eMedinewS25th May 2014, Sunday

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

High fat diet is 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

News Around The Globe

  • The US Food and Drug Administration (FDA) has recently approved the antibacterial agent dalbavancin for treatment of adults with skin infections, including methicillin–resistant Staphylococcus aureus (MRSA). The approval has come after the drug’s safety and efficacy were evaluated in 2 clinical trials involving adults with acute bacterial skin and skin structure infections (ABSSSI).
  • A report appearing in the May 27 issue of Neurology has pointed that communication with a patient in the completely locked–in state (CLIS) may be possible using metabolic brain–computer interface (BCI) based on near–infrared spectroscope (NIRS). NIRS uses scalp–based detectors to identify slow changes in cortical deoxyhemoglobin concentration, which signify alterations in underlying metabolic activity.
  • The European Medicines Agency (EMA) Committee for Medicinal Products for Human Use (CHMP), after having a second look at the data, on May 22 recommended conditional marketing authorization for ataluren for the treatment of Duchenne muscular dystrophy (DMD). The indication is for treatment of DMD resulting from a nonsense mutation in the dystrophin gene, in ambulatory patients aged 5 years and above.
  • Young adults who have increased alcohol stimulation and reward sensitivity are at risk for later development of alcohol use disorder (AUD), reports a new study published in Biological Psychiatry. It appeared that those who had greater stimulatory and rewarding effects and less sedation after receiving alcohol had more symptoms of AUD at the 6–year follow–up than those who did not have these initial reactions.
  • A study published online in the journal Public Health Nutrition has found that women diagnosed with diabetes before or during pregnancy are less likely to initiate and continue breastfeeding their newborns than women without diabetes.

Rabies News (Dr A K Gupta)

Can all available anti–rabies vaccines be used by intradermal route?

Not all vaccines produced in India are at present fit for intradermal usage. The following vaccines have been approved by DCGI for use by intradermal route.

  • Purified chick embryo cell vaccine (PCEC) – Rabipur and Vaxirab–N.
  • PVRV (Purified verocell rabies vaccine) – Verorab–vial of 0.5 ml,
  • PVRV – Abhayrab – vial of 0.5 ml., Human Biological Institute
  • PVRV – Indirab, vial of 0.5 ml/1.0 ml. Bharath Biotech, Hyderabad.

PDEV (Vaxirab) and HDCV (Rabivax) are approved for IM use only and not for IDRV.

Rabies vaccines formulated with an adjuvant should not be administered intradermally.

Cardiology eMedinewS

  • Suppression of frequent premature ventricular contractions (PVCs) with amiodarone in patients with systolic heart failure could help raise LV contractile function, suggested a recent study. PVC reduction improved ventricular performance by allowing partial reversal of a cardiomyopathy that had been creating dyssynchrony. The findings were presented at the Heart Failure Congress 2014.
  • It has been noted that the biggest threat to survival in transcatheter aortic–valve implantations (TAVI)–implanted patients remains their comorbidities and not problems related to their valves, regardless of valve type. The three– and five–year data from the UK TAVI registry were presented at a press conference at EuroPCR 2014.

Pediatrics eMedinewS

  • A retrospective cohort study has shown that the offspring of mothers who used selective serotonin reuptake inhibitors (SSRIs) during pregnancy had increased odds of developing Chiari type I brain malformation (CIM) than offspring of nondepressed, nonmedicated mothers. The study is published online in Neuropsychopharmacology.
  • European drug regulators have recommended market approval for dexamfetamine sulfate as a second–line treatment for attention–deficit/hyperactivity disorder (ADHD) in children. Dexamfetamine sulfate is indicated for children with ADHD aged 6 to 17 years who have not responded to methylphenidate.

Dr K K Spiritual Blog

The Scientific Aspects of Prayer

It is natural for us to promise or offer to pray for someone who suffers from sickness. So many people believe in the power of prayer that it has now caught the attention of scientists and doctors. Today most hospitals and nursing homes are building prayer rooms for their patients, based on the principle that a relaxed mind is a creative mind. During prayer, a person is in touch with the consciousness, and is able to take correct decisions. Most doctors even write on their prescriptions "I treat He cures".

Medically it has been proved that the subconscious mind of an unconscious person is listening. Any prayer therefore would be captured by the patient building inner confidence and faith to fight terminal sickness. We have seen the classical example of the effect of mass prayer on a person’s health in the case of Amitabh Bachchan’s illness.

"Praying for health is one of the most common complementary treatments people do on their own," said Dr Harold G Koenig, co–director of the Center for Spirituality, Theology and Health at Duke University Medical Center.

About 90% of Americans and almost 100% Indians pray at some point in their lives, and when they’re under stress, such as when they’re sick, they’re even more likely to pray.

More than one–third of the people surveyed in a recent study published in the Archives of Internal Medicine said they often turned to prayer when faced with medical concerns. In a poll involving more than 2,000 Americans, 75% of those who prayed said they prayed for wellness, while 22% said they prayed for specific medical conditions.

Numerous random studies have been conducted on this subject. In one such study, neither the patients nor the healthcare providers had any idea who was being prayed for. The coronary–care unit patients didn’t even know there was a study being conducted. And, those praying for the patients had never even met them. The result: While those in the prayer group had about the same length of hospital stay, their overall health was slightly better than the group that didn’t receive special prayers.

"Prayer may be an effective adjunct to standard medical care," wrote the authors of this 1999 study, also published in the Archives of Internal Medicine. However, a more recent trial from the April 2006 issue of the American Heart Journal suggests that it’s even possible for some harm to come from prayer. In this study, which included 1,800 people scheduled for heart surgery, the group who knew they were receiving prayers developed more complications from the procedure, compared to those who had not been a focus of prayer.

Many patients are reluctant and do not discuss this subject with their doctors. Only 11% patients mention prayer to their doctors. But, doctors are more open to the subject than the patients realize, particularly in serious medical situations. In a study of doctors’ attitudes toward prayer and spiritual behavior, almost 85% of the doctors thought they should be aware of their patients’ spiritual beliefs. Most doctors said they wouldn’t pray with their patients even if they were dying, unless the patient specifically asked the doctor to pray with them. In that case, 77% of the doctors were willing to pray for their patient.

Most people are convinced that prayer helps. Some people are ‘foxhole religious’ types and prayer is almost a reaction or cry to the Universe for help. However, many people do it because they’ve experienced benefit from it in the past.

If a patient wants to pray and feels it might be helpful, there’s no reason he should not. If he believes that prayer might work, then he should use it.

Wellness Blog

Vegetarian diet and soya products help reduce BP

Ingestion of a vegetarian diet may reduce systolic blood pressure by 5 mmHg. A 5 mm reduction in blood pressure may reduce the risk of heart disease by 21%.

One major feature of a vegetarian diet that may affect blood pressure is the amount of dietary fiber; with an increased amount being associated with decreased systemic pressures. Multiple meta-analyses have shown benefits with dietary fiber intake on blood pressure. Vegetarians, in general, have lower blood pressure levels and a lower incidence of hypertension and other cardiovascular diseases. Experts postulate that a typical vegetarian’s diet contains more potassium, complex carbohydrates, polyunsaturated fat, fiber, calcium, magnesium, vitamin C and vitamin A, all of which may have a favorable influence on blood pressure.

More significant reductions were observed in older (greater than 40 years) and hypertensive individuals.

Soya is good for high blood pressure because it is naturally high in potassium and low in sodium. Potassium and sodium are electrolytes, and a high–potassium, low–sodium diet promotes a healthy blood pressure.

Soya can be good for high blood pressure when you eat it as an alternative protein source to unhealthy meats. Soya–based meat substitutes, such as veggie burgers, veggie bacon and meatless cold cuts, can be higher in fiber and lower in sodium than animal–based meat products. They can lower your risk for heart disease because they are lower in saturated fat. However, soya does not contain the long–chain omega–3 fatty acids that are found in fatty fish and shellfish; these may lower your blood pressure, according to the Linus Pauling Institute.

Even though soya is low in unhealthy saturated fat, some soya products are high in total fat and calories, and as a result will contribute to weight gain if you eat too much. Losing weight if you are overweight, or maintaining your current weight if you are already at a healthy weight, improves your chances of lowering your high blood pressure.

Inspirational Story

Don’t Give Up

I had competed in Speech competitions for two years. This was my graduating year but it looked as though I may not go. Because of the small school that I attend we could only take 12 competitors. As the state meet approached, I felt relieved that I did not have to prepare.

Then two weeks before the meet, I was told that I was going. I began to practice living the roles I was playing. I was to compete in three events, Solo Acting, Pantomime and Readers Theatre. I felt overwhelmed; I had to learn new events and parts with only two weeks to prepare. At the state meet, we are not allowed to compete with scripts, so all my parts had to be memorized. I felt that I could not do it. There was no way.

With the help of my parents and my school teachers I was somehow able to prepare. It was finally the day. I competed and did well. I took First place in Solo Acting, Second in Readers Theatre and Third in Pantomime.

As I looked back on the preparation and the end result, I realized how close I had come to giving up. I learned never to give up. I also learned that for every bit of preparation, there is a reward.

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)

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Health Check Up Camp at Gitarattan Jindal Public School Sect–7 Rohini, 12th May 2014

press release

AHA – ACS update

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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 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 suggest that this intervention is much better than thrombolytic therapy in such patients.

eMedinewS Humor

Dream of a necklace

After she woke up, a woman told her husband, "I just dreamed that you gave me a pearl necklace for our anniversary. What do you think it means?"

"You’ll know tonight." he said.

That evening, the man came home with a small package and gave it to his wife.

Delighted, she opened it to find a book entitled "The Meaning of Dreams."

Quote of the Day

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

 

Twitter of the Day

Dr KK Aggarwal: Kidney stone of less than 5mm size needs no treatment http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: The universe is the physical body of #God. We & all that exists are a juxtaposition of possibility waves in http://bit.ly/WAYHF_DC #WAYHF

 

ePress Release

All hypertensive patients should keep their sugar lower than 90

Hypertension is a risk factor for type 2 diabetes. If not properly managed, patients with hypertension are likely to develop diabetes with subsequent high risk of kidney damage, 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.

The results of the Anglo–Scandinavian Cardiac Outcomes Trial–Blood Pressure Lowering Arm (ASCOT–BPLA) study have shown that the major predictor of new-onset diabetes in patients with hypertension is high baseline fasting plasma glucose levels of more than 90mg/dL. The risk increases by 5.8 times for each 18mg/dL rise above 90 mg%.

Other risk factors are higher weight, higher blood pressure and higher triglyceride levels. Those high BP patients on atenolol (beta blocker drug) with or without a diuretic are also at risk.

On the other hand, high BP patients on amlodipine (calcium blocker) ± perindopril (ACE inhibitor), with high good HDL cholesterol levels, moderate alcohol use, and age older than 55 years had protection from developing diabetes.

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

All are precancerous for carcinoma colon except:

a. Crohn’s disease
b. Bile acids
c. Fats
d. Carotene

Yesterday’s Mind Teaser: 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.

Answer for yesterday’s Mind Teaser: c) It is associated with APC mutation.

Correct Answers received from: Palandi, Dr Jayant Gaikwad, Daivadheenam Jella, Dr Sushma Chawla.

Answer for 23rd May Mind Teaser: c. 90–100%

Correct Answers received from: Dr Poonam Chablani.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Dr. Aggarwal, I am very happy with your eMedinewS. It is very informative. Dr G G Mansharamani, Former Director Professor and Head Medicine–MAMC
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