eMedinewS1st May 2014,Thursday

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

Non–alcoholic Fatty Liver Disease Independently Predicts Prediabetes

Non–alcoholic fatty liver disease has been linked to increased risk for developing type 2 diabetes. A new study in Liver International 2013;33(9):1406–1412 evaluated the independent role of NAFLD in predicting the development of pre–DM in a 7–year prospective follow–up of healthy volunteers.

A prospective cohort of a subsample of the Israeli National Health Survey was evaluated at baseline and after 7 years by identical protocols. Metabolic parameters and ultrasonographic evidence of NAFLD were evaluated in 213 subjects, without known liver disease or history of alcohol abuse. Exclusion criteria were pre–DM at the baseline survey. Steatosis was quantified by ultrasound with the hepatorenal ultrasound index (HRI).

The study included 141 volunteers (mean age 48.78 ± 9.68, 24.82% with NAFLD) without pre–DM/DM at baseline. Both NAFLD on regular US (OR=2.93, 1.02–8.41 95%CI) and HRI (OR=7.87, 1.83–33.82) were independent predictors for the development of pre–DM, adjusting for age, gender, BMI, family history of DM, baseline insulin, adiponectin and glucose. Further adjustment for physical activity and dietary intake did not weaken the association. Furthermore, NAFLD was a stronger predictor for pre–DM than the metabolic syndrome. Subjects with both NAFLD and glucose ≥89 had 93.3% incidence rate of pre–DM. The study concluded that non–alcoholic fatty liver disease is a strong and independent risk factor for pre–DM in the general adult population; thus, NAFLD patients should be classified as a population at risk.

News Around The Globe

  • A study published in the May issue of Surgery has shown that after low–risk procedures to remove urinary stones, 1 in 7 patients end up having an unplanned emergency visit at substantial cost. The most common reasons for the unplanned follow–up visit included pain (16%), infection (10%), bleeding (1.5%), and renal failure (1.4%).
  • Further evaluation of data from the phase 2 MIRROR study with the anti–B cell antibody ofatumumab has pointed that an optimal dose can be found that will bring about maximal suppression of multiple sclerosis (MS) lesions without completely eradicating all B cells. The findings were presented at the American Academy of Neurology (AAN) 66th Annual Meeting.
  • A study published online in Stroke on April 22 has suggested a significant association between geomagnetic activity and an increased risk for stroke. Researchers noted that of the 16.9 million new strokes currently happening in the world per year, almost half a million could be due to geomagnetic storms.
  • Bright–light therapy is safe and effective in improving excessive daytime sleepiness (EDS) in patients with Parkinson’s disease, reports a study presented at the American Academy of Neurology (AAN) 66th Annual Meeting.
  • A paper published online in Rheumatology has reported that although vitamin D has been noted to have an association with several markers of disease activity in ankylosing spondylitis (AS), a definitive relationship has not yet been identified.

Rabies News (Dr A K Gupta)

What are monoclonal antibodies?

Monoclonal antibodies (mAb) are important reagents used in biomedical research, in diagnosis of diseases, and in treatment of such diseases as infections and cancer. These antibodies are produced by cell lines or clones obtained from animals that have been immunized with the substance that is the subject of study. The cell lines are produced by fusing B cells from the immunized animal with myeloma cells.

Cardiology eMedinewS

  • Researchers of the Cardiothoracic Surgery Research Program at the NHLBI have developed techniques to overcome some of the immunologic roadblocks that hinder successful xenotransplantation for heart failure patients using genetically engineered pigs as a source of donor hearts. Genes that are immunogenic for humans have been eliminated and several human genes have been added to the pig genome.
  • A novel research has suggested that among children with the heart defect "transposition of great arteries" (TGA), 90–day outcomes after the arterial switch operation (ASO) may give a more revealing picture than the traditional reliance on 30–day data. Very low 30–day mortality may give false sense of complacency.

Pediatrics eMedinewS

  • A novel research has suggested that young girls who have been called "too fat" have increased odds of being obese as young adults. Study authors noted that girls who had been called "too fat" at the age of 10 by their father, mother, brother, sister, friend or teacher, were more likely to have a BMI in the obese range 10 years later than those who had not been labeled that.
  • A recent meta–analysis has revealed that children with autism spectrum disorder (ASD) have a 4.42–fold higher incidence of gastrointestinal symptoms as compared to those without ASD. Children with ASD had 3.63 times the prevalence of diarrhea, 3.86 times the prevalence of constipation, and 2.45 times the prevalence of abdominal pain compared to typically developing children.

Dr K K Spiritual Blog

Alternative medicine and healing

The universe is made of five elements, namely air, space, fire, water and earth. Any imbalance of these five elements leads to natural disasters. The science which deals with balancing these five elements and using them as a therapeutic modality is Naturopathy. The five elements also constitute human body. These five elements in the body form three humors i.e. movement, metabolism and structure, which define the Vata, Pitta and Kapha functions of Ayurveda.

A vitiation of any of the three humors leads to diseases and balancing these three humours makes the basis of Ayurvedic healing.

These three humours define seven Dhatus – Rasa, Rakta, Mamsa, Medha, Asthi, Majja and Shukra (plasma, blood, muscles, adipose tissues, bone, bone marrow and vital force including semen and ova).

The science which deals with balance of these dhatus is again Ayurveda.

These seven dhatus make organs, organs have receptors. Various drugs act at these receptors. This forms the basis of the modern allopathic medicine. The science which deals with these organs is modern science or allopathy.

When the drugs act as receptors, the drugs can be allopathic, homeopathic tincture or Ayurvedic. All of them differ in their preparations. Ayurvedic drugs are from natural sources potentised by grinding and homeopathic drugs are alcohol extracts of various molecules, which may be plant in origin or biochemical in origin.

Homeopathic tinctures can also be titrated or potentised or triturated.

The drug molecules can be converted into more potentised form as mentioned above by grinding in Ayurveda, trituration in homeopathy and by using nanotechnology in modern medicine.

Matter can also be converted into non–matter, a technique used in classical homeopathy and bhasma therapy in Ayurveda. A similar technology is used for vaccine therapy in modern medicine.

In homeopathy, liquid and solid molecules are triturated or potentised repeatedly in succession till no more matter is traceable in the original solution. Once the matter is converted into non–matter it becomes a classical potentised homeopathy medicine. The same exercise is done by repeatedly heating; matter can be converted into potentised non–matter, a technique well–defined in Ayurveda.

In science of physics, matter is made of atoms; atoms break down into proton, neutron and electron. They breakdown into photons and they into quantum and quantum into energy and energy into waves and these waves arise out of nothing called consciousness or the potential.’

The science, which deals with balancing these waves and shunya or consciousness, is the science of yogic meditation.

The science, which deals with balancing at the level of quantum and energy, is the science of classical homeopathy and bhasma Ayurveda.

All the above make it very clear that most of these pathies act at different levels and therefore there is a ground for their merger.

The time has come for all the pathies to work together and carry out research together so that benefits of each can be availed of in treating the patients.

Wellness Blog

Being a doctor is injurious to health

When I was President of Delhi Medical Association in 2005, we tried to honor doctors, who were 80 plus. We could not find many. The DMA also tried to honor doctors last year, who were 80 plus. Again they could not find many.

As per normal statistics, 8% of people should be above 60 years of age, which means 14 lakh people in Delhi would be above the age of 60, out of which 10% would be above the age of 80 amounting to 1.4 lakhs.

If we apply similar statistics to DMA members numbering 15000, we should have 1200 doctors above the age of 60 and 120 doctors above the age of 80.

The very fact that we do not have so many DMA doctors who are 80 plus, means that being a doctor is injurious to health.

Most people believe that doctors live longer as they know everything about health but this is not true. Doctors die 10 years earlier than non–doctors.

General public needs to follow and understand principles of prevention of lifestyle disorders but doctors need to strictly follow them.

I normally teach my GPs and my patients how to be free from lifestyle disorders till the age of 80. I teach the same by narrating the formula of 80 which is as under:

  • Keep your lower blood pressure, LDL bad cholesterol, fasting blood sugar, fasting heart rate, abdominal circumference all below 80.
  • For that you should walk 80 minutes a day and brisk walk 80 minutes a week where brisk walk means minimum 80 steps in a minute.
  • Eat less than 80 g of caloric solids and drink less than 80 ml of caloric liquid in one meal. Do not eat cereals 80 days in a year.
  • Take sunbath 80 days in a year to remove deficiency of vitamin D.
  • Avoid sitting in a noisy atmosphere of more than 80 db.
  • One should not take alcohol but if one takes, it should be less than 80 ml (whisky) a day and 80 g (240 ml) a week.
  • One should do 80 cycles of pranayama every day (slow and deep parasympathetic breathing) and spend 80 minutes a day in a non toxic mental environment with no condemnations, no criticisms, and no complaints. Instead during this period, give non–materialistic gifts and think different and positively.
  • Smoking and transfats should be zero so as to avoid any cardiac interventions which may end up with you spending 80,000 rupees.
  • In terms of diet, I normally recommend that one meal a day should be fruits, one vegetable and salad and third a regular meal. As far as possible, carbohydrates should not be taken in all the meals. Trans fats are bad for the heart and should be avoided at any cost.

All the above are true for general public but should be strictly followed by the medical community.

Inspirational Story

Money is yours but resources belong to society

This is about an Indian’s experience in Germany. Please read it carefully.

Germany is a highly industrialized country. It produces top brands like Benz, BMW, Siemens etc. The nuclear reactor pump is made in a small town in this country. In such a country, many would think that its people led a luxurious life. At least that was my impression before my study trip.

When I arrived at Hamburg, my colleagues who work in Hamburg arranged a welcome party for me in a restaurant. As we walked into the restaurant, we noticed that a lot of tables were empty. There was a table where a young couple was having their meal. There were only two dishes and two cans of beer on the table. I wondered if such simple meal could be romantic, and whether the girl will leave this stingy guy.

There were a few old ladies on another table. When a dish is served, the waiter would distribute the food for them, and they would finish every bit of the food on their plates.

We did not pay much attention to them, as we were looking forward to the dishes we ordered. As we were hungry, our local colleague ordered more food for us.

As the restaurant was quiet, the food came quite fast. Since there were other activities arranged for us, we did not spend much time dining. When we left, there was still about one third of unconsumed food on the table.

When we were leaving the restaurant, we heard someone calling us. We noticed the old ladies in the restaurant were talking about us to the restaurant owner. When they spoke to us in English, we understood that they were unhappy about us wasting so much food. We immediately felt that they were really being too busybody. "We paid for our food, it is none of your business how much food we left behind," my colleague Guy told the old ladies.

The old ladies were furious. One of them immediately took her hand phone out and made a call to someone. After a while, a man in uniform claimed to be an officer from the Social Security Organization arrived. Upon knowing what the dispute was, he issued us a 50 Mark fine. We all kept quiet. The local colleague took out a 50 Mark note and repeatedly apologized to the officer.

The officer told us in a stern voice, "Order what you can consume, money is yours but resources belong to the society. There are many others in the world who are facing shortage of resources. You have no reason to waste resources."

Our face turned red. We all agreed with him in our hearts. The mindset of people of this rich country put all of us to shame. We really need to reflect on this. We are from country which is not very rich in resources.

To save face, we order large quantity and also waste food when we give others a treat. This lesson taught us a lesson to think seriously about changing our bad habits.

My colleague photocopied the fine ticket and gave a copy to each of us as a souvenir. All of us kept it and pasted on our wall to remind us that we shall never be wasteful.

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

World Earth Day Celebration at DAV Public School, RK Puram, New Delhi.

press release

Vitamin D intake associated with reduced risk for Crohn’s disease

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: Doctor, this patient has developed acute renal failure.
Reaction: Oh my God, I forgot that he was on furosemide. I gave him full dose of amikacin.
Lesson: Make sure before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

eMedinewS Humor

A Nice Boy?

One night a teenage girl brought her new boyfriend home to meet her parents, and they were appalled by his appearance: leather jacket, motorcycle boots, tattoos and pierced nose.

Later, the parents pulled their daughter aside and confessed their concern. "Dear," said the mother diplomatically, "he doesn’t seem very nice."

"Oh please, Mom," replied the daughter, "if he wasn’t nice, why would he be doing 500 hours of community service?"

Quote of the Day

Money is like a sixth sense – and you can’t make use of the other five without it. William Somerset Maugham

 

Twitter of the Day

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question.#CosmicConsciousness

 

Forth Comming Event

A symposium on "Importance of Alternate Medicine and Healings in this Era" & "Build India Awards 2014" 4th May 2014, 6:30PM Onwards Gulmohar Hall India Habitat Centre, Lodhi Road New Delhi 7:15PM: Lamp Lighting Ceremony by Chief Guests:

  • Sri Ravindra Bhandari, Convener Bharat Nirman,
  • Homoeopathy King DR. S.P.S. Bakshi,
  • Padma Shri Dr. K.K.Aggarwal
  • Organic Lady Dr. Vandana Shiva (Promoter Navdanya)
  • Reiki Healer Dr. N.K. Sharma
  • Sri A.K.Singh (ZM North Zone LIC)

ePress Release

Chocolate, not tea, good for the heart

Regular consumption of polyphenol–rich cocoa products like dark chocolate may be considered a part of dietary approaches to lower BP, provided there is no total gain in calorie intake, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

Drug treatment is the basis of blood pressure control, and it should always be accompanied by lifestyle measures such as exercise and proper diet.

The recommendation is an occasional cup of cocoa but not chocolate milk, because it is high in sugar and fat.

According to a survey of medical literature by German researcher, Dr. Dirk Taubert from the University Hospital of Cologne, Cocoa–rich products help lower high blood pressure and not tea. They covered 10 studies on cocoa that included 173 participants and five tea studies with 343 participants. The cocoa studies lasted an average of two weeks, with four out of five trials reporting a reduction in both systolic and diastolic BP.

The average reduction was 4 to 5 mmHg in systolic pressure and 2 to 3 mmHg in diastolic pressure, enough to reduce the risk of stroke by 20 percent and of coronary heart disease by 10 percent. No such reduction in blood pressure was noted in any of the tea trials, which lasted an average of four weeks. Tea and cocoa contain different kinds of polyphenols –– flavan–3–ols in tea, procyanids in cocoa.

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

Prevalence of skin infections in HIV infection is approximately

a.50–60%
b.70–80%
c.90–100%
d.extremely rare

Yesterday’s Mind Teaser: Which of the following is not a post transcriptional modification of RNA?

1. Splicing.
2. 5’ Capping.
3. 3’ polyadenylation.
4. Glycosylation.

Answer for yesterday’s Mind Teaser: 4. Glycosylation.

Correct answers received from: Dr KV Sarma, Dr Poonam Chablani, Dr Jainendra Upadhyay, Dr Vishal D Wahane,
Dr K Raju, Dr Chandresh Jardosh, Daivadheenam Jella, Dr Avtar Krishan.

Answer for 29th April Mind Teaser: 2. pKa

Correct answers received from: Dr Bitaan Sen & Dr Jayashree Sen.

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Very informative news. Regards: Dr Kaya
cardiology news

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