eMedinewS
29th November 2014, Saturday

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

Difference between fog and smog

Whenever the humidity is high, air movement is less and the temperature is low, fog is the automatic choice. It reduces visibility and more accidents are reported on the roads and delay in both railway and airlines services. When the level of pollution is high in the atmosphere, the pollutant particles get mixed into the fog reducing its visibility further and the resultant is called as smog. Smog is very dangerous to both lungs and the heart.

  1. High sulfur dioxide contents lead to precipitation of chronic bronchitis.
  2. High nitrogen dioxide contents lead to precipitation of asthma.
  3. High particulate matter (PM10), air pollutants sized between 2.5 to 10 microns, can damage the lungs and precipitate asthma due to air flow and inflammation.
  4. High contents of particulate matter (PM 2.5), air pollutants less than 2.5 micron in size can enter the lungs and damage the lung lining. They can also be absorbed and cause inflammation of the heart arteries.
  5. Patients with asthma and chronic bronchitis should get the dose of their medicine increased during smog days. One should avoid exerting in the presence of smog.
  6. It is better to avoid walking during smog hours.
  7. One should drive slowly during smog hours.
  8. Heart patients should stop their early morning walk during smog hours.
  9. Remember to take the flu, pneumonia vaccine.

News Around The Globe

  • Nonocular pain and mental health problems are more common in dry eye than tear film parameters, suggests new research presented at the American Academy of Ophthalmology 2014 Annual Meeting.
  • Biofilms harboring multi-antibiotic-resistant organisms are found at unexpected levels on dry hospital surfaces and could contribute to the risk of infection transmission, suggest the results of a new study presented at the Healthcare Infection Society 2014 Annual Meeting.
  • The European Commission has granted marketing approval to the injectable drug dulaglutide for adults with type 2 diabetes. The drug can be taken any time of day, with or without meals, and either by itself or with other treatments for type 2 diabetes. It received U.S. marketing approval on September 18.
  • Loop diuretics raise parathyroid hormone (PTH) levels in adults with preserved renal function, suggest new observational data published online November 24 in JAMA Internal Medicine.
  • The world's first clinical trial to compare three ways of delivering insulin to control glucose levels in patients with type 1 diabetes concludes that two versions of an artificial pancreas can do the job better than conventional pump therapy. The findings are published in The Lancet Diabetes & Endocrinology journal.

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

RF

Dr KK Spiritual Blog

Why do we regard trees and plants as being sacred?

The upper part of the plants, the leaves, flowers and fruits are worshipped as sacred and offered to God. As per the Bhagwad Gita, these have satvik properties. Roots of any plant are tamsik and not offered in pooja or eaten during pooja days. The same is true for the stems of plants, which have rajsik properties.

  1. Fresh and live fruits have the same spirit and life force as in the human beings and are considered sacred the same way as any human being.
  2. Human life also depends on plants and trees. They give us the vital factors that make life possible on earth: food, oxygen, clothing, shelter, medicines etc.
  3. Ancient scriptures suggest the planting of a minimum of ten trees. We are also urged to apologize to a plant or tree before cutting it to avoid incurring a specific sin named soona.
  4. Many trees and plants like tulsi, peepal etc., which also have medicinal value, are worshipped.

Inspirational Story

The Three Dolls

A sage presented a prince with a set of three small dolls. The prince was not amused. “Am I a girl that you give me dolls?” – He asked.

“This is a gift for a future king,” Said the sage. “If you look carefully, you’ll see a hole in the ear of each doll.” The sage handed him a piece of string. “Pass it through each doll.” – He said.

Intrigued, the prince picked up the first doll and put the string into the ear. It came out from the other ear. “This is one type of person,” said the sage, “whatever you tell him, comes out from the other ear. He doesn’t retain anything.”

The prince put the string into the second doll. It came out from the mouth. “This is the second type of person,” said the sage, “whatever you tell him, he tells everybody else.”

The prince picked up the third doll and repeated the process. The string did not come out. “This is the third type of person,” said the sage, “whatever you tell him is locked up within him. It never comes out.”

“What is the best type of person?” – Asked the prince. The sage handed him a fourth doll, in answer. When the prince put the string into the doll, it came out from the other ear.

“Do it again.” – Said the sage. The prince repeated the process. This time the string came out from the mouth. When he put the string in a third time, it did not come out at all.

“This is the best type of person,” said the sage. “To be trustworthy, a man must know when not to listen, when to remain silent and when to speak out.”

Rabies News (Dr A K Gupta)

Can we apply local antibiotics or antimicrobial agents on the site of bite?

After cleansing of the bite wounds, local antimicrobial agents can be applied. Discourage local wound applicants like turmeric, neem, red chili, lime, plant juices, coffee powder etc.

Cardiology eMedinewS

  • The 'Mission: Lifeline' program of coordinated emergency response for patients with ST-segment elevation MI (STEMI) has resulted in shorter emergency room (ER) wait times and better survival, suggested new research presented at the American Heart Association (AHA) 2014 Scientific Sessions.
  • An analysis of a Canadian registry of patients with atrial fibrillation revealed that one in five treated with oral anticoagulants were also treated with antiplatelet medication and that a "substantial proportion" of patients treated with the dual therapy did not have a compelling reason for adding the antiplatelet drug. The findings were presented at the American Heart Association (AHA) 2014 Scientific Sessions.

Pediatrics eMedinewS

  • In a rare trial of drug therapy for kids and young adults with Marfan's syndrome, the rate of aortic-root dilatation, adjusted to body-surface area, was about the same over 3 years whether patients were on the angiotensin-receptor blocker (ARB) losartan or the more conventional treatment, beta blockade with atenolol. The results were presented at the American Heart Association (AHA) 2014 Scientific Sessions.
  • A study published in Infant Behavior and Development has shown that babies are more likely to remember something if there is a positive emotion, or affect, that accompanies it.

Quote of the Day

  • Assumptions are the termites of relationships. ~ Henry Winkler

Wellness Blog

Stay Away From Stress during Examination Days

Exam stress can lead to depression and suicide. Prescriptions for anti depressant drugs, so called ‘happy drugs’ increase amongst teenagers in the age group 16-18 years in full time education during exam days. This figure crosses 20% in school population in the West.

To create awareness about the rising problems of stress in the Indian context, Dr Aggarwal said that the fear of failure, fear of letting down are the two most common factors leading to suicide and depression.

Children also use drugs to keep awake during exams and end up with addictions. Anticipatory anxiety peaks before exams resulting in adverse affects on the body and mind and therefore, a suboptimal performance. Stress not only causes palpitations and tense muscles but also reduces the ability to make decisions, act or express oneself including organization of thoughts. Stress during exam makes it difficult to read and understand questions and even to recall terms and concepts.

A study has shown that 45 minutes of afternoon nap improves the declarative memory. Declarative memory is the memory of events learnt and understood earlier during the year. Not taking an afternoon nap or night sleep may cause the child end up with transient loss of declarative memory. Sleep appears to help "set" these declarative memories and makes them easier to recall. The other type of memory is "procedural memory," which applies to skills and has no impact with the midday nap.

Free writing can clear mental stress: By spending 30 minutes each day for four days to write out your innermost thoughts and feelings, one can significantly boost mental and physical health. In expressive writing therapy, students are encouraged to express whatever is on their mind, letting their hopes and fears flow out in a natural, unrestrained way. It's akin to keeping a journal, but more focused on the things that might be bothering you or triggering stress. While writing, the students need not worry about the punctuations. It's all about stepping back and thinking about things in a different way, making linkages. Writing out emotions eases stress and, in turn, boosts the immune system.

Memories of traumatic events are not suppressed by the people who have experienced them and can be clearly recalled. In a five-year study, scientists at Dalhousie University in Halifax found that pleasant events were more difficult to recall than unhappy ones.

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.

eMedi Quiz

A 2 month old baby with accute 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 positve.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Yesterday’s Mind Teaser: Bacitracin acts on:

1. Cell Wall
2. Cell Membrane.
3. Nucleic Acid.
4. Ribosome.

Answer for yesterday’s Mind Teaser: 1. Cell Wall

Correct answers received from: Prabha Sanghi, Dr K Raju, Dr Jainendra Upadhyay, Dr K V Sarma, Dr Pankaj Agarwal, Dr Rakesh Sharma, Dr Avtar Krishan.

Answer for 26th November Mind Teaser: 1. Hydatid cyst of liver.

Correct answers received from: Dr Jainendra Upadhyay, Dr Pankaj Aggarwal, Dr Rakesh Sharma, Dr Avtar Krishan.

Send your answer to email

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at G.B.S.S.School, Jangpura New Delhi-14 on 19th November 2014

Self-Assessment-Quiz

 

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To Err is Human

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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 COPD needed oxygen.
Dr. Bad: Use binasal cannula.
Dr. Good: Use Venturi mask.
Lesson: Venturi mask helps in washing out carbon dioxide.

Make Sure

Situation: A patient intolerant to penicillin was denied rheumatic prophylaxis.
Reaction: Oh my God! Why was he not put on sulfa?
Lesson: Make sure that patients who cannot tolerate penicillin are put on sulfadiazine or sulfisoxazole. This antibiotic class is effective for preventing group A streptococcal (GAS) infection although it cannot be used to achieve eradication.

eMedinewS Humor

Where is God?

A couple had two little boys, ages 8 and 10, who were excessively mischievous. They were always getting into trouble and their parents knew that, if any mischief occurred in their town, their sons were probably involved. The boys’ mother heard that a clergyman in town had been successful in disciplining children,so she asked if he would speak with her boys.The clergyman agreed, but asked to see them individually. So the mother sent her 8–year–old in first that morning, with the older boy to see the clergyman in the afternoon. The clergyman, a huge man with a booming voice, sat the younger boy down and asked him sternly,"Where is God?"

The boy’s mouth dropped open, but he made no response,sitting there with his mouth hanging open, wide eyed. So the clergyman repeated the question in an even sterner tone, "Where is God!!?" Again the boy made no attempt to answer. So the clergyman raised his voice even more and shook his finger in the boy’s face and bellowed, "Where is God!?"

The boy screamed and bolted from the room, ran directly home and dove into his closet, slamming the door behind him.When his older brother found him in the closet, he asked, "What happened?" The younger brother, gasping for breath, replied, "We are in BIG trouble this time, dude. God is missing – and they think WE did it!"

Twitter of the Day

Dr KK Aggarwal: Excess of 2/1 coffee are harmful
Dr Deepak Chopra: Rational natural laws that are understood by rational minds suggest a rational source for the universe

medicolegal update
  1. Dear Sir, very informative newspaper. Regards: Dr Tarun

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