eMedinewS11th November 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.twitter.com/DrKKAggarwal
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Wet vs Dry winter

The whole universe is made up of five elements, i.e. Air, Space, Fire, Water and Earth. These five elements are also responsible for formation of the human body as per Vedic principles. In our body, Air and Space components are responsible for different types of movement functions, Fire and Water elements for metabolism and Water and Earth components for formation of secretions and structures. Ayurveda calls them as Vata, Pitta and Kapha humors.

People with Vata humor personality have more of Air and Space elements and, therefore, have more dry and cold extremities. On the other hand people with Kapha humor personality have more of structure and water, therefore have wet and cold extremities.

In terms of atmosphere, Vata period will be cold and dry and Kapha period will be cold and wet.

According to the Vedic concept, early winter is cold and wet with more humidity and late winter is dry and cold with less humidity and more of windy movements.

The chances of fog and smog are higher in early winter as compared to late winter. The hypothermic deaths are much more in late winter because of cold winds.

As per Ayurveda, in Kapha period, prone persons will experience fluctuation in blood sugar and will have more frequent attacks of bronchitis, expectoration and joints pains with effusion. The lower blood pressure will rise more than upper blood pressure and if a patient ends up with a heart attack there are more chances of heart muscle dysfunction.

Whereas in the cold and dry winter due to Vata aggravation, there will be acceleration of upper blood pressure and more chances of brain hemorrhage, nose bleeding, joints pain and heart attacks presenting with abnormal accelerated rhythm disorders.

In the early Kapha wet winter, there are more chances of water retention, depression, movement disorders, seasonal effective disorder and craving for sweets and salts.

Simple saliva test might be used to diagnose acute kidney injury

In a new study presented at ASN Kidney Week 2013, a dipstick that determines saliva urea nitrogen (SUN) levels was effective for diagnosing acute kidney injury.

Harvard six ways to ease neck pain

  1. Don’t stay in one position for too long.
  2. Make some ergonomic adjustments. Position your computer monitor at eye level so you can see it easily. Use the hands–free function on your phone or wear a headset. Prop your touch–screen tablet on a pillow so that it sits at a 45° angle, instead of lying flat on your lap.
  3. If you wear glasses, keep your prescription up to date.
  4. Don’t use too many pillows.
  5. Know your limits. Before you move a big armoire across the room, consider what it might do to your neck and back, and ask for help.
  6. Get a good night’s sleep.

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
eMedinewS
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Win Relationships and Not Arguments

sprritual blog

It is a well known saying that when you are arguing with a wrong boss, you may win the argument but you may invariably lose the relationship and not argument. Lord Krishna was born after Lord Rama and Krishna taught us when to say ‘sorry’ even if you are not at fault. Never hurt the ego of a person who is under influence of alcohol or boss when he is angry.

cardiology news

The Chinese Farmer

There is a Chinese story of an old farmer who had an old horse for tilling his fields. One day the horse escaped into the hills and, when all the farmer’s neighbors sympathized with the old man over his bad luck, the farmer replied, ‘Bad luck? Good luck? Who knows?’

A week later the horse returned with a herd of wild horses from the hills and this time the neighbors congratulated the farmer on his good luck. His reply was, ‘Good luck? Bad luck? Who knows?’

Then, when the farmer’s son was attempting to tame one of the wild horses, he fell off its back and broke his leg. Everyone thought this very bad luck. Not the farmer, whose only reaction was, ‘Bad luck? Good luck? Who knows?’

Some weeks later the army marched into the village and conscripted every able–bodied youth they found there. When they saw the farmer’s son with his broken leg they let him off.

Now was that good luck? Bad luck? Who knows?

News Around The Globe

News

  • Even low levels of physical activity may reduce the risk of developing depression in individuals of all ages, according to a systematic review published in the November issue of the American Journal of Preventive Medicine. This inverse association was found in all levels of PA — including less than 2.5 hours of walking per week.
  • The rate of liver damage caused by dietary and herbal supplements, especially those used for bodybuilding appears to be on the rise, according to a research presented at the annual meeting of the American Association for the Study of Liver Diseases.
  • Women hospitalized during pregnancy for reasons other than delivery have a dramatically increased risk for venous thromboembolism during and after their hospital stay. In the study, reported in BMJ, hospitalization during pregnancy was associated with a 17–fold greater risk for the potentially life–threatening blood clots, and older mothers–to–be and those hospitalized later in pregnancy were among the women with the highest risk.
  • Scientists have long wondered why sleep is restorative and why lack of sleep impairs brain function. A new animal research published October 18 in Science has now suggested how the sleep state may help clear the body of potentially toxic central nervous system (CNS) metabolites. Proteins linked to neurodegenerative diseases, including β–amyloid (Aβ), are present in the interstitial space surrounding cells in the brain. In a series of experiments, researchers tested the hypothesis that Aβ clearance is increased during sleep and that the sleep–wake cycle regulates the glial cell–dependent lymphatic system, which is responsible for clearing waste from the brain and spinal cord.
  • According to the 3–year outcomes from the Longitudinal Assessment of Bariatric Surgery (LABS) study published November 4 in JAMA, overall weight loss was substantial and sustained in more than 2000 severely obese men and women three years after Roux–en–Y gastric bypass or laparoscopic adjustable gastric banding.

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Rabies News (Dr. A K Gupta)

What are the rules every dog owner should follow?

  1. No tug–of–war, as this is a game of power and you may lose the game giving the dog reinforcement (in the dog’s mind) of top dog.
  2. Dogs need to be taught a drop it or release command.
  3. Dogs should not be allowed to pull on the leash.
  4. When you put his food dish down, he must wait until you give the "OK" to eat it.
  5. Small dogs or puppies who demand to be picked up or put down should not get what they want until they sit or do another acceptable quiet behavior.
  6. Dogs should never be left unsupervised with children or anyone who cannot maintain leadership over the dog.
  7. Last but certainly not least… when you are around your dog, avoid emotions. Your dog can sense these emotions and will see you as weak.
cardiology news

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

  • Despite hopes raised by two earlier trials, metformin did not appear to have any cardiovascular benefits in non–diabetic patients with established heart disease, the CAMERA study showed. On average, carotid intima–media thickness (a surrogate marker for atherosclerotic disease) increased at a similar rate in the metformin and placebo groups through 18 months of treatment. No differences between the groups in total, HDL, or non–HDL cholesterol, triglycerides, high–sensitivity C–reactive protein, or fasting glucose, despite lower HbA1c, fasting insulin, HOMA–IR, and tissue plasminogen activator in the metformin–treated patients were observed (The Lancet Diabetes & Endocrinology).
  • Individuals who vigorously exercise significantly reduce the odds that they will have high levels of C–reactive protein –– a marker of inflammation in the body, as per a study reported at the annual meeting of the World Congress on Insulin Resistance. If a person exercised vigorously less than 500 MET (metabolic equivalents) per week, there was a 27% reduction in the odds of having elevated C–reactive protein levels when compared with non–exercisers. If a person did 500 METs or more per week, the risk reduction was 33%.
cardiology news

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

  • The largest population–based study of its kind has demonstrated no increase in the overall risk of cancer among children born after assisted reproduction. Overall, assisted reproduction was not associated with an increased risk of leukemia, neuroblastoma, retinoblastoma, central nervous system tumors, or renal or germ–cell tumors, according to the study published online Nov. 6 in the New England Journal of Medicine.
  • Preliminary findings from a multi–institutional study presented at the American Academy of Pediatrics 2013 National Conference suggest that children with a cancer diagnosis and their parents are more receptive to talking about palliative care at the time of diagnosis than anticipated.
cardiology news

Have Leg Artery Blockages? Walk on a Treadmill

A planned program of walking is good for people with blockage of leg blood vessels called peripheral arterial disease (PAD).

Normally when there is pain in the calf muscles in the leg on walking, the usual tendency is to rest and not walk. A study of 156 people with PAD published in JAMA showed that regular 6–minute walks on a treadmill improved their endurance and quality of life. The study examined patients with symptoms and without symptoms. Over the six months of the study, the participants who did their regular 6–minute treadmill walks increased their walking distance by about 69 feet, while those who did not walk regularly saw a decrease of 49 feet.

There is the potential for greater oxygen extraction from the blood under maximum exercise conditions. The muscles can make better use of blood flow and the oxygen release that comes from it.

Such exercise leads to improvement in "collateral circulation" –– growth in the number of blood vessels supplying the legs. Clinicians should urge all PAD patients, whether or not they have symptoms, to engage in a regular, supervised exercise program.

Walking is a standard recommendation for people with PAD. A recommended regimen is a 40–minute walk three times a week for at least six months.

Persistent leg pain is an indication that help is needed. In the absence of that symptom, physicians can test for PAD by measuring the difference in blood pressure between an ankle and an arm.

cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

Stress may increase smoking habits

Stress increases the risk of heart attack by pushing people toward bad habits, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

A British study published in the Journal of the American College of Cardiology suggests that people with psychological stress had a 50 percent increased risk of a cardiovascular disease event over the follow–up period.

The reasons were higher smoking rates and low exercise levels of individuals who were stressed.

In the study, the incidence of cardiovascular events –– heart attacks, stroke, bypass surgery and the like –– over a seven year follow-up period was 50 percent higher among the people with a high level of depression and anxiety when compared to happier people. Smoking and lack of physical activity explained about 63 percent of the increase, with smoking alone responsible for 41 percent.

Alcohol intake explained less than 2 percent of the increase, with high blood pressure assigned 13 percent of the blame.

All such patients should be treated with combined physiological approaches with intensive lifestyle changes to reduce modifiable risk

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 71933 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

Eminent Personality were awarded during the recently concluded MTNL Perfect Health Mela

press release

Moderate coffee intake protects against stroke

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

In all of the following conditions neuraxial blockade is absolutely contraindicated, except:

1.Patient refusal.
2.Coagulopathy
3.Severe hypovolemia.
4.Pre–existing neurological deficits.

Yesterday’s Mind Teaser: A 25 years old male is undergoing incision and drainage of abscess under general anesthesia with spontaneous respiration. The most efficient anaesthetic circuit is:

1.Mapleson A.
2.Mapleson B.
3.Mapleson C.
4.Mapleson D.

Answer for yesterday’s Mind Teaser: 1.Mapleson A.

Correct answers received from: Dr.K.Raju, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, DR AVTAR KRISHAN, Dr B K Agarwal

Answer for 9th November Mind Teaser: 2.Induction with intravenous protocol and N2O and oxygen for maintenance.

Correct answers received from: Deepak Choudhry, Satyajit Kumar

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

A group of expectant fathers sat nervously in the hall. A nurse beckoned to one of them and said, "Congratulations, you have a son!"

Another man dropped his magazine, jumped up and said, "Hey, what’s the idea? I got here two hours before he did!"

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient after sublingual nitrate developed fainting attack.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

medicolegal update

Money is not the most important thing in the world. Love is. Fortunately, I love money. Jackie Mason

medicolegal update

Dr KK Aggarwal: Poor hygiene habits may lead to Typhoid fever http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Empirical facts are not descriptions of fundamental reality but descriptions of modes of human observation using a human nervous system

Forthcoming events

GFIMS&R

Venue: Gold Field Institute of Medical Sciences & Research, Ballabgarh, Faridabad
Date: November 14, 2013
Time: 2.00 pm to 4.00 pm

Program Details
Floral welcome
Lighting of lamp & Saraswati vandana (Recorded):
Introduction: Dr Jasveer Singh 
Welcome: Dr (Col) Parduman Singh, Principal GFIMS&R       
Blessings: Dr Shashi Adhlakha, Secretary GFIMS &R 
Felicitation: Padma Shri Dr K K Aggarwal and Dr (Mrs) Veena Aggarwal, Dr Gajinder Goyal
Keynote Address on CPR: Padma Shri & Dr B C Roy National Awardee Dr K K Aggarwal, Eminent cardiologist, Moolchand Medcity, New Delhi
Demonstration of BLS of CPR by already trained persons (Medicos & Non Medicos) under guidance of Dr Nirupama Bansal    
Emergency of Cardiac arrest: Dr Gajinder Goyal, DM Cardiologist
Concluding remarks and Vote of thanks: Dr Jasveer Singh    

medicolegal update
  1. Dear Sir, emedinews is very informative newspaper. Regards: Dr Krishna

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