eMedinewS12th September 2014, Friday

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

Dear Dr. K.K. AGGARWAL,

It gives me pleasure to inform you that you have been elected uncontested for the post of Hony. Secretary General, IMA HQs. for the year 2014–2016.

I take this opportunity to congratulate you on this on behalf of the Election Commission.

With kind regards,

Sincerely yours,

(Dr. P. Vijaya Chander Reddy)
Chief Election Commissioner

 

Dear Dr. K.K. AGGARWAL,

We are pleased to inform you that as per the results of the National Elections of IMA HQs. and its wings for the years 2014–2015 and 2015-2016, you have been elected uncontested for the post of Hony. Secretary General, IMA HQs. for the year 2014–2016.

Please accept our heartiest congratulations on the same on our personal behalf and on behalf of all the Office Bearers of the Association & the entire membership of IMA at large.

With kind regards,

Sincerely yours,

(Dr. Jitendra B. Patel)
National President 
                                            (Dr. Narendra Saini)
                                                                                           Hony. Secretary General

News Around The Globe

  • A new research has suggested that the amount of daily sunshine individuals receive appears to have a direct impact on suicide incidence. Researchers noted a positive correlation between the number of suicides and hours of daily sunshine on the day of the suicide and up to 10 days before that seemed to facilitate suicide. The study was published online September 10 in JAMA Psychiatry.
  • Mepolizumab given subcutaneously appears a promising treatment for patients with severe eosinophilic asthma, suggest the results of 2 new studies presented at the European Respiratory Society (ERS) International Congress 2014.
  • A new study has linked rapidly growing mycobacterium infections to gastric banding surgery; however, no clear source has been identified, suggested an article published online September 10 in Emerging Infectious Diseases.
  • The first biosimilar insulin has received regulatory approval in the European Union. The product is a basal insulin, the mainstay of treatment for adults, adolescents, and children aged 2 years and above with type 1 and type 2 diabetes. The amino acid sequence is similar to the currently marketed insulin glargine (Lantus) and is intended to provide long-lasting blood glucose control between meals and at night.
  • A large population-based study has suggested that women who take selective serotonin reuptake inhibitors (SSRIs) for depression during early pregnancy and those who stop taking the drugs up to a year before becoming pregnant have similar risks for miscarriage. The results thus suggest that there is no causal relationship between SSRIs and miscarriage. The study is published online September 5 in Obstetrics & Gynecology.

Rabies News (Dr A K Gupta)

Can rabies be transmitted to a dog that has eaten the flesh of a dead rabid cow or buffalo?

Yes. The rabies virus after multiplying in the brain spreads to other organs of the body like the heart, muscles, skin, etc. So the dog can definitely get infected because the virus can spread through oral mucous membrane.

Cardiology eMedinewS

  • An FDA advisory panel has recommended that a dual–agent medication combining a beta–blocker and an angiotensin–receptor blocker (ARB) not be approved for the treatment of hypertension. One of the major reasons cited against approval was that the fixed–dose combination of nebivolol and valsartan did not show enough of a blood–pressure–lowering effect in the medication's pivotal trial.
  • Compared with normal weight children, obese girls were 5.9 times more likely to have hypertension and obese boys were 4.3 times more likely to have hypertension, according to a new study. Even being overweight increased the risk of prehypertension and hypertension. The study was presented at the European Society of Cardiology (ESC) 2014 Congress.

Pediatrics eMedinewS

  • The homes of many children infected with methicillin-resistant Staphylococcus aureus (MRSA) may serve as environments in which MRSA strains live on common household surfaces, suggested an article published online September 8 in JAMA Pediatrics. Researchers found MRSA on bed linens, television remote controls, bathroom hand towels and household pets in their study.
  • Caffeine therapy for apnea of prematurity has no long–term adverse effects on sleep or control of breathing, suggested a new study of preterm children assessed at ages 5–12. The study was published online in the American Journal of Respiratory and Critical Care Medicine.

Dr K K Spiritual Blog

Spiritual Prescription: You are born with a quota use it judicially

Everyone is born with a passport with a defined battery life to live up to 100 years after which one has to go back to renew or recharge the batteries.

If the battery is overused or misused and is depleted early, one may have to go back prematurely for recharging, but this time when one comes back, he or she may come back with a different body, which may not be the human one. There are 64 lakh Yonis as described in the Vedic literature.

According to the Vedic description, if one dies prematurely there are chances that the rebirth will not be in the same species.

To live up to the time period defined at the time of birth by Dharmaraja, one has to follow the principles as described in Yogashastra.

The main principle is the principle of moderation and variety. It says that everything has to be used, if not used will get rusted and if overused will undergo wear and tear. The classical example is that God had made uterus in the women for producing a child; if the same organ is not used at all, it will produce a fibroid and if overused may end up in a cancer.

When using the principles of moderation and variety, one should remember that each one of us is born with a fixed quota of everything, a quota of diet, respirations, heart rate and thoughts.

According to swara yoga, one is born with predefined number of respirations to be taken during life. If one consumes them early he will depart for refueling early from the life. To reduce respiratory rate is therefore the basis of postponing aging and prolonging life. Stimulation of the parasympathetic nervous system by learning and practicing pranayama, which is slower and deep breathing, does the same.

One breathes 15 times a minute or 21600 breaths in a day, or 7884000 (78.84 lakhs) a year or 788400000 (78.84 crores) during life (assuming it to be 100 years). Some yoga books say that a person is born with 33 crore breaths, the same if taken at the rate or 15 per minute would last for 42 years.

In fact Pranayama originated on the concept that the breaths of each one of us are numbered, that our life-span is dependent on how many times we shall breathe in a given life, and that, as a consequence of this fact, we must reduce the number of breaths so as to live longer.

In Gorakshapaddhati (I.93), it is written that "Due to fear of death even Brahma, the Lord of creation, keeps on practicing pranayama and so do many yogis and minis. It is recommended that a student of yoga must always control his breath."

Hathayoga-pradipika (II.39) also writes: “All the Gods including Lord Brahma became devoted to the practice of pranayama because they were afraid of death. We the mortals should follow the same path and control the breath.”

Similarly one is born with a quota of heartbeats, which is an average of 70 per minute. Many studies have shown that people whose resting heart rate is higher have more chances of sudden death. The aim therefore is to keep the heart rate at a slower pace. The same can be achieved either by regular exercise, meditation, Aum Pranayama, or by meditation. In people who run marathons or participate in athletic activities, the temporary increase in the heart rate during exercise is compensated by the body by adapting the cardiovascular system in such a way that the basal heart rate reduces. The marathon runners may have a heart rate of only 50 per minute.

The less one eats the more he lives is a Yogic saying. It is said that a person who eats once a day is a Yogi, twice a day is a Bhogi and thrice a day is a Rogi. There are enough studies now, which say that a 25% reduction in the calorie content can increase life span. Many studies in rodents have also shown similar effect.

The moderation in exercise is to walk 10000 steps a day. No exercise will lead to obesity and overuse may lead to osteoarthritis.

Stress is the excess of thoughts in the mind. Controlling the mind forms the basis of meditation. Samadhi is the state of no thoughts. Practicing meditation 20 minutes twice daily helps in restraining the mind with resultant state of Turya where the mind has controlled limited positive thoughts.

Wellness Blog

Use painkillers with caution in the elderly

Painkillers can cause stroke via irregular heart rhythm. Non selective non–steroidal anti–inflammatory drugs (NSAIDs) and new generation selective COX–2 inhibitors commonly used to treat inflammation are now linked to an increased risk of irregular heart rhythm called atrial fibrillation (AF), as per a Danish Research of 32602 patients led by Professor Henrik Toft Sørensen at Aarhus University Hospital in Denmark.

These drugs are already linked to increased risk of heart attacks and strokes. And now through AF, the risk gets intensified for stroke and new risk added of heart failure and death.

In the study compared with non users, new users (first drug within 60 days of diagnosis) showed 40% increased risk of AF with non–selective NSAIDS and 70% increased risk with COX–2 inhibitors. This means four extra cases of AF per year per 1000 new users of non–selective NSAIDS and seven extra cases of AF per 1000 new users of COX–2 inhibitors.

The risk was highest in the elderly, patients with chronic kidney disease or rheumatoid arthritis especially on COX–2 inhibitors. NSAIDs should be used very cautiously in older patients with a history of hypertension or heart failure.

Inspirational Story

Making Change

Many of us do not like what we see around us but the last thing we ever do is to change it. I think that is the beginning of failure and that is why what we hate still remains around us. If you do not want the things you see around you, don't just watch and hope it will change. There must be a work plan that will determine what you are going to do to change it.

We have such an amazing power of creativity inside us to change the way things work around us. Only lazy people go about and say that is the way things have been working and that is the way they are going to continually work.

I have come to discover that things around us are dependent on our actions and inactions. What I mean is that the circumstances that we like depend solely on the things we do and the things we do not do. Do you want your country to change? Start by changing the small things around you.

Before you think too far about any small thing to change, let me help you by saying that your habit should be the first thing to change. Change what you think about and change what you talk about. Change the things that get your attention before you plan to change a nation.

Can you remember how difficult it was for you to break a habit that you desired to break some years back? Do you remember that habit of yours that you are still struggling to break? If so, then you must accept that things are not just going to change by the stroke of a magic thought.

If it is not so easy to change yourself when you want to, it is not going to be so easy to change the people around you. Many people do not find it easy to change themselves yet they want to change a nation. I think the best way I have changed people around me is that I changed myself.

People are watching you. Some of them do not expect you to change so your change is going to be like a miracle to them. When you change, they will change. Just change yourself and see how many people will tell you later that you were the one who changed them.

That is one simple way young people can change their nations. Go ahead now. Do it!

ePress Release

Do not use 2 pin electrical appliances: they can be dangerous

With the onset of monsoon and the continuing use of electrical equipments deaths due to electrocution are quite common. About 3–5 persons die due to electric shock everyday in any major city during the monsoon months. Most deaths due to electric shock could be attributed to lack of awareness regarding the basic principles of electrical systems and callousness while handling electrical equipment, 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.

The public not only needs to be aware of the safety principles but also the inherent dangers of handling electrical equipment, along with preventive measures to reduce mishaps and methods to revive a person, who has suffered an electric shock. Like fire, electricity is a good servant but a bad master. If used properly it is a boon in every day’s life and if manhandled can cause death.

The most important education required is regarding the proper use of earthing. Earthing can be procured either from the city source or made indigenously at home by digging a big hole. Earthing is a thick wire attached to the top hole of a 3–pin electrical socket. Earthing leads are, by international convention, kept green so that there should be no difficulty in identifying it and pointing it out.

People need to be familiarized with the colours used on the insulation; green is for earthing, black for neutral and red for live wire. Normal electricity is generated when the live wire is connected to the neutral wire. Earth wire is a safety mechanism to remove leakage of the electrical current. Live with earth wire will also give the electrical current but not when the earth wire is connected to the neutral wire.

Earthing is a safety outlet, which allows leaking electricity to be conducted away harmlessly and not through the body. Earthing needs to be checked every 6 months because it deteriorates with time and weather, particularly during the rainy season. A check can be carried out using an ordinary tester on the body of the appliance.

A tester or a test lamp can easily check that earthing is proper. One can light bulb with live and earth wire. If the bulb fails to light while connecting live and earth socket it means a defective earthing. People tend to take earthing lightly and often misuse it. Live and earth wires are sometimes untied together for temporary connection, which can be dangerous to life.

Following are the general precautions, Dos and Don’ts which people should take to prevent electrical hazards:

  • Make sure that you have proper earthing connection in the house.
  • Always remember the green wire. Without it, do not use any electrical appliances, especially if it is touching any water surface. Water enhances conductivity; extra precautions therefore should be taken, while handling appliances, under wet conditions.
  • Two–pin plugs with no earthing arrangements should not be used and in fact should be banned.
  • While using 3–pin plugs, make sure that all 3 wires are connected and the pins are not defective.
  • Do not use matchsticks to hold wires in the socket.
  • Do not touch any wire without ensuring that power supply is switched off.
  • Do not use the earth wire to replace the neutral wire.
  • All joint wires should be properly insulated with proper insulated tapes and not with sello tape or Band–Aids.
  • Before using geyser water, it should be switched off.
  • Do not use heater plates with exposed wire for cooking purpose.
  • Use dry rubber slipper at home.
  • Use mini circuit breaker (MCB) and earth leak circuit breaker (ELCB) facilities at home.
  • Metallic electrical appliance should not be kept near a water tap.
  • Using rubber mats and desert coolers by using rubber leggings in the stand can insulate electrical appliance.
  • Use only recommended resistance wires and fuses.
  • Earthing should be checked every 6 months.
  • Any ordinary tester can check the presence of leaking electricity.
  • Wrap cloth around the handle of the refrigerator
  • Read the set of instructions attached with every electrical appliance.

Accidental electric deaths occur more often in India due to the use of 220 V than in the US, where 110V is used. AC current is more dangerous than DC. An AC current of more than 10 MA causes tetanic muscular contractions making it impossible for a hand grasping an energized object, to free itself.

In case of electrocution, proper resuscitation is necessary. The mains should be switched off or wires disconnected using a wooden material and cardiopulmonary resuscitation should be started immediately. In a clinically dead patient, a thump in the center of the chest from a distance of one foot may alone revive a person.

In severe electrocution, clinical deaths occur within 4–5 min. Therefore time to act is limited. Do not wait for the victim to be taken to the hospital. Act there and then.

Self-Assessment-Quiz

 

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Total CPR since 1st November 2012 – 98440 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."

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

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Longer CPR efforts may improve survival chances

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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

Can’t find printer

Customer: Hi, good afternoon, this is Martha, I can’t print. Every time I try, it says ‘Can’t find printer’.
I’ve even lifted the printer and placed it in front of the monitor, but the computer still says he can’t find it…

Quote of the Day

There is no passion to be found playing small- in settling for a life that is less than the one you are capable of living. Nelson Mandela

Twitter of the Day

Dr KK Aggarwal: Caloric restriction may prevent disease increase life span http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: "To forgive is to set a prisoner free and discover that the prisoner was you." Louis B. Smedes

   

eMedi Quiz

L E cell is a

a. Neutrophil
b. Macrophage
c. Histocyte
d. Dendric cell

Yesterday’s Mind Teaser: Holgene’s phenomenon is seen due to which component?

a. Benzylpenicilloyl
b. Procaine
c. Crystalline
d. Benzathine penicillin

Answer for yesterday’s Mind Teaser: b. Procaine

Correct answers received from: Dr P C Das, Dr Sushma Chawla, Dr K V Sarma, Raju Kuppusamy, Smriti Aggarwal, Daivadheenam Jella.

Answer for 10th September Mind Teaser: b. Medina Ramirez reaction

Correct answers received from: Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan, Najib Khatee, Dr Poonam Chablani, Madan Kaushik.

Send your answer to ijcp12@gmail.com

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  1. Dear Sir, Very Informative newspaper. Regards: Dr Karan

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