eMedinewS19th February 2014, Wednesday

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

Reduce liquids to reduce weight

When it comes to losing weight, cut down on liquid calories rather than food.

Weight loss from liquid calories is greater than loss of calorie intake from solid food, as per Dr. Liwei Chen, an assistant professor of epidemiology at the School of Public Health at the LSU Health Science Center in New Orleans, in American Journal of Clinical Nutrition.

The body is able to self–regulate its intake of solid food. If you eat too much solid food at lunch, you’ll tend to eat less at dinner. But the same self–regulation does not apply for what you drink. The body does not adjust to liquid calories, so over time, you gain more weight.

Cutting back on calories from sugary drinks – by only one serving per day – can account for nearly two–and–a–half pounds of lost weight over 18 months.

Beverages are categorized into eight categories

  1. Sugar–sweetened beverages (including soft drinks, fruit drinks, fruit punch, or high–calorie beverages sweetened with sugar)
  2. Diet drinks such as diet soda and other diet drinks that were artificially sweetened
  3. Milk (including whole milk, 2 percent milk, and 1 percent skim)
  4. 100 percent fruit and vegetable juice
  5. Coffee and tea with sugar
  6. Coffee and tea without sugar
  7. Alcoholic beverages.
  8. Water with no calories.

The best drinks are water, plain soda and tea coffer with no sugar

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

Vedic Science behind Post– traumatic Stress Disorder

sprritual blog

PTSD is a type of stress that lasts for up to 13 days if handled properly and for months or years if not handled after an acute stress. This can be a serious disorder.

The reference to mourning a death can be found in the Vedic literature. There is a custom that the grieved partner is made to weep till she or he is overwhelmed with emotions. In fact, all relatives and friends participate in the exercise, depending upon their respective closeness to the deceased.

In the antim yatra most relatives join and after that the grieved person is made to sit for 90 minutes every day as a part of the ceremony which either ends on chautha or tervi where again everybody known gather together to end the ceremony. Thereafter, normal activities of life are resumed.

In some sections of the society there is also a custom of shaving the head or doing ‘daan’ of hairs and or wearing white clothes.

Is there a scientific explanation for these customs? The plausible explanation are many and are based on the observation that a grieved person may go into depression, which if not treated properly may last for months together, or even forever. For example the acute stress after the death of somebody very close will be called acute traumatic stress and the condition Post–Traumatic Stress Disorder (PTSD).

cardiology news

Always Remember Those Who Serve

In the days when an ice cream sundae cost much less, a 10 year old boy entered a hotel coffee shop and sat at a table. A waitress put a glass of water in front of him.

"How much is an ice cream sundae?" "Fifty cents," replied the waitress. The little boy pulled his hand out of his pocket and studied a number of coins in it. "How much is a dish of plain ice cream?" he inquired. Some people were now waiting for a table and the waitress was a bit impatient.

"Thirty–five cents," she said brusquely. The little boy again counted the coins. "I’ll have the plain ice cream," he said. The waitress brought the ice cream, put the bill on the table and walked away. The boy finished the ice cream, paid the cashier and departed.

When the waitress came back, she began wiping down the table and then swallowed hard at what she saw. There, placed neatly beside the empty dish, were two nickels and five pennies – Her Tip

News Around The Globe

  • A microfluidic assay in development which analyzes the migration of neutrophils could become a quick solution for diagnosing sepsis, a new study suggests. Researchers tested the device with 80 blood samples from 13 burn patients and found a significant correlation between sepsis and migratory patterns in the patients’ neutrophils. The study results were presented on February 3 at the American Society of Mechanical Engineering’s third annual conference on Nanoengineering for Medicine and Biology.
  • Results from the RESTORE extension study suggest that the benefits of individualized ranibizumab treatment for diabetic macular edema (DME) persist for at least three years. In a study in Ophthalmology, improvements in BCVA among patients treated with ranibizumab during the core study were generally maintained during months 12 to 36.
  • A team from the Centers for Disease Control and Prevention has tracked Shigella isolates that show decreased susceptibility to azithromycin (DSA– Shigella), according to a note published in the February 14 issue of the Morbidity and Mortality Weekly Report.
  • People with severe asthma who rely on prednisone are more than three times more likely to be depressed than those with severe cases who don’t use prednisone and those with mild to moderate asthma, according to a new study from The Netherlands. The authors recommend screening of prednisone–dependent asthma patients for depression and anxiety, both to alleviate their suffering and possibly improve their physical health through mental health treatment.
  • Adding operative nerve decompression to usual foot ulcer treatment in patients with diabetic sensorimotor polyneuropathy (DSP) significantly reduces ulcer recurrence compared with patients’ own unoperated legs, a new analysis from a multicenter cohort study finds. Results of the 42–patient study are published in the January/February 2014 issue of the Journal of the American Podiatric Medical Association.

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

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Rabies News (Dr. A K Gupta)

Can the vaccine be injected in gluteal region?

Rabies vaccine must not be administered in gluteal region as the gluteal fat may retard vaccine absorption resulting in delayed and lower seroconversion.

cardiology news

Children and adolescents with congenital heart disease should avoid body piercing

Children and teenagers with congenital heart disease should be strongly discouraged from getting a tattoo or piercing their ears or other body parts, because it could lead to a potentially deadly infection of the heart called endocarditis.

Infective endocarditis occurs when bacteria or fungi attaches and begins to grow on the valves of the heart. If left untreated, it can lead to a fatal destruction of heart muscle.

Most people are not aware that they should talk to their doctor before tattooing or piercing their body.

Body art in the form of tattoos and piercing has become increasingly popular among children and teenagers.

Most experts today strongly discourage all forms of body art. For those who cannot be dissuaded, the recommendation is to give antibiotics prior to tattooing or piercing, "with strong advice for prompt treatment of any signs of subsequent infection".

cardiology news

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

  • Magnesium sulfate didn’t work as a neuroprotective agent in acute stroke when administered in the ambulance, but treating these patients in the pre–hospital setting is possible. In a study reported at the International Stroke Conference, at 3 months, there was no difference in global disability –– as measured by the modified Rankin Scale –– between patients who received magnesium and those who received placebo. But an important message from the trial is that it is practical and feasible to set up a system on a large scale in which patients with acute stroke are identified in the ambulance and given neuroprotective agents by paramedics, often within the first 60 minutes – the "golden hour" – following the event.
  • The U.S. Preventive Services Task Force (USPSTF) has reaffirmed its recommendation against screening asymptomatic adults in the general population for carotid artery stenosis. After an updated review of the evidence, the USPSTF concluded "with moderate certainty that the harms of screening for asymptomatic carotid artery stenosis outweigh the benefits." The recommendation against screening is consistent with the task force’s previous 2007 guidance on the topic, as well as guidelines from other major organizations, including the American Heart Association/American Stroke Association and the American College of Cardiology.
cardiology news

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

  • A new study published in the March issue of Pediatrics has found that preterm infants develop better oral feeding skills when given a pacifier–activated music player (PAM) prerecorded with their mother’s voice. Infants in the intervention group had a significant increase in their oral feeding rate compared with infants with no PAM (2.0 vs. 0.9 mL/minute; P < .001). These infants also experienced faster time–to–full oral feedings (31 vs 38 days; P = .04) and a higher oral volume intake (91.1 vs. 48.1 mL/kg per day; P = .001).
  • Researchers at Imperial College London found that children with severe asthma with a parent who smokes at home have lower levels of the enzyme HDAC2 compared with those whose parents don’t smoke. HDAC2 is required for steroids to exert their beneficial anti–inflammatory effects in asthma. The findings are reported in the journal Chest.
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

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press release

Eating Disorders are contagious

Quoting a study published in the International Journal of Eating Disorders, Padma Shri, Dr. B C Roy National and DST National Science Communication Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India Senior National Vice President, Indian Medical Association said that eating disorders are contagious.

Dr. Aggarwal said that binge eating, fasting; diet pill use and other eating disorder symptoms cluster amongst young adolescent females.

In the study it was found that a pair of students from the same State was 4 to 10% more likely to share an eating disordered behavior compared to pairs in which each person came from a different State.

Dr. Aggarwal said that most students try to copy the eating fads of one another. The study proves why people follow each other and attempt weight loss programmes even if they are not scientifically proven.

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

Heart Care Foundation of India trained school children at Mayur Public School, IP Extension in cardiac first aid including how to revive a dead person after sudden cardiac death.

press release

Vowel chanting produces aspirin in my body

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

Early stage of trauma is characterized by:

1. Catabolism
2. Anabolism
3. Glycogenesis.
4. Gluconeogenesis.

Yesterday’s Mind Teaser: A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with polygonal raised areas in the palpebral conjunctiva is:

1. Trachoma.
2. Phlyctenular conjunctivitis.
3. Mucopurulent conjunctivitis.
4. Vernal keratoconjunctivitis.

Answer for yesterday’s Mind Teaser: 4. Vernal keratoconjunctivitis.

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen, drjella, Arvind Gajjar, Divya H M, Dr.K.Raju, Dr Jainendra Upadhyay, Dr Ajay Gandhi, Deepali Chatterjee, ashok jain

Answer for 17th February Mind Teaser: 4. X–ray diffraction.

Correct answers received from: Deepali Chatterjee, Dr Avtar Krishan, ashok jain

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

The Hot Dog Vendor

A Buddhist monk approaches a hotdog stand and says, "Make me one with everything."

The vendor has heard this one before, and without a word he simply makes the hot dog and hands it to the Buddhist monk, who pays with a $20 bill.

The vendor puts the bill in the cash box and closes it.

"Excuse me, but where’s my change?" asks the Buddhist monk.

The vendor replies, "Change must come from within."

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy as its side effect.

medicolegal update

Take the attitude of a student, never be too big to ask questions, never know too much to learn something new. Og Mandino.

medicolegal update

Dr KK Aggarwal: Be cautious in giving painkiller to patients with high cholesterol http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Dieting involves the wrong kind of motivation. Weight loss needs to be satisfying to succeed http://bit.ly/WAHF_Am #WAYHF

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 The health budget is 33,000 crore, but defence budget is 2lakh 30000 crore Quite telling Dr Rozario Menezes Goa

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