7th Asia-Pacific Heart Rhythm Scientific Session New Delhi, India
Continuous warfarin preferred in atrial fibrillation before catheter ablationhttps://podio.com/webforms/9727986/708939
Results from the COMPARE (Coumadin in Preventing Thromboembolism in Atrial Fibrillation Patients Undergoing Catheter Ablation) trial have shown for the first time that performing radiofrequency catheter ablation of AF without stopping warfarin reduces the occurrence of periprocedural thromboembolic and hemorrhagic events compared with bridging with low-molecular–weight heparin (LMWH). In the trial, 1584 patients with paroxysmal or persistent AF were randomly assigned to discontinuation 2 to 3 days before ablation and bridging with LMWH or continuation of therapeutic warfarin. The findings of the trial are published in Circulation 2014 Jun 24;129(25):2638–44.
Dr. Mohan Nair
Chairman, Organizing Committee of the 7th Asia Pacific Heart Rhythm Society's (APHRS) Scientific Sessions, being organized simultaneously at the Taj Palace Hotel and ITC Maurya in New Delhi from October 29th to November 1st, 2014.
Be a part of the discussions regarding Arrhythmia Management with global experts at the 7thAsia Pacific Heart Rhythm Society Meeting from October 29th– November 1st at New Delhi.
As a special offer for all eMedinews readers, we have decided to waive off the registration fees for the conference. To register yourself, please click on the following link
News Around The Globe
Practices to eliminate Staphylococcus aureus are associated with significantly lower rates of surgical–site infection, suggested a new study presented at IDWeek 2014. The approach consists of screening the nostrils of patients for S. aureus, decolonizing with mupirocin and chlorhexidine baths and administering perioperative prophylactic vancomycin and cefazolin to patients with methicillin–resistant S. aureus (MRSA).
Oral estradiol therapy neither improves nor harms cognitive function in menopausal women irrespective of time since menopause, suggests data from the Early versus Late Intervention Trial with Estradiol (ELITE) presented at the North American Menopause Society (NAMS) 2014 Annual Meeting.
Women with healthier diets before an ovarian cancer diagnosis have a lower mortality rate than women with poorer diets, suggests a new study scheduled for publication in JNCI, the Journal of the National Cancer Institute.
The randomized, placebo–controlled Soy Isoflavones for Reducing Bone Loss (SIRBL) study has shown that soy isoflavone supplements appear to be safe during a 3–year period. Researchers found no evidence of treatment effects on endometrial thickness, adverse events, or circulating hormone concentrations, including thyroid function among women. The data were presented at the North American Menopause Society (NAMS) 2014 Annual Meeting.
Smile restoration using free gracilis muscle transfer helps improve the quality of life in patients who lost their smiles after facial nerve insult, suggests a new study published online in JAMA Facial Plastic Surgery.
Dr KK Spiritual Blog
The Churning of the Ocean on Dhanteras: Samudra Manthan
Many of us know the story of ‘Sagar Manthan’ or the churning of the ocean. The story goes like this.
Once Indra lost his kingdom due to the disrespect he showed to sage Durvasa. He approached Lord Vishnu, who advised him to seek the help of the demons to churn the ocean of milk (Ksheer Sagar), so that he and other Devas could take the Amrita (ambrosia) that would make them immortal and help them regain their lost kingdom.
As per his advice, Devas approached the demons, and they all agreed in the end to churn the ocean of milk. They sought the help of mount ‘Mandhara’ and the great snake ‘Vasuki’ for this purpose. Vasuki, the snake God, was used as the rope and Mandhara, the mountain, as the churning stick to churn the ocean. While they were churning the great ocean, Lord Vishnu assumed the form of a tortoise and held the Mandhara from sinking. While the churning was going on, several wonderful objects came out of the ocean.
The first to come out was ‘Halahal’, the deadly poison, which threatened to engulf the world and destroy it. When no one was willing to accept the poison, Lord Shiva came forward to accept it. He swallowed it and Parvati who was standing beside him, pressed his neck as he swallowed it and thus, prevented it from going into his stomach. Thus the poison remained stuck forever in his neck, neither going up into his mind nor going down into his stomach. Then came Kamadhenu (the wish-fulfilling cow), the Ucchaisrava (the white horse), Airavata (the white elephant), Kaustubhamani (a rare diamond), Kalpavriksha (the wish-fulfilling tree), Lakshmi (the goddess of wealth), Sura or Varuni (the goddess of wine) and finally Dhanvantari (the divine physician) with the vessel of Amrita in his skilful hands. These objects, except the last one, were divided between Devas and the demons.
The nectar of immortality was, of course, finally denied to the demons and was distributed among Devas only, through a fine piece of trickery enacted by Lord Vishnu. He assumed the form of Mohini to delude the demons and make them temporarily forget all about the ‘Amrit’, while he went on distributing it among the gods who took it. Because of the effects of ‘Amrit’, they not only became immortal but also defeated the demons summarily. But two of the Daityas (demons) managed to partake of the Amrit. And they both became immortal. Therefore, the strife between good and evil continues to this day.
The story represents the spiritual endeavor of man for achieving immortality and inner happiness through concentration of mind, withdrawal of senses, control of desires and practice of austerities and asceticism.
The Devas represent the pleasure principle in us. They also represent the senses.
The Demons represent the pain principle and the negative thoughts and impulses.
Indra represents the Intellect, which can become egoistic.
Ksheer Sagar or the ocean of milk is the mind or the human consciousness. The mind is always compared to an ocean (mano sagaram) while the thoughts and emotions to the waves.
Mandhara, the mountain stands for concentration. The word “mandhara” contains two words “man” (mind) and “dhara” (a single line), which means ‘holding the mind in one line’. This is possible only during mental concentration. The mountain Mandhara was upheld by Lord Vishnu as a tortoise.
The tortoise stands for the withdrawal of the senses into oneself as one practices mental concentration and meditation or contemplation. It also suggests that the mind should rest upon itself or freely surrender itself to the divine will.
The participation of both Devas and the demons signify the fact that when one is seeking immortality through the spiritual practice, one has to integrate and harmonize both the positive and negative aspects of one’s personality and put both the energies for the common goal.
The great serpent Vasuki stands for desire. The desire is always compared to a thousand hooded serpents.
Halahal represents the turmoil of mind one suffers in the initial phase of meditation
The celestial gems represent the spiritual powers or the Siddhis one can attain during meditation
‘Amrit’ or nectar represents the inner happiness
Immortality represents Moksha.
The story represents the need for doing meditation (churning of the mind in the ocean) to gain control over ego, which takes over when the mind and intellect (Indra) lose their track.
The process involves intention to do the meditation (Devas approach Vishnu or the consciousness who in turn advises to do the manthan) and attention (focus, concentration) on the object of concentration (God or consciousness and here the tortoise).
The process involves concentrating on a mantra or the breath continuously and giving preferences to the object of concentration over the thoughts. Meditation is incomplete without withdrawing the senses (tortoise). By yoga sutras of Patanjali, it is called ‘pratihara’ by creating a spiritual atmosphere. The contemplation or the continuing concentration is a must (mandhara).
Meditation is the process of slipping in the silent gaps between the thoughts. Negative thoughts are the Asuras, the devils or the demons. Meditation involves bypassing the thought and needs both the positive and the negative thoughts to cooperate with each other like in a rope.
While meditating, one is bound to be affected by a chain or rope of desires (Vasuki). The same needs to be tightened up caught firmly by the thoughts, and ignored by giving preference to the object of concentration, the self (the tortoise). When in difficulty, everyone has to take the help of God (in the form of Mohini).
To summarize, Vasuki used in the churning of the ocean denotes that Devas and the demons held desire (to seek immortality) as a rope and churned the mind with the help of concentration and withdrawal of the senses. You can hold the desire in your hands and manipulate it only when you have control over your desires.
In the initial phase of meditation or intense churning by opposite forces, one is affected by turmoil of the mind. Most people who start meditation leave it in this phase only, as they cannot bear this turmoil and get agitated or disturbed. That is one reason it is said that one should learn meditation under the guidance of a teacher, doctor or a guru.
The Halahal represents this suffering and pain one undergoes at the beginning of spiritual Sadhna. The problems get intensified because of inner conflicts, when one part yearns to pursue the spiritual path (Devas) while the other opposes it (demons). In short, ‘Halahal’ is the instability of the body and the mind that arises as a counter-reaction against one’s spiritual practice.
One can compare this to the release of the mental toxins comparable to the physical toxins, which are released when we rest and after a daylong rest complain of leg pains.
The mental turmoil representing all kinds of reactions, negative thoughts, desires and impulses associated with some degree of physical turmoil (body movements, flickering and tingling) need to be tackled here to complete the process of meditation.
One cannot take out these negative thoughts in the open nor can one keep it in (you cannot throw the Halahal out or swallow it). It needs to be managed or ignored by keeping it in the throat which is what was done by Shiva. Shiva here represents the ascetic principle (leading a life of self-discipline and self-denial).
It also means that another mode of controlling the turmoil is by controlling the breath. Shiva is the controller of breath and is called a ‘prananath, or praneshwar’ – The Lord of Breath. In meditation, it is essential that one has complete mastery over one’s breathing pattern. Most sages hold their breath in their throat, near the palate, as they meditate to control this turmoil of mind.
The various objects that came out of the ocean during the churning stand for the psychic or spiritual powers (siddhis), which one gains as one progresses spiritually from stage to stage.
These siddhis are spiritual powers, which come to a seeker as he progresses on the spiritual path. We are told that a seeker should be careful about these powers as they can hamper his progress unless he uses them judiciously – not for his selfish gains but for others’ welfare. This is the reason why the gods and demons distributed these powers among others without keeping anything for themselves as they did not want to lose sight of their original aim, which was to gain immortality (inner happiness).
Dhanvantari stands for health. The vessel containing the Amrit was brought before the Gods and the demons by Dhanvantari, the divine physician. This signifies that immortality can be achieved only when the body and the mind are in a perfect state of health.
Lord Dhanvantari is worshipped on Dhanteras, 2 days before Diwali as the lord of Ayurveda. He has four hands with herbal medicines, Ayurveda book, Amrit kalash and a Shankh in each arm. They define the principles of treatments: herbal drugs for the physical body, pranayama and mantras represented by Shankha for the mind, rasayanas for spiritual health represented by the kalash and prevention by understating the knowledge of true self by reading the Ayurveda.
These spiritual powers are the ones, which one can attain while doing basic and advanced meditation and includes the capacity to fulfill desires, to give boons to others, to acquire health, wealth etc. Meditation is not possible in case of a person who is mentally or physically sick or whose gross body is not fit for receiving meditation benefits.
Lord Vishnu in the form of Mohini stands for ‘delusion of the mind’ in the form of pride. It is the pride of achievement to which the Asuras or the demons succumbed and thus, lost their right to enter into the world of immortality. Pride and egoism are the final hurdles one has to overcome in spiritual life before being able to experience self-realization.
The Wonders of Motivation
A man was lost while driving through the countryside. As he tried to reach for the map, he accidentally drove off the road into a ditch. Though he wasn't injured, his car was stuck deep in the mud. So the man walked to a nearby farm to ask for help.
"Warwick can get you out of that ditch," said the farmer, pointing to a Person standing in a field.
The man looked at the Person and looked at the farmer who just stood there repeating, "Yep, old Warwick can do the job."
The man figured he had nothing to lose. The two men and the Person made their way back to the ditch. The farmer hitched the Person to the car. With a snap of the reins, he shouted, "Pull, Fred! Pull, Jack! Pull, Ted! Pull, Warwick!"
Go ahead. And the Person pulled that car right out of the ditch. The man was amazed. He thanked the farmer, patted the mule, and asked, "Why did you call out all of those names before you called Warwick?"
The farmer grinned and said, "Old Warwick is blind. As long as he believes he's part of a team, he doesn't mind pulling."
You see all it matters is encouragement and a sense of care to say "You can do it". If so, you would witness incredible job.
Rabies News (Dr A K Gupta)
Should modern rabies vaccines meant for use in man be given to animals?
It is advisable to use human vaccines for human use and use the veterinary vaccines for animals.
Patients who have been resuscitated after sudden cardiac arrest may be at higher risk of poor brain function or death if they are vitamin D deficient, suggests a study presented at the annual meeting of the Acute Cardiovascular Care Association.
Hypertensive patients who also have psoriasis –– and particularly those with extensive skin involvement –– are at risk for having poorly controlled blood pressure, as per a cross–sectional study reported online in JAMA Dermatology.
A new study claims that social media sites, such as Facebook, may contribute to marketing of unhealthy foods to adolescents and young adults. The study is published in the American Journal of Public Health.
When late-teen girls eat breakfast, it raises levels of a chemical in the brain's reward center that may help them stop craving sweet foods and overeating during the rest of the day, suggests a new study published in the Nutrition Journal.
Quote of the Day
Your life will be no better than the plans you make and the action you take. You are the architect and builder of your own life, fortune, destiny. Alfred A. Montapert
Dr KK Aggarwal nominates nine renowned doctors to join the Swachch Bharat Campaign
Zee News – Health Wealth Shows
Weight loss may improve sexual health of obese diabetes
MTNL Perfect Health Mela
Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease-free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi.
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.
Madan Singh, SM Heart Care Foundation Fund, Post CAG
Kishan, SM Heart Care Foundation Fund, Post CHD Repair
Deepak, SM Heart Care Foundation Fund, CHD TOF
Total CPR since 1st November 2012 – 96458 trained
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
VIP’s on CPR 10 Mantra Video
Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)
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 :
Dr Good and Dr Bad
Situation:A patient with sleep apnea wanted to know his cardiac risk.
Dr. Bad: There is no risk.
Dr. Good: There is a risk.
Lesson: Obstructive sleep apnea is associated with development of coronary artery disease and heart failure
Situation:An HIV patient died after sulfa prophylaxis.
Reaction: Oh my God! You should have known that he was sulfa sensitive.
Lesson: Make sure that patients with a history consistent with Stevens Johnson syndrome and toxic epidermal necrolysis or an exfoliative dermatitis due to a sulfonamide medication should strictly avoid the culprit drug and other agents in the same sulfonamide group. Re–exposure to the same agent may be fatal.
Salesman to Policeman
A salesman, tired of his job, gave it up to become a policeman.
Several months later, a friend asked him how he liked his new role.
"Well," he replied, "the pay is good and the hours aren't bad, but what I like best is that the customer is always wrong."
Twitter of the Day
Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer
Dr Deepak Chopra:No regrets and no anticipation, just this moment fresh and as is