eMedinewS2nd July 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

When should aspirin be stopped before non cardiac surgery?

For patients taking aspirin for primary or secondary prevention of cardiovascular disease, one should stop aspirin seven days before noncardiovascular surgery.

The best evidence regarding the impact of aspirin on outcomes comes from the POISE–2 trial in which 10,010 patients scheduled for noncardiac surgery, with or at risk of atherosclerotic disease, were randomly assigned to either aspirin or placebo.

The primary outcome of death or nonfatal heart attack at 30 days was similar in both groups as well as between those who were taking long–term aspirin and those who were not. As expected, major bleeding was more common in the aspirin group.

Based on POISE–2, the recommendation is to stop aspirin about seven days before noncardiovascular surgery.

News Around The Globe

  • Novel observational data from Sweden has stated that patients with bipolar disorder receiving antidepressant monotherapy are at increased risk of switching to mania. On the contrary, patients with bipolar disorder who are treated concurrently with an antidepressant and a mood stabilizer did not have increased risk for manic switch. The data was published online in the American Journal of Psychiatry.
  • An analysis published online in Menopause has pointed that women who had their last child at age 33 years or older were more likely to reach extremes of longevity. Researchers noted that women who had their last child between 33 and 37 years of age were twice as likely to reach the extreme fifth percentile of longevity compared with women who had their last child before that age.
  • A research presented June 27 at the National Athletic Trainers’ Association (NATA) annual convention has suggested that the discomfort index (DI) may be a good alternative heat stress index to the gold standard wet bulb globe temperature (WBGT).
  • A new research from Russia has revealed that dual antiviral therapy may be more effective than standard immunosuppression or rituximab only at treating cryoglobulinemic vasculitis associated with hepatitis C virus (HCV) infection. The findings have been published online in Annals of the Rheumatic Diseases.
  • A study published online in the Journal of Clinical Endocrinology & Metabolism has pointed that work absenteeism in people with hyperthyroidism reaches a peak during the first year after diagnosis and then decreases, remaining at twice the level for healthy control patients.
  • Average–risk, asymptomatic women do not benefit from pelvic exams as part of routine care and face potential harms from false–positive results according to the American College of Physicians. When screening for cervical cancer, clinicians should limit the physical examination to visual inspection of the cervix and use of cervical swabs for cancer or human papillomavirus. The guidelines really have to do with women who do not have symptoms, who do not have a discharge or bleeding or pain. Those women clearly need a pelvic examination, and that’s fine.

Rabies News (Dr A K Gupta)

The IM dose of Verorab (PVRV) and Abhayrab (PVRV) is 0.5mL; that of Rabipur (PCEC) and PVRV (Coonoor) is 1mL. Is the ID dosage of all vaccines uniformly 0.1mL?

The ID dosage of all approved vaccines is uniformly 0.1 mL per ID site irrespective of their IM dosage.

Cardiology eMedinewS

  • An analysis of gene variants in several large cohorts has suggested that elevated levels of vitamin D may lower blood pressure and reduce the risk of hypertension. Researchers noted that that the presence of several specific genetic mutations associated with reduced metabolic synthesis of plasma 25–hydroxyvitamin D (25(OH)D) correlated inversely with both systolic and diastolic blood pressure and with the risk of having hypertension. The findings are published in Lancet Diabetes & Endocrinology.
  • A new study, published June 30 in Hypertension, has revealed that adult survivors of severe acute malnutrition as children tend to have cardiac structure and function abnormalities that contribute to higher diastolic blood pressures and increase peripheral resistance.

Pediatrics eMedinewS

  • The American Academy of Pediatrics (AAP) has recommended routine laboratory screening for nonviral sexually transmitted infections (STIs) in some adolescents and young adults in a policy statement published online June 30 in Pediatrics. The AAP recommendations encompass chlamydia, gonorrhea, trichomoniasis, and syphilis.
  • On the basis of an analysis of samples from obese vs. lean infants to 18–year–olds, researchers have found that obese children with enlarged fat cells are also more likely to already have insulin resistance. Also, as early as age 6, obese children have larger fat cells. The report was presented at the American Diabetes Association (ADA) 2014 Scientific Sessions.

Dr K K Spiritual Blog

Understanding who we are…

The classical description of ‘who we are comes’ from Adi Shankaracharya’s Bhaja Govindam, where he says that even the wife refuses to touch the same physical body after death, and if she touches it, a ritual bath has to be taken. This means physical body is not what we are.

If we weigh physical body before and after death there will be no difference. The life force also called consciousness or atman has no weight, shape or dimensions.

In Bhagavad Gita, in Chapter 2, Krishna describes its characteristics as "fire cannot burn it, air cannot dry it, weapons cannot cut it, and water cannot wet it. It is omnipotent, omnipresence and omniscient".

Though modern medicine may not talk about soul but it does differentiate life and death based on certain parameters.

Vedic description describes five different movement forces in the body: apana vayu expulses urine, stool, baby and menses; samana vayu controls the intestinal movements; vyana vayu controls the circulatory system; udana vayu controls the neurological impulses and the connection between soul and spirit; and prana vayu controls the brain stem reflexes.

Soul or consciousness is linked to udana vayu and prana vayu. The best description of these five forces apart from Ayurveda text comes from prasannopanishad.

A patient with brain stem death can be kept on ventilator for months together, as the body has normal vyana vayu, sana vayu and apana vayus. The patient will therefore, maintain blood pressure, GI functions, urinary functions and reproductive functions. These three vayus are controlled by the atmospheric oxygen and not by the life force.

Can anyone remember the weight, height, abdominal circumference or size of collar, waist or shoes of Lord Krishna? He is only known only from his actions and the soul profile.

All of us have physical, mental, intellectual, ego and soul characteristics. Soul characteristics in all are same & are positive. The examples are love, compassion, care, humility, etc. These soul characteristics are influenced by the subtle mind, intellect and ego characteristics.

While introducing ourselves, most of the times we talk about define our intellectual or ego profile and not the soul profile. When we describe our status, house, car or money, we are describing our ego profile and not the soul profile. Our aim in life should be to understand our soul profile, as without the soul nobody will come near us. The very same people will dispose off our body at the earliest opportunity they get.

Most of us correlate life span with the life span of the physical body, which has to perish sooner or later. When we ask people how long they want to live, their usual answers are 60 years, 70 years, 80 years or 90 years. Nobody thinks beyond physical death. People like Mahatma Gandhi, Indira Gandhi, and Mother Teresa are not dead. Though their physical body does not exist, their good karmas, work, memories and the soul profiles are still alive.

The purpose of life should be to create an atmosphere or an aura in such a way that the society remembers us after the death of our physical body. This is only possible when we shift our thinking from the ego profile to the soul profile.

Soul is nothing but an energized field of information and can be equated to the live information fed in any computer or mobile phone. Both computer and mobile phones with and without information weigh the same. Similarly, weight of radio does not change whether the radio is on or off. The live data information in the TV, radio or mobile phone can be termed as their soul. A computer without this soul is useless, so are the mobile and radio sets.

The information is always static and still without any movements. This information in a computer requires a software to run. The static soul in our body also requires a software called life force.

Soul, thus can be described as a combination of the life force and the static information. In Hindu mythology this is called shiva and shakti. Some people describe them as prana and chitta. In vedic philosophy by controlling prana one can control chitta and vice versa.

For a computer to operate, two softwares are required: operational software and application software. Operational software makes the computer do basic work and application software helps one to manipulate the data the way one wants.

All of us our born with the operational software or the life force. We develop and create our own application software over a period of time by using the triad of action, memory and desires.

To understand oneself, therefore, one needs to control our own application software and do not let them go beyond its desired scope of work.

Wellness Blog

Women who eat lot of meat are prone to weight gain

Women who eat a lot of meat are apt to weigh more than those who do not. Previous studies have consistently shown that vegetarians are lighter and have a lower body mass index than their omnivorous counterparts.

A study from Brigham Young evaluated 284 premenopausal women, an average of 40 years old and did not smoke. The researchers separated the women into groups classified by low, moderate, and high meat intake per 1,000 calories consumed per day.

Over the 7–day study, the investigators found that the low–intake group ate less than 1.9 three–ounce servings of meat per day, as opposed to more than 3.18 servings for the high–intake group.

More than half (52.8%) of the women classified as having a high meat intake were obese, defined in this study as having greater than 35% body fat. Conversely, 37.3% of women in the moderate meat intake group were obese and only 15.6% of those in the low meat intake group were obese.

This was a cross–sectional study, so the findings do not show that meat causes obesity, while that could be the case, it could also be that obesity caused women to eat more meat – like more obese women following the Atkins diet, which is rich in meat.

There are a number of physiological mechanisms by which meat could fuel weight gain. Meat proteins may elevate insulin levels, and thereby growth factors, that could influence weight and percent body fat. It has also been shown that consumption of saturated fat - most of which comes from animal products – is associated with obesity.

It may be worth recognizing that eating less meat may be beneficial in a weight management program. It is possible to eat a healthy diet that is limited in meat. Alternative protein sources such as, lentils, nuts and legumes can provide sufficient protein and actually be beneficial in dieting.

Inspirational Story

The Talking Bird

There is an old story about a fellow who lived alone and went to a pet store to buy a parrot. He thought the bird might fill some of his lonely hours. The very next day, however, he came back to complain, "That bird doesn’t talk."

The store owner asked if he had a mirror in its cage, and the man said he didn’t. "Oh, parrots love mirrors," he explained. "When he sees his reflection in the mirror, he’ll just start talking away." So he sold him a birdcage mirror.

The bird owner was back the next day to gripe that his parrot still hadn’t said a word. "That’s very peculiar," allowed the pet expert. "How about a swing? Birds really love these little swings, and a happy parrot is a talkative parrot." So the man bought a swing, took it home, and installed it in the cage.

But he was back the next day with the same story. "Does he have a ladder to climb?" the salesman asked. "That just has to be the problem. Once he has a ladder, he'll probably talk your ear off!" So the fellow bought a ladder.

The man was back at the pet store when it opened the next day. From the look on his face, the owner knew something was wrong. "Didn’t your parrot like the ladder?" he asked. His repeat customer looked up and said, "The parrot died."

"I’m so sorry," the stunned businessman said. "Did he ever say anything?"

"Well, yes. He finally talked just before he died. In a weak little voice, he asked me, "Don’t they sell any bird seed at that pet store?’"

Some of us have mistakenly thought that happiness consists of lining our cages with toys, gadgets, and other stuff. Excessive consumption has become the hallmark of our life. "Whoever has the most toys wins" seems to be the likely candidate to be the bumper sticker for an entire culture. But is it so?

There is a spiritual hunger in the human heart that can’t be satisfied by seeing one’s own image reflected back in vanity mirrors, playing with our grown-up toys, or climbing the corporate ladder. Our hearts need real nourishment. The love of family and friends, relationships over the pursuit of more things, personal integrity, a secure connection to God --these are the things that feed the soul.

Have you chosen a life course that leads to a destination that matters?

ePress Release

Negative stress may lead to heart disease

Marital disharmony and job dissatisfaction are the two main psychological risk factors for the causation of heart attack. Many studies in the past have linked that there is a strong correlation between a nagging wife and early heart attacks in men. Similarly, literature has shown that work–related stress is related to early onset of high blood pressure, diabetes, stroke and heart attacks 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.

A study from University College, London has shown that chronically stressed workers have a 68% higher risk of developing heart disease especially in people under the age of 50.

Whether it is stress–related chemical changes or stress–related behavior linked to heart disease, is yet to be answered. Stress–related lifestyle involves eating unhealthy food, smoking, drinking and skipping exercises.

Chemical changes related to chronic stress are increased levels of cortisol, epinephrine and norepinephrine.

Amongst stress, negative stress is more dangerous than positive stress and amongst negative stress it is jealousy, anger and cynicism which are associated with heart attack.

The answer lies in managing stress by acting on a personal situation and not reacting to it. In children the same type of stress, especially during exam days, can end up with anxiety, insomnia and suicidal attempts.

eMedi Quiz

At the end of a balanced anaesthesia technique with non–depolarizing muscle relaxant, a patient recovered spontaneously from the effect of muscle relaxant without any reversal. Which is the most probable relaxant the patient had received?

1.Pancuronium.
2.Gallamine.
3.Atracurium.
4.Vecuronium.

Yesterday’s Mind Teaser: A 60–year–old male presented to the emergency with breathlessness, facial swelling and dilated veins on the chest wall. The most common cause is:

1. Thymoma
2. Lung cancer
3. Hodgkin’s lymphoma
4. Superior vena caval obstruction

Answer for yesterday’s Mind Teaser: 4. Superior vena caval obstruction

Correct answers received from: Dr Prakash Khalap, Dr PC Das, Purushottam, Dr Raghavendra Jayesh, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Daivadheenam Jella, Dr Chirag Patel, Tukaram Pagad.

Answer for 29th June Mind Teaser: 3. Bone erosions.

Correct answers received from: Dr PC Das, Dr Raghavendra Jayesh, Dr Poonam Chablani, Arvind Diwaker, Dr Avtar Krishan, KV Venugopal, Prabha Sanghi, Gajveer Singh, Daivadheenam Jella, Dr Jainendra Upadhyay, Dr B K Agarwal, Dr Chandresh Jardosh.

Send your answer to ijcp12@gmail.com

Self-Assessment-Quiz

 

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 – 94595 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 Sarvodya Kanya Vidyalaya, 8th May 2014

press release

Depression linked to paralysis

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 LDL cholesterol 100 mg% and hsCRP 3 developed MI.
Reaction: Oh my God! Why was a statin not started earlier?
Lesson: Make sure that all patients with even normal cholesterol are considered for statins if the high–sensitivity CRP (hs–CRP) is high.

eMedinewS Humor

Communication technician

A communication technician drafted by the army was at a firing range. At the range, he was given some instructions, a rifle and 50 rounds. He fired several shots at the target. The report came from the target area that all attempts had completely missed the target. The technician looked at his weapon, and then at the target. He looked at the weapon again, and then at the target again. He then put his finger over the end of the rifle barrel and squeezed the trigger with his other hand. The end of his finger was blown off, whereupon he yelled toward the target area: "It’s leaving here just fine, the trouble must be at your end!"

Quote of the Day

Adapt yourself to the life you have been given and truly love the people with whom destiny has surrounded you. Marcus Aurelius

Twitter of the Day

Dr KK Aggarwal: Soul is the biggest pharmacy in the world – Dr KK Aggarwal http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: How do I reconcile my worldview with others & rid myself of loneliness & lack of motivation? http://tinyurl.com/lkz8hq4

Forth Comming Event

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

Zoonosis 2014 9-1 PM


6 July 2014 Zoonosis 2014

Speakers Zoonotic disease in India
Dr Jyoti Misri Pr Scientist ICAR Govt of India

Inaugural address
Dr M L Madan Fmr DDG ICAR

Dr KK Aggarwal (To Moderate)

Bovine Tuberculosis and Brucellosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Dr Rishendra Verma Jt Dir.Centre for Animal Disease Research and Diagnosis IVRI Bareilly UP

Equine Encepahalitis
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines,Hissar Haryana

Cysticarcosis, Neurocysticercosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Rabies, Cat Scratch Disease
Dr. Ashok Bhardwaj Asstt.Prof. SKAUST Jammu

Swine Flu, Japanese Encepahlitis
Dr.P K Uppal Fmr FAO Expert on Flu
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines, Hissar Haryana

Bird Flu
Dr.P K Uppal Fmr FAO Expert on Flu

Mycotic Diseases

Dr.P P Gupta Fmr Dir.Research Punjab Agri Univ.

Food Borne Diseases Salmonellosis, tapeworms, teniasis

Dr.Lal Krishna
Fmr Animal Husbandry Commissioner Govt.of India.

Anthrax, Rota Virus, Carona Virus

Dr. A K Bhatia Professor & Head, Biotechnology Dept.GLA Univ. Mathura

Dr.M P Yadav Fmr Director IVRI Bareilly UP

Dr.C Bhattacharya Vety Public Health Spl. Delhi

Emerging Threats : JD,Crone's Disease,Nepha Virus,etc.

Dr.Shoorvir Singh Pr Scientist National centre for Res in Goats Makhdoom Agra

 

medicolegal update

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medical querymedical query

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update
  1. Heartily congratulation to Dr K.K.Aggarwalji on receiving the Dr R.K.Menda Oration Award. Regards: Dr A.J.Dabawala, Amreli, Gujarat
cardiology news

Media advocacy through Web Media

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eMedinewS Special

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