eMedinewS
25th November 2014, Tuesday

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

Is Caffeine Good For Health?

  • Caffeine is the most consumed stimulant in the world,
  • It is consumed in the form of coffee and tea.
  • At present there is no scientific data for promoting or discouraging coffee and/or tea consumption in the daily diet.
  • Short-term benefits include mental alertness and improved athletic performance.
  • Short-term adverse effects including headache, anxiety, tremors, and insomnia.
  • Long-term adverse affects include generalized anxiety disorder and substance abuse disorders.
  • Long-term benefits are dose-dependent. Caffeine is associated with a reduced risk of Parkinson’s disease, Alzheimer’s disease, alcoholic cirrhosis and gout. Both caffeinated and decaffeinated coffee is also associated with a lower risk of type 2 diabetes.
  • Heavy coffee intake may trigger coronary and arrhythmic events in susceptible individuals, although coffee intake is not considered a long-term risk factor for myocardial disease.
  • Most studies show a modest inverse relationship between coffee consumption and all-cause mortality.
  • Caffeine withdrawal is a well-documented clinical syndrome with headache being the most common symptom. (Source: Uptodate)

News Around The Globe

  • Between 2001 and 2009 the number of geriatric patient visits to U.S. emergency departments (EDs) increased 24.5%, which outpaced the growth in outpatient geriatric visits.
  • In an analysis of registry data, moderate TSH suppression was associated with better overall survival and disease-free survival -- but aggressive suppression was not, Aubrey Carhill, MD, of the University of Texas MD Anderson Cancer Center, reported during an oral session at the American Thyroid Association meeting.
  • The drug D-cycloserine is no more effective than placebo when used with a computer-based cognitive training program for relieving persistent ear ringing in patients with tinnitus in a small clinical study, but patients did report fewer cognitive difficulties.
  • In a recommendation classified as weak and with low-quality evidence, the guideline committee wrote, "ACP recommends management with increased fluid intake spread throughout the day to achieve at least 2 L of urine per day to prevent recurrent nephrolithiasis," according to Amir Qaseem, MD, PhD, director of the ACP's department of clinical policy, and colleagues. And in a second recommendation, also classified as weak but with moderate-quality evidence, they stated in the Nov. 4 issue of Annals of Internal Medicine, "ACP recommends pharmacologic monotherapy with a thiazide diuretic, citrate, or allopurinol to prevent recurrent nephrolithiasis in patients with active disease in which increased fluid intake fails to reduce the formation of stones."
  • Dasabuvir and ombitasvir + paritaprevir + ritonavir have been recommended by the European Medicines Agency's (EMA's) Committee for Medicinal Products for Human Use (CHMP) for the treatment of adults with chronic hepatitis C virus (HCV) infection.

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

RF

Dr KK Spiritual Blog

Why do we light Camphor in any Pooja?

No Arati is performed without camphor. Camphor when lit burns itself out completely without leaving any trace.

Camphor represents our inherent tendencies or vasanas. When lit by the fire of knowledge about self, the vasanas burn themselves out completely, not leaving a trace of ego.

Ego is responsible for a sense of individuality that keeps us separate from the Lord or consciousness.

Also, when camphor burns it emits a pleasant perfume. This signifies that as we burn our ego we can only spread love and nothing else.

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)

If a person is on antimalarials or steroids or taking immunosuppressant drug, what is the schedule for rabies vaccine?

The vaccine on Day 0 (first injection) must be doubled and given at two sites (deltoids or thigh in young children). In category II exposures, it is recommended to administer even RIGs along with vaccine. Rest of the schedule is same as for any other patient.

Cardiology eMedinewS

  • Having atrial fibrillation (Afib) was associated with silent cerebral infarctions in patients with no history of symptomatic stroke (odds ratio 2.62, 95% CI 1.81-3.80), and this association was independent of Afib type (paroxysmal versus persistent), reported researcher Jeremy N. Ruskin, MD, of Massachusetts General Hospital in Boston, and colleagues.
  • A new study has identified an FDA approved cancer drug, crizotinib, as a possible new coating for drug-eluting stents. Researchers found that crizotinib could help prevent the narrowing of blood vessels after stenting without affecting the blood vessel lining. The study was published in The Journal of Clinical Investigation.

Pediatrics eMedinewS

  • Youth who enter puberty ahead of their peers are at increased risk of depression, although the disease develops differently in girls than in boys, suggests a new study published online in the journal Development and Psychopathology.
  • Researchers from the Cardiac Center at The Children's Hospital of Philadelphia (CHOP) presented new findings on pediatric cardiovascular disease at the American Heart Association's Scientific Sessions 2014 and recommended the use of automated external defibrillators in infants with suspected cardiac arrest.

Quote of the Day

  • Luck is what happens when preparation meets opportunity. Seneca

Wellness Blog

6 ways to ease neck pain

The following six tips can help you take care of your neck. (Harvard)

  1. Don’t stay in one position for too long. It’s hard to reverse bad posture, Dr. Isaac says, but if you get up and move around often enough, you’ll avoid getting your neck stuck in an unhealthy position.
  2. Make some ergonomic adjustments. Position your computer monitor at eye level so you can see it easily. Use the hands-free function on your phone or wear a headset. Prop your touch-screen tablet on a pillow so that it sits at a 45° angle, instead of lying flat on your lap.
  3. If you wear glasses, keep your prescription up to date. “When your eyewear prescription is not up to date, you tend to lean your head back to see better,” Dr. Isaac says.
  4. Don’t use too many pillows. Sleeping with several pillows under your head can stifle your neck’s range of motion.
  5. Know your limits. Before you move a big armoire across the room, consider what it might do to your neck and back, and ask for help.
  6. Get a good night’s sleep. Sleep problems increase the risk for several different conditions, including musculoskeletal pain.

ePress Release

Heart Care Foundation of India and Indian Medical Association now part of NCD Alliance

Heart care Foundation of India and Indian Medical Association have joined the NCD Alliance, said Padma Shri Awardee Dr K K Aggarwal President Heart Care Foundation of India and incoming Honorary Secretary General IMA.

The NCD Alliance was founded by four international NGO federations representing the four main NCDs – cardiovascular disease, diabetes, cancer, and chronic respiratory disease.

These involved International Diabetes Federation, World Heart Federation, and the Union for International Cancer Control.

Together with other major international NGO partners, the NCD Alliance unites a network of over 2,000 civil society organizations in more than 170 countries. The mission of the NCD Alliance is to combat the NCD epidemic by putting health at the centre of all policies.

The NCD Alliance uses targeted advocacy and outreach to ensure that NCDs are recognized as a major cause of poverty, a barrier to economic development, and a global emergency.

Other member associations from India are Disease Management Association of India; India800 Foundation, Breastfeeding Promotion Network of India, Indian Centre for Alcohol Studies, Indian Alcohol Policy Alliance and Indian Medical Association.

NCD Global Facts

  • Non-communicable diseases (NCDs) are the world’s number one killer, bringing hardship to rich and poor nations alike.
  • NCDs make the largest contribution to mortality both globally and in the majority of low- and middle- income countries (LMICs).
  • Worldwide, NCDs account for 60% (35 million) of global deaths.
  • The largest burden - 80% (28 million) - occurs in LMICs, making NCDs a major cause of poverty and an urgent development issue. They will be the leading global cause of disability by 2030.
  • NCDs in LMICs also put G20 nations at risk since we all benefit from healthy individuals and stable populations around the globe. 8 million people below the age of 60 die each year in LMICs from preventable causes, which include tobacco use, unhealthy diets, alcohol consumption, and physical inactivity. Lack of access to affordable medicines and health care services are also major causes of these preventable deaths.
  • Globally, the NCD burden will increase by 17% in the next 10 years, and in the African region by 27%. The highest absolute number of deaths will be in the Western Pacific and South-East Asia regions.
  • This rapidly changing health and disease profile has serious implications for poverty reduction and economic development. NCDs strangle macro-economic development and keep the bottom billion locked up in chronic poverty. NCDs have a severe impact on individuals, communities and countries. The magnitude and rapid spread of NCDs means we are all headed for a sick future unless we take action now. Low-income countries still grappling with heavy burdens of infectious disease risk being overwhelmed by this wave of largely preventable NCDs.

eMedi Quiz

A 2-month-old baby with acute icteric viral hepatitis-like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother's hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only.
2. HbsAg and HBeAg positive.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Yesterday’s Mind Teaser: Presence of food might be expected to interfere with drug absorption by slowing gastric emptying, or by altering the degree of ionisation of the drug in the stomach. Which of the following statements is not correct example?

1. Absorption of digoxin is delayed by the presence of food.
2. Concurrent food intake may severely reduce the rate of absorption of phenytoin.
3. Presence of food enhances the absorption of hydrochlorothiazide.
4. Anitimalarial drug halofantrine is more extensively absorbed if taken with food.

Answer for yesterday’s Mind Teaser: 3. Presence of food enhances the absorption of hydrochlorothiazide.

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

Answer for 22nd November Mind Teaser: 4. Dessication of a dead body.

Correct answers received from: Dr Poonam Chablani.

Send your answer to email

emedipicstoday emedipics

21st Perfect Health Mela 18th October 2014

Self-Assessment-Quiz

 

expert_choice
press release

Five things Physicians and Patients should question

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 CKD wanted a cardiology reference.
Dr Bad: It’s not needed.
Dr Good: You should get it done.
Lesson: Chronic renal dysfunction alone is an independent risk factor for the development of coronary artery disease, and for more severe coronary heart disease.

Make Sure

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time?
Lesson: Make sure that all foreigners are diagnosed to be suffering from travelers’ diarrhea even if there is one single loose motion.

eMedinewS Humor

Dog Washing

A young boy, about eight years old, was at the corner Mom & Pop grocery picking out a pretty good size box of laundry detergent. The grocer walked over, and, trying to be friendly, asked the boy if he had a lot of laundry to do.

"Oh, no laundry," the boy said, "I'm going to wash my dog."

"But you shouldn't use this to wash your dog. It's very powerful and if you wash your dog in this, he'll get sick. In fact, it might even kill him."

But the boy was not to be stopped and carried the detergent to the counter and paid for it, even as the grocer still tried to talk him out of washing his dog.

About a week later the boy was back in the store to buy some candy. The grocer asked the boy how his dog was doing.

"Oh, he died," the boy said.

The grocer, trying not to be an I-told-you-so, said he was sorry the dog died but added, "I tried to tell you not to use that detergent on your dog."

"Well," the boy replied, "I don't think it was the detergent that killed him."

"Oh? What was it then?"

"I think it was the spin cycle!"

Twitter of the Day

Dr KK Aggarwal: Do every cycle of prnayam every day
Dr Deepak Chopra: Enemies of religion tend to conflate blind faith with faith itself, quite unfairly

medicolegal update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Doctor and care of the terminally ill


The duty of the physician is to heal and, where possible, relieve suffering and act to protect the best interests of his patients. There shall be no exception to this principle even in the case of incurable disease or malformation. This principle does not preclude application of the following rules:

  • The physician may relieve suffering of a terminally ill patient by withholding treatment with the consent of the patient or his immediate family if unable to express his will.
  • Withholding of treatment does not free the physician from his obligation to assist the dying person and give him the necessary medicaments to mitigate the terminal phase of his illness.
  • The physician shall refrain from employing any extraordinary means, which would prove of no benefit for the patient.
  • The physician may, when the patient cannot reverse the final process of cessation of vital functions, apply such artificial means as are necessary to keep organs active for transplantation provided he acts in accordance with the laws of the country or by virtue of a formal consent given by the responsible person and provided the certification of death or the irreversibility of vital activity had been made by physicians unconnected with the transplantation and the patient receiving treatment.
  • These artificial means shall not be paid for by the donor or his relatives. Physicians treating the donor shall be totally independent of those treating the recipient and of the recipient himself.
medicolegal update
  1. Dear Sir, emedinews is very informative. Regards: Dr Suraj

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