eMedinewS18th April 2014,Friday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, 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

Working hard when tired not good for the health

Doing mental or physical work while exhausted may harm your health, according to a study from University of Alabama at Birmingham and published in International Journal of Psychophysiology.

Fatigued people have bigger spikes in blood pressure than well–rested people while doing a memorization test.

When fatigued people regard a task as worthwhile and achievable, they increase their effort to compensate for their diminished capability. As a result, the blood pressure of a tired person increases and remains elevated until the task is completed or the person gives up.

In this study, Wright and colleagues told 80 volunteers they could win a modest prize by memorizing two or six nonsense trigrams (meaningless, three–letter sequences) within two minutes. Compared to volunteers with low levels of fatigue, those with moderate fatigue had stronger blood pressure while doing the two–trigram memorization task.

News Around The Globe

  • Daily iron supplementation can improve physical performance in women of reproductive age, reports a new literature review. The findings further justify the prevention and treatment of iron deficiencies among women. The researchers noted that iron supplementation boosted maximal exercise, as confirmed by increases in maximal oxygen consumption and also improved submaximal exercise performance, as confirmed by reductions in heart rate. The research was published online April 9 in the Journal of Nutrition.
  • A new study presented at the 16th International Congress on Infectious Diseases has stated that archival biopsies from head and neck cancer patients can confirm frequent infection with highly oncogenic human papillomavirus (HPV), especially HPV18. HPV was detected most frequently in cancers of the oral cavity, followed by cancers in the oropharynx and cancers in the hypopharynx.
  • A report published online April 14 in the Annals of the Rheumatic Diseases has revealed that a Chinese herb, "thunder god vine" (Tripterygium wilfordii Hook f (TwHF), also known as lei gong teng), may be as effective as methotrexate (MTX) in the treatment of active rheumatoid arthritis (RA). However, "homebrew" versions should be discouraged since most parts of the plant are extremely toxic. Additionally, a combination of TwHF with MTX was more effective than MTX monotherapy.
  • Patients with obstructive sleep apnea (OSA) have more than two–fold increased risk of developing osteoporosis as compared to patients without OSA, even after adjusting for age, comorbid conditions, income, and geographic location, reports a population–based study conducted in Taiwan. The findings were published online April 15 in the Journal of Clinical Endocrinology and Metabolism.
  • A novel prospective study reported in the journal Gut has stated that doubling the dose of oral esomeprazole after esomeprazole infusion could possibly reduce peptic ulcer rebleeding in high–risk patients. Researchers noted that giving oral esomeprazole at 40 mg twice daily after a three–day infusion reduced the peptic ulcer rebleeding rates in patients with Rockall scores 6 or greater.

Rabies News (Dr A K Gupta)

What does humanizing your dog means?

  • Talking to your dog like he/she is a person.
  • Treating your dog like he/she is a person.
  • Allowing dogs to do what they want because it will hurt their "feelings."
  • Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

Cardiology eMedinewS

  • Women with chronic hypertension have a 7.7 times increased risk of preeclampsia compared with the general pregnancy population, and are also more likely to experience adverse neonatal outcomes including preterm delivery, birth weight <2500g, and perinatal death, reports a new systematic literature review and meta–analysis. These results were published online April 15 in BMJ.
  • Prophylactic anticoagulation is associated with decreased mortality in the ICU compared with mechanical devices for protection against venous thromboembolism (VTE), reported an observational study conducted at the UMass Memorial Medical Center, Worcester. While the anticoagulation therapy was associated with 19% lower risk of dying in the ICU and 16% lower risk of dying in the hospital overall than no VTE prophylaxis, mechanical devices without anticoagulation were associated with 11% greater risk of in–hospital mortality compared with no prophylaxis. The study findings are published in the journal Chest.

Pediatrics eMedinewS

  • In a striking new revelation, researchers at the Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada have stated that giving antibiotics to prepubescent children in low– to middle–income countries can boost their height by 0.04 cm/month and increase their weight by 23.8 g/month, thereby counteracting the effects of poor nutrition in early childhood.
  • A new study published online April 15 in JAMA has revealed that women who carry extra weight before pregnancy or during early gestation are at an increased risk of having their infants die shortly before or after birth. The study authors noted that the risk was highest among the most obese women. There were about 76 stillbirths per 10,000 pregnancies among women of normal weight (BMI 18.5 to 24.9) that rose to 82 stillbirths for women with a BMI of 25, and 102 for women with a BMI of 30.

Dr K K Spiritual Blog

Can a mantra or sound be used as a medicine?

The answer is yes. The difference between a Mantra and a sound is that Mantra sound is an energized sound with medicinal values. There are many aspects of Mantra as a sound:

  1. The type of sound matters. It is well–known that chanting of vowel sounds produces interleukin–2 in the body, which has the same action as that of aspirin and works like a natural painkiller. Chanting of nasal consonants produces delta activity in the EEG and has similar action like tranquilizers. Chanting of other consonants has different actions in the body. For example, chanting of LUM reduces fear, VUM reduces attachments, RUM reduces doubt, YUM increases love, HUM increases truthfulness and AUM non–judgmental activities.
  2. Mantra sounds can be vibratory or non–vibratory. Vibratory sounds use nasal consonants and vibrate bones beginning from mandible, spine, and the automatic plexus lying along the spine. Chanting of nasal consonants leads to a parasympathetic state.
  3. Chanting of mantra is associated with reduced respiratory rate, which leads to parasympathetic state of the body. Ideally, the respiratory rate should be reduced to 4 per minute and then continue it for next 20 minutes i.e. 80 breathes in 20 minutes. This can be done by chanting, for example, the whole Gayatri mantra in one respiratory cycle.
  4. How one chants also matters. The yogic way of chanting is when the mind is in mantra or the chanting. This leads to deeper relaxation.
  5. Understanding the meaning of the Mantra you chant also matters. If you do understand the meaning, the chanting benefits will be more. Foreigners do not understand the meaning of Indian Mantras but yet they get benefits. But if they chant with understanding the meaning of the Mantra, the health benefits will be more.
  6. Chanting a mantra with its meaning in the mind invokes the power of intention. It’s like getting connected to any search engine on the internet and typing your query. Your consciousness in the body is the internet and the intention the search button.
  7. Chanting a mantra with its meaning in the mind also results in emotions and expressions, which have an added advantage.
  8. Overtone chanting has additional benefits. The new sound heals not only those who are chanting but also those who are listening and bystanders.
  9. Group chanting is more powerful. If 1% population chants together, rest 99% also gets the benefits.
  10. One can also do distance healing by chanting at a far distance. The only way one can explain this is by understanding consciousness as an internet cum social site model. In this understanding each one of us has our page in the internet (soul) as well as a page in the cloud internet (spirit). All our pages are connected with every person in this earth through the cloud internet. People can chant at a distance and their audio file with intent automatically gets posted on their soul internet and the cloud internet. The person for whom we are prayer chanting gets the benefit whenever he is connected to the cloud internet.
  11. During chanting, the mind diverts. Continuously chanting of Mantra for 12 seconds means concentration, 12×12 seconds is contemplation and 144×144 seconds is meditation. So by concentrating on the object of concentration, the mantra, one can avoid diversion of the mind.
  12. The intensity or the loudness of the chanting sound also matters. Higher the loudness. less will be the effects. Japa meditation involves two hours of Mantra chanting to get the benefit. In a non Japa meditation, these benefits can be acquired in 20 minutes. Thoughtless chanting is more powerful than verbal Mantra chanting. Vipasana is chanting without Mantra where you are just aware of the breath and one has to do this type of meditation for hours together to get the benefit.
  13. During Chautha or Teravi (mourning period), we have one hour of chanting of Mantras or prayers. This helps relax the mind, shifts one from sympathetic to parasympathetic mode. In the initial 15 minutes, there is sympathetic overactivity and the person is restless. As the time passes, parasympathetic state takes over and by the time one hour is over, parasympathetic state is at its full blown activity and at that time getting connected to cloud internet is easier.

    Only those who are connected to the dead person and want to get distressed attend the full one hour of Chautha ceremony. These people have empathy for the deceased person. Those who wish to express sympathy, mostly show up before or after the Chautha ceremony to complete their formality.

    In Chautha, we say that Bhagwan Uski Aatma Ko Shanti De. God will forgive him only if the soul is under destressed, which can only happen if there are some non–fulfilled desires and these desires will always be linked to a particular person. Therefore, only those who have guilt will feel that the deceased person’s soul is not at rest.

    In a Chautha ceremony, one can only remove this guilt in the parasympathetic phase towards the end of the Chautha ritual and seeks forgive and forgiveness.
  14. In different religions, this has different implications. In Hinduism, we only attend Chautha of whom we know but in Islam people attend the mourning ceremony of people whom they not even know. They believe in mass prayers and pray for the soul of the deceased person. In Islam this mass prayer message gets written on the cloud internet and has mass effect in the community.

    In Islam, a person usually says Mein khuda se tumhare liye dua mangunga. It is possible for them as they offer Namaz five times in a day and when they ask for Dua for someone they put the intent in the cloud internet which can be retrieved by others.

    In Christians, it is different. The dying patients or the relatives ask the doctors and others to pray with them and not only for them.

Wellness Blog

Choose to become a father before you are 40

Men should think about becoming fathers much before 40 years in order to minimize the effects of age on fertility and outcomes of pregnancy. The ideal age to become a father is between 25–35 years.

The age of sperm donors as per recommendations should be less than 40 years of age. Beyond this age, the sperm quality is reduced considerably and this may adversely affect fertility and pregnancy outcomes.

Researchers from the French National Institute for Medical Research has reported that miscarriages rates were higher in women whose partners were older than 40 years when compared to women whose partners are young men. This risk doubled when their partners were 45 years of age.

Older fathers are more likely to have a child with schizophrenia, heart defects, cleft lip, Down syndrome or a child being born autistic are higher if the age of the father is more than 40.

In women, pregnancy after 35 years of age is generally regarded as high risk with greater chances of birth defects and miscarriages. But, according to the researchers, the age of the male should also be taken into consideration by gynecologists.

Inspirational Story

A Message by a Woman

Someone asked me "Are you a working woman or a housewife?

I said: Yes I am a full time working Housewife. I work 24 hours a day I am a Mom, a Wife, Daughter and a Daughter–in–Law.

I am an alarm clock, Cook, Maid, Teacher, Waiter, Nanny, Nurse, Handyman, Security officer, Counselor and a Comforter. I don’t get Holidays, sick leave or days off; I work through Day and Night.

I am on call all hours and get paid with a sentence "What you do all day at home"

ePress Release

Suspecting stroke and heart attack risk without tests

Carotid bruit, an unusual, harsh sound a doctor can hear when passing a stethoscope over the main artery to the brain could indicate an increased risk of heart attack and death from heart disease and stroke, 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.

The sound is caused by turbulence in blood flow due to buildup of fatty deposits in one of the two arteries that carry blood to the front and middle part of the brain. It is usually regarded as a possible indicator of increased risk of stroke.

An analysis of 22 studies involving more than 17,000 patients and published in The Lancet found that people with carotid bruits were more than twice as likely to have heart attacks or to die of cardiovascular disease.

However, patients who do not have carotid bruit may have other evidence of cardiovascular disease.

Physicians should routinely listen for possible carotid bruits when doing a physical examination of people who are middle–aged or older.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Fluid Intake


Total CPR since 1st November 2012 – 88972 trained

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 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

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VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

A free health checkup camp was organized by Heart Care Foundation of India at Balwant Rai Mehta Vidya Bhawan School on 17th April 2014

press release

Longer CPR efforts may improve survival chances

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IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :


Make Sure

Situation: A patient of pulmonary Koch’s on ATT complained of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure that in patients talking ATT (including INH) B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

eMedinewS Humor

Jogging Shoes

Deciding to take up jogging, the middle–aged man was astounded by the wide selection of jogging shoes available at the local sports shoe store.

While trying on a basic pair of jogging shoe, he noticed a minor feature and asked the clerk about it.

"What’s this little pocket thing here on the side for?"

"Oh, that’s to carry spare change so you can call your wife to come pick you up when you’ve jogged too far."

Quote of the Day

Success usually comes to those who are too busy to be looking for it. Henry David Thoreau


Twitter of the Day

Dr KK Aggarwal: High BP in Pregnancy Increases Risk for Future Atherosclerosis http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: Awareness exists at the core of all material objects from atoms to galaxies 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 – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed


Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

eMedi Quiz

All of the following infections are often associated with acute intravascular hemolysis except:

1. Clostridium tetani.
2. Bartonella bacilliformis.
3. Plasmodium falciparum.
4. Babesia microti.

Yesterday’s Mind Teaser: A patient has been allegedly bitten by cobra snake. The venom in such a bite would be:

1. Musculotoxic.
2. Vasculotoxic.
3. Cardiotoxic.
4. Neurotoxic.

Answer for yesterday’s Mind Teaser: 4. Neurotoxic.

Correct answers received from: Arvind Gajjar, Dr. P. C. Das, Dr.Raghavendra Jayesh, Dr Jainendra Upadhyay, Dr Ajay Gandhi, Daivadheenam Jella, Dr B K Agarwal, Rajanish Shetty, Sreedevi Kota, Dr.Sahadevudu Gelivi, Dr Avtar Krishan, Dr Jayant Shah, Arvind Diwaker.

Answer for 16th April Mind Teaser: 4. Dessication of a dead body.

Correct answers received from: Dr.K.V.Sarma, Dr Ajay Gandhi, Dr Jayant Shah.

Send your answer to ijcp12@gmail.com

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  1. Dear Sir, Very informative news. Regards: Dr Kapil
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