emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org

 

  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–3 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
 
  Editorial …

9th August 2012, Thursday

Faster Chest Compressions during CPR May Not Be Better

According to a study published online in Resuscitation, performing CPR too quickly may be detrimental to a patient because the compressions may not be deep enough to achieve the desired effect.

When the individual performing CPR did so at a rate of more than 145 chest compressions each minute, the compressions only achieved a depth of less than four centimeters.

Compressions should be no less than five centimeters.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

White rice linked to diabetes in Asians

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Seminar was organized jointly by Heart Care Foundation of India and Bharatiya Vidya Bhawan.

 
Dr K K Aggarwal
 
    National News

Dental institute to get university upgrade

Maulana Azad Institute of Dental Sciences (MAIDS), autonomous institute under the Delhi government, is set to become a dental university, chief minister Sheila Dixit announced on Tuesday. She said that the government is scouting for land for the campus so that MAIDS can be expanded into a full-fledged university. However, the vacant land adjacent to the existing institute may be used for the expansion. Dikshit was speaking at the institute when she unveiled the statue of Father of Medicine, Hippocrates, in the premises. Expansion plan includes a forensic dental laboratory in the institute. There are around nine departments, all of which are likely to be given a facelift by adding more staff and space to them as currently the institute faces an acute shortage of staff and space in proportion to the number of patients it treats. In financial year 2011-2012, MAIDS saw a footfall of close to 2.5 lakh patients. Dikshit also announced to give more emphasis on the research. Speaking about the statue of Hippocrates, who lived from 460 BC to 377 BC and is known for emphasis on the concept of “holistic medicine”, Dr Mahesh Verma, director-principle, MAIDS, said, “In the times when several unethical practices have infiltrated the medical profession, this statue should remind everyone of its values. He formulated a set of ethics for the medical practitioners at a hospital — known as Hippocratic Oath — that all of us take (customarily before becoming doctors).” He added that this is perhaps the first non-Indian hero whose statue has been erected. (Source: Deccan Herald, Aug 8, 2012)

For comments and archives

My Profession My Concern

Infant Young Child Nutrition Conference Outcomes

The 2nd Annual Conference IYCNCON 2012 on Infant and Young Child Feeding Practices (IYCF) was held on August 5, 2012 at New Delhi and was attended by over 200 eminent Pediatricians, Super specialists , Obstetricians, Nutritionists and Epidemiologists . The proceedings involved a very comprehensive coverage of all the practical issues related to Infant and Young Child Feeding. The Delegates included participants from distant states like Tripura and Manipur and states where under nutrition was rampant such as Bihar, Rajasthan, Madhya Pradesh and Uttar Pradesh.

Following were the conclusions:

  1. There is emerging evidence that preterm babies need an aggressive nutrition policy to prevent extra uterine growth retardation and both enteral and parental nutrition may be required to meet the recommended dietary allowances of protein, vitamin D and minerals namely zinc and iron.
  2. The first two years are very crucial for optimal infant growth which at this age is mainly nutritional dependent. For this we need to promote IYCF (Infant Young Child Feeding) in the community. This will require training of grass root level workers in good IYCF Practices.
  3. Breast milk is the best and all efforts should be done to help the mother exclusively breast feed her baby till six months. Both undergraduate and post graduate doctors should be trained in theory and skills related to good IYCF practices. This should be an essential part of the curriculum so that our children, the future citizens of India are healthy and translates to a productive community.
  4. Mother- and child-friendly clinics with emphasis on practicing the 10 steps to successful breastfeeding put forth by UNICEF and WHO are a step to further enhance the infant and child nutrition in our country and need to be established by Govt., NGOs and Public sector organizations.
  5. True lactation failure is very rare phenomena.
  6. Early lactation support is crucial for establishing successful lactation in all mothers. Lactation support focuses on three clinical determents of exclusive breast feeding: Establishment of robust milk supply; Effective attachment- by skill and maternal confidence- by counseling.

10 steps to successful breastfeeding

Every facility providing maternity services and care for newborn infants should :

  • Have a written breastfeeding policy that is routinely communicated to all health care staff.
  • Train all health care staff in skills necessary to implement this policy.
  • Inform all pregnant women about the benefits and management of breastfeeding.
  • Help mothers initiate breastfeeding within half an hour of birth.
  • Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants.
  • Give newborn infants no food or drink other than breast milk, unless medically indicated.
  • Practice rooming-in i.e. allow mothers and infants to remain together - 24 hours a day.
  • Encourage breastfeeding on demand.
  • Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
  • Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Tracheostomy tubes recalled because of leakage

Certain lots of Shiley (Covidien) reusable cannula, cuffed adult tracheostomy tubes, size 8, have been voluntarily recalled by the manufacturer in response to reports of volume leakage and/or disconnection between the inner and outer cannulae. MedWatch, the US Food and Drug Administration's (FDA's) safety information and adverse event reporting program, released an alert regarding the recall earlier this week. All other sizes and styles of Shiley tracheostomy tubes outside of those listed in this recall are unaffected by this action. These tracheostomy tubes were distributed from October 2009 through June 2012. (Source: Medscape)

For comments and archives

Extra pounds are lifesavers for new diabetics

Normal-weight adults with newly diagnosed type 2 diabetes had a significantly greater mortality risk than their overweight counterparts, a pooled analysis of five large cohort studies showed. (Source: Medpage Today)

For comments and archives

TB outcomes in HIV are improved with ART: Meta-analysis

Antiretroviral therapy (ART) improves the outcome of tuberculosis (TB) treatment in the HIV/TB co-infected population, an updated systematic review and meta-analysis confirms. "Since the publication of our original review, three randomized controlled trials have demonstrated that early ART initiation in patients with active TB reduces mortality," Dr. Faiz Ahmad Khan, of McGill University, Montreal, and colleagues say. "A new finding from the update," they say, is the trend towards increased acquired drug resistance (ADR) with intermittent treatment." "There is an urgent need to increase the number of co-infected patients receiving ART," the study team concludes in a report online July 19 in Clinical Infectious Diseases. (Source: Medscape)

For comments and archives

Clues to maternal smoking risks uncovered

Umbilical-cord blood from women who smoked during pregnancy had DNA modification in genes associated with detoxification of tobacco smoke, investigators reported. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: 4th Dil Ka Darbar Press Conference - Cardiology Second Opinion-Part 1http://youtu.be/jtXTNUIrHe4

@DeepakChopra: People who respond to opinions on gun control with comments of racism, prejudice, bigotry, hatred, hostility & fear should not own guns

 
    Spiritual Update

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

Why does Shri Krishna Janmashtami come after Rakhi and Ram Navami after Navratras?

The births of both Ram and Krishna are celebrated after 8-9 days of rituals involving purification of body and or mind.

Krishna was born exactly eight days after Raksha Bandhan as the eighth son of Devaki and Vasudeva. The 8-day rituals involve eight days of mental purification starting from Raksha Bandhan where one is required to control the sexual lust. The moli or thread put on the day of Raksha Bandhan is removed only on Janmashtami and indicates learning to control the lust for the next eight days.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the psychological aspects of hirsutism and PCOS?

Dealing with hirsutism and PCOS can be emotionally difficult. You may feel unfeminine, uncomfortable, or self-conscious about your excessive hair growth or weight, as well as worry about your ability to have children. Even though you may be embarrassed to share these feelings with other people, it is very important that you talk to your physician as soon as possible to explore the medical and cosmetic treatments available to treat these disorders.

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Rational Use of Blood

Random Donor Platelets (RDP)/Platelet Concentrate

Definition:
Platelets are collected from one unit of blood and re-suspended in an appropriate volume of original plasma

Volume:
Platelet concentrate – 50-70 ml

Storage:
Between 20° C to 24° C in Platelet Agitator with Incubator

Shelf Life:
5 days

Indications

  • Treatment of bleeding due to: Thrombocytopenia, platelet function defects
  • Prevention of bleeding due to thrombocytopenia such as in bone marrow failure

Contraindications

  • For prophylaxis of bleeding surgical patients unless pre-operative platelet deficiency
  • Idiopathic autoimmune thrombocytopenic purpura (ITP) except in life-saving emergencies
  • Thrombotic thrombocytopenic purpura (TTP)
  • Thrombocytopenia associated with septicemia until treatment has commenced or in cases of hypersplenism
  • Heparin-induced thrombocytopenia, unless life-threatening hemorrhage exists

Dosage: 1 unit of platelet concentrate/10 kg of body weight

Administration

  1. ABO compatible (though preferred but not a must)
  2. Infused through standard blood transfusion set

For comments and archives

 
    An Inspirational Story (Dr GM Singh)

I'm making a little bowl for you and Mum

A frail old man lived with his son, his daughter-in-law, and his four-year-old grandson, his eyes were blurry, his hands trembled, and his step faltered. The family would eat together nightly at the dinner table, but the elderly grandfather's shaky hands and failing sight made eating rather difficult. Peas rolled off his spoon, drooping to the floor. When he grasped his glass of milk, it often spilled clumsily at the tablecloth. With this happening almost every night, the son and daughter-in-law became irritated with the mess.

"We must do something about grandfather," said the son.

"I've had enough of his milk spilling, noisy eating and food on the floor," the daughter-in-law agreed.

So the couple set a small table at the corner.

There, grandfather ate alone while the rest of the family enjoyed their dinner at the dinner table, since grandfather had broken a dish or two, his food was served in wooden bowls.

Sometimes when the family glanced in grandfather's direction, he had a tear in his eye as he ate alone.

Still, the only words the couple had for him were sharp admonitions when he dropped a fork or spilled food. The four-year-old watched it all in silence.

One evening, before supper, the father noticed his son playing with wood scraps on the floor, he asked the child sweetly: "What are you making?"

Just as sweetly, the boy replied, "Oh, I'm making a little bowl for you and mum to eat your food from when I grow up." The four-year-old smiled and went back to work.

These words so struck the parents that they were speechless. Then tears streamed down their cheeks.

Though no words were spoken, both knew what must be done. That evening, the husband took grandfather's hand and gently led him back to the family table.

For the remainder of his days, grandfather ate every meal with the family.

And for some reason, neither husband nor wife seemed to care any longer when a fork was dropped, milk was spilled or the table cloth was soiled.

For comments and archives

 
    Cardiology eMedinewS

Weight training, aerobic exercise cut type 2 diabetes risk Read More

New paper disputes MI count in Triton, Record, and Plato Read More

 
    Pediatric eMedinewS

Honey: A sweet alternative for treating cough in children Read More

Obese donors OK for kids’ liver transplants Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure needed a beta blocker.
Dr. Bad: Start any beta blocker.
Dr. Good: Start metoprolol succinate.
Lesson: Only carvedilol, bisoprolol and metoprolol succinate are approved for heart failure.

For comments and archives

Make Sure

Situation: A patient with suspected pneumonia and normal x–ray died 12 hours after admission.
Reaction: Oh my God! Why were antibiotics not started?
Lesson: Make sure that all patients with suspected pneumonia are given antibiotic at the first suspicion as x–ray can be normal in the first 24 hours.

For comments and archives

 
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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
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  Quote of the Day (Dr GM Singh)

A constant struggle, a ceaseless battle to bring success from inhospitable surroundings, is the price of all great achievements. Orison Swett Marden

 
    Legal Question of the Day (Dr MC Gupta)

Q. What amendment is needed in the anti-quackery provisions of the Delhi Medical Council Act in view of the provisions in other medical council Acts?

Ans.

  • As per section 10 (i) of Delhi medical Council Act, 1997, the Council has “to ensure that no unqualified person practices modern Scientific System of Medicine.”
  • Section 27 of the DMC Act reads as follows: “27. False assumption of Medical Practitioner or Practitioner under this Act to be an offence--Any person who falsely assumes that he is a medical practitioner or practitioner as defined in clause (7) of section 2 and practices the modern scientific system of medicine, shall be punishable with rigorous imprisonment which may extend up to three years or with fine which may extend up to Rs.20,000 or with both.

    Explanation: Under this section, punishment can be awarded only to medical practitioners as defined in section 2(7) of this Act and no punishment may be awarded to any one practising Veterinary medicine or Veterinary surgery or Homoeopathic or the Ayurvedic or the Siddha or the Unani System of medicine or those holding BAMS or BIMS degree.”
  • Section 2(7) referred above is as follows:

    “2(7)--"Medical practitioner" or "practitioner" means a person who is engaged in the practice of modern scientific system of medicine and all its branches and has qualifications as prescribed in the First, second or third schedules to the Indian Medical Council Act, 1956 (Central Act 102 of 1956)”
  • A careful reading of section 27, along with the explanation attached to it, reveals the following:
    • Section 27 is titled as--“27. False assumption of Medical Practitioner or Practitioner under this Act to be an offence—“
    • It is clear that the words “Medical Practitioner or Practitioner”, for practical purposes, means a person having an MBBS degree.
    • The objective of section 27, read with section 10 (i) of Delhi medical Council Act, 1997, is “to ensure that no unqualified person practices modern Scientific System of Medicine.”
    • The objective of section 27, DMC, is frustrated by the peculiar explanation attached to it, which states, in simple words, that punishment under this section can be awarded only to MBBS doctors and not to AYUSH doctors or veterinary doctors.
    • The position, as it emerges from section 27, is that an AYUSH or veterinary doctor practicing allopathy/modern medicine is not liable under this section and cannot be punished under this section.
    • The above position is against the Supreme Court judgments that AYUSH graduates cannot practice allopathy/modern medicine. Important judgments in this connection are the Mukhtiar Chand v. State of Punjab judgment and the Poonam Verma v. Ashwini Patel judgment. The Supreme Court has held that those who practice modern medicine / allopathy without possessing a necessary qualification and licence for practicing the same are quacks and charlatans and that such practice amounts to “negligence per se” and is illegal. Large scale quackery is openly performed all over India by Ayush practitioners who prescribe allopathic medicines and even perform surgeries etc. All such Ayush quacks are exempt from liability under section 27, which clearly states—“ no punishment may be awarded to any one practising Veterinary medicine or Veterinary surgery or Homoeopathic or the Ayurvedic or the Siddha or the Unani System of medicine or those holding BAMS or BIMS degree.”
  • It is thus obvious that section 27 of the DMC Act is grossly flawed, ineffectual and contradictory and defeats its own purpose. The result of having such a meaningless section on the statute is that, apparently, nobody has so far been punished under section 27.
  • The comparable provisions in other medical council Acts are as follows:
    • In terms of section 15(3) of the MCI Act, 1956, a quack can “be punished with imprisonment for a term which may extend to one year or with fine which may extend to one thousand rupees, or with both”.

      The section is reproduced below:

      “(15) (1) Subject to the other provisions contained in this Act, the medical qualifications included in the Schedules shall be sufficient qualification for enrolment on any State Medical Register.
    • Save as provided in section 25, no person other than a medical practitioner enrolled on a State Medical Register:-
      • shall hold office as physician or surgeon or any other office (by whatever designation called) in Government or in any institution maintained by a local or other authority;
      • shall practice medicine in any State;
      • shall be entitled to sign or authenticate a medical or fitness certificate or any other certificate required by any law to be signed or authenticated by a duly qualified medical practitioner:
      • shall be entitled to give evidence at any inquest or in any court of law as an expert under section 45 of the Indian Evidence Act, 1872 on any matter relating to medicine.
    • Any person who acts in contravention of any provision of sub-section (2) shall be punished with imprisonment for a term which may extend to one year or with fine which may extend to one thousand rupees, or with both;”
    • In terms of section 23 of the Punjab Medical Registration Act, 1916, as amended in 2010, a quack can “be liable to be punished on conviction by a magistrate of the first class with a sentence of imprisonment for a term, not exceeding three years and with fine, not exceeding ten thousand rupees” (Inserted as per the amendment dated “be punished with imprisonment for a term which may extend to one year or with fine which may extend to one thousand rupees, or with both”.
      The section is reproduced below:
      “23. Penalty for falsely pretending to be a registered practitioner-- Every person who falsely pretends to be a registered practitioner shall, whether any person is actually deceived by such pretence or not be liable to be punished on conviction by a magistrate of the first class with a sentence of imprisonment for a term, not exceeding three years and with fine, not exceeding ten thousand rupees”.
  • In view of the above, it is necessary to amend section 27 of the DMC Act, 1997. The amended section 27 may be as follows:

    “27. False assumption of Medical Practitioner or Practitioner under this Act to be an offence--Any person who falsely assumes that he is a medical practitioner or practitioner as defined in clause (7) of section 2 and practices the modern scientific system of medicine, shall, whether any person is actually deceived by such pretence or not, be liable to be punished on conviction by a magistrate of the first class with a sentence of rigorous imprisonment for a term not exceeding three years and with fine, not exceeding twenty thousand rupees”.

    There should be no explanation attached to this section since none is needed.

For comments and archives

 
    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Allergy tests

The allergen–specific IgE antibody test is used to screen for an allergy to a specific allergen. It measures the amount of that suspected IgE antibody in the blood. Immunoglobulin E (IgE) is a protein associated with allergic reactions; it is normally found in very small amounts in the blood.

 
    Mind Teaser

Read this…………………

Which description of pain would be most characteristic of a duodenal ulcer?

A. Gnawing, dull, aching, hunger-like pain in the epigastric area that is relieved by food intake
B. RUQ pain that increases after meal
C. Sharp pain in the epigastric area that radiates to the right shoulder
D. A sensation of painful pressure in the midsternal area

Yesterday’s Mind Teaser: The laboratory of a male patient with Peptic ulcer revealed an elevated titer of Helicobacter pylori. Which of the following statements indicate an understanding of this data?

A. Treatment will include Ranitidine and Antibiotics
B. No treatment is necessary at this time
C. This result indicates gastric cancer caused by the organism
D. Surgical treatment is necessary

Answer for Yesterday’s Mind Teaser: A. Treatment will include Ranitidine and Antibiotics

Correct answers received from: YJ vasavada, Dr (Maj. Gen.) Anil Bairaria, Dr BB Aggarwal, Dr K Raju, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay,
Dr Thakor Hitendrsinh G, Dr Faizul H Firdousi, Dr KP Chandra, Dr Avtar Krishan, parimalshah.

Answer for 7th August Mind Teaser: B. Assess gag reflex prior to administration of fluids

Correct answers received from:
Dr Jainendra Upadhyay.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

The Lecture

A man is stopped by the police at midnight and asked where he’s going.
“I’m on the way to listen to a lecture about the effects of alcohol and drug abuse on the human body.”
The policeman asks, “Really? And who’s going to give a lecture at this time of night?”
“My wife”, he replied.

 
    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What is hallucination?

Hallucination is false sense perception without any external object or stimulus. A criminal act committed by a sane person, due to hallucination will make him responsible for his act and he will be liable to be punished. But if the act is committed by an insane person, due to hallucination, then he may not be held responsible or may be held partially responsible for commission of the act.

Apart from insanity, hallucination may also occur in conditions like high fever, delirium of any origin, delirium tremens, and drug intoxications - hallucinogenic drugs, like cannabis, LSD, mescaline etc. and as withdrawal symptom of some drugs of addiction. It may affect one or more than one of the special nerves or nervous system. Accordingly, hallucinations are of the following types:

  • Visual hallucination: The sufferer experiences (visualizes) non–existent sights. He observes something without anything being present in front of him.
  • Auditory hallucination: The sufferer in this condition hears voices or sounds without any source or any such thing.
  • Olfactory hallucination: There is a false perception of smell or odor without any source.
  • Gustatory hallucination: The sufferer experiences different tastes without any food or drink.
  • Tactile hallucination: The sufferer experiences a sensation of crawling of insects over his body without any such a phenomenon actually happening.
  • Psychomotor hallucination: There is a feeling of movement of a part of the body, say a limb, though in reality there is no such movement.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Depression, severe mental illness and loneliness not heart friendly

Depression, severe mental illness and loneliness are linked to heart disease and dementia, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India. Quoting Dr. Jesse Stewart, formerly of the University Of Pittsburgh School Of Medicine, Dr Aggarwal said that there is correlation between depression and hardening of the arteries.

The arteries of those who are most depressed were narrowed twice as much as those who were least depressed, in the study. Hardening of the arteries is a precursor to a heart attack or stroke.

Depression may also upset the body’s regulation of glands that release chemicals governing energy level and growth, and alter the functioning of cells responsible for blood clotting.

Hardening of the arteries leads to an overreaction of the immune system and the resulting inflammation is known to release chemicals that can cause the diseases.

Quoting a British study, Dr Aggarwal said that severely mentally ill people are more than three times as likely to die from coronary heart disease and stroke than those not suffering from mental illness.

Mental illness more than doubled the risk of dying from heart disease for people up to age 75.The risk of dying from heart disease was even higher among those taking antipsychotic medications.

A persistent feeling of loneliness among the elderly doubles the risk of developing Alzheimer's-like symptoms compared to those who felt connected to others.

 
    Readers Responses
  1. Dear Dr KK Aggarwal, It is regarding write up by Dr SK Sinha, "My Profession My Concern:, I fully agree with him, Mostly in corporate hospital charges of Doctors visits are more than other charges. I request these Doctors to tell the hospital administration not to charge from their colleagues. Dr AK KELA, Former Director prof & H.O.D, Pharmacology, L.H.M.C.,New Delhi
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

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3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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  Towards Well Being

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  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    Our Contributors

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