eMedinewS10th July 2014, Thursday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, 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.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

5 steps to lower Alzheimer’s risk (HealthBeat)

  • Maintain a healthy weight.
  • Check your waistline.
  • Eat mindfully. Emphasize colorful, vitamin-packed vegetables and fruits; whole grains; fish, lean poultry, tofu, and beans and other legumes as protein sources; plus healthy fats. Cut down on unnecessary calories from sweets, sodas, refined grains like white bread or white rice, unhealthy fats, fried and fast foods, and mindless snacking. Keep a close eye on portion sizes, too.
  • Exercise regularly. Aim for 2½ to 5 hours weekly of brisk walking (at 4 mph) or try a vigorous exercise like jogging (at 6 mph) for half that time.
  • Keep an eye on important health numbers. In addition to watching your weight and waistline, keep a watch on your cholesterol, triglycerides, blood pressure, and blood sugar numbers.

News Around The Globe

  • Extremely obese people, those with a body mass index (BMI) &40 kg/m2, have higher mortality rates, and most of these additional deaths are due to cancer, heart disease, and diabetes, reported a study published online July 8 in PLOS Medicine.
  • Glutamine supplementation appears to have beneficial effects on the cardiovascular profile and body composition in patients with type 2 diabetes, reports a controlled trial published online in Nutrition.
  • According to a retrospective study from the state of Washington, the time a patient spends in the hospital prior to having an appendectomy has no effect on the incidence of perforated appendicitis. The report was published online in JAMA Surgery.
  • According to a study of obstetric hospitals in the United Kingdom, infections can rapidly progress to severe sepsis in pregnant women, even with antibiotics. Researchers reported that the onset of severe sepsis was rapid, occurring within 24 hours in most cases and within 2 hours in 50% of women with group A streptococcus infections. The report is published online July 8 in PLOS Medicine.

Rabies News (Dr A K Gupta)

What are the precautions to be taken while administering RIGs?

  • Patient should not be on an empty stomach.
  • The RIG vial should be kept outside for a few minutes, after taking it out of the refrigerator, to warm it to room/body temperature.
  • While infiltrating RIG into the bite wound, care must be taken to avoid injecting into blood vessels and nerves.
  • While injecting into the finger tips, care must be taken to avoid compartment syndrome.
  • All emergency drugs and facilities for managing any adverse reactions must be available.
  • For ERIG, keep the patient under observation for at least one hour after ERIG administration and then send home.
  • RIGs can be infiltrated even to already sutured wounds without disturbing the sutures.

Cardiology eMedinewS

  • According to an analysis of nonsteroidal anti–inflammatory drug (NSAID) use among participants in the Women’s Health Initiative (WHI), naproxen entails more cardiovascular risk than ibuprofen. The analysis was published in Circulation: Cardiovascular Quality and Outcomes.
  • The largest–ever review of transcatheter aortic–valve replacement (TAVR) procedures for failed bioprosthetic valves has revealed that valve–in–valve TAVR success depends on original surgical decisions. Both one-month and one–year survival following TAVR were over 90% and over 80%, respectively. The findings were published in the July 9 issue of the Journal of the American Medical Association.

Pediatrics eMedinewS

  • New research from Italy has suggested that for kids who need colonoscopy, bowel preparation might best be done with a low–volume solution of sodium picosulfate plus magnesium oxide and citric acid. This combination is equally effective as high and low volume polyethylene glycol–based solutions. The report is published online July 7 in Pediatrics.
  • A new study has found a significant correlation between having an obese sibling and a child’s obesity risk, after adjusting for the parent–child relationship. The findings are published in the American Journal of Preventive Medicine. Researchers noted that in families with two children, there was a stronger relationship with sibling obesity than with parental obesity.

Dr K K Spiritual Blog

Why are most temples located in faraway places?

Most temples represent God or the spirit or the deity located in the temple or mandir situated in an area at the outskirts of the city. A spiritual atmosphere is one that is devoid of pollution and which promotes rajasik or tamasik behavior. The silence of the spiritual atmosphere reduces the internal noise and helps us onward in our inner journey. The inner journey of being in touch with one’s consciousness requires detachment from worldly pleasures and the withdrawal of the five senses of the body

To be in touch with one’s consciousness one needs to bypass the disturbed state of consciousness controlled by emotion, memories and desires, through mind, intellect and ego. This bypass usually requires a prolonged period of persistence and undertaking the inward journey devoid of external stimuli. The parikrama, which means "the path surrounding something", incorporating many long walks helps to detoxify the mind and thus shifts the consciousness from a disturbed state to an undisturbed, calm state.

A long walk not only offers physical benefits but one also gets the benefits of nature as one’s inner stimuli are exposed to the outer stimuli during the parikrama. The person is often required to walk bare foot on natural ground, inhale pure air and concentrate and listen to the sounds of the nature, birds and trees. This proximity to nature helps in the inward spiritual journey and shifts one from the sympathetic to parasympathetic mode described by lowering of blood pressure and pulse rate. The final happiness invariably comes from within us at the time of final darshan when a person invariably closes his eyes and experiences God within his heart.

Most temples today are being constructed in residential colonies and provide a holy atmosphere to people right at their doorstep. However, they do not have the same spiritual significance and benefits as a temple located at the outskirts of a city.

There is no way a person can go to a temple in the vicinity of his house and detoxify his mind as this can hardly be achieved in minutes unless you are a siddha yogi, and if you are one, you need not go to a temple as the temple is within you.

In Vedic texts, it has been clearly mentioned that to acquire powers and inner happiness, rishi, munis were also required to do tapasya for months and years together. This tells us that spiritual well–being is acquired over an extended period of time as the process of detoxification is a long drawn process. Cars and other vehicles should not be allowed near temples as the basic motive is to have a pollution–free atmosphere and to give time and space for the mind to detoxify.

Wellness Blog

Tomato reduces prostate cancer risk

Consumption of lycopene–containing foods, especially tomato and its products is prostate friendly. A prospective study in a cohort of over 50,000 men from the Health Professionals Follow–up Study suggests that dietary intake of lycopene is associated with a lower incidence of prostate cancer and a decreased risk of lethal prostate cancer. These effects may be mediated through inhibition of tumor angiogenesis.

Reference

  1. Zu K, Mucci L, Rosner BA, et al. Dietary lycopene, angiogenesis, and prostate cancer: a prospective study in the prostate–specific antigen era. J Natl Cancer Inst 2014;106(2):djt430.

Inspirational Story

Words of Wisdom

Words of great wisdom, The Native American Code of Ethics:

  1. Rise with the sun to pray. Pray alone. Pray often. The Great Spirit will listen, if you only speak.
  2. Be tolerant of those who are lost on their path. Ignorance, conceit, anger, jealousy and greed stem from a lost soul. Pray that they will find guidance.
  3. Search for yourself, by yourself. Do not allow others to make your path for you. It is your road and yours alone. Others may walk it with you, but no one can walk it for you.
  4. Treat the guests in your home with much consideration. Serve them the best food, give them the best bed and treat them with respect and honor.
  5. Do not take what is not yours whether from a person, a community, the wilderness or from a culture. If it was not earned or given, it is not yours.
  6. Respect all things that are placed upon this earth – whether it be people or plant.
  7. Honor other people’s thoughts, wishes and words. Never interrupt another or mock or rudely mimic them. Allow each person the right to personal expression.
  8. Never speak of others in a bad way. The negative energy that you put out into the universe will multiply when it returns to you.
  9. All persons make mistakes. And all mistakes can be forgiven.
  10. Bad thoughts cause illness of the mind, body and spirit. Practice optimism.
  11. Nature is not FOR us, it is a PART of us. They are part of your worldly family.
  12. Children are the seeds of our future. Plant love in their hearts and water them with wisdom and life’s lessons. When they are grown, give them space to grow.
  13. Avoid hurting the hearts of others. The poison of your pain will return to you.
  14. Be truthful at all times. Honesty is the test of ones will within this universe.
  15. Keep yourself balanced. Your Mental self, Spiritual self, Emotional self, and Physical self – all need to be strong, pure and healthy. Work out the body to strengthen the mind. Grow rich in spirit to cure emotional ails.
  16. Make conscious decisions as to who you will be and how you will react. Be responsible for your own actions.
  17. Respect the privacy and personal space of others. Do not touch the personal property of others – especially sacred and religious objects. This is forbidden.
  18. Be true to yourself first. You cannot nurture and help others if you cannot nurture and help yourself first.
  19. Respect others religious beliefs. Do not force your belief on others.
  20. Share your good fortune with others. Participate in charity.

ePress Release

Excess Weight Speeds Up Osteoarthritis

Apart from heart disease and diabetes, being overweight or obese can cause rapid deterioration of the cartilage in the knee, leading to osteoarthritis. With every one unit increase in body mass index (BMI), the chances of rapid cartilage loss increased 11 percent, Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

Osteoarthritis is the most common musculoskeletal disorder with major health and socioeconomic impact in our aging society. Osteoarthritis usually progresses slowly, but some patients experience a more rapid progression.

In a report published in the journal of Radiology, researchers recruited 336 patients from a major osteoarthritis study. All were overweight and at risk of osteoarthritis, but had minimal or no loss of cartilage in their knees. During 30 months of follow–up, 20.2 percent of the patients showed a slow loss of knee cartilage and 5.8 percent had rapid cartilage loss. The main risk factors for cartilage loss were pre–existing cartilage damage, being overweight or obese, tears or other injury to the cartilage at the knee joint (meniscus), and severe lesions seen on an MRI. Other factors include inflammation of the membrane lining the joints and abnormal build & nd ash;up of fluid in the joint.

Weight loss is probably the most important factor to slow disease progression. Danger of developing osteoarthritis is another reason to control weight.

Do not let yourself get heavy. People who are heavy are the ones that are getting worse. Keeping your weight down through diet and exercise or weight–loss surgery –– could prevent the need for knee–replacement surgery

Self-Assessment-Quiz

 

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

Total CPR since 1st November 2012 – 94595 trained

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 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

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VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at N P Girls Sr. Sec School, Gole Market–7th July 2014

press release

DVT risk starts early, stays long after acute stroke

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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 :

 

Make Sure

Situation: A patient died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that each time a patient is given penicillin injection, anti anaphylaxis measures are available.

eMedinewS Humor

On Trial

After a trial had been going on for three days, Finley, the man accused of committing the crimes, stood up and approached the judge’s bench. "Your Honor, I would like to change my plea from ‘innocent’ to ‘guilty’ of the charges."

The judge angrily banged his fist on the desk. "If you’re guilty, why didn’t you say so in the first place and save this court a lot of time and inconvenience?" he demanded.

Finley looked up wide–eyed and stated, "Well, when the trial started I thought I was innocent, but that was before I heard all the evidence against me."

Quote of the Day

Heart tells the eyes "See less, because you see and I suffer lot". Eyes replied, "Feel less because you feel and I cry a lot".

Twitter of the Day

Dr KK Aggarwal: Soul is the biggest pharmacy in the world – Dr KK Aggarwal http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Your true self is the ground state of the universe #CosmicConsciousness

 

eMedi Quiz

High resolution computed tomography of the chest is the ideal modality for evaluating:

1. Pleural effusion.
2. Interstitial lung disease.
3. Lung mass.
4. Mediastinal adenopathy.

Yesterday’s Mind Teaser: IRIS commonly occurs after how many weeks of ART initiation

a.1–4 week
b.2–12 weeks
c.12–24 weeks
d.after 6 months

Answer for yesterday’s Mind Teaser: b.2–12 weeks

Correct answers received from: Dr Poonam Chablani, Daivadheenam Jella, Dr K V Sarma, Dr Jainendra Upadhyay, Dr Avtar Krishan.

Answer for 8th July Mind Teaser: b.medina ramirez reaction

Correct answers received from: Dr Jayashree Sen & Dr Bitaan Sen.

Send your answer to ijcp12@gmail.com

medicolegal update

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medical querymedical query

 

medicolegal update

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medicolegal update
  1. Dear Sir, Very informative newspaper. Regards: Dr Rajni
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