eMedinewS9th April 2014, Wednesday

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

Low–dose aspirin won’t prevent pregnancy loss, study shows

The Effects of Aspirin in Gestation and Reproduction (EAGeR) medical trial has found that, in general, low–dose aspirin is not beneficial for future pregnancy outcomes in women with prior pregnancy loss. However, in women with one pregnancy loss within the previous 12 months, there did appear to be a benefit, said Dr Jean Wactawski–Wende, Professor in the Department of Epidemiology and Environmental Health in the School of Public Health and Health Professions at the University at Buffalo in the current issue of The Lancet.

News Around The Globe

  • A novel crossover study in healthy volunteers has revealed that glucagon–like peptide 1 (GLP–1) decelerates the increased gastric emptying associated with hypoglycemia. Ten healthy volunteers in the age group of 50–75 years were enrolled in a randomized crossover study. Administration of GLP–1, was associated with a marked slowing of gastric emptying during euglycemia as well as a significant slowing of gastric emptying during hypoglycemia, in comparison with placebo.
  • Among patients with inoperable esophageal cancer, definitive chemoradiotherapy has the potential to offer a curative treatment option, reports a new study published in the March issue of the Lancet Oncology. The study authors evaluated whether progression–free survival in patients with nonoperable localized esophageal cancer could be improved by replacing cisplatin with FOLFOX (fluorouracil plus leucovorin and oxaliplatin) in the standard chemotherapy regimen. Results demonstrated no significant difference in median progression–free survival with the FOLFOX and fluorouracil plus cisplatin regimens (9.7 vs 9.4 months). Additionally, there was no significant difference in median overall survival (20.2 vs 17.5 months). Moreover, FOLFOX appears to be an easier, less toxic, and cheaper option as compared to chemoradiotherapy with fluorouracil and cisplatin.
  • The risk for postpartum venous thromboembolism (VTE) is the highest in the first few weeks after delivery and then decreases steadily through week 12, reports a new study published in the May issue of Obstetrics and Gynecology. The risk for VTE rises shortly after birth, primarily because of pregnancy–related hypercoagulability.
  • A systematic review published online April 8 in the Annals of Internal Medicine has stated that daily low–dose aspirin initiated as early as the second trimester of pregnancy might prevent morbidity and mortality from preeclampsia among high–risk women. The authors noted that aspirin use after the first trimester was associated with 24% lower rates of preeclampsia and with reductions in adverse preeclampsia outcomes.
  • A large population–based study conducted in Taiwan has revealed that patients with insomnia have an 85% higher risk of developing stroke as compared to those without insomnia. The risk was reduced to 54% after adjustment for other factors. The effect appeared much greater in younger people, with patients aged 18 to 34 years having an 8 times higher risk for stroke than those in the similar age age group without insomnia.

Rabies News (Dr A K Gupta)

Do antibodies from rabies vaccination cross an intact blood–brain barrier?

No. Antibodies from vaccination do not cross an intact blood–brain barrier.

Cardiology eMedinewS

  • 23–year follow-up results from the Da Qing Diabetes Prevention Study have revealed that an intensive program of diet, exercise, or both besides delaying progression from prediabetes to diabetes, also lowers CVD and all–cause mortality; the mortality benefit may be greater among women than among men. The study was published online April 3 in Lancet Diabetes & Endocrinology.
  • An analysis of the Nationwide Inpatients Sample (NIS) registry has estimated the in–hospital mortality rate from catheter ablations performed for cardiac arrhythmias over a decade at 0.6%. The report appears in the Journal of the American Medical Association: Internal Medicine. The complication rate has been estimated to be 15.2%, with the most common being the need for a permanent pacemaker.

Pediatrics eMedinewS

  • A new study published in the May issue of Pediatrics has revealed that children of obese fathers have an increased risk for developing autistic disorder and Asperger disorder. Also, the risk heightened with increasing body mass index (BMI). The study noted that the risk of autistic disorder was 0.27% in children with obese fathers (BMI ≥30 kg/m2), compared with 0.14% in children whose fathers were not overweight or obese (BMI <25 kg/m2). Additionally, having an obese father doubled the risk for Asperger disorder for children aged >7 years.
  • Despite the absence of a maternal history of atopy, prenatal stress due to events such as divorce, job loss, and bereavement may be associated with an increased risk of atopic diseases in children, reports a novel study by researchers at the University Medical Center Hamburg–Eppendorf in Germany. Researchers noted an association between maternal life events from 18 to 34 weeks of gestation and children’s asthma at age 14 years, exclusively if the mother did not have asthma.

Dr K K Spiritual Blog

Never Hurt Ego of a Person

It is a well known Vedic fact that if you hurt ego of a person, he will never forgive you, especially, if you have insulted or implicated him in character assassination, cast implications, financial embezzlement or in public, you call a woman as old or a man as impotent.

For example, if I hurt ego of a chowkidaar, next time if a patient comes to the hospital gate and asks where Dr. KK Aggarwal is, he only has to whispery, "which Aggarwal, whose cases never survive?"

Also never hurt the ego of a person who is drunk. Under the influence of alcohol, a person loses his capacity to judge persons and situations. If you provoke him, he can be destructive and aggressive.

Wellness Blog

Gaining Weight Losing Strength Versus Losing Weight Gaining Strength

When we gain weight, we must acquire more strength and when we lose weight, we must lose the strength. This is a fundamental medical principle.

If we gain weight and feel week, it is a disease and when we lose weight and gain strength, we are recovering from the disease. One is not supposed to gain more than 5kg of weight after the age of 20 years. Any weight gain after that will only be due to accumulation of fat which leads to insulin resistance.

Insulin resistance does not allow food to convert into energy. In the state of insulin resistance, whatever you eat, it is converted into fat. As it is not converted into energy and you feel week. When you reduce insulin resistance by drugs or walking the metabolism becomes normal and whatever you eat gets converted into energy and you start gaining strength

Inspirational Story

Man also goes through the cycle of second childhood when he grows old. What pains me is that the current generation has a care free attitude, and leaving their parents in not–so–good situation at home. please remember that When one grows old the mental and physical capacities go down – here is when he/she needs help and hand holding. The present generation is leading a hi–fy life but never cares for the elderly parents who patiently wait for a few words from them – the parents live in solitude expecting someone to speak to them and make them feel happy and wanted in this world.

I have always come across people saying that its a headache to take care of elders – I would think within myself – imagine if the same would have been thought by your parents when you were a kid.

Every month sending money from abroad or from the city that you live in, does not fulfill the void created by feeling lonely and wanting to be talked to,listened to,cared for. We have to make them feel that the world is still wanting you and is a better place to lead a life to the fullest. stand beside your parents because they had a dream with you, they did so much for you. Most important what you are today is only for your parents not anyone else in the world. Look your parents with Love and care.

ePress Release

Every arthritis is not same

Every arthritis is not the same. While osteoarthritis also called as green arthritis may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis if not treated aggressively and early can end up with serious deforming complications, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

Any arthritis in young women of child-bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1–2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of age 50+ and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

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 following is not a post transcriptional modification of RNA?

1. Splicing.
2. 5’ Capping.
3. 3’ polyadenylation.
4. Glycosylation.

Yesterday’s Mind Teaser: Which of the following is present intracellularly in muscle cells:

1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.

Answer for yesterday’s Mind Teaser: 2. Corticosteroid.

Correct answers received from: Dr KV Sarma, Dr K Raju, Dr Pankaj Agarwal, Dr Pandian, Dr Jainendra Upadhyay,
Dr Avtar Krishan, Daivadheenam Jella, Dr Ajay Gandhi.

Answer for 5th April Mind Teaser: 2. pKa

Correct answers received from: Dr KV Sarma.

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

 

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

A free heart checkup camp was organised by Heart Care Foundation of India at Bal Bharti Public School

press release

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

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 did you ignore the blood pressure of 90/80?
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

Health Professionals in Heaven

Three nurses died and went to Heaven. They were met at the Pearly Gates by St. Peter, who questioned them.

"What did you used to do back on Earth?" he asked the first nurse. "Why do you think you should be allowed into Heaven?"

She told him, "I was a nurse at an inner city hospital. I worked to bring healing and peace to many sufferers, especially poor children."

"Very noble. You may enter." And he ushered her through the gates. He asked the same questions to the next nurse.

"I was a missionary nurse in the Amazon. For many years I worked with a small group of doctors and nurses to help people in numerous tribes, healing them and telling them of God’s love." The second nurse replied.

"Excellent!" said St. Peter. And he ushered her through the gates as well. Finally he posed his questions to the third nurse. She hesitated, and then explained, "I was just a nurse at an HMO."

St. Peter considered her answer for a moment, then told her, "Well, you can enter too."

"Wow!" the nurse exclaimed in relief. "I almost thought you weren’t going to let me in."

"Oh, you can certainly come in," St. Peter told her, "but you can only stay for three days."

Quote of the Day

Productive achievement is a consequence and an expression of health, self–esteem, not its cause. Nathaniel Branden

 

Twitter of the Day

Dr KK Aggarwal: Heart disease starts in youth: http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: At our core we are all capable and deserving of love http://bit.ly/DC_Ananda #ananda

 

Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

 

Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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medical querymedical query

medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the Updates. Regards: Dr Kabir
cardiology news

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