eMedinewS29th April 2014,Tuesday

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

Wound Hygiene

It is a common occurrence that one faces simple wounds at home which can be as a result of fall, animal bite etc. Following are the ways to manage them:

  1. Irrigation is the most important thing for reducing bacterial impact.
  2. Irrigation should be urgently done in every wound. It can be done by warm normal saline or simple running tap water.
  3. One can add dilute iodine or any asthetic solution if required.
  4. Irrigation can be low pressure or high pressure. At home low pressure injection is sufficient which can be done using any of the infant milk bottle system.
  5. If there is a burn, irrigation should be done continuously till the burning disappears.
  6. In case there is a foreign body with irritation, continuous irrigation should be done till burning disappears.
  7. Do not forget to wash your hands with soap and water before cleaning the wound and wear medical gloves, if available.
  8. It is good idea to let the injured person clear his or her own wounds, if possible.
  9. Rinsing of the wounds should be done for at least 5–10 minutes.
  10. Cool water may feel better than warm water on the wound.
  11. If there is a mild bleeding, clean the wound first and then stop the bleeding.
  12. Moderate scrubbing can be done if the wound is very dirty.
  13. If there are foreign bodies or objects, remove them using a clear tweezers, Do not push the tweezers, deeply into the wound.
  14. Apply the dressing and bandage to the wound as the need may be.

News Around The Globe

  • According to a new study, women diagnosed with gestational diabetes before 24 weeks gestation are 10.4 times more likely to deliver a preterm baby compared with women diagnosed after 24 weeks. The findings were presented recently at the annual meeting of the American College of Obstetricians and Gynecologists (ACOG).
  • In a recent revelation, UK researchers have shown that MR imaging can successfully identify calorie–burning brown adipose tissue (BAT) in a living, human adult. The findings may have implications in finding therapies against diabetes and obesity. The results are published online in the Journal of Endocrinology & Metabolism.
  • A study published in the journal Psychoneuroendocrinology has revealed that intuitive thought commonly ascribed to women under the title of "female intuition" could have a biological influence, rooted in lower prenatal exposure to testosterone in the womb.
  • Researchers at the University of Pennsylvania have recently revealed that neurotic people are afraid of taking action due to anxiety. These individuals do not view taking action as a positive step, unlike emotionally stable people and anxiety is primarily responsible for the negative attitudes toward action in neurotic individuals. The findings have been published in the Journal of Personality.
  • An article published online April 24 in Clinical Infectious Diseases has stated that a medical team treating patients with Clostridium difficile infection (CDI) could achieve an overall 90% cure rate using frozen fecal transplant material as a "biologic therapeutic."

Rabies News (Dr A K Gupta)

What is the criterion for "protection" after immunization?

The rabies virus neutralizing antibody (RVNA) titer of 0.5 IU/ml of serum in the vaccinated person is considered protective.

The facility for this test is available at NCDC, Delhi, CRI, Kasauli, Pasteur institute, Coonnor, NIV, Pune and NIMHANS, Bangalore.

Cardiology eMedinewS

  • The European Medicines Agency’s (EMA’s) Coordination Group for Mutual Recognition and Decentralised Procedures (CMDh) has recently endorsed the recommendations to restrict the use of domperidone–containing antiemetics owing to increasing concerns about adverse cardiac effects. There is a small increased risk for serious adverse cardiac events with domperidone use, including QTc prolongation, torsade de pointes, serious ventricular arrhythmia, and sudden cardiac death.
  • A significant percentage of patients who can gain the most from taking statins are least willing to take them, even when they know it will add years to their lives, reports a recent analysis published online in Circulation. The issue could be resolved with the use of a tool for shared decision making in cardiovascular primary prevention.

Pediatrics eMedinewS

  • Prenatal exposure to the antihypertensive drug methyldopa possibly caused acute hypertensive crisis with heart failure in a 2–week–old, otherwise healthy girl, according to a case report published online April 28 in Pediatrics. It was evident that the mother was receiving a "relatively high" dose of methyldopa.
  • The American Academy of Pediatrics (AAP) has issued clinical guidelines on diagnosing, treating, and preventing anterior cruciate ligament (ACL) tears in adolescents. The recommendations were published online April 28 in Pediatrics. Among other statements, the guidelines recommended the Lachman test to be the best physical examination test to detect an ACL tear.

Dr K K Spiritual Blog

Managing grief by free expressive writing

The loss of a loved is often painful. The resultant grief makes it hard to eat, sleep and leads to loss of interest in routine life affecting behavior and judgment.

Some can feel agitated or exhausted, to sob unexpectedly, or to withdraw from the world and others may find themselves struggling with feelings of sorrow, numbness, anger, guilt, despair, irritability, relief, or anxiety.

It is well known that disclosing deep emotions through writing can boost immune function as well as mood and well–being. Conversely, the stress of holding in strong feelings can ratchet up blood pressure and heart rate and increase muscle tension.

One can write on a piece of paper, in your personal book, on the open website with nick name or keep it in the mind. One doesn’t have to preserve the emotions and can through away the writings.

In absence of deeply troubling situations, such as suicide or a violent death which are best explored with the help of an experienced therapist, one can choose writing as a way to express out the grief.

  1. Start writing for 15 to 30 minutes a day for three to four days
  2. Continue upto a week if it is helping
  3. Continue writing for 15 to 30 minutes once a week for a month.
  4. Writing has stronger effects when it extends over more days.
  5. Remember writing about grief and loss can trigger strong emotions (one may cry or feel deeply upset)
  6. Many people find journal writing valuable and meaningful and report feeling better afterward.
  7. Don’t worry about grammar or sentence structure.
  8. Truly let go. Write down how you feel and why you feel that way. You’re writing for yourself, not others. (Source Harvard News Letter)

Wellness Blog

Harvard 4 simple ways to boost your energy

  1. Pace yourself: Keep going, but don’t risk overtaxing yourself. Instead of burning through all your battery life in two hours, spread it out between morning tasks, afternoon tasks, and evening activities — with rest and meals between.
  2. Take a walk or a nap: However, if you have trouble sleeping at night, napping can make the insomnia worse. If that’s the case for you, get moving instead. Get up and walk around the block, or just get up and move around. If you are not an insomniac, enjoy that 20– to 30–minute power nap.
  3. Skip most supplements. There is no evidence that they works.
    • DHEA: There is no evidence that DHEA offers any real benefits.
    • Iron. Iron only improves energy if you are clearly deficient.
    • B vitamins. It is true that B vitamins (B1, B2, B6, B12) help the body convert food into the form of energy that cells can burn, but taking more B vitamins doesn’t supercharge your cells.
  4. Fuel up wisely. A sugary bakery roll delivers plenty of calories, but your body tends to metabolize them faster, and then you can end up with sinking blood sugar and fatigue. You’ll maintain a steadier energy level by eating lean protein and unrefined carbohydrates. Try low–fat yogurt with a sprinkling of nuts, raisins, and honey.

Inspirational Story

The Doctor and the Father

A doctor entered the hospital in hurry after being called in for an urgent surgery. He answered the call asap, changed his clothes & went directly to the surgery block. He found the boy’s father pacing in the hall waiting for the doctor.

On seeing him, the dad yelled:

"Why did you take all this time to come? Don’t you know that my son’s life is in danger? Don’t you have any sense of responsibility?"

The doctor smiled & said:

"I am sorry, I wasn’t in the hospital & I came as fast as I could after receiving the call…… And now, I wish you’d calm down so that I can do my work"

"Calm down?! What if your son was in this room right now, would you calm down? If your own son dies now what will you do??" said the father angrily

The doctor smiled again & replied: "I will say what Job said in the Holy Book "From dust we came & to dust we return, blessed be the name of God". Doctors cannot prolong lives. Go & intercede for your son, we will do our best by God’s grace"

"Giving advises when we’re not concerned is so easy" Murmured the father.

The surgery took some hours after which the doctor went out happy,

"Thank goodness!, your son is saved!" And without waiting for the father’s reply he carried on his way running. "If you have any questions, ask the nurse!!"

"Why is he so arrogant? He couldn’t wait some minutes so that I ask about my son’s state" Commented the father when seeing the nurse minutes after the doctor left.

The nurse answered, tears coming down her face: "His son died yesterday in a road accident, he was at the burial when we called him for your son’s surgery. And now that he saved your son’s life, he left running to finish his son’s burial."

Moral:

  1. Never judge anyone…… because you never know how their life is & what they’re going through"
  2. People who jump the gun in most cases happen to be foul mouthed. "Just keep away from them".

ePress Release

S Moorei responsible for bad breath

Solobacterium moorei, a gram–positive anaerobic bacillus originally isolated from human feces has been shown to be responsible for chronic bad breath, or halitosis.

Persistent bad breath, is often caused by the breakdown of bacteria in the mouth, producing foul–smelling sulfur compounds that reside on the surface of the tongue.

As per Betsy Clark, at the State University of New York at Buffalo School of Dental Medicine in a study of 21 people with chronic bad breath and 36 subjects without this problem, S. moorei was found in every patient who had halitosis compared with only four control subjects.

Brushing twice a day with antibacterial toothpaste and using a toothbrush with a built–in tongue scraper can eliminate chronic bad breath.

Bad oral hygiene is also associated with increased risk of heart disease 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.

Identifiable cause of bad breath is periodontal disease, gingivitis, postnasal drip, systemic illness.

Oral source of bad breath may be alleviated by:

  1. Proper dental care and oral hygiene.
  2. Gentle cleaning of the posterior portion of the dorsum tongue with a plastic tongue cleaner.
  3. Rinsing and deep gargling with an effective mouthwash. One should extend the tongue while gargling.
  4. Eating fibrous foods especially at the breakfast.
  5. Brief gum chewing for five minutes if the mouth is dry, or after meals, especially with high protein intake.
  6. Sufficient water intake.

Antibiotics, if bacteria are present for temporary relief. One should floss their teeth properly, smell the floss between each passage, and clean the malodorous sites carefully. Flossing should include cleaning the posterior surface of the back teeth as well.

Effective tongue brushing requires access to the deep posterior part of the dorsal tongue; odors often lurk 10 cm or more back from the tongue tip. The basic idea is to sweep away the mucus, desquamated cells, and other debris.

Some mouthwashes contain components that may harm soft oral tissues (eg, alcohol, sodium dodecyl sulfate, strong oxidizing agents). The most efficacious mouthrinses for short–term use are probably those containing 0.2 percent chlorhexidine gluconate.

The best time to use a mouthwash is before bedtime since the residue of the mouthrinse may remain in the mouth for a longer period of time and have a greater effect. Also bacterial activity leading to bad breath is greatest during the nighttime, when saliva flow is practically zero and microbial activity is highest.

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

World Earth Day Celebration at DAV Public School, RK Puram, New Delhi.

press release

Obesity reduces life expectancy

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 with rheumatic arthritis was not given penicillin prophylaxis, and subsequently developed another attack.
Reaction: Oh my God! Why was the prophylaxis not started?
Lesson: Make sure that one administers secondary prophylaxis in the setting of suspected poststreptococcal reactive arthritis for up to one year after the onset of symptoms. Evidence of valvular disease after one year should prompt continued prophylaxis; otherwise, antibiotic prophylaxis may be discontinued.

eMedinewS Humor

A Texas millionaire

A Texas millionaire had fallen ill. The doctors consulted did not seem to understand what ailed him. The millionaire let it be known that any doctor who could heal him could have whatever he desired.

A country doctor was finally able to cure him, and as the doctor was leaving after a week’s stay, the Texan said, "Doc! I am a man of my word. You name it, and if it is humanly possible I’ll get it for you."

"Well," said the doctor, "I love to play golf, so if I could have a matching set of golf clubs, that would be fine." With that the physician left.

The doctor didn’t hear from the Texan millionaire for some months. Then, one day, he got a phone call from the millionaire.

"Doc, I bet you thought that I had gone back on my word. I have your matching set of golf clubs. The reason it took so long is that two of them didn’t have swimming pools, and I didn’t think they were good enough for ya. So I had pools installed and they're all ready for you now!"

Quote of the Day

Turn every problem into a wonder, every adventure in to a joy. And this starts happening inside you with the very glimpse and experience of this deep, pure, Divine Love.– Sri Sri Ravi Shankar

 

Twitter of the Day

Dr KK Aggarwal: ECG not reliable marker for predicting heart disease http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Knowing that everyone is doing their best from their level of consciousness. #CosmicConsciousness

 

eMedi Quiz

Which of the following is present intracellularly in muscle cells:

1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.

Yesterday’s Mind Teaser: The buffering capacity of a buffer is maximum at pH equal to:

1. 0.5pKa.
2. pKa
3. pKa+1
4. 2pKa

Answer for yesterday’s Mind Teaser: 2. pKa

Correct answers received from: Dr Sharmila Verma, Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Poonam Chablani, Dr Avtar Krishan, Dr P C Das.

Answer for 27th April Mind Teaser: 2. First quartile.

Correct answers received from: Dr Avtar Krishan, Dr P C Das.

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Very informative news. Regards: Dr Kartik
cardiology news

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