eMedinewS24th May 2014, Saturday

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

Give BP drugs at night

Blood pressure drugs should be taken at night.

Uncontrolled blood pressure can lead to heart attacks, paralysis and heart failure. Most such attacks occur in the early morning hours. Pulse, blood pressure and thickening of platelets are all higher in the early morning hours.

Controlling early morning blood pressure can reduce cardiovascular mortality.

According to a study published in the Journal of the American Society of Nephrology, among patients with chronic kidney disease and high blood pressure, taking at least one antihypertensive drug at bedtime significantly improves blood pressure control, with an associated decrease in risk for cardiovascular events.

The study included 661 patients with chronic kidney disease who were randomly assigned either to take all prescribed anti BP drugs on awakening or to take at least one of them at bedtime. Patients were followed for a median of 5.4 years; during that time, patients who took at least 1 BP–lowering drug at bedtime had approximately one third of the cardiac risk compared with those who took all medications on awakening.

A similar significant reduction in cardiac deaths, heart attacks and paralysis was noted with bedtime dosing. Patients taking their medications at bedtime also had a significantly lower mean BP while sleeping.

For each 5 mmHg decrease in mean sleep–time systolic upper BP, there was a 14% reduction in the risk for cardiovascular events during follow–up.

Potential explanation for the benefit of night time treatment may be associated with the effect of night time treatment on urinary albumin excretion levels. Urinary albumin excretion is significantly reduced after bedtime, but not morning, treatment.

News Around The Globe

  • A new study published online in JAMA Neurology has reported that the pathology of cerebral small–vessel disease (SVD) and Alzheimer’s disease (AD) may be interconnected. Researchers noted that the presence of microbleeds was associated with lower CSF levels of β–amyloid 1–42 (Aβ42) in patients with AD and patients with vascular dementia (VaD), and higher CSF tau in controls.
  • A new research presented at the American Association of Clinical Endocrinologists (AACE) 23rd Annual Scientific and Clinical Congress has pointed that when a young male presents with multiple hormonal issues, physicians should consider the possibility of anorexia nervosa.
  • Olive oil supplements produce cardiovascular effects that could possibly protect healthy people from vascular endothelial dysfunction associated with exposure to particulate matter in the air, reports a new study presented at the American Thoracic Society 2014 International Conference.
  • According to findings of an international expert panel convened by the Global Partnership to Accelerate Diabetes Research, beta–cell failure appears pivotal to the development and progression of type 2 diabetes. The report appears online in Diabetes Care.
  • A new analysis from the SPS3 (Secondary Prevention of Small Subcortical Strokes) trial has shown no effect of BP lowering on cognition among patients with lacunar stroke, although the follow–up time may be insufficient to show such an effect. The findings were presented at the XXIII European Stroke Conference (ESC).

Rabies News (Dr A K Gupta)

A patient received two doses of modern vaccine (on days 0 and 3) and the dog was well on days 5 and 7 (third injection due, but not given). However, the dog dies on any day between 8 and 15. What should be done?

In case, day 0 and 3 injections were given and the dose due on day 7 was postponed because the dog was kept under observation but the dog dies between 8 and 15 days, three doses of vaccine must be given as close to the original dates of the schedule and all five injections must be completed by day 28.

Cardiology eMedinewS

  • Weight loss at any adult age, even if it is not maintained, may confer long–term cardiovascular health benefits, reports a 60–year epidemiological study. Researchers noted that people who lost enough weight to drop a BMI category, even if they regained the weight, had a mean cIMT in later life that was 0.034 mm lower than individuals who were always overweight or obese in adulthood.
  • A report published online May 20 in CMAJ Open has stated that within a year, obesity may overtake smoking as the number–one modifiable cardiovascular disease (CVD) risk factor in Canada. The study also revealed that the prevalence of diabetes is expected to increase over the next seven years.

Pediatrics eMedinewS

  • Children who regularly get too little sleep tend to have worse physical, emotional and social health than those who sleep the average amount, reports a new study published online May 19 in Pediatrics.
  • A study presented at the 13th Annual International Meeting for Autism Research has shown that multiple repetitive behaviors observed in infants at 12 months of age may be linked with a highly significant risk for a diagnosis of autism spectrum disorder (ASD) at the age of 2 years.

Dr K K Spiritual Blog

Collective Consciousness

Consciousness is an energized field of information with powers to do everything in the universe. Collective consciousness is the internet of the collective souls of many people in a group. Collective consciousness is the strongest superpower ever available in the universe. As per the Vedic texts, whatever is the intent of collective consciousness will become a reality. Scientifically collective consciousness is based on the principle of critical mass. The Vedic literature has shown it to be the 1% of the defined population under study.

The origin of the critical mass comes from 100th monkey phenomenon. The story goes as under: long ago in Japan a monkey called Emo used to eat dirty apples everyday picked up from the ground. One day by accident the apple fell down in a river, the dirt got washed off and he ate the washed apple. Obviously it tasted delicious. The monkey started washing the apple thereafter everyday before eating. His fellow monkey started following the same. The process of following went on. A time came when the 100th monkey washed the apple and ate. A strange phenomenon was noticed. All monkeys in and around that state started washing the apple before eating. The no. 100th was the critical mass.

Once this mass is crossed, the information will spread like a wild fire and the intent becomes a universal reality. Vedic literature has also shown if 1% of the public of any area meditates together the crime rate of that area goes down. It also talks about the role of critical mass in prayers in achieving miracles.

Thus the principle of critical mass is often used in designing and organizing an event. In a movie hall of 1000 people if 10 people clap sitting in different areas everybody will start clapping. The same is true for the hooting of a particular scene. Most politicians use this principle when they organize election rallies. For a gathering of 10000, they need 100 and for a gathering of 1000 people, they only need 10 supporters who are supposed to sit in different areas and shout or clap on given directions. The Mexican way of hooting or clapping in cricket grounds also follow the same principle. For a ground like Eden Gardens with a capacity of 75,000 people you only require 750 people to control the mood of the people. This is what happened in an incident when the Indian team was hooted out by the sentence "No Ganguli no play, No Dada no play". If Greg Chappell or Jagmohan Dalmiya had anticipated they would have used the same strategy to produce opposite result. They could have posted 1500 people (2% of the population) in the stadium shouting pro–Dravid slogans and the end result of the match could have been different.

Most successful leaders used this technology to lead. Extremist organizations also follow the same principle. The classical examples are the public of Kashmir and Punjab. For an extremist organization the only thing required is to sensitize 1% of the population to believe that Khalistan or Kashmir liberty is the need of the day. The same will be true to counter it.

Wellness Blog

ABO blood type is a risk factor for coronary heart disease

Two prospective cohort studies have identified the ABO blood group as a risk factor for the development of heart disease. People with blood groups A, B, or AB were 5–23% more likely to develop coronary heart disease compared with those with O blood type. The study by Dr Meian He from Harvard School of Public Health, Boston, MA included 62 073 women from the Nurses’ Health Study (NHS) and 27 428 men from the Health Professionals Follow–up Study (HPFS) and is published in the September 2012 issue of Arteriosclerosis, Thrombosis, and Vascular Biology.

In the NHS and HPFS, the incident rates of coronary heart disease per 100 000 person–years were 125, 128, 142, and 161 for women with type O, A, B, and AB, respectively, and 373, 382, 387, and 524 for men with type O, A, B, and AB, respectively. Compared with individuals with O blood type, individuals with blood group A, B, or AB had a respective 5%, 11%, and 23% increased risk of developing coronary heart disease in an age–adjusted model.

In non–O individuals, plasma levels of factor VIII–von Willebrand factor (vWF) are approximately 25% higher than in individuals with type O blood type. Elevated levels of factor VIII–vWF have been previously identified as a risk factor for coronary heart disease. The vWF has an important role in hemostasis and thrombosis by mediating platelet adhesion to the vascular wall, especially under high shear stress conditions.

Inspirational Story

Did you know…?

That Joan of Arc was only 17 when she was riding at the head of the army that liberated France from the English? That John Calvin was 26 when he published his "Institutes"?

That John Keats died when he was 26? That Shelley was 30 when he was drowned, but not before he left English literature his classic "Odes"?

That Sir Isaac Newton had largely discovered the working of the law of gravitation when he was 23? That Henry Clay, the "great compromiser," was sent to the United States Senate at 29 and was Speaker of the House of Representatives at 34?

That Raphael painted his most important pictures between 25 and 30? That Mozart only lived 35 years?

Of course, most of us will never achieve the prominence of these extraordinary individuals. Nor should we –– we are each cut from a unique pattern. But many people feel as if they should be leaving more of a mark on the world. When I was a young man I wanted to make things happen. After a few years I realized I would have to content myself with watching most things happen. (Now I often find that I have no idea at all what is happening!)

It helps to remember that there is a time for everything – and everybody. Our time to bear good fruit may be yet to come. In fact, we may do our best work, or find our unique place, later in life.

Colorado aspen trees grow vigorously. After the devastation of a forest fire, frequent occurrences in the Rockies, aspens are sometimes the first trees to return. They re–forest an area quickly, providing shade for slower–growing spruce and pine saplings. These evergreens grow slower, but may live many years longer than the aspens. Each tree grows in its own time.

So does each person. Some people come to fruition quickly; others contribute more significantly in later years.

If you’ve not yet come into your own, don’t worry. Tend to your work and aspirations with care. Don’t give up; but rather be patient, for growth can be slow. Remember, storms and disease are devastating, but they can also prune you and make you stronger. With proper nurture, you will in time enjoy a full harvest.

There is a time for everything and everybody. And the time to begin is now.

ePress Release

Smoking may dull taste buds

Smoking dampens the ability to taste, 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.

In a study published in the journal BMC Ear, Nose and Throat Disorders, doctors used electrical stimulation to test the taste threshold of 62 Greek participants. Applying an electrical current to the tongue generates a unique metallic taste.

Measuring the amount of current required before a person perceives this taste enables researchers to determine taste sensitivity. The 28 smokers in the study scored worse on this test than the 34 non–smokers. The doctors than measured the number and shape of a type of taste bud called fungiform papillae.

They found that the smokers had flatter fungiform papillae, with a reduced blood supply. Nicotine may cause functional and morphological alterations of papillae, at least in young adults.

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."

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
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Health Check Up Camp at Modern Era Public School, 16th May 2014

press release

FDA OKs first drug-eluting stents for use in MI

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: A female patient complained of lower abdominal pain, fever and had uterine tenderness on bimanual palpation.
Reaction: Oh my God! You should do cervical swabs and consider starting antibiotics.
Lesson: Make sure to remember that women with such symptoms may have endometritis, which requires prompt diagnosis. It may respond to doxycycline and metronidazole.

eMedinewS Humor

I’ve sure gotten old. I’ve had two bypass surgeries…a hip replacement, new knees…fought prostate cancer, and diabetes. I’m half blind, can’t hear anything quieter than a jet engine, take 40 different medications that make me dizzy, I’m winded, and subject to blackouts.

I have bouts with dementia…have poor circulation… hardly feel my hands and feet anymore…can’t remember if I’m 85 or 92…have lost all my friends.

But, thank God, I still have my Florida driver’s license.

Quote of the Day

This is my simple religion. There is no need for temples; no need for complicated philosophy. Our own brain, our own heart is our temple; the philosophy is kindness. Dalai Lama

 

Twitter of the Day

Dr KK Aggarwal: First BP should be checked at age three http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Body Mind Soul & connection to Well Being http://bit.ly/WAYHF_DC #WAYHF

 

eMedi Quiz

What is not true for HNPCC (hereditary nonpolyposis colorectal cancer)?

a) It is the most common hereditary colorectal cancer syndrome in USA.
b) It is associated with MMR gene mutation.
c) It is associated with APC mutation.
d) It is associated with carcinoma colon and extraintestinal cancers.

Yesterday’s Mind Teaser: The prevalence of skin infections in HIV infection is approximately:

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

Answer for yesterday’s Mind Teaser: c. 90–100%

Correct Answers received from: Dr Prakash Khalap, Dr K Raju, Dr K V Sarma.

Answer for 22nd May Mind Teaser: c. Indinavir

Correct Answers received from: Dr K Raju, Dr K V Sarma.

Send your answer to ijcp12@gmail.com

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  1. Dear Sir, very informative newspaper. Regards: Dr Sapna
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