eMedinewS8th January 2014, Wednesday

Dr K K AggarwalPadma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; 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
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Hypothermia and older adults: Tips for staying safe in cold weather

Hypothermia is generally defined as having a core body temperature of 95 degrees Fahrenheit or lower and can occur when the outside environment gets too cold or the body’s heat production decreases. Older adults are especially vulnerable to hypothermia because their bodies’ response to cold can be diminished by underlying medical conditions such as diabetes and by use of some medicines, including over–the–counter cold remedies. Hypothermia can develop in older adults after relatively short exposure to cold weather or even a small drop in temperature.

Someone may suffer from hypothermia if he or she has been exposed to cool temperatures and shows one or more of the following signs: slowed or slurred speech; sleepiness or confusion; shivering or stiffness in the arms and legs; poor control over body movements; slow reactions, or a weak pulse.

Here are a few tips to help older people avoid hypothermia

  • Make sure your home is warm enough.
  • Set the thermostat to at least 68 to 70 degrees.
  • Even mildly cool homes with temperatures from 60 to 65 degrees can lead to hypothermia in older people.
  • To stay warm at home, wear long underwear under your clothes, along with socks and slippers.
  • Use a blanket or afghan to keep your legs and shoulders warm and wear a hat or cap indoors.
  • When going outside in the cold, it is important to wear a hat, scarf, and gloves or mittens to prevent loss of body heat through your head and hands. A hat is particularly important because a large portion of body heat can be lost through the head.
  • Wear several layers of warm loose clothing to help trap warm air between the layers.
  • Check if any prescription or over–the–counter medications you are taking may increase your risk for hypothermia.
  • Remember hypothermia with no shivering is a bad sign
  • In India, wear monkey cap.
Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV

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 mantra
VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Relieve stress by changing the interpretation

sprritual blog

Stress is the reaction of the body or the mind to the interpretation of a known situation. Stress management, therefore, involves either changing the situation, changing the interpretation or taming the body the yogic way in such a way that stress does not affect the body.

Every situation has two sides. Change of interpretation means looking at the other side of the situation. It is something like half glass of water, which can be interpreted either as half empty or half full.

Studies have shown that anger, hostility and aggression are the new risk factors for heart disease. It has been shown that even recall of anger can precipitate a heart attack.

Many studies have shown that when doctors talk positive in front of unconscious patients in ICU, their outcome is better than those if doctors talk negative.

The best way to practice spiritual medicine is to experience silence in the thoughts, speech and action.
Simply walking in the nature with silence in the mind and experiencing the sounds of nature can be as effective as 20 minutes of meditation. Twenty minutes of meditation provides the same physiological parameters as that of 7 hours of deep sleep.

cardiology news

The 4 Wives

There was a rich merchant who had 4 wives. He loved the 4th wife the most and adorned her with rich robes and treated her to delicacies. He took great care of her and gave her nothing but the best.

He also loved the 3rd wife very much. He’s very proud of her and always wanted to show her off to his friends. However, the merchant was always in great fear that she might run away with some other men.

He loved his 2nd wife too. She was a very considerate person, always patient and in fact was the merchant's confidante. Whenever the merchant faced some problems, he always turned to his 2nd wife and she would always help him out and tide him through difficult times.

Now, the merchant’s 1st wife was a very loyal partner and had made great contributions in maintaining his wealth and business as well as taking care of the household. However, the merchant did not love the first wife and although she loved him deeply, he hardly took notice of her.

One day, the merchant fell ill. Before long, he knew that he was going to die soon. He thought of his luxurious life and told himself, "Now I have 4 wives with me. But when I die, I’ll be alone. How lonely I’ll be!"

Thus, he asked the 4th wife, "I loved you most, endowed you with the finest clothing and showered great care over you. Now that I’m dying, will you follow me and keep me company?" "No way!" replied the 4th wife and she walked away without another word.

The answer cut like a sharp knife right into the merchant’s heart. The sad merchant then asked the 3rd wife, "I have loved you so much for all my life. Now that I’m dying, will you follow me and keep me company?" "No!" replied the 3rd wife. "Life is so good over here! I’m going to remarry when you die!" The merchant’s heart sank and turned cold.

He then asked the 2nd wife, "I always turned to you for help and you’ve always helped me out. Now I need your help again. When I die, will you follow me and keep me company?" "I’m sorry, I can’t help you out this time!" replied the 2nd wife. "At the very most, I can only send you to your grave." The answer came like a bolt of thunder and the merchant was devastated.

Then a voice called out: "I’ll leave with you. I’ll follow you no matter where you go." The merchant looked up and there was his first wife. She was so skinny, almost like she suffered from malnutrition. Greatly grieved, the merchant said, "I should have taken much better care of you while I could have!"

Actually, we all have 4 wives in our lives

a. The 4th wife is our body. No matter how much time and effort we lavish in making it look good, it'll leave us when we die.

b. Our 3rd wife? Our possessions, status and wealth… when we die, they all go to others.

c. The 2nd wife is our family and friends. No matter how close they had been there for us when we're alive, the furthest they can stay by us is up to the grave.

d. The 1st wife is in fact our soul, often neglected in our pursuit of material, wealth and sensual pleasure.

Guess what? It is actually the only thing that follows us wherever we go. Perhaps it’s a good idea to cultivate and strengthen it now rather than to wait until we’re on our deathbed to lament.

News Around The Globe

News

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

  • People who are depressed have lower concentrations of zinc in their peripheral blood compared with nondepressed individuals, suggests a meta–analysis by Walter Swardfager, PhD, from the Sunnybrook Research Institute, University of Toronto, Canada. Their findings are published in the December 15 issue of Biological Psychiatry.
  • Giving two common childhood vaccines at the same time increases the risk of transient fever, according to a study that used text messaging to gather data. The risk of fever on the day of or day after the shot was almost threefold higher when flu and pneumococcal vaccines were given together, according to Melissa Stockwell, MD, of Columbia University in New York City, and colleagues in JAMA Pediatrics.
  • Zoledronic acid is better than ibandronic acid for preventing skeletal events caused by bone metastases, according to new study in The Lancet Oncology. But, both bisphosphonates have acceptable side–effect profiles, and ibandronic acid, which is taken orally, is more convenient and less complicated than zoledronic acid, which is given intravenously.
  • Mutations in the transmembrane domain of the human epidermal growth factor receptor 2 (HER2) may be oncogenic, causing hereditary and sporadic lung adenocarcinomas, according to Japanese research in the Journal of the National Cancer Institute.
  • Menopause timing was not related to previous or current glycemic control among women who participated in the landmark Diabetes Control and Complications Trial (DCCT) and its observational follow–up Epidemiology of Diabetes Interventions and Complications (EDIC) study, a new analysis in Diabetes Care shows.

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Rabies News (Dr. A K Gupta)

What are the limitations of polyclonal serum (RIG)?

Difficulties associated with the use of Polyclonal Serum (RIG) samples might consist of:

  • Batch–to–batch variation
  • Risk related to the use of human blood products. Because HRIG preparations are of human origin, they need to be treated to minimize the risk of transmission of infectious agents.
  • Difficulties in finding immune donors during sudden mass exposures might lead to a low availability of RIG.
  • Because of discontinued ERIG production by international manufacturers, supply of ERIG relies on regional production.
  • The use of ERIG has raised ethical issues and has been condemned by animal protection groups.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Following the publication of the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial, the geographic differences in the utilization of PCI for the treatment of stable ischemic heart disease declined, according to the results of a new analysis published online in the journal Circulation: Cardiovascular Outcomes and Quality. After COURAGE was published, the overall volume of PCI performed for stable coronary disease declined by 25%, and regional variation also declined by 25%, report investigators.
  • A Mediterranean diet supplemented with extra–virgin olive oil (EVOO) cut the risk for developing type 2 diabetes by about a third among adults at high risk for cardiovascular disease (CVD) compared with a low–fat diet, a new analysis finds. The results, from the subgroup of subjects in the Spanish cardiovascular prevention study Prevencion con Dieta Mediterránea (PREDIMED) who did not have diabetes at baseline, were published January 6 in the Annals of Internal Medicine by Jordi Salas–Salvado, MD, PhD, from Universitat Rovira i Virgili, Reus, Spain, and colleagues. The Mediterranean diet is high in fat (30% to 40% of total calories) from vegetable sources such as olive oil and nuts and relatively low in dairy products. The diet also commonly includes sauces with tomato, onions, garlic, and spices and moderate wine consumption.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Riikka Korja, PhD, from the Department of Child Psychiatry, Turku University Hospital, Finland, and colleagues report that early excessive crying, especially if it lasts up to 5 months of corrected age, is important to note because it may signal regulatory problems later, as well as an increased chance of parenting stress. The findings are published online January 6, 2014, in Pediatrics.
  • Teaching caregivers about normal infant sleeping and crying patterns and providing them with information on infant settling techniques improved maternal depression scores, according to a study published online January 6 in Pediatrics. The information also improved daytime sleep problems among infants who fed at least a dozen times a day.
cardiology news

Duration of CPR may be a factor in kids’ survival

Some children with in–hospital cardiac arrest can benefit from longer duration of cardiopulmonary resuscitation (CPR), a study has found. In the study among survivors, neurological outcome was favorable for the majority of patients.

Of the 3,419 children included in the study, 28% survived to hospital discharge, and 16.6% of these survivors had CPR longer than 35 minutes, according to Renée Matos, MD, MPH, of the University of Pittsburgh School of Medicine, and colleagues. A total of 60% of these survivors with longer–duration CPR achieved a favorable neurologic outcome, they reported in the study published Jan. 21 in Circulation: Journal of the American Heart Association.

In the mid–1990s, authorities considered pediatric CPR futile beyond 20 minutes’ duration or when more than two doses of epinephrine were provided.

Even though longer-duration CPR can benefit some children, the reality is that after the first 15 minutes of CPR, survival rate declines rapidly. Survival decreased by 2.1% for every minute of chest compressions over 15 minutes.

When CPR was longer than 35 minutes, those in the Surgical Cardiac category had the best survival to hospital discharge rate (25%), followed by, Medical Cardiac –– 21%; General Surgical –– 13%; General Medical –– 10% and Trauma –– 8%. ([Medpage today)

cardiology news

Total CPR since 1st November 2012 – 84073 trained

Media advocacy through Web Media

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press release

Eat less to remember more

"Eat less to remember more" is the prescription of the day for the elderly said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and Sr. National Vice President Indian Medical association.

A study published in Proceedings of the National Academy of Sciences, by Dr. Agnes Floel, assistant professor of Neurology at the University of Munster, has shown that memory and thinking skills improved among healthy, overweight subjects who cut their calorie intake by 30 percent over a three–month period.

Calorie restriction boosts memory and cognition by reducing insulin resistance and inflammation, which may be linked to age–related cognitive decline.

Improvements in memory could be especially important, because memory losses are an early indication of Alzheimer’s disease and its precursor, mild cognitive impairment.

The 49 men and women in the study had a mean age of 60.5 years and a body mass index of 28. Those in the calorie–restriction group were not told what to eat but were advised to cut portions and not to eat less than 1,200 calories daily.
The calorie restrictors lost an average of five pounds, with those who most closely adhered to the dietary recommendations losing an average of eight pounds. This subset with the largest weight loss also showed the biggest improvements in memory performance.

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 84073 people since 1st November 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 10×10 i.e. 100 per minute."

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DMA executive committee meeting

press release

Confederation of Associations of Medical Specialties of India

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

A case of Gestational Trophoblastic Neoplasia belongs to high risk group if disease develops after:

1. Hydatidiform mole
2. Full term pregnancy
3. Spontaneous abortion
4. Ectopic Pregnancy

Yesterday’s Mind Teaser: All of the following are known risk factors for development of endometrial carcinoma except:

1. Obesity
2. Family History
3. Use of Hormone Replacement Therapy
4. Early Menopause

Answer for yesterday’s Mind Teaser: 4. Early Menopause.

Correct answers received from: Dr Arvind Gajjar, Dr Priyaranjan Bhattacharjee, Dogiparthi Anuradha, Dr P C Das, uma Maheswari, Dr chandresh Jardosh, Dr Manjit Mohi,
Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Sahadevudu Gelivi, Dr Satendra kumar,
Dr Bitaan Sen & Dr Jayashree Sen.

Answer for 6th January Mind Teaser: 4. Practice proper hand washing.

Correct answers received from: Dr Niraj Kumar Gupta, Dr Prakash Khalap, Dr VP Thakral, Dr Bitaan Sen & Dr Jayashree Sen.

Send your answer to ijcp12@gmail.com

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medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

After the robbers left, the bank manager told the bank supervisor to call the police quickly. The supervisor says "Wait, wait, wait, let’s put the 5 million we embezzled into the amount the robbers robbed".

This is called "Swim with the tide" – converting an unfavorable situation to your advantage!

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with suspected pneumonia and normal x–ray died 12 hours after admission.
Reaction: Oh my God! Why were antibiotics not started?
Lesson: Make sure that all patients with suspected pneumonia are given antibiotics at the first suspicion as x–ray can be normal in the first 24 hours.

medicolegal update

Two things that define SUCCESS in LIFE: The way you manage when you have nothing & way you behave when you have everything!

medicolegal update

Dr KK Aggarwal: Long term use of painkillers can cause kidney cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Eat only when you feel hungry. Notice and feel your hunger. This is conscious eating http://bit.ly/15QdVeB #Health

medicolegal update
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