eMedinewS
27th November 2014, Thursday

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

Alcohol: Benefits Vs Risk

There is consensus that non drinkers should not start and the ones who drink can continue provided they do so in moderation and in absence of contraindications. People tend to consume more alcohol in winter and near the New Year.

  • Persons who have been lifelong abstainers cannot be easily compared with moderate or even rare drinkers. Recommending alcohol intake to them even if they would agree to drink is not justified.
  • The diseases that moderate alcohol use prevents (such as coronary heart disease, ischemic stroke, and diabetes) are most prevalent in the elderly, men, and people with coronary heart disease risk factors. For these groups, moderate alcohol use is associated with a substantial mortality benefit relative to abstention or rare drinking.
  • For young to middle-aged adults, especially women, moderate alcohol use increases the risk of the most common causes of death (such as trauma and breast cancer).
  • Women who drink alcohol should take supplemental folate to help decrease the risk of breast cancer.
  • Men under the age of 45 may also experience more harm than benefit from alcohol consumption. In this age group, moderate alcohol use is unlikely to provide any mortality benefit, but consumption of less than one drink daily appears to be safe if temporally removed from operation of dangerous equipment. For individuals with established contraindications to alcohol use, even this level of alcohol use is dangerous.
  • Men can tolerate more alcohol than women. The ideal therapeutic dose of alcohol is around 6 grams per day. Medically safe limits are 10 grams in one hour, 20 grams in a day and 70 grams in a week. (50% for the women).

News Around The Globe

  • Probiotics should be consumed by pregnant and lactating women and their breast-fed infants in order to prevent the development of atopic dermatitis, suggest recommendations that will soon be issued by the World Allergy Organization. The announcement was made at the American College of Allergy, Asthma & Immunology (ACAAI) 2014.
  • A study looking at intermediate-term outcomes following sleeve gastrectomy among obese patients with type 2 diabetes has concluded that the procedure may be best at an early stage of diabetes. The impact of sleeve gastrectomy on diabetes was significant in the first year, a trend that continued over 5 years but to varying effect depending on disease severity. The findings were presented at Obesity Week 2014.
  • Mortality among patients with epilepsy is 3-fold higher than in the general population, and the excess mortality seems to be highly related to the etiology of epilepsy, suggests a new systematic review published in Neurology.
  • Tumor immunity signatures differ significantly between Asian and non-Asian gastric adenocarcinomas, particularly regarding T-cell function, points a new meta-analysis, thereby suggesting that gastric cancers in Asian and non-Asian patients may be molecularly different. The findings are published online in Gut.
  • Golimumab, given every four weeks, improves long-term clinical outcomes in patients with ankylosing spondylitis (AS), according to results from the GO-RAISE phase 3 clinical trial. The findings are published online in Annals of the Rheumatic Diseases.

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

Vignettes

Dr KK Spiritual Blog

The spiritual meaning of the word ‘Artha’

Dharma, Artha, Kama and Moksha are the four fundamental principles of our very existence, which means earning righteously with a desire to fulfill the inner happiness.

Righteous earning is called ‘Artha’ and mistakenly it has been linked to materialistic money. In mythology Artha is synonymous with Lakshmi, Saraswati and Kali where Lakshmi represents righteously earned materialistic wealth, Saraswati represents wealth of knowledge and Kali represents wealth of wisdom to fight the bad in you and in the society.

In any country, it is the wealth of knowledge which is more important. India was ruled initially by warriors (Kali), later by money (Lakshmi) and in future will be ruled by knowledge (Saraswati).

It is the human resources which today decide the growth of a company and the amount of money invested. If you have good human resources, your company is going to succeed.

Inspirational Story

Some Kind of Miracle

Everything comes gradually at its appointed hour. Ovid.

My mother had been in a deep sleep for three days, taking in no food at all, and a minimum of forced liquid. A "Do Not Resuscitate" sign hung over her bed. Every time I looked at the sign, I shuddered. The finality of the words chilled me, even though the heat in her bedroom was way too high.

She was 88 years old and had reached the end of a long illness. She was still in her own apartment, but I had arranged for round-the-clock nursing care for her; I did not leave her side during those three days.

On the fourth morning, a Sunday, I called my husband and asked him to pick me up and drive me home (some forty minutes from my mother's apartment) so that I could get clean clothes. I had been wearing the same pair of jeans and blouse for four days, having had no idea when I arrived that the end was so near.

As we drove home that Sunday, my husband and I decided that before we went back to my mother's apartment, we would stop at the funeral home to make arrangements. The doctor had said that she would not last more than a few days at most, and the previous evening, the visiting nurse agreed with his prognosis. We felt it would be better to make the funeral arrangements while we were still relatively calm, rather than after the emotional trauma of death had set in.

I also wanted to stop at the grocery store so there would be some food in the refrigerator for the nurses and myself.

Once at my house, I quickly showered and dressed, then threw a few clothes into a shopping bag. We got back into the car. Suddenly, I told my husband that I had changed my mind about stopping off at the funeral home. And I did not want to take time to buy groceries, either. Something inside me told me that we had to get back to my mother in a hurry-before it was too late.

I rang the bell in the lobby and the daytime nurse, Callie, buzzed me in. After the elevator ride up to the 22nd floor, I saw Callie at the end of the hall, a look of amazement on her face. "It's some kind of miracle!" she exclaimed. "Your mother's eyes are open!"

Hurrying into my mother's bedroom, I was shocked to see that her eyes were open. She was propped up in the rented hospital bed, staring straight ahead. At first, I thought she was dead, and my heart started racing. But then she shifted her gaze and looked straight at me.

She had a puzzled, questioning look on her face, as if to ask, "Where am I?" Or, perhaps, "Where am I going?" Then a grimace passed over her face-a grimace that I have replayed in my mind over and over again. Was it a grimace of physical pain? Of fear? Of sadness? I think by then, she felt no more pain, so it must have been a combination of fear and sadness-deep sadness at leaving, and fear of the unknown. She needed the comfort of being in my arms when she began her journey.

I held her frail body gently, and spoke to her softly, telling her how much I loved her. And then I could feel, and see, that she was gone.

I asked Callie how long my mother's eyes had been open before I arrived.

"Only a few minutes," she said. "When I heard you ring the bell downstairs, I said to your mother, 'There's your daughter. Now you just hold on there. Don't you die before she gets here?' And she did hold on. She waited for you."

Thinking about the fact that something told me not to stop for anything on the way back to my mother's apartment, but to hurry as fast as I could; thinking about the fact that my mother opened her eyes when I rang the bell, and kept them open until I got there, so that I was able to say goodbye to her, I suspect that Callie was right. It was some kind of miracle. It was the Hand of Fate.

Rabies News (Dr A K Gupta)

What does humanizing your dog means?

  • Talking to your dog like he/she is a person.
  • Treating your dog like he/she is a person.
  • Allowing dogs to do what they want because it will hurt their “feelings.”
  • Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

Cardiology eMedinewS

  • Optimal secondary stroke prevention therapy, including a combination of antihypertensive, antithrombotic, and/or lipid modifying drugs, appears to be associated with a significantly lower risk of second stroke, major vascular events, and death among stroke survivors reports an analysis of data from an international randomized, controlled trial published online in Neurology.
  • Patients who had cardiac arrest at home or elsewhere outside of a hospital had greater survival to hospital discharge and to 90 days beyond if they received basic life support (BLS) vs. advanced life support (ALS) from ambulance personnel, suggested a report published online in JAMA Internal Medicine.

Pediatrics eMedinewS

  • The majority of preschoolers may not be getting the amount of sleep they need each night, putting them at higher risk of being overweight or obese within a year, suggests a new study. The study found an association between mothers' employment status and their children's weight over time that was mediated by how much sleep the child was getting each night. The findings are published in Sleep Medicine.
  • Almost one third of male adolescents inaccurately perceive their weight which influences their eating habits and, consequently, their health, suggests a new study. Researchers noted that 8% of the boys were inaccurate on estimating their weight status. Among those with a low weight status, 43% overestimated their weight level, while 86% of those who were obese underestimated their real weight status.

Quote of the Day

  • Happiness is the meaning and the purpose of life, the whole aim and end of human existence. Aristotle

Wellness Blog

Gaining Weight Losing Strength versus Losing Weight Gaining Strength

When we gain weight, we must acquire more strength and when we lose weight, we must lose the strength. This is a fundamental medical principle.

If we gain weight and feel weak, it is a disease and when we lose weight and gain strength, we are recovering from the disease. One is not supposed to gain more than 5kg of weight after the age of 20 years. Any weight gain after that will only be due to accumulation of fat, which leads to insulin resistance.

Insulin resistance does not allow food to convert into energy. In the state of insulin resistance, whatever you eat, it is converted into fat. As it is not converted into energy and you feel week. When you reduce insulin resistance by drugs or walking, the metabolism becomes normal and whatever you eat gets converted into energy and you start gaining strength.

ePress Release

Beware of winter depression

SAD or seasonal affective disorder also known as winter depression is characterized by increased sleep (inability to get up in the morning); increased appetite with carbohydrate craving (craving for sweet, sour and salt); marked increase in weight; irritability; interpersonal difficulties (especially rejection sensitivity) and leaden paralysis (heavy, leaden feelings in arms or legs).

Speaking about winter depression, Padma Shree awardee, Dr. B C Roy National Awardee Dr. KK Aggarwal President Heart Care Foundation of India said, “SAD or seasonal affective disorder is caused by the imbalance of serotonin to melatonin ratio in the body. These two chemicals are responsible for regulation of mood and sleep patterns. The shorter days and lesser sunlight during the winter season lead to increased melatonin and lowered serotonin levels that lead to depression. But to manage these chemicals or the disorder one must be exposed to sunlight or artificial light. Sunlight is the best remedy as being a natural source it is more effective than any artificial light or drugs. Winter sun exposure is something that everyone should adopt.”

Artificial light exposure is effective but may take 4 to 6 weeks to see a response, although some patients improve within days. Therapy is continued until sufficient daily natural sunlight exposure is available. Therapeutic light therapy is also one option.

In most cases, seasonal affective disorder symptoms appear during late fall or early winter and go away during the sunnier days of spring and summer. However, some people with the opposite pattern have symptoms that begin in spring or summer. In either case, symptoms may start out mild and become more severe as the season progresses.

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at Navjeevan Sarvodaya Kanya Vidyalaya 3rd November 2014

Self-Assessment-Quiz

 

expert_choice
press release

Lifestyle change can reduce aging

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 came with black stools.
Dr. Bad: It is lower GI bleeding.
Dr. Good: It is upper GI bleeding.
Lesson: Black stools usually indicate upper GI bleeding.

Make Sure

Situation: A patient with renal failure came to a doctor.
Reaction: Oh, my God! Why was he given painkillers?
Lesson: Make sure to avoid painkillers in renal failure as most painkillers (barring nimesulide, paracetamol) are not kidney–friendly drugs.

eMedinewS Humor

Trouble on the Roof

Mike and Rob were laying tiles on a roof when a sudden gust of wind came and knocked down their ladder.

"I have an idea," said Mike. "We'll throw you down, and then you can pick up the ladder."

"What, do you think I'm stupid?" Rob replied." I have an idea. I'll shine my flashlight, and you can climb down on the beam of light."

"What, do you think I'm stupid?" Mike answers. "You'll just turn off the flashlight when I'm halfway there."

Twitter of the Day

Dr KK Aggarwal: Longer the waist line shorter the life line
Dr Deepak Chopra: Finding your center means settling into a stable, coherent state of awareness. Outer forces do not dominate you

eMedi Quiz

An increased incidence of cholangiocarcinoma is seen in all of the 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: Dr Pankaj Agarwal, Dr B B Aggarwal, Dr Rakesh Sharma.

Answer for 24th November Mind Teaser: 2. HbsAg and HBeAg positive.

Correct answers received from: Dr K V Sarma, Dr Avtar Krishan, Arvind Diwaker, Dr Rakesh Sharma, Dr Bitaan Sen, Dr Jayashree Sen, Dr Jainendra Upadhyay

Send your answer to email

medicolegal update
  1. Dear Sir, very informative news. Regards: Dr Karan
medicolegal update

(Contributed by Dr MC Gupta, Advocate)

Q. A friend of mine has the following qualifications: BHMS; PG diploma in Clinical Pathology; MSc in Clinical Pathology from a recognized University. Can he run a Pathology Lab?

A.
Running a pathology lab amounts to practicing pathology which is a specialty of Allopathy/modern medicine. Nobody who is not a graduate in modern medicine can be a specialist in an Allopathic/modern medicine specialty. Your friend is not legally competent to run a pathology lab.

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)