eMedinewS19th April 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

Nail Hygiene

  • Nails can harbor dirt and germs and contribute to the spread of many infections.
  • Keep nails short.
  • Trim nails often.
  • Scrub the underside of nails with soap or water each time you wash your hands.
  • Clean any nail grooming tools before use.
  • Nail grooming tools should be sterilized before use in saloon.
  • Avoid biting nails.
  • Avoid chewing nails.
  • Avoid cutting cuticles as they act as barriers to prevent infection.
  • Never rip or bite a hang nail, instead clip it with a clear sterilized nail trimmer (a hang nail is small torn piece of skin next to finger nail or toe nail).
  • Infections of the finger nails or toe nails are often characterized by swelling of the skin or thickening of the nail. In some cases these infections may be serious and need to be treated by a doctor.

News Around The Globe

  • An article published online in Diabetes Care states that a high protein intake, particularly animal protein, is associated with an increased risk of type 2 diabetes, especially in obese women. There was a 13% higher incidence of diabetes for every 10-g increment in total protein intake; obese women had a 19% increased incidence compared with normal-weight women.
  • The US Food and Drug Administration (FDA) has approved Ragwitek as the first allergen extract administered sublingually to treat short ragweed pollen-induced allergic rhinitis, with or without allergic rhinoconjunctivitis, in those aged 18 to 65 years.
  • Endoscopic stenting for bile duct cancer increases liver volume within 4-8 weeks irrespective of the stent location, reported a new research published online in Gastrointestinal Endoscopy. Of note, hilar stents increased liver volume by 22.5% while distal stents increased it by 11.9%.
  • A new randomized clinical trial has stated that the anesthetic agent ketamine may also provide rapid symptom reduction in patients with chronic posttraumatic stress disorder (PTSD) when delivered intravenously. The study was published online April 16 in JAMA Psychiatry.
  • A study published in the Journal of Perinatology has revealed that pregnancies complicated by inflammatory bowel disease (IBD) may be associated with significantly increased risk for adverse perinatal outcomes. Women with IBD had an increased incidence of small gestational age, spontaneous preterm birth and premature rupture of membranes.

Rabies News (Dr A K Gupta)

Are there any survivors of human rabies?

Till date only seven survivors have been recorded. These patients survived not due to any specific anti–rabies therapy but following intensive life support and excellent nursing care. These patients survived for variable periods with residual neurological deficits. All the survivors had paralytic form of rabies and majority had history of some anti–rabies vaccination in the past.

Cardiology eMedinewS

  • A new analysis, conducted in UK from 2003 to 2011, has pointed that reduced salt intake may be associated with significant reduction in blood pressure (BP) as well as ischemic heart disease (IHD) and stroke mortality over the eight–year period. During this period, the average salt intake declined 15% and systolic BP declined by 2.7 mm Hg in individuals not taking antihypertensive medications; a 42% reduction in stroke mortality and 40% reduction in IHD mortality was also noted.
  • An analysis from the EVENT registry has revealed that using bivalirudin instead of heparin monotherapy reduces the risk of bleeding by 50% among patients undergoing percutaneous coronary intervention for stable ischemic heart disease (IHD) or non–ST–elevation acute coronary syndrome (NSTE–ACS).

Pediatrics eMedinewS

  • Low birth weight, maternal gestational diabetes mellitus, and maternal obesity all affect the risk for childhood chronic kidney disease (CKD), reports a recent population-based study published online April 17 in the Journal of the American Society of Nephrology. The adjusted odds ratios were 2.88 for low birth rate, 1.54 for gestational diabetes mellitus, 1.24 for maternal overweight, and 1.26 for maternal obesity.
  • According to a study published in Pediatrics, taking selective serotonin reuptake inhibitors (SSRIs) to treat depression, anxiety and other mental health problems during pregnancy may be associated with a higher risk of autism and developmental delays in male children.

Dr K K Spiritual Blog

My answer is yes; now tell me your problem

This was the best statement I have ever come across in my life. One of the medical superintendents at Moolchand Hospital when he joined had this statement on the wall behind him. It clearly indicates that he was sitting to solve the problem and not to create problems.

If all the service provider agencies follow this statement, the scenario of the country can change. Our job should be to solve problems and not find mistakes. None of us is 100% truthful, honest or hardworking. Each one of us will have some positive points and some negative points. Our job should be to remove our negative points and convert them into positive.

Remember, the SWOT analysis taught in marketing i.e. "Strength, Weakness, Opportunity and Threat". Our job should be to convert our weakness into strength and threat into opportunities.

Wellness Blog

Can blood pressure be higher in one arm?

A small difference in blood pressure readings between arms is normal. However, a difference of more than 20 mm Hg for systolic pressure (top number) or more than 10 mm Hg for diastolic pressure (bottom number) can be a sign of an underlying narrowing of the main arteries to that arm.

A difference of 10 to 15 mm Hg for upper systolic pressure that shows up repeatedly is a risk marker for vascular disease and future heart attacks.

Always have the doctor check both your arms for blood pressure and whichever is higher, use that arm for future blood pressure readings.

Inspirational Story

9 Rules for Staying Positive

9 Straight to the point, below are 9 rules in order to stray positive and live a stress–free life:

  1. I must develop the power of not looking back in the past to read the old chapters of life again and again because I cannot go back to my past to fix things. Whatever has happened has happened. Now is the time to review the lessons learnt once and then focus on to improve my present and future.
  2. I have to stay away from negative souls, which means I have to avoid spending time with people doing backbiting, criticizing, cursing, complaining, conspiring, corrupting and complicating.
  3. I have to stop judging others for their actions. I must mind my own business instead of interpreting their actions and commenting in negative way. Thinking and speaking about others pollutes my thoughts and steals my peace of mind.
  4. I must develop the habit of gratitude, which means that at the end of each day I must refresh the fact that I am better than billions of the people of the world. Being healthy, not in debt, sleeping on the bed, eating 3 times a day and using internet are the great blessings billions of people don’t enjoy. People possessing high level of gratitude strengthen positive powerful thoughts.
  5. I must spend time in reading good books, visiting websites on positivity, liking Facebook pages containing quotes and reading inspirational stories on daily basis. This will help remove negative impurities from my personality and empower my positive personality trait.
  6. I must stop being explosive and reactive to people and situations. I must stay positive about other’s feelings and respect their opinions because every soul is unique in thinking so I should avoid imposing my thoughts to others. I must confess the fact that I can be wrong at times so understanding other’s perspective be being empathic is very important for me to avoid building stress reducing my self–positivity–index.
  7. I must be positive about my circumstances even if they are not so good. I have to understand the fact that time does not stop so I have to start taking the necessary actions to expedite the change process. One thousand plans cannot be equal to the power of one great step taken right now!!!
  8. I must of focus on spiritual awakening acts such as a) frequent attacks of smiling, loss of ability in conflicts, loss of ability to judging others, ability to react to things as they happen instead of living in fears and so on.
  9. I must focus on improving the quality of my thoughts because quality of thoughts determines the level of peace of mind.

ePress Release

Heart disease may present with asthma–like symptoms

Heart disease may present with asthma–like symptoms 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.

Dr. Aggarwal said that the commonest cause of breathlessness is not asthma. Both obesity and anemia can cause exertional breathlessness. Uncontrolled blood pressure, diastolic dysfunction of the heart and enlarged heart can also cause breathlessness.

The thumb rule is that any breathlessness appearing for the first time in life after the age of 40 is cardiac in nature unless proved otherwise.

Impaired relaxation functions of the heart are a new epidemic of the society where the heart arteries do not have any blockages but the heart cannot relax properly.

Diastolic functions of the heart can be evaluated by tissue Doppler echocardiography examination. Ordinary echo exam will miss the diagnosis as it usually detects the contracting systolic functions of the heart.

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

All of the following are the electrocardiographic features of severe hyperkalemia except:

1. Peaked T waves.
2. Presence of U waves.
3. Sine wave pattern.
4. Loss of P waves.

Yesterday’s Mind Teaser: All of the following infections are often associated with acute intravascular hemolysis except:

1. Clostridium tetani.
2. Bartonella bacilliformis.
3. Plasmodium falciparum.
4. Babesia microti.

Answer for yesterday’s Mind Teaser: 1. Clostridium tetani.

Correct answers received from: Dr Ajay Gandhi, Arvind Gajjar, Prabha Sanghi, Dr Poonam Chablani, Daivadheenam Jella, Dr P C Das, Dr Ratnesh Prakash, Dr Jainendra Upadhyay, Dr Bitaan Sen & Dr.Jayashree Sen,
Dr K V.Sarma, Dr Pankaj Agarwal, Dr Arpan Gandhi, Dr Avtar Krishan, Dr B K Agarwal.

Answer for 17th April Mind Teaser: 4. Neurotoxic.

Correct answers received from: Dr Arpan Gandhi, Dr Avtar Krishan, Dr B K Agarwal, Dr Bitaan Sen & Dr Jayashree Sen, Dr Prakash Khalap.

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

A free health checkup camp was organized by Heart Care Foundation of India at Balwant Rai Mehta Vidya Bhawan School on 17th April 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: A patient on dialysis and on oral antacid developed aluminum toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis.

eMedinewS Humor

A traffic slogan: Don’t let your kids drive if they are not old enough – or else they never will be.

Quote of the Day

The hardest battle you are ever going to fight is the battle to be just you. Dr. Felice Leonardo Buscaglia

 

Twitter of the Day

Dr KK Aggarwal: Stress may increase smoking habits http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: What keeps life fascinating is the constant creativity of the soul.

 

Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

 

Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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medical querymedical query

medicolegal update

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medicolegal update
  1. Dear Dr. K. K. Aggarwal, Hats off to your untiring work towards educating people about CPR 10. Regards: Dr Kartik
cardiology news

Media advocacy through Web Media

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eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)