eMedinewS4th August 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

Coffee Consumption Reduces Mortality

The largest prospective cohort study evaluated the impact of coffee consumption on all–cause mortality and involved 229,000 men and 173,000 women, who were followed for up to 13 years.

After adjustment for smoking status and other potential confounders, associations between coffee consumption (either caffeinated or decaffeinated) and reduced all–cause mortality were evident at relatively low levels of consumption (2 to 3 cups/day).

Compared to non–coffee drinkers, the risk of all–cause mortality among men and women who consumed 2 to 3 cups of coffee daily was 0.90 and 0.87.

The apparent benefit of coffee was similar for individuals with high levels of coffee consumption, including those who drank six or more cups of coffee per day. (UpToDate)

(Ref: Freedman ND, Park Y, Abnet CC, et al. Association of coffee drinking with total and cause–specific mortality. N Engl J Med 2012;366:1891).

News Around The Globe

  • A new study has revealed that HIV infection does not affect kidney transplant graft or patient outcomes but hepatitis C virus (HCV) infection exerts a negative impact on both. Thus, pretransplant HCV eradication should be a priority to improve outcomes in this population. The data was presented at the 2014 World Transplant Congress in San Francisco.
  • A new research presented at the 20th International AIDS conference has found no link between hormonal contraceptives and a woman’s risk for HIV after 17 years of follow–up in a Zambian cohort of HIV–discordant couple. However, a large meta–analysis revealed an increased risk for HIV with the use of depot medroxyprogesterone acetate only.
  • The US Food and Drug Administration has approved the once–daily bronchodilator inhalation spray olodaterol for the long–term treatment of airflow obstruction in patients with chronic obstructive pulmonary disease, including chronic bronchitis and/or emphysema.
  • A new study has revealed that anti–cholinergic drugs used to treat several conditions including asthma, high blood pressure, insomnia, dizziness and diarrhea, could impair physical functions in elderly patients such as eating and getting dressed. The findings were published in Age and Ageing, a journal of the British Geriatrics Society.
  • Greater preoperative pain and depression have been found to be associated with diminished improvement in quality of life (QOL) after lumbar surgery and posterior cervical fusion, suggest two studies published this month in The Spine Journal.

Rabies News (Dr A K Gupta)

What are the various types of modern anti–rabies vaccines?

These are:

  • Purified vero cell rabies vaccine (PVRV)
  • Purified chick embryo cell vaccine (PCECV)
  • Human diploid cell vaccine (HDCV)
  • Purified duck embryo vaccine (PDEV)

Cardiology eMedinewS

  • A study presented at the ACS NSQIP National Conference has pointed that evidence–based measures along with an interdisciplinary team approach reduces surgical site infection rates in a high–risk patient population. Infection at the surgical site after open heart surgery was reduced by 77% at a Canadian hospital through its participation in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP).
  • A research published July 31 in PLOS Pathogens has put forward a mechanism by which early infection with type B coxsackie virus (CVB) impairs the heart’s ability to tolerate stress at later stages of life.

Pediatrics eMedinewS

  • Using behavioral interventions to treat children and adolescents with attention–deficit/hyperactivity disorder (ADHD) has the potential to improve both child and parent functioning, suggests a new meta–analysis. The study was published in the August issue of the Journal of the American Academy of Child and Adolescent Psychiatry.
  • Scientists have identified the key role a protein named Yap plays in triggering a rare childhood muscle cancer, called Rhabdomyosarcoma (RMS). The findings were published July 31 in Cancer Cell.

Dr K K Spiritual Blog

You are the Temple of God and the Spirit of God dwells in you

This sutra from the Bible reflects the union between the spirit and the soul. The ‘Spirit’ represents the Parmatama or the Brahman and ‘You’ represents the individualized spirit or the Soul (Jivatama).

A temple is a place of worship and also the place where the God resides. Every human being represents a temple (place of worship) where God exists (one’s soul) and this soul is nothing but the essence of God (the spirit).

One should treat every individual in the same manner as the same spirit dwells in every human being. The soul is also the reflection of the individual’s past and present karmic expressions. Most people look for and search for God in artificial temples, gurudwaras and churches, not realizing that the same God is present within us, provided we undertake the internal journey to look for Him.

He is present amidst thoughts in the silent zone and can be approached by adopting any of the three pathways: Karma Yoga, Bhakti Yoga and Gyana (Gnana) Yoga.

Doing selfless work with detachment to its results; working with the principles of duty, devotion and discipline; and/or regularly doing Primordial Sound Meditation or other types of meditations can help one reach the stage of self–realization or meeting one’s true self. Once there, one can have all the happiness in life.

Wellness Blog

What type of a vegetarian are you?

There are 4 main types of vegetarian diets:

  • Lacto–ovo–vegetarian consumes dairy products and eggs but no meat, poultry, or seafood
  • Lacto–vegetarian eats dairy products but not eggs, meat, poultry, or seafood
  • Ovo–vegetarian eats eggs but no dairy products, meat, poultry, or seafood
  • Vegan does not eat any animal products, including meat, fish, poultry, eggs, and dairy products; many vegans will also avoid honey.

Vegetarian and plant–based diets are associated with a reduced risk of obesity, diabetes, heart disease, and some types of cancer as well as increased longevity. Vegetarian diets are typically lower in fat, particularly saturated fat, and higher in dietary fiber. They are also likely to include more whole grains, legumes, nuts, and soy protein, and together with the absence of red meat, this type of eating plan may provide many benefits for the prevention and treatment of obesity and chronic health problems, including diabetes and cardiovascular disease.

Inspirational Story

Beginning Today

Beginning today I will no longer worry about yesterday. It is in the past and the past will never change. Only I can change by choosing to do so.

Beginning today I will no longer worry about tomorrow. Tomorrow will always be there, waiting for me to make the most of it. But I cannot make the most of tomorrow without first making the most of today.

Beginning today I will look in the mirror and I will see a person worthy of my respect and admiration. This capable person looking back at me is someone I enjoy spending time with and someone I would like to get to know better.

Beginning today I will cherish each moment of my life. I value this gift bestowed upon me in this world and I will unselfishly share this gift with others. I will use this gift to enhance the lives of others.

Beginning today I will take a moment to step off the beaten path and to revel in the mysteries I encounter. I will face challenges with courage and determination. I will overcome what barriers there may be which hinder my quest for growth and self–improvement.

Beginning today I will take life one day at a time, one step at a time. Discouragement will not be allowed to taint my positive self–image, my desire to succeed or my capacity to love.

Beginning today I walk with renewed faith in human kindness. Regardless of what has gone before, I believe there is hope for a brighter and better future.

Beginning today I will open my mind and my heart. I will welcome new experiences. I will meet new people. I will not expect perfection from myself nor anyone else: perfection does not exist in an imperfect world. But I will applaud the attempt to overcome human foibles.

Beginning today I am responsible for my own happiness and I will do things that make me happy… admire the beautiful wonders of nature, listen to my favorite music, pet a kitten or a puppy, soak in a bubble bath… pleasure can be found in the most simple of gestures.

Beginning today I will learn something new; I will try something different; I will savor all the various flavors life has to offer. I will change what I can and the rest I will let go. I will strive to become the best me I can possibly be.

Beginning today and every day. Just a thought, but as I often think of you and realize how much God loves you, sometimes I think we need to also love ourselves through His eyes.

ePress Release

Over 50 focus only on upper blood pressure

For patients over 50, doctors only need to monitor the upper systolic blood pressure, and can ignore the lower diastolic blood pressure reading, 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.

Systolic blood pressure – the top number in a blood pressure reading – is the pressure exerted at the beginning of the heart's pumping cycle, while diastolic pressure records the lowest pressure during the resting cycle of the heart. Both pressures are routinely measured when recording the blood pressure.

As per a report published in the journal The Lancet, there is such an emphasis on diastolic pressure that the patients are not getting their systolic blood pressures adequately controlled. The fact is that people over the age of 50 probably do not even need to measure diastolic – it’s only the systolic blood pressure that should be the focus.
Generally, systolic blood pressure continues to increase with age, while diastolic pressure starts to drop after age 50, which is the same time when cardiovascular risk begins to rise. Therefore, there is an increased prevalence of systolic hypertension past age 50, whereas diastolic hypertension is practically nonexistent. Rising systolic pressure is the most significant factor in causing stroke and heart disease.

For people under 50, the scenario may be different. About 40 percent of adults under 40 years of age have diastolic hypertension, and about a third of those between 40 and 50 have the problem. For these patients, a continued emphasis on both systolic and diastolic blood pressures is needed. However, controlling systolic blood pressure, even among these younger patients, almost always results in adequate control of diastolic blood pressure, too.

For people 50 or older, systolic pressure is high if it is 140 mmHg or above.

eMedi Quiz

Which of the heart valve is most likely to be involved by infective endocarditis following a septic abortion?

1. Aortic valve.
2. Tricuspid valve.
3. Pulmonary valve.
4. Mitral valve.

Yesterday’s Mind Teaser: Which of the following statement is true regarding the author based second opinion teledermatology?

a. Evidence based medicine is practiced as a collective opinion of the author who worked on an instant case
b. Applied for difficult to manage cases
c. Expert opinion and literature is obtained
d. All of the above

Answer for yesterday’s Mind Teaser: d. All of the above

Correct answers received from: Dr Vaishali Parmar, Dr Avtar Krishan, Dr.K.V.Sarma, Dr Avtar Krishan, Deepali Chatterjee, dr poonam chablani, Dr.Bitaan Sen & Dr.Jayashree Sen

Answer for 2nd August Mind Teaser: b. Procaine

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen

Send your answer to ijcp12@gmail.com

Self-Assessment-Quiz

 

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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."

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Health Check Up Camp Sonipat, 27th July 2014

press release

Skin care

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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 cough of more than 4 weeks duration came with blood in his sputum.
Reaction: Oh my God! Why was TB not suspected earlier?
Lesson: Make sure that all patients with cough of more than 3 weeks duration are investigated for TB.

eMedinewS Humor

Repairs

When a guy’s printing on his printer began to grow faint, he called a local repair shop where a friendly man informed him that the printer probably needed only to be cleaned. Because the store charged $50 for such cleanings, he told him he might be better off reading the printer’s manual and trying the job himself.

Pleasantly surprised by his candor, he asked, "Does your boss know that you discourage business?" "Actually, it’s my boss’s idea," the employee replied sheepishly. "We usually make more money on repairs if we let people try to fix things themselves first."

Quote of the Day

Nature loves you ten times more than a mother loves her newborn. Sri Sri Ravi Shankar

Twitter of the Day

Dr KK Aggarwal: Bed netting is of little help to prevent dengue http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Emotional intelligence begins when you feel what you feel without labels or evaluation.

medicolegal update

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medical querymedical query

medicolegal update

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medicolegal update
  1. So what is being done to stop this menace milk from urea how disgusting. No punishment is enough for these culprits. Regards: Kulraj Kapoor

Forthcoming Events

HSICON 2014

Dear Colleague,

Hypertension Society of India is organizing its "23rd Annual Conference HSICON–2014" to be held on 9th & 10th August, 2014 at Kempinski Ambience Hotel, Near Yamuna Sports Complex, New Delhi

Dr. N. P. Singh                          Dr. Neeru P. Aggarwal

Organizing Chairperson               Organizing Secretary

Click here for Scientific Program

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