eMedinewS16th August 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

5 Ways to Use less Salt

  1. Use spices and other flavor enhancers such as spices, dried and fresh herbs, garlic and ginger, citrus, vinegars and wine. Flavors can be black pepper, cinnamon and turmeric to fresh basil, chili peppers, and lemon juice.
  2. Use the right healthy fats from roasted nuts and avocados to olive, canola, soybean and other oils.
  3. Searing and sautéing foods in a pan builds flavor. Roasting brings out the natural sweetness of many vegetables and the taste of fish and chicken. If you do steam or microwave food, perk up these dishes with a finishing drizzle of flavorful oil and a squeeze of citrus.
  4. Get your whole grains from sources other than bread. White bread contains salt, not just for flavor but to ensure that the dough rises properly.
  5. Shop for raw ingredients with maximum natural flavor, thereby avoiding the need to add as much (if any) sodium. (Harvard)

News Around The Globe

  • A new tool, the Recurrence of Kidney Stone (ROKS) nomogram, may predict the likelihood that a patient who has a first kidney stone may have a second, suggests a study published online August 7 in the Journal of the American Society of Nephrology. The tools assists physicians in determining which patients are at high risk for recurrence and would most likely benefit from medication, radiographic monitoring, or restrictive diets.
  • A new study published in the Lancet has revealed that only half of women eligible for low–cost antenatal steroid injections to prevent death and disability in their newborn babies are receiving this treatment. The women most likely to benefit from the treatment are those who gave birth between weeks 26 and 34 of gestation, but the study found that only 52% of these women received corticosteroids.
  • Less than half of individuals with attention-deficit/hyperactivity disorder (ADHD) seek treatment for the condition, and often only do so decades after symptoms emerge, suggests new research published online in Psychiatric Services.
  • A new study published in Biological Psychiatry suggests that there is a neural circuit in the brain through which testosterone imposes the effects of aggression.
  • The US Food and Drug Administration (FDA) has approved a first-in-class insomnia drug called suvorexant after the manufacturer lowered the dosages to satisfy the agency’s safety concerns.

Rabies News (Dr A K Gupta)

Can vaccinated dog succumb to rabies following bite by rabid animal?

Following severe and extensive bites which mean injection of very high challenge dose of virulent virus by a rabid dog, a vaccinated dog can still succumb to rabies.

Cardiology eMedinewS

  • A retrospective analysis of >5000 cardioversions conducted between 2003 and 2010 in emergency rooms in Finland has suggested that even if electrical cardioversion of atrial fibrillation (AF) is carried out without anticoagulation within 48 hours of onset of acute AF, the first 12 hours provide by far the best time window of opportunity for decreasing the associated risk of thromboembolic events.
  • A new study published in Mayo Clinic Proceedings has reported that heart attack survivors who exercise excessively are at increased risk of dying from heart problems. However, regular physical activity is recommended for managing heart disease and lowering the risk of death from high blood pressure, stroke and type 2 diabetes.

Pediatrics eMedinewS

  • A large new genetic study in thousands of children and adolescents offers early glimpses of the overall patterns and connections among cognitive abilities such as language reasoning, reading skill and types of memory. The findings may enhance the understanding of human cognitive development and neuropsychiatric disorders. The study is published online in Molecular Psychiatry.
  • An editorial published in Childhood Obesity states that while healthy lifestyle changes made during childhood may be quite helpful in weight reduction, these less intensive types of approaches tend to be less effective in treating severely obese teenagers.

Dr K K Spiritual Blog

Values, Morals and Ethics

Values

  • Values are our fundamental beliefs. They are the principles we use to define that which is right, good and just.
  • Values provide guidance to determine the right versus the wrong, the good versus the bad.
  • They are our standards.
  • When we evaluate anything we compare it to a standard.
  • Typical values include: honesty, integrity, compassion, courage, honor, responsibility, patriotism, respect and fairness.
  • Ethics are universal

Morals

  • Morals are values which we attribute to a system of beliefs, typically a religious system, but it could be a political system of some other set of beliefs.
  • These values get their authority from outside the individual– a higher being or higher authority (e.g. society).
  • Right as defined by a higher authority.
  • By that definition one could categorize the values listed above (honesty, integrity, compassion …) as "moral values" – values derived from a higher authority.

Ethics

  • Ethics is about our actions and decisions.
  • When one acts in ways that are consistent with our beliefs (whether secular or derived from a moral authority) we characterize that as acting ethically.
  • When one’s actions are not congruent with our values – our sense of right, good and just – we view that as acting unethically.
  • The ethics of our decisions and actions is defined socially, not individually.

Wellness Blog

CT not required in appendicitis

When a patient has all the signs of acute appendicitis, waiting to get a CT scan to confirm the diagnosis is not required.

Compared with a straight–to–surgery approach, the CT strategy is linked to delayed surgery and increased risk of a burst appendix.

Pre–operative CT is not necessary in cases with straightforward signs and symptoms of appendicitis. If, after a thorough physical examination, the diagnosis is still in question, then patients should be scanned. These patients tend to be older, female and have symptoms that are not typical for acute appendicitis.

Inspirational Story

Keep Marketing You

Rejection and job searching go hand in hand. As a writer, I can tell you something about disappointment. I had enough "reject" slips from New York publishers to start a bonfire. Then one day, an editor said, "Yes," and my world was drastically transformed.

Ken Taylor began re–writing the Bible in a contemporary translation and had more than 60 rejections. He finally decided to self–publish "The Living Bible" and it became one of the greatest best–sellers in publishing history.

If you’re qualified for a particular job, never stop interviewing –– even if you return to the same companies five or six times. Meanwhile, you need to accept an interim position to keep yourself gainfully employed. When you add lack of funds to job rejection, it’s a double–whammy.

Never overlook working for a "temporary" employment agency. It gives you a chance to demonstrate your skills to a number of companies and can open some exciting doors. As a last resort, start free–lancing your skills. Who knows? You may wind up with your own business and be your own boss!

ePress Release

Natural food and not supplements to prevent heart disease

One should take seasonal and locally grown natural food and vegetables grown in organic farms, 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.

Eat less, dinner lighter then the lunch, eat natural and in moderation are few of the mantras. Taking food supplements can be harmful.

According to the American Heart Association, supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.

High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all–cause mortality.

Supplementation with vitamin C does not prevent second heart attack.

Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

The American Heart Association concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets high in natural antioxidants are associated with lower cardiovascular mortality.

eMedi Quiz

A 2–month–old baby with acute icteric viral hepatitis–like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother’s hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only.
2. HbsAg and HBeAg positive.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: 2. Tricuspid valve.

Correct answers received from: Dr K.V.Sarma, Raju Kuppusamy, Dr Jainendra Upadhyay Dr Pankaj Agarwal, Daivadheenam Jella, Dr Avtar Krishan,

Answer for 15th August Mind Teaser: d. A combination of store and forward, online discussion group, and author–based second opinion teledermatology

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen

Send your answer to ijcp12@gmail.com

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

Vitamin D intake associated with reduced risk for Crohn’s disease

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: An asthmatic patient became worse after receiving a painkiller.
Reaction: Oh my God! Why was he not put on a leukotriene receptor antagonist?
Lesson: Make sure that a patient with asthma is not given aspirin or he is put on a leukotriene receptor antagonist.

eMedinewS Humor

The teacher, during an English lesson, asked her students: "Now tell me, what do you call a person who keeps on talking when people are no longer interested?"

Little Johnny, in the back row, raised his hand. "Yes, Johnny," said the teacher.

"A teacher!"

Quote of the Day

If you’re not using your smile, you’re like a man with a million dollars in the bank and no checkbook. Les Giblin

Twitter of the Day

Dr KK Aggarwal: You are at risk for osteoporosis if… http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: We dream of a universe where peace, harmony, laughter, and love flow freely. Where life is celebrated and fear is absent. http://bit.ly/DC_Ananda #ananda

medicolegal update

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medicolegal update

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

Media advocacy through Web Media

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eMedinewS Special

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