eMedinewS30th 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

Triphala can help in reducing bronchial hyperreactivity

Triphala (TRP), a herbal extract, has been shown to affect lymphocytes and natural killer T (NKT) cell function. It has been shown to ameliorate bronchial hyperreactivity through immune–cell modulations.
In a study carried out at the Division of Allergy, Immunology and Pulmonary Medicine, Washington University in Saint Louis, Saint Louis, MO, asthma mouse models were generated through intraperitoneal (IP) injections of ovalbumin (OVA)/2 weeks followed by repeated intranasal OVA challenges.
Mice were then treated with normal saline (OVA/NS) or Triphala (OVA/TRP). Data were compared with mice treated with inhaled budesonide.

Both TRP and budesonide significantly ameliorated functional and histological OVA–induced bronchial hyperreactivity. Triphala causes a significant decrease in bronchial reactivity. It alters immune–cell distributions and show antioxidative properties. Immune–cell modulation with triphala can ameliorate lung injury.

(Ref: Horani A, Shoseyov D, Ginsburg I, et al. Triphala (PADMA) extract alleviates bronchial hyperreactivity in a mouse model through liver and spleen immune modulation and increased anti–oxidative effects. Ther Adv Respir Dis 2012 Aug;6(4):199–210).

News Around The Globe

  • A recent study conducted by researchers from the Stanford University School of Medicine in California, using a seven–item questionnaire given to expectant mothers, noted that both pre– and post–labor women on average preferred less intense pain over a longer duration of labor. The study was published online in the British Journal of Anaesthesia.
  • The European Medicines Agency Committee for Medicinal Products for Human Use (CHMP) has adopted a positive opinion on extending the marketing authorization for apixaban to include treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), along with prevention of recurrences of these conditions in adults.
  • Cognitive–behavioral therapy (CBT) may be the most effective treatment option for patients with body dysmorphic disorder (BDD), including those with comorbid depression, reports a new study presented at the International Congress of the Royal College of Psychiatrists (RCPsych) 2014.
  • A new report from the Centers for Disease Control and Prevention (CDC) has pointed that excessive alcohol drinking is responsible for 1 in 10 deaths among working–age adults in the United States. Nearly 69% of the deaths involved adults 20 to 64 years old. About 5% of the deaths involved people younger than 21 years. The findings were published June 26 in Preventing Chronic Disease.
  • The more musculoskeletal pain sites an older person has, the lower their health–related quality of life (HRQoL), reported a study published online in Rheumatology. Study authors noted that the relationship between number of pain sites (NPS) and HRQoL strengthened with age, but only until the age of 70 to 79 years, and was not strongest among the oldest old.

Rabies News (Dr A K Gupta)

An unvaccinated or partially vaccinated pet dog or cat is bitten by a stray dog. What should be done?

If an unvaccinated or partially vaccinated pet dog or cat is bitten by a stray dog, wounds should be thoroughly washed with water and povidone iodine should be applied. If the stray dog is suspected to be rabid, then the pet dog should be put to sleep (euthanasia). But if the owner is not ready or the rabid status of the stray dog is not known, post–exposure vaccination of the pet with cell culture vaccine and simultaneous careful observation of the pet are recommended for up to 2 months (up to six months is desirable) for possible signs of rabies in the pet. During this period for any sickness in dog, the owner should take the dog to the veterinarian to get rabies ruled out at the first instance. It should be noted that post–exposure vaccination is not very successful in dogs. Simultaneously, pre–exposure vaccination of all household members is necessary.

Cardiology eMedinewS

  • A new research published in the American Heart Association journal Circulation has suggested that people who stop using smokeless tobacco after a heart attack could extend their life expectancy similar to people who stop smoking.
  • New research from St. Michael’s Hospital has pointed that people having insomnia may not be at increased risk of developing high blood pressure. After adjusting for factors including whether or not study participants were receiving blood pressure pills or sleeping pills, there were generally no associations between insomnia and high blood pressure, even among people who were suffering from insomnia the most often. The findings were published in the Journal of Clinical Psychiatry.

Pediatrics eMedinewS

  • A study presented at the American Headache Society (AHS) 56th Annual Scientific Meeting has revealed that combining cognitive–behavioral therapy (CBT) with amitriptyline has the potential to improve school performance and quality of life in adolescents with chronic migraines.
  • According to a new study, babies of obese mothers tend to be born with more fat, especially abdominal fat, as compared to babies of leaner mothers. Researchers noted that infants born to obese mothers were on average more than 6 ounces heavier at birth with approximately 2.5% more body fat than infants whose mothers had a healthy weight. The study was published online in Acta Paediatrica.

Dr K K Spiritual Blog

Why is Ganesha worshipped in every pooja?

Every Hindu ritual traditionally begins with a prayer to Lord Ganesh. The wedding ceremony too begins with a pooja of Lord Ganesha invoking him to bless the couple and to ensure that the ceremony goes off well.

Ganesha, the son of Shiva and Parvati, is the harmonious Aacharan or characteristic disposition of man. Remembered and ritually worshipped before starting a new venture, the entity of Ganesha has in store the facets of a complete man.

The elephant head of Ganesha represents wisdom, intelligence and a healthy mind capable of making sound decisions. Think before you speak, implies Ganesha’s head.

The big ears of this elephant deity signify the lending of a patient ear to the echo produced by others’ deeds and speech. It is said that half the dispute is resolved by patiently lending an ear to the words of the other. It also denotes that one must patiently listen to all sides before reaching a decision.

Ganesha’s extremely small mouth characteristically represents the need for a limited dialogue and the vanity of talking too much.

Overexpression through words results in unsought–for problems which could have been avoided.

Ganesha’s small eyes highlight the need for a focused outlook in life. Such an outlook not only re–defines and foresees the right goals, but also relieves one from the stress–manifested episodes in life.

The long trunk identifies with the power of discrimination. Ganesha’s long nose has the strength to uproot a tree and the competency of picking up a pin from the ground. Such should be the approach of an individual who should be capable of perceiving the good and bad for one’s own self, and then have the strength to overcome these against all odds.

The tusks and the small teeth of Ganesha tell us to maintain a balance between loss (broken tooth) and gains (whole tooth) in the life. Man ought to maintain his mental state so that ups and downs do not deter him from his honest endeavors.

The ample stomach of Ganapati Deva advocates the need for retaining information. Acquiring knowledge, utilizing it and retaining it for years to come, is the crux of ‘big–belly commandment’.

The Char–Bhuja Dhari Ganesha, further represents strength by virtue of his four hands in which the Lord entraps his attachments, desires and greed. Two of the arms of Ganesha, which hold a rope, symbolize control over the attachments. The laddoo or sweet in one shows command over desires and earthly delusions.

The mouse sitting near the feet of Ganesha represents greed and gluttony upon which the Almighty rides, exhibiting control over evils.

Ganesha’s physical traits are an assembly of the characteristics most desired in an individual of substance.

Wellness Blog

Do Not Ignore Breakfast

Taking a good breakfast made of carbohydrates and lean protein, can help lessen cravings and hunger during the rest of the day, which can lead to significant weight loss.

A research by Dr. Daniela Jakubowicz, a clinical professor at Virginia Commonwealth University and an endocrinologist at the Hospital de Clinicas Caracas in Venezuela has shown that sedentary, obese women lost almost five times as much weight on the "big breakfast" diet as did women following a traditional, restrictive low–carbohydrate diet. While treating obese people we need to treat carb cravings and hunger.

On waking up in the morning, the body is primed to look for food. The metabolism is revived up, and levels of cortisol and adrenaline are at their highest. The brain needs energy right away, and if one doesn’t eat or eats too little, the brain needs to find another fuel source. To do this, it activates an emergency system that pulls energy from muscle, destroying muscle tissue in the process. Then when you eat later, the body and brain are still in high–alert mode, so the body saves energy from the food as fat.

Also the levels of the brain chemical serotonin are highest in the morning and the craving levels are at the lowest and you may not feel like eating. As the day wears on, serotonin levels dip, and you get cravings for chocolate or cookies, and such similar foods. If you eat these foods, your serotonin levels rise, and your body begins to associate good feelings with them, creating an addictive cycle.

The high protein, carbohydrate mix in breakfast gives the body the initial energy boost it needs in the morning. Throughout the rest of the day, the meals are made up of protein and complex carbohydrates, like vegetables. Because protein is digested slowly, you won’t feel hungry.

If you have to eat chocolate or candy, eat them in the morning because if you eat them when serotonin levels are high, they won’t taste as good, and the brain won’t feel the same serotonin boost. This will eventually help cut down on cravings.

Eating breakfast with high glycemic foods may be harmful. After eating cereal or a doughnut, the blood sugar and insulin levels spike. Once that blood sugar is used up, you’ll still have excess insulin circulating, which makes you hungry and makes you crave carbohydrates.

Inspirational Story

A box of kisses

Some time ago, a man punished his 3–year–old daughter for wasting a roll of gold wrapping paper. Money was tight and he became infuriated when the child tried to decorate a box to put under the Christmas tree. Nevertheless, the little girl brought the gift to her father the next morning and said, "This is for you, Daddy." He was embarrassed by his earlier overreaction, but his anger flared again when he found the box was empty.

He yelled at her, "Don’t you know that when you give someone a present, there’s supposed to be something inside it?" The little girl looked up at him with tears in her eyes and said, "Oh, Daddy, it is not empty. I blew kisses into the box. All for you, Daddy."

The father was crushed. He put his arms around his little girl, and he begged for her forgiveness.

It is told that the man kept that gold box by his bed for years and whenever he was discouraged, he would take out an imaginary kiss and remember the love of the child who had put it there.

In a very real sense, each of us as humans have been given a gold container filled with unconditional love and kisses from our children, friends, family and God. There is no more precious possession anyone could hold.

ePress Release

Padma Shri Awardee Dr KK Aggarwal receives the IMA AMS Dr R.K. Menda Memorial Oration Award 2014

Felicitated for his contribution in the field of medical ethics at the Indian Medical Association’s annual day held in Kolkata

Recognizing outstanding contribution in the field of medical ethics, IMA AMS – the research and academic wing of the Indian Medical Association felicitated Dr. KK Aggarwal with the Dr. R.K. Menda Memorial Oration Award at their annual day function held at Hotel Hindustan International in Kolkata on Sunday. The subject of his oration was "How to respond to complaints of medical negligence".

An eminent cardiologist, President of Heart Care Foundation of India and the Senior National Vice President of the Indian Medical Association, Dr. KK Aggarwal has played an active role in streamlining the procedure of handling medical negligence cases and creating guidelines which all doctors must follow through his books and writings. Medical negligence can have a profound impact on the career of a doctor and therefore it becomes extremely important for them to be aware of the steps they must take to avoid any such situation.

Commenting on the oration, Dr. K.K. Aggarwal, Sr. National Vice President of the Indian Medical Association and the President of the Heart Care Foundation of India said, "The number of medical negligence cases we get at the Medical Council of India and the Delhi Medical Council are increasing by the year. With the increasing work pressure and competition, doctors often ignore some of the basic steps that they must take when dealing with any patient. It is extremely important that all doctors not just follow the line of treatment which has been decided in consultation with the patient or his family, but they must also document what they do and save that incase any dispute arises in the future. Following these three simple steps can help the doctor safeguard himself and his practice".

Dr. KK Aggarwal is the recipient of three National Awards, namely the Padma Shri for brilliance in medicine and the Dr. BC Roy award for excellence in socio–medical awareness and DST National Award for Outstanding Efforts in Science & Technology Communication. Dr. KK Aggarwal has also served as a Director at IMA AKN Sinha Institute, Finance Secretary at IMA and Chairman at IMAAMS in the past.

In a joint statement, Dr. R.D. Dubey, Chairman of the organizing committee of National AMSCON 2014 along with Dr. S.K. Raj, Chairman IMA AMS HQ Hyd and Dr E. Prabhavati, Hony. Secretary IMA AMS HQ Hyderabad said, "It gives us immense happiness to present this award to someone as deserving as Dr. KK Aggarwal. His vision and outlook towards creating health awareness and streamlining the medical practice is commendable. We congratulate him on another achievement and hope that he continues to serve the society the way he does in the future as well"."

A pioneer of leading health initiatives, Dr. KK Aggarwal has been instrumental in bringing treatments such as clot dissolving therapy for acute heart attacks and Colour Doppler Echocardiography in the country. In addition to this, he has also conceptualized and organized unique consumer driven health awareness platforms such as The Perfect Health Mela and the Run for your Heart as a part of his role as the President of The Heart Care Foundation of India. His most recent project within the NGO called the Sameer Malik Heart Care Foundation Fund is playing an instrumental role in providing heart care for all patients in need of treatment but do not have the financial or technical means to fund it.

Dr. KK Aggarwal’s other roles also include Dean of the Board of Medical Education Moolchand Medcity, Member Ethics Committee Medical Council of India, Chairman Ethics Committee Delhi Medical Council, Editor in Chief IJCP Group of Publications and eMedinewS and Chairman Legal Cell Indian Academy of Echocardiography.

eMedi Quiz

Which one of the following is a recognized x–ray feature of rheumatoid arthritis?

1. Juxta–articular osteosclerosis.
2. Sacroilitis.
3. Bone erosions.
4. Peri–articular calcification.

Yesterday’s Mind Teaser: High resolution computed tomography of the chest is the ideal modality for evaluating:

1. Pleural effusion.
2. Interstitial lung disease.
3. Lung mass.
4. Mediastinal adenopathy.

Answer for yesterday’s Mind Teaser: 2. Interstitial lung disease.

Correct answers received from: Dr Prakash Khalap, Dr Jainendra Upadhyay, Daivadheenam Jella, Dr.Chandresh Jardosh, Dr Avtar Krishan, Santhi Sivakumar, Dr.Bitaan Sen & Dr.Jayashree Sen

Answer for 28th June Mind Teaser: c. Pyoderma gangrenosum

Correct answers received from: Dr Avtar Krishan, Santhi Sivakumar

Send your answer to ijcp12@gmail.com

Zee News – Health Wealth Shows

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Cancer Prevention
Depression
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Pneumonia
Potbelly Obesity
Sudden Cardiac Death
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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

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Success story Ms Sudha Malik
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Elderly man saved by Anuja

CPR 10 Videos

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L to R: Dr KK Aggarwal recieves the oration from Dr. Ajay Kumar Member MCI and Dr DR Rai from IMA.

press release

Lifestyle change can reduce aging

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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 acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

eMedinewS Humor

An English professor

As an English professor, my father would often write little notes on student essays. Often he worked late, and as the hours passed, his handwriting deteriorated. One day a student came to him after class with an essay that had been returned.

"Mr. McDonald," he said, "I can’t make out this comment you wrote on my paper."

My father took the paper and, after studying it, sheepishly replied, "It says that you should write more legibly."

Quote of the Day

If you’re not using your smile, you’re like a man with a million dollars in the bank and no checkbook. Les Giblin

Twitter of the Day

Dr KK Aggarwal: Fat intake and risk of coronary heart disease http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Love is what we are in our essence. The more love we feel in our hearts, the more it will be brought to us 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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  1. Most importantly Fever is a friend. Prashant Tanna
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