eMedinewS10th August 2014, Sunday

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

3 simple ways for a restful sleep

  1. Cut down on caffeine: Caffeine drinkers may find it harder to fall asleep. Even a single cup of coffee in the morning may lead to a sleepless night. Caffeine blocks the effects of adenosine, a neurotransmitter thought to promote sleep. Caffeine can also interrupt sleep by increasing the need to urinate during the night. Because caffeine withdrawal can cause headaches, irritability, and extreme fatigue, it may be easier to cut back gradually rather than to go cold turkey. Those who can’t or don’t want to give up caffeine should avoid it after 2 p.m., or noon if they are especially caffeine–sensitive.
  2. Stop smoking or chewing tobacco: Nicotine is a central nervous system stimulant that can cause insomnia. If you continue to use tobacco, avoid smoking or chewing it for at least 1 to 2 hours before bedtime.
  3. Limit alcohol intake: Alcohol depresses the nervous system, so a nightcap may seem to help some people fall asleep. Alcohol suppresses REM sleep, and the soporific effects disappear after a few hours. Alcohol also worsens snoring and other sleep breathing problems.

News Around The Globe

  • According to the Canadian Observational Cohort (CANOC) study, a switch in antiretroviral therapy is associated with an increased risk for subsequent virologic failure for virologically suppressed HIV patients. The results were presented at the 20th International AIDS Conference.
  • Preliminary research has suggested that the opioid antagonist naltrexone may restrict impulse control disorders (ICDs) in patients with Parkinson’s disease (PD). Researchers reported that though the drug was not effective for the treatment of ICDs using a global assessment of response, it improved symptoms when measured by a PD–specific rating scale. The findings were published online in Neurology.
  • A new research reported at the American Association of Diabetes Educators (AADE) Annual Meeting has pointed that diabetes educators evaluating patients for signs of depression and anxiety and referring them to mental-health coaching if required appears to be an effective strategy. This may result in improved symptoms and lower blood glucose.
  • A commentary published online August 5 in Obstetrics & Gynecology has stated that salpingectomy should be the primary female sterilization procedure as it is permanent and may prevent some types of ovarian cancer that may begin in the fallopian tube.
  • New research from the Partners PrEP Study has shown that the use of pre–exposure prophylaxis (PrEP) with antiretrovirals during the periconceptual period does not affect a woman’s ability to become pregnant, and does not adversely affect fetal outcomes. The study was published online in JAMA.

Rabies News (Dr A K Gupta)

Are there any variations in signs of rabies between different species of animals?

There are few variations in signs of rabies between different species of animals. Cattle with furious rabies attack man and other animals. A common clinical sign is a characteristic abnormal bellowing. Head butting is a characteristic sign in case of rabies in cattle, sheep and goats.

Cardiology eMedinewS

  • Patients on daily home hemodialysis (HHD) tend to be at lower risk of hospitalization for cardiovascular causes as compared to those who receive in–center dialysis; though their risk of hospitalization for infection is higher, suggests a study published online in the American Journal of Kidney Disease.
  • A new study published online in Heart has revealed that cardiac magnetic resonance imaging (CMR) is more effective than echocardiography for quantifying aortic regurgitation (AR) in patients after transcatheter aortic valve implantation.

Pediatrics eMedinewS

  • A new study has suggested that getting kids and their parents to have an accurate perception of the child’s body weight is essential to promote healthy behaviors. Researchers noted that kids are prone to underestimate their weight problem if they have one, but those who recognize they are overweight or obese are more likely to try to lose weight. The study is published online in Preventing Chronic Disease.
  • In a study published in the OnlineFirst version of the Journal of Parenteral and Enteral Nutrition, a four–question survey was found to be very effective at finding nutrition issues in pediatric patients. The Pediatric Nutrition Screening Tool (PNST) was found to be more effective than the existing pediatric Subjective Global Nutrition Assessment (SGNA).

Dr K K Spiritual Blog

Understanding Yamraja

All these years, like others, I too thought of Yamraja as a negative personality whose name has been used for centuries to frighten people. I started analyzing him only recently, after I started searching why Yamraja has Bhainsa (male buffalo) as his sawari (vehicle).

The other name of Yamraja is Dharma Raja which means the one who is enriched with the power of justice.

The mythological names were so written that they fitted the personality of the person. Dushasan means the one who is Dusht in Shasan, Yudhishthir means one who is sthir in the battle field.

We, as human beings, have negative and positive qualities. Negative qualities are depicted with the need to control and are depicted as the vehicles of GOD.

Yamraja within us means our inner power to do justice. As per mythology, the role of Yamraja is to decide and send us into hell or heaven by calculating the positive and negative karmas. If the balance is positive, the person goes to heaven and if the balance is negative, the person goes to hell.

As per modern science, hell and heaven are within this planet earth. Your Yamraja quality of consciousness is all the time subtracting bad karmas from good karmas. If the sum total result is negative, you end up with a disease or suffering. Suffering can be equated to hell and a period of no suffering and no illness can be equated to heaven.

Instead of fearing Yamraja, we should actually make him our personal friend and everyday in the evening, he (our consciousness) should be asked to give us a score of our Karmas, whether positive or negative. If negative, the next day we should do more positive karmas to negate the bad karma.

To become a good human being we need to control our negative animal like tendencies. Bhainsa (male buffalo) is known for his nature of destroying anything which comes on the way.

Your power of justice can only be successful if you learn to control this Bhainsa quality of yours. Your judgments should always be neutral and vindictive and always keep anger under control.

In fact, the Yamraja quality in us can be equated to the qualities, which a judge should have in Court; be it District, High or Supreme Court. The better term, therefore, is Dharma Raja as no judge would like to be called as Yamraja.

Wellness Blog

Say no to FNAC in prostate cancer

Over 95 percent of malignancies arising in the prostate are adenocarcinoma. The remaining types include urothelial carcinoma, basal cell carcinoma, small cell carcinoma, lymphoma and sarcomas.

Core needle biopsy of the prostate is used to determine whether or not cancer is present in men with an elevated serum PSA level and/or an abnormal digital rectal examination.

The recommendation is to take multiple core biopsies under transrectal ultrasound guidance.

Primary diagnosis of prostate cancer by using fine needle aspiration is not acceptable.

When positive the combined Gleason score, based upon architectural features of the prostate cancer cells, should be reported because it correlates closely with clinical behavior and has been incorporated into the tumor, node, metastasis (TNM) prognostic group staging system.

One should also report number of positive cores, the percentage (or length) of cancer in the positive core, the presence of perineural invasion or extraprostatic extension, and the presence of histologic types other than conventional adenocarcinoma.

The accuracy of pathological diagnosis of prostate cancer can be improved by using immunohistochemistry markers.

Inspirational Story

It Pays to be Patient

Once there was a rich man who fell seriously ill. He sold all his belongings just to cure his illness. After he became healthy, he realized that he had nothing left. He had difficulties feeding himself, but he thought that in no time things would be back to normal again, he would be rich again.

He waited for a long, long time but nothing happened. His life was dreadful and so he decided that if he took his own life, it would be over. So he did.

While on his way to hell, he met two angels who were carrying a heavy load. He asked them where they were going.

After their long explanations, this man realized that the two angels were coming to him. The heavy load they were carrying was a bag full of money. But since he was no longer alive, he wouldn’t be able to receive it.

ePress Release

Tips on family history of high cholesterol

Premature heart disease is when heart disease occurs before 55 years in men and 65 years in women. In premature heart disease, the prevalence of dyslipidemia (high cholesterol levels without symptoms) is 75–85%, said Padma Shri and Dr B C Roy national Awardee Dr K K Aggarwal President Heart Care Foundation of India and Sr. National Vice President Indian Medical association.

About 54% of all patients with premature heart disease and 70% of those with a lipid abnormality have a familial disorder. Screening lipid analysis therefore is recommended for first–degree relatives of patients with MI (particularly if premature). Screening should begin with a standard lipid profile and if normal, further testing should be done for Lp(a) and apolipoproteins B and A–I.

Approximately 25% patients with premature heart disease and a normal standard lipid profile will have an abnormality in Lp(a) or apo B. Elevated apo A–1 and HDL are likewise associated with reduced CHD risk.

First–degree relatives are brothers, sisters, father, mother; second–degree relatives refer to aunts, uncles, grandparents, nieces, or nephews and third–degree relatives refer to first cousins, siblings, or siblings of grandparents.

Familial hypercholesterolemia (FH) is a genetic disorder, characterized by high cholesterol, specifically very high LDL "bad cholesterol") levels, and premature heart disease. Patients may develop premature cardiovascular disease at the age of 30 to 40. Heterozygous FH is a common genetic disorder, occurring in 1:500 people in most countries. Homozygous FH is much rarer, occurring in 1 in a million births. Heterozygous FH is normally treated with drugs. Homozygous FH often does not respond to medical therapy and may require apheresis or liver transplant.

To detect familial high cholesterol levels one must do universal screening at age 16. The cholesterol levels in heterozygous patients are between 350 to 500 mg/dL, and in homozygous, the levels are between 700 to 1,200 mg/dL.

eMedi Quiz

A hybird teledermatology is

a. Combination of store and forward and mobile teledermatology
b. Combination of store and forward and video conference
c. Combination of online discussion group and author–based second opinion teledermatology
d. Combination of online discussion group and video conference

Yesterday’s Mind Teaser: Which of the following is a basic teledermatology tool?

a. Videoconference
b. Hybrid teledermatology
c. Store–and–forward teledermatology
d. Mobile teledermatology

Answer for yesterday’s Mind Teaser: c. Store–and–forward teledermatology

Correct answers received from: Dr K Raju, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Bitaan Sen & Dr Jayashree Sen, Dr Prakash Khalap.

Answer for 8th August Mind Teaser: d. A combination of store and forward, online discussion group, and author based second opinion teledermatology

Correct answers received from: Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

Self-Assessment-Quiz

 

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Zee News – Health Wealth Shows

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Total CPR since 1st November 2012 – 96458 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)

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Health Check Up and CPR 10 Camp at SD Public School Pitam Pura, 1st August 2014

press release

Summer its time for Sattu

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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 with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

eMedinewS Humor

Overloaded

My wife, a flight attendant for a major airline, watched one day as a passenger overloaded with bags tried to stuff his belongings in the overhead bin of the plane. Finally, she informed him that he would have to check the oversized luggage.

"When I fly other airlines," he said irritably, "I don’t have this problem."

My wife smiled, "When you fly other airlines, I don’t have this problem either."

Quote of the Day

High achievers spot rich opportunities swiftly, make big decisions quickly and move into action immediately. Follow these principles and you can make your dreams come true. Robert H. Schuller

Twitter of the Day

Dr KK Aggarwal: Diabetic drug metformin may have anti cancer effects medicines.http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: When our body–mind is in concert with the universe, everything becomes spontaneous and effortless http://bit.ly/DC_Ananda #ananda

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the information. Regards: Dr Swarn

Forthcoming Events

HSICON 2014

Dear Colleague,

Hypertension Society of India is organizing its "23rd Annual Conference HSICON–2014" to be held on 9th & 10th August, 2014 at Kempinski Ambience Hotel, Near Yamuna Sports Complex, New Delhi

Dr. N. P. Singh                          Dr. Neeru P. Aggarwal

Organizing Chairperson               Organizing Secretary

Click here for Scientific Program

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eMedinewS Special

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