eMedinewS22nd January 2014, Wednesday

Dr K K AggarwalPadma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; 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

Winter Blood Pressure 5 Mm Hg Higher than Summer Blood Pressure

The systolic (top number) and diastolic (bottom number) blood pressures rise and fall with the change of seasons.

In a study by the Institute National de la Sante et de la Recherche Medicale of Paris and published in the journal Archives of Internal Medicine involving 8801 people aged 65 or older, average systolic blood pressure was five points higher during the winter than in summer.

Instances of high blood pressure (systolic blood pressure higher than 159, or diastolic higher than 94 mmHg) in the study were found in 33.4 percent of participants during winter but just 23.8 percent during summer.

The reason could be related to the baroreflex, a mechanism of blood pressure regulation that is modified in elderly subjects or a function of the sympathetic nervous system, which helps control involuntary actions such as stress response. A 5 mm change in blood pressure can explain why more heart patients die in winter.

Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV

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 mantra
VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

What is the significance of the Swastika (Sathiyo)?

sprritual blog

During a marriage ceremony, the swastika is painted on the wall or entrance of the house to wish for the well–being and happiness of the newly weds. The word swastika means auspicious in the Sanskrit language. It is regarded as a divine sign by Hindus and is usually found in temples, symbolizing the four directions, thus making it a universal symbol. It sends out pure vibrations for universal peace and prosperity.

The lines turning inwards tell us that each individual being a part of the Universe has to turn inwards in order to attain salvation. Each person has to strive for his or her self–realization by turning inwards.

cardiology news

Sitting on your talent

There was a man who played the piano in a bar. He was a good piano player. People came out just to hear him play. But one night, a patron told him he didn't want to hear him just play anymore. He wanted him to sing a song.

The man said, "I don’t sing."

But the customer was persistent. He told the bartender, "I’m tired of listening to the piano. I want that guy to sing!"

The bartender shouted across the room, "Hey buddy! If you want to get paid, sing a song. The patrons are asking you to sing!"

So he did. He sang a song. A piano player who had never sung in public did so for the very first time. And nobody had ever heard the song Mona, Mona Lisa sung the way it was sung that night by Nat King Cole!

He had talent he was sitting on! He may have lived the rest of his life as a no–name piano player in a no–name bar, but because he had to sing, he went on to become one of the best–known entertainers in America.

You, too, have skills and abilities. You may not feel as if your "talent" is particularly great, but it may be better than you think! And with persistence, most skills can be improved. Besides, you may as well have no ability at all if you sit on whatever talent you possess! The better question is not "What ability do I have that is useful?" It is rather "How will I use whatever ability I have?"

News Around The Globe

News

  • In a new study, 5–year overall survival was significantly better in patients with gastric cancer who did not experience any perioperative complications than in those who did (43% vs 27%; P < .001).Preoperative characteristics associated with complications included older age, elevated American Society of Anesthesiologists class, previous gastrectomy, and upper gastrointestinal bleed.
  • New findings suggest that self–expandable metal stents (SEMS) are a safe and effective approach to treating colorectal obstruction due to malignant disease. Stents can be used as a bridge to surgery or as a palliative treatment. In the study reported in Digestive and Liver Diseases, the technical success rate was 99% and the clinical success rate was 94.6%.
  • Mechanical bowel preparation before reconstructive vaginal prolapse surgery offers no advantages and makes patients unhappy, according to a randomized controlled trial published online January 7 in Obstetrics & Gynecology.
  • After a slow fall season, China has seen a recent wave of H7N9 avian influenza cases, according to the World Health Organization. The United Nations agency Monday listed 23 new cases, bringing the total reported in January to 58, including four deaths. In contrast, the agency reported just eight cases from Aug. 11 through Dec. 31. But the picture supports fears expressed earlier in 2013 that the virus –– first identified in March of last year –– would return during the 2013-2014 flu season in China.
  • Eating brown rice instead of white rice may help prevent and control diabetes in rice–eating populations. In the first randomized controlled trial to compare the two in India, substituting brown rice for white rice in a population of overweight/obese individuals helped significantly reduce glucose levels and lower serum insulin. The findings were presented at the International Diabetes Federation World Diabetes Conference 2013 last month

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

Do antibodies from rabies vaccination cross an intact blood–brain barrier?

No. Antibodies from vaccination do not cross an intact blood–brain barrier.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • In a retrospective study in JAMA Internal Medicine, the presence of a respiratory infection untreated by an antibiotic, as well as exposure to an antibiotic, after accounting for other factors, were both associated with more than twice the likelihood of having an INR reading of 5.0 or higher (ORs 2.46 and 2.12, respectively) in patients taking warfarin. Excessive anti–coagulation was significantly more likely to occur with antibiotics that interfere with warfarin metabolism, such as metronidazole and trimethoprim–sulfamethoxazole.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • New research shows that previously reported differences in gray matter volume (GMV) in individuals with dyslexia are not the root cause of the disorder. Instead, it is likely that some of these differences come about because typical readers grow brain areas as they acquire reading skills, whereas those with dyslexia do not grow them at the same pace. The study was published in the January 15 issue of the Journal of Neuroscience.
  • A new study in Pediatrics found that children admitted to the hospital for wheezing or asthma commonly show signs of exposure to tobacco smoke, even when caregivers say there is no exposure, new research indicates. Secondhand smoke exposure was also associated with risk for readmission.
cardiology news

High fat diet prostate cancer prone

Diets high in saturated fat increases the risk of prostate cancer, according to a report from University of Texas M. D. Anderson Cancer Center in Houston published in the International Journal of Cancer.

  • Men who consume high saturated animal fat diet are two times more likely to experience disease progression after prostate cancer surgery than men with lower saturated fat intake.
  • There is also shorter "disease–free" survival time among obese men who eat high saturated fat diet compared with non-obese men consuming diets low in saturated fat.
  • Men with a high saturated fat intake had the shortest survival time free of prostate cancer (19 months)
  • Non–obese men with low fat intake survived the longest time free of the disease (46 months).
  • Non–obese men with high intake and obese men with low intake had "disease–free" survival of 29 and 42 months, respectively.

Take home messages

  • High saturated fat diet has been linked to cancer of the prostate
  • Reducing saturated fat in the diet after prostate cancer surgery can help reduce the cancer progression.
  • Cancer prostate has the same risk factors as that of heart blockages and both are linked to high saturated fat intake.
  • With the increase of heart patients, a corresponding increase in prostate cancer patients is also seen in the society
cardiology news

Total CPR since 1st November 2012 – 84500 trained

Media advocacy through Web Media

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press release

Restricting salt in diet can lower heart disease risk

Restricting salt in the diet can lower the risk of developing heart disease by 25 percent and the risk of dying from heart disease by 20 percent, said Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

Dietary intake of sodium among Indians is excessively high. Quoting a Harvard Medical School study published in British Medical Journal, Dr Aggarwal said that among hypertensive individuals, lowering sodium is quite well established to lower blood pressure, but now it has been shown that reducing salt also has an effect on cardiovascular disease.

When people with pre hypertension (blood pressure more than 120/80 and lower than 140/90), reduced their salt intake by about 25 to 35%, they were 25% less likely to develop cardiovascular disease 10 to 15 years after the trial ended. There was also a 20 percent lower death rate from cardiovascular disease among those who cut their salt consumption.

Salt restriction is best achieved by avoiding salted, salt cured and salt smoked foods such as lunch meat, hot dogs, ham, olives, pickles and regular salted canned foods, and other prepared foods, which often use more salt than homemade equivalents. Foods we would never think of as salty, such as breakfast cereals, cookies, and even some soft drinks, often contain copious additions of sodium.

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 84500 people since 1st November 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 10×10 i.e. 100 per minute."

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CPR 10 camp at NDMC Premises

press release

Five Things Physicians and Patients should question

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

An increased incidence of cholangiocarcinoma is seen in all ofthe following, except:

1. Hydatid cyst of liver.
2. Polycystic disease of liver.
3. Sclerosing cholangitis.
4. Liver flukes.

Yesterday’s Mind Teaser: Which of the heart valve is most likely to be involved by infective endocarditis following a septic abortion?

1. Aortic valve.
2. Tricuspid valve.
3. Pulmonary valve.
4. Mitral valve.

Answer for yesterday’s Mind Teaser: 2. Tricuspid valve.

Correct answers received from: Abhay Naik, Dr P C Das, Dr VP Thakral, Dr K Raju,
Dr KV Sarma, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Pankaj Agarwal, Dr Avtar Krishan, Daivadheenam, Dr Prakash Khalap.

Answer for 20th January Mind Teaser: 2. HbsAg and HBeAg positive

Correct answers received from: Muthumperumal Thirumalpillai, Lalithdevraj, Dr Avtar Krishan, Daivadheenam, Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

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medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

A man was just waking up from anesthesia after surgery, and his wife was sitting by his side.

His eyes fluttered open and he said, "You are gorgeous."

Then he fell asleep again. His wife had never heard him say that, so she stayed by his side.

A few minutes later, his eyes fluttered open and he said, "You are beautiful!"

Then he fell asleep again.

After a few minutes, he again opened his eyes and said, "You are cute!"

The wife was disappointed because instead of ‘gorgeous’ or ‘beautiful,’ it was now just ‘Cute.’

She said, "What happened to ‘gorgeous, beautiful’?"

Her husband replied, "The drugs are wearing off!"

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

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, an ongoing trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

The chief cause of failure and unhappiness is trading what we want most for what we want in the moment Bertrand Russell

medicolegal update

Dr KK Aggarwal: Promising Medical Advances Insights into brain injury A study by NIH researchers provided insight into the (cont) http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Happiness can be woven into every aspect of life once you make new choices

medicolegal update
  1. Dear Sir, Thanks for the information. Regards:Dr Kamal

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