eMedinewS6th June 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

Even Modi says ‘that to err is human’

Take decisions without fear, said the PM Modi to his top officers. The PM demanded quick and bold decisions from the top officials without worrying about prosecuting agencies. He promised to back them all the way if they make honest mistakes. When some secretaries blamed the fear of enforcement agencies for delayed decisions, they were told by Modi not to fear prosecution if they do their work honestly. The PM suggested that the fear of enforcement agencies was largely exaggerated". He further said "You need not worry if 2 out of your 10 decisions go wrong if you work with honest intentions,"

Will our MCI President come out with a similar statement and take away the fear from the mind of the practicing doctors who are living in fear of litigations? The public perception is that every death is negligence.

The PM statement says that honest human mistakes can happen in as many as 20% of the cases. Of course these mistakes should be honest and not intentional.

News Around The Globe

  • The US Food and Drug Administration (FDA) has approved the first unblinded continuous glucose monitoring system, the Dexcom G4 Platinum Professional Continuous Glucose Monitoring System, for professional use. Patients are placed on the device for up to 7 days.
  • Intravenous (IV) theophylline promptly relieves headache after lumbar puncture, reports a new study. Mean pain scores were reduced by half within 30 minutes of treatment without any adverse effects. The study was presented at the 24th Meeting of the European Neurological Society (ENS).
  • A study presented on June 4 at SLEEP 2014, the 28th Annual Meeting of the Associated Professional Sleep Societies, has stated that marijuana use may make it harder to get to sleep and stay asleep, particularly for those who started smoking at a young age.
  • Using a 25G needle for arterial blood gas (ABG) sampling rather than a larger 23G needle leads to significantly lesser instances of hematoma and tenderness, reports a new study published online in the Emergency Medicine.
  • A study presented at SLEEP 2014 has stated that adults with obstructive sleep apnea (OSA) who are either single or have unsupportive family relationships may be at risk for poor adherence to continuous positive airway pressure (CPAP) therapy.

Rabies News (Dr A K Gupta)

Can a rabies patient make a valid will?

A rabies patient can make a valid will.

According to Section 59 in the Indian Succession Act, 1925

Person capable of making will:–

  1. Every person of sound mind not being a minor may dispose of his property by will.
  2. A married woman may dispose by will of any property which she could alienate by her own act during her life.
  3. Persons who are deaf or dumb or blind are not thereby incapacitated for making a will if they are able to know what they do by it.
  4. A person who is ordinarily insane may make a will during interval in which he is of sound mind.
  5. No person can make a will while he is in such a state of mind, whether arising from intoxication or from illness or from any other cause that he does not know what he is doing.

Cardiology eMedinewS

  • A diet rich in polyphenols, that includes dark chocolate, green tea, coffee, and extra virgin olive oil, significantly improves glucose metabolism in individuals at high risk for diabetes and cardiovascular disease, reported a new study presented at the European Atherosclerosis Society 2014 Congress (EAS 2014).
  • A new study has suggested that early survival benefits with azithromycin significantly outweigh the risk of nonfatal MI in male veterans hospitalized with community–acquired pneumonia. The study was published in the June 4 issue of the Journal of the American Medical Association.

Pediatrics eMedinewS

  • Shorter inter–pregnancy interval (IPI) may be associated with preterm births, reports a new study published in the journal BJOG. The study reported that women with shorter IPI are more likely to give birth before 39 weeks of pregnancy, compared with women who have an optimal IPI over 18 months.
  • A study published online in Blood has suggested that approximately 25% of children in remission from acute lymphocytic leukemia (ALL) are missing too many doses of maintenance medication needed to minimize their risk of relapse. Maintenance medication adherence was comparatively lower in African American and Asian children in remission from ALL than in non–Hispanic white children.

Dr K K Spiritual Blog

Why do we put on Tilak on the forehead?

The Tilak is a mark of auspiciousness and invokes a feeling of respect in the wearer and others. It is recognized as a religious mark. Its form and color vary according to one’s caste, religious sect or the form of worship of the person in question.

Tilak is applied on the forehead with sandal paste, sacred ash or kumkum, a red turmeric powder. In a wedding, a Kumkum tilak is applied on the forehead of both the bride and groom.

In earlier times, the four castes (based on varna or color) – Brahmana, Kshatriya, Vaishya and Sudra – applied marks differently. The Brahmin applied a white chandan mark signifying purity, as his profession was of a priestly or academic nature. The Kshatriya applied a red kumkum mark signifying valor as he belonged to the warrior race. The Vaishya wore a yellow kesar or turmeric mark signifying prosperity as he was a businessman or trader devoted to creation of wealth. The Sudra applied a black bhasma, kasturi or charcoal mark signifying service as he supported the work of the other three castes.

Also, Vishnu worshippers apply a chandan (sandalwood) tilak of the shape of "U", Shiva worshippers, a Tripundra (of the shape of "º") of bhasma; Devi worshippers a red dot of kumkum and so on. The tilak is applied in the spot between the eyebrows, which is the seat of memory and thought. It is known as the Aajna Chakra in the language of Yoga.

The Tilak is applied with the prayer – "May I remember the Lord. May this pious feeling pervade all my activities. May I be righteous in my deeds." Even when we temporarily forget this prayerful attitude, the mark on another reminds us of our resolve. The tilak is thus a blessing of the Lord and a protection against wrong tendencies and forces.

The entire body emanates energy in the form of electromagnetic waves – the forehead and the spot between the eyebrows especially so. That is why worry generates heat and causes a headache. The tilak cools the forehead, protects the wearer and prevents energy loss. Sometimes the entire forehead is covered with chandan or bhasma.

Using plastic reusable "stick bindis" is not very beneficial, even though it serves the purpose of decoration.

The devotees of Siva apply sacred ashes (Bhasma) on the forehead
The devotees of Vishnu apply sandal paste (Chandan)
The worshippers of Devi or Shakti apply Kumkum.


The scriptures say:

"A forehead without a Tilak, a woman without a husband, a Mantra the meaning of which is not known while doing Japa (recitation), the head that does not bend before holy personages, a heart without mercy, a body devoid of health, a custom without purity,… – all these are worthy of condemnation. They exist for name’s sake only.”

Wellness Blog

Walnuts Good for Semen

The daily addition of 75 g of whole–shelled walnuts to a typical Western–style diet appears to have positive effects on the vitality, morphology and motility of sperm in healthy men, according to the findings of a randomized, parallel, 2–group, dietary intervention trial by Wendie A. Robbins, PhD, from the University of California, Los Angeles. The study is published in August 15 in Biology of Reproduction.

Inspirational Story

The last cab ride

A true story by Kent Nerburn

Twenty years ago, I drove a cab for a living. One time I arrived in the middle of the night for a pick up at a building that was dark except for a single light in a ground floor window.

Under these circumstances, many drivers would just honk once or twice, wait a minute, and then drive away. But I had seen too many impoverished people who depended on taxis as their only means of transportation. Unless a situation smelled of danger, I always went to the door. This passenger might be someone who needs my assistance, I reasoned to myself. So I walked to the door and knocked. "Just a minute," answered a frail, elderly voice.

I could hear something being dragged across the floor. After a long pause, the door opened. A small woman in her 80s stood before me. She was wearing a print dress and a pillbox hat with a veil pinned on it, like somebody out of a 1940s movie. By her side was a small nylon suitcase.

The apartment looked as if no one had lived in it for years. All the furniture was covered with sheets. There were no clocks on the walls, no knickknacks or utensils on the counters. In the corner was a cardboard box filled with photos and glassware.

"Would you carry my bag out to the car?" she said. I took the suitcase to the cab, then returned to assist the woman. She took my arm and we walked slowly toward the curb. She kept thanking me for my kindness. "It’s nothing," I told her. "I just try to treat my passengers the way I would want my mother treated." "Oh, you’re such a good boy," she said. When we got in the cab, she gave me an address, then asked, "Could you drive through downtown?"

"It’s not the shortest way," I answered quickly. "Oh, I don’t mind," she said. "I’m in no hurry. I’m on my way to a hospice." I looked in the rear view mirror. Her eyes were glistening. "I don’t have any family left," she continued. "The doctor says I don’t have very long." I quietly reached over and shut off the meter. "What route would you like me to take?" I asked.

For the next two hours, we drove through the city. She showed me the building where she had once worked as an elevator operator. We drove through the neighborhood where she and her husband had lived when they were newlyweds. She had me pull up in front of a furniture warehouse that had once been a ballroom where she had gone dancing as a girl.

Sometimes she’d ask me to slow in front of a particular building or corner and would sit staring into the darkness, saying nothing. As the first hint of sun was creasing the horizon, she suddenly said, "I’m tired. Let’s go now." We drove in silence to the address she had given me.

It was a low building, like a small convalescent home, with a driveway that passed under a portico. Two orderlies came out to the cab as soon as we pulled up. They were solicitous and intent, watching her every move. They must have been expecting her. I opened the trunk and took the small suitcase to the door. The woman was already seated in a wheelchair.

"How much do I owe you?" she asked, reaching into her purse. "Nothing," I said. "You have to make a living," she answered. "There are other passengers." Almost without thinking, I bent and gave her a hug. She held onto me tightly. "You gave an old woman a little moment of joy," she said. "Thank you." I squeezed her hand, then walked into the dim morning light. Behind me, a door shut. It was the sound of the closing of a life.

I didn’t pick up any more passengers that shift. I drove aimlessly, lost in thought. For the rest of that day, I could hardly talk. What if that woman had gotten an angry driver, or one who was impatient to end his shift? What if I had refused to take the run, or had honked once, then driven away? On a quick review, I don’t think that I have done anything more important in my life. We’re conditioned to think that our lives revolve around great moments. But great moments often catch us unaware—beautifully wrapped in what others may consider a small one.

ePress Release

Drinking Coffee Prevents Parkinson’s disease

Nicotine present in the tobacco has been used for its medicinal value for quite sometime for diseases like Parkinson’s disease and ulcerative colitis. A study from University of Miami School of Medicine, USA, now has shown that people from families prone to Parkinson’s disease are less likely to develop the disease if they drink coffee on a regular basis.

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. commenting on the study said that both coffee and nicotine have a link with dopamine in the brain. Dopamine is a chemical that decreases in patients with Parkinson’s disease.

It is possible that people who are going to have Parkinson’s disease have lower levels of dopamine. Those with low levels of dopamine may be more likely to enjoy caffeine.

Parkinson’s disease is caused when brain cells that produce dopamine die. The disease is progressive, affecting about one percent of people older than 65.

Symptoms start out with shaking and can progress to paralysis. There is no cure, although a number of drugs can make symptoms better for a time.

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

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: What is the best reason for the nurse in instructing the client to rotate injection sites for insulin?

A. Lipodystrophy can result and is extremely painful
B. Poor rotation technique can cause superficial hemorrhaging
C. Lipodystrophic areas can result, causing erratic insulin absorption rates from these
D. Injection sites can never be reused

Answer for yesterday’s Mind Teaser: C. Lipodystrophic areas can result, causing erratic insulin absorption rates from these

Correct answers received from: Dr Abbas Vakil, Raju Kuppusamy,
Dr Chandresh Jardosh, Daivadheenam Jella, Dr Avtar Krishan, Muniyandi Periyasamy, Dr Bitaan Sen & Dr Jayashree Sen, Dr Sushma Chawla, Dr Prakash Khalap.

Answer for 4th June Mind Teaser: B. encouraging the client to cough and deep breathe

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

Send your answer to ijcp12@gmail.com

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

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

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

emedipicstoday emedipics

Health Check Up Camp at Modern Era Public School, 16th May 2014

press release

Weight loss may improve sexual health of obese diabetes

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

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/80 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

eMedinewS Humor

The last cab ride

A dad walks into a market with his young son. The kid is holding a Ruppe coin.

Suddenly, the boy starts choking and gasping for breath.

The dad realizes the boy has swallowed the coin and starts panicking, shouting for help.

A well dressed, attractive, but serious looking woman in a blue business suit is sitting at a Tea stall in the market reading her newspaper and sipping a cup of Tea.

At the sound of the commotion, she looks up, puts her Tea cup down on the saucer, neatly folds the newspaper, places it on the counter, gets up from her seat and makes her way, unhurried, across the market.

Reaching the boy, the woman carefully takes hold of the boy's balls and starts to squeeze, gently at first and then ever more firmly. After a few seconds the boy convulses violently and coughs up the coin, which the woman deftly catches in her free hand. Releasing the boy, she hands the coin to the father and walks back to her seat in the Tea stall without saying a word.

As soon as he is sure that his son has suffered no lasting ill effects, the father rushes over to the woman and starts thanking her saying, "I've never seen anybody do anything like that before, it was fantastic. Are you a doctor?"

"No," the woman replied, "I work for the Income Tax Dept."

Quote of the Day

One resolution I have made, and try always to keep, is this: To rise above the little things. John Burroughs

 

Twitter of the Day

Dr KK Aggarwal: Stress may increase smoking habits http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: What keeps life fascinating is the constant creativity of the soul.

 

Forth Comming Event

Announcement

Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
rawat.vandana89@gmail.com/
drkakroo@gmail.com
or Call: Vandana 9891673085/Dr Kakroo 9810301261

 

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  1. Dear Sir, Very informative news. Regards: Dr Kartik
cardiology news

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