eMedinewS 15th August 2013, Thursday

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; 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

Tiranga Uncha Rahe Hamara

The Indian National flag is symbolic representation of the rich Vedantic heritage of our country. Different colors with a chakra in the center are the gist of Vedas. The flag has three colors: saffron (orange) at the top, white in the middle and green at the bottom. In the center of the white color, there is a chakra with 24 lines.

To be successful in life, one needs a combination of inner happiness, spiritual knowledge and protection from the evil. One also needs to learn to concentrate on the present moment awareness. This is true not only for an individual but also for a family, community or nation as a whole.

The saffron or orange color represents enthusiasm, wealth, inner happiness and vigor. Traditionally all Gods in India are shown to wear yellow clothes. Yellow is also the color of Sun. It is also the color of beautiful blooming flowers representing agriculture status of the country and agriculture as the main source of income. Yellow also represents one of the three Goddesses, ‘Lakshmi’ signifying inner happiness. It also reminds an individual that he is capable of doing anything in life. It reminds him of his inherent qualities and also of his existing strength and vigor.

The white color is a symbolic representation of Saraswati, the Goddess of knowledge. It also represents the color of Cow, the Universal Giver, and of the color of milk, which is a complete food by itself and represents pure Sattva. White is also the color of swan, the vehicle of Brahma, the Creator. Swan has a typical quality of removing water from milk mixed with water. It signifies ‘vivek’ or discrimination which helps to remove negativity and selecting positive things in life. The white color also means the path of truthfulness and purity.

The green color indicates protection, safety, security and greenery. It tells about the status of the country being free of pollution. Green plants give oxygen to the atmosphere, which gives life and is a protector as oxygen protects life.

The central chakra means hard work, meditation, concentration, contemplation, etc. as without hard work, nothing is successful in life.

The whole flag signifies that India is full of people who are hard working and sincere in their efforts and are keen in acquiring pure satvik spiritual knowledge through hard work and self–protection.

The flag also represents the 3 Goddesses of India – Laxmi, Saraswati and Durga. Laxmi represents wealth; Saraswati represents knowledge and Durga the protector. ….Read More

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 10x10 i.e. 100 per minute."

VIP’s on CPR 10 Mantra Video
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

sprritual blog Facts about Soul and the Spirit

  • Energy is the raw material of the universe.
  • Information is the organization of energy into reproducible patterns.
  • Consciousness is living information and energy (living energized information)
  • Consciousness is, therefore, intelligence.
  • Intelligence is information and energy that has self–referral or the ability to learn through experiences and the ability to reinterpret and influence one’s own information and energy states.
  • Consciousness is live, advanced, software–driven energized information.

Nearest example: Advanced computer software which can type, correct, interpret, edit and store spoken or read information. ….Read More

cardiology news

God has a Sense of Humor Too

A woman received a call that her daughter was sick.

She stopped by the pharmacy to get medication, got back to her car and found that she had locked her keys inside. The woman found an old rusty coat hanger left on the ground. She looked at it and said "I don’t know how to use this."

She bowed her head and asked God to send her HELP.

Within 5 minutes a beat up old motorcycle pulled up … a bearded man who was wearing an old biker skull rag. The man got off of his cycle and asked if he could help.

She said: "Yes, my daughter is sick. I’ve locked my keys in my car. I must get home. Please, can you use this hanger to unlock my car?"

He said "Sure."

He walked over to the car, and in less than a minute the car was open.

She hugged the man and through tears said "Thank You SO Much! You are a very nice man."

The man replied "Lady, I am NOT a nice man. I just got out of PRISON yesterday; I was in prison for car theft."

The woman hugged the man again sobbing, "Oh, thank you God! You even sent me a Professional!"

News Around The Globe

  • 9th International Convention 2013
    To celebrate the excellence of our esteemed fraternity of insurance professionals a grand ‘9th International Convention 2013’ is organized by Indian Institute of Excellence & Consultancy Pvt. Ltd. (IIOE) in Mumbai. Dr KK Aggarwal has been invited as a GUEST SPEAKER at the inaugural function.

  • Centre seeks review of SC order scrapping joint admission for medical colleges The Centre on Tuesday sought review of the Supreme Court’s controversial judgment junking the National Eligibility–cum–Entrance Test (NEET) providing for single–window admission process for all medical colleges and said it had erred by holding that NEET breached the rights of religious and linguistic minorities to self-administer educational institutions, reports TOI.

    Faulting the majority judgment authored by then Chief Justice Altamas Kabir and relying on the powerful dissent delivered by Justice A R Dave, the Centre said ensuring uniform standards for medical education was of paramount interest to the patient and the Medical Council of India–mandated single–window system to draw the merit list was a step in that regard.

    In the petition seeking review of the July 18 judgment delivered on the last working day of the then CJI, the government said it was under duty to ensure that medical education must meet standards of merit. The review petition made a strong pitch for exclusion of narrow considerations of creed and religious minority when it came to medical education.

    The Centre said, "It is not as if doctors of a linguistic or religious minority will not be treating patients of all creeds, classes and denominations. The interest of the patient is a major consideration in ensuring that inter-se merit is a criteria for entry into medical education and NEET is a reflection of that need." The Centre said "Right to life (health) requires a need for excellence in medical education." The government said holding of common entrance test came about as a consequence of the Supreme Court's orders in Simran Jain case, during the hearing of which a decision was taken that MCI would hold a single entrance test since merit in medical education was essential to ensure quality healthcare to citizens. It said the guidelines annexed to NEET ensured that the single–window admission system would be in breach neither of the rights of states nor interfere with rights of religious and linguistic minorities.

  • A study of nearly 300 alcohol–dependent participants showed that the effectiveness of ondansetron for treating their disorder, including a reduction in severe drinking and an increase in abstinence, was strongly associated with whether they had 1 of 3 specific HTR3 gene variants. The study was published online July 30 in the American Journal of Psychiatry. (Source: Medscape)

  • A diet full of fruits and vegetables appears to slow the development of chronic kidney disease (CKD) in high–risk patients with type 2 diabetes, but protein and sodium intake has little effect, according to results from a substudy of the Ongoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial (ONTARGET) published online August 12 in JAMA Internal Medicine. (Source: Medscape)

  • Duration of anorexia nervosa (AN) appears to be the prime risk factor for premature death in girls and women with eating disorders, according to a 20–year follow–up study. Treatment-seeking patients who had AN for a period of 0 to 15 years were found to be at more than a 3-fold increased risk for death compared with the general population, whereas for those who had AN for 16 to 30 years, the risk for mortality was increased almost 7-fold. The study is published in the August issue of the American Journal of Psychiatry. (Source: Medscape)

  • A study published online August 13 in the American Journal of Gastroenterology has found that inflammatory bowel disease (IBD) and bouts of infectious gastroenteritis (IG) flare up during a heat wave. According to Christine N. Manser, MD, from the Division of Gastroenterology and Hepatology, Dept. of Internal Medicine, University Hospital, Zurich, and colleagues, presence of a heat wave increased the risk of IG by 4–7% for every additional day within a heat wave period. Also, there is evidence for an increase of IBD hospital admissions by 4–6% for each additional day within a heat wave period. (Source: Medscape)

  • Individuals born to obese mothers have an increased risk for premature all-cause and cardiovascular death as adults, according to an analysis of data from nearly 30,000 women and 40,000 offspring in Scotland published online August 13 in BMJ. (Source: Medscape)

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Rabies News (Dr. A K Gupta)

How adverse reactions to ERIGs are managed?

Anti–sera of equine origin may cause anaphylactic shock and thus sensitivity testing is mandatory before giving ERIG. A negative skin test must never reassure the physician that no anaphylactic reaction will occur.

cardiology news
  • According to a new trial reported online in JAMA Internal Medicine, supplementation with high doses of oral cholecalciferol (or vitamin D3) every 3 months had no significant effect on blood pressure in older patients with isolated systolic hypertension. No differences in office blood pressure between the supplementation and placebo groups were observed at both 3 months and 1 year. No effects were seen on nearly all of the secondary outcomes, with the exception of parathyroid hormone levels, which dropped by 3.8 ng/mL with supplementation relative to placebo. (Source: Medpage Today)
  • A new analysis, published in the August 14, 2013 issue of the Journal of the American Medical Association has reported that patients with severe mitral regurgitation (MR) without a class I indication for surgical intervention fared significantly better when treated with surgery than patients who underwent "watchful waiting" while treated with medical therapy. (Source: Medscape)

Valvular Heart Disease News

Although valvular mitral stenosis is rarely seen in elderly patients, mitral obstruction may be produced by protuberant mitral annular calcification (MAC).

(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
  • Children with medically unexplained functional abdominal pain (FAP) are vulnerable to developing anxiety disorder or depression in adolescence and young adulthood, even if the pain resolves. Hence, chronic or recurrent pain should be addressed by a multidisciplinary health team that can evaluate the physical, emotional/mental, and interpersonal aspects of pain in order to develop a treatment plan that addresses all the factors that contribute to pain, according to Lynn S. Walker, PhD, from the Division of Adolescent and Young Adult Health, Monroe Carell Jr Children’s Hospital at Vanderbilt University in Nashville, Tennessee. The study is published online August 12 in Pediatrics. (Source: Medscape)
  • According to Kathy Boutis, MD, from the Department of Emergency Medicine and the Department of Pediatrics, Hospital for Sick Children, University of Toronto, Ontario, Canada, and colleagues, use of a simple rule may enable emergency departments (EDs) to significantly reduce the number of radiographs ordered for children who present with ankle injuries. The study involved 6 Canadian emergency departments between January 1, 2009, and August 31, 2011. Three hospitals were assigned to intervention and 3 as controls. The control EDs received no intervention. The findings of the study are published August 12 in the Canadian Medical Association Journal. (Source: Medscape)
cardiology news

In MI, keep K between 3.5 and 4.5 mEq/L

While serum K levels of 3.5–5.0 mEq/L are considered normal, in acute MI, the guidelines recommend potassium administration to maintain potassium levels between 4.0 and 5.0 mEq/L to reduce the risk of ventricular fibrillation or cardiac arrest.

The analysis published in the Journal of the American Medical Association is based on >38 000 MI admissions at 67 hospitals in the US from 2000 to 2008, a time when most ST–elevation MI patients received beta–blockers and reperfusion therapy.

Serum K levels of 4.5 to 5.0 mEq/L were associated with about twice the in–hospital mortality risk as levels of 3.5 to 4.5 mEq/L after adjustment for many comorbidities and other potential confounders. It is reasonable for the guidelines to be amended to say that in most patients with acute myocardial infarction, maintaining a potassium (level) of 3.5 to 4.5 mEq/L may be reasonable, unless they are having a lot of (threatening) ventricular rhythms.

Mortality was lowest for levels of 3.5 to –4.0 mEq/L and went up significantly at both higher and lower concentrations.

cardiology news

The effect of viewing violence depends upon the amount, the context in which it is seen, and the social message that accompanies the presentation. Televised violence differs from real violence in ways that affect its impact on children and adolescents. Media violence often is perceived as socially acceptable and without consequence.

cardiology news

Total CPR since 1st November 2012 – 61668 trained

14th August: CPR 10 at Modern School, Noida (2000)

CPR Classes 61668

Video Chats and uploads

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News JULY

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Birth defects linked to mother’s use of cold medicines. 14 August


ACE inhibitors can reduce dementia progression 13Th Aug


Azadi from Diseases

15th August should not only be a reminder of our independence from British rule but also a commitment on a yearly basis to eradicate one more disease from our country, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela. Every year efforts should be made to start a ‘Quit India’ Movement for a particular disease.

The International Task Force for Disease Eradication in 1992 identified six "eradicable" or "potentially eradicable" infectious diseases. These are dracunculiasis, poliomyelitis, mumps, rubella, lymphatic filariasis and cysticercosis. In 2002, measles was added to this list.

Of these, only guinea worm disease or dracunculiasis have been eradicated from India.

On January 13 this year, India completed two years since its last polio case due to wild polio virus, which was in West Bengal state. A case of vaccine–derived polio virus has been reported from Maharashtra this year.

Malaria, yellow fever, and yaws eradication programmes of earlier years were unsuccessful but they contributed greatly to a better understanding of the biological, social, political, and economic complexities of achieving the ultimate goal in disease control. In early 1997, WHO listed leprosy, onchocerciasis (River blindness), and Chaga's disease as being candidates for elimination "as public health problems within ten years".

It's time for us to form an India force and start working on eradicable diseases.

Dr Aggarwal further pointed out that an effective cardiovascular control program should also be strengthened all over the country as heart attacks are not known to occur in wild animals.

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 61668 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."

today emedipics

Heart Care Foundation of India Organizes a CPR 10 Training camp at Balwant Rai Mehta School, Greater Kailash, Part 2, New Delhi on 2nd August 2013.

press release

Varenicline go ahead in heart patients

today video of the dayOne more life saved from CPR 10

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

Smart Phones Benefits and Hazards

eMedi Quiz

Read this…………………

A recent large database study of bivalirudin and vascular closure devices for interventional procedures has shown reduced bleeding with.......

a. Bivalirudin use
b. Vascular closure device use
c. Both used together
d. All of the above

Yesterday’s Mind Teaser: Nurse Wayne is aware that which finding would be least suggestive of necrotizing enterocolitis (NEC) in an infant?

a. Hepatomegaly
b. Distended abdomen
c. Gastric retention
d. Blood in the stool

Answer for yesterday’s Mind Teaser: a. Hepatomegaly

Correct answers received from: Dr Sheetal Kher, Dr. P. C. Das, Kuldeep Gupta, DR AJAY GANDHI, Anil Sarin, daivadheenam, Dr.(Maj. Gen.) Anil Bairaria, Dr. V.P. Thakral, Dr Pankaj Agarwal, dr kanta Jain, Dr Jainendra Upadhyay, Dr.K.Raju, drsnangia, Dr Chandresh Jardosh, DR SANTHA KUMARI, Dr. Pawan Mehta, Dr Avtar Krishan, DR P K SAHU, DR ABBAS VAKIL, Dr P.K Sahu, Dr Ayyavoo Erode, Praveen Jain,

Answer for 13th August Mind Teaser: a. Comforting the child as quickly as possible

Correct answers received from: DR B K AGARWAL, Kuldeep Gupta

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Another time, he gave a patient six months to live.
At the end of the six months, the patient hadn’t paid his bill,
So, the doctor gave him another six months.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

medicolegal update

The qualities of a great man are vision, integrity, courage, understanding, the power of articulation, and profundity of character. Dwight David Eisenhower

medicolegal update

Dr KK Aggarwal: Birth defects linked to mother’s use of cold medicines. http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Does technology have a place in religion & spirituality? http://tinyurl.com/kqlhghj

medicolegal update

Sir, The suspension of manufacturing and sale of Pioglitazone and than allowing the same within two months shows that either the suspension was hasty or its revocation has been because of commercial reasons. Has some new information become available during this period which warranted the revocation of suspension? Regards and warm wishes: Dr. Kamlesh Kanodia

Forthcoming Events

press release

29thSeptember–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

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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medicolegal update

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