eMedinewS14th 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

Breaking News,

Thursday, 13 February 2014,

The notification for 1 yr rural service (after MBBS) having been held in abeyance.

No.V. 11025/57/2012/-MEP-I
Government of India
Ministry of Health and Family Welfare

                                                            Nirman Bhavan, New Delhi
                                                            Dated 13th February 2014
The Secretary
Medical Council of India
Pocket-14, Sector 8, Dwarka
New Delhi 110077

Sub: Amendment in the regulations “Postgraduate Medical Education Regulations, 2000” – regarding.

I am directed to refer to this Ministry’s letter of even number dated 29.11.2013 on the above cited subject regarding one year mandatory rural posting at PHC after completion of MBBS before they seek admission to PG courses from the academic session 2015-16 and to say that notification may kindly be kept in abeyance for publication till further orders from this Ministry in this regard.

Your’s faithfully
Sube Singh
Tele: 011-2306 234

PrintPress Information Bureau 
Government of India
Ministry of Health and Family Welfare 
13-February-2014 18:29 IST
Health Minister meets the representatives of agitating students of medicine 

The Health Minister, Shri Ghulam Nabi Azad, met with the representatives of agitating medical students, here today. The meeting lasted for about half an hour. He listened to all their concerns patiently and allayed their fears regarding Medical Council of India Notification in respect of one year mandatory rural posting of PHC after completion of MBBS, before they seek admission to PG Course. The Minister has directed concerned officials of the Ministry to keep the Notification in abeyance.

A letter to this effect has already been issued to the Medical Council of India.

Setting at rest all speculation that the period of MBBS Course has been extended by 2 years, he made it clear that there is no such proposal. He also stated that rural posting will not be mandatory for appearing in PG examination for the year 2015-16.

Naproxen Fails to Get FDA Heart Safety Nod

Members of two FDA advisory committees meeting jointly rejected a change in the label on naproxen to reflect a lower cardiovascular risk compared with other NSAIDS. Recent evidence convinced nine of the panelists that naproxen carries a lower risk versus others drugs in the class, but failed to sway 16 others.

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

Dealing with Stress

sprritual blog

Stress may be broadly defined as comprising of 3 components, namely a "known situation, interpretation of a situation and the physical and mental reaction to that interpretation of the situation".

Stress is a situation: There cannot be a stress without a situation. One cannot be stressed about some event occurring in USA without knowing the person or the situation. The situation requires familiarity with the particular sensory object (known situation).

Stress is an interpretation of a situation: Without interpretation, stress is not possible. The same situation can be interpreted differently by different people. A stimulus may be stressful to one but not to another.

Stress is a physical and mental response to the interpretation of the situation: Stress manifests because of a chemical imbalance resulting due to sympathetic overactivity, which manifests as mental and or physical symptoms.

Stress, therefore, is the body’s physical and mental response to the interpretation of a situation. Management of stress, therefore, involves either changing the situation, changing the interpretation of the situation or making the body resistant to physical and mental changes in the situation.

Practicing Patanjali’s eight limbs of yoga via living a yogic lifestyle, adhering to the various Dos and Dont’s in life as taught in various religious teachings, and learning to meditate help our body to resist these sympathetic–activating changes and handle the stressful situation. These involve proper diet, exercise, meditation and relaxation exercises.

Changing the interpretation of a situation involves counseling. Cognitive behavior therapy used in counseling is one such example. Change in interpretation requires deeper understanding of the problem and removal of the obstacles. This can be done by using Ganesha’s principles of stress management, Rosenburg’s Principle of Non–Violent Communication, or the principles of counseling from Bhagwad Gita.

Change of the situation is the final resort for solving the problem, even though this may not be always possible. For example, in a dispute between husband and wife, divorce should be the last choice, after all counseling efforts have failed to resolve the issue.

cardiology news

Coffee on the Wall

I sat with my friend in a well-known coffee shop in a neighboring town of Venice, Italy, the city of lights and water. As we enjoyed our coffee, a man entered and sat at an empty table beside us. He called the waiter and placed his order saying, "Two cups of coffee, one of them there on the wall." We heard this order with rather interest and observed that he was served with one cup of coffee but he paid for two. When he left, the waiter put a piece of paper on the wall saying "A Cup of Coffee".

While we were still there, two other men entered and ordered three cups of coffee, two on the table and one on the wall. They had two cups of coffee but paid for three and left. This time also, the waiter did the same; he put a piece of paper on the wall saying, "A Cup of Coffee".

It was something unique and perplexing for us. We finished our coffee, paid the bill and left. After a few days, we had a chance to go to this coffee shop again. While we were enjoying our coffee, a man poorly dressed entered. As he seated himself, he looked at the wall and said, "One cup of coffee from the wall."

The waiter served coffee to this man with the customary respect and dignity. The man had his coffee and left without paying. We were amazed to watch all this, as the waiter took off a piece of paper from the wall and threw it in the trash bin.

Now it was no surprise for us – the matter was very clear. The great respect for the needy shown by the inhabitants of this town made our eyes well up in tears.

Ponder upon the need of what this man wanted. He enters the coffee shop without having to lower his self–esteem…he has no need to ask for a free cup of coffee… without asking or knowing about the one who is giving this cup of coffee to him… he only looked at the wall, placed an order for himself, enjoyed his coffee and left.

A truly beautiful thought. Probably the most beautiful wall you may ever see anywhere!

News Around The Globe

  • Two studies have shown that administering an antioxidant supplement and tackling bacteria colonizing the lungs are two separate strategies that each could be effective in chronic obstructive pulmonary disease (COPD).
  • In a study, patients with diabetes who received a text message reminder about checking their blood sugar or refilling their medicines saw improvements in clinical outcomes and lower healthcare costs.
  • Outcomes with multimodal bladder–sparing cancer treatment did not differ significantly between patients who had near–complete (Ta/Tis) or complete responses (T0) to induction therapy, pooled data from two large trials showed. After a median follow–up of 6 years, bladder–cancer recurrence rates were 36% in patients who had complete responses to induction therapy and 28% in those who had minimal residual disease (Genitourinary Cancers Symposium).
  • New Canadian guidelines suggest that nephrologists can wait to start dialysis in some chronic kidney disease patients until their estimated glomerular filtration rate (eGFR) drops below the 10 to 12 mL/min now commonly used. Based on a literature review that includes the IDEAL trial, the Canadian Society of Nephrology recommends that patients with an eGFR below 15 mL/min be closely monitored by a nephrologist, and that dialysis doesn’t need to start until a patient hits 6 mL/min or has clinical worsening.
  • A large survey study of more than 52,000 adults in 19 countries published online January 30 in Diabetologia showed that individuals with binge eating disorder or bulimia nervosa were more than twice as likely to have diabetes. Individuals with depression or intermittent explosive disorder were 30% and 60%, respectively, more likely than those without these disorders to have a diabetes diagnosis.

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.

The eMedinewS app is now available for free  emedinewsdownload.

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Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

Rabies News (Dr. A K Gupta)

Can modern rabies vaccines be stored at room temperature?

Vaccines must be stored at +20 C to + 80 C. They should not be stored at room temperature. Besides, the vaccine should not be exposed to sunlight and heat.

cardiology news

Seven Behaviors Cut Heart Deaths

Seven heart–healthy behaviors can reduce the risk of death from cardiovascular disease. In a prospective study, by Enrique Artero, PhD, of the University of South Carolina, and colleagues and published in the October issue of the Mayo Clinic Proceedings, those who met 3–4 of the American Heart Association’s ‘Simple Seven’ heart–health criteria had a 55% lower risk of cardiovascular mortality than those who met no more than two of those practices over 11 years.

Four core behaviors

  1. No smoking
  2. Normal body mass index
  3. Engaging in physical activity
  4. Eating healthfully

Three parameters

  1. Cholesterol lower than 200 mg/dL
  2. Blood pressure lower than 120/80 mm Hg
  3. Not having diabetes
cardiology news

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

  • Pregnant women with congenital heart defects (CHDs) are more likely to die or experience medical and obstetric complications at the time of delivery than women without such defects, according to an analysis of the Nationwide Inpatient Sample presented at the Society for Maternal–Fetal Medicine 34th Annual Meeting.
  • Over the past two decades, the cause of long–term death after PCI has shifted from cardiac to noncardiac causes, as per findings of a large, single–center study in Circulation. The study evaluated five–year mortality after PCI performed at the Mayo Clinic in Rochester during 1991–1996, the balloon-angioplasty era; 1997–2002, the bare–metal–stent era; and 2003–2008, the drug–eluting–stent, or modern, era. In the most recent era, only 36.8% deaths at five years after PCI were from cardiac causes. The study was published online February 10, 2014 in
cardiology news

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

  • A study in JAMA shows that children born prematurely have higher insulin levels at birth and in early childhood than those delivered full term, new research indicates. And the more prematurely they are born, the higher their insulin levels are.
  • As many as three quarters of young children with congenital heart disease (CHD) have developmental delays, according to a longitudinal study. Most children in the study showed scores in the "at risk" or "delayed" range in at least one domain or at least one assessment, as reported online February 3rd in Pediatrics.
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

web mediawebmediawebmedia
press release

Heart Care Foundation of India and Citizens’ Forum to support congenital heart surgeries

Heart Care Foundation of India jointly with Citizens’ Forum will assist in providing free treatment to children with congenital heart disease who otherwise cannot afford treatment.

Giving the details, Padma Shri and Dr B C Roy National & DST National Science Communication Awardee Dr K K Aggarwal, President Heart Care Foundation of India and Mr. R S P Sinha, President Citizens’ Forum in a joint statement said that children with congenital heart disease who may not be able to afford the treatment can approach the Foundation for assistance.

The Foundation will provide them free diagnosis and facilitate treatment at various hospitals in Delhi NCR. The assistance will be only for non-emergent planned surgical treatments. The Foundation reserves the right to reject or accept any application.

Most congenital heart disease today can be corrected surgically and the child can live a near normal life. Lakhs of children in India die every year because they cannot afford surgical intervention.

The Foundation has started a campaign called ‘Murmur’ under which awareness is being created about how to diagnose a child with congenital heart disease, which includes holes in the heart.

A murmur is an abnormal rumbling sound which can be auscultated by a stethoscope on the heart area. Even paramedics can pick up a murmur. All children with a murmur need evaluation to rule out underlying congenital 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 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 Training, Chinmaya Vidyalaya at Vasant Vihar, Delhi 4th February 2014

press release

FDA OKs first drug–eluting stents for use in MI

vedio of day

today video of the dayHeart disease starts in youth

Cholesterol tips released

Padma Shri & Dr B C Roy National Awardee, Dr KK Aggarwal on Tackling tension headaches

eMedi Quiz

A 20–year–old man complains of difficulty in reading the newspaper with his right eye three weeks after sustaining a gunshot injury to his left eye. The most likely diagnosis is:

1. Macular edema.
2. Sympathetic ophthalmia.
3. Optic nerve avulsion.
4. Delayed vitreous hemorrhage.

Yesterday’s Mind Teaser: An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1.Glyceraldehyde–3–phosphate dehydrogenase.
3.Lactate dehydrogenase.

Answer for yesterday’s Mind Teaser: 1.Glyceraldehyde–3–phosphate dehydrogenase.

Correct answers received from: Dr.K.V.Sarma, DR.A.K.GAJJAR, Dr. P. C. Das, Deepali Chatterjee, Dr Chandresh. Jardosh, Aalia, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Anil Bairaria, drjella, Dr Avtar Krishan, Muthumperumal Thirumalpillai

Answer for 12th February Mind Teaser: 1. The sample should be kept at 4°C.

Correct answers received from: Deepali Chatterjee, Anil Bairaria, drjella

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

A very good looking man walks into a singles bar, gets a drink and has a seat. During the course of the evening he tries to chat with every single woman who walks into the bar, with no luck.

Suddenly a really ugly man, and I mean R–E–A–L–L–Y ugly man walks into the bar. He sits at the bar, and within seconds he is surrounded by women.

Very soon he walks out of the bar with the two of the most beautiful women you ever saw.

Disheartened by all this, the good looking man asks the barman, 'Excuse me, but that really ugly man just came in here and left with those two stunning women – what’s his secret? He’s as ugly as sin and I’m everything a girl could want but have not been able to connect all night – What’s going on?’

‘Well,’ Said the Barman, ‘I don’t know how he does it, but he does the same thing every night.

He walks in, orders a drink, and just sits there licking his eyebrows…’

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A known epileptic child died of a seizure while swimming.
Reaction: Oh my God! Why was he allowed to swim?
Lesson: Make sure that patients with uncontrolled epilepsy are not allowed to swim.

medicolegal update

Boredom is the feeling that everything is a waste of time; serenity, that nothing is. Thomas Szasz

medicolegal update

Dr KK Aggarwal: The very purpose of life is to face sufferings…According to Hinduism, the very fact http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Self awareness & love are the highest intelligence & the foundation for radical well being & unlimited creativity http://bit.ly/DC_Ananda #ananda

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. Sir, I am a cardiothoracic Surgeon. I very much enjoy your daily e news. I never fail to read your inspirational stories and spiritual blog. They are great!!. Dr Saify Arsiwala.

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