eMedinewS2nd June 2014,Monday

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

Donating blood reduces chances of heart attack

One should donate blood at least once in a year. Donating blood regularly has been shown in many reports to reduce chances of future heart attacks. Blood donation is also one of the best charities that one can do as it can save multiple lives through various components taken out of a single blood transfusion.

All those who are going for elective surgery should donate their blood well in advance and the same should be used at the time of surgery.

In the current medical tourism scenario, many patients who are Jehovah’s Witnesses refuse blood transfusion on religious grounds. They do not accept transfusion of whole blood or any of the four major components (blood cells, platelets, plasma and white cells). They are prepared to die rather than receive the blood. They also do not accept transfusion of stored blood including their own due to the belief that blood should not be taken out of the body and stored for any length of time. In such cases, every effort should be made to reduce blood loss, conserve blood and give drugs that can enhance hemoglobin formation.

A new concept called Bloodless Medicine has now become a reality where treatment, surgery and even emergency surgery can be done without using any blood.

News Around The Globe

  • A new study, published in the journal Fertility and Sterility, has revealed that stress can reduce sperm and semen quality, which could have implications for male fertility. Researchers noted that men who experienced two or more stressful life events in the past year had a lower percentage of sperm motility and normal morphology sperms, compared to those who did not experience any stressful life events.
  • Higher rates of depression and anxiety among adults undergoing hemodialysis could be associated with impaired physical exercise capability and reduced daily physical activity, reports a new study published online in the Journal of Renal Nutrition.
  • In a 12–week weight–loss program, individuals who continued to consume diet beverages lost 1.86 kg more and reported feeling less hungry than those who switched to water, reported a recent study published in the June issue of Obesity. However, an accompanying editorial cautioned that it is too early to routinely recommend these beverages for weight loss.
  • "Unanticipated" acute radiation skin toxicity can possibly occur in patients with metastatic melanoma undergoing radiotherapy with concomitant use of the BRAF inhibitors vemurafenib or dabrafenib, reports a study published online May 27 in the Journal of Clinical Oncology.
  • Isoniazid can reduce the risk of tuberculosis in HIV patients on antiretroviral therapy, reports a new study published online in The Lancet.

Rabies News (Dr A K Gupta)

Is sera testing of IDRV patients for antirabies antibodies necessary as a measure of knowing its efficacy?

Routine sera testing for rabies antibodies to know its efficacy is not required.

Cardiology eMedinewS

  • New angiographic data from the Preventive Angioplasty in Acute Myocardial Infarction (PRAMI) trial have shown that the degree of stenosis in nonculprit arteries is associated with risk of subsequent events. Additionally, patients with moderate blockages not treated at the time of primary PCI might eventually have events. The findings were presented at the Society for Cardiovascular Angiography and Intervention (SCAI) 2014 Scientific Sessions.
  • Raised systolic and diastolic blood pressures may have different effects on different types of cardiovascular diseases and at different ages, reports a new research from England published in a special themed issue of The Lancet. Higher systolic blood pressure poses a greater risk of intracerebral hemorrhage, subarachnoid hemorrhage, and stable angina, whereas raised diastolic blood pressure predicts abdominal aortic aneurysm risk.

Pediatrics eMedinewS

  • A recent study conducted at the Department of Pediatrics at the University of British Columbia, Canada has suggested that weight for age instead of BMI–for–age appears more promising, consistent and may yield more accurate results in defining obese children. Researchers noted in their study, that while 16.1% children were classified as obese using BMI–for–age standard, only 14.3% were classified using the weight–for–age cut off.
  • A research published online in Archives of Disease in Childhood Fetal and Neonatal Edition has pointed that routine measurements of hematocrit and calcium and other monitoring may not be required in macrosomic newborns of non–diabetic mothers. Findings suggested that repeated glucose testing of similarly defined symmetric macrosomic newborns of non-diabetic mothers is not justified.

Dr K K Spiritual Blog

Sacrifice a goat and clear the board exam: It’s scientific

"Students in tribal–dominated Jhabua district in Madhya Pradesh and adjoining villages in Gujarat believe that sacrificing goats can help them pass an exam. Ranapur, 45 km from Jhabua, an idol of Baba Dongar, a tribal god is making all wishes come true. Here, photocopies of exam admit cards are tied around trees and in return for their entreaties coming true, the supplicants promise to offer the god a goat, a hen or a bottle of liquor. Some 500 animals are sacrificed here every day and there are more than a dozen such priests who do the slaughtering."

The above story is published in TOI and is correct as per mythology provided one understands the mythology.

In mythology riding means controlling and sacrificing means killings and animals are symbolized by human nature and behaviors.

For example, mouse is a vahan of Ganesha and symbolizes that to overcome obstacles one need to control one’s greed. Similarly owl is the vahan of Laxmi and means that for righteous earning one should be able to control one’s foolishness.

Goats and Rams represent sexuality and sexual desires and lambs represent purity and innocence.

Goat is mentioned in mythology both as a symbol and as a vehicle of Gods. In the Samkhya system Prakriti is depicted as a female goat (Mother Nature). The color of goat is red, black or white representing Sattva, Rajas, and Tamas.

The vehicle of Goddess Kali is a black goat. Agni rides Mesha – a ram. Kubera, the god of wealth, also has a ram as his vehicle. A ram is an uncastrated adult male sheep.

Sacrificing during exams means controlling your tamas or inertia and rajas or aggression, and controlling your sexual desires (un–castrated males).

Brahmacharya in mythology is a period where you are supposed to keep your sexual deviations and other desires under control. So sacrificing a goat does not mean physical killing of goat but killing of goat like activities within you.

Wellness Blog

Every arthritis is not same

Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications.

Any arthritis in young women of child–bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease–modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1–2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of 50+age group and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight–bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout, which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

Inspirational Story

Full Circle

The finished product was astounding. She looked absolutely beautiful. Her makeup was inch perfect, and she was a vision in her satin wedding gown. "My bonny lass," Russell fondly called her.

She could hear the celebratory sounds outside – the singing, laughter and dancing. Her aunties ululated as a car drove up to the gate and joyously began hooting to the beat of song. It was a momentous occasion indeed. Tammy was getting married.

Tammy continued to stare at her reflection in the mirror, but not seeing it. She was lost in her own world – a world of stark and painful memories that threatened to engulf her in one tidal wave… Absent–mindedly she fingered the plunging neckline of her gown, and placing a shaking hand over her terrified heart, she heaved a huge sigh.

Looking down, her eye was caught by the gilt framed photograph that stood on her dresser. A faint ghost of a smile played on her lips as her eyes misted over, looking at the image. Russell. Sweet good–natured Russell. He’d rescued her from a life of fear, pain and betrayal. They’d become good friends and the relationship had naturally blossomed into love.

She had really thought she was over Gavin. She had felt like a young girl again, safe and happy with Russell. She’d started building her life over again, until she’d heard the news. Gavin had remarried a year after they’d broken up, and flown overseas with his family. He had been blessed with twin sons after the daughter he’d had so long ago. A daughter he’d named Tamara. A child he’d had with someone else. And here she was… On her wedding day, still crying over Gavin and their dead son.

Oblivious to the fact that the tears had started flowing, Tammy got back on that painful torturous road that had been her thoughts for the last nine years. In her mind’s eye she saw him again. Gavin. How she had loved him so!

He had been a fine looking young man, who’d captured her body and soul. It had been a heady feeling – falling in love with him. She had absolutely adored him. They had dated for barely six months before she discovered she was having his child.

They were so young! Their families had been outraged by their revelation, and yet neither could keep the two apart. As the baby grew within her, Tammy experienced a peace she had never known before in her life. She’d dreamily paint glorious pictures of the future with her Gavin and their beautiful little children. How they’d grow old together and watch their children excel and go out into the world.

She’d often sit under the shady guava tree and speak fondly to the growing mound beneath her dress. And when Gavin came over, her happiness was complete as he marveled at her changing body and touched her ever so tenderly.

Her euphoria was short lived. Family relations had worsened, and in a climactic encounter, her husband to be and her uncle exchanged harsh words, and it was all over.

Gavin had become a stranger in the twinkling of an eye, and had coldly told her they were through. Despite her tears and pleading he had turned his back on her, and left her life as he had entered it - in a flash and with force.

Tammy had been devastated. No amount of consoling could quench the pain in her heart, nor ease the torment inside. She’d mourned her stillborn marriage with every fiber of her being. She'd wanted to die, and each day thought she’d breathed her last.

Still Gavin’s child grew within her. Outwardly she blossomed and became even more beautiful than she’d been before. Motherhood became her, so they said. She found no delight in it all. Even Death itself shied way from her as she invited it to engulf her, and so she lived on.

Seven torrid months down the line, she went into labor.

It was a difficult eighteen hours, and she became delirious as she cried out his name. She wanted no one else but Gavin. It was a piteous sound. Her mother had tried to calm her, applying soothing cold cloths to her feverish body but she flung her away. She was not Gavin. She didn't want towels, or pacifying empty words. She wanted Gavin.

She’d cry for him, and the echoes of her distraught calling were bone chilling. "Gavin! Gavin, please! Don’t leave me, Gavin! Come back! Come back!" And when there was no response, she'd break into heart wrenching sobs, despair washing over her.

In a sea of stormy despair, her life jacket would be her baby. She'd find something to live for – someone to love her. She’d still have a part of Gavin, who would live on in her child.

Life wouldn’t be so kind to her. She finally brought forth her source of agony towards the breaking of day. She tiredly waited for the baby’s cries. Nothing. She struggled up despite the pain.

"My baby. Can I see my baby?"

Neither one of the nurses moved. The young doctor, with tears in her eyes, had wordlessly come forward and taken her hand.

"I’m sorry. Your son didn’t make it".

It didn’t make sense. What had happened? How? Waves of nausea swept over her as she battled to stay calm. She needed to think; needed some air. She couldn’t handle it and as she began to scream, a merciful darkness enveloped and swallowed her whole.

It had been difficult to go on. When she came to, she couldn’t stop screaming. How could God be so merciless, twice in her young life? Barely twenty–two, she’d lost a husband and a child. And yet the sun rose day by day, as if to mock her. She had to go on somehow. And go on she did.

It was a painful process, picking up the pieces. Everywhere she went she saw happy couples and babies. She'd left a church service in tears once, when an elder and his wife dedicated their eight–week–old son to God. Her son would have been the exact same age.

The pity–filled looks people gave her made her feel ashamed and rejected. She left her neighborhood and rented out a small bed–sitter. She lost herself in work, and began to rise through the ranks. Her job was all she had.

She worked hard, and threw her whole heart into study. She finally graduated from University with the degree she had stopped midway to have Gavin’s son.

She’d met Russell there – a quiet studious intelligent young man. Russell was a simple man from a simple background, and most women in her class did not understand how Tammy, the intelligent voluptuous Tammy, could even spend time with him. How could they understand her need to be with someone who wasn’t like Gavin; who wouldn't remind her of what she’d left behind?

So here she was, nine years later, getting married to Russell.

She had grown to love him in her own way; not the passionate carefree manner with which she had loved Gavin; but a more mature restrained kind of love. She had tried to date other men without success. She had tried to shop Gavin out of her system; party Gavin out of her system; knit, holiday even pray him out. No use. It was as though he had become an inseparable part of her.

She was at a crossroads. Russell had declared his undying love for her and was ready to make him his wife. By day she saw the rationale behind her accepting his proposal. She had told him everything about her past; the first person she’d really spoken to about it and wept forlornly in his arms. He had wiped away her tears and in a voice breaking with emotion, vowed to love her more still to compensate for her loss. She had said nothing in response, and smiled sadly at this kind gesture. He did really love her but nothing and no one could ever make up for her loss.

She also knew she had to move on with her life. Fast approaching thirty–one; she longed to mother a child of her own. She had made peace with Junior’s death and knew she had to try again. Try again at love and life.

And she really did want to go on. But Gavin, even in his absence, seemed to stand between her and her happiness.

In her dreams Gavin would visit her, and beckon to her to follow him. She’d run after him, laughter bubbling from her heart as she pursued her elusive lost love. She’d call his name and he’d appear, beckoning her further and further away from all that she held dear. Then he’d stand with her on the edge of the Earth, and push her off, and laugh mirthlessly as she screamed and fell into unending terrifying blackness.

A knock on the door brought her out of her reverie. Roselyn’s worried face popped around the doorway. One look at Tammy’s face and she had shut it and hurried forward. Tammy dabbed ineffectively at her face as Rosie came closer, with a stern disapproving look on her face.

"Now Tammy…" she began. "Today’s your day. You are getting married. You’ve worked hard for these so don’t spoil it last minute."

Getting no response from her friend, she cupped her beautiful tear streaked face in her hands.

"You will go through with this, and be happy. You will close the door on the past and move on. It’s been nine years Tammy! Nine years! Let it go and live again. Please, if not for yourself, then for the memory of your little boy and me. That child is a little angel now happily lying in God's arms. God saw fit to take him when He did.

Don’t fight Him. Besides, I don’t think Junior would want his mother to be unhappy".

She’d named her dead boy Gavin Junior even as he was taken away and cremated. A picture of that terrible scene flashed across mind even then.

Roselyn had deliberately chosen her words, knowing it would hurt. She watched Tammy flinch. Only that could get her out of her despair. Miraculously it worked.

Rosie held her best friend of three years in her arms as she sobbed her eyes out for a few minutes more. When she finally quieted down, she released her and looked tenderly in her eyes. ’Ready?’ Tammy nodded, turning to the mirror to repair her ruined make up.

She had definitely made her peace with her ghosts, and would make Russell a devoted wife. She would move on and never look back again. The past was exactly that – the past. For now it was time to let the celebrations begin in earnest.

Lifting her face, she cast a radiant smile upon her heavily pregnant matron of honor. "Heaven help me! In a few months’ time I’ll look like a bloated pork pie like someone I know…"

She laughed as Rosie threw her bridal bouquet at her head, ducking as it narrowly missed her head. "You’ll be okay, you sod,’ Rosie shouted as she hugged her friend. Tenderly wiping a stray tear away, she repeated softly, "You will be okay".

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

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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 Universal Public School, 11th April 2014

press release

tPA safe in pediatric stroke

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 after sublingual nitrate developed fainting attack.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

eMedinewS Humor

Doctor complaining to mechanic

A doctor is taking to a car mechanic, "your fee is several times more per hour then we get paid for medical care."

‘Yeah, but you see, doc, you have always the same model! It hasn’t changed since Adam. But we have to keep up to date with new models coming every month"

Quote of the Day

If you have zest and enthusiasm you attract zest and enthusiasm. Life does give back in kind. Norman Vincent Peale

 

Twitter of the Day

Dr KK Aggarwal: X Ray can be normal in Pneumonia http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Do not let pronouncements by experts that something cannot be done or is impossible limit your potential http://tinyurl.com/nfbwx98

Forthcoming events

Announcement

Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am-2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
rawat.vandana89@gmail.com/
drkakroo@gmail.com
or Call: Vandana 9891673085/Dr Kakroo 9810301261

 

ePress Release

Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

People with very low cholesterol levels are at increased risk of developing stomach cancer, according to a study published in the International Journal of Cancer, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and Sr. National Vice President Indian Medical association.

The study involved 2,600 residents of Hisayama, Japan, who were followed for 14 years. Gastric cancers developed in 97 subjects. After accounting for age and gender, stomach cancer rates rose significantly with descending cholesterol level. For example, among subjects with the highest cholesterol levels, the gastric cancer rate was the equivalent of 2.1 cases per 1000 persons per year; among those with the lowest cholesterol, the rate was 3.9 per 1000 persons per year.

Patients with low serum cholesterol should consider periodic gastrointestinal examination for the prevention of stomach cancer, said Dr Aggarwal.

Low cholesterol has been earlier linked to depression, anxiety and suicide in both men and women. Another earlier report has also shown that people with cholesterol level below 180 had twice the risk of brain hemorrhage as compared to those with cholesterol levels of 230.

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

Lipodystrophy is most characteristically seen with:

a. Zidovudine
b. Nevirapine
c. Indinavir
d. Tenofovir

Yesterday’s Mind Teaser: Bedsore is an example of:

1.Tropical ulcer.
2.Trophic ulcer.
3.Venous ulcer.
4.Post thrombotic ulcer.

Answer for Yesterday’s Mind Teaser: 2.Trophic ulcer.

Correct Answers received from: Drperiasamy Subarayan, Dr Jainendra Upadhyay, Dr Vijayalakshmi Seshadri, drshalinisaraswat, Dr.K.V.Sarma, Dr.Jayashree Sen & Dr.Bitaan SenDaivadheenam Jella, Dr.Chandresh Jardosh, Dr Vijay Kansal, Dr Avtar Krishan, Dr Muktesh Sharma, Arvind Diwaker, Dr.Bitaan Sen & Dr.Jayashree Sen

Answer for 29th May Mind Teaser: 4. Aortic stenosis.

Correct Answers received from:Muthumperumal Thirumalpillai

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Sir, Very Informative News. Regards: Dr Tirsha
cardiology news

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