eMedinewS 20th August 2013, Tuesday

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

Fish oil and cardiovascular mortality

The Risk and Prevention Study enrolled patients with multiple cardiovascular risk factors or known vascular disease and, after a median follow–up of five years, found no reduction in coronary heart disease death with n–3 polyunsaturated fatty acid supplementation compared with placebo.

This result contrasts with early trials of fish oil but is consistent with more recent studies. Additional large trials with long–term follow–up are needed to clarify whether n-3 fatty acid supplementation might have different effects on cardiac mortality depending on whether patients are also receiving aggressive treatment for primary or secondary prevention of CHD (Source Uptodate)….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 What are the celebrated formulas of Vedanta?

1. Satyam Jnanam Anantam Brahma: Brahman is Truth, Knowledge and infinity.
2. Brahmavid Brahmaiva Bhavati: The knower of Brahman becomes Brahman.
3. Santam Sivam Advaitam: Brahman is Peace, auspiciousness and Non– Duality.
4. Ayam Atma Santah: This Atman is Silence.
5. Asango Ayam Purusha: This Purusha is unattached.
6. Santam Ajaram Amritam Abhayam Param: This Brahman is Peace, without old age, Immortal, Fearless and Supreme. ….Read More

cardiology news

Building Bridges

Once upon a time two brothers who lived on adjoining farms fell into conflict. It was the first serious rift in 40 years of farming side by side, sharing machinery and trading labor and goods as needed without a hitch. Then the long collaboration fell apart. It began with a small misunderstanding and it grew into a major difference, and finally it exploded into an exchange of bitter words followed by weeks of silence.

One morning there was a knock on John's door. He opened it to find a man with a carpenter’s toolbox. "I’m looking for a few days work," he said.

"Perhaps you would have a few small jobs here and there. Could I help you?"

"Yes," said the older brother. "I do have a job for you. Look across the creek at that farm. That’s my neighbor, in fact, it’s my younger brother. Last week there was a meadow between us and he took his bulldozer to the river levee and now there is a creek between us. Well, he may have done this to spite me, but I'll go him one better. See that pile of lumber curing by the barn? I want you to build me a fence – an 8–foot fence – so I won’t need to see his place anymore. Cool him down, anyhow." The carpenter said, "I think I understand the situation. Show me the nails and the post–hole digger and I'll be able to do a job that pleases you."

The older brother had to go to town for supplies, so he helped the carpenter to get the materials ready and then he was off for the day.

The carpenter worked hard all that day measuring, sawing, nailing.

About sunset when the farmer returned, the carpenter had just finished his job. The farmer’s eyes opened wide, his jaw dropped.

There was no fence there at all. It was a bridge… a bridge stretching from one side of the creek to the other! A fine piece of work handrails and all – and the neighbor, his younger brother, was coming across, his hand outstretched.

"You are quite a fellow to build this bridge after all I’ve said and done."

The two brothers stood at each end of the bridge, and then they met in the middle, taking each other’s hand. They turned to see the carpenter hoist his toolbox on his shoulder. "No, wait! Stay a few days. I’ve a lot of other projects for you," said the older brother.

"I’d love to stay on," the carpenter said, "but, I have many more bridges to build." Read More

News Around The Globe

State Excellence Award 2013 by Pooja Movie Creations

Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India was awarded State Excellence Award 2013 by Pooja Movie Creations in an event organized at Arya Auditorium. The other awardees included – Mr Sandeep Marwah of Marwah Studios, Mr. Rinku Nigam of Film Piracy Eradication Cell, and Mr. RK Singh, former DG Doordarshan.

Dr. Aggarwal dedicated this award to the CPR 10 campaign which he feels is the need of the hour. As per CPR 10 campaign, a dead person can be revived within ten minutes of the stoppage of heart provided the bystander can compress the centre of the chest of the deceased victim with a speed of 10x10 i.e. 100 per minute

Lecture on "Health in Relation to Science of Mythology, Business and Leadership"

Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President, Heart Care Foundation of India, will be delivering a lecture on "Health in Relation to Science of Mythology, Business and Leadership" on 25th August, 2013, Sunday at 9.45 a.m. at Shanmukhananda Hall, Sion East, near Gandhi Market, Mumbai. The lecture is being organized by Indian Institute of Excellence and Consultancy.

In his talk, Dr. Aggarwal will focus on "Spiritual Principles to increase creativity and building leadership qualities".

Dr. KK Aggarwal is an internationally acclaimed motivational speaker who has done tremendous work in the field of integrating Vedic Sciences with Modern Medicine. He is also the Editor–in–Chief of IJCP Group of Publications and eMedinewS, the first national daily emedical newspaper of India, which reaches over 70000 doctors every day. He is also Vice President Elect of India Medical Association; Member, Ethics Committee, Medical Council of India and Past President, Ethical Committee, Delhi Medical Council.

He has authored a book ‘Alloveda’, which talks about integration of Vedic sciences and modern medicine. He also integrates and teaches Homoeopathy and Ayurveda in Allopathic Language.

In his lecture he will also talk about the concept that ‘Life is reversible in the first ten minutes after death when the heart has stopped’ and how the Rishis and Munis could revive a person even after hours of clinical death.

On behalf of Heart Care Foundation of India, we hereby invite you to his lecture in Mumbai.

  • Deploy tech solutions in healthcare: Narayana Murthy: The statistics are alarming: only 0.7 physician and one nurse are available for every 1,000 people in India. And, 65% of physicians live in urban areas, while the countryside is home to 65%–70% of the population. Over 50% of rural Indians travel at least 100km for medical care, reports TOI. Citing these statistics at the golden jubilee celebrations of St John’s Medical College, NR Narayana Murthy, executive chairman, Infosys, said: "Effective use of technology is important to deliver healthcare. By leveraging technology, you can bring down lack of access and cost of healthcare."
  • Newer–generation drug–eluting stents, particularly the everolimus–eluting stent, significantly reduce the risk of target vessel revascularization (TVR) in patients with ST–segment–elevation MI (STEMI) without increasing the risk of adverse safety outcomes, including rates of stent thrombosis, when compared with bare–metal stents. Published online August 6, 2013 in Circulation: Cardiovascular Interventions, the analysis showed that compared with the sirolimus–eluting stent (Cypher, Cordis), the paclitaxel-eluting stent (Taxus, Boston Scientific), and bare–metal stents, the use of an everolimus-eluting stent reduced the relative risk of stent thrombosis 62%, 61%, and 58%, respectively.
  • Cancer survivors with sleep issues who participated in a yoga program slept better and reported less reliance on sleep medications. In a randomized trial published in Journal of Clinical Oncology, survivors who attended 75–minute, low–intensity yoga sessions twice a week for a month decreased sleep medication use by 21% vs patients in a standard care arm, who actually increased their use of such medications by 5% per week. Although both groups showed notable improvements in global sleep quality (P<0.01), the yoga group demonstrated significant improvements in sleep latency, sleep duration, sleep efficiency, sleep disturbances, subjective sleep quality, and daytime dysfunction during the intervention period.(Source: Medpage Today)
  • George Velmahos, MD, PhD, of Massachusetts General Hospital in Boston, and colleagues report in a 12–year retroactive analysis of people with grade IV or V blunt renal injury, who were hemodynamically stable that nonoperative management was successful in more than 90% of patients treated without surgery. Renal injuries were the cause of treatment failure in only 6.5% of those initially managed without surgery, according to the study in JAMA Surgery. (Source: Medpage Today)

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Rabies News (Dr. A K Gupta)

Can RIG be given locally to a healed wound?

Yes. If anti–rabies vaccination has not been started, then RIG can be given locally without disturbing the scab.

cardiology news
  • According to an Italian registry study reported online in the Journal of the American College of Cardiology, inclusion of the ankle–brachial index (ABI) may better define the presence of vascular disease in patients with nonvalvular atrial fibrillation. According to Francesco Violi, MD, of Sapienza University of Rome, and colleagues, if ABI ≤0.90 was encompassed in the definition of vascular disease of CHA2DS2–VASc score, documented by a history of acute myocardial infarction (MI), symptomatic peripheral artery disease, or detection of atherosclerotic plaque in the aortic arch, the prevalence of vascular disease increased in every risk class. (Source: Medpage Today)

Valvular Heart Disease News

3D is superior to 2D in evaluation of Mitral valvular disease.

(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

Blood cultures are not required for children with uncomplicated skin and soft tissue infections (SSTIs), but they are required in children with complicated SSTIs. According to Dr. Jay R. Malone from The University of Oklahoma in Oklahoma City and colleagues, doing a blood culture for evaluation of immunocompetent children who are hospitalized for SSTI may be harmful by prolonging hospitalizations. The study is reported online in the journal Pediatrics, August 5. (Source: Medscape)

cardiology news

Forty percent have metabolic syndrome

Forty percent of adults over 40 years of age have metabolic syndrome, a constellation of obesity leading to dyslipidemia, hypertension and insulin resistance and, thus a 10–year risk of a first heart attack event of about 17 percent. All patents with metabolic syndrome should be considered for aspirin prophylaxis.

Current criteria define the metabolic syndrome as the presence of any 3 of the following five traits:

  • Abdominal obesity, defined as a waist circumference in men >35 inches and in women >32 inches.
  • Serum triglycerides 150 mg/dL or drug treatment for elevated triglycerides
  • Serum HDL (good) cholesterol <40 mg/dL in men and <50 mg/dL in women or drug treatment for low HDL–C
  • Blood pressure 130/85 mmHg or drug treatment for elevated blood pressure
  • Fasting blood glucose (FPG) 110 mg/dL or drug treatment for elevated blood glucose

Metabolic syndrome is an important risk factor for subsequent development of type 2 diabetes and/or CVD.

The key clinical implication of a diagnosis of metabolic syndrome is identification of a patient who needs aggressive lifestyle modification focused on weight reduction and increased physical activity.

cardiology news

CPR Classes: Persons trained (2050)

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

17th August: CPR 10 at Moolchand (37)

18th August: CPR 10 at Moolchand (13)

Total CPR since 1st November 2012 – 61766 trained

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

CPR Classes 61766

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Heart risks detected by age 7 in overweight kids 19th August


Relieve Stress by Changing the Interpretation

Stress is the reaction of the body or the mind to the interpretation of a known situation. Stress management, therefore, involves either changing the situation, changing the interpretation or taming the body the yogic way in such a way that stress does not affect the body said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India, BSNL Dil ka Darbar & MTNL Perfect Health Mela.

Dr. Aggarwal said that every situation has two sides. Change of interpretation means looking at the other side of the situation. It is something like half a glass of water, which can be interpreted as half empty or half full.

He said that studies have shown that anger, hostility and aggression are the new risk factors for heart disease. It has been shown that even recall of anger can precipitate a heart attack.

Talking about prayer, Dr. Aggarwal said that many studies have shown that when doctors talk positive in front of unconscious patients in ICU, their outcome is better than those in whose presence if doctors talk negative.

Dr. Aggarwal said that the best way to practice spiritual medicine is to experience silence in the thoughts, speech and action. Simply walking in the nature with silence in the mind and experiencing the sounds of nature can be as effective as 20 minutes of meditation. He said that 20 minutes of meditation provides the same physiological parameters as that of seven hours of deep sleep.

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 61766 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

Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India was awarded State Excellence Award 2013 by Pooja Movie Creations in an event organized at Arya Auditorium on 19th August 2013.

press release

One can predict acute lung injury

today video of the dayDr KK Aggarwal on Sleeping Disorder

One more life saved from CPR 10

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Bleeding complications of device implantation are highest during therapy with:

a. Dual antiplatelet therapy
b. Heparin
c. Warfarin
d. Aspirin

Yesterday’s Mind Teaser: Bleeding risk in NSTEMI patients can be estimated using:

a. The CRUSADE bleeding risk score
b. The INR
c. The PTT
d. The patient’s age

Answer for yesterday’s Mind Teaser: a. The CRUSADE bleeding risk score

Correct answers received from: DR AVTAR KRISHAN, Dr. V.P. Thakral, Dr. P. C. Das, DR.BITAAN SEN& DR.JAYASHREE SEN, Dr Sheetal Kher, Dr.(Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr.K.Raju, Dr. Thakor Hitendrsinh G

Answer for 18th August Mind Teaser: d. Symptomatic improvement with exercise training

Correct answers received from: Dr. Thakor Hitendrsinh G, Dr Chandresh Jardosh

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

As an airplane is about to crash, a female passenger jumps up frantically and announces, "If I’m going to die, I want to die feeling like a woman."

She removes all her clothing and asks, "Is there someone on this plane who is man enough to make me feel like a woman?"

A man stands up, removes his shirt and says, "Here, iron this!"

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh my God! Why were antibiotics not given at the time when meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

medicolegal update

There are some people, who live in a dream world, and there are some who face reality; and then there are those who turn one into the other. Douglas H. Everett

medicolegal update

Dr KK Aggarwal: Heart risks detected by age 7 in overweight kids http://bit.ly/16wknsh #Health

Dr Deepak Chopra: What is a Spiritual Solution? http://tinyurl.com/kqlhghj

medicolegal update

Dear Sir, Thanks for the eMedinewS. Regards: Dr Sharmil

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medicolegal update

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