eMedinewS5th May 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

5 foods that fight high cholesterol

  • Oats give you soluble fiber. Add a banana or some strawberries to get more soluble fibers.
  • Beans are especially rich in soluble fiber. They also take a while for the body to digest, meaning you feel full for longer after a meal.
  • Nuts: Eating almonds, walnuts, peanuts and other nuts is good for the heart. Eating 2 ounces of nuts a day can slightly lower LDL by about 5%. Nuts have additional nutrients that protect the heart in other ways.
  • Foods fortified with sterols and stanols. Companies are adding them to foods ranging from margarine and granola bars to orange juice and chocolate. They’re also available as supplements. Getting 2 grams of plant sterols or stanols a day can lower LDL cholesterol by about 10%.
  • Fatty fish. Eating fish 2 to 3 times a week can lower LDL in two ways: by replacing meat, which has LDL–boosting saturated fats and by delivering LDL–lowering omega–3 fats.

News Around The Globe

  • Despite past reports suggesting a link between marijuana use and increased stroke risk, a recent study presented at the American Academy of Neurology (AAN) 66th Annual Meeting has shown a statistically significant inverse relationship between marijuana use more than a year ago and ischemic stroke risk in young people.
  • In another new revelation from the 66th AAN Annual Meeting, researchers have found both pro– and anti–inflammatory epigenetic factors in the intestinal microbiota of patients with multiple sclerosis (MS) that may be implicated in the disease pathogenesis.
  • The US FDA’s Nonprescription Drugs Advisory Committee has voted against recommending montelukast to be approved as an over–the–counter (OTC) drug for the treatment of allergic rhinitis (AR).
  • A study presented at the American Pain Society (APS) 33rd Annual Scientific Meeting has stated that a novel extended–release formulation of hydrocodone having antiabuse properties provides safe and long–lasting pain relief to patients with chronic pain, including those who have used opioids before and those who are opioid–naive.
  • A study presented at the American Congress of Obstetricians and Gynecologists (ACOG) 2014 Annual Clinical Meeting has pointed that women who require reoperation for recurrent prolapse could possibly benefit from vaginal mesh repair. Mesh erosion was more common in women who had not previously undergone vaginal prolapse surgery as compared to those who had (10.6% vs 2.8%).

Rabies News (Dr A K Gupta)

What does humanizing your dog mean?

  1. Talking to your dog like he/she is a person.
  2. Treating your dog like he/she is a person.
  3. Allowing dogs to do what they want because it will hurt their "feelings."
  4. Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

Cardiology eMedinewS

  • In a new study presented at the American Association for Thoracic Surgery 2014 Annual Meeting, performing mitral valve–in–valve or valve–in–ring implantations in extremely high–risk patients with degenerated prosthetic mitral valves leads to one-year clinical outcomes that are comparable to those obtained with transcatheter-valve implantations in native aortic–valve disease. However, valve–in–valve procedures can result in high postprocedural gradients, device malposition, and coronary obstruction.
  • A study published online in the Journal of the American College of Cardiology has revealed that thromboembolic risk increases similarly in either preexisting or incident atrial fibrillation (AF) in patients with ischemic heart failure, and that treatment with a vitamin–K antagonist (VKA) alone, compared with an antiplatelet agent alone, can cut that thromboembolic risk, though with increased associated bleeding risk.

Pediatrics eMedinewS

  • A urine dipstick test alone could be the best initial screen to test for urinary tract infections (UTIs) in febrile infants, reports a study published online in Pediatrics. While the test is known to work well for children aged > 2 years, this new study has shown its utility in infants aged 1 to 90 days too.
  • A study presented at the American Academy of Neurology’s 66th Annual Meeting has reported favorable results with eteplirsen for Duchenne muscular dystrophy (DMD) that continued with more than 2 years of treatment. Boys aged 7 to 13 years who were able to walk at least 200 meters in 6 minutes had the mean 6–minute walk distance (6MWD) completely preserved for 120 weeks with eteplirsen therapy.

Dr K K Spiritual Blog

Spiritual Prescription: The Role of Prayer in Healing

Religious beliefs may have a powerful influence on the health of our patients, and we need to know about them.

A large and growing number of studies have shown a direct relationship between religious involvement and positive health outcomes, including mortality, physical illnesses, mental illness, health-related quality of life and coping with illness.

Studies also suggest that addressing the spiritual needs of patients may facilitate recovery from illness. A majority of the nearly 350 studies of physical health and 850 studies of mental health that have used religious and spiritual variables have found that religious involvement and spirituality are associated with better health outcomes.

Although the relationship between religious involvement and spirituality with health outcomes seems valid, it is difficult to establish causality. The benefits of religious and spiritual involvement are likely conveyed through complex psychosocial, behavioral and biological processes that are incompletely understood.

All physicians should take a spiritual history of their patients, which could help discern their spiritual needs during treatment.

According to Dr. Harold Keonig of Duke University Medical Center in majority of cases, the doctor should not attempt to address complex spiritual needs of patients. When the patient is reluctant to talk with clergy and prefers to discuss spiritual matters with a trusted physician, taking a little extra time to listen and be supportive is usually all that is required.

Providing support for religious beliefs and practices that do not conflict with medical care may be appropriate, but when beliefs conflict with medical care, it is important not to criticize the belief, but rather to listen, gather information, enter into the patient’s world view and maintain open lines of communication, perhaps enlisting the help of the patient’s clergy.

Recently a study published in the journal Mayo Clinic Proceedings confirmed the importance of religion and spirituality for many patients undergoing medical treatment. The single–center, randomized, double–blind trial was conducted at the Mayo Clinic in Rochester, Minn. from July 4, 1997 to Oct. 21, 1999 and involved 799 male and female coronary care patients aged 18 years or older.

Earlier too, a number of published studies have already assessed the effects of spiritual factors on health care outcomes: 75 percent report a positive effect; 17 percent report no effect; and 7 percent report a negative effect.

In the study, the patients were randomized into the intercessory prayer group and the control group. Intercessory prayer was administered at least once a week for 26 weeks by five intercessors per patient. After 26 weeks, a medical setback (such as death, cardiac arrest, re–hospitalization, coronary revascularization or an emergency department visit for cardiovascular disease) occurred in 25.6 percent of the prayer group and 29.3 percent of the control group. Among high–risk patients, such a setback occurred in 31 percent of the prayer group and 33 percent of the control group. Among low–risk patients, the difference between the groups was 17 percent for the prayer group and 24 percent for the control group.

Though the results were in favor of prayer yet the study had some limitations, which might have influenced the low positive results. It did not measure the ‘power of God,’ nor was the prayer offered for patients by loved ones, relatives and friends. The researchers said most patients have a spiritual life and regard their spiritual health and physical health as equally important. People may have greater spiritual needs during illness and are looking to have those needs met.

Prayer works on the principle that in the relaxed state, the mind becomes suggestive. The inner healing starts when the intent reaches the inner consciousness or a state of stillness.

Prayer is different from meditation. In prayer, one is talking to the GOD and in meditation, GOD is talking to you. Meditation is much stronger than prayer as it bypasses the mind and deals with the spirit or the consciousness. In prayer, the mind is in an active working phase. Meditation is the phase of restful alertness.

It all works at the level of autonomic nervous system. The parasympathetic state of mind is the healing state. Both prayer and the meditation take one from sympathetic to the parasympathetic state.

Wellness Blog

Stay away from saturated and trans fats

Saturated fats are found in red meat, milk and other dairy foods and coconut and palm oils. Trans fats are a byproduct of the chemical reaction that turns liquid vegetable oil into solid margarine or shortening and that prevents liquid vegetable oils from turning rancid. Trans fats boost LDL as much as saturated fats do. They also lower protective HDL, rev up inflammation and increase the tendency for blood clots to form inside blood vessels.

Inspirational Story

The Greatest Gift is Love

There was a business executive who was deep in debt and could see no way out. Creditors were closing in on him. Suppliers were demanding payment. He sat on the park bench, head in hands, wondering if anything could save his company from bankruptcy.

Suddenly an old man appeared before him. "I can see that something is troubling you," he said. After listening to the executive’s woes, the old man said, "I believe I can help you."

He asked the man his name, wrote out a check, and pushed it into his hand saying, "Take this money. Meet me here exactly one year from today, and you can pay me back at that time." Then he turned and disappeared as quickly as he had come.

The business executive saw in his hand a check for $500,000, signed by John D. Rockefeller, then one of the richest men in the world!

"I can erase my money worries in an instant!" he realized. But instead, the executive decided to put the uncashed check in his safe. Just knowing it was there might give him the strength to work out a way to save his business, he thought.

With renewed optimism, he negotiated better deals and extended terms of payment. He closed several big sales. Within a few months, he was out of debt and making money once again.

Exactly one year later, he returned to the park with the uncashed check. At the agreed–upon time, the old man appeared. But just as the executive was about to hand back the check and share his success story, a nurse came running up and grabbed the old man.

"I’m so glad I caught him!" she cried. "I hope he hasn’t been bothering you. He’s always escaping from the rest home and telling people he’s John D. Rockefeller." And she led the old man away by the arm.

The astonished executive just stood there, stunned. All year long he’d been wheeling and dealing, buying and selling, convinced he had half a million dollars behind him.

Suddenly, he realized that it wasn’t the money, real or imagined, that had turned his life around. It was his newfound self–confidence that gave him the power to achieve anything he went after.

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 – 88972 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

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VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

World Earth Day Celebration at DAV Public School, RK Puram, New Delhi.

press release

Ayurvedic doctors to perform eye surgeries

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

SituationA 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

Job Interview

Reaching the end of a job interview, the Human Resources Person asked the young Engineer fresh out of MIT, "And what starting salary were you looking for?"

The Engineer said, "In the neighborhood of $75,000 a year, depending on the benefit package."

The HR Person said, "Well, what would you say to a package of 5–weeks vacation, 14 paid holidays, full medical and dental, company matching retirement fund to 50% of salary, and a company car leased every 2 years – say, a red Corvette?"

The Engineer sat up straight and said, "Wow! Are you kidding?"

And the HR Person said, "Certainly …but you started it."

Quote of the Day

Determine what specific goal you want to achieve. Then dedicate yourself to its attainment with unswerving singleness of purpose, the trenchant zeal of a crusader. Paul J. Meyer

 

Twitter of the Day

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Why compare yourself with others? No one in the entire world can do a better job of being you than you.

 

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.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

eMedi Quiz

An early systolic murmur may be caused by all of the following except:

1.Small ventricular septal defect.
2.Papillary muscle dysfunction.
3.Tricuspid regurgitation.
4.Aortic stenosis.

Yesterday’s Mind Teaser: Lipodystrophy is most characteristically seen with

a. Zidovudine
b. Nevirapine
c. Indinavir
d. Tenovir

Answer for yesterday’s Mind Teaser: c. Indinavir

Correct answers received from: jayashree sen, Dr.Chandresh Jardosh, Dr Avtar Krishan

Answer for 3rd May Mind Teaser:Dr Avtar Krishan

Correct answers received from: Dr Bitaan Sen & Dr Jayashree Sen,
Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Very impressive newspaper.Regards: Dr Kartik
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