eMedinewS19th May 2014, Monday

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

Sodium in drugs can be dangerous

Using effervescent, dispersible or soluble drugs on a regular basis leads to greater risk for heart attacks, strokes, and other cardiovascular events.

Regular use of prescribed effervescent and other sodium–containing drugs have a 16% greater risk for nonfatal stroke, nonfatal myocardial infarction (MI), and vascular death (P<0.01), compared with regular users of low or no–sodium versions of the same drug as per Dr Jacob George, at the University of Dundee in Scotland who write in BMJ.

Taking the maximum daily dose of drugs like effervescent aspirin or acetaminophen may exceed the recommended daily limit of sodium. Effervescent paracetamol 500 mg can contain 18.6 mmol of sodium in each tablet.

Sodium-loaded effervescent, soluble or dispersible tablets should be avoided in patients at risk of hypertension.

Current U.S. guidelines recommend that people at low risk for CVD events limit their sodium intake to no more than 2,300 mg (1 teaspoon or 100 mmol/L) per day.

Certain populations, including people over 50, African Americans, diabetics, and people with high blood pressure or chronic kidney disease, should limit their daily sodium intake to 1,500 mg.

American Heart Association recommends intake of less than 1,500 mg of sodium a day for everyone. World Health Organization (WHO) recommendations call for limiting daily sodium intake to no more than 2,000 mg per day.

News Around The Globe

  • A study scheduled to be presented at the 2014 Annual Meeting of the American Society of Clinical Oncology (ASCO) has revealed that obesity increases the risk of dying from breast cancer by a third, especially in premenopausal women with estrogen–receptor (ER)–positive disease. In women with ER–negative disease, obesity had little effect on outcome.
  • A cohort study published online May 16 in Human Reproduction has pointed that men with abnormal semen parameters in an infertility evaluation may have a higher risk for death compared with men having normal semen parameters. Of note, men with at least 2 semen abnormalities had a two–fold increased risk of dying during approximately an 8–year period compared with men who had normal semen.
  • The PAOLA trial, presented at the European Congress of Endocrinology (ECE) 2014, reported that pasireotide long–acting release (LAR) could be beneficial for patients with acromegaly who are poorly controlled on first–generation somatostatins. However, hyperglycemia, seen in a significant proportion of patients treated with the agent, could be a cause of concern.
  • The color of a person’s eyes may predict how that person responds to pain, reports a study presented recently at the American Pain Society (APS) 33rd Annual Scientific Meeting. Researchers assessed pain, mood, sleep, and coping behavior in 58 women and noted that women with dark–colored eyes showed increased anxiety, increased sleep disturbance, and experienced more pain after receiving epidural analgesia, as compared to women with light–colored eyes.
  • A study published online May 14 in JAMA Psychiatry reports that hippocampal alterations appear to be a common trait shared across the spectrum of psychotic disorders. Reductions in hippocampal volume and its subfields were noted not only in patients with schizophrenia but also in those with schizoaffective disorder and psychotic bipolar disorder.

Rabies News (Dr A K Gupta)

What is the role of monoclonal antibodies in Rabies?

Monoclonal antibodies against rabies virus have been widely used in the diagnosis and immunological analysis of rabies. Human monoclonal antibodies to rabies virus G protein are also expected to be used as a replacement for rabies immunoglobulin (RIG) in the post–exposure treatment of rabies. In 1978, Wiktor reported the preparation of rabies virus monoclonal antibodies. Since then, rabies virus monoclonal antibody (mAb) technology has been more and more widely used in basic research and diagnosis of rabies.

Cardiology eMedinewS

  • Two novel studies, presented at the Heart Rhythm Society Meeting, have revealed that heart rate and anticoagulation control could possibly contribute towards the relationship between atrial fibrillation and dementia. The studies reported that patients with higher average heart rates had lower dementia risk and that warfarin–treated patients with the greatest time spent within the therapeutic range were less likely to develop dementia.
  • Two observational studies, both published in the journal Heart, have put forward a J–shaped curve for the dose–response effects of intense physical activity and have revealed that though exercise is good for the heart, too much of exercise could be bad for healthy adults and patients with cardiovascular disease. Daily strenuous exercise was associated with a more than twofold increased risk for cardiovascular mortality compared with moderate exercise in CHD patients.

Pediatrics eMedinewS

  • A novel study conducted in the United States of America has revealed that children are consuming more than 4.5 kg of sugar annually if they eat a typical morning bowl of cereal each day, contributing to obesity and other health problems. One of the worst cereals, according to the report, is Kellogg Co.’s Honey Smacks, with 56% sugar by weight.
  • A study published online May 14 in JAMA Surgery reported that neonates with short bowel syndrome had better chance of being weaned from parenteral nutrition if their remaining intestine was at least 50 cm long. Study authors noted that weaning from parenteral nutrition was successful in 63% of neonates.

Dr K K Spiritual Blog

The Science of Power

Power is the ability to influence others to get a work done the way you want it.

We have seen evolution in the way power works. There was a time when Brahmins ruled using the power of knowledge; then came the era of Kshatriyas, who ruled using the physical power. This was followed by the era of Vaishyas ruling the world with the power of money and a time will come when Shudras will rule with the power of their work.

In one of his lectures, Deepak Jain from Kellogg’s said that the world has seen eras of physical power, economical power and the time has come that it will now be ruled by the power of human resources.

Former Governor of Mizoram A R Kohli, in one of his talks, said that there are four types of powers which govern the universe and these are – physical power, economical power, the power of the chair (ego) and the power of the human resource, which is based on consciousness.

Everyone has these four inherent powers. The physical power is based on fear, tamas and rajas. The economical and the power of chair are linked to one’s ego and rajas. It is the power of human resource which is linked to the soul, consciousness and Satva.

The physical power is at the level of body, economic power is at the level of mind, the power of chair is at the level of intellect and ego and the power of human resources is at the level of soul. It is the power of human resource which is based on Dharma and is universally accepted by all religions.

As per Mahabharata, the powers are the power of human resource (righteousness or Yudhishthir), power to remained focused (Arjun), power to fight injustice (Bheem), power to help others (Sahdev) and power to remain neutral during any adversity (Nakul).

In Vedic sciences, these powers are also defined as Ichhashakti (the power of desires to be with the consciousness), Kriyashakti (the power to do selfless work), Gyanshakti (the power to learn about consciousness), Chitta shakti (the power to take conscious based decisions) and Anand shakti (the power for inner happiness).

The power of human resources talks about cultivating relationships. It is not based on the principles of survival of the fittest, which is an animal behavior. The power of human resource believes in training and developing everyone to survive and become the fittest of the fit.

Wellness Blog

Check your BMI to know chances of future heart attack

If you are less than 40 years of age, male, with a strong family history of diabetes, blood pressure or heart disease, have a normal weight as judged by Body Mass Index (BMI) but have a pot belly, or have gained more than 10 kg since the age 18, do not ignore this. Go to your cardiologist to reduce your chances of a future heart attack.

A BMI of 20 to 23 kg/m2 is associated with little or no increased risk unless visceral fat is high, or the subject has gained more than 10 kg since 18 years.

  • Subjects with a BMI of 23 to 30 kg/m2 may be described as having low risk, while those with a BMI of 30 to 35 kg/m2 are at moderate risk.
  • Subjects with a BMI of 35 to 40 kg/m2 are at high risk, and those with a BMI above 40 kg/m2 are at very high risk from their obesity.
  • At any given level of BMI, the risk to health is increased by more abdominal fat (increased weight to hip ratio, WHR), hyperlipidemia, hypertension, age less than 40 years, male sex, and a strong family history of diabetes, hypertension, or heart disease.

The body mass index (BMI) is the most practical way to evaluate the degree of obesity. It is calculated from the height and weight as follows:

BMI = body weight (in kg) ÷ square of stature (height, in meters)

Overweight is defined as a BMI between 23 and 30 kg/m2 and obesity as a BMI greater than 30 kg/m2.

Inspirational Story

Don’t Sweat the Small Stuff

One day an expert in time management was speaking to a group of students and, to drive home a point, used an illustration those students will never forget.

As he stood in front of the group of high–powered overachievers, he said, "Okay, time for a quiz." Then he pulled out a one–gallon, wide mouthed Mason jar and set it on the table in front of him. Then he produced about a dozen fist–sized rocks and carefully placed them, one at a time, into the jar. When the jar was filled to the top and no more rocks would fit inside, he asked, "Is the jar full?"

Everyone in the class said, "Yes." Then he said, "Really?" He reached under the table and pulled out a bucket of gravel. Then he dumped some gravel in and shook the jar, causing pieces of gravel to work themselves down into the space between the big rocks.

Then he asked the group once more, "Is the jar full?" By this time the class was on to him. "Probably not," one of them answered. Good!" he replied. He reached under the table and brought out a bucket of sand. He started dumping the sand in the jar and it went into all the spaces left between the rocks and the gravel. Once more he asked the question, "Is the jar full?" No!" the class shouted. Once again he said, "Good!" Then he grabbed a pitcher of water and began to pour it in until the jar was filled to the brim. Then he looked at the class and asked, "What is the point of this illustration?" One eager student raised his hand and said, "The point is, no matter how full your schedule is, if you try really hard you can always fit some more things in!"

No," the speaker replied, "That’s not the point. The truth this illustration teaches us is: If you don’t put the big rocks in first, you’ll never get them in at all. What are the ‘big rocks’ in your life?

"Your children… Your loved ones… Your education… Your dreams… A worthy cause… Teaching or mentoring others… Doing things that you love… Time for yourself… Your health… Your significant other."

"Remember to put these BIG ROCKS in first or you’ll never get them in at all. If you sweat the little stuff (the gravel, the sand) then you’ll fill your life with little things to worry about that don’t really matter, and you’ll never have the real quality time you need to spend on the big, important stuff (the big rocks).

So, tonight or in the morning, when you are reflecting on this short story, ask yourself this question: What are the ‘big rocks’ in my life? Then, put those in your jar first."

ePress Release

Lifestyle counseling can reduce heart disease

An intensive effort to change lifestyle in people at high risk of heart disease can help them reduce such risk factors as high blood pressure, cholesterol and smoking, 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.

On the occasion of Mother’s Day, he said that it was very necessary that women get their regular tests done as while looking after the health and need of their families they tend to neglect their own health. The health of a woman reflects on the health of her family.

A trial, called the Euroaction study, published in Lancet compared the results of added counseling on lifestyle issues such as diet, physical activity and smoking to the usual care. It included more than 3,000 people with coronary heart disease and 2,300 at high risk. Half got the counseling from a team of nurses, dietitians, physiotherapists and the treating doctors. The counseling was given to families as well as individuals.

The trial included two groups of patients. One, those who already had developed coronary heart disease; another, those who were asymptomatic but at high risk because of a combination of risk factors that gives a high chance of developing heart disease over 10 years.

  1. Fifty five percent of those getting the counseling reduced their intake of saturated fat, compared to 40 percent of those not getting the advice.
  2. Increased consumption of fruits and vegetables was seen in 72 percent of the counseled group, and 17 percent of them also increased their consumption of heart–friendly oily fish, compared to 35 percent and 8 percent in the other group.
  3. Similar results were seen for blood pressure, cholesterol and physical activity, but it proved difficult to have people seen in general practice quit smoking.

eMedi Quiz

A recent fitness walk left you breathless, and you’ve been having trouble sleeping. You’ve also been dealing with an upset stomach and occasional dizziness. These could be symptoms of:

A. Depression.
B. Heart disease.
C. Diabetes.
D. High blood pressure.
E. All of the above.

Yesterday’s Mind Teaser: Since sunscreen-awareness campaigns began, have skin-cancer rates decreased?

A. Yes, fewer people are getting skin cancer.
B. No, skin–cancer rates and deaths from the disease are on the upswing.
C. No, skin cancer is on the rise, but fatalities are down.
D. Skin–cancer rates have been stable over the past decade.
E. Yes, but only among older women.

Answer for yesterday’s Mind Teaser: B. No, skin–cancer rates and deaths from the disease are on the upswing.

Correct Answers received from: Raju Kuppusamy,Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Dr Avtar Krishan, Dr Ajay Gandhi, jayashree sen

Answer for 17th May Mind Teaser: b) It is associated with MMR gene mutation

Correct Answers received from: 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

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VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
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emedipicstoday emedipics

Health Check Up at Balwant Rai Mehta Vidya Bhawan, 17th April 2014

press release

White rice linked to diabetes in Asians

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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 was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

eMedinewS Humor

Talking Clock

While proudly showing off his new apartment to friends late one night, the drunk led the way to his bedroom where there was a big brass gong.

"What’s that big brass gong for?" one of the guests asked.

"Why, that’s the talking clock" the man replied. "Watch", the man said, giving the gong an ear–shattering pound with a hammer.

Suddenly, someone on the other side of the wall screamed, "F’gosh sakes, you idiot, it’s 2am in the blankety–blank morning!"

Quote of the Day

Sunbeams out of the clouds. Faith out of all my doubt. Terri Guillemets

 

Twitter of the Day

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful http://bit.ly/WAYHF_DC #WAYHF

 

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  1. Dear Sir, Very informaavitive newspaper. Regards: Dr Raj
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