eMedinewS29th May 2014,Thursday

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

Most uncontrolled asthmatics think they are controlled

Two–thirds of patients with uncontrolled asthma think their disease is well under control,

Asthmatics on proper medicines can not only lead a normal life but also reduce their future complications. Drugs include those medicines that keep the disease at bay as well as those that are used when a flareY–up occurs. Uncontrolled asthmatics will invariably end up with right heart complications due to persistent lack of oxygenation in the blood.

Most asthmatics fail to perceive their level of disease control and with an uncontrolled state they often feel that their asthma is under control.

Dr. Eric van Ganse, of University of Lyon, France, in a study published in the Annals of Allergy, Asthma, and Immunology, examined 1,048 subjects with inadequate asthma control. When asked how they would rate their asthma control over the past 14 days, nearly 69 percent considered themselves to be completely or well controlled. Failure to perceive inadequate asthma control was more likely to be found in patients between the ages of 41 and 50 years.

In severe asthma, low blood oxygen levels might impair a person’s ability to assess their own breathing difficulty.

Another reason is that the notion of asthma control seems poorly understood by asthmatic patients. Also, mild to moderate asthma limits the activities of a person and they over a period of time take that as their normal limits.

News Around The Globe

  • New research conducted at the University of Adelaide has for the first time confirmed that women who eat a poor diet before they become pregnant have 50% increased odds of having a preterm birth than those on a healthy diet. The research is published in the Journal of Nutrition.
  • A study presented at the American Urological Association 2014 Annual Scientific Meeting has revealed that congenital abnormalities in children conceived with assisted reproductive technologies do not appear to be related to the quality of the father’s semen. Instead, the technique itself — in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) — is a risk factor for congenital anomalies.
  • A new research has found that the presence of tumor-infiltrating lymphocytes, a type of white blood cell, ahead of treatment could predict response to platinum–based chemotherapy in women with triple–negative breast cancer. The data were presented at the 50th American Society for Clinical Oncology (ASCO) Annual Meeting in Chicago.
  • Data from a three–year safety study of perampanel, published online in the journal Epilepsia, has revealed that the drug controls and reduces seizures over sustained periods of time (up to three years). Up to 90% of patients achieved a reduction in secondarily generalized seizures and 5% achieved seizure freedom lasting at least one year.
  • A new research, presented at the Association for Research in Vision and Ophthalmology 2014 Annual Meeting, has pointed that for patients with ocular hypertension, yearly treatments with low–power selective laser trabeculoplasty (SLT) are more effective than standard SLT or the commonly used argon laser trabeculoplasty (ALT).

Rabies News (Dr A K Gupta)

Are there any dietary restrictions during intradermal rabies vaccination (IDRV)?

There are no dietary restrictions during IDRV. However, alcohol may be avoided as it may affect the immune response.

Cardiology eMedinewS

  • A low–carbohydrate vegan diet – labeled as "Eco–Atkins" – may reduce the risk of heart disease by 10% over 10 years besides weight reduction, reports a new study published in the journal BMJ Open.
  • An online game that teaches doctors and nurses blood pressure–lowering options led to faster attainment of normal blood pressure in their patients than patients whose healthcare providers received the same information in a traditional online posting, reported a research published in Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal.

Pediatrics eMedinewS

  • Maternal intake of dietary methyl donors during the first trimester of pregnancy alters the risk of developing childhood asthma at age 7, reports a new study presented at the 2014 American Thoracic Society International Conference.
  • An article published in Pediatric Allergy, Immunology, and Pulmonology has revealed that despite efforts to control allergen release in phones, many phones release levels of metals, such as nickel and chromium, which are sufficient to induce allergic contact dermatitis (ACD). Nickel sensitization appears common in children, resulting in ACD prevalence levels of up to 33%.

Dr K K Spiritual Blog

How to Be Happy and Healthy

A disciple once asked Lord Buddha, "After meditating for years, I have not been able to gain anything." Then Lord Buddha asked, "Did you lose anything?" The disciple said, "Yes, I lost my anger, desires, expectations and ego." Buddha smiled and said, "That is your gain by meditating."

To be happy, one must learn to let go of the following:

  • Let go of your desires. In Amarnath Yatra, Lord Shiva firstly let go of the Bull, which represents sexual desires. In Hanuman’s Lanka yatra, desires are represented by Samhiki, a creature who used to catch birds by their shadows. Hanuman killed the desires. So, it is possible to kill your desires. Again in Ramayana, desires are linked to Rajasik mind and in mythology, Meghnath represents the Rajsik mind. Meghnath was killed by Lakshman, the determined mind. Therefore, one should let go of the desires by killing them by focused concentration of the mind on the desires.
  • Let go your expectations. In Amarnath Yatra, the second thing which Lord Shiva discarded is moon which in mythology is symbolizes the letting go of expectations.
  • Let go your ego. In mythology, ego represents Kansa in Krishna era and Ravana in Rama era. Both were killed by Krishna and Rama respectively who symbolized the consciousness. Ego can never be killed by the mind and only can be killed by the consciousness (conscious based decisions). Ego is also represented by Sheshnaag and we have Lord Shiva and Lord Vishnu both having a Sheshnaag each with a mouth downwards indicating the importance of controlling one’s ego.
  • Never hurt ego of others. One should let go his or her ego but also remember to never hurt somebody’s ego. Hurting somebody’s ego in terms of allegations of sexual misconduct, financial corruption or abusing one’s caste is never forgotten and carries serious implications. In Hanuman’s Lanka Yatra, ego is represented by Sursa and Hanuman managed her by humility and not by counter ego. In Naag Panchami also, we worship Naag the ego by folded hands and by offering milk.
  • Let go your inaction. One should learn to live in the present. In Hanuman’s Lanka Yatra, Hanuman first meets Menak mountain, which indicates destination to rest. One should never do that and willfully divert his or her mind towards action.
  • Let go your attachments. Let go of your attachments to your close relatives and the worldly desires. In Amarnath Yatra, Lord Shiva first leaves Bully desires, moon (expectations), sheshnaag (ego) and then he gives up Ganesha and worldly desires (five elements). In mythology, this is practiced as detached attachment and in Bhagavad Gita is equated to Lotus. In Islam, detached attachment is practiced in the form of Bakra Eid.
  • Let go of your habit of criticizing, complaining and condemning people. One should always practice non–violent communication and speak what is truth, necessary and kind. One should not criticize, condemn or complain about people, situation and events. Wayne Dyer said, "The highest form of ignorance is when you reject something you do not know anything about." Most of us often condemn people without knowing their capabilities and label them as unmatchable to us. One should also let go habit of gossiping as it is a form of violent communication.
  • Let go your habit of blaming others. One should learn to take responsibilities and believe in team work. A good leader is one who learns to be responsible in life.
  • Let go of your need to be always right. It is a form of ego. Remember, in an argument either you can win arguments or relationships. One should always try to win relationship and not arguments.
  • Let go your need to control situation, event and people. Learn to accept people as they are. The world is won by those who let this habit go.
  • Let go your habit and need to impress others. This is also a type of ego where we always want appreciation.
  • Give up your belief that you cannot do it. Remember ‘IMPOSSIBLE’ is ‘I M POSSIBLE’. A belief is not an idea held by the mind but it is a mind that holds the mind. (Elli Roselle).
  • Give up your resistance to change. Remember change is the only constant which will happen and always welcome it. Joseph Campbell once said that one should follow one’s bliss and will open doors to your where there are only walls.
  • Let go your fear and let go all negative thoughts. Remember, the mind is a superb instrument if used rightly. It becomes very destructive if used badly. (Eckhart Tolle).
  • Let go your habit of excuses
  • Let go being in the past.

Wellness Blog

Why is My Nose Bleeding?

Nosebleed is a common problem, occurring in up to 60 percent of the general population and is often because of a respiratory illness or dry conditions. Nasal drying is common in the hot summer months because of the extreme temperature and dry air due to use of air conditioners.

Here are some typical reasons for nosebleeds:

  • Nasal allergies
  • Blowing your nose too hard or trying to remove something from inside the nose
  • A result of "popping" the ear
  • Nasal exposure to chemicals
  • Frequent sneezing or having an upper respiratory infection
  • Use of nasal spray or a blood–thinning drug, such as aspirin
  • Inhaling air that is extremely dry or cold
  • Having recent surgery on the nose or elsewhere on the face
  • Breaking the nose or a similar injury
  • Uncontrolled blood pressure

Bleeding can be controlled by direct pressure i.e. compression of the nostrils rasping the alae distally so all mucosal surfaces are opposed. Direct pressure should be applied continuously for at least five minutes, and for up to 20 minutes. The patient should be encouraged not to check for active bleeding. Patients who are properly instructed may control their bleeding while the evaluation gets underway.

Other maneuvers include bending forward at the waist while sitting up (to avoid swallowing blood), placing a plug of cotton wool or gauze into the bleeding nostril (sometimes coated with antibiotic ointment), expectorating out blood that accumulates in the pharynx and a cold compress applied to the bridge of the nose.

These maneuvers also should be taught to high–risk patients for use at home. Many ENT specialists recommend initial treatment with two puffs of oxymetazoline to hasten hemostasis.

Inspirational Story

Everybody Has a Dream

Some years ago I took on an assignment in a southern county to work with people on public welfare. What I wanted to do was show that everybody has the capacity to be self–sufficient, and all we have to do is to activate them. I asked the county to pick a group of people who were on public welfare, people from different racial groups and different family constellations. I would then see them as a group for three hours every Friday. I also asked for a little petty cash to work with as I needed it.

The first thing I said after I shook hands with everybody was, "I would like to know what your dreams are." Everyone looked at me as if I were kind of wacky.

"Dreams? We don’t have dreams." I said, "Well, when you were a kid what happened? Wasn’t there something you wanted to do?"

One woman said to me, "I don’t know what you can do with dreams. The rats are eating up my kids." "Oh," I said. "That’s terrible. No, of course, you are very much involved with the rats and your kids. How can that be helped?"

"Well, I could use a new screen door because there are holes in my screen door." I asked, "Is there anybody around here who knows how to fix a screen door?"

There was a man in the group, and he said, "A long time ago I used to do things like that, but now I have a terribly bad back, but I’ll try."

I told him I had some money if he would go to the store, buy some screening, and go and fix the lady’s screen door.

"Do you think you can do that?" "Yes, I’ll try." The next week, when the group was seated, I said to the woman, "Well is your screen door fixed?"

"Oh, yes," she said. "Then we can start dreaming, can’t we?" She sort of smiled at me. I said to the man, who did the work, "How do you feel?"

He said, "Well, you know, it’s a very funny thing. I’m beginning to feel a lot better." That helped the group to begin to dream. These seemingly small successes allowed the group to see that dreams were not insane.

These small steps began to get people to see and feel that something really could happen.

I began to ask other people about their dreams. One woman shared that she always wanted to be a secretary. I said, "Well, what stands in your way?" (That’s always my next question).

She said, "I have six kids, and I don’t have anyone to take care of them while I’m away." "Let’s find out," I said.

"Is there anybody in this group who would take care of six kids for a day or two a week while this woman gets some training here at the community college?" One woman said, "I got kids, too, but I could do that."

"Let’s do it," I said. A plan was created and the woman went to school.

Everyone found something. The man who put in the screen door became a handyman. The woman who took in the children became a licensed foster care person. In 12 weeks I had all these people off public welfare. I’ve not only done that once, I've done it many times.

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
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Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
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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 NP Boys Senior Secondary School, 10th May 2014

press release

Ventilator–associated tracheobronchitis

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 dengue died.
Reaction: Oh my God, why was he not given adequate fluids?
Lesson: Make Sure that all patients with dengue are given fluids to correct intravascular dehydration.

eMedinewS Humor

Funny quote on a husband’s T–Shirt

All girls are devils,
but my wife is the queen

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of them.

Quote of the Day

A total commitment is paramount to reaching the ultimate in performance. Tom Flores

 

Twitter of the Day

Dr KK Aggarwal: High BP in Pregnancy Increases Risk for Future Atherosclerosis http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Just as a wave is a movement of the whole ocean, you are the energy of the cosmos. Don’t underestimate your power. http://tinyurl.com/nfbwx98

 

ePress Release

Rise in blood pressure during mental stress is a strong predictor of plaque progression

Rise in blood pressure during mental stress is a strong predictor of plaque (early blockages in heart) progression, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

Therefore, mental stress test should be done in every patient with neck artery plaques and if positive, these patients should be put on plaque stabilizing drugs. If the plaque is stabilized, one can reduce the chances of heart attack and paralysis.

Presence of plaque in the neck artery in an asymptomatic person is highly indicative of a future heart attack or paralysis. Plaque can be measured by using high resolution ultrasound in any echocardiography laboratory. Plaques grow along the neck artery 2.4 times more than their thickness.

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."

eMedi Quiz

How much exercise do you really need?

A. 45 minutes twice a week.
B. 30 minutes three or four days a week.
C. 60 minutes at least three or four days a week.
D. 30 minutes at least four or five days a week.
E. It depends on your age and overall physical–fitness level.

Yesterday’s Mind Teaser: 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.

Answer for Yesterday’s Mind Teaser: B. No, skin cancer rates and deaths from the disease are on the upswing.

Correct Answers received from: Dr Poonam Chablani, Dr Jainendra Upadhyay, Dr Smita Uday Shevade, Daivadheenam Jella, Dr Avtar Krishan, Dr KV Sarma, Prabha Sanghi, Dr Chandresh Jardosh, Dr Smita Uday Shevade Dr Prakash Khalap, Tukaram Pagad Prabha Sanghi, Dr Chandresh Jardosh, Dr B R Bhatnagar.

Answer for 27th May Mind Teaser: 4. Calcaneum.

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

Send your answer to ijcp12@gmail.com

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  1. Dear Sir, Thanks for the nice information. Regards: Dr Kalpish
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