eMedinewS4th December 2013, Wednesday

Dr K K AggarwalPadma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; 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
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Sodium in drugs can be dangerous

Using effervescent, dispersible or soluble drugs on a regular basis leads to greater risk for heart attacks, strokes, and other cardiovascular events.

Regular use of prescribed effervescent and other sodium–containing drugs have a 16% greater risk for nonfatal stroke, nonfatal myocardial infarction (MI), and vascular death (P<0.01), compared with regular users of low or no–sodium versions of the same drug as per Dr Jacob George, at the University of Dundee in Scotland who write in BMJ.

Taking the maximum daily dose of drugs like effervescent aspirin or acetaminophen may exceed the recommended daily limit of sodium. Effervescent paracetamol 500 mg can contain 18.6 mmol of sodium in each tablet.

Sodium–loaded effervescent, soluble or dispersible tablets should be avoided in patients at risk of hypertension.

Current U.S. guidelines recommend that people at low risk for CVD events limit their sodium intake to no more than 2,300 mg (1 teaspoon or 100 mmol/L) per day.

Certain populations, including people over 50, African Americans, diabetics, and people with high blood pressure or chronic kidney disease, should limit their daily sodium intake to 1,500 mg.

American Heart Association recommends intake of less than 1,500 mg of sodium a day for everyone. World Health Organization (WHO) recommendations call for limiting daily sodium intake to no more than 2,000 mg per day.

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 mantra
VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

The Science Of Power

sprritual blog

Power is the ability to influence others to get a work done the way you want it.

We have seen evolution in the way power works. There was a era when Brahmins ruled using the power of knowledge, then came an era of Kshatriya who ruled using the physical power. This was followed by an era of Vaishyas ruling the world with the power of money and a time will come when Shudras will rule with the power of their work.

In one of his lectures, Deepak Jain from Kellogg’s said that the world has seen eras of physical power, economical power and the time has come that it will now be ruled by the power of human resources.

Former Governor of Mizoram A R Kohli, in one of his talks, said that there are four types of powers which govern the universe and these are – physical power, economical power, the power of the chair (ego) and the power of the human resource which is based on consciousness.

Everyone has these four inherent powers. The physical power is based on fear, tamas and rajas. The economical and the power of chair are linked to one’s ego and rajas. It is the power of human resource which is linked to the soul, consciousness and Satva.

The physical power is at the level of body, economic power is at the level of mind, the power of chair is at the level of intellect and ego and the power of human resources is at the level of soul. It is the power of human resource which is based on Dharma and is universally accepted by all religions.

As per Mahabharata, the powers are the power of human resource (righteousness or Yudhisthir), power to remained focused (Arjun), power to fight injustice (Bheem), power to help others (Sahdev) and power to remain neutral during any adversity (Nakul).

In Vedic sciences, these powers are also defined as Ichhashakti (the power of desires to be with the consciousness), Kriyashakti (the power to do selfless work), gyanshakti (the power to learn about consciousness), chit shakti (the power to take conscious based decisions) and anand shakti (the power for inner happiness).

The power of human resources talks about cultivating relationships. It is not based on the principles of survival of the fittest which is an animal behavior. The power of human resource believes in training and developing everyone to survive and become the fittest of the fit.

cardiology news

Performance & Position

A Priest dies & is awaiting his turn in line at the Heaven’s Gates.
Ahead of him is a guy, fashionably dressed, in dark sun glasses, a loud shirt, leather jacket & jeans.
God asks him: Please tell me who are you, so that I may know whether to admit you into the kingdom of Heaven or not?
The guy replies: I am Pandi, Auto driver from Chennai!
God consults his ledger, smiles & says to Pandi: Please take this silken robe & gold scarf & enter the Kingdom of Heaven…

Now it is the priest’s turn. He stands erect and speaks out in a booming
voice: I am Pope’s Assistant so & so, Head Priest of the so & so Church for the last 40 years.
God consults his ledger & says to the Priest: Please take this cotton robe & enter the Kingdom of Heaven…
‘Just a minute,’ says the agonized Priest. ‘How is it that a foul mouthed, rash driving Auto Driver is given a Silken robe & a Golden scarf and me, a Priest, who’s spent his whole life preaching your Name & goodness has to make do with a Cotton robe?’
‘Results my friend, results,’ shrugs God.
‘While you preached, people SLEPT; but when he drove his Auto, people PRAYED’

It’s PERFORMANCE & not POSITION that ultimately counts.

News Around The Globe

News

  • According to a meta-analysis in Annals of Internal Medicine, metabolically healthy obese people are at a long–term greater risk for death and cardiovascular events compared with their normal–weight counterparts, suggesting there is no such thing as benign obesity. When studies with follow–ups of a decade or more were considered, obese people with no metabolic abnormalities had a 24% increased risk for these events vs metabolically healthy, normal–weight people.
  • Taking a multivitamin supplement daily may stave off development of cataracts in middle–aged and older men, according to an article published online November 21 in Ophthalmology. However, there appeared to be no association between daily vitamins and visually significant age–related macular degeneration (AMD).
  • A low–fat diet and supplementation with fish oil appears to reduce proinflammatory substances in the blood of prostate cancer patients, according to a new study. It also decreased the cell cycle progression (CCP) score, which is a measure used to predict cancer recurrence. The study was published online October 29 in Cancer Prevention Research.
  • The US FDA has approved a rapid in–office test for diagnosis of dry eye disease called InflammaDry. It detects the inflammatory marker matrix metalloproteinase–9, which has been shown to be consistently elevated in the tears of patients with dry eye disease. The test uses a sample of tears and takes less than 2 minutes to complete, with results available in 10 minutes. This allows a treatment plan to be established with the patient during the initial office visit. The test displays a blue control line for a negative result or blue and red lines for a positive result.
  • Findings of a randomized controlled trial show that buttonhole needling does not improve arteriovenous fistula (AVF) survival in patients on dialysis, and may increase the risk of infection. In buttonhole needling, an AVF is cannulated in the exact same spot, by the same person, repeatedly so that a scar tissue tunnel track forms and a blunt needle can be used. In the traditional rope ladder technique, the needling site is changed with each cannulation.

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Rabies News (Dr. A K Gupta)

What is the role of monoclonal antibodies in Rabies?

Monoclonal antibodies against rabies virus have been widely used in the diagnosis and immunological analysis of rabies. Human monoclonal antibodies to rabies virus G protein are also expected to be used as a replacement for rabies immunoglobulin (RIG) in the post–exposure treatment of rabies. In 1978, Wiktor reported the preparation of rabies virus monoclonal antibodies. Since then, rabies virus monoclonal antibody (mAb) technology has been more and more widely used in basic research and diagnosis of rabies.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Hypertensive patients with post–traumatic stress disorder missed significantly more doses of their blood pressure drugs than patients without PTSD. In a small study, 68% of hypertensive patients with positive screening results for PTSD on a primary care–oriented symptom assessment were judged to be nonadherent to their medications, versus 26% of hypertensive patients with no PTSD symptoms. The study also showed a possible trend toward increasing nonadherence with more severe PTSD. Ian Kronish, MD, MPH, of Columbia University in New York City, and colleagues reported their findings in JAMA Internal Medicine.
  • Blood transfusions should be used restrictively and erythropoiesis–stimulating agents (ESAs) should not be used at all for treating anemia in patients with heart disease, according to recommendations from the American College of Physicians. In hospitalized patients with coronary heart disease, red blood cell transfusions should be used only for more severe anemia, with a hemoglobin level of 7 to 8 g/dL –– versus higher levels –– used as a threshold to determine treatment. Patients with congestive heart failure or coronary heart disease should not receive ESAs for mild–to–moderate anemia because of a lack of proven benefit and the potential for increased risks of death and venous thromboembolism. The guideline was published in the Dec. 3 issue of Annals of Internal Medicine.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Exercise training was found to have a small to moderate effect on fasting insulin and insulin resistance in children and teens, according to a meta–analysis of 24 studies reported in the January issue of the journal Pediatrics. Exercise training could lead to measurable improvements in clinically relevant insulin outcomes, including fasting insulin and homeostatic model assessment insulin resistance.
  • Women who had diabetes before they became pregnant had increased risks for losing the child, as a result of either fetal or infant death. In a study reported in Diabetologia, women with type 1 or 2 diabetes had four times the relative risk for fetal compared with those without pre–existing diabetes. The risk was also doubled for death of the infant within the first year of life.
cardiology news

Check Your BMI To Know Chances Of Future Heart Attack

If you are less than 40 years of age, male, with a strong family history of diabetes, blood pressure or heart disease, have a normal weight as judged by Body Mass Index (BMI) but have a pot belly, or have gained more than 10 kg since the age 18, do not ignore and go to your cardiologist to reduce your chances of a future heart attack.

A BMI of 20 to 23 kg/m2 is associated with little or no increased risk unless visceral fat is high, or the subject has gained more than 10 kg since 18 years.

  • Subjects with a BMI of 23 to 30 kg/m2 may be described as having low risk, while those with a BMI of 30 to 35 kg/m2 are at moderate risk.
  • Subjects with a BMI of 35 to 40 kg/m2 are at high risk, and those with a BMI above 40 kg/m2 are at very high risk from their obesity.
  • At any given level of BMI, the risk to health is increased by more abdominal fat (increased weight to hip ratio, WHR), hyperlipidemia, hypertension, age less than 40 years, male sex, and a strong family history of diabetes, hypertension, or heart disease.

The body mass index (BMI) is the most practical way to evaluate the degree of obesity. It is calculated from the height and weight as follows:

BMI = body weight (in kg) ÷ square of stature (height, in meters)

Overweight is defined as a BMI between 23 and 30 kg/m2 and obesity as a BMI greater than 30 kg/m2.

cardiology news

Total CPR since 1st November 2012 – 75187 trained

Media advocacy through Web Media

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press release

Can one drive after one peg of alcohol?

Several studies confirm that consuming one or two drinks leads to an increased risk of injury. No safe level of alcohol use exists for the use of potentially dangerous equipment, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

BACs of 0.02 to 0.05 percent impair the ability to operate motor vehicles; this level of blood alcohol can occur with even a single drink. Exposure to alcohol is measured in blood alcohol concentration (BAC) rather than drinks per day or week. The legal BAC limit for driving is 0.03 percent.

This corresponds to approximately four drinks for a 200 pound man, but only 2.5 drinks for a 150 pound woman.

  • The risk of involvement in a collision while driving doubles at a BAC of only 0.05 percent
  • Simulated driving ability is impaired with BACs as low as 0.02 percent.
  • The risk of driving accidents is greatest in the first two years of exposure to alcohol.
  • For pilots the BAC offense level is 0.04 percent.
  • Alcohol is involved in one–half to two–thirds of all homicides, at least one–half of serious assaults, and more than one–quarter of all rapes.

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 75187 people since 1st November 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 10×10 i.e. 100 per minute."

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CPR10 Training at IITF

press release

White rice linked to diabetes in Asians

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

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.

Yesterday’s Mind Teaser: B–oxidation of odd–chain fatty acids produces:

1.Succinyl CoA.
2.Propionyl CoA.
3.Acetyl CoA.
4.Malonyl CoA.

Answer for yesterday’s Mind Teaser: 2.Propionyl CoA.

Correct answers received from: Dr.K.Raju, Dr ajay Gandhi, Dr.K.V.Sarma, Dr. Mihir Vora, Dr. V.P. Thakral, DR APRAN GANDHI, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, DR AVTAR KRISHAN, Dr.PNN Pisharody,

Answer for 1st December Mind Teaser: 4.Vertebral venous plexus.

Correct answers received from: DR. SUSHMA CHAWLA, Dr Prakash Khalap,

Send your answer to ijcp12@gmail.com

indianoil
lic
centralbank
medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Teacher: Billy, stop making ugly faces at other students!

Billy: Why, ma’am!

Teacher: Because when I was a child, my parents told me that if I kept making ugly faces my face would stay that way!

Billy: Well, I can see you didn’t listen then!

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful #CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm


Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President
Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman
Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Sir, very informative news. Regards: Dr Tarun

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Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

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