eMedinewS19th September 2014, Friday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

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 & Honorary Secretary General Elect IMA; Member Ethics Committee MCI; Chairman Ethical Committee DMC; Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) IMSA (March 10–13); Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMAAMS (06–07); President DMA (05–06); President IMA New Delhi Branch (94–95, 02–04).
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

A glass of milk can prevent diabetes

A large intake of high–fat dairy products reduces risk of diabetes. Low–fat dairy products do not appear to show the same effect, reports a new study.

Specifically, people who consume a large amount (over 8 portions per day in this study) of high-fat dairy products have a 23% lower risk of developing type 2 diabetes than those who consume lower levels (1 or fewer portions per day).

Previous studies have indicated that replacing saturated with unsaturated fats helps to prevent type 2 diabetes and for this reason plant sources of fat are considered preferable to animal. High intakes of red meat and meat products are known to be positively associated with diabetes risk.

The latest results were presented by epidemiologist Ulrika Ericson, PhD, from Lund University Diabetes Center, Malmö, Sweden, at the European Association for the Study of Diabetes 2014 Meeting.

Molecules with odd numbers of carbon atoms (15 and 17), which are found in dairy products such as yogurt, cheese, and milk, appeared to have a protective effect.

Even–chain saturated fatty acids, as found in alcohol or margarine, are associated with a greater risk for type 2 diabetes.

News Around The Globe

  • The artificial sweeteners aspartame, sucralose and saccharin cause blood glucose abnormalities in some humans, suggested an article published online September 17 in Nature.
  • Mindfulness-based stress reduction (MBSR) appears to be a safe and effective option for decreasing the effect of migraine headache and can be carried out while patients continue to take migraine medication, suggested a pilot study published online in the journal Headache.
  • Brain scans of patients with fibromyalgia revealed that they processed nonpainful stimuli, such as sound and touch, differently as compared to the brains of people without the disorder. This could possibly explain the hypersensitivity to sensations mentioned by these patients in everyday life. The study was published online September 15 in Arthritis & Rheumatism.
  • Magnetic resonance imaging (MRI) findings can be used to predict radiographic progression of hand osteoarthritis, suggests a study published online in the Annals of Rheumatic Diseases. MRI visualization at baseline of synovitis, bone marrow lesions, and joint space narrowing predicted progression of joint space narrowing.
  • Two–year results from a head–to–head trial comparing the sodium–glucose cotransporter 2 (SGLT2) inhibitor empagliflozin with the sulfonylurea glimepiride as second–line therapy after metformin in patients with type 2 diabetes has shown that empagliflozin was better than glimepiride. The findings were presented at the European Association for the Study of Diabetes 2014 Meeting.

21st MTNL Perfect Health Mela Programme Brouchure

IMA NEWS

  • Dr. Harsh Vardhan, Union Minister for Health and Family Welfare is launching the "India Newborn Action Plan and Guidelines on Newer Initiative for Newborn Health Care" today. Mr. Bill Gates and Ms. Melinda Gates will also be present. (Note: Could not find an invite for IMA. Had to request NNF incoming president to provide the same)
  • Following The Lancet Neonatal Survival Series in 2005, the new 2014 Every Newborn Series presents the clearest picture so far of the ongoing slow progress in newborn survival, provides new focus beyond survival, and combines research and reality in countries to set target for post–2015 to ensure that every newborn has a healthy start in life. Every year, 2.9 million newborn babies die from largely preventable causes, and 2.6 million more are stillborn. The five papers advocate for quality care at birth, which requires facility and community actions with a focus on the time of birth. This is the time when most deaths occur and when most lives can be saved, and long–term disabilities averted, through higher coverage of effective interventions. This strategy requires responsive health systems that are equipped with lifesaving commodities and staffed with health workers who can deliver high-quality and timely skilled care, including emergency obstetric care and interventions for small and ill newborn babies. (Note: The series was launched at Hotel Oberoi, New Delhi. Again IMA name and representation was missing.)
  • To sensitize myself for the coming two years, I attended field visit and stakeholder meeting for Helping 100,000 Babies Survival Initiative in India. Its a follow–up to the "Acting on Call Meeting" held at Washington DC on June 25th, 2014 in which the pediatric societies were invited to discuss "Helping Babies Survive initiative". During this meeting, a commitment was declared by the pediatric societies to support and help in reducing newborn deaths by helping 100,000 babies survive and thrive. As per the memorandum of understanding, to bring forward Helping 100K Babies survive and thrive initiative in India, Indian Academy of Pediatrics (IAP) along with National Neonatology Forum (NNF) organized a field visit at DH/CHC/PHC/SC of Sonepat/Gohana (Haryana) on 17th September, 2014. The main objective of this stakeholder meeting was to review Helping Babies Survive modules & discussion on future action plan. The visit was attended by the key representative from America Academy of Pediatrics (AAP), Laerdal Foundation, USAID along with other overseas and Indian partners. (It was a learning experience for me)
  • MCI pulled up for failing in its social responsibility: MCI in the past had instructed all medical institutions in India to submit compliance report on disability initiatives. National Human Rights Commission has issued notice to MCI to fulfill its social responsibility towards differently–abled persons who avail of medical services and for educating doctors on how to provide them treatment with dignity. Dr. Satendra Singh, a differently–abled doctor at University College of Medical Sciences had written to the MCI to include ‘disability education’ in medical curriculum. According to the World Report on Disability by the WHO, physicians worldwide generally lack training about caring for differently–abled persons, thus frequently compromising their health care experiences and health outcomes. NHRC has demanded that the Council include mandatory access audits in all medical inspections. Also these access audits must include differently–abled persons in the team.

Rabies News (Dr A K Gupta)

Why do some people fear the vaccine?

In the past, rabies vaccine was a sheep brain derived Nerve Tissue Vaccine (NTV) and was associated with considerable side effects. Large volumes and a number of injections were required. So, rabies vaccine acquired the dubious reputation of a dangerous vaccination. However, these fears are no longer justified with modern rabies vaccines that are very safe.

Cardiology eMedinewS

  • Percutaneous patent foramen ovale closure did not significantly reduce the number of monthly migraines days compared with medical treatment. But PFO closure did reduce the number of monthly migraine with aura days compared with medical treatment, according to the Percutaneous Closure of Patent Foramen Ovale in Migraine with Aura (PRIMA) study, David Hildick-Smith, MD, director of the Cardiac Research Unit at Brighton and Sussex University Hospitals in Brighton, England, said at the Transcatheter Cardiovascular Therapeutics meeting.
  • Beta-blockers are of zero benefit in patients with heart failure and reduced ejection fraction if they also have atrial fibrillation. Dr Dipak Kotecha (University of Birmingham, UK) presented the analysis Tuesday during the final clinical-trial-update session of the European Society of Cardiology (ESC) 2014 Congress published simultaneously in The Lancet.
  • Two polymer-based, nonsystemic oral agents that sequester potassium in the gastrointestinal tract appear to prevent or treat hyperkalemia in patients with heart failure. It was noted that they could lower serum potassium levels without inducing hypokalemia and help maintain potassium levels in the normal range in patients with heart failure taking guidelines-recommended renin-angiotensin-aldosterone (RAAS)-inhibiting medications. The findings were presented at the Heart Failure Society of America (HFSA) 2014 Scientific Meeting.
  • The largest prospective observational study till today comparing hard clinical end points among patients with type 1 diabetes using insulin pumps vs. multiple daily insulin pen injections has shown a large reduction of fatal cardiovascular events among those using the pump. The data were presented at the European Association for the Study of Diabetes (EASD) 2014 Meeting.

Pediatrics eMedinewS

  • Novo Nordisk’s new long-acting insulin Tresiba has been shown to be effective and safe for long-term use in children and young adults with type 1 diabetes, reported new data from a late-stage trial presented at the European Association for the Study of Diabetes (EASD) 2014 Meeting.
  • Increased expression of leukotriene biosynthetic enzymes by tonsillar tissues from children with obstructive sleep apnea (OSA) may serve as potential targets for therapy, suggests new research published online in JAMA Otolaryngology – Head & Neck Surgery.

Dr K K Spiritual Blog

The spiritual meaning of the word ‘Artha’

Dharma, Artha, Kama and Moksha are the four fundamental principles of our very existence, which symbolize earning righteously with a desire to fulfill the inner happiness.

Righteous earning is called ‘Artha’ and mistakenly it has been linked to materialistic money. In mythology Artha is synonymous with Lakshmi, Saraswati and Kali where Lakshmi represents righteously earned materialistic wealth, Saraswati represents wealth of knowledge and Kali represents wealth of wisdom to fight the bad in you and in the society.

In any country, it is the wealth of knowledge which is more important. India was ruled initially by warriors (Kali), later by money (Lakshmi) and in future will be ruled by knowledge (Saraswati).

It is the human resources, which today decide the growth of a company and the amount of money invested. If you have good human resources, your company is going to succeed.

Wellness Blog

Gaining Weight Losing Strength versus Losing Weight Gaining Strength

When we gain weight, we must acquire more strength and when we lose weight, we must lose the strength. This is a fundamental medical principle.

If we gain weight and feel weak, it is a disease and when we lose weight and gain strength, we are recovering from the disease. One is not supposed to gain more than 5kg of weight after the age of 20 years. Any weight gain after that will only be due to accumulation of fat, which leads to insulin resistance.

Insulin resistance does not allow food to convert into energy. In the state of insulin resistance, whatever you eat, it is converted into fat. As it is not converted into energy and you feel weak. When you reduce insulin resistance by drugs or walking the metabolism becomes normal and whatever you eat gets converted into energy and you start gaining strength.

Inspirational Story

My Precocious and Precious Son

When psychologists came up with the term "Terrible Twos" for toddlers, they sure knew what they were saying. My two–year–old sure is a living embodiment of such label, though I sometimes hate to admit it to myself.

I don’t get to be with my son everyday (for I am away in the city during weekdays because of my job’s location), but whenever I am around to do my responsibility as a mum to him, I just get physically and mentally drained sometimes.

This is not to say, though, that he is such a Dennis–the–menace type of a kid. In fact, he behaves remarkably in places outside our house.

I often hear hushed inspirational remarks from strangers whenever they see my son conducting himself very well in the church, or in the supermarket, or just anywhere else. That's laudable, I know, for not all kids have that pleasing manner.

I’ve seen other kids romp around other people’s houses, break things, and go off wildly all over the place. But my son is definitely never like that. However, when at home, he can pester the people around him. He acts like a wild bull on the loose, and almost everything is out of their usual places after he leaves them. Yeah, it’s pretty much like a tornado just hit them.

Immediately after giving birth to my son, it was definitely love at first sight that dawned in me. I never stopped loving him since.

I remember when he was just weeks old, I would lie down beside him as he slept, and I would stare at him for hours, despite the fact that I barely had enough sleep to keep myself awake to gaze at him. I sacrificed everything for him, including me precious freedom as a single woman, my whims, and the luxury of sleeping until noon. His arrival caused a major rearrangement in my life.

It was difficult, at first, but once I got the feel of things, I realized that his presence in my life is simply a gift.

He might not know it now, but he has taught me so many things – to be patient (a trait I never practiced much), to be selfless, to be forgiving, and most importantly, to love unconditionally. It is so amazing how a helpless baby changed a multitude of aspects in me, something left untouched by years in school and experience at work.

Paradoxically, life brought death in me – his coming into my life caused the death of my old habits and lifestyle, which were apparently less meaningful than the one I have now as a mum.

Despite the headaches and fury that I get during feeding time (and all other times when he turns the house upside–down) I still find myself staring at him for hours as he sleeps. And then I would realize how my love for him never diminished, even if he now belongs to the "Terrible Twos" phase in his life.

He is my son, and that’s all that matters.

ePress Release

Exciting events to pave way for the 21st MTNL Perfect Health Mela, a one of its kind initiative by the Heart Care Foundation of India

To include a live webcast by Spiritual Guru Deepak Chopra on the future of well–being, free heart surgery camp by the Sameer Malik Heart Care Foundation Fund and a Dandiya training workshop

Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi. As a curtain raiser to the event, the NGO is organizing several exciting activities in the city such as a lecture by renowned motivational speaker and Internationally acclaimed author Dr. Deepak Chopra on World Heart Day, a heart health check up camp by the Sameer Malik Heart Care Foundation Fund and a Dandiya dance workshop to celebrate the upcoming festive season.

Started in 1993, the Perfect Health Mela is an annual mass health awareness module, which attracts over 2–3 lakh visitors every year. Catering to people from all age groups and walks of life, the Mela incorporates activities across categories such as health check up camps, entertainment programs, lifestyle exhibitions, workshops and competitions. This year’s Mela is being organized in association the NDMC, MCD and MTNL and its theme is "No one should die of any disease just because they cannot afford treatment".

Addressing the Press Conference Padma Shri, National Science and Communication and Dr. BC Roy National Awardee and the President of the Heart Care Foundation of India, Dr KK Aggarwal said "It has been our constant endeavor to continuously develop engaging and consumer driven modules to educate the masses about the importance of preventive healthcare and the Perfect Health Mela has been one of the most successful examples. This year we have tried to take it one step ahead by combining awareness with actual treatment. Through our new project the Sameer Malik Heart Care Foundation Fund we will now also be able to provide free treatment to any patient coming to the Mela who is suffering from heart disease and cannot otherwise afford treatment".

"I am extremely happy to have none other than Deepak Chopra join us for a lecture next week on the Future of Well–being on the occasion of World Heart Day, the inauguration of the Sameer Malik Heart Care Foundation Fund and the onset of the activities for the 21st MTNL Perfect Health Mela. Each and every person across the Globe will be able to be a part of the lecture through a live webcast on our website http://heartcarefoundationfund.heartcarefoundation.org/livewebcast", he added.

Understanding the importance of fitness a person’s life, Heart Care Foundation of India is also organizing a Dandiya training workshop as a build up activity to the Mela. As a part of this, over 300 people will not only receive preparatory dance lessons for the upcoming Navratri season but will also be trained in the important and lifesaving technique of Hands Only CPR 10, a method to save lives after sudden cardiac arrest.

The MTNL Perfect Health Mela now in it’s 21st edition will for the first time ever feature a Dil ka Mahakumbh, a one of a kind conclave of leading hospitals which will offer various health treatments under one roof. In addition to this, MTNL will also offer a video consultation facility through which patients will be able to interact with and seek medical advice from leading doctors belonging to one of India’s leading multi–specialty hospital. Other features of the Mela will include a special conference on spirituality featuring a debate by leading spiritual gurus belonging to different religions and an all pathies conference by leading doctors.

Also present at the conference were Mr. Gunjan Sinha – General Manager Corporate MTNL, Dr. PK Sharma – Medical Health Officer NDMC, Mr. NK Yadav – Medical Health Officer MCD and Mr. Rakesh Kumar – Regional Manager PIR LIC.

For more information about the event please visit: www.perfecthealthmela.com. Entry to the Mela is free for all.

Self-Assessment-Quiz

 

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Total CPR since 1st November 2012 – 98440 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

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emedipicstoday emedipics

Dr. Harsh Vardhan, Union Minister for Health and Family Welfare is launched the "India Newborn Action Plan and Guidelines on Newer Initiative for Newborn Health Care" today. Mr. Bill Gates and Ms. Melinda Gates were also present there.

press release

Statins may worsen asthma

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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 with fever and cough develops complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure a patient with fever and cough is not given antibiotics as presence of cough is mostly due to viral infection.

eMedinewS Humor

An Old Woman

An old man and woman were married for years, even though they hated each other. When they had a confrontation, screaming and yelling could be heard deep into the night.

The old man would shout, "When I die, I will dig my way up and out of the grave and come back and haunt you for the rest of your life!"

Neighbors feared him because of the many strange occurrences that took place in their neighborhood.

The old man liked the fact he was feared. To everyone's relief, he died of a heart attack when he was 68.

His wife had a closed casket at the wake. After the burial, she went straight home and began to party as if there was no tomorrow.

Her neighbors, concerned for her safety, asked, "Aren’t you afraid that he may indeed be able to dig his way up and out of the grave and come back and haunt you for the rest of your life?"

The wife put down her drink and said, "Let the old man dig. I had him buried upside down."

Quote of the Day

A successful person is one who can lay a solid foundation from the bricks what others have thrown at them.

Twitter of the Day

Dr KK Aggarwal: Low BP may be normal By Dr K K Aggarwal
http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful http://tinyurl.com/mwjtqc

   

eMedi Quiz

All of the following are features of hallucinations, except:

1.It is independent of the will of the observer.
2.Sensory organs are not involved.
3.It is a vivid as that in a true sense perception.
4. It occurs in the absence of perceptual stimulus.

Yesterday’s Mind Teaser: All of the following statements regarding bioavailability of a drug are true except:

1. It is the proportion (fraction) of unchanged drug that reaches the systemic circulation.
2. Bioavailability of an orally administered drug can be calculated by comparing the Area under Curve after oral and intravenous (IV) administration.
3.Low oral bioavailability always and necessarily means poor absorption.
4.Bioavailability can be determined from plasma concentration or urinary excretion data.

Answer for yesterday’s Mind Teaser: 3.Low oral bioavailability always and necessarily means poor absorption.

Correct answers received from: Tukaram Pagad, Daivadheenam Jella, Dr Avtar Krishan

Answer for 17th September Mind Teaser: 3. Presence of food enhances the absorption of hydrochlorothiazide.

Correct answers received from: Dr K V Sarma, Dr Avtar Krishan, Dr Bitaan Sen, Dr Jayashree Sen.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Good points on relaxation therapy, particularly on side effects. One of my friends went into acute psychosis after hypnotherapy in first session!! Dr Suresh Amin MD. IFCAP Consultant Pathologist 25 Alkapuri Society, Vadodara (Guj) 390005

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