eMedinewS18th July 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

Do I Need Multivitamin Tablets?

  1. Multivitamin tablets are not needed unless there is a scarcity of a particular vitamin.
  2. If you include all seven colors and six tastes in your food, there is no need for vitamin supplementation.
  3. Wheat grass and barley grass juice contain folic acid and vitamin B12.
  4. Anything which is green contains vitamin B.
  5. Anything which is red contains lycopene.
  6. Citrus foods contain vitamin C.
  7. All dry fruits contain vitamin E.
  8. Sunlight is an excellent source of vitamin D.
  9. Carrots contain vitamin A.
  10. Folic acid is lost if the food is boiled and the water is discarded.
  11. Vitamin D is not absorbed if exposure to sunlight is through glass.
  12. Vitamin D is not absorbed through clothes if you are fully–clothed in sunlight.

News Around The Globe

  • A new randomized trial has suggested that lifestyle intervention that addresses several risk factors simultaneously can have cognitive benefits for people at risk for cognitive impairment and Alzheimer’s disease (AD). The findings were presented at the Alzheimer’s Association International Conference (AAIC) 2014.
  • Preliminary results from 2 studies presented at the Alzheimer’s Association International Conference (AAIC) 2014 have revealed that beta–amyloid detected in the eyes is significantly correlated with the burden of beta–amyloid in the brain, thus helping investigators to accurately identify individuals with AD.
  • A new meta–analysis of randomized controlled trials suggests that acupuncture reduces hot flash frequency and severity and improves quality of life (QoL) in the vasomotor domain for women experiencing natural menopause. The beneficial effects of acupuncture on hot flashes persist for as long as 3 months. The findings were published online July 14 in Menopause.
  • Some older men with limited mobility and low testosterone levels could possibly improve their aerobic capacity and slow its decline by taking testosterone replacement therapy, reported a new study presented at the ICE/ENDO 2014, the joint meeting of the International Congress of Endocrinology and the Endocrine Society in Chicago. Researchers reported that testosterone therapy improved men’s peak oxygen uptake (VO2peak) and decreased its age –related decline.
  • Results from the phase 3 CLARINET trial have suggested that somatostatin analogue lanreotide is significantly better than placebo for controlling progression of many types of metastatic neuroendocrine tumors (NETs). The results were published in the July 17 issue of the New England Journal of Medicine.

Rabies News (Dr A K Gupta)

Is there any dietary restriction during PEP?

It is advisable to abstain from alcoholic drinks during the course of rabies vaccination as it may affect the immune response.

Cardiology eMedinewS

  • A new study published in PLoS One revealed that empiric treatment with potassium supplements was associated with a 7% decline in all–cause mortality in a matched cohort study of >600 000 patients with a variety of clinical conditions who were initiating therapy with furosemide. The survival benefit reached 16% for patients taking the loop diuretic at higher dosages, at least 40 mg/day. Potassium supplementation did not show a significant effect on the risk of outpatient–originating sudden death or ventricular arrhythmias.
  • A novel algorithm appears promising in overcoming a major drawback of coronary computed–tomography angiography (CCTA)—artifacts caused by coronary motion in patients with a rapid or irregular heart rate. The data was presented at the Society of Cardiovascular Computed Tomography 2014 Annual Scientific Meeting.

Pediatrics eMedinewS

  • Results from the Sleep and Asthma Cohort Study have shown that up to 41% of children with sickle cell anemia may have some degree of obstructive sleep apnea syndrome (OSAS). The findings were published online July 14 in Pediatrics.
  • Babies born to women with the highest levels of physical activity during late pregnancy have less body fat as compared to infants whose mothers were the least active in their third trimester, suggested a new study published online in Obstetrics & Gynecology.

Dr K K Spiritual Blog

Shiksha and Sabhyata

Suno, Samjho, Jaano and Karo is the mantra for education and involves not only hearing but listening and understanding and converting understanding into wisdom by doing it practically.

One of the components of education is etiquettes or manners which can be at every level of education. In older era, Rajkumars or princes were sent to Gurukuls for formal education including that of warriorship. They were also sent to Gharanas/Kothas to learn tehzeeb the Lucknawi way where they were taught how to talk to each other and respect others. Their language in typically Lucknawi style used to be ‘we’ oriented and not ‘I’ oriented. Today’s education is more oriented towards ‘I–ness’ or ego and not towards the soul or respect.

In our student days, we were taught that a senior is a senior and needs to be respected. Even today, when we meet our teachers, we take blessings by touching their feet but today’s students believe in shaking hands or saying ‘hi’. There is more and more commercial touch in the teacher–student relationship of today.

Ego makes one rude and arrogant with a mentality full of Rajas and Tamas. Road rage, gang rapes, murders, violence, terrorism are all examples of not learning etiquettes at the right time.

Wellness Blog

Anger can be a trigger for Heart Attack or Stroke

A flash of anger may precipitate heart attack or stroke in susceptible individuals within two hours of anger episode as per a systematic review showed by Murray Mittleman, Dr PH, of the Harvard School of Public Health, and colleagues in the European Heart Journal.

The relative risks estimated in this meta–analysis indicate that there is a higher risk of cardiovascular events after outbursts of anger among individuals at risk of a cardiovascular event, but because each episode may be infrequent and the effect period is transient, the net absolute impact on disease burden is extremely low. However, with increasing frequency of anger episodes, these transient effects may accumulate, leading to a larger clinical impact.

In pooled results of four of the studies, the risk of MI or acute coronary syndrome was 4.74–fold higher in the hours after an outburst. One study evaluated intracranial hemorrhage and showed that the risk was higher in the hour after a bout of anger.

Mediated through increases in circulating catecholamines, increased myocardial oxygen demand, coronary vasospasm, and increased platelet aggregability, anger can cause transient ischemia, disruption of vulnerable plaques, and increased thrombotic potential.

Inspirational Story

The Story of a Woodcutter

Once upon a time, a very strong woodcutter asked for a job in a timber merchant and he got it. The pay was really good and so was the work condition. For those reasons, the woodcutter was determined to do his best.

His boss gave him an axe and showed him the area where he supposed to work. The first day, the woodcutter brought 18 trees. "Congratulations," the boss said. "Go on that way!"

Very motivated by the boss words, the woodcutter tried harder the next day, but he could only bring 15 trees. The third day he tried even harder, but he could only bring 10 trees. Day after day he was bringing less and less trees.

"I must be losing my strength", the woodcutter thought. He went to the boss and apologized, saying that he could not understand what was going on. "When was the last time you sharpened your axe?" the boss asked. "Sharpen? I had no time to sharpen my axe. I have been very busy trying to cut trees…"

Reflection: Our lives are like that. We sometimes get so busy that we don’t take time to sharpen the "axe". In today’s world, it seems that everyone is busier than ever, but less happy that ever.

Why is that? Could it be that we have forgotten how to stay "sharp"? There’s nothing wrong with activity and hard work. But we should not get so busy that we neglect the truly important things in life, like our personal life, taking time to get close to our Creator, giving more time for our family, taking time to read etc.

We all need time to relax, to think and meditate, to learn and grow. If we don’t take the time to sharpen the "axe", we will become dull and lose our effectiveness.

ePress Release

Exercise: a prescription

Stating why one should do exercises, 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 laid down few facts:

  1. Reduces the chances of getting heart disease. For those who already have heart disease, exercise reduces the chances of dying from it.
  2. Lower the risk of developing hypertension and diabetes.
  3. Reduce the risk for colon cancer and some other forms of cancer.
  4. Improve mood and mental functioning.
  5. Keeps the bones strong and joints healthy.
  6. Helps you to maintain a healthy weight.
  7. Help maintain independence into later years
  8. Age is no bar; there is abundant evidence that exercise can enhance health and well–being. But today for most watching TV, surfing the Internet, or playing computer and video games is replacing the helpful exercises.
  9. The minimum threshold for good health is to burn at least 700 to 1,000 calories a week through physical pursuits.
  10. Exercise improves health and can extend life. Adding as little as half an hour of moderately intense daily physical activity can help one avoid a host of serious ailments, including heart disease, diabetes, depression, and several types of cancer, particularly breast and colon cancers.
  11. Regular exercise can also help one sleep better, reduce stress, control weight, brighten mood, sharpen mental functioning, and improve sex life.

As per Harvard researchers a well-rounded exercise program must have all the four components–

  1. Aerobic activity
  2. Strength training
  3. Flexibility training
  4. Balance exercises

Aerobic activity: is the centrepiece of any fitness program. Most benefits of exercise revolve around aerobic cardiovascular activity, which includes walking, jogging, swimming, and cycling. One should work out at moderate intensity when performing aerobic exercise—brisk walking that quickens the breathing is one example. This level of activity is safe.
Strength training protects bone: Strength or resistance training, such as elastic–band workouts and the use of weight machines or free weights, are important for building muscle and protecting bone. Bones lose calcium and weaken with age, but strength training can help slow or sometimes even reverse this trend.
Flexibility exercises ease back pains: Muscles tend to shorten and weaken with age. Shorter, stiffer muscle fibres make one vulnerable to injuries, back pain, and stress. But regularly performing exercises that isolate and stretch the elastic fibres surrounding the muscles and tendons can counteract this process. And stretching improves posture and balance.
Balancing exercises prevents fall: Balance erode over time, and regularly performing balance exercises is one of the best ways to protect against falls that lead to temporary or permanent disability. Balance exercises take only a few minutes and often fit easily into the warm–up portion of a workout. Many strength–training exercises also serve as balance exercises. Or balance–enhancing movements may simply be woven into other forms of exercise, such as tai chi, yoga, and Pilates.

Self-Assessment-Quiz

 

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 – 96355 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 Primary School, Kamraj Marg–11th July 2014

press release

Weight loss may improve sexual health of obese diabetes

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 adult undergoing bronchoscopic biopsy developed infective endocarditis.
Reaction: Oh my God! Why was IE prophylaxis not given?
Lesson: Make sure, that all procedures of the respiratory tract that involve incision or biopsy of the respiratory mucosa include IE prophylaxis.

eMedinewS Humor

Absent–minded professor

One of the world’s greatest scientists was also recognized as the original absent–minded professor. One day, on board a train, he was unable to find his ticket. The conductor said, "Take it easy. You’ll find it."

When the conductor returned, the professor still couldn’t find the ticket. The conductor, recognizing the famous scientist, said, "I’m sure you bought a ticket. Forget about it."

"You’re very kind," the professor said, "but I must find it, otherwise I won’t know where to get off."

Quote of the Day

It is strange that those we miss the most Are those we take for granted. Sir John Betjeman

Twitter of the Day

Dr KK Aggarwal: Weight gain precedes the onset of diabetes Weight gain after age of 18 years in women and 20 years in men (cont) http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Fluidity & flow in every moment as it unfolds in an eternal now is lightness of being #CosmicConsciousness

 

eMedi Quiz

The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar.

Yesterday’s Mind Teaser: A 30 year old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1.Medial rectus and superior division of oculmotor nerve.
2.Inferior oblique and inferior division of oculomotor nerve.
3.Lateral rectuas and abducent nerve.
4.Superior rectus and trochlear nerve.

Answer for yesterday’s Mind Teaser: 3.Lateral rectuas and abducent nerve.

Correct answers received from: Dr Sushma Chawla, Dr Poonam Chablani, Dr P C Das, Tripti Parmar, Raju Kuppusamy, Tukaram Pagad, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Daivadheenam Jella, Dr Ajay Gandhi, Dr K V Sarma, Dr Avtar Krishan, Dr B K Agarwal, Dr Pankaj Agarwal, Arvind Diwaker.

Answer for 16th July Mind Teaser: 4. Oxygen affinity of haemoglobin.

Correct answers received from: Tukaram Pagad, Dr Prakash Khalap.

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, Very Informative Newspaper. Regards: Dr Karan
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