eMedinewS
22nd November 2014, Saturday

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, 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

Flu fighting foods

Beyond the flu shot, and avoiding physical contact like handshakes one can also build up the immune system with foods.

  • Proteins like lean meat, poultry, seafood, eggs, beans and soy products can boost immunity.
  • Vitamin A protects from infections and is present in colorful carrots, kale, spinach, sweet potatoes, and red bell peppers.
  • Vitamin C boosts immunity and is present in citrus fruits.
  • Vitamin E in nuts works as an antioxidant neutralizing free radicals. Throw in some almonds or sunflower seeds for a little healthy Zinc. Other sources are lean beef, crab, black eye peas and tofu! (Source Medline Plus)

News Around The Globe

  • Rheumatologists need to be aware of possible Chikungunya virus diagnoses in patients who present with widespread joint pain, say experts at the American College of Rheumatology 2014 Annual Meeting.
  • About one in five people with type 2 diabetes do not respond favorably to exercise, suggests a new literature review. The data suggest that about 15% to 20% of patients with type 2 diabetes will not experience improvements in HbA1c, insulin sensitivity, percent body fat, or muscle mitochondrial content even with supervised exercise. The data were published online November 20 in the Journal of Clinical Endocrinology and Metabolism.
  • The Alzheimer's disease (AD) drug memantine, a medication that blocks N-methyl-D-aspartate (NMDA) receptors, may also decrease binge eating behaviors, points preliminary research published online in Neuropsychopharmacology.
  • Rates of incidence of inflammatory bowel disease (IBD) are significantly increased in people with asthma or chronic obstructive pulmonary disease (COPD), suggest the findings of a population-based study published online November 19 in the European Respiratory Journal.
  • A new study supports a link between low levels of vitamin D and increased risk for cognitive decline. Researchers noted that in a group of cognitively intact older adults, serum 25-hydroxyvitamin D (25OHD) levels below 75 nmol/L at the outset predicted cognitive decline over the next 4 years, independent of other factors. The study was published online in Neurology.

66th Annual Conference of Cardiological Society of India (CSI) -2014

HCM

Dr KK Spiritual Blog

Think positive and think different

The Mantra to acquire spiritual health is to think positive and differently. When you think positive, it creates positive hormones and takes you from sympathetic mode to parasympathetic mode. When you think different, it gives you opportunities and from multiple options available, you can ask your heart to choose one of them.

Thinking positive was a message given by Lord Buddha and thinking different by Adi Shankaracharya.

The candle light march which was done for fighting justice in Jessica Lal murder case has been picked up by most of the protest campaigns because it was positive and different.

I have seen three examples in my life where I used this and prolonged the life of those persons. My grandfather-in-law at the age of 85 thought it was time to go but when we made him work positively and differently, he die at the age of 100 years. He was asked to teach youngsters law, write everyday to the Prime Minister on certain issues and find matrimonial matches for the youngest persons in the family.

In other two cases, one was suffering from terminal prostate cancer and the other terminal brain cancer. The first one lived for ten years and the other is still alive.

Both were told that they had a very early cancer and that was cured by a surgery.

When you think different, it creates creativity and when it is with positive attitude, it is accepted by all.

Inspirational Story

Shake It Off and Step Up

A parable is told of a farmer who owned an old mule. The mule fell into the farmer's well. The farmer heard the mule 'braying' - or whatever mules do when they fall into wells. After carefully assessing the situation, the farmer felt sorry for the mule, but decided that neither the mule nor the well was worth saving. Instead, he called his neighbors together and told them what had happened and asked them to help haul dirt to bury the old mule in the well and put him out of his misery.

Initially, the old mule was hysterical! But as the farmer and his neighbors continued shoveling and the dirt hit his back, a thought struck him. It suddenly dawned on him that every time a shovel load of dirt landed on his back: he should shake it off and step up! This is what the old mule did, blow after blow.

"Shake it off and step up... shake it off and step up... shake it off and step up!" he repeated to encourage himself. No matter how painful the blows, or distressing the situation seemed, the old mule fought "panic" and just kept right on shaking it off and stepping up!

You guessed it! It wasn't long before the old mule, battered and exhausted, stepped triumphantly over the wall of that well! What seemed like it would bury him, actually end up blessing him. All because of the manner in which he handled his adversity.

In addition to "shaking it off and step up," we Christians have our heavenly Father to help get us through rough times. When the going gets rough, keep looking up, and trust him.

Rabies News (Dr A K Gupta)

Can a person receiving/completed antirabies immunization, either pre–exposure or post–exposure, donate blood?

A person receiving/completed antirabies immunization can donate blood. However, the recipient does not benefit from the transfer of rabies–neutralizing antibodies due to hemodilution.

Cardiology eMedinewS

  • Supplemental oxygen routinely given to acute myocardial infarction (MI) patients from the ambulance through to the recovery room might actually be hurting their hearts. Infarct size estimated by creatinine kinase levels was greater with oxygen than with none for patients with normal oxygen saturation (ratio of geometric mean peaks 1.26, P=0.01), Dion Stub, MBBS, PhD, of the Baker IDI Heart and Diabetes Institute in Melbourne, Australia, and colleagues found. Infarct size measured by the more accurate cardiac MRI in a subset of patients after 6 months showed the same pattern (median 20.3 versus 13.1 g,P=0.04). The findings of their research were presented at the American Heart Association meeting (MedPage).
  • Twenty-year follow-up of the West of Scotland Coronary Prevention Study (WOSCOPS) has shown that treatment with a statin for 5 years provides a persistent reduction in cardiovascular disease outcomes over the course of 2 decades. The data were presented at the American Heart Association (AHA) 2014 Scientific Sessions.

Pediatrics eMedinewS

  • Teenagers with physical or mental disabilities, including learning disabilities, are more likely to be obese than their typically developing peers, and they are more likely to indulge in unhealthy weight-loss behavior, suggests new research presented at the American Public Health Association (APHA) 142nd Annual Meeting.
  • Early sodium supplementation for very premature infants can enhance weight gain, suggests a recent study published in the OnlineFirst version of the Journal of Parenteral and Enteral Nutrition (JPEN).

Quote of the Day

  • Luck is what happens when preparation meets opportunity. Seneca

Wellness Blog

Treatment of Fatty Liver

  • 10 % weight loss can improve fatty liver and possibly inflammation.
  • Metformin and ursodeoxycholic acid are not recommended.
  • Statins are safe in patients with fatty liver but whether they can reduce fatty liver is not known.
  • Omega-3 fatty acids have been tried.
  • Pioglitazone is useful in the treatment of biopsy-proven fatty liver with inflammation.
  • Vitamin E at a dose of 800 IU/day improves liver inflammation
  • Use of bariatric surgery for treatment of fatty liver is premature and should be avoided in patients with cirrhosis.

ePress Release

Heart Care Foundation of India’s President Dr. K K Aggarwal conferred the title of Honorary Professor in Bioethics

Recognizing commitment and outstanding contribution to the medical field at large, the Vice Chancellor of SRM University, Dr. T P Ganesan, awarded the title of 'Honorary Professor in Bioethics, SRM Medical College Hospital & Research Center, Kttankulathur' to three leading doctors during a National Conclave in Bioethics organized by Asia Pacific Bio Ethics Network of UNESCO organized at SRM University Potheri, Chennai last evening.

The recipients included Dr. A Marthanda Pillai, the incoming National President and Dr. K K Aggarwal, the incoming Secretary General of Indian Medial Association IMA. Both, Dr. Pillai and Dr. Aggarwal, are recipients of Padma Shri Awards. Dr. N Dinesh, Professor of Psychiatry, Amrita Institute of Medical Sciences Cochin also received the Honorary Professorship.

SRM University is the lead UNESCO Chair in Bio Ethics that was established by UNESCO Asia Pacific Bio Ethics Network for Education, Science and Technology and acts as the Secretariat of the Asia Pacific Bio Ethics Network. It is also the India Lead Office of the Asia Pacific Bio Ethics Network.

In a joint statement Padma Shree Awardee and President of Heart Care Foundation of India, Dr. K K Aggarwal and Dr. A Marthanda Pillai said, “It will be our endeavor to educate all its 2,50,000 members of the Indian Medical Association on Bioethics through IMA e-Connect program”.

Retired Justice of Supreme Court of India and Former Chairman Law Commission of India AR Lakshmanan gave the keynote address of the conference.

Tamil Nadu state IMA President Dr. M Balasubramanian said that it is a great honor for IMA Top Office Bearers to receive honorary professorships.Dr. Russell F D’ Souza Chairman of Asia Pacific Bio Ethics Network of UNESCO said that UNESCO would join hands with IMA in the coming year to propagate the message of bioethics amongst medical professionals with a standard curriculum.

Dr P Thangaraju SRM Pro Vice Chancellor, Dr Balakrishnan, Dean Medical Research, SRM University and Prof. Dr James Pandian, SRM Dean were also present on the occasion and deliberated on the subject.

Delegates from Tamil Nadu, Kerala, Karnataka, Maharashtra, Delhi, Manipur & Nepal participated in the conclave.

eMedi Quiz

Acantholysis is characteristic of:

1. Pemphigus vulgaris.
2. Pemphigoid.
3. Erythema multiforme.
4. Dermatitis hepetiformis.

Yesterday’s Mind Teaser: The Protein Efficiency Ratio (PER) is defined as:

1. The gain in weight of young animals per unit weight of protein-consumed.
2. The product of digestibility coefficient and biological value.
3. The percentage of protein absorbed into the blood.
4. The percentage of nitrogen absorbed from the protein absorbed from the diet.

Answer for yesterday’s Mind Teaser: 1. The gain in weight of young animals per unit weight of protein-consumed.

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr. Poonam Chablani.

Answer for 20th November Mind Teaser: 1. The source of infection is mainly clinical cases.

Correct answers received from: Dr Jainendra Upadhyay, Priyanka, Dr Rakesh Sharma, Dr Hitendrasinh Thakor, Raju Kuppusamy.

Send your answer to email

emedipicstoday emedipics

21st Perfect Health Mela 18th October 2014

Self-Assessment-Quiz

 

expert_choice
press release

Longer CPR efforts may improve survival chances

video of day

Other Blogs

Video Library

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 101090 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)

 

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 :

 

Dr Good and Dr Bad

Situation: A patient with Mediclaim of Rs. 2 lakhs has used a cumulative bonus of Rs. 40000 after 8 years. What is the amount he can claim in the next year?
Dr. Bad: Same as 2.4 lakhs.
Dr. Good: It will be 10% less.
Lesson: Incase of claim under the policy in respect of insured person who has earned the cumulative bonus, the increased percentage will be reduced by 10% of claim of sum insured on the next renewal. However, basic sum insured will be maintained and will not be reduced.

Make Sure

Situation: A 14 year–old girl suffering from dysmenorrhea wanted an analgesic for her pain.
Reaction: Oh My God! Why was aspirin given!
Lesson: Make sure to remember that aspirin is contraindicated in children.

eMedinewS Humor

Mr. Smith is Dead

A law firm receptionist answered the phone the morning after the firm's senior partner had passed away unexpectedly.

"Is Mr. Smith there?" asked the client on the phone.

"I'm very sorry, but Mr. Smith passed away last night," the receptionist answered.

"Is Mr. Smith there?" repeated the client.

The receptionist was perplexed. "Perhaps you didn't understand me I'm afraid Mr. Smith passed away last night."

"Is Mr. Smith there?" asked the client again.

"Ma'am, do you understand what I'm saying?" said the exasperated receptionist. "Mr. Smith is DEAD!"

"I understand you perfectly," the client sighed. "I just can't hear it often enough."

Twitter of the Day

Dr KK Aggarwal: Do every cycle of prnayam every day
Dr Deepak Chopra: Self awareness is the only way to experience, understand & know consciousness

 
medicolegal update

Q. My hospital sometimes advertises in the newspapers inviting philanthropists to help poor patients who do not have money to pay for costly surgery etc. When the donors, including MLAs, come to the hospital for the charity, they bring with them local press and media people for publicity. This sometimes affects the normal functioning of the hospital. Are any hospital ethics being violated? What are your comments?

A. My comments are as follows:

  • Your hospital is doing a good service. No hospital ethics are being violated.
  • The media and press coverage might cause some disturbance in the hospital but that is for a good cause. Moreover, the hospital gets free publicity. This may be good for the hospital.
medicolegal update
  1. Dear Sir, Thanks for the nice information. Regards: Dr Kamal.

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues 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)