eMedinewS14th May 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

Tomato reduces prostate cancer risk

Consumption of lycopene–containing foods, especially tomato and its products is prostate friendly. A prospective study in a cohort of over 50,000 men from the Health Professionals Follow–up Study suggests that dietary intake of lycopene is associated with a lower incidence of prostate cancer and a decreased risk of lethal prostate cancer. These effects may be mediated through inhibition of tumor angiogenesis.

Reference

  1. Zu K, Mucci L, Rosner BA, et al. Dietary lycopene, angiogenesis, and prostate cancer: a prospective study in the prostate–specific antigen era. J Natl Cancer Inst 2014;106(2):djt430.

News Around The Globe

  • Pooled data from five phase 3 studies has revealed that in well–compensated cirrhotic patients with HCV–1, a combination of peginterferon/ribavirin and boceprevir appears to have a generally favorable benefit–risk profile. The study was published online in the Journal of Hepatology.
  • A study presented at the American Association for Thoracic Surgery (AATS) Annual Meeting 2014 has shown that high–risk patients with lung cancer and poor quality of life may still safely undergo surgery. Study authors noted that poor initial quality of life did not predict increased risk for serious adverse events or poor cancer–free or overall survival in patients with stage 1 operable lung cancer undergoing sublobar resection.
  • Results from the DEEP–C study have revealed that the detection rate of sessile serrated polyps that are at least 1 cm in size is better with the Cologuard multitarget stool DNA test (almost 10 times higher) than with fecal immunochemical test (FIT). The findings were presented at Digestive Disease Week 2014.
  • Results from a 12–week study have revealed that add–on therapy with imeglimin may be effective when type 2 diabetes is not adequately controlled with sitagliptin alone. In the imeglimin group, A1c levels fell by 0.6%, while they increased by 0.12% in placebo group; fasting plasma glucose decreased by 0.93 mmol/L in the imeglimin group and 0.11 mmol/L in the placebo group.
  • A study presented at the American Pain Society (APS) 33rd Annual Scientific Meeting has pointed that onabotulinumtoxinA continues to relieve migraine headache when given over the long–term. More than or equal to 50% reduction in headache days was 85% with 7 cycles of onabotulinumtoxinA and 90% with 9 cycles.

Rabies News (Dr A K Gupta)

What are the precautions to be taken while administering RIGs?

  • Patient should not be on an empty stomach.
  • The RIG vial should be kept outside for a few minutes, after taking it out of the refrigerator, to warm it to room/body temperature.
  • While infiltrating RIG into the bite wound, care must be taken to avoid injecting into blood vessels and nerves.
  • While injecting into the finger tips, care must be taken to avoid compartment syndrome.
  • All emergency drugs and facilities for managing any adverse reactions must be available.
  • For ERIG, keep the patient under observation for at least one hour after ERIG administration and then send home.
  • RIGs can be infiltrated even to already sutured wounds without disturbing the sutures.

Cardiology eMedinewS

  • The combination of ranolazine and dronedarone appears to lower the burden of atrial fibrillation (AF) by >70% over three months in 45% to 60% of patients with the paroxysmal form of the arrhythmia, reports the HARMONY study. The findings were presented at the Heart Rhythm Society (HRS) 2014 Scientific Sessions.
  • Patients who cannot receive or don’t respond well to cardiac resynchronization therapy (CRT) with standard transvenous lead systems could possibly benefit from pacing–lead placement within the left ventricle, reports the Alternate Site Cardiac Resynchronization (ALSYNC) study presented recently at the Heart Rhythm Society 2014 Scientific Sessions.

Pediatrics eMedinewS

  • A new research has revealed that for newborns with hypoxic–ischemic encephalopathy, time to treatment of seizures can be reduced when electroencephalographic (EEG) monitoring is used rather than clinical monitoring. The findings were presented at the Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting.
  • A study presented at the American Psychiatric Association’s 2014 Annual Meeting has revealed that childhood trauma, including abuse and neglect, is significantly associated with perinatal depression. Researchers noted that a history of childhood trauma was significantly more prevalent in women with perinatal depression compared with depressive patients who were not pregnant as well as healthy controls.

Dr K K Spiritual Blog

Sword, Dragger and Discus in Mythology

Out of nine forms of Goddess Durga, Chandraghanta, Katyayani and Kalratri are depicted as carrying a sword; Kushmunda, Sidhadhatri as holding a discus and Kalratri as holding additional Dragger (Bhala). All have mythological significance.

The powers of Durga represent feminine powers in all of us. The mythological weapons represent our inherent mental powers to fight to live in this world.

The power of a sword power (non moving astra power) indicates sharp intelligence and relates to straight forward resistance. For example, if you are not happy with somebody’s answer and you stab him on the spot and prove him wrong, is like using your sword power.

On the contrary, the power of a discus (moving shastra power) is your indirect power to make the other person realize his mistake and come back and withdraw.

The dagger or Bhala is in between the two. It is both an astra and a shastra. It is much sharper and more powerful than the sword.

All three of them are three human qualities used by a person in three different situations. For example, there is a theft in your house and you suspect your servant. You can use the sword power and confront him directly till he says yes or you can keep mum for the time being, look for evidence and, if you find it, then you confront him with much more force using your dagger power and, lastly, you can create circumstances by using your discus power and make the servant realize his mistake and come back to you to admit his mistake and seek pardon.

Wellness Blog

5 steps to lower Alzheimer’s risk (HealthBeat)

  • Maintain a healthy weight.
  • Check your waistline.
  • Eat mindfully. Emphasize colorful, vitamin–packed vegetables and fruits; whole grains; fish, lean poultry, tofu, and beans and other legumes as protein sources; plus healthy fats. Cut down on unnecessary calories from sweets, sodas, refined grains like white bread or white rice, unhealthy fats, fried and fast foods, and mindless snacking. Keep a close eye on portion sizes, too.
  • Exercise regularly. Aim for 2½ to 5 hours weekly of brisk walking (at 4 mph) or try a vigorous exercise like jogging (at 6 mph) for half that time.
  • Keep an eye on important health numbers. In addition to watching your weight and waistline, keep a watch on your cholesterol, triglycerides, blood pressure, and blood sugar numbers.

Inspirational Story

Lesson from the Hedgehogs – Teamwork

It was the coldest winter ever. Many animals died because of the cold. The hedgehogs, realizing the situation, decided to group together to keep warm. This way they covered and protected themselves; but the quills of each one wounded their closest companions.

After awhile, they decided to distance themselves one from the other and they began to die, alone and frozen. So they had to make a choice: either accept the quills of their companions or disappear from the Earth. Wisely, they decided to go back to being together. They learned to live with the little wounds caused by the close relationship with their companions in order to receive the heat that came from the others. This way they were able to survive.

The best relationship is not the one that brings together perfect people, but when each individual learns to live with the imperfections of others and can admire the other person’s good qualities.

ePress Release

Inhaling diesel exhaust fumes causes heart attack or stroke

Inhaling diesel exhaust fumes causes changes in the body that may make people more prone to heart attack or stroke, 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.

European scientists have shown in a study that blood clots are more likely to form in otherwise healthy people exposed to relatively high amounts of diesel engine exhaust fumes for a short time. This could cause a blocked vessel, heart attack or stroke.

Diesel engines spew many times more fine pollutant particles than gasoline engines. People with heart and artery disease should stay away from traffic congestion to avoid the effects of this pollution.

The study involved 20 healthy men, aged 21 to 44 years. They breathed filtered air and also diluted diesel exhaust at a level approximating curbside exposure on a busy road.

Compared to breathing filtered air, breathing air with the diesel exhaust fumes increased clot formation by roughly 20 – 25 percent in the hours after exposure. The researchers also found an increase in platelet activation in the blood. Platelets play a major role in clotting.

The same group reported in the New England Journal of Medicine that heart attack victims showed clear differences when breathing diesel fumes. They found that the hearts of heart attack survivors were far more likely to be starved of oxygen when exercising while breathing in such fumes than when exercising in clear air.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

eMedi Quiz

A recent fitness walk left you breathless, and you’ve been having trouble sleeping. You’ve also been dealing with an upset stomach and occasional dizziness. These could be symptoms of:

A. Depression.
B. Heart disease.
C. Diabetes.
D. High blood pressure.
E. All of the above.

Yesterday’s Mind Teaser: Since sunscreen–awareness campaigns began, have skin–cancer rates decreased?

A. Yes, fewer people are getting skin cancer.
B. No, skin–cancer rates and deaths from the disease are on the upswing.
C. No, skin cancer is on the rise, but fatalities are down.
D. Skin–cancer rates have been stable over the past decade.
E. Yes, but only among older women.

Answer for yesterday’s Mind Teaser: B. No, skin–cancer rates and deaths from the disease are on the upswing.

Correct Answers received from: Dr K V Sarma, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Bitaan Sen & Dr Jayashree Sen, Dr Prakash Khalap.

Answer for 12th May Mind Teaser: C. About 30 percent of your daily calories.

Correct Answers received from: Dr Pankaj Agarwal, Dr Poonam Chablani.

Send your answer to ijcp12@gmail.com

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

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

World Earth Day Celebration at DAV Public School, RK Puram, New Delhi.

press release

Carotid neck ultrasound the only way to check regression of heart blockages

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 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

eMedinewS Humor

Miracle Car

The parents of two boys (14 and 16 year–olds) went on a trip for the weekend with friends. They left early Friday morning and the boys were left alone at home. That evening the younger boy made the suggestion that they take their dad’s car, pick up some girls and go to the local disco. The 16 year–old boy could drive a bit but was too scared.

After some nagging he gave in and off they went to enjoy the evening. When they got back to the car after a lot of discotheque, they noticed a huge dent in the rear of the car – someone must have bumped into the car and drove off.

Frantically they phoned their friends to find a panel beater/spray painter to fix their dad’s car. Finally they found one who said they must have the car at his house early next morning. The car was fixed properly and they parked it back in the garage that afternoon.

Their parents returned the next day but the boys were too terrified to say anything about the accident. The father went to get something from the garage, came back very amazed and said to the family in the lounge,

"A miracle has happened! A guy drove into the back of my car on Thursday and now it is fixed without a scratch!"

Quote of the Day

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

Forthcoming events

Coffee with Dr KK

Next CME session with Dr K K will be held on Sunday 18th May, 2014 at 8 am at Moolchand Hospital.

  1. Jaundice Update
  2. Understanding what is transgender
  3. Prevalent common ailments observed in the last two weeks in general practice.

Kindly note that CME will start at 8am sharp.

You can also pass on the message to your colleagues and bring them if they would like to attend.

With regards, Dr Pawan Gupta, Convener, 09813193071

 

Twitter of the Day

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: No regrets and no anticipation, just this moment fresh and as is.

 

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the updates. Regards: Dr Kunal
cardiology news

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