eMedinewS9th September 2013, Monday

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; 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

Severe hypoglycemia may lead to fatal arrhythmia

In a study of patients with diabetes and severe hypoglycemia, hypertension, QT prolongation, and hypokalemia were fairly common, and this might explain why hypoglycemia can lead to fatal arrhythmia and death.

Severe hypoglycemia was defined as requiring an emergency trip to the hospital by ambulance. Half of the patients with severe hypoglycemia and type 1 diabetes and more than half of those with type 2 diabetes had QT prolongation on their ECG readings, which might predict potential cardiac arrest. Compared with patients with type 2 diabetes, those with type 1 diabetes were less likely to have severe hypertension, but they were just as likely to have the risk factors of hypokalemia and QT prolongation.

The study was published online August 12, 2013 in Diabetes Care.

Death and or disability associated with hypoglycemia is now added to the list of never events and is a definite criteria for compensation in law suits.

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 Science behind Ganesha worship

While mythological studies knit stories of the Almighty’s existence, the fact remains that human being is bestowed with the untainted potential of recognizing heavenly facets in his own self.

Ganesha, the son of Shiva and Parvati is likewise the name given to the harmonious Aacharan or characteristic disposition of man. Remembered and ritually worshiped before starting a new venture, the entity of Ganesha has in store the facets of a complete man.

The magnanimous head of the Ganesha, which is that of an elephant, represents wisdom, intelligence and a healthy mind capable of making sound decisions. Not in vain is it said that ‘think before you speak’, which implies Ganesha’s huge head, that is identified with the need for a thoughtful and retrospective attitude.

The big ears of this elephant-deity instills among the earthly man the patient channel of lending ears to the echo produced by others’ deeds and speech. It is said that half the dispute is resolved when an ear is lend most patiently.

Ganesha or the Ganapati’s extremely small mouth characteristically represents the need for a limited dialogue and the vanity of chattering. Over-expression through words triggers unsought problems many a times which otherwise could be avoided by a tight-lip.

Ganesha also represents the guru of stress affected individuals. Shiva’s most promising son, Ganesha, by virtue of his small eyes, highlights the need of a focused outlook in life. Such an outlook not only redefines and foresees the right goals, but also relieves one from the stress-manifested episodes from the various chapters of life.

The long trunk identifies with the power of discrimination. The sensitivity of the Ganesha long nose has the strength to uproot a tree and the competency of picking up a pin from the ground. Such should be the approach of an individual who should be capable enough to perceive the good and the bad for himself besides the undaunted strength of overcoming all odds.

The tusks and the small teeth of Ganesha should however, be recollected with the loss and gains in the life of a man. Man similarly ought to engrave his mental stature in such a manner that the ups and downs may not deter him from his honest endeavor and the balance of inevitable bliss and sorrow is maintained to add spice in the earthly existences. This stable healthy mental stature is only possible if the physical, social, spiritual and environmental requirements of the body are fulfilled. For the needful, individuals need to be bestowed upon a complete mental and physical health.

Further the big tummy of Ganapati Deva preaches the need for retaining information. Acquiring knowledge, utilizing it and retaining it for years to come, becomes the crux of ‘big-belly commandment’.

The Char-Bhuja Dhari Ganesha, further represents strength by virtue of the four hands in which the Lord entraps his attachments, desires and greed. Two of the arms of Ganesha, which hold rope, symbolize control over the attachments. The laddo or sweet in the other two shows command over the desires and earthly delusion. The mouse sitting near the feet of Ganesha represents greed and gluttony upon which the Almighty rides, propagating a control over the evils.

Ganesha’s physical traits are an assembly of the characteristics most required in an individual of substance. Disposition incarnated with the goodness of such features will result in success in life and will positively procure an ailment-free survival.

Specifically for executives, Ganesha’s characteristic principles may be incorporated in a time-table format which will help in the dawn of a conformable work-atmosphere along with congenial relationship between the management and the union of workers. Deciding the first day of the week to hear all grievance and woes of the workers, the second for thinking and planning strategies to work upon and finally setting targets to be achieved may utilize three days of the week very constructively. Further a day devoted to evaluating losses and gains (Ganesha’s teeth principle) may help additionally in business management. Retaining the information and filing all the pending work can affirmatively call upon the fifth day of the week, which works entirely on the principle of Ganesha’s tummy, which is massive by the virtue of holding tremendous loads of information. Contemplation, discrimination and judging the good and the bad for the entire unit may take another day, leaving the Sunday for self-retrospection through meditation and yoga. One should strive and adopt Ganpati Bappa Maurya’s principles of life management rather than worshiping him with vanity. Life has much in store besides bothering about unnecessary qualms. Giving into a disciplined attitude may assuredly dawn upon a peaceful life. Heaven is where you are, it’s only a matter of perception which makes life as difficult as hell.

cardiology news

Believe What You Feel

On this day, Morrie says that he has an exercise for us to try. We are to stand, facing away from our classmates, and fall backward, relying on another student to catch us. Most of us are uncomfortable with this, and we cannot let go for more than a few inches before stopping ourselves. We laugh in embarrassment.

Finally, one student, a thin, quiet, dark–haired girl whom I notice almost always wears bulky, white fisherman sweaters, crosses her arms over her chest, closes her eyes, leans back, and does not flinch, like one of those Lipton tea commercials where the model splashes into the pool.

For a moment, I am sure she is going to thump on the floor. At the last instant, her assigned partner grabs her head and shoulders and yanks her up harshly.

"Whoa!!" several students yell. Some clap. Morrie finally smiles. "You see", he says to the girl, ‘you closed your eye; that was the difference. Sometimes you cannot believe what you see; you have to believe what you feel. And if you are ever going to have other people trust you, you must feel that you can trust them too – even when you're in the dark… even when you’re falling".

News Around The Globe

"The WHO Framework Convention on Tobacco Control (WHO FCTC) demonstrates the world’s commitment to decisive action against the global tobacco epidemic. It is one of the most widely embraced treaties in the history of the United Nations and provides Member States with a powerful tool for saving many lives through tobacco control and noncommunicable disease prevention. The Government of India has taken a lead in implementing the WHO FCTC and we remain committed to supporting the government in its endeavours," said Dr. Nata Menabde, WHO Country Representative for India.

Shri. C. K Mishra, Additional Secretary, MoHFW said, "India has been committed to strengthen its national tobacco control efforts as well as to contribute to advancing tobacco control, globally. India played a leading role during the negotiations of the WHO Framework Convention on Tobacco Control and has been striving to introduce measures for implementing and moving beyond the Treaty. The nation-wide ban on gutkha is one such step. We are happy to host Governments, tobacco control experts, multi–disciplinary advocates, human rights activists, policymakers and health professionals from across the world in India and deliberate on methods to collaboratively fight the tobacco epidemic. It is only through the collective resolve of Governments, world leaders, development partners and civil society that we can save lives, protect and preserve the health of future generations from the harmful effects of tobacco use. The campaign has to go on till we are able to achieve the desired results." The Ministry of Health and Family Welfare, Government of India also announced former Indian cricket team captain Rahul Dravid as the brand ambassador for its National Tobacco Control Campaign.

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Rabies News (Dr. A K Gupta)

What is pre–exposure vaccination?

Pre–exposure (Prebite) vaccination means immunization before the bite.

cardiology news

Intense lifestyle changes and metformin both helped modify lipid particles in patients with type 2 diabetes, presumably improving their cardiovascular risk profile, according to a new study reported online in the Journal of Clinical Endocrinology & Metabolism. In a subgroup analysis of the Diabetes Prevention Program, patients who were randomized to either metformin or to an intense lifestyle intervention had lower levels of various particles of low–density lipoprotein (LDL) cholesterol, and increases in high–density lipoprotein (HDL) particles. According to Ronald Goldberg, MD, principal investigator of the Diabetes Research Program at the University of Miami, these findings demonstrate that the same therapies used to slow the onset of diabetes also may help allay the risk of heart disease.

Valvular Heart Disease News

Although a varinfectious endocarditis ty of microorganisms can cause infective endocarditis, streptococci and staphylococci specinfectious endocarditis s are the most common pathogens associated with infective endocarditis in children.

(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
  • Lens–sparing vitrectomy to correct early degrees of retinal detachment results in excellent lens clarity and vision in the majority of infants with retinopathy of prematurity, according to the largest reported case series in the world. Success rates for retinal reattachment with a single surgery were approximately 89% for infants with stage 4A retinopathy, in which retinal detachment has started to occur, but the detachment has spared the macula. For those with stage 4B retinopathy, when retinal detachment involves the macula, success rates were 60%.
cardiology news

Combo drugs best for lowering blood pressure

A low–dose four–drug combination is more effective for reducing high blood pressure than treatment with a high dose of a single drug.

Quoting an Irish study published in the journal Hypertension, Dr. Aggarwal said that most people with high blood pressure need two to three antihypertensive drugs.

Combining low doses of established antihypertensive medicines in one or two drugs can produce better blood pressure control than full doses of individual drugs.

In the study, doctors from Dublin, investigated this approach by studying 108 untreated, hypertensive patients. The subjects were randomly allocated to take one of four agents –– a calcium channel blocker, a beta–blocker, a diuretic, or an ACE inhibitor –– or a capsule containing all four drugs at one quarter of the dose used for single–drug therapy.

After 4 weeks, the reduction in pressure with the combination treatment was 19 points, significantly greater than the 6 to 11 points seen with the various individual agents. Sixty percent of combination–drug patients achieved a normal blood pressure reading compared with 15–45% of patients taking individual drugs.

The combination approach, has the potential to reduce costs, with possibly fewer side effects, and the number of medicines to be taken each day

cardiology news

Chief Minister of Delhi Smt. Sheila Dikshit to host a dinner for CMAAO India conference faculty

Smt. Sheila Dikshit, Chief Minister of Delhi will be hosting an invited limited faculty dinner at CM’s residence on 12th September at 8pm. The invitees will include the international and national faculty of CMAAO India conference.

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


A mix of exercise protocol is better

A combination of weight training and aerobic exercise is the best prescription for overweight patients with at risk for diabetes and heart disease.

Only aerobic exercise is also as good as it reduces weight and inches off the waistlines. Jut weight lifting alone has very little benefit, said Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

According to a study published in the July 7th issue of American Journal of Cardiology, people in the weight–training group gained about 1.5 pounds and those in the aerobic group lost an average of 3 pounds and half an inch from their waists.

Those who did both weight and aerobic training dropped about 4 pounds and 1 waistline inch. This group also saw a decrease in diastolic lower blood pressure and in a metabolic syndrome score.

Both the aerobic–only group and the combined–exercise group also lowered their levels of bad triglycerides.

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

Cultural Evening at IMA

today video of the dayCultural Evening at IMA

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

A female client requires hemodialysis. Which of the following drugs should be withheld before this procedure?

a. Phosphate binders
b. Insulin
c. Antibiotics
d. Cardiac glycosides

Yesterday’s Mind Teaser: Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a female client’s uremia. Which finding signals a significant problem during this procedure?

a. Potassium level of 3.5 mEq/L
b. Hematocrit (HCT) of 35%
c. Blood glucose level of 200 mg/dl
d. White blood cell (WBC) count of 20,000/mm3

Answer for yesterday’s Mind Teaser: d. White blood cell (WBC) count of 20,000/mm3

Correct answers received from: Dr.K.V.Sarma,chandulal parmar, Dr.Bitaan Sen& Dr.Jayashree Sen, DR AYYAVOO ERODE, brajesh kunwar, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr Jainendra Upadhyay,DR AVTAR KRISHAN

Answer for 7th September Mind Teaser: c. Check the client’s pedal pulses frequently.

Correct answers received from: Dr Jainendra Upadhyay,DR AVTAR KRISHAN

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Getting Dressed

Hospital regulations required a wheelchair for patients being discharged. However, while working as a student nurse, I found one elderly gentleman – already dressed and sitting on the bed with a suitcase at his feet – who insisted he didn’t need my help to leave the hospital.

After a chat about rules being rules, he reluctantly let me wheel him to the elevator. On the way down I asked him if his wife was meeting him.

"I don’t know," he said. "She’s still upstairs in the bathroom changing out of her hospital gown."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with fever and cough develops complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure a patient with fever and cough is not given antibiotics as presence of cough is mostly due to viral infection.

medicolegal update

A successful person is one who can lay a solid foundation from the bricks what others have thrown at them.

medicolegal update

Dr KK Aggarwal: Low BP may be normal By Dr K K Aggarwal http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful http://tinyurl.com/l6x3eo4

medicolegal update

Dear Sir, Nice updates and inspirational thoughts. Regsrds: Dr Sumit

Forthcoming Events

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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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