eMedinewS5th September 2014, Friday

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

eMedinewS wishes Dr KK Aggarwal a very healthy and happy birthday!

Serum Calcium for the diagnosis of Diabetes

As per an ongoing PREDIMED study suggests that increased serum calcium levels can independently predict the risk of type 2 diabetes. The study from Spain is published in the August issue of the journal Diabetes Care.

Calcium plays an important role in both insulin secretion and insulin action. Previous studies have shown that elevated calcium levels are linked with insulin resistance.

The study included individuals who did not have diabetes at baseline. In a follow–up of 5 years, in 10% of them who were diagnosed with diabetes, the following parameters were done.

  • The mean baseline albumin adjusted serum calcium was significantly higher for those who developed diabetes than those who did not.
  • Patients who developed diabetes within 6 months were excluded from the study.
  • The risk of developing diabetes for those in the highest serum calcium tertile i.e. 10.2 mg/dL was more than 3 times greater than for the lowest tertile (9.0 mg/dL).
  • For every 1 mg/dL increase in albumin-adjusted serum calcium, the risk of diabetes was 3.52 times higher.

If the study has to be believed, albumin–adjusted serum calcium will be a new test to predict diabetes along with HbA1c.

Innovations in Cardiology (IIC) Summit 2014

Dr Rajneesh Kapoor

Thrombectomy in PCI for STEMI patients offers no extra benefits

The 12–month randomized TASTE (Thrombus Aspiration in ST–Elevation Myocardial Infarction in Scandinavia) trial reported at the ESC Congress 2014 that routine manual thrombus aspiration before PCI, as compared with PCI alone, did not reduce all–cause mortality or the composite of death from any cause, rehospitalization for myocardial infarction, or stent thrombosis up to 1 year. The multicenter, randomized, registry-based trial, recruited 7,244 STEMI patients from Sweden, Denmark, and Iceland.

In the trial, death from any cause occurred in 5.3% in the thrombus–aspiration group vs 5.6% in the PCI–only group. Both groups had similar rehospitalization rates for myocardial infarction (MI) 2.7%, and the stent thrombosis rate was 0.7% in the thrombus aspiration arm versus 0.9%. Even high–risk groups such as smokers, patients with diabetes, or patients with large clots had similar results with either approach.

News Around The Globe

  • According to a new research, microbes living in the gut are to be blamed for manipulating eating behavior by causing cravings for food they favor for fitness or that suppress their competition. Microbiota in the gut may send out signals via the vagus nerve to the brain to induce dysphoria and impel people into eating what the microbe needs. The findings were published online in BioEssays.
  • Poor sleep quality is associated with brain atrophy over time, and the relationship increases with age, suggests a new study published online September 3 in Neurology.
  • Fat around the abdomen may be a more significant cause of hypertension than overall body fat, reports an article published online September 1 and in the September 9 issue of the Journal of the American College of Cardiology.
  • Older adults with pain for more than a day may be more likely to report trouble sleeping years later, and the risk of long-term sleep problems may be even higher for people reporting widespread pain, suggest the results of a survey published online in Rheumatology.
  • Watching high-energy TV programs might lead to more snacking, suggests a new study. Researchers noted that with snacks freely available, young adults watching an action movie consumed almost twice as much food as those watching an interview show. The findings were published online September 1 in JAMA Internal Medicine.

Rabies News (Dr A K Gupta)

Are there any survivors of human rabies?

Till date only seven survivors have been recorded. These patients survived not due to any specific anti–rabies therapy but following intensive life support and excellent nursing care. These patients survived for variable periods with residual neurological deficits. All the survivors had paralytic form of rabies and majority had history of some anti–rabies vaccination in the past.

Cardiology eMedinewS

  • A study presented at the European Society of Cardiology (ESC) 2014 Congress has shown that beta–blockers are of no benefit in patients with heart failure and reduced ejection fraction if they also have atrial fibrillation. The study was published simultaneously in the Lancet.
  • One year results from the BIOSCIENCE study revealed that an innovative stent with thinner–than–usual struts and a biodegradable polymer coating that releases the antiproliferative drug sirolimus within two years and then disappears is as safe and effective as a current gold–standard stent. The trial results were presented at the European Society of Cardiology 2014 Congress.

Pediatrics eMedinewS

  • Iron fortification heightens the number of pathogens in the gut and causes intestinal inflammation, suggests a new study conducted among Kenyan infants. The study was published online in the journal Gut.
  • Children and adolescents diagnosed with a psychiatric disorder may have an increased risk of developing diabetes if they are exposed to antipsychotics, suggests a study published in the September 2014 issue of the Journal of the American Academy of Child and Adolescent Psychiatry.

Dr K K Spiritual Blog

Why Spirituality is wellbeing–friendly

  1. What you believe in can have a big impact on health and longevity. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone the body releases in response to stress.
  2. Positive thinking produces nearly a 30 percent drop in perception of pain.
  3. Spirituality and the practice of religion are associated with a slower progression of Alzheimer’s disease.
  4. Those who regularly attend organized religious activities may live longer than those who don’t. Regular participation lowers mortality rate by about 12 percent a year.
  5. People who undergo cardiac rehabilitation feel more confident and perceive greater improvements in their physical abilities if they have a strong faith.
  6. Increased levels of spirituality and religious faith may help substance abusers kick their habit.
  7. Spirituality stimulates the relaxation response. When the body is relaxed, your heart rate, blood pressure and breathing rate all go down, which decreases the body’s stress response.
  8. Spirituality can affect immune–system function. Spirituality, faith, church attendance improves immune function in ways that can be measured, like an increase in white blood cells.
  9. Prayer heals the heart. Positive talking and thinking in the ICU produces better results.
  10. Spirituality is what brings you peace and safety. It can be achieved through God or Goddess, nature, a beautiful sunset, a meditation, Pranayama, religious meeting, chanting, mind body relaxation, etc. Spirituality is something that can help all the way from promoting wellness to helping with recovery.

Wellness Blog

Fish Medicine for asthma

The fish cure for asthma is back in the news. The Bathini Goud family, living in Hyderabad, claim that they can cure asthma by making people swallow a 2–inch live fish filled with medicine. They claim that they have been using this treatment for over 160 years.

As per their claim the medicine is stuffed inside the mouth of a live murrel fish, 5–6 cm in size. This fish with the medicine is slipped into the mouth of the asthmatic patient, which can easily be swallowed as the fish is slippery. This needs to be taken for three consecutive years.

The medicine is administered on a specific day Mrigashira Kanthi Nakshatra, which normally coincides with arrival of monsoon rains in the first or second week of June. Three doses are given to the patients after every 15 days.

The Goud family never discloses ingredients of their drug. They provide the medicine free of cost. Some people went to the Court of the Andhra Pradesh on 27.01.2013 but the court declined to interfere and pass any orders regarding the administration of substances popularly known as Fish Medicine. They reasoned that although the treatment had no medicinal value, analysis had shown the samples to not be harmful. They said that "if people flock to have a substance out of faith the courts cannot interfere".

My opinion

Asthma is classified as mild intermittent asthma, moderate persistent asthma and severe persistent asthma. The distinction between intermittent and mild persistent asthma is important because current guidelines for moderate persistent asthma call for initiation of daily control medicine. For moderate persistent asthma, the preferred long-term controller is low–dose inhaled steroid.

Mild intermittent asthma is the largest segment of asthmatic patients and they do not require long term treatment. These are the people who may never require steroid inhalers. Over a period of time, these asthmatics may show improvement. Many mild intermittent asthmatics who are allergic to a particular protein may improve over a period of time.

Homeopaths, Ayurveda physicians, naturopaths and others who claim that they can cure asthma, they work only on patients with mild intermittent asthma. If they can demonstrate their results in severe asthma, then their methods can be believed to be of use.

The very fact that anybody has claimed does not mean that it is not scientific or scientifically validated. If they can prove their claim, there is no reason why they should not get Noble Prize. We have seen a similar claim by a person who gives a medicine for jaundice in Chandni Chowk and another person in Agra who claims that the can cure any type of cancer with a herb mixed with Bakri ka doodh (goat milk).

Inspirational Story

Come as You Are

I shook my head in disbelief. This couldn’t be the right place. After all, I couldn’t possibly be welcome here. I had been given an invitation several times, by several different people, and had finally decided to see what this place was all about. But, this just couldn’t be the right place. Quickly, I glanced down at the invitation that clutched in my hand. I scanned past the words, "Come as you are. No jacket required," and found the location.

Yes, I was at the right place. I peered through the window again and saw a room of people whose faces seemed to glow with joy. All were neatly dressed, adorned in fine garments and appeared strangely clean as they dined at this exquisite restaurant. Ashamed, I looked down at my own tattered and torn clothing, covered in stains. I was dirty, in fact, filthy.

A foul smell seemed to consume me and I couldn’t shake the grime that clung to my body. As I turned around to leave, the words from the invitation seemed to leap out at me, "Come as you are. No jacket required."

I decided to give it a shot. Mustering up every bit of courage I could find, I opened the door to this restaurant and walked up to a man standing behind a podium. "Your name, sir?" he asked me with a smile. "Daniel F. Renken," I mumbled without looking up. I thrust my hands deep into my pockets, hoping to conceal their stains.

He didn’t seem to notice the filth that I was covered in and he continued, "Very good, sir. A table is reserved in your name. Would you like to be seated?" I couldn't believe what I heard! A grin broke out on my face and I said, "Yes, of course!" He led me to a table and, sure enough, there was a placard with my name written on it in a deep, dark red.

As I browsed over a menu, I saw many delightful items listed. There were things like, "peace," "joy," "blessings," "confidence," "assurance," "hope," "love," "faith," and "mercy." I realized that this was no ordinary restaurant! I flipped the menu back to the front in order to see where I was at. "God's Grace," was the name of this place!

The man returned and said, "I recommend the ‘Special of the Day’." With it, you are entitled to heaping portions of everything on this menu." You've got to be kidding! I thought to myself. You mean, I can have ALL of this!

"What is the ‘Special of the Day,’ I asked with excitement ringing in my voice." Salvation," was his reply.

"I’ll take it," I practically cried out. Then, as quickly as I made that statement, the joy left my body. A sick, painful ache jerked through my stomach and tears filled my eyes. Between my sobs I said, "Mister, look at me. I’m dirty and nasty. I’m unclean and unworthy of such things. I’d love to have all of this, but, I Just can’t afford it."

Undaunted, the man smiled again. "Sir, your check has already been taken care of by that Gentleman over there," he said pointing to the front of the room. "His Name is Jesus."

Turning, I saw a man whose very presence seemed to light the room. He was almost too much to look at. I found myself walking towards Him and in shaking voice I whispered, "Sir, I’ll wash the dishes or sweep the floors or take out the trash. I’ll do anything I can do to repay you for all of this."

He opened His arms and said with a smile, "Son, all of this is yours if you just come unto Me. Ask Me to clean you up and I will. Ask me to take away the stains and it is done. Ask me to allow you to feast at my table and you will eat. Remember, the table is reserved in your name. All you must do is accepting this gift that I offer you."

Astonished, I fell at His feet and said, "Please, Jesus. Please clean up my life. Please change me and seat me at your table and give me this new life." Immediately, I heard the words, "It is finished." I looked down and white robes adorned my squeaky clean body. Something strange and wonderful had happened. I felt new, like a weight had been lifted, and I found myself seated at His table.

"The ‘Special of the Day’ has been served," the Lord said to me. "Salvation is yours." We sat and talked for a great while and I so enjoyed the time that I spent with Him. He told me, me of all people, that He would like me to come back as often as I liked for another helping from God’s Grace. He made it clear that He wanted me to spend as much time with Him as possible.

As it drew near time for me to go back outside into the "real world," He whispered to me softly, "And Daniel, I am with you always." And then, He said something to me that I will never forget. He said, "My child, do you see these empty tables throughout this room?" "Yes, Lord. I see them. What do they mean?" I replied.

"These are reserved tables, but the individuals whose names are on each placards have not accepted their invitations to dine. Would you be so kind as to hand out these invitations to those who have not joined us yet?" Jesus asked. "Of course," I said with excitement as I picked up the invitations. "Go ye therefore into all nations," He said as I turned to leave.

I walked into God’s Grace dirty and hungry. Stained in sin, my righteousness as filthy rags. And Jesus cleaned me up. I walked out a brand new man… robed in white, His righteousness. And so, I’ll keep my promise to my Lord. I’ll go. I’ll spread the Word. I’ll share the Gospel … I’ll hand out the invitations.

And I’ll start with you.

Have you been to God’s Grace? There’s a table reserved in your name, and here's your invitation … "Come as you are. No jacket required."

ePress Release

Dr Vinay Aggarwal honored with Healthcare Personality of the Year 2014 award

In a scintillating FICCI Healthcare Excellence Awards ceremony, Dr Vinay Aggarwal was conferred the prestigious "Healthcare Personality of the Year 2014" by Dr Pratap C Reddy in the august presence of Shri Manmohan Sarin, Hon’ble Lokayukt Delhi. Dr Aggarwal was given this award in recognition of his excellent business acumen and leadership skills inconducting several pioneering work in healthcare management, community services and resource mobilization.

Other prominent past recipients of this award include Dr Shivinder Mohan Singh – Group Chairman Fortis Healthcare, Dr Narottam Puri, Chairman NABH and Dr Mahesh Verma, Director Principal, Department of Dental Medicine, Maulana Azad Medical College.

Dr Aggarwal is currently an elected member of the Medical Council of India and President of the Confederation of Medical Association of Asia and Oceania (CMAAO, with 24 member countries). He is the only Indian medical professional in the last two decades to take over as the President of CMAAO. It was with his efforts that 20 member countries passed a resolution on the subject "Be Human – Stop Child Abuse", to have all the countries work together under the leadership of India.

In his capacity as Secretary General and later as National President IMA, Dr Vinay Aggarwal has been instrumental in initiating many national level projects like Anemia Free India, Save the Girl Child Campaign and HIV/AIDS Program.

The campaign, Anemia Free India, was incorporated in the School Health Scheme by the Government of India. Similarly, many of his suggestions on the issue of ‘Child Protection & Child Sexual Abuse’ were included in the recently amended Juvenile Justice Act by the Government of India.

He also conceptualized a low cost model for healthcare delivery involving non–governmental general practitioners, "National Aao Gaon Chalein Project". He coined the slogan "Each One Adopt One" and more than 500 villages have been adopted by IMA branches all over the country under his leadership so far.

His other notable achievements include ‘Family through the Child’, Developing the ‘Alcohol Atlas of India’, convening a historical Religious Leaders’ Meeting in 2001 represented by 56 religious heads and setting up of the ‘Hospital Board of India’ to bring in quality healthcare, modern management techniques and streamline the working of hospitals in India through accreditation programs. He has also been active in sensitizing the medical fraternity regarding female foeticide and PNDT Act.

Dr Aggarwal is a recipient of several esteemed awards and honours such as Dr BC Roy National Award, Chikitsa Ratna Award and DMA Centenary Award.

eMedi Quiz

In a patient with a tumor in superior mediastinum compressing the superior vena cava, all the following veins would serve as alternate pathways for the blood to return to the right atrium, except:

1. Lateral thoracic vein.
2. Internal thoracic vein.
3. Hemiazygos vein.
4. Vertebral venous plexus.

Yesterday’s Mind Teaser: Beta–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 PC Das, Daivadheenam Jella, Dr Avtar Krishan.

Answer for 3rd September Mind Teaser: 3. Leaves extension at elbow joint intact.

Correct answers received from: Dr Jainendra Upadhyay, Daivadheenam Jella, Dr PC Das, Dr Avtar Krishan, Dr Poonam Chablani, Dr Bitaan Sen, Dr Jayashree Sen.

Send your answer to ijcp12@gmail.com

Self-Assessment-Quiz

 

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Cardiology Summit 2014Cardiology Summit 2014

 

Zee News – Health Wealth Shows

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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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emedipicstoday emedipics

Dr Vinay Aggarwal honored with Healthcare Personality of the Year 2014 award

press release

Ventilator–associated tracheobronchitis.

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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.

eMedinewS Humor

The Anesthesiologist

Jill received a bill from the hospital for her recent surgery, and was astonished to see a $900 fee for the anesthesiologist. She called his office to demand an explanation.

"Is this some kind of mistake?" Jill asked when she got the doctor on the phone.

"No, not at all," the doctor said calmly.

"Well," said Jill, "that’s awfully costly for knocking someone out."

"Not at all," replied the doctor. "I knock you out for free. The 900 dollars is for bringing you back around."

Quote of the Day

A good book should leave you... slightly exhausted at the end. You live several lives while reading it. William Styron

Twitter of the Day

Dr KK Aggarwal: Eating fast food can cause liver damage http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Open your mind and heart to the possibility that you can attract whatever you want in life #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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eMedinewS Special

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