eMedinewS7th September 2013, Saturday

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

FODMAPS free diet

Symptoms of IBS and inflammatory bowel disease may be at least in part related to impaired absorption of carbohydrates.

Fermentable oligo–, di– and monosaccharides and polyols (FODMAPs) in patients with IBS or IBD may enter the distal small bowel and colon where they are fermented, leading to symptoms and increased intestinal permeability (and possibly inflammation).

Examples of FODMAPs include:

  • Fructans or inulins (wheat, onions, garlic, and artichokes)
  • Galactans (beans, lentils, legumes, cabbage, and Brussels’ sprouts)
  • Lactose (dairy)
  • Fructose (fruits, honey, high fructose corn syrup)
  • Sorbitol
  • Xylitol
  • Mannitol
  • Polyols (sweeteners containing sorbitol, mannitol, xylitol, maltitol, stone fruits such as avocado, apricots, cherries, nectarines, peaches, plums)

Avoidance of carbohydrates has been a long–popularized non–pharmacologic approach to reducing symptoms in IBS (and possibly modifying disease in IBD).

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."

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

Ringtone – CPR 10 Mantra English

sprritual blog Ganesha, The Stress Management Guru

If Lord Krishna was the first counselor who taught the principles of counseling, Lord Ganesha taught us the principles of stress management.

We should worship Lord Ganesha and become like him whenever we face any difficulty or are stressed out.

The elephant head of Lord Ganesha represents that when in difficulty, use your wisdom, intelligence and think differently. It can be equated to the Third Eye of Lord Shiva. Elephant is supposed to be the most intelligent animal in the kingdom. Here wisdom implies to think before speaking. Lord Buddha later also has said that don’t speak unless it is necessary and is truthful and kind.

The big elephant ears of Lord Ganesha signify listening to everybody when in difficulty. Elephant ears are known to hear long distances.

Elephant eyes see a long distance and in terms of mythology, it represents acquiring the quality of foreseeing when in difficulty. The mouth of Lord Ganesha represents speaking less and hearing and listening more.

The big tummy of Lord Ganesha represents digesting any information gathered by hearing to people in difficulty. The trunk represents to use your power of discrimination to decide from the retained information. It also indicates to do both smaller and bigger things by yourself. Elephant trunk can pick up needle as well as a tree.

The broken and unbroken teeth of Lord Ganesha represent being in balance in loss and gain. It indicates that one should not get upset if the task is not accomplished and also not get excited if the task is accomplished. In times of difficulty, Ganesha also teaches us not to lose strength and control one’s attachments, desires and greed.

The four arms of Lord Ganesha represent strength. Ropes in two hands indicate attachment, Laddoo or Sweet in one hand represent desires and mouse represents greed. Riding over the mouse indicates controlling one’s greed.

Lord Ganesha is worshipped either when one’s task is not getting accomplished or when a new work is initiated. In these two situations, these principles of Lord Ganesha need to be inculcated in one’s habits. ….

cardiology news

Salt, Glass of Water and the Lake

Once an unhappy young man came to an old master and told he had a very sad life and asked for a solution. The old Master instructed the unhappy young man to put a handful of salt in a glass of water and then to drink it.

"How does it taste?" the Master asked. "Terrible" spat the apprentice.

The Master chuckled and then asked the young man to take another handful of salt and put it in the lake. The two walked in silence to the nearby lake and when the apprentice swirled his handful of salt into the lake.

The old man said, "Now drink from the lake." As the water dripped down the young man’s chin, the Master asked, "How does it taste?"

"Good!" – remarked the apprentice. "Do you taste the salt?" – asked the Master. "No." – said the young man.

The Master sat beside this troubled young man, took his hands, and said, "The pain of life is pure salt; no more, no less. The amount of pain in life remains the same, exactly the same. But the amount we taste the ‘pain’ depends on the container we put it into. So when you are in pain, the only thing you can do is to enlarge your sense of things. Stop being a glass. Become a lake."

News Around The Globe

  • FICCI Health Care Operational Excellence Award The prestigious FICCI Healthcare Award 2013 for operational excellence in the field of Diagnostic Imaging has been conferred upon Dr Gulati Imaging Institute, New Delhi. The glittering award investiture ceremony was presided over by the former chairman of SEBI Mr. M. Damodaran, film producer Mr. Ramesh Sippy, and Secretary General, FICCI Dr. A. Didar Singh. The other awardees on the day included FICCI Healthcare Personality of the Year Dr Narottam Puri; the P.D Hinduja Hospital, Mumbai; Fortis Hospital Mulund, and SRL limited.
  • Two new studies demonstrate both the promise of CT–based lung cancer screening and the obstacles to reducing the harms it may cause. Compared with screening conducted with conventional chest x–rays during the first round of incidence screening, CT scans had greater sensitivity for malignant tumors (94.4% vs 59.6%) and twice as many CT–detected tumors were stage IA (47.5% vs 23.5%), whereas 31.1% of the CT–detected tumors were stage III or IV compared with 59.1% of tumors found with x–rays. But, according to the researchers, specificity and the predictive value of positive findings were greater with x–ray screening
  • Cecilia Söderberg–Nauclér, MD, PhD, a microbial pathogenesis researcher there, and colleagues report that the two–year survival was 62% among 50 patients with glioblastoma who got valganciclovir (Valcyte) through a clinical trial or compassionate-use program at Stockholm’s Karolinska Institutet compared with 18% among matched controls. The results were even better in the subgroup treated longer, up to 70% and 90% 2–year survival. The findings are reported in the Sept. 5 issue of the New England Journal of Medicine.
  • Jutta Dierkes, PhD, of the University of Bergen in Norway, and colleagues reported online in the Journal of Clinical Endocrinology and Metabolism that increases in serum 25(OH)D over 8 weeks were significantly greater among patients on vitamin D3 than those taking D2 or placebo (89.2 nmol/L versus 67.8 nmol/L and 32.1 nmol/L. These findings suggest that supplementation with vitamin D3 may be more effective than vitamin D2 in raising a patient’s overall vitamin D status.
  • Certain baseline neurocognitive and symptomatic factors can predict social and role functioning in individuals at high clinical risk for psychosis. Predictive baseline factors for poor social outcomes were disorganized symptoms, premorbid impairments in social functioning and reduced processing speed. Baseline factors that predicted poor role outcomes were motor disturbances, verbal memory and early impairments in role function.

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Rabies News (Dr. A K Gupta)

What is "furious form" of rabies in animals?

The excitative phase follows the prodromal phase in some animals. The animal becomes irrational and may aggressively use its teeth, claws, horns, or hooves. The expression is one of anxiety with dilated pupils. Noise invites attack. Rabid animals roam extensively and attack other animals, including humans and any moving object. Cats usually manifest furious type of rabies.

cardiology news
  • An analysis of the Reasons for Geographic and Racial Differences in Stroke (REGARDS) observational study presented at the ongoing European Society of Cardiology (ESC) 2013 Congress showed there was a significant twofold increased risk of cardiovascular disease in elderly patients with systolic blood pressures >150 mm Hg as well as a significantly increased risk of coronary heart disease incidence. While stroke rates were not significantly increased in elderly patients with higher blood pressures, there was an increased risk of all-cause mortality among individuals 55 to 74 years of age with systolic blood pressures >140 mm Hg
  • Women who undergo transcatheter aortic valve implant (TAVI) are no more likely to die than men who have the procedure, as reported by Mohammed Sherif, MD, of Coburg Hospital at the ongoing European Society of Cardiology (ESC) 2013 Congress. In reviewing data on 1,432 patients undergoing TAVI procedures at 27 centers, women and men had virtually the same risk of dying before discharge, 7.3% vs 9.3%, 30–day mortality 7.6% vs 8.6% and 30–day death or nonfatal MI 2.2% vs 3.3%.

Valvular Heart Disease News

The mortality rate for pediatric infective endocarditis is about 5 percent. Increased mortality is associated with prematurity, cyanotic CHD, and infective endocarditis due to Staphylococcus aureus.

(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
  • A study reported in the Journal of Pediatrics states that young children who accidentally ingest buprenorphine often develop severe adverse events, including central nervous system depression and respiratory depression, leading to death in some cases. The tablet forms of buprenorphine are much more likely to be ingested by children than the film–strip form. Buprenorphine or the buprenorphine–naloxone combination is used to treat opioid addiction in adults. Tablets typically are dispensed in 30-day supply bottles with child–resistant caps, and film strips are dispensed in single–dose, child–resistant foil packs.
  • Japanese researchers report in JAMA Ophthalmology that early vitreous surgery can improve visual outcomes in babies with aggressive posterior retinopathy of prematurity (AP–ROP). Early vitreous surgery should be performed as soon as possible when fibrovascular tissue (FT) continues to proliferate or recurs after transient regression, despite early and dense photocoagulation. Because FT proliferation and retinal detachment rapidly progress, the sooner the surgery is performed, the better.
cardiology news

Avoid chocolate for heart burn

People with heart burn should avoid its use as it can worsen the heart.

One should also avoid other reflux–inducing foods (fatty foods, peppermint, and excessive alcohol, which may reduce lower esophageal sphincter pressure).

A number of beverages have a very acidic pH and can exacerbate symptoms. These include colas, red wine, and orange juice.

Promotion of salivation by either chewing gum or use of oral lozenges may also be helpful in mild heartburn. Salivation neutralizes refluxed acid, thereby increasing the rate of esophageal acid clearance.

Restriction of alcohol use and elimination of smoking; smoking is deleterious in part because it diminishes salivation.

cardiology news

Mrs. Sheila Dikshit, Chief Minister of Delhi to inaugurate the CMAAO India conference

The CMAAO India conference will be inaugurated by Chief Minister of Delhi Smt. Sheila Dikshit on 12th September at Hotel Shangri La at1.30pm. Dr. Naresh Trehan, CMD Medanta Medcity will be the Guest of Honour. Dr. Vinay Aggarwal, Past President, IMA will take over as CMAAO President.

cardiology news

Total CPR since 1st November 2012 – 62980 trained

CPR Classes 62980

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping
sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

29th August: Veer Arjun

Media advocacy through Web Media

When Constipation May be a Serious Problem 30th August


TB more dangerous than FLU 29th August


Blood Pressure: A silent killer

Hypertension or high blood pressure is an ongoing epidemic of the society. Blood pressure is a silent killer said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela Antihypertensive treatment is associated with reductions in stroke incidence averaging 35–40%, myocardial infarction by 20–25 % and heart failure, by more than 50%. A 5 mm reduction in diastolic lower blood pressure can reduce heart disease by 21%.

Dr Aggarwal said that if we were to eliminate pre hypertension from the society (or in other words keep the community blood pressure lower than 120/80 mm Hg) we can potentially prevent about 47% of all heart attacks.

The Framingham Study found that a pre hypertensive person is more than three times at risk to have a heart attack and 1.7 times more likely to have heart disease than a person with normal blood pressure.

Lifestyle modifications reduce BP, enhance anti-hypertensive drug efficacy, and decrease cardiovascular risk. If there is no target organ damage diabetes or multi cardiac risk factors one can try lifestyle management for up to 6 months. Presence of target organ damage necessitates drug treatment to lower the BP.

  • A 1,600 mg sodium DASH eating plan has effects similar to single drug therapy. Combinations of two (or more) lifestyle modifications can achieve even better results.
  • One should maintain normal body weight. A reduction of 5–20 mmHg of BP can be achieved for every 10 kg weight loss.
  • One should consume a diet rich in fruits, vegetables and low fat dairy products with a reduced content of saturated and total fat. It can reduce blood pressure by 8–14 m Hg.
  • One should reduce dietary sodium intake to no more than 100 mmol per day (2.4 g sodium or 6 g sodium chloride). It alone can reduce blood pressure by 2–8 mm Hg.
  • One should engage in regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). It alone can reduce blood pressure by 4–9 mm Hg.
  • For those who drink should limit consumption to no more than 2 drinks (1 oz or 30 mL ethanol; e.g., 24 oz beer, 10 oz wine, or 3 oz 80–proof whiskey) per day in most men and to no more than 1 drink per day in women and lighter weight persons. It alone can reduce blood pressure by 2–4 mm Hg.
  • One should reduce dietary sodium intake to no more than 100 mmol per day (2.4 g sodium or 6 g sodium chloride). It alone can reduce blood pressure by 2–8 mm Hg.
  • One should engage in regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). It alone can reduce blood pressure by 4–9 mm Hg.
  • For those who drink should limit consumption to no more than 2 drinks (1 oz or 30 mL ethanol; e.g., 24 oz beer, 10 oz wine, or 3 oz 80–proof whiskey) per day in most men and to no more than 1 drink per day in women and lighter weight persons. It alone can reduce blood pressure by 2–4 mm Hg.

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 63400 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

A CPR 10 Training Camp was organized by Heart Care Foundation of India to train the students of Modern School Noida on 14th August

press release

6 Ways to earn extra income from medical activities

today video of the dayDr KK Aggarwal on Costly Treatment

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

A male client in the short–procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing post procedure care, the nurse should:

a. Keep the client’s knee on the affected side bent for 6 hours.
b. Apply pressure to the puncture site for 30 minutes.
c. Check the client’s pedal pulses frequently.
d. Remove the dressing on the puncture site after vital signs stabilize.

Yesterday’s Mind Teaser: A male client is scheduled for a renal clearance test. Nurse Maureen should explain that this test is done to assess the kidneys’ ability to remove a substance from the plasma in:

a. 1 minute.
b. 30 minutes.
c. 1 hour.
d. 24 hours.

Answer for yesterday’s Mind Teaser: a. 1 minute.

Correct answers received from: Chandulal parmar, Narahari Kandakatla, Dr Abbas Vakil, Dr. V.P. Thakral, Dr. P. C. Das, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Kanta jain, Dr. Vishal D Wahane, Dr.K.V.Sarma, Dr Pankaj Agarwal, Anil Bairaria, dr. deepali chatterjee, Dr Chandresh Jardosh, Dr.K.Raju, DR AVTAR KRISHAN, daivadheenam, Bal Kishan Agarwal, Dr pooja khullar, Dr. P. C. Das, Dr. P. C. Das

Answer for 5th September Mind Teaser: b. Urine pH of 3.0

Correct answers received from: Anil Bairaria, dr. deepali chatterjee, Bal Kishan Agarwal

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Men Don’t Listen

A young man was driving up a steep, winding and narrow mountain road. Going round a tight corner, he notices a woman driver who is coming in the opposite direction begin to lean out of her window. As they pass each other she yells at him "PIG!!!!"

The man immediately leans out of his window and screams back at her, "WITCH!!!"

Each continues on their way, and as the man rounds the next bend he crashes into a pig, right in the middle of the road…

If only men would listen.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with hypertension developed bleeding at the puncture site while on eptifibatide therapy.
Reaction: Oh my God! Why was the anti–platelet agent started?
Lesson: Make Sure that before starting intergrilin the BP is checked. Severe hypertension i.e., systolic BP ≥ 200 mmHg or diastolic BP >110 mmHg not adequately controlled on antihypertensive therapy is a contraindication for intergrilin therapy.

medicolegal update

It must be borne in mind that the tragedy of life does not lie in not reaching your goal. The tragedy of life lies in having no goal to reach. Benjamin E. Mays

medicolegal update

Dr KK Aggarwal: Beverages are categorized into eight categories http://bit.ly/16wknsh #Health

Dr Deepak Chopra: It is impossible to prove the existence of anything outside consciousness http://tinyurl.com/l6x3eo4

medicolegal update

Many many happy returns of tne day. Dr Priyanka

Forthcoming Events

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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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

medicolegal update

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