eMedinewS28th May 2014,Wednesday

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

How to recognize cardiac arrest

  • Rapid recognition of cardiac arrest is the essential first step of successful CPR 10.
  • As per the guidelines, the lay rescuer who witnesses a person collapse or comes across an apparently unresponsive person should confirm unresponsiveness by tapping the person on the shoulder and shouting: "are you all right?"
  • If the person does not respond, the rescuer calls for help or ambulance and initiates excellent chest compressions.
  • Lay rescuers should not attempt to assess the victim’s pulse and, unless the patient has what appear to be normal respirations, should assume the patient is apneic or without respiration.
  • Remember even well–trained professionals can have difficulty determining if breathing is adequate or pulses are present in unresponsive adults.
  • After assessing responsiveness, health care providers should quickly check the patient’s pulse.
  • While doing so, it is reasonable to visually assess the patient’s respirations.
  • It is appropriate to assume the patient is in cardiac arrest if there is no breathing or abnormal breathing (gasping) or if a pulse cannot be readily palpated within 10 seconds.
  • The key point is not to delay CPR.

News Around The Globe

  • The glucose–lowering drug liraglutide has been shown to promote weight loss in overweight and obese subjects who do not have diabetes, reports the multinational SCALE — Obesity and Prediabetes trial, presented at the American Association of Clinical Endocrinologists (AACE) 23rd Annual Scientific and Clinical Congress.
  • A study published in the June issue of Clinical Infectious Diseases has reported that patients with a first–ever diagnosis of zoster have a heightened risk for stroke within the first 6 months of diagnosis, with the highest risk in the first 4 weeks after zoster infection. It also stated that antiviral therapy may reduce stroke risk after zoster.
  • OnabotulinumtoxinA may be an appropriate second–line treatment option for select patients, not all, with overactive bladder (OAB), according to a joint committee opinion by the American College of Obstetricians and Gynecologists and the American Urogynecologic Society, published in the June issue of Obstetrics & Gynecology.
  • According to a new analysis by the Northwestern University, vitamin E–rich oils, including canola, soybean and corn, could be contributing to the rising incidence of lung inflammation, airway hyperresponsiveness and possibly asthma. In contrast, vitamin E–rich oils such as olive oil, wheat germ oil, almond and sunflower oil improve lung capacity and function.
  • The US Food and Drug Administration (FDA) has approved a new indication for panitumumab, specifically used in combination with the FOLFOX (fluorouracil plus leucovorin and oxaliplatin) chemotherapy regimen in the first–line treatment of patients with wild–type KRAS (exon 2 in codons 12 or 13) metastatic colorectal cancer (mCRC).

Rabies News (Dr A K Gupta)

What is the importance of pre–exposure vaccination?

Pre–exposure vaccination simplifies post–exposure vaccination because after bite, those who have received full pre–exposure vaccination require only two doses of vaccine at Days 0 & 3. RIG is not required (WHO 2007).

Cardiology eMedinewS

  • A pooled analysis of the first 111 patients treated with the percutaneous Parachute and followed with echocardiography showed significant improvements in left–ventricular end–systolic and end–diastolic volume indexes (LVESVi and LVEDVi, respectively) and left atrial volume index. The findings were presented recently at the Heart Failure Congress 2014.
  • A new analysis presented at the EuroPCR 2014 has shown that when GP IIb/IIIa inhibitors were not routinely used in EUROMAX, bivalirudin remained the superior strategy, with a significantly lower rate of death or major bleeding than heparin in STEMI patients.

Pediatrics eMedinewS

  • A report published online May 26 in Pediatrics provides guidance on the use of drug testing for pediatricians and other clinicians. Drug testing has been found as appropriate in situations like truly emergent situations like accident, suicide attempt; assessment of behavior problems including fatigue, excessive moodiness; and as part of a therapy program for substance abuse.
  • An article published in the June issue of Pediatrics has revealed that macrolide treatment of Mycoplasma pneumoniae may or may not benefit children with community–acquired lower respiratory tract infection (CA–LRTI).

Dr K K Spiritual Blog

Is the time and place of death pre-defined?

Some gurus teach that the time and place of death is predefined while some do not. I personally feel that life and respirations are predefined and not the day and time of death.

It is something like water in a sponge will become empty when every drop of water comes out but it does not matter how much time it takes to come out. It is therefore possible to postpone or prolong the fulfillment of Prarabhdha Karma and postpone death.

As per the Karma theory, unless our Prarabdha Karmas (decided at the time of death and birth) are enjoyed and fulfilled, one cannot die. But once the Prarabhdha Karmas are fulfilled, death is inevitable.

Another unanswered question is can Prarabdha karmas be modified? Fate or destiny may not change, which means one may not be able to prolong the quantity of life but can definitely change the quality of life. The quality of life can be changed by modifying Agami (present Karmas).

Sanchit Karmas can be burnt with the file of knowledge about self. Prarabdha Karmas have to be experienced and Agami Karma can be neutralized by positive and negative Karmas to Zero in the present life.

The last few Prarabdha Karma experienced can thus be slowed down by the net positive result of their Agami karmas.

Wellness Blog

Can blood pressure be higher in one arm?

A small difference in blood pressure readings between arms is normal. However, a difference of more than 20 mm Hg for systolic pressure (top number) or more than 10 mm Hg for diastolic pressure (bottom number) can be a sign of an underlying narrowing of the main arteries to that arm.

A difference of 10 to 15 mm Hg for upper systolic pressure that shows up repeatedly is a risk marker for vascular disease and future heart attacks.

Always have the doctor check both your arms for blood pressure and whichever is higher, use that arm for future blood pressure readings.

Inspirational Story

Don’t Sweat the Small Stuff

One day an expert in time management was speaking to a group of students and, to drive home a point, used an illustration those students will never forget.

As he stood in front of the group of high–powered overachievers, he said, "Okay, time for a quiz." Then he pulled out a one–gallon, wide mouthed Mason jar and set it on the table in front of him. Then he produced about a dozen fist–sized rocks and carefully placed them, one at a time, into the jar. When the jar was filled to the top and no more rocks would fit inside, he asked, "Is the jar full?"

Everyone in the class said, "Yes." Then he said, "Really?" He reached under the table and pulled out a bucket of gravel. Then he dumped some gravel in and shook the jar, causing pieces of gravel to work themselves down into the space between the big rocks.

Then he asked the group once more, "Is the jar full?" By this time the class was on to him. "Probably not," one of them answered. Good!" he replied. He reached under the table and brought out a bucket of sand. He started dumping the sand in the jar and it went into all the spaces left between the rocks and the gravel. Once more he asked the question, "Is the jar full?" No!" the class shouted. Once again he said, "Good!" Then he grabbed a pitcher of water and began to pour it in until the jar was filled to the brim. Then he looked at the class and asked, "What is the point of this illustration?" One eager student raised his hand and said, "The point is, no matter how full your schedule is, if you try really hard you can always fit some more things in!"

No," the speaker replied, "That’s not the point. The truth this illustration teaches us is: If you don’t put the big rocks in first, you’ll never get them in at all. What are the ‘big rocks’ in your life?

"Your children… Your loved ones… Your education… Your dreams… A worthy cause… Teaching or mentoring others… Doing things that you love… Time for yourself… Your health… Your significant other."

"Remember to put these BIG ROCKS in first or you’ll never get them in at all. If you sweat the little stuff (the gravel, the sand) then you’ll fill your life with little things to worry about that don’t really matter, and you’ll never have the real quality time you need to spend on the big, important stuff (the big rocks).

So, tonight or in the morning, when you are reflecting on this short story, ask yourself this question: What are the ‘big rocks’ in my life? Then, put those in your jar first."

ePress Release

Vegetables & fruits lower chances of getting some cancers

Vegetables and fruits help lower your chances of getting head, neck, breast, ovarian and pancreatic cancers. Even one additional serving of vegetables or fruits could help lower the risk of head and neck cancer. The more fruits and vegetables you can consume, the better.

Quoting an International Study from National Cancer Institute, Padma Shri, Dr B C Roy National & DST National Science Communication Awardee Dr K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association said that those who eat six servings of fruits and vegetables per 1,000 calories have a 29% decreased risk relative to those who have 1.5 servings. In the study, after adjusting the data to account for smoking and alcohol use – known head and neck cancer risk factors – the researchers found that those who consumed the most fruits and vegetables had the lowest risk for head and neck cancers. Vegetables appeared to offer more cancer prevention than fruits alone did. Adding just one serving of fruit or vegetables per each 1000 calories consumed daily resulted in a 6% reduction of risk.

In another study, broccoli and soy protein were found to protect against the more aggressive breast and ovarian cancers. When consumed together, digesting broccoli and soy forms a compound called di–indolylmethane (DIM). In lab experiments, the researchers found that DIM could affect the motility of breast and ovarian cancer cells, which could help keep cancers from spreading. Soy, acts like estrogen and is a nutritious, healthy food, and should be eaten in moderation.

Yet another study compared intake of flavonols to their risk of pancreatic cancer. Flavonols are protective compounds found in fruits and vegetables, such as onions, apples, berries, kale and broccoli. Those who had the highest consumption of flavonols reduced their risk of pancreatic cancer by 23%. The benefit was even greater for people who smoked. Smokers with high levels of flavonols reduced their risk of pancreatic cancer by 59%.

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

cpr 10 mantra
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

Treating vitamin D deficiency in the country

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 dengue patient with BP 100/90 developed shock.
Reaction: Oh my God! Why was rapid fluid challenge not given?
Lesson: Make sure that pulse pressure (upper minus lower blood pressure) is maintained above 40 in all patients with dengue

eMedinewS Humor

What’s for Dinner?

I have my changed my system for labeling homemade freezer meals. I used to carefully note in large clear letters, "Meatloaf" or "Pot Roast" or "Steak and Vegetables or "Chicken and Dumplings" or "Beef Pot Pie."

However, I used to get frustrated when I asked my husband what he wanted for dinner because he never asked for any of those things. So, I decided to stock the freezer with what he really likes.

If you look in my freezer now you’ll see a whole new set of labels. You’ll find dinners with neat little tags that say: "Whatever," "Anything," "I Don’t Know," "I Don’t Care," "Something Good," or "Food." My frustration is now reduced because no matter what my husband replies when I ask him what he wants for dinner, I know that it is there waiting.

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: Some Alcohol Terms Dr K K Aggarwal 1. Do not start if you do not drink Limit if you take and can not stop 3. (cont) http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Is it possible to find lasting happiness? http://tinyurl.com/nfbwx98

 

eMedi Quiz

Since sunscreen–awareness campaigns began, have skin–cancer rates decreased?

A. Yes, fewer people are getting skin cancer.
B. No, skin–cancer rates and deaths from the disease are on the upswing.
C. No, skin cancer is on the rise, but fatalities are down.
D. Skin–cancer rates have been stable over the past decade.
E. Yes, but only among older women.

Yesterday’s Mind Teaser: A vascular necrosis can be possible sequelae of fracture of all the following bones, except:

1. Femur neck
2. Scaphoid
3. Talus
4. Calcaneum

Answer for Yesterday’s Mind Teaser: 4. Calcaneum.

Correct Answers received from: Dr Poonam Chablani, Dr K V Sarma, Dr Jainendra Upadhyay, Dr Avtar Krishan, Arvind Diwaker, Raju Kuppusamy, Dr Ajay Gandhi.

Answer for 26th May Mind Teaser: B. Heart disease.

Correct Answers received from: Dr P C Das, Prabha Sanghi, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Daivadheenam Jella, Dr Avtar Krishan, Dr K V Sarma, Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Sir, Very informative news. Regards: Dr Trikha
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