eMedinewS9th March 2014, Sunday

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

5 Things Ob/Gyns Shouldn’t Do

The Society for Maternal–Fetal Medicine (SMFM) released a list this month of 5 procedures that ob/gyns should question. The list is part of the American Board of Internal Medicine Foundation’s Choosing Wisely® campaign, an initiative launched in 2012 that is meant to encourage physicians to question the benefit of some commonly used tests and procedures.

Inherited Thrombophilia Evaluation

  • The Recommendation: Don’t do an inherited thrombophilia evaluation for women with histories of pregnancy loss, intrauterine growth restriction (IUGR), preeclampsia, and abruption.
  • The Rationale: There isn’t enough evidence to show an association between the inherited thrombophilias and adverse pregnancy outcomes. Testing for antiphospholipid antibodies should be limited to lupus anticoagulant, anticardiolipin antibodies, and beta–2 glycoprotein antibodies.

Cerclage Placement

  • The Recommendation: Don’t place a cerclage in women with a short cervix who are pregnant with twins.
  • The Rationale: These women are at high risk for delivering preterm, but data, including a meta–analysis published on this issue, shows that a cerclage is not only ineffective, but also may be associated with an increase in preterm births.

Noninvasive Prenatal Testing

  • The Recommendation: Don’t offer noninvasive prenatal testing (NIPT) to low–risk patients or make irreversible decisions on the basis of the results of this screening test.
  • The Rationale: NIPT has only been adequately evaluated in high–risk pregnancies, defined as maternal age older than 35 years; positive screening; sonographic findings suggestive of aneuploidy; translocation carrier at increased risk for trisomy 13, 18 or 21; or prior pregnancy with a trisomy 13, 18, or 21. In addition, pretest counseling must be provided, and a positive NIPT result should be confirmed with invasive diagnostic testing.

Screening for IUGR

  • The Recommendation: Don’t screen for IUGR with Doppler blood flow studies.
  • The Rationale: Studies have shown inconsistent results regarding the benefit of Doppler blood flow studies for IUGR screening. Once the diagnosis is suspected, however, umbilical artery Doppler flow studies are beneficial

Progestogens for Preterm Birth

  • The Recommendation: Don’t use progestogens for preterm birth prevention in uncomplicated multifetal gestations.
  • The Rationale: Progestogens haven’t proven to reduce the incidence of preterm birth in women with uncomplicated multifetal gestations.

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Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

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

The lips of truth shall be recognized forever; a lying tongue is but for a moment

sprritual blog

This sutra from Bible has a very deep significance in day to day life. The truth is everlasting and always ends up in internal happiness and self realization and in the long run always gives you happiness and an all–win situation. On the contrary, a lying tongue will only give you a momentarily pleasure but will end up in some difficulty later in life.

Spoken words cannot come back as in the case of a released arrow from the bow. Once lost one cannot get back their youth, virginity, or respect, similarly, spoken bad words cannot be taken back and once spoken will create negative waves in the other persons (on whom they were spoken) mind which will persist as repressed thoughts or memory in the people’s mind for ever. Such bad memories will keep on coming back in the person’s mind causing damage to the personal relationships.

A spoken word is a karmic expression. For every karmic action there is an opposite and equal reaction. For every negative karmic expression one has to pay the debt either now or in future. The law of karma says that every debt has to be paid. It is always better to avoid indulging into negative language both in spoken words as well as in the mind. The yoga sutras of Patanjali describe thinking, speaking or doing any thing wrong having the same karmic significance. We should not only purify ourselves in actions and spoken words but also in the mind. If a person keeps negative thoughts in mind, sooner or later they will be reflected to the outside world.

The momentary pleasure which one gets by "lying" has no spiritual significance as it only satisfies your ego sense or makes you attached to any of the five senses. The transient pleasure experienced by the body stimulates a chain of reactions, consisting of action, memory and desire leading to action again, which will only intensify the greed & attachments. In the Mahabharata, Lord Krishna has given only two examples which works as an exception to such a situation. Any truth which harms others may not be spoken and any lie which does not harm anyone but benefit a few may be spoken. Truth is the opposite of doubt & it is always better to clear all the doubts from the mind as any repressed doubts can end up into causation of heart attack, paralysis and cancer.

Truth also means taking conscious based decisions as the consciousness will never lie. While taking any decision one should always ask oneself: Is it the truth? Is it necessary? And will it bring happiness to me and the people around?. Lord Krishna is also described as "SATCHITANAND" which only indicates the qualities like truthfulness, conscious based decisions and internal happiness. The practice of truthfulness has to be practical over a period of time and made a part and parcel of your daily life. To start with a person may have bad experiences but in the long run truthfulness will always win.

cardiology news

A Wise Donkey

One day a farmer’s donkey fell down into a well. The animal cried piteously for hours as the farmer tried to figure out what to do. Finally he decided the animal was old, and the well needed to be covered up anyway; it just wasn’t worth it to retrieve the donkey.

He invited all his neighbors to come over and help him. They each grabbed a shovel and began to shovel dirt into the well. At first, the donkey realized what was happening and cried horribly. Then, to everyone’s amazement, he quieted down. A few shovel loads later, the farmer looked down the well, and was astonished at what he saw.

As every shovel of dirt hit his back, the donkey did something amazing. He would shake it off and take a step up. As the farmer’s neighbors continued to shovel dirt on top of the animal, he would shake it off and take a step up. Pretty soon, everyone was amazed, as the donkey stepped up over the edge of the well and trotted off!

Life is going to shovel dirt on you, all kinds of dirt. The trick to getting out of a hole is to shake it off and take a step up. Each of our troubles is a stepping stone. We can get out of the deepest holes just by not stopping, never giving up! Shake it off and take a step up!

News Around The Globe

  • Treatment with polydeoxyribonucleotide (PDRN), an adenosine A2A-receptor agonist, nearly doubled the rate of complete healing of difficult–to–treat Wagner 1 or 2 diabetic foot ulcers compared with placebo, achieved earlier ulcer closure, and resulted in an "impressive" reduction in ulcer area as early as 8 weeks after the start of therapy, a new study indicates. The results are published online ahead of print in the Journal of Clinical Endocrinology & Metabolism.
  • Srinagar, Mar 6: The state’s health department has closed a large number of sonography clinics in Kashmir after they were found lacking in infrastructure. These clinics had also withheld information from about "sex determination" tests conducted by them.’
  • A review of almost 1,000 cases in the March issue of the Journal of Nuclear Medicine has shown that routine preoperative PET imaging led to a significant reduction in unnecessary surgery for non–small cell lung cancer (NSCLC). Overall, the rate of unnecessary operations, defined as discovery of metastatic disease during surgery, decreased by 13% (non significant). After adjustment for confounding factors, however, unnecessary operations occurred almost 50% less often with preoperative PET imaging.
  • The FDA has announced that the antibacterial doripenem (Doribax) will now carry a warning of mortality risk and poorer clinical cure rate when used to treat pneumonia that develops on mechanical ventilation. Doripenem is however not approved to treat any type of pneumonia.
  • Sustained long–term follow–up of obese individuals with type 2 diabetes who have bariatric surgery is vital to ensure the best possible outcomes with regard to their diabetes, as well as weight loss as reported by Davit Sargsyan, MD, of Hamad Medical Corporation, Doha, Qatar, at the Excellence in Diabetes 2014 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)

Can the type of vaccine be interchanged during the course of IDRV?

As far as possible, the same vaccine should be used throughout a course of IDRV. However, in exigencies, the permitted vaccines are interchangeable.

cardiology news

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

  • How a human embryo is cultured for in vitro fertilization (IVF) may affect the weight of the resulting child even two years after birth. In an evaluation of two culture media in Human Reproduction, both of which are now off the market, found that children born from embryos cultured in a medium from Cook had a significantly lower weight than those born from embryos cultured in a medium from Vitrolife. The authors suggest that the environment in which the fetus develops influences the fetus for later life health issues.
  • Requiring preschool children to have influenza vaccinations before they can attend daycare programs helped reduce serious influenza–related illnesses in this vulnerable population in Connecticut, according to data reported in the March 7 issue of the Morbidity and Mortality Weekly Report.
cardiology news

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

  • Among patients with atrial fibrillation and a recent heart attack, warfarin use was associated with improved outcomes –– without excess bleeding–– regardless of the level of kidney function. Juan Jesús Carrero, PhD, of the Karolinska Institute in Stockholm, and colleagues report in the March 5 issue of the Journal of the American Medical Association that through one year after the myocardial infarction (MI), patients who were prescribed warfarin at discharge had a significantly lower rate of death, readmission due to MI, or ischemic stroke, a finding consistent for those with normal renal function, moderate–to–severe chronic kidney disease, and end-stage renal disease.
  • More than 80% of people in the United States live within an hour’s drive of a hospital that is able to give thrombolytic therapy to patients with acute stroke, but despite this, only 4% of these patients actually receive such treatment, new data shows. The data come from a study presented by Opeolu Adeoye, MD, from the University of Cincinnati, Ohio, at last week’s American Stroke Association (ASA) International Stroke Conference (ISC) 2014. Referring to the ASA’s FAST campaign (which stands for Face, Arms, Speech, Time) on how to recognize stroke and access help, Dr. Adeoye recommended that "H" be added to tell patients to go to the right hospital.
cardiology news

Work–related Stress can kill

Job stress raises the risk of heart disease by disrupting the body’s internal systems.

The findings from a long–running study involving more than 10,000 British civil servants also suggest stress–induced biological changes may play a more direct role than previously thought. The researchers measured stress among the civil servants by asking questions about their job demands such as how much control they had at work, how often they took breaks, and how pressed for time they were during the day.

The team conducted seven surveys over a 12–year period and found chronically stressed workers – people determined to be under severe pressure in the first two of the surveys – had a 68 percent higher risk of developing heart disease. The link was strongest among people under 50.

Stressed workers also eat unhealthy food, smoke, drink and skip exercise – all behaviors linked to heart disease.

In the study, stressed workers also had lowered heart rate variability – a sign of a poorly–functioning weak heart –and higher–than–normal levels of cortisol, a "stress" hormone that provides a burst of energy for a fight–or–flight response.

Too much cortisol circulating in the blood stream can damage blood vessels and the heart.

cardiology news

Total CPR since 1st November 2012 – 88792 trained

Media advocacy through Web Media

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press release

International Women’s Day – 8th March, Take Care of Your Partner’s Heart

All women are at risk of heart disease and give them a health checkup on this International Women’s Day, said Padma Shri, Dr. B C Roy National Awardee& DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association

Heart Care Foundation of India has released the following guidelines:

  • Ask all women who are older than 65 for a heart check up.
  • Ask all young women to do minimum of 60–90 minutes of moderate-intensity activity (brisk walking) on most, and preferably all, days of the week.
  • Make women aware that their hearts are different. Women get less attention when they have a heart attack; also, the attack is more serious. Heart disease is the leading cause of death among women over 65. Urban women are 4 to 6 times more likely to die of heart disease than of breast cancer. Heart diseases kill more women over 65 than all cancers combined.
  • Make women aware that they develop heart problems later in life than men––typically 7 or 8 years later. However, by about age 65, a woman’s risk is almost the same as a man’s. They are less likely to survive heart attacks than men.
  • Ask women to change their lifestyle that includes weight control, increased physical activity, alcohol moderation, sodium restriction and an emphasis on eating fresh fruits, vegetables and low–fat dairy products.
  • Help women to quit smoking by counseling, nicotine replacement or other forms of smoking cessation therapy, if they smoke.
  • Reduce their saturated fats intake to less than 7 percent of calories. Their diet should include oily fish at least twice a week as a source for omega 3 fatty acids. Women with heart disease should take a capsule supplement of 850–1000 mg of EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), which to be increased to 2–4 grams if associated high triglycerides.
  • Make sure that women do not take hormone replacement therapy, selective estrogen receptor modulators, antioxidant supplements (vitamin E, C and beta–carotene) and folic acid for primary or secondary prevention of heart disease.
  • If they are 65 or older, tell them to ask their GP for routine low dose aspirin regardless of heart disease risk status. The upper dose of aspirin for high–risk women is 325 mg per day rather than 162 mg.
  • Reduce bad LDL cholesterol to less than 70 mg/dL in very high–risk women with heart disease.

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 20th–23rd February,2014

press release

AHA – ACS update

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

The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: 3.Lateral rectus and abducent nerve.

Correct answers received from: Dr. P.C.Das, DR Abbas Vakil, J P Manocha, DR Ayyavoo Erode, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr.K.Raju, Dr Chandresh Jardosh, Dr shashi saini,

Answer for 7th March Mind Teaser: 3.Pain sensation on the contralateral side.

Correct answers received from: Dr.K.Raju,Dr Chandresh Jardosh, DR.Saifullah Tipu

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

Top Secret Communications Center

When my son was in the Air Force, my wife and I visited quite often. On our first visit, we were allowed inside this top secret Communications Center, but everything in sight was covered up so we could look around everywhere, even the toilet paper in the Men’s room was disguised. Anyway, at the exit, there–s a sign above the door, which reads: "You have been exposed to Top Secret Material. Please destroy yourself before leaving the building."

Matka was caught by the police.

Police: How did you kill 20 people..?
Matka: Mai gaadi tej chala raha tha par jab maine brake lagaya, to pata laga ki brake fail ho gaye hain. Phir maine saamne dekha to 2 aadmi ja rahe the…doosri taraf 1 barat ja rahi thi. Ab aap batao mai gaadi kidhar modta…? Police: Of course, jis taraf 2 aadmi the. Nuksan kam hota. Matka: Exactly. Maine bhi yehi socha tha par woh 2 aadmi meri gaadi dekh kar barat me ghus gaye…Toh mai kya karta!!!

medicolegal update

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medicolegal update

Situation: A patient on 10 units of insulin developed hypoglycemia after taking a light breakfast.
Reaction: Oh my God! Why was the insulin dose not reduced?
Lesson: Make sure that insulin dose is correct. The formula is 500/total daily dose. The value will be the amount of sugar fluctuation with 10 gms of carbohydrates.

medicolegal update

Children find everything in nothing; men find nothing in everything. Giacomo Leopardi

medicolegal update

Dr KK Aggarwal: Long term use of painkillers can cause kidney cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Love is the beginning of the journey, its end, & the journey itself. Find out more about our new meditation apphttp://bit.ly/WAHF_Am #WAYHF

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

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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