eMedinewS12th June 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 ways to boost bone strength early (Harvard)

Monitor your diet. Get enough calcium and vitamin D, ideally through the foods you eat. Although dairy products may be the richest sources of calcium, a growing number of foods, such as orange juice, are calcium–fortified. Fruits, vegetables, and grains provide other minerals crucial to bone health, such as magnesium and phosphorus.

Maintain a reasonable weight. This is particularly important for women. Menstrual periods often stop in women who are underweight — due to a poor diet or excessive exercise — and that usually means that estrogen levels are too low to support bone growth.

Don’t smoke, and limit alcohol intake. Smoking and too much alcohol both decrease bone mass.

Make sure your workouts include weight–bearing exercises. Regular weight–bearing exercise like walking, dancing, or step aerobics can protect your bones. Also include strength training as part of your exercise routine.

Talk with your doctor about your risk factors. Certain medical conditions (like celiac disease) and some medications (steroids and others) can increase the chances that you will develop osteoporosis. It’s important to talk with your doctor to develop a prevention strategy that accounts for these factors.

News Around The Globe

  • A study published online in BJOG has suggested that about half of hypertensive pregnant women who snore and about a quarter of those who do not snore have unrecognized obstructive sleep apnea (OSA). Researchers noted that of the 51 women with hypertensive disorders, 61% had OSA compared with 19% of 16 normotensive women.
  • Once–daily tedizolid has been found to be noninferior, and to have a similar adverse effect profile, to twice–daily linezolid in the treatment of acute bacterial skin infections and skin–structure infections, report the results from a new phase 3 study. The study is published online June 6 in Lancet Infectious Disease.
  • The US Food and Drug Administration (FDA) and the US Environmental Protection Agency (EPA) have recently suggested that pregnant women should eat more fish, about 8 ounces a week, in order to have smarter children.
  • The US Food and Drug Administration (FDA) has approved efinaconazole 10% topical solution for the treatment of onychomycosis of the toenail. The FDA, however, had earlier declined to approve efinaconazole for onychomycosis in May 2013.
  • A new study published online June 9 in BMJ Open has pointed towards a significant increase in the number of people in England who have prediabetes, with 1 in 3 adults now known to be affected and those from poorer backgrounds to be particularly at risk. Prediabetes rates have been noted to increase from around 12% in 2003 to around 35% in 2011.

Rabies News (Dr A K Gupta)

Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

Cardiology eMedinewS

  • The addition of insulin as a second-line agent following metformin in patients with type 2 diabetes may be associated with increased cardiovascular risk compared with adding a sulfonylurea, reported a recent analysis published in the June 11 issue of the Journal of the American Medical Association. These patients were noted to have a statistically significant increased risk of 30% for nonfatal cardiovascular outcomes and a 44% increase in all–cause mortality.
  • In hemodialysis patients with secondary hyperparathyroidism, cinacalcet – a calcimimetic – improves time to death and cardiovascular (CV) end points, but only in those >65 years old, reports a new analysis of data from the EVOLVE trial. The study was presented at the European Renal Association-European Dialysis and Transplant Association 51st Congress.

Pediatrics eMedinewS

  • Babies born to women who consume moderate to heavy amounts of alcohol during pregnancy are nearly 3 times more likely to develop gross motor (GM) deficits as compared to those born to mothers who abstain or drink little amounts, reports a review published online June 9 in Pediatrics.
  • U.S. health officials have finalized manufacturing guidelines for infant formula makers in order to ensure that products sold for babies meet certain quality controls to keep them safe. The rule includes requiring companies to test for Salmonella and Cronobacter, two bacteria known to cause particularly severe illness in babies.

Dr K K Spiritual Blog

The vast power of the Spirit

Om Poornamadah
Om Poornamadah Poornamidam
Poornaat Poornamudachyate
Poornasya Poornamaadaaya
Poornameva Avasihyate"


‘The whole is whole; if you take away the whole away from the whole the whole will still remain.’ (That is infinite, this is infinite, from the infinite, the infinite has come. Having taken the infinite out of the infinite, the infinite alone remains). (In Vedanta, "That" represents superconsciousness, God or the Brahman and "This" the visible universe)

Atman, which makes up our body, is 99.99 per cent space or void and if we look at the rest, it is also nothing but space or void. This void or ‘akasha’ is what is called Brahman, God or consciousness and is a web of energized information.

This web of information of inner space called inner consciousness is the Atman or the Soul. This is connected with the outer space in the universe having a similar web of energized information called the Spirit or Brahmand.

The Spirit has been given many names by different religions: Allah, Buddha, Brahman, Christ or Wahe Guru. They all signify the same. This spirit, the energized field of information, is a powerful expression of live energy which can move faster than the speed of light. Soul is nothing but an individualized expression of the spirit.

This energy containing information in the spirit cannot be seen, felt, touched, tasted or smelt. It is beyond the perception of the five senses. One cannot destroy it with a weapon, fire, water or air. This consciousness is embedded in the space of each and every cell of the body. It is like sugar added to the milk. Once added, you cannot find it as it gets embedded with each and every drop of the milk.

Soul originates from the spirit. Each soul differs from the other by way of the subtle layer of consciousness called the ‘Sukshma Sharir’, which is controlled by the triad of actions, memories and desires.

Spirit is like the light, which is always positive and removes darkness. The basic nature of consciousness is "truth and bliss". The soul and the spirit are devoid of hatred, anger or jealousy and are full of unconditional love. They are nothing but a treasury of information about everything. This infinite information is capable of doing anything, including miracles.

It is like the flame of a candle, which can light an infinite number of candles, while still retaining its illumination to the same degree.

Deepak Chopra once said that the soul is like the voice of Lata Mangeshkar coming through a radio, and if you break the radio, you will not find Lata Mangeshkar in it. Similarly, if you cut the body into pieces, you cannot find the physical presence of the spirit. Spirit is omnipresent and any amount of Spirit taken out from it will not make any difference to it.

In religious terms, the infinite or the vastness is equated and described by the blue color, and that is one reason why most gods are represented in blue color, or are shown in the background of blue sky. This only represents the vastness and infinite character of the consciousness.

A guru explained the Spirit to his disciples by the following equation: 1 × 1 = 1, 1/1=1 or, in other words everything is One. One can also explain it by the equation that infinity when added, subtracted, multiplied or divided by infinity will result only in infinity.

This infinite potential in our minds is present in between the thoughts and can be experienced by enabling oneself to go in between the thoughts by a process called meditation. One can experience the silent gap between the thoughts either with the use of primordial sound mantra as a vehicle or by way of yoga. People who have learnt meditation and have achieved the ability to go into the silent gaps can accomplish everything in their life using the principles of intention and attention. After any intention is introduced in the silent gap, a new reality can be created.

"That which is born of the flash is a flash; that which is born of the spirit is spirit" (John)

Wellness Blog

Elderly Beware of Commonly Prescribed Group of Drugs

Anticholinergics, a commonly prescribed group of drugs, may cause elderly people to "slow down" in their daily physical activities.

Two reports from Wake Forest University School of Medicine support findings that anticholinergic drugs, used to treat acid reflux, Parkinson’s disease and urinary incontinence, may cause older people to lose their thinking skills more quickly than those who do not take the medicines.

Anti–cholinergic drugs work by stopping acetylcholine, a chemical that enhances communication between nerve cells in the brain, from binding to its receptors in nerve cells.

Older adults taking anticholinergics become more likely to walk more slowly and to need help in other daily activities. These results are true even in older adults who have normal memory and thinking abilities.

For older adults taking a moderately acting anticholinergic medication, or two or more mildly acting anticholinergic medications, their function is similar to that of someone 3 to 4 years older.

Common anticholinergic medicines include blood pressure medication, nifedipine; the stomach antacid, ranitidine, and the incontinence medication, tolterodine.

Cholinesterase inhibitors, a family of drugs used to treat dementia by increasing levels of acetylcholine include donepezil, galantamine, rivastigmine and tacrine. About 10% of patients may be taking tolterodine and dozepezil together. The two drugs are pharmacological opposites, which led to the hypothesis that the simultaneous treatment of dementia and incontinence could lead to reduced effectiveness of one or both drug.

Inspirational Story

A message for everyone who values the ethics of life

Pastor Jeremiah Steepek transformed himself into a homeless person and went to the 10,000 member church that he was to be introduced as the head pastor at that morning.

He walked around his soon to be church for 30 minutes while it was filling with people for service, only 3 people out of the 7–10,000 people said hello to him.

He asked people for change to buy food no one in the church gave him change.

He went into the sanctuary to sit down in the front of the church and was asked by the ushers if he would please sit in the back.

He greeted people to be greeted back with stares and dirty looks, with people looking down on him and judging him.

As he sat in the back of the church, he listened to the church announcements and such.

When all that was done, the elders went up and were excited to introduce the new pastor of the church to the congregation.

"We would like to introduce to you Pastor Jeremiah Steepek." The congregation looked around clapping with joy and anticipation.

The homeless man sitting in the back stood up and started walking down the aisle. The clapping stopped with all eyes on him.

He walked up the altar and took the microphone from the elders (who were in on this) and paused for a moment then he recited,

"Then the King will say to those on his right, Come, you who are blessed by my Father; take your inheritance, the kingdom prepared for you since the creation of the world.

"For I was hungry and you gave me something to eat, I was thirsty and you gave me something to drink, I was a stranger and you invited me in, I needed clothes and you clothed me, I was sick and you looked after me, I was in prison and you came to visit me.

"Then the righteous will answer him, Lord, when did we see you hungry and feed you, or thirsty and give you something to drink? When did we see you a stranger and invite you in, or needing clothes and clothe you? When did we see you sick or in prison and go to visit you?

The King will reply, Truly I tell you, whatever you did for one of the least of these brothers and sisters of mine, you did for me.

After he recited this, he looked towards the congregation and told them all what he had experienced that morning. Many began to cry and many heads were bowed in shame.

He then said, "Today I see a gathering of people, not a church of Jesus Christ. The world has enough people, but not enough disciples. When will YOU decide to become disciples?"

He then dismissed service until next week.

Following in the footsteps of Jesus Christ should be more than just talk. It ought to be a lifestyle that others around you can love about you and share in.

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 – 88972 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 Camp at Modern Era Public School, 16th May 2014

press release

AHA – ACS update

video of day video of day

 

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 was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 suggest that this intervention is much better than thrombolytic therapy in such patients.

eMedinewS Humor

Two cab drivers met. "Hey," asked one, "why did you paint one side of your cab red and the other side blue?"

"Well," the other responded, "when I get into an accident, you should see how all the witnesses contradict each other.

Quote of the Day

Only those who dare to fail greatly can ever achieve greatly. Robert F. Kennedy

 

Twitter of the Day

Dr KK Aggarwal: High BP in Pregnancy Increases Risk for Future Atherosclerosis http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: No matter what happened in the past, we all have the right and the capacity to be happy and loved http://bit.ly/DC_Ananda #ananda

 

Forth Comming Event

Announcement

Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
rawat.vandana89@gmail.com/
drkakroo@gmail.com
or Call: Vandana 9891673085/Dr Kakroo 9810301261

 

ePress Release

Smoking women can increase the risk of colorectal cancer

Women who smoke are at twice the risk of developing cancer of the rectum and the risk goes up with the increase in number of cigarettes smoked per day, smoke duration and older age at smoking cessation, said 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.

Quoting a study published in the Journal of National Cancer Institute, Dr. KK Aggarwal said that women should never smoke. Current smokers are 95% more likely to develop rectal cancer. Younger adults can develop colorectal cancer, but the chances increase markedly after age 50: More than 9 out of 10 people diagnosed with colorectal cancer are older than 50.

A history of adenomatous polyps (adenomas), especially if they are large, increases the risk of cancer.

If you have had colorectal cancer, even though it has been completely removed, you are more likely to develop new cancers in other areas of the colon and rectum. The chances of this happening are greater if you had your first colorectal cancer when you were younger.

Though the no. 1 cancer in women in urban areas is breast cancer and in rural areas is cancer of the cervix, the cancer of the rectum is on the rise.

eMedi Quiz

Central nervous system manifestations in chronic renal failure are a result of all of the following, except:

1. Hyperosmolarity
2. Hypocalcemia
3. Acidosis
4. Hyponatremia

Yesterday’s Mind Teaser: Which of the heart valve is most likely to be involved by infective endocarditis following a septic abortion?

1. Aortic valve.
2. Tricuspid valve.
3. Pulmonary valve.
4. Mitral valve.

Answer for yesterday’s Mind Teaser: 2. Tricuspid valve.

Correct answers received from: Dr Manas RanjanSahoo, Dr Jayant Gaikwad, Dr P C Das, Deepali Chatterjee,
Dr Poonam Chablani, Dr K V Sarma, Daivadheenam Jella, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Abbas Vakil,
Dr Bitaan Sen & Dr Jayashree Sen.

Answer for 9th June Mind Teaser: 2. HbsAg and HBeAg positive.

Correct answers received from: Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the updation. Regards: Dr Shyam
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