eMedinewS18th June 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

1% of the population suffers from Vitiligo

Vitiligo is an acquired skin depigmentation occurring in approximately 1 percent of the population.

It results from an autoimmune process directed against the melanocytes and is often associated with other autoimmune disorders, including autoimmune thyroid disease, pernicious anemia, systemic lupus erythematosus and Addison disease.

Types

  • Generalized vitiligo: It is the most common subtype, and is characterized by widespread macules and patches that are often symmetrically distributed
  • Acrofacial vitiligo typically involves areas surrounding body orifices and extensor surfaces
  • Segmental
  • Focal
  • Mucosal
  • Universal

The diagnosis is based upon the clinical presence of depigmented patches of skin. Examination with a Wood lamp is useful for highlighting areas of pigment loss on light skinned patients.

Treatment is based upon repigmentation therapies, which include topical and oral corticosteroids, topical calcineurin inhibitors, ultraviolet light (PUVA and narrowband UVB), and skin grafting techniques.

News Around The Globe

  • A new position statement from the American Diabetes Association (ADA) has put forward the first–ever guidance pertaining to the management of type 1 diabetes in all age groups, including a new hemoglobin A1c target for children. The position statement is published online in Diabetes Care. A new pediatric glycemic control target of HbA1c <7.5% across all ages has replaced previous guidelines that had called for different targets by age.
  • The US Food and Drug Administration has approved a new point–of–care influenza test – the Alere i Influenza A & B Test – the first to deliver highly accurate molecular results in less than 15 minutes, on June 13.
  • Novel data from the ongoing US Diabetes Prevention Program (DPP) have shown that subjecting overweight or obese people at high risk for type 2 diabetes to undergo intensive lifestyle change or giving them metformin can decrease or delay the development of the disease for as long as 15 years, in some cases. The findings were presented at the American Diabetes Association (ADA) 2014 Scientific Sessions.
  • Both acupuncture and bee venom acupuncture have been shown to be effective in improving symptoms in patients with Parkinson’s disease in a new small study. Findings from the study were presented at the International Parkinson and Movement Disorder Society (MDS) 18th International Congress of Parkinson’s Disease and Movement Disorders.
  • Data from phase 2 to 4 clinical trials, presented recently at the European League Against Rheumatism Congress 2014 has shown that successful live births are possible for women with systemic lupus erythematosus (SLE) who become pregnant while taking belimumab.

Rabies News (Dr A K Gupta)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

Cardiology eMedinewS

  • New data from the Longitudinal Aging Study Amsterdam (LASA), presented at HYPERTENSION 2014, a joint conference of the European Society of Hypertension (ESH) and the International Society of Hypertension (ISH), showed that both high and low diastolic blood pressure (DBP) are associated with increased cardiovascular risk, depending on the relative fitness or frailty of the subject.
  • Another study presented at HYPERTENSION 2014 has shown that of the three–way analysis of office, home, and 24–hour ambulatory blood pressure monitoring (ABPM), both out–of–office measures may be superior to office measurements; however, ambulatory monitoring appears to be superior to both other measures to predict CVD.

Pediatrics eMedinewS

  • Interim analysis of 4–year safety data from a multicenter observational registry has shown that adalimumab is safe and well–tolerated in children with polyarticular juvenile idiopathic arthritis that is moderately to severely active. Findings from the analysis were presented at the European League Against Rheumatism Congress 2014.
  • A novel study, published online June 16 in Pediatrics, has shown that caffeine affects heart rate and blood pressure differently after puberty in girls compared with boys. Additionally, the response of postpubertal girls varies across the menstrual cycle.

Dr K K Spiritual Blog

Top Characters of Mahabharata

To be in harmony with the body (five elements represented by Draupadi) one must acquire five qualities or in other terms live a focused life, full of strength and not being disturbed with loss or gain and finally working for the welfare of the society without having any partiality towards anyone.

  • Balanced mind: Yudhishtir ("sthir" or balanced in "yudh" or disturbed state of mind)
  • Focused vision (Arjuna)
  • Using internal power or strength (Bhima)
  • Not being partial or remaining neutral (Nakul)
  • Working for the welfare of the society (Sahdev)

With this, one can kill 100 negative qualities that a person can have (the 100 Kauravs). The hundred negative qualities are acquired because of cunningness (Shakuni), not working with the eyes of the soul (Dhritarashtra) and keeping a blind eye to any wrong happening (Gandhari).

The main negative qualities are taking decisions in day–to–day life situations (Duryodhana: dusht in yudha or war) and choosing wrong choices as a ruler (dusshasana: dusht and shasan).

The positive qualities once acquired will also win over other negative qualities like blind faith or undue attachments (Bhishma pitamaha); unrighteous loyalty (Dronacharya) and unrighteous ego (Karna).

Wellness Blog

Eat 20 almonds or 15 cashews or 30 peanuts every day

People who ate a 1–ounce serving of nuts each day showed a 20 percent reduced risk of dying from any cause over three decades, compared to those who didn’t eat the tasty snacks, as shown a study published in the Nov. 21 issue of the New England Journal of Medicine by Dr. Charles Fuchs, director of the Gastrointestinal Cancer Center at the Dana–Farber Cancer Institute in Boston.

Prior studies suggest health benefits like a lower risk of heart disease and type 2 diabetes and lower cholesterol, among other health outcomes. Nuts are nutrient–dense foods. They contain unsaturated fatty acids, fiber, vitamins, minerals and antioxidants.

One–ounce serving was equal to about 16 to 24 almonds, 16 to 18 cashews or 30 to 35 peanuts.

Inspirational Story

The Plan of the Lord

Once there was a sweeper in a well known temple and he was very sincere and devoted. Every time he saw thousands of devotees coming to take darshan of the Lord, he thought that the Lord is standing all the time and giving darshan and He must be feeling very tired.

So one day very innocently he asked the Lord whether he can take the place of the Lord for a day so that the Lord can have some relief and rest. The Deity of Temple replied, "I do not mind taking a break. I will transform you like Myself, but you must do one thing. You must just stand here like Me, smile at everyone and just give benedictions. Do not interfere with anything and do not say anything. Remember you are the deity and you just have faith that I have a master plan for everything." The sweeper agreed to this.

The next day the sweeper took the position of the deity and a rich man came and prayed to the Lord. He offered a nice donation and prayed that his business should be prosperous. While going, the rich man inadvertently left his wallet full of money right there. Now the sweeper in the form of deity could not call him and so he decided to control himself and keep quiet.

Just then a poor man came and he put one coin in the Hundi and said that it was all he could afford and he prayed to the Lord that he should continue to be engaged in the Lord’s service. He also said that his family was in dire need of some basic needs but he left it to the good hands of the Lord to give some solution. When he opened his eyes, he saw the wallet left by the rich man. The poor man thanked the Lord for His kindness and took the wallet very innocently. The sweeper in the form of the Deity could not say anything and he had to just keep smiling.

At that point a sailor walked in. He prayed for his safe journey as he was going on a long trip. Just then the rich man came with the police and said that somebody has stolen his wallet and seeing the sailor there, he asked the police to arrest him thinking that he might have taken it. Now the sweeper in the form of Deity wanted to say that the sailor is not the thief but he could not say so and he became greatly frustrated. The sailor looked at the Lord and asked why he, an innocent person, is being punished. The rich man looked at the Lord and thanked Him for finding the thief. The sweeper in the deity form could no more tolerate and he thought that even if the real Lord had been here, he would have definitely interfered and hence he started speaking and said that the sailor is not the thief but it was the poor man who took away the wallet. The rich man was very thankful as also the sailor.

In the night, the real Lord came and He asked the sweeper how the day was. The sweeper said, "I thought it would be easy, but now I know that Your days are not easy, but I did one good thing." Then he explained the whole episode to the Lord. The Lord became very upset on hearing this whereas the sweeper thought the Lord would appreciate him for the good deed done.

The Lord asked, "Why did you not just stick to the plan? You had no faith in Me. Do you think that I do not understand the hearts of all those who come here? All the donation which the rich man gave was all stolen money and it is only a fraction of what he really has and he wants Me to reciprocate unlimitedly. The single coin offered by the poor man was the last coin he was having and he gave it to Me out of faith. The sailor might not have done anything wrong, but if the sailor were to go in the ship that night he was about to die because of bad weather and instead if he is arrested he would be in the jail and he would have been saved form a greater calamity. The wallet should go to the poor man because he will use it in My service. I was going to reduce the rich man’s karma also by doing this and save the sailor also. But you cancelled everything because you thought you know My plan and you made your own plans."

God has plans and justice for everyone……we just have to have patience!!!!!

ePress Release

Physical illness can trigger depression

If you have depression a thorough physical exam and careful medical history should be evaluated to pinpoint a physical source of the problem for an appropriate treatment, 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.

In depression not only look for what’s going on in the mind and brain but also check what’s going on in the body. Many medical problems are linked to mood disturbances.

Over fifty percent of heart attack survivors and those with cancer report feeling depressed. Depression is also linked to diabetes, Parkinson’s and other chronic conditionsn.

Depression too can affect the course of a physical disease. Depression is linked with slower recovery from a heart attack and an increased risk for future heart trouble.

Thyroid disorders also affect mood. Overactive thyroid can cause mania and under active thyroid can cause depression. Other medical conditions associated with mood disorders include certain neurological conditions (multiple sclerosis, Parkinson’s disease, Alzheimer’s), other hormonal imbalances, and lack of vitamin B12.

eMedi Quiz

All of the following are TRUE regarding HIV infection in children except:

a. Most of the children present with clinical symptoms during the neonatal period.
b. They usually present with non specific symptoms of immunodeficiency
c. Skin is one of the most commonly involved organs with HIV infections
d. Children may remain asymptomatic upto the age of 8–10 years

Yesterday’s Mind Teaser: What is not true for HNPCC?

a) It is the most common hereditary colorectal cancer syndrome in USA
b) It is associated with MMR gene mutation
c) It is associated with APC mutation
d) It is associated with carcinoma colon and extraintestinal cancers

Answer for yesterday’s Mind Teaser: c) It is associated with APC mutation

Correct answers received from: Dr P C Das, Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan.

Answer for 16th June Mind Teaser: c.90–100%

Correct answers received from: Dr Chandresh Jardosh.

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 – 94595 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 Camp at NP Boys Senior Secondary School, 10th May 2014

press release

School Health Education

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 dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/70 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored. It is an impending sign that the patient is going into shock.

eMedinewS Humor

As an English professor, my father would often write little notes on student essays. Often he worked late, and as the hours passed, his handwriting deteriorated. One day a student came to him after class with an essay that had been returned.

"Mr. McDonald," he said, "I can’t make out this comment you wrote on my paper."
My father took the paper and, after studying it, sheepishly replied, "It says that you should write more legibly."

Quote of the Day

Good friends care for each other… close friends understand each other… and true friends stay forever beyond words, beyond time

 

Twitter of the Day

Dr KK Aggarwal: Smoking and ulcerative colitis http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Your only identity is I AM undefined and infinite. Any label you give yourself limits yourself.

 

Forth Comming Event

Announcement

Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
rawat.vandana89@gmail.com/
drkakroo@gmail.com
or Call: Vandana 9891673085/Dr Kakroo 9810301261

 

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Dr Aggarwal, Thanks a lot for having me on eMedinewS mailing list since the beginning of this wonderful new letter. Thanks & with best regards: Suresh Pathak.
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