eMedinewS13th August 2014, Wednesday

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

Pran – my favourite

Ever since I started being aware of people and surroundings, my favorite person was Pran, the Cartoonist. I was hooked to his cartoons right from my school days. He is no more, he died at an age of 75 years with cancer of the colon.

I cannot think of a better homage to him than writing this piece from my own pen. I had an opportunity of meeting him a couple of times when his wife was admitted under me in Moolchand Hospital almost two decades back. He was a humble, down to earth person.

Today’s Koi Mil Gaya and Krish and Krish 3 cannot match the characters he designed in his creative work which have left an ever lasting impact in the heart of the people like me. May his work be continued by his followers and heirs.

News Around The Globe

  • A new analysis of data from randomized clinical trials has negated the protective role of bisphosphonate drugs in breast cancer. The new results, published online August 11 in JAMA Internal Medicine, suggest that there is no reduction in the risk for breast cancer with bisphosphonate therapy.
  • The American College of Physicians has issued new guidelines for sleep apnea diagnosis recommending that patients with unexplained daytime sleepiness should undergo a sleep study, preferably polysomnography (PSG). However, these recommendations for diagnosing obstructive sleep apnea (OSA) are weak and the quality of the evidence was graded as low or moderate. The new recommendations were published in the August 5 issue of Annals of Internal Medicine.
  • The US Food and Drug Administration (FDA) has approved a fixed-dose combination of the sodium glucose cotransporter 2 (SGLT2) inhibitor canagliflozin and metformin for the treatment of adults with type 2 diabetes.
  • The US Food and Drug Administration (FDA) has approved Cologuard, a stool–based colorectal cancer (CRC) in vitro diagnostic device. It analyzes stool specimens to detect hemoglobin, multiple DNA methylation and mutational markers, and the total amount of human DNA contained in cells that are shed by CRC or advanced adenomas into the colon.
  • Glomerular filtration rate may not accurately estimate renal function in patients who lose weight after bariatric surgery, suggests a new study published online in the American Journal of Kidney Diseases.

Rabies News (Dr A K Gupta)

Why do dogs always keep their mouth open with tongue protruding out?

Dogs do not sweat through the skin. They exchange most of their heat through the mouth, and extend the tongue to increase the surface exposed to the air.

Cardiology eMedinewS

  • A new study conducted in a large cohort of elderly veterans newly diagnosed with atrial fibrillation (AF) revealed that those who received initial treatment with digoxin had a >20% increased risk of dying within about three years compared with their peers. The study was published online in the Journal of the American College of Cardiology.
  • Scientists from the University of Leeds have discovered a gene that plays a significant role in blood vessel formation, thus adding to our knowledge of how early life develops. The discovery could also enhance our understanding of how to treat cardiovascular diseases and cancer. The research is published August 10 in Nature.

Pediatrics eMedinewS

  • A new study, published online August 11 in the Proceedings of the National Academy of Sciences, has stated that postnatal development of intestinal microflora in premature neonates is most strongly affected by gestational age, with the microbial population assembling slowest for the most premature infants.
  • A new study has shown that breech babies have a higher risk of death from vaginal delivery than elective Cesarean section. The findings from the study are published in the journal Acta Obstetricia et Gynecologica Scandinavica.

Dr K K Spiritual Blog

Collective Consciousness

Consciousness is an energized field of information with powers to do everything in the universe. Collective consciousness is the internet of the collective souls of many people in a group.

Collective consciousness is the strongest super power ever available in the universe. As per the Vedic texts whatever is the intent of collective consciousness will become a reality. Scientifically collective consciousness is based on the principle of critical mass. The Vedic literature has shown it to be the 1% of the defined population under study.

The origin of the critical mass comes from 100th monkey phenomenon. The story goes as under: long ago in Japan a monkey called Emo used to eat dirty apples everyday picked up from the ground. One day by accident the apple fell down in a river, the dirt got washed off and he ate the washed apple. Obviously it tasted delicious. The monkey started washing the apple thereafter everyday before eating. His fellow monkey started following the same. The process of following went on. A time came when the 100th monkey washed the apple and ate. A strange phenomenon was noticed. All monkeys in and around that state started washing the apple before eating. The no. 100th was the critical mass.

Once this mass is crossed the information well spread like a wild fire and the intent becomes a universal reality. Vedic literature has also shown if 1% of the public of any area meditates together the crime rate of that area goes down. It also talks about the role of critical mass in prayers in achieving miracles.

Thus principle of critical mass is often used in designing and organizing an event. In a movie hall of 1000 people if 10 people clap sitting in different areas everybody will clap. The same is true for the hooting of a particular scene. Most politicians use this principle when they organize election rallies. For a gathering of 10000 they need 100 and for a gathering of 1000 people they only need 10 supporters who are suppose to sit in different areas and shout or clap on given directions.

Mexican way of hooting or clapping in cricket grounds also follow the same principle. For a ground like Eden Gardens with a capacity of 75,000 people you only require 750 people to control the mood of the people. This is what happens in the recent incidence when the Indian team was hooted out by the sentence "No Ganguli no play, No Dada no play". If Greg Chappel or Jagmohan Dalmiya had anticipated they would have used the same strategy to produce opposite result. They could have posted 1500 people (2% of the population) in the stadium shouting pro-Dravid slogans and the end result of the match could have been different.

Most successful leaders used this technology to lead. Extremist organizations also follow the same principle. The classical examples are the public of Kashmir and Punjab. For an extremist organization the only thing required is to sensitize 1% of the population to believe that Khalistan or Kashmir liberty is the need of the day. The same will be true to counter it.

Wellness Blog

ABO Blood Type Is A Risk Factor For Coronary Heart Disease

Two prospective cohort studies have identified the ABO blood group as a risk factor for the development of heart disease. People with blood groups A, B, or AB were 5–23% more likely to develop coronary heart disease compared with those with O blood type. The study by Dr Meian He from Harvard School of Public Health, Boston, MA included 62 073 women from the Nurses’ Health Study (NHS) and 27 428 men from the Health Professionals Follow–up Study (HPFS) and is published in the September 2012 issue of Arteriosclerosis, Thrombosis, and Vascular Biology.

In the NHS and HPFS, the incident rates of coronary heart disease per 100 000 person–years were 125, 128, 142, and 161 for women with type O, A, B, and AB, respectively, and 373, 382, 387, and 524 for men with type O, A, B, and AB, respectively. Compared with individuals with O blood type, individuals with blood group A, B, or AB had a respective 5%, 11%, and 23% increased risk of developing coronary heart disease in an age–adjusted model.

In non–O individuals, plasma levels of factor VIII–von Willebrand factor (vWF) are approximately 25% higher than in individuals with type O blood type. Elevated levels of factor VIII–vWF have been previously identified as a risk factor for coronary heart disease. The vWF has an important role in hemostasis and thrombosis by mediating platelet adhesion to the vascular wall, especially under high shear stress conditions

Inspirational Story

Tears of Happiness

Once there lived two brothers who lost their parents at an early age. They worked together on their family farm. Some years later, the elder married and had a family with 2 children, while the other was still single. They worked hard together in the day and at the end of each day they shared their produce equally.

One day while the single brother was working in the fields, he thought to himself, "It’s not right that we share equally everything. I’m alone and my needs are simple. My brother has a big family. He needs much more." With that in mind he took a sack full of grains and slowly went to his brothers barn and places the sack quietly. He did so every night.

Meanwhile, the married brother thought to himself, "It’s not right that we share everything equally. After all, I’m married and I have my wife and children to look after me in years to come. My brother has no family and no one can take care of his future. He really should have a bigger share." So each night he took a bag of grain and put it into his brothers barn quietly.
This went on and both men were puzzled for months because their grain never dwindled.

Then one night, on the way to each others barn, the two brothers coincidentally met and they found out what was happening all these years! They dropped their bags, cried and embraced one another with tears of happiness.

ePress Release

Ten ways to ease neck pain

Neck stiffness is common and can be uncomfortable enough to hamper day to day life. Ten easy steps can prevent neck pain 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.

Following are the ten steps

  1. Don’t stay in one position for too long
  2. Keep the computer monitor at eye level.
  3. Use the hands–free function of the phone or wear a headset.
  4. Prop your touch–screen tablet or the ipad on a pillow so that it sits at a 45° angle, instead of lying flat on your lap.
  5. Keep wearing glass number up to date to prevent leaning your head back to see better.
  6. Don’t use too many pillows as it can stifle your neck’s range of motion.
  7. Before you move a big wardrobe across the room, consider what it might do to your neck and back, and ask for help.
  8. Sleep well.
  9. Call your doctor if neck pain is associated with radiating pain, weakness, or numbness of an arm or leg.
  10. Also call the doctor if you have fever or weight loss associated with your neck pain, or severe pain.

eMedi Quiz

Beel’s phenomenon can be seen in the following conditions except

a. hemiplegia
b. ramsay hunt syndrome
c. Bell’s palsy
d. leprosy

Yesterday’s Mind Teaser: Prevalence of skin infections in HIV infection is approximately

a.50–60%
b.70–80%
c.90–100%
d.extremely rare

Answer for yesterday’s Mind Teaser: c.90–100%

Correct answers received from: Kala Sarma, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Prakash Khalap, Arvind Diwaker, Dr Chandresh Jardosh, Dr Poonam Chablani, Daivadheenam Jella.

Answer for 11th August Mind Teaser: d. It does not serve as a cutaneous marker of underlying immune status.

Correct answers received from: Dr Avtar Krishan.

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

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CPR 10 Videos

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

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Can vitamin D treat pain

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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 cough of more than 4 weeks duration came with blood in his sputum.
Reaction: Oh my God! Why was TB not suspected earlier?
Lesson: Make sure that all patients with cough of more than 3 weeks duration are investigated for TB.

eMedinewS Humor

Smelling and Hearing

An elderly woman goes to the doctor. She says, "Doc, it’s terrible, I pass gas all the time. Fortunately, it’s odorless and silent, otherwise I’d be mortified. For example, I’ve passed gas ten times just since we’ve been talking, but it’s odorless and silent so you can’t tell." The doctor gives her some green pills and tells her to take one a day and come back in a week.

The woman comes back after taking the pills for a week. She says, "Doc, there’s been a change but not for the better. I still pass gas all the time, but while it’s still silent, now it smells terrible!"

The doctor says, "Well, I’m glad we cleared up your sinus blockage. Now we’ll have to work on your hearing."

Quote of the Day

Most successful men have not achieved their distinction by having some new talent or opportunity presented to them. They have developed the opportunity that was at hand. Bruce Barton

Twitter of the Day

Dr KK Aggarwal: Dr KK Aggarwal on Say No to Soft Drinks for good health: http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Experiencing gratitude is one of the most effective ways of getting in touch with your soul http://bit.ly/DC_Ananda #ananda

medicolegal update

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  1. Dear Sir, Thanks for the information: Regards- Dr Kanishk
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