eMedinewS15th August 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

eMedinewS wishes all its readers a very Happy Independence Day

Rationalization of fees

The bill was introduced in the Rajya Sabha as a private person bill. Will go through a lottery and if falls in the ten bills selected will come for discussions. No panic in the medical fraternity. It is mot a BJP government introduced bill. But be aware about the intention of the politicians.

The Bill

News Around The Globe

  • New research from the Centers for Disease Control and Prevention (CDC) and Emory University, Atlanta, Georgia, has stated that nearly 40% of US adults will develop diabetes, primarily type 2, in their lifetime, and over 50% of some ethnic minorities will be affected. The report is published online August 13 in Lancet Diabetes & Endocrinology.
  • A new research at the State University of New York (SUNY), Buffalo, has pointed that cognitive problems and other patient–reported symptoms after head injury do not distinguish concussion from neck injury. The study has been published online in the Clinical Journal of Sports Medicine.
  • A new study has suggested that after age 75, recurrences of colon cancer are rare and the risks of repeated colonoscopies may outweigh the benefits. The study is published August 11 in JAMA Internal Medicine.
  • A new study has identified a potential risk factor that may help predict which individuals are most vulnerable to post–traumatic stress disorder. The study is published in Clinical Psychological Science and states that how memory is processed affects the risk of PTSD.
  • Obesity may improve 1–year mortality among older patients hospitalized in the intensive care unit with sepsis, suggests a study published in the August 2014 issue of Critical Care Medicine.

Rabies News (Dr A K Gupta)

Is hydrophobia a sign of rabies in dogs?

Hydrophobia is not a sign of rabies in dogs. Rabid dogs can drink water and even swim in water. If a rabid dog is not able to drink water, it is because of paralysis of jaw muscles and not due to hydrophobia.

Cardiology eMedinewS

  • The Prospective Urban Rural Epidemiology (PURE) study revealed that the risk of death or major cardiovascular events over 3.7–years of follow–up was lowest for people with a moderate sodium urinary excretion (a surrogate for estimated dietary sodium intake) of 3.00 to 5.99 g/day. The study is published in the August 14 issue of the New England Journal of Medicine. Researchers stated that the reduced risk could be explained by a J–shaped curve, at least when dietary sodium intake is estimated by a fasting morning–urine sodium test.
  • The CV–event risk was significantly increased among patients with symptoms but no ischemia at stress testing compared with those who had neither symptoms nor objective ischemia, suggested a large, prospective observational study of patients with stable CAD. However, the risk was not elevated or reduced in patients with silent ischemia at stress testing. The findings thus contradict prior evidence that ischemia alone poses a greater risk than angina alone. The findings are published online August 11 in JAMA Internal Medicine.

Pediatrics eMedinewS

  • A review published online in the Journal of Microscopy and Ultrastructure has pointed that the potential harm from microwave radiation (MWR) emitted by wireless devices is particularly higher for children and unborn babies as compared to adults.
  • Laparoscopic cholecystectomy performed in children is associated with short hospital stays, few complications, and good long–term results, suggests a new study published in Surgical Laparoscopy Endoscopy & Percutaneous Techniques.

Dr K K Spiritual Blog

Spiritual Prescriptions – Controlling the Inner Noise

Yoga Sutras of Patanjali define yoga as restraint of the mental states (Chapter 1.2). In the state of total restraint, the mind is devoid of any external object and is in its true self or the consciousness. To control the mind many Vedic scholars have given their own formulas.

Being in touch with one’s own consciousness requires restraining of the mind, intellect and ego on one hand and the triad of rajas, tamas and satwa on the other hand. Every action leads to a memory, which in turn leads to a desire and with this a vicious cycle starts.

The mental turmoil of thoughts can be equated to the internal noise and the external desires and objects to an external noise.

The process of withdrawing from the external noise with an aim to start a journey inwards the silent field of awareness bypassing the internal noise is called pratihara by Yoga Sutras of Patanjali. It involves living in a satwik atmosphere based on the dos and don’ts learnt over a period of time or as told by the scriptures.
To control inner noise based thoughts we either need to neutralize negative thoughts by cultivating opposite thoughts or kill the origin of negative thoughts.

Not allowing thoughts to occur has been one of the strategies mentioned by the scholars. One of them has been neti–neti by Yagnayakya.

The other method is to pass through these inner thoughts and not get disturbed by it and that is what the process of meditation is. This can be equated to a situation where two people are talking in an atmosphere of loud external noise. For proper communication one will have to concentrate on each other’s voice for long till the external noise ceases to disturb. In meditation, one concentrates on the object of concentration to such an extent that the noisy thoughts cease to bother or exist.

One of the ways mentioned by Adi Shankaracharya in Bhaja Govindam and by Yoga Sutras of Patanjali (Chapter 2.35) is that whenever one is surrounded by evil or negative thoughts one should meditate open the contrary thoughts. For example, if one is feeling greedy, one can think of donating something to somebody. Deepak Chopra in his book Seven Laws of Spiritual Success talks in detail about the importance of giving and sharing. He says you should never visit friends or relations empty handed. You should always carry some gift of nature, which if nothing is available can be a simple smile, compliment or a flower. By repeatedly indulging into positive behavior and thoughts, you can reduce the internal noise, which helps in making the process of meditation or conscious living a simpler one.

Washing out negative thoughts is another way mentioned by many Vedic scholars. Three minutes writing is one such exercise which anybody can do. Just before sleep anybody can do three minutes writing where you can write down all your emotions and then discard the paper. Another exercise is to reward or punish oneself at bed time for the activities done during the day by either patting or slapping yourself.

Wellness Blog

Is caffeine good for the health?

  • Caffeine is the most consumed stimulant in the world.
  • It is consumed in the form of coffee and tea.
  • At present there is no scientific data for promoting or discouraging coffee and/or tea consumption in the daily diet.
  • Short term benefits include mental alertness and improved athletic performance.
  • Short–term adverse effects including headache, anxiety, tremors and insomnia.
  • Long–term adverse affects include generalized anxiety disorder and substance abuse disorders.
  • Long–term benefits are dose–dependent. Caffeine is associated with a reduced risk of Parkinson’s disease, Alzheimer’s disease, alcoholic cirrhosis and gout. Coffee, both caffeinated and decaffeinated, is also associated with a lower risk of type 2 diabetes.
  • Heavy coffee intake may trigger coronary and arrhythmic events in susceptible individuals, although coffee intake is not considered a long–term risk factor for myocardial disease.
  • Most studies show a modest inverse relationship between coffee consumption and all–cause mortality.
  • Caffeine withdrawal is a well–documented clinical syndrome with headache being the most common symptom. (Source: Uptodate)

Inspirational Story

Joy of Giving

A woman who was traveling alone in the mountains found a precious stone in a stream. The next day she met another traveler who was hungry; the woman opened her bag to share her food.

The hungry traveler saw the precious stone and asked the woman to give it to him. She did so without hesitation. The traveler left, rejoicing in his great fortune. He knew the stone was worth enough to give him security for a lifetime. But a few days later he came back to return the stone to the woman.

"I’ve been thinking," he said, "I know how valuable the stone is, but I give it back in the hope that you can give me something even more precious. Give me what you have within you that enabled you to give me the stone."

The woman smiled, "The joy of giving!"

ePress Release

The five Cs of five a day in selecting fruits and vegetables

The current recommendation is to eat 5 or more servings of fruits and vegetables daily to prevent cancer and heart disease. Fruits and vegetables contain vitamins, minerals, phytochemicals and antioxidants and are low in calories. Those with the most color – dark green, red, yellow and orange – have the most nutrients. Carrot, Celery, Cantaloupe, Cucumber and Corn are the five "Cs", which can be incorporated in the five a day diet. As per Ayurveda, one should mix all seven colors and six tastes when choosing fruits and vegetables.

As per the USDA Food Plate recommendations, half the plate should include fruits and vegetables. Fruits, vegetables and grain products that contain fiber, particularly soluble fiber, may help reduce the risk of coronary heart disease. Fiber-containing grain products, fruits and vegetables also reduce the risk of some cancers, 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.

A serving size is: one medium–size fruit, 1/2 cup raw or cooked fruits or vegetables, 180 ml fruit or vegetable juice, 1/2 cup cooked or canned legumes (beans and peas),1 cup raw leafy vegetables, 1/4 cup dried fruit.

Five servings mean 2 fruits and 3 vegetables, 7 servings means 3 fruits, 4 vegetables and 9 servings means 4 fruits, 5 vegetables.

Tips for safe eating

  • Snack with raw vegetables instead of potato chips.
  • Add fruits in breakfast.
  • Eat salad bar when you go out for lunch.
  • Prefer juice instead of a usual coffee, tea or soda.
  • Wash fruits and vegetables with water and scrub with a dish brush when appropriate.
  • Throw away the outer leaves of leafy vegetables, such as lettuce and cabbage.
  • Peel and cook when appropriate, although some nutrients and fiber may be lost when produce is peeled.
  • Avoid fruits and vegetables that look brownish, slimy or dried out. These are signs that the product has been held at an improper temperature.
  • Wash cutting boards with hot water, soap and a scrub brush to remove food particles.
  • Wash hands with warm water and soap for at least 20 seconds before and after handling food, especially fresh whole fruits and vegetables and raw meat, poultry and fish. Clean under fingernails, too.
Self-Assessment-Quiz

 

expert_choice

 

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 – 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

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 NP CO–ED Sr Sec School, Tilak Marg on 8th August 2014

press release

Death risks higher for heart attack survivors living near major roadways

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 with 3 hour of developing chest pain went into acute cardiac arrest.
Reaction: Oh my God! Why was water–soluble aspirin not given at the time of chest pain?
Lesson: Make sure that all patients with suspected MI are given water–soluble aspirin to reduce chances of death.

eMedinewS Humor

Threatening Letters

The fellow stormed into the postmaster’s office in a fury. "I’ve been getting threatening letters in the mail for months and I want them stopped."

"Of course," said the postmaster. "Sending threatening letters through the mail is a federal offense. Do you know who’s sending them?"

"Yes," shouted the man. "It’s those idiots down at the Internal Revenue Service."

Quote of the Day

High achievers spot rich opportunities swiftly, make big decisions quickly and move into action immediately. Follow these principles and you can make your dreams come true. Robert H. Schuller

Twitter of the Day

Dr KK Aggarwal: Diabetic drug metformin may have anti cancer effects http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Interesting Times are implying great challenges, & with challenges comes anxiety. Do you want to stop worrying? http://bit.ly/DC_Ananda #ananda

eMedi Quiz

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.

Yesterday’s Mind Teaser: A self practicing dermatological needs

a. Videoconference
b. Mobile teledermatology
c. Store and forward teledermatology
d. A combination of store and forward, online discussion group, and author-based second opinion teledermatology

Answer for yesterday’s Mind Teaser: d. A combination of store and forward, online discussion group, and author–based second opinion teledermatology

Correct answers received from: Arvind Diwaker, Dr Sushma Chawla, Dr Abbas Vakil, Dr Avtar Krishan.

Answer for 14th August Mind Teaser: b. Procaine

Correct answers received from: Avtar Krishan.

Send your answer to ijcp12@gmail.com

medicolegal update

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medical querymedical query

medicolegal update

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medicolegal update
  1. Dear Sir, thanks for the information: Regards, Dr Kanishk
cardiology news

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