eMedinewS6th July 2014, Sunday

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

Vitamin D intake associated with reduced risk for Crohn’s disease

Increased intake of vitamin D may significantly reduce the risk for Crohn’s disease (CD) in women, according to an article published online December 12 and in the March issue of the journal Gastroenterology.

  • This study involved 72,719 women who returned the 1986 questionnaire. They had data on both vitamin D intake and physical activity and did not have a history of CD or UC.
  • Diagnosis of CD was based on a typical history of 4 weeks or longer and was confirmed by radiologic, endoscopic, or surgical evaluation.
  • The diagnosis of ulcerative colitis (UC) was based on typical clinical presentation of 4 weeks or more and endoscopic, radiologic, or surgical evaluation.
  • Mean age of the participants at baseline was 53 years, mean body mass index (BMI) was 25.4 kg/m2, mean physical activity was 13.2 metabolic hours per week, 94.5% were white and 36.6% never smoked.
  • A documented 122 cases of CD and 123 cases of UC were recorded during 1,492,811 person–years of follow–up. The median predicted 25(OH)D level was 27.6 ng/mL.
  • Women in the lowest quartile of predicted 25(OH)D level compared with those in the highest quartile had a higher body mass index, were less active, tended to reside in the Northern or Midwestern regions of the United States, and had lower intake levels of dietary or supplemental vitamin D. The median age of diagnosis of CD was 64.0 years; for UC, it was 63.5 years.
  • The median interval between assessment of plasma 25(OH) D levels and disease diagnosis was 12 years for UC and 10 years for CD.
  • For every 1 ng/mL increase in predicted 25(OH)D level, the risk for CD was reduced by 6%.
  • For UC, there was also a reduction in risk, but it was non–significant at 4%.
  • Women in the highest two quartiles of 25(OH)D levels had multivariate HRs of 0.50 and 0.55, respectively, for CD
  • Each 100 IU/day increase in total intake resulted in a 10% reduction in UC risk and a 7% reduction in CD risk.
  • For vitamin D intake from diet and supplements based on quartile distribution, there was a significant linear inverse trend for vitamin D intake and UC risk, but this trend was weaker for CD.
  • Intakes of 800 IU/day or higher resulted in greater reductions in the risks for UC and CD
  • Vitamin D intake was inversely associated with the risks for CD and UC, vitamin D insufficiency or deficiency was an important mediator in the pathogenesis of UC and CD, and assessment of vitamin D status should be a part of the assessment of inflammatory bowel diseases.

News Around The Globe

  • Preliminary data from a retrospective study from Germany suggest that the oral factor Xa inhibitor rivaroxaban may have similar clinical benefit as vitamin K antagonists in the treatment of cerebral venous thrombosis. The study was published online in Stroke.
  • Regular brisk walking may improve motor function, mood, tiredness, and fitness in patients with mild–to–moderate Parkinson’s disease, reports a new study published online July 2 in Neurology.
  • Peripheral nerve block (PNBs) effectively relieve headache pain, whether done in private practice or at an academic center, reports a multicenter study of practitioners delivering and patients receiving PNB, presented at the American Headache Society (AHS) 56th Annual Scientific Meeting.
  • A new randomized controlled study has shown that epidural injection of glucocorticoids plus lidocaine offered minimal or no short–term benefit compared with epidural injection of lidocaine alone in the treatment of lumbar spinal stenosis. The study was published in the July 3 issue of the New England Journal of Medicine.
  • Quilizumab, an experimental antibody drug from Roche, has extended promising results in mid–stage tests for asthma. Results from a Phase IIa clinical study with quilizumab were published in the journal Science Translational Medicine July 2, showing that it reduced airway constriction and prevented IgE production within four weeks of a single dose.

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 study published online July 2 in JAMA Dermatology has revealed that older women who have had hypertension or have been taking beta–blockers for several years may be at increased risk of developing psoriasis. Women who had hypertension for at least 6 years had a 27% increased risk of developing psoriasis than women with normal blood pressure.
  • A novel research by UC San Francisco has pointed that the use of catheter ablation is not only beneficial for treating atrial flutter but also can significantly reduce hospital visits, both inpatient and emergency, and lower the risk for atrial fibrillation. The study is published in the July issue of PLOS ONE.

Pediatrics eMedinewS

  • Aprepitant, already approved for use in adults for the prevention of chemotherapy–induced nausea and vomiting (CINV), has now been shown to be effective in children and adolescents (ages 6 months to 17 years) too. The data come from a phase 3 study that will be used for regulatory approval submissions. The data was presented at the recent Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) Annual International Symposium on Supportive Care in Cancer.
  • A new study published in the journal Nature details a test that may predict whether teenagers are likely to engage in binge drinking at the age of 16. Researchers noted that those who engaged in binge drinking at the age of 16 had reduced gray matter volume at age 14, as well as greater activity in the superior frontal gyrus of the brain in response to receiving a reward. Additionally, life events, such as romantic or sexual relationships, and negative life experiences at the age of 14 represented current binge drinking.

Dr K K Spiritual Blog

The Vedic Will – as I understand it

Sometimes back, I used to think that a ‘will’ means after my death how my finances will be controlled by me wife and my children.

As I started acquiring Vedic knowledge, my interpretation changed. Following is the gist for writing a Will, as I understand it the Vedic way.

Of course, writing a will requires a sound state of mind, two witnesses, signed registered paper with accompanying, if possible audio–visual link.

  • The first step is to calculate your life earnings. The earning is not only your finances earned but also your respect, dignity and image earned in the society.
  • Now the next step is to pay off your unpaid debts (Hrins). Apart from actual loans we have taken from banks, friends and others, there are three more debts (Hrins) which we need to pay before we die and define in our Will to be paid from our earning if we die unexpectedly. These as per mythology are Pitra Hrin, Dev Hrin and Rishi Hrin and mean that we have not been able to fulfill the committed desires of our ancestors and commitments made to our GOD and teachers respectively. All these debts, if unpaid, need to be paid out of the finances you are leaving at the time of death. A percentage of your finances, therefore, should be kept to pay these debts. These commitments are usually fulfilled by the eldest son and eldest daughter if there is no son or wife till she is alive.
  • Rest of the finances need to be divided to fulfill your Dharma, Artha, Kama and Moksha or purpose for which you were born.
    • Artha: A percentage of your finances should go and be equally divided within your immediate family. A percentage of this amount should be converted into a family trust account to be used for the minus 18 years of age children in future.
    • Dharma: Dharma in literal meaning is to hold. A percentage of your finances should be kept into a reserve account and this account interest can be used by the family only if they stick to the code of family conduct (includes rituals, religious activities etc) you have created in your life and mentioned in the will or this amount may be given for charity as defined in your will.
    • Kama and Moksha: Kama means the unfulfilled desires at the level of intellect and ego and Moksha the same at the level of our soul.

We must enlist both our desires at the level of mind and at the level of soul and a percentage of our finances should be converted into a trust or defined to fulfill these desires.

The examples of desires at the level of soul are to do some charitable work without any publicity. The same at the level of ego are to open some dispensary, Dharamshala etc. in our own name.

In your desires you also need to fulfill and document your desired rituals at the time of death. These rituals must answer the following questions

  • Should my death be celebrated (band, lunch) as I have completed all my purposes of life?
  • How should my death anniversary be celebrated or observed?
  • What should be my last rites?

Final Note: If my children and wife are not willing to take care of the finances other than Artha, I nominate the following persons to manage my finance to look after my other desires (……………………………).

Wellness Blog

Tips on family history of high cholesterol

Premature heart disease is when heart disease occurs before 55 years in men and 65 years in women. In premature heart disease, the prevalence of dyslipidemia (high cholesterol levels without symptoms) is 75–85%.

Fifty-four percent of all patients with premature heart disease and 70% of those with a lipid abnormality have a familial disorder. Hence, a screening test for lipids is recommended for first–degree relatives of patients with myocardial infarction, particularly if premature. Screening should begin with a standard lipid profile and if normal, further testing should be done for Lp(a) and apolipoproteins B and A–I.

About 25% patients with premature heart disease and a normal standard lipid profile will have an abnormality in Lp(a) or apo B. Elevated apo A–1 and HDL are likewise associated with reduced CHD risk.

First–degree relatives are brothers, sisters, father, mother; second–degree relatives refer to aunts, uncles, grandparents, nieces, or nephews and third–degree relatives refer to first cousins, siblings, or siblings of grandparents.

Familial hypercholesterolemia (FH) is a genetic disorder, characterized by high cholesterol, specifically very high LDL "bad cholesterol") levels and premature heart disease. Patients may develop premature cardiovascular disease at the age of 30 to 40. Heterozygous FH is a common genetic disorder, occurring in 1:500 people in most countries. Homozygous FH is much rarer, occurring in 1 in a million births. Heterozygous FH is normally treated with drugs. Homozygous FH often does not respond to medical therapy and may require apheresis or liver transplant.

To detect familial high cholesterol levels, a universal screening must be done at age 16. The cholesterol levels in heterozygous patients are between 350 to 500 mg/dL, and in homozygous, the levels are between 700 to 1,200 mg/dL.

Inspirational Story

Words of Wisdom

Words of great wisdom, The Native American Code of Ethics:

  1. Rise with the sun to pray. Pray alone. Pray often. The Great Spirit will listen, if you only speak.
  2. Be tolerant of those who are lost on their path. Ignorance, conceit, anger, jealousy and greed stem from a lost soul. Pray that they will find guidance.
  3. Search for yourself, by yourself. Do not allow others to make your path for you. It is your road, and yours alone. Others may walk it with you, but no one can walk it for you.
  4. Treat the guests in your home with much consideration. Serve them the best food, give them the best bed and treat them with respect and honor.
  5. Do not take what is not yours whether from a person, a community, the wilderness or from a culture. If it was not earned or given, it is not yours.
  6. Respect all things that are placed upon this earth – whether it be people or plant.
  7. Honor other people’s thoughts, wishes and words. Never interrupt another or mock or rudely mimic them. Allow each person the right to personal expression.
  8. Never speak of others in a bad way. The negative energy that you put out into the universe will multiply when it returns to you.
  9. All persons make mistakes. And all mistakes can be forgiven.
  10. Bad thoughts cause illness of the mind, body and spirit. Practice optimism.
  11. Nature is not FOR us, it is a PART of us. They are part of your worldly family.
  12. Children are the seeds of our future. Plant love in their hearts and water them with wisdom and life’s lessons. When they are grown, give them space to grow.
  13. Avoid hurting the hearts of others. The poison of your pain will return to you.
  14. Be truthful at all times. Honesty is the test of ones will within this universe.
  15. Keep yourself balanced. Your Mental self, Spiritual self, Emotional self, and Physical self – all need to be strong, pure and healthy. Work out the body to strengthen the mind. Grow rich in spirit to cure emotional ails.
  16. Make conscious decisions as to who you will be and how you will react. Be responsible for your own actions.
  17. Respect the privacy and personal space of others. Do not touch the personal property of others – especially sacred and religious objects. This is forbidden.
  18. Be true to yourself first. You cannot nurture and help others if you cannot nurture and help yourself first.
  19. Respect others religious beliefs. Do not force your belief on others.
  20. Share your good fortune with others. Participate in charity.

ePress Release

Dark Chocolate Good for the heart

Dark chocolate, not the one with milk, can improve flexibility of the artery and help people with heart and leg blockages 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 a recent study, patients with peripheral artery disease with symptoms of intermittent claudicating ( pain in the leg on walking) who ate dark –– but not milk –– chocolate experienced improved walking autonomy.

The study by Lorenzo Loffredo, MD, of Rome’s Sapienza University is online in the Journal of the American Heart Association.

Dark chocolate enhances artery dilation by lowering NOX2, which exerts vasoconstrictor activity in human and animal models. In the study the patients were randomized to "treatment" with 40 grams of dark chocolate (>85% cocoa) or milk chocolate (<35% cocoa) in a crossover, single–blind design, with at least one week of washout between the study’s two phases.

At 9:25 a.m. the participants were given the chocolate (40 grams), and they had 15 minutes to eat it. At 11:25 a.m. blood samples were again drawn to analyze oxidative stress and epicatechin levels. At 11:30 a.m., a second ankle brachial index at rest and flow mediated dilatation of brachial arteries were performed, and at 11:50 a.m. the participants underwent a second treadmill test. Once again, ankle brachial index was performed 2 minutes maximal walking distance and maximal walking time were measured.

eMedi Quiz

A patient using contact lens develops corneal infection. Laboratory diagnosis of acanthamoeba keratitis was established. The following is the best drug for treatment:

1. Propamidine.
2. Neosporine.
3. Ketoconazole
4. Polyhexamethylene biguanide.

Yesterday’s Mind Teaser: All of the following conditions may predispose to pulmonary embolism except:

1. Protein S deficiency.
2. Malignancy.
3. Obesity.
4. Progesterone therapy.

Answer for yesterday’s Mind Teaser: 4. Progesterone therapy.

Correct answers received from: Jayant Gaikwad, Dr KV Sarma, Dr Chandresh Jardosh, Daivadheenam Jella, Dr Ajay Gandhi, Dr Avtar Krishan.

Answer for 4th July Mind Teaser: c. Nail psoriasis

Correct answers received from: Dr U Gaur, Dr Poonam Chablani.

Send your answer to ijcp12@gmail.com

eMedinewS Humor

You should write more legibly

As an English professor, my father would often write little notes on student essays. Often he worked late, and as the hours passed, his handwriting deteriorated.

One day a student came to him after class with an essay that had been returned. "Mr. McDonald," he said, "I can’t make out this comment you wrote on my paper." My father took the paper and, after studying it, sheepishly replied, "It says that you should write more legibly."

Self-Assessment-Quiz

 

Zee News – Health Wealth Shows

Alcohol
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Sudden Cardiac Death
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Vitamin D
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Total CPR since 1st November 2012 – 94595 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

Health Check Up and CPR 10 Camp at NP Co–Ed Sec. School, Babu Market–4th July 2014

press release

Weight loss may improve sexual health of obese diabetes

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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 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.

Quote of the Day

A blind person asked Swami Vivekanand: "Can there be anything worse than losing eyesight?" He replied: "Yes, losing your vision!"

Twitter of the Day

Dr KK Aggarwal: Caloric restriction may prevent disease increase life span http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Humans seem caught in a river of words. If there are not words wouldn't there only be being left? http://tinyurl.com/k7nl58u #askdeepak

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

Zoonosis 2014 9-1 PM


6 July 2014 Zoonosis 2014

Speakers Zoonotic disease in India
Dr Jyoti Misri Pr Scientist ICAR Govt of India

Inaugural address
Dr M L Madan Fmr DDG ICAR

Dr KK Aggarwal (To Moderate)

Bovine Tuberculosis and Brucellosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Dr Rishendra Verma Jt Dir.Centre for Animal Disease Research and Diagnosis IVRI Bareilly UP

Equine Encepahalitis
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines,Hissar Haryana

Cysticarcosis, Neurocysticercosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Rabies, Cat Scratch Disease
Dr. Ashok Bhardwaj Asstt.Prof. SKAUST Jammu

Swine Flu, Japanese Encepahlitis
Dr.P K Uppal Fmr FAO Expert on Flu
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines, Hissar Haryana

Bird Flu
Dr.P K Uppal Fmr FAO Expert on Flu

Mycotic Diseases

Dr.P P Gupta Fmr Dir.Research Punjab Agri Univ.

Food Borne Diseases Salmonellosis, tapeworms, teniasis

Dr.Lal Krishna
Fmr Animal Husbandry Commissioner Govt.of India.

Anthrax, Rota Virus, Carona Virus

Dr. A K Bhatia Professor & Head, Biotechnology Dept.GLA Univ. Mathura

Dr.M P Yadav Fmr Director IVRI Bareilly UP

Dr.C Bhattacharya Vety Public Health Spl. Delhi

Emerging Threats : JD,Crone's Disease,Nepha Virus,etc.

Dr.Shoorvir Singh Pr Scientist National centre for Res in Goats Makhdoom Agra

 

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir Thanks a lot for the useful information: Regards: Dr Pallavi
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