eMedinewS12th July 2014, Saturday

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

Every arthritis is not same

Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications.

Any arthritis in young women of child–bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease–modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1–2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of 50+age group and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight–bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout, which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

News

Association Of Environmental & Occupational Health Delhi

Theme: Effective Occupational Health Program A Vital Resource For Productivity & Sustainability

Date: 12 July 2014

Venue: India International Centre Extension Block, Lodi Road, Delhi

Speaker: Dr KK Aggarwal
Time: 2.00 pm – 2.40 pm
Topic: Mind Body & Soul

News Around The Globe

  • According to a new report from the World Health Organization (WHO), progress on controlling noncommunicable diseases (NCDs) worldwide has been insufficient and highly uneven since 2011. The report states that the current global mortality from NCDs remains unacceptably high and is increasing. The report was released July 10 at the United Nations General Assembly.
  • According to a study conducted in patients with colorectal cancer, higher levels of vitamin D were associated with better survival than lower levels, and the effect was substantial and clinically important. The study was published online July 7 in the Journal of Clinical Oncology.
  • A menopause toolkit has been introduced in an article published online July 6 in Climacteric that summarizes everything a clinician needs to know to identify menopause and prescribe treatment. The International Menopause Society has endorsed the toolkit for global use and is available in stand–alone form on the Monash University website.
  • Top 10 sources of calories in the U.S. diet
    1. Grain–based desserts (cakes, cookies, donuts, pies, crisps, cobblers, and granola bars)
    2. Yeast breads
    3. Chicken and chicken–mixed dishes
    4. Soda, energy drinks, and sports drinks
    5. Pizza
    6. Alcoholic beverages
    7. Pasta and pasta dishes
    8. Mexican mixed dishes
    9. Beef and beef–mixed dishes
    10. Dairy desserts

Source: Report of the 2010 Dietary Guidelines Advisory Committee

Rabies News (Dr A K Gupta)

A patient received two doses of modern vaccine (on days 0 and 3) and the dog was well on days 5 and 7 (third injection due, but not given). However, the dog dies on any day between 8 and 15. What should be done?

In case, day 0 and 3 injections were given and the dose due on day 7 was postponed because the dog was kept under observation but the dog dies between 8 and 15 days, three doses of vaccine must be given as close to the original dates of the schedule and all five injections must be completed by day 28.

Cardiology eMedinewS

  • Endovascular aortic aneurysm repair (EVAR) is associated with reduced complications and better survival than open aneurysm repair, reported a large US registry that took into account the rapid adoption of the less invasive treatment. The study was published in JAMA Surgery.
  • The European Society of Cardiology (ESC) Working Group on Myocardial and Pericardial Diseases has developed a stepwise scoring system to identify patients who need immediate pericardiocentesis and patients who can safely be transferred to a specialized institution. The scoring system is aimed at improving the clinical management of this condition by providing a practical triage tool, leading to fewer treatment delays. The position statement was published online July 7 in the European Heart Journal.

Pediatrics eMedinewS

  • Attention–deficit/hyperactivity disorder (ADHD) and substance use disorders (SUDs) are inextricably associated, according to a clinical report from the American Academy of Pediatrics (AAP). The report from AAP, published online in Pediatrics, offers practical strategies for reducing the risk for SUDs in patients with ADHD and suggestions for safe prescribing of stimulant medication.
  • A new research from UK has suggested that probiotic treatments had little to no effect in preventing eczema in newborns; however, they could still reduce some food allergies. The report was published online in Archives of Disease in Childhood.

Dr K K Spiritual Blog

Guru Purnima: The Time to Wish your GURU

GURU Purnima every year is observed in the month of Ashad (July) as a respect to your GURU or the teacher. Unfortunately the festival got diluted by India when 5th September was announced as a teacher’s day and now that day has over shadowed as a ritual and government celebrations.

I personally feel there was no need of another day when we Guru Purnima was already observed in the country as the most sacred teacher’s day. We also have lost our own Valentine’s Day "Basant Panchami" and have started observing 14th February as the Valentine’s Day). In this article we will try to understand the real meaning of the word GURU. Make sure this Guru Purnima you make it a point and go to your Guru or all teachers and wish them a happy Guru Purnima day."

Gurur Brahmaa Gurur Vishnuh Gurur Devo Maheshvarah
Gurur Saakshaat Parabrahma Tasmai Shree Gurave Namah.


Meaning: Know the Guru. He is Brahma. He is Vishnu. He is also Shiva. Know Him to be the Supreme Brahman, and offer thy adorations unto that peerless Guru. (To learn about all aspects of living: creativity, doing and winding up; we need consultation from a teacher, who can help us differentiate between good and bad, teach us our purpose of life, our dharma the things which hold us together).

The teacher in Sanskrit, Bangla, Gurmukhi, Hinduism, Buddhism, and Sikhism is called as a Guru. In Western words the original meaning of guru has been extended to cover anyone who acquires followers. In a further metaphorical extension, guru is used to refer to a person who has authority because of his or her perceived knowledge or skills in a domain of expertise.

When the Guru teaches about the true self or ‘atma’ he or she is called as the spiritual Guru. Based on a long line of philosophical understanding as to the importance of knowledge, the guru is seen in these religions as a sacred conduit, or a way to self–realization. The Guru removes the fundamental ignorance, which hides the knowledge of this truth form us and takes us from darkness to the light.

It was Kabir who gave the real importance to the word Guru. He wrote: "Guru Govind Dono Khade, Kisko Lagu Pai, Balihari Gurudevki Jisne Govind Diyo Batai"

If the Guru and the Almighty God appears before you, to whom would you bow first? Saints have said, "Without a Satguru’s blessings you wouldn’t even recognize God." Therefore, one must bow to the Satguru first.

Guru also refers in Sanskrit to Brihaspati, a Hindu figure analogous to the Roman planet/god Jupiter. In Vedic astrology, Guru or Brihaspati is believed to exert teaching influences. Indeed, in many Indian languages such as Hindi, the occidental Thursday is called either Brihaspativaar or Guruvaar.

Sikhism is derived from the Sanskrit word shishya, or disciple. The core beliefs of Sikhism are of belief in one God and in the teachings of the Ten Gurus, enshrined in Guru Granth Sahib, the Sikh holy book.
Guru Purnima is one sacred festival dedicated to Gurus. It is the day when we honour Sage Vyasa, who gave mankind the precious gem of Saguna worship (worship of God with Form) and the hope and assurance that Manava (man) can become Madhava (God), that Nara can become Narayana, that Jeeva can become Brahman or rather that Jeeva (individual soul) is Brahman (Universal soul).

Guru can be any one in our life. The first Guru is the Parents who bring us in this world and guide and make us independent by giving a basic knowledge of life – help us to walk, talk, eat, dress etc.

The second Guru is a teacher at school where we learn the art of communication and specialise in the topics of our choice.

The third Guru is called a Dharma Guru/Satguru or the Spiritual Guru – who would give the basic knowledge of life, our true self, takes us from the paradigm of physical well being to spiritual well being, religion, Dharma, and God and show the way to the salvation of the soul.

The fifth the final guru as described by Dr Deepak Chopra is "you" yourself. He says the word GURU means G – U– R– U (God: You are you). Learning the knowledge about self is the main purpose of life and once one shifts one’s consciousness in understanding the soul, it (soul) teaches you everything about life. The soul within one is the best teacher in life. Learning to take conscious based decisions and being in touch with ones consciousness through Pranayama and meditation are some of the ways of being in touch with the inner Guru. Sole is defined as the unified field of information and energy with infinite possibilities. In terms of healing also, meditation and Pranayama are known to be effective preventive remedies for most disorders. Lord Dattatreya, an Incarnation of the Trinity, an Avadhuta (an ascetic who always remains naked), in Avadhuta Gita says, "The Self alone is my Guru." Yet, I have learnt wisdom from twenty–four other individuals and objects. So they, too, are also my Gurus." "The names of my twenty–four Gurus are earth, water, fire, sky, moon, sun, pigeon, python, ocean, moth, honey–gatherers (black bee), bees, elephant, deer, fish, the dancing–girl Pingala, raven, child, maiden, serpent, arrow–maker, spider and beetle.

Wellness Blog

Donating blood reduces chances of heart attack

One should donate blood at least once in a year. Donating blood regularly has been shown in many reports to reduce chances of future heart attacks. Blood donation is also one of the best charities that one can do as it can save multiple lives through various components taken out of a single blood transfusion.

All those who are going for elective surgery should donate their blood well in advance and the same should be used at the time of surgery.

In the current medical tourism scenario, many patients who are Jehovah’s Witnesses refuse blood transfusion on religious grounds. They do not accept transfusion of whole blood or any of the four major components (blood cells, platelets, plasma and white cells). They are prepared to die rather than receive the blood. They also do not accept transfusion of stored blood including their own due to the belief that blood should not be taken out of the body and stored for any length of time. In such cases, every effort should be made to reduce blood loss, conserve blood and give drugs that can enhance hemoglobin formation.

A new concept called Bloodless Medicine has now become a reality where treatment, surgery and even emergency surgery can be done without using any blood.

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

cpr 10 mantra
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

Treating vitamin D deficiency in the country

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 on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

eMedinewS Humor

What is lucid interval?

Lucid interval is the period during which the mentally unsound person behaves very much like a normal person. During this period all the signs and symptoms of insanity are absent. The person is responsible for all his acts performed during the period of lucid interval.

Quote of the Day

The greatest gift you can give another is the purity of your attention.~Richard Moss

Twitter of the Day

Dr KK Aggarwal: First BP should be checked at age three http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: The universe works by itself as does your body. All striving is interference #CosmicConsciousness

 

Inspirational Story

All Good Things

He was in the first third grade class I taught at Saint Mary’s School in Morris, Minn. All 34 of my students were dear to me, but Mark Eklund was one in a million. Very neat in appearance, but had that happy–to–be–alive attitude that made even his occasional mischievousness delightful.

Mark talked incessantly. I had to remind him again and again that talking without permission was not acceptable. What impressed me so much, though, was his sincere response every time I had to correct him for misbehaving. "Thank you for correcting me, Sister!" I didn’t know what to make of it at first, but before long I became accustomed to hearing it many times a day.

One morning my patience was growing thin when Mark talked once too often, and then I made a novice–teacher’s mistake. I looked at Mark and said, "If you say one more word, I am going to tape your mouth shut!" It wasn’t ten seconds later when Chuck blurted out; "Mark is talking again." I hadn’t asked any of the students to help me watch Mark, but since I had stated the punishment in front of the class, I had to act on it.

I remember the scene as if it had occurred this morning. I walked to my desk, very deliberately opened my drawer and took out a roll of masking tape. Without saying a word, I proceeded to Mark’s desk, tore off two pieces of tape and made a big X with them over his mouth. I then returned to the front of the room. As I glanced at Mark to see how he was doing, he winked at me. That did it!! I started laughing.

The class cheered as I walked back to Mark’s desk, removed the tape, and shrugged my shoulders. His first words were, "Thank you for correcting me, Sister." At the end of the year, I was asked to teach junior-high math.

The years flew by, and before I knew it Mark was in my classroom again. He was more handsome than ever and just as polite. Since he had to listen carefully to my instruction in the "new math," he did not talk as much in ninth grade as he had in third. One Friday, things just didn't feel right. We had worked hard on a new concept all week and I sensed that the students were frowning, frustrated with themselves – and edgy with one another.

I had to stop this crankiness before it got out of hand. So I asked them to list the names of the other students in the room on two sheets of paper, leaving a space between each name. Then I told them to think of the nicest thing they could say about each of their classmates and write it down. It took the remainder of the class period to finish their assignment, and as the students left the room, each one handed me the papers. Charlie smiled. Mark said, "Thank you for teaching me, Sister. Have a good weekend." That Saturday, I wrote down the name of each student on a separate sheet of paper, and I listed what everyone else had said about that individual.

On Monday I gave each student his or her list. Before long, the entire class was smiling. "Really?" I heard whispered. "I never knew that meant anything to anyone!" "I didn’t know others liked me so much."

No one ever mentioned those papers in class again. I never knew if they discussed them after class or with their parents, but it didn't matter. The exercise had accomplished its purpose. The students were happy with themselves and one another again.

That group of students moved on. Several years later, after I returned vacation, my parents met me at the airport. As we were driving home, mother asked me the usual questions about the trip - the weather, my experiences in general. There was a lull in the conversation. Mother gave Dad a side–ways glance and simply says, "Dad?" My father cleared his throat as he usually did before something important.

"The Eklunds called last night," he began. "Really?" I said. "I haven’t heard from them in years. I wonder how Mark is." Dad responded quietly. "Mark was killed in Vietnam," he said. "The funeral is tomorrow, and his parents would like it if you could attend."

To this day I can still point to the exact spot on I–494 where Dad told me about Mark. I had never seen a serviceman in a military coffin before. Mark looked so handsome, so mature. All I could think at that moment was, Mark I would give all the masking tape in the world if only you would talk to me.

The church was packed with Mark’s friends. Chuck's sister sang "The Battle Hymn of the Republic." Why did it have to rain on the day of the funeral? It was difficult enough at the graveside.

The pastor said the usual prayers, and the bugler played taps. One by one those who loved Mark took a last walk by the coffin and sprinkled it with holy water. I was the last one to bless the coffin. As I stood there, one of the soldiers who acted as pallbearer came up to me. "Were you Mark’s math teacher?" he asked. I nodded as I continued to stare at the coffin. "Mark talked about you a lot," he said.

After the funeral, most of Mark's former classmates headed to Chuck’s farmhouse for lunch. Mark’s mother and father were there, obviously waiting for me. "We want to show you something," his father said, taking a wallet out of his pocket. "They found this on Mark when he was killed. We thought you might recognize it."

Opening the billfold, he carefully removed two worn pieces of notebook paper that had obviously been taped, folded and refolded many times. I knew without looking that the papers were the ones on which I had listed all the good things each of Mark’s classmates had said about him. "Thank you so much for doing that," Mark’s mother said. "As you can see, Mark treasured it."

Mark’s classmates started to gather around us. Charlie smiled rather sheepishly and said, "I still have my list. It’s in the top drawer of my desk at home." Chuck’s wife said, "Chuck asked me to put his in our wedding album." "I have mine too," Marilyn said. "It’s in my diary."

Then Vicki, another classmate, reached into her pocketbook, took out her wallet and showed her worn and frazzled list to the group. "I carry this with me at all times," Vicki said without batting an eyelash. "I think we all saved our lists."

That’s when I finally sat down and cried. I cried for Mark and for all his friends who would never see him again.

ePress Release

Can diabetes be ward off?

Adhering to Mediterranean diet, rich in fruits and vegetables and low in animal products, may protect one against developing type 2 diabetes 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 Spanish study. The diet emphasizes olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and deemphasizes meat and dairy products. It is a healthy eating plan that seems to help in the prevention of heart disease.

In the study published in the British Medical Journal, researchers tracked the diets of 13,380 Spanish university graduates with no history of diabetes. Participants filled out a 136–item food questionnaire, which measured their entire diet (including their intake of fats), their cooking methods and their use of dietary supplements. During an average of 4.4 years of follow–up, the team found that people who adhered to a Mediterranean diet had a lower risk of developing type 2 diabetes. In fact, those who stuck very closely to the diet reduced their risk by 83 percent.

Moreover, the people who tended to stick closest to the diet were those with factors that put them at the highest risk for developing diabetes, such as being older, having a family history of diabetes and being an ex-smoker. These people were expected to have a higher rate of diabetes, but when they adhered to the Mediterranean diet this was not the case.

Type 2 diabetes is typically brought on by poor eating habits, too much weight and too little exercise.

One key factor that might be responsible for the protective effect of the Mediterranean diet is its emphasis on olive oil for cooking, frying, putting on bread and mixing in salad dressings.

Preventing diabetes- TIPS

  1. Eat less
  2. Omit refined carbohydrates (white sugar, white rice and white maida)
  3. Use olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and reduce meat and dairy products.

eMedi Quiz

A 31 year old female patient complaints of bilateral impairment of hearing for the past 5 years. On examination, tympanic membrance is normal and aduiogram shows a bilateral conductive deafness. Impedance audiometry. Shows as type of curve and acoustic reflexes are absent. All constitute part of treatment, except:

1. Hearing aid.
2. Stapedectomy.
3. Sodium Fluoride.
4. Gentamicin.

Yesterday’s Mind Teaser: A vascular necrosis can be possible sequelae of fracture of all the following bones, except:

1. Femur neck
2. Scaphoid.
3. Talus.
4. Calcaneum.

Answer for yesterday’s Mind Teaser: 4. Calcaneum.

Correct answers received from: Dr Pawan Mehta, Dr R H Gobbur, Dr G Sahadevudu, Dr Poonam Chablani, Dr K V Sarma, Dr Jainendra Upadhyay, Dr Gopal Shinde, Arvind Diwaker, Dr Jayashree Sen & Dr Bitan Sen, Dr Rohini Dhillon, Dr Prakash Khalap.

Answer for 10th July Mind Teaser: 2. Interstitial lung disease.

Correct answers received from: Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

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medical querymedical query

 

medicolegal update

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medicolegal updatemedicolegal update

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

Forthcoming Events

ASSOCIATION OF ENVIRONMENTAL & OCCUPATIONAL HEALTH DELHI

India International Centre Extension Block, Lodi Road, Delhi, 12 &13 July, 14

THEME: EFFECTIVE OCCUPATIONAL HEALTH PROGRAM
A VITAL RESOURCE FOR PRODUCTIVITY & SUSTAINABILITY"

12 JULY 2014 PROGRAM  

9.00 am– 9.15 am

REGISTRATION

 

9.15 am – 9.30 am

Art of Living

Dr. P.P.S. Sethi

9.30 am 1.00 pm

OFFICE ERGONOMICS WORKSHOP
Changing Workplaces & Introduction to NIOSH Ergonomics Control Program
Ergonomic Assessment Methods for Musculoskeletal Discomfort
Introduction of QEC Ergonomic Evaluation
& Hands–on working and training on QEC.
Prevention of MSD
Introduction to Hospital Ergonomics

Dr. Kishore Madhwani
Dr Varsha Chorsiya
Mr. Parag A Shastry & Dr Reena Valecha
Dr Kishore Madhwani
Mr Parag Shastry

1.00 pm – 2.00 pm

LUNCH

 

2.00 pm – 5.00 pm

WORKSHOP: HEALTHY LIFE STYLE

 

2.00 pm – 2.40 pm

       Mind Body &  Soul

Dr. K.K. Agarwal

2.40 pm – 3.20 pm

Nutrition in Healthy Life Style

Dr. Shikha Sharma

3.20 pm – 3.50 pm

Fitness in Healthy Life Style

Ms. Kiran Sawhney

3.50 pm – 4.20 pm

Stress Management

Dr Taruna Yadav

4.20 pm – 4.50 pm

Yoga- Healthy Life Style

Ms. Poonam Singh

4.50 pm – 5.00 pm

TEA

 

Dr. P.S. Prasa            Dr.Sandeep Sharma         Dr. Rajiv Garg

President                       Secretary                   Chairman, Conference

Dr. A.K.Khokhar                                        Dr.Chandraa Tripaathi

Chairperson,Scientific Committee               Chairperson,Scientific Committee

Dr. U.C. Ojha                                             Dr.Atul Gupta

Co–Chairperson,Scientific Committee        Co–Chairperson, Scientific Committee

Dr. Kiran Kukreja                                   Dr.Rajesh Parthesarthy

Chairperson,Reception Committee               Chairperson Reception Committee

Mr. S. Kaul.                                             Dr.Rajiv Gupta

Co–Chairperson,Reception Committee        Co–Chairperson,Reception Committee

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eMedinewS Special

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