eMedinewS21st March 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

Do Heavier heart failure Patients Live Longer?

A higher BMI was associated with decreased mortality in certain subsets of patients with acute decompensated heart failure, according to an intercontinental study that supports the existence of a global "obesity paradox." Overall, a higher BMI was associated with decreased 30–day and 1–year mortality (11% decrease at 30 days; 9% decrease at one year per 5kg/m2; P<0.05)¸ after adjustment for clinical risk‚ wrote James L‚ Januzzi Jr‚ MD‚ of Massachusetts General Hospital, and his co–authors in the Journal of the American College of Cardiology. Further analysis showed that the protective association was confined to older individuals (>75; HR=0.82‚ p=0.006)‚ decreased cardiac function (ejection fraction < 50%; HR=0.85‚ P<.001)‚ non diabetics (HR=0.86‚ P <.001) and de novo HF (HR = 0.89‚ P = 0.004).


Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

Safe Holi-Health Wealth Zee News Show
Safe Drugs-Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show2
Potbelly Obesity–Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show1
Vitamin D Health Wealth
Pneumonia–Health Wealth Zee News Show
Sudden Cardiac Death
Can Alcohol be Prescribed as Medicine
Health Wealth: All about Paralysis

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

Music as a Drug

sprritual blog

Our body is the largest pharmaceutical group in the world and has the capacity to heal each and every disease. The very fact that there is a receptor for every drug in the body means that the body has the capacity to produce that drug. Music is one such modality, which can heal by initiating various chains of chemical reactions in the body.

• Chanting vowels produces interleukin 2 in the body, which works like a painkiller.
• Chanting nasal consonants produces tranquilizers in the body.
• Sounds like LUM are associated with fear, VUM with attachments, RUM with doubt, YUM with love, HUM with truthfulness and AUM with non–judgmental.
• Various chemicals can be produced in the body by chanting of various vowels and consonants.
• Nasal consonants are vibrant sounds and produce vibrations of the autonomic plexus causing balance between sympathetic and parasympathetic states. More the nasal consonants in music, the more will be its relaxing healing power.
• Listening to overtone chanting in music can also heal people in the vicinity of the music.
• Recitation of music can also increase or decrease the respiratory rate of the singer. Lyrics which reduce respiratory rate will lead to parasympathetic healing activity. The respiratory rate of a listener too can increase and decrease if he is absorbed in the song.
• Listening to a song word by word and by understanding its meaning can also change the biochemistry of the listener. A song can create an excitement or a feeling of depression.
• A song can also work like intent by speaking in the form of prayers. Group prayers can have powerful affects and convert intent into reality through the concept of spontaneous fulfillment of desire.
• Music is often linked with dance, both classical and western, which provides additional healing.
• Gestures, mudras, bhavs and emotions associated with songs produce parasympathetic state in both the singer and the listener.

cardiology news

Be a Good Friend

One day, when I was a freshman in high school, I saw a kid from my class was walking home from school. His name was Kyle. It looked like he was carrying all of his books. I thought to myself, "Why would anyone bring home all his books on a Friday? He must really be a nerd."

I had quite a weekend planned (parties and a football game with my friends tomorrow afternoon) so I shrugged my shoulders and went on. As I was walking, I saw a bunch of kids running toward him. They ran at him, knocking all his books out of his arms and tripping him so he landed in the dirt. His glasses went flying, and I saw them land in the grass about ten feet from him. He looked up and I saw this terrible sadness in his eyes

My heart went out to him. So, I jogged over to him as he crawled around looking for his glasses, and I saw a tear in his eye. As I handed him his glasses, I said, "Those guys are jerks. They really should get lives." He looked at me and said, "Hey thanks!" There was a big smile on his face. It was one of those smiles that showed real gratitude.

I helped him to pick up his books, and asked him where he lived. As it turned out, he lived near me, so I asked him why I had never seen him before. He said he had gone to private school until now. I had never hung out with a private school kid before. We talked all the way home, and I carried some of his books. He turned out to be a pretty cool kid.

I asked him if he wanted to play a little football with my friends, he said yes. We hung out all weekend and the more I got to know Kyle, the more I liked him, and my friends thought the same of him. Monday morning came and there was Kyle with the huge stack of books again. I stopped him and said, "Boy, you are gonna really build some serious muscles with this pile of books everyday!"

He just laughed and handed me half the books. Over the next four years, Kyle and I became best friends. When we were seniors we began to think about college. Kyle decided on Georgetown and I was going to Duke. I knew that we would always be friends, that the miles would never be a problem. He was going to be a doctor and I was going for business on a football scholarship.

Kyle was valedictorian of our class. I teased him all the time about being a nerd. He had to prepare a speech for graduation. I was so glad it wasn’t me having to get up there and speak. Graduation day, I saw Kyle. He looked great. He was one of those guys who really found himself during high school.

He filled out and actually looked good in glasses. He had more dates than I had and all the girls loved him. Boy, sometimes I was jealous! Today was one of those days. I could see that he was nervous about his speech. So, I smacked him on the back and said, "Hey, big guy, you’ll be great!" He looked at me with one of those looks (the really grateful one) and smiled. "Thanks!" he said. As he started his speech, he cleared his throat, and began:

"Graduation is a time to thank those who helped you make it through those tough years. Your parents, your teachers, your siblings, maybe a coach…but mostly your friends… I am here to tell all of you that being a friend to someone is the best gift you can give them. I am going to tell you a story."

I just looked at my friend with disbelief as he told the story of the first day we met. He had planned to kill himself over the weekend. He talked of how he had cleaned out his locker so his mom wouldn’t have to do it later and was carrying his stuff home.

He looked hard at me and gave me a little smile. "Thankfully, I was saved. My friend saved me from doing the unspeakable." I heard the gasp go through the crowd as this handsome, popular boy told us all about his weakest moment.

I saw his Mom and dad looking at me and smiling that same grateful smile. Not until that moment did I realize its depth.

Never underestimate the power of your actions. With one small gesture you can change a person’s life…for better or for worse. God puts us all in each other’s lives to impact one another in some way.

News Around The Globe

  • The antiviral drug ribavirin can clear chronic hepatitis E virus (HEV) in solid–organ transplant recipients. In a retrospective case series in NEJM by Nassim Kamar, MD, PhD, of the Centre Hospitalier Universitaire Rangueil in Toulouse, France, and colleagues, three months of the drug led to a sustained virologic response (SVR) in 78% of patients. Retreatment of six patients who failed the therapy resulted in four achieving an SVR.
  • In a large prospective clinical study in NEJM, a stool DNA test detected significantly more colon cancers in average–risk patients as compared with a conventional fecal immunochemical test (FIT). The DNA test detected 92.3% of colorectal cancers versus 73.8% for FIT in a study involving almost 10,000 patients scheduled for colonoscopy. The DNA test also had a 20%+ absolute advantage for detecting advanced precancerous lesions. The FIT was associated with significantly fewer false–positive results, but the DNA test nonetheless had a much lower number needed to detect (166 versus 208).
  • According to a new study, chronic obstructive pulmonary disease (COPD) increases the risk for mild cognitive impairment (MCI), especially impairment unrelated to memory, and the risk increases with COPD duration. The study was published online March 17 in JAMA Neurology. This study shows that COPD patients are at high risk for MCI, which can ultimately lead to dementia; but, COPD is under diagnosed at the primary level which leaves many patients undiagnosed.
  • A new study published in Annals of Epidemiology has suggested that higher vitamin D levels do not appear to decrease the overall risk for hypertensive disorders of pregnancy.
  • A new study in JAMA Internal Medicine shows that despite many sets of guidelines recommending against routine neuroimaging for headache in recent years, referral for scans is actually increasing. The United States spends around $1 billion per year on neuroimaging for headaches, even though this is not recommended practice.

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)

How to approach a case of irregularities in treatment schedule, e.g., if patients missed the doses as per the due dates, i.e. dose schedule is broken?

First three doses of modern rabies vaccine must be very timely and for the fourth and fifth, one or two days of variation is permissible.

cardiology news

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

  • A new study conducted by the Infant Aphakia Treatment Study Group reports that for children with a congenital cataract, replacing the intraocular lens in infancy leads to more adverse events and a greater number of surgeries than using a contact initially and implanting a permanent lens later. The findings are published online March 6 in JAMA Ophthalmology.
  • Children with chronic wet cough that does not resolve after four weeks of appropriate oral antibiotics are more likely to have bronchiectasis. Authors of a new research from Australia suggest that a child whose chronic wet cough does not resolve after a four–week trial of antibiotics is best referred to a specialist for consideration of bronchiectasis. These children are 20 times more likely to have bronchiectasis, compared with those whose cough resolves. The study is reported in Archives of Disease in Childhood.
cardiology news

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

  • Findings of a study of US military men and women deployed in Iraq and Afghanistan from 2001 to 2008 suggest that participating in combat during wartime, more familiarly associated with posttraumatic stress disorder (PTSD) can independently raise the risk of new coronary heart disease (CHD). The finding applied to new CHD whether self-diagnosed or formally diagnosed by a physician. The study published in the journal Circulation suggests that a diagnosis of PTSD did not by itself necessarily predict new CHD in the analysis, which instead suggests that PTSD may be part of a mechanism by which combat raises the risk.
  • Pericarditis and other forms of primary cardiac disease can occur at any time during the course of systemic lupus erythematosus, and particularly in patients of African/Latin American ancestry, but antimalarial treatment can be protective. In a study in Rheumatology, compared with whites, the odds ratio for primary cardiac disease among African/Latin American patients on a multivariate analysis was 1.80. However, patients taking hydroxychloroquine had substantially lower risk.
cardiology news

Give BP drugs at night

Blood pressure drugs should be taken at night.

Uncontrolled blood pressure can lead to heart attacks, paralysis and heart failure. Most such attacks occur in the early morning hours. Pulse, blood pressure and thickening of platelets are all higher in the early morning hours.

Controlling early morning blood pressure can reduce cardiovascular mortality.

According to a study published in the Journal of the American Society of Nephrology, among patients with chronic kidney disease and high blood pressure, taking at least one antihypertensive drug at bedtime significantly improves blood pressure control, with an associated decrease in risk for cardiovascular events.

The study included 661 patients with chronic kidney disease who were randomly assigned either to take all prescribed anti BP drugs on awakening or to take at least one of them at bedtime. Patients were followed for a median of 5.4 years; during that time, patients who took at least 1 BP–lowering drug at bedtime had approximately one third of the cardiac risk compared with those who took all medications on awakening.

A similar significant reduction in cardiac deaths, heart attacks and paralysis was noted with bedtime dosing. Patients taking their medications at bedtime also had a significantly lower mean BP while sleeping.

For each 5 mmHg decrease in mean sleep–time systolic upper BP, there was a 14% reduction in the risk for cardiovascular events during follow–up.

Potential explanation for the benefit of night time treatment may be associated with the effect of night time treatment on urinary albumin excretion levels. Urinary albumin excretion is significantly reduced after bedtime, but not morning, treatment.

cardiology news

Total CPR since 1st November 2012 – 88972 trained

Media advocacy through Web Media

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press release

Heart Care Foundation of India to Support Free Heart Care Interventions

Institutes Heart Care Foundation Fund to provide financial and technical assistance to heart patients from economically weaker sections of the society

Heart Care Foundation of India, a national not–for–profit organization committed to raising awareness and providing effective solutions for impending health issues in the country, today announced the opening of applications for the ‘Sameer Malik Heart Care Foundation Fund’. A special project instituted under the umbrella of the Heart Care Foundation Fund, the initiative will aim at providing financial assistance to 365 heart patients belonging to economically weaker sections of the society in a period of one year.

Research indicates that in the National Capital of India itself, 19 patients die directly due to heart disease every day. Several of these heart conditions are curable and death is preventable. However not everyone can afford the treatment and hospital costs. A good example of this is the fact that currently in the country 15,000 pacemakers are fitted every year, whereas the current need is over 60,000.

A one–of–its–kind initiative, the Heart Care Foundation Fund has been instituted to bridge this disparity and provide individuals the ability to live a healthy and disease–free life. The fund will be available to patients suffering from non–emergent planned heart conditions for a maximum amount of Rs 1 lakh per person as one time grant.

Addressing a press conference here, Padma Shri, Dr BC Roy National & DST National Science Communication Awardee, and the President of Heart Care Foundation of India, Dr KK Aggarwal, said, "We at Heart Care Foundation of India are committed to providing assistance and effective solutions to the growing medical problems in the country. As a part of this endeavor, we have launched the Sameer Malik Heart Care Foundation Fund. Through this initiative, we hope to assist at least 365 people each year, who otherwise would not have been able to afford treatment. We are extremely thankful to Mr. Raghuvinder Kataria, Chief Patron of the fund and without whose support this would not have been possible."

All the applications to the fund will be assessed by an expert committee comprising of notable individuals chosen on merit basis. Once shortlisted, the funds will then be directly deposited in the bank account of the medical establishments treating the patient.

Speaking at the occasion, Padma Shri Awardee and renowned poet, Dr Ashok Chakradhar said, "In the fast paced and stressful world we live in today, heart disease is increasingly becoming a universal problem.

I strongly believe that every person has the right to get treatment irrespective of their economical status and I am happy that the Heart Care Foundation Fund has been instituted in this direction."

Adding to this, Dr Vijay Trehan, Professor of Cardiology at GB Pant Hospital, said, "With the increasing disparity of the rich and the poor and growing number of heart patients, NGOs can play a critical role in reducing the cardiac deaths in India. I congratulate Heart Care Foundation of India and hope that with this noble initiative they can help more and more heart patients from the economically backward sections of the society."

The fund will be available for use from April 1, 2014 and will provide financial assistance for stents, bypass surgery, valves, pacemakers or surgery for congenital heart disease. In order to be eligible to apply for the fund, patients can call on the fund helpline number 9958771177, which is open from March 20, 2014, Monday through Saturday from 9–5 PM.

Others present at the launch were Mrs Sumi Malik, Mr Harish Malik, Mr Deep Malik, Naina Aggarwal, Nilesh Aggarwal and Ms Aarti Upadhyay, all Governing and Executive Council Members of the fund.

– Ends –

About Heart Care Foundation of India

Heart Care Foundation of India is a National NGO working in the field of creating health awareness for people from all walks of life about all aspects of health incorporating all pathies under one roof using low – cost infotainment modules.

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 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 to Support Free Heart Care Interventions Institutes Heart Care Foundation Fund to provide financial and technical assistance to heart patients from economically weaker sections of the society

press release

TPA safe in pediatric stroke

vedio of day

today video of the dayPadma Shri & Dr B C Roy National Awardee,Dr KK Aggarwal on Tackling tension headaches

Hands only CPR 10 Utsav, 15th December 2013

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

eMedi Quiz

The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar.

Yesterday’s Mind Teaser: A 30–year–old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1. Medial rectus and superior division of oculomotor nerve.
2. Inferior oblique and inferior division of oculomotor nerve.
3. Lateral rectus and abducent nerve.
4. Superior rectus and trochlear nerve.

Answer for yesterday’s Mind Teaser: 3.Lateral rectus and abducent nerve.

Correct answers received from: : Tukaram Pagad,Dr Ajit Singh Nirvan, Dr.A.K.Gajjar, Dr.Bitaan Sen, Dr.Jayashree Sen, Dr.R.H.Gobbur, Dr.K.Raju, Dr.Bitaan Sen & Dr.Jayashree Sen

Answer for 19th March Mind Teaser: 3.Pain sensation on the contralateral side.

Correct answers received from: Dr.R.H.Gobbur,Dr.K.Raju

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Top Secret Communications Center

When my son was in the Air Force, my wife and I visited quite often. On our first visit, we were allowed inside this top secret Communications Center, but everything in sight was covered up so we could look around everywhere –– Heck, even the toilet paper in the Men’s room was disguised.

Anyway, at the exit, there’s a sign above the door, which reads: "You have been exposed to Top Secret Material. Please destroy yourself before leaving the building." Matka was caught by the police.

Police: How did you kill 20 people..?
Matka: Mai gaadi tez chala raha tha par jab maine brake lagaya, to pata laga ki brake fail ho
gaye hai. Phir maine saamne dekha to 2 aadmi ja rahe the…doosri taraf 1 barat ja rahi thi. Ab aap batao mai gaadi kidhar modta..?

Police: Of course, jis taraf 2 aadmi the. Nuksan kam hota.
Matka: Exactly. Maine bhi yehi socha tha par woh 2 aadmi meri gaadi dekh kar barat me ghus gaye… Toh mai kya karta!!!

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for C. pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis. Seroepidemiological studies have shown a strong association between C. pneumoniae infection and atherosclerosis in patients with cardiovascular disease.

medicolegal update

Just for today don’t be angry. Just for today don’t worry. Just for today be grateful and humble. Just for today be honest. Just for today be kind to others.

medicolegal update

Dr KK Aggarwal: Be cautious in giving painkiller to patients with high cholesterol http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: No matter what happened in the past, we all have the right and the capacity to be happy and loved http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, Very Gud inspirative story.Regards: Dr Kapil

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

eMedinewS Special

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Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

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