eMedinewS4th September 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

Kshamavani: A Spiritual Prescription

In Jainism there is a festival called Kshamavani which is held every year during this period of the month. It is based on the fact that at times knowingly or unknowingly we hurt the consciousness of some of our colleagues, which if it stays in the mind for more than 6 months, gets stitches to the consciousness, stays there and leads to cynical behavior, ghrina, hostility, hatred, jealousy and other negative emotions. When it occurs unconsciously, the person may not know about it for years.

On the day of Kshamavani, we try to reach out to all people to whom we are acquainted with and say, "Knowingly or unknowingly if in my action, thoughts or speech if I hurt your consciousness in the last one year, please forgive me."

This spiritual prescription helps in detoxifying the mind, intellect and ego.

I have recently been elected to serve team IMA 2014–16 as the Honorary National Secretary General. It is a big responsibility involving 29 states and 7 UTs, over 1700 branches and over 2.2 lakh members.

On this Kshamavani day, I begin my assignment to plan for the IMA vision 2014–2016 with my above confession of Kshamavani in my heart.

I understand that being the Secretary General of IMA for 2 years, I will be the custodian of faith and beliefs that each and every member has bestowed upon me.

I will be trustee of the beliefs and faith of IMA members. I will do my best and be a tested soldier of IMA team led initially by Dr A Marthanda Pillai, and later by Dr SS Aggarwal.

Long Live IMA!!

Innovations in Cardiology (IIC) Summit 2014

Dr Rajneesh Kapoor

High–dose statins reduce coronary atherosclerosis in STEMI patients

Results of a study presented at the European Society of Cardiology 2014 Congress suggest that use of high–dose statin therapy in STEMI patients undergoing primary PCI for an infarct–related artery significantly reduces plaque burden in the non–infarct–related coronary arteries. The IBIS–4 (Integrated Biomarker Imaging Study) study reported that while treatment with rosuvastatin 40 mg/day led to coronary atherosclerosis regression, it had no impact on plaque morphology, such as changes in the necrotic core.

News Around The Globe

  • A new study has found that the risk of developing cardiovascular disease could be reduced by up to 40% simply by eating fresh fruit every day. The study was recently presented at the European Society of Cardiology Congress 2014.
  • A new study has identified a molecular mechanism behind the varying effects of stress on different people, potentially leading to better understanding of psychiatric disorders – including anxiety and depression. The study was published in the journal Molecular Psychiatry.
  • The US Food and Drug Administration (FDA) has approved taliglucerase alfa as a long–term enzyme replacement therapy for children with type 1 Gaucher disease. The safety and efficacy of taliglucerase alfa were demonstrated in 14 children aged 2 to 16 years with type 1 Gaucher disease in 2 separate clinical trials.
  • A new study using brain scans has pointed that the addictive power of unhealthy, high–calorie food can be reduced and the brain retrained to prefer healthy, lower calorie foods. Participants who followed a 6-month behavioral weight–loss program exhibited significant changes in the response of reward centers in their brains to the two types of food. The findings were published in the journal Nutrition & Diabetes.
  • The American Society of Clinical Oncology (ASCO) has released a new clinical practice guideline to help identify the optimal treatment for women with human epidermal growth–factor 2 (HER2)–negative (or unknown) advanced breast cancer. The guideline was published online in the Journal of Clinical Oncology.

Rabies News (Dr A K Gupta)

What are the initial (prodromal) symptoms of rabies?

  • Pain or paresthesia at the site of the bite is well–known as a diagnostically useful prodromal symptom occurring in one–third to two–thirds of cases. In Thailand, however, a specific type of paresthesia–itching–was the earliest symptom in >40% of cases. Itching occurred at the site of the healed bite wound or involved the whole bitten limb and was sometimes so intense as to provoke frenzied scratching and excoriation of the skin. The explanation for local paresthesia may be the multiplication of virus in the dorsal root ganglion of the sensory nerve supplying the area of the bite.
  • Pain behind the grafted eye was an early symptom in 3 of the 4 patients who developed rabies following corneal transplants.
  • Priapism with frequent spontaneous orgasms was the first symptom in one Thai patient.
  • Fever, malaise, nausea and vomiting.
  • Increased sensitivity of the skin to changes of temperature, especially air currents.

Cardiology eMedinewS

  • Rivaroxaban may be as effective and safe as a vitamin–K antagonist (VKA) when given for only about a week prior to elective cardioversion for atrial fibrillation (AF). Rivaroxaban can be given once daily, doesn’t require INR checks, and does not need a protracted three–week treatment period before the procedure, as with warfarin. The findings were published recently in the European Heart Journal.
  • The use of high–dose statin therapy in STEMI patients undergoing primary PCI for an infarct–related artery significantly decreases plaque burden in the non–infarct–related coronary arteries, suggest the results of the new Integrated Biomarker Imaging Study (IBIS–4). The study was presented at the European Society of Cardiology 2014 Congress.

Pediatrics eMedinewS

  • Kids who experience internet bullying are likely to have mental health and substance use problems; however, spending more time communicating with their parents may help protect them from these harmful consequences, suggests a new study published September 1 in JAMA Pediatrics.
  • Early infant feeding practices do not predict the development of food allergy in children, nor protect against it, suggests a new study published September 2 in a Pediatrics supplement. Study authors however reported that the duration of exclusive breast–feeding and timing of complementary food introduction may be associated with other health outcomes, including lower rates of ear, throat, and sinus infections and dietary habits.

Dr K K Spiritual Blog

Understanding exact speech

Upanishads, Yogasutras of Patanjali and teachings of Gautam Buddha, all talk about "the right speech". As per Gautam Buddha, the right speech has three components:

  • It should be based on truthfulness.
  • It should be necessary.
  • It should be kind.

All three have to be in the same sequence with truthfulness taking the top ranking. For example, when a patient asks a doctor, "Am I going to die in the next few weeks or will I survive longer?" The truth may be that he is serious enough and may not survive but it is not necessary to speak the truth and also it is not kind. Therefore, that truth should not be spoken.

Lord Krishna in Mahabharata explained when not to speak the truth and when to speak a lie. The truth which is going to harm the society may not be spoken and a lie which can save the life of a person without harming others may be spoken.

  • A truth which is necessary and kind may be spoken.
  • A truth which is not necessary but kind may not be spoken.
  • A truth which is necessary but not kind may not be spoken.
  • A truth which is neither necessary and nor kind may not be spoken.

Wellness Blog

Eating Out Tips

  • Curb portions: Always order for one if you are two people and if you are alone set aside some of what is on your plate to bring home.
  • Resist refined carbohydrates.
  • Load your plate with colorful choices at the salad bar with vegetables, fruits, and small amounts of lean protein. Skip the creamy and ranch dressings.
  • Choose dishes that are grilled, roasted, steamed, or sautéed.
  • Don’t be afraid to request a salad, vegetables, or fruit instead of starchy side dishes.
  • If you are a non–vegetarian, order only fish or seafood.
  • If you decide to have dessert, share it with your dining companion(s).

Inspirational Story

Blue Hummingbird

Once, long ago, there was a young boy who lived in a distant land called Tandow. He was a cheerful lad with not a care in the world. A special friend had he, the little blue hummingbird. Now this little boy didn’t have a lot of great friends, but the little bird and the boy were inseparable friends. The boy loved the little humming bird, so he built him a home. The bird also loved the boy and would follow him wherever he would go. As time went by their love grew and grew.

Then one day the young lad met a pretty young girl in school. The girl had long blonde hair, blue eyes, and a cute little smile. This was about the time of the biggest dance of the year. All the boy could think about was how he would love to take the girl to the dance. He gathered his courage all day and at the end of school confronted the girl and asked her to go with him to the dance.

Now this young girl was very popular and felt she did not want to be seen with the boy who cared for her so, but she did not want to hurt his feelings and so figured out a way to avoid saying no or yes. She told the boy if he brought her a red rose she would allow him to escort her to the dance.

This hurt the little boy because he knew that in the land of Tandow there had never been a red rose. In fact, the only roses in the land Tandow were white. On the way home the boy kept mumbling to himself why couldn’t she have asked for a white rose. There were hundreds of them in his front yard.

Feeling sorry for himself the boy didn’t even notice his friend the hummingbird fluttering above him. Now the bird loved him so, that it could tell instantly the boy was troubled. The bird hovered closer as the boy mumbled on home. Now the bird knew why the boy was so troubled. The bird could not rest all the night long, it pondered all night, a solution to the boy’s problem.

Finally as the sun began to rise the answer to how the bird could help his best friend entered his mind. The little blue hummingbird flew to a rose bush and searched for a large rose with a stem bearing thorns directly above it. Now the bird chose a thorn and with all the power in his wings cast his small body against the sharp thorn. It entered with great pain, as the tear drops of blood fell upon the white petals of the rose.

Now as the boy was ready for school, as he left the house he saw a red rose, he could hardly believe it, he ran to the bush and plucked the red rose. In his excitement he failed to notice the lifeless little body that lay below the bush in a puddle of blood. Happy as could be, he began with his red rose on his way to school. Before he got there some other boys playing football in a field called to him and asked him to come and play.

His first thought was, no, he had something more important to do. But they begged him and said they really needed him to even the teams. He looked at the rose, then them, then back at the rose. He said to himself. Ah!!! She didn’t really want to go with me anyway. Then, throwing the rose down, the boy went and played football.

You’ve probably already figured out the allegory…

  1. The boy is each of us.
  2. The humming bird is Jesus Christ.
  3. The girl is eternal life.
  4. The rose is the atonement.
  5. The football game is the worldly things we sometimes feel are so important.

ePress Release

Expressive writing can relieve stress

By spending 30 minutes each day for four days to write out innermost thoughts and feelings, one can significantly boost mental and physical health, 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.

This so–called expressive writing requires only pen and a paper. In expressive writing therapy, patients are encouraged to express whatever is on their mind, letting their hopes and fears flow out in a natural, unrestrained way. It is like keeping a journal, but more focused on the things that might be bothering one or triggering stress.

eMedi Quiz

Beta-oxidation of odd-chain fatty acids produces:

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

Yesterday’s Mind Teaser: Injury to radial nerve in lower part of spiral groove:

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

Answer for yesterday’s Mind Teaser: 3. Leaves extension at elbow joint intact.

Correct answers received from: Dr Jainendra Upadhyay, Daivadheenam Jella, Dr PC Das, Dr Avtar Krishan.

Answer for 1st September Mind Teaser: 1. Transitional

Correct answers received from: Dr PC Das, Dr K Raju, Dr Poonam Chablani, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Avtar Krishan, Daivadheenam Jella, Shashank Jalak, Najib Khatee, Dr Bitaan Sen, Dr Jayashree Sen, Dr K Raju, Dr BK Agarwal.

Send your answer to ijcp12@gmail.com

eMedinewS Humor

My Grades

A high–school student came home one night rather depressed.

"What’s the matter, Son?" asked his mother.

"Aw, gee," said the boy, "It’s my grades. They’re all wet."

"What do you mean ‘all wet?’"

"You know," he replied, "…below C–level."

Self-Assessment-Quiz

 

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Total CPR since 1st November 2012 – 98440 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 and CPR 10 Camp at NP Model Primary School East Kidvai Nagar 20th August 2014

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New Drug for ED

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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 28–year–old pregnant woman was advised erythromycin estolate for her upper respiratory tract infection. A week later she developed jaundice.
Reaction: Oh my God! You should have prescribed erythromycin stearate instead of estolate.
Lesson: Make sure to remember that there is a higher incidence of hepatitis with cholestatic jaundice in pregnancy with erythromycin estolate.

Quote of the Day

What other people say

You have to forget about what other people say, when you’re supposed to die, or when you’re supposed to love. You have to forget about all these things. Jimi Hendrix

Twitter of the Day

Dr KK Aggarwal: Shorter the waist line, longer the life line http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Photons cannot be seen but make seeing possible #CosmicConsciousness

   
medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Dr Aggarwal Congratulation and wish you all the success. Dr. Jeewan S. Titiyal, Padma Shri Awardee.
  2. Heartiest Congratulations, I am looking forward to this. Dr. Colonel Prahlad Kumar Sethi, MD, President Brain Care Foundation.
  3. Heartiest congratulations, we are confident that with your vast experience & expertise you would be an asset to the organization. Regards: Padma Shri Vipin Buckshey.
  4. Heartiest congratulation to you for this achieve this honour: Dr D K Bhargava, Padma Shri Awardee
  5. Dear Dr Aggarwal, Thanks for sharing a great news Heartiest congratulations! We all are proud and great organization like IMA will definitely cover new dimensions under your capable leadership! Regards: Neelam Kler, Prof & Chairperson, Dept. of Neonatology, Sir Gangaram Hospital, New Delhi

Forthcoming Events

Dear Colleague

Kindly attend ‘Innovations in Cardiology (IIC) Summit 2014’ on 6th September, 11 am – 6 pm at Hotel Oberoi, Gurgaon.

The Organizing Secretary is Dr Rajneesh Kapoor

Highlights of the conference

  • Separate hall for Clinical Cardiology
  • One session on Medicolegal aspects will be taken by me.
  • No registration fee, limited seats

Kindly send your confirmation to rawat.vandana89@gmail.com or sms 9891673085

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