eMedinewS26th May 2014, Monday

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

Fish Medicine for asthma

The Bathini Goud family, living in Hyderabad, claim that they can cure asthma by making people swallow a 2–inch live fish filled with medicine. They claim that they have been using this treatment for over 160 years.

As per their claim the medicine is stuffed inside the mouth of a live murrel fish, 5–6 cm in size. This fish with medicine is slipped into the mouth of the asthmatic patient, which can easily be swallowed as the fish is slippery. This needs to be taken for three consecutive years.

The medicine is administered on a specific day Mrigashira Kanthi Nakshatra, which normally coincides with arrival of monsoon rains in the first or second week of June. Three doses are given to the patients after every 15 days.

The Goud family never discloses ingredients of their drug. They provide the medicine free of cost. Some people went to the Court of the Andhra Pradesh on 27.01.2013 but the court declined to interfere and pass any orders regarding the administration of substances popularly known as Fish Medicine. They reasoned that although the treatment had no medicinal value, analysis had shown the samples to not be harmful. They said that "if people flock to have a substance out of faith the courts cannot interfere".

My opinion

Asthma is classified as mild intermittent asthma, moderate persistent asthma and severe persistent asthma. The distinction between intermittent and mild persistent asthma is important because current guidelines for moderate persistent asthma call for initiation of daily control medicine. For moderate persistent asthma, the preferred long–term controller is low–dose inhaled steroid.

Mild intermittent asthma is the largest segment of asthmatic patients and they do not require long term treatment. These are the people who may never require steroid inhalers. Over a period of time, these asthmatics may show improvement. Many mild intermittent asthmatics who are allergic to a particular protein may improve over a period of time.

Homeopaths, Ayurveda physicians, naturopaths and others who claim that they can cure asthma, they work only on patients with mild intermittent asthma. If they can demonstrate their results in severe asthma, then their methods can be believed to be of use.

The very fact that somebody has claimed does not mean that it is not scientific or scientifically validated. If they can prove their claim, there is no reason why they should not get Noble Prize. We have seen a similar claim by a person who gives a medicine for jaundice in Chandni Chowk and another person in Agra who claims that the can cure any type of cancer with a herb mixed with goat milk.

News Around The Globe

  • The International Society for Sexual Medicine (ISSM) Premature Ejaculation Guidelines Committee has updated and reevaluated ISSM guidelines published in 2010, while the Ad Hoc Committee for the Definition of Premature Ejaculation has provided a unified definition of premature ejaculation that encompasses the lifelong and acquired forms. The reports appeared online May 22 simultaneously in Sexual Medicine and the Journal of Sexual Medicine.
  • A new Clinical Practice Guideline on Methadone Safety from the American Pain Society (APS) has pointed that measures can be taken to promote safer user of methadone, including better physician education and patient counseling about methadone safety and cardiac monitoring to identify patients at high risk for these problems. The guideline is published in the Journal of Pain.
  • Pasireotide, a somatostatin analog, significantly reduces the risk for pancreatic fistula, leak, and abscess after pancreatic resection, reports a single–center, double–blind, randomized controlled trial published in the May 22 issue of the New England Journal of Medicine.
  • Researchers have recently identified a relatively small but thriving group of microbes inhabiting the placenta alongside human cells in a finding that may point to new ways of spotting women at risk for preterm births. Clear differences were evident in the makeup of placental microbes in women who had premature babies compared with those who delivered full–term babies.
  • European approval has been recommended for obinutuzumab and an expanded indication recommended for ofatumumab, both in the treatment of chronic lymphocytic leukemia (CLL). The approval recommended for obinutuzumab is for use in combination with chlorambucil in adults with previously untreated CLL (i.e., first-line use).

Rabies News (Dr A K Gupta)

Is observing the dog for 10 days without initiating treatment risky or justifiable?

Observing the dog for 10 days without initiating treatment is risky and not at all justifiable. It is mandatory to start treatment soon after exposure. The vaccination must be started immediately irrespective of the status of the biting animal. Improper treatment to animal bite victims may lead to rabies death and litigation under Consumer Protection Act (COPRA). According to Consumer Protection Act, the animal bite should be considered as "medical urgency" and treated with due care.

Cardiology eMedinewS

  • Among patients with diabetes, women are at greater risk for developing coronary heart disease compared with men, reported an updated systematic review and meta–analysis published online in the journal Diabetologia.
  • A new study published in the Journal of the American Heart Association has stated that home–based exercise programs may improve mobility for patients with peripheral artery disease (PAD). A 6–month home–based exercise program that focused on walking led to increase in the distance the patients could walk in 6 minutes, from 355.4 meters to 381.9 meters.

Pediatrics eMedinewS

  • A new research has found that infant hepatitis B vaccine protection may persist through adolescence. Those who had received the first HBV vaccine dose at least four weeks after birth were less likely to have seroprotective levels than those who received their first dose within seven days after birth. The research was published online in Pediatrics.
  • Children with deployed parents may be at increased risk for emotional, behavioral and relationship difficulties, and school–based interventions could benefit these children, reports a novel research.

Dr K K Spiritual Blog

Why Spirituality is Friendly to wellbeing

  • What you believe in can have a big impact on health and longevity. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone the body releases in response to stress.
  • Positive thinking produces nearly a 30 percent drop in perception of pain.
  • Spirituality and the practice of religion are associated with a slower progression of Alzheimer’s disease.
  • Those who regularly attend organized religious activities may live longer than those who don’t. Regular participation lowers mortality rate by about 12 percent a year.
  • People undergoing cardiac rehabilitation feel more confident and perceive greater improvements in their physical abilities if they have a strong faith.
  • Increased levels of spirituality and religious faith may help substance abusers kick their habit.
  • Spirituality stimulates the relaxation response. When the body is relaxed, the heart rate, blood pressure and breathing rate all go down, which decreases the body’s stress response.
  • Spirituality can affect function of the immune system. Spirituality, faith, church attendance improves immune function in ways that can be measured, like an increase in white blood cells.
  • Prayer heals the heart. Positive talking and thinking in the ICU produces better results.
  • Spirituality is what brings you peace and safety. It can be achieved through God or Goddess, nature, a beautiful sunset, a meditation, Pranayama, religious meeting, chanting, mind body relaxation, etc. Spirituality is something that can help all the way from promoting wellness to helping with recovery.

Wellness Blog

Dark Chocolate good for the heart

Dark chocolate thought to promote relaxed arteries, also have biochemical effects that may discourage atherosclerosis suggests a report published in the March 2014 issue of the FASEB Journal.

In a randomized, double–blind study, eating dark chocolate—acutely and over weeks—not only improved objective measures of endovascular function, it also improved biochemical markers that reflect leukocyte activation, inflammation, and other signs of atherogenesis.

Changes in endothelial function were reflected in improved flow–mediated dilation (FMD), blood pressure, and augmentation index (AIX), while "changes in leukocyte–cell counts, plasma cytokines, and leukocyte adherence markers after chocolate consumption point toward a less–activated state of cellular adherence and, hence, a less atherogenic milieu, according to the authors, led by Dr Diederik Esser (Top Institute Food and Nutrition and Wageningen University, the Netherlands).

Inspirational Story

Black or White

When I was in elementary school, I got into a major argument with a boy in my class. I have forgotten what the argument was about, but I have never forgotten the lesson I learned that day.

I was convinced that "I" was right and "he" was wrong – and he was just as convinced that "I" was wrong and "he" was right. The teacher decided to teach us a very important lesson. She brought us up to the front of the class and placed him on one side of her desk and me on the other. In the middle of her desk was a large, round object. I could clearly see that it was black. She asked the boy what color the object was. "White," he answered.

I couldn’t believe he said the object was white, when it was obviously black! Another argument started between my classmate and me, this time about the color of the object. The teacher told me to go stand where the boy was standing and told him to come stand where I had been. We changed places, and now she asked me what the color of the object was. I had to answer, "White."

It was an object with two differently colored sides, and from his viewpoint it was white. Only from my side it was black.

Sometimes we need to look at the problem from the other person’s view in order to truly understand his/her perspective.

ePress Release

Binge Eating: New Epidemic of the Society

The American Psychiatric Association has recognized binge eating disorder as a separate diagnosis for the first time in its publication the DSM–5 (Diagnostic and Statistical Manual of Mental Disorders).

Elaborating on the condition, 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 said that people with binge eating disorder frequently eat large amounts of food while feeling a loss of control over their eating.

This disorder is different from binge–purge syndrome (bulimia nervosa) because people with binge eating disorder usually do not purge afterward by vomiting or using laxatives, he further added.

But most people with serious binge eating problems have:

  • Frequent episodes of eating what others would consider an abnormally large amount of food.
  • Frequent feelings of being unable to control what or how much is being eaten.
  • Several of these behaviors or feelings:
    • Eating much more rapidly than usual.
    • Eating until uncomfortably full.
    • Eating large amounts of food, even when not physically hungry.
    • Eating alone out of embarrassment at the quantity of food being eaten.
    • Feelings of disgust, depression, or guilt after overeating.
    • The binges occur at least twice a week for 6 months.

The major complications of binge eating disorder are the diseases that accompany obesity. These include diabetes, high blood pressure, high cholesterol levels, gall bladder disease, heart disease, and certain types of cancer.

Out–of–control binge eating is the biggest eating disorder of today more common than anorexia and bulimia combined and contributing to a rise in obesity. Binge eating afflicts 3.5 percent of women and 2 percent of men at some point in their lives.

Binge Eating Disorder is a little more common in women than in men; three women for every two men have it.

Cognitive–behavioral therapy teaches people how to keep track of their eating and change their unhealthy eating habits. It also teaches them how to change the way they act in tough situations. Interpersonal psychotherapy helps people look at their relationships with friends and family and make changes in problem areas. Drug therapy, such as antidepressants, may be helpful for some people.

Large amounts of food high in carbohydrates and sugars are rapidly consumed in a short period of time. The binge itself may only last 15–20 minutes. Proper levels of serotonin and dopamine aid in impulse. Proteins supplement may reduce the craving.

Binge eating differs from compulsive overeating in that the binge eater enjoys the rush and stimulation of planning the binge. Compulsive overeaters tend to crave foods high in carbohydrates, sugars, and salt.

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 Gitarattan Jindal Public School Sect–7 Rohini, 12th May 2014

press release

AHA – ACS update

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 patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh by God! Why was additional insulin given?
Lesson: Make sure that the insulin dose is correctly calculated. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

eMedinewS Humor

Under the wagon

A farm boy accidentally overturned his wagonload of wheat on the road. The farmer that lived nearby came to investigate.

"Hey, Willis," he called out, "forget your troubles for a while and come and have dinner with us. Then I’ll help you overturn the wagon."

"That’s very nice of you," Willis answered, "but I don’t think Dad would like me to."

"Aw, come on, son!" the farmer insisted.

"Well, OK," the boy finally agreed, "but Dad won’t like it."

After a hearty dinner, Willis thanked the host. "I feel a lot better now, but I know Dad's going to be real upset."

"Don’t be silly!" said the neighbor. "By the way, where is he?"

"Under the wagon," replied Willis.

Quote of the Day

For I don’t care too much for money, for money can’t buy me love. The Beatles

 

Twitter of the Day

Dr KK Aggarwal: Inhaling diesel exhaust Fumes causes heart attack or stroke http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: The most positive action we can take about the past is to change our perception of it http://bit.ly/WAYHF_DC #WAYHF

 

eMedi Quiz

A recent fitness walk left you breathless, and you’ve been having trouble sleeping. You’ve also been dealing with an upset stomach and occasional dizziness. These could be symptoms of:

A. Depression.
B. Heart disease.
C. Diabetes.
D. High blood pressure.
E. All of the above.

Yesterday’s Mind Teaser: All are precancerous for carcinoma colon except

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

Answer for Yesterday’s Mind Teaser: d. Carotene

Correct Answers received from: Dr Periasamy Subarayan, Dr.palanivelrajan, Dr Manas Ranjan Sahoo, Dr.K.Raju, Dr Vijayalakshmi Seshadri, Dr Poonam Chablani, Dr Chandresh Jardosh, Dr Ajay Gandhi, Dr Avtar Krishan

Answer for 24th May Mind Teaser: c) It is associated with APC mutation.

Correct Answers received from: Dr Manas Ranjan Sahoo

Send your answer to ijcp12@gmail.com

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