eMedinewS31st July 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

Psoriasis Update

Psoriasis is a complex immune–mediated disease and is a common disorder that affects men and women equally.

Although it can begin at any age, the peak times for disease onset are young adulthood (ages 20 to 30 years) and late middle age (ages 50 to 69 years).

There are multiple clinical subtypes of psoriasis. Plaque psoriasis, the most common presentation of psoriasis, most commonly presents with sharply defined erythematous plaques with overlying silvery scales. The scalp, extensor elbows, knees, and back are common locations for plaque psoriasis lesions.

Psoriatic arthritis occurs in about 30 percent of patients with psoriasis, and precedes the skin manifestations in approximately 15 percent of patients.

A diagnosis of psoriasis can be made by history and physical examination in the vast majority of cases. Occasionally, a skin biopsy is needed to rule out other conditions.

Numerous topical and systemic therapies are available for the treatment of psoriasis. Treatment modalities are chosen on the basis of disease severity, relevant comorbidities, patient preference (including cost and convenience), efficacy and evaluation of individual patient response.

News Around The Globe

  • A cross–sectional survey published online in Menopause has stated that caffeine intake is associated with worse hot flashes and night sweats, but fewer problems with mood, memory, and concentration, in menopausal women.
  • Individuals who are physically active and do not spend a lot of time sitting down are less likely to be obese as compared to those who spend a lot of time sitting and are involved in low levels of physical activity, suggests a new study published July 28 in Diabetologia.
  • A once–daily oral regimen known as PaMZ has shown promise in both drug–sensitive and multidrug–resistant tuberculosis (TB), suggested a new research presented at the 20th International AIDS Conference. Researchers noted that after 8 weeks of treatment, 71% patients treated with PaMZ compared to 38% of those treated with the standard TB protocol were culture-negative. The PaMZ regimen consisted of moxifloxacin 400 mg and pyrazinamide 1500 mg, plus PA–824 100 mg or PA–824 200 mg
  • A study published online July 30 in the American Journal of Infection Control has noted that resorting to fist bumps, where two people briefly press the top of their closed fists together, and ditching handshakes, could reduce the spread of bacteria and illnesses. Fist bumps were actually noted to transfer about 90% fewer bacteria than handshakes.
  • Omalizumab seems effective in controlling chronic hives for up to 24 weeks, suggested a clinical trial published online in the Journal of Investigative Dermatology.

Rabies News (Dr A K Gupta)

Is there any dietary restriction during PEP?

It is advisable to abstain from alcoholic drinks during the course of rabies vaccination as it may affect the immune response.

Cardiology eMedinewS

  • The European Commission approved apixaban, an oral factor Xa inhibitor, for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) and for the recurrence of DVT and PE. The approval was granted following a positive opinion from the European Medicines Agency Committee for Medicinal Products for Human Use (CHMP).
  • When a runner collapses and dies during a marathon, it’s the heat, and not the heart, that is to be blamed. A new study, published in the August 5 issue of the Journal of the American College of Cardiology, suggests that life–threatening cardiac events are extremely rare during endurance events and individuals more likely suffer from heatstroke than a serious cardiac event.

Pediatrics eMedinewS

  • A report published online July 28 in Pediatrics has revealed that children who undergo adenotonsillectomy for obstructive sleep apnea (OSA) may be at risk for weight gain.
  • Use of a strict protocol to treat neonatal narcotic abstinence syndrome possibly reduces the duration of opioid exposure as well as the length of hospital stay, suggests a new study. The benefits of a stringent protocol are significant, irrespective of the opioid used. The study is published online July 28 in Pediatrics.

Dr K K Spiritual Blog

I want to live after my death

In my workshops, whenever I ask delegates as to how long they want to live, the answer I get from most of them is 60, 70 or 80 years. While answering they forget that they are only talking about the death of the physical body but what about the mental, social, intellectual and spiritual bodies.

It is well known that the soul never dies and so do your Sanskars and good work done. The aim of life should be that one should live even after the death of his or her physical body. It is your good Karmas, which keep your memories alive even after your physical death.

It is equally true that your bad Karmas too can make people remember you after death but that is not the purpose of life. We would like to be remembered as Rama and not like Ravana after death.

In Vedic language your present is decided by your past and your future is decided by your present. To improve your future you need to work positively in your present.

When you start working positively in your present moment, you will start neutralizing your bad karmas. It is like washing a dirty shirt which will not become stain free in one washing. Only with repeated washings can it become stain free. Similarly washing away your bad karmas with good karmas will take time.

It is possible that even when one starts doing good Karmas, one may still suffer as the sum total of past karmas may not have been neutralized by that time.

For example, if a dacoit surrenders and wants to live a civilian life he may be pardoned to some extent but may still be jailed for some duration of time. In other word he may be pardoned from death sentence and given life sentence.

As per Bhagavad Gita, whatever your thoughts are at the time of death will decide the atmosphere you will get in your rebirth.

It also says that whatever will be your thoughts throughout your life will be your thoughts at the time of your death.

So do not expect that you can acquire positive thoughts at the time of death if you have been thinking negative throughout your life The gist is to start doing good actions in the present.

Wellness Blog

All About Calcium Carbide

  • Under PFA Section 44AA, the use of calcium carbide for artificial ripening of mangoes, apple, plum, banana is prohibited and can attract both imprisonment and fine.
  • Calcium carbide powder is usually kept wrapped in paper between the fruits (unripe mangoes) in a basket or box.
  • Once the basket of mango is closed from the top, calcium carbide absorbs moisture and produces acetylene gas, which accelerates the ripening process of fruits.
  • The health hazards are related to the gastrointestinal tract, kidney, heart, liver and brain and in long run cancer.
  • Calcium carbide 1kg is available for Rs. 25/– and is sufficient to ripe 10 tons of fruit.
  • How do we know that the fruit has been artificially ripened with calcium carbide?
    • It will be less tasty.
    • The aroma will be different
    • It is uniform in color.
    • The color of the mango changes from green to dark yellow.
    • It will have a shorter shelf life.
    • It will be overtly soft.
    • There may be black patches on the mango skin.
    • There may be multi color patches on the skin of the mango (Red, yellow, green patches)
  • How should artificially ripened fruits be handled?
    • Never eat off–season fruits, especially before time
    • Rinse all fruits in running tap water for few minutes before use.

Inspirational Story

A Gardener and the Portrait

A very wealthy man and his son loved to collect rare works of art. They had everything in their collection, from Picasso to Raphael. They would often sit together and admire the great works of art. When the Vietnam conflict broke out, the son went to war. He was very courageous and died in battle while rescuing another soldier.

The father was notified and he grieved deeply for his only son. About a month later, just before Christmas, there was a knock at the door. A young man stood at the door with a large package in his hands.

He said, "Sir, you don’t know me, but I am the soldier for whom your son gave his life. He saved many lives that day, and he was carrying me to safety when a bullet struck him in the heart and he died instantly. He often talked about you, and your love for art."

The young man held out his package. "I know this isn’t much. I’m not really a great artist, but I think your son would have wanted you to have this." The father opened the package. It was a portrait of his son, painted by the young man.

He stared in awe at the way the soldier had captured the personality of his son in the painting. The father was so drawn to the eyes that his own eyes welled up with tears. He thanked the young man and offered to pay him for the picture. "Oh, no sir, I could never repay what your son did for me. It’s a gift."

The father hung the portrait over his mantle. Every time visitors came to his home he took them to see the portrait of his son, before he showed them any of the other great works he had collected. The man died a few months later. There was to be a great auction of his paintings.

Many influential people gathered, excited over seeing the great paintings and having an opportunity to purchase one for their collection. On the platform sat the painting of the son. The auctioneer pounded his gavel. "We will start the bidding with this picture of the son. Who will bid for this picture?" There was silence.

Then a voice in the back of the room shouted, "We want to see the famous paintings. Skip this one." But the auctioneer persisted. "Will someone bid for this painting? Who will start the bidding? $100, $200?"

Another voice shouted angrily. "We didn’t come to see this painting. We came to see the Van Goghs, the Rembrandts. Get on with the real bids!" But still the auctioneer continued. "The son! The son! Who’ll take the son?"

Finally, a voice came from the very back of the room. It was the longtime gardener of the man and his son. "I’ll give $10 for the painting." Being a poor man, it was all he could afford. "We have $10, who will bid $20?" "Give it to him for $10. Let’s see the masters." "$10 is the bid, won’t someone bid $20?"

The crowd was becoming angry. They didn’t want the picture of the son. They wanted the more worthy investments for their collections. The auctioneer pounded the gavel. "Going once, twice, SOLD for $10!" A man sitting on the second row shouted, "Now let’s get on with the collection!" The auctioneer laid down his gavel. "I’m sorry, the auction is over."

"What about the paintings?" "I am sorry. When I was called to conduct this auction, I was told of a secret stipulation in the will. I was not allowed to reveal that stipulation until this time. Only the painting of the son would be auctioned. Whoever bought that painting would inherit the entire estate, including the paintings. The man who took the son gets everything!"

ePress Release

Air pollution can raise blood pressure

Breathing polluted air for even two hours can increase blood pressure, potentially raising the risk of cardiovascular disease in those exposed to smog, 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.

In susceptible patients this small increase may actually be able to trigger a heart attack or stroke. In the study, which appeared in a recent issue of the journal Hypertension, researchers tested 83 people as they breathed levels of air pollution similar to those in an urban city near a roadway. The air pollution caused diastolic pressure –– the lower number in a blood pressure reading –– to rise within two hours. Blood vessels were impaired for as long as 24 hours. Tests showed that microscopic particles in the air, rather than ozone gases, caused the rise in blood pressure and impaired blood vessel function. If air pollution levels are forecasted to be high, those with heart disease, diabetes or lung disease should avoid unnecessary outdoor activity.

Blood vessels were impaired for as long as 24 hours. Tests showed that microscopic particles in the air, rather than ozone gases, caused the rise in blood pressure and impaired blood vessel function. If air pollution levels are forecasted to be high, those with heart disease, diabetes or lung disease should avoid unnecessary outdoor activity.

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 – 96458 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 and CPR 10 Camp at NP CO–ED Sr. Sec. School Lodhi Estate, New Delhi on 24th July 2014

press release

Weight loss may improve sexual health of obese diabetes

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 fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/80 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

eMedinewS Humor

Jogging Shoes

Deciding to take up jogging, the middle–aged man was astounded by the wide selection of jogging shoes available at the local sports shoe store.

While trying on a basic pair of jogging shoe, he noticed a minor feature and asked the clerk about it.

"What’s this little pocket thing here on the side for?"

"Oh, that’s to carry spare change so you can call your wife to come pick you up when you’ve jogged too far."

Quote of the Day

Accept responsibility for your life. Know that it is you who will get you where you want to go, no one else. Les Brown

Twitter of the Day

Dr KK Aggarwal: Stress may increase smoking habits http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: What keeps life fascinating is the constant creativity of the soul.

eMedi Quiz

Injury to radial nerve in lower part of spiral groove:

1. Spares nerve supply to ex tensor carpi radialis longus.
2. Results in paralysis of anconeus muscle.
3. Leaves extension at elbow joint intact.
4. Weakens pronation movement.

Yesterday’s Mind Teaser: The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar.

Answer for yesterday’s Mind Teaser: 1. Transitional

Correct answers received from: Dr Abbas Vakil, Dr P C Das, Prabha Sanghi, Dr K Raju, Dr Poonam Chablani, Dr Vaishali Parmar, Dr Jainendra Upadhyay, Dr K V Sarma, Dr Raghavendra Jayesh, Dr Chandresh Jardosh, Daivadheenam Jella, Dr Gopal Shinde, Dr Avtar Krishan, Dr Prakash Khalap.

Answer for 29th July Mind Teaser: 3. Lateral rectus and abducent nerve.

Correct answers received from: Dr Abbas Vakil.

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the news updates. Regards: Dr Asha
cardiology news

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