recognized Dr. KK Aggarwal in three distinct categories in its 2014 edition. An eminent cardiologist and the President of Heart Care Foundation of India, Dr. KK Aggarwal has devised a special CPR 10 formula which can help revive 60 % people within ten minutes of their death due to a sudden cardiac arrest. The announcement of Dr. KK Aggarwal becoming a world record holder was made in the launch of the 2014 edition of the book last evening.

Hands only Cardiopulmonary resuscitation or CPR is a method through which a person who has suffered from a sudden cardiac arrest can be brought back to life within 10 minutes of his death. According to Dr. KK Aggarwal’s formula, to revive a person after sudden cardiac arrest, within 10 minutes of the episode, for the next 10 minutes, compress the centre of their chest continuously and effectively, with a speed of 10 × 10 (100) per minutes. In the past one year Dr. KK Aggarwal has trained over 90,000 people in this simple but extremely effective life–saving technique.

Commenting on the occasion, Dr. KK Aggarwal said "It has been my endeavor to constantly spread awareness about various health issues and prevention measures in the country as a part of my role as the President of the Heart Care Foundation of India. Hands only CPR 10 is an extremely easy to learn technique which can help save the life of 2–3 in 5 people who suffer from sudden cardiac arrest. Over the past one year I have seen many success stories of lives being saved using this technique and I hope that I can train more and more people in the future".

The three records which have been created by Dr. KK Aggarwal include:

  • Most people trained in hands–only CPR 10 in a short time span – 11,453 students (8,193 female and 2630 males) trained in less than 8 hours on April 6, 2013
  • Maximum number of people trained in hands–only CPR during an event – 10,932 people trained in hands–only CPR 10 during the 19th Perfect Health Mela from November 1 to 16, 2013
  • Maximum number of people trained in hands–only CPR – 20,592 people in hands–only CPR in 43 days

A leading doctor and philanthropist, Dr. KK Aggarwal is also the recipient of three National Awards, namely the Padma Shri for brilliance in medicine, Dr. BC Roy award for excellence in socio–medical awareness and the DST National Award for excellence in Science and Technology communication. He has also pioneered leading health initiatives such as bringing treatments such as clot dissolving therapy for acute heart attacks and Colour Doppler Echocardiography in the country.

In addition to this, he has also conceptualized and organized unique consumer driven health awareness platforms such as The Perfect Health Mela and the Run for your Heart as a part of his role as the President of The Heart Care Foundation of India. In recognition of both these initiatives, the Government of India released National Postal Commemorative Stamps of INR 6.50 & 1 respectively.

–Ends–

About Heart Care Foundation of India

Heart Care Foundation of India is a National NGO working in the field of creating health awareness for people from all walks of life about all aspects of health incorporating all pathies under one roof using low cost infotainment modules.

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 88792 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

Mega heart checkup camp by Heart Care Foundation of India at Sagar,Madhya Pradesh February 20–23,2014

press release

Vitamin D intake associated with reduced risk for Crohn’s disease

vedio of day

today video of the dayPadma Shri & Dr B C Roy National Awardee,Dr KK Aggarwal on Tackling tension headaches

Hands only CPR 10 Utsav, 15th December 2013

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

eMedi Quiz

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.

Yesterday’s Mind Teaser: 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 ipsilateral side.

Answer for yesterday’s Mind Teaser: 3.Pain sensation on the contralateral side.

Correct answers received from: Arvind Gajjar, Dr PC Das, Dr Jainendra Upadhyay,
Dr KV Sarma, Daivadheenam Jella, Dr Chandresh Jardosh, Dr B K Agarwal, Prabha Sanghi.

Answer for 6th March Mind Teaser: 2.Hypovolemia.

Correct answers received from: Dr Avtar Krishan, Dr B K Agarwal, Dr PC Das.

Send your answer to ijcp12@gmail.com

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centralbank
medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

Coffee Dilemma

A man and his wife were having an argument about who should brew the coffee each morning.

The wife said, "You should do it, because you get up first, and then we don’t have to wait as long to get our coffee".

The husband said, "You are in charge of the cooking around here and you should do it, because that is your job, and I can just wait for my coffee."

Wife replies, "No you should do it, and besides it is in the Bible that the man should do the coffee."

Husband replies, "I can’t believe that, show me."

So she fetched the Bible, and opened the New Testament and shows him at the top of several pages, that it indeed says:

"HEBREWS"

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

medicolegal update

Determine what specific goal you want to achieve. Then dedicate yourself to its attainment with unswerving singleness of purpose, the trenchant zeal of a crusader. Paul J. Meyer

medicolegal update

Dr KK Aggarwal: Inhaling diesel exhaust Fumes causes heart attack or stroke http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Love is the highest intelligence http://bit.ly/WAHF_Am #WAYHF

medicolegal update
  1. Dear Sir, Thanks for the updates. Regards: Dr Kartik

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

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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

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